Arquivos Brasileiros de Cardiologia最新文献

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Outcome Analysis after Out-of-Hospital Cardiac Arrest. 院外心脏骤停后的结局分析。

IF 2.6 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Arquivos Brasileiros de Cardiologia

Pub Date : 2023-07-01 DOI: 10.36660/abc.20230406

Thais Rocha Salim, Gabriel Porto Soares

引用次数: 0

Misdiagnosis of a Cardiac Angiosarcoma During the COVID-19 Pandemic. COVID-19大流行期间心脏血管肉瘤的误诊

IF 2.6 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Arquivos Brasileiros de Cardiologia

Pub Date : 2023-07-01 DOI: 10.36660/abc.20220501

Arash Amin, Zohreh Taheri, Mahshid Hesami, Azin Alizahehasl, Zeinab Norouzi, Nasibeh Mohammadi

The final months of 2019 saw the emergence of a new pandemic termed "COVID-19". Since then, this infection and its complications have been the priority of healthcare providers, with many symptoms attributed to its early and late presentations. Thus far, other diseases, even fatal situations, have been overlooked or misdiagnosed due to the attribution of patient symptoms to the presence of COVID-19 infection. We herein present a case of cardiac angiosarcoma in a young boy who had previously become infected with COVID-19 about two months earlier. Given the history of infection, the initial approach was post-COVID-19 myopericarditis management. However, the patient's condition worsened, necessitating reevaluation via multimodalities with higher precision. Ultimately, the patient was diagnosed with a cardiac tumor. This article seeks to underscore the significance of taking heed of other diseases and fatal conditions during the COVID-19 pandemic with an emphasis on avoiding misdiagnosing other diseases.

2019年的最后几个月出现了一种名为“COVID-19”的新大流行病。从那时起，这种感染及其并发症一直是医疗保健提供者的优先事项，许多症状归因于其早期和晚期的表现。到目前为止，由于将患者症状归因于COVID-19感染，其他疾病甚至致命情况被忽视或误诊。我们在此报告一例心脏血管肉瘤的年轻男孩，他之前感染了COVID-19大约两个月前。考虑到感染史，最初的治疗方法是covid -19后心包炎治疗。然而，患者的病情恶化，需要通过多模式重新评估，精度更高。最终，患者被诊断出患有心脏肿瘤。本文旨在强调在COVID-19大流行期间注意其他疾病和致命病症的重要性，重点是避免误诊其他疾病。

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引用次数: 0

The Forgotten Valve is not to be Forgiven: Tricuspid Regurgitation Impact on Clinical Outcomes after Transcatheter Aortic Valve Implantation. 被遗忘的瓣膜是不可原谅的:经导管主动脉瓣植入后三尖瓣反流对临床结果的影响。

IF 2.6 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Arquivos Brasileiros de Cardiologia

Pub Date : 2023-07-01 DOI: 10.36660/abc.20230410

Gabriel Kanhouche, Henrique B Ribeiro

引用次数: 1

A "Grasp Heart" Situation: Managing Heart Failure with Reduced Ejection Fraction in Primary Adrenal Insufficiency. 原发性肾上腺功能不全患者射血分数降低的心衰处理:“抓心”情况。

IF 2.6 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Arquivos Brasileiros de Cardiologia

Pub Date : 2023-07-01 DOI: 10.36660/abc.20230171

Matheo Augusto Morandi Stumpf, Madson Queiroz Almeida

Matheo Augusto Morandi Stumpf1 e Madson Queiroz Almeida1,2 Unidade de Adrenal, Laboratório de Endocrinologia Molecular e Celular LIM/25, Disciplina de Endocrinologia e Metabologia, Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo,1 São Paulo, SP – Brasil Divisão de Oncologia Endócrina, Instituto do Câncer do Estado de São Paulo (ICESP), Faculdade de Medicina da Universidade de São Paulo,2 São Paulo, SP – Brasil

引用次数: 0

Transthoracic Echocardiography in Pulmonary Hypertension: Easy Tool, but Caution is Needed! 肺动脉高压的经胸超声心动图：简便工具，但需谨慎！

IF 2 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Arquivos Brasileiros de Cardiologia

Pub Date : 2023-07-01 DOI: 10.36660/abc.20230380

Hugo Hyung Bok Yoo

引用次数: 0

Out of Sight, Out of Heart? 眼不见，心不烦？

IF 2 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Arquivos Brasileiros de Cardiologia

Pub Date : 2023-07-01 DOI: 10.36660/abc.20220765

Costantino Roberto Costantini, Costantino Ortiz Costantini, Sérgio Gustavo Tarbine, Marcos Antonio Denk, Vinicius Shibata Ferrari, Rafael Michel de Macedo

引用次数: 0

Influence of the Immune System on Cardiovascular Disease. 免疫系统对心血管疾病的影响。

IF 2.6 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Arquivos Brasileiros de Cardiologia

Pub Date : 2023-07-01 DOI: 10.36660/abc.20230398

Mariana Gatto, Gustavo Augusto Ferreira Mota, Marina Politi Okoshi

Aterosclerose/fisiopatologia; Insuficiência Cardíaca; Hipertensão; Mortalidade; Infarto do Miocárdio; Sistema Imunológico O sistema imunológico reage a diversos estímulos como corpos estranhos e dano tecidual. A inflamação é a resposta fisiológica inata do organismo às injúrias teciduais desencadeadas por agentes físicos, químicos e biológicos como infecção, trauma, toxina, e necrose tecidual. Uma vez iniciado, o processo somente cessa com a eliminação ou neutralização do agente agressor e a regeneração do tecido danificado.1

引用次数: 0

Transcatheter Aortic Valve Implantation: What has Happened and What is Yet to Come. 经导管主动脉瓣植入术:已经发生的和尚未发生的。

IF 2.6 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Arquivos Brasileiros de Cardiologia

Pub Date : 2023-07-01 DOI: 10.36660/abc.20230401

David Costa de Souza Le Bihan, Rodrigo Bellio de Mattos Barretto, Wilson Mathias Junior

引用次数: 0

Could Zonulin and Presepsin Be Biomarkers and Therapeutic Targets for Acute Myocarditis? Zonulin和pressetin能否成为急性心肌炎的生物标志物和治疗靶点?

IF 2.6 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Arquivos Brasileiros de Cardiologia

Pub Date : 2023-07-01 DOI: 10.36660/abc.20230017

Kenan Toprak, Mehmet Inanır, Tolga Memioğlu, Mustafa Kaplangoray, Ali Palice, Mustafa Begenc Tascanov

Background: The diagnosis of acute myocarditis is usually made with clinical and laboratory parameters. This can sometimes be mixed up with diseases that have similar clinical features, making the diagnosis difficult. Therefore, the use of more specific biomarkers, in addition to the classically used biomarkers such as troponin, will accelerate the diagnosis. In addition, these biomarkers may help us to understand the mechanism of myocarditis development and thus predict unpredictable clinical outcomes.

Objective: This study aims to reveal the possible relationship between intestinal permeability and acute myocarditis.

Methods: In this study, we wanted to evaluate serum levels of zonulin and presepsin in 138 consecutive subjects, including 68 patients with myocarditis and another 70 as the control group, matched for age, gender, and cardiovascular risk factors. P-values <0.05 were considered to be statistically significant.

Results: Compared to the control group, zonulin and presepsin were significantly higher in the patient group with myocarditis (p < 0.001, for all). Zonulin levels were positively correlated with presepsin, peak CK-MB, and peak troponin levels (r = 0.461, p < 0.001; r = 0.744, p < 0.001; r = 0.627, p < 0.001; respectively). In regression analysis, presepsin and zonulin were determined as independent predictors for myocarditis (OR 1.002, 95% CI 1.001-1.003, p = 0.025; OR 12.331, 95% CI 4.261-35.689; p < 0.001; respectively). The predictive value of acute myocarditis of presepsin and zonulin in ROC curve analysis was statistically significant (p < 0.001, for both).

Conclusion: This study showed that zonulin and presepsin could be biomarkers that can be used in the diagnosis of myocarditis, and they can also be therapeutic targets by shedding light on the developmental mechanism of myocarditis.

背景:急性心肌炎的诊断通常依靠临床和实验室参数。有时会与具有相似临床特征的疾病混淆，使诊断变得困难。因此，除了常用的生物标志物(如肌钙蛋白)外，使用更特异的生物标志物将加速诊断。此外，这些生物标志物可以帮助我们了解心肌炎发展的机制，从而预测不可预测的临床结果。目的:探讨肠通透性与急性心肌炎的关系。方法:在这项研究中，我们想要评估138名连续受试者的血清zonulin和presetin水平，其中包括68名心肌炎患者和70名对照组，年龄、性别和心血管危险因素相匹配。结果:与对照组相比，心肌炎患者组zonulin和pressesin明显升高(p < 0.001)。Zonulin水平与presepsin、CK-MB峰值、肌钙蛋白峰值呈正相关(r = 0.461, p < 0.001;R = 0.744, p < 0.001;R = 0.627, p < 0.001;分别)。在回归分析中，presepsin和zonulin被确定为心肌炎的独立预测因子(OR 1.002, 95% CI 1.001-1.003, p = 0.025;或12.331,95% ci 4.261-35.689;P < 0.001;分别)。pressetin和zonulin在ROC曲线分析中对急性心肌炎的预测价值均有统计学意义(p < 0.001)。结论:本研究提示zonulin和pressetin可作为诊断心肌炎的生物标志物，并可通过揭示心肌炎的发育机制作为治疗靶点。

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引用次数: 1

Could Acute Myeloid Leukemia Have Presented Even Worse? "Uncommon Cause of Concurrently Multivessel Thrombosis". 急性髓性白血病会更严重吗?“并发多血管血栓形成的罕见原因”。

IF 2.6 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Arquivos Brasileiros de Cardiologia

Pub Date : 2023-07-01 DOI: 10.36660/abc.20220808

Kutluhan Eren Hazir, Ersin Cagri Simsek, Esra Baldan, Hakan Gökalp Uzun, Hale Bulbul, Bengisu Yarci, Elif Busra Ozcan

Acute promyelocytic leukemia (APL) is a subgroup of acute myeloid leukemia (AML). Although it is known that hemorrhagic complications are common, thrombotic complications are not as rare as thought. However, myocardial infarction and ischemic stroke incidence are very rare during AML. Here, we present the astonishing case of APL diagnosed with pancytopenia in its presentation with acute myocardial infarction and ischemic stroke.

急性早幼粒细胞白血病(APL)是急性髓性白血病(AML)的一个亚群。虽然已知出血性并发症是常见的，但血栓性并发症并不像想象的那么罕见。然而，急性髓性白血病中心肌梗死和缺血性脑卒中的发生率非常罕见。在这里，我们提出的APL诊断为全血细胞减少症的惊人的情况下，其表现为急性心肌梗死和缺血性中风。

引用次数: 0

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