Pub Date : 2025-12-15eCollection Date: 2025-01-01DOI: 10.36660/abc.20250327
Manuela Cristina Ribeiro Dias Barroso, Heleutério da Conceição Nicolau Madogolele, Deborah de Sá Pereira Belfort, Bruno Biselli, Silvia Moreira Ayub-Ferreira, Edimar Alcides Bocchi
{"title":"Reversal of Left Bundle Branch Block Following Treatment in Alcoholic Cardiomyopathy.","authors":"Manuela Cristina Ribeiro Dias Barroso, Heleutério da Conceição Nicolau Madogolele, Deborah de Sá Pereira Belfort, Bruno Biselli, Silvia Moreira Ayub-Ferreira, Edimar Alcides Bocchi","doi":"10.36660/abc.20250327","DOIUrl":"10.36660/abc.20250327","url":null,"abstract":"","PeriodicalId":93887,"journal":{"name":"Arquivos brasileiros de cardiologia","volume":"122 10","pages":"e20250327"},"PeriodicalIF":1.9,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12671594/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145795781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-15eCollection Date: 2025-01-01DOI: 10.36660/abc.20250652
Guy F A Prado, Henrique Barbosa Ribeiro
{"title":"Small-Vessel Coronary Disease and Drug-Coated Balloons: Time to Reconsider Our Strategy?","authors":"Guy F A Prado, Henrique Barbosa Ribeiro","doi":"10.36660/abc.20250652","DOIUrl":"10.36660/abc.20250652","url":null,"abstract":"","PeriodicalId":93887,"journal":{"name":"Arquivos brasileiros de cardiologia","volume":"122 10","pages":"e20250652"},"PeriodicalIF":1.9,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12671718/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145795799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-15eCollection Date: 2025-01-01DOI: 10.36660/abc.20250609
Fernanda Almeida Andrade
{"title":"The Hidden Cost of Denied Access: Advanced Heart Failure in Latin America.","authors":"Fernanda Almeida Andrade","doi":"10.36660/abc.20250609","DOIUrl":"10.36660/abc.20250609","url":null,"abstract":"","PeriodicalId":93887,"journal":{"name":"Arquivos brasileiros de cardiologia","volume":"122 10","pages":"e20250609"},"PeriodicalIF":1.9,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12671607/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145794979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-15eCollection Date: 2025-01-01DOI: 10.36660/abc.20250324
Cassiano Teixeira
In-hospital blood pressure (BP) monitoring often leads to the detection of isolated elevated readings, particularly in the supine position during nighttime checks. However, growing evidence suggests that these transient hypertensive values - frequently labeled as "supine hypertension" - may not warrant pharmacologic intervention in the absence of acute end-organ damage. This opinion piece argues against the reflexive treatment of supine hypertension in hospitalized patients and highlights the risks associated with aggressive management. Excessive monitoring and the lack of contextual interpretation of BP fluctuations may expose patients to unnecessary harm.
{"title":"Treating Numbers or Patients? Rethinking Supine Hypertension in Hospitalized Adults.","authors":"Cassiano Teixeira","doi":"10.36660/abc.20250324","DOIUrl":"10.36660/abc.20250324","url":null,"abstract":"<p><p>In-hospital blood pressure (BP) monitoring often leads to the detection of isolated elevated readings, particularly in the supine position during nighttime checks. However, growing evidence suggests that these transient hypertensive values - frequently labeled as \"supine hypertension\" - may not warrant pharmacologic intervention in the absence of acute end-organ damage. This opinion piece argues against the reflexive treatment of supine hypertension in hospitalized patients and highlights the risks associated with aggressive management. Excessive monitoring and the lack of contextual interpretation of BP fluctuations may expose patients to unnecessary harm.</p>","PeriodicalId":93887,"journal":{"name":"Arquivos brasileiros de cardiologia","volume":"122 9","pages":"e20250324"},"PeriodicalIF":1.9,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12671725/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145795817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-15eCollection Date: 2025-01-01DOI: 10.36660/abc.20250542
Paulo Henrique Godoy
{"title":"Alcohol Consumption and Its Association with Lifestyle in Individuals with and without Cardiovascular Disease.","authors":"Paulo Henrique Godoy","doi":"10.36660/abc.20250542","DOIUrl":"10.36660/abc.20250542","url":null,"abstract":"","PeriodicalId":93887,"journal":{"name":"Arquivos brasileiros de cardiologia","volume":"122 10","pages":"e20250542"},"PeriodicalIF":1.9,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12671687/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145795787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01eCollection Date: 2025-01-01DOI: 10.36660/abc.20250173
Fernando Amaral, Geraldo Luiz Figueiredo, Rafael B Pavão, Paulo Henrique Manso, Luis Gustavo Gali, Danilo Tadao Wada, André Schmidt
{"title":"Adult Congenital Heart Disease. Follow-Up Pattern of Care.","authors":"Fernando Amaral, Geraldo Luiz Figueiredo, Rafael B Pavão, Paulo Henrique Manso, Luis Gustavo Gali, Danilo Tadao Wada, André Schmidt","doi":"10.36660/abc.20250173","DOIUrl":"10.36660/abc.20250173","url":null,"abstract":"","PeriodicalId":93887,"journal":{"name":"Arquivos brasileiros de cardiologia","volume":"122 9","pages":"e20250173"},"PeriodicalIF":1.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12671678/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145727515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pedro Gabriel Melo de Barros E Silva, Alexandre de Matos Soeiro, Carlos Eduardo Ornelas, Gilson Soares Feitosa-Filho, Renato D Lopes, Danielli Oliveira da Costa Lino, Remo Holanda de Mendonça Furtado, Hélio Penna Guimarães, André Volschan, Bruno Ferraz de Oliveira Gomes, Carisi Anne Polanczyk, Carlos Eduardo Rochitte, Carlos Vicente Serrano, Cláudio Marcelo Bittencourt das Virgens, Claudio Tinoco Mesquita, Edgardo Jorge Menendez, Eduardo Leal Adam, Fabio Mastrocola, Fábio Serra Silveira, Felipe Souza Maia da Silva, Giovanni Possamai Dutra, Humberto Graner Moreira, Isly Maria Lucena de Barros, João Luiz Fernandes Petriz, José Roberto de Oliveira Silva Filho, Julio Flavio Meirelles Marchini, Louis Nakayama Ohe, Ludhmila Abrahão Hajjar, Maria Camila Lunardi, Mucio Tavares de Oliveira Junior, Nivaldo Menezes Filgueiras Filho, Odilson Marcos Silvestre, Paolo Blanco Villela, Paulo Rogério Soares, Pedro Paulo Nogueres Sampaio, Renée Sarmento de Oliveira, Ronaldo de Souza Leão Lima, Sandro Pinelli Felicioni, Sergio Timerman, Tatiana de Carvalho Andreuci Torres Leal, Wilson Mathias Junior
{"title":"Brazilian Guideline for the Evaluation and Diagnosis of Chest Pain in the Emergency Department - 2025.","authors":"Pedro Gabriel Melo de Barros E Silva, Alexandre de Matos Soeiro, Carlos Eduardo Ornelas, Gilson Soares Feitosa-Filho, Renato D Lopes, Danielli Oliveira da Costa Lino, Remo Holanda de Mendonça Furtado, Hélio Penna Guimarães, André Volschan, Bruno Ferraz de Oliveira Gomes, Carisi Anne Polanczyk, Carlos Eduardo Rochitte, Carlos Vicente Serrano, Cláudio Marcelo Bittencourt das Virgens, Claudio Tinoco Mesquita, Edgardo Jorge Menendez, Eduardo Leal Adam, Fabio Mastrocola, Fábio Serra Silveira, Felipe Souza Maia da Silva, Giovanni Possamai Dutra, Humberto Graner Moreira, Isly Maria Lucena de Barros, João Luiz Fernandes Petriz, José Roberto de Oliveira Silva Filho, Julio Flavio Meirelles Marchini, Louis Nakayama Ohe, Ludhmila Abrahão Hajjar, Maria Camila Lunardi, Mucio Tavares de Oliveira Junior, Nivaldo Menezes Filgueiras Filho, Odilson Marcos Silvestre, Paolo Blanco Villela, Paulo Rogério Soares, Pedro Paulo Nogueres Sampaio, Renée Sarmento de Oliveira, Ronaldo de Souza Leão Lima, Sandro Pinelli Felicioni, Sergio Timerman, Tatiana de Carvalho Andreuci Torres Leal, Wilson Mathias Junior","doi":"10.36660/abc.20250620","DOIUrl":"https://doi.org/10.36660/abc.20250620","url":null,"abstract":"","PeriodicalId":93887,"journal":{"name":"Arquivos brasileiros de cardiologia","volume":"122 9","pages":"e20250620"},"PeriodicalIF":1.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145727553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01eCollection Date: 2025-01-01DOI: 10.36660/abc.20250530
Rui Póvoa
{"title":"The Importance of Identifying Phenotypes in Arterial Hypertension.","authors":"Rui Póvoa","doi":"10.36660/abc.20250530","DOIUrl":"10.36660/abc.20250530","url":null,"abstract":"","PeriodicalId":93887,"journal":{"name":"Arquivos brasileiros de cardiologia","volume":"122 9","pages":"e20250530"},"PeriodicalIF":1.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12674841/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145727707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01eCollection Date: 2025-01-01DOI: 10.36660/abc.20240329
Luiz Eduardo Fonteles Ritt, Eduardo Sahade Darze, Pedro Gabriel Melo de Barros E Silva, Gilson Soares Feitosa-Filho, João Victor Santos Pereira Ramos, Márcia A Viana, Priscila Neri Lacerda, Emanoela Lima Freitas, Queila Oliveira Borges, Adriano Oliveira Martins, Renato Delascio Lopes
Background: Both fondaparinux and radial access have been associated with lower rates of major adverse cardiovascular events (MACE) in acute coronary syndrome (ACS).
Objective: To evaluate the association between the use of fondaparinux plus radial access and clinical outcomes.
Methods: In this study, 956 patients admitted with ACS and treated with an invasive strategy were analyzed. The primary outcome - a composite of major bleeding (according to OASIS-5 criteria) and MACE - was compared across groups defined by anticoagulation regimen (fondaparinux or enoxaparin) plus arterial access site (femoral vs. radial). A p-value < 0.05 was considered statistically significant.
Results: The mean age of the study population was 65 ± 12.4 years, and 49.5% presented with non-ST segment elevation myocardial infarction (NSTEMI). Fondaparinux and radial access were used concurrently in 366 patients. The primary endpoint occurred in 78 patients (8.1%): MACE in 50 (5.2%) and major bleeding in 32 (3.3%). The event rate was lowest in the fondaparinux plus radial access group (3.3%), compared with enoxaparin plus radial access (9.8%), fondaparinux plus femoral access (8.6%), and enoxaparin plus femoral access (14.4%) (p < 0.001). Multivariable analysis showed that the use of fondaparinux was associated with a 43% reduction in the primary outcome (OR, 0.57; 95% CI, 0.34-0.96; p < 0.05), and radial access was independently associated with a 54% reduction (OR, 0.46; 95% CI, 0.26-0.83; p = 0.01).
Conclusion: The combination of fondaparinux and radial access was associated with the lowest rates of MACE and major bleeding, compared to either strategy alone.
背景：fondaparinux和桡动脉通路均与急性冠脉综合征（ACS）患者较低的主要不良心血管事件（MACE）发生率相关。目的：评价fondaparinux加桡骨通路与临床结果的关系。方法：对956例接受有创治疗的ACS患者进行分析。主要结局-大出血（根据OASIS-5标准）和MACE的综合-在抗凝方案（fondaparinux或依诺肝素）和动脉通路部位（股骨与桡动脉）定义的组之间进行比较。p值< 0.05认为有统计学意义。结果：研究人群的平均年龄为65±12.4岁，49.5%为非st段抬高型心肌梗死（NSTEMI）。366例患者同时使用Fondaparinux和桡骨通路。78例（8.1%）患者出现主要终点，其中MACE 50例（5.2%），大出血32例（3.3%）。与依诺肝素+桡骨通路组（9.8%）、依诺肝素+股骨通路组（8.6%）和依诺肝素+股骨通路组（14.4%）相比，fondaparinux +桡骨通路组（3.3%）的事件发生率最低（p < 0.001）。多变量分析显示，fondaparinux的使用与主要结局降低43%相关（OR, 0.57; 95% CI, 0.34-0.96; p < 0.05），径向通路与主要结局降低54%独立相关（OR, 0.46; 95% CI, 0.26-0.83; p = 0.01）。结论：与单独使用任何一种策略相比，联合使用fondaparinux和桡骨通路与MACE和大出血的发生率最低相关。
{"title":"Association between the Use of Fondaparinux Plus Radial Access and Clinical Outcomes in Patients with Non-ST Elevation Acute Coronary Syndrome.","authors":"Luiz Eduardo Fonteles Ritt, Eduardo Sahade Darze, Pedro Gabriel Melo de Barros E Silva, Gilson Soares Feitosa-Filho, João Victor Santos Pereira Ramos, Márcia A Viana, Priscila Neri Lacerda, Emanoela Lima Freitas, Queila Oliveira Borges, Adriano Oliveira Martins, Renato Delascio Lopes","doi":"10.36660/abc.20240329","DOIUrl":"10.36660/abc.20240329","url":null,"abstract":"<p><strong>Background: </strong>Both fondaparinux and radial access have been associated with lower rates of major adverse cardiovascular events (MACE) in acute coronary syndrome (ACS).</p><p><strong>Objective: </strong>To evaluate the association between the use of fondaparinux plus radial access and clinical outcomes.</p><p><strong>Methods: </strong>In this study, 956 patients admitted with ACS and treated with an invasive strategy were analyzed. The primary outcome - a composite of major bleeding (according to OASIS-5 criteria) and MACE - was compared across groups defined by anticoagulation regimen (fondaparinux or enoxaparin) plus arterial access site (femoral vs. radial). A p-value < 0.05 was considered statistically significant.</p><p><strong>Results: </strong>The mean age of the study population was 65 ± 12.4 years, and 49.5% presented with non-ST segment elevation myocardial infarction (NSTEMI). Fondaparinux and radial access were used concurrently in 366 patients. The primary endpoint occurred in 78 patients (8.1%): MACE in 50 (5.2%) and major bleeding in 32 (3.3%). The event rate was lowest in the fondaparinux plus radial access group (3.3%), compared with enoxaparin plus radial access (9.8%), fondaparinux plus femoral access (8.6%), and enoxaparin plus femoral access (14.4%) (p < 0.001). Multivariable analysis showed that the use of fondaparinux was associated with a 43% reduction in the primary outcome (OR, 0.57; 95% CI, 0.34-0.96; p < 0.05), and radial access was independently associated with a 54% reduction (OR, 0.46; 95% CI, 0.26-0.83; p = 0.01).</p><p><strong>Conclusion: </strong>The combination of fondaparinux and radial access was associated with the lowest rates of MACE and major bleeding, compared to either strategy alone.</p>","PeriodicalId":93887,"journal":{"name":"Arquivos brasileiros de cardiologia","volume":"122 9","pages":"e20240329"},"PeriodicalIF":1.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12671839/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145727526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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