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ISSN (Print): 2359-4802 | ISSN (Online): 2359-5647




Edition: 23.5 - 7 Article(s)


EDITORIAL

Editorial
Ricardo Mourilhe Rocha
Rev Bras Cardiol. 2010;23(5):262
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ORIGINAL ARTICLE

Evaluation of functional performance in patients undergoing cardiac surgery
Avaliação do desempenho funcional em pacientes submetidos à cirurgia cardíaca

Danilo Barbosa Morais; Ana Carolina Reina Lopes; Vanessa Mendonça de Sá; Walderi Monteiro da Silva Júnior; Manoel Luís de Cerqueira Neto
Rev Bras Cardiol. 2010;23(5):263-269

+   Abstract  
BACKGROUND: Cardiac surgery is a form of treatment that causes changes in the body, although offering improvement for the patient.
OBJECTIVE: To evaluate the influence of pain during the initial surgery and reoperation with the use of cardiopulmonary bypass (CPB) on the functional independence measure (FIM).
METHODS: This study focused on 22 cardiac patients in the Fundação de Beneficência Hospital de Cirurgia (FBHC) hospitalized for elective heart surgery through mid-sternal thoracotomy (MST) with cardiopulmonary bypass (CPB) between March and April 2010, using the functional independence measure (FIM) questionnaire and the Visual Analog Scale (VAS) for pain in the preoperative, 2/3 and 5/6 PODs
RESULTS: Pain reduction was noted between 2/3 and 5/6 PODs; a loss of functional performance between the pre-operative period and the 2/3 PODs; and a gain between the 2/3 and 5/6 PODs with p<0.001. No statistically significant correlation was found between pain and the amount of surgery with functional performance, but only between the latter and the duration of the CPB, which was inversely proportional.
CONCLUSION: Pain caused by the first surgery and reoperation did not affect the functional independence measure, which was influenced only by the CPB.


Keywords: Cardiac surgery, Pain, Functional independence measure

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Prevalence of metabolic syndrome among hypertensive patients in a town in the rainforest zone, Alagoas state, northwest Brazil
Prevalência de síndrome metabólica em hipertensos de município da zona da mata alagoana

Alane Cabral de Oliveira; Anderson Brandão Leite; Ana Rachel Vasconcelos de Lima; Sandra Mary Lima Vasconcelos
Rev Bras Cardiol. 2010;23(5):270-276

+   Abstract  
BACKGROUND: Studies of different populations show high Metabolic Syndrome (MS) rates, depending on the criteria used and population characteristics. As data is scarce, studies are needed in Brazil to characterize its population more effectively, especially groups vulnerable to MS, such as hypertensive people.
OBJECTIVE: To ascertain the prevalence of MS among hypertensive patients registered with the HIPERDIA/MS program in the town of Flexeiras, Alagoas State, Northeast Brazil.
METHODS: Cross-section study of a simple random sample of 300 hypertensive male and female patients between 21 and 92 years old, registered with the HIPERDIA/MS program in Flexeiras and evaluated from January to March 2005, estimating the prevalence of MS through the NCEP-ATPIII criterion.
RESULTS: The prevalence of MS was 57.3% (77.9% of women and 22.1% of men). Analyzing MS patients by gender, women are 2.34 times more likely to develop MS, than men. When stratified by age group, MS was more prevalent among young adults than among the elderly (p<0.05). Serum levels of HDL-C below normal limits was the MS component found most frequently (53.3%) among the patients studied, followed by abdominal obesity (52.3%), hypertriglyceridemia (41.3%), modified fasting blood glucose and/or diabetes mellitus (19.3%).
CONCLUSIONS: A high prevalence of MS was noted in the population studied, compared to other population groups. These findings could guide the priority care that should be implemented for this group of patients, thus contributing to better intervention.


Keywords: Metabolic syndrome, Hypertensive patients, NCEP ATPIII

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Evaluation of knowledge and presence of cardiovascular risk factors among elderly patients in a town in southern Brazil
Avaliação do conhecimento e da presença de fatores de risco cardiovascular em idosos de município do sul do Brasil

Cleusa Maria Richter; Luiz Antonio Bettinelli; Adriano Pasqualotti; Diego Olschowky Borges; Paulo Roberto Oliveira Daltrozo; Jonatas Zeni Klafk; Paulo Ricardo Nazário Viecili
Rev Bras Cardiol. 2010;23(5):277-285

+   Abstract  
BACKGROUND: Studies indicate that cardiovascular risk factors (CRF) are known and prevalent among the elderly.
OBJECTIVE: To assess knowledge and presence of cardiovascular risk factors among the elderly.
METHODS: In a sample of 313 elderly people (55.6% women, 69.8 ± 6.6 years), we examined the knowledge of cardiovascular risk factors through a structured questionnaire, followed by an assessment of these risk factors, including hypertension (HBP), anthropometric data and laboratory data.
RESULTS: The percentages of elderly people who knew about CRF were: hypertension 95.2%, hypercholesterolemia (HCT) 95.5%, DM 97.7%, hypertriglyceridemia (HTG) 91.7%, alcohol consumption 97.4% and smoking 99.7%. The presence of cardiovascular risk factors among them was: hypertension 56.9%, HCT 29.2%, DM 11.5%, HTG 16.6%, smoking 11.5%, sedentary lifestyles 63.6%, and stress 49.8%.
CONCLUSIONS: Although most elderly people were aware of RF threatening their health, many of them did not know if they were carriers of the main RF.


Keywords: Elderly, Cardiovascular risk factors, Hypertension, Diabetes mellitus

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REVIEW ARTICLE

Retrograde coronary perfusion technique: historical rescue
Técnica de reperfusão miocárdica retrógrada: resgate histórico

Stans Murad-Netto; Victor Murad
Rev Bras Cardiol. 2010;23(5):286-291

+   Abstract  
Paper presenting a historical review of an experimental study conducted with dogs in 1962, exploring a retrograde myocardial retroperfusion technique for the coronary sinus. This pioneering approach is presented in this paper in order to preserve this historic feat, constituting an important legacy due to current international repercussions prompted by its use for treating acute myocardial infarction and stem cell treatment of coronary disease.


Keywords: Myocardium retroperfusion, Acute myocardium infarction, Retrograde perfusion of the myocardium

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CASE REPORT

Acute myocardial infarction in adolescent secondary to coronary aneurysm thrombosis
Infarto agudo do miocárdio em adolescente secundário à trombose de aneurisma coronariano

Sabrina Andrade de Godoy Bezerra; Marcelo Souza Hadlich; Lilian Stewart; Clerio Francisco de Azevedo
Rev Bras Cardiol. 2010;23(5):292-295

+   Abstract  
Coronary artery aneurysm is a disease usually diagnosed accidentally since most patients remain asymptomatic. Nonetheless, rare patients may have local aneurysm complications. We describe a case of coronary artery aneurysm thrombosis followed by acute myocardial infarction in an adolescent. We also review the imaging diagnosis of this disease.


Keywords: Coronary aneurysm, Tomography, Myocardial infarction, Magnetic resonance imaging

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CARDIOVASCULAR IMAGE

Cardiomyoplasty and artifacts in the electrocardiogram
Cardiomioplastia e artefatos no eletrocardiograma

Carlos Diniz de Araújo Franco; José Hallake
Rev Bras Cardiol. 2010;23(5):296-298

+   Abstract  
A female patient with refractory cardiac failure not respondng to conventional treatment underwent cardiomyoplasty using the latissimus dorsi muscle to improve cardiac contractions. The muscle was stimuated by an implanted pacemaker with the stimuli presenting aspects of artifacts in the ECG, which registered artifacts in the S-T segment at two cycles per second, with an unsual appearance.
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