ABSTRACT
Abstract Background Atrial fibrillation (AF) is the most frequent arrhythmia, and its prevalence increases with age. The management of AF in the elderly is challenging, as it is normally associated with comorbidities and frailty. AF catheter ablation (CA) is a safe and superior alternative to antiarrhythmic drugs (AADs) for the maintenance of sinus rhythm. Objectives To evaluate the rate of complications associated with CA for AF across different age groups. Methods A retrospective analysis of 219 patients who underwent CA for AF between 2016 and 2020 were divided into 3 age groups: less than 60 years, 60 to 70 years, and > 70 years. All the included patients underwent radiofrequency ablation using an electroanatomic mapping system. Categorical variables were evaluated with chi-square and Fisher's test, and continuous variables were evaluated by Kruskal-Wallis and post-hoc Tamhane's T2. P values less than 0.05 were considered significant. Results We found an overall total complication rate of 4.6%. The total complication rate was 3.3% in patients < 60 years of age, 5.7% in patients between 60 and 70 years, and 5.2% in patients > 70 years (p = 0.742). No deaths occurred. Conclusion There was no significant difference in the AF CA-related complications when comparing the patients by age group.
ABSTRACT
This is a series case report of five symptomatic patients presented with diagnosis of sinus bradycardia, first and second degrees atrioventricular (AV) blocks, that were referred to pacemaker implantation. During the screening, a functional cause for the bradycardia and AV blocks were documented by treadmill stress test, 24-hour Holter monitoring and atropine test. After the confirmation of the diagnosis, patients were submitted to cardioneuroablation on an anatomical basis supported by a tridimensional electroanatomical fractionation mapping software. The technique and the acute and short-term results of the cardioneuroablation are described.
Subject(s)
Syncope , Bradycardia , Atrioventricular BlockABSTRACT
Objetivou-se verificar a influência dos fatores socioeconômicos na disposição de 407 consumidores em hipermercados do município de Belo Horizonte, Minas Gerais, em adquirir carne bovina com certificação de origem e verificar as características inerentes ao produto que auxiliam o consumidor no momento da compra, considerando o seu conhecimento prévio sobre rastreabilidade e certificação de origem. Foi realizada uma análise descritiva de todas as variáveis e, posteriormente, realizada a análise univariada pelo teste do qui-quadrado ou exato de Fischer. As variáveis foram adicionadas no modelo múltiplo da regressão logística Generalized Estimating Equations (GEE) e para todas as variáveis presentes no modelo final (p ≤ 0,05) foi calculado o risco por meio da odds ratio (OR) ajustada a um intervalo de confiança de 95%. Todos os fatores socioeconômicos analisados (sexo, idade, renda e escolaridade) influenciaram na disposição de consumidores em adquirir carne bovina com certificação de origem. Os atributos intrínsecos mais importantes na tomada de decisão no momento da compra da carne foram cor, maciez, odor e a pouca quantidade de gordura; enquanto que os atributos extrínsecos foram preço, selo de qualidade e carimbo do SIF. A maioria dos consumidores conhece o conceito correto de rastreabilidade e acreditam que o maior benefício da carne rastreada é oferecer mais segurança e evitar riscos de doenças transmitidas pelos alimentos; e a desvantagem é ser um produto mais caro do que o convencional.(AU)
The present study aimed to verify the influence of socioeconomic factors in the provision of 407 consumers in supermarkets in the city of Belo Horizonte, Minas Gerais, Brazil, in purchasing beef with certification of origin and to verify the inherent characteristics of the product that help the consumer at the time of purchase, considering their prior knowledge about traceability and certification of origin. A descriptive analysis of all variables was performed and a univariate analysis was subsequently conducted by chi-square test. The variables were added in the multiple logistic regression model Generalized Estimating Equations (GEE), and for all variables in the final model (p ≤ 0.05) the risk was calculated by the adjusted odds ratio (OR) to a range of 95% confidence. All socioeconomic factors examined (gender, age, income and education) influence the willingness of consumers to purchase beef with certification of origin. The most important intrinsic attributes in decision making when buying meat were the color, softness, odor and little amount of fat, whereas the extrinsic attributes were price, quality seal and stamp of the SIF. Most of the consumers know the correct concept of traceability and believe that the greatest benefit of the traced meat is to be safer and to avoid the risk of foodborne illness; and the disadvantage is to be a more expensive product than the conventional.(AU)