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1.
Anatol J Cardiol ; 22(Suppl 2): 25-28, 2019 10.
Artigo em Inglês | MEDLINE | ID: mdl-31670715

Assuntos
Cardiologia
4.
Rinsho Ketsueki ; 60(9): 1372-1377, 2019.
Artigo em Japonês | MEDLINE | ID: mdl-31597866

RESUMO

Recent progress in cancer therapy has improved the long-term outcomes of cancer patients, and it has increased the importance of managing cardiovascular complications associated with cancer and cancer therapies. In the field of hematology, there is a serious concern about cardiovascular complications associated with a variety of chemotherapeutic drugs, such as anthracyclines, BCR-ABL tyrosine kinase inhibitors, and proteasome inhibitors. Despite the recent accumulation of epidemiological and clinical data and the fact that these are molecularly targeted drugs, molecular mechanisms underlying the pathogenesis of cardiovascular toxicities associated with individual drugs remain to be precisely defined. Recently emerging "onco-cardiology" will extend the interdisciplinary collaboration between oncology, hematology, and cardiology specialists in clinical practice, research, and education in order to protect cancer patients and survivors from cardiovascular complications.


Assuntos
Cardiologia , Hematologia , Pesquisa Interdisciplinar , Oncologia , Antineoplásicos , Humanos , Neoplasias
10.
11.
Vnitr Lek ; 65(7-8): 483-489, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31487991

RESUMO

INTRODUCTION: The mental, physical and social stress and pressure of present day influences the incidence of cardiovascular diseases (CVD). Studies suggest that some psycho-social factors significantly increase the risk of CVD. But they are not paid the necessary attention. The goal of the study consisted in ascertaining how citizens assess their own mental health, how they perceive the influence of stress on CVD, how physicians and nurses work with them in the area of stress and how efficient their activity is. Research set and methods: The data ware collected via a non-standardized questionnaire leaded with face-to-face controlled interviews face-to-face. The analysis was carried out by the SASD 1.4 program with 1st degree and 2nd degree sorting. The goodness-of-fit χ2 was applied. The independence test at the level of significance α = 0.05, α = 0.01, α = 0.001 was calculated. We approached 2 306 randomly chosen citizens by quota selection. 314 citizens (13.6 %) refused the participation. The set consisted of 1 992 citizens (86.4 %) aged from 40 to 80 and more years, including 937 (47 %) men and 1055 (53 %) women. The relation of selected sociometric parameters was observed. RESULTS: The citizens aged 40 and more years assess their mental status as good (85 %), at the scale from 6 to 10, (1 the worst, 10 the best mental status). With increasing age, the mental status is assessed as worse at a significantly higher degree (p < 0.001). The mental status is assessed worse as the physical condition, with values 9 and 10. Out of the total number of the citizens approached, 87.9 % agree that stress influences the origination of CVD. Citizens from lower age groups (40-59 years) tend to think it (p.


Assuntos
Cardiologia , Doenças Cardiovasculares , Estresse Psicológico , Adulto , Idoso , Idoso de 80 Anos ou mais , Doenças Cardiovasculares/prevenção & controle , Doenças Cardiovasculares/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Fatores de Risco , Inquéritos e Questionários
12.
Arq. bras. cardiol ; 113(2 supl.1): 63-63, set., 2019.
Artigo em Português | Sec. Est. Saúde SP, SESSP-IDPCPROD, Sec. Est. Saúde SP | ID: biblio-1017051

RESUMO

Trombólise IV é o tratamento de escolha para pacientes com AVCI agudo. O NNT para evitar incapacidade funcional varia de 3 a 14, dependendo do tempo entre o início dos sintomas e a infusão do trombolítico. Entretanto, a janela de oportunidade para tratamento é de apenas 4 horas e 30 minutos. Nosso objetivo é apresentar a estratégia adotada em um centro cardiológico terciário que levou à otimização da reperfusao cerebral com trombolítico IV realizada por cardiologistas. A ação principal tomada foi o desenvolvimento do protocolo de sequência rápida da reperfusao cerebral. Os pontos chaves do protocolo foram: triagem imediata e encaminhamento direto para tomografia com infusão do trombolítico com o paciente na mesa de exame, treinamentos no manejo da fase aguda e na interpretação rápida da tomografia, suporte neurológico à distância nos casos com dúvidas na interpretação da imagem ou contraindicações, ampliação do horário da tomografia para 24x7 e disponibilização do trombolítico na farmácia satélite do pronto socorro. Com essas ações o número de pacientes trombolisados saltou de 4 em 2017 para 15 em 2018, um aumento de 375%. A taxa de trombólise foi de 3,2% em 2017 e 16,3% em 2018 (aumento de 5 vezes) Dos pacientes trombolisados, 60% apresentavam melhora clínica com base no critério "respondedor". A união de forças entre cardiologistas e neurologistas, na fase aguda do AVCI ampliou o percentual de pacientes beneficiados com tratamento trombolítico em nosso hospital. Essa experiência pode ser replicada através das Sociedades de Cardiologia. (AU)


Assuntos
Cardiologia , Acidente Vascular Cerebral , Neurologia , Reperfusão
13.
Stud Health Technol Inform ; 264: 1017-1020, 2019 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-31438078

RESUMO

Recently the two most influential clinical guideline were published for diagnosing and treating hypertension in US and Europe: 2017 American College of Cardiology/American Heart Association (ACC/AHA) and 2018 European Society of Cardiology/European Society of Hypertension (ESC/ESH) Guideline. Though both of them have most in common, the differences in details between guidelines have confused many clinicians in the world. Because guidelines were evidence- based literature, through the analysis of articles cited in guidelines, these similarities and differences could be explained. Bibliometric analysis is a method of quantifying the contents of literature to analyze literature. So using the bibliometric analysis including co-citation network analysis, articles cited in guideline were analyzed. As a result, we figured out that bibliometrics can analyze the influence of the countries, authors and studies on the guidelines, which might affect on the similarities and the differences between both guidelines.


Assuntos
Hipertensão , American Heart Association , Bibliometria , Cardiologia , Europa (Continente) , Humanos , Estados Unidos
14.
Herzschrittmacherther Elektrophysiol ; 30(3): 268-273, 2019 Sep.
Artigo em Alemão | MEDLINE | ID: mdl-31463582

RESUMO

Patients with oncological diseases frequently show cardiac arrhythmias. This is explained by an increased risk in this specific patient cohort and is frequently associated with specific oncological therapies. So far, it is unclear how to deal with the occurrence of arrhythmias diagnostically and therapeutically, since the current clinical data do not provide satisfying answers to these questions. Clinical care of high-risk patients in specialized teams with a focus on cardio-oncology is recommended. Based on the current clinical studies and the position papers of the European Society of Cardiology (ESC), we give a brief overview of arrhythmias in malignant diseases and their therapies.


Assuntos
Arritmias Cardíacas , Neoplasias , Cardiologia , Humanos
15.
Herzschrittmacherther Elektrophysiol ; 30(3): 287-297, 2019 Sep.
Artigo em Alemão | MEDLINE | ID: mdl-31278607

RESUMO

The position paper of the working group 33/Telemonitoring in the German Society for Cardiology e. V. (DGK) discusses the importance of digital solutions in the German health care system and highlights the application possibilities and potentials of telemonitoring in the treatment of patients with cardiac diseases. In addition to telemonitoring of acute ischaemic diseases, acute coronary syndrome and acute cardiac arrhythmias, telemonitoring of chronic cardiac diseases is discussed. Chronic diseases, such as chronic heart failure, are age-associated and present society with the great challenge of providing high-quality, yet cost-efficient care to an increasing number of patients in the future. Telemonitoring offers an opportunity to meet this challenge. However, the introduction of telemonitoring and the associated changes for patients, doctors and other service providers must be accompanied by measures to ensure the acceptance of telemonitoring and the secure handling of sensitive data as well as the quality of telemonitoring services.


Assuntos
Cardiologia , Insuficiência Cardíaca , Telemedicina , Arritmias Cardíacas , Doença Crônica , Humanos
16.
Herz ; 44(6): 553-572, 2019 Sep.
Artigo em Alemão | MEDLINE | ID: mdl-31263905

RESUMO

Congenital heart diseases (CHD) are the most common types of congenital organ defects. Thanks to medical progress in congenital cardiology and heart surgery, most children with CHD reach adulthood. Despite primarily successful treatment residual and subsequent conditions as well as (non)cardiac comorbidities can influence the chronic course of the disease and lead to a higher morbidity and mortality. Adults with congenital heart disease (ACHD) in Germany are not tied to the healthcare structure despite the great need for aftercare. According to the results of the medical care of ACHD (MC-ACHD) study, ACHD centers and specialists in Germany are insufficiently perceived despite increased complication rates and the great need for specialist guidance. General practitioners and patients are not adequately informed about existing ACHD facilities. A better awareness of the ACHD problem should be created at the level of primary medical supply in order to optimize care and to reduce morbidity and mortality. Improved future-oriented patient care includes lifelong regular follow-up and the possibility of interdisciplinary, integrated medical care of CHD.


Assuntos
Procedimentos Cirúrgicos Cardíacos , Cardiologia , Cardiopatias Congênitas , Adulto , Cardiologia/tendências , Assistência à Saúde , Alemanha , Cardiopatias Congênitas/cirurgia , Humanos
17.
Lakartidningen ; 1162019 Feb 19.
Artigo em Sueco | MEDLINE | ID: mdl-31192373

RESUMO

Syncope is the chief complaint in 1-2 percent of emergency department visits. Syncope belongs to the broader category transient loss of consciousness (TLOC), defined as a short loss of consciousness with loss of awareness and responsiveness, and with subsequent amnesia for the event. Syncope is defined as TLOC due to cerebral hypoperfusion, with rapid onset and spontaneous complete recovery. The main categories of syncope are reflex syncope, orthostatic hypotension, and cardiac syncope. The 2018 guidelines by the European Society of Cardiology emphasizes the process of risk stratification in the initial management of suspected syncope. Risk stratification serves to separate the patients with likely orthostatic and reflex syncope with good prognosis from the patients with likely cardiac syncope and high short-term risk of an adverse outcome. It determines the appropriate next level of care. Further evaluation should be based on clinical suspicion and frequency of symptoms.


Assuntos
Síncope/diagnóstico , Cardiologia , Procedimentos Clínicos , Diagnóstico Diferencial , Gerenciamento Clínico , Europa (Continente) , Humanos , Hipotensão Ortostática/diagnóstico , Hipotensão Ortostática/etiologia , Hipotensão Ortostática/terapia , Guias de Prática Clínica como Assunto , Medição de Risco , Sociedades Médicas , Síncope/etiologia , Síncope/terapia , Síncope Vasovagal/diagnóstico , Síncope Vasovagal/etiologia , Síncope Vasovagal/terapia
18.
Orv Hetil ; 160(26): 1015-1024, 2019 Jun.
Artigo em Húngaro | MEDLINE | ID: mdl-31230470

RESUMO

Over the past decades, 18F-FDG-PET/CT imaging has been recognized as an indispensable tool in the diagnosis, staging and treatment monitoring of cancer. This modern imaging technique combining functional and morphologic information has approved indications not only in oncology but in clinical cardiology as well. In the current review we discuss the specific requirements of patient preparation and image acquisition protocol for cardiac 18F-FDG-PET/CT. We review the literature in some cases highlighted by our own examinations of well-known "gold standard" viability and onco-cardiology examinations while placing special emphasis on inflammatory disorders involving the heart. This relatively newer class of indications includes prosthetic valve endocarditis, cardiac implantable device infection, myocardial inflammation of varying origin such as sarcoidosis where 18F-FDG-PET/CT appears to be particularly useful in the differential diagnosis of cases where standard investigation is non-diagnostic or equivocal. Orv Hetil. 2019; 160(26): 1015-1024.


Assuntos
Desfibriladores Implantáveis/efeitos adversos , Fluordesoxiglucose F18 , Próteses Valvulares Cardíacas/microbiologia , Miocardite/diagnóstico por imagem , Tomografia Computadorizada com Tomografia por Emissão de Pósitrons/métodos , Infecções Relacionadas à Prótese/diagnóstico por imagem , Cardiologia , Próteses Valvulares Cardíacas/efeitos adversos , Humanos , Miocardite/microbiologia , Infecções Relacionadas à Prótese/etiologia , Compostos Radiofarmacêuticos
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