Acesso livre
Acesso livre

Cardiologia

Estudo randomizado | Entre pacientes com insuficiência cardíaca e fibrilação atrial, uma estratégia de controle de ritmo baseada em ablação não foi significativamente melhor do que a estratégia de controle de frequência para melhorar a mortalidade por todas as causas e os eventos de insuficiência cardíaca (HR 0,71; 95% IC 0,49-1,03; p = 0,066).

25 Mar, 2022 | 16:15h

Randomized Ablation-Based Rhythm-Control Versus Rate-Control Trial in Patients with Heart Failure and Atrial Fibrillation: Results from the RAFT-AF trial – Circulation

Conteúdos relacionados:

Update on management of atrial fibrillation in heart failure: a focus on ablation.

Review: Cryoballoon ablation as initial treatment for atrial fibrillation.

Subgroup analysis of RCT suggests early rhythm control therapy is beneficial for patients with atrial fibrillation and heart failure.

Meta-Analysis: Catheter Ablation Improves Outcomes in Patients with Atrial Fibrillation Complicated with Heart Failure

Catheter Ablation for Atrial Fibrillation Improves Outcomes in Heart Failure with Reduced Ejection Fraction

M-A: In patients with atrial fibrillation, catheter ablation was associated with a 38% reduction in recurrence and a 68% reduction in hospitalizations. The rate of serious complications was 4.2% with ablation vs. 2.8% in the antiarrhythmic group, a difference that was not statistically significant.

CABANATrial: Catheter Ablation vs Antiarrhythmic Drug Therapy on Mortality, Stroke, Bleeding, and Cardiac Arrest Among Patients With Atrial Fibrillation

Estudos mostram que é factível dar alta hospitalar no mesmo dia após substituição de válvula aórtica transcateter.

25 Mar, 2022 | 16:14h

Estudo 1: Same-Day Discharge Post–Transcatheter Aortic Valve Replacement During the COVID-19 Pandemic: The Multicenter PROTECT TAVR Study – JACC: Cardiovascular Interventions (link para o resumo – $ para o texto completo)

Estudo 2: Feasibility and Safety of Same-Day Discharge Following Transfemoral Transcatheter Aortic Valve Replacement – JACC: Cardiovascular Interventions (link para o resumo – $ para o texto completo)

Editorial: Did the COVID-19 Pandemic Just Turn TAVR Into an Outpatient Procedure?

Comentário: ‘Right Time, Right Moment’: Same-Day Discharge After TAVI Safe, Feasible – TCTMD

Revisão JACC | A função da cardioproteção contra a cardiotoxicidade da terapia oncológica.

25 Mar, 2022 | 15:55h

The Role of Cardioprotection in Cancer Therapy Cardiotoxicity: JACC: CardioOncology State-of-the-Art Review – JACC: CardioOncology

Revisão | Estresse psicológico e doença cardíaca: fato ou folclore?

24 Mar, 2022 | 12:26h

Psychological Stress and Heart Disease: Fact or Folklore? – The American Journal of Medicine

Consenso | Adequação de critérios para avaliação e prevenção de dano renal no paciente submetido a exames com contraste.

24 Mar, 2022 | 12:16h

SIRM-SIN-AIOM: appropriateness criteria for evaluation and prevention of renal damage in the patient undergoing contrast medium examinations—consensus statements from Italian College of Radiology (SIRM), Italian College of Nephrology (SIN) and Italian Association of Medical Oncology (AIOM) – La radiologia medica

Conteúdos relacionados:

Another study shows intravenous radiocontrast use is not associated with reduced kidney function

ACR/NKF Consensus Statement: “The Risk of Acute Kidney Injury Developing in Patients with Reduced Kidney Function Following Exposure to Intravenous Iodinated Contrast Media has Been Overstated”

Revisão | Diagnóstico e tratamento da cardiomiopatia cirrótica.

24 Mar, 2022 | 11:50h

Diagnosis and Management of Cirrhotic Cardiomyopathy – Journal of Clinical and Experimental Hepatology

Diretriz ANN | Aconselhamento prático para a prevenção de AVC na aterosclerose intracraniana arterial sintomática.

23 Mar, 2022 | 12:08h

Stroke Prevention in Symptomatic Large Artery Intracranial Atherosclerosis Practice Advisory: Report of the AAN Guideline Subcommittee – Neurology

Comunicado de imprensa: AAN issues guidance on preventing second stroke in those with plaque in brain arteries – American Academy of Neurology

Diretriz científica AHA | Compreensão sobre a importância da experiência dos voluntários na parada cardíaca fora do hospital.

23 Mar, 2022 | 12:06h

Understanding the Importance of the Lay Responder Experience in Out-of-Hospital Cardiac Arrest: A Scientific Statement From the American Heart Association – Circulation

Comunicado de imprensa: Lay rescuers who do CPR are heroes and survivors, new statement addresses their perspective – American Heart Association

Comentário: AHA News: CPR ‘Heroes’ Need More Support, Report Says – HealthDay

Estudo relacionado: Pre-post study: The introduction of a text-message alert system to alert volunteers close to a cardiac arrest patient at home was associated with increased survival to hospital discharge.

Revisão | Quando operar após infecção por SARS-CoV-2?

23 Mar, 2022 | 12:02h

When to operate after SARS-CoV-2 infection? A review on the recent consensus recommendation of the DGC/BDC and the DGAI/BDA – Langenbeck’s Archives of Surgery

Conteúdos relacionados:

Guideline Update: Timing of elective surgery and risk assessment after SARS-CoV-2 infection – “The guidance remains that patients should avoid elective surgery within 7 weeks of infection, unless the benefits of doing so exceed the risk of waiting”.

Perioperative cardiovascular considerations prior to elective noncardiac surgery in patients with a history of Covid-19.

Guideline: SARS‐CoV‐2 infection, COVID‐19 and timing of elective surgery

Study from 116 countries suggests surgery should be delayed for at least seven weeks following a COVID-19 diagnosis to reduce mortality risk

BJS commission on surgery and perioperative care post-COVID-19.

The risk of postoperative complications following major elective surgery in active or resolved COVID-19 in the United States – Major, elective surgery 0–4 weeks after Covid-19 is associated with greatly increased risk of postoperative complications; surgery performed 4–8 weeks after infection is still associated with an increased risk of pneumonia.

ASA Guidance: Preoperative testing for COVID-19 is essential, regardless of vaccination.

Position statement: Perioperative management of post-COVID-19 surgical patients.

Cohort study: Postoperative in-hospital mortality of patients with COVID-19 infection was more than double that in patients without COVID-19

Estudo mostra baixo risco de infarto agudo do miocárdio após procedimentos oftalmológicos, confirmando o conhecimento prévio de que a avaliação pré-operatória pode ser desnecessária para a maioria dos pacientes.

23 Mar, 2022 | 11:52h

Risk for Acute Myocardial Infarction After Ophthalmologic Procedures – Annals of Internal Medicine (link para o resumo – $ para o texto completo)

Resumo para pacientes: Summary for Patients: Risk for Heart Attack After Eye Procedures

Editorial: Preoperative Evaluation Can Delay Ophthalmologic Surgery Without Improving Outcomes ($)

Comentário: Ophthalmologic Procedures Not Tied to Increased AMI Risk – HealthDay

Conteúdos relacionados:

Position Statement: Preoperative Care for Cataract Surgery – “In spite of evidence debunking the utility of testing before cataract surgery, studies suggest that medical testing and the use of medical consultations before cataract surgery continue to increase”.

Study: Prevalence and Cost of Care Cascades After Low-Value Preoperative Electrocardiogram for Cataract Surgery

Evaluation of an Intervention to Reduce Low-Value Preoperative Care for Patients Undergoing Cataract Surgery

Systematic Review: Routine Preoperative Medical Testing for Cataract Surgery

Preoperative Medical Testing in Medicare Patients Undergoing Cataract Surgery – New England Journal of Medicine

 

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