Cardiologia

Diretrizes perioperatórias sobre agentes antiplaquetários e anticoagulantes: atualização 2022.

21 Jan, 2022 | 15:48h

Perioperative Guidelines on Antiplatelet and Anticoagulant Agents: 2022 Update – Current Anesthesiology Reports

M-A | Em pacientes com síndrome coronariana aguda, uma abordagem orientada (p. ex., função plaquetária ou teste genético) para a terapia com inibidores de P2Y12 pode reduzir os eventos adversos cardiovasculares maiores sem aumentar o risco de sangramento.

21 Jan, 2022 | 15:34h

Comparative effects of guided vs. potent P2Y₁₂ inhibitor therapy in acute coronary syndrome: a network meta-analysis of 61 898 patients from 15 randomized trials – European Heart Journal (link para o resumo – $ para o texto completo)

Comentário: Another Win for Guided P2Y12 Therapy in ACS: Meta-analysis – TCTMD

Comentário no Twitter

Comparative effects of guided vs. potent P2Y12 inhibitor therapy in acute coronary syndrome: a network meta-analysis of 61 898 patients from 15 randomized trials: read more in EHJ!https://t.co/oAehSfPVdt #cardiotwitter @ESC_Journals @escardio pic.twitter.com/AEuH7V6IkR

— EHJ Editor-in-Chief (@ehj_ed) December 23, 2021

M-A | Em sobreviventes de parada cardíaca em coma, a hipotermia não está associada com melhora na sobrevida ou com melhores desfechos neurológicos vs. normotermia.

21 Jan, 2022 | 15:30h

Targeted Hypothermia Versus Targeted Normothermia In Survivors of Cardiac Arrest: A Systematic Review and Meta-Analysis of Randomized Trials – American Journal of Medicine

Conteúdos relacionados:

RCT: In comatose survivors of out-of-hospital cardiac arrest, there was no difference in mortality and neurologic outcomes with mild (target temperature of 34 °C) vs. moderate therapeutic hypothermia (target temperature of 31 °C).

M-A: Targeted temperature management following out-of-hospital cardiac arrest – “Routine use of moderate or deep hypothermia in comatose survivors of OHCA may potentially be associated with more harm than benefit”.

RCT: In patients with coma after out-of-hospital cardiac arrest, targeted hypothermia did not improve outcomes.

Função cardíaca é rapidamente recuperada em crianças com síndrome inflamatória multissistêmica (MIS-C) relacionada à COVID-19.

20 Jan, 2022 | 23:14h

Comunicado de imprensa: Heart function recovered quickly in children with COVID-19-related MIS-C condition – American Heart Association

Estudo original: Longitudinal Assessment of Cardiac Outcomes of Multisystem Inflammatory Syndrome in Children Associated With COVID‐19 Infections – Journal of the American Heart Association

Revisão sistemática | Prevalência, incidência e sobrevida de insuficiência cardíaca.

20 Jan, 2022 | 22:54h

Prevalence, incidence and survival of heart failure: a systematic review – Heart

M-A | Associação de inibidores do cotransportador de sódio-glicose 2 com desfechos cardiovasculares em pacientes com diabetes tipo 2 e outros fatores de risco para doença cardiovascular.

20 Jan, 2022 | 22:42h

Association of Sodium-Glucose Cotransporter 2 Inhibitors With Cardiovascular Outcomes in Patients With Type 2 Diabetes and Other Risk Factors for Cardiovascular Disease: A Meta-analysis – JAMA Network Open

Comentário no Twitter

This meta-analysis found that use of SGLT2-Is was associated with lower occurrence of cardiovascular death or hospitalization for heart failure by 33% in high-risk patients. @mukul_bhattarai @AkcharAl @AbhiKulk82 @mominsiddique01 @Mohsin_Salih19 https://t.co/omPP6Qwofg

— JAMA Network Open (@JAMANetworkOpen) January 5, 2022

M-A | Betabloqueadores e inibidores do sistema renina-angiotensina podem propiciar um benefício modesto para a preservação da função ventricular esquerda em pacientes com câncer de mama tratado com antraciclinas ou trastuzumabe.

20 Jan, 2022 | 21:59h

A systematic review and meta-analysis of beta-blockers and renin–angiotensin system inhibitors for preventing left ventricular dysfunction due to anthracyclines or trastuzumab in patients with breast cancer – European Journal of Cardiology (link para o resumo – $ para o texto completo)

Comentário: BBs, ACEI/ARBs to Prevent LV Dysfunction Due to Breast Cancer Drugs – American College of Cardiology

Guia prático para teste de exercício cardiopulmonar em adultos.

20 Jan, 2022 | 21:52h

Practical guide to cardiopulmonary exercise testing in adults – Respiratory Research

Debate Pró-Con | Medida de troponina cardíaca como parte do seguimento rotineiro de dano miocárdico após cirurgia não cardíaca.

20 Jan, 2022 | 21:07h

Pro-Con Debate: Cardiac Troponin Measurement as Part of Routine Follow-up of Myocardial Damage Following Noncardiac Surgery – Anesthesia & Analgesia

Podcast | Dicas sobre edema de membros inferiores.

20 Jan, 2022 | 21:04h

#316 Lower Extremity Edema – The Curbsiders