Cardiologia

Estudo de coorte nacional na Suécia mostrou que complicações gestacionais (pré-eclâmpsia ou eclâmpsia, hipertensão gestacional, diabetes gestacional, parto pré-termo, neonato pequeno para a idade gestacional e natimorto) estão associadas a risco aumentado de doença cardiovascular no futuro.

20 Jan, 2022 | 20:49h

Pregnancy Complications and Risk of Cardiovascular Disease Later in Life: A Nationwide Cohort Study – Journal of the American Heart Association

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Revisão | Infarto do miocárdio com doença arterial coronariana não obstrutiva.

20 Jan, 2022 | 20:48h

Myocardial infarction with non-obstructive coronary artery disease – EuroIntervention

Conteúdos relacionados:

MINOCA from A to Z – American College of Cardiology

Guidelines for the Management of Myocardial Infarction/injury with Non-obstructive Coronary Arteries (MINOCA)

Prognosis and Predictors of Mortality in Patients Suffering Myocardial Infarction With Non‐Obstructive Coronary Arteries

Contemporary Diagnosis and Management of Patients With Myocardial Infarction in the Absence of Obstructive Coronary Artery Disease: A Scientific Statement From the American Heart Association

The What, When, Who, Why, How and Where of Myocardial Infarction With Non-Obstructive Coronary Arteries (MINOCA) – Circulation Journal

Systematic Review of Patients Presenting With Suspected Myocardial Infarction and Nonobstructive Coronary Arteries – Circulation

Nonobstructive Versus Obstructive Coronary Artery Disease in Acute Coronary Syndrome: A Meta‐Analysis – Journal of the American Heart Association

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Estudo randomizado | Suplementação de vitamina D não é benéfica na prevenção de doença cardiovascular e câncer.

20 Jan, 2022 | 19:46h

Vitamin D supplementation and prevention of cardiovascular disease and cancer in the Finnish Vitamin D Trial-a randomized controlled trial – American Journal of Clinical Nutrition

Comunicado de imprensa: Five years of high-dose vitamin D did not affect incidence of cardiovascular disease or cancer – University of Eastern Finland

Conteúdos relacionados:

Randomized Trial: Vitamin D Supplements and Prevention of Cancer and Cardiovascular Disease

Meta-Analysis: Vitamin D Not Effective for Cardiovascular Disease Prevention

Association between vitamin D supplementation and mortality: systematic review and meta-analysis – The BMJ

USPSTF Draft Statement: Insufficient evidence to recommend multivitamin supplements for the prevention of CVD or cancer. The statement also recommends against the use of beta-carotene (increases risk of CVD mortality and lung cancer) or vitamin E (clear evidence of no benefit)

Vitamin D, calcium, other vitamins, and supplements do not prevent cardiovascular diseases

Research: Circulating vitamin D concentration and risk of seven cancers

Research: Vitamin D and risk of total and site specific cancers

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Perspectiva | Provedores da atenção primária devem prescrever aspirina para evitar doença cardiovascular com base na relação risco–benefício, e não na idade.

20 Jan, 2022 | 19:38h

Primary care providers should prescribe aspirin to prevent cardiovascular disease based on benefit−risk ratio, not age – Family Medicine and Community Health

Comentários:

Researchers urge: ‘Prescribe aspirin based on benefit-to-risk not age’ – Florida Atlantic University

Preventive Aspirin Should Be Based on Benefit, Not Age – HealthDay

Conteúdo relacionado: USPSTF draft statement revises previous guidance and now recommends against initiating low-dose aspirin use for the primary prevention of CVD in adults aged 60 years or older.

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Revisão | Viajando com insuficiência cardíaca: avaliação de risco e recomendações práticas.

20 Jan, 2022 | 16:12h

Travelling with heart failure: risk assessment and practical recommendations – Nature Reviews Cardiology (se o acesso a este link for pago, tente este)

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Considerações cardiovasculares perioperatórias antes de cirurgia não cardíaca eletiva em pacientes com histórico de Covid-19.

17 Jan, 2022 | 13:16h

Perioperative Cardiovascular Considerations Prior to Elective Noncardiac Surgery in Patients With a History of COVID-19 – JAMA Surgery

Conteúdos relacionados:

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

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Em um registro prospectivo de implante de valva aórtica transcateter (transcatheter aortic valve implantation – TAVI), os desfechos de 5 anos mostraram que pacientes com regurgitação paravalvular leve tiveram risco aumentado de mortalidade.

17 Jan, 2022 | 13:04h

Five-year outcomes of mild paravalvular regurgitation after transcatheter aortic valve implantation – EuroIntervention (link para o resumo – $ para o texto completo)

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Top 10 | Os principais estudos de 2021 que fizeram a diferença na prática clínica cardiológica.

17 Jan, 2022 | 13:03h

Feature | The Top Ten: Key Trials in 2021 Making a Difference in Clinical Practice – American College of Cardiology

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Revisão sistemática | Em pacientes com claudicação intermitente, propionil-L-carnitina pode melhorar a distância de caminhada em comparação ao placebo (moderada certeza geral de evidência).

17 Jan, 2022 | 12:47h

Propionyl‐L‐carnitine for intermittent claudication – Cochrane Library

Resumo: Propionyl-L-carnitine for intermittent claudication – Cochrane Library

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O ano de 2021 na medicina cardiovascular: doença cardíaca valvar.

13 Jan, 2022 | 20:59h

The year in cardiovascular medicine 2021: valvular heart disease – European Heart Journal

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