Cardiologia

New report on very rare acute myocarditis after mRNA vaccination in age 18+
5.8 cases/million after 2nd dose, 0.8/million 1st dose, all cases fully resolved with conservative managementhttps://t.co/Mfh5ImiSpW @KPSCALnews @KPSCalResearch @JAMAInternalMed

— Eric Topol (@EricTopol) October 4, 2021

Diretriz Científica AHA | Diagnóstico e tratamento de pacientes com lesão miocárdica após cirurgia não cardíaca.

5 Out, 2021 | 11:25h

Diagnosis and Management of Patients With Myocardial Injury After Noncardiac Surgery: A Scientific Statement From the American Heart Association – Circulation

Comunicado de imprensa: 1 in 5 adults has high levels of heart enzymes after any surgery, monitoring advised – American Heart Association

Comentário: AHA: More Screening Needed to Catch Myocardial Injury After Noncardiac Surgery – TCTMD

Diretriz de prática clínica | Evidência, recomendações e algoritmo para o aprimoramento pré-operatório da anemia, da hiperglicemia e do tabagismo.

5 Out, 2021 | 11:23h

Clinical practice guideline: evidence, recommendations and algorithm for the preoperative optimization of anemia, hyperglycemia and smoking – Canadian Journal of Surgery

Estudo de coorte | Início de terapia com estatina está associado a risco aumentado de progressão do diabetes.

5 Out, 2021 | 11:20h

Association of Statin Therapy Initiation With Diabetes Progression: A Retrospective Matched-Cohort Study – JAMA Internal Medicine

Comentários:

Statin Therapy Initiation and Diabetes Progression – American College of Cardiology

Statin Initiation Linked to Greater Progression of Diabetes – HealthDay

Diabetes progression with initiation of statins – MedicalRessearch.com

Conteúdos relacionados:

Meta-Analysis: Medications that Reduce or Increase the Risk of New Onset Diabetes

Observational Study Points to an Increased Risk of Diabetes Among Patients Using Statins

Another Observational Study Showing Association of Statin Use with Risk of New‐Onset Diabetes Mellitus

Cohort Study: Statin Use Associated with a 38% Higher Risk of Incident Type 2 Diabetes

Comentário no Twitter

Large retrospective matched-cohort study found that #statin use was associated with a higher risk of #diabetes treatment escalation and an increased risk of #hyperglycemic complications https://t.co/lFLz7rVfpd

— JAMA Internal Medicine (@JAMAInternalMed) October 4, 2021

M-A | Betabloqueadores não reduzem o risco de evento cardiovascular adverso maior em pacientes com doença arterial coronariana estável sem infarto do miocárdio ou disfunção ventricular esquerda prévios.

5 Out, 2021 | 11:17h

Meta-Analysis of the Usefulness of Beta-Blockers to Reduce the Risk of Major Adverse Cardiovascular Events in Patients With Stable Coronary Artery Disease Without Prior Myocardial Infarction or Left Ventricular Dysfunction – The American Journal of Medicine (link para o resumo – $ para o texto completo)

Estudo randomizado | Angiografia coronariana por tomografia computadorizada precoce em pacientes com suspeita de síndrome coronariana aguda não melhorou o desfecho clínico de 1 ano.

4 Out, 2021 | 10:17h

Early computed tomography coronary angiography in patients with suspected acute coronary syndrome: randomised controlled trial – The BMJ

Comentário no Twitter

In this RCT, early CT coronary angiography in the emergency department for patients with suspected / provisional diagnosis of acute coronary syndrome had no effect on rate of death or subsequent non-fatal #heartattack at 1 year.@bmj_latest #Wondrmedical https://t.co/usNKEGPDa4

— Prof Chris P Gale (@cpgale3) October 1, 2021

Revisão sistemática | Testes de rotina para investigar câncer em pacientes com coágulos sanguíneos não provocados nas pernas e nos pulmões podem melhorar os desfechos?

4 Out, 2021 | 10:16h

Resumo: Does testing for cancer in people with unprovoked blood clots in the legs and lungs reduce cancer- and blood clot-related death and illness? – Cochrane Library

Artigo original: Effect of testing for cancer on cancer‐ or venous thromboembolism (VTE)‐related mortality and morbidity in people with unprovoked VTE – Cochrane Library

Disfunção microvascular coronariana: considerações para diagnóstico e tratamento.

4 Out, 2021 | 09:58h

Coronary microvascular dysfunction: Considerations for diagnosis and treatment – Cleveland Clinic Journal of Medicine

Conteúdos relacionados:

Cohort study: Clinical characteristics and prognosis of patients with microvascular angina.

Position Paper on ‘Coronary Microvascular Dysfunction in Cardiovascular Disease’

No fim das contas, o sal faz bem? Evidências dizem que não.

Revisão | Inibição da agregação plaquetária após colocação de stent coronariano em pacientes em uso de anticoagulação oral.

Estudo de coorte | Miocardite aguda após vacina de mRNA contra COVID-19 em maiores de 18 anos é rara, e a maioria dos casos não é grave.