Introduction Anabolic-androgenic steroids (AAS) are synthetic drugs that mimic the effects of testosterone. Non-medical use of AAS is still an underrecognized but relevant public health issue and it has become increasingly common, especially in young males for physical performance or aesthetic purposes. , Despite having applicability in treating some medical conditions, AAS abuse was previously linked to atherosclerosis and premature coronary artery disease (CAD). – […]

Abstract Background The Good Practices in Cardiology Program is an initiative created by the Brazilian Society of Cardiology (SBC) to improve the quality of care of cardiovascular disease patients in Brazilian public hospitals. Objectives To characterize patients admitted to a tertiary public hospital with diagnosis of acute coronary syndrome (ACS) or heart failure (HF) and to evaluate performance indicators in both ACS and HF arms, with a pre-established target of 85% adherence to the SBC recommendations. Methods This was a […]

Introduction Spontaneous coronary artery dissection (SCAD) is an infrequent but increasingly recognized cause of acute coronary syndrome (ACS) that mainly affects women. It is the main cause of ACS during pregnancy and in up to one-third of women > 50 years old., Owing to a unique demographic profile and a low prevalence of traditional cardiovascular risk factors, its cause appears to be multifactorial, with contributions from genetic factors, hormonal influences, inherited or acquired arteriopathies, and systemic inflammatory diseases. SCAD is […]

Introduction The new SARS-CoV-2, that causes the coronavirus disease 2019 (COVID-19) has proven to be a virus that affect not only the respiratory system, but to cause several systemic manifestations, including cardiovascular ones. , Patients with previous cardiovascular disease who develop myocardial injury usually have worse outcomes, , such as acute coronary syndrome (ACS) , and myocarditis. – Myocarditis is mostly asymptomatic but can manifest with angina, cardiac failure, and arrythmias. – The clinical diagnosis of myocarditis without the aid […]

Abstract Background Systemic immune-inflammatory index (SII), which is derived from neutrophil, platelet and lymphocyte counts, represents the homeostatic balance among inflammatory, immune and thrombotic status. The systemic immune-inflammatory index is superior to indices such as neutrophil-lymphocyte ratio in predicting prognosis in various malignancies, while it is shown to predict future cardiac events better than traditional risk factors after coronary intervention. Objectives Herein, we aimed to evaluate the relationship of the systemic immune-inflammatory index with atherosclerotic burden and in-hospital complications in […]