Abstract Background Vitamin K antagonists (VKA) represent an important therapeutic strategy offered by the Brazilian Unified Public Health System to patients with atrial fibrillation (AF). However, predictors of relevant clinical outcomes are understudied in the real world. Objective To determine the incidence and independent predictors of clinical outcomes in patients with valvular and nonvalvular AF treated with VKA. Methods This prospective cohort included patients with valvular and nonvalvular AF receiving VKA for ≥ 1 year. The primary outcomes were cardiovascular […]

Abstract Background Stress arises in response to threats or challenges, affecting both physical and mental health. While its harmful effects on the heart are widely recognized, cellular-level investigations remain limited. Antidepressants, including vortioxetine (VOR), are known to impact the cardiovascular system. VOR, used to treat major depressive disorder, is considered a promising option for patients with heart disease due to its anti-inflammatory and antioxidant properties, which may reduce cardiac damage. Objectives This study aimed to assess the effects of chronic […]

Abstract Background Several mobile applications have been developed to assist in managing hypertension, but little is known about their quality in the Brazilian scenario. Objective To identify and analyze the quality of the apps targeting blood pressure (BP) management available in Portuguese. Methods A systematic search was carried out through Brazilian virtual app stores in the Android and iOS platforms from November 2021 to March 2022, with an update in March 2024. The search was based on the standards of […]

Abstract Background Patients with ST-segment elevation myocardial infarction (STEMI) and cardiogenic shock (CS) have a high risk of death. New types of mechanical devices have limited availability in Brazil. The use of intra-aortic balloon pump (IABP), although new guidelines downgraded its recommendation, is the most widely used mechanical support strategy. However, little is known about the clinical predictors of its effectiveness in reducing mortality in this group of patients. Objectives To assess the predictors of IABP effectiveness in reducing in-hospital […]

Abstract Background Adherence to drug and non-drug treatment for hypertension has a major socioeconomic impact, in addition to reducing the risk of cardiovascular events and morbidity and mortality. It is known that spirituality and religiosity can be incorporated into coping and managing hypertension. Objective To analyze possible factors associated with adherence to treatment in hypertensive patients and the role of spirituality/religiosity in this context. Methods Observational, cross-sectional, quantitative study, carried out with 237 hypertensive individuals monitored in a large Brazilian […]

Abstract Background Implantable cardioverter-defibrillator (ICD) is indicated for primary prevention in patients with left ventricular ejection fraction (LVEF) ≤ 35% and New York Heart Association class II or III heart failure despite 3 months of optimal medical therapy. However, studies that support this recommendation are over 20 years old, and they may not reflect modern heart failure patients’ characteristics. Objectives Retrospectively evaluate patients who received an ICD for primary prevention. Methods All-cause and sudden death rates were compared in patients […]

Abstract Background Complementary diagnostic examinations have replaced the importance of Physical Examination (PE) in Clinical Decision-making (CDM). Objective To evaluate the impact of cardiovascular PE in scenarios of cardiac valvular diseases. Methods An interventional study with volunteers’ patients having or not having the opportunity to perform PE in scenarios of valvopathies. The PE was simulated in a high-fidelity cardiopulmonary simulator. Volunteers received questions about CDM before and after receiving an ECHO Concordant or ECHO Discordant report. Cohen´s kappa coefficient and […]

Abstract Background Reducing hospital readmissions following coronary artery bypass grafting (CABG) surgeries is essential to optimizing medium- and long-term patient outcomes. Objective To analyze preoperative predictors associated with all-cause and cardiac readmissions within 5 years following CABG. Methods We analyzed 1,387 patients who underwent CABG between June 2017 and July 2019 using data from the multicenter REPLICCAR II registry. Follow-up was carried out by telephone interviews using a questionnaire structured in the REDCap platform. Statistical analysis included univariate and multivariate […]

Abstract Background Cardiovascular outcomes in patients with rheumatoid arthritis (RA) have been extensively explored in the literature concerning biological factors. Objectives This nationwide retrospective cohort study aimed to explore the distribution of cardiovascular events in patients with RA in Brazil, assisted by the Unified Health System (SUS), and to identify factors associated with these outcomes. Methods Patients aged ≥ 18 years were identified from the Brazilian Unified Health System Database (DATASUS) through RA ICD-10 codes and their therapeutic procedures according […]

Abstract Background Pulmonary vein isolation (PVI) is crucial in treating symptomatic atrial fibrillation (AF). New ablation technologies, such as pulse-field ablation (PFA) and high-power short-duration (HPSD) have emerged in the electrophysiology lab. However, no study has compared the outcomes of these approaches. Objective To compare the efficacy and safety of PFA and HPSD in AF symptomatic patients. Methods Single-centre, retrospective study of consecutive patients undergoing PVI with PFA or HPSD between May and December 2022. Demographic data, procedural data, and […]

Abstract Cardiac tumors are rare. Primary cardiac lymphoma is defined as non-Hodgkin lymphoma that involves only the heart and/or pericardium. It is an aggressive tumor with a poor prognosis and its symptoms may be nonspecific. A definitive diagnosis can only be obtained through histopathological study, and chemotherapy is the main treatment strategy. This case is about a 71-year-old male patient, with a rare form of primary cardiac tumor. He had postoperative complications such as acute pulmonary edema and the need […]

Introduction Brugada syndrome (BrS) is a severe health condition characterized by a distinctive electrocardiographic pattern and an increased risk of life-threatening cardiac arrhythmias. Traditional therapy has been limited to implantable cardioverter defibrillators (ICD). In the past two decades, however, radiofrequency catheter ablation (RFCA) has emerged as a valuable treatment option, especially for those ineligible for ICD implantation or who have already undergone appropriate device therapy., Nevertheless, reports on medium to long-term success of this procedure are still scarce. We reported […]

Coronary artery disease, a cardiovascular disease in which there is obstruction of blood flow in the myocardial vessels, causes a large number of deaths in Brazil every year. Myocardial revascularization surgery, associated with antiplatelet, lipid-lowering, and RAAS blocker medications, is the best option for treating and preventing new cases of vascular flow obstruction, thus allowing the restoration of ventricular function, reduction of angina and prevention of acute myocardial infarction. Thus, it has clinical and surgical importance, as it allows the […]

Abstract Fabry disease (FD) is an X-linked genetic condition caused by variants in the GLA gene causing enzyme α-galactosidase A deficiency and accumulation of globotriaosylceramide (Gb3) in tissues such as the heart, kidneys, and the nervous system. This study reports a case series of patients with FD, highlighting the phenotypic diversity of the disease, which can be confused with other cardiological conditions. When properly indicated, genetic evaluation, combined with biomarker dosage and α-galactosidase enzymatic activity, is key for an accurate […]

In the Review Article “Cardiac Abnormalities in Hypereosinophilic Syndromes”, with DOI: https://doi.org/10.36660/abc.20240190i, published in the journal Arquivos Brasileiros de Cardiologia, Arq Bras Cardiol. 2024; 121(10):e20240190, on page 1, change the sentence in the abstract: “The cardiac involvement of HES occurs in three phases: initial necrotic, thrombotic, and finally necrotic.” to: “The cardiac involvement in HES occurs in three phases: inflammatory, thrombotic, and fibrotic.” […]

Edição de Setembro de 2024, vol. 121(9): e20240296 No Ponto de Vista “ICFEP Secundária Existe? Sim, mas não Deveria ser Chamada de ICFEP”, com número de DOI: https://doi.org/10.36660/abc.20240296, publicado no periódico Arquivos Brasileiros de Cardiologia, Arq Bras Cardiol. 2024; 121(9):e20240296, na página 2, alterar a frase: Você se lembra do termo “IC com FE de médio alcance” (ICFEm, FE 40-49%)? por: Você se lembra do termo “IC com FE intermediária” (ICFEI, FE 40-49%)? […]

Abstract Value-based healthcare is a patient-centered concept that provides a broad view of all parties involved in the care process. This model is designed to achieve the best possible patient outcomes while maintaining cost sustainability. In its classic description, value-based care is the relationship between outcomes that matter to the patient and the costs required to achieve them. Later, other variables were considered in this equation, such as appropriateness and user experience, to make this model more replicable. With a […]