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13 results on '"Giraldez, Roberto Rocha"'

1. Diretrizes da Sociedade Brasileira de Cardiologia sobre Angina Instável e Infarto Agudo do Miocárdio sem Supradesnível do Segmento ST – 2021

Author

Nicolau, José Carlos, primary, Feitosa, Gilson Soares, additional, Petriz, João Luiz, additional, Furtado, Remo Holanda de Mendonça, additional, Précoma, Dalton Bertolim, additional, Lemke, Walmor, additional, Lopes, Renato Delascio, additional, Timerman, Ari, additional, Marin, José A., additional, Bezerra, Luiz, additional, Gomes, Bruno Ferraz de Oliveira, additional, Santos, Eduardo Cavalcanti Lapa, additional, Piegas, Leopoldo Soares, additional, Soeiro, Alexandre de Matos, additional, Negri, Alexandre Jorge de Andrade, additional, Franci, Andre, additional, Markman, Brivaldo, additional, Baccaro, Bruno Mendonça, additional, Montenegro, Carlos Eduardo Lucena, additional, Rochitte, Carlos Eduardo, additional, Barbosa, Carlos José Dornas Gonçalves, additional, Virgens, Cláudio Marcelo Bittencourt das, additional, Stefanini, Edson, additional, Manenti, Euler Roberto Fernandes, additional, Lima, Felipe Gallego, additional, Monteiro, Francisco das Chagas, additional, Correa, Harry, additional, Pena, Henrique Patrus Mundim, additional, Pinto, Ibraim Masciarelli Francisco, additional, Falcão, João Luiz de Alencar Araripe, additional, Sena, Joberto Pinheiro, additional, Peixoto, José Maria, additional, Souza, Juliana Ascenção de, additional, Silva, Leonardo Sara da, additional, Maia, Lilia Nigro, additional, Ohe, Louis Nakayama, additional, Baracioli, Luciano Moreira, additional, Dallan, Luís Alberto de Oliveira, additional, Dallan, Luis Augusto Palma, additional, Mattos, Luiz Alberto Piva e, additional, Bodanese, Luiz Carlos, additional, Ritt, Luiz Eduardo Fonteles, additional, Canesin, Manoel Fernandes, additional, Rivas, Marcelo Bueno da Silva, additional, Franken, Marcelo, additional, Magalhães, Marcos José Gomes, additional, Oliveira, Múcio Tavares de, additional, Filgueiras, Nivaldo Menezes, additional, Dutra, Oscar Pereira, additional, Coelho, Otávio Rizzi, additional, Leães, Paulo Ernesto, additional, Rossi, Paulo Roberto Ferreira, additional, Soares, Paulo Rogério, additional, Lemos, Pedro Alves, additional, Farsky, Pedro Silvio, additional, Cavalcanti, Rafael Rebêlo C., additional, Alves, Renato Jorge, additional, Kalil, Renato Abdala Karam, additional, Esporcatte, Roberto, additional, Marino, Roberto Luiz, additional, Giraldez, Roberto Rocha Corrêa Veiga, additional, Meneghelo, Romeu Sérgio, additional, Lima, Ronaldo de Souza Leão, additional, Ramos, Rui Fernando, additional, Falcão, Sandra Nivea dos Reis Saraiva, additional, Dalçóquio, Talia Falcão, additional, Lemke, Viviana de Mello Guzzo, additional, Chalela, William Azem, additional, and Mathias, Wilson, additional

Published
2021
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3. O escore de risco de sangramento como preditor de mortalidade em pacientes com síndromes coronarianas agudas

Author

Nicolau, José Carlos, Moreira, Humberto Graner, Baracioli, Luciano Moreira, Serrano Jr, Carlos Vicente, Lima, Felipe Galego, Franken, Marcelo, Giraldez, Roberto Rocha, Ganem, Fernando, Kalil Filho, Roberto, Ramires, José Antônio Franchini, and Mehran, Roxana

Subjects
Hemorragia/mortalidade, Síndrome Coronariana Aguda, Probabilidade, lcsh:Diseases of the circulatory (Cardiovascular) system, lcsh:RC666-701, Hemorragia, Hemorrhage, Síndrome Coronariana Aguda/complicações, Acute Coronary Syndrome, Probability
Abstract

FUNDAMENTO: A ocorrência de sangramento aumenta a mortalidade intra-hospitalar em pacientes com síndromes coronarianas agudas (SCAs), e há uma boa correlação entre os escores de risco de sangramento e a incidência de eventos hemorrágicos. No entanto, o papel dos escores de risco de sangramento como fatores preditivos de mortalidade é pouco estudado. OBJETIVO: Analisar o papel do escore de risco de sangramento como fator preditivo de mortalidade intra-hospitalar numa coorte de pacientes com SCA tratados num centro terciário de cardiologia. MÉTODOS: Dos 1.655 pacientes com SCA (547 com SCA com supra de ST e 1.118 com SCA sem supra de ST), calculou-se o escore de risco de sangramento ACUITY/HORIZONS prospectivamente em 249 pacientes e retrospectivamente nos demais 1.416. Informações sobre mortalidade e complicações hemorrágicas também foram obtidas. RESULTADOS: A idade média da população estudada foi 64,3 ± 12,6 anos e o escore de risco de sangramento médio foi 18 ± 7,7. A correlação entre sangramento e mortalidade foi altamente significativa (p < 0,001; OR = 5,29), assim como a correlação entre escore de sangramento e hemorragia intra-hospitalar (p < 0,001; OR = 1,058), e entre escore de sangramento e mortalidade intra-hospitalar (OR ajustado = 1,121, p < 0,001, área sob a curva ROC 0,753; p < 0,001). O OR ajustado e a área sob a curva ROC para a população com SCA com supra de ST foram 1,046 (p = 0,046) e 0,686 ± 0,040 (p < 0,001), respectivamente, e para SCA sem supra de ST foram 1,150 (p < 0,001) e 0,769 ± 0,036 (p < 0,001), respectivamente. CONCLUSÃO: O escore de risco de sangramento é um fator preditivo muito útil e altamente confiável para mortalidade intra-hospitalar em uma grande variedade de pacientes com SCAs, especialmente aqueles com angina instável ou infarto agudo do miocárdio sem supra de ST. BACKGROUND: It is well known that the occurrence of bleeding increases in-hospital mortality in patients with acute coronary syndromes (ACS), and there is a good correlation between bleeding risk scores and bleeding incidence. However, the role of bleeding risk score as mortality predictor is poorly studied. OBJECTIVE: The main purpose of this paper was to analyze the role of bleeding risk score as in-hospital mortality predictor in a cohort of patients with ACS treated in a single cardiology tertiary center. METHODS: Out of 1655 patients with ACS (547 with ST-elevation ACS and 1118 with non-ST-elevation ACS), we calculated the ACUITY/HORIZONS bleeding score prospectively in 249 patients and retrospectively in the remaining 1416. Mortality information and hemorrhagic complications were also obtained. RESULTS: Among the mean age of 64.3 ± 12.6 years, the mean bleeding score was 18 ± 7.7. The correlation between bleeding and mortality was highly significant (p < 0.001, OR = 5.296), as well as the correlation between bleeding score and in-hospital bleeding (p < 0.001, OR = 1.058), and between bleeding score and in-hospital mortality (adjusted OR = 1.121, p < 0.001, area under the ROC curve 0.753, p < 0.001). The adjusted OR and area under the ROC curve for the population with ST-elevation ACS were, respectively, 1.046 (p = 0.046) and 0.686 ± 0.040 (p < 0.001); for non-ST-elevation ACS the figures were, respectively, 1.150 (p < 0.001) and 0.769 ± 0.036 (p < 0.001). CONCLUSIONS: Bleeding risk score is a very useful and highly reliable predictor of in-hospital mortality in a wide range of patients with acute coronary syndromes, especially in those with unstable angina or non-ST-elevation acute myocardial infarction.

Published
2013

4. Do Diabetic Patients with Acute Coronary Syndromes Have a Higher Threshold for Ischemic Pain?

Author

Nicolau, José Carlos, primary, Barbosa, Carlos José Dornas Gonçalves, additional, Franci, André, additional, Baracioli, Luciano Moreira, additional, Franken, Marcelo, additional, Lima, Felipe Gallego, additional, Giraldez, Roberto Rocha, additional, Kalil Filho, Roberto, additional, Ramires, José Antônio Franchini, additional, and Giugliano, Robert P., additional

Published
2014
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5. The Bleeding Risk Score as a Mortality Predictor in Patients with Acute Coronary Syndrome

Author

Nicolau, José Carlos, primary, Moreira, Humberto Graner, additional, Baracioli, Luciano Moreira, additional, Serrano Junior, Carlos Vicente, additional, Lima, Felipe Galego, additional, Franken, Marcelo, additional, Giraldez, Roberto Rocha, additional, Ganem, Fernando, additional, Kalil Filho, Roberto, additional, Ramires, José Antônio Franchini, additional, and Mehran, Roxana, additional

Published
2013
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7. Hematoma da aorta ascendente

Author

Stolf, Noedir Antônio G., primary, Benício, Anderson, additional, Judas, Gustavo I., additional, Giraldez, Roberto Rocha Correia Veiga, additional, and Mathias Júnior, Wilson, additional

Published
2006
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8. III Diretriz sobre tratamento do infarto agudo do miocárdio

Author

Piegas, Leopoldo S., primary, Timerman, Ari, additional, Nicolau, José Carlos, additional, Mattos, Luiz Alberto, additional, Rossi Neto, João Manoel, additional, Feitosa, Gilson S., additional, Avezum, Álvaro, additional, Carvalho, Antonio Carlos C., additional, Mansur, Antonio de Pádua, additional, Guimarães, Armênio Costa, additional, Bozza, Augusto Elias Z., additional, Markman F., Brivaldo, additional, Polanczyk, Carisi A., additional, Serrano, Carlos Vicente, additional, Oliveira, César Cardoso de, additional, Alves, Claudia M. Rodrigues, additional, Précoma, Dalton Bertolim, additional, Albuquerque, Denílson Campos de, additional, Romano, Edson Renato, additional, Stefanini, Edson, additional, Knobel, Elias, additional, Santos, Elisabete S., additional, God, Epotamenides M. Good, additional, Silva, Expedito E. Ribeiro da, additional, Brito, Fábio Sandoli de, additional, Reis, Gilmar, additional, Lima, Gustavo Glotz de, additional, Atie, Jacob, additional, Marin Neto, José Antonio, additional, Saraiva, José Francisco Kerr, additional, Amino, José Geraldo de Castro, additional, Piegas, Leopoldo S., additional, Maia, Lilia Nigro, additional, Moreira, Luis Felipe, additional, Arraes, Magaly, additional, Coutinho, Mário, additional, Dutra, Oscar, additional, Coelho, Otávio Rizzi, additional, Leães, Paulo Ernesto, additional, Rossi, Paulo Roberto Ferreira, additional, Albuquerque, Pedro, additional, Bassan, Roberto, additional, Esporcatte, Roberto, additional, Giraldez, Roberto Rocha, additional, Meneghelo, Romeu Sérgio, additional, Ramos, Rui Fernando, additional, Carvalho, Valéria Bezerra de, additional, Mathias, Wilson, additional, and Guimarães, Jorge Ilha, additional

Published
2004
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9. Brazilian Society of Cardiology Guidelines on Unstable Angina and Acute Myocardial Infarction without ST-Segment Elevation - 2021.

Author

Nicolau JC, Feitosa Filho GS, Petriz JL, Furtado RHM, Précoma DB, Lemke W, Lopes RD, Timerman A, Marin Neto JA, Bezerra Neto L, Gomes BFO, Santos ECL, Piegas LS, Soeiro AM, Negri AJA, Franci A, Markman Filho B, Baccaro BM, Montenegro CEL, Rochitte CE, Barbosa CJDG, Virgens CMBD, Stefanini E, Manenti ERF, Lima FG, Monteiro Júnior FDC, Correa Filho H, Pena HPM, Pinto IMF, Falcão JLAA, Sena JP, Peixoto JM, Souza JA, Silva LSD, Maia LN, Ohe LN, Baracioli LM, Dallan LAO, Dallan LAP, Mattos LAPE, Bodanese LC, Ritt LEF, Canesin MF, Rivas MBDS, Franken M, Magalhães MJG, Oliveira Júnior MT, Filgueiras Filho NM, Dutra OP, Coelho OR, Leães PE, Rossi PRF, Soares PR, Lemos Neto PA, Farsky PS, Cavalcanti RRC, Alves RJ, Kalil RAK, Esporcatte R, Marino RL, Giraldez RRCV, Meneghelo RS, Lima RSL, Ramos RF, Falcão SNDRS, Dalçóquio TF, Lemke VMG, Chalela WA, and Mathias Júnior W

Subjects
Angina, Unstable diagnosis, Angina, Unstable therapy, Brazil, Electrocardiography, Humans, Cardiology, Myocardial Infarction therapy
Published
2021
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10. [V Guideline of the Brazilian Society of Cardiology on Acute Myocardial Infarction Treatment with ST Segment Elevation].

Author

Avezum Junior Á, Feldman A, Carvalho AC, Sousa AC, Mansur Ade P, Bozza AE, Falcão Bde A, Markman Filho BM, Polanczyk CA, Gun C, Serrano Junior CV, Oliveira CC, Moreira D, Précoma DB, Magnoni D, Albuquerque DC, Romano ER, Stefanini E, Santos ES, God EM, Ribeiro EE, Brito FS, Feitosa-Filho GS, Arruda GD, Oliveira GB, Lima GG, Dohman H, Liguori IM, Costa Junior Jde R, Saraiva JF, Maia LN, Moreira LF, Santos MA, Canesin MF, Coutinho MS, Moretti AM, Ghorayeb N, Vieira NW, Dutra OP, Coelho OR, Leães PE, Rossi PR, Andrade PB, Lemos Neto PA, Pavanello R, Costa RV, Bassan R, Esporcatte R, Miranda R, Giraldez RR, Ramos RF, Martins SK, Esteves VB, and Mathias Junior W

Subjects
Biomarkers blood, Brazil, Cardiology, Electrocardiography, Humans, Myocardial Infarction blood, Myocardial Infarction diagnosis, Myocardial Infarction prevention & control, Risk Assessment, Risk Factors, Secondary Prevention, Societies, Medical, Thrombolytic Therapy methods, Emergency Medical Services methods, Myocardial Infarction therapy
Published
2015
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11. The influence of health insurance plans on the long term outcome of patients with acute myocardial infarction.

Author

Nicolau JC, Baracioli LM, Serrano CV Jr, Giraldez RR, Kalil Filho R, Lima FG, Franken M, Ganem F, Lage RL, and Truffa R

Subjects
Brazil epidemiology, Epidemiologic Methods, Female, Hospital Mortality, Humans, Male, Middle Aged, Myocardial Infarction diagnosis, Myocardial Infarction therapy, Patient Discharge, Prognosis, Treatment Outcome, Insurance, Health, Myocardial Infarction mortality, National Health Programs
Abstract

Background: Little is known, especially in our country, about the influence of health insurance plans on the long term outcome of patients after acute myocardial infarction (AMI)., Objective: To assess the outcome of patients with AMI who are covered by the National Health System (SUS) or other health insurance plans., Methods: We analyzed 1,588 patients with AMI (mean age of 63.3 + 12.9 years, 71.7% male) who were included prospectively into a specific database and followed up for up to 7.55 years. Of this total, 1,003 were placed in the "SUS" group and 585 in the "other insurance plans" group. We applied chi-square, log-rank and Cox (stepwise) to the different statistical analyses. The long term multivariate model with mortality as a dependent variable included 18 independent variables., Results: In-hospital mortality rates in the "other insurance plans" and "SUS" groups were 11.4% and 10.3%, respectively (p = 0.5); in the long term, survival chances in the groups were respectively, 70.4% + 2.9 and 56.4% + 4.0 (p = 0.001, hazard-ratio = 1.43, or a 43% higher chance of death in the "SUS" group). In the adjusted model, the 'SUS' group had a significantly higher chance of death (a 36% higher chance, p = 0.005). Surgical revascularization and angioplasty improved the prognosis of these patients, whereas age and previous history of infarction, diabetes or heart failure worsened the prognosis., Conclusions: Relative to patients with other insurance plans, SUS users present similar mortality rates during hospital stay, but their prognosis is worse in the long term, thus reinforcing the need for additional efforts to improve the care provided to these patients after hospital discharge.

Published
2008
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12. Intramural hematoma of the ascending aorta.

Author

Stolf NA, Benício A, Judas GI, Giraldez RR, and Mathias Júnior W

Subjects
Aged, Aortic Diseases surgery, Echocardiography, Hematoma surgery, Humans, Magnetic Resonance Imaging, Male, Treatment Outcome, Aortic Diseases diagnosis, Hematoma diagnosis
Abstract

It is reported the case of a 71 year old male patient admitted to the emergency service pale and with systemic arterial hypertension and thoracic pain. In the diagnostic investigation, there was no evidence of compatible with acute myocardial ischemia. The thorax x-ray showed important enlargement of the mediastinum. In the echocardiogram the ascending aorta measured 47 mm, at the level of the pulmonary artery. One day after the echo, submitted to exam of magnetic resonance (RNM), the ascending aorta had a diameter of 62 mm, without false lumen flow or intimal "flap", but showing intramural hematoma envolving the ascending aorta and the proximal portion of the aorta. It was submitted to the surgical correction, being accomplished by resection of the ascending aorta and part of the aortic arch (hemiarch), with preservation of the aortic valve with suspension of the comissures. The patient had uneventful recovery, being discharged in the 9th postoperative day. We emphasized the similarity of the clinical presentation of the intramural hematoma of the aorta with that of aortic dissection, the importance of establishing correct diagnosis and the best treatment.

Published
2006
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13. [Left ventricular pseudoaneurysm associated to severe mitral insufficiency, complicating inferolaterodorsal acute myocardial infarction].

Author

Falcão JL, Falcão SN, Garcia MF, Arruda AL, Hueb AC, Jatene FB, Gutierrez PS, Nicolau JC, Ramires JA, and Giraldez RR

Subjects
Aged, Aneurysm, False diagnosis, Aneurysm, False surgery, Female, Heart Aneurysm diagnosis, Heart Aneurysm surgery, Humans, Mitral Valve Insufficiency diagnosis, Mitral Valve Insufficiency surgery, Myocardial Infarction diagnosis, Myocardial Infarction surgery, Ventricular Dysfunction, Left diagnosis, Ventricular Dysfunction, Left etiology, Ventricular Dysfunction, Left surgery, Aneurysm, False etiology, Heart Aneurysm etiology, Mitral Valve Insufficiency etiology, Myocardial Infarction complications
Abstract

We described a case of left ventricular pseudoaneurysm associated to a severe mitral regurgitation, complicating a inferolaterodorsal acute myocardial infarction. The lesion was found in a routine echocardiogram during the in-hospital follow-up. The well-succeeded surgical strategy and the good clinical evolution of the patient were distinguished.

Published
2005
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