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Introduction: Despite advancements in implantable cardioverter‐defibrillator (ICD) technology, sudden cardiac death (SCD) remains a persistent public health concern. Chagas disease (ChD), prevalent in Brazil, is associated with increased ventricular tachycardia (VT) and ventricular fibrillation (VF) events and SCD compared to other cardiomyopathies. Methods: This retrospective observational study included patients who received ICDs between October 2007 and December 2018. The study aims to assess whether mortality and VT/VF events decreased in patients who received ICDs during different time periods (2007–2010, 2011–2014, and 2015–2018). Additionally, it seeks to compare the prognosis of ChD patients with non‐ChD patients. Time periods were chosen based on the establishment of the Arrhythmia Service in 2011. The primary outcome was overall mortality, assessed across the entire sample and the three periods. Secondary outcomes included VT/VF events and the combined outcome of death or VT/VF. Results: Of the 885 patients included, 31% had ChD. Among them, 28% died, 14% had VT/VF events, and 37% experienced death and/or VT/VF. Analysis revealed that period 3 (2015–2018) was associated with better death‐free survival (p =.007). ChD was the only variable associated with a higher rate of VT/VF events (p <.001) and the combined outcome (p =.009). Conclusion: Mortality and combined outcome rates decreased gradually for ICD patients during the periods 2011–2014 and 2015–2018 compared to the initial period (2007–2010). ChD was associated with higher VT/VF events in ICD patients, only in the first two periods. [ABSTRACT FROM AUTHOR]

Objective: Identify the consequences of violence at work suffered by nurses in pre-hospital care. Methods: This is a cross-sectional, descriptive study conducted with 67 nurses from a pre-hospital care service in the city of Rio de Janeiro, Brazil. The data were analyzed using the Johari's Window. Results: Complaints of fear, stress, anxiety, insomnia irritability, work demotivation, tachycardia, headache, sadness, discouragement, hypertension, precordialgia, weight gain, need for psychological and psychiatric care with the prescription of medicalization were highlighted as consequences of violence at work. Conclusion: Violence at work in pre-hospital care causes consequences that involve the physical and emotional dimensions. It is necessary to discuss and reflect at the institutional level, with the participation of professionals, on the characteristics of the work environment, risks, exposures, work-related diseases, causal link and the consequences of violence at work. [ABSTRACT FROM AUTHOR]

Introduction: The health-related quality of life (HRQOL) of patients with tachyarrhythmia can be negatively influenced by the clinical manifestations. The evaluation of HRQOL with validated instruments can provide valuable information that will contribute to clinical decision-making and treatment. In Brazil, however, there is no available scale that evaluates HRQOL in different types of arrhythmia. The purpose of this study was to adapt the Arrhythmia-Specific Questionnaire in Tachycardia and Arrhythmia-HRQOL scale (ASTA-HRQOL scale) to the Brazilian culture, and to assess the psychometric properties of the adapted questionnaire. Methods: The study used a methodological process of cultural adaptation based on international literature guidelines. The analyses were performed with 172 participants, 32 for cultural adaptation and 140 for psychometric validation. Calculation included analysis of reliability by Cronbach's α coefficient, construct validity with convergent validity using the WHOQOL-BREF questionnaire and by the Spearman correlation coefficient, Average Variance Extracted, and assessment of confirmatory factor analysis. Results: The translation and adaptation processes showed a satisfactory degree of comprehension and applicability (93% reported them to be easy to understand). Confirmatory factor analysis indicated exclusion of one item from the mental scale, but after qualitative analysis the item was retained. The items presented adequate internal consistency (Cronbach's alpha coefficient = 0.88), and an inverse correlation of moderate magnitude with the physical domain (rho = -0.63) and with the mental domain (rho = -0.58) of the WHOQOL-BREF. Conclusions: The Brazilian Portuguese version of the ASTA-HRQOL scale, the ASTA-Br-HRQOL scale, can be a valuable tool for use in clinical practice and research. [ABSTRACT FROM AUTHOR]

In this work, we examined the action of two South American coralsnake (Micrurus corallinus and Micrurus dumerilii carinicauda) venoms on rat heart function in the absence and presence of treatment with Brazilian coralsnake antivenom (CAV) and varespladib (VPL), a potent phospholipase A 2 inhibitor. Anesthetized male Wistar rats were injected with saline (control) or a single dose of venom (1.5 mg/kg, i.m.) and monitored for alterations in echocardiographic parameters, serum CK-MB levels and cardiac histomorphology, the latter using a combination of fractal dimension and histopathological methods. Neither of the venoms caused cardiac functional alterations 2 h after venom injection; however, M. corallinus venom caused tachycardia 2 h after venom injection, with CAV (given i.p. at an antivenom:venom ratio of 1:1.5, v/w), VPL (0.5 mg/kg, i.p.) and CAV + VPL preventing this increase. Both venoms increased the cardiac lesional score and serum CK-MB levels compared to saline-treated rats, but only the combination of CAV + VPL prevented these alterations, although VPL alone was able to attenuate the increase in CK-MB caused by M. corallinus venom. Micrurus corallinus venom increased the heart fractal dimension measurement, but none of the treatments prevented this alteration. In conclusion, M. corallinus and M. d. carinicauda venoms caused no major cardiac functional alterations at the dose tested, although M. corallinus venom caused transient tachycardia. Both venoms caused some cardiac morphological damage, as indicated by histomorphological analyses and the increase in circulating CK-MB levels. These alterations were consistently attenuated by a combination of CAV and VPL., (© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)

Background: Both exaggerated and diminished reactivity to stress can be maladaptive. Previous studies have shown that performing increasingly difficult tasks leads first to increased reactivity and then to a blunted response when success is impossible. Our aim was to investigate the influence of trait anxiety on cardiac and cortisol response to and recovery from a standardized psychosocial stress task (Trier Social Stress Task) in a homogeneous sample of healthy peacekeepers. We hypothesized that participants with higher trait anxiety would show blunted reactivity during the performance of an overwhelmingly difficult and stressful task. Participants (N = 50) delivered a speech and performed an arithmetic task in the presence of critical evaluators. Cortisol samples and electrocardiogram data were collected. Participants completed the State-Trait Anxiety Inventory-Trait version, the Posttraumatic Stress Disorder Checklist-Civilian Version (PCL-C) and the Military Peace Force Stressor Inventory.Results: For heart rate, the findings showed that peacekeepers with higher trait anxiety reacted less to the speech task (p = 0.03) and to the arithmetic task (p = 0.008) than those with lower trait anxiety. Trait anxiety did not modulate cortisol responses to the task. Despite the high trait anxiety group having higher PCL-C scores than the low trait anxiety group (p < 0.0001), this did not influence the cardiac results.Conclusions: We concluded that individuals with higher trait anxiety had less tachycardia in response to acute psychological stress than those with lower trait anxiety. The present results point to a higher risk for more anxious individuals of a maladaptive reaction to stressful events. [ABSTRACT FROM AUTHOR]

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Copyright of Ciencia, Cuidado e Saude is the property of Universidade Estadual de Maringa and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Abstract: Marsdenia megalantha is a rupicolous shrub with succulent roots from the semiarid region of Brazil that is known to cause fatal poisoning in livestock. We reported spontaneous cases of poisoning by M. megalantha roots in bovine, caprine, ovine, and equine species. The clinical and pathological findings of experimental administration of M. megalantha to sheep, goats, a calf and a pig are reported. Three goats, two sheep and a calf were dosed once orally with freshly chopped roots at dose of 25 g wet plant/kg bw; another sheep and a pig were dosed with 10 g wet plant/kg bw. Poisoning occurred in all of the animals except the three goats. Clinical signs of poisoning included tachycardia, opisthotonus, ruminal bloat, dyspnea, nystagmus, mydriasis, ataxia, and recumbence with paddling movements. Pathological evaluation showed segmental laminar neuronal necrosis and spongiosis in the telencephalic cortex and degeneration of Purkinje cells. The picrate paper procedure detected no cyanide in the plant roots, but the reaction used for nitrate detection gave a strongly positive response. In conclusion, M. megalantha is a poisonous plant that produces acute poisoning characterized mainly by nervous disturbances. Livestock producers should offer alternative food during the dry and early rainy seasons to avoid the poisoning by this plant. [Copyright &y& Elsevier]

Envenomation by snakes of the genus Bothrops is characterized by local pain, systemic bleeding, tachycardia, acute renal failure, as well as swelling and redness caused by the enzymatic and proteolytic action of venom. The toxicological and histological effects of the venom of Bothrops itapetiningae, one of the smallest pit vipers in Brazil, were characterized using BALB/c male mice as models. Venom impacts on liver, kidney, and plasma enzymes that were evaluated at six concentrations. We observed lethality, toxicity, edema forming, and hemorrhagic symptoms such as polymorphonuclear infiltration, hydropic degeneration, and ischemic necrosis. Moreover, increases of alanine aminotransferase, aspartate aminotransferase, alkaline phosphatise, and creatinine levels were observed in the presence of venom. We assessed LD50, minimal hemorrhagic dose, minimal edematogenic activity, and platelet aggregation, improving our knowledge of B. itapetiningae venom toxic activity. [ABSTRACT FROM AUTHOR]

Abstract: The aim of this study was to determine the cause of sudden deaths in sheep in the Anari Valley of the state of Rondônia, in northern Brazil. In one outbreak, sheep were placed in an area where the owner had cut Amorimia (Mascagnia) sepium and let it dry for two days. Fourteen out of 35 sheep died with few outward clinical signs observed over a period of about 10 h after the ingestion of the dry plant. Dry A. sepium was administered experimentally to 9 sheep. Five died after the ingestion of single doses of 3–6.6 g/kg body weight (bw). Two sheep died after the ingestion of total doses of 6.4–31 g/kg bw over the course of 4 and 5 days, respectively, and one died after being treated with 33 daily doses of 0.56 g/kg bw. Six sheep died during exercise, and three died without exercise. Clinical signs were anorexia, muscular tremors, dyspnea, jugular engorgement, tachycardia, apathy, opisthotonos, foam in the nose, and recumbence. One sheep, which ingested a single dose of 1 g/kg bw, was not affected. The main macroscopic lesion was pulmonary edema. Histologic examination of the heart revealed degeneration and necrosis of cardiomyocytes, as well as multifocal inflammatory infiltrate of mononuclear cells. Fibrosis, neovascularization and infiltration by mononuclear inflammatory cells were observed in the sheep that ingested the plant for 33 days. Vacuolar-hydropic degeneration was observed in the epithelial cells of renal tubules of four sheep. It is concluded that A. sepium is responsible for sudden deaths in sheep. [Copyright &y& Elsevier]