Search

Your search keyword '"Franken, Marcelo"' showing total 188 results
Start Over Author "Franken, Marcelo"
188 results on '"Franken, Marcelo"'

1. In-hospital stroke protocol outcomes before and after the implementation of neurological assessments by telemedicine: an observational case–control study

Author

Massaud, Rodrigo Meirelles, primary, Accorsi, Tarso Augusto Duenhas, additional, Massant, Cristina Gonçalves, additional, Silva, Gisele Sampaio, additional, de Carvalho Leite, Anna Verena, additional, Franken, Marcelo, additional, Moreira, Flavio Tocci, additional, Köhler, Karen Francine, additional, De Amicis Lima, Karine, additional, Morbeck, Renata Albaladejo, additional, and Pedrotti, Carlos Henrique Sartorato, additional

Published
2024
Full Text
View/download PDF

4. In-hospital stroke protocol outcomes before and after the implementation of neurological assessments by telemedicine: an observational case-control study.

Author

Meirelles Massaud, Rodrigo, Duenhas Accorsi, Tarso Augusto, Gonçalves Massant, Cristina, Sampaio Silva, Gisele, de Carvalho Leite, Anna Verena, Franken, Marcelo, Tocci Moreira, Flavio, Francine Köhler, Karen, De Amicis Lima, Karine, Albaladejo Morbeck, Renata, and Sartorato Pedrotti, Carlos Henrique

Subjects
NEUROLOGIC examination, NEUROLOGICAL emergencies, ISCHEMIC stroke, CASE-control method, CEREBRAL hemorrhage, REPERFUSION injury
Abstract

Purpose: Stroke is the second leading cause of global adult mortality and the primary cause of disability. A rapid assessment by a neurologist for general and reperfusion treatments in ischemic strokes is linked to decreased mortality and disability. Telestroke assessment is a strategy that allows for neurological consultations with experienced professionals, even in remote emergency contexts. No randomized studies have compared face-to-face neurological care outcomes with telestroke care. Whether neurologists in an institution achieve better results remotely than in person is also unknown. This study aimed to compare mortality and other outcomes commonly measured in stroke protocols for stroke patients assessed by a neurologist via face-to-face evaluations and telestroke assessment. Methods: Observational single-center retrospective study from August/2009 to February/2022, enrolling 2,689 patients with ischemic stroke, subarachnoid hemorrhage, and intracerebral hemorrhage. Group 1 (G1) comprised 2,437 patients with in-person neurological assessments, and Telemedicine Group 2 (G2) included 252 patients. Results: The in-person group had higher admission NIHSS scores (G1, 3 (0; 36) vs. G2, 2 (0; 26), p < 0.001). The door-to-groin puncture time was lower in the in-person group than in the telestroke group (G1, 103 (42; 310) vs. G2, 151 (109; 340), p < 0.001). The telestroke group showed superior metrics for doorto-imaging time, symptomatic hemorrhagic transformation rate in ischemic stroke patients treated with intravenous thrombolysis, hospital stay duration, higher rates of intravenous thrombolysis and mechanical thrombectomy, and lower mortality. Symptomatic hemorrhagic transformation rate was smaller in the group evaluated via telestroke (G1, 5.1% vs. G2, 1.1%, p = 0.016). Intravenous thrombolysis and mechanical thrombectomy rates were significantly higher in telestroke group: (G1, 8.6% vs. G2, 18.2%, p < 0.001 and G1, 5.1% vs. G2, 10.4%, p = 0.002, respectively). Mortality was lower in the telestroke group than in the in-person group (G1, 11.1% vs. G2, 6.7%, p = 0.001). The percentage of patients with an mRS score of 0-2 at discharge was similar in both groups when adjusting for NIHSS score and age. Conclusion: The same neurological emergency team may assess stroke patients in-person or by telemedicine, with excellent outcome metrics. This study reaffirms telestroke as a safe tool in acute stroke care. [ABSTRACT FROM AUTHOR]

Published
2024
Full Text
View/download PDF

6. Influenza vaccination strategy in acute coronary syndromes: the VIP-ACS trial

Author

Fonseca, Henrique Andrade R, primary, Furtado, Remo Holanda M, additional, Zimerman, André, additional, Lemos, Pedro A, additional, Franken, Marcelo, additional, Monfardini, Frederico, additional, Pedrosa, Rodrigo P, additional, Patriota, Rodrigo de Lemos S, additional, Passos, Luiz Carlos S, additional, Dall’Orto, Frederico Toledo C, additional, Hoffmann Filho, Conrado R, additional, Nascimento, Bruno Ramos, additional, Baldissera, Felipe A, additional, Pereira, Cesar Augusto C, additional, Caramori, Paulo Ricardo A, additional, de Andrade, Pedro Beraldo, additional, Esteves, Carlos, additional, Salim, Elke Ferreira, additional, da Silva, Jefferson Henrique, additional, Pedro, Izabela Chave, additional, Silva, Mariana Castaldi R, additional, de Pedri, Ewerton Hernandes, additional, Carioca, Ana Carla R D, additional, de Piano, Luciana Pereira A, additional, Albuquerque, Camila Santos N, additional, Moia, Diogo D F, additional, Momesso, Roberta Grazzielli R A P, additional, Machado, Felipe P, additional, Damiani, Lucas P, additional, Soares, Ronaldo Vicente P, additional, Schettino, Guilherme P, additional, Rizzo, Luiz V, additional, Nicolau, José Carlos, additional, and Berwanger, Otávio, additional

Published
2022
Full Text
View/download PDF

7. Risk and timing of clinical events according to diabetic status of patients treated with everolimus‐eluting bioresorbable vascular scaffolds versus everolimus‐eluting stent: 2‐year results from a propensity score matched comparison of ABSORB EXTEND and SPIRIT trials

Author

Campos, Carlos M., Caixeta, Adriano, Franken, Marcelo, Bartorelli, Antonio L., Whitbourn, Robert J., Wu, Chiung‐Jen, Li Paul Kao, Hsien, Rosli, Mohd Ali, Carrie, Didier, De Bruyne, Bernard, Stone, Gregg W., Serruys, Patrick W., and Abizaid, Alexandre

Published
2018
Full Text
View/download PDF

11. SPONTANEOUS CORONARY ARTERY DISSECTION. DEMOGRAPHIC AND ANGIOGRAPHIC CHARACTERISTICS FINDINGS IN THE SCALIBUR BRAZILIAN REGISTRY

Author

Teixeira, Paula Santiago, primary, Campos, Carlos, additional, de Ribamar Costa, Jose, additional, Ribeiro, Henrique B., additional, Mangione, José Armando, additional, Oliveira, Marcos, additional, Freitas, Bárbara, additional, Cade, Jamil Ribeiro, additional, Fiorotto, Walter B., additional, Da Silva, Augusto, additional, Da Costa, Diego Silveira, additional, Zuwoski, Cleverson, additional, de Carvalho Cantarelli, Marcelo Jose, additional, Rocha, Gustavo, additional, Lemos, Pedro, additional, Franken, Marcelo, additional, and Almeida, Breno, additional

Published
2022
Full Text
View/download PDF

12. Safety and effectiveness of introducing a robotic-assisted percutaneous coronary intervention program in a tertiary center: a prospective study

Author

Lemos, Pedro A., primary, Franken, Marcelo, additional, Mariani Jr, Jose, additional, Caixeta, Adriano, additional, Almeida, Breno O., additional, Pitta, Fabio G., additional, Prado, Guy F. A., additional, Garzon, Stefano, additional, Ramalho, Felipe, additional, Albuquerque, Gabriel, additional, Gomes, Ivanise M., additional, de Oliveira, Irisvaldo S., additional, Valle, Leonardo, additional, Galastri, Leonardo, additional, Affonso, Breno B., additional, Nasser, Felipe, additional, and Garcia, Rodrigo G., additional

Published
2022
Full Text
View/download PDF

14. Abstract 12128: The Inflammatory Response to Percutaneous Coronary Intervention is Related to Myocardial Injury in Patients with Chronic Ischemic Heart Disease

Author

Frisso, Priscilla T, primary, Mattos, Fernando R, additional, Trombini Pinesi, Henrique, additional, De Lemos, James A, additional, Pesaro, Antonio E, additional, Rached, Fabiana H, additional, Franken, Marcelo, additional, Caixeta, Adriano M, additional, Lemos Neto, Pedro A, additional, Chagas, Antonio C, additional, and Serrano Jr, Carlos V, additional

Published
2021
Full Text
View/download PDF

17. 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
Full Text
View/download PDF

19. Improvement of renal function after transcatheter aortic valve replacement in patients with chronic kidney disease

Author

Lemes da Silva, Michel V., primary, Nunes Filho, Antonio C. B., additional, Rosa, Vitor E. E., additional, Caixeta, Adriano, additional, Lemos Neto, Pedro A., additional, Ribeiro, Henrique B., additional, Almeida, Breno O., additional, Mariani, José, additional, Campos, Carlos M., additional, Abizaid, Alexandre A. C., additional, Mangione, José A., additional, Sampaio, Roney O., additional, Caramori, Paulo, additional, Sarmento-Leite, Rogério, additional, Tarasoutchi, Flávio, additional, Franken, Marcelo, additional, and de Brito, Fábio S., additional

Published
2021
Full Text
View/download PDF

22. Comment to: Intensive support recommendations for critically-ill patients with suspected or confirmed COVID-19 infection

Author

Corrêa, Thiago Domingos, Matos, Gustavo Faissol Janot de, Bravim, Bruno de Arruda, Cordioli, Ricardo Luiz, Garrido, Alejandra del Pilar Gallardo, Assuncao, Murillo Santucci Cesar de, Barbas, Carmen Silvia Valente, Timenetsky, Karina Tavares, Rodrigues, Roseny dos Reis, Guimarães, Hélio Penna, Rabello Filho, Roberto, Lomar, Frederico Polito, Scarin, Farah Christina de La Cruz, Batista, Carla Luciana, Pereira, Adriano José, Guerra, João Carlos de Campos, Carneiro, Bárbara Vieira, Nawa, Ricardo Kenji, Brandão, Rodrigo Martins, Pesaro, Antônio Eduardo Pereira, Silva Júnior, Moacyr, Carvalho, Fabricio Rodrigues Torres de, Silva, Cilene Saghabi de Medeiros, Almeida, Ana Claudia Ferraz de, Franken, Marcelo, Pesavento, Marcele Liliane, Eid, Raquel Afonso Caserta, and Ferraz, Leonardo José Rolim

Published
2020

23. Intensive support recommendations for critically-ill patients with suspected or confirmed COVID-19 infection

Author

Corrêa, Thiago Domingos, Matos, Gustavo Faissol Janot de, Bravim, Bruno de Arruda, Cordioli, Ricardo Luiz, Garrido, Alejandra del Pilar Gallardo, Assuncao, Murillo Santucci Cesar de, Barbas, Carmen Silvia Valente, Timenetsky, Karina Tavares, Rodrigues, Roseny dos Reis, Guimarães, Hélio Penna, Rabello Filho, Roberto, Lomar, Frederico Polito, Scarin, Farah Christina de La Cruz, Batista, Carla Luciana, Pereira, Adriano José, Guerra, João Carlos de Campos, Carneiro, Bárbara Vieira, Nawa, Ricardo Kenji, Brandão, Rodrigo Martins, Pesaro, Antônio Eduardo Pereira, Silva Júnior, Moacyr, Carvalho, Fabricio Rodrigues Torres de, Silva, Cilene Saghabi de Medeiros, Almeida, Ana Claudia Ferraz de, Franken, Marcelo, Pesavento, Marcele Liliane, Eid, Raquel Afonso Caserta, and Ferraz, Leonardo José Rolim

Subjects
Coronavirus, Coronavírus, Respiratory distress syndrome, adult, Unidades de terapia intensiva, Intensive care units, COVID-19, Insuficiência respiratória, Respiratory insufficiency, Síndrome do desconforto respiratório do adulto
Abstract

In December 2019, a series of patients with severe pneumonia were identified in Wuhan, Hubei province, China, who progressed to severe acute respiratory syndrome and acute respiratory distress syndrome. Subsequently, COVID-19 was attributed to a new betacoronavirus, the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Approximately 20% of patients diagnosed as COVID-19 develop severe forms of the disease, including acute hypoxemic respiratory failure, severe acute respiratory syndrome, acute respiratory distress syndrome and acute renal failure and require intensive care. There is no randomized controlled clinical trial addressing potential therapies for patients with confirmed COVID-19 infection at the time of publishing these treatment recommendations. Therefore, these recommendations are based predominantly on the opinion of experts (level C of recommendation). RESUMO Em dezembro de 2019, uma série de pacientes com pneumonia grave foi identificada em Wuhan, província de Hubei, na China. Esses pacientes evoluíram para síndrome respiratória aguda grave e síndrome do desconforto respiratório agudo. Posteriormente, a COVID-19 foi atribuída a um novo betacoronavírus, o coronavírus da síndrome respiratória aguda grave 2 (SARS-CoV-2). Cerca de 20% dos pacientes com diagnóstico de COVID-19 desenvolvem formas graves da doença, incluindo insuficiência respiratória aguda hipoxêmica, síndrome respiratória aguda grave, síndrome do desconforto respiratório agudo e insuficiência renal aguda e requerem admissão em unidade de terapia intensiva. Não há nenhum ensaio clínico randomizado controlado que avalie potenciais tratamentos para pacientes com infecção confirmada pela COVID-19 no momento da publicação destas recomendações de tratamento. Dessa forma, essas recomendações são baseadas predominantemente na opinião de especialistas (grau de recomendação de nível C).

Published
2020

27. Paraganglioma

Author

da Silva, Maria Carolina B., primary, Shoji, Hamilton, additional, Franken, Marcelo, additional, Shiang, Christina, additional, Garcia, Rodrigo G., additional, Engel, Fabiano C., additional, Gaiotto, Fabio A., additional, Nunes, Leticia M., additional, Funari, Marcelo B.G., additional, and Szarf, Gilberto, additional

Published
2020
Full Text
View/download PDF

28. Comment to: Intensive support recommendations for critically-ill patients with suspected or confirmed COVID-19 infection

Author

Corrêa, Thiago Domingos, primary, Matos, Gustavo Faissol Janot de, additional, Bravim, Bruno de Arruda, additional, Cordioli, Ricardo Luiz, additional, Garrido, Alejandra del Pilar Gallardo, additional, Assuncao, Murillo Santucci Cesar de, additional, Barbas, Carmen Silvia Valente, additional, Timenetsky, Karina Tavares, additional, Rodrigues, Roseny dos Reis, additional, Guimarães, Hélio Penna, additional, Rabello, Roberto, additional, Lomar, Frederico Polito, additional, Scarin, Farah Christina de La Cruz, additional, Batista, Carla Luciana, additional, Pereira, Adriano José, additional, Guerra, João Carlos de Campos, additional, Carneiro, Bárbara Vieira, additional, Nawa, Ricardo Kenji, additional, Brandão, Rodrigo Martins, additional, Pesaro, Antônio Eduardo Pereira, additional, Silva, Moacyr, additional, Carvalho, Fabricio Rodrigues Torres de, additional, Silva, Cilene Saghabi de Medeiros, additional, Almeida, Ana Claudia Ferraz de, additional, Franken, Marcelo, additional, Pesavento, Marcele Liliane, additional, Eid, Raquel Afonso Caserta, additional, and Ferraz, Leonardo José Rolim, additional

Published
2020
Full Text
View/download PDF

29. Intensive support recommendations for critically-ill patients with suspected or confirmed COVID-19 infection

Author

Corrêa, Thiago Domingos, primary, Matos, Gustavo Faissol Janot de, additional, Bravim, Bruno de Arruda, additional, Cordioli, Ricardo Luiz, additional, Garrido, Alejandra del Pilar Gallardo, additional, Assuncao, Murillo Santucci Cesar de, additional, Barbas, Carmen Silvia Valente, additional, Timenetsky, Karina Tavares, additional, Rodrigues, Roseny dos Reis, additional, Guimarães, Hélio Penna, additional, Rabello, Roberto, additional, Lomar, Frederico Polito, additional, Scarin, Farah Christina de La Cruz, additional, Batista, Carla Luciana, additional, Pereira, Adriano José, additional, Guerra, João Carlos de Campos, additional, Carneiro, Bárbara Vieira, additional, Nawa, Ricardo Kenji, additional, Brandão, Rodrigo Martins, additional, Pesaro, Antônio Eduardo Pereira, additional, Silva, Moacyr, additional, Carvalho, Fabricio Rodrigues Torres de, additional, Silva, Cilene Saghabi de Medeiros, additional, Almeida, Ana Claudia Ferraz de, additional, Franken, Marcelo, additional, Pesavento, Marcele Liliane, additional, Eid, Raquel Afonso Caserta, additional, and Ferraz, Leonardo José Rolim, additional

Published
2020
Full Text
View/download PDF

30. Benchmarking as a quality of care improvement tool for patients with ST-elevation myocardial infarction: an NCDR ACTION Registry experience in Latin America

Author

Caixeta, Adriano, primary, Franken, Marcelo, primary, Katz, Marcelo, primary, Lemos, Pedro A, primary, Gomes, Ivanise, primary, Yokota, Paula Ko, primary, V Alliegro, PatrÍcia, primary, Pesaro, Eduardo E, primary, Neto, Miguel Cendoroglo, primary, Valentine, C Michael, primary, Brindis, Ralph G, primary, and Makdisse, Marcia, primary

Published
2019
Full Text
View/download PDF

35. 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

36. Benchmarking as a quality of care improvement tool for patients with ST-elevation myocardial infarction: an NCDR ACTION Registry experience in Latin America.

Author

Caixeta, Adriano, Franken, Marcelo, Katz, Marcelo, Lemos, Pedro A, Gomes, Ivanise, Yokota, Paula Ko, Alliegro, PatrÍcia V, Pesaro, Eduardo E, Neto, Miguel Cendoroglo, Valentine, C Michael, Brindis, Ralph G, Makdisse, Marcia, and V Alliegro, PatrÍcia

Abstract

Objective: We aim to examine the effect of benchmarking on quality-of-care metrics in patients presenting with ST-elevation myocardial infarction (STEMI) through the implementation of the American College of Cardiology (ACC) National Cardiovascular Data Registry (NCDR) ACTION Registry.Design: From January 2005 to December 2017, 712 patients underwent primary percutaneous coronary intervention PCI-499 before NCDR ACTION Registry implementation (prior to 2013) and 213 after implementation.Setting: STEMI.Participants: 712 patients.Intervention(s): Primary PCI.Main Outcome Measure(s): We examined hospital performance for the quality indicators in processes and outcomes of the management of patients presenting with STEMI. Outcome measures include door-to-balloon time (DBT), antiplatelet therapy and anti-ischemic drugs prescribed at discharge from pre-NCDR ACTION Registry to post-implementation.Results: There was improvement in DBT, decreasing from 94 min in 2012 (before NCDR adoption) to reach a median of 47 min in 2017 (Ptrend < 0.001). The percentage of cases with the optimal DBT of < 90 min increased from 55.8% before to 90.1% after the implementation of the NCDR ACTION Registry (Ptrend < 0.001). The rate of aspirin (90.3-100%, P < 0.001), P2Y12 inhibitor (70.1-78.4%, P = 0.02), beta-blocker (76.8-100%, P < 0.001) and angiotensin-converting enzyme inhibitors or angiotensin receptor blockers (60.1-99.5%, P < 0.001) prescribed at discharge increased from pre-NCDR ACTION Registry to post-implementation. Adjusted mortality before and after NCDR ACTION Registry implementation showed significant change (from 9.04 to 5.92%; P = 0.027).Conclusions: The introduction of the ACC NCDR ACTION Registry led to incremental gains in the quality in STEMI management through the benchmarking of process of care and clinical outcomes, achieving reduced DBT, improving guideline-directed medication adherence and increasing patient safety, treatment efficacy and survival. [ABSTRACT FROM AUTHOR]

Published
2020
Full Text
View/download PDF

37. Coronary fractional flow reserve derived from intravascular ultrasound imaging: Validation of a new computational method of fusion between anatomy and physiology

Author

Bezerra, Cristiano G., primary, Hideo‐Kajita, Alexandre, additional, Bulant, Carlos A., additional, Maso‐Talou, Gonzalo D., additional, Mariani, Jose, additional, Pinton, Fabio A., additional, Falcão, Breno A. A., additional, Esteves‐Filho, Antônio, additional, Franken, Marcelo, additional, Feijóo, Raúl A., additional, Kalil‐Filho, Roberto, additional, Garcia‐Garcia, Hector M., additional, Blanco, Pablo J., additional, and Lemos, Pedro A., additional

Published
2018
Full Text
View/download PDF

40. Increased hospitalizations for decompensated heart failure and acute myocardial infarction during mild winters: A seven-year experience in the public health system of the largest city in Latin America

Author

Levin, Renato Kawahisa, primary, Katz, Marcelo, additional, Saldiva, Paulo H. N., additional, Caixeta, Adriano, additional, Franken, Marcelo, additional, Pereira, Carolina, additional, Coslovsky, Salo V., additional, and Pesaro, Antonio E., additional

Published
2018
Full Text
View/download PDF

42. Giant and Calcified Post-Infarction True Left Ventricular Aneurysm: What to Do?

Author

Kajita, Alexandre Hideo, Oliveira, Marcos Danillo Peixoto, Menezes, Fernando Reis, Franken, Marcelo, Baraciolli, Luciano Moreira, and Nicolau, José Carlos

Subjects
Heart Failure, Diagnostic Imaging, Pulmonary Disease, Chronic Obstructive, Infarto do Miocárdio / complicações, Insuficiência Cardíaca, Diagnóstico por Imagem, Myocardial Infarction / complications, Heart Aneurysm, Doença Pulmonar Obstrutiva Crônica, Aneurisma Cardíaco
Published
2016

43. ST Elevation Myocardial Infarction in the elderly

Author

Franken, Marcelo, Nussbacher, Amit, Liberman, Alberto, and Wajngarten, Mauricio

Subjects
Symposium: Contributions from Department of Geriatric Cardiology of the Brazilian Society of Cardiology, Myocardial Infarction, Acute coronary syndromes, Elderly people, Management
Abstract

Acute coronary syndromes (ACS) are the leading causes of death in the elderly. The suspicion and diagnosis of ACS in this age group is more difficult, since typical angina is less frequent. The morbidity and mortality is greater in older age patients presenting ACS. Despite the higher prevalence and greater risk, elderly patients are underrepresented in major clinical trials from which evidence based recommendations are formulated. The authors describe, in this article, the challenges in the diagnosis and management of ST elevation myocardial infarction in the elderly, and discuss the available evidence.

Published
2012

44. TCT-202 Evaluation of Renal Function Improvement After Transcatheter Aortic Valve Replacement

Author

Lemes da Silva, Michel, primary, Bacelar Nunes Filho, Antonio Carlos, additional, Caixeta, Adriano, additional, Ribeiro, Henrique, additional, Esteves, Natalia, additional, Almeida, Breno, additional, Mariani, Jose, additional, Campos, Carlos, additional, Pereira, Carolina, additional, Prado, Rogério Ruscitto, additional, Franken, Marcelo, additional, Tarasoutchi, Flávio, additional, Lemos, Pedro A., additional, and Brito, Fabio, additional

Published
2017
Full Text
View/download PDF

46. TCT-317 Propensity Score-Matched Analysis of Operator Radiation Exposure in Percutaneous Coronary Intervention with Radial versus Femoral Approach

Author

Caixeta, Adriano, primary, Leoncio, Ana, additional, Almeida, Breno, additional, Brito, Fabio, additional, Mariani, José, additional, Campos, Carlos, additional, Souza, Marco Tulio, additional, Gomes, Paula, additional, Pedrini, Stella, additional, Lemos, Pedro A., additional, Gomes, Ivanise, additional, and Franken, Marcelo, additional

Published
2017
Full Text
View/download PDF

49. Abstract 594: Matrix Gla Protein Associates With Coronary Artery Calcification and Increases in Subacute Myocardial Infarction Together With Inflammatory Activation by Tumor Growth Factor-β1

Author

Pesaro, Antonio Eduardo, primary, Serrano, Carlos Vicente, additional, Katz, Marcelo, additional, Pereira, Carolina, additional, Mangueira, Cristovao L, additional, de Carvalho, Ana Eduarda Z, additional, Salmazi, Karina L, additional, Nomura, Cesar H, additional, Franken, Marcelo, additional, and Liberman, Marcel, additional

Published
2017
Full Text
View/download PDF

50. Acute management of unstable angina and non-ST segment elevation myocardial infarction

Author

Silva, Fernando Morita Fernandes, Pesaro, Antonio Eduardo Pereira, Franken, Marcelo, and Wajngarten, Mauricio

Subjects
Chest pain, Myocardial infarction, Isquemia miocárdica/quimioterapia, Infarto do miocárdio, Angina instável, Dor no peito, Angina, unstable, Myocardial ischemia/drug therapy
Abstract

Non-ST segment elevation coronary syndrome usually results from instability of an atherosclerotic plaque, with subsequent activation of platelets and several coagulation factors. Its treatment aims to reduce the ischemic pain, limiting myocardial damage and decreasing mortality. Several antiplatelet and anticoagulation agents have been proven useful, and new drugs have been added to the therapeutic armamentarium in the search for higher anti-ischemic efficacy and lower bleeding rates. Despite the advances, the mortality, infarction and readmission rates remain high. A síndrome coronária sem supradesnivelamento do ST geralmente resulta da instabilização de uma placa aterosclerótica, com subsequente ativação plaquetária e de diversos fatores de coagulação. O tratamento visa aliviar a dor isquêmica, limitar o dano miocárdico e diminuir a mortalidade. Diversos agentes antiagregantes e anticoagulantes provaram sua utilidade, e novas drogas passaram a compor o arsenal terapêutico, buscando maior eficácia anti-isquêmica e menores índices de sangramento. Apesar dos avanços, as taxas de mortalidade, infarto e reinternação ainda permanecem elevadas.

Published
2015

Catalog

Books, media, physical & digital resources
See catalog results