29 results on '"Maurício, Wajngarten"'
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2. Hipertensão e condições clínicas associadas
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Sebastião Ferreira Filho, Rogério Baumgratz de Paula, Álvaro Avezum, Gabriel R. de Freitas, Emílio Francischetti, Marcelo Batista, Maria Helena Catelli Carvalho, Maria Tereza Zanella, Marília de Brito Gomes, Maurício Wajngarten, Nilson Roberto de Melo, Otávio Rizzi Coelho, Ricardo M. da Rocha Meirelles, Roberto Miranda, and Rosangela Milagres
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Diseases of the genitourinary system. Urology ,RC870-923 - Published
- 2010
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3. The role of invasive therapies in elderly patients with acute myocardial infarction
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José C. Nicolau, Pedro A. Lemos, Maurício Wajngarten, Roberto R. Giraldez, Carlos V. Serrano Jr., Eulógio E. Martinez, Luciano M. Baracioli, Roberto Kalil, Fábio B. Jatene, Luis A. Dallan, Luis B. Puig, and Noedir A. Stolf
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Myocardial infarction ,Long-term outcome ,Elderly population ,Coronary artery bypass surgery ,Percutaneous coronary intervention ,Medicine (General) ,R5-920 - Abstract
INTRODUCTION: In elderly patients with acute myocardial infarction, very little is known about the role of surgical myocardial revascularization and percutaneous coronary intervention (invasive therapies - IT), especially in the context of long-term outcomes after hospital discharge. METHODS: We analyzed 1588 patients with MI who had been included prospectively in a databank and followed for up to 7.5 years. In this population, 548 patients were >70 years old (elderly group - EG), and 1040 were
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- 2009
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4. Valor preditivo de variáveis ventilatórias e metabólicas para óbito em pacientes com insuficiência cardíaca Predictive value of ventilatory and metabolic variables for risk of death in patients with cardiac failure
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Ana Maria F. Wanderley Braga, Maria Urbana P. B. Rondon, Carlos Eduardo Negrão, and Maurício Wajngarten
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Teste de esforço cardiopulmonar ,prognóstico ,insuficiência cardíaca ,Cardiopulmonary stress test ,prognosis ,heart failure ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
OBJETIVO: Avaliar o valor preditivo de variáveis respiratórias, metabólicas e hemodinâmicas, no teste de esforço cardiopulmonar, para óbito em pacientes com insuficiência cardíaca. MÉTODOS: Foram estudados 87 pacientes em classe funcional II e III da NYHA, faixa etária de 51±0,5 anos, dos quais 26 eram de etiologia chagásica, 30 isquêmica e 31 idiopática. O teste de esforço cardiopulmonar consistiu de protocolo em rampa com incremento de 5 a 15W/min, realizado em cicloergômetro, até a exaustão. RESULTADOS: A análise dos fatores de controle, realizada com regressão múltipla de Cox, mostrou que a idade, estatura, peso, superfície corporal e sexo não foram estatisticamente significativos. O consumo de oxigênio, o equivalente ventilatório de oxigênio, o equivalente ventilatório de dióxido de carbono, o pulso de oxigênio, a pressão parcial de dióxido de carbono ao final da expiração, no limiar anaeróbio, no ponto de compensação respiratória e no pico do exercício apresentaram-se como importantes preditores de óbito. A relação do aumento de dióxido de carbono como função da elevação da ventilação minuto e a relação do aumento do consumo de oxigênio e da elevação da carga de trabalho do início do exercício até o limiar anaeróbio apresentaram correlação estatisticamente significativa com óbito (pOBJECTIVE: To analyze the predictive value of respiratory, metabolic, and hemodynamic variables obtained during the cardiopulmonary stress test for the risk of death in patients with heart failure. METHODS: Eighty-seven NYHA Functional Class II and III patients were analyzed, ages 51 ± 0.5 years, 26 of them with Chagas' disease, 30 with coronary ischemia, and 31 with idiopathic etiology. The cardiopulmonary stress test consisted of a ramp-protocol with 5 to 15 W/min workload increments performed on a bicycle-ergonometer until exhaustion. RESULTS: In this study, the multiple Cox regression analysis of age, height, weight, body surface, and gender showed that these parameters were not statistically significant control factors. Oxygen uptake, ventilatory equivalent of oxygen, ventilatory equivalent of carbon dioxide production, oxygen pulse, and end-tidal partial pressure of carbon dioxide at the anaerobic threshold, respiratory compensation point, and peak exercise proved to be important death predictors in heart failure patients. The relationship between the increase in carbon dioxide output as a function of the increase in minute ventilation, and the association between the oxygen uptake increase and the elevation of the workload from the beginning of exercise to the anaerobic threshold were statistically significant predictors of death in heart failure patients (p
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- 2006
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5. IV Diretriz para uso da Monitorização Ambulatorial da Pressão Arterial - II Diretriz para uso da Monitorização Residencial da Pressão Arterial IV MAPA / II MRPA IV Guideline for Ambulatory Blood Pressure Monitoring - II Guideline for Home Blood Pressure Monitoring IV ABPM / II HBPM
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Alexandre Alessi, Andréa A. Brandão, Ângela Pierin, Audes Magalhães Feitosa, Carlos Alberto Machado, Cláudia Lúcia de Moraes Forjaz, Cristina S. Atie, Dante Marcelo Artigas Giorgi, Décio Mion Jr., Eduardo Cantoni Rosa, Fernando Nobre, Giovânio Vieira Silva, Hilton Chaves Jr., Istênio José Fernandes Pascoal, Jorge Ilha Guimarães, José Luis Santello, José Márcio Ribeiro, José Nery Praxedes, Kátia Coelho Ortega, Lílian Soares da Costa, Luis Aparecido Bortolotto, Marco Antonio Mota Gomes, Maurício Wajngarten, Miguel Gus, Osvaldo Kohlmann Jr., Paulo César Veiga Jardim, Tufik José Magalhães Geleilete, and Vera Koch
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Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Published
- 2005
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6. Relação do índice de massa corporal, da relação cintura-quadril e da circunferência abdominal com a mortalidade em mulheres idosas: seguimento de 5 anos Relationship between body mass index, waist circumference, and waist-to-hip ratio and mortality in elderly women: a 5-year follow-up study
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Marcos A. S. Cabrera, Maurício Wajngarten, Otávio C. E. Gebara, and Jayme Diament
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Índice de Massa Corporal ,Obesidade ,Constituição Corporal ,Mortalidade ,Body Mass Index ,Obesity ,Body Constitution ,Mortality ,Medicine ,Public aspects of medicine ,RA1-1270 - Abstract
Este estudo analisa a associação entre a relação cintura-quadril (RCQ), a circunferência abdominal (CA) e o índice de massa corporal (IMC) com a mortalidade total e cardiovascular em 575 mulheres idosas ambulatoriais por um seguimento de cinco anos. Os maiores quartis de RCQ, CA e IMC, bem como as categorias pré-determinadas de IMC, foram analisados como variáveis preditivas e analisada a interferência de algumas variáveis confundidoras. Oitenta e oito mulheres morreram durante o seguimento (15,4%). As mulheres com baixo peso (IMC < 18,5kg/m²) apresentavam uma associação positiva com a mortalidade total nas análises uni e multivariadas, independentemente da estratificação etária. Nas curvas de sobrevida e na análise univariada, o maior quartil de RCQ (> 0,97) estava associado com a maior mortalidade total, entretanto, na análise multivariada o aumento de RCQ apresentou uma associação independente com a mortalidade total, apenas entre as mulheres de 60 a 80 anos. Nenhuma medida antropométrica apresentou uma associação significativa com a mortalidade cardiovascular. Os resultados identificaram o baixo peso e a RCQ como preditores de mortalidade total em idosas, principalmente entre as mulheres com até 80 anos.This study examines the association between body mass index (BMI), waist-to-hip ratio (WHR), and waist circumference (WC) and all-cause and cardiovascular mortality in elderly women in a 5-year longitudinal study of 575 female outpatients 60 years and over. The highest BMI, WHR, and WC quartiles and predefined BMI categories were analyzed as predictive variables. Death occurred in 88 (15.4%). Underweight (BMI < 18.5kg/m²) was associated with all-cause mortality in uni- and multivariate analyses, regardless of age bracket. The survival curves and univariate analysis showed that the highest WHR quartile (> 0.97) was associated with all-cause mortality. However, after adjustment for age, smoking, and previous cardiovascular diseases, the increase in WHR was positively associated only in women from 60 to 80 years of age. None of the anthropometric measurements was associated with cardiovascular mortality. The results indicate that underweight and increased waist-to-hip ratio were predictors of all-cause mortality in elderly women, mainly among those under 80 years.
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- 2005
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7. Chlamydia pneumoniae e Mycoplasma pneumoniae nos nódulos de calcificação da estenose da valva aórtica Chlamydia pneumoniae and Mycoplasma pneumoniae in calcified nodes of stenosed aortic valves
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Marilia Harumi Higuchi-dos-Santos, Humberto Pierri, Maria de Lourdes Higuchi, Amit Nussbacher, Sueli Palomino, Nadia Vieira Sambiase, José Antonio Franchini Ramires, and Maurício Wajngarten
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mycoplasma pneumoniae ,chlamydia pneumoniae ,estenose da valva aórtica ,aterosclerose ,idoso ,Mycoplasma pneumoniae ,Chlamydia pneumoniae ,Aortic Valve Stenosis ,Atherosclerosis ,Elderly ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
OBJETIVO: Investigar se chlamydia pneumoniae (CP) ou mycoplasma pneumoniae (MP) estão presentes na estenose da valva aórtica (EA). MÉTODOS: Imuno-histoquímica foi utilizada para identificar os antígenos de CP (Ag-CP), a hibridização in situ para identificar o DNA de MP, e microscopia eletrônica para avaliação dos dois agentes, nos grupos: normal - 11 valvas normais de autópsia; aterosclerose - 10 valvas de pacientes com aterosclerose sistêmica de autópsia e sem EA; e EA - 14 espécimes cirúrgicos provenientes de pacientes com EA analisados em 3 sub-regiões: EA-preservada - regiões mais preservadas na periferia da valva; EA-fibrose - tecido fibrótico peri-calcificação; e EA-calcificação - nódulos calcificados. RESULTADOS: As medianas da fração de área positiva para Ag-CP foram 0,09; 0,30; 0,18; 1,33; e 3,3 nos grupos acima descritos, respectivamente. A densidade de CP foi significativamente maior nos grupos aterosclerose e EA-calcificação em relação ao normal (pOBJECTIVE: We investigated whether Chlamydia pneumoniae (CP) and Mycoplasma pneumoniae (MP) are present in aortic valve stenosis (AS). METHODS: Immunohistochemistry was utilized to identify CP antigens, in situ hybridization to identify MP DNA, and electron microscopy was used to evaluate the following three groups: Normal - 11 normal autopsy valves; Atherosclerosis - 10 autopsy valves from patients with systemic atherosclerosis and no AS; and AS - 14 surgical specimens of AS analyzed in 3 sub-regions: AS-Preserved - peripheral, preserved regions; AS-Fibrosis - peri-calcified fibrotic tissue; and AS-Calcification - calcified nodules. RESULTS: The positive area fraction of CP antigen median values were 0.09, 0.30, 0.18, 1.33, and 3.3 in groups Normal, Atherosclerosis, AS-Preserved, AS-Fibrosis, and AS-Calcification, respectively. CP density was significantly greater in Atherosclerosis and AS-Calcification than in Normal (P
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- 2005
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8. Efeitos agudos dos estrogênios associados a progestogênios sobre a trigliceridemia e reatividade vascular pós-prandial
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Silvio C.M. Santos, Jaime Augusto Canashiro, Otavio C.E. Gebara, José Mendes Aldrighi, Nubia Vieira, Amit Nussbacher, Humberto Pierri, João Serro-Azul, Maurício Wajngarten, Giuseppe Rosano, and Jose A. F. Ramires
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terapia de reposição hormonal ,trigliceridemia ,endotélio vascular ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
OBJETIVO: Avaliar se a terapia de reposição hormonal com estrogênios e progestogênios, em mulheres hipertensas na pós-menopausa, modifica a trigliceridemia e a reatividade vascular pós-prandial. MÉTODOS: Estudo controlado, duplo cego, cruzado contra placebo em 15 mulheres na pós-menopausa (idade de 50 a 70, média = 61,6 ± 6 anos), sorteadas para 2 semanas de placebo ou ingestão oral de 0,625 mg de estrogênios conjugados eqüinos e 2,5 mg de medroxiprogesterona e alimentadas com refeição rica em gorduras (897 calorias; 50,1% de gorduras). Foi medida a reatividade vascular (RV - % de variação dos diâmetros do vaso entre o jejum e 2h após a alimentação), usando-se método ultra-sonográfico automatizado. Foram também determinados o perfil lipídico e a glicose, em jejum e 2h após a alimentação rica em gorduras. RESULTADOS: Com o placebo, a reatividade vascular (RV) diminuiu de 3,20 ± 17% em jejum para -2,1 ± 30%, 2h após a alimentação (p = 0,041), e com terapia de reposição hormonal, a reatividade vascular diminuiu de 6,14 ± 27% em jejum para -0,05±18%, 2h após a alimentação (p=NS). A trigliceridemia pós-prandial aumentou, 35 ± 25% com o placebo, e 12 ± 10% com a terapia de reposição hormonal (P < 0,05). CONCLUSÃO: Em mulheres hipertensas, na pós-menopausa, 2 semanas de reposição hormonal com uma associação de estrogênios e progestogênios, diminuiu a hipertrigliceridemia após uma refeição com alto teor de gorduras, efeito que pode melhorar a disfunção endotelial existente no período pós-prandial.
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- 2004
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9. Mycoplasma pneumoniae and Chlamydia pneumoniae in calcified nodules of aortic stenotic valves
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Maria de Lourdes HIGUCHI, Marilia Harumi HIGUCHI-DOS-SANTOS, Humberto PIERRI, Sueli PALOMINO, Nadia Vieira SAMBIASE, José Antonio Franchini RAMIRES, and Maurício WAJNGARTEN
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Mycoplasma pneumoniae ,Chlamydia pneumoniae ,Aortic Valve ,Calcification ,Atherosclerosis ,Arctic medicine. Tropical medicine ,RC955-962 ,Infectious and parasitic diseases ,RC109-216 - Abstract
Aortic Valve Stenosis (AVS) has been explained as an atherosclerotic process of the valve as they often exhibit inflammatory changes with infiltration of macrophages, T lymphocytes and lipid infiltration. The present study investigated whether the bacteria Chlamydia pneumoniae (CP) and Mycoplasma pneumoniae (MP), detected previously in atherosclerotic plaques, are also present in AVS. Ten valves surgically removed from patients with AVS were analyzed by immunohistochemistry, in situ hybridization, and electron microscopy. The mean and standard deviation of the percentage areas occupied by CP antigens and MP - DNA were respectively 6.21 +/- 5.41 and 2.27 +/- 2.06 in calcified foci; 2.8 +/- 3.33 and 1.78+/- 3.63 in surrounding fibrotic areas, and 0.21 +/- 0.17 and 0.12 +/- 0.13 in less injured parts of the valve. There was higher amount of CP and MP in the calcified foci and in the surrounded fibrosis than in more preserved valvular regions. In conclusion, the fact that there were greater amounts of CP and MP in calcification foci of AVS favors the hypothesis that AS is not an inevitable degenerative process due to aging, but rather that it may be a response to the presence of these bacteria, similarly to the morphology detected in atherosclerosis damage.
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- 2002
10. I Diretrizes do Grupo de Estudos em Cardiogeriatria da Sociedade Brasileira de Cardiologia
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Roberto Alexandre Franken, Cláudia F. Gravina Taddei, Ivan Gonçalves Maia, Michel Batlouni, J.Eduardo Moraes Rego Sousa, Maurício Wajngarten, Gilson Soares Feitosa, Adalberto Lorga, Angelo de Paola, Argemiro Scatolini Neto, Cidio Halperin, Dalmo Moreira, Denise Hachul, Felicio Savioli, Jacob Atiê, Rubens Gagliardi, Alvaro Avezum, Edimar A. Bocchi, Hans J. F. Dohmann, Ilnei Pereira Filho, J. Francisco Kerr Saraiva, Luis C. Bodanese, Marcelo Garcia Leal, Abrahão Afiune Neto, Alberto Libberman, Amanda G. M. R. Sousa, Antonio Carlos S. Sousa, Bruno Caramelli, Roberto R.C. Geraldez, Airton P. Brandão, Brivaldo Markman Filho, Celso Amodeo, Celso Ferreira, João Souza Filho, J Eduardo Siqueira, Iran Gonçalves Júnior, Marcia P. Makdisse, Rafael L Luna, Ronaldo F. Rosa, Carlos de Camargo Luis, Elizabete Viana Freitas, Flávio Tarasoutchi, Humberto Pierri, Silvio Carlos de M. Santos, Zilda M. Meneghello, Carlos C. Magalhães, Fabio Nasri, Iseu Gus, Jairo Borges, João Batista Serro Azul, José M. Aldrighi, Nabil Ghorayeb, and Stela Maris Grespan
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Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Published
- 2002
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11. Ambulatory blood pressure monitoring of patients with heart failure: a new prognosis marker
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Manoel F. Canesin, Dante Giorgi, Múcio T. de Oliveira Jr., Maurício Wajngarten, Alfredo J. Mansur, José Antonio F. Ramires, and Antonio Carlos Pereira Barretto
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heart failure ,prognosis ,blood pressure ambulatory monitorization ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
OBJECTIVE: To evaluate the relationship between 24-hour ambulatory arterial blood pressure monitoring and the prognosis of patients with advanced congestive heart failure. METHODS: We studied 38 patients with NYHA functional class IV congestive heart failure, and analyzed left ventricular ejection fraction, diastolic diameter, and ambulatory blood pressure monitoring data. RESULTS: Twelve deaths occurred. Left ventricular ejection fraction (35.2±7.3%) and diastolic diameter (72.2±7.8mm) were not correlated with the survival. The mean 24-hour (SBP24), waking (SBPw), and sleeping (SBPs) systolic pressures of the living patients were higher than those of the deceased patients and were significant for predicting survival. Patients with mean SBP24, SBPv, and SBPs > or = 105mmHg had longer survival (p=0.002, p=0.01 and p=0.0007, respectively). Patients with diastolic blood pressure sleep decrements (dip) and patients with mean blood pressure dip or = 105 mmHg CONCLUSION: Ambulatory blood pressure monitoring appears to be a useful method for evaluating patients with congestive heart failure.
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- 2002
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12. Effects of chlorthalidone and diltiazem on myocardial ischemia in elderly patients with hypertension and coronary artery disease
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João Batista Serro-Azul, Rogério Silva de Paula, César Gruppi, Lígia Pinto, Humberto Pierri, Amit Nussbacher, Otávio Gebara, Paulo Moffa, Antônio Carlos Pereira-Barreto, and Maurício Wajngarten
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ischemia ,hypertension ,diuretics ,elderly ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
OBJETIVE: Antihypertensive therapy with thiazides decreases coronary events in elderly patients. However, the influence of diuretics on myocardial ischemia has not been fully investigated. The aim of this study was to compare the effect of chlorthalidone and diltiazem on myocardial ischemia. METHODS: Following a randomized, double-blind, crossover protocol, we studied 15 elderly hypertensive patients aged 73.6±4.6 years with myocardial ischemia. All patients had angiographically documented coronary artery disease. We measured patients using 48- hour ambulatory electrocardiogram monitoring and exercise testing. After a 2-week period using placebo, patients received chlorthalidone or diltiazem for 4 weeks. RESULTS: Both treatments lowered systolic and diastolic blood pressures. The number of ischemic episodes on ambulatory electrocardiogram recordings was reduced with the use of chlorthalidone (2.5±3.8) and diltiazem (3.2±4.2) when compared with placebo (7.9±8.8; p
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- 2001
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13. Insuficiência cardíaca nos idosos. Diferenças e semelhanças com os mais jovens
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Antonio Carlos Pereira Barretto and Maurício Wajngarten
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Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Published
- 1998
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14. Insuficiência cardíaca em grande hospital terciário de São Paulo Heart failure in a large tertiary hospital of São Paulo
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Antonio Carlos Pereira Barretto, Moacir Roberto Cuce Nobre, Maurício Wajngarten, Manoel Fernandes Canesin, Dalia Ballas, and João Batista Serro-Azul
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insuficiência cardíaca ,diabetes mellitus ,fibrilação atrial ,heart failure ,diabetes ,atrial fibrillation ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
OBJETIVO: Verificar a incidência, principais causas, fatores desencadeantes ou de piora da insuficiência cardíaca (IC) no ano de 1995, no Instituto do Coração de São Paulo. MÉTODOS: Foram analisados os registros referentes a pacientes internados, obtidos do banco de dados da PRODESP. Analisaram-se nos pacientes com IC os dados: idade, sexo, diagnóstico principal e secundários, procedimentos executados e óbitos. Para fim de análise, construíram-se tabelas de distribuição conforme o sexo, idade e diagnóstico principal. Análise de variância e teste do qui-quadrado foram empregados para verificar diferença entre os grupos estudados. RESULTADOS: Dos pacientes internados (903 de 9620) 9,38% apresentaram IC. As idades variaram de 2 dias a 98 (média 52,6) anos e a maioria era do sexo masculino (60,4%). Miocardiopatia isquêmica (32,6%), miocardiopatia dilatada (25,8%) e valvopatias (22,0%) foram as principais causas de IC. Foram submetidos à cirurgia, angioplastia, ou implante de marcapasso, 32,1% dos pacientes, sendo os valvopatas na maioria submetidos à correção de sua cardiopatia de base (63,3%). Houve maior incidência de múltiplos diagnósticos secundários com o aumento da idade. A mortalidade foi maior nos com idade 80 anos. CONCLUSÃO: A incidência de IC foi de 9,38%, sendo miocardiopatia isquêmica a causa mais freqüente. Foi possível corrigir a causa da IC em 32,1%. A mortalidade foi maior nas crianças provavelmente pela maior complexidade de sua cardiopatia e nos mais idosos devido à maior associação de diagnósticos secundários ou fatores agravantes.PURPOSE: To study the incidence, main causes, aggravating factors and secondary diagnoses of heart failure (HF) during 1995 at the Instituto do Coração of São Paulo. METHODS: Data from hospitalized patients according to the PRODESP data base were analyzed. The following data were studied: age, sex, principal and secondary diagnoses, surgical procedures and mortality. To analyze the data, tables according to sex, age and main cause were built. Analysis of variance and t test were employed to verify differences between groups. RESULTS: In 1995, 903 out of 9620 patients were hospitalized due to HF. The majority were male (60.4%) and the patients' age was between two days and 98 years old (mean 52.6). Ischemic (32.6), dilated (25.8%) and valvar heart disease (22%) were the main causes of HF. 32.1% were submitted to correction of the HF main cause, specially those with valvar heart disease (62.3%). There was greater incidence of multiple diagnoses in aged patients. The mortality was greater in patients younger than 20 and in those older than 80 years old. CONCLUSION: The incidence of HF at INCOR during 1995 was 9.38%. Ischemic myocardiopathy was the most frequent HF cause. The mortality was greater among children, probably because of heart disease complexity and, in the above-80 group due to the greater comorbidity.
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- 1998
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15. Estudo multicêntrico de idosos atendidos em ambulatórios de cardiologia e geriatria de instituições brasileiras
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Cláudia F. Gravina Taddei, Luiz Roberto Ramos, José Cássio de Moraes, Maurício Wajngarten, Alberto Libberman, Silvio Carlos Santos, Felício Savioli, Giuseppe Dioguardi, and Roberto Franken
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idoso ,estudo multicêntrico ,doença cardiovascular ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
OBJETIVO: Avaliar aspectos epidemiológicos, clínicos e terapêuticos de idosos com doenças cardiovasculares (DCV), no Brasil. MÉTODOS: Idosos com DCV, atendidos em 36 serviços de Cardiologia e Geriatria do Brasil, foram investigados através de questionário aplicado aos que tinham consulta marcada para o período analisado (um mês). RESULTADOS: Estudados 2196 idosos de 65 a 96 anos, sendo 60% mulheres e analisados os fatores de risco: sedentarismo (74%), pressão arterial (PA) elevada (53%), LDL colesterol aumentado (33%), colesterol total aumentado (30%), obesidade (30%), HDL-colesterol diminuído (15%), diabetes (13%) e tabagismo (6%). Observou-se maior prevalência nas mulheres, com três ou mais fatores de risco. O principal motivo de consulta foi a PA elevada (48%). Teste ergométrico e cinecoronariografia, foram mais solicitados para os homens. Os diagnósticos mais comuns foram hipertensão arterial sistêmica (HAS) (67%) e insuficiência coronária (ICo) (29%). Os medicamentos mais utilizados foram diuréticos (42%). CONCLUSÃO: Foi observada alta prevalência de fatores de risco (93%), principalmente nas mulheres; sedentarismo, como fator de risco mais freqüente, aumentando de prevalência com a idade; HAS, como principal motivo de consulta e diagnóstico; menor investigação e diagnóstico de ICo em mulheres; diuréticos, como os fármacos mais freqüentemente prescritos; insuficiência cardíaca como principal doença associada a internação (31%) e atendimento de emergência (10%).
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- 1997
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16. II Diretrizes em cardiogeriatria da Sociedade Brasileira de Cardiologia
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Cláudia F. Gravina, Roberto Franken, Nanette Wenger, Elizabete Viana de Freitas, Michel Batlouni, Michel Rich, Alberto Liberman, Amit Nussbacher, Daniel Forman, Martino Martinelli, Silvio Carlos Santos, Gilson Soares Feitosa, Zilda Machado Meneghello, Ronaldo F. Rosa, Maurício Wajngarten, and Jeanne Wei
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Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Published
- 2010
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17. IV Diretrizes Brasileiras de Hipertensão Arterial Grupos de trabalho
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Marco Antonio Mota Gomes, Angela Maria Geraldo Pierin, Antonio Silveira Sbissa, Armando da Rocha Nogueira, Ayrton Pires Brandão, Cibeli I. Saad Rodrigues, Edgar Pessoa de Mello, José Xavier de Mello Filho, Luiz Carlos Bodanese, Paulo Toscano, Sebastião Ferreira Filho, Fernando Nobre, Agostinho Tavares, Antonio Carlos Lopes, Jorge Pinto Ribeiro, José Carlos Aydar Ayoub, José Márcio Ribeiro, Luiz Introcaso, Marcelo Corrêa, Mario Maranhão, Pedro Jabur, Raimundo Marques Nascimento, Roberto de Sá Cunha, Rogério Andrade Mulinari, Carlos Alberto Machado, Adriana Avila, Clóvis Oliveira Andrade, João Carlos Rocha, Margarida Maria Veríssimo Lopes, Maria Cecília G. Marinho Arruda, Maria Fátima Azevedo, Maria Helena C. Carvalho, Marilda Novaes Lipp, Nárcia Elisa B. Kohlmann, Neide de Jesus, Paulo César da Veiga Jardim, Celso Amodeo, Carlos Eduardo Negrão, Celso Ferreira, Cláudio Pereira da Cunha, Eli Toscano, Eliuden Galvão de Lima, Estelamaris Tronco Monego, Fátima Lúcia Machado Braga, Hilton de Castro Chaves Jr., Joel Heiman, Tales de Carvalho, Osvaldo Kohlmann Jr., Alvaro Avezum, Artur Beltrame Ribeiro, Carlos Alberto Gomes, Dante Marcelo Artigas Giorgi, Gilson Feitosa, Harue Ohashi, José Antonio Franchini Ramirez, Marcelo Marcondes Machado, Natalino Salgado Filho, Rafael Leite Luna, Roberto Jorge da Silva Franco, Robson Augusto dos Santos, Wille Oigman, Istênio Fernandes Pascoal, Airton Massaro, Álvaro Nagib Atallah, Andréa Brandão, Elizabete Viana de Freitas, Ivan Cordovil, José Egídio Paulo de Oliveira, José Geraldo L. Ramos, Maria Teresa Zanella, Maurício Wajngarten, Roberto Dischinger Miranda, Soubihe Kahhale, Vera Koch, Décio Mion Jr., Armênio C. Guimarães, Catia Sueli Palmeira, Claudia Lucia de Moraes Forjaz, Eduardo B. Coelho, Fernando Antonio Almeida, Isabel Cristina Estefano Pellizari, Marcos Ausenka Ribeiro, Michel Batlouni, Paulo Lotufo, Regina Teresa Capelari, Lucélia C. Magalhães, Abrahão Afiune Neto, Abrão Cury, Alci Moreira, Ana Luisa de Souza, Flavio Danni Fuchs, Ines Lessa, Marcus V. Bolívar Malachias, Romero Bezerra, Sandra Fuchs, José Nery Praxedes, Antonio Cambara, Antonio Marmo Lucon, Berenice Mendonça, Flavio Borelli, Helio B. Silva, João Egidio Romão Jr., José Gastão Rocha Carvalho, José Luiz Santello, Luiz Bortolotto, Luis Celso Matavelli, Maria Eliete Pinheiro, and Valéria Guimarães
- Subjects
Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Published
- 2004
- Full Text
- View/download PDF
18. Silent Atrial Fibrillation in Elderly Pacemaker Users: A Randomized Trial Using Home Monitoring
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Ceb, Lima, M, Martinelli, G L, Peixoto, S F, Siqueira, Maurício, Wajngarten, Rodrigo Tavares, Silva, Roberto, Costa, Roberto, Filho, and José Antônio Franchini, Ramires
- Subjects
Male ,Electrocardiography ,Pacemaker, Artificial ,Recurrence ,Atrial Fibrillation ,Humans ,Female ,Original Articles ,Middle Aged ,Aged ,Follow-Up Studies ,Monitoring, Physiologic - Abstract
BACKGROUND: Pacemaker with remote monitoring (PRM) may be useful for silent atrial fibrillation (AF) detection. The aims of this study were to evaluate the incidence of silent AF, the role of PRM, and to determine predictors of silent AF occurrence. METHODS: Three hundred elderly patients with permanent pacemaker (PPM) were randomly assigned to the remote group (RG) or control group (CG). All patients received PPM with remote monitoring capabilities. Primary end point was AF occurrence rate and the secondary end points were time to AF detection and number of days with AF. RESULTS: During the average follow‐up of 15.7±7.7 months, AF episodes were detected in 21.6% (RG = 24% vs CG = 19.3%, P = 0.36]. There was no difference in the time to detect the first AF episode. However, the median time to detect AF recurrence in the RG was lower than that in the CG (54 days vs 100 days, P = 0.004). The average number of days with AF was 16.0 and 51.2 in the RG and CG, respectively (P = 0.028). Predictors of silent AF were left atrial diameter (odds ratio [OR] 1.2; 95% CI = 1.1–1.3; P < 0.001) and diastolic dysfunction (OR 4.8; 95% CI = 1.6–14.0; P = 0.005). CONCLUSIONS: The incidence of silent AF is high in elderly patients with pacemaker; left atrial diameter and diastolic dysfunction were predictors of its occurrence. AF monitoring by means of pacemaker is a valuable tool for silent AF detection and continuous remote monitoring allows early AF recurrence detection and reduces the number of days with AF.
- Published
- 2015
19. Estrogen treatment improves arterial distensibility, fibrinolysis, and metabolic profile in postmenopausal women with type 2 diabetes mellitus
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Claudia, Sztejnsznajd, Maria Elizabeth Rossi, Silva, Maria Elizabeth Rossi, da Silva, Amit, Nussbacher, Otavio Eluf, Gebara, Elbio Antônio, D'Amico, Dalva Marriero, Rocha, Tania Rubia Flores, da Rocha, Rosa Ferreira, Santos, Rosa Ferreira, dos Santos, Maurício, Wajngarten, Rosa Tesumechiro, Fukui, Márcia Regina Soares, Correia, Bernardo Leo, Wajchenberg, and Mileni Josefina Maria, Ursich
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medicine.medical_specialty ,Endocrinology, Diabetes and Metabolism ,medicine.medical_treatment ,Type 2 diabetes ,Placebo ,chemistry.chemical_compound ,Endocrinology ,Internal medicine ,Plasminogen Activator Inhibitor 1 ,Fibrinolysis ,medicine ,Humans ,Pulse wave velocity ,Glycemic ,Estrogens, Conjugated (USP) ,Factor VIII ,Triglyceride ,business.industry ,Arteries ,Glucose Tolerance Test ,Middle Aged ,medicine.disease ,Postmenopause ,Cholesterol ,Diabetes Mellitus, Type 2 ,chemistry ,Glycated hemoglobin ,business ,Body mass index - Abstract
The effects of isolated estrogen therapy on the hemostatic system and arterial distensibility were determined in postmenopausal females with type 2 diabetes mellitus. This was a prospective nonrandomized study of 19 subjects (age, 56.2 +/- 4.7 years; body mass index, 27.8 +/- 2.4 kg/m(2) [mean +/- SD]). Inclusion was done after 2 months of glycemic and blood pressure control. The study consisted of 4 months of placebo treatment immediately followed by an equal period of oral conjugated equine estrogens (CEE) 0.625 mg/d. Measures included anthropometrics, a metabolic profile (oral glucose tolerance test and fasting glycated hemoglobin, total cholesterol and fractions, and triglyceride levels), and coagulation and fibrinolytic factors at the end of the placebo period and after 4 months of oral CEE. Conjugated equine estrogen therapy decreased plasminogen activator inhibitor 1 (placebo x CEE: 16.33 +/- 9.11 x 13.08 +/- 8.87 UI/mL, P.03) and increased factor VIII activity (134.11% +/- 46.18% x 145.33% +/- 42.04%, P.04). An increase in high-density lipoprotein cholesterol levels (placebo x CEE: 42.47 +/- 6.80 x 53.32 +/- 11.89 mg/dL, P.01), and a decrease in glycated hemoglobin (8.45% +/- 1.30% vs 7.58% +/- 1.06%, P.02) and in fasting glucose levels (121.51 +/- 21.05 x 111.21 +/- 20.74 mg/dL, P = .02) followed CEE therapy. Pulse wave velocity and augmentation index were performed by applanation tonometry and were obtained at the end of the placebo period (placebo), again after an intravenous load of 1.25 mg of CEE (short-term), and after 4 months of oral CEE (long-term). A significant decrease in central (carotid-femoral) pulse wave velocity was seen both after short- and long-term CEE (placebo vs short-term vs long-term: 9.36 +/- 2.58 vs 8.26 +/- 2.20 vs 7.98 +/- 1.90 m/s, respectively [analysis of variance, P.03]; placebo vs short-term, P.05; placebo vs long-term, P.01), whereas augmentation index decreased only after long-term CEE (placebo vs short-term vs long-term: 39.14% +/- 6.94% vs 37.48% +/- 8.67% vs 34.3.3% +/- 8.11% [analysis of variance, P.05], respectively; placebo vs long-term, P.05). Long-term administration of CEE leads to an improvement in fibrinolysis and arterial distensibility, associated with an increase of the intrinsic coagulation pathway in postmenopausal women with type 2 diabetes mellitus.
- Published
- 2006
20. [Hypertension and associated clinical conditions]
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Sebastião, Ferreira Filho, Rogério Baumgratz de, Paula, Alvaro, Avezum, Gabriel R de, Freitas, Emílio, Francischetti, Marcelo, Batista, Maria Helena Catelli, Carvalho, Maria Tereza, Zanella, Marília de Brito, Gomes, Maurício, Wajngarten, Nilson Roberto de, Melo, Otávio Rizzi, Coelho, Ricardo M da Rocha, Meirelles, Roberto, Miranda, and Rosangela, Milagres
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Hypertension ,Humans - Published
- 2012
21. [Predictive value of ventilatory and metabolic variables for risk of death in patients with cardiac failure]
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Ana Maria F Wanderley, Braga, Maria Urbana P B, Rondon, Carlos Eduardo, Negrão, and Maurício, Wajngarten
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Male ,Pulmonary Gas Exchange ,Cardiac Output, Low ,Carbon Dioxide ,Middle Aged ,Prognosis ,Risk Assessment ,Severity of Illness Index ,Echocardiography, Doppler ,Oxygen Consumption ,Predictive Value of Tests ,Exercise Test ,Humans ,Female - Abstract
To analyze the predictive value of respiratory, metabolic, and hemodynamic variables obtained during the cardiopulmonary stress test for the risk of death in patients with heart failure.Eighty-seven NYHA Functional Class II and III patients were analyzed, ages 51 +/- 0.5 years, 26 of them with Chagas' disease, 30 with coronary ischemia, and 31 with idiopathic etiology. The cardiopulmonary stress test consisted of a ramp-protocol with 5 to 15 W/min workload increments performed on a bicycle-ergonometer until exhaustion.In this study, the multiple Cox regression analysis of age, height, weight, body surface, and gender showed that these parameters were not statistically significant control factors. Oxygen uptake, ventilatory equivalent of oxygen, ventilatory equivalent of carbon dioxide production, oxygen pulse, and end-tidal partial pressure of carbon dioxide at the anaerobic threshold, respiratory compensation point, and peak exercise proved to be important death predictors in heart failure patients. The relationship between the increase in carbon dioxide output as a function of the increase in minute ventilation, and the association between the oxygen uptake increase and the elevation of the workload from the beginning of exercise to the anaerobic threshold were statistically significant predictors of death in heart failure patients (p0.05).The cardiopulmonary stress test makes it possible to evaluate ventilatory, metabolic, and hemodynamic variables that may be utilized as important markers of life prognosis in these patients.
- Published
- 2006
22. [IV Guideline for ambulatory blood pressure monitoring. II Guideline for home blood pressure monitoring. IV ABPM/II HBPM]
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Alexandre, Alessi, Andréa A, Brandão, Angela, Pierin, Audes Magalhães, Feitosa, Carlos Alberto, Machado, Cláudia Lúcia, de Moraes Forjaz, Cristina S, Atie, Dante Marcelo Artigas, Giorgi, Décio, Mion, Eduardo Cantoni, Rosa, Fernando, Nobre, Giovânio Vieira, Silva, Hilton, Chaves, Istênio José Fernandes, Pascoal, Jorge Ilha, Guimarães, José Luis, Santello, José Márcio, Ribeiro, José Nery, Praxedes, Kátia Coelho, Ortega, Lílian Soares, da Costa, Luis Aparecido, Bortolotto, Marco Antonio Mota, Gomes, Maurício, Wajngarten, Miguel, Gus, Osvaldo, Kohlmann, Paulo César Veiga, Jardim, Tufik José Magalhães, Geleilete, and Vera, Koch
- Subjects
Self Care ,Humans ,Blood Pressure Determination ,Blood Pressure Monitoring, Ambulatory - Published
- 2005
23. [Chlamydia pneumoniae and Mycoplasma pneumoniae in calcified nodes of stenosed aortic valves]
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Marilia Harumi, Higuchi-Dos-Santos, Humberto, Pierri, Maria de Lourdes, Higuchi, Amit, Nussbacher, Sueli, Palomino, Nadia Vieira, Sambiase, José Antonio Franchini, Ramires, and Maurício, Wajngarten
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Male ,Antigens, Bacterial ,Calcinosis ,Humans ,Female ,Aortic Valve Stenosis ,Chlamydia Infections ,Chlamydophila pneumoniae ,Middle Aged ,Atherosclerosis ,Aged ,Mycoplasma pneumoniae - Abstract
We investigated whether Chlamydia pneumoniae (CP) and Mycoplasma pneumoniae (MP) are present in aortic valve stenosis (AS).Immunohistochemistry was utilized to identify CP antigens, in situ hybridization to identify MP DNA, and electron microscopy was used to evaluate the following three groups: Normal - 11 normal autopsy valves; Atherosclerosis - 10 autopsy valves from patients with systemic atherosclerosis and no AS; and AS - 14 surgical specimens of AS analyzed in 3 sub-regions: AS-Preserved - peripheral, preserved regions; AS-Fibrosis - peri-calcified fibrotic tissue; and AS-Calcification - calcified nodules.The positive area fraction of CP antigen median values were 0.09, 0.30, 0.18, 1.33, and 3.3 in groups Normal, Atherosclerosis, AS-Preserved, AS-Fibrosis, and AS-Calcification, respectively. CP density was significantly greater in Atherosclerosis and AS-Calcification than in Normal (P0.05). Within the AS group, the amount of CP was greater in the Calcification and Fibrosis regions (P0.05). MP-DNA positive area fraction (median values) were 0.12, 0.44, 0.07, 0.36, and 1.52 in groups Normal, Atherosclerosis, AS-Preserved, AS-Fibrosis, and AS-Calcification, respectively. The amount of MP-DNA was greater in AS-Calcification than in Normal (P0.05). Within the AS group, MP-DNA was in larger quantity in the Calcification and Fibrosis regions (P0.05).AS Calcified nodes present higher concentration of CP and MP suggesting that these bacteria may be associated with the development of calcification and inflammation. This adds novel similarities between AS and the atherosclerosis process, which may have infection mechanisms involved.
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- 2005
24. [Relationship between body mass index, waist circumference, and waist-to-hip ratio and mortality in elderly women: a 5-year follow-up study]
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Marcos A S, Cabrera, Maurício, Wajngarten, Otávio C E, Gebara, and Jayme, Diament
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Aged, 80 and over ,Cardiovascular Diseases ,Waist-Hip Ratio ,Humans ,Female ,Middle Aged ,Epidemiologic Methods ,Brazil ,Aged ,Body Mass Index - Abstract
This study examines the association between body mass index (BMI), waist-to-hip ratio (WHR), and waist circumference (WC) and all-cause and cardiovascular mortality in elderly women in a 5-year longitudinal study of 575 female outpatients 60 years and over. The highest BMI, WHR, and WC quartiles and predefined BMI categories were analyzed as predictive variables. Death occurred in 88 (15.4%). Underweight (BMI18.5 kg/m2) was associated with all-cause mortality in uni- and multivariate analyses, regardless of age bracket. The survival curves and univariate analysis showed that the highest WHR quartile (or = 0.97) was associated with all-cause mortality. However, after adjustment for age, smoking, and previous cardiovascular diseases, the increase in WHR was positively associated only in women from 60 to 80 years of age. None of the anthropometric measurements was associated with cardiovascular mortality. The results indicate that underweight and increased waist-to-hip ratio were predictors of all-cause mortality in elderly women, mainly among those under 80 years.
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- 2005
25. Acute effects of the use of estrogens in association with progestogens on postprandial triglyceridemia and vascular reactivity
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Silvio C M, Santos, Jaime Augusto, Canashiro, Otavio C E, Gebara, José Mendes, Aldrighi, Nubia, Vieira, Amit, Nussbacher, Humberto, Pierri, João, Serro-Azul, Maurício, Wajngarten, Giuseppe, Rosano, and Jose A F, Ramires
- Subjects
Blood Glucose ,Medroxyprogesterone ,Estrogens, Conjugated (USP) ,Time Factors ,Estrogen Replacement Therapy ,Middle Aged ,Postprandial Period ,Dietary Fats ,Cholesterol ,Double-Blind Method ,Risk Factors ,Hypertension ,Humans ,Female ,Vascular Resistance ,Endothelium, Vascular ,Triglycerides ,Aged - Abstract
To assess whether hormone replacement therapy with estrogens in association with progestogens in postmenopausal hypertensive women alters postprandial triglyceridemia and vascular reactivity.A double-blind, placebo-controlled, crossover study was carried out with 15 postmenopausal women (age range: 50 to 70 years, mean = 61.6 +/- 6 years) randomly assigned to 2 weeks of placebo or oral ingestion of 0.625 mg of equine conjugated estrogens and 2.5 mg of medroxyprogesterone, fed a high-fat diet (897 calories; 50.1% fat). Vascular reactivity (VR - % of vessel diameter variation in the fasting period and 2 hours after meals) was measured by using the automated ultrasound method. Lipid profile and glycemia during the fasting period and 2 hours after a high-fat meal were measured.With placebo, vascular reactivity (VR) decreased from 3.20 +/- 17% during the fasting period to -2.1 +/- 30% 2 hours after the meal (P = 0.041). With the hormone replacement therapy, vascular reactivity decreased from 6.14 +/- 27% during the fasting period to - 0.05 +/- 18% 2 hours after the meal (P = NS). Postprandial triglyceridemia increased as follows: 35 +/- 25% with placebo; and 12 +/- 10% with hormone replacement therapy (P0.05).In postmenopausal hypertensive women, 2 weeks of hormone replacement with an association of estrogens and progestogens decreased hypertriglyceridemia after a high-fat meal, an effect that may reduce the endothelial dysfunction occurring in the postprandial period.
- Published
- 2004
26. In patients with coronary artery disease endothelial function is associated with plasma levels of C-reactive protein and is improved by optimal medical therapy
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Cristiana, Vitale, Elena, Cerquetani, Maurício, Wajngarten, Filippo, Leonardo, Antonello, Silvestri, Giuseppe, Mercuro, Massimo, Fini, Josè Antonio, Ramires, and Giuseppe M, Rosano
- Subjects
Male ,Brachial Artery ,Incidence ,Statistics as Topic ,Cardiovascular Agents ,Hyperlipidemias ,Coronary Artery Disease ,Middle Aged ,Vasodilation ,C-Reactive Protein ,Treatment Outcome ,Predictive Value of Tests ,Risk Factors ,Coronary Circulation ,Multivariate Analysis ,Humans ,Female ,Endothelium, Vascular ,Biomarkers ,Aged ,Follow-Up Studies - Abstract
Endothelial function is impaired in patients with coronary artery disease (CAD); in these patients plasma levels of C-reactive protein (CRP) and impaired endothelial function are related to future cardiac events. The aim of the present study was to evaluate the effects of medical therapy on endothelial function and CRP in patients with CAD.Seventy-three patients (52 men, 21 women, mean age 66 +/- 9 years) with CAD and 32 control subjects (25 men, 7 women, mean age 65 +/- 11 years) were enrolled in the study. The endothelial function was evaluated by means of flow-mediated dilation (FMD) of the brachial artery following ischemia and CRP by means of a high-sensitivity assay. After baseline evaluation of CRP and FMD all patients received full medical therapy for 3 months and were then again tested for endothelial function and CRP.Compared to healthy controls, patients had significantly more impaired endothelial function (FMD 3.6 +/- 3.2 vs 8 +/- 2.4%, p0.01) and higher CRP plasma levels (1.6 +/- 0.9 vs 0.9 +/- 0.56 mg/dl, p0.05). At baseline a significant negative correlation was found between CRP plasma levels and FMD in patients with CAD (r = -0.56, p0.05) while no correlation was found in controls. Medical therapy resulted in a significant improvement in endothelial function (3.64 +/- 3 vs 7.2 +/- 3.5%, p0.01), and a decrease of CRP (-0.26 +/- 0.19, p0.01); the changes in CRP and FMD were independent of the drug used. A positive correlation was found between the improvement in FMD and the degree of CRP reduction (r = 0.57, p0.01).In patients with CAD plasma levels of CRP are associated with an impaired endothelial function suggesting a correlation between inflammation and the integrity of the endothelium. Full medical therapy reduces CRP with a parallel improvement in endothelial function.
- Published
- 2003
27. Uma super equipe para a nova Ramb
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Maurício Wajngarten
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lcsh:R5-920 ,General Medicine ,lcsh:Medicine (General) - Published
- 2000
28. Persistent Depressive Symptoms are Independent Predictors of Low-Grade Inflammation Onset Among Healthy Individuals
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Fábio Gazelato de Mello Franco, Antonio Gabriele Laurinavicius, Paulo A. Lotufo, Raquel D. Conceição, Fernando Morita, Marcelo Katz, Maurício Wajngarten, José Antonio Maluf Carvalho, Hayden B. Bosworth, and Raul Dias Santos
- Subjects
Depressão ,Doenças Cardiovasculares ,Inflamação ,Seleção de Pacientes ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
Abstract Background: Depressive symptoms are independently associated with an increased risk of cardiovascular disease (CVD) among individuals with non-diagnosed CVD. The mechanisms underlying this association, however, remain unclear. Inflammation has been indicated as a possible mechanistic link between depression and CVD. Objectives: This study evaluated the association between persistent depressive symptoms and the onset of low-grade inflammation. Methods: From a database of 1,508 young (mean age: 41 years) individuals with no CVD diagnosis who underwent at least two routine health evaluations, 134 had persistent depressive symptoms (Beck Depression Inventory - BDI ≥ 10, BDI+) and 1,374 had negative symptoms at both time points (BDI-). All participants had been submitted to repeated clinical and laboratory evaluations at a regular follow-up with an average of 26 months from baseline. Low-grade inflammation was defined as plasma high-sensitivity C-Reactive Protein (CRP) concentrations > 3 mg/L. The outcome was the incidence of low-grade inflammation evaluated by the time of the second clinical evaluation. Results: The incidence of low-grade inflammation was more frequently observed in the BDI+ group compared to the BDI- group (20.9% vs. 11.4%; p = 0.001). After adjusting for sex, age, waist circumference, body mass index, levels of physical activity, smoking, and prevalence of metabolic syndrome, persistent depressive symptoms remained an independent predictor of low-grade inflammation onset (OR = 1.76; 95% CI: 1.03-3.02; p = 0.04). Conclusions: Persistent depressive symptoms were independently associated with low-grade inflammation onset among healthy individuals.
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- View/download PDF
29. IV Brazilian Guidelines on Arterial Hypertension Work groups
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Marco Antonio Mota Gomes, Angela Maria Geraldo Pierin, Antonio Silveira Sbissa, Armando da Rocha Nogueira, Ayrton Pires Brandão, Cibeli I. Saad Rodrigues, Edgar Pessoa de Mello, José Xavier de Mello Filho, Luiz Carlos Bodanese, Paulo Toscano, Sebastião Ferreira Filho, Fernando Nobre, Agostinho Tavares, Antonio Carlos Lopes, Jorge Pinto Ribeiro, José Carlos Aydar Ayoub, José Márcio Ribeiro, Luiz Introcaso, Marcelo Corrêa, Mario Maranhão, Pedro Jabur, Raimundo Marques Nascimento, Roberto de Sá Cunha, Rogério Andrade Mulinari, Carlos Alberto Machado, Adriana Avila, Clóvis Oliveira Andrade, João Carlos Rocha, Margarida Maria Veríssimo Lopes, Maria Cecília G. Marinho Arruda, Maria Fátima Azevedo, Maria Helena C. Carvalho, Marilda Novaes Lipp, Nárcia Elisa B. Kohlmann, Neide de Jesus, Paulo César da Veiga Jardim, Celso Amodeo, Carlos Eduardo Negrão, Celso Ferreira, Cláudio Pereira da Cunha, Eli Toscano, Eliuden Galvão de Lima, Estelamaris Tronco Monego, Fátima Lúcia Machado Braga, Hilton de Castro Chaves Jr., Joel Heiman, Tales de Carvalho, Osvaldo Kohlmann Jr., Alvaro Avezum, Artur Beltrame Ribeiro, Carlos Alberto Gomes, Dante Marcelo Artigas Giorgi, Gilson Feitosa, Harue Ohashi, José Antonio Franchini Ramirez, Marcelo Marcondes Machado, Natalino Salgado Filho, Rafael Leite Luna, Roberto Jorge da Silva Franco, Robson Augusto dos Santos, Wille Oigman, Istênio Fernandes Pascoal, Airton Massaro, Álvaro Nagib Atallah, Andréa Brandão, Elizabete Viana de Freitas, Ivan Cordovil, José Egídio Paulo de Oliveira, José Geraldo L. Ramos, Maria Teresa Zanella, Maurício Wajngarten, Roberto Dischinger Miranda, Soubihe Kahhale, Vera Koch, Décio Mion Jr., Armênio C. Guimarães, Catia Sueli Palmeira, Claudia Lucia de Moraes Forjaz, Eduardo B. Coelho, Fernando Antonio Almeida, Isabel Cristina Estefano Pellizari, Marcos Ausenka Ribeiro, Michel Batlouni, Paulo Lotufo, Regina Teresa Capelari, Lucélia C. Magalhães, Abrahão Afiune Neto, Abrão Cury, Alci Moreira, Ana Luisa de Souza, Flavio Danni Fuchs, Ines Lessa, Marcus V. Bolívar Malachias, Romero Bezerra, Sandra Fuchs, José Nery Praxedes, Antonio Cambara, Antonio Marmo Lucon, Berenice Mendonça, Flavio Borelli, Helio B. Silva, João Egidio Romão Jr., José Gastão Rocha Carvalho, José Luiz Santello, Luiz Bortolotto, Luis Celso Matavelli, Maria Eliete Pinheiro, and Valéria Guimarães
- Subjects
Gynecology ,lcsh:Diseases of the circulatory (Cardiovascular) system ,medicine.medical_specialty ,lcsh:RC666-701 ,business.industry ,RC666-701 ,Medicine ,Diseases of the circulatory (Cardiovascular) system ,Cardiology and Cardiovascular Medicine ,business - Published
- 2004
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