23 results on '"Pinto-Filho, Marcelo Martins"'
Search Results
2. Cardiovascular Statistics – Brazil 2023
- Author
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Oliveira, Gláucia Maria Moraes de, primary, Brant, Luisa Campos Caldeira, additional, Polanczyk, Carisi Anne, additional, Malta, Deborah Carvalho, additional, Biolo, Andreia, additional, Nascimento, Bruno Ramos, additional, Souza, Maria de Fatima Marinho de, additional, Lorenzo, Andrea Rocha De, additional, Fagundes Júnior, Antonio Aurélio de Paiva, additional, Schaan, Beatriz D., additional, Silva, Christina Grüne de Souza e, additional, Castilho, Fábio Morato de, additional, Cesena, Fernando Henpin Yue, additional, Soares, Gabriel Porto, additional, Xavier Junior, Gesner Francisco, additional, Barreto-Filho, Jose Augusto Soares, additional, Passaglia, Luiz Guilherme, additional, Pinto-Filho, Marcelo Martins, additional, Machline-Carrion, M. Julia, additional, Bittencourt, Marcio Sommer, additional, Pontes Neto, Octavio M., additional, Villela, Paolo Blanco, additional, Teixeira, Renato Azeredo, additional, Stein, Ricardo, additional, Sampaio, Roney Orismar, additional, Gaziano, Thomaz A., additional, Perel, Pablo, additional, Roth, Gregory A., additional, and Ribeiro, Antonio Luiz Pinho, additional
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- 2023
- Full Text
- View/download PDF
3. Response to: Correspondence on “Electrocardiographic findings and prognostic values in patients hospitalised with COVID-19 in the World Heart Federation Global Study” by Maratebet al
- Author
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Pinto-Filho, Marcelo Martins, primary, Soares, Carla P M, additional, Paixão, Gabriela Miana, additional, and Ribeiro, Antonio Luiz Pinho, additional
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- 2023
- Full Text
- View/download PDF
4. Electrocardiographic findings and prognostic values in patients hospitalised with COVID-19 in the World Heart Federation Global Study
- Author
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Pinto-Filho, Marcelo Martins, primary, Paixão, Gabriela Miana, additional, Gomes, Paulo Rodrigues, additional, Soares, Carla P M, additional, Singh, Kavita, additional, Rossi, Valentina Alice, additional, Thienemann, Friedrich, additional, Viljoen, Charle, additional, Mohan, Bishav, additional, Sarrafzadegan, Nizal, additional, Chowdhury, Abdul Wadud, additional, Ntusi, Ntobeko, additional, Deora, Surender, additional, Perel, Pablo, additional, Prabhakaran, Dorairaj, additional, Sliwa, Karen, additional, and Ribeiro, Antonio Luiz Pinho, additional
- Published
- 2022
- Full Text
- View/download PDF
5. Electrocardiographic findings and prognostic values in patients hospitalised with COVID-19 in the World Heart Federation Global Study.
- Author
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Martins Pinto-Filho, Marcelo, Miana Paixão, Gabriela, Rodrigues Gomes, Paulo, Soares, Carla P. M., Singh, Kavita, Rossi, Valentina Alice, Thienemann, Friedrich, Viljoen, Charle, Mohan, Bishav, Sarrafzadegan, Nizal, Chowdhury, Abdul Wadud, Ntusi, Ntobeko, Deora, Surender, Perel, Pablo, Prabhakaran, Dorairaj, Sliwa, Karen, Pinho Ribeiro, Antonio Luiz, Pinto-Filho, Marcelo Martins, Paixão, Gabriela Miana, and Gomes, Paulo Rodrigues
- Subjects
NON-communicable diseases ,COVID-19 ,ARRHYTHMIA ,PROGNOSIS ,MEDICAL personnel ,TERMS of service (Internet) - Abstract
Background: COVID-19 affects the cardiovascular system and ECG abnormalities may be associated with worse prognosis. We evaluated the prognostic value of ECG abnormalities in individuals with COVID-19.Methods: Multicentre cohort study with adults hospitalised with COVID-19 from 40 hospitals across 23 countries. Patients were followed-up from admission until 30 days. ECG were obtained at each participating site and coded according to the Minnesota coding criteria. The primary outcome was defined as death from any cause. Secondary outcomes were admission to the intensive care unit (ICU) and major adverse cardiovascular events (MACE). Multiple logistic regression was used to evaluate the association of ECG abnormalities with the outcomes.Results: Among 5313 participants, 2451 had at least one ECG and were included in this analysis. The mean age (SD) was 58.0 (16.1) years, 60.7% were male and 61.1% from lower-income to middle-income countries. The prevalence of major ECG abnormalities was 21.3% (n=521), 447 (18.2%) patients died, 196 (8.0%) had MACE and 1115 (45.5%) were admitted to an ICU. After adjustment, the presence of any major ECG abnormality was associated with a higher risk of death (OR 1.39; 95% CI 1.09 to 1.78) and cardiovascular events (OR 1.81; 95% CI 1.30 to 2.51). Sinus tachycardia (>120 bpm) with an increased risk of death (OR 3.86; 95% CI 1.97 to 7.48), MACE (OR 2.68; 95% CI 1.10 to 5.85) and ICU admission OR 1.99; 95% CI 1.03 to 4.00). Atrial fibrillation, bundle branch block, ischaemic abnormalities and prolonged QT interval did not relate to the outcomes.Conclusion: Major ECG abnormalities and a heart rate >120 bpm were prognostic markers in adults hospitalised with COVID-19. [ABSTRACT FROM AUTHOR]- Published
- 2023
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- View/download PDF
6. Electrocardiographic findings and prognostic values in patients hospitalised with COVID-19 in the World Heart Federation Global Study
- Author
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Pinto-Filho, Marcelo Martins, Paixão, Gabriela Miana, Gomes, Paulo Rodrigues, Soares, Carla P M, Singh, Kavita, Rossi, Valentina Alice, Thienemann, Friedrich, Viljoen, Charle, Mohan, Bishav, Sarrafzadegan, Nizal, Chowdhury, Abdul Wadud, Ntusi, Ntobeko, Deora, Surender, Perel, Pablo, Prabhakaran, Dorairaj, Sliwa, Karen, and Ribeiro, Antonio Luiz Pinho
- Abstract
BackgroundCOVID-19 affects the cardiovascular system and ECG abnormalities may be associated with worse prognosis. We evaluated the prognostic value of ECG abnormalities in individuals with COVID-19.MethodsMulticentre cohort study with adults hospitalised with COVID-19 from 40 hospitals across 23 countries. Patients were followed-up from admission until 30 days. ECG were obtained at each participating site and coded according to the Minnesota coding criteria. The primary outcome was defined as death from any cause. Secondary outcomes were admission to the intensive care unit (ICU) and major adverse cardiovascular events (MACE). Multiple logistic regression was used to evaluate the association of ECG abnormalities with the outcomes.ResultsAmong 5313 participants, 2451 had at least one ECG and were included in this analysis. The mean age (SD) was 58.0 (16.1) years, 60.7% were male and 61.1% from lower-income to middle-income countries. The prevalence of major ECG abnormalities was 21.3% (n=521), 447 (18.2%) patients died, 196 (8.0%) had MACE and 1115 (45.5%) were admitted to an ICU. After adjustment, the presence of any major ECG abnormality was associated with a higher risk of death (OR 1.39; 95% CI 1.09 to 1.78) and cardiovascular events (OR 1.81; 95% CI 1.30 to 2.51). Sinus tachycardia (>120 bpm) with an increased risk of death (OR 3.86; 95% CI 1.97 to 7.48), MACE (OR 2.68; 95% CI 1.10 to 5.85) and ICU admission OR 1.99; 95% CI 1.03 to 4.00). Atrial fibrillation, bundle branch block, ischaemic abnormalities and prolonged QT interval did not relate to the outcomes.ConclusionMajor ECG abnormalities and a heart rate >120 bpm were prognostic markers in adults hospitalised with COVID-19.
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- 2023
- Full Text
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7. Deep neural network-estimated electrocardiographic age as a mortality predictor
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Lima, Emilly M., Ribeiro, Antônio H., Paixão, Gabriela Miana de Mattos, Ribeiro, Manoel Horta, Pinto Filho, Marcelo Martins, Gomes, Paulo R., Oliveira, Derick Matheus de, Sabino, Ester Cerdeira, Duncan, Bruce Bartholow, Giatti, Luana, Barreto, Sandhi Maria, Meira Junior, Wagner, Schön, Thomas B., and Ribeiro, Antônio Luiz Pinho
- Subjects
Eletrocardiografia ,Inteligência artificial - Abstract
The electrocardiogram (ECG) is the most commonly used exam for the evaluation of cardiovascular diseases. Here we propose that the age predicted by artificial intelligence (AI) from the raw ECG (ECG-age) can be a measure of cardiovascular health. A deep neural network is trained to predict a patient’s age from the 12-lead ECG in the CODE study cohort (n = 1,558,415 patients). On a 15% hold-out split, patients with ECG-age more than 8 years greater than the chronological age have a higher mortality rate (hazard ratio (HR) 1.79, p < 0.001), whereas those with ECG-age more than 8 years smaller, have a lower mortality rate (HR 0.78, p < 0.001). Similar results are obtained in the external cohorts ELSA-Brasil (n = 14,236) and SaMi-Trop (n = 1,631). Moreover, even for apparent normal ECGs, the predicted ECG-age gap from the chronological age remains a statistically significant risk predictor. These results show that the AI-enabled analysis of the ECG can add prognostic information.
- Published
- 2021
8. Prognostic value of electrocardiographic abnormalities in adults from the Brazilian longitudinal study of adults’ health
- Author
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Pinto-Filho, Marcelo Martins, primary, Brant, Luisa Caldeira, additional, dos Reis, Rodrigo Padilha, additional, Giatti, Luana, additional, Duncan, Bruce Bartholow, additional, Lotufo, Paulo A, additional, da Fonseca, Maria de Jesus M, additional, Mill, Jose Geraldo, additional, de Almeida, Maria da Conceição Chagas, additional, MacFarlane, Peter, additional, Barreto, Sandhi Maria, additional, and Ribeiro, Antonio Luiz Pinho, additional
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- 2020
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9. Prognostic value of electrocardiographic abnormalities in adults from the Brazilian longitudinal study of adults' health.
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Martins Pinto-Filho, Marcelo, Caldeira Brant, Luisa, Padilha dos Reis, Rodrigo, Giatti, Luana, Bartholow Duncan, Bruce, Lotufo, Paulo A., M. da Fonseca, Maria de Jesus, Geraldo Mill, Jose, Chagas de Almeida, Maria da Conceição, MacFarlane, Peter, Barreto, Sandhi Maria, Pinho Ribeiro, Antonio Luiz, Pinto-Filho, Marcelo Martins, Brant, Luisa Caldeira, Dos Reis, Rodrigo Padilha, Duncan, Bruce Bartholow, da Fonseca, Maria de Jesus M, Mill, Jose Geraldo, de Almeida, Maria da Conceição Chagas, and Ribeiro, Antonio Luiz Pinho
- Subjects
ADULTS ,PROGNOSIS ,LONGITUDINAL method ,MORTALITY ,CARDIOVASCULAR diseases risk factors ,RESEARCH ,RESEARCH methodology ,HEALTH status indicators ,CARDIOVASCULAR diseases ,RETROSPECTIVE studies ,DISEASE incidence ,MEDICAL cooperation ,EVALUATION research ,RISK assessment ,PRIMARY health care ,COMPARATIVE studies ,ELECTROCARDIOGRAPHY - Abstract
Objective: Cardiovascular diseases (CVDs) are highly preventable non-communicable diseases. ECG is a potential tool for risk stratification with respect to CVD. Our aim was to evaluate ECG's role in all-cause and cardiovascular mortality prediction.Methods: Participants from the Brazilian Longitudinal Study of Adult Health, free of known CVD at baseline were included. A 12-lead ECG was obtained at baseline (2008-2010). Participants were followed up to 2018 by annual interviews. Deaths were independently reviewed. Cox as well as Fine and Grey multivariable regression models were applied to evaluate if the presence of any major electrocardiographic abnormality (MEA), defined according to the Minnesota Code system, would predict total and cardiovascular deaths. We also evaluated the Net Reclassification Index of adding MEA to the Systematic Coronary Risk Evaluation (SCORE).Results: The 13 428 participants (median age 51 years, 45% men) were followed up for 8±1 years. All-cause and cardiovascular mortality occurred in 2.8% and 1.2% of the population, respectively. Prevalent MEA was an independent predictor of overall (HR=2.3, 95% CI 1.7 to 2.9) and cardiovascular mortality (HR=4.6, 95% CI 3.0 to 7.0) after adjustments for age, race, education and traditional cardiovascular risk factors. Adding MEA to the SCORE resulted in 9% mis-reclassification in the non-event subgroup and 33% correct reclassification in those with a fatal cardiovascular event.Conclusion: Presence of MEA was an independent predictor of overall and cardiovascular mortality. ECG may have a role in risk prediction of cardiovascular mortality in primary care. [ABSTRACT FROM AUTHOR]- Published
- 2021
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10. Association between typical electrocardiographic abnormalities and NT-proBNP elevation in a large cohort of patients with Chagas disease from endemic area
- Author
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Brito, Bruno Oliveira de Figueiredo, primary, Pinto-Filho, Marcelo Martins, additional, Cardoso, Clareci Silva, additional, Di Lorenzo Oliveira, Claudia, additional, Ferreira, Ariela Mota, additional, de Oliveira, Lea Campos, additional, Gomes, Paulo, additional, Nunes, Maria do Carmo Pereira, additional, Sabino, Ester Cerdeira, additional, and Ribeiro, Antonio Luiz Pinho, additional
- Published
- 2018
- Full Text
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11. Prognostic value of electrocardiographic abnormalities in adults from the Brazilian longitudinal study of adults’ health
- Author
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Pinto-Filho, Marcelo Martins, Brant, Luisa Caldeira, dos Reis, Rodrigo Padilha, Giatti, Luana, Duncan, Bruce Bartholow, Lotufo, Paulo A, da Fonseca, Maria de Jesus M, Mill, Jose Geraldo, de Almeida, Maria da Conceicão Chagas, MacFarlane, Peter, Barreto, Sandhi Maria, and Ribeiro, Antonio Luiz Pinho
- Abstract
ObjectiveCardiovascular diseases (CVDs) are highly preventable non-communicable diseases. ECG is a potential tool for risk stratification with respect to CVD. Our aim was to evaluate ECG’s role in all-cause and cardiovascular mortality prediction.MethodsParticipants from the Brazilian Longitudinal Study of Adult Health, free of known CVD at baseline were included. A 12-lead ECG was obtained at baseline (2008–2010). Participants were followed up to 2018 by annual interviews. Deaths were independently reviewed. Cox as well as Fine and Grey multivariable regression models were applied to evaluate if the presence of any major electrocardiographic abnormality (MEA), defined according to the Minnesota Code system, would predict total and cardiovascular deaths. We also evaluated the Net Reclassification Index of adding MEA to the Systematic Coronary Risk Evaluation (SCORE).ResultsThe 13 428 participants (median age 51 years, 45% men) were followed up for 8±1 years. All-cause and cardiovascular mortality occurred in 2.8% and 1.2% of the population, respectively. Prevalent MEA was an independent predictor of overall (HR=2.3, 95% CI 1.7 to 2.9) and cardiovascular mortality (HR=4.6, 95% CI 3.0 to 7.0) after adjustments for age, race, education and traditional cardiovascular risk factors. Adding MEA to the SCORE resulted in 9% mis-reclassification in the non-event subgroup and 33% correct reclassification in those with a fatal cardiovascular event.ConclusionPresence of MEA was an independent predictor of overall and cardiovascular mortality. ECG may have a role in risk prediction of cardiovascular mortality in primary care.
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- 2021
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12. Electrocardiographic Findings in Brazilian Adults without Heart Disease: ELSA-Brasil
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Pinto Filho, Marcelo Martins, primary, Brant, Luisa C. C., additional, Padilha-da-Silva, José Luiz, additional, Foppa, Murilo, additional, Lotufo, Paulo A., additional, Mill, José Geraldo, additional, Vasconcelo-Silva, Paulo R., additional, Almeida, Maria da Conceição C., additional, Barreto, Sandhi Maria, additional, and Ribeiro, Antônio Luiz Pinho, additional
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- 2017
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13. Response to: Correspondence on “Electrocardiographic findings and prognostic values in patients hospitalised with COVID-19 in the World Heart Federation Global Study” by Marateb et al
- Author
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Pinto-Filho, Marcelo Martins, Soares, Carla P M, Paixão, Gabriela Miana, and Ribeiro, Antonio Luiz Pinho
- Published
- 2023
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14. Lesão da valva tricúspide por trauma torácico penetrante
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Carneiro,Renata de Carvalho Bicalho, Figueiredo,Fernanda de Azevedo, Calazans,Luciana Campomizzi, Pinto Filho,Marcelo Martins, Vidigal,Daniel Furtado, and Nunes,Maria do Carmo Pereira
- Subjects
ecocardiografia ,wounds ,ecocardiografía ,Insuficiência da valva tricúspide ,traumatismos torácicos ,tricuspid valve insufficiency ,echocardiography ,Insuficiencia de la válvula tricúspide ,traumatismos torácicos/ferimentos penetrantes ,Thoracic-injuries - Abstract
As lesões da valva tricúspide decorrentes de trauma torácico penetrante são raras e frequentemente subdiagnosticadas. O objetivo deste relato é descrever um caso de insuficiência tricúspide grave secundária a acidente por arma branca com evolução insidiosa, diagnosticada 19 anos após o ocorrido. O caso enfatiza a importância do acompanhamento adequado dos pacientes vítimas de trauma torácico penetrante por longo período após a injúria, para detecção de possíveis complicações tardias do trauma. Tricuspid valve lesions caused by penetrating chest trauma are rare and often underdiagnosed. The objective of this report is to describe a case of severe tricuspid insufficiency secondary to a knifing incident with an insidious evolution, diagnosed 19 years after the incident. The case emphasizes the importance of adequate follow-up of patients that are victims of penetrating chest trauma for a long period after the injury, to detect possible late complications of the trauma. Las lesiones de la válvula tricúspide resultantes de trauma torácico penetrante son raras y frecuentemente subdiagnosticadas. El objetivo de este relato es describir un caso de insuficiencia tricúspide severa secundaria a accidente por arma blanca con evolución insidiosa, diagnosticada 19 años tras lo sucedido. El caso enfatiza la importancia del seguimiento adecuado de los pacientes víctimas de trauma torácico penetrante por largo período tras la injuria, para detección de posibles complicaciones tardías del trauma.
- Published
- 2010
15. Endocardite infecciosa em câmaras direitas: discrepância entre evolução clínica e ecocardiográfica: relato de caso
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Nascimento, Bruno Ramos, Coelho, Thaíssa Oliveira de Almeida A., Costa Filho, Lucas Rocha da, Pinto Filho, Marcelo Martins, Cota, Vitor Emanuel Serafim, Bicalho, Renata de Carvalho, Ribeiro, Antonio Luiz Pinho, and Nunes, Maria do Carmo Pereira
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Treatment ,Tratamento ,Endocarditis ,Clinical management ,Right-side chambers ,Endocardite ,Câmaras direitas ,Manejo clínico - Abstract
A endocardite infecciosa é uma patologia relativamente rara na prática clínica, e, apesar dos avanços em seu diagnóstico e tratamento, sua morbi-mortalidade ainda é significativa. Muitas vezes é difícil a identificação de suas complicações e a conduta frente a elas, ocorrendo com freqüência a dissociação entre a evolução clínica e os achados de exames complementares - principalmente ecocardiográficos. A decisão clínica torna-se ainda mais difícil frente às manifestações atípicas da doença, como a endocardite de câmaras direitas. Este é o relato de um caso raro de endocardite de câmaras direitas em uma paciente renal crônica, cuja piora dos achados ecocardiográficos se opunha à evolução clínica favorável. Esta situação pode suscitar dificuldade quanto aos critérios para indicação cirúrgica e a segurança do tratamento conservador. Infective endocarditis is a relatively rare disease in clinical practice, with significant morbidity and mortality despite the improvements on its diagnosis and treatment. It is often difficult to identify its complications and define strategies for them. Dissociation between the clinical evolution and the findings from complementary tests (especially echocardiographic tests) is common. Clinical decisions become even more difficult when there are atypical manifestations of the disease, such as right-side endocarditis. This report is about a rare case of right-side endocarditis in a patient with chronic renal disease, in which there was a contradiction between worsening of the echocardiographic findings and clinical improvement. This situation may lead to difficulties regarding the criteria for indicating surgery and the safety of conservative clinical treatment.
- Published
- 2009
16. Effects of Exercise Training on Heart Rate Variability in Chagas Heart Disease
- Author
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Nascimento, Bruno Ramos, primary, Lima, Márcia Maria Oliveira, additional, Nunes, Maria do Carmo Pereira, additional, Alencar, Maria Clara Noman de, additional, Costa, Henrique Silveira, additional, Pinto Filho, Marcelo Martins, additional, Cota, Vitor Emanuel Serafim, additional, Rocha, Manoel Otávio da Costa, additional, and Ribeiro, Antonio Luiz Pinho, additional
- Published
- 2014
- Full Text
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17. Lesão da valva tricúspide por trauma torácico penetrante
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Carneiro, Renata de Carvalho Bicalho, primary, Figueiredo, Fernanda de Azevedo, additional, Calazans, Luciana Campomizzi, additional, Pinto Filho, Marcelo Martins, additional, Vidigal, Daniel Furtado, additional, and Nunes, Maria do Carmo Pereira, additional
- Published
- 2010
- Full Text
- View/download PDF
18. Endocardite infecciosa em câmaras direitas: discrepância entre evolução clínica e ecocardiográfica: relato de caso
- Author
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Nascimento, Bruno Ramos, primary, Coelho, Thaíssa Oliveira de Almeida A., additional, Costa Filho, Lucas Rocha da, additional, Pinto Filho, Marcelo Martins, additional, Cota, Vitor Emanuel Serafim, additional, Bicalho, Renata de Carvalho, additional, Ribeiro, Antonio Luiz Pinho, additional, and Nunes, Maria do Carmo Pereira, additional
- Published
- 2009
- Full Text
- View/download PDF
19. Electrocardiographic findings and prognostic values in patients hospitalised with COVID-19 in the World Heart Federation Global Study
- Author
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Marcelo Martins Pinto-Filho, Gabriela Miana Paixão, Paulo Rodrigues Gomes, Carla P M Soares, Kavita Singh, Valentina Alice Rossi, Friedrich Thienemann, Charle Viljoen, Bishav Mohan, Nizal Sarrafzadegan, Abdul Wadud Chowdhury, Ntobeko Ntusi, Surender Deora, Pablo Perel, Dorairaj Prabhakaran, Karen Sliwa, Antonio Luiz Pinho Ribeiro, University of Zurich, and Pinto-Filho, Marcelo Martins
- Subjects
10209 Clinic for Cardiology ,610 Medicine & health ,Cardiology and Cardiovascular Medicine ,2705 Cardiology and Cardiovascular Medicine - Abstract
BackgroundCOVID-19 affects the cardiovascular system and ECG abnormalities may be associated with worse prognosis. We evaluated the prognostic value of ECG abnormalities in individuals with COVID-19.MethodsMulticentre cohort study with adults hospitalised with COVID-19 from 40 hospitals across 23 countries. Patients were followed-up from admission until 30 days. ECG were obtained at each participating site and coded according to the Minnesota coding criteria. The primary outcome was defined as death from any cause. Secondary outcomes were admission to the intensive care unit (ICU) and major adverse cardiovascular events (MACE). Multiple logistic regression was used to evaluate the association of ECG abnormalities with the outcomes.ResultsAmong 5313 participants, 2451 had at least one ECG and were included in this analysis. The mean age (SD) was 58.0 (16.1) years, 60.7% were male and 61.1% from lower-income to middle-income countries. The prevalence of major ECG abnormalities was 21.3% (n=521), 447 (18.2%) patients died, 196 (8.0%) had MACE and 1115 (45.5%) were admitted to an ICU. After adjustment, the presence of any major ECG abnormality was associated with a higher risk of death (OR 1.39; 95% CI 1.09 to 1.78) and cardiovascular events (OR 1.81; 95% CI 1.30 to 2.51). Sinus tachycardia (>120 bpm) with an increased risk of death (OR 3.86; 95% CI 1.97 to 7.48), MACE (OR 2.68; 95% CI 1.10 to 5.85) and ICU admission OR 1.99; 95% CI 1.03 to 4.00). Atrial fibrillation, bundle branch block, ischaemic abnormalities and prolonged QT interval did not relate to the outcomes.ConclusionMajor ECG abnormalities and a heart rate >120 bpm were prognostic markers in adults hospitalised with COVID-19.
- Published
- 2023
- Full Text
- View/download PDF
20. Cardiovascular Statistics - Brazil 2023.
- Author
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Oliveira GMM, Brant LCC, Polanczyk CA, Malta DC, Biolo A, Nascimento BR, Souza MFM, Lorenzo AR, Fagundes Júnior AAP, Schaan BD, Silva CGSE, Castilho FM, Cesena FHY, Soares GP, Xavier Junior GF, Barreto Filho JAS, Passaglia LG, Pinto Filho MM, Machline-Carrion MJ, Bittencourt MS, Pontes Neto OM, Villela PB, Teixeira RA, Stein R, Sampaio RO, Gaziano TA, Perel P, Roth GA, and Ribeiro ALP
- Subjects
- Brazil epidemiology, Humans, Male, Female, Middle Aged, Aged, Adult, Cardiovascular Diseases epidemiology
- Published
- 2024
- Full Text
- View/download PDF
21. Cardiovascular Statistics - Brazil 2021.
- Author
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Oliveira GMM, Brant LCC, Polanczyk CA, Malta DC, Biolo A, Nascimento BR, Souza MFM, Lorenzo AR, Fagundes Júnior AAP, Schaan BD, Castilho FM, Cesena FHY, Soares GP, Xavier Junior GF, Barreto Filho JAS, Passaglia LG, Pinto Filho MM, Machline-Carrion MJ, Bittencourt MS, Pontes Neto OM, Villela PB, Teixeira RA, Sampaio RO, Gaziano TA, Perel P, Roth GA, and Ribeiro ALP
- Subjects
- Brazil epidemiology, Heart, Humans, Cardiovascular Diseases epidemiology, Cardiovascular System
- Published
- 2022
- Full Text
- View/download PDF
22. Functional capacity and right ventricular function in patients with Chagas heart disease.
- Author
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Nunes Mdo C, Beloti FR, Lima MM, Barbosa MM, Pinto Filho MM, de Barros MV, and Rocha MO
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- Adult, Algorithms, Chagas Cardiomyopathy diagnosis, Cross-Sectional Studies, Exercise Test, Female, Humans, Linear Models, Male, Middle Aged, Ventricular Function, Left, Chagas Cardiomyopathy diagnostic imaging, Chagas Cardiomyopathy physiopathology, Echocardiography, Ventricular Function, Right
- Abstract
Aims: Right ventricular (RV) dysfunction is an important factor on effort tolerance in cardiopulmonary diseases. Nevertheless, the role of RV function in predicting exercise capacity in patients with Chagas disease has not been reported. This study aims to evaluate whether RV function assessed by tissue Doppler can predict functional capacity in patients with Chagas heart disease., Methods and Results: We evaluated 65 patients (48.6 +/- 9.1 years, 60% men) with Chagas heart disease. Standard and tissue Doppler echocardiography were performed before maximal exercise testing. Tissue Doppler imaging (TDI) was used to measure RV peak annular systolic and diastolic velocities. Exercise testing was performed using a standard Bruce protocol. Linear regression analysis was used to determine multivariate peak oxygen consumption (VO(2)) predictors. All patients were in NYHA functional class I or II. Mean peak VO(2) was 32.4 +/- 10.2 mL/kg/min and mean LV ejection fraction was 43 +/- 11%. There was correlation between TDI RV peak systolic velocity and LV ejection fraction (r = 0.5; P < 0.001). In a multivariate analysis, after adjustment for age and gender, RV function emerged as an independent predictor of functional capacity, as demonstrated in the model: peak VO(2) (r = 0.71) was: 42.22-(9.77 x female gender)-(0.29 x age) + (1.54 x RV systolic velocity)., Conclusion: In this cross-sectional study, RV function was an important, independent determinant of exercise capacity in patients with Chagas heart disease. TDI RV systolic annular velocity was most closely associated with peak VO(2), regardless of the influence of age, gender, and other echocardiographic parameters.
- Published
- 2010
- Full Text
- View/download PDF
23. [Right-side infective endocarditis: discrepancy between clinical and echocardiographic evolution: case report].
- Author
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Nascimento BR, Coelho TO, Costa Filho LR, Pinto Filho MM, Cota VE, Bicalho Rde C, Ribeiro AL, and Nunes Mdo C
- Subjects
- Anti-Bacterial Agents therapeutic use, Echocardiography, Transesophageal, Endocarditis, Bacterial drug therapy, Endocarditis, Bacterial microbiology, Female, Humans, Middle Aged, Staphylococcal Infections drug therapy, Staphylococcal Infections microbiology, Endocarditis, Bacterial diagnosis, Methicillin-Resistant Staphylococcus aureus isolation & purification, Staphylococcal Infections diagnosis
- Abstract
Infective endocarditis is a relatively rare disease in clinical practice, with significant morbidity and mortality despite the improvements on its diagnosis and treatment. It is often difficult to identify its complications and define strategies for them. Dissociation between the clinical evolution and the findings from complementary tests (especially echocardiographic tests) is common. Clinical decisions become even more difficult when there are atypical manifestations of the disease, such as right-side endocarditis. This report is about a rare case of right-side endocarditis in a patient with chronic renal disease, in which there was a contradiction between worsening of the echocardiographic findings and clinical improvement. This situation may lead to difficulties regarding the criteria for indicating surgery and the safety of conservative clinical treatment.
- Published
- 2009
- Full Text
- View/download PDF
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