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1.
Clinics ; 68(12): 1481-1487, dez. 2013. tab, graf
Article in English | LILACS | ID: lil-697713

ABSTRACT

OBJECTIVES: To correlate the importance of the ankle-brachial index in terms of cardiovascular morbimortality and the extent of coronary arterial disease amongst elderly patients without clinical manifestations of lower limb peripheral arterial disease. METHODS: We analyzed prospective data from 100 patients over 65 years of age with coronary arterial disease, as confirmed by coronary angiography, and with over 70% stenosis of at least one sub-epicardial coronary artery. We measured the ankle-brachial index immediately after coronary angiography, and a value of <0.9 was used to diagnose peripheral arterial disease. RESULTS: The patients' average age was 77.4 years. The most prevalent risk factor was hypertension (96%), and the median late follow-up appointment was 28.9 months. The ankle-brachial index was <0.9 in 47% of the patients, and a low index was more prevalent in patients with multiarterial coronary disease compared to patients with uniarterial disease in the same group. Using a bivariate analysis, only an ankle-brachial index of <0.9 was a strong predictive factor for cardiovascular events, thereby increasing all-cause deaths and fatal and non-fatal acute myocardial infarctions two- to three-fold. CONCLUSION: In elderly patients with documented coronary disease, a low ankle-brachial index (<0.9) was associated with the severity and extent of coronary arterial disease, and in late follow-up appointments, a low index was correlated with an increase in the occurrence of major cardiovascular events. .


Subject(s)
Aged , Aged, 80 and over , Female , Humans , Male , Ankle Brachial Index/methods , Coronary Angiography/methods , Coronary Artery Disease/diagnosis , Peripheral Arterial Disease/diagnosis , Age Factors , Coronary Artery Disease/physiopathology , Disease-Free Survival , Predictive Value of Tests , Prospective Studies , Peripheral Arterial Disease/physiopathology , Risk Assessment , Risk Factors , Statistics, Nonparametric , Time Factors
2.
Arq. bras. cardiol ; 53(3): 167-169, set. 1989. ilus
Article in Portuguese | LILACS | ID: lil-87322

ABSTRACT

Mulher de 49 anos, trinta dias após imobilizaçäo do membro inferior direito, apresentou dispnéia e dor epigástrica súbitas, seguida de síncope. Diagnosticado tromboembolismo pulmonar grave, na ausência de resposta à heparina, administrou-se ativador extrínseco do plasminogênio, por via venosa. Houve rápida melhora das condiçöes hemodinâmicas e a cintilografia pulmonar, realizada 9 dias após, foi normal, ocorrendo alta hospitalar 12 dias após o episódio agudo


Subject(s)
Humans , Female , Middle Aged , Pulmonary Embolism/drug therapy , Tissue Plasminogen Activator/therapeutic use , Pulmonary Embolism , Heparin/therapeutic use , Electrocardiography
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