ABSTRACT
ABSTRACT Introduction: Heart transplantation is the recommended treatment method for patients with advanced heart failure that is refractory to clinical treatment. Due to the progressive severity of these patients and the impossibility of performing the transplant in a short term, there are mechanical circulatory assist devices that can offer necessary hemodynamic support and clinical stability in the period preceding the heart transplant surgery. The present study aims to address and describe the main devices used as bridges for heart transplantation, as well as to analyze their advantages and disadvantages. Methods: This work is a literature review, developed with scientific production in the period from 2010 to 2020, that focus on circulatory assist devices as a bridge for heart transplantation. Results: These devices are characterized as a bridge for transplantation. Short-term or temporary devices are those used for hemodynamic support to stabilize the individual clinically in the presence of refractory cardiogenic shock. And long-term devices are indicated for stable patients with long-term strategic planning. Conclusion: According to the present study, it is possible to observe that there is a wide variety of devices available on the market, enabling the most appropriate choice according to the patient's need.
ABSTRACT
Introdução: Os ferimentos por arma de fogo, assim como os homicídios no Brasil representam uma questão nacional de saúde pública. O estudo dos efeitos diretos e indiretos das dinâmicas da violência sobre o setor saúde provocou o crescente interesse de especialistas, seja pelas consequências da violência para a saúde das populações mais gravemente afetadas, seja pelo impacto sobre o processo de trabalho dos serviços de saúde. Objetivo: descrever o perfil das vítimas e das agressões por projétil de arma de fogo, ocorridos na cidade de São Paulo. Métodos: Trata-se de um estudo descritivo, de abordagem quantitativa, que teve como fonte de dados o Sistema de Informação de Vigilância de Violência e Acidentes da cidade de São Paulo (SIVVA), na seleção das notificações, incluíram-se aquelas relativas à agressões por terceiros contra homens e mulheres, no período de janeiro a dezembro de 2014 na cidade de São Paulo. Resultados: Durante o ano de 2014 foram notificados 555 casos de vítimas por ferimento por arma de fogo na cidade de São Paulo. O perfil das vítimas com ferimentos causados por PAF predominaram indivíduos do sexo masculino (83,8%), entre 15 e 29 anos de idade (54,6%). Conclusão: As armas de fogo têm grande importância epidemiológica, constituindo-se instrumentos largamente utilizados para a prática da violência, um ônus significativo para a população. Diminuir sua morbimortalidade é um dos principais desafios para a saúde pública.
Introduction: Gunshot wounds, as well as homicides in Brazil, represent a national public health issue. The study of the direct and indirect effects of the dynamics of violence on the health sector has provoked the growing interest of specialists, either by the consequences of violence to the health of the most severely affected populations or by the impact on the work process of the health services. Objective: to describe the profile of the victims and the firearm projectile assaults in the city of São Paulo. Methods: This is a descriptive, quantitative approach, based on the Violence and Accidents Surveillance Information System of the city of São Paulo (SIVVA), in the selection of the notifications. aggressions by third parties against men and women, from January to December 2014 in the city of São Paulo. Results: During the year of 2014 were reported 555 cases of victims by firearm injury in the city of São Paulo. The profile of the victims with injuries caused by PAF predominated among males (83.8%), between 15 and 29 years of age (54.6%). Conclusion: Firearms have great epidemiological importance, being widely used instruments for the practice of violence, a significant burden for the poppulation. Reducing your morbidity and mortality is one of the main challenges for public health.