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1.
Nursing (Ed. bras., Impr.) ; 28(315): 9420-9423, set.2024. tab
Article in English, Portuguese | LILACS, BDENF | ID: biblio-1579817

ABSTRACT

Objetivo: Elaborar e validar uma ferramenta digital que auxilie no diagnóstico e condutas das principais alterações eletro-cardiográficas na urgência pediátrica. Metodologia: Foi elaborada uma ferramenta que utilizou imagens de ECGs obtidas de livros-texto e exames impressos, sem identificação dos pacientes. Foram utilizados recursos como o Adobe Acrobat Reader, o iPhone 13 para gravação e o programa Capcut para edição dos vídeos. Essa tecnologia digital passou por processo de validação de juízes especialistas utilizando a escala Likert. Resultados: O produto foi avaliado por um total de 7 juízes, sendo 5 (71,4%) sendo formado por médicas da área pediátrica e cardiológica. Ao analisar de forma pormenorizada os 3 critérios: a Aplicabilidade; Objetividade, Estrutura e Organização;foi observada uma validação completa da ferramenta junto aos especialistas,obtendo um IVC (Índice de Validade de Conteúdo) total. Conclusão: Essa ferramenta educacional permitirá, por meio de sua aplicabilidade, uma melhoria dos atendimentos pediátricos de urgência.(AU)


Objective: To develop and validate a digital tool to aid in the diagnosis and management of the main electrocardiogra-phic alterations in pediatric emergencies. Methodology: A tool was developed using ECG images obtained from textbooks and printed exams, without patient identification. Resources such as Adobe Acrobat Reader, iPhone 13 for recording and the Capcut program for editing the videos were used. This digital technology underwent a validation process by expert judges using a Likert scale. Results: The product was evaluated by a total of 7 judges, 5 (71.4%) of whom were doctors in the pediatric and cardiology fields. A detailed analysis of the 3 criteria: Applicability, Objectivity, Structure and Organization, showed that the tool was fully validated by the experts, obtaining a total CVI (Content Validity Index). Conclusion: Through its applicability, this educational tool will improve pediatric emergency care.(AU)


Objetivo: Desarrollar y validar una herramienta digital de ayuda al diagnóstico y manejo de las principales alteraciones electrocardiográficas en urgencias pediátricas. Metodología: Se desarrolló una herramienta a partir de imágenes de ECG obtenidas de libros de texto y exámenes impresos, sin identificación del paciente. Se utilizaron recursos como Adobe Acrobat Reader, iPhone 13 para la grabación y el programa Capcut para la edición de los vídeos. Esta tecnología digital fue sometida a un proceso de validación por jueces expertos mediante una escala Likert. Resultados: El producto fue evaluado por un total de 7 jueces, de los cuales 5 (71,4%) eran médicos del área de pediatría y cardiología. Un análisis detallado de los 3 criterios: Aplicabilidad, Objetividad, Estructura y Organización, mostró que la herramienta fue plenamente validada por los expertos, obteniendo un IVC (Índice de Validez de Contenido) total. Conclusión: Gracias a su aplicabilidad, esta herramienta educativa mejorará la atención pediátrica de urgencias.(AU)


Subject(s)
Adult , Biomedical Technology , Electrocardiography , Pediatric Emergency Medicine
2.
3.
Rev. chil. obstet. ginecol. (En línea) ; Rev. chil. obstet. ginecol;89(3): 198-202, jun. 2024. ilus
Article in Spanish | LILACS | ID: biblio-1569786

ABSTRACT

Antecedentes: El síndrome de QT largo es una canalopatía que afecta a la repolarización ventricular y aumenta el riesgo de sufrir arritmias ventriculares graves. Puede ser congénito o adquirido, y es una causa conocida de muerte súbita. Caso clínico: Gestante primigesta, de 28 años, sin antecedentes de interés. En ecografías prenatales se objetivó en el feto bradicardia sinusal mantenida desde la semana 28, sin repercusión hemodinámica, que persistió hasta la finalización de la gestación (semana 37+3). Al nacimiento se realizaron electrocardiogramas seriados que mostraron alteraciones en la repolarización con alargamiento del intervalo QT corregido. Se realizó estudio genético que confirmó síndrome de QT largo tipo 1 y se inició tratamiento oral con beta-bloqueantes, con buena respuesta. Conclusiones: El síndrome de QT largo suele diagnosticarse posnatalmente. Es importante conocer sus características clínicas prenatales para poder establecer un diagnóstico precoz y minimizar así el riesgo de muerte súbita de estos pacientes.


Background: Long QT syndrome is a channelopathy that affects ventricular repolarization and increases the risk of severe ventricular arrhythmias. It can be congenital or acquired, and is a known cause of sudden cardiac death. Case report: A 28-year-old primigravida with no significant medical history. Prenatal ultrasounds revealed sustained fetal sinus bradycardia from week 28, without hemodynamic repercussion, which persisted until the end of gestation (at 37+3 weeks). Serial electrocardiograms were performed after birth, showing repolarization abnormalities with prolonged corrected QT interval. A genetic study confirmed long QT syndrome type 1, and oral treatment with beta-blockers was initiated, showing a positive response. Conclusions: Long QT syndrome is often diagnosed postnatally. It is important to be aware of his prenatal clinical features in order to establish an early diagnosis and minimize the risk of sudden death in these patients.


Subject(s)
Humans , Female , Pregnancy , Infant, Newborn , Adult , Bradycardia/diagnostic imaging , Long QT Syndrome/diagnostic imaging , Long QT Syndrome/congenital , Ultrasonography, Prenatal , Electrocardiography
4.
5.
Article in English | WPRIM | ID: wpr-1016745

ABSTRACT

@#The electrocardiographic analysis of heart blocks provides great opportunities for the discussion of mechanisms of electrical cardiac conduction, serving as “teachable moments” in medicine. Recognition of heart blocks can sometimes be a challenge as they can present in many forms, different severities and levels of blocks that present as varied patterns on electrocardiographic tracing. The ultimate key to correct diagnosis rests on adequate understanding of normal electrophysiology of the electrical system of the heart. While it is vital to recognize the pattern, we should always know and understand the physiology behind the pattern. This article presents a detailed analysis of a case of heart block which can easily be misinterpreted on first look. The case is featured not for its rarity but for the interesting concepts in cardiac electrophysiology that are highlighted. Navigation of the different elements of tracing can be an adventure and a great learning experience enjoyed by both students and experts.


Subject(s)
Heart Block , Electrocardiography
6.
In. Taranto, Eliseo; Nuñez, Edgardo. Esenciales en emergencia y trauma. Montevideo, Bibliomédica, 2024. p.45-76, ilus, tab.
Monography in Spanish | LILACS, UY-BNMED, BNUY | ID: biblio-1567365
7.
In. Taranto, Eliseo; Nuñez, Edgardo. Esenciales en emergencia y trauma. Montevideo, Bibliomédica, 2024. p.77-89, tab.
Monography in Spanish | LILACS, UY-BNMED, BNUY | ID: biblio-1567368
9.
Rev. méd. hondur ; 92(supl. 2): S28-S32, 2024. ilus
Article in Spanish | LILACS, BIMENA | ID: biblio-1585733

ABSTRACT

Introducción: El Síndrome de Wolff-Parkinson-White (WPW) está dado por la presencia de arritmias por reentrada atrio- ventricular debido a la existencia de vías de conducción anómalas. La Fibrilación Auricular (FA) en presencia de vías accesorias toma especial relevancia dado el riesgo que conllevan en este grupo de pacientes, los cuales carecen del retraso fisiológico determinado por el sistema de conducción normal, favoreciendo así la eventu- alidad de conducción 1:1 de la fibrilación auricular. Descripción del caso: Paciente masculino de 22 años, sin hábitos tóxicos ni cardiopatía familiar, con antecedente de episodios previos de palpitaciones relacionados con actividad física que cedían con el reposo; se presentó al servicio de urgencias por cuadro de síncope con pródromos durante un evento deportivo. Al ingreso, electro- cardiograma (ECG) exhibe taquicardia irregular a 240 lpm (latidos por minuto), complejos QRS anchos, mal tolerada hemodinámi- camente dado por hipotensión arterial y signos de hipoperfusión periférica. Se practicó cardioversión eléctrica asincrónica, con restauración a ritmo sinusal luego de 1 descarga a 200 Joules. Al ECG de control se observa intervalo PR corto y onda Delta com- patible con vía accesoria lateral izquierda, por lo que se estableció diagnóstico de Síndrome WPW y fibrilación auricular preexcitada como causa de taquicardia. Con el planteo de vía accesoria de alto riesgo se procedió a estudio electrofisiológico y ablación exi- tosa por radiofrecuencia, sin recurrencia de arritmias posteriores y normalización del electrocardiograma basal. Conclusión: Es necesario realizar un ECG de tamizaje en todo paciente deportista, joven, especialmente en aquellos que presentan sintomatología cardiovascular...(AU)


Subject(s)
Humans , Male , Adult , Atrial Fibrillation , Wolff-Parkinson-White Syndrome , Radio Waves , Electrocardiography , Radiofrequency Ablation
10.
ABC., imagem cardiovasc ; 37(3): e20240053, jul.-set. 2024. ilus, tab
Article in Portuguese | LILACS | ID: biblio-1585571

ABSTRACT

Introdução: Disfunção ventricular esquerda como preditor independente de mortalidade na doença de Chagas. A deformação longitudinal global (DLG) é uma modalidade ecocardiográfica emergente com possível valor incremental na detecção precoce de envolvimento cardíaco. Objetivo: Comparar a função ventricular esquerda com múltiplos parâmetros ecocardiográficos entre pacientes com formas indeterminadas e crônicas de Chagas, e realizar uma revisão da literatura. I O O Metodologia: Neste estudo observacional, 11 pacientes com diagnóstico confirmado de doença de Chagas foram avaliados. Os indivíduos foram distribuídos da seguinte forma: cinco com as formas indeterminadas e seis com as formas crônicas. A avaliação ecocardiográfica convencional foi acompanhada pela medida da DLG. Resultados: A média da fração de ejeção do ventrículo esquerdo (FEVE) foi de 33 ± 2,88 e a DLG média do ventrículo esquerdo foi de -10,76 ± 2,20 na forma crônica, em comparação com 57,80 ± 6,49 e -17,34 ± 3,82, respectivamente no grupo indeterminado. A contratilidade foi reduzida em segmentos das paredes inferior, inferoseptal e ântero-septal em ambos os grupos. Essas alterações segmentares no grupo indeterminado podem ser atribuídas ao dano miocárdico precoce por inflamação e fibrose, mesmo antes de uma disfunção ventricular esquerda significativa se tornar evidente. Conclusão: A análise da deformação longitudinal na forma indeterminada tem potencial valor incremental à análise convencional da fração de ejeção quando comparada a pacientes com cardiomiopatia chagásica crônica, principalmente com a análise segmentar individual, mas o impacto e o significado clínico dessas técnicas ainda são desconhecidos.(AU)


Introduction: Left ventricular dysfunction as an independent predictor of mortality in Chagas disease. Global longitudinal strain (GLS) is an emerging echocardiographic modality with possible incremental value in early detection of cardiac involvement. Objective: Compare left ventricular function with multiple echocardiographic parameters between patients with the indeterminate and chronic forms of Chagas, and perform a literature review. Methods: In this observational study, 11 patients with a confirmed diagnosis of Chagas disease were evaluated. Individuals were distributed as follows: five with the indeterminate and six with the chronic forms. Conventional echocardiographic evaluation was followed by GLS measurement. I O O Results: The mean left ventricle ejection fraction left ventricular ejection fraction (LVEF) was 33 ± 2.88, and the mean GLS of the left ventricle was -10.76 ± 2.20 in the chronic form as compared to 57.80 ± 6.49 and -17.34 ± 3.82, respectively in the indeterminate group. Contractility was reduced in segments of the inferior, inferoseptal and anteroseptal walls in both groups. These segmental alterations in the indeterminate group may be attributed to early myocardial damage from inflammation and fibrosis, even before significant left ventricular dysfunction is evident. Conclusion: Analysis of longitudinal strain in the indeterminate form has potential incremental value to the conventional analysis of ejection fraction when compared to patients with chronic Chagas cardiomyopathy, especially with individual segmental analysis, but the impact and clinical significance of these techniques are still unknown. (AU)


Subject(s)
Humans , Male , Female , Aged , Aged, 80 and over , Chagas Cardiomyopathy/physiopathology , Ventricular Dysfunction, Left/physiopathology , Ventricular Dysfunction, Left/mortality , Ventricular Dysfunction, Left/diagnostic imaging , Echocardiography/methods , Echocardiography, Doppler/methods , Electrocardiography/methods , Global Longitudinal Strain
11.
Repert. med. cir ; 33(3): 313-318, 2024. ilus, tab
Article in Spanish | LILACS, COLNAL | ID: biblio-1586339

ABSTRACT

Objetivo: reportar el caso de una gestante con antecedente de síndrome antifosfolipidos en quien se documentó enfermedad microvascular coronaria. El tratamiento médico antenatal mejoró el pronóstico y el desenlace maternoperinatal. Presentación del caso: multigestante con embarazo de 29,6 semanas remitida de un hospital de primer nivel con diagnóstico de síndrome coronario agudo. Los estudios revelaron enfermedad microvascular. Con un adecuado manejo, la paciente egresó de la institución y se vinculó al programa de alto riesgo obstétrico. Resultados: el diagnóstico de esta entidad se realizó por descarte con ecocardiograma, electrocardiograma, troponinas y cateterismo. Se indicó tratamiento antiisquémico teniendo en cuenta el riesgo/beneficio; continuó en manejo con aspirina y se obtuvo recién nacido en buenas condiciones generales. Conclusiones: ante el antecedente de síndrome antifosfolípidos en una gestante que cursa con dolor torácico, se debe pensar como diagnóstico diferencial enfermedad microvascular coronaria. Se benefician al iniciar antiagregante y anticoagulante en cuanto se realice el diagnóstico. Se requieren estudios que evalúen el manejo más seguro y efectivo de esta condición.


Objective: to report the case of a pregnant woman with antiphospholipid syndrome history, in whom coronary microvascular disease was documented. Antenatal medical treatment improved prognosis and maternal and perinatal outcomes. Case report: multigravida woman, 29.6 weeks pregnant, diagnosed with acute coronary syndrome, referred from a first level hospital. Diagnostic workup revealed microvascular disease. After receiving adequate management, she was discharged from hospital and included in the high-risk pregnancy program. Results: the diagnosis was made based on echocardiography, electrocardiography, troponin levels and cardiac catheterization. Anti-ischemic therapy was indicated considering the risk-benefit trade-off; management with aspirin was continued and the baby was born healthy. Conclusions: coronary microvascular disease should be considered, as a differential diagnosis in a pregnant woman with chest pain and history of antiphospholipid syndrome. Patients benefit from receiving antiplatelet and anticoagulant therapy soon after the diagnosis is made. Studies are required to evaluate the safest and most effective management of this condition.


Subject(s)
Humans , Pregnancy , Echocardiography , Electrocardiography , Troponin , Chest Pain , Catheterization , Antiphospholipid Syndrome , Pregnant Women , Anticoagulants
12.
Rev. Hosp. Ital. B. Aires (En línea) ; 43(4): 209-213, dic. 2023.
Article in Spanish | LILACS, UNISALUD, BINACIS | ID: biblio-1537564

ABSTRACT

La amiloidosis siempre ha representado un desafío diagnóstico. En el año 2020, el Grupo de Estudio de Amiloidosis (GEA), confeccionó la Guía de Práctica Clínica para el Diagnóstico de Amiloidosis. Nuevas líneas de investigación se han desarrollado posteriormente. Esta revisión narrativa tiene como intención explorar el estado del arte en el diagnóstico de la amiloidosis. En pacientes con amiloidosis se recomienda la tipificación de la proteína mediante espectrometría de masa, técnica de difícil ejecución por requerir de microdisectores láser para la preparación de la muestra. Algunas publicaciones recientes proponen otros métodos para obtener la muestra de amiloide que se va a analizar, permitiendo prescindir de la microdisección. Por otra parte, en pacientes con Amiloidosis ATTR confirmada, la recomendación de secuenciar el gen amiloidogénico se encontraba destinada a los casos sospechosos de ATTR hereditaria (ATTRv,), pero actualmente esta se ha extendido a todos los pacientes sin importar la edad. En lo que respecta a los estudios complementarios orientados al diagnóstico de compromiso cardíaco, se ha propuesto el uso de la inteligencia artificial para su interpretación, permitiendo la detección temprana de la enfermedad y el correcto diagnóstico diferencial. Para el diagnóstico de neuropatía, las últimas publicaciones proponen el uso de la cadena ligera de neurofilamento sérica, que también podría resultar un indicador útil para seguimiento. Finalmente, con referencia a la amiloidosis AL, la comunidad científica se encuentra interesada en definir qué características determinan el carácter amiloidogénico de las cadenas livianas. La N-glicosilación de dichas proteínas impresiona ser uno de los determinantes en cuestión. (AU)


Amyloidosis has always represented a diagnostic challenge. In 2020, the Amyloidosis Study Group (ASG) developed the "Clinical Practice Guideline for the Diagnosis of Amyloidosis". New lines of research have subsequently emerged. This narrative review aims to explore the state of the art in the diagnosis of amyloidosis diagnosis. In patients with amyloidosis, protein typing by mass spectrometry is recommended, a technique hard to perform because it requires laser microdissection for sample preparation. Recent publications propose other methods to obtain the amyloid sample to be analyzed, making it possible to dispense with microdissection. On the other hand, in patients with confirmed TTR amyloidosis (aTTR), the recommendation to sequence the amyloidogenic gene was intended for suspected cases of hereditary aTTR but has now been extended to all patients regardless of age. (AU)


Subject(s)
Humans , Amyloid Neuropathies, Familial/diagnosis , Early Diagnosis , Amyloidosis/diagnosis , Mass Spectrometry , Biopsy , Glycosylation , Artificial Intelligence , Magnetic Resonance Imaging , Sequence Analysis, DNA , Practice Guidelines as Topic , Diagnosis, Differential , Electrocardiography , High-Throughput Nucleotide Sequencing
13.
14.
Rev. méd. Chile ; 151(9): 1250-1254, sept. 2023. ilus, graf, tab
Article in Spanish | LILACS | ID: biblio-1565708

ABSTRACT

El dolor torácico es uno de los motivos de consulta más frecuente en un servicio de urgencia. Dentro de las hipótesis diagnósticas se deben descartar las patologías de mayor gravedad: el infarto al miocardio (IM), la disección aórtica, el tromboembolismo pulmonar y el neumotórax. El escenario más frecuente es el IM debido a un accidente de placa, pero existen casos en donde la disección aórtica puede verse acompañada de un déficit de perfusión coronaria (síndrome de malaperfusión) generando un IM. Su diagnóstico es difícil, con una mayor mortalidad y complejidad quirúrgica. Presentamos el caso de un hombre de 59 años que cursó con dolor torácico y electrocardiograma con elevación del segmento ST inferior y anterior, derivado a angioplastia primaria y que en el estudio angiográfico se identifica compromiso ostial de coronarias, se sospecha una disección aórtica, confirmándose por angiotomografía computada de aorta, donde se evidencia una disección de aorta ascendente con compromiso de ambos ostium coronarios que se trató quirúrgicamente.


Chest pain is one of the most frequent reasons for consultation in the emergency department. The most severe pathologies must be quickly ruled out within the diagnostic hypotheses: myocardial infarction (MI), aortic dissection, pulmonary thromboembolism, and pneumothorax. A frequent scenario is ST elevation MI due to a plaque accident. However, there are infrequent cases of aortic dissection associated with a deficit in coronary perfusion (malperfusion syndrome) that triggers a MI. The diagnosis of a double artery is difficult, with higher mortality and surgical complexity. We present the case of a 59-year-old man who presented chest pain and an electrocardiogram with inferior and anterior ST-segment elevation who was referred for primary angioplasty. The angiographic study confirmed the presence of a coronary ostium defect and suggested aortic dissection. Computed tomography angiography confirmed the diagnosis, showing the dissection of the ascending aorta with the compromise of both coronary ostia, which was subjected to surgical treatment.


Subject(s)
Humans , Male , Middle Aged , Electrocardiography , ST Elevation Myocardial Infarction/diagnosis , ST Elevation Myocardial Infarction/etiology , ST Elevation Myocardial Infarction/diagnostic imaging , Aortic Dissection/complications , Aortic Dissection/diagnostic imaging , Coronary Angiography , Coronary Vessel Anomalies/complications , Coronary Vessel Anomalies/diagnostic imaging , Computed Tomography Angiography
15.
Rev. méd. Chile ; 151(8): 1088-1092, ago. 2023. ilus
Article in Spanish | LILACS | ID: biblio-1565694

ABSTRACT

La Granulomatosis con Poliangeítis (GPA), o Granulomatosis de Wegener, es una vasculitis sistémica de pequeño y mediano vaso inmunológicamente mediada, que preferentemente compromete la vía aérea superior, pulmones y riñones, y es poco frecuente que se asocie a manifestaciones cardíacas. El compromiso del sistema éxcitoconductor (SEC) es muy raro y se han descrito casos aislados de distintos grados de bloqueo aurículoventricular (BAV). Describimos el caso de un paciente con GPA que durante una recidiva de su enfermedad consultó por disnea, documentándose signos de bajo débito, bradicardia de 30/ min, BAV de 2° grado avanzado y bloqueo completo de rama izquierda (BCRI) en el electrocardiograma (ECG). Se presenta una revisión de la literatura y discutimos sus causas, la evolución y manejo de estos pacientes.


Granulomatosis with Polyangiitis (GPA), or Wegener's Granulomatosis, is an immunologically mediated systemic vasculitis of small and medium vessels, which commonly compromises the upper airway, lungs, and kidneys and is rarely associated with cardiac manifestations. Compromise of the cardiac conduction system is rare, and isolated cases of different degrees of atrioventricular block (AVB) have been described. We report a case of a 49-year-old male patient previously diagnosed with GPA 3 years ago, who presented to the emergency department with dyspnea, clinical signs of low output, bradycardia of 30/min, advanced second-degree AVB and complete left bundle branch block (LBBB) on the ECG. A literature review is presented, and we discuss the causes, evolution, and management of this GPA complication.


Subject(s)
Humans , Male , Middle Aged , Granulomatosis with Polyangiitis/complications , Electrocardiography , Atrioventricular Block/etiology
16.
Rev. chil. cardiol ; 42(2): 107-112, ago. 2023. ilus
Article in Spanish | LILACS | ID: biblio-1515092

ABSTRACT

La taquicardia ventricular polimórfica se origina en los ventrículos, cuyos complejos QRS son de morfología, amplitud y dirección variable, con frecuencias que oscilan entre 200 y 250 lpm, pudiendo ser autolimitadas o degenerar en una fibrilación ventricular. La TdP es un tipo de taquicardia ventricular polimórfica caracterizada por complejos con un eje eléctrico que gira alrededor de la línea isoeléctrica y que está asociada a QT largo. Se presenta el caso de una paciente portadora de marcapaso que presenta episodios de taquicardia ventricular polimórfica, con una morfología típica de TdP, sin documentación de QT prolongado previo ni actual, generada por la estimulación ventricular sobre onda T, de forma accidental por desplazamiento del electrodo auricular a Ventrículo Derecho (VD).


Polymorphic ventricular tachycardia is a tachycardia originating in the ventricles, where the QRS complexes have variable morphology, amplitude, and direction, with frequencies ranging between 200 and 250 bpm; it may be self-limited or degenerate into ventricular fibrillation. Torsades de Pointes (TdP) is a type of polymorphic ventricular tachycardia characterized by complexes with an electrical axis that rotates around the isoelectric line and that is associated with long QT interval. We present the case of a patient with a pacemaker who presents episodes of polymorphic ventricular tachycardia, with a typical morphology of TdP, without documentation of previous or current prolonged QT, generated by ventricular stimulation on the T wave, accidentally due to displacement of the atrial electrode to the Right Ventricle (RV).


Subject(s)
Humans , Female , Aged , Pacemaker, Artificial/adverse effects , Cardiac Pacing, Artificial/adverse effects , Torsades de Pointes/etiology , Radiography, Thoracic , Torsades de Pointes/diagnosis , Torsades de Pointes/physiopathology , Tachycardia, Ventricular/diagnosis , Tachycardia, Ventricular/etiology , Fatal Outcome , Electrocardiography
17.
Rev. bras. ciênc. vet ; 30(3): 87-91, jul./set. 2023. il.
Article in English | LILACS, VETINDEX | ID: biblio-1567792

ABSTRACT

Chronic degenerative mitral valve disease is the most common acquired heart disease and the main cause of congestive heart failure (CHF) in middle-aged to elderly dogs, being more frequent in small and miniature breeds, being rare in breeds of medium to large size. This disease is characterized by nodular deformity of the valve leaflets, as well as thickening and, in some cases, distension of the chordae tendineae. Echocardiographic findings include cardiomegaly, thickening of the atrioventricular valves, valve insufficiency and myocardial dysfunction, which, in turn, become more common with the progression of the disease. According to the consensus of the American College of Veterinary Internal Medicine, endocardiosis can be classified into stages, according to its clinical evolution. The objective of the present study was to determine the clinical, electrocardiographic, radiographic and echocardiographic profile of dogs with chronic degenerative mitral valve disease in a cardiology service between the years 2017 to 2022. The selected animals were those whose diagnoses involved valve alteration with association with echocardiographic evaluation. The data obtained were compiled in Microsoft Excel® spreadsheets and evaluated using descriptive statistics and Pearson's correlation using the BioEstat® software. Through the observations and results obtained, it was possible to relate that the hypothesis of the correlation between the severity of clinical signs and the exacerbation of the structural alteration of the heart valves may be indicators of a worse prognosis for the evolution of chronic degenerative mitral valve disease.


A doença valvar degenerativa crônica de mitral (DVDCM) é a cardiopatia adquirida mais comum e principal causa de insuficiência cardíaca congestiva (ICC) em cães de meia idade a idosos, sendo mais frequente em raças de pequeno porte e miniaturas, sendo rara nas raças de médio a grande porte. Essa doença é caracterizada pela deformidade nodular dos folhetos valvulares, assim como espessamento e, em alguns casos, distensão das cordas tendíneas. Os achados ecocardiográficos incluem cardiomegalia, espessamento das válvulas atrioventriculares, insuficiência valvar e disfunção miocárdica que, por sua vez, tornam-se mais comuns com a progressão da doença. De acordo com o consenso do American College of Veterinary Internal Medicine, a endocardiose pode ser classificada em estágios, de acordo com a sua evolução clínica. O objetivo do presente estudo foi determinar o perfil clínico, eletrocardiográfico, radiográfico e ecocardiográfico de cães portadores de doença valvar degenerativa crônica de mitral em um serviço de cardiologia entre os anos de 2017 a 2022. Os animais selecionados foram aqueles cujos diagnósticos envolveram alteração valvar com associação a avaliação ecocardiográfica. Os dados obtidos foram compilados em planilhas do programa Microsoft Excel® e avaliados por meio de estatística descritiva e correlação de Pearson utilizando o software BioEstat®. Por meio das observações e resultados obtidos, possibilitou-se relacionar que a hipótese da correlação entre gravidade dos sinais clínicos com a exacerbação da alteração estrutural das valvas cardíacas podem ser indicadores de prognóstico pior para a evolução da doença valvar degenerativa crônica de mitral.


Subject(s)
Animals , Dogs , Health Profile , Echocardiography/veterinary , Clinical Diagnosis/veterinary , Dogs/abnormalities , Electrocardiography/veterinary , Heart Diseases/veterinary , Heart Valve Diseases/veterinary , Mitral Valve/abnormalities , Mitral Valve Insufficiency/veterinary
18.
Nursing (Ed. bras., Impr.) ; 26(300): 9625-9632, ju.2023. ilus
Article in English, Portuguese | LILACS, BDENF | ID: biblio-1444206

ABSTRACT

Objetivo: relatar a elaboração de um algoritmo para facilitar a interpretação rápida das principais arritmias cardíacas no eletrocardiograma. Método: estudo descritivo, exploratório, com abordagem qualitativa, do tipo relato de experiência, realizado mediante um projeto de intervenção em educação em saúde durante o ano de 2021. Resultados: a elaboração do algoritmo denominado Scaritmo contribuiu para sistematizar as etapas de identificação de arritmias cardíacas, favorecendo o processo didático e aprendizado dos estudantes e otimizando a interpretação rápida do eletrocardiograma. Conclusão: o uso do algoritmo Scaritmo permite a sistematização teórico-prática das etapas necessárias para a interpretação do eletrocardiograma tornando sua avaliação mais didática e assertiva pelo examinador em treinamento.(AU)


Objective: to report the development of an algorithm to facilitate the rapid interpretation of the main cardiac arrhythmias in electrocardiogram. Method: a descriptive, exploratory study with qualitative approach, of experience report type, conducted through an intervention project in health education during the year 2021. Results: The development of the algorithm called Scaritmo contributed to systematize the steps of cardiac arrhythmia identification, favoring the didactic process and student learning, and optimizing the rapid interpretation of the electrocardiogram. Conclusion: The use of the Scaritm algorithm allows the theoretical and practical systematization of the steps necessary for the interpretation of electrocardiograms, making its evaluation more didactic and assertive by the examiner in training.(AU)


Objetivo: relatar el desarrollo de un algoritmo para facilitar la interpretación rápida de las principales arritmias cardíacas en electrocardiograma. Método: estudio descriptivo, exploratorio, con abordaje cualitativo, de tipo relato de experiencia, realizado a través de un proyecto de intervención en educación para la salud durante el año 2021. Resultados: el desarrollo del algoritmo denominado Scaritmo contribuyó para sistematizar los pasos de identificación de arritmias cardíacas, favoreciendo el proceso didáctico y el aprendizaje de los alumnos y optimizando la rápida interpretación del electrocardiograma. Conclusión: El uso del algoritmo Scaritmo permite la sistematización teórica y práctica de los pasos necesarios para la interpretación del electrocardiograma, tornando su evaluación más didáctica y asertiva por el examinador en formación.(AU)


Subject(s)
Arrhythmias, Cardiac , Health Education , Electrocardiography
19.
Bol. latinoam. Caribe plantas med. aromát ; 22(3): 377-392, mayo 2023. graf, tab, ilus
Article in English | LILACS | ID: biblio-1555819

ABSTRACT

This study proposes an unpreceded model of cardiovascular disease by combining alcohol and energy drink intake with hookah smoking to investigate the cardiovascular effects of Baccharis trimera (Less.) DC., a medicinal plant used to treat dyslipidemia. For 10 weeks, Wistar rats (n=8) received alcohol (10% ad libitum) and energy drink (2 mL/kg) and/or were exposed to hookah smoke (1 hour/day). In the last 4 weeks, the animals received daily treatment with vehicle (filtered water) or ethanol soluble fraction of B. trimera (30, 100 and 300 mg/kg). Electrocardiography was performed. Systolic, diastolic, and mean blood pressure, heart rate, and plasmatic cholesterol, triglycerides, urea, creatine, aspartate, and alanine aminotransferase levels were determinate. The heart, aorta, and kidneys were histopathological evaluated. In isolation the risk factors altered all the evaluated parameters and when the risk factors were associated, a synergistic effect was observed. Treatment with B. trimera reversed these cardiovascular changes.


Este estudio propone un modelo sin precedentes de enfermedad cardiovascular mediante la combinación de la ingesta de bebidas energéticas y alcohol con fumar narguile para investigar los efectos cardiovasculares de Baccharis trimera (Less.) DC., una planta utilizada para tratar la dislipidemia. Durante 10 semanas, las ratas Wistar recibieron alcohol (10%) y bebida energética y/o fueron expuestas al humo de narguile. En las últimas 4 semanas, los animales recibieron tratamiento con vehículo, fracción soluble en etanol de B. trimera (30, 100, 300 mg/kg). Se realizó electrocardiografía. Se determinaron los niveles de presión arterial sistólica, diastólica y media, frecuencia cardíaca, colesterol plasmático, triglicéridos, aspartato y alanina aminotransferasa, urea y creatina. El corazón, la aorta y los riñones fueron evaluados histopatológicamente. De forma aislada los factores de riesgo alteraron todos los parámetros evaluados y cuando se asociaron los factores se observó un efecto sinérgico. El tratamiento con B. trimera revirtió estos cardiovasculares cambios.


Subject(s)
Animals , Rats , Plant Extracts/pharmacology , Cardiovascular Diseases/prevention & control , Cardiovascular System/drug effects , Baccharis/chemistry , Aorta/drug effects , Stress, Physiological , Triglycerides/analysis , Blood Pressure/radiation effects , Cholesterol/analysis , Rats, Wistar , Plant Leaves/chemistry , Oxidative Stress , Disease Models, Animal , Ethanol/toxicity , Electrocardiography , Energy Drinks/toxicity , Smoking Pipes , Heart Rate/drug effects , Kidney/drug effects
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