Cardiology Research and Reviews

  • NURSING INTERVENTIONS TO PATIENTS AFFECTED BY ACUTE MYOCARDIAL INFARCTION

    Objective: To identify and describe in the current literature nursing interventions for patients affected by acute myocardial infarction. Methods: This is an integrative literature review conducted with materials indexed in the Virtual Health Library (VHL), in the databases: BDENF, LILACS and MEDLINE. Using as descriptors: Assistance, Myocardial Infarction and Nursing, mediated by the Boolean operator AND. The inclusion criteria were: full text, available, free of charge, in Portuguese, published in the chronicity of time from 2015 to 2020 and which responds to the research theme. Results: After crossing the descriptors, 1701 publications were identified, of which were included in review 10 that met the established criteria. 04 on the basis of LILACS, 01 on MEDLINE and 05 on BDENF, with the following percentages: 40%, 10%, 50%, respectively. Conclusion: It is necessary to continually update the team’s chest pain protocol and approaches to patients affected with acute myocardial infarction, as they present constant changes. Thus, aiming at improvements in interventions, quality assistance, minimization of adverse events and maximization of patient safety.

  • ASSOCIATION BETWEEN THE NUTRITIONAL STATUS AND RISK OF CARDIOVASCULAR DISEASES IN PATIENTS WITH RHEUMATOID ARTHRITIS ACCOMPANIED IN A REFERENCE CENTER IN A BRAZIL NORTHEAST REFERENCE CENTER

    Introduction: Rheumatoid arthritis is an autoimmune and inflammatory disease, chronic and progressive, highly limiting, which can be aggravated when the nutritional status of this patient has dystrophy, so the body composition can influence the activity of this disease. Objective: To evaluate the association between nutritional status and the risk of cardiovascular disease in patients with rheumatoid arthritis in a reference center in the northeast. Material and Methods: Cross-sectional study carried out in a rheumatology clinic of a reference center in Northeast Brazil (Recife / PE) with patients with rheumatoid arthritis. Anthropometric measurements of weight and height were taken to assess the parameter of Body Mass Index (BMI). Measures of waist circumference (WC) and hip circumference (HC) were also taken to assess the parameters of waist-to-height ratio (WHtR) and waist-to-hip ratio (WHR), in order to investigate cardiovascular risk. The data were treated using the SPSS version 17.0 for Windows and Excel 2010. For the correlation analysis, the Chi-square test was used. The level of significance was set at 5%. The Bioethics Research Committee of the Instituto de Medicina Integral Professor Fernando Figueira (IMIP) approved the present study under nº 19163619.1.0000.5201 the participants signed the Informed Consent Form (ICF). Results: The study included 54 patients aged between 18 and 58 years old and a mean age of 47.26 years +/- 11.72 SD, 96.3% of whom were female. 42.9% of the studied population had obesity according to the Body Mass Index, followed by 35.7% with overweight. According to WC 52.6% had an increased risk for cardiovascular diseases. WHR and WHtR found risk for cardiovascular diseases in 64.9% and 84.5%, respectively. The association between BMI and WC was 0.000 p-value, whereas for BMI and WHR, WHtR was 0.176 p-value and 0.095 p-value respectively. Conclusions: There was a prevalence of obesity and overweight in patients…

  • Understanding Health Professionals about Preservation of Silence in the Intensive Care Unit During the Post-Heart Surgery Surgery: a Systematic Review

    Introduction: Through studies in the scientific literature about the measurement of sounds in the Intensive Care Unit environment, it is clear that the noise, continuous sound of equipment and those caused by the health team itself is excessive and above 85dB (decibels), favors increased sensitivity of patients to pain, irritation, post-traumatic stress and may cause psychomotor agitation, delirium, changes in heart rate and sleep. A peaceful environment can bring countless benefits to restoring the health of patients, as well as reducing the stress of professionals. Objective: To analyze some research and studies published in Brazil about the noise in an Intensive Care Unit and the perception that professionals have about this topic. Methods: A systematic literature review was performed with electronic search of articles indexed in PePSIC and SciELO databases, published from 2009 to 2019, in which the inclusion and exclusion criteria were considered. Results: indicate that the noise in this type of place often presents with an oscillating intensity of moderate to intense. It is verified that there is from the professionals a certain level of understanding of the existence of noise in the ICU. Considerations: Despite the finding by professionals about noise, it is also observed that there are few current publications about the awareness of health professionals regarding the importance of preserving a quieter environment and criteria that reinforce effective humanization interventions during the study. postoperative period of cardiac surgery in this type of environment.

  • Homeopathy treatment for Heart Diseases

    World records that two out of six individuals will bite the dust from coronary illness and six out of ten men over age 30 may have indications of coronary illness. The redeeming quality, be that as it may, is heart issues are sensible; furthermore, they can be forestalled, or even switched, with ideal, proficient clinical treatment. A huge number of hazard factors assumes a job in the improvement of coronary illness cigarette, smoking, physical idleness, stress, weight, high blood cholesterol, (hypertension) and diabetes. These components are controllable and not controllable. The most ideal way one can decrease the danger of coronary illness is by limiting, or dodging, the hazard factors-quitting any pretense of smoking, keeping away from liquor, confining salt use, constraining calorie consumption, practicing normally, diminishing enthusiastic pressure, getting observed and researched for hypertension, raised fat, cholesterol and different elements. The initial step, obviously, ought to be meant to bring down one’s hypertension the higher the circulatory strain, the more noteworthy is the danger of coronary episode, stroke and kidney illness. All the more significantly, if any of one’s nearby family members have had hypertension, at an early age, such people ought to be encouraged to have their circulatory strain checked all the time. However it can be miraculously treated by homeopathy

  • INDUCTION OF EXPERIMENTAL TROMBOSES IN ANIMAL MODEL

    Introduction: In vivo studies, related to thrombosis, allow a better understanding of the biological behavior of molecules with thrombolytic properties. Goal: To evaluate the methodological characteristics as well as the efficacy of thrombosis induced by the association of the blood stasis method and ferric chloride (FeCl3). Methodology: Review of published literature on the topic “Experimental thrombosis”. This search was performed in the Pubmed, ScieceDirect, Scielo and Google Academic databases, by crossing the following descriptors: Thrombosis, Fibrinolytics and Cardiovascular Diseases. Articles, dissertations and theses written in Portuguese and English were selected without delimitation of the date of publication. Results: National and international studies have shown that the induction of thrombosis, by association of the methods mentioned above, is simple, cheap and reproducible. In addition, this combination of techniques allows adequate mimicking of the thrombogenic characteristics observed in humans. Conclusion: Studies in biological models are essential for understanding the mechanisms involved in thrombotic disorders.

  • Chemotherapy-induced cardiotoxicity: Preliminary report from a tertiary cancer centre in India

    Cancer has emerged as a major public health issue in India owing to significant epidemiological and demographic transition. As per literature, the overall ten-year survival rate for cancer is at 50% across the 20 most common malignancies. However, the ten-year survival rate is even more high, i.e. approximately 80% or higher for breast, melanoma, lymphoma, and uterine cancers. Contrary to the improved long-term cancer survival rates there has been an increase in adverse cardiac effects of cancer treatment. A retrospective analysis of patients admitted at HCG Manavata Cancer Centre, Nashik was conducted. The study was conducted at a single center comprising of 115 participants. Anthracyline chemotherapy has remained a mainstay treatment approach for cancer patients. Cardiotoxic side-effects of anthracyline chemotherapy regimens often limits their dosing. Although anthracylines have been associated with improved cancer outcomes, there remains an increased risk of cardiovascular morbidity and mortality. Doxorubicin-induced cardio toxicity was 5.45% while trastuzumab cardio toxicity was 5.26% (Table 4). The estimated cardio toxicity rate for our two-year follow-up was 4.08% for all specified chemotherapy regimens. The early detection of cardio toxicity by appropriate follow-up and monitoring is essential. Evaluation of patients using LVEF as a key parameter would help prevent irreversible cardio toxic events. Our preliminary report may act as a base for researchers and academicians to conduct and review ongoing chemotherapy regimens.

  • RVOT Septal Pacing: Short review of History and Technical Requirements for successful implantation

    The idea of Right Ventricular Outflow Tract (RVOT) septal pacing is based on the fact that the septal region of the RVOT and mid RV are the first zones of the ventricle to depolarise , suggesting that pacing from these areas on the right side of the septum would achieve as normal a contraction pattern as possible. This mini review describes short history of pacemaker and evolution of concept of physiological pacing like RVOT Pacing and its technical aspects of successful implantation.

  • Hematological Change in Dogs Infected by Babesia Canis From Recife/Pernambuco

    Introduction: The canine babesiosis is a disease caused by the intra-erythrocyte hematozoa Babesia canis, B. gibsoni and B. vogeli, mainly transmitted by Rhipicefalus sanguineus tick. In Brazil, the most common species is B. canis. Cases of canine babesiosis have been reported in several Brazilian states, and may cause serious damage to the health of animals. Objective: this study aims to analyze the hematological alterations of dogs treated at a veterinary clinic. Methodology: the research was retrospective, exploratory, descriptive and cross-sectional with quantitative-qualitative approach, and it was carried out at the clinic Bicho Estimado – Cordeiro, Recife-PE. Data collection was performed in the database of the Clinic laboratory, where reports of complete blood count and hematozoal examination were consulted, referring to the period from May 2012 to December 2014. Results: 716 laboratory reports were analyzed. A mean positivity of 20.11% was found for canine babesiosis, diagnosed by the blood draw technique stained by Giemsa. With regard to the hemogram, the following results were obtained: erythrocytes with an average value of 5.36 million/μL [reference value (VR)= 5,5 to 8,5] and platelets 183.5 thousand/μL (200-500 thousand/μL). Discussion: The hemogram showed the presence of anemia, with values of hemoglobin below the reference values. In the leukogram, monocytopenia and mild neutrophilia were observed. He also had thrombocytopenia and a high positivity for babesia. Conclusion: the results showed that babesiosis affects dogs of this region with a relevant frequency, causing alterations in some hematological parameters. The data indicate that the city has favorable conditions and an environment conducive to the contact of dogs with the transmitting agent, an important fact to outline future prevention, education and treatment strategies.

  • Psychological Care Occurs in Pre and Postoperative Cardiac Valve Replacement Surgery

    Introduction: Cardiovascular diseases affect many individuals and their medical evaluation identifies the need for surgery, such as myocardial revascularization, valve replacement, among others. Cardiac valve replacement is a possibility for patients to promote their quality of life, which requires the performance of a multidisciplinary team, and the psychological support to the patient collaborates for its recovery. Objective: To describe how psychological care occurs in pre and postoperative cardiac valve replacement surgery. Methodology: Experience report. Results and discussion: In the preoperative period of this surgery, the psychologist performs an interview to evaluate the patient, analyzes whether he has a history of mental disorder and establishes a host and attachment for follow-up, and in the postoperative period, focuses on recovery and psychological support to the patient, aiming to raise awareness of the quality of life. Conclusion: The insertion of the psychologist in the health team is essential for the patient care in this surgery, offering psychological support and speech space to express the patient’s desires before surgery and the chronicity of this disease.

  • Prevalence of Obesity in Hypertensive Patients

    Introduction: Obesity is an independent risk factor for cardiovascular diseases and plays a central role in the metabolic syndrome, which involves hypertension, insulin resistance and dyslipidemia. The prevalence of hypertension is about 3 times higher in obese patients. In the treatment of hypertension associated with obesity the decrease of the BMI plays central role in the reduction of the pressure. Objective: To investigate the prevalence of obesity in hypertensive patients. Methods: A descriptive cross-sectional study of the documental type with a quantitative approach was carried out from 150 medical records of adult hypertensive patients followed up by the HIPERDIA program in the first half of 2017 at the Pororoca basic health unit in the municipality of Santa Cecília -PB. The body mass index was used to classify the nutritional status. Results and Discussion: 51% female, 49% male. 10% adequate weight, 65% overweight and 25% obesity. The prevalence of obesity in the studied population was 25%, while 65% of the sample were overweight. Only a small part, 10%, was found as the proper weight. There was no discrepancy in the percentage of male and female users. Conclusion: The results of the present study show a high prevalence of overweight and obesity, reinforcing the need for strategies that promote the reduction of obesity among hypertensive individuals. For this, the identification of obesity should be part of the routine actions of basic attention to the health of the hypertensive ones.