Resultados: 18

Can contrast injections cause or propagate coronary injuries? Insights from vessel and guiding catheter hemodynamics

J. Am. Coll. Cardiol; 84 (18 Suppl. B), 2024
BACKGROUND The association between hydraulic forces generated during contrast injection and the risk of coronary injury is poorly understood. We evaluated whether contrast injections increase intracoronary pressures beyond resting levels and estimated the risk of hydraulic propagation of coronary dissect...

Visualization of left main ostium by means of optical coherence tomography: a feasibility study

J. Am. Coll. Cardiol; 84 (18 Suppl. B), 2024
BACKGROUND Because of the need for guiding catheter engagement for transient blood clearance during image acquisition, optical coherence tomography (OCT) is not recommended when assessment of the left main (LM) ostium is necessary. METHODS Wetested the ability to visualize the LM ostium with good- qualit...

Cardiomiopatia de Takotsubo associada a feocromocitoma: um caso atípico e complexo
Takotsubo cardiomyopathy associated with pheochromocytoma: an atypical and complex case

Arq. bras. cardiol; 121 (9 supl.1), 2024
INTRODUÇÃO Cardiomiopatia (CMP) induzida por estresse, como a cardiomiopatia de Takotsubo, pode ter características clínicas semelhantes à isquemia miocárdica, como elevação de troponinas, alterações no Eletrocardiograma (ECG), mas sem obstrução coronariana ou lesões isquêmicas. Semelhante,...

PICS/AEPC/APPCS/CSANZ/SCAI/SOLACI: expert consensus statement on cardiac catheterization for pediatric patients and adults with congenital heart disease

JACC cardiovasc. interv; 17 (2), 2024

PICS/AEPC/APPCS/CSANZ/SCAI/SOLACI: expert consensus statement on cardiac catheterization for pediatric patients and adults with congenital heart disease

Left atrial strain as a predictor of left ventricular filling pressures in coronary artery disease with preserved ejection fraction: a comprehensive study with left ventricular end-diastolic and pre-atrial contraction pressures

Assessing left ventricular (LV) filling pressure (LVFP) is challenging in patients with coronary artery disease (CAD) and preserved LV ejection fraction (LVEF). We aimed to correlate left atrial strain (LAS) with two invasive complementary parameters of LVFP and compared its accuracy to other echocardiog...

Avaliação crítica do manejo da angina instável em pronto socorro terciário de cardiologia
Critical evaluation of the management of unstable angina in a tertiary cardiology emergency room

INTRODUÇÃO: O manejo da angina instável gera dúvidas pela sua subjetividade diagnóstica e pouca representação nos grandes ensaios clínicos randomizados. As diretrizes recentes orientam a estratégia invasiva direta (cateterismo cardíaco) apenas para pacientes estratificados como alto risco, por...

Effect of randomized prophylactic nitroglycerin on radial artery spasm during transradial catheterization: an analysis based on operator experience

One limitation to transradial access (TRA) is the occurrence of spasms (RAS), for which the use of prophylactic medications is recommended. Improvement in TRA material combined with the increase in operators' expertise, might mitigate this benefit. We assess the effect of preventive nitroglycerin on RAS ...

Compression of the left main coronary artery by a surgical implanted aortic valve prosthesis – a case report

Arq. bras. cardiol; 119 (4 supl.1), 2022
INTRODUCTION: Cardiovascular disease has been the leading cause of mortality worldwide since the 1960s, including coronary syndrome and valve disease.Surgical implantation of an aortic valve prosthesis is usually a low-risk procedure,but it can be challenging in selected cases.We describe here a compress...

Aterosclerose acelerada em paciente jovem infectado pelo vírus da imunodeficiência humana (HIV) de forma vertical
Accelerated atherosclerosis in a young patient infected with the human immunodeficiency virus (HIV) vertically

J. Transcatheter Interv; 30 (supl.1), 2022
APRESENTAÇÃO CLÍNICA • Identificação: BCPS, 34 anos, masculino. • Antecedentes: Aneurisma aorta tóraco-abdominal, HIV (transmissão vertical, CD4 68 cél/mm3 carga viral indetectável 10/2021), uso de cocaína no passado (abstêmio há 02 anos). • Medicações em uso: Ritonavir, Dolutegravir...