Resultados: 71

Cardiovascular benefits of statin plus ezetimibe combination therapy versus statin monotherapy in acute coronary syndrome: a meta-analysis of randomized controlled trials

Coron. artery dis; 36 (1), 2025
BACKGROUND: The efficacy of adding ezetimibe to statin therapy for event reduction in patients with acute coronary syndromes (ACS) remains a topic of ongoing debate. METHODS: We performed a systematic review and meta-analysis of randomized controlled trials (RCTs) comparing ezetimibe plus statin versus s...

The role of cardiac magnetic resonance in the diagnosis of left ventricular anterior wall pseudoaneurysm after myocardial infarction: A case report

DESCRIPTION OF CLINICAL PRESENTATION: A 47-year-old man with a history of hypertension presented to the emergency department with reports of dyspnea on mild exertion, tachycardic palpitations, bendopnea, and mild lower limb edema. Eight weeks prior to hospital admission, he experienced intense precordial...

Pseudomass presenting with chest pain in the emergency room: pseudoaneurysm of the coronary graft diagnosed by cardiac MRI

DESCRIPTION OF CLINICAL PRESENTATION: A 66-year-old female patient with a history of CABG in 2009 presented to the emergency department with chest pain. Diagnostic Techniques and Their Most Important Findings: She underwent an echocardiogram, which revealed a cardiac mass compressing the left main corona...

Protocolo de dor torácica / síndrome coronariana aguda

Trata-se de um protocolo assistencial gerenciado para o atendimento a pacientes com queixas de dor torácica aguda ou de seus equivalentes, ou seja, sintomas compatíveis com a possibilidade de serem decorrentes de uma síndrome coronária aguda (SCA) ou de outras doenças cardiovasculares graves. Este p...

Experiência inicial com o uso de balão farmacológico em pacientes de hospital terciário do sistema único de saúde
Initial experience with the use of drug-eluting balloons in patients at a tertiary hospital in the unified health system

Int. j. cardiovasc. sci. (Impr.); 37 (suppl. 13), 2024
INTRODUÇÃO: Os balões farmacológicos representam uma alternativa aos stents farmacológicos (SFs) a realização de intervenção coronária percutânea (ICP). São dispositivos capazes de entrega de droga anti-proliferativa na lesão-alvo de forma homogênea, com a vantagem da ausência de suporte m...

Estratificação de risco na prevenção primária e secundária da doença aterosclerótica: papel dos novos escores de risco
Risk stratification in primary and secondary prevention of atherosclerotic disease: the role of new risk scores

Diretrizes médicas recomendam avaliar o risco cardiovascular usando escores para auxiliar a tomada de decisão clínica. A efetiva comunicação do risco ao paciente pode melhorar a conscientização sobre sua condição e a adesão ao tratamento. Vários escores de risco cardiovascular foram desenvolvi...

DOACs versus aspirin for secondary prevention of stroke after ESUS: an updated systematic review and meta-analysis of randomized clinical trials

Circulation; 150 (Suppl. 1), 2024
BACKGROUND: Embolic stroke of undetermined source (ESUS) is a nonlacunar ischemic stroke with no clear cause, having a 4%-5% annual recurrence rate. The potential benefits of direct oral anticoagulants (DOACs) relative to aspirin in patients with ESUS remain unclear. OBJECTIVE: We aimed to perform a syst...

SGLT2 Inhibitors following acute myocardial infarction: a systematic review and meta-analysis

Circulation; 150 (Suppl. 1), 2024
BACKGROUND: Sodium-glucose cotransporter 2 inhibitors (SGLT2i) have demonstrated cardiovascular benefits in various settings. However, their impact after myocardial infarction (MI) in patients without prior heart failure remains unclear. Therefore, we conducted a meta-analysis comparing SGLT2i to placebo...

Artificially sweetened beverages and cardiovascular events: a meta-analysis of nearly one million cohort patients

Circulation; 150 (Suppl. 1), 2024
BACKGROUND: With the rising use of artificial sweeteners as sugar substitutes, concerns regarding their impact on cardiovascular health have emerged. Despite approval by national food regulatory agencies, evidence of their association with clinically significant cardiovascular events remains inconclusive...

From ST-Segment elevation MI to occlusion MI: the new paradigm shift in acute myocardial infarction

JACC. Advances; 3 (11), 2024
A generation ago thrombolytic therapy led to a paradigm shift in myocardial infarction (MI), from Q-wave/non-Q-wave to ST-segment elevation MI (STEMI) vs non-STEMI. Using STE on the electrocardiogram (ECG) as a surrogate marker for acute coronary occlusion (ACO) allowed for rapid diagnosis and treatment....