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Barbiero SM, Carloto RB, Pereira DS, Schwantes GC, Guimarães MM, Goulart MR, Schuh DS, Pellanda LC. Cardiovascular Risk Factors in Children and Adolescents with Fontan Circulation. International Journal of Cardiovascular Sciences 2022. [DOI: 10.36660/ijcs.20200357] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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Mari MA, Teixeira PP, Pellanda LC. School Health Education Program “Happy Life, Healthy Heart”: A Randomized Clinical Trial. International Journal of Cardiovascular Sciences 2022. [DOI: 10.36660/ijcs.20200044] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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Cesa CC, Molino GOG, Lima J, Pereira RB, Eibel B, Barbiero SM, Schaan BD, Pellanda LC. Physical Activity and Cardiovascular Risk Factors in Children: a Meta-Analysis Update. International Journal of Cardiovascular Sciences 2021. [DOI: 10.36660/ijcs.20210137] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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Mesenburg MA, Hallal PC, Menezes AMB, Barros AJD, Horta BL, Hartwig FP, Jacques N, Pellanda LC, Zelmanowicz ADM, Vergani DOP, Ries EF, Harter J, Martínez-Mesa J, Carneiro M, Estima SL, Heck TG, Silveira MFD. Prevalence of symptoms of COVID-19 in the state of Rio Grande do Sul: results of a population-based study with 18,000 participants. Rev Saude Publica 2021; 55:82. [PMID: 34816983 PMCID: PMC8601401 DOI: 10.11606/s1518-8787.2021055004030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2021] [Accepted: 07/12/2021] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVE To evaluate the prevalence of reports of symptoms of COVID-19 among individuals with and without antibodies and identify those with greater capability to predict the presence of antibodies against SARS-CoV-2. METHODS The study uses data collected in phases 5 to 8 of Epicovid-19-RS. The presence of antibodies against SARS-CoV-2 was evaluated by a rapid test. The occurrence of cough, fever, palpitations, sore throat, difficulty breathing, changes in taste and smell, vomiting, diarrhea, body pain, shaking, and headache since March 2020 was also evaluated. Then, the capability to predict the evaluated symptoms concerning the presence of antibodies was calculated. RESULTS A total of 18,000 individuals were interviewed and 181 had antibodies against COVID-19 in phases 5 to 8. The proportion of asymptomatic individuals was 19.9% among participants with antibodies and 49.7% among those without antibodies. All symptoms were reported more frequently by individuals with antibodies. The division of the prevalence of symptoms among individuals with antibodies by the prevalence among individuals without antibodies showed the following prevalence ratios: for changes in smell or taste (9.1), fever (4.2), tremors (3.9), breathing difficulty (3.2) and cough (2.8 times). Anosmia and fever were the symptoms with a greater capability to predict the presence of antibodies. CONCLUSION The prevalence of symptoms was higher among individuals with antibodies against SARS-CoV-2. The proportion of asymptomatic individuals was low. Altered smell or taste and fever were the symptoms that most predict the presence of antibodies. These results can help to identify probable cases, contributing to the clinical diagnosis and screening of patients for testing and isolation guidance in positive cases, especially in scenarios of the scarcity of diagnostic COVID-19 tests.
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Affiliation(s)
- Marilia Arndt Mesenburg
- Universidade Federal de Pelotas. Faculdade de Medicina. Programa de Pós-Graduação em Epidemiologia. Pelotas, RS, Brasil.,Universidade Federal de Ciências da Saúde de Porto Alegre. Departamento de Saúde Coletiva. Porto Alegre, RS, Brasil
| | - Pedro Curi Hallal
- Universidade Federal de Pelotas. Faculdade de Medicina. Programa de Pós-Graduação em Epidemiologia. Pelotas, RS, Brasil
| | - Ana Maria Baptista Menezes
- Universidade Federal de Pelotas. Faculdade de Medicina. Programa de Pós-Graduação em Epidemiologia. Pelotas, RS, Brasil
| | - Aluísio J D Barros
- Universidade Federal de Pelotas. Faculdade de Medicina. Programa de Pós-Graduação em Epidemiologia. Pelotas, RS, Brasil
| | - Bernardo Lessa Horta
- Universidade Federal de Pelotas. Faculdade de Medicina. Programa de Pós-Graduação em Epidemiologia. Pelotas, RS, Brasil
| | - Fernando Pires Hartwig
- Universidade Federal de Pelotas. Faculdade de Medicina. Programa de Pós-Graduação em Epidemiologia. Pelotas, RS, Brasil
| | - Nadege Jacques
- Universidade Federal de Pelotas. Faculdade de Medicina. Programa de Pós-Graduação em Epidemiologia. Pelotas, RS, Brasil
| | - Lucia Campos Pellanda
- Universidade Federal de Ciências da Saúde de Porto Alegre. Departamento de Saúde Coletiva. Porto Alegre, RS, Brasil
| | | | | | - Edi Franciele Ries
- Universidade Federal de Santa Maria. Centro de Ciências da Saúde. Departamento de Saúde Coletiva. Santa Maria, RS, Brasil
| | - Jenifer Harter
- Universidade Federal do Pampa. Unidade Uruguaiana. Curso de Enfermagem. Uruguaiana, RS, Brasil
| | - Jeovany Martínez-Mesa
- Faculdade IMED Passo Fundo. Escola de Medicina. Programa de Pós-Graduação em Psicologia. Passo Fundo, RS, Brasil
| | - Marcelo Carneiro
- Universidade de Santa Cruz do Sul. Curso de Medicina. Programa de Pós-Graduação Promoção da Saúde. Santa Cruz, RS, Brasil
| | | | - Thiago Gomes Heck
- Universidade Regional do Noroeste do Estado do Rio Grande do Sul. Programa de Pós-Graduação em Atenção Integral à Saúde. Ijuí, RS, Brasil.,Universidade Regional do Noroeste do Estado do Rio Grande do Sul. Programa de Pós-Graduação em Modelagem Matemática e Computacional. Ijuí, RS, Brasil
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Gonçalves MR, Dos Reis RCP, Tólio RP, Pellanda LC, Schmidt MI, Katz N, Mengue SS, Hallal PC, Horta BL, Silveira MF, Umpierre RN, Bastos-Molina CG, Souza da Silva R, Duncan BB. Social Distancing, Mask Use, and Transmission of Severe Acute Respiratory Syndrome Coronavirus 2, Brazil, April-June 2020. Emerg Infect Dis 2021; 27:2135-2143. [PMID: 34087090 PMCID: PMC8314805 DOI: 10.3201/eid2708.204757] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/04/2022] Open
Abstract
We assessed the associations of social distancing and mask use with symptomatic, laboratory-confirmed severe acute respiratory syndrome coronavirus 2 infection in Porto Alegre, Brazil. We conducted a population-based case-control study during April–June 2020. Municipal authorities furnished case-patients, and controls were taken from representative household surveys. In adjusted logistic regression analyses of 271 case-patients and 1,396 controls, those reporting moderate to greatest adherence to social distancing had 59% (odds ratio [OR] 0.41, 95% CI 0.24–0.70) to 75% (OR 0.25, 95% CI 0.15–0.42) lower odds of infection. Lesser out-of-household exposure (vs. going out every day all day) reduced odds from 52% (OR 0.48, 95% CI 0.29–0.77) to 75% (OR 0.25, 95% CI 0.18–0.36). Mask use reduced odds of infection by 87% (OR 0.13, 95% CI 0.04–0.36). In conclusion, social distancing and mask use while outside the house provided major protection against symptomatic infection.
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Piccoli Â, Neiva-Silva L, Pellanda LC. Family Functioning of Adolescents with Congenital Cardiopathy in a Sample from Public Schools in Porto Alegre - RS. International Journal of Cardiovascular Sciences 2020. [DOI: 10.36660/ijcs.20190113] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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Xavier IBM, Biscarra VB, Piccoli ÂB, Rodrigues CG, Hirakata VN, Moraes MAPD, Pellanda LC. Nursing Guidelines on Cardiac Surgery and Parents' Anxiety: Randomized Clinical Trial. Braz J Cardiovasc Surg 2020; 35:437-444. [PMID: 32864921 PMCID: PMC7454628 DOI: 10.21470/1678-9741-2019-0345] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Objective The preparation of parents of children who should undergo cardiac surgery requires special treatment such as the explanations about the event. This study aims to compare the effects of standardized nursing guidelines with routine institutional orientation on the anxiety of parents of children undergoing cardiac surgery. Methods Randomized clinical trial. The sample consisted of parents of children who underwent cardiac surgery from December 2010 to April 2011. Twenty-two parents were randomized to the intervention group (IG) and received the standard nursing guidelines and 22 participated in the control group (CG) and received the routine guidelines from the institution. Anxiety was assessed by the State-Trait Anxiety Inventory (STAI) applied in the preoperative period, between 12 and 20 hours before surgery and before receiving standard or institutional guidelines and 48 hours after surgery. The analysis of variance (ANOVA) for repeated measures was performed to evaluate the differences between the variations in STAI scores between the groups during the studied period. The level of significance was 0.05. Results There were no significant differences in baseline anxiety scores between groups with regard to trait anxiety as well as state anxiety: STAI-trait (CG 42.6±4.9 vs. IG 41.4±6.0, P=0.48); STAI-state (CG 42.3±5.7 vs. IG 45.6±8.3, P=0.18). Likewise, the variation in score after 48 hours was similar between groups (STAI-trait P=0.77; STAI-state P=0.61). Conclusion There were no significant differences in the parents’ anxiety levels when comparing the two types of guidelines: the standard nursing and the institutional orientation.
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Affiliation(s)
| | - Virginia Borne Biscarra
- Instituto de Cardiologia/Fundação Universitária de Cardiologia - IC/FUC, Porto Alegre, RS, Brazil
| | - Ângela Bein Piccoli
- Instituto de Cardiologia/Fundação Universitária de Cardiologia - IC/FUC, Porto Alegre, RS, Brazil
| | | | | | | | - Lucia Campos Pellanda
- Instituto de Cardiologia/Fundação Universitária de Cardiologia - IC/FUC, Porto Alegre, RS, Brazil.,Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS, Brazil
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Campos EFDL, Perin L, Assmann M, Lucchese F, Pellanda LC. Knowledge about the Disease and the Practice of Physical Activity in Children and Adolescents with Congenital Heart Disease. Arq Bras Cardiol 2020; 114:786-792. [PMID: 32491070 PMCID: PMC8387008 DOI: 10.36660/abc.20180417] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2018] [Accepted: 07/17/2019] [Indexed: 02/03/2023] Open
Abstract
Fundamento O conhecimento sobre a própria doença pode ser importante para o autocuidado em pacientes com vários problemas e abrange a informação sobre o diagnóstico até as implicações clínicas mais importantes. Objetivo Identificar o nível de conhecimento de crianças e adolescentes com cardiopatia congênita (CC) sobre a sua doença, e analisar a relação entre o nível de conhecimento e a prática de atividade física. Métodos Estudo transversal com 335 pacientes com CC, de 8 a 13 anos, acompanhados em um serviço de cardiologia pediátrica de referência no Sul do Brasil. Os pacientes foram entrevistados em relação ao seu conhecimento sobre a CC e foi realizada revisão dos prontuários para obtenção de detalhes sobre a cardiopatia e os procedimentos. Foi utilizado o nível de significância p < 0,05. Resultados Mais de 50% das crianças e adolescentes não sabiam referir o nome de sua doença ou explicá-la. Após OR ajustado (ORaj), mostraram potencial para respostas incorretas ou não saber sua doença os pacientes cianóticos em relação aos acianóticos (ORaj: 2,29; IC95%: 1,76-6,71; p=0,019); crianças com menor nível de escolaridade (ORaj: 2,20; IC95%: 1,81-5,86; p=0,025); e não praticantes de atividade física (ORaj: 1,88; IC95%: 1,09-3,45; p=0,011). Conclusão As crianças e adolescentes cianóticos, com menor nível de escolaridade e que não praticavam de atividade física apresentaram pouco conhecimento sobre a sua doença. Há necessidade do desenvolvimento de estratégias de intervenções educativas para aumento do conhecimento e mudança comportamental na promoção da atividade física, de acordo com a complexidade da CC. (Arq Bras Cardiol. 2020; 114(5):786-792)
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Affiliation(s)
- Elisandra Furlan de Lima Campos
- Programa de Pós-Graduação em Ciências da Saúde: Cardiologia. Instituto de Cardiologia do Rio Grande do Sul - Fundação Universitária de Cardiologia, Porto Alegre, RS - Brasil
| | - Lisiane Perin
- Programa de Pós-Graduação em Ciências da Saúde: Cardiologia. Instituto de Cardiologia do Rio Grande do Sul - Fundação Universitária de Cardiologia, Porto Alegre, RS - Brasil
| | - Melina Assmann
- Programa de Pós-Graduação em Ciências da Saúde: Cardiologia. Instituto de Cardiologia do Rio Grande do Sul - Fundação Universitária de Cardiologia, Porto Alegre, RS - Brasil
| | - Fernanda Lucchese
- Programa de Pós-Graduação em Ciências da Saúde: Cardiologia. Instituto de Cardiologia do Rio Grande do Sul - Fundação Universitária de Cardiologia, Porto Alegre, RS - Brasil
| | - Lucia Campos Pellanda
- Programa de Pós-Graduação em Ciências da Saúde: Cardiologia. Instituto de Cardiologia do Rio Grande do Sul - Fundação Universitária de Cardiologia, Porto Alegre, RS - Brasil.,Departamento de Saúde Coletiva - Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS - Brasil
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Précoma DB, Oliveira GMMD, Simão AF, Dutra OP, Coelho OR, Izar MCDO, Póvoa RMDS, Giuliano IDCB, Alencar Filho ACD, Machado CA, Scherr C, Fonseca FAH, Santos Filho RDD, Carvalho TD, Avezum Á, Esporcatte R, Nascimento BR, Brasil DDP, Soares GP, Villela PB, Ferreira RM, Martins WDA, Sposito AC, Halpern B, Saraiva JFK, Carvalho LSF, Tambascia MA, Coelho-Filho OR, Bertolami A, Correa Filho H, Xavier HT, Faria-Neto JR, Bertolami MC, Giraldez VZR, Brandão AA, Feitosa ADDM, Amodeo C, Souza DDSMD, Barbosa ECD, Malachias MVB, Souza WKSBD, Costa FAAD, Rivera IR, Pellanda LC, Silva MAMD, Achutti AC, Langowiski AR, Lantieri CJB, Scholz JR, Ismael SMC, Ayoub JCA, Scala LCN, Neves MF, Jardim PCBV, Fuchs SCPC, Jardim TDSV, Moriguchi EH, Schneider JC, Assad MHV, Kaiser SE, Lottenberg AM, Magnoni CD, Miname MH, Lara RS, Herdy AH, Araújo CGSD, Milani M, Silva MMFD, Stein R, Lucchese FA, Nobre F, Griz HB, Magalhães LBNC, Borba MHED, Pontes MRN, Mourilhe-Rocha R. Updated Cardiovascular Prevention Guideline of the Brazilian Society of Cardiology - 2019. Arq Bras Cardiol 2019; 113:787-891. [PMID: 31691761 PMCID: PMC7020870 DOI: 10.5935/abc.20190204] [Citation(s) in RCA: 41] [Impact Index Per Article: 8.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/05/2022] Open
Affiliation(s)
- Dalton Bertolim Précoma
- Pontifícia Universidade Católica do Paraná (PUC-PR), Curitiba, PR - Brazil
- Sociedade Hospitalar Angelina Caron, Campina Grande do Sul, PR - Brazil
| | | | | | | | | | | | | | | | | | | | | | | | - Raul Dias Dos Santos Filho
- Instituto do Coração (InCor) do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (USP), São Paulo, SP - Brazil
- Hospital Israelita Albert Einstein, São Paulo, SP - Brazil
| | - Tales de Carvalho
- Clínica Cardiosport de Prevenção e Reabilitação, Florianópolis, SC - Brazil
- Departamento de Ergometria e Reabilitação Cardiovascular da Sociedade Brazileira de Cardiologia (DERC/SBC), Rio de Janeiro, RJ - Brazil
- Universidade do Estado de Santa Catarina (UDESC), Florianópolis, SC - Brazil
| | - Álvaro Avezum
- Hospital Alemão Oswaldo Cruz, São Paulo, SP - Brazil
| | - Roberto Esporcatte
- Universidade do Estado do Rio de Janeiro (UERJ), Rio de Janeiro, RJ - Brazil
- Hospital Pró-Cardíaco, Rio de Janeiro, RJ - Brazil
| | - Bruno Ramos Nascimento
- Hospital das Clínicas da Universidade Federal de Minas Gerais, Belo Horizonte, MG - Brazil
| | - David de Pádua Brasil
- Faculdade de Ciências Médicas de Minas Gerias (CMMG) da Fundação Educacional Lucas Machado (FELUMA), Belo Horizonte, MG - Brazil
- Hospital Universitário Ciências Médicas (HUCM), Belo Horizonte, MG - Brazil
- Universidade Federal de Lavas (UFLA), Lavras, MG - Brazil
| | - Gabriel Porto Soares
- Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ - Brazil
- Universidade de Vassouras, Vassouras, RJ - Brazil
| | - Paolo Blanco Villela
- Hospital Universitário Clementino Fraga Filho da Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ - Brazil
- Hospital Samaritano, Rio de Janeiro, RJ - Brazil
| | | | - Wolney de Andrade Martins
- Universidade Federal Fluminense (UFF), Niterói, RJ - Brazil
- Complexo Hospitalar de Niterói, Niterói, RJ - Brazil
| | - Andrei C Sposito
- Universidade Estadual de Campinas (UNICAMP), Campina, SP - Brazil
| | - Bruno Halpern
- Universidade de São Paulo (USP), São Paulo, SP - Brazil
| | | | | | | | | | | | | | | | | | | | - Viviane Zorzanelli Rocha Giraldez
- Instituto do Coração (InCor) do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (USP), São Paulo, SP - Brazil
| | | | | | - Celso Amodeo
- Universidade Federal de São Paulo (UNIFESP), São Paulo, SP - Brazil
| | | | | | | | | | | | | | - Lucia Campos Pellanda
- Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre, RS - Brazil
- Fundação Universitária de cardiologia do RS (ICFUC), Porto Alegre, RS - Brazil
| | | | | | | | | | - Jaqueline Ribeiro Scholz
- Instituto do Coração (InCor) do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (USP), São Paulo, SP - Brazil
| | | | - José Carlos Aidar Ayoub
- Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, SP - Brazil
- Instituto de Moléstias Cardiovasculares, São José do Rio Preto, SP - Brazil
| | | | - Mario Fritsch Neves
- Universidade do Estado do Rio de Janeiro (UERJ), Rio de Janeiro, RJ - Brazil
| | | | | | | | | | - Jamil Cherem Schneider
- SOS Cardio, Florianópolis, SC - Brazil
- Universidade do Sul de SC (Unisul), Florianópolis, SC - Brazil
| | | | | | - Ana Maria Lottenberg
- Hospital Israelita Albert Einstein, São Paulo, SP - Brazil
- Laboratório de Lípides (LIM10), Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), São Paulo, São Paulo, SP - Brazil
| | | | - Marcio Hiroshi Miname
- Instituto do Coração (InCor) do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (USP), São Paulo, SP - Brazil
| | - Roberta Soares Lara
- Instituto de Nutrição Roberta Lara, Itu, SP - Brazil
- Diadia Nutrição e Gastronomia, Itu, SP - Brazil
| | - Artur Haddad Herdy
- Instituto de Cardiologia de Santa Catarina, São José, SC - Brazil
- Clínica Cardiosport de Prevenção e Reabilitação, Florianópolis, SC - Brazil
| | | | | | | | - Ricardo Stein
- Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS - Brazil
| | | | | | - Hermilo Borba Griz
- Hospital Santa Joana Recife, Recife, PE - Brazil
- Hospital Agamenon Magalhães, Recife, PE - Brazil
| | | | | | - Mauro Ricardo Nunes Pontes
- Santa Casa de Misericórdia de Porto Alegre, Porto Alegre, RS - Brazil
- Hospital São Francisco, Porto Alegre, RS - Brazil
| | - Ricardo Mourilhe-Rocha
- Universidade do Estado do Rio de Janeiro (UERJ), Rio de Janeiro, RJ - Brazil
- Hospital Pró-Cardíaco, Rio de Janeiro, RJ - Brazil
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Dalmazo AL, Fetter C, Goldmeier S, Irigoyen MC, Pellanda LC, Barbosa ECD, Moreira TR, Osório DRD. Stress and Food Consumption Relationship in Hypertensive Patients. Arq Bras Cardiol 2019; 113:374-380. [PMID: 31482989 PMCID: PMC6882396 DOI: 10.5935/abc.20190175] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2018] [Accepted: 12/19/2018] [Indexed: 11/20/2022] Open
Abstract
BACKGROUND Stress is a state of threat to the balance of the organism, which can cause biological and psychological changes. In hypertensive patients, stress can interfere with blood pressure levels, influence on food choices and neglect of the diet. OBJECTIVE This study aims to describe the relationship between stress and dietary intake of hypertensive patients. METHODS A transversal study was carried out at the Arterial Hypertension Clinic of the Cardiology Institute of Rio Grande do Sul, Brazil. The participants were aged ≥ 18 years and hypertensive. Blood pressure, food consumption and anthropometric measurements were collected. The variables related to stress were evaluated by the Lipp's Stress Symptoms Inventory (LSSI) for adults. Significance level of 5% has been considered for all analyzed data. RESULTS The number of participants was 100. There was a higher prevalence of the female sex (67%), the mean age of the study population was 55.87 ± 12.55 years. Among the participants, 86% were classified in some of the stress phases, on which 57% were in the resistance phase. It was observed that there was no correlation between the presence of stress (as well as their actions), pressure levels and food consumption. The consumption of foods rich in lipids and individuals with a prevalence of psychological symptoms of stress displayed a significant association. CONCLUSIONS Rich in fat dietary has been the first choice in patients with psychological symptoms of stress. Further studies regarding remodeled dietary intake and blood pressure levels in relation to the stress phases are suggested. These findings are important to contribute to the development of prevention and treatment strategies for cardiovascular diseases.
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Affiliation(s)
- Aline Lopes Dalmazo
- Instituto de Cardiologia do Rio Grande do Sul - Laboratório de Investigação Clínica (LIC), Porto Alegre, RS - Brazil
| | - Claudia Fetter
- Instituto de Cardiologia do Rio Grande do Sul - Laboratório de Investigação Clínica (LIC), Porto Alegre, RS - Brazil
| | - Silvia Goldmeier
- Instituto de Cardiologia do Rio Grande do Sul - Laboratório de Investigação Clínica (LIC), Porto Alegre, RS - Brazil
| | - Maria Claudia Irigoyen
- Instituto de Cardiologia do Rio Grande do Sul - Laboratório de Investigação Clínica (LIC), Porto Alegre, RS - Brazil
| | - Lucia Campos Pellanda
- Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS - Brazil
| | - Eduardo Costa Duarte Barbosa
- Instituto de Cardiologia do Rio Grande do Sul - Laboratório de Investigação Clínica (LIC), Porto Alegre, RS - Brazil
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Pellanda LC. Dietary Patterns and Healthy Habits Along the Life Course. Arq Bras Cardiol 2019; 113:60-61. [PMID: 31411293 PMCID: PMC6684193 DOI: 10.5935/abc.20190127] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- Lucia Campos Pellanda
- Universidade Federal de Ciências da Saude de Porto Alegre - Saúde Coletiva, Porto Alegre, RS - Brazil.,Instituto de Cardiologia / Fundação Universitária de Cardiologia (IC/FUC), Porto Alegre, RS - Brazil
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Cunha LF, Pellanda LC, Reppold CT. Positive Psychology and Gratitude Interventions: A Randomized Clinical Trial. Front Psychol 2019; 10:584. [PMID: 30949102 PMCID: PMC6437090 DOI: 10.3389/fpsyg.2019.00584] [Citation(s) in RCA: 25] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2018] [Accepted: 03/01/2019] [Indexed: 11/13/2022] Open
Abstract
Objective: The purpose of this study was to assess the effect of a gratitude intervention on a community sample of adults in relation to aspects involving well-being and mental health. Methods: A randomized clinical trial was conducted with 1,337 participants, composed of an intervention group (Gratitude group, n = 446), and two control groups (Hassles group, n = 444 and Neutral Events group, n = 447). Participants assigned to the intervention condition were asked to write daily gratitude lists for 14 days, listing moments they had been grateful for during the day. The outcomes analyzed were affect, depression, happiness and life satisfaction. Participants completed the positive affect and negative affect schedule (PANAS), center for epidemiological studies depression scale (CES-D), subjective happiness scale (SHS), and satisfaction with life scale (SWLS) three times: pre- and post-intervention and at 14 days after the end of the intervention. Due to attrition, the number of participants analyzed was 410. Results: Before the intervention, the groups did not differ in any of the variables examined, and loss to follow-up was random among the three groups. The gratitude intervention managed to increase positive affect, subjective happiness and life satisfaction, and reduce negative affect and depression symptoms. This change was greater than the changes in the control groups in relation to positive affect. In the other outcomes analyzed, similar changes were observed in the gratitude intervention and the neutral events intervention. Conclusion: Some similarities were found between the Gratitude and the Neutral Events groups probably because participants in the last group usually recorded positive events from their days on the lists, turning it into an activity very similar to that proposed to the gratitude group. Some limitations of the study are discussed, such as the high dropout rate for self-performed online interventions. It is necessary to investigate which characteristics of an intervention ensure better results when the intervention is performed online. Trial Registration: The study is registered in the Brazilian Clinical Trials Registry, under No. RBR-9j9myd. Trial URL: http://www.ensaiosclinicos.gov.br/rg/RBR-9j9myd/.
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Affiliation(s)
- Lúzie Fofonka Cunha
- Psychological Assessment Laboratory, Psychology Department, Federal University of Health Sciences of Porto Alegre (UFCSPA), Porto Alegre, Brazil
| | - Lucia Campos Pellanda
- Community Health Department, Federal University of Health Sciences of Porto Alegre (UFCSPA), Porto Alegre, Brazil
| | - Caroline Tozzi Reppold
- Psychological Assessment Laboratory, Psychology Department, Federal University of Health Sciences of Porto Alegre (UFCSPA), Porto Alegre, Brazil
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Schaan CW, Feltez G, Schaan BD, Pellanda LC. FUNCTIONAL CAPACITY IN CHILDREN AND ADOLESCENTS WITH CONGENITAL HEART DISEASE. Rev paul pediatr 2019; 37:65-72. [PMID: 30624535 PMCID: PMC6362379 DOI: 10.1590/1984-0462/;2019;37;1;00016] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/22/2017] [Accepted: 12/06/2017] [Indexed: 11/22/2022]
Abstract
Objective: To evaluate the physical activity level and functional capacity of children and adolescents with congenital heart disease and to describe correlations between functionality, surgical and echocardiographic findings, metabolic and inflammatory profile and differences between acyanotic and cyanotic heart defects. Methods: A cross-sectional study including children and adolescents with congenital heart disease between six and 18 years old that were evaluated with the 6-minute walk test (6MWT) to assess functional capacity. The short version form of the International Physical Activity Questionnaire (IPAQ) was performed to evaluate physical activity levels. Also, echocardiography and blood collection, to evaluate the metabolic (blood glucose, lipids, insulin) and inflammatory markers (C-reactive protein), were assessed. Results: Twenty-five individuals were evaluated. Of them, 14 had acyanotic heart defects and 11 cyanotic heart defects. Mean age was 12.0±3.7 years, and 20 (80%) were male. IPAQ showed that six (24%) individuals were very active, eight (32%) were active, nine (36%) had irregular physical activity, and two (8%) were sedentary. The mean distance walked in the 6MWT, considering all studied individuals, was 464.7±100.4 m, which was 181.4±42.0 m less than the predicted (p=0.005). There was a positive correlation between Z score 6MWT and the number of surgical procedures (r=-0.455; p=0.022). Conclusions: Children and adolescents with congenital heart disease have low functional capacity, but they are not completely sedentary.
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Radaelli G, Sausen G, Cesa CC, Santos FDS, Portal VL, Neyeloff JL, Pellanda LC. Statin Treatments And Dosages In Children With Familial Hypercholesterolemia: Meta-Analysis. Arq Bras Cardiol 2018; 111:810-821. [PMID: 30365601 PMCID: PMC6263457 DOI: 10.5935/abc.20180180] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2018] [Accepted: 06/27/2018] [Indexed: 11/21/2022] Open
Abstract
Background Children with familial hypercholesterolemia may develop early endothelial
damage leading to a high risk for the development of cardiovascular disease
(CVD). Statins have been shown to be effective in lowering LDL cholesterol
levels and cardiovascular events in adults. The effect of statin treatment
in the pediatric population is not clearly demonstrated. Objective To systematically review the literature to evaluate the effects of different
statins and dosages in total cholesterol levels in children and adolescents
with familial hypercholesterolemia. We also aimed to evaluate statin safety
in this group. Methods PubMed, EMBASE, Bireme, Web of Science, Cochrane Library, SciELO and LILACS
databases, were searched for articles published from inception until
February 2016. Two independent reviewers performed the quality assessment of
the included studies. We performed a meta-analysis with random effects and
inverse variance, and subgroup analyses were performed. Results Ten trials involving a total of 1543 patients met the inclusion criteria. Our
study showed reductions in cholesterol levels according to the intensity of
statin doses (high, intermediate and low): (-104.61 mg/dl, -67.60 mg/dl,
-56.96 mg/dl) and in the low-density lipoprotein cholesterol level:
[-105.03 mg/dl (95% CI -115.76, -94.30), I2 19.2%],
[-67.85 mg/dl (95% CI -83.36, -52.35), I2 99.8%],
[-58.97 mg/dl (95% CI -67.83, -50.11), I2 93.8%. The duration of
statin therapy in the studies ranged from 8 to 104 weeks, precluding
conclusions about long-term effects. Conclusion Statin treatment is efficient in lowering lipids in children with FH. There
is need of large, long-term and randomized controlled trials to establish
the long-term safety of statins.
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Affiliation(s)
- Graciane Radaelli
- Instituto de Cardiologia - Fundação Universitária de Cardiologia - IC/FUC, Porto Alegre, RS - Brazil
| | - Grasiele Sausen
- Instituto de Cardiologia - Fundação Universitária de Cardiologia - IC/FUC, Porto Alegre, RS - Brazil
| | - Claudia Ciceri Cesa
- Instituto de Cardiologia - Fundação Universitária de Cardiologia - IC/FUC, Porto Alegre, RS - Brazil
| | | | - Vera Lucia Portal
- Instituto de Cardiologia - Fundação Universitária de Cardiologia - IC/FUC, Porto Alegre, RS - Brazil
| | - Jeruza Lavanholi Neyeloff
- Instituto de Cardiologia - Fundação Universitária de Cardiologia - IC/FUC, Porto Alegre, RS - Brazil
| | - Lucia Campos Pellanda
- Instituto de Cardiologia - Fundação Universitária de Cardiologia - IC/FUC, Porto Alegre, RS - Brazil
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Radaelli G, Sausen G, Cesa CC, Portal VL, Pellanda LC. Secondary Dyslipidemia In Obese Children - Is There Evidence For Pharmacological Treatment? Arq Bras Cardiol 2018; 111:356-361. [PMID: 30156604 PMCID: PMC6173338 DOI: 10.5935/abc.20180155] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2017] [Accepted: 09/01/2017] [Indexed: 12/25/2022] Open
Abstract
BACKGROUND Long-term safety, effectiveness and criteria for treatment with statins in children are still unclear in clinical practice. There is very limited evidence for the use of medication to treat children with dyslipidemia secondary to obesity who do not respond well to lifestyle modification. OBJECTIVE Systematic review of randomized clinical trials of statin use to treat children and adolescents with dyslipidemia secondary to obesity. METHODS We performed a search in PubMed, EMBASE, Bireme, Web of Science, Cochrane Library, SciELO, and LILACS for data to evaluate the effect of statins on: improvement of surrogate markers of coronary artery disease in clinical outcomes of adulthood; increased serum levels of total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C) and apolipropotein B (APOB); and decreased serum levels of high-density lipoprotein cholesterol (HDL-C) from inception to February 2016. Participants were children and adolescents. RESULTS Of the 16793 potentially relevant citations recovered from the electronic databases, no randomized clinical trials fulfilled the inclusion criteria for children with dyslipidemia secondary to obesity. CONCLUSIONS We found no specific evidence to consider statins in the treatment of hypercholesterolemia secondary to obesity in children. The usual practice of extrapolating findings from studies in genetic dyslipidemia ignores the differences in long-term cardiovascular risks and the long-term drug treatment risks, when compared to recommendation of lifestyle changes. Randomized clinical trials are needed to understand drug treatment in dyslipidemia secondary to obesity.
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Affiliation(s)
- Graciane Radaelli
- Instituto de Cardiologia / Fundação Universitária de Cardiologia - IC/FUC, Porto Alegre, RS - Brazil
| | - Grasiele Sausen
- Instituto de Cardiologia / Fundação Universitária de Cardiologia - IC/FUC, Porto Alegre, RS - Brazil
| | - Claudia Ciceri Cesa
- Instituto de Cardiologia / Fundação Universitária de Cardiologia - IC/FUC, Porto Alegre, RS - Brazil
| | - Vera Lucia Portal
- Instituto de Cardiologia / Fundação Universitária de Cardiologia - IC/FUC, Porto Alegre, RS - Brazil
| | - Lucia Campos Pellanda
- Instituto de Cardiologia / Fundação Universitária de Cardiologia - IC/FUC, Porto Alegre, RS - Brazil
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Schneid Schuh D, Campos Pellanda L, Guessous I, Marques-Vidal P. Trends and determinants of change in compliance to dietary guidelines in a Swiss community-dwelling sample. Prev Med 2018; 111:198-203. [PMID: 29550301 DOI: 10.1016/j.ypmed.2018.03.008] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/15/2017] [Revised: 02/14/2018] [Accepted: 03/09/2018] [Indexed: 11/20/2022]
Abstract
Adherence to dietary guidelines is associated with significantly better health outcomes. Studies across the world shows that compliance with the guidelines was low, but data in Switzerland are lacking. Hence, we aimed to assess the 5-year trends in dietary compliance regarding food guidelines in Switzerland in a prospective, population-based observational study. Data from 2882 participants (1591 women, 35-75 years), from the first (2009-2012) and second (2014-2017) follow-up. Dietary intake was assessed using a validated food frequency questionnaire. Compliance with the guidelines of the Swiss society of nutrition was assessed at baseline and 5.5 years afterwards. Prevalence rates for compliance were calculated using the exact Poisson method. Factors associated with changes in compliance (never, shifter or maintainer) were assessed by multinomial logistic regression using "Never compliers" as reference. Overall, improvements in compliance to fruits (42.4% to 45.1%) vegetables (6.9% to 8.6%) and fish (66.6% to 60.5%) were found, while compliance to meat decreased (61.1% to 58.5%). The prevalence of participants complying with at least three dietary recommendations did not change (24.1% to 25.2%). During follow-up, only 11.6% of participants maintained compliance to at least three dietary recommendations, and 62.4% never managed to comply. Female gender and older age were associated with maintaining compliance during the two study periods. In conclusion, compliance with dietary guidelines is a dynamic status, and only a small fraction of the population achieves sustained compliance with at least three guidelines. Almost two thirds of the population never achieve compliance with three guidelines.
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Affiliation(s)
- Daniela Schneid Schuh
- Graduate Department, Institute of Cardiology - University Foundation of Cardiology, Porto Alegre, Brazil
| | - Lucia Campos Pellanda
- Public Health Department, Federal University of Health Sciences of Porto Alegre, Porto Alegre, Brazil
| | - Idris Guessous
- Unit of Population Epidemiology, Division of Primary Care Medicine, Department of Community Medicine, Primary Care and Emergency Medicine, Geneva University Hospitals, Geneva, Switzerland
| | - Pedro Marques-Vidal
- Department of Medicine, Internal Medicine, Lausanne University Hospital, Lausanne, Switzerland.
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Carvalho TS, Pellanda LC, Doyle P. Stillbirth prevalence in Brazil: an exploration of regional differences. Jornal de Pediatria (Versão em Português) 2018. [DOI: 10.1016/j.jpedp.2017.08.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
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Carvalho TS, Pellanda LC, Doyle P. Stillbirth prevalence in Brazil: an exploration of regional differences. J Pediatr (Rio J) 2018; 94:200-206. [PMID: 28802822 DOI: 10.1016/j.jped.2017.05.006] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/16/2016] [Revised: 03/17/2017] [Accepted: 04/12/2017] [Indexed: 10/19/2022] Open
Abstract
OBJECTIVE Brazil is a large, heterogeneous, and diverse country, marked by social, economic, and regional inequalities. Stillbirth is a global concern, especially in low- and middle-income countries. This study investigated the prevalence and possible determinants of stillbirth in different regions of Brazil. METHODS This is a cross-sectional study including all women of reproductive age who had had a pregnancy in the last five years, enrolled in the most recent Brazilian Demographic and Health Survey (DHS/PNDS-2006/07). Logistic regression was used to assess the association between region and other maternal characteristics and stillbirth risk. RESULTS The prevalence of stillbirth in Brazil was 14.82 per 1000 births, with great variation by region of the country, and a higher prevalence among the most deprived. The North and Northeast regions had the highest odds of stillbirth compared to the Center-West, which persisted after adjustment for multiple confounders - including deprivation level and ethnicity. Low maternal age and maternal obesity were also related to higher odds of stillbirth. CONCLUSION In Brazil, the region influences stillbirth risk, with much higher risk in the North and Northeast. Variation in socioeconomic level does not explain this finding. Further research on the subject should explore other possible explanations, such as antenatal care and type of delivery, as well as the role of the private and public health systems in determining stillbirth. Preventive strategies should be directed to these historically disadvantaged regions, such as guaranteeing access and quality of care during pregnancy and around the time of birth.
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Affiliation(s)
- Taiana Silva Carvalho
- Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS, Brazil.
| | | | - Pat Doyle
- London School of Hygiene and Tropical Medicine, London, United Kingdom
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Soeiro ADM, Mansur ADP, Schaan BD, Caramelli B, Rochitte CE, Serrano CV, Garzillo CL, Calderaro D, Gualandro DM, Lima EG, Marcondes-Braga FG, Lima FG, Oliveira FMD, Azevedo FR, Chauhan H, Salles JEN, Soares J, Cardoso JN, Pellanda LC, Sacilotto L, Baracioli L, Bortolotto LA, César LAM, Ochiai ME, Minami MH, Pinheiro MB, Moretti MA, Oliveira MTD, Rezende PC, Lemos PA, Admoni SN, Lottenberg SA, Rocha VZ, Hueb W, Mathias W. I Diretriz sobre Aspectos Específicos de Diabetes (tipo 2) Relacionados à Cardiologia. Arq Bras Cardiol 2018; 102:1-41. [PMID: 27223869 DOI: 10.5935/abc.2014s002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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20
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Perin L, Corrêa PB, Pellanda LC. A Comment on Cullen K "From Squires Quest! II: A Serious Video Game Intervention": Methodological Issues. J Nutr Educ Behav 2017; 49:797. [PMID: 28987204 DOI: 10.1016/j.jneb.2017.06.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/17/2017] [Revised: 05/30/2017] [Accepted: 06/05/2017] [Indexed: 06/07/2023]
Affiliation(s)
- Lisiane Perin
- Postgraduate Program in Health Sciences: Cardiology, Cardiology Institute of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.
| | - Paula Barbosa Corrêa
- Postgraduate Program in Health Sciences: Cardiology, Cardiology Institute of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
| | - Lucia Campos Pellanda
- Postgraduate Program in Health Sciences: Cardiology, Cardiology Institute of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
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21
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Schaan CW, Macedo ACPD, Sbruzzi G, Umpierre D, Schaan BD, Pellanda LC. Functional Capacity in Congenital Heart Disease: A Systematic Review and Meta-Analysis. Arq Bras Cardiol 2017; 109:357-367. [PMID: 28876372 PMCID: PMC5644216 DOI: 10.5935/abc.20170125] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2016] [Accepted: 03/09/2017] [Indexed: 11/20/2022] Open
Abstract
Background Children and adolescents with congenital heart disease often have alterations
in their exercise capacity that can be evaluated by various functional
testing. Objective To evaluate the functional capacity of children and adolescents with
congenital heart disease (CHD) with systematic review and meta-analyses. Methods The review included observational studies, data from the first evaluation of
randomized clinical trials or observational follow-up periods after clinical
trials which evaluated functional capacity by cardiopulmonary exercise test,
stress testing, six-minute walk test or step test, in children and
adolescents with CHD, aged between six and 18 years, and comparisons with
healthy controls in the same age group. The quantitative assessment was
performed by meta-analysis, by comparing the maximal oxygen consumption
(VO2max) of children and adolescents with CHD and respective
control groups. Results Twenty-five of 2.683 studies identified in the search met the inclusion
criteria. The VO2max measurement showed that patients with CHD
have a decrease of 9.31 ml/Kg/min (95% CI. -12.48 to -6.13; I2,
94.3%, P for heterogeneity < 0.001) compared with the control group. The
meta-analysis of the data of maximum heart rate (HR) reached during
cardiopulmonary test and stress testing, retrieved from 18 studies, showed a
HR value of -15.14 bpm (95% CI. -20.97 to -9.31; I2, 94.3%, P for
heterogeneity < 0.001) compared with the control group. Conclusion Children and adolescents with CHD have lower VO2max and HR
compared to controls.
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Affiliation(s)
| | | | | | - Daniel Umpierre
- Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil
| | | | - Lucia Campos Pellanda
- Instituto de Cardiologia, Fundação Universitária de Cardiologia, Porto Alegre, RS, Brazil
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22
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Oliveira APAD, Souza END, Pellanda LC. Effectiveness of video resources in nursing orientation before cardiac heart surgery. Rev Assoc Med Bras (1992) 2017; 62:762-767. [PMID: 27992017 DOI: 10.1590/1806-9282.62.08.762] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2016] [Accepted: 03/07/2016] [Indexed: 11/22/2022] Open
Abstract
Objective: To evaluate the effectiveness of video resources in increasing patient knowledge during preoperative orientation for cardiac surgery compared to standard orientation. Method: Randomized clinical trial. Patients in the intervention group (IG) received bedside orientation with the aid of a short video and a slide presentation on the day prior to surgery. Patients in the control group (CG) received standard orientation. Allocation and analysis of knowledge were blinded. Analysis was performed according to the intention to treat principle. Results: We included 90 patients, 45 in each group; 27.8% had incomplete primary education. There were no differences between groups in the baseline. After orientation, IG scored 7.20 (±1.56) and scored CG 2.71 (±1.96, p<0,001). The topic "surgical room" had the lowest proportion of correct answers in CG (6.7%), compared to IG (68.9%). The question about "postoperative unit" was the one with the highest proportion of correct answers in IG (93.3%), while in CG the proportion was 22.2%. "Ventilatory support" had a low proportion of correct answers in IG (60%), but still much higher than the correct answers in CG (17.8%). Conclusion: Orientation performed with the aid of video resources is more effective for knowledge retention in preoperative patients, compared to verbal orientation alone.
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Affiliation(s)
| | | | - Lucia Campos Pellanda
- Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre, RS, Brazil.,Instituto de Cardiologia do Rio Grande do Sul / Fundação Universitária de Cardiologia (IC/FUC), Porto Alegre, RS, Brazil
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Schuh DS, Goulart MR, Barbiero SM, Sica CD, Borges R, Moraes DW, Pellanda LC. Healthy School, Happy School: Design and Protocol for a Randomized Clinical Trial Designed to Prevent Weight Gain in Children. Arq Bras Cardiol 2017; 108:501-507. [PMID: 28699973 PMCID: PMC5489319 DOI: 10.5935/abc.20170072] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2016] [Revised: 01/26/2017] [Accepted: 01/30/2017] [Indexed: 12/16/2022] Open
Abstract
BACKGROUND: Schools have become a key figure for the promotion of health and obesity interventions, bringing the development of critical awareness to the construction and promotion of a healthy diet, physical activity, and the monitoring of the nutritional status in childhood and adolescence. OBJECTIVES: To describe a study protocol to evaluate the effectiveness of an intervention designed to improve knowledge of food choices in the school environment. METHODS: This is a cluster-randomized, parallel, two-arm study conducted in public elementary and middle schools in Brazil. Participants will be children and adolescents between the ages of 5 and 15 years, from both genders. The interventions will be focusing on changes in lifestyle, physical activities and nutritional education. Intervention activities will occur monthly in the school's multimedia room or sports court. The control group arm will receive usual recommendations by the school. The primary outcome variable will be anthropometric measures, such as body mass index percentiles and levels of physical activity by the International Physical Activity Questionnaire. RESULTS: We expect that after the study children will increase the ingestion of fresh food, reduce excessive consumption of sugary and processed foods, and reduce the hours of sedentary activities. CONCLUSION: The purpose of starting the dietary intervention at this stage of life is to develop a knowledge that will enable for healthy choices, providing opportunities for a better future for this population. FUNDAMENTO: As escolas tornaram-se essenciais para a promoção de saúde e de intervenções para obesidade, propiciando o desenvolvimento de consciência crítica para a construção e promoção de dieta saudável, atividade física e monitoramento do status nutricional na infância e adolescência. OBJETIVOS: Descrever um protocolo de estudo para avaliar a eficiência de uma intervenção projetada para aprimorar o conhecimento sobre escolhas alimentares no ambiente escolar. MÉTODOS: Estudo clínico randomizado em cluster, paralelo, de dois braços, conduzido em escolas públicas de ensino fundamental e médio no Brasil. Os participantes serão crianças e adolescentes entre 5 e 15 anos de idade, dos dois sexos. As intervenções se concentrarão em mudanças de estilo de vida, atividade física e educação nutricional. As atividades de intervenção ocorrerão mensalmente na sala de multimídia ou quadra de esportes das escolas. O grupo controle receberá as recomendações usuais através da escola. O desfecho primário será a mudança nas medidas antropométricas, como índice de massa corporal e os níveis de atividade física conforme o Questionário Internacional de Atividade Física. RESULTADOS: Esperamos que, após o estudo, as crianças aumentem o consumo de alimentos frescos, reduzam o consumo excessivo de alimentos açucarados e processados, e reduzam as horas gastas em atividades sedentárias. CONCLUSÃO: O propósito de iniciar a intervenção dietética nessa fase da vida é desenvolver o conhecimento que permitirá escolhas saudáveis, propiciando oportunidades para um melhor futuro para essa população.
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Affiliation(s)
- Daniela Schneid Schuh
- Instituto de Cardiologia / Fundação
Universitária de Cardiologia (IC/FUC); Porto Alegre, RS - Brazil
| | - Maíra Ribas Goulart
- Universidade Federal de Ciências da Saúde de Porto
Alegre (UFCSPA); Porto Alegre, RS - Brazil
| | - Sandra Mari Barbiero
- Instituto de Cardiologia / Fundação
Universitária de Cardiologia (IC/FUC); Porto Alegre, RS - Brazil
| | - Caroline D’Azevedo Sica
- Instituto de Cardiologia / Fundação
Universitária de Cardiologia (IC/FUC); Porto Alegre, RS - Brazil
| | - Raphael Borges
- Universidade Federal de Ciências da Saúde de Porto
Alegre (UFCSPA); Porto Alegre, RS - Brazil
| | - David William Moraes
- Universidade Federal de Ciências da Saúde de Porto
Alegre (UFCSPA); Porto Alegre, RS - Brazil
| | - Lucia Campos Pellanda
- Instituto de Cardiologia / Fundação
Universitária de Cardiologia (IC/FUC); Porto Alegre, RS - Brazil
- Universidade Federal de Ciências da Saúde de Porto
Alegre (UFCSPA); Porto Alegre, RS - Brazil
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Moraes DW, Jotz M, Menegazzo WR, Menegazzo MS, Veloso S, Machry MC, Costanzi M, Pellanda LC. Interest in research among medical students: Challenges for the undergraduate education. Rev Assoc Med Bras (1992) 2017; 62:652-658. [PMID: 27925045 DOI: 10.1590/1806-9282.62.07.652] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2015] [Accepted: 08/11/2015] [Indexed: 05/29/2023] Open
Abstract
Introduction: In recent decades, there has been a reduction in the number of graduates from medical schools who choose to pursue a career in scientific research. That has an impact on the profile of graduates, since medical education depends on understanding the formation of scientific evidence. The construction of new knowledge is also hampered by the reduction of medical scientists, whose clinical experience with patients provides an essential step towards medical Science evolution. Objective: The present cross-sectional study sought to identify the interest in research among medical students from a federal university in southern Brazil. Method: Medical students from a federal university were asked to respond to a self-administered questionnaire that sought to identify the level of knowledge about the importance of scientific research in medical training, and the interest of this population in this element of their training. Results: 278 medical students from the first to the sixth year responded to the questionnaire, and 81.7% stated their interest in medical research. However, only 4.7% of respondents considered research as first in degree of importance to their medical training. The variable "interest in research" showed no statistically significant association with age, gender, presence of physicians in the family, or other prior college courses. Conclusion: Although interest in research is clearly present among the students, this is still an underexplored element among the population studied. The incorporation of research in the learning process depends on stimulus and guidance until it becomes culturally consolidated as an essential element of the medical training.
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Affiliation(s)
- David William Moraes
- BA in International Relations, Medical Student - CAPES grant recipient, Young Talents for Science Program, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre, RS, Brazil
| | - Maitê Jotz
- MD - Resident in Family and Community Medicine, UFCSPA, Porto Alegre, RS, Brazil
| | | | | | - Steffi Veloso
- Medical Student - PIBIC ICFUC CNPq grant recipient, UFCSPA, Porto Alegre, RS, Brazil
| | - Mayara Christ Machry
- Medical Student - PIBIC ICFUC CNPq grant recipient, UFCSPA, Porto Alegre, RS, Brazil
| | | | - Lucia Campos Pellanda
- MD, PhD in Health Sciences, UFCSPA and Instituto de Cardiologia/Fundação Universitária de Cardiologia (IC/FUC), Porto Alegre, RS, Brazil
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Grezzana GB, Moraes DW, Stein AT, Pellanda LC. Impact of Different Normality Thresholds for 24-hour ABPM at the Primary Health Care Level. Arq Bras Cardiol 2017; 108:143-148. [PMID: 28099585 PMCID: PMC5344659 DOI: 10.5935/abc.20160204] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2016] [Accepted: 09/13/2016] [Indexed: 12/05/2022] Open
Abstract
Background Hypertension is an important risk factor for cardiovascular outcomes. Primary
health care (PHC) physicians should be prepared to act appropriately in the
prevention of cardiovascular risk factors. However, the rates of patients
with control of blood pressure (BP) remain low. The impact of the
reclassification of high BP by 24-hour ambulatory BP monitoring (ABPM) can
lead to different medical decisions in PHC. Objective To evaluate the agreement between the BP measured by a conventional method by
PHC physicians and by 24-hour ABPM, considering different BP normal
thresholds for the 24-hour ABPM according to the V Brazilian ABPM Guidelines
and the European Society of Hypertension Guidelines. Methods A cross-sectional study including 569 hypertensive patients. The BP was
initially measured by the PHC physicians and, later, by 24-hour ABPM. The BP
measurements were obtained independently between the two methods. The
therapeutic targets for the conventional BP followed the guidelines by the
Eighth Joint National Committee (JNC 8), the V ABPM Brazilian Guidelines,
and the 2013 European Hypertension Guidelines. Results There was an accuracy of 54.8% (95% confidence interval [95%CI] 0.51 - 0.58%)
for the BP measured with the conventional method when compared with the
24-hour ABPM, with a sensitivity of 85% (95%CI 80.8 - 88.6%), specificity of
31.9% (95%CI 28.7 - 34.7%), and kappa value of 0.155, when considering the
European Hypertension Guidelines. When using more stringent thresholds to
characterize the BP as "normal" by ABPM, the accuracy was 45% (95%CI 0.41 -
0.47%) for conventional measurement when compared with 24-hour ABPM, with a
sensitivity of 86.7% (95%CI 0.81 - 0.91%), specificity of 29% (95%CI 0.26 -
0.30%), and kappa value of 0.103. Conclusion The BP measurements obtained by PHC physicians showed low accuracy when
compared with those obtained by 24-hour ABPM, regardless of the threshold
set by the different guidelines.
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Affiliation(s)
| | - David William Moraes
- Universidade Federal de Ciências da Saúde de Porto Alegre - UFCSPA; Porto Alegre, RS - Brazil
| | - Airton Tetelbon Stein
- Universidade Federal de Ciências da Saúde de Porto Alegre - UFCSPA; Porto Alegre, RS - Brazil.,Universidade Luterana do Brasil (ULBRA), Canoas, RS - Brazil
| | - Lucia Campos Pellanda
- Instituto de Cardiologia - Fundação Universitária de Cardiologia; Porto Alegre, RS - Brazil.,Universidade Federal de Ciências da Saúde de Porto Alegre - UFCSPA; Porto Alegre, RS - Brazil
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Grezzana GB, Stein AT, Pellanda LC. 24-Hour Ambulatory Blood Pressure Monitoring Predicts Outcomes of Hypertensive
Patients in Primary Care: A Cohort Study. International Journal of Cardiovascular Sciences 2017. [DOI: 10.5935/2359-4802.20170061] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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Magalhães LP, Guimarães I, Melo SL, Mateo E, Andalaft RB, Xavier L, Lorga AM, Fagundes AA, Moreira D, Hachul DT, Sternick EB, Andrea EM, Cannavan F, Oliveira F, Darrieux F, Lima GG, Atié J, Elias J, Zimerman LI, Miana L, Pellanda LC, Sacilotto L, Jatene MB, Soares MM, Binotto MA, Scanavacca MI, Oliveira NA, Zielinsky P, Salerno PR, Teixeira RA, Kuniyoshi RR, Costa R, Schames S, Pedra S, Gimenez SC, Wu TC, Aiello VD. [Not Available]. Arq Bras Cardiol 2016; 107:1-58. [PMID: 27487201 DOI: 10.5935/abc.20160103] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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Sica CD, Cesa CC, Pellanda LC. Growth curves in Down syndrome with congenital heart disease. Rev Assoc Med Bras (1992) 2016; 62:414-20. [DOI: 10.1590/1806-9282.62.05.414] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2015] [Accepted: 11/08/2015] [Indexed: 01/24/2023] Open
Abstract
SUMMARY Introduction: To assess dietary habits, nutritional status and food frequency in children and adolescents with Down syndrome (DS) and congenital heart disease (CHD). Additionally, we attempted to compare body mass index (BMI) classifications according to the World Health Organization (WHO) curves and curves developed for individuals with DS. Method: Cross-sectional study including individuals with DS and CHD treated at a referral center for cardiology, aged 2 to 18 years. Weight, height, BMI, total energy and food frequency were measured. Nutritional status was assessed using BMI for age and gender, using curves for evaluation of patients with DS and those set by the WHO. Results: 68 subjects with DS and CHD were evaluated. Atrioventricular septal defect (AVSD) was the most common heart disease (52.9%). There were differences in BMI classification between the curves proposed for patients with DS and those proposed by the WHO. There was an association between consumption of vitamin E and polyunsaturated fatty acids. Conclusion: Results showed that individuals with DS are mostly considered normal weight for age, when evaluated using specific curves for DS. Reviews on specific curves for DS would be the recommended practice for health professionals so as to avoid precipitated diagnosis of overweight and/or obesity in this population.
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Menti E, Zaffari D, Galarraga T, Lessa JRDCE, Pontin B, Pellanda LC, Portal VL. Early Markers of Atherosclerotic Disease in Individuals with Excess Weight and Dyslipidemia. Arq Bras Cardiol 2016; 106:457-63. [PMID: 27142650 PMCID: PMC4940144 DOI: 10.5935/abc.20160060] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2015] [Accepted: 01/06/2016] [Indexed: 12/28/2022] Open
Abstract
BACKGROUND Excessive weight is a cardiovascular risk factor since it generates a chronic inflammatory process that aggravates the endothelial function. OBJECTIVE To evaluate the endothelial function in individuals with excess weight and mild dyslipidemia using brachial artery flow-mediated dilation (BAFMD), and the association of endothelial function with anthropometric and biochemical variables. METHODS Cross-sectional study that included 74 individuals and evaluated anthropometric variables (body mass index [BMI], waist-hip ratio [WHR], waist circumference [AC], and percentage of body fat [PBF]), biochemical (blood glucose, insulinemia, ultrasensitive C-reactive protein, fibrinogen, total cholesterol, HDL-cholesterol, triglycerides, and LDL-cholesterol) and endothelial function (BAFMD, evaluated by ultrasound). The statistical analysis was performed with SPSS, version 16.0. To study the association between the variables, we used chi-square, Student's t and Mann-Whitney tests, and Pearson's correlation. Logistic regression analyzed the independent influence of the factors. Values of p < 0.05 were considered significant. RESULTS The participants had a mean age of 50.8 years, and 57% were female. BMI, WC, WHR, and PBF showed no significant association with BAFMD. The male gender (p = 0.02) and higher serum levels of fibrinogen (p = 0.02) were significantly and independently associated with a BAFMD below 8%. CONCLUSIONS In individuals with excess weight and mild untreated dyslipidemia, male gender and higher levels of fibrinogen were independently associated with worse BAFMD.
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Affiliation(s)
- Eduardo Menti
- Instituto de Cardiologia, Fundação Universitária de Cardiologia, Porto Alegre, RS, Brazil
| | - Denise Zaffari
- Instituto de Cardiologia, Fundação Universitária de Cardiologia, Porto Alegre, RS, Brazil
| | - Thais Galarraga
- Instituto de Cardiologia, Fundação Universitária de Cardiologia, Porto Alegre, RS, Brazil
| | | | - Bruna Pontin
- Instituto de Cardiologia, Fundação Universitária de Cardiologia, Porto Alegre, RS, Brazil
| | - Lucia Campos Pellanda
- Instituto de Cardiologia, Fundação Universitária de Cardiologia, Porto Alegre, RS, Brazil
| | - Vera Lúcia Portal
- Instituto de Cardiologia, Fundação Universitária de Cardiologia, Porto Alegre, RS, Brazil
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Teixeira JDF, Goulart MR, Busnello FM, Pellanda LC. Hypertensives' Knowledge About High-Sodium Foods and Their Behavior. Arq Bras Cardiol 2016; 106:404-10. [PMID: 27096524 PMCID: PMC4914005 DOI: 10.5935/abc.20160049] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2015] [Accepted: 02/11/2016] [Indexed: 11/20/2022] Open
Abstract
Background In Brazil, the prevalence of systemic arterial hypertension (SAH) is
approximately 30% of the total population. In 2010, SAH was the cause of
death of about 9.4 million people worldwide. A healthy dietary pattern is
important to maintain proper blood pressure levels and, consequently,
disease control. Objectives To describe the knowledge and practices of hypertensive patients cared for at
a public hypertension outpatient clinic, and its relationship with
high-sodium food. Methods We applied a questionnaire to patients with questions related to
sociodemographics, dietary pattern, frequency of ingestion of certain foods,
and knowledge about their own disease. Results We studied 221 patients, 56.1% of whom were women, and 53.8% had only
elementary education. Their mean age was 57.7 ±13.5 years, and 75.6%
of them reported having high blood pressure, and 11.3%, diabetes mellitus.
Regarding dietary pattern, 62% used ready-to-use seasonings, but 94.1%
reported not adding extra salt to their ready meals. Regarding patients'
knowledge about high-sodium foods and SAH, only 8 patients had 100% of right
answers, 37 patients had 73.8%, and 42 patients, 57% of right answers. Conclusion Knowledge about SAH prevention and high-sodium foods was insufficient. Based
on this study's findings, more effective educational strategies targeted at
this population can be developed.
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Affiliation(s)
| | - Maíra Ribas Goulart
- Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS, Brazil
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de Lemos CMM, Moraes DW, Pellanda LC. Resilience in Patients with Ischemic Heart Disease. Arq Bras Cardiol 2016; 106:130-5. [PMID: 26815312 PMCID: PMC4765011 DOI: 10.5935/abc.20160012] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2015] [Revised: 11/18/2015] [Accepted: 11/19/2015] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND Resilience is a psychosocial factor associated with clinical outcomes in chronic diseases. The relationship between this protective factor and certain diseases, such heart diseases, is still under-explored. OBJECTIVE The present study sought to investigate the frequency of resilience in individuals with ischemic heart disease. METHOD This was a cross-sectional study with 133 patients of both genders, aged between 35 and 65 years, treated at Rio Grande do Sul Cardiology Institute - Cardiology University Foundation, with a diagnosis of ischemic heart disease during the study period. Sixty-seven patients had a history of acute myocardial infarction. The individuals were interviewed and evaluated by the Wagnild & Young resilience scale and a sociodemographic questionnaire. RESULTS Eighty-one percent of patients were classified as resilient according to the scale. CONCLUSION In the sample studied, resilience was identified in high proportion among patients with ischemic heart disease.
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Affiliation(s)
- Conceição Maria Martins de Lemos
- Instituto de Cardiologia do Rio Grande do Sul -
Fundação Universitária de Cardiologia - IC/FUC - UFCSPA, Porto Alegre,
RS - Brazil
| | - David William Moraes
- Universidade Federal de Ciências da Saúde de
Porto Alegre - UFCSPA, Porto Alegre, RS - Brazil
| | - Lucia Campos Pellanda
- Instituto de Cardiologia do Rio Grande do Sul -
Fundação Universitária de Cardiologia - IC/FUC - UFCSPA, Porto Alegre,
RS - Brazil
- Universidade Federal de Ciências da Saúde de
Porto Alegre - UFCSPA, Porto Alegre, RS - Brazil
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Affiliation(s)
| | - Lucia Campos Pellanda
- Instituto de Cardiologia/ Fundação
Universitária de Cardiologia do Rio Grande do Sul - IC-FUC/RS; Porto Alegre,
RS - Brazil
- Universidade Federal de Ciências da Saúde
de Porto Alegre - UFCSPA, Porto Alegre, RS - Brazil
- Mailing Address: Lucia Campos Pellanda, Instituto de
Cardiologia do Rio Grande do Sul / Fundação Universitária
de Cardiologia, Av. Princesa Isabel, 370, 3° andar. CEP 99620-000, Bairro
Santana, Porto Alegre, RS - Brazil. E-mail:
/
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Figueiredo EL, Magalhães CA, Belli KC, Mandil A, Garcia JCF, Araújo RA, Figueiredo AFDS, Pellanda LC. Human Tissue Kallikrein Activity in Angiographically Documented Chronic Stable Coronary Artery Disease. Arq Bras Cardiol 2015; 105:457-565. [PMID: 26351984 PMCID: PMC4651403 DOI: 10.5935/abc.20150109] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2014] [Accepted: 05/15/2015] [Indexed: 01/22/2023] Open
Abstract
Background Human tissue kallikrein (hK1) is a key enzyme in the kallikrein–kinin system
(KKS). hK1-specific amidase activity is reduced in urine samples from hypertensive
and heart failure (HF) patients. The pathophysiologic role of hK1 in coronary
artery disease (CAD) remains unclear. Objective To evaluate hK1-specific amidase activity in the urine of CAD patients Methods Sixty-five individuals (18–75 years) who underwent cardiac catheterism (CATH) were
included. Random midstream urine samples were collected immediately before CATH.
Patients were classified in two groups according to the presence of coronary
lesions: CAD (43 patients) and non-CAD (22 patients). hK1 amidase activity was
estimated using the chromogenic substrate D-Val-Leu-Arg-Nan. Creatinine was
determined using Jaffé’s method. Urinary hK1-specific amidase activity was
expressed as µM/(min · mg creatinine) to correct for differences
in urine flow rates. Results Urinary hK1-specific amidase activity levels were similar between CAD [0.146
µM/(min ·mg creatinine)] and non-CAD [0.189
µM/(min . mg creatinine)] patients (p = 0.803) and remained
similar to values previously reported for hypertensive patients [0.210
µM/(min . mg creatinine)] and HF patients [0.104
µM/(min . mg creatinine)]. CAD severity and hypertension were
not observed to significantly affect urinary hK1-specific amidase activity. Conclusion CAD patients had low levels of urinary hK1-specific amidase activity, suggesting
that renal KKS activity may be reduced in patients with this disease.
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Affiliation(s)
| | - Carolina Antunes Magalhães
- Departamento de Análises Clínicas e Toxicológicas, Faculdade de Farmácia, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| | - Karlyse Claudino Belli
- Divisão de Cardiologia, Laboratório de Pesquisa de Patofisiologia do Exercício, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil
| | - Ari Mandil
- Departamento de Hemodinâmica, Hospital Lifecenter, Belo Horizonte, MG, Brazil
| | | | | | | | - Lucia Campos Pellanda
- Programa de Pós-Graduação em Cardiologia, Fundação Universitária de Cardiologia, Porto Alegre, RS, Brazil
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Geremia R, Cimadon HMS, de Souza WB, Pellanda LC. Childhood overweight and obesity in a region of Italian immigration in Southern Brazil: a cross-sectional study. Ital J Pediatr 2015; 41:28. [PMID: 25883083 PMCID: PMC4427939 DOI: 10.1186/s13052-015-0126-6] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/19/2014] [Accepted: 03/11/2015] [Indexed: 12/02/2022] Open
Abstract
Background The main modifiable risk factors for obesity are related to lifestyle and significantly influenced by the family, environment and culture. We aimed to estimate the prevalence of overweight/obesity and associated lifestyle factors in children from Bento Gonçalves, a southern Brazil city with strong Italian immigration influence. Italian traditional foods were locally adapted since the immigrants’ arrival in the XIX century, to include more fat and fewer vegetables, and physical activity levels have decreased. Methods Cross-sectional study of a population-based cluster sample with students aged 9–18 years. We assessed time spent in sedentary behaviors, hours of physical activity, food frequency and family history. All children underwent physical examination with anthropometric and blood pressure measurements. Overweight and obesity were classified according to WHO percentile curves. Results A total of 590 students were evaluated. Mean age was 12.45 ± 1.49 years. The prevalence of overweight and obesity was 16.3% and 8.3%, respectively. Boys were more frequently overweight and obese than girls (16.3% and 12.2% versus 16.2% and 5.5%, respectively). Vegetables and fruits were consumed less than 4 times per week in 49% and 36.8%, while soft drinks, fast food and sweets were consumed more than 4 times a week by 71%, 70.3% and 42.7%, respectively. The habit of omitting breakfast was associated with overweight (p = 0.007). The average screen time was 5.38 ± 2.88 hours/day. Overweight/obesity was present in 12.2% (n = 5), 24.8% (n = 122) and 36.8% (n = 14) children with low birth weight, normal birth weight and high birth weight respectively (p = 0.04). The prevalence of high blood pressure was higher in obese (30.6%) and overweight (21.2%) children, comparing to eutrophic children (6.8%; p < 0.001). Excess weight was more frequent among fathers (62.8%) than in mothers (46.3%), but excess weight in mothers was positively associated with excess weight in children (p 0.048). Conclusion The city showed high prevalence of overweight and obesity. These findings reinforce the importance of implementing prevention strategies aimed at children and their families, considering that health habits are shared and transmitted along generations.
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Affiliation(s)
- Renata Geremia
- Programa de Pós-Graduação em Cardiologia, Fundação Universitária de Cardiologia, Porto Alegre, Brazil.
| | - Hosana Maria Speranza Cimadon
- Programa de Pós-Graduação em Cardiologia, Fundação Universitária de Cardiologia, Porto Alegre, Brazil. .,Centro Universitário Feevale, Novo Hamburgo, Brazil. .,CNEC, Bento Gonçalves, Brazil.
| | - William Brasil de Souza
- Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), IC/FUC, Avenida Princesa Isabel, 370, Porto Alegre, RS, 90620-001, Brazil.
| | - Lucia Campos Pellanda
- Programa de Pós-Graduação em Cardiologia, Fundação Universitária de Cardiologia, Porto Alegre, Brazil. .,Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), IC/FUC, Avenida Princesa Isabel, 370, Porto Alegre, RS, 90620-001, Brazil.
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Minossi V, Pellanda LC. The "Happy Heart" educational program for changes in health habits in children and their families: protocol for a randomized clinical trial. BMC Pediatr 2015; 15:19. [PMID: 25885095 PMCID: PMC4359548 DOI: 10.1186/s12887-015-0336-5] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/06/2014] [Accepted: 02/17/2015] [Indexed: 01/14/2023] Open
Abstract
Background The prevalence of childhood obesity increased worldwide in recent decades and is associated with risk factors for the development of chronic diseases in adulthood. Strategies for health promotion directed at an early age, with recommendation for healthy habits, can achieve good results. The objective of this study is to evaluate the effectiveness of an innovative, simple and cost effective educational program to improve eating habits, physical activity and the knowledge about healthy habits in children, as well as in their families, as compared to routine outpatient care. Methods/Design The study is designed as a randomized clinical trial. Sample size is estimated to include 37 children, aged between 7 and 11 years, and their guardians, randomized for an intervention or a control group. The intervention will consist of 11-weekly group meetings of nutritional education and distribution of explanatory material, with orientation about healthy food and family habits and physical activity. Recreational, simple and low cost resources, carefully designed for the presentation of contents to the children and parents, will be used in all meetings. The control group will receive standard outpatient care based in individual clinical practice guidelines. The primary outcomes will be changes in dietary habits, knowledge and physical activity of children and adults. The secondary outcomes will be changes of body mass index, waist circumference, systolic and diastolic blood pressure and laboratory tests, in children and adults. Discussion The Happy Heart Study offers a playful and low-cost approach for the prevention and control of obesity and cardiovascular disease in children. Although this program is being planned for implementation in Brazil, the method can be adapted to many other countries. Registry of protocol Protocol registered on the site ensaiosclinicos.gov.br: RBR-8ttw64.
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Affiliation(s)
- Vanessa Minossi
- Post-Graduation Program in Health Sciences: Cardiology, Instituto de Cardiologia/Fundação Universitária de Cardiologia, Lucia Campos Pellanda - Research Unit, Av. Princesa Isabel, 370, Santana, Porto Alegre, 90620-000, RS, Brazil.
| | - Lucia Campos Pellanda
- Post-Graduation Program in Health Sciences: Cardiology, Instituto de Cardiologia/Fundação Universitária de Cardiologia, Lucia Campos Pellanda - Research Unit, Av. Princesa Isabel, 370, Santana, Porto Alegre, 90620-000, RS, Brazil. .,Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS, Brazil.
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Cesa CC, Barbiero SM, Petkowicz RDO, Martins CC, Marques RDV, Andreolla AAM, Pellanda LC. Effectiveness of physical exercise to reduce cardiovascular risk factors in youths: a randomized clinical trial. J Clin Med Res 2015; 7:348-55. [PMID: 25780484 PMCID: PMC4356096 DOI: 10.14740/jocmr1700w] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/12/2013] [Indexed: 11/25/2022] Open
Abstract
Background The aim of the current study was to test the effectiveness of a physical activity and exercise-based program in a clinical context to reduce cardiovascular risk factors in children and adolescents. Methods A randomized clinical trial was conducted in a pediatric preventive outpatient clinic. Intervention was 14 weeks of exercise for the intervention group or general health advice for the control group. The primary and the secondary outcomes were reduction of cardiovascular risk factors and the feasibility and the effectiveness of clinical advice plan to practice physical exercises at home. Results A total of 134 children were screened; 26 met eligibility criteria. Of these, 10 were allocated in the exercise intervention group and nine were included in the control group until the end of the intervention. Those patients who discontinued the intervention had the lowest scores of z-BMI (P = 0.033) and subscapular skin fold (P = 0.048). After 14 weeks of intervention, no statistical differences were found between the groups. High-density lipoprotein cholesterol (HDL-C) was higher in the exercise group, with a mild tendency to be significant (P = 0.066). Patients who adhere to treatment had diastolic blood pressure decreased from baseline to the end of the follow-up period in the control group (P = 0.013). Regardless of this result, the other comparisons within the group were not statistically different between T0 and T14. Conclusion A low-cost physical activity advice intervention presented many barriers for implementation in routine clinical care, limiting its feasibility and evaluation of effectiveness to reduce cardiovascular risk factors.
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Affiliation(s)
- Claudia Ciceri Cesa
- Instituto de Cardiologia, Fundacao Universitaria de Cardiologia, Avenida Princesa Isabel, 370, 3º andar, Porto Alegre, Rio Grande do Sul 90620-000, Brazil
| | - Sandra Mari Barbiero
- Instituto de Cardiologia, Fundacao Universitaria de Cardiologia, Avenida Princesa Isabel, 370, 3º andar, Porto Alegre, Rio Grande do Sul 90620-000, Brazil
| | - Rosemary de Oliveira Petkowicz
- Instituto de Cardiologia, Fundacao Universitaria de Cardiologia, Avenida Princesa Isabel, 370, 3º andar, Porto Alegre, Rio Grande do Sul 90620-000, Brazil
| | - Carla Correa Martins
- Instituto de Cardiologia, Fundacao Universitaria de Cardiologia, Avenida Princesa Isabel, 370, 3º andar, Porto Alegre, Rio Grande do Sul 90620-000, Brazil ; Universidade Federal de Ciencias da Saude de Porto Alegre, Avenida Osvaldo Aranha, 245, Porto Alegre, Rio Grande do Sul 90050-170, Brazil
| | - Renata das Virgens Marques
- Instituto de Cardiologia, Fundacao Universitaria de Cardiologia, Avenida Princesa Isabel, 370, 3º andar, Porto Alegre, Rio Grande do Sul 90620-000, Brazil ; Universidade Federal de Ciencias da Saude de Porto Alegre, Avenida Osvaldo Aranha, 245, Porto Alegre, Rio Grande do Sul 90050-170, Brazil
| | - Allana Abreu Martins Andreolla
- Instituto de Cardiologia, Fundacao Universitaria de Cardiologia, Avenida Princesa Isabel, 370, 3º andar, Porto Alegre, Rio Grande do Sul 90620-000, Brazil ; Universidade Federal de Ciencias da Saude de Porto Alegre, Avenida Osvaldo Aranha, 245, Porto Alegre, Rio Grande do Sul 90050-170, Brazil
| | - Lucia Campos Pellanda
- Instituto de Cardiologia, Fundacao Universitaria de Cardiologia, Avenida Princesa Isabel, 370, 3º andar, Porto Alegre, Rio Grande do Sul 90620-000, Brazil ; Universidade Federal de Ciencias da Saude de Porto Alegre, Avenida Osvaldo Aranha, 245, Porto Alegre, Rio Grande do Sul 90050-170, Brazil
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Brum CDA, Stein AT, Pellanda LC. Infant mortality in Novo Hamburgo: associated factors and cardiovascular causes. Arq Bras Cardiol 2015; 104:257-65. [PMID: 25993588 PMCID: PMC4415861 DOI: 10.5935/abc.20140203] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2014] [Accepted: 09/16/2014] [Indexed: 12/04/2022] Open
Abstract
Background Infant mortality has decreased in Brazil, but remains high as compared to that of
other developing countries. In 2010, the Rio Grande do Sul state had the lowest
infant mortality rate in Brazil. However, the municipality of Novo Hamburgo had
the highest infant mortality rate in the Porto Alegre metropolitan region. Objective To describe the causes of infant mortality in the municipality of Novo Hamburgo
from 2007 to 2010, identifying which causes were related to heart diseases and if
they were diagnosed in the prenatal period, and to assess the access to healthcare
services. Methods This study assessed infants of the municipality of Novo Hamburgo, who died, and
whose data were collected from the infant death investigation records. Results Of the 157 deaths in that period, 35.3% were reducible through diagnosis and early
treatment, 25% were reducible through partnership with other sectors, 19.2% were
non-preventable, 11.5% were reducible by means of appropriate pregnancy
monitoring, 5.1% were reducible through appropriate delivery care, and 3.8% were
ill defined. The major cause of death related to heart disease (13.4%), which was
significantly associated with the variables ‘age at death’, ‘gestational age’ and
‘birth weight’. Regarding access to healthcare services, 60.9% of the pregnant
women had a maximum of six prenatal visits. Conclusion It is mandatory to enhance prenatal care and newborn care at hospitals and basic
healthcare units to prevent infant mortality.
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Affiliation(s)
- Camila de Andrade Brum
- Fundação Universitária de Cardiologia, Instituto de Cardiologia, Porto Alegre, RS, Brazil
| | | | - Lucia Campos Pellanda
- Fundação Universitária de Cardiologia, Instituto de Cardiologia, Porto Alegre, RS, Brazil
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Boscaini C, Pellanda LC. Birth weight, current anthropometric markers, and high sensitivity C-reactive protein in Brazilian school children. J Obes 2015; 2015:846376. [PMID: 25874126 PMCID: PMC4383389 DOI: 10.1155/2015/846376] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/23/2014] [Accepted: 11/03/2014] [Indexed: 11/18/2022] Open
Abstract
Studies have shown associations of birth weight with increased concentrations of high sensitivity C-reactive protein. This study assessed the relationship between birth weight, anthropometric and metabolic parameters during childhood, and high sensitivity C-reactive protein. A total of 612 Brazilian school children aged 5-13 years were included in the study. High sensitivity C-reactive protein was measured by particle-enhanced immunonephelometry. Nutritional status was assessed by body mass index, waist circumference, and skinfolds. Total cholesterol and fractions, triglycerides, and glucose were measured by enzymatic methods. Insulin sensitivity was determined by the homeostasis model assessment method. Statistical analysis included chi-square test, General Linear Model, and General Linear Model for Gamma Distribution. Body mass index, waist circumference, and skinfolds were directly associated with birth weight (P < 0.001, P = 0.001, and P = 0.015, resp.). Large for gestational age children showed higher high sensitivity C-reactive protein levels (P < 0.001) than small for gestational age. High birth weight is associated with higher levels of high sensitivity C-reactive protein, body mass index, waist circumference, and skinfolds. Large for gestational age altered high sensitivity C-reactive protein and promoted additional risk factor for atherosclerosis in these school children, independent of current nutritional status.
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Affiliation(s)
- Camile Boscaini
- Post-Graduation Program in Health Sciences—Cardiology, Instituto de Cardiologia/Fundação Universitária de Cardiologia, Porto Alegre, RS, Brazil
| | - Lucia Campos Pellanda
- Post-Graduation Program in Health Sciences—Cardiology, Instituto de Cardiologia/Fundação Universitária de Cardiologia, Porto Alegre, RS, Brazil
- Federal University of Health Sciences of Porto Alegre, Porto Alegre, RS, Brazil
- Research Unit, Avenida Princesa Isabel 370, Santana, 90620-000 Porto Alegre, RS, Brazil
- *Lucia Campos Pellanda:
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Grezzana GB, Pellanda LC. Cardiovascular Risk Factors: From Consolidated Knowledge to a Call for Action. Arq Bras Cardiol 2015; 105:325-7. [PMID: 26559978 PMCID: PMC4632995 DOI: 10.5935/abc.20150128] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Affiliation(s)
| | - Lucia Campos Pellanda
- Fundação Universitária de Cardiologia
do Rio Grande do Sul – ICFUC, Porto Alegre, RS – Brazil
- Universidade Federal de Ciências da saúde de
Porto Alegre – UFCSPA, Porto Alegre, RS – Brazil
- Mailing Address: Lucia Campos Pellanda, Av. Princesa Isabel, 370,
Santana Postal Code 90620-000. Porto Alegre, RS – Brazil. E-mail:
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Huber J, Peres VC, de Castro AL, dos Santos TJ, da Fontoura Beltrão L, de Baumont AC, Cossio SL, Dalberto TP, Riegel M, Cañedo AD, Schaan BD, Pellanda LC. Molecular screening for 22Q11.2 deletion syndrome in patients with congenital heart disease. Pediatr Cardiol 2014; 35:1356-62. [PMID: 24880467 DOI: 10.1007/s00246-014-0936-0] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/18/2014] [Accepted: 05/15/2014] [Indexed: 11/25/2022]
Abstract
Few studies have investigated the prevalence of 22q11.2 deletion syndrome (22q11.2DS) among patients with isolated heart defects or nonconotruncal heart defects. Polymerase chain reaction (PCR) followed by length polymorphism restriction fragment analysis (RFLP) is useful for low-cost molecular diagnosis and screening. This cross-sectional study included 392 patients with congenital heart disease, described clinical features, and performed PCR-RFLP for analysis of polymorphism in three loci with a high heterozygosity rate located in the typically deleted region of 1.5 megabases. Heterozygosity excluded 22q11.2DS. Patients with homozygosity for the three markers underwent multiplex ligation-dependent probe amplification (MLPA) and fluorescence in situ hybridization (FISH) for the final diagnosis, estimating the prevalence of 22q11.2DS. The use of PCR-RFLP excluded 22q11.2DS in 81.6 % (n = 320) of 392 patients. Of the remaining 72 patients, 65 underwent MLPA, showing 22q11.2DS in five cases (prevalence, 1.27 %). Four of these five patients underwent FISH, confirming the MLPA results. All five patients with the deletion had heart diseases commonly found with 22q11.2DS (interrupted aortic arch, persistent truncus arteriosus, tetralogy of Fallot, and ventricular septal defect plus atrial septal defect). Two patients had congenital extracardiac anomaly (one with arched palate and micrognathia and one with hypertelorism). Three patients reported recurrent respiratory infections, and one patient reported hypocalcemia. All were underweight or short in stature for their age. This study contributed to showing the prevalence of 22q11.2DS in patients with any congenital heart disease, with or without other features of the syndrome. Patients with 22q11.2DS may not have all the major features of the syndrome, and those that are found may be due to the heart defect.
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Affiliation(s)
- Janaína Huber
- Unidade de Pesquisa, Instituto de Cardiologia/Fundação Universitária de Cardiologia, Avenida Princesa Isabel, 370, Santana, Porto Alegre, RS, 90620-000, Brazil
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Cesa CC, Sbruzzi G, Ribeiro RA, Barbiero SM, de Oliveira Petkowicz R, Eibel B, Machado NB, Marques RDV, Tortato G, dos Santos TJ, Leiria C, Schaan BD, Pellanda LC. Physical activity and cardiovascular risk factors in children: meta-analysis of randomized clinical trials. Prev Med 2014; 69:54-62. [PMID: 25175591 DOI: 10.1016/j.ypmed.2014.08.014] [Citation(s) in RCA: 73] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/16/2013] [Revised: 08/07/2014] [Accepted: 08/08/2014] [Indexed: 11/19/2022]
Abstract
OBJECTIVE To assess the effects of physical activity interventions in preventing cardiovascular risk factors in childhood through a systematic review and meta-analysis of randomized clinical trials (RCTs). METHODS A search of online databases (PubMed, EMBASE and Cochrane CENTRAL) was conducted from inception until June 2013. RCTs enrolling children 6-12years old conducted physical activity interventions longer than 6months, assessing their effect on body mass index (BMI), systolic (SBP) and diastolic blood pressure (DBP), total cholesterol (TC) and triglycerides (TG) were included. Data analysis was performed using a random-effects model. RESULTS Of 23.091 articles retrieved, 11 RCTs (10.748 subjects) were included. Physical activity interventions were not associated with reductions of BMI [-0.03kg/m(2) (95%CI -0.16, 0.13) I(2) 0%]. However, there was an association between the interventions and reduction of SBP [-1.25mmHg (95%CI -2.47, -0.02) I(2) 0%], DBP [-1.34mmHg (95%CI -2.57, -0.11) I(2) 43%] and TG [-0.09mmol/L (95%CI -0.14, -0.04) I(2) 0%], and increase of TC [0.14mmol/L (95%CI 0.01, 0.27) I(2) 0%]. CONCLUSION As physical activity intervention programs lasting longer than 6months are associated with reductions in blood pressure levels and triglycerides, they should be considered to be included in prevention programs for cardiovascular diseases in schoolchildren.
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Affiliation(s)
- Claudia Ciceri Cesa
- Instituto de Cardiologia do Rio Grande do Sul/Fundação Universitária de Cardiologia, Avenida Princesa Isabel, 370/3 andar. Porto Alegre, Rio Grande do Sul 90620-000, Brazil.
| | - Graciele Sbruzzi
- Instituto de Cardiologia do Rio Grande do Sul/Fundação Universitária de Cardiologia, Avenida Princesa Isabel, 370/3 andar. Porto Alegre, Rio Grande do Sul 90620-000, Brazil; Universidade Federal do Rio Grande do Sul, School of Physical Education, Rua Felizardo Furtado, 750. Porto Alegre, Rio Grande do Sul90670-090, Brazil.
| | - Rodrigo Antonini Ribeiro
- Hospital Moinhos de Vento, Institute of Education and Research, Rua Ramiro Barcelos, 910. Porto Alegre, Rio Grande do Sul 90035-001, Brazil.
| | - Sandra Mari Barbiero
- Instituto de Cardiologia do Rio Grande do Sul/Fundação Universitária de Cardiologia, Avenida Princesa Isabel, 370/3 andar. Porto Alegre, Rio Grande do Sul 90620-000, Brazil.
| | - Rosemary de Oliveira Petkowicz
- Instituto de Cardiologia do Rio Grande do Sul/Fundação Universitária de Cardiologia, Avenida Princesa Isabel, 370/3 andar. Porto Alegre, Rio Grande do Sul 90620-000, Brazil.
| | - Bruna Eibel
- Instituto de Cardiologia do Rio Grande do Sul/Fundação Universitária de Cardiologia, Avenida Princesa Isabel, 370/3 andar. Porto Alegre, Rio Grande do Sul 90620-000, Brazil.
| | - Natássia Bigolin Machado
- Instituto de Cardiologia do Rio Grande do Sul/Fundação Universitária de Cardiologia, Avenida Princesa Isabel, 370/3 andar. Porto Alegre, Rio Grande do Sul 90620-000, Brazil; Universidade Federal de Ciências da Saúde de Porto Alegre, Avenida Osvaldo Aranha, 245. Porto Alegre, Rio Grande do Sul 90050-170, Brazil.
| | - Renata das Virgens Marques
- Instituto de Cardiologia do Rio Grande do Sul/Fundação Universitária de Cardiologia, Avenida Princesa Isabel, 370/3 andar. Porto Alegre, Rio Grande do Sul 90620-000, Brazil; Universidade Federal de Ciências da Saúde de Porto Alegre, Avenida Osvaldo Aranha, 245. Porto Alegre, Rio Grande do Sul 90050-170, Brazil.
| | - Gabriela Tortato
- Instituto de Cardiologia do Rio Grande do Sul/Fundação Universitária de Cardiologia, Avenida Princesa Isabel, 370/3 andar. Porto Alegre, Rio Grande do Sul 90620-000, Brazil; Universidade Federal de Ciências da Saúde de Porto Alegre, Avenida Osvaldo Aranha, 245. Porto Alegre, Rio Grande do Sul 90050-170, Brazil.
| | - Tiago Jerônimo dos Santos
- Instituto de Cardiologia do Rio Grande do Sul/Fundação Universitária de Cardiologia, Avenida Princesa Isabel, 370/3 andar. Porto Alegre, Rio Grande do Sul 90620-000, Brazil.
| | - Carina Leiria
- Instituto de Cardiologia do Rio Grande do Sul/Fundação Universitária de Cardiologia, Avenida Princesa Isabel, 370/3 andar. Porto Alegre, Rio Grande do Sul 90620-000, Brazil.
| | - Beatriz D'Agord Schaan
- Instituto de Cardiologia do Rio Grande do Sul/Fundação Universitária de Cardiologia, Avenida Princesa Isabel, 370/3 andar. Porto Alegre, Rio Grande do Sul 90620-000, Brazil; Endocrine Division, Hospital de Clínicas de Porto Alegre, Medical School, Universidade Federal do Rio Grande do Sul, Rua Ramiro Barcelos, 2350, prédio 12, 4 andar, Porto Alegre, Rio Grande do Sul 90035-003, Brazil.
| | - Lucia Campos Pellanda
- Instituto de Cardiologia do Rio Grande do Sul/Fundação Universitária de Cardiologia, Avenida Princesa Isabel, 370/3 andar. Porto Alegre, Rio Grande do Sul 90620-000, Brazil; Universidade Federal de Ciências da Saúde de Porto Alegre, Avenida Osvaldo Aranha, 245. Porto Alegre, Rio Grande do Sul 90050-170, Brazil.
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Barbiero SM, D'Azevedo Sica C, Schuh DS, Cesa CC, de Oliveira Petkowicz R, Pellanda LC. Overweight and obesity in children with congenital heart disease: combination of risks for the future? BMC Pediatr 2014; 14:271. [PMID: 25323400 PMCID: PMC4287310 DOI: 10.1186/1471-2431-14-271] [Citation(s) in RCA: 36] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/03/2014] [Accepted: 08/15/2014] [Indexed: 11/10/2022] Open
Abstract
Background Children who have unhealthy lifestyles are predisposed to develop hypertension, dyslipidemia and other complications. The epidemic of obesity is also affecting children with congenital heart disease. The aim of this study is to estimate the prevalence of obesity and describe associated risk factors, including family history in children with congenital heart disease. Methods A cross-sectional study with 316 children and adolescents with congenital heart disease seen in an outpatient clinic of a reference hospital. Collected sociodemographic data included family history of chronic disease, dietary habits, laboratory tests (total cholesterol, HDL and LDL/cholesterol, triglycerides, fasting glucose, CRP, hematocrit and hemoglobin), and anthropometric assessment. Anthropometric data of the caregivers was self-reported. Results The prevalence of excess weight was 26.9%. Altered levels of total cholesterol were observed in 46.9%, of HDL in 32.7%, LDL in 23.6% and of triglycerides levels in 20.0%. A higher frequency of family history of obesity (42.6%; p = 0.001), dyslipidemia (48.1%; p = <0.001), diabetes (47.4%; p = 0.002), hypertension (39.2%; p = 0.006) and ischemic disease (43.7%; p = 0.023), as well as significantly higher values of triglycerides (p = 0.017), glycemia (p = 0.004) and C-reactive protein (p = 0.002) were observed among patients with excess weight. Conclusion The presence of modifiable risk factors and the variables associated to excess weight in this population was similar to that described in the literature for children without congenital disease. As these children already present the risks associated to heart disease, it is particularly important to promote a healthy lifestyle in this group.
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Affiliation(s)
| | | | | | | | | | - Lucia Campos Pellanda
- Post-Graduation Program in Health Sciences: Cardiology, Instituto de Cardiologia/Fundação Universitária de Cardiologia, Porto Alegre, Brazil.
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Affiliation(s)
- Lucia Campos Pellanda
- Mailing Address: Lucia Campos Pellanda, Instituto de Cardiologia /
Fundação Universitária de Cardiologia (IC-FUC). Endereço: Avenida Princesa Isabel,
370 / 3º andar, Unidade de Pesquisa. Porto Alegre, Rio Grande do Sul - Brazil. Postal
Code: 90620-000. e-mail:
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de Souza CS, Stein AT, Bastos GAN, Pellanda LC. Blood pressure control in hypertensive patients in the "Hiperdia Program": a territory-based study. Arq Bras Cardiol 2014; 102:571-8. [PMID: 25004419 PMCID: PMC4079021 DOI: 10.5935/abc.20140081] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2013] [Revised: 01/31/2014] [Accepted: 02/07/2014] [Indexed: 12/20/2022] Open
Abstract
BACKGROUND Systemic hypertension is highly prevalent and an important risk factor for cardiovascular events. Blood pressure control in hypertensive patients enrolled in the Hiperdia Program, a program of the Single Health System for the follow-up and monitoring of hypertensive patients, is still far below the desired level. OBJECTIVE To describe the epidemiological profile and to assess blood pressure control of patients enrolled in Hiperdia, in the city of Novo Hamburgo (State of Rio Grande do Sul, Brazil). METHODS Cross-sectional study with a stratified cluster random sample, including 383 adults enrolled in the Hiperdia Program of the 15 Basic Health Units of the city of Porto Alegre, conducted between 2010 and 2011. Controlled blood pressure was defined as ≤ 140 mmHg × 90 mmHg. The hypertensive patients were interviewed and their blood pressure was measured using a calibrated aneroid device. Prevalence ratios (PR) with 95% confidence interval, Wald's χ(2) test, and simple and multiple Poisson regression were used in the statistical analysis. RESULTS The mean age was 63 ± 10 years, and most of the patients were females belonging to social class C, with a low level of education, a sedentary lifestyle, and family history positive for systemic hypertension. Diabetes mellitus (DM) was observed in 31%; adherence to the antihypertensive treatment in 54.3%; and 33.7% had their blood pressure controlled. DM was strongly associated with inadequate BP control, with only 15.7% of the diabetics showing BP considered as controlled. CONCLUSION Even for hypertensive patients enrolled in the Hiperdia Program, BP control is not satisfactorily reached or sustained. Diabetic hypertensive patients show the most inappropriate BP control.
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Affiliation(s)
- Clarita Silva de Souza
- Programa de Pós-Graduação em Ciências da Saúde: Cardiologia -
Instituto de Cardiologia/Fundação Universitária de Cardiologia
| | - Airton Tetelbom Stein
- Universidade Federal de Ciências da Saúde de Porto Alegre - UFCSPA,
Porto Alegre, RS - Brasil
| | | | - Lucia Campos Pellanda
- Programa de Pós-Graduação em Ciências da Saúde: Cardiologia -
Instituto de Cardiologia/Fundação Universitária de Cardiologia
- Universidade Federal de Ciências da Saúde de Porto Alegre - UFCSPA,
Porto Alegre, RS - Brasil
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Schommer VA, Barbiero SM, Cesa CC, Oliveira R, Silva AD, Pellanda LC. Excess weight, anthropometric variables and blood pressure in schoolchildren aged 10 to 18 years. Arq Bras Cardiol 2014; 102:312-8. [PMID: 24676224 PMCID: PMC4028949 DOI: 10.5935/abc.20140038] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2013] [Accepted: 09/26/2013] [Indexed: 11/20/2022] Open
Abstract
BACKGROUND The prevalence of hypertension among children and adolescents is estimated to range between 1% and 13%. Excess weight and central obesity are related to blood pressure levels in adults, and may be important in the early pathogenesis of SH when present in childhood. OBJECTIVES To study the association between anthropometric variables and blood pressure levels in schoolchildren from the 5th and 8th grades, and to identify which parameter was more strongly correlated with blood pressure levels. METHODS Contemporary cross-sectional study with probabilistic population-based cluster sampling of schoolchildren enrolled from the 5th to the 8th grades in public elementary schools of Porto Alegre. Data on familial risk factors and anthropometry were collected. Statistical analysis included correlations and cluster-adjusted confidence intervals. RESULTS The mean age of participants was 12.57 (± 1.64) years, and 55.2% of them were females. Abnormal blood pressure levels were found in 11.3% of the sample and borderline values, in 16.2%. Among the anthropometric variables analyzed, hip circumference was the one with the strongest correlation with increased blood pressure (r = 0.462, p < 0.001), followed by waist circumference (r = 0.404, p < 0.001) and abdominal skinfold (r = 0.291, p < 0.001). CONCLUSION We observed an association of waist circumference and skinfolds with increased blood pressure levels in the schoolchildren of the sample. Therefore, it is of the utmost importance that early measurements of blood pressure, and waist and hip circumferences become a routine in health services in order to prevent this condition.
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Affiliation(s)
- Vânia Ames Schommer
- Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS, Brasil
| | - Sandra Mari Barbiero
- Instituto de Cardiologia, Fundação Universitária de Cardiologia, Porto Alegre, RS, Brasil
| | - Cláudia Ciceri Cesa
- Instituto de Cardiologia, Fundação Universitária de Cardiologia, Porto Alegre, RS, Brasil
| | - Rosemary Oliveira
- Instituto de Cardiologia, Fundação Universitária de Cardiologia, Porto Alegre, RS, Brasil
| | | | - Lucia Campos Pellanda
- Instituto de Cardiologia, Fundação Universitária de Cardiologia, Porto Alegre, RS, Brasil
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Vergara MS, Jesus ASD, Pellanda LC, Vilela MAP. Epidemiological and ophthalmological findings in diabetic patients examined in a general hospital. Revista Brasileira de Oftalmologia 2014. [DOI: 10.5935/0034-7280.20140036] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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Bertoletti J, Marx GC, Hattge Júnior SP, Pellanda LC. Quality of life and congenital heart disease in childhood and adolescence. Arq Bras Cardiol 2013; 102:192-8. [PMID: 24676375 PMCID: PMC3987336 DOI: 10.5935/abc.20130244] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2013] [Accepted: 09/26/2013] [Indexed: 01/09/2023] Open
Abstract
Advances in cardiac surgery techniques and early diagnosis have enabled the increased
survival of individuals with congenital heart disease. The investigation of the
quality of life in children and adolescents with congenital heart disease provides
complementary information to clinical data that can assist in decision making on the
part of health professionals. Although many studies have been conducted to
investigate the quality of life of children and adolescents with congenital heart
disease, the results prove to be contradictory; while some studies show that
congenital heart disease can impact the quality of life, others describe a better
perception of quality of life among children and adolescents who suffer from the
disease when compared with healthy control subjects. The purpose of this study is to
review the literature on the assessment of health related quality of life in children
and adolescents with congenital heart disease, in order to systematize the existing
knowledge on this topic today. It is observed that research seeks to investigate
aspects of personality in cardiac patients, their coping strategies used and
perceived social support, aiming at better understanding the association of these
variables with the level of quality of life in this population.
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Affiliation(s)
- Juliana Bertoletti
- Instituto de Cardiologia, Fundacao Universitaria de Cardiologia, Porto Alegre, RS, Brasil
| | | | | | - Lucia Campos Pellanda
- Instituto de Cardiologia, Fundacao Universitaria de Cardiologia, Porto Alegre, RS, Brasil
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Pellanda LC, Cesa CC, Belli KC, David VF, Rodrigues CG, Vissoci JRN, Bacal F, Kalil RAK, Pietrobon R. Research training program: Duke University and Brazilian Society of Cardiology. Arq Bras Cardiol 2013; 99:1075-81. [PMID: 23337987 DOI: 10.1590/s0066-782x2012001500002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2012] [Accepted: 09/28/2012] [Indexed: 11/22/2022] Open
Abstract
BACKGROUND Research coaching program focuses on the development of abilities and scientific reasoning. For health professionals, it may be useful to increase both the number and quality of projects and manuscripts. OBJECTIVE To evaluate the initial results and implementation methodology of the Research and Innovation Coaching Program of the Research on Research group of Duke University in the Brazilian Society of Cardiology. METHODS The program works on two bases: training and coaching. Training is done online and addresses contents on research ideas, literature search, scientific writing and statistics. After training, coaching favors the establishment of a collaboration between researchers and centers by means of a network of contacts. The present study describes the implementation and initial results in reference to the years 2011-2012. RESULTS In 2011, 24 centers received training, which consisted of online meetings, study and practice of the contents addressed. In January 2012, a new format was implemented with the objective of reaching more researchers. In six months, 52 researchers were allocated. In all, 20 manuscripts were published and 49 more were written and await submission and/or publication. Additionally, five research funding proposals have been elaborated. CONCLUSION The number of manuscripts and funding proposals achieved the objectives initially proposed. However, the main results of this type of initiative should be measured in the long term, because the consolidation of the national production of high-quality research is a virtuous cycle that feeds itself back and expands over time.
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Simão AF, Precoma DB, Andrade JP, Correa Filho H, Saraiva JFK, Oliveira GMM, Murro ALB, Campos A, Alessi A, Avezum Junior A, Miguel ACMG, Sousa ACS, Lotemberg AMP, Lins AP, Falud AA, Brandão AA, Sanjuliani AF, Sbissa AS, Santos Filho AC, Herdy AH, Polanczyk CA, Lantieri CJ, Machado CA, Scherr C, Stoll C, Amodeo C, Araújo CGS, Saraiva D, Moriguchi EH, Mesquita ET, Cesena FHY, Fonseca FAH, Campos GP, Soares GP, Feitosa GS, Xavier HT, Castro I, Giuliano ICB, Rivera IV, Guimaraes ICB, Issa JS, Souza JRM, Faria Neto JR, Cunha LBN, Pellanda LC, Bortolotto LA, Bertolami MC, Miname MH, Gomes MAM, Tambascia M, Malachias MVB, Silva MAM, Iza MCO, Magalhães MEC, Bacellar MSC, Milani M, Wajngarten M, Ghorayeb N, Coelho OR, Villela PB, Jardim PCBV, Santos Filho RD, Stein R, Cassani RSL, D'Avila RL, Ferreira RM, Barbosa RB, Povoa RMS, Kaiser SE, Ismael SC, Carvalho T, Giraldez VZR, Coutinho W, Souza WKSB. I Diretriz Brasileira de Prevenção Cardiovascular. Arq Bras Cardiol 2013; 101:1-63. [DOI: 10.5935/abc.2013s012] [Citation(s) in RCA: 86] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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Truccolo AB, Dipp T, Eibel B, Ribeiro RA, Casali KR, Irigoyen MC, Gus I, Pellanda LC, Plentz RDM. Association between Endothelial Function and Autonomic Modulation in Patients with Chagas Disease. Arq Bras Cardiol 2013; 100:135-40. [DOI: 10.5935/abc.20130026] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2012] [Accepted: 09/26/2012] [Indexed: 11/20/2022] Open
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