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  1. Book ; Thesis: Das Medizinsystem der Krahô-Indianer im nördlichen Zentralbrasilien

    Carvalho, Marco André d'Ávila de

    2011  

    Author's details vorgelegt von Marco André d´Ávila de Carvalho
    Language German
    Size 204 S. : Ill., graph. Darst.
    Publishing country Germany
    Document type Book ; Thesis
    Thesis / German Habilitation thesis Düsseldorf, Univ., Diss., 2012
    HBZ-ID HT017228120
    Database Catalogue ZB MED Medicine, Health

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  2. Article ; Online: Cardiac Resynchronization Therapy

    Jason S. Chinitz / Andre d'Avila / Martin Goldman / Vivek Reddy / Srinivas Dukkipati

    Annals of Global Health, Vol 80, Iss 1, Pp 61-

    Who Benefits?

    2014  Volume 68

    Abstract: Background: Cardiac resynchronization therapy (CRT) has been well established in multiple large trials to improve symptoms, hospitalizations, reverse remodeling, and mortality in well-selected patients with heart failure when used in addition to optimal ... ...

    Abstract Background: Cardiac resynchronization therapy (CRT) has been well established in multiple large trials to improve symptoms, hospitalizations, reverse remodeling, and mortality in well-selected patients with heart failure when used in addition to optimal medical therapy. Updated consensus guidelines outline patients in whom such therapy is most likely to result in substantial benefit. However, pooled data have demonstrated that only approximately 70% of patients who qualify for CRT based on current indications actually respond favorably. In addition, current guidelines are based on outcomes from the carefully selected patients enrolled in clinical trials, and almost certainly fail to include all patients who might benefit from CRT. Findings: The identification of patients most likely to benefit from CRT requires consideration of factors beyond these standard criteria, QRS morphology with particular consideration in patients with left bundle-branch block pattern, extent of QRS prolongation, etiology of cardiomyopathy, rhythm, and whether the patient requires or will eventually need antibradycardia pacing. In addition, the baseline severity of functional impairment may influence the type of benefit to be expected from CRT; for example, New York Heart Association class I patients may derive long-term benefit in cardiac structure and function, but no benefit in symptoms or hospitalizations can be reasonably expected. In contrast, certain New York Heart Association class IV patients may be too sick to realize long-term mortality benefits from CRT, but improvements in hemodynamic profile and functional capacity may represent vital advances in this population. Conclusion: This review evaluates the evidence regarding the various factors that can predict positive or even detrimental responses to CRT, to help better determine who benefits most from this evolving therapy.
    Keywords biventricular pacing ; cardiac resynchronization therapy ; cardiomyopathy ; dyssynchrony ; heart failure ; implantable cardioverter defibrillator ; Infectious and parasitic diseases ; RC109-216 ; Public aspects of medicine ; RA1-1270
    Subject code 610
    Language English
    Publishing date 2014-04-01T00:00:00Z
    Publisher Ubiquity Press
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Isolamento das veias pulmonares para tratamento da fibrilação atrial paroxística

    Mauricio Scanavacca / Raul Sartini / Fernando Tondato / André d'Ávila / Denise Hachul / Francisco Darrieux / Sissy Lara / Eduardo Sosa

    Arquivos Brasileiros de Cardiologia, Vol 82, Iss 2, Pp 155-

    resultados clínicos após um único procedimento Pulmonary veins isolation to treat patients with refractory paroxysmal atrial fibrillation: clinical results after a single procedure

    2004  Volume 159

    Abstract: OBJETIVO: Avaliar a evolução clínica dos pacientes com fibrilação atrial paroxística submetidos a um único procedimento de isolamento das veias pulmonares. MÉTODOS: Estudados 49 pacientes consecutivos (36 homens; idade média de 53±10 anos) com episódios ... ...

    Abstract OBJETIVO: Avaliar a evolução clínica dos pacientes com fibrilação atrial paroxística submetidos a um único procedimento de isolamento das veias pulmonares. MÉTODOS: Estudados 49 pacientes consecutivos (36 homens; idade média de 53±10 anos) com episódios freqüentes e sintomáticos de fibrilação atrial paroxística de difícil controle clínico. Para mapeamento da junção do átrio esquerdo com as veias pulmonares, foi utilizado o cateter decapolar circular Lasso e para ablação 30 watts e 50ºC, um cateter com ponta deflectível e eletrodo distal de 4mm. RESULTADOS: Em seguimento médio de 12±5 meses, 25 (51%) pacientes não apresentaram recorrência de fibrilação atrial e 24 (49%) apresentaram pelo menos uma recorrência. Em 20 (83%), a 1ª crise ocorreu antes do 1º mês e em 4, após 2 a 9 meses. Após a introdução de drogas antiarrítmicas, 15 (63%) pacientes apresentaram melhora importante, 10 tornaram-se assintomáticos, 5 referiam crises raras, auto-limitadas e de curta duração e 9 (37%) permaneceram com as manifestações clínicas inalteradas, apesar das drogas antiarrítmicas e foram encaminhados à nova intervenção. No final do seguimento, 35 (71%) pacientes permaneciam em ritmo sinusal estável sem recorrência de fibrilação atrial, após um único procedimento, 50% dos quais sem drogas antiarrítmicas. CONCLUSÃO: A maioria dos pacientes com fibrilação atrial paroxística sintomática, não controlados com medicação antiarrítmica, obtém controle clínico após um único procedimento de isolamento das veias pulmonares. OBJECTIVE: The purpose of this study was to access the clinical outcome of patients submitted to a single procedure of radiofrequency pulmonary veins (PV) isolation to treat refractory paroxysmal atrial fibrillation (AF). METHODS: This study included 49 consecutive patients (36 male; mean age 54±10 years old) who had frequent symptomatic paroxysmal AF refractory to at least three antiarrhythmic drugs. We used a circular decapolar catheter for mapping PVs - left atrial connections and a 4-mm distal tip catheter for ablation (30 W and 50 C), aiming to achieve electrical isolation of 3 -4 PVs. RESULTS: Twenty-five patients (51%) did not present any AF recurrence in a mean follow-up of 12±5 months. Twenty-four (49%) had at least one recurrence during outcome; twenty (83%) of them within the first month after the procedure and four after two to nine months. After introducing antiarrhythmic drugs 15 (63%) patients were under control, 10 were asymptomatic and five complained of sporadic short duration AF episodes. Nine (37%) patients remained very symptomatic despite the use of antiarrhythmic drugs and were referred to a new procedure of PV isolation. No patient presented major complications. At the end of the follow-up, 35 (71%) patients remained in stable sinus rhythm with no AF recurrences after a single procedure, 50% of them without antiarrhythmic drugs. CONCLUSION: Most patients who present symptomatic paroxysmal AF refractory to antiarrhythmic drugs obtain a good clinical control after a single PV isolation procedure.
    Keywords fibrilação atrial ; ablação por cateter ; radiofreqüência ; veias pulmonares ; atrial fibrillation ; radiofrequency catheter ablation ; pulmonary veins ; Diseases of the circulatory (Cardiovascular) system ; RC666-701 ; Specialties of internal medicine ; RC581-951 ; Internal medicine ; RC31-1245 ; Medicine ; R ; DOAJ:Cardiovascular ; DOAJ:Medicine (General) ; DOAJ:Health Sciences
    Language English
    Publishing date 2004-02-01T00:00:00Z
    Publisher Sociedade Brasileira de Cardiologia - SBC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Relação entre a persistência da condução pela via lenta nodal após ablação de taquicardia por reentrada nodal e a recorrência clínica Persistence of AV conduction over the slow pathway after AVRNT radiofrequency ablation and its relation to the recurrences

    Márcio A. Silva / Maurício I. Scanavacca / André D'Avila / Ricardo Kuniyoshi / Eduardo A. Sosa

    Arquivos Brasileiros de Cardiologia, Vol 71, Iss 2, Pp 117-

    1998  Volume 120

    Abstract: OBJETIVO: Verificar se a persistência de salto nodal relaciona-se à taxa de recorrência de taquicardia por reentrada nodal (TRN) após ablação com radiofreqüência (RF) da via lenta do nó atrioventricular. MÉTODOS: Num seguimento de 20±12 meses, foi ... ...

    Abstract OBJETIVO: Verificar se a persistência de salto nodal relaciona-se à taxa de recorrência de taquicardia por reentrada nodal (TRN) após ablação com radiofreqüência (RF) da via lenta do nó atrioventricular. MÉTODOS: Num seguimento de 20±12 meses, foi analisada a recorrência de TRN em 126 pacientes consecutivos submetidos a ablação com RF da via lenta nodal. O critério de interrupção do procedimento foi a não reindução da TRN, após estimulação atrial programada, com e sem isoproterenol intravenoso. Ao final do procedimento, 98 pacientes não apresentavam salto nodal, e em 28 persistia o salto nodal e/ou o eco atrial. RESULTADOS: Houve recorrência clínica de TRN em 15 (11%) pacientes: 9 no grupo sem salto nodal e/ou eco atrial e em 6 do grupo que persistiu com salto e/ou eco atrial. A recorrência tendeu a ser maior no 2º grupo (9% vs 21%), mas não houve significância estatística entre os resultados (p=0,09). CONCLUSÃO: Desde que a TRN não possa ser induzida após a infusão de isoproterenol, a recorrência espontânea da arritmia após a ablação por RF da via lenta nodal não é diferente entre pacientes que persistem ou não com salto nodal e/ou eco atrial. PURPOSE: The aim of this study is to verify whether the persistence of conduction over the slow pathway is related to an increased trend for recurrence. METHODS: Recurrence rate was retrospectively analyzed in 126 patients who underwent slow pathway radiofrequency (RF) catheter ablation during a follow-up of 20±12 months. The ablative procedure was interrupted when AVNRT was no longer induced by atrial stimulation after intravenous infusion of isoproterenol. Ninety-eight patients had no evidence of slow pathway whereas 28 patients persisted with AV node jump and atrial echo beat. RESULTS: There were 15 recurrences: 9% of those who had no evidence of slow pathway (9 of 98 patients) and 21% of those with AV node jump and/or atrial echo beat but this difference was not statistically significant. CONCLUSION: As long as AVNRT cannot be induced by atrial pacing and isoproterenol infusion after slow pathway RF catheter ablation, the presence of AV node jump and/or atrial echo beat does not increase the risk of recurrence of AVNRT.
    Keywords taquicardia por reentrada nodal ; ablação por cateter ; via lenta ; atrioventricular reentrant tachycardia ; catheter ablation ; slow pathway ; Diseases of the circulatory (Cardiovascular) system ; RC666-701 ; Specialties of internal medicine ; RC581-951 ; Internal medicine ; RC31-1245 ; Medicine ; R ; DOAJ:Cardiovascular ; DOAJ:Medicine (General) ; DOAJ:Health Sciences
    Language English
    Publishing date 1998-08-01T00:00:00Z
    Publisher Sociedade Brasileira de Cardiologia - SBC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Radiofrequency catheter ablation in patients with atrial fibrillation

    Mauricio Scanavacca / Eduardo Sosa / André D'Ávila / Fernando Tondato / Francisco Darrieux / Denise Hachul / Antonio Bahia / Paulo Cavalcanti / Flávio Oliveira

    Arquivos Brasileiros de Cardiologia, Vol 72, Iss 6, Pp 701-

    1999  Volume 708

    Keywords Diseases of the circulatory (Cardiovascular) system ; RC666-701 ; Specialties of internal medicine ; RC581-951 ; Internal medicine ; RC31-1245 ; Medicine ; R ; DOAJ:Cardiovascular ; DOAJ:Medicine (General) ; DOAJ:Health Sciences
    Language English
    Publishing date 1999-06-01T00:00:00Z
    Publisher Sociedade Brasileira de Cardiologia - SBC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article ; Online: Ablação com radiofreqüência do flutter atrial tipo I. Importância do bloqueio bidirecional do istmo entre a veia cava inferior e o anel da valva tricúspide Type I atrial flutter radiofrequency ablation. Importance of bidirectional line of block in the inferior vena cava tricuspide annulus isthmus

    Mauricio Scanavacca / Eduardo Sosa / José Luis Velarde / André D'Ávila / Denise Hachul / Basileu Reolão / Osvaldo Sanches / Márcio Silva / Francisco Darrieux

    Arquivos Brasileiros de Cardiologia, Vol 71, Iss 5, Pp 705-

    1998  Volume 711

    Abstract: OBJETIVO: Estudar a importância clínica da determinação eletrofisiológica da presença de bloqueio bidirecional na condução pelo istmo localizado entre a veia cava inferior e o anel da valva tricúspide (VCI - AT), após a ablação do flutter atrial tipo I ( ... ...

    Abstract OBJETIVO: Estudar a importância clínica da determinação eletrofisiológica da presença de bloqueio bidirecional na condução pelo istmo localizado entre a veia cava inferior e o anel da valva tricúspide (VCI - AT), após a ablação do flutter atrial tipo I (FL) com radiofreqüência (RF). MÉTODOS: Quarenta pacientes consecutivos (idade média 51±11 anos) com FL foram submetidos a ablação do istmo VCI-AT com RF. Em 30 pacientes (GI), o sucesso foi avaliado pela interrupção e não reindução do FL com estimulação atrial programada. Nos últimos 10 pacientes foi avaliada também a condução bidirecional pelo istmo, com cateteres posicionados na sua entrada e saída e em cada lado da linha de bloqueio. O bloqueio foi considerado bidirecional quando ocorrido nos dois sentidos e unidirecional quando ocorrido em um só sentido. RESULTADOS: Vinte e seis (86%) pacientes do GI e 10 (100%) do GII tiveram sucesso imediato (p= 0,5558). Durante o seguimento, 7 (30%) de 23 pacientes do GI e 3 (30%) de 9 do GII tiveram recorrência de FL (p= NS). Os três pacientes do GII que apresentaram recorrência tinham bloqueio unidirecional, enquanto os seis casos sem recorrência tinham bloqueio bidirecional (p=0,012). CONCLUSÃO: A demonstração de bloqueio bidirecional no istmo VCI-AT, obtida imediatamente após a ablação do FL com RF, relaciona-se a menor índice de recorrência clínica, devendo ser o critério preferencial para término do procedimento. PURPOSE: To determine the clinical importance of a bi-directional line of block demonstration in the inferior vena cava-tricuspid annulus isthmus as an end-point for radiofrequency (RF) atrial flutter (FL) ablation. METHODS: Forty consecutive patients (51±11 years) with type I FL were divided in 2 groups: GI (30 patients) anatomic, non-electrophysiologic isthmus ablation technique (interruption and non-induction FL criteria); and GII (10 patients) anatomic with electrophysiologic evaluation of bi-directional isthmus conduction. The isthmus activation was analyzed before and after anatomic RF ablation with a cateter exploring each side of the line of block, depending on the conduction evaluation (anterograde or retrograde). RESULTS: FL was interrupted and not reinduced in 26/30 (86.6%) GI patients and in 10 (100%) GII patients (p= 0.5558). During follow-up FL recurred in 30% of the patients in both groups. In GII, 6 patients with bi-directional block remained assymptomatic, whereas 3 patients with unidirectional block presented recurrence (p= 0.012). CONCLUSION: Electrophysiologic demonstration of bi-directional line of block in the isthmus is related to long-term success and should be the criterion for interruption of type I atrial FL RF ablation.
    Keywords flutter atrial ; ablação com radiofreqüência ; taquicardias supraventriculares ; atrial flutter ; radiofrequency catheter ablation ; supraventricular tachycardia ; Diseases of the circulatory (Cardiovascular) system ; RC666-701 ; Specialties of internal medicine ; RC581-951 ; Internal medicine ; RC31-1245 ; Medicine ; R ; DOAJ:Cardiovascular ; DOAJ:Medicine (General) ; DOAJ:Health Sciences
    Language English
    Publishing date 1998-11-01T00:00:00Z
    Publisher Sociedade Brasileira de Cardiologia - SBC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  7. Article ; Online: Diretrizes para Avaliação e Tratamento de Pacientes com Arritmias Cardíacas

    Gilson Soares Feitosa / José Carlos Nicolau / Adalberto Lorga / Adalberto Lorga Filho / André D'Ávila / Anis Rassi Jr / Angelo A. V. de Paola / Anísio Pedrosa / Álvaro Barros da Costa / Ayrton Peres / César Grupi / Cláudio Cirenza / Dalmo Moreira / Dário Sobral / Denise Hachul / Eduardo D'Andréa / Eduardo Sosa / Epotamênides M. Good God / Fábio Sândoli de Brito /
    Fernando Cruz / Guilherme Fenelon / Gustavo Glotz Lima / Hélio Brito / Ivan G. Maia / Jacob Atié / José Carlos Moura Jorge / José Carlos de Andrade / José Carlos Pachón Mateos / José Carlos Ribeiro / João Pimenta / José Tarcísio de Vasconcelos / Júlio Gizzi / Leandro Zimerman / Luiz Antonio Teno Castilho / Márcio Fagundes / Márcio Figueiredo / Martino Martinelli Filho / Maurício I. Scanavacca / Ney Valente / Paulo Medeiros / Paulo Brofman / Reynaldo Castro Miranda / Roberto Costa / Ricardo Kunyioshi / Roberto Sá / Sérgio G. Rassi / Sérgio Siqueira / Silas Galvão / Silvana Nishioka / Tereza Grillo / Thiago da Rocha Rodrigues / Washington Maciel

    Arquivos Brasileiros de Cardiologia, Vol 79, Pp 1-

    2002  Volume 50

    Keywords Diseases of the circulatory (Cardiovascular) system ; RC666-701 ; Specialties of internal medicine ; RC581-951 ; Internal medicine ; RC31-1245 ; Medicine ; R ; DOAJ:Cardiovascular ; DOAJ:Medicine (General) ; DOAJ:Health Sciences
    Language English
    Publishing date 2002-01-01T00:00:00Z
    Publisher Sociedade Brasileira de Cardiologia - SBC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  8. Article ; Online: Pandemônio Durante a Pandemia

    André d’Avila / Marco F. Vidal Melo / Renato D. Lopes

    Arquivos Brasileiros de Cardiologia, Vol 114, Iss 5, Pp 753-754

    Qual o Papel dos Profissionais da Saúde e a Ciência?

    Keywords coronavirus ; covid-19 ; pandemias ; hydroxychloroquina/efeitos da medicação ; azitromicina/efeitos adversos ; aprovação de drogas ; comitê de ética em pesquisa ; mídias sociais ; Diseases of the circulatory (Cardiovascular) system ; RC666-701 ; covid19
    Language English
    Publisher Sociedade Brasileira de Cardiologia (SBC)
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