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  1. Article ; Online: Escore eletrocardiográfico: aplicação em ergometria para avaliação do precondicionamento isquêmico.

    Uchida, Augusto / Moffa, Paulo / Hueb, Whady / Cesar, Luiz Antonio Machado / Ferreira, Beatriz Moreira Ayub / Ramires, Jose Antonio Franchini

    Arquivos brasileiros de cardiologia

    2010  Volume 95, Issue 4, Page(s) 486–492

    Abstract: Background: the time for 1.0 mm ST-segment depression (T-1.0mm) adopted to characterize ischemic preconditioning (IPC) in sequential exercise tests is consistent and reproducible; however, it has several limitations.: Objective: to apply an ... ...

    Title translation Electrocardiographic score: application in exercise test for the assessment of ischemic preconditioning.
    Abstract Background: the time for 1.0 mm ST-segment depression (T-1.0mm) adopted to characterize ischemic preconditioning (IPC) in sequential exercise tests is consistent and reproducible; however, it has several limitations.
    Objective: to apply an electrocardiographic score of myocardial ischemia in sequential exercise tests, comparing it to the conventional T-1.0 mm index.
    Methods: sixty one patients with mean age of 62.2 ± 7.5 years were evaluated; 86.9% were males. A total of 151 tests were analyzed, 116 of which were from patients who completed two assessment phases. The first phase comprised two sequential exercise tests for the documentation of IPC; the second phase, initiated one week later, comprised two more tests carried out under the effect of repaglinide. Two observers who were blind to the tests applied the score.
    Results: Perfect inter and intraobserver agreement was found (Kendall tau-b = 0.96, p < 0.0001, and Kendall tau-b = 0.98, p < 0.0001, respectively). Values of sensitivity and specificity, negative predictive value, positive predictive value and accuracy were 72.41%, 89.29%, 75.8%, 87.5% and 81.0%, respectively.
    Conclusion: the ischemic score is a consistent and reproducible method for the documentation of IPC, and is a feasible alternative to T-1.0 mm.
    MeSH term(s) Carbamates ; Diabetes Mellitus/drug therapy ; Diabetes Mellitus/physiopathology ; Double-Blind Method ; Electrocardiography/methods ; Electrocardiography/standards ; Ergometry ; Female ; Humans ; Hypoglycemic Agents/therapeutic use ; Ischemic Preconditioning ; Male ; Middle Aged ; Myocardial Ischemia/diagnosis ; Observer Variation ; Piperidines ; Predictive Value of Tests
    Chemical Substances Carbamates ; Hypoglycemic Agents ; Piperidines ; repaglinide (668Z8C33LU)
    Language Multiple languages
    Publishing date 2010-09-08
    Publishing country Brazil
    Document type Comparative Study ; English Abstract ; Journal Article
    ZDB-ID 730261-7
    ISSN 1678-4170 ; 0066-782X
    ISSN (online) 1678-4170
    ISSN 0066-782X
    DOI 10.1590/s0066-782x2010005000122
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 548: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  2. Article ; Online: Exercise-induced left septal fascicular block: an expression of severe myocardial ischemia.

    Uchida, Augusto Hiroshi / Moffa, Paulo Jorge / Riera, Andrés Ricardo Pérez / Ferreira, Beatriz Moreira Ayub

    Indian pacing and electrophysiology journal

    2006  Volume 6, Issue 2, Page(s) 135–138

    Language English
    Publishing date 2006-04-01
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2123606-9
    ISSN 0972-6292 ; 0972-6292
    ISSN (online) 0972-6292
    ISSN 0972-6292
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: New prognostic score for stable coronary disease evaluation.

    Coutinho Storti, Fernanda / Moffa, Paulo Jorge / Uchida, Augusto H / Hueb, Whady Armindo / Machado César, Luiz Antônio / Ferreira, Beatriz Moreira Ayub / Camargo, Paulo Augusto de / Chalela, William Azem

    Arquivos brasileiros de cardiologia

    2011  Volume 96, Issue 5, Page(s) 411–418

    Abstract: Background: The need to improve the exercise testing accuracy, pushed the development of scores, whose applicability was already broadly recognized.: Objective: Prognostic evaluation of stable coronary disease through a new simplified score.: ... ...

    Abstract Background: The need to improve the exercise testing accuracy, pushed the development of scores, whose applicability was already broadly recognized.
    Objective: Prognostic evaluation of stable coronary disease through a new simplified score.
    Methods: A new score was applied in 372 multivessel coronary patients with preserved ventricular function, 71.8% male, age: 59.5 (± 9.07) years old, randomized to medical treatment, surgery (CABG) or angioplasty (PTCA), with 5 years of follow-up. Cardiovascular death was considered the primary endpoint. Non-fatal myocardial infarction, death and re-intervention were considered for a combined secondary endpoint. The score was based on an equation previously validated, resulting from a sum of one point for: male gender, infarction history, angina, diabetes, insulin use and one point for each decade of life after 40 years old. Positive exercise testing summed one additional point.
    Results: Thirty six deaths was observed (10 in group PTCA, 15 in CABG and 11 in the clinical group), p = 0.61. We observed 93 combined events: 37 in PTCA group, 23 in CABG and 33 in the clinical group (p = 0.058). 247 patients presented clinical score ≥ 5 points and 216 ≥ 6 points. The cutoff point ≥ 5 or ≥ 6 points identified higher risk, p = 0.015 and p = 0.012, respectively. The survival curve showed a different death incidence after the randomization when score reached 06 points or more (p = 0.07), and a distinct incidence of combined events between the patients with score < 6 and ≥ 6 points (p = 0.02).
    Conclusion: The new score was consistent for multiarterial stable coronary disease risk stratification.
    MeSH term(s) Age Factors ; Angina Pectoris/epidemiology ; Angioplasty, Balloon, Coronary/mortality ; Angioplasty, Balloon, Coronary/statistics & numerical data ; Coronary Artery Bypass/mortality ; Coronary Artery Bypass/statistics & numerical data ; Coronary Disease/mortality ; Diabetes Mellitus/drug therapy ; Epidemiologic Methods ; Exercise Test/methods ; Female ; Humans ; Hypoglycemic Agents/therapeutic use ; Insulin/therapeutic use ; Male ; Middle Aged ; Myocardial Infarction/epidemiology ; Myocardial Infarction/mortality ; Prognosis ; Time Factors
    Chemical Substances Hypoglycemic Agents ; Insulin
    Language Spanish
    Publishing date 2011-04-15
    Publishing country Brazil
    Document type Journal Article ; Randomized Controlled Trial
    ZDB-ID 730261-7
    ISSN 1678-4170 ; 0066-782X
    ISSN (online) 1678-4170
    ISSN 0066-782X
    DOI 10.1590/s0066-782x2011005000046
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

    In stock of ZB MED Cologne/Königswinter

    Zs.A 548: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

    Order via subito

    This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

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