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bookPart Síndrome coronária aguda e trombofilias(2018) SCANAVINI FILHO, Marco Antonio; GANEM, Fernando; BARACIOLI, Luciano Moreira- Características clínicas, angiográficas e evolução a longo prazo em pacientes com arterite de Takayasu e síndrome coronária aguda(2013) SOEIRO, Alexandre de Matos; ALMEIDA, Maria Carolina Feres de; TORRES, Tatiana Andreucci; FRANKEN, Marcelo; LIMA, Felipe Gallego; GANEM, Fernando; GIRALDEZ, Roberto R.; BARACIOLI, Luciano; TAVARES JR., Mucio Oliveira; SERRANO JR., Carlos V.; NICOLAU, Jose CarlosIntroduction: Monitoring of disease activity and the best therapeutic approach are a challenge in Takayasu arteritis (TA). When associated with acute coronary syndromes (ACS), the best interventional treatment has not been established. The objective of this study was to describe the baseline characteristics, clinical manifestations, treatment and long-term outcome of patients with TA and ACS. Methods: We retrospectively analyzed eight patients between 2004 and 2010. The following data were obtained: age, gender, clinical and electrocardiographic manifestations, Kit lip class, risk factors for ACS, markers of myocardial necrosis (CK-MB and troponin), creatinine clearance, left ventricular ejection fraction, inflammatory markers (C-reactive protein and erythrocyte sedimentation rate [ESR]), medication during hospital stay, angiographic findings, treatment (medical, percutaneous or surgical) and long-term outcome. Statistical data were expressed as percentages and absolute values. Results: All eight patients were women, median age 49 years. Typical chest pain was present in 37.5%. Elevated ESR was observed in 85.7%. Three patients underwent coronary artery bypass grafting, three underwent percutaneous coronary angioplasty (two with bare-metal stents and one with a drug-eluting stent) and two were treated medically. In-hospital mortality was 25%. There were no deaths during a mean follow-up of 30 months. Conclusions: In our study, patients who were discharged home had good outcomes in long-term follow-up with medical, percutaneous or surgical treatment. ESR appears to be associated with ACS in TA.
conferenceObject The very old in the emergency department: frequent visits, hospital admissions and deaths.(2015) AVELINO-SILVA, T. J.; SA, M. M. de Sousa e; GIL, L. A.; JACOB-FILHO, W.; GANEM, F.bookPart Choque cardiogênico pós-infarto agudo do miocárdio(2018) MENEZES, Fernando Reis; PAOLINO, Bruno de Souza; GANEM, FernandobookPart Choque cardiogênico pós-infarto agudo do miocárdio(2015) MENEZES, Fernando Reis; PAOLINO, Bruno de Souza; GANEM, FernandobookPart Choque cardiogenico pós-infarto agudo do miocárdio(2018) MENEZES, Fernando Reis; PAOLINO, Bruno de Souza; GANEM, Fernando- Successive blood pressure measurements to evaluate suspected and treated hypertension(2016) SILVA, Marco A. Vieira da; SILVA, Ana P. Mendes da; GIORGI, Dante M. Artigas; GANEM, FernandoIntroductionAccording to the published literature, blood pressure (BP) measurements performed in the outpatient clinical setting are often inaccurate. The white coat effect and improper technique are the main causes of this imprecision. Construction of a set of readings without them could improve the accuracy of BP measurement.ObjectiveTo evaluate the accuracy and agreement of successive office BP measurements using the awake blood pressure average (ABPa) as the gold standard.MethodsBP was measured in 852 patients using three techniques: in office (OBPa); seven successive measurements performed by a nurse using an automatic device; and 24h of ambulatory BP monitoring. BP averages (BPa) were obtained from the nurse's measurements: 1-2BPa (first and second), 3-7BPa (third to seventh), and 1-7BPa (first to seventh). OBPa and successive measurements were tested against ABPa by calculating the following: average difference in BP of 1-2BPa, 3-7BPa and OBPa, and the area under the curve.ResultsAmong the 834 patients eligible, 374 (43.9%) were considered to be hypertensive on the basis of the ABPa (135/85mmHg). 3-7BPa showed the lowest average difference (4/3mmHg). By contrast, OBPa showed the highest result (21/11mmHg). The mean difference with 1-2BPa was 8/4mmHg. The areas under the curve were better with 3-7BPa (0.82-0.85) and 1-2BPa (0.82-0.83) than OBPa (0.67-0.71) for both systolic and diastolic BP.ConclusionAll means from successive measurements showed a better precision than OBPa, even the two first readings. However, more research needs to be carried out before recommendation of the use of this technique in routine practice.
- Influence of proven oral therapies in the very old with acute coronary syndromes: A 15 year experience(2015) NICOLAU, Jose C.; FRANCI, Andre; BARBOSA, Carlos Jose D. G.; BARACIOLI, Luciano M.; FRANKEN, Marcelo; FURTADO, Remo H. M.; GIRALDEZ, Roberto R. C. V.; GANEM, Fernando; LIMA, Felipe G.; MENEZES, Fernando R.; ARANTES, Flavia B. B.; RAMIRES, Jose A. F.; KALIL FILHO, Roberto; GIUGLIANO, Robert P.
bookPart Síndrome coronária aguda e trombofilias(2018) SCANAVINI FILHO, Marco Antonio; GANEM, Fernando; BARACIOLI, Luciano MoreirabookPart Complicações mecânicas pós-infarto agudo do miocárdio(2016) GANEM, Fernando