BRUNA ROMANELLI SCARPA
Projetos de Pesquisa
Unidades Organizacionais
Instituto do Coração, Hospital das Clínicas, Faculdade de Medicina - Médico
19 resultados
Resultados de Busca
Agora exibindo 1 - 10 de 19
bookPart Choque séptico em paciente cardiopata(2018) SCARPA, Bruna Romanelli; ROSA, Ximena Ferrugem; BERNOCHE, Claudia Yanet San Martin- Advances in medical technology and new digital educational platforms(2019) MADRINI JUNIOR, Vagner; CARDOZO, Francisco Akira Malta; GOMES, Brenno Rizerio; ALMEIDA, Mozar Suzigan de; SCUDELER, Thiago Luis; SCARPA, Bruna Romanelli
bookPart Anticoagulação e seguimento terapêutico da doença valvar(2022) ROMPKOSKI, Juliane; MATUCK, Bruna Romanelli Scarpa; PAIXãO, Milena RibeirobookPart Insuficiência mitral(2022) DINARDI, Layara Fernanda Lipari; MATUCK, Bruna Romanelli Scarpa; ACCORSI, Tarso Augusto DuenhasbookPart Dislipidemias(2022) SCARPANTI, Fernando Garcia; MATUCK, Bruna Romanelli Scarpa; GIRALDEZ, Viviane Zorzanelli RochabookPart Tabagismo(2022) SAMPAIO, Leon Pablo Cartaxo; MATUCK, Bruna Romanelli Scarpa; ABE, Tania Marie OgawabookPart Medidas comportamentais na prevenção cardiovascular(2022) AMSTALDEN, Natalia Bressiani; MATUCK, Bruna Romanelli Scarpa; SALGADO FILHO, WilsonbookPart Febre reumática(2022) HATANAKA, Denis Toshikazu Taniuchi; MATUCK, Bruna Romanelli Scarpa; SPINA, Guilherme SobreirabookPart Estratificação de risco cardiovascular(2022) HABRUM, Fábio Cetinic; MATUCK, Bruna Romanelli Scarpa; MINAME, Marcio Hiroshi- Coronavirus disease-2019 and heart: assessment of troponin and cardiovascular comorbidities as prognostic markers in patients hospitalized with coronavirus disease-2019 in a tertiary center in Brazil(2023) PINESI, Henrique Trombini; GIUGNI, Fernando Rabioglio; MATUCK, Bruna Romanelli Scarpa; PITTA, Fabio Grusnpun; GARZILLO, Cibele Larrosa; LIMA, Eduardo Gomes; KALIL FILHO, Roberto; SERRANO JUNIOR, Carlos VicenteOBJECTIVE: Our study aimed to evaluate the correlation of cardiac troponin T levels with comorbidities and in-hospital outcomes in patients with coronavirus disease-2019 in Brazil.METHODS: Data from a cohort of 3,596 patients who were admitted with suspected coronavirus disease-2019 in a Brazilian tertiary center, between March and August 2020, were reviewed. A total of 2,441 (68%) patients had cardiac troponin T determined in the first 72 h of admission and were stratified into two groups: elevated cardiac troponin T (cardiac troponin T >0.014 ng/mL) and normal cardiac troponin T. Associations between troponin, comorbidities, biomarkers, and outcomes were assessed. Regression models were built to assess the association of several variables with in-hospital mortality.RESULTS: A total of 2,441 patients were embraced, of which 924 (38%) had normal cardiac troponin T and 1,517 (62%) had elevated cardiac troponin T. Patients with elevated cardiac troponin T were older and had more comorbidities, such as cardiovascular disease, hypertension, diabetes, arrhythmia, renal dysfunction, liver disease, stroke, cancer, and dementia. Patients with abnormal cardiac troponin T also had more altered laboratory parameters on admission (i.e., leukocytes, C-reactive protein, D-dimer, and B-type natriuretic peptide), as well as more need for intensive care unit, vasoactive drugs, mechanical ventilation, dialysis, and blood transfusion. All-cause mortality was markedly higher among patients with increased cardiac troponin T (42 vs. 16%, P<0.001). Multiple regression analysis demonstrated that in-hospital mortality was not independently associated with troponin elevation.CONCLUSION: This study showed that cardiac troponin T elevation at admission was common and associated with several comorbidities, biomarkers, and clinical outcomes in patients hospitalized with coronavirus disease-2019, but it was not an independent marker of in-hospital mortality.