MARCIO SOMMER BITTENCOURT
Projetos de Pesquisa
Unidades Organizacionais
80 resultados
Resultados de Busca
Agora exibindo 1 - 10 de 80
- Atherosclerosis in HIV patients: A different disease or more of the same?(2015) BITTENCOURT, Marcio Sommer; PEIXOTO, Driele
- Heart Disease and Stroke Statistics-2019 Update A Report From the American Heart Association(2019) BENJAMIN, Emelia J.; MUNTNER, Paul; ALONSO, Alvaro; BITTENCOURT, Marcio S.; CALLAWAY, Clifton W.; CARSON, April P.; CHAMBERLAIN, Alanna M.; CHANG, Alexander R.; CHENG, Susan; DAS, Sandeep R.; DELLING, Francesca N.; DJOUSSE, Luc; ELKIND, Mitchell S. V.; FERGUSON, Jane F.; FORNAGE, Myriam; JORDAN, Lori Chaffin; KHAN, Sadiya S.; KISSELA, Brett M.; KNUTSON, Kristen L.; KWAN, Tak W.; LACKLAND, Daniel T.; LEWIS, Tene T.; LICHTMAN, Judith H.; LONGENECKER, Chris T.; LOOP, Matthew Shane; LUTSEY, Pamela L.; MARTIN, Seth S.; MATSUSHITA, Kunihiro; MORAN, Andrew E.; MUSSOLINO, Michael E.; O'FLAHERTY, Martin; PANDEY, Ambarish; PERAK, Amanda M.; ROSAMOND, Wayne D.; ROTH, Gregory A.; SAMPSON, Uchechukwu K. A.; SATOU, Gary M.; SCHROEDER, Emily B.; SHAH, Svati H.; SPARTANO, Nicole L.; STOKES, Andrew; TIRSCHWELL, David L.; TSAO, Connie W.; TURAKHIA, Mintu P.; VANWAGNER, Lisa B.; WILKINS, John T.; WONG, Sally S.; VIRANI, Salim S.Each year, the American Heart Association (AHA), in conjunction with the National Institutes of Health and other government agencies, brings together in a single document the most up-to-date statistics related to heart disease, stroke, and the cardiovascular risk factors in the AHA's My Life Check - Life's Simple 7 (Figure1), which include core health behaviors (smoking, physical activity, diet, and weight) and health factors (cholesterol, blood pressure [BP], and glucose control) that contribute to cardiovascular health. The Statistical Update represents a critical resource for the lay public, policy makers, media professionals, clinicians, healthcare administrators, researchers, health advocates, and others seeking the best available data on these factors and conditions. Cardiovascular disease (CVD) produces immense health and economic burdens in the United States and globally. The Statistical Update also presents the latest data on a range of major clinical heart and circulatory disease conditions (including stroke, congenital heart disease, rhythm disorders, subclinical atherosclerosis, coronary heart disease [CHD], heart failure [HF], valvular disease, venous disease, and peripheral arterial disease) and the associated outcomes (including quality of care, procedures, and economic costs). Since 2007, the annual versions of the Statistical Update have been cited > 20 000 times in the literature. Each annual version of the Statistical Update undergoes revisions to include the newest nationally representative data, add additional relevant published scientific findings, remove older information, add new sections or chapters, and increase the number of ways to access and use the assembled information. This year-long process, which begins as soon as the previous Statistical Update is published, is performed by the AHA Statistics Committee faculty volunteers and staff and government agency partners. This year's edition includes data on the monitoring and benefits of cardiovascular health in the population, metrics to assess and monitor healthy diets, a new chapter on sleep, an enhanced focus on social determinants of health, a substantively expanded focus on the global burden of CVD, and further evidence-based approaches to changing behaviors, implementation strategies, and implications of the AHA's 2020 Impact Goals. Below are a few highlights from this year's Statistical Update.
- The contribution of the systolic and diastolic components for the diagnosis of arterial hypertension under the 2017 ACC/AHA Guideline and metabolic heterogeneity among individuals with Stage 1 hypertension(2020) CESENA, Fernando H. Y.; NARY, Fernando C.; SANTOS, Raul D.; BITTENCOURT, Marcio S.Little is known about the impact of the 2017 ACC/AHA hypertension guideline on the distribution pattern of hypertension modalities (isolated systolic hypertension [ISH], isolated diastolic hypertension [IDH], and systolic-diastolic hypertension [SDH]). This cross-sectional study had the following objectives: to compare the prevalence of hypertension, ISH, IDH, and SDH, according to the definitions of the JNC 7 or the 2017 guideline; to determine the relative contribution of the systolic and the diastolic components for the diagnosis of hypertension; and to compare the metabolic profile of ISH, IDH, or SDH among new hypertensive individuals by the 2017 guideline. The authors retrospectively evaluated 33 594 patients (42 +/- 10 years, 67% male) who underwent a routine health evaluation. Hypertensive patients not using antihypertensive medication were classified into ISH, IDH, or SDH using guideline-defined thresholds. The prevalence of hypertension increased from 21.1% by the JNC 7 definition to 54.7% using the 2017 criteria (2.6-fold increase). More profound increases were seen in the prevalence of IDH (8.7-fold) and SDH (3.3-fold), whereas the prevalence of ISH reduced from 1.1% (JNC 7) to 0.5% (2017 definition). Among patients with Stage 1 hypertension by the 2017 document, 85% had IDH and fewer metabolic abnormalities compared to those with SDH or ISH. The authors concluded that the 2017 guideline inflates the role of the diastolic component and diminishes the contribution of the systolic component for the diagnosis of hypertension. Individuals with Stage 1 hypertension by the 2017 guideline are metabolically heterogeneous and may have different long-term prognoses.
- Subclinical carotid artery atherosclerosis and performance on cognitive tests in middle-aged adults: Baseline results from the ELSA-Brasil(2015) SUEMOTO, Claudia K.; SANTOS, Itamar S.; BITTENCOURT, Marcio S.; PEREIRA, Alexandre C.; GOULART, Alessandra C.; RUNDEK, Tatjana; PASSOS, Valeria M.; LOTUFO, Paulo; BENSENOR, Isabela M.Background and aims: Carotid artery intima-media thickness (CIMT) may be used as a biomarker for early cognitive impairment. However, the results of the association between CIMT and cognitive function in middle-aged subjects are mixed. We aimed to investigate this association in a large Brazilian sample with no history of stroke at baseline. Additionally, we tested the effect of interactions between CIMT and cardiovascular risk factors on cognitive performance. Methods: In this cross-sectional study, cognition was evaluated using the delayed word recall (DWRT), the category fluency, and the trail making tests (TMT). CIMT was measured at the common carotid artery. The association between CIMT and cognitive tests was investigated using linear regression models, adjusted for an extensive set of possible confounding variables. We also included interaction terms with selected risk factors. Results: The mean age of the 8208 participants was 49.6 +/- 7.3 years, 44% were male, and 56% White. Increase in CIMT was associated with worse performance on the DWRT (beta = -0.433, 95% CI = -0.724; -0.142, p = 0.004). We found effect modification of the association between cognitive function and CMIT by self-reported heart failure and alcohol intake. Participants had worse performance in the TMT if they had greater CIMT and current alcohol use (p < 0.0001). The interaction between CIMT and heart failure on TMT performance was not significant after adjustment for multiple comparisons (p = 0.07). Conclusions: In this sample of middle-aged adults, CIMT was inversely associated with memory function. Additionally, the presence of alcohol use resulted in a stronger association of CIMT with worse performance on an executive function test.
conferenceObject Long-Term Prognosticvalue of Coronary Computed Tomography Scores to Predict Cardiovascular Events: The CORE64 and CORE320 Studies(2018) LIMA, Thais P.; ASSUNCAO JR., Antonildes N.; BITTENCOURT, Marcio S.; LIBERATO, Gabriela; LIMA, Joao A.; ROCHITTE, Carlos E.conferenceObject Anxiety and Depressive Symptoms are Associated with Coronary Artery Calcium. A Cross-sectional Analysis of Elsa-Brasil Baseline Data(2016) SANTOS, Itamar S.; BITTENCOURT, Marcio S.; ROCCO, Priscila T.; PEREIRA, Alexandre C.; BARRETO, Sandhi M.; BRUNONI, Andre R.; GOULART, Alessandra C.; BLAHA, Michael J.; LOTUFO, Paulo A.; BENSENOR, Isabela M.conferenceObject Obesity With and Without Metabolic Syndrome - Association With Coronary Artery Disease and Adverse Cardiovascular Outcomes(2014) HULTEN, Edward; BITTENCOURT, Marcio; GHOSHHAJRA, Brian; SHAH, Ravi; ABBASI, Siddique; ABBARA, Suhny; NASIR, Khurram; BLAHA, Michael; HOFFMANN, Udo; CARLI, Marcelo F. Di; BLANKSTEIN, Ron- Suboptimal Blood Pressure Control Increases the Risk of Non-alcoholic Fatty Liver Disease(2020) SAEED, Gul; ANENI, Ehimen; ABRAHAM, Bincy; BITTENCOURT, Marcio S.; ACHIRICA, Miguel Cainzos; SANTOS, Raul D.; NASIR, Khurram
- Impact of Coronary Remodeling on Fractional Flow Reserve(2018) COLLET, Carlos; KATAGIRI, Yuki; MIYAZAKI, Yosuke; ASANO, Taku; SONCK, Jeroen; GEUNS, Robert-Jan van; ANDREINI, Daniele; BITTENCOURT, Marcio S.; KITSLAAR, Pieter; TENEKECIOUGLU, Erhan; TIJSSEN, Jan G. P.; PIEK, Jan J.; WINTER, Robbert J. de; COSYNS, Bernard; ROGERS, Campbell; ZARINS, Christopher K.; TAYLOR, Charles; ONUMA, Yoshinobu; SERRUYS, Patrick W.
conferenceObject Yield of Different Approaches for Screening for Cardiovascular Disease in Asymptomatic Diabetics(2014) CHURCHILL, Timothy W.; RASSI, Carlos H.; TAVARES, Carlos A. Fernandes; FAHEL, Mateus G.; RASSI, Fabricia P.; UCHIDA, Augusto H.; WAJCHENBERG, Bernardo L.; LERARIO, Antonio C.; HULTEN, Edward; BITTENCOURT, Marcio S.; BLANKSTEIN, Ron