JAQUELINE WAGENFUHR
Índice h a partir de 2011
3
Projetos de Pesquisa
Unidades Organizacionais
Instituto da Criança, Hospital das Clínicas, Faculdade de Medicina - Médico
10 resultados
Resultados de Busca
Agora exibindo 1 - 10 de 10
- Type III glycogen storage disease mimicking hypertrophic cardiomyopathy(2012) SALEMI, Vera Maria Cury; DEMARCHI, Lea Maria Macruz Ferreira; CABEDA, Estevan Vieira; WAGENFUEHR, Jaqueline; TANAKA, Ana Cristina
bookPart Insuficiência cardíaca(2022) WILD, Camila Lúcia Dedivitis Tiossi; WAGENFUHR, JaquelinebookPart Arritmias(2022) LARA, Sissy; WAGENFüHR, Jaqueline; SCANAVACCA, Mauricio; DEDIVITTIS, Camila Lúcia Tiossi WildbookPart Miocardites(2022) WILD, Camila Lúcia Dedivitis Tiossi; WAGENFUHR, Jaqueline- Characterization of the electrocardiographic pattern of individuals with cerebral palsy(2011) PASTORE, Carlos Alberto; SAMESIMA, Nelson; IMADA, Rodrigo; REIS, Marta; SANTOS, Maria Teresa; FERREIRA, Maria Cristina; GRUPI, Cesar; FUMAGALLI, Fernanda; WAGENFUHR, Jaqueline; CHAMMAS, MairaBackground: Dentists of Lar Sao Francisco observed during dental treatment that children with cerebral palsy (CP) had increased heart rate (HR) and lower production of saliva. Despite the high prevalence of CP found in the literature (2.08-3.6/1000 individuals), little is known about the electrocardiographic (ECG) characteristics, especially HR, of individuals with CP. Objective: This study aimed to investigate the hypothesis that individuals with CP have a higher HR and to define other ECG characteristics of this population. Methods: Ninety children with CP underwent clinical examination and 12-lead rest ECG. Electrocardiographic data on rhythm, HR, PR interval, QRS duration, P/QRS/T axis, and QT, QTc and T(peak-end) intervals (minimum, mean, maximum, and dispersion) were measured and analyzed then compared with data from a control group with 35 normal children. Fisher and Mann-Whitney U tests were used, respectively, to compare categorical and continuous data. Results: Groups cerebral palsy and control did not significantly differ in age (9 +/- 3 x 9 +/- 4 years) and male gender (65% x 49%). Children with CP had a higher HR (104.0 +/- 20.6 x 84.2 +/- 13.3 beats per minute; P < .0001), shorter PR interval (128.8 +/- 15.0 x 138.1 +/- 15.1 milliseconds; P = .0018), shorter QRS duration (77.4 +/- 8.6 x 82.0 +/- 8.7 milliseconds; P = .0180), QRS axis (46.0 degrees +/- 26.3 degrees x 59.7 degrees +/- 24.8 degrees; P = .0024) and T-wave axis (34.3 degrees +/- 28.9 degrees x 42.9 degrees +/- 17.1 degrees; P = .034) more horizontally positioned, and greater mean QTc (418.1 +/- 18.4 x 408.5 +/- 19.4 milliseconds; P = .0110). All the electrocardiogram variables were within the reference range for the age group including those with significant differences. Conclusion: Children with CP showed increased HR and other abnormal ECG findings in the setting of this investigation. Further studies are needed to explain our findings and to correlate the increased HR with situations such as dehydration, stress, and autonomic nervous disorders.
bookPart Eletrocardiograma(2022) WILD, Camila Lúcia Dedivitis Tiossi; WAGENFUHR, JaquelinebookPart Endocardite infecciosa(2022) WILD, Camila Lúcia Dedivitis Tiossi; WAGENFUHR, JaquelinebookPart Pericardites(2022) WILD, Camila Lúcia Dedivitis Tiossi; WAGENFUHR, JaquelinebookPart Cardiopatias congênitas(2022) WAGENFUHR, Jaqueline; WILD, Camila Lúcia Dedivitis Tiossi- Cardiovascular findings in Williams-Beuren Syndrome: Experience of a single center with 127 cases(2022) HONJO, Rachel Sayuri; MONTELEONE, Vanessa Figueiredo; AIELLO, Vera Demarchi; WAGENFUHR, Jaqueline; ISSA, Victor Sarli; POMERANTZEFF, Pablo Maria Alberto; FURUSAWA, Erika Arai; ZANARDO, Evelin Aline; KULIKOWSKI, Leslie Domenici; BERTOLA, Debora Romeo; KIM, Chong AeWilliams-Beuren syndrome (WBS) is a rare, microdeletion syndrome characterized by facial dysmorphisms, intellectual disability, a friendly personality, cardiovascular and other abnormalities. Cardiovascular defects (CVD) are among the most prevalent characteristics in WBS, being supravalvular aortic stenosis (SVAS) the most frequent, followed by peripheral pulmonary stenosis (PPS). A comprehensive retrospective review of medical records of 127 patients with molecular diagnosis of WBS, in a period of 20 years, was done to evaluate the incidence, the natural history of cardiovascular disease, and the need for surgical intervention, including heart transplantation (HT). A total of 94/127 patients presented with CVD. Of these 94 patients, 50% presented with SVAS and 22.3% needed heart surgery and/or cardiac catheterization including one that required HT due to severe SVAS-related heart failure at 19 years of age. The patient died in the postoperative period due to infectious complications. Cardiovascular problems are the major cause of sudden death in patients with WBS, who have a significantly higher mortality risk associated with surgical interventions. There is a higher risk for anesthesia-related adverse events and for major adverse cardiac events following surgery. End-stage heart failure due to myocardial ischemia has been described in WBS patients and it is important to consider that HT can become their only viable option. To our knowledge, the case mentioned here is the first HT reported in an adolescent with WBS. HT can be a viable therapeutic option in WBS patients with adequate evaluation, planning, and a multidisciplinary team to provide the required perioperative care and follow-up.