PRISCILA GHERARDI GOLDSTEIN
Índice h a partir de 2011
2
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 Complicações mecânicas pós-infarto agudo do miocárdio(2018) PAULA, Leonardo Jorge Cordeiro de; GOLDSTEIN, Priscila Gherardi; GAIOTTO, Fábio AntôniobookPart Complicações mecânicas pós-infarto agudo do miocárdio(2018) PAULA, Leonardo Jorge Cordeiro de; GOLDSTEIN, Priscila Gherardi; GAIOTTO, Fábio AntôniobookPart Endocardite infecciosa(2015) SICILIANO, Rinaldo Focaccia; GOLDSTEIN, Priscila GherardibookPart Edema agudo de pulmão(2018) GOLDSTEIN, Priscila Gherardi; OLIVEIRA, Múcio Tavares de- Incremental value of B-type natriuretic peptide for early risk prediction of infective endocarditis(2014) SICILIANO, Rinaldo Focaccia; GUALANDRO, Danielle Menosi; MUELLER, Christian; SEGURO, Luis Fernando Bernal da Costa; GOLDSTEIN, Priscila Gherardi; STRABELLI, Tania Mara Varejao; ARIAS, Vanessa; ACCORSI, Tarso Augusto Duenhas; GRINBERG, Max; MANSUR, Alfredo Jose; OLIVEIRA JR., Mucio Tavares deBackground: Early and accurate risk prediction is an unmet clinical need in patients with infective endocarditis (IE). The aim of this study was to determine the value of B-type natriuretic peptide (BNP) levels obtained on admission for the prediction of in-hospital death in IE patients. Methods: Between 2009 and 2011, consecutive patients with IE diagnosed using the revised Duke criteria and admitted to the emergency department were evaluated prospectively. BNP levels were measured on admission. Death during hospitalization was the primary endpoint. Results: Among 104 consecutive patients with IE and with available BNP levels, 34 (32.7%) died in hospital. BNP levels were significantly higher in patients who died as compared to survivors (709.0 pg/ml vs. 177.5 pg/ml, p < 0.001). The accuracy of BNP to predict death as quantified by the area under the receiver operating characteristics curve was 0.826 (95% confidence interval (CI) 0.747-0.905). The value of BNP was additive to that provided by clinical, microbiological, and echocardiography assessment. On multivariate analysis, new heart failure (hazard ratio (HR) 2.02, 95% CI 1.15-3.57, p = 0.015), sepsis (HR 2.10, 95% CI 1.25-3.55, p = 0.005), Staphylococcus aureus endocarditis (HR 2.67, 95% CI 1.60-4.45, p < 0.001), left ventricular ejection fraction <= 55% (HR 1.63, 95% CI 1.00-2.65, p = 0.047), and BNP (HR 1.04, 95% CI 1.02-1.06, p < 0.001) were independent predictors of in-hospital mortality. Conclusion: Among patients with IE, BNP levels obtained on admission provide incremental value for early and accurate risk prediction. (C) 2014 The Authors.
bookPart Endocardite infecciosa(2018) SICILIANO, Rinaldo Focaccia; PAIXãO, Milena Ribeiro; GOLDSTEIN, Priscila GherardibookPart Edema agudo de pulmão(2018) GOLDSTEIN, Priscila Gherardi; JúNIOR, Múcio Tavares de OliveiraconferenceObject The Role of B-type Natriuretie Peptide as a Prognostic Factor for Endocarditis at the Emergency Room(2012) GUALANDRO, Danielle M.; GOLDSTEIN, Priscila; SEGURO, Luis F.; SICILIANO, Rinaldo; STRABELLI, Tania; ARIAS, Viviane; MANSUR, Alfredo J.; ACCORSI, Tarso A.; GRINBERG, Max; OLIVEIRA, Mucio T.- Diagnostic Performance of Coronary Tomography Angiography and Serial Measurements of Sensitive Cardiac Troponin in Patients With Chest Pain and Intermediate Risk for Cardiovascular Events(2022) SOEIRO, Alexandre de Matos; BISELLI, Bruno; LEAL, Tatiana C. A. T.; BOSSA, Aline Siqueira; CESAR, Maria Cristina; JALLAD, Sergio; GOLDSTEIN, Priscila Gherardi; GUIMARAES, Patricia Oliveira; JR, Carlos Vicente Serrano; NOMURA, Cesar Higa; NAKAMURA, Debora; ROCHITTE, Carlos Eduardo; SOARES, Paulo Rogerio; JR, Mucio Tavares de OliveiraBackground: Coronary tomography angiography (CTA) has been mainly used for chest pain evaluation in low-risk patients, and few data exist regarding patients at intermediate risk. Objective: To evaluate the performance of serial measures of sensitive troponin and CTA in intermediate-risk patients. Methods: A total of 100 patients with chest pain, TIMI risk scores of 3 or 4, and negative troponin were prospectively included. All patients underwent CTA and those with coronary stenosis >= 50% were referred to invasive coronary angiography. Patients with coronary lesions <50% were discharged and contacted 30 days later by a telephone call to assess clinical outcomes. Outcomes were hospitalization, death, and myocardial infarction at 30 days. The comparison between methods was performed by Kappa agreement test. The performance of troponin measures and CTA for detecting significant coronary lesions and clinical outcomes was calculated. Results were considered statistically significant when p < 0.05. Results: Coronary stenosis >= 50% on CTA was found in 38% of patients and significant coronary lesions on coronary angiography were found in 31 patients. Two clinical events were observed. Kappa agreement analysis showed low agreement between troponin measures and CTA in the detection of significant coronary lesions (kappa = 0.022, p = 0.78). The performance of CTA for detecting significant coronary lesions on coronary angiography or for predicting clinical events at 30 days was better than sensitive troponin measures (accuracy of 91% versus 60%). Conclusion: CTA performed better than sensitive troponin measures in the detection of significant coronary disease in patients with chest pain and intermediate risk for cardiovascular events.
bookPart Edema agudo de pulmão(2015) GOLDSTEIN, Priscila Gherardi; OLIVEIRA JR., Múcio Tavares de