SILVIA HELENA GELAS LAGE PASQUALUCCI
Projetos de Pesquisa
Unidades Organizacionais
Departamento de Cardio-Pneumologia, Faculdade de Medicina - Docente
Instituto do Coração, Hospital das Clínicas, Faculdade de Medicina
LIM/22 - Laboratório de Patolologia Cardiovascular, Hospital das Clínicas, Faculdade de Medicina
Instituto do Coração, Hospital das Clínicas, Faculdade de Medicina
LIM/22 - Laboratório de Patolologia Cardiovascular, Hospital das Clínicas, Faculdade de Medicina
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Resultados de Busca
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conferenceObject Endovascular Therapeutic Hypothermia Is Feasible as an Adjuvant Therapy in Acute ST-Segment Elevation Myocardial Infarction Patients Without Delay in Door-to-Balloon Time(2019) DALLAN, Luis; GIANNETTI, Natali; DAE, Michael; POLASTRI, Thatiane; ROCHITTE, Carlos Eduardo; NOMURA, Cesar Higa; HAJJAR, Ludhmila Abrahao; BERNOCHE, Claudia; LAGE, Silvia; LIMA, Felipe; NICOLAU, Jose Carlos; TAVARES JR., Mucio; RIBEIRO, Expedito; KALIL JR., Roberto; LEMOS, Pedro A.; TIMERMAN, SergioconferenceObject Training, Simulation and Validation of Therapeutic Hypothermia as an Adjuvant Treatment in St Segment Elevation Myocardial Infarction(2018) DALLAN, Luis Augusto; RIBEIRO, Marcelo; GIANNETTI, Natali; ROCHITTE, Carlos; NOMURA, Cesar H.; HAJJAR, Ludhmila A.; BERNOCHE, Claudia Y.; LAGE, Silvia G.; NICOLAU, Jose Carlos; OLIVEIRA, Mucio T.; POLASTRI, Thatiane F.; RIBEIRO, Expedito E.; KALIL FILHO, Roberto; LEMOS NETO, Pedro A.; TIMERMAN, Sergio- I Guideline for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care - Brazilian Society of Cardiology: Executive Summary(2013) GONZALEZ, Maria Margarita; TIMERMAN, Sergio; OLIVEIRA, Renan Gianotto de; POLASTRI, Thatiane Facholi; DALLAN, Luis Augusto Palma; ARAUJO, Sebastiao; LAGE, Silvia Gelas; SCHMIDT, Andre; BERNOCHE, Claudia San Martin de; CANESIN, Manoel Fernandes; MANCUSO, Frederico Jose Neves; FAVARATO, Maria HelenaDespite advances related to the prevention and treatment in the past few years, many lives are lost to cardiac arrest and cardiovascular events in general in Brazil every year. Basic Life Support involves cardiovascular emergency treatment mainly in the pre-hospital environment, with emphasis on the early recognition and delivery of cardiopulmonary resuscitation maneuvers focused on high-quality thoracic compressions and rapid defibrillation by means of the implementation of public access-to-defibrillation programs. These aspects are of the utmost importance and may make the difference on the patient's outcomes, such as on hospital survival with no permanent neurological damage. Early initiation of the Advanced Cardiology Life Support also plays an essential role by keeping the quality of thoracic compressions; adequate airway management; specific treatment for the different arrest rhythms; defibrillation; and assessment and treatment of the possible causes during all the assistance. More recently, emphasis has been given to post-resuscitation care, with the purpose of reducing mortality by means of early recognition and treatment of the post-cardiac arrest syndrome. Therapeutic hypothermia has provided significant improvement of neurological damage and should be performed in comatose individuals post-cardiac arrest. For physicians working in the emergency department or intensive care unit, it is extremely important to improve the treatment given to these patients by means of specific training, thus giving them the chance of higher success and of better survival rates.
- Aortic Counterpulsation Therapy in Patients with Advanced Heart Failure: Analysis of the TBRIDGE Registry(2016) BEZERRA, Cristiano Guedes; ADAM, Eduardo Leal; BAPTISTA, Mariana Lins; CIAMBELLI, Giuliano Serafino; KOPEL, Liliane; BERNOCHE, Claudia; LOPES, Leonardo Nicolau Geisler Daud; MACATRAO-COSTA, Milena Frota; FALCAO, Breno de Alencar Araripe; LAGE, Silvia GelasBackground: The use of aortic counterpulsation therapy in advanced heart failure is controversial. Objectives: To evaluate the hemodynamic and metabolic effects of intra-aortic balloon pump (IABP) and its impact on 30-day mortality in patients with heart failure. Methods: Historical prospective, unicentric study to evaluate all patients treated with IABP betwen August/2008 and July/2013, included in an institutional registry named TBRIDGE (The Brazilian Registry of Intra-aortic balloon pump in Decompensated heart failure - Global Evaluation). We analyzed changes in oxygen central venous saturation (ScvO(2)), arterial lactate, and use of vasoactive drugs at 48 hours after IABP insertion. The 30-day mortality was estimated by the Kaplan-Meier method and diferences in subgroups were evaluated by the Log-rank test. Results: A total of 223 patients (mean age 49 +/- 14 years) were included. Mean left ventricle ejection fraction was 24 +/- 10%, and 30% of patients had Chagas disease. Compared with pre-IABP insertion, we observed an increase in ScvO2 (50.5% vs. 65.5%, p < 0.001) and use of nitroprusside (33.6% vs. 47.5%, p < 0.001), and a decrease in lactate levels (31.4 vs. 16.7 mg/dL, p < 0.001) and use of vasopressors (36.3% vs. 25.6%, p = 0.003) after IABP insertion. Thirty-day survival was 69%, with lower mortality in Chagas disease patients compared without the disease (p = 0.008). Conclusion: After 48 hours of use, IABP promoted changes in the use of vasoactive drugs, improved tissue perfusion. Chagas etiology was associated with lower 30-day mortality. Aortic counterpulsation therapy is an effective method of circulatory support for patients waiting for heart transplantation.
conferenceObject Intra-aortic balloon pump as a bridge therapy to heart transplant in refractory heart failure(2020) BOROS, G. A. B.; BELLINI, V. S. C.; FATORI, D.; BERNOCHE, C.; MACATRAO-COSTA, M. F.; LOPES, L. N. G. D.; BACAL, F.; HUEB, W.; KOPEL, L.; LAGE, S. G.- I Diretriz de ressuscitação cardiopulmonar e cuidados cardiovasculares de emergência da Sociedade Brasileira de Cardiologia(2013) GONZALEZ, M. M.; TIMERMAN, S.; GIANOTTO-OLIVEIRA, R.; POLASTRI, T. F.; CANESIN, M. F.; SCHIMIDT, A.; SIQUEIRA, A. W.; PISPICO, A.; LONGO, A.; PIERI, A.; REIS, A.; TANAKA, A. C. S.; SANTOS, A. M.; QUILICI, A. P.; RIBEIRO, A. C. L.; BARRETO, A. C. P.; PAZIN-FILHO, A.; TIMERMAN, A.; MACHADO, C. A.; FRANCHIN NETO, C.; MIRANDA, C. H.; MEDEIROS, C. R.; MALAQUE, C. M. S.; BERNOCHE, C.; GONCALVES, D. M.; SANT'ANA, D. G.; OSAWA, E. A.; PEIXOTO, E.; ARFELLI, E.; EVARISTO, E. F.; AZEKA, E.; GOMES, E. P.; WEN, F. H.; FERREIRA, F. G.; LIMA, F. G.; MATTOS, F. R.; GALAS, F. G.; MARQUES, F. R. B.; TARASOUTCHI, F.; MANCUSO, F. J. N.; FREITAS, G. R.; FEITOSA-FILHO, G. S.; BARBOSA, G. C.; GIOVANINI, G. R.; MIOTTO, H. C.; GUIMARAES, H. P.; ANDRADE, J. P.; OLIVEIRA-FILHO, J.; FERNANDES, J. G.; MORAES JUNIOR, J. B. M. X.; CARVALHO, J. J. F.; RAMIRES, J. A. F.; CAVALINI, J. F.; TELES, J. M. M.; LOPES, J. L.; LOPES, L. N. G. D.; PIEGAS, L. S.; HAJJAR, L. A.; BRUNORIO, L.; DALLAN, L. A. P.; CARDOSO, L. F.; RABELO, M. M. N.; ALMEIDA, M. F. B.; SOUZA, M. F. S.; FAVARATO, M. H.; PAVAO, M. L. R. C.; SHIMODA, M. S.; OLIVEIRA JUNIOR, M. T.; MIURA, N.; FILGUEIRAS FILHO, N. M.; PONTES-NETO, O. M.; PINHEIRO, P. A. P. C.; FARSKY, O. S.; LOPES, R. D.; SILVA, R. C. G.; KALIL FILHO, R.; GONCALVES, R. M.; GAGLIARDI, R. J.; GUINSBURG, R.; LISAK, S.; ARAUJO, S.; MARTINS, S. C. O.; LAGE, S. G.; FRANCHI, S. M.; SHIMODA, T.; ACCORSI, T. D.; BARRAL, T. C. N.; MACHADO, T. A. O.; SCUDELER, T. L.; LIMA, V. C.; GUIMARAES, V. A.; SALLAI, V. S.; XAVIER, W. S.; NAZIMA, W.; SAKO, Y. K.
conferenceObject Cold Saline Versus Regular Saline in Endovascular Therapeutic Hypothermia in Acute ST Segment Elevation Myocardial infarction(2020) DALLAN, Luis; DAE, Michael; GIANNETTI, Natali; POLASTRI, Thatiane Facholi; ROCHITTE, Carlos; NOMURA, Cesar; HAJJAR, Ludhmila Abrahao; BERNOCHE, Claudia; LAGE, Silvia; LIMA, Felipe Gallego; OLIVEIRA, Mucio Tavares; KERN, Karl; NICOLAU, Jose Carlos; RIBEIRO, Expedito; KALIL, Roberto; NETO, Pedro Lemos; TIMERMAN, Sergio- Update on the Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Guideline of the Brazilian Society of Cardiology-2019(2019) BERNOCHE, Claudia; TIMERMAN, Sergio; POLASTRI, Thatiane Facholi; GIANNETTI, Natali Schiavo; SIQUEIRA, Adailson Wagner da Silva; PISCOPO, Agnaldo; SOEIRO, Alexandre de Matos; REIS, Amelia Gorete Afonso da Costa; TANAKA, Ana Cristina Sayuri; THOMAZ, Ana Maria; QUILICI, Ana Paula; CATARINO, Andrei Hilario; RIBEIRO, Anna Christina de Lima; BARRETO, Antonio Carlos Pereira; AZEVEDO FILHO, Antonio Fernando Barros de; PAZIN FILHO, Antonio; TIMERMAN, Ari; SCARPA, Bruna Romanelli; TIMERMAN, Bruno; TAVARES, Caio de Assis Moura; MARTINS, Cantidio Soares Lemos; SERRANO JUNIOR, Carlos Vicente; MALAQUE, Ceila Maria Sant'Ana; PISANI, Cristiano Faria; BATISTA, Daniel Valente; LEANDRO, Daniela Luana Fernandes; SZPILMAN, David; GONCALVES, Diego Manoel; PAIVA, Edison Ferreira de; OSAWA, Eduardo Atsushi; LIMA, Eduardo Gomes; ADAM, Eduardo Leal; PEIXOTO, Elaine; EVARISTO, Eli Faria; AZEKA, Estela; SILVA, Fabio Bruno da; WEN, Fan Hui; FERREIRA, Fatima Gil; LIMA, Felipe Gallego; FERNANDES, Felipe Lourenco; GANEM, Fernando; GALAS, Filomena Regina Barbosa Gomes; TARASOUTCHI, Flavio; SOUZA, Germano Emilio Conceicao; FEITOSA FILHO, Gilson Soares; FORONDA, Gustavo; GUIMARAES, Helio Penna; ABUD, Isabela Cristina Kirnew; LEITE, Ivanhoe Stuart Lima; LINHARES FILHO, Jaime Paula Pessoa; MORAES JUNIOR, Joao Batista de Moura Xavier; FALCAO, Joao Luiz Alencar de Araripe; RAMIRES, Jose Antonio Franchini; CAVALINI, Jose Fernando; SARAIVA, Jose Francisco Kerr; ABRAO, Karen Cristine; PINTO, Lecio Figueira; BIANCHI, Leonardo Luis Torres; LOPES, Leonardo Nicolau Geisler Daud; PIEGAS, Leopoldo Soares; KOPEL, Liliane; GODOY, Lucas Colombo; TOBASE, Lucia; HAJJAR, Ludhmila Abrahao; DALLAN, Luis Augusto Palma; CANEO, Luiz Fernando; CARDOSO, Luiz Francisco; CANESIN, Manoel Fernandes; PARK, Marcelo; RABELO, Marcia Maria Noya; MALACHIAS, Marcus Vinicius Bolivar; GONCALVES, Maria Aparecida Batistao; ALMEIDA, Maria Fernanda Branco de; SOUZA, Maria Francilene Silva; FAVARATO, Maria Helena Sampaio; CARRION, Maria Julia Machline; GONZALEZ, Maria Margarita; BORTOLOTTO, Maria Rita de Figueiredo Lemos; MACATRAO-COSTA, Milena Frota; SHIMODA, Monica Satsuki; OLIVEIRA-JUNIOR, Mucio Tavares de; IKARI, Nana Miura; DUTRA, Oscar Pereira; BERWANGER, Otavio; PINHEIRO, Patricia Ana Paiva Correa; REIS, Patricia Feitosa Frota dos; CELLIA, Pedro Henrique Moraes; SANTOS FILHO, Raul Dias dos; GIANOTTO-OLIVEIRA, Renan; KALIL FILHO, Roberto; GUINSBURG, Ruth; MANAGINI, Sandrigo; LAGE, Silvia Helena Gelas; YEU, So Pei; FRANCHI, Sonia Meiken; SHIMODA-SAKANO, Tania; ACCORSI, Tarso Duenhas; LEAL, Tatiana de Carvalho Andreucci; GUIMARAES, Vanessa; SALLAI, Vanessa Santos; AVILA, Walkiria Samuel; SAKO, Yara Kimiko