Instituto do Coração - HC/InCor

URI Permanente desta comunidade

https://observatorio.fm.usp.br/handle/OPI/104
O Instituto do Coração (Incor), fundado na década de 50 como parte do Hospital das Clínicas, é um hospital público universitário de alta complexidade, especializado em cardiologia, pneumologia e cirurgias cardíaca e torácica. Além de ser um pólo de atendimento - desde a prevenção até o tratamento, o InCor também se destaca como um centro de pesquisa e ensino para a Faculdade de Medicina da USP.

Para sua manutenção, o Instituto conta com o suporte financeiro da Fundação Zerbini, entidade privada sem fins lucrativos.

Site oficial: http://www.incor.usp.br

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Burnout, satisfaction and compassion fatigue: relationship with quality of care and patient safety
(2024) GARZIN, Ana Claudia Alcantara; FERRARI, Carla Maria Maluf; PEREIRA, Giovana Caldas; DUARTE, Kawany de Oliveira Rodrigues; RODRIGUES, Samara Gomes; KOWALSKI, Ivonete Sanches Giacometti
article 0 Citação(ões) na Scopus
Functional recovery of chronically critically ill patients in the first days after discharge from the intensive care unit: Feasibility of the 6-minute step test
(2023) GAIA, Viviane Roccasecca Sampaio; COSTA, Eduardo Leite Vieira; YAMAGUTI, Wellington Pereira; FRANCISCO, Davi de Souza; FUMIS, Renata Rego Lins
Background Survivors of chronic critical illness often experience weakness and functional dependence to various degrees after their intensive care unit (ICU) stay. Evaluating their functional status with the traditional six-minute walk test is challenging due to space constraints or patient intolerance. Objective Our aim was to evaluate the feasibility of using the six-minute step test (6MST) as a measure of functional capacity in chronically critically ill patients early after ICU discharge. Methods This prospective study was undertaken in a private Brazilian hospital. From July 2019 to July 2020, all chronically critically ill patients were asked to participate 48 hours after ICU discharge. On the day of study inclusion and a week later, those who consented underwent functional assessment comprised of the 6MST, peripheral muscle strength using handgrip strength (HGS), and mobility using the ICU mobility scale (IMS). Results A total of 40 patients were included. The 6MST was feasible in 40% on the first evaluation and 57% on the second. The median 6MST was 0 [0-5] on the first evaluation and 3.5 [0-7.75] on the second (P = 0.005). The median HGS increased from 11.50 [9.25-18] on the first evaluation to 14.5 [10-20] on the second (P = 0.006). The median IMS was 4.5 [3.25-7] on the first evaluation and 6 [3.25-7] on the second (P<0.001). Despite the significant improvement, all parameters measured remained well below normal. Conclusion The 6MST was a feasible measure of functional capacity in chronically critically ill patients early after ICU discharge. Patients had functional capacity well below predicted values.
article 0 Citação(ões) na Scopus
article 0 Citação(ões) na Scopus
article 0 Citação(ões) na Scopus
Myocardial Injury Progression after Radiofrequency Ablation in School-Age Children
(2024) MELO, Sissy Lara de; FERRAZ, Alberto Pereira; LEMOUCHE, Stephanie Ondracek; DEVIDO, Marcela Santana; SOUSA, Gabriela Liberato de; ROCHITTE, Carlos E.; PISANI, Cristiano Faria; HACHUL, Denise Tessariol; SCANAVACCA, Mauricio
Background: The past decades have seen the rapid development of the invasive treatment of arrhythmias by catheter ablation procedures. Despite its safety and efficacy being well-established in adults, to date there has been little data in pediatric scenarios. One of the main concerns is the possible expansion of the ablation procedure scar in this population and its consequences over the years. Objectives: This study aimed to analyze the risk of myocardial injury progression after radiofrequency catheter ablation in pediatric patients. Methods: This is a retrospective study of 20 pediatric patients with previous ablation for treatment of supraventricular arrhythmia that underwent cardiac magnetic resonance and coronary angiography for evaluation of myocardial fibrosis and the integrity of the coronary arteries during follow-up. Results: The median age at ablation procedure was 15.1 years (Q1 12.9, Q3 16.6) and 21 years (Q1 20, Q3 23) when the cardiac magnetic resonance was performed. Fourteen of them were women. Nodal reentry tachycardia and WolfParkinson-White Syndrome were the main diagnosis (19 patients), with one patient with atrial tachycardia. Three patients had ventricular myocardial fibrosis, but with a volume < 0.6 cm(3) . None of them developed ventricular dysfunction and no patient had coronary lesions on angiography. Conclusion: Radiofrequency catheter ablation did not show to increase the risk of myocardial injury progression or coronary artery lesions.
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