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Abrantes JC, Turque F, Demier BF, Neves DG, Yahiro DS, Kubo TTA, Canale L, Mesquita CT. 3D Printing in Constrictive Pericarditis Assessment. Arq Bras Cardiol 2024; 121:e20220866. [PMID: 38597539 DOI: 10.36660/abc.20220866] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2023] [Accepted: 10/04/2023] [Indexed: 04/11/2024] Open
Affiliation(s)
| | - Fernanda Turque
- Universidade Federal Fluminense - Hospital Universitário Antônio Pedro, Niterói, RJ - Brasil
| | | | | | | | | | - Leonardo Canale
- Universidade Federal Fluminense - Hospital Universitário Antônio Pedro, Niterói, RJ - Brasil
| | - Claudio Tinoco Mesquita
- Universidade Federal Fluminense - Faculdade de Medicina - Departamento de Radiologia, Niterói, RJ - Brasil
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Nascimento PMC, Rodrigues Junior LF, Felix Mediano MF, Gonçalves da Silva V, Tura BR, Nogueira FCS, Domont G, Carvalho AB, de Carvalho ACC, Kasai-Brunswick TH, Mesquita CT, Junior HV, Rey HCV. Prevalence and impact of sarcopenia in individuals with heart failure with reduced ejection fraction (the SARC-HF study): A prospective observational study protocol. PLoS One 2024; 19:e0300918. [PMID: 38512827 PMCID: PMC10956824 DOI: 10.1371/journal.pone.0300918] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2023] [Accepted: 03/06/2024] [Indexed: 03/23/2024] Open
Abstract
Sarcopenia, a clinical syndrome primarily associated with reduced muscle mass in the elderly, has a negative impact on quality of life and survival. It can occur secondarily to other diseases such as heart failure (HF), a complex clinical syndrome with high morbidity and mortality. The simultaneous occurrence of these two conditions can worsen the prognosis of their carriers, especially in the most severe cases of HF, as in patients with reduced left ventricular ejection fraction (LVEF). However, due to the heterogeneous diagnostic criteria for sarcopenia, estimates of its prevalence present a wide variation, leading to new criteria having been recently proposed for its diagnosis, emphasizing muscle strength and function rather than skeletal muscle mass. The primary objective of this study is to evaluate the prevalence of sarcopenia and/or dynapenia in individuals with HF with reduced LVEF according to the most recent criteria, and compare the gene and protein expression of those patients with and without sarcopenia. The secondary objectives are to evaluate the association of sarcopenia and/or dynapenia with the risk of clinical events and death, quality of life, cardiorespiratory capacity, ventilatory efficiency, and respiratory muscle strength. The participants will answer questionnaires to evaluate sarcopenia and quality of life, and will undergo the following tests: handgrip strength, gait speed, dual-energy X-ray absorptiometry, respiratory muscle strength, cardiopulmonary exercise, as well as genomic and proteomic analysis, and dosage of N-terminal pro-B-type natriuretic peptide and growth differentiation factor-15. An association between sarcopenia and/or dynapenia with unfavorable clinical evolution is expected to be found, in addition to reduced quality of life, cardiorespiratory capacity, ventilatory efficiency, and respiratory muscle strength.
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Affiliation(s)
| | - Luiz Fernando Rodrigues Junior
- National Institute of Cardiology, Rio de Janeiro, Brazil
- Federal University of the State of Rio de Janeiro, Rio de Janeiro, Brazil
| | | | | | | | | | - Gilberto Domont
- Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - Adriana Bastos Carvalho
- National Institute of Cardiology, Rio de Janeiro, Brazil
- Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| | | | - Taís Hanae Kasai-Brunswick
- National Institute of Cardiology, Rio de Janeiro, Brazil
- Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
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Yahiro DS, Abrantes JCDS, Magliano DC, Mesquita CT. Criação de Modelos Embriológicos Cardíacos para Impressão 3D para Ensino de Anatomia e Embriologia. Arq Bras Cardiol 2023; 120:e20220632. [PMID: 37098991 PMCID: PMC10124573 DOI: 10.36660/abc.20220632] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2022] [Accepted: 12/14/2022] [Indexed: 04/08/2023] Open
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do Nascimento EA, Fernandes FDA, Mira PAC, He Z, Zhou W, Mesquita CT. Feasibility of Left Ventricle Lead Implantation in Cardiac Resynchronization Therapy Guided by Gated SPECT and Ventricular Remodeling. Arq Bras Cardiol 2023; 120:e20220077. [PMID: 37018787 PMCID: PMC10392842 DOI: 10.36660/abc.20220077] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2022] [Revised: 09/25/2022] [Accepted: 11/23/2022] [Indexed: 04/07/2023] Open
Abstract
BACKGROUND Cardiac resynchronization therapy (CRT) may benefit patients with advanced heart failure (HF). Abnormal eccentricity index by gated SPECT is related to structural and functional alterations of the left ventricle (LV). OBJECTIVE The aim of this study is to evaluate the feasibility of LV lead implantation guided by phase analysis and its relationship to ventricular remodeling. METHODS Eighteen patients with indication for CRT underwent myocardial scintigraphy for implant orientation, and eccentricity and ventricular shape parameters were evaluated. P < 0.05 was adopted as statistical significance. RESULTS At baseline, most patients were classified as NYHA 3 (n = 12). After CRT, 11 out of 18 patients were reclassified to a lower degree of functional limitation. In addition, patients' quality of life was improved post-CRT. Significant reductions were observed in QRS duration, PR interval, end-diastolic shape index, end-systolic shape index, stroke volume, and myocardial mass post-CRT. The CRT LV lead was positioned concordant, adjacent, and discordant in 11 (61.1%), 5 (27.8%), and 2 (11.1%) patients, respectively. End-systolic and end-diastolic eccentricity demonstrated reverse remodeling post-CRT. CONCLUSIONS LV lead implantation in CRT guided by gated SPECT scintigraphy is feasible. The placement of the electrode concordant or adjacent to the last segment to contract was a determinant of reverse remodeling.
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Affiliation(s)
- Erivelton Alessandro do Nascimento
- Universidade Federal FluminenseHospital Universitário Antônio PedroPós-Graduação em Ciências CardiovascularesNiteróiRJBrasilUniversidade Federal Fluminense – Serviço de Cardiologia, Hospital Universitário Antônio Pedro e Pós-Graduação em Ciências Cardiovasculares, Niterói, RJ – Brasil
- Instituto Estadual de Cardiologia Aloysio de CastroDepartamento de Arritmias CardíacasRio de JaneiroRJBrasilInstituto Estadual de Cardiologia Aloysio de Castro – Departamento de Arritmias Cardíacas, Rio de Janeiro, RJ – Brasil
| | - Fernando de Amorim Fernandes
- Universidade Federal FluminenseDepartamento de RadiologiaPós-Graduação em Ciências CardiovascularesNiteróiRJBrasilUniversidade Federal Fluminense – Departamento de Radiologia – Universidade Federal Fluminense e Pós-Graduação em Ciências Cardiovasculares, Niterói, RJ – Brasil
| | - Pedro Augusto Carvalho Mira
- Universidade Federal FluminenseLaboratório de Ciências do ExercícioNiteróiRJBrasilUniversidade Federal Fluminense – Laboratório de Ciências do Exercício, Niterói, RJ – Brasil
| | - Zhuo He
- Department of Applied ComputingMichigan Technological UniversityHoughtonMIEUADepartment of Applied Computing, Michigan Technological University, Houghton – MI – EUA
| | - Weihua Zhou
- Department of Applied ComputingMichigan Technological UniversityHoughtonMIEUADepartment of Applied Computing, Michigan Technological University, Houghton – MI – EUA
| | - Claudio Tinoco Mesquita
- Universidade Federal FluminenseDepartamento de RadiologiaPós-Graduação em Ciências CardiovascularesNiteróiRJBrasilUniversidade Federal Fluminense – Departamento de Radiologia – Universidade Federal Fluminense e Pós-Graduação em Ciências Cardiovasculares, Niterói, RJ – Brasil
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Francisco GDSAM, Mesquita CT. Access to Health Services Among Deaf People: An Issue of Inclusion and Linguistic Rights. International Journal of Cardiovascular Sciences 2023. [DOI: 10.36660/ijcs.20220196] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023] Open
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Estrada A, Sousa AS, Mesquita CT, Villacorta H. Coronary Tortuosity as a New Phenotype for Ischemia without Coronary Artery Disease. Arq Bras Cardiol 2022; 119:883-890. [PMID: 36169451 DOI: 10.36660/abc.20210787] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2021] [Accepted: 06/15/2022] [Indexed: 01/11/2023] Open
Abstract
BACKGROUND Coronary arteries tend to be more tortuous than other arteries and follow the repeated flexion and relaxation movements that occur during the cardiac cycle. Coronary tortuosity (CorT) leads to changes in coronary flow with a reduction in distal perfusion pressure, which could cause myocardial ischemia. OBJECTIVE To assess the association between CorT and myocardial ischemia. METHODS Between January 2015 and December 2017, 57 patients with angina and nonobstructive coronary artery disease detected by invasive coronary angiography (ICA) were retrospectively enrolled. Angiographic variables were analyzed to assess the presence and degree of tortuosity and correlated with their respective vascular territories on stress myocardial perfusion imaging (MPI). CorT was defined as coronary arteries with three or more bend angles ≤90°, measured during diastole. Statistical significance was determined at the 5% level. RESULTS A total of 17 men and 40 women were enrolled (mean age 58.3 years). CorT was observed in 16 patients (28%) and in 24 of 171 arteries. There was a significant association between CorT and ischemia when analyzed per artery (p<0.0001). The angiographic factor most associated with ischemia was the number of bend angles in an epicardial artery measured at systole (p=0.021). CONCLUSION This study showed an association of CorT and myocardial ischemia in patients with unobstructed coronary arteries and angina. An increased number of coronary bend angles measured by angiography during systole was related to ischemia.
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Affiliation(s)
- André Estrada
- Universidade Federal Fluminense Hospital Universitário Antônio Pedro , Niterói , RJ - Brasil
| | - André Silveira Sousa
- Universidade Federal Fluminense Hospital Universitário Antônio Pedro , Niterói , RJ - Brasil.,Hospital Pró-Cardíaco , Rio de Janeiro , RJ - Brasil
| | - Claudio Tinoco Mesquita
- Universidade Federal Fluminense Faculdade de Medicina - Departamento de Radiologia , Niterói , RJ - Brasil
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Wiefels C, Weng W, Beanlands R, deKemp R, Nery PB, Boczar K, Mesquita CT, Birnie D. Investigating the treatment phenotypes of cardiac sarcoidosis: A prospective cohort study. Am Heart J Plus 2022; 24:None. [PMID: 37441681 PMCID: PMC10333413 DOI: 10.1016/j.ahjo.2022.100224] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/11/2022] [Revised: 10/26/2022] [Accepted: 10/26/2022] [Indexed: 07/15/2023]
Abstract
Introduction Data indicates there are 4 main pulmonary sarcoidosis duration/treatment phenotypes: asymptomatic, acute (disease duration <1-2 years), chronic and advanced. There are no data about disease duration/treatment phenotypes of cardiac sarcoidosis patients. Our study had 2 main aims (i) to assess the response to corticosteroids and (ii) to assess the incidence of relapse after a one-year course of corticosteroids (thereby classifying patients as acute or chronic treatment phenotype). Methods Consecutive, treatment naive patients with CS were prospectively recruited and treated with 0.5 mg/kg prednisone, to a maximum dose of 40 mg/day. Patients had a follow-up PET after 3-6 months of therapy (PET 2). In the responders (PET definition of response) the prednisone was then weaned and stopped after 12 months. Three months after stopping, the PET was repeated to look for disease relapse (PET 3). Results Twenty-one consecutive patients were included, and all patients showed a reduction in cardiac FDG uptake after 3-6 months and 19/21 (90.5 %) met the PET definition of response. Of these, 12/19 (63.1 %) relapsed after prednisone was stopped. There were no serious adverse effects during the trial of therapy cessation and there were no later relapses in the 7 non-relapsers during over 4 years of subsequent follow-up. Conclusion The initial response rate to prednisone was high with all patients showing a reduction in FDG uptake and 19/21 meeting a PET definition of >25 % response. Secondly, a trial of therapy discontinuation was able to classify 7/19 patients as acute treatment phenotype and 12/19 as chronic.
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Affiliation(s)
- Christiane Wiefels
- University of Ottawa, Department of Medicine, Division of Nuclear Medicine, Ottawa, ON, Canada
- Universidade Federal Fluminense, Pós-Graduação em Ciências Cardiovasculares, Niterói, Rio de Janeiro, Brazil
| | - Willy Weng
- University of Ottawa Heart Institute, Arrhythmia Service, Division of Cardiology, Department of Medicine, Ottawa, ON, Canada
| | - Rob Beanlands
- University of Ottawa Heart Institute, The National Cardiac PET Center, Department of Medicine, Division of Cardiology, Ottawa, ON, Canada
| | - Rob deKemp
- University of Ottawa Heart Institute, The National Cardiac PET Center, Department of Medicine, Division of Cardiology, Ottawa, ON, Canada
| | - Pablo B. Nery
- University of Ottawa Heart Institute, Arrhythmia Service, Division of Cardiology, Department of Medicine, Ottawa, ON, Canada
| | - Kevin Boczar
- University of Ottawa Heart Institute, The National Cardiac PET Center, Department of Medicine, Division of Cardiology, Ottawa, ON, Canada
| | - Claudio Tinoco Mesquita
- Universidade Federal Fluminense, Pós-Graduação em Ciências Cardiovasculares, Niterói, Rio de Janeiro, Brazil
| | - David Birnie
- University of Ottawa Heart Institute, Arrhythmia Service, Division of Cardiology, Department of Medicine, Ottawa, ON, Canada
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Mesquita CT, Lacerda AGD, Urel ICDAB, Frantz EDC, Alves VDPV, Amorim LEDO, Coutinho BDA, Dalben LR, Abrantes JCDS, Veloso VD, Mello LLCD, Oliveira GMMD, Fernandes FDA. Gender Disparity in First and Senior Authorship in Brazilian Cardiology Journals. Arq Bras Cardiol 2022; 119:960-967. [PMID: 36541991 DOI: 10.36660/abc.20220058] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2022] [Accepted: 09/01/2022] [Indexed: 11/26/2022] Open
Abstract
BACKGROUND Despite the importance of women in clinical research, no assessment has been made of the fraction of women in a leadership positions in the Cardiology journals of the SBC. OBJECTIVES To assess the fraction of female authors in the International Journal of Cardiovascular Sciences (IJCS) and the Arquivos Brasileiros de Cardiologia (ABC Cardiol) over the last decades. METHODS We searched the original articles of the ABC Cardiol, from 2000 to 2019, and of the IJCS, from 2010 to 2019. We surveyed the number of first and senior female authors and the total number of original articles from 2010 to 2019. We calculated the total proportion of female authorship and compared the first quinquennium with the second. Only data from the ABC Cardiol were analyzed to assess the temporal evolution of the two decades. We used the chi-square test to assess the differences within each journal and between them. The IBM® SPSS® software was used in the analyses. The level of significance adopted was 5%. RESULTS From 2010 to 2019, 1,157 original articles were published in the ABC Cardiol and 398 in the IJCS. We observed that women are more prevalent as first authors in the IJCS compared to the ABC Cardiol, but men prevail as senior authors in both journals. From 2010 to 2019, there was no significant change in the proportion of female authorship. Throughout the decades analyzed for the ABC Cardiol, there was a projection of linear growth of female authorship, with the slope of the line being greater in the first authorship than in senior authorship. CONCLUSIONS There is gender disparity, with lower female representativeness in authorship in the articles from the Brazilian Cardiology journals analyzed: Arquivos Brasileiros de Cardiologia and International Journal of Cardiovascular Sciences. We believe that based on these results, more efforts should be implemented in the search for gender equity in the cardiology scientific production published by these journals.
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Affiliation(s)
- Claudio Tinoco Mesquita
- Universidade Federal Fluminense - Hospital Universitário Antônio Pedro/EBSERH, Niterói, RJ - Brasil
| | | | | | | | | | | | | | | | | | | | | | | | - Fernando de Amorim Fernandes
- Universidade Federal Fluminense - Hospital Universitário Antônio Pedro/EBSERH, Niterói, RJ - Brasil.,Universidade Federal Fluminense, Niterói, RJ - Brasil
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Mesquita CT. How Diversity, Equity and Inclusion are Changing Clinical Research. International Journal of Cardiovascular Sciences 2022. [DOI: 10.36660/ijcs.20220131] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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Mesquita CT, Rezende MF. Precision Medicine: Can 18F-FDG PET Detect Cardiotoxicity Phenotypes? Arq Bras Cardiol 2022; 119:109-110. [PMID: 35830108 PMCID: PMC9352130 DOI: 10.36660/abc.20220393] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Affiliation(s)
- Claudio Tinoco Mesquita
- Universidade Federal Fluminense, Niterói, RJ - Brasil.,Hospital Pró-Cardíaco, Rio de Janeiro, RJ - Brasil.,Hospital Vitória e Samaritano da Barra, Rio de Janeiro, RJ - Brasil
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Montera MW, Marcondes-Braga FG, Simões MV, Moura LAZ, Fernandes F, Mangine S, Oliveira Júnior ACD, Souza ALADAGD, Ianni BM, Rochitte CE, Mesquita CT, de Azevedo Filho CF, Freitas DCDA, Melo DTPD, Bocchi EA, Horowitz ESK, Mesquita ET, Oliveira GH, Villacorta H, Rossi Neto JM, Barbosa JMB, Figueiredo Neto JAD, Luiz LF, Hajjar LA, Beck-da-Silva L, Campos LADA, Danzmann LC, Bittencourt MI, Garcia MI, Avila MS, Clausell NO, Oliveira NAD, Silvestre OM, Souza OFD, Mourilhe-Rocha R, Kalil Filho R, Al-Kindi SG, Rassi S, Alves SMM, Ferreira SMA, Rizk SI, Mattos TAC, Barzilai V, Martins WDA, Schultheiss HP. Brazilian Society of Cardiology Guideline on Myocarditis - 2022. Arq Bras Cardiol 2022; 119:143-211. [PMID: 35830116 PMCID: PMC9352123 DOI: 10.36660/abc.20220412] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Affiliation(s)
| | - Fabiana G Marcondes-Braga
- Instituto do Coração (InCor) do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), São Paulo, SP - Brasil
| | - Marcus Vinícius Simões
- Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo, São Paulo, SP - Brasil
| | | | - Fabio Fernandes
- Instituto do Coração (InCor) do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), São Paulo, SP - Brasil
| | - Sandrigo Mangine
- Instituto do Coração (InCor) do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), São Paulo, SP - Brasil
| | | | | | - Bárbara Maria Ianni
- Instituto do Coração (InCor) do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), São Paulo, SP - Brasil
| | - Carlos Eduardo Rochitte
- Instituto do Coração (InCor) - Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP - Brasil.,Hospital do Coração (HCOR), São Paulo, SP - Brasil
| | - Claudio Tinoco Mesquita
- Hospital Pró-Cardíaco, Rio de Janeiro, RJ - Brasil.,Universidade Federal Fluminense,Rio de Janeiro, RJ - Brasil.,Hospital Vitória, Rio de Janeiro, RJ - Brasil
| | | | | | | | - Edimar Alcides Bocchi
- Instituto do Coração (InCor) do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), São Paulo, SP - Brasil
| | | | - Evandro Tinoco Mesquita
- Universidade Federal Fluminense,Rio de Janeiro, RJ - Brasil.,Centro de Ensino e Treinamento Edson de Godoy Bueno / UHG, Rio de Janeiro, RJ - Brasil
| | | | | | | | | | | | | | - Ludhmila Abrahão Hajjar
- Instituto do Coração (InCor) do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), São Paulo, SP - Brasil.,Instituto do Câncer do Estado de São Paulo da Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP - Brasil
| | - Luis Beck-da-Silva
- Hospital de Clínicas de Porto Alegre, Porto Alegre, RS - Brasil.,Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS - Brasil
| | | | | | - Marcelo Imbroise Bittencourt
- Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ - Brasil.,Hospital Universitário Pedro Ernesto, Rio de Janeiro, RJ - Brasil
| | - Marcelo Iorio Garcia
- Hospital Universitário Clementino Fraga Filho (HUCFF) da Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ - Brasil
| | - Monica Samuel Avila
- Instituto do Coração (InCor) do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), São Paulo, SP - Brasil
| | | | | | | | | | | | | | - Sadeer G Al-Kindi
- Harrington Heart and Vascular Institute, University Hospitals and Case Western Reserve University,Cleveland, Ohio - EUA
| | | | - Silvia Marinho Martins Alves
- Pronto Socorro Cardiológico de Pernambuco (PROCAPE), Recife, PE - Brasil.,Universidade de Pernambuco (UPE), Recife, PE - Brasil
| | - Silvia Moreira Ayub Ferreira
- Instituto do Coração (InCor) do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), São Paulo, SP - Brasil
| | - Stéphanie Itala Rizk
- Instituto do Câncer do Estado de São Paulo da Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP - Brasil.,Hospital Sírio Libanês, São Paulo, SP - Brasil
| | | | - Vitor Barzilai
- Instituto de Cardiologia do Distrito Federal, Brasília, DF - Brasil
| | - Wolney de Andrade Martins
- Universidade Federal Fluminense,Rio de Janeiro, RJ - Brasil.,DASA Complexo Hospitalar de Niterói, Niterói, RJ - Brasil
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Mazzoletti A, Albano D, Bertagna F, Mesquita CT, Giubbini R. Comparison of left ventricle mechanical dyssynchrony parameters in ischemic and non-ischemic patients using 13N-NH 3 PET/CT. J Nucl Cardiol 2022; 29:1248-1253. [PMID: 33398791 PMCID: PMC9163010 DOI: 10.1007/s12350-020-02466-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2020] [Accepted: 11/30/2020] [Indexed: 12/03/2022]
Abstract
BACKGROUND-AIM The relationship between perfusion pattern and stress-induced changes in Left Ventricular Mechanical Dyssynchrony (LVMD) has been previously described with controversial results using stress-rest perfusion imaging studies. The aim of this study was to assess the relationship between perfusion pattern and stress-induced changes in LVMD usingo regadenoson/rest13N-NH3 PET/CT. METHODS There were 74 patients who underwent stress-rest 13N-NH PET/CT from January 2014 to October 2018 excluding patients with left bundle branch block, ventricular pacing and myocardial necrosis. The patients were divided into those with reversible perfusion defects at stress (Ischemic group, n = 18) and patients without reversible perfusion defects (non-ischemic group, n = 56). The LVMD parameters included: phase standard deviation (PSD) and phase histogram bandwidth (PHB), after stress and at rest. The ΔPSD (post-stressPSD-restPSD) and ΔPHB (post-stressPHB-restPHB) were calculated to measure stress-induced changes in LVMD. RESULTS There were no significant differences in LVMD parameters between post-stress and at rest in both groups. The PSD post-stress, ΔPSD and PHB post-stress were significantly higher in the ischemic group. CONCLUSIONS Using a vasodilator as a stress, the PSD and PHB post-stress and ΔPSD were significantly higher in the ischemic patients than the non-ischemic group, while there were no significant differences in each cohort between stress and rest indices.
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Affiliation(s)
- Angelica Mazzoletti
- Nuclear Medicine, University of Brescia and Spedali Civili Brescia, Brescia, Italy.
| | - Domenico Albano
- Nuclear Medicine, University of Brescia and Spedali Civili Brescia, Brescia, Italy
| | - Francesco Bertagna
- Nuclear Medicine, University of Brescia and Spedali Civili Brescia, Brescia, Italy
| | | | - Raffaele Giubbini
- Nuclear Medicine, University of Brescia and Spedali Civili Brescia, Brescia, Italy
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Nunes NSV, Mesquita ET, Mesquita CT, Benchimol-Barbosa PR. First-degree Atrioventricular Block as an Early Marker of Advanced Disease of the Conduction System in a Patient with Hereditary Val142Ile Cardiac Amyloidosis. International Journal of Cardiovascular Sciences 2022. [DOI: 10.36660/ijcs.20210081] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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Coutinho-Wolino KS, da Cruz BO, Cardozo LFMDF, Fernandes IA, Mesquita CT, Stenvinkel P, Bergman P, Mafra D, Stockler-Pinto MB. Brazil nut supplementation does not affect trimethylamine-n-oxide plasma levels in patients with coronary artery disease. J Food Biochem 2022; 46:e14201. [PMID: 35467017 DOI: 10.1111/jfbc.14201] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2021] [Revised: 04/06/2022] [Accepted: 04/11/2022] [Indexed: 11/26/2022]
Abstract
The purposes of this study were to assess the effect of Brazil nut supplementation on trimethylamine N-oxide (TMAO) levels and glutathione peroxidase (GPx) activity in patients with coronary artery disease (CAD). Patients with CAD were randomly assigned to two groups, Brazil nut group (23 patients, 48% male, 62.7 ± 6.8 years, 29.4 ± 5.8 kg/m2 ), which received one Brazil nut per day for 3 months, and the control group (14 patients, 43% male, 63.7 ± 8.7 years, 28.4 ± 4.2 kg/m2 ) who did not receive any supplementation. After 3 months, TMAO levels and their precursors did not change in either group. Although not significant, GPx activity increased by 41% in the Brazil nut group. TMAO levels were negatively associated with total fiber intake (r = -0.385 and p = .02). A 3-month Brazil nut supplementation did not change TMAO levels and GPx activity in CAD patients. PRACTICAL APPLICATIONS: Trimethylamine N-oxide (TMAO) has been associated with oxidative stress and cardiovascular disease risk. Thus, the increase in antioxidants enzymes production could be a promising strategy to reduce TMAO-mediated oxidative stress. In this context, nutritional strategies are well-known as activators of cellular antioxidant responses. As Brazil nuts have a known role in reducing oxidative stress by increasing glutathione peroxidase (GPx) activity (a selenium-dependent antioxidant enzyme), this study hypothesized that Brazil nuts could be a strategy that, via antioxidant capacity, would reduce TMAO plasma levels. Although no changes in TMAO levels and GPx activity can be observed in this study, it is believed that other results can be obtained depending on the dosage used. Thus, this study can open new paths and direct other studies with different doses and treatment times to evaluate the effects of Brazil Nuts on TMAO levels.
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Affiliation(s)
- Karen Salve Coutinho-Wolino
- Postgraduate Program in Nutrition Sciences, Fluminense Federal University, Niterói, Brazil.,Postgraduate Program in Cardiovascular Sciences, Faculty of Medicine, Fluminense Federal University, Niterói, Brazil
| | - Beatriz Oliveira da Cruz
- Postgraduate Program in Cardiovascular Sciences, Faculty of Medicine, Fluminense Federal University, Niterói, Brazil
| | - Ludmila F M De F Cardozo
- Postgraduate Program in Cardiovascular Sciences, Faculty of Medicine, Fluminense Federal University, Niterói, Brazil
| | - Igor Alexandre Fernandes
- Postgraduate Program in Biomedical Sciences (Physiology and Pharmacology), Biomedical Institute, Fluminense Federal University, Niterói, Brazil
| | - Claudio Tinoco Mesquita
- Postgraduate Program in Cardiovascular Sciences, Faculty of Medicine, Fluminense Federal University, Niterói, Brazil
| | - Peter Stenvinkel
- Renal Medicine and Baxter Novum, Karolinska Institutet, Stockholm, Sweden
| | - Peter Bergman
- Department of Laboratory Medicine, Division of Clinical Microbiology, Karolinska Institutet, Stockholm, Sweden.,Department of Infectious Diseases, Karolinska University Hospital, Stockholm, Sweden
| | - Denise Mafra
- Postgraduate Program in Nutrition Sciences, Fluminense Federal University, Niterói, Brazil.,Postgraduate Program in Cardiovascular Sciences, Faculty of Medicine, Fluminense Federal University, Niterói, Brazil.,Postgraduate Program in Medical Sciences, Faculty of Medicine, Fluminense Federal University, Niterói, Brazil
| | - Milena Barcza Stockler-Pinto
- Postgraduate Program in Nutrition Sciences, Fluminense Federal University, Niterói, Brazil.,Postgraduate Program in Cardiovascular Sciences, Faculty of Medicine, Fluminense Federal University, Niterói, Brazil
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15
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Alves CR, Chermont SSMC, Reis CW, Nascimento EA, Ribeiro ML, Ribeiro F, Mesquita ET, Mesquita CT. Effects of Cardiac Resynchronization Therapy on a Six-minute Walk Test, Maximal Inspiratory Pressure and Peak Expiratory Flow in Patients with Heart Failure: A Longitudinal Study. International Journal of Cardiovascular Sciences 2022. [DOI: 10.36660/ijcs.20190158] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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16
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Mesquita CT. The Pathway to a High Impact Journal and Scopus Indexation–New Achievement of the International Journal of Cardiovascular Sciences. International Journal of Cardiovascular Sciences 2022. [DOI: 10.36660/ijcs.20220030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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17
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Takahashi MES, Lorand-Metze I, de Souza CA, Mesquita CT, Fernandes FA, Carvalheira JBC, Ramos CD. Metabolic Volume Measurements in Multiple Myeloma. Metabolites 2021; 11:875. [PMID: 34940633 PMCID: PMC8703741 DOI: 10.3390/metabo11120875] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2021] [Revised: 12/10/2021] [Accepted: 12/14/2021] [Indexed: 02/07/2023] Open
Abstract
Multiple myeloma (MM) accounts for 10-15% of all hematologic malignancies, as well as 20% of deaths related to hematologic malignant tumors, predominantly affecting bone and bone marrow. Positron emission tomography/computed tomography with 18F-fluorodeoxyglucose (FDG-PET/CT) is an important method to assess the tumor burden of these patients. It is often challenging to classify the extent of disease involvement in the PET scans for many of these patients because both focal and diffuse bone lesions may coexist, with varying degrees of FDG uptake. Different metrics involving volumetric parameters and texture features have been proposed to objectively assess these images. Here, we review some metabolic parameters that can be extracted from FDG-PET/CT images of MM patients, including technical aspects and predicting MM outcome impact. Metabolic tumor volume (MTV) and total lesion glycolysis (TLG) are volumetric parameters known to be independent predictors of MM outcome. However, they have not been adopted in clinical practice due to the lack of measuring standards. CT-based segmentation allows automated, and therefore reproducible, calculation of bone metabolic metrics in patients with MM, such as maximum, mean and standard deviation of the standardized uptake values (SUV) for the entire skeleton. Intensity of bone involvement (IBI) is a new parameter that also takes advantage of this approach with promising results. Other indirect parameters obtained from FDG-PET/CT images, such as visceral adipose tissue glucose uptake and subcutaneous adipose tissue radiodensity, may also be useful to evaluate the prognosis of MM patients. Furthermore, the use and quantification of new radiotracers can address different metabolic aspects of MM and may have important prognostic implications.
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Affiliation(s)
| | - Irene Lorand-Metze
- Department of Internal Medicine, Faculty of Medical Sciences, University of Campinas (UNICAMP), Campinas 13083-888, Brazil;
| | - Carmino Antonio de Souza
- Center of Hematology and Hemotherapy, University of Campinas (UNICAMP), Campinas 13083-878, Brazil;
| | - Claudio Tinoco Mesquita
- Departamento de Radiologia, Faculdade Medicina, Universidade Federal Fluminense (UFF), Niterói 24033-900, Brazil;
- Hospital Universitário Antônio Pedro/EBSERH, Universidade Federal Fluminense (UFF), Niterói 24033-900, Brazil;
| | - Fernando Amorim Fernandes
- Hospital Universitário Antônio Pedro/EBSERH, Universidade Federal Fluminense (UFF), Niterói 24033-900, Brazil;
| | | | - Celso Dario Ramos
- Division of Nuclear Medicine, School of Medical Sciences, University of Campinas (UNICAMP), Campinas 13083-888, Brazil
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18
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de Souza Filho EM, Fernandes FDA, Wiefels C, de Carvalho LND, Dos Santos TF, Dos Santos AASMD, Mesquita ET, Seixas FL, Chow BJW, Mesquita CT, Gismondi RA. Machine Learning Algorithms to Distinguish Myocardial Perfusion SPECT Polar Maps. Front Cardiovasc Med 2021; 8:741667. [PMID: 34901207 PMCID: PMC8660123 DOI: 10.3389/fcvm.2021.741667] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2021] [Accepted: 09/29/2021] [Indexed: 12/18/2022] Open
Abstract
Myocardial perfusion imaging (MPI) plays an important role in patients with suspected and documented coronary artery disease (CAD). Machine Learning (ML) algorithms have been developed for many medical applications with excellent performance. This study used ML algorithms to discern normal and abnormal gated Single Photon Emission Computed Tomography (SPECT) images. We analyzed one thousand and seven polar maps from a database of patients referred to a university hospital for clinically indicated MPI between January 2016 and December 2018. These studies were reported and evaluated by two different expert readers. The image features were extracted from a specific type of polar map segmentation based on horizontal and vertical slices. A senior expert reading was the comparator (gold standard). We used cross-validation to divide the dataset into training and testing subsets, using data augmentation in the training set, and evaluated 04 ML models. All models had accuracy >90% and area under the receiver operating characteristics curve (AUC) >0.80 except for Adaptive Boosting (AUC = 0.77), while all precision and sensitivity obtained were >96 and 92%, respectively. Random Forest had the best performance (AUC: 0.853; accuracy: 0,938; precision: 0.968; sensitivity: 0.963). ML algorithms performed very well in image classification. These models were capable of distinguishing polar maps remarkably into normal and abnormal.
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Affiliation(s)
- Erito Marques de Souza Filho
- Post-graduation in Cardiovascular Sciences, Universidade Federal Fluminense, Niterói, Rio de Janeiro, Brazil.,Department of Languages and Technologies, Universidade Federal Rural do Rio de Janeiro, Rio de Janeiro, Brazil
| | - Fernando de Amorim Fernandes
- Post-graduation in Cardiovascular Sciences, Universidade Federal Fluminense, Niterói, Rio de Janeiro, Brazil.,Department of Nuclear Medicine, Hospital Universitário Antônio Pedro/EBSERH, Universidade Federal Fluminense, Rio de Janeiro, Brazil
| | - Christiane Wiefels
- Post-graduation in Cardiovascular Sciences, Universidade Federal Fluminense, Niterói, Rio de Janeiro, Brazil.,Department of Cardiac Image, University of Ottawa Heart Institute, Ottawa, ON, Canada
| | | | - Tadeu Francisco Dos Santos
- Post-graduation in Cardiovascular Sciences, Universidade Federal Fluminense, Niterói, Rio de Janeiro, Brazil
| | | | - Evandro Tinoco Mesquita
- Post-graduation in Cardiovascular Sciences, Universidade Federal Fluminense, Niterói, Rio de Janeiro, Brazil
| | - Flávio Luiz Seixas
- Institute of Computing, Universidade Federal Fluminense, Rio de Janeiro, Brazil
| | - Benjamin J W Chow
- Department of Cardiac Image, University of Ottawa Heart Institute, Ottawa, ON, Canada
| | - Claudio Tinoco Mesquita
- Post-graduation in Cardiovascular Sciences, Universidade Federal Fluminense, Niterói, Rio de Janeiro, Brazil.,Department of Nuclear Medicine, Hospital Pró-Cardíaco, Americas Serviços Medicos, Rio de Janeiro, Brazil
| | - Ronaldo Altenburg Gismondi
- Post-graduation in Cardiovascular Sciences, Universidade Federal Fluminense, Niterói, Rio de Janeiro, Brazil
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19
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Mesquita CT. Cause or Consequence? What is the Relationship between Cardiac Injury and COVID-19 Severity? International Journal of Cardiovascular Sciences 2021. [DOI: 10.36660/ijcs.20210270] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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20
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de Souza Filho EM, Fernandes FDA, Portela MGR, Newlands PH, de Carvalho LND, Dos Santos TF, Dos Santos AASMD, Mesquita ET, Seixas FL, Mesquita CT, Gismondi RA. Machine Learning Algorithms to Detect Sex in Myocardial Perfusion Imaging. Front Cardiovasc Med 2021; 8:741679. [PMID: 34778403 PMCID: PMC8585770 DOI: 10.3389/fcvm.2021.741679] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2021] [Accepted: 10/06/2021] [Indexed: 11/30/2022] Open
Abstract
Myocardial perfusion imaging (MPI) is an essential tool used to diagnose and manage patients with suspected or known coronary artery disease. Additionally, the General Data Protection Regulation (GDPR) represents a milestone about individuals' data security concerns. On the other hand, Machine Learning (ML) has had several applications in the most diverse knowledge areas. It is conceived as a technology with huge potential to revolutionize health care. In this context, we developed ML models to evaluate their ability to distinguish an individual's sex from MPI assessment. We used 260 polar maps (140 men/120 women) to train ML algorithms from a database of patients referred to a university hospital for clinically indicated MPI from January 2016 to December 2018. We tested 07 different ML models, namely, Classification and Regression Tree (CART), Naive Bayes (NB), K-Nearest Neighbors (KNN), Support Vector Machine (SVM), Adaptive Boosting (AB), Random Forests (RF) and, Gradient Boosting (GB). We used a cross-validation strategy. Our work demonstrated that ML algorithms could perform well in assessing the sex of patients undergoing myocardial scintigraphy exams. All the models had accuracy greater than 82%. However, only SVM achieved 90%. KNN, RF, AB, GB had, respectively, 88, 86, 85, 83%. Accuracy standard deviation was lower in KNN, AB, and RF (0.06). SVM and RF had had the best area under the receiver operating characteristic curve (0.93), followed by GB (0.92), KNN (0.91), AB, and NB (0.9). SVM and AB achieved the best precision. Our results bring some challenges regarding the autonomy of patients who wish to keep sex information confidential and certainly add greater complexity to the debate about what data should be considered sensitive to the light of the GDPR.
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Affiliation(s)
- Erito Marques de Souza Filho
- Post-graduation in Cardiovascular Sciences, Universidade Federal Fluminense, Niterói, Brazil.,Department of Languages and Technologies, Universidade Federal Rural Do Rio de Janeiro, Rio de Janeiro, Brazil
| | - Fernando de Amorim Fernandes
- Post-graduation in Cardiovascular Sciences, Universidade Federal Fluminense, Niterói, Brazil.,Department of Nuclear Medicine, Hospital Universitário Antônio Pedro, Universidade Federal Fluminense, Niterói, Brazil
| | | | | | | | - Tadeu Francisco Dos Santos
- Department of Nuclear Medicine, Hospital Universitário Antônio Pedro, Universidade Federal Fluminense, Niterói, Brazil
| | | | - Evandro Tinoco Mesquita
- Post-graduation in Cardiovascular Sciences, Universidade Federal Fluminense, Niterói, Brazil
| | - Flávio Luiz Seixas
- Institute of Computing, Universidade Federal Fluminense, Niterói, Brazil
| | - Claudio Tinoco Mesquita
- Post-graduation in Cardiovascular Sciences, Universidade Federal Fluminense, Niterói, Brazil
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21
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Mesquita CT, Lacerda AGD. Sex and Gender Equity in Research and Publishing: International Journal of Cardiovascular Sciences endorses SAGER Guidelines. International Journal of Cardiovascular Sciences 2021. [DOI: 10.36660/ijcs.20210221] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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22
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Melo MDTD, Paiva MG, Santos MVC, Rochitte CE, Moreira VDM, Saleh MH, Brandão SCS, Gallafrio CC, Goldwasser D, Gripp EDA, Piveta RB, Silva TO, Santo THCE, Ferreira WP, Salemi VMC, Cauduro SA, Barberato SH, Lopes HMC, Pena JLB, Rached HRS, Miglioranza MH, Pinheiro AC, Vrandecic BALM, Cruz CBBV, Nomura CH, Cerbino FME, Costa IBSDS, Coelho Filho OR, Carneiro ACDC, Burgos UMMC, Fernandes JL, Uellendahl M, Calado EB, Senra T, Assunção BL, Freire CMV, Martins CN, Sawamura KSS, Brito MM, Jardim MFS, Bernardes RJM, Diógenes TC, Vieira LDO, Mesquita CT, Lopes RW, Segundo Neto EMV, Rigo L, Marin VLS, Santos MJ, Grossman GB, Quagliato PC, Alcantara MLD, Teodoro JAR, Albricker ACL, Barros FS, Amaral SID, Porto CLL, Barros MVL, Santos SND, Cantisano AL, Petisco ACGP, Barbosa JEM, Veloso OCG, Spina S, Pignatelli R, Hajjar LA, Kalil Filho R, Lopes MACQ, Vieira MLC, Almeida ALC. Brazilian Position Statement on the Use Of Multimodality Imaging in Cardio-Oncology - 2021. Arq Bras Cardiol 2021; 117:845-909. [PMID: 34709307 PMCID: PMC8528353 DOI: 10.36660/abc.20200266] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023] Open
Affiliation(s)
| | | | | | - Carlos Eduardo Rochitte
- Instituto do Coração (Incor) do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), São Paulo, SP - Brasil
- Hospital do Coração (HCOR), São Paulo, SP - Brasil
| | | | - Mohamed Hassan Saleh
- Instituto do Coração (Incor) do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), São Paulo, SP - Brasil
- Instituto Dante Pazzanese de Cardiologia, São Paulo, SP - Brasil
| | | | | | - Daniel Goldwasser
- Hospital Federal de Ipanema, Rio de Janeiro, RJ - Brasil
- Hospital Copa D'Or, Rio de Janeiro, RJ - Brasil
- Casa de Saúde São José, Rio de Janeiro, RJ - Brasil
| | - Eliza de Almeida Gripp
- Hospital Pró-Cardíaco, Rio de Janeiro, RJ - Brasil
- Hospital Universitário Antônio Pedro, Rio de Janeiro, RJ - Brasil
| | | | - Tonnison Oliveira Silva
- Hospital Cardio Pulmonar - Centro de Estudos em Cardiologia, Salvador, BA - Brasil
- Escola Bahiana de Medicina e Saúde Pública, Salvador, BA - Brasil
| | | | | | - Vera Maria Cury Salemi
- Instituto do Coração (Incor) do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), São Paulo, SP - Brasil
| | | | - Silvio Henrique Barberato
- CardioEco Centro de Diagnóstico Cardiovascular, Curitiba, PR - Brasil
- Quanta Diagnóstico, Curitiba, PR - Brasil
| | | | | | | | - Marcelo Haertel Miglioranza
- Instituto de Cardiologia do Rio Grande do Sul - Laboratório de Pesquisa e Inovação em Imagem Cardiovascular, Porto Alegre, RS - Brasil
- Hospital Mãe de Deus, Porto Alegre, RS - Brasil
| | | | | | | | - César Higa Nomura
- Instituto do Coração (Incor) do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), São Paulo, SP - Brasil
- Hospital Sírio-Libanês, São Paulo, SP - Brasil
| | - Fernanda Mello Erthal Cerbino
- Clínica de Diagnóstico por Imagem, Rio de Janeiro, RJ - Brasil
- Diagnósticos da América AS, Rio de Janeiro, RJ - Brasil
| | | | | | | | | | - Juliano Lara Fernandes
- Radiologia Clínica de Campinas, Campinas, SP - Brasil
- Instituto de Ensino e Pesquisa José Michel Kalaf, Campinas, SP - Brasil
| | - Marly Uellendahl
- Diagnósticos da América AS, Rio de Janeiro, RJ - Brasil
- Universidade Federal de São Paulo (UNIFESP), São Paulo, SP - Brasil
| | | | - Tiago Senra
- Instituto Dante Pazzanese de Cardiologia, São Paulo, SP - Brasil
- Hospital Sírio-Libanês, São Paulo, SP - Brasil
| | - Bruna Leal Assunção
- Universidade de São Paulo Instituto do Câncer do Estado de São Paulo, São Paulo, SP - Brasil
| | - Claudia Maria Vilas Freire
- Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG - Brasil
- ECOCENTER, Belo Horizonte, MG - Brasil
| | | | - Karen Saori Shiraishi Sawamura
- Hospital do Coração (HCOR), São Paulo, SP - Brasil
- Hospital Universitário Antônio Pedro, Rio de Janeiro, RJ - Brasil
- Instituto da Criança da Universidade de São Paulo (USP), São Paulo, SP - Brasil
| | - Márcio Miranda Brito
- Universidade Federal do Tocantins - Campus de Araguaina, Araguaina, TO - Brasil
- Hospital Municipal de Araguaina, Araguaina, TO - Brasil
| | | | | | | | | | - Claudio Tinoco Mesquita
- Hospital Pró-Cardíaco, Rio de Janeiro, RJ - Brasil
- Universidade Federal Fluminense (UFF), Rio de Janeiro, RJ - Brasil
- Hospital Vitória, Rio de Janeiro, RJ - Brasil
| | | | | | - Letícia Rigo
- Hospital Beneficência Portuguesa, São Paulo, SP - Brasil
| | | | | | - Gabriel Blacher Grossman
- Clínica Cardionuclear, Porto Alegre, RS - Brasil
- Hospital Moinhos de Vento, Porto Alegre, RS - Brasil
| | | | - Monica Luiza de Alcantara
- Americas Medical City, Rio de Janeiro, Rio de Janeiro, RJ - Brasil
- Americas Serviços Médicos, Rio de Janeiro, RJ - Brasil
- Rede D'Or, Rio de Janeiro, RJ - Brasil
| | | | | | | | | | | | | | - Simone Nascimento Dos Santos
- Hospital Brasília - Ecocardiografia, Brasília, DF - Brasil
- Eccos Diagnóstico Cardiovascular Avançado, Brasília, DF - Brasil
| | | | | | | | | | | | - Ricardo Pignatelli
- Texas Children's Hospital, Houston, Texas - EUA
- Baylor College of Medicine, Houston, Texas - EUA
| | - Ludhmilla Abrahão Hajjar
- Instituto do Coração (Incor) do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), São Paulo, SP - Brasil
- Universidade de São Paulo Instituto do Câncer do Estado de São Paulo, São Paulo, SP - Brasil
| | - Roberto Kalil Filho
- Instituto do Coração (Incor) do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), São Paulo, SP - Brasil
- Universidade de São Paulo Instituto do Câncer do Estado de São Paulo, São Paulo, SP - Brasil
| | - Marcelo Antônio Cartaxo Queiroga Lopes
- Hospital Alberto Urquiza Wanderley - Hemodinâmica e Cardiologia Intervencionista, João Pessoa, PB - Brasil
- Hospital Metropolitano Dom José Maria Pires, João Pessoa, PB - Brasil
- Sociedade Brasileira de Cardiologia, Rio de Janeiro, RJ - Brasil
| | - Marcelo Luiz Campos Vieira
- Instituto do Coração (Incor) do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), São Paulo, SP - Brasil
- Hospital Israelita Albert Einstein, São Paulo, SP - Brasil
| | - André Luiz Cerqueira Almeida
- Santa Casa de Misericórdia de Feira de Santana - Cardiologia, Feira de Santana, BA - Brasil
- Departamento de Imagem Cardiovascular da Sociedade Brasileira de Cardiologia, São Paulo, SP - Brasil
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23
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da Cruz BO, Cardozo LFMD, Coutinho-Wolino KS, Mesquita CT, Leal VO, Mafra D, Stockler-Pinto MB. Brazil Nut Supplementation Does Not Regulate PPARβ/δ Signaling Pathway in Peripheral Blood Mononuclear Cells from Coronary Artery Disease Patients. J Am Coll Nutr 2021; 41:780-787. [PMID: 34516363 DOI: 10.1080/07315724.2021.1963882] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
BACKGROUND Peroxisome proliferator-activated receptor (PPAR)β/δ activation is a potential target for modulation of inflammation in cardiovascular disease. PPARβ/δ activation depends on the presence of a ligand, which may be pharmacological or natural, such as bioactive compounds and nutrients. Due to its composition, rich in selenium and unsaturated fatty acids, Brazil nuts have been related to reduced oxidative stress and inflammation in chronic non-communicable diseases and could regulate PPARβ/δ. This study aimed to evaluate the effects of Brazil nut supplementation on PPARβ/δ mRNA expression in patients with Coronary Artery Disease (CAD). METHODS A secondary analysis of a randomized controlled clinical trial was performed with 36 CAD patients. Patients were randomly assigned to either the Supplementation group or the control group and followed up for three months. The Supplementation group consumed 1 Brazil nut/day; the control group did not receive any intervention. At the baseline and after three months, analysis of gene expression and biochemical parameters linked to inflammatory biomarkers and oxidative stress was carried out. RESULTS In the supplementation group, no significant change was observed in PPARβ/δ (0.9 ± 0.5 vs 1.2 ± 0.6; p = 0.178) and NF-κB (1.6 ± 1.5 vs 0.8 ± 0.30, p = 0.554) mRNA expression. There were no significant changes in both groups concerning all the other biochemical parameters. CONCLUSION One Brazil nut per day for three months was not able to increase the PPARβ/δ expression in CAD patients.
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Affiliation(s)
- Beatriz Oliveira da Cruz
- Graduate Program in Cardiovascular Sciences, Universidade Federal Fluminense, Niterói, Brazil.,Clinical Research Unit, Hospital Universitário Antônio Pedro, Universidade Federal Fluminense, Niterói, Brazil
| | - Ludmila Ferreira Medeiros de Cardozo
- Graduate Program in Cardiovascular Sciences, Universidade Federal Fluminense, Niterói, Brazil.,Clinical Research Unit, Hospital Universitário Antônio Pedro, Universidade Federal Fluminense, Niterói, Brazil
| | - Karen Salve Coutinho-Wolino
- Clinical Research Unit, Hospital Universitário Antônio Pedro, Universidade Federal Fluminense, Niterói, Brazil.,Graduate Program in Nutrition Sciences, Universidade Federal Fluminense, Niterói, Brazil
| | - Claudio Tinoco Mesquita
- Graduate Program in Cardiovascular Sciences, Universidade Federal Fluminense, Niterói, Brazil.,Hospital Universitário Antonio Pedro - EBSERH-UFF, Niterói, Brazil
| | - Viviane Oliveira Leal
- Hospital Universitário Pedro Ernesto, Universidade Estadual do Rio de Janeiro, Rio de Janeiro, Brazil
| | - Denise Mafra
- Graduate Program in Cardiovascular Sciences, Universidade Federal Fluminense, Niterói, Brazil.,Clinical Research Unit, Hospital Universitário Antônio Pedro, Universidade Federal Fluminense, Niterói, Brazil.,Graduate Program in Nutrition Sciences, Universidade Federal Fluminense, Niterói, Brazil.,Graduate Program in Medical Sciences, Universidade Federal Fluminense, Niterói, Brazil
| | - Milena Barcza Stockler-Pinto
- Graduate Program in Cardiovascular Sciences, Universidade Federal Fluminense, Niterói, Brazil.,Clinical Research Unit, Hospital Universitário Antônio Pedro, Universidade Federal Fluminense, Niterói, Brazil.,Graduate Program in Nutrition Sciences, Universidade Federal Fluminense, Niterói, Brazil
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24
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Oliveira GMMD, Mesquita CT. Heart Disease is the Leading Cause of Death for Women – We must Change the Status Quo. International Journal of Cardiovascular Sciences 2021. [DOI: 10.36660/ijcs.20210185] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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25
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de Souza Filho EM, Mesquita CT. Phase analysis of gated myocardial perfusion SPECT and cardiac resynchronization therapy: The good, the bad, and the ugly. J Nucl Cardiol 2021; 28:1136-1139. [PMID: 32043242 DOI: 10.1007/s12350-020-02056-w] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2020] [Accepted: 01/24/2020] [Indexed: 11/27/2022]
Affiliation(s)
- Erito Marques de Souza Filho
- Universidade Federal Fluminense, Post-Graduation in Cardiovascular Sciences Program, Niteroi, Brazil.
- Universidade Federal Rural do Rio de Janeiro, Nova Iguaçu, Brazil.
| | - Claudio Tinoco Mesquita
- Universidade Federal Fluminense, EBESERH/Hospital Antonio Pedro, Niteroi, Brazil
- Hospital Pró-Cardíaco, Rio de Janeiro, Brazil
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Rosa MLG, Mesquita CT, Albuquerque LZD, Silva WDDS, Alves VDPV, Jordan RFR, Matos RCD, Silva ALGDFE, Souza Filho EMD. Recent Trends in Cardiovascular Mortality in Rio de Janeiro State Health Regions and Capital. Arq Bras Cardiol 2021; 116:763-771. [PMID: 33886725 PMCID: PMC8121409 DOI: 10.36660/abc.20190742] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2019] [Accepted: 03/16/2020] [Indexed: 12/20/2022] Open
Abstract
Fundamento: A mortalidade por doenças cardiovasculares (DCV) vem mostrando tendência à estabilização em alguns países, incluindo o Brasil e o estado do Rio de Janeiro, após décadas de queda. Não encontramos análises detalhadas dessa tendência para o estado do Rio de Janeiro. Objetivo: Analisar as tendências da mortalidade prematura e tardia por doenças do aparelho circulatório (DAC), doença isquêmica do coração (DIC) e doença cerebrovascular (DCBV) por sexo nas regiões de saúde do estado do Rio de Janeiro e capital (1996-2016). Métodos: Dados de óbitos e população foram obtidos no DATASUS/MS. Taxas foram compensadas por códigos mal definidos, corrigidos pelos códigos cardiovasculares mal definidos e ajustadas por sexo e idade pelo método direto. O Joinpoint Trend Analysis Software foi empregado para calcular a variação percentual anual (APC) e variação percentual anual média (AAPC). Foram consideradas para o estudo APC e AAPC significativamente diferentes de zero, calculadas por um teste de student com significância de 5%. Resultados: A mortalidade por DIC estabilizou ou até aumentou em pelo menos 50% das localidades analisadas (EAPC ≥0). Nas regiões Norte e Noroeste, nenhuma mudança foi observada. Para DCBV, apenas uma região apresentou estabilidade na mortalidade (EAPC próximo a 0). Para as outras regiões, a taxa continuou a diminuir (APC <0) até 2016. Conclusão: Esses resultados observados no Rio de Janeiro devem se repetir em várias regiões brasileiras e apontam para a necessidade de uma resposta na abordagem dos comportamentos no estilo de vida. Os médicos da atenção primária devem estar familiarizados com a tendência desfavorável da doença isquêmica do coração entre os adultos mais jovens e rastrear ativamente os fatores de risco para DCV, com atenção especial às mulheres.
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Affiliation(s)
- Maria Luiza Garcia Rosa
- Universidade Federal Fluminense - Departamento de Epidemiologia e Bioestatística, Niterói, RJ - Brasil
| | - Claudio Tinoco Mesquita
- Universidade Federal Fluminense Faculdade de Medicina - Departamento de Radiologia, Niterói, RJ - Brasil
| | | | | | | | | | - Ricardo Cardoso de Matos
- Universidade Federal Fluminense - Departamento de Epidemiologia e Bioestatística, Niterói, RJ - Brasil
| | | | - Erito Marques de Souza Filho
- Universidade Federal Fluminense - Departamento de Medicina Clínica, Niterói, RJ - Brasil.,Universidade Federal Rural do Rio de Janeiro - Departamento de Tecnologias e Linguagens, Nova Iguaçu, RJ - Brasil
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Mesquita CT, Ker WDS. Cardiovascular Risk Factors in Cardiologists Certified by the Brazilian Society of Cardiology: Lessons to be Learned. Arq Bras Cardiol 2021; 116:782-783. [PMID: 33886728 PMCID: PMC8121386 DOI: 10.36660/abc.20210153] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Affiliation(s)
- Claudio Tinoco Mesquita
- Universidade Federal FluminenseHospital Universitário Antônio Pedro (HUAP)/EbserhSetor de Medicina NuclearNiteróiRJBrasilSetor de Medicina Nuclear - Hospital Universitário Antônio Pedro (HUAP)/Ebserh - Universidade Federal Fluminense (UFF), Niterói, RJ - Brasil.
- Hospital Pró-CardíacoServiço de Medicina NuclearRio de JaneiroRJBrasilServiço de Medicina Nuclear - Hospital Pró-Cardíaco, Rio de Janeiro, RJ - Brasil.
- Hospital VitóriaRio de JaneiroRJBrasilHospital Vitória, Rio de Janeiro, RJ – Brasil.
| | - Wilter dos Santos Ker
- Hospital Pró-CardíacoServiço de Medicina NuclearRio de JaneiroRJBrasilServiço de Medicina Nuclear - Hospital Pró-Cardíaco, Rio de Janeiro, RJ - Brasil.
- Hospital VitóriaRio de JaneiroRJBrasilHospital Vitória, Rio de Janeiro, RJ – Brasil.
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Mesquita CT. Left ventricular ejection fraction: how to improve an established index? Int J Cardiovasc Imaging 2021; 37:2533-2534. [PMID: 33772690 DOI: 10.1007/s10554-021-02199-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/17/2021] [Accepted: 02/18/2021] [Indexed: 05/31/2023]
Affiliation(s)
- Claudio Tinoco Mesquita
- Pós-graduação em Ciências Cardiovasculares, Universidade Federal Fluminense, HUAP-EBSERH, Niterói, Brazil. .,Hospital Pró-Cardíaco - Hospital Vitória/Hospital Samaritano Barra, Rio de Janeiro, Brazil. .,Nuclear Medicine Section, Radiology Department, Hospital Universitário Antônio Pedro, Av. Marques do Paraná 303, Niterói, Rio de Janeiro, ZIP 24070-035, Brazil.
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Abstract
The world changed in just a few months after the emergence of the novel coronavirus disease 2019 (COVID-19), caused by a beta coronavirus named severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). COVID-19 was declared a pandemic by the World Health Organization (WHO) on March 11, 2020. Brazil currently has the world's second-highest COVID-19 death toll, second only to the USA. The COVID-19 pandemic is spreading fast in the world with more than 181 countries affected. This editorial refers to the article published in Arquivos Brasileiros de Cardiologia: "Increase in home deaths due to cardiorespiratory arrest in times of COVID-19 pandemic."1 Their main results show a gradual increase in the rate of out-of-hospital cardiac arrest during the Coronavirus disease 2019 (COVID-19) pandemic in the city of Belo Horizonte, Minas Gerais, Brazil. Their data demonstrate a proportional increase of 33% of home deaths in March 2020 compared to previous periods. Their study is the first Brazilian paper to demonstrate the same trend observed in other countries.
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Affiliation(s)
- Claudio Tinoco Mesquita
- Universidade Federal FluminenseNiteróiRJBrasilUniversidade Federal Fluminense, Niterói, RJ - Brasil
- Hospital Pró-CardíacoRio de JaneiroRJBrasilHospital Pró-Cardíaco, Rio de Janeiro, RJ - Brasil
- Hospital VitóriaRio de JaneiroRJBrasilHospital Vitória, Rio de Janeiro, RJ – Brasil
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de Souza ALADAG, Mesquita CT. Chagas Disease - Past and Future. International Journal of Cardiovascular Sciences 2020. [DOI: 10.36660/ijcs.20200351] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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Souza VF, Santos AASMDD, Mesquita CT, Martins WDA, Pelandre GL, Marchiori E, Nacif MS. Quantification of Calcified Coronary Plaques by Chest Computed Tomography: Correlation with the Calcium Score Technique. Arq Bras Cardiol 2020; 115:493-500. [PMID: 33027372 PMCID: PMC9363106 DOI: 10.36660/abc.20190235] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2019] [Accepted: 08/18/2019] [Indexed: 12/03/2022] Open
Abstract
Fundamento A doença cardiovascular representa a principal causa de mortalidade no mundo. Calcificações parietais nas artérias podem ser visualizadas e quantificadas por tomografia computadorizada (TC) em estágios iniciais e subclínicos, sendo expressa em escore de cálcio (EC). Com esse número, é possível estimar o prognóstico de eventos cardiovasculares futuros. Objetivos Correlacionar a detecção e quantificação do EC pela TC do tórax utilizando como padrão-ouro a TC cardíaca sincronizada ao eletrocardiograma. Métodos Estudo transversal e descritivo que selecionou pacientes (n=73) consecutivos para investigação de doença arterial coronariana estável e que realizaram TC cardíaca no período de junho de 2013 a outubro de 2014. Realizado protocolo com TC do tórax e EC, em aparelho de 64 canais. Os valores de p<0,05 foram considerados estatisticamente significativos. Resultados Na avaliação por paciente, após a transformação logarítmica a média do EC sincronizado foi de 8,7 e na TC de tórax foi de 9,4. Prevalência de doença de 49,3% (n= 36). A sensibilidade foi de 97,2% e a especificidade de 100,0%. Observou-se excelente correlação entre os métodos (r= 0,993 com p<0,001). Na avaliação por segmento, a média do EC sincronizado foi de 3,0. Já a média do EC na TC de tórax foi de 3,2. Prevalência de doença de 29,5% (n= 86), com sensibilidade de 95,3% e especificidade de 97,5%. Observou-se também excelente correlação entre os métodos (r= 0,985 com p<0,001). Conclusão O EC sincronizado e não sincronizado têm boa correlação entre si e não mostram resultados estatisticamente diferentes. (Arq Bras Cardiol. 2020; 115(3):493-500)
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Affiliation(s)
- Vitor Frauches Souza
- Complexo Hospitalar de Niterói - Radiologia, Niterói, RJ - Brasil.,Hospital Universitário Antônio Pedro - Pós-Graduação em Ciências Cardiovasculares, Niterói, RJ - Brasil
| | - Alair Augusto Sarmet M D Dos Santos
- Complexo Hospitalar de Niterói - Radiologia, Niterói, RJ - Brasil.,Hospital Universitário Antônio Pedro - Pós-Graduação em Ciências Cardiovasculares, Niterói, RJ - Brasil
| | - Claudio Tinoco Mesquita
- Hospital Universitário Antônio Pedro - Pós-Graduação em Ciências Cardiovasculares, Niterói, RJ - Brasil
| | - Wolney de Andrade Martins
- Hospital Universitário Antônio Pedro - Pós-Graduação em Ciências Cardiovasculares, Niterói, RJ - Brasil
| | - Gustavo Lemos Pelandre
- Universidade Federal do Rio de Janeiro - Pós-Graduação em Radiologia, Rio de Janeiro, RJ - Brasil
| | - Edson Marchiori
- Universidade Federal do Rio de Janeiro - Pós-Graduação em Radiologia, Rio de Janeiro, RJ - Brasil
| | - Marcelo Souto Nacif
- Universidade Federal Fluminense - Pós-graduação em Ciências Cardiovasculares, Niterói, RJ - Brasil.,Complexo Hospitalar de Niterói, Niterói, RJ - Brasil
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Luz PLD, Mesquita CT. Translational Medicine – New Frontiers in Cardiology. International Journal of Cardiovascular Sciences 2020. [DOI: 10.36660/ijcs.20200259] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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Souza EMD, Fernandes FDA, Pereira NCDA, Mesquita CT, Gismondi RA. Ética, Inteligência Artificial e Cardiologia. Arq Bras Cardiol 2020; 115:579-583. [PMID: 33027384 PMCID: PMC9363099 DOI: 10.36660/abc.20200143] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2020] [Accepted: 04/30/2020] [Indexed: 01/18/2023] Open
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Patel C, Kalaivani M, Karthikeyan G, Peix A, Kumar A, Massardo T, Jiménez-Heffernan A, Mesquita CT, Pabon M, Butt S, Alexanderson E, Marin V, Morozova O, Paez D, Garcia EV. Effect of cardiac resynchronization therapy on septal perfusion and septal thickening: Association with left ventricular function, reverse remodelling and dyssynchrony. J Nucl Cardiol 2020; 27:1274-1284. [PMID: 30977094 DOI: 10.1007/s12350-019-01704-0] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2018] [Accepted: 03/20/2019] [Indexed: 10/27/2022]
Abstract
BACKGROUND We evaluated the effect of cardiac resynchronization therapy (CRT) on septal perfusion and thickening at 6 months post implantation assessed on Tc99m-MIBI Gated myocardial perfusion SPECT (GMPS).We also studied the association of change in septal perfusion and thickening with primary outcome defined as at least one [improvement in ≥1NYHA class, left ventricular ejection fraction (LVEF) by ≥ 5%, reduction of end-systolic volume (ESV) by ≥ 15%, and improvement ≥ 5 points in Minnesota living with heart failure questionnaire (MLHFQ)]. METHOD One hundred and five patients underwent clinical and GMPS evaluation before and at 6 months post CRT. RESULT Post CRT there was significant improvement in mean normalized septal perfusion uptake and in septal thickening (P value = 0.001, both). There was no significant relation between improvement in septal perfusion and primary outcome. However, improvement in septal thickening was statistically significant with favorable primary outcome (P = 0.001).There was no significant correlation between improvement of septal perfusion and improvement in LVEF, reduction in End diastolic volume (EDV), ESV, and Left ventricular Dyssynchrony (LVD). But, there was significant correlation between improvement of septal thickening and these parameters. CONCLUSION Improvement in septal thickening was associated with reverse remodeling, improvement in LVEF, and reduction of LVD.
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Affiliation(s)
- C Patel
- All India Institute of Medical Sciences, New Delhi, India.
| | - M Kalaivani
- Department of Biostatistics, All India Institute of Medical Sciences, New Delhi, India
| | - G Karthikeyan
- Department of Cardiology, All India Institute of Medical Sciences, New Delhi, India
| | - A Peix
- Instituto de Cardiología y Cirugía Cardiovascular, La Habana, Cuba
| | - A Kumar
- Dr. B L Kapur Memorial Hospital, New Delhi, India
| | - T Massardo
- Hospital Clínico Universidad de Chile, Santiago, Chile
| | | | - C T Mesquita
- Hospital Universitario Antonio Pedro, Niteroi, Brazil
| | - M Pabon
- Fundación Valle del Lili, Cali, Colombia
| | - S Butt
- Oncology and Radiotherapy Institute (NORI), Islamabad, Pakistan
| | - E Alexanderson
- Instituto Nacional de Cardiología Ignacio Chávez, Mexico DF, Mexico
| | - V Marin
- Fundación Cardioinfantil, Bogotá, Colombia
| | - O Morozova
- Nuclear Medicine and Diagnostic Imaging Section, International Atomic Energy Agency, Vienna, Austria
| | - D Paez
- Nuclear Medicine and Diagnostic Imaging Section, International Atomic Energy Agency, Vienna, Austria
| | - E V Garcia
- Emory University, Atlanta, United States of America
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Mesquita CT. Open Science and the Role of Cardiology Journals in the COVID-19 Pandemic. International Journal of Cardiovascular Sciences 2020. [DOI: 10.36660/ijcs.20200191] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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Wiefels C, Lamai O, Kandolin R, Birnie D, Leung E, Mesquita CT, Beanlands R. The Role of 18F-FDG PET/CT in Cardiac Sarcoidosis. International Journal of Cardiovascular Sciences 2020. [DOI: 10.36660/ijcs.20200033] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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Souza Filho EMD, Fernandes FDA, Soares CLDA, Seixas FL, Santos AASMDD, Gismondi RA, Mesquita ET, Mesquita CT. Artificial Intelligence in Cardiology: Concepts, Tools and Challenges - "The Horse is the One Who Runs, You Must Be the Jockey". Arq Bras Cardiol 2020; 114:718-725. [PMID: 32491009 DOI: 10.36660/abc.20180431] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2018] [Accepted: 08/28/2019] [Indexed: 11/18/2022] Open
Abstract
The recent advances at hardware level and the increasing requirement of personalization of care associated with the urgent needs of value creation for the patients has helped Artificial Intelligence (AI) to promote a significant paradigm shift in the most diverse areas of medical knowledge, particularly in Cardiology, for its ability to support decision-making and improve diagnostic and prognostic performance. In this context, the present work does a non-systematic review of the main papers published on AI in Cardiology, focusing on its main applications, potential impacts and challenges.
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Affiliation(s)
- Erito Marques de Souza Filho
- Universidade Federal Fluminense, Niterói, RJ, Brasil.,Universidade Federal Rural do Rio de Janeiro - Departamento de Tecnologias e Linguagens, Nova Iguaçu, RJ – Brazil
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Barbosa JE, Stockler-Pinto MB, Cruz BOD, Silva ACTD, Anjos JS, Mesquita CT, Mafra D, Cardozo LFMF. Nrf2, NF-κB and PPARβ/δ mRNA Expression Profile in Patients with Coronary Artery Disease. Arq Bras Cardiol 2020; 113:1121-1127. [PMID: 31340238 PMCID: PMC7021271 DOI: 10.5935/abc.20190125] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2018] [Accepted: 02/13/2019] [Indexed: 12/26/2022] Open
Abstract
BACKGROUND Oxidative stress and inflammation are present in coronary artery disease (CAD) and are linked to the activation of the transcription nuclear factor kappa B (NF-κB). To attenuate these complications, transcription factors like nuclear factor erythroid 2-related factor 2 (Nrf2) and peroxisome proliferator-activated receptor-β/δ (PPARβ/δ) can be activated to inhibit NF-κB. However, the available data on expression of NF-κB, Nrf2 and PPARβ/δ in CAD patients are limited. OBJECTIVE To evaluate the expression of the transcription factors NF-κB and Nrf2 and PPAR𝛽/𝛿 in CAD patients. METHODS Thirty-five patients (17 men, mean age 62.4 ? 7.55 years) with CAD and twelve patients (5 men, mean age 63.50 ? 11.46 years) without CAD were enrolled. Peripheral blood mononuclear cells (PBMCs) were isolated and processed for mRNA expression of Nrf2, NF-κB, NADPH: quinone oxidoreductase 1 (NQO1) and PPARβ/δ mRNAs using quantitative real-time polymerase chain reaction (qPCR). p < 0.05 was considered statistically significant. RESULTS There was no difference in the mRNA expressions of Nrf2 (1.35 ? 0.57), NF-κB (1.08 ? 0.50) or in the antioxidant enzyme NQO1 (1.05 ? 0.88) in the CAD group compared to the group without CAD (1.16 ? 0.76, 0.95 ? 0.33, 0.81 ? 0.55, respectively). However, PPARβ/δ was highest expressed in the CAD group (1.17 ? 0.86 vs. 0.56 ? 0.34, p = 0.008). CONCLUSION The main finding of this study was the PPARβ/δ being more expressed in the PBMC of patients with CAD compared to the control group, whereas no differences were observed in Nrf2 or NF-κB mRNA expressions.
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Affiliation(s)
- Jaqueline Ermida Barbosa
- Universidade Federal Fluminense - Programa de Pós-Graduação em Ciências Cardiovasculares, Niterói, RJ - Brazil
| | | | - Beatriz Oliveira da Cruz
- Universidade Federal Fluminense - Programa de Pós-Graduação em Ciências Cardiovasculares, Niterói, RJ - Brazil
| | - Ana Carla Tavares da Silva
- Universidade Federal Fluminense - Programa de Pós-Graduação em Ciências Cardiovasculares, Niterói, RJ - Brazil
| | - Juliana Saraiva Anjos
- Universidade Federal Fluminense - Programa de Pós-Graduação em Ciências Cardiovasculares, Niterói, RJ - Brazil
| | - Claudio Tinoco Mesquita
- Universidade Federal Fluminense - Programa de Pós-Graduação em Ciências Cardiovasculares, Niterói, RJ - Brazil
| | - Denise Mafra
- Universidade Federal Fluminense - Programa de Pós-Graduação em Ciências Cardiovasculares, Niterói, RJ - Brazil
| | - Ludmila F M F Cardozo
- Universidade Federal Fluminense - Programa de Pós-Graduação em Ciências Cardiovasculares, Niterói, RJ - Brazil
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Nunes NSV, Carvalho JPM, Costa FS, Nacif MS, Dominato J, Mesquita CT, Mesquita ET. Syncope as a Phenotypic Expression of Hereditary Transthyretin Amyloidosis Val142Ile (Val122Ile). Arq Bras Cardiol 2020; 114:1-3. [PMID: 31751438 PMCID: PMC8149112 DOI: 10.36660/abc.20180130] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2018] [Revised: 12/11/2018] [Accepted: 12/19/2018] [Indexed: 11/18/2022] Open
Affiliation(s)
- Nágela S. V. Nunes
- Complexo Hospitalar de NiteróiNiteróiRJBrasilComplexo Hospitalar de Niterói – Cardiologia, Niterói, RJ – Brasil
- Hospital Universitário Antônio PedroDepartamento de Cardiologia (Ebserh/UFF)NiteróiRJBrasilHospital Universitário Antônio Pedro, Departamento de Cardiologia (Ebserh/UFF), Niterói, RJ – Brasil
| | | | - Fernanda Salomão Costa
- Hospital Pró-CardíacoRio de JaneiroRJBrasilHospital Pró-Cardíaco - Medicina Nuclear, Rio de Janeiro, RJ – Brasil
| | - Marcelo Souto Nacif
- Complexo Hospitalar de NiteróiNiteróiRJBrasilComplexo Hospitalar de Niterói – Cardiologia, Niterói, RJ – Brasil
- Hospital Universitário Antonio PedroDepartamento de Radiologia (Ebserh/UFF)NiteroiRio de JaneiroBrasilHospital Universitário Antonio Pedro, Departamento de Radiologia (Ebserh/UFF), Niteroi, Rio de Janeiro – Brasil
| | - Joelma Dominato
- Complexo Hospitalar de NiteróiNiteróiRJBrasilComplexo Hospitalar de Niterói – Cardiologia, Niterói, RJ – Brasil
| | - Claudio Tinoco Mesquita
- Hospital Pró-CardíacoRio de JaneiroRJBrasilHospital Pró-Cardíaco - Medicina Nuclear, Rio de Janeiro, RJ – Brasil
- Hospital Universitário Antonio PedroDepartamento de Radiologia (Ebserh/UFF)NiteroiRio de JaneiroBrasilHospital Universitário Antonio Pedro, Departamento de Radiologia (Ebserh/UFF), Niteroi, Rio de Janeiro – Brasil
| | - Evandro Tinoco Mesquita
- Hospital Universitário Antônio PedroDepartamento de Cardiologia (Ebserh/UFF)NiteróiRJBrasilHospital Universitário Antônio Pedro, Departamento de Cardiologia (Ebserh/UFF), Niterói, RJ – Brasil
- Americas Medical CityCentro de Educação e Treinamento Edson BuenoRio de JaneiroRJBrasilAmericas Medical City - Centro de Educação e Treinamento Edson Bueno, Rio de Janeiro, RJ – Brasil
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Affiliation(s)
| | | | | | - Aline Paes
- Instituto de Computação - Universidade Federal Fluminense
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Mesquita CT, dos Santos Ker W. Cardiac pharmacologic stress: does the gender matters? Eur J Nucl Med Mol Imaging 2019; 46:2424-2426. [DOI: 10.1007/s00259-019-04515-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Rochitte CE, de Quadros AS, Sousa AGDMR, Ladeia AMT, Brandão AA, Lorenzo AD, Sposito A, Ribeiro ALP, Mesquita CT, Colombo FMC, Marin-Neto JA, Hajjar LA, Bertolami M, Stein R, Fuchs S, Kaiser SE, Meneghelo RS, de Oliveira GMM. Arquivos Brasileiros de Cardiologia (ABC Cardiol) and the new classification Qualis of Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES). Arq Bras Cardiol 2019; 113:333-334. [PMID: 31621771 PMCID: PMC6882405 DOI: 10.5935/abc.20190206] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Affiliation(s)
| | - Alexandre Schaan de Quadros
- Programa de Pós-Graduação do Instituto de
Cardiologia do Rio Grande do Sul/Fundação Universitária de
Cardiologia (IC/FUC), Porto Alegre, RS - Brazil
| | | | - Ana Marice Teixeira Ladeia
- Programa de Pós-graduação em Medicina e
Saúde Humana da Escola Bahiana de Medicina e Saúde Pública,
Salvador, BA - Brazil
| | - Andréa Araujo Brandão
- Programa de Pós-Graduação em Ciências
Médicas Universidade do Estado do Rio de Janeiro (UERJ), Rio de Janeiro, RJ -
Brazil
| | - Andrea De Lorenzo
- Programa de Pós-Graduação em Ciências
Cardiovasculares do Instituto Nacional de Cardiologia (INC), Rio de Janeiro, RJ -
Brazil
| | - Andrei Sposito
- Faculdade de Ciências Médicas, UNICAMP, Campinas, SP -
Brazil
| | - Antonio Luiz Pinho Ribeiro
- Programa de Pós-Graduação em Ciências da
Saúde - Infectologia e Medicina Tropical da Universidade Federal de Minas
Gerais, Belo Horizonte, MG - Brazil
| | - Claudio Tinoco Mesquita
- Programa de Pós-Graduação em Ciências
Cardiovasculares da Universidade Federal Fluminense (UFF), Rio de Janeiro, RJ -
Brazil
| | | | - José Antônio Marin-Neto
- Unidade de Cardiologia Intervencionista da Divisão de
Cardiologia da Faculdade de Medicina de Ribeirão Preto da Universidade de
São Paulo, São Paulo, SP - Brazil
| | - Ludhmila Abrahão Hajjar
- Programa de Pós-Graduação em Cardiologia da
Universidade de São Paulo (USP), São Paulo, SP - Brazil
| | - Marcelo Bertolami
- Programa de Pós-graduação (Doutorado) do
Instituto Dante Pazzanese de Cardiologia, São Paulo, SP - Brazil
| | - Ricardo Stein
- Programa de Pós-Graduação em Cardiologia e
Ciências Cardiovasculares, Universidade Federal do Rio Grande do Sul,
Hospital de Clínicas de Porto Alegre, Porto Alegre, RS - Brazil
| | - Sandra Fuchs
- Programa de Pós-Graduação em Cardiologia e
Ciências Cardiovasculares da Faculdade de Medicina da UFRGS, Porto Alegre, RS
- Brazil
| | - Sergio Emanuel Kaiser
- Programa de Pós-Graduação em Fisiopatologia
Clínica e Experimental da Universidade Estadual do Rio de Janeiro (UERJ), Rio
de Janeiro, RJ - Brazil
| | - Romeu Sergio Meneghelo
- Programa de Mestrado Profissional Associado à
Residência em Medicina Cardiovascular do Instituto Dante Pazzanese de
Cardiologia, São Paulo, SP - Brazil
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Ker WDS, Neves DGD, Magalhães TA, Santos AASMDD, Mesquita CT, Nacif MS. Myocardial Perfusion by Coronary Computed Tomography in the Evaluation of Myocardial Ischemia: Simultaneous Stress Protocol with SPECT. Arq Bras Cardiol 2019; 113:1092-1101. [PMID: 31596324 PMCID: PMC7021272 DOI: 10.5935/abc.20190201] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2018] [Accepted: 02/13/2019] [Indexed: 11/20/2022] Open
Abstract
BACKGROUND Functional assessment to rule out myocardial ischemia using coronary computed tomography angiography (CCTA) is extremely important and data on the Brazilian population are still limited. OBJECTIVE To assess the diagnostic performance of myocardial perfusion by CCTA in the detection of severe obstructive coronary artery disease (CAD) compared with single-photon emission computerized tomography (SPECT). To analyze the importance of anatomical knowledge to understand the presence of myocardial perfusion defects on SPECT imaging that is not identified on computed tomography (CT) scan. METHOD A total of 35 patients were evaluated by a simultaneous pharmacologic stress protocol. Fisher's exact test was used to compare proportions. The patients were grouped according to the presence or absence of significant CAD. The area under the ROC curve was used to identify the diagnostic performance of CCTA and SPECT in perfusion assessment. P < 0.05 values were considered statistically significant. RESULTS For detection of obstructive CAD, CT myocardial perfusion analysis yielded an area under the ROC curve of 0.84 [a 95% confidence interval (CI95%): 0.67-0.94, p < 0.001]. SPECT myocardial perfusion imaging, on the other hand, showed an AUC of 0.58 (95% CI 0.40 - 0.74, p < 0.001). In this study, false-positive results with SPECT are described. CONCLUSION Myocardial perfusion analysis by CTA displays satisfactory results compared to SPECT in the detection of obstructive CAD. CCTA can rule out false-positive results of SPECT.
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Affiliation(s)
- Wilter Dos Santos Ker
- Hospital Universitário Antonio Pedro, Niterói, RJ - Brazil.,Universidade Federal Fluminense, Niterói, RJ - Brazil
| | | | - Tiago Augusto Magalhães
- Complexo Hospital de Clínicas da Universidade Federal do Paraná (CHC-UFPR), Curitiba, PR - Brazil
| | | | | | - Marcelo Souto Nacif
- Hospital Universitário Antonio Pedro, Niterói, RJ - Brazil.,Universidade Federal Fluminense, Niterói, RJ - Brazil.,Complexo Hospital de Clínicas da Universidade Federal do Paraná (CHC-UFPR), Curitiba, PR - Brazil
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Rodrigues RC, de Azevedo KML, Moscavitch SD, Setubal S, Mesquita CT. The Use of Two-Dimensional Strain Measured by Speckle Tracking in the Identification of Incipient Ventricular Dysfunction in HIV-Infected Patients on Antiretroviral Therapy, Untreated HIV Patients and Healthy Controls. Arq Bras Cardiol 2019; 113:737-745. [PMID: 31482986 PMCID: PMC7020862 DOI: 10.5935/abc.20190169] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2018] [Revised: 03/07/2019] [Accepted: 03/12/2019] [Indexed: 11/20/2022] Open
Abstract
BACKGROUND Most cardiovascular abnormalities in patients infected with the human immunodeficiency virus (HIV) have been associated with myocardial damage directly caused by the virus. Some cases, however, may be associated with adverse effects from antiretroviral therapy (ART). New ventricular function assessment techniques are capable of detecting early changes in the cardiac function of HIV-infected patients using or not using ART. The usefulness of these techniques has been little employed in these patients. OBJECTIVES To investigate the potential influence of antiretroviral therapy (ART) on the occurrence of subclinical left ventricular systolic dysfunction evaluated by myocardial strain rate analysis using two-dimensional speckle tracking echocardiography (2-D Echo) in treated HIV patients compared to untreated patients and healthy individuals. METHODS Sixty-eight HIV-infected patients with no cardiovascular symptoms, normal left ventricular (LV) ejection fraction (> 0.55 on 2-D Echo) were divided into three groups: 11 patients not using antiretroviral therapy (NT), 24 using protease inhibitor (PI) and 33 using non-nucleoside reverse transcriptase inhibitor (NNRTI). We also studied 30 normal non-HIV infected individuals (Ctrl). Demographic, clinical, biochemical and anthropometric data were collected. Preliminary transthoracic echocardiography included study of myocardial strain using two-dimensional speckle tracking. We studied strain and strain rate in the seventeen left ventricular (LV) myocardial segments in the longitudinal, circumferential and radial axes. Statistical analysis of the data was done with IBM SPSS - version 20 for Windows. Upon analysis of the data, namely the normality of independent variables in the different groups and the homogeneity of the variances between the groups, Kruskal-Wallis' non-parametric test was done, followed by Dunn's multiple comparison tests to test the significance of the differences between the values measured in the study groups. A significance level of 5% was adopted for decision-making on statistical tests. RESULTS The mean age of HIV patients was 40 ± 8.65 years and the mean age of controls was 50 ± 11.6 years (p < 0.001). Median LV global longitudinal strain (GLS) of NT patients (-17.70%), PI patients (-18.27%) and NNRTIs (-18.47%) were significantly lower than that of the Ctrl group (-20.77%; p = 0.001). There was no significant difference in mean SLG between treated patients (PI, NNRTI) and untreated (NT) patients. No significant differences were observed in mean circumferential and radial strain, nor on circumferential and radial strain rates between the NT, PI, NNRTI and Ctrl groups. CONCLUSION The data suggest that HIV patients present, on myocardial strain measured by speckle tracking, signs of early LV systolic dysfunction that seem to be unrelated to the presence of ART. The prognostic significance of this condition in these patients deserves further studies.
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Affiliation(s)
| | | | | | - Sergio Setubal
- Universidade Federal Fluminense (UFF), Niterói, RJ - Brazil
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Mesquita CT, Cruz GGD. Comment on Myocardial Perfusion Study in Obese Patients without Known Cardiac Ischemia. Arq Bras Cardiol 2019; 112:597-599. [PMID: 31188967 PMCID: PMC6555579 DOI: 10.5935/abc.20190082] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2019] [Accepted: 03/27/2019] [Indexed: 11/20/2022] Open
Affiliation(s)
- Claudio Tinoco Mesquita
- Universidade Federal Fluminense - Departamento de Radiologia, Niterói, RJ - Brazil.,Hospital Pró-cardíaco, Rio de Janeiro, RJ - Brazil
| | - Gustavo Gavina da Cruz
- Universidade Federal Fluminense - Pós-Graduação em Ciências Cardiovasculares, Niterói, RJ - Brazil.,Fundação Técnico Educacional Souza Marques, Rio de Janeiro, RJ - Brazil
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Sabra MMM, Costa FS, de Azevedo JC, Mesquita CT, Verberne HJ. Myocardial perfusion scintigraphy during chest pain: An atypical presentation of takotsubo cardiomyopathy? J Nucl Cardiol 2019; 26:674-676. [PMID: 29845482 DOI: 10.1007/s12350-018-1286-8] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2018] [Accepted: 04/09/2018] [Indexed: 10/16/2022]
Abstract
Although Takotsubo cardiomyopathy (TCM) knowledge is increasing, the exact pathophysiology remains unclear. TCM represents 1%-2% of all troponin positive acute coronary syndromes, affects predominantly postmenopausal women, and is commonly preceded by exposure to severe physical or emotional stress. Transient wall motion abnormalities mimicking ST-elevation myocardial infarction is expected as well as increase of troponin levels and echocardiography alterations. This case report is about a patient that as far as we know is the first case that shows the use of myocardial perfusion imaging in the acute phase of TCM. In general, the TCM Mayo Clinic diagnostic criteria have been very helpful in the clinical setting. In this specific case, however, the presence of reduced myocardial perfusion in the acute phase combined with increased troponin levels seemed to be in contradiction with the exclusion of obstructive coronary artery disease.
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Affiliation(s)
| | | | | | | | - Hein J Verberne
- Department of Radiology and Nuclear Medicine, Academic Medical Center, Amsterdam, The Netherlands
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Araújo CGSD, Mesquita CT. Physical Activity, Exercise and Sport: A Five-Star Path for a Better Cardiovascular
Health. International Journal of Cardiovascular Sciences 2019. [DOI: 10.5935/2359-4802.20190062] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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Mesquita CT, Borim D, Rochitte CE. Open Science, Cardiology and 20 years of SciELO (Scientific Electronic Library
Online). International Journal of Cardiovascular Sciences 2019. [DOI: 10.5935/2359-4802.20190036] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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Gazzilli M, Durmo R, Mesquita CT, Giubbini R. Left Ventricular Dyssynchrony in a Patient with Normal Perfusion and Stress-Induced
Left Bundle Branch Block. International Journal of Cardiovascular Sciences 2019. [DOI: 10.5935/2359-4802.20190003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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50
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Mesquita CT. Carnival and Energy Drinks: a Dangerous Combination to the Heart. International Journal of Cardiovascular Sciences 2019. [DOI: 10.5935/2359-4802.20190015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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