1
|
Rohde LE, Hoffmann Filho CR, Rover MM, Rabelo-Silva ER, Lopez L, Passos LCS, Silvestre OM, Martins SM, de Figueiredo Neto JA, Silveira FS, Canesin MF, Simões MV, Akio Nishijuka F, Bertoldi EG, Danzmann LC, Mourilhe-Rocha R, Magedanz EH, Esteves M, de Castilho FM, Fernandes-Silva MM, Ritt LEF, Blacher M, Soares RM, Cavalcanti AB, Ramirez F. Design of a multifaceted strategy based on automated text messaging in patients with recent heart failure admission. ESC Heart Fail 2021; 8:5523-5530. [PMID: 34535979 PMCID: PMC8712788 DOI: 10.1002/ehf2.13516] [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: 01/28/2021] [Revised: 05/30/2021] [Accepted: 07/05/2021] [Indexed: 11/20/2022] Open
Abstract
Aims To evaluate a telemonitoring strategy based on automated text messaging and telephone support after heart failure (HF) hospitalization. Methods and results The MESSAGE‐HF study is a prospective multicentre, randomized, nationwide trial enrolling patients from 30 clinics in all regions of Brazil. HF patients with reduced left ventricular ejection fraction (<40%) and access to mobile phones are eligible after an acute decompensated HF hospitalization. Patients meeting eligibility criteria undergo an initial feasibility text messaging assessment and are randomized to usual care or telemonitoring intervention. All patients receive a HF booklet with basic information and recommendations about self‐care. Patients in the intervention group receive four daily short text messages (educational and feedback) during the first 30 days of the protocol to optimize self‐care; the feedback text messages from patients could trigger diuretic adjustments or a telephone call from the healthcare team. After 30 days, the frequency of text messages can be adjusted. Patients are followed up after 30, 90, and 180 days, with final status ascertained at 365 days by telephone. Our primary endpoint is the change in N‐terminal pro‐brain natriuretic peptide (NT‐proBNP) levels after 180 days. Secondary endpoints include changes in NT‐proBNP after 30 days; health‐related quality of life, HF self‐care, and knowledge scales after 30 and 180 days; and a composite outcome of HF hospitalization and cardiovascular death, adjudicated by a blinded and independent committee. Conclusions The MESSAGE‐HF trial is evaluating an educational and self‐care promotion strategy involving a simple, intensive, and tailored telemonitoring system. If proven effective, it could be applied to a broader population worldwide.
Collapse
Affiliation(s)
- Luis E Rohde
- Serviço de Cardiologia, Hospital Moinhos de Vento, R. Ramiro Barcelos, 910 - Moinhos de Vento, Porto Alegre, 90035-000, Brazil.,Heart Failure Clinic, Hospital de Clinicas de Porto Alegre and Nursing School, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | | | - Marciane M Rover
- Instituto de Cardiologia/ Fundação Universitária de Cardiologia- Porto Alegre/RS., Porto Alegre, Brazil
| | - Eneida Rejane Rabelo-Silva
- Heart Failure Clinic, Hospital de Clinicas de Porto Alegre and Nursing School, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | | | | | | | - Silvia M Martins
- Pronto-Socorro Cardiológico Universitário de Pernambuco - Prof. Luiz Tavares, Recife, Brazil
| | | | | | - Manoel F Canesin
- Hospital Universitário da Universidade Estadual de Londrina, Londrina, Brazil
| | - Marcus V Simões
- Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo, Ribeirão Preto, Brazil
| | | | | | - Luiz C Danzmann
- Hospital Universitário de Canoas da Universidade Luterana do Brasil, Canoas, Brazil
| | - Ricardo Mourilhe-Rocha
- Hospital Universitário Pedro Ernesto da Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil
| | | | | | - Fábio M de Castilho
- Hospital das Clínicas da Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | | | - Luiz E F Ritt
- Instituto D'or de Pesquisa e Ensino (IDOR) and Hospital Cárdio Pulmonar, Salvador, Brazil.,Escola Bahiana de Medicina e Saúde Pública, Salvador, Brazil
| | - Mariana Blacher
- Serviço de Cardiologia, Hospital Moinhos de Vento, R. Ramiro Barcelos, 910 - Moinhos de Vento, Porto Alegre, 90035-000, Brazil
| | - Rafael M Soares
- HCor Research Institute, R. Des. Eliseu Guilherme, 147 - Paraíso, São Paulo, 04004-030, Brazil
| | - Alexandre B Cavalcanti
- HCor Research Institute, R. Des. Eliseu Guilherme, 147 - Paraíso, São Paulo, 04004-030, Brazil
| | - Felix Ramirez
- HCor Research Institute, R. Des. Eliseu Guilherme, 147 - Paraíso, São Paulo, 04004-030, Brazil
| |
Collapse
|
2
|
Freitas AF, Silveira FS, Conceição-Souza GE, Canesin MF, Schwartzmann PV, Bernardez-Pereira S, Bestetti RB. Emerging Topics in Heart Failure: The Future of Heart Failure: Telemonitoring, Wearables, Artificial Intelligence and Learning in the Post-Pandemic Era. Arq Bras Cardiol 2021; 115:1190-1192. [PMID: 33470323 PMCID: PMC8133716 DOI: 10.36660/abc.20201127] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2020] [Accepted: 10/20/2020] [Indexed: 11/28/2022] Open
Affiliation(s)
- Aguinaldo F Freitas
- Hospital das Clínicas da Universidade Federal de Goiás (HC-UFG), Goiânia, GO - Brasil
| | - Fábio S Silveira
- Fundação Beneficência Hospital de Cirurgia (FBHC-Ebserh), Aracaju, SE - Brasil.,Centro de Pesquisa Clínica do Coração, Aracaju, SE - Brasil
| | - Germano E Conceição-Souza
- Hospital Alemão Oswaldo Cruz, São Paulo, SP - Brasil.,Hospital Regional de São José dos Campos, São José dos Campos, SP - Brasil
| | - Manoel F Canesin
- Hospital Universitário - Universidade Estadual de Londrina (HU-UEL), Londrina, PR - Brasil.,ACTIVE - Metodologias Ativas de Ensino, São Paulo, SP - Brasil
| | - Pedro V Schwartzmann
- Hospital Unimed Ribeirão Preto, Ribeirão Preto, SP - Brasil.,Centro Avançado de Pesquisa, Ensino e Diagnóstico (Caped), Ribeirão Preto, SP - Brasil
| | | | - Reinaldo B Bestetti
- Departamento de Medicina, Universidade de Ribeirão Preto (Unaerp), Ribeirão Preto, SP - Brasil
| |
Collapse
|
3
|
Oliveira Jr. MT, Canesin MF, Marcolino MS, Ribeiro AL, Carvalho AC, Reddy S, Santos ARF, Fernandes MAS, Amaral AZ, Rezende AC, Nechar Jr. A, Nascimento BR, Carlos Alberto Pastore CA, Wen CL, Gualandro DM, Napoli DG, França FFAC, Feitosa-Filho GS, Saad JA, Pilli J, Paula LJC, Junqueira LL, Cesar LAM, Bodanese LC, Gutierrez MA, Alkmim MBM, Nunes MB, Medeiros OO, Moreno RA, Gundim RS, Montenegro ST, Nazima WI. Diretriz de Telecardiologia no Cuidado de Pacientes com Síndrome Coronariana Aguda e Outras Doenças Cardíacas. Arq Bras Cardiol 2015; 104:1-26. [DOI: 10.5935/abc.20150057] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
|
4
|
Gonzalez MM, Timerman S, Gianotto-Oliveira R, Polastri TF, Canesin MF, Schimidt A, Siqueira AW, Pispico A, Longo A, Pieri A, Reis A, Tanaka ACS, Santos AM, Quilici AP, Ribeiro ACL, Barreto ACP, Pazin-Filho A, Timerman A, Machado CA, Franchin Neto C, Miranda CH, Medeiros CR, Malaque CMS, Bernoche C, Gonçalves DM, Sant'Ana DG, Osawa EA, Peixoto E, Arfelli E, Evaristo EF, Azeka E, Gomes EP, Wen FH, Ferreira FG, Lima FG, Mattos FR, Galas FG, Marques FRB, Tarasoutchi F, Mancuso FJN, Freitas GR, Feitosa-Filho GS, Barbosa GC, Giovanini GR, Miotto HC, Guimarães HP, Andrade JP, Oliveira-Filho J, Fernandes JG, Moraes Junior JBMX, Carvalho JJF, Ramires JAF, Cavalini JF, Teles JMM, Lopes JL, Lopes LNGD, Piegas LS, Hajjar LA, Brunório L, Dallan LAP, Cardoso LF, Rabelo MMN, Almeida MFB, Souza MFS, Favarato MH, Pavão MLRC, Shimoda MS, Oliveira Junior MT, Miura N, Filgueiras Filho NM, Pontes-Neto OM, Pinheiro PAPC, Farsky OS, Lopes RD, Silva RCG, Kalil Filho R, Gonçalves RM, Gagliardi RJ, Guinsburg R, Lisak S, Araújo S, Martins SCO, Lage SG, Franchi SM, Shimoda T, Accorsi TD, Barral TCN, Machado TAO, Scudeler TL, Lima VC, Guimarães VA, Sallai VS, Xavier WS, Nazima W, Sako YK. [First guidelines of the Brazilian Society of Cardiology on Cardiopulmonary Resuscitation and Cardiovascular Emergency Care]. Arq Bras Cardiol 2014; 101:1-221. [PMID: 24030145 DOI: 10.5935/abc.2013s006] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
|
5
|
Oliveira-Marques DS, Canesin MF, Fuganti CJ, Pereira-Barretto AC. EVALUATION OF ASYMPTOMATIC PATIENTS WITH CRONIC CHAGAS DISEASE TRHOUGH THE ANALISYS OF DYNAMIC ELECTROCARDIOGRAM, ECHOCARDIOGRAM AND B-TYPE NATRIURETIC PEPTIDES. Chest 2005. [DOI: 10.1378/chest.128.4_meetingabstracts.288s-b] [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: 11/01/2022] Open
|
6
|
Canesin M, Moretti M, Grion C, Cardoso L, Soares A, Fuganti C, El Sanadi N, Factore L, Timerman S, Ramires J, Nadkarni V. Crit Care 2002; 6:P165. [DOI: 10.1186/cc1624] [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: 11/10/2022] Open
|
7
|
Canesin MF, Giorgi D, Oliveira MTD, Wajngarten M, Mansur AJ, Ramires JAF, Barretto ACP. Ambulatory blood pressure monitoring of patients with heart failure. A new prognosis marker. Arq Bras Cardiol 2002; 78:83-9. [PMID: 11826349 DOI: 10.1590/s0066-782x2002000100007] [Citation(s) in RCA: 20] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE To evaluate the relationship between 24-hour ambulatory arterial blood pressure monitoring and the prognosis of patients with advanced congestive heart failure. METHODS We studied 38 patients with NYHA functional class IV congestive heart failure, and analyzed left ventricular ejection fraction, diastolic diameter, and ambulatory blood pressure monitoring data. RESULTS Twelve deaths occurred. Left ventricular ejection fraction (35.2 +/-7.3%) and diastolic diameter (72.2 +/- 7.8mm) were not correlated with the survival. The mean 24-hour (SBP24), waking (SBPw), and sleeping (SBPs) systolic pressures of the living patients were higher than those of the deceased patients and were significant for predicting survival. Patients with mean SBP24, SBPv, and SBPs >/=105mmHg had longer survival (p=0.002, p=0.01 and p=0.0007, respectively). Patients with diastolic blood pressure sleep decrements (dip) and patients with mean blood pressure dip </= 6mmHg had longer survival (p=0.04 and p=0.01, respectively). In the multivariate analysis, SBPs was the only variable with an odds ratio of 7.61 (CI: 1.56; 3704) (p=0.01). Patients with mean SBP<105mmHg were 7.6 times more likely to die than those with SBP >/= 105 mmHg CONCLUSION Ambulatory blood pressure monitoring appears to be a useful method for evaluating patients with congestive heart failure.
Collapse
Affiliation(s)
- Manoel F Canesin
- Hospital Universitário Regional do Norte do Paraná, Universidade Estadual de Londrina, Londrina, PR, Brazil.
| | | | | | | | | | | | | |
Collapse
|
8
|
Canesin MF, Grion CM. [Cardiopulmonary resuscitation]. Arq Bras Cardiol 2001; 77:196-7. [PMID: 11514831] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/21/2023] Open
|
9
|
Canesin MF, Gama RF, Smith DL, Kazuma FJ, Takiuchi A, Barretto AC. Endomyocardial fibrosis associated with massive calcification of the left ventricle. Arq Bras Cardiol 1999; 73:499-506. [PMID: 10904270 DOI: 10.1590/s0066-782x1999001200004] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
This is the report of a rare case of endomyocardial fibrosis associated with massive calcification of the left ventricle in a male patient with dyspnea on great exertion, which began 5 years earlier and rapidly evolved. Due to lack of information and the absence of clinical signs that could characterize impairment of other organs, the case was initially managed as a disease with a pulmonary origin. With the evolution of the disease and in the presence of radiological images of heterogeneous opacification in the projection of the left ventricle, the diagnostic hypothesis of endomyocardial disease was established. This hypothesis was later confirmed on chest computed tomography. The patient died on the 16th day of the hospital stay, probably because of lack of myocardial reserve, with clinical findings of refractory heart failure, possibly aggravated by pulmonary infection. This shows that a rare disease such as endomyocardial fibrosis associated with massive calcification of the left ventricle may be suspected on a simple chest X-ray and confirmed by computed tomography.
Collapse
Affiliation(s)
- M F Canesin
- Hospital Universitário da Universidade Estadual de Londrina and Instituto do Caração do Hospital das Clínicas, Londrina, Sao Paulo, SP, Brazil
| | | | | | | | | | | |
Collapse
|
10
|
Abstract
PURPOSE To study the incidence, main causes, aggravating factors and secondary diagnoses of heart failure (HF) during 1995 at the Instituto do Coração of São Paulo. METHODS Data from hospitalized patients according to the PRODESP data base were analyzed. The following data were studied; age, sex, principal and secondary diagnoses, surgical procedures and mortality. To analyze the data, tables according to sex, age and main cause were built. Analysis of variance and t test were employed to verify differences between groups. RESULTS In 1995, 903 out of 9620 patients were hospitalized due to HF. The majority were male (60.4%) and the patients' age was between two days and 98 years old (mean 52.6). Ischemic (32.6), dilated (25.8%) and valvar heart disease (22%) were the main causes of HF. 32.1% were submitted to correction of the HF main cause, specially those with valvar heart disease (62.3%). There was greater incidence of multiple diagnoses in aged patients. The mortality was greater in patients younger than 20 and in those older than 80 years old. CONCLUSION The incidence of HF at INCOR during 1995 was 9.38%. Ischemic myocardiopathy was the most frequent HF cause. The mortality was greater among children, probably because of heart disease complexity and, in the above-80 group due to the greater comorbidity.
Collapse
Affiliation(s)
- A C Barretto
- Instituto do Coração do Hospital das Clínicas-FMUSP
| | | | | | | | | | | |
Collapse
|
11
|
Canesin MF, Barretto AC, Oliveira Júnior MT, Bodanese LC, Marafon P, Arsencio SR. [When does the treatment with captopril show a better improvement in physical performance in patients with heart failure?]. Arq Bras Cardiol 1996; 67:77-80. [PMID: 9110437] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023] Open
Abstract
PURPOSE Considering that heart failure reduces exercise capacity and that converting enzyme inhibitor increases this capacity, using the 6 min walk test we try to demonstrate when the treatment with captopril shows a better improvement in exercise capacity in patients with heart failure. METHODS Twenty one patients with functional class II or III heart failure (NYHA), left ventricular diastolic diameter greater than 55 mm and with ejection fraction less than 45% were studied. Twelve were male, and the patients mean age was 48 years. The patients were first treated with digital and diuretics and after stabilized they received captopril 25 mg three times a day and underwent the 6 min walk test before the treatment and after four and 16 weeks. RESULTS The use of captopril showed important improvement in exercise capacity in patients with heart failure. The mean walking distance on the 6 min test was 451 m at the beginning, 476 m in four weeks and 504 in 16 weeks of treatment (p < 0.0001). CONCLUSION Our data show important improvement in exercise capacity with 16 weeks of treatment and that 50% of this improvement occurred after four weeks of treatment. We concluded that the results are already observed within four weeks of treatment and continues to improve during at least four months of treatment.
Collapse
Affiliation(s)
- M F Canesin
- Instituto do Coração do Hospital das Clínicas-FMUSP, São Paulo, Hospital São Lucas-PUC, Porto Alegre
| | | | | | | | | | | |
Collapse
|