Base de dados : MEDLINE
Pesquisa : G09.330.580.880 [Categoria DeCS]
Referências encontradas : 18425 [refinar]
Mostrando: 1 .. 10   no formato [Detalhado]

página 1 de 1843 ir para página                         

  1 / 18425 MEDLINE  
              next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28743567
[Au] Autor:Junior JFCR; Silva AS; Cardoso GA; Silvino VO; Martins MCC; Santos MAP
[Ad] Endereço:Universidade Federal do Piauí(UFPI), Campus Universitário Ministro Petrônio Portella, Department of Biophysics and Physiology, Teresina, PI, Brazil.
[Ti] Título:Androgenic-anabolic steroids inhibited post-exercise hypotension: a case control study.
[So] Source:Braz J Phys Ther;22(1):77-81, 2018 Jan - Feb.
[Is] ISSN:1809-9246
[Cp] País de publicação:Brazil
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: There is evidence of hypertensive effects caused by anabolic androgenic steroids (AAS). A single exercise session promotes the acute reduction of blood pressure, but the effects of AAS on this phenomenon are unknown. OBJECTIVES: To investigate the post-exercise blood pressure response in androgenic-anabolic steroid users. METHODS: Thirteen AAS users (23.9±4.3 years old) and sixteen controls (22.1±4.5 years old) performed a session of aerobic exercise. Heart rate and blood pressure were assessed before exercise and during a 60min post-exercise resting period. Repeated ANOVA measures were used to determine differences between the groups. RESULTS: While the control group had a significant reduction in post-exercise systolic blood pressure of up to 13.9±11.6mmHg at 40min, this phenomenon was limited among AAS users who reached a maximum of 6.2±11.5mmHg at 60min. The between groups comparison revealed significant higher post-exercise hypotension (PEH) for the control group at 30min (-12.9±14.1mmHg versus -2.9±7.6mmHg), 40min (-13.9±11.6mmHg versus -2.5±8.3mmHg), 50min (-13.9±13.9mmHg versus -5.0±7.9mmHg) and 60min (-12.5±12.8mmHg versus -6.2±11.5mmHg). There was no significant diastolic PEH in any of the groups. CONCLUSIONS: This study demonstrated impaired systolic post-exercise hypotension as a new adverse effect of AAS usage.
[Mh] Termos MeSH primário: Anabolizantes/uso terapêutico
Androgênios/uso terapêutico
Hipotensão Pós-Exercício/prevenção & controle
Hipotensão Pós-Exercício/fisiopatologia
Congêneres da Testosterona/uso terapêutico
[Mh] Termos MeSH secundário: Adulto
Anabolizantes/farmacologia
Androgênios/farmacologia
Pressão Sanguínea/efeitos dos fármacos
Estudos de Casos e Controles
Frequência Cardíaca/efeitos dos fármacos
Frequência Cardíaca/fisiologia
Seres Humanos
Sístole/efeitos dos fármacos
Sístole/fisiologia
Congêneres da Testosterona/farmacologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anabolic Agents); 0 (Androgens); 0 (Testosterone Congeners)
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170727
[St] Status:MEDLINE


  2 / 18425 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:29390353
[Au] Autor:Bourgeois B; Watts K; Thomas DM; Carmichael O; Hu FB; Heo M; Hall JE; Heymsfield SB
[Ad] Endereço:Pennington Biomedical Research Center, LSU System, Baton Rouge, LA.
[Ti] Título:Associations between height and blood pressure in the United States population.
[So] Source:Medicine (Baltimore);96(50):e9233, 2017 Dec.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The mechanisms linking short stature with an increase in cardiovascular and cerebrovascular disease risk remain elusive. This study tested the hypothesis that significant associations are present between height and blood pressure in a representative sample of the US adult population.Participants were 12,988 men and women from a multiethnic sample (age ≥ 18 years) evaluated in the 1999 to 2006 National Health and Nutrition Examination Survey who were not taking antihypertensive medications and who had complete height, weight, % body fat, and systolic and diastolic arterial blood pressure (SBP and DBP) measurements; mean arterial blood pressure and pulse pressure (MBP and PP) were calculated. Multiple regression models for men and women were developed with each blood pressure as dependent variable and height, age, race/ethnicity, body mass index, % body fat, socioeconomic status, activity level, and smoking history as potential independent variables.Greater height was associated with significantly lower SBP and PP, and higher DBP (all P < .001) in combined race/ethnic-sex group models beginning in the 4th decade. Predicted blood pressure differences between people who are short and tall increased thereafter with greater age except for MBP. Socioeconomic status, activity level, and smoking history did not consistently contribute to blood pressure prediction models.Height-associated blood pressure effects were present in US adults who appeared in the 4th decade and increased in magnitude with greater age thereafter. These observations, in the largest and most diverse population sample evaluated to date, provide support for postulated mechanisms linking adult stature with cardiovascular and cerebrovascular disease risk.
[Mh] Termos MeSH primário: Pressão Sanguínea/fisiologia
Estatura
[Mh] Termos MeSH secundário: Adulto
Fatores Etários
Antropometria
Diástole
Grupos Étnicos
Feminino
Seres Humanos
Masculino
Inquéritos Nutricionais
Fatores de Risco
Sístole
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180302
[Lr] Data última revisão:
180302
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180203
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009233


  3 / 18425 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28460765
[Au] Autor:Lanjewar C; Phadke M; Singh A; Sabnis G; Jare M; Kerkar P
[Ad] Endereço:Department of Cardiology, Seth G.S. Medical College & King Edward VII Memorial Hospital, Mumbai, India.
[Ti] Título:Percutaneous balloon valvuloplasty with Inoue balloon catheter technique for pulmonary valve stenosis in adolescents and adults.
[So] Source:Indian Heart J;69(2):176-181, 2017 Mar - Apr.
[Is] ISSN:0019-4832
[Cp] País de publicação:India
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Percutaneous balloon pulmonary valvuloplasty is the procedure of choice for uncomplicated severe or symptomatic pulmonary stenosis. The present study describes our experience in balloon pulmonary valvuloplasty using the Inoue balloon catheter in adolescent and adult patients. AIMS: To assess the immediate and mid-term outcomes of percutaneous balloon valvuloplasty with Inoue balloon catheter in adolescent and adult patients. METHODS AND RESULTS: Between June 2010 and July 2015, we performed percutaneous balloon pulmonary valvuloplasty with Inoue balloon catheter in 32 patients (59.37% females) aged 8 to 54 years (mean 23.6±11.5). Following the procedure, the mean right ventricular systolic pressure and the pulmonary valvular peak-to-peak systolic gradient decreased from (121.6±42.4 to 61.19±24.5mmHg, p=0.001) and (100.9±43.3 to 36.4±22.5mmHg, p=0.001), respectively. Twenty patients (Group A) showed immediate optimal results with post-procedure peak systolic gradient <36mmHg while 12 patients (Group B) had suboptimal results. An increase in pulmonary regurgitation by one grade was detected in 17 patients (53.2%). Twenty-three patients available for follow-up (mean duration, 2.75 years [range 0.25-5 years]) had a mean residual peak gradient of 23.6±2.51mmHg on Doppler echocardiography with attenuation of reactive RVOT stenosis in all Group B patients. There was no further increase in grade of pulmonary regurgitation or restenosis on mid-term follow-up. CONCLUSION: Percutaneous Inoue balloon technique is an attractive alternative with excellent mid-term results for adolescents and adults with isolated pulmonary stenosis.
[Mh] Termos MeSH primário: Valvuloplastia com Balão/métodos
Cateterismo Cardíaco/métodos
Estenose da Valva Pulmonar/cirurgia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Criança
Ecocardiografia Doppler
Feminino
Seguimentos
Seres Humanos
Masculino
Meia-Idade
Estenose da Valva Pulmonar/diagnóstico
Estenose da Valva Pulmonar/fisiopatologia
Sístole
Fatores de Tempo
Resultado do Tratamento
Função Ventricular Direita/fisiologia
Pressão Ventricular
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170503
[St] Status:MEDLINE


  4 / 18425 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:29273586
[Au] Autor:Markovitz AA; Mack JA; Nallamothu BK; Ayanian JZ; Ryan AM
[Ad] Endereço:Department of Health Management and Policy, University of Michigan School of Public Health, Ann Arbor, MI, USA.
[Ti] Título:Incremental effects of antihypertensive drugs: instrumental variable analysis.
[So] Source:BMJ;359:j5542, 2017 12 22.
[Is] ISSN:1756-1833
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To assess the incremental effects of adding extra antihypertensive drugs from a new class to a patient's regimen. DESIGN: Instrumental variable analysis of data from SPRINT (Systolic Blood Pressure Intervention Trial). To account for confounding by indication-when treatments seem less effective if they are administered to sicker patients-randomization status was used as the instrumental variable. Patients' randomization status was either intensive (systolic blood pressure target <120 mm Hg) or standard (systolic blood pressure target <140 mm Hg) treatment. Results from instrumental variable models were compared with those from standard multivariable models. SETTING: Secondary data analysis of a randomized clinical trial conducted at 102 sites in 2010-15. PARTICIPANTS: 9092 SPRINT participants with hypertension and increased cardiovascular risk but no history of diabetes or stroke. MAIN OUTCOMES MEASURES: Systolic blood pressure, major cardiovascular events, and serious adverse events. RESULTS: In standard multivariable models not adjusted for confounding by indication, addition of an antihypertensive drug from a new class was associated with modestly lower systolic blood pressure (-1.3 mm Hg, 95% confidence interval -1.6 to -1.0) and no change in major cardiovascular events (absolute risk of events per 1000 patient years, 0.5, 95% confidence interval -1.5 to 2.3). In instrumental variable models, the addition of an antihypertensive drug from a new class led to clinically important reductions in systolic blood pressure (-14.4 mm Hg, -15.6 to -13.3) and fewer major cardiovascular events (absolute risk -6.2, -10.9 to -1.3). Incremental reductions in systolic blood pressure remained large and similar in magnitude for patients already taking drugs from zero, one, two, or three or more drug classes. This finding was consistent across all subgroups of patients. The addition of another antihypertensive drug class was not associated with adverse events in either standard or instrumental variable models. CONCLUSIONS: After adjustment for confounding by indication, the addition of a new antihypertensive drug class led to large reductions in systolic blood pressure and major cardiovascular events among patients at high risk for cardiovascular events but without diabetes. Effects on systolic blood pressure persisted across all levels of baseline drug use and all subgroups of patients.
[Mh] Termos MeSH primário: Anti-Hipertensivos/administração & dosagem
Pressão Sanguínea/efeitos dos fármacos
Hipertensão/tratamento farmacológico
Sístole/efeitos dos fármacos
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Anti-Hipertensivos/efeitos adversos
Anti-Hipertensivos/classificação
Anti-Hipertensivos/farmacologia
Doenças Cardiovasculares/tratamento farmacológico
Feminino
Seres Humanos
Hipertensão/complicações
Hipertensão/epidemiologia
Hipertensão/fisiopatologia
Masculino
Meia-Idade
Avaliação de Resultados (Cuidados de Saúde)
Ensaios Clínicos Controlados Aleatórios como Assunto
Fatores de Risco
Resultado do Tratamento
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Nome de substância:
0 (Antihypertensive Agents)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180223
[Lr] Data última revisão:
180223
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171224
[St] Status:MEDLINE
[do] DOI:10.1136/bmj.j5542


  5 / 18425 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:29390448
[Au] Autor:Weidung B; Toots A; Nordström P; Carlberg B; Gustafson Y
[Ad] Endereço:Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå University, Umeå.
[Ti] Título:Systolic blood pressure decline in very old individuals is explained by deteriorating health: Longitudinal changes from Umeå85+/GERDA.
[So] Source:Medicine (Baltimore);96(51):e9161, 2017 Dec.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Declining systolic blood pressure (SBP) is common in very old age and is associated with adverse events, such as dementia. Knowledge of factors associated with SBP changes could explain the etiology of this decline in SBP. This study investigated longitudinal changes in socioeconomic factors, medical conditions, drug prescriptions, and assessments and their associations with SBP changes among very old followed individuals.The study was based on data from the Umeå85+/Gerontological Regional Database (GERDA) cohort study, which provided cross-sectional and longitudinal data on participants aged 85, 90, and ≥95 years from 2000 to 2015. Follow-up assessments were conducted after 5 years. The main outcome was a change in SBP. Factors associated with SBP changes were assessed using multivariate linear regression models.In the Umeå85+/GERDA study, 454 surviving individuals underwent follow-up assessment after 5 years. Of these, 297 had SBP measured at baseline and follow-up. The mean change ±â€Šstandard deviation in SBP was -12 ±â€Š25 mm Hg. SBP decline was associated independently with later investigation year (P = .009), higher baseline SBP (P < .001), baseline antidepressant prescription (P = .011), incident acute myocardial infarction during follow-up (P = .003), new diuretic prescription during follow-up (P = .044), and a decline in the Barthel Activities of Daily Living index at follow-up (P < .001).In conclusion, SBP declines among very old individuals. This decline seems to be associated with initial SBP level, investigation year, and health-related factors.
[Mh] Termos MeSH primário: Pressão Sanguínea
Nível de Saúde
Sístole
[Mh] Termos MeSH secundário: Idoso de 80 Anos ou mais
Antidepressivos/uso terapêutico
Doenças Cardiovasculares/epidemiologia
Estudos Transversais
Demência/epidemiologia
Depressão/epidemiologia
Diabetes Mellitus/epidemiologia
Avaliação da Deficiência
Diuréticos/uso terapêutico
Feminino
Finlândia/epidemiologia
Fraturas do Quadril/epidemiologia
Seres Humanos
Estudos Longitudinais
Masculino
Suécia/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Antidepressive Agents); 0 (Diuretics)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180220
[Lr] Data última revisão:
180220
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180203
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009161


  6 / 18425 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28457427
[Au] Autor:Chong AY; Doyle BJ; Jansen S; Ponosh S; Cisonni J; Sun Z
[Ad] Endereço:Department of Medical Radiation Sciences, Curtin University, Perth, Australia.
[Ti] Título:Blood flow velocity prediction in aorto-iliac stent grafts using computational fluid dynamics and Taguchi method.
[So] Source:Comput Biol Med;84:235-246, 2017 May 01.
[Is] ISSN:1879-0534
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Covered Endovascular Reconstruction of Aortic Bifurcation (CERAB) is a new technique to treat extensive aortoiliac occlusive disease with covered expandable stent grafts to rebuild the aortoiliac bifurcation. Post stenting Doppler ultrasound (DUS) measurement of maximum peak systolic velocity (PSV ) in the stented segment is widely used to determine patency and for follow up surveillance due to the portability, affordability and ease of use. Anecdotally, changes in hemodynamics created by CERAB can lead to falsely high PSV requiring CT angiography (CTA) for further assessment. Therefore, the importance of DUS would be enhanced with a proposed PSV prediction tool to ascertain whether PSV falls within the acceptable range of prediction. We have developed a prediction tool based on idealized models of aortoiliac bifurcations with various infra-renal PSV (PSV ), iliac to aortic area ratios (R) and aortoiliac bifurcation angles (α). Taguchi method with orthogonal arrays (OA) was utilized to minimize the number of Computational Fluid Dynamics (CFD) simulations performed under physiologically realistic conditions. Analysis of Variance (ANOVA) and Multiple Linear Regression (MLR) analyses were performed to assess Goodness of fit and to predict PSV PSV and R were found to contribute 94.06% and 3.36% respectively to PSV . The Goodness of fit based on adjusted R improved from 99.1% to 99.9% based on linear and exponential functions. The PSV predictor based on the exponential model was evaluated with sixteen patient specific cases with a mean prediction error of 9.9% and standard deviation of 6.4%. Eleven out of sixteen cases (69%) in our current retrospective studies would have avoided CTA if the proposed predictor was used to screen out DUS measured PSV with prediction error greater than 15%. The predictor therefore has the potential to be used as a clinical tool to detect PSV more accurately post aortoiliac stenting and might reduce diagnostic errors and avoid unnecessary expense and risk from CTA follow-up imaging.
[Mh] Termos MeSH primário: Aorta Abdominal
Velocidade do Fluxo Sanguíneo/fisiologia
Artéria Ilíaca
Processamento de Imagem Assistida por Computador/métodos
Stents
[Mh] Termos MeSH secundário: Aorta Abdominal/diagnóstico por imagem
Aorta Abdominal/fisiologia
Aorta Abdominal/cirurgia
Implante de Prótese Vascular
Seres Humanos
Artéria Ilíaca/diagnóstico por imagem
Artéria Ilíaca/fisiologia
Artéria Ilíaca/cirurgia
Modelos Estatísticos
Sístole/fisiologia
Ultrassonografia Doppler
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180220
[Lr] Data última revisão:
180220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170502
[St] Status:MEDLINE


  7 / 18425 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28466016
[Au] Autor:Kucuk M; Oncel CR; Belgi Yildirim A; Canan F; Kuloglu MM
[Ad] Endereço:Akdeniz University Medical Faculty, Department of Cardiology, Antalya, Turkey.
[Ti] Título:Evaluation of Subclinical Left Ventricular Systolic Dysfunction in Chronic Asymptomatic Alcoholics by Speckle Tracking Echocardiography.
[So] Source:Biomed Res Int;2017:6582568, 2017.
[Is] ISSN:2314-6141
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:By using two-dimensional speckle tracking echocardiography, we aimed to investigate the structural and functional changes on myocardium in chronic asymptomatic alcoholics without any cardiovascular disease. Forty-one consecutive asymptomatic male alcoholics who were admitted to the outpatient alcoholism unit and 30 age matched healthy male volunteers selected as the control group were enrolled in the study. The study group were investigated by using standard two-dimensional echocardiography and speckle tracking echocardiography. The left ventricular (LV) global longitudinal strain and LV global circumferential strain were significantly lower in alcoholics when compared with control subjects. There was no difference in global radial strain between the two groups. To demonstrate the effect of total life time dose of ethanol (TLDE) on echocardiographic abnormalities, we assessed the correlation analysis. There was a nonsignificant weak correlation between global LV circumferential strain and TLDE ( = 0.27, = 0.083). Speckle tracking echocardiography derived left ventricular systolic function was impaired in chronic alcoholic patients when compared with healthy controls.
[Mh] Termos MeSH primário: Ecocardiografia
Etanol/toxicidade
Coração/diagnóstico por imagem
Disfunção Ventricular Esquerda/diagnóstico por imagem
[Mh] Termos MeSH secundário: Adulto
Alcoólicos
Doenças Assintomáticas
Doenças Cardiovasculares/fisiopatologia
Voluntários Saudáveis
Coração/efeitos dos fármacos
Coração/fisiopatologia
Seres Humanos
Masculino
Meia-Idade
Sístole/efeitos dos fármacos
Disfunção Ventricular Esquerda/fisiopatologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
3K9958V90M (Ethanol)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180216
[Lr] Data última revisão:
180216
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170504
[St] Status:MEDLINE
[do] DOI:10.1155/2017/6582568


  8 / 18425 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
[PMID]:27775956
[Au] Autor:Guo J; Fujiyoshi A; Masaki K; Vishnu A; Kadota A; Barinas-Mitchell EJ; Hisamatsu T; Ahuja V; Takashima N; Evans RW; Willcox BJ; Miura K; Rodriguez B; Ueshima H; Kuller LH; Sekikawa A
[Ad] Endereço:aDepartment of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania, USA bDepartment of Public Health, Shiga University of Medical Science, Shiga, Japan cDepartment of Geriatric Medicine, John A. Burns School of Medicine, University of Hawaii, Honolulu, Hawaii, USA dCentre for Epidemiologic Research in Asia, Shiga University of Medical Science, Shiga, Japan eDepartment of Research, Kuakini Medical Center, Honolulu, Hawaii, USA.
[Ti] Título:The role of initial and longitudinal change in blood pressure on progression of arterial stiffness among multiethnic middle-aged men.
[So] Source:J Hypertens;35(1):111-117, 2017 01.
[Is] ISSN:1473-5598
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: A few studies have examined the longitudinal association of blood pressure (BP) with arterial stiffness progression, and the results were inconsistent. The objective of this study was to investigate the roles of initial BP and its longitudinal change on the progression of arterial stiffness measured using brachial-ankle pulse wave velocity (baPWV). METHOD: Study participants (n = 656) were from population-based samples of healthy men aged 40-49 years at baseline (213 White Americans, 47 African-Americans, 152 Japanese Americans and 244 Japanese in Japan). BP measures, baPWV and other factors were examined at baseline and 4-7 years later. General linear regression was applied for statistical analyses. RESULT: Annual change in SBP (standardized coefficient: 0.33, P < 0.001), but not its baseline level (standardized coefficient: 0.03, P = 0.495), had a positive significant association with the progression of baPWV after adjusting for a wide range of standard cardiovascular risk factors. Similarly, annual changes in DBP (standardized coefficient: 0.35, P < 0.001), pulse pressure (standardized coefficient: 0.15, P = 0.001) and mean arterial pressure (standardized coefficient: 0.37, P < 0.001) were positively associated with the progression of baPWV. None of the baseline measures were related to the progression of baPWV. CONCLUSION: Our findings imply that, regardless of initial BP, effective monitoring and controlling of BP is important to slow down arterial wall stiffening and hence reduce cardiovascular risk.
[Mh] Termos MeSH primário: Pressão Sanguínea/fisiologia
Rigidez Vascular
[Mh] Termos MeSH secundário: Adulto
Afroamericanos
Pressão Arterial/fisiologia
Americanos Asiáticos
Diástole
Grupo com Ancestrais do Continente Europeu
Voluntários Saudáveis
Seres Humanos
Japão
Estudos Longitudinais
Masculino
Meia-Idade
Análise de Onda de Pulso
Sístole
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1709
[Cu] Atualização por classe:180216
[Lr] Data última revisão:
180216
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161025
[St] Status:MEDLINE


  9 / 18425 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28463462
[Au] Autor:Chioncel O; Mebazaa A; Harjola VP; Coats AJ; Piepoli MF; Crespo-Leiro MG; Laroche C; Seferovic PM; Anker SD; Ferrari R; Ruschitzka F; Lopez-Fernandez S; Miani D; Filippatos G; Maggioni AP; ESC Heart Failure Long-Term Registry Investigators
[Ad] Endereço:University of Medicine Carol Davila, Bucuresti; Institutul de Urgente Boli Cardiovasculare C.C. Iliescu, Bucuresti, Romania.
[Ti] Título:Clinical phenotypes and outcome of patients hospitalized for acute heart failure: the ESC Heart Failure Long-Term Registry.
[So] Source:Eur J Heart Fail;19(10):1242-1254, 2017 10.
[Is] ISSN:1879-0844
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:AIMS: To identify differences in clinical epidemiology, in-hospital management and 1-year outcomes among patients hospitalized for acute heart failure (AHF) and enrolled in the European Society of Cardiology Heart Failure Long-Term (ESC-HF-LT) Registry, stratified by clinical profile at admission. METHODS AND RESULTS: The ESC-HF-LT Registry is a prospective, observational study collecting hospitalization and 1-year follow-up data from 6629 AHF patients. Among AHF patients enrolled in the registry, 13.2% presented with pulmonary oedema (PO), 2.9% with cardiogenic shock (CS), 61.1% with decompensated heart failure (DHF), 4.8% with hypertensive heart failure (HT-HF), 3.5% with right heart failure (RHF) and 14.4% with AHF and associated acute coronary syndromes (ACS-HF). The 1-year mortality rate was 28.1% in PO, 54.0% in CS, 27.2% in DHF, 12.8% in HT-HF, 34.0% in RHF and 20.6% in ACS-HF patients. When patients were classified by systolic blood pressure (SBP) at initial presentation, 1-year mortality was 34.8% in patients with SBP <85 mmHg, 29.0% in those with SBP 85-110 mmHg, 21.2% in patients with SBP 110-140 mmHg and 17.4% in those with SBP >140 mmHg. These differences tended to diminish in the months post-discharge, and 1-year mortality for the patients who survived at least 6 months post-discharge did not vary significantly by either clinical profile or SBP classification. CONCLUSION: Rates of adverse outcomes in AHF remain high, and substantial differences have been found when patients were stratified by clinical profile or SBP. However, patients who survived at least 6 months post-discharge represent a more homogeneous group and their 1-year outcome is less influenced by clinical profile or SBP at admission.
[Mh] Termos MeSH primário: Insuficiência Cardíaca/mortalidade
[Mh] Termos MeSH secundário: Doença Aguda
Assistência ao Convalescente
Pressão Sanguínea/fisiologia
Europa (Continente)/epidemiologia
Insuficiência Cardíaca/complicações
Hospitalização/estatística & dados numéricos
Seres Humanos
Fenótipo
Estudos Prospectivos
Sistema de Registros/estatística & dados numéricos
Análise de Sobrevida
Sístole
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180210
[Lr] Data última revisão:
180210
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170503
[St] Status:MEDLINE
[do] DOI:10.1002/ejhf.890


  10 / 18425 MEDLINE  
              first record previous record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:29332921
[Au] Autor:Homma Y; Hayabuchi Y; Terada T; Inoue M; Mori K
[Ad] Endereço:Department of Pediatrics, Tokushima Prefectural Central Hospital.
[Ti] Título:Early Diastolic Left Ventricular Relaxation in Normal Neonates is Influenced by Ventricular Stiffness and Longitudinal Systolic Function.
[So] Source:Int Heart J;59(1):149-153, 2018 Jan 27.
[Is] ISSN:1349-3299
[Cp] País de publicação:Japan
[La] Idioma:eng
[Ab] Resumo:Tissue Doppler velocity during early diastole (e') is one of the most feasible and reproducible echocardiographic assessments to reflect active relaxation of the left ventricle. Although several reports have described the mechanisms of temporal diastolic dysfunction in the early neonatal period, factors influencing diastolic function have not been determined. The purpose of this study was to elucidate factors significantly influencing e' in the early neonatal period.A total of 179 consecutive normal neonates underwent echocardiographic studies performed at 0 days and 5-10 days after birth. The statistical relationships between e' and age, body weight, mean blood pressure, heart rate, shortening fraction of the left ventricle, peak systolic motion velocity (s'), early diastolic transmitral flow velocity over annulus velocity, Tei index, and diastolic wall strain (DWS) were analyzed.Between the 0 days and 5-10-days-after birth groups, significant differences were shown in mean blood pressure, shortening fraction of left ventricle, e', and Tei index. Age, body weight, mean blood pressure, s', and DWS showed significant correlations with e'. In multivariate regression analysis within these parameters, s' (ß = 0.6119, P < 0.0001) and DWS (ß = 0.1216, P = 0.0321) showed positive correlations with e'.Longitudinal systolic motion velocity and ventricular wall stiffness of the left ventricle influence diastolic relaxation in normal neonates. Age, body weight, and circumferential systolic function are not significant factors.
[Mh] Termos MeSH primário: Velocidade do Fluxo Sanguíneo/fisiologia
Diagnóstico Precoce
Ventrículos do Coração/fisiopatologia
Disfunção Ventricular Esquerda/diagnóstico
Função Ventricular Esquerda/fisiologia
[Mh] Termos MeSH secundário: Diástole
Ecocardiografia Doppler
Estudos de Viabilidade
Feminino
Ventrículos do Coração/diagnóstico por imagem
Seres Humanos
Recém-Nascido
Masculino
Valva Mitral/diagnóstico por imagem
Valva Mitral/fisiologia
Fluxo Sanguíneo Regional/fisiologia
Reprodutibilidade dos Testes
Sístole
Disfunção Ventricular Esquerda/fisiopatologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180206
[Lr] Data última revisão:
180206
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180116
[St] Status:MEDLINE
[do] DOI:10.1536/ihj.17-125



página 1 de 1843 ir para página                         
   


Refinar a pesquisa
  Base de dados : MEDLINE Formulário avançado   

    Pesquisar no campo  
1  
2
3
 
           



Search engine: iAH v2.6 powered by WWWISIS

BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde