[Risk factors in elderly patients selected by primary care physicians for hypolipemic treatment].

Abstract:

PURPOSE:To evaluate the influence of age on response to pravastatin treatment in patients treated by community physicians. METHODS:According to age, 873 patients were divided in three groups: group A with ages ranging from 45 to 59 years (n = 55), group B with ages from 60 to 64 years (n = 182) and group C with ages from 65 to 70 years (n = 143). After four weeks only with diet orientation, patients received 10 mg/day of pravastatin for 12 weeks. RESULTS:There was a greater prevalence of risk factors in elderly patients: hypertension (45.7%, 54.4% and 57.1% in groups A, B and C respectively p = 0.0165), diabetes mellitus (9.3%, 17.6% and 25.8% respectively in groups A, B and C p < 0.0001), and previous heart disease (23.1%, 34.3% and 34.7% in groups A, B and C respectively p < 0.001). During the period of diet orientation there was a similar total cholesterol reduction in the three groups (about 10.5%), the reduction reached 30.0% with the introduction of pravastatin for 12 weeks. Low density cholesterol level decreased during the diet period in the three groups (about 10.5%), pravastatin prescription induced further reduction (about 31.7%). The high density cholesterol level (HDL) increased significantly with pravastatin treatment (12.7%). After pravastatin treatment the increase in HDL levels was more significantly among those patients with initial low levels of HDL (< 35 mg/dL) in the three groups. CONCLUSION:In patients selected by community physicians to receive lipid lowering therapy, increased age was associated with greater prevalence of risk factors and heart disease. Regardless of age, there was a good response to pravastatin treatment, however less than half of patients had received treatment prior to the protocol.

journal_name

Arq Bras Cardiol

authors

Barretto AC,Wajngarten M,Gebara OC,do Serro Azul JB,Pierri H,Nussbacher A,Pivotto L,Bellotti G,Pileggi F

subject

Has Abstract

pub_date

1996-08-01 00:00:00

pages

93-8

issue

2

eissn

0066-782X

issn

1678-4170

journal_volume

67

pub_type

临床试验,杂志文章
  • Physical Activity and Lipid Profile in the ELSA- Brasil Study.

    abstract:BACKGROUND:Regular physical activity (PA) induces desirable changes in plasma levels of high- and low-density lipoproteins (HDL and LDL, respectively) and triglycerides (TG), important risk factors for cardiometabolic diseases. However, doubts whether intensity and duration have equivalent benefits remain. OBJECTIVE:T...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.5935/abc.20160091

    authors: Silva RC,Diniz Mde F,Alvim S,Vidigal PG,Fedeli LM,Barreto SM

    更新日期:2016-07-01 00:00:00

  • Is there evidence favoring the use of beta-blockers and dobutamine in acute heart failure?

    abstract::Several studies have reported the benefits of beta-blockers (BB) for patients presenting with systolic heart failure. however, many patients hospitalized as a result of acute heart failure are already using BB and require dobutamine for arterial hypotension and low cardiac output. Therefore, a decision must be made re...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章,评审

    doi:10.5935/abc.20130034

    authors: Passos LC,Barbosa AC,Oliveira MG,Santos EG Jr

    更新日期:2013-02-01 00:00:00

  • Long-term follow-up of patients with indication for a implantable defibrillator for primary prevention of death.

    abstract:BACKGROUND:Recent MADIT II and SCD-HeFT trials have led to an expansion of indications for use of prophylactic Implantable Cardioverter Defibrillator (ICD) in patients with severe left-ventricular impairment. This therapy has not been fully adopted in our health care system, mainly due to its high cost. OBJECTIVE:To a...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2008000500006

    authors: Hadid C,Avellana P,Di Toro D,Gomez CF,Visser M,Prieto N

    更新日期:2008-05-01 00:00:00

  • Do diabetic patients with acute coronary syndromes have a higher threshold for ischemic pain?

    abstract:BACKGROUND:Data from over 4 decades have reported a higher incidence of silent infarction among patients with diabetes mellitus (DM), but recent publications have shown conflicting results regarding the correlation between DM and presence of pain in patients with acute coronary syndromes (ACS). OBJECTIVE:Our primary o...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.5935/abc.20140106

    authors: Nicolau JC,Barbosa CJ,Franci A,Baracioli LM,Franken M,Lima FG,Giraldez RR,Kalil Filho R,Ramires JA,Giugliano RP

    更新日期:2014-09-01 00:00:00

  • Predictive value of myeloperoxidase to identify high risk patients admitted to the hospital with acute chest pain.

    abstract:BACKGROUND:Myeloperoxidase (MPO) is a highly expressed enzyme due to leukocyte activation, with multiple atherogenic actions, including LDL cholesterol oxidation, and is related to the instability of atherosclerotic plaque. It is a predictor of adverse events in healthy individuals, patients with heart disease or those...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2007001800005

    authors: Esporcatte R,Rey HC,Rangel FO,Rocha RM,Mendonça Filho HT,Dohmann HF,Albanesi Filho FM

    更新日期:2007-12-01 00:00:00

  • Cardiac involvement in total generalized lipodystrophy (Berardinelli- Seip syndrome).

    abstract::Total generalized lipodystrophy (Berardinelli - Seip Syndrome) is a rare hereditary disease characterized by insulin-resistant diabetes mellitus and a small quantity of adipose tissue and is of unknown origin. Common cardiovascular alterations related to this syndrome are cardiac hypertrophy and arterial hypertension....

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章,评审

    doi:10.1590/s0066-782x2000000900006

    authors: Viégas RF,Diniz RV,Viégas TM,Lira EB,Almeida DR

    更新日期:2000-09-01 00:00:00

  • Vaccination against the influenza virus and mortality due to cardiovascular diseases in the city of Sao Paulo.

    abstract:BACKGROUND:The effect of vaccination against the influenza virus on the mortality due to cardiovascular diseases (CVD) remains controversial. OBJECTIVE:To analyze the mortality by CVD before and after the start of the vaccination against the Influenza virus in the city of Sao Paulo, Brazil. METHODS:We analyzed the mo...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2009001000013

    authors: Mansur Ade P,Favarato D,Ramires JA

    更新日期:2009-10-01 00:00:00

  • Cardiogenic shock caused by disulfiram.

    abstract::Drug intoxication with disulfiram is a rare condition that may lead to severe and potentially fatal cardiovascular manifestations such as cardiogenic shock. We report the case of a female patient with refractory shock after deliberate self-poisoning with disulfiram. Clinical, biochemical and echocardiographic assessme...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2009000300016

    authors: Jerónimo A,Meira C,Amaro A,Campello GC,Granja C

    更新日期:2009-03-01 00:00:00

  • Influence of ischemic preconditioning in myocardial protection in patients undergoing myocardial revascularization with intermittent crossclamping of the aorta. Analysis of ions and blood gases.

    abstract:OBJECTIVE:To test the hypothesis that short periods of ischemia may increase the myocardial protection obtained with intermittent crossclamping of the aorta. METHODS:In the control group (18 patients), surgery was performed with systemic hypothermia at 32 degrees C and intermittent crossclamping of the aorta. Extracor...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1590/s0066-782x2001001000001

    authors: Fernandes PM,Jatene FB,Gentil AF,Coelho FF,Kwasnicka K,Stolf NA,de Oliveira SA

    更新日期:2001-10-01 00:00:00

  • Constrictive pericarditis in a 19-month-old child.

    abstract::We report a case of chronic nonspecific constrictive pericarditis with myocardial involvement in a 19-month-old infant. The patient underwent total pericardiectomy and had irreversible hemodynamic instability. Constrictive pericarditis is rare in childhood. It may follow several processes, most frequently an infectiou...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:

    authors: Guitti JC

    更新日期:2000-01-01 00:00:00

  • Cardiovascular risk in vegetarians and omnivores: a comparative study.

    abstract:BACKGROUND:Clinical and epidemiological studies have demonstrated a strong association between eating habits and chronic diseases, particularly cardiovascular events, although not all the mechanisms of action are understood. OBJECTIVE:To describe and analyze the cardiovascular risk (CVR) in vegetarians and omnivores r...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2007001600005

    authors: Teixeira Rde C,Molina Mdel C,Zandonade E,Mill JG

    更新日期:2007-10-01 00:00:00

  • Mitral valve repair with a malleable bovine pericardium ring.

    abstract:OBJECTIVE:To describe a surgical procedure utilizing a malleable bovine pericardium ring in mitral valve repair and clinical and Doppler echocardiographic results. METHODS:Thirty-two (25 female and 7 male) patients, aged between 9 and 66 (M=36.4+/-17.2) years, were studied over a 16-month period, with 100% follow-up. ...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2000001100003

    authors: Volpe MA,Braile DM,Vieira RW,Souza DR

    更新日期:2000-11-01 00:00:00

  • Minute-Ventilation Variability during Cardiopulmonary Exercise Test is Higher in Sedentary Men Than in Athletes.

    abstract:BACKGROUND:The occurrence of minute-ventilation oscillations during exercise, named periodic breathing, exhibits important prognostic information in heart failure. Considering that exercise training could influence the fluctuation of ventilatory components during exercise, we hypothesized that ventilatory variability d...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.5935/abc.20170104

    authors: Castro RRT,Lima SP,Sales ARK,Nóbrega ACLD

    更新日期:2017-09-01 00:00:00

  • Effect of ventilatory support on functional capacity in patients with heart failure: a pilot study.

    abstract:BACKGROUND:Heart failure (HF) is an important public health problem, of which main clinical symptoms are dyspnea and fatigue. Noninvasive ventilatory support has been used as adjuvant therapy in cardiac rehabilitation in order to improve the functional capacity of patients. OBJECTIVE:To evaluate the functional capacit...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章,随机对照试验

    doi:10.1590/s0066-782x2011005000002

    authors: Lima Eda S,Cruz CG,Santos FC,Gomes-Neto M,Bittencourt HS,Reis FJ,Aras R,Guimarães AC,Rodrigues-Junior Ede S

    更新日期:2011-03-01 00:00:00

  • [Inadequate blood pressure control in patients with type 2 diabetes mellitus].

    abstract:BACKGROUND:There is evidence indicating that blood pressure control is more effective in reducing macrovascular complications of diabetes mellitus (DM) than glycemic control. However, the reduction in BP to levels recommended by international guidelines is difficult in clinical practice. OBJECTIVE:To assess the percen...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2010005000034

    authors: Pinto LC,Ricardo ED,Leitão CB,Kramer CK,Zanatta CM,Gross JL,Canani LH

    更新日期:2010-05-01 00:00:00

  • Physical training in Becker muscular dystrophy associated with heart failure.

    abstract::Becker muscular dystrophy (BMD) integrates dystrophy occurring due to genetic mutations that express the dystrophin protein in chromosome X. The onset of neuromuscular symptoms usually precedes the impairment of cardiac function, and may conversely happen by heart failure (HF). Physical training is well established in...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2011001500016

    authors: Roque JM,Carvalho VO,Pascoalino LN,Ferreira SA,Bocchi EA,Guimarães GV

    更新日期:2011-12-01 00:00:00

  • Transthoracic impedance compared to magnetic resonance imaging in the assessment of cardiac output.

    abstract:BACKGROUND:Cardiac magnetic resonance imaging is considered the gold-standard method for the calculation of cardiac volumes. Transthoracic impedance cardiography assesses the cardiac output. No studies validating this measurement, in comparison to that obtained by magnetic resonance imaging, are available. OBJECTIVE:T...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2012005000104

    authors: Villacorta Junior H,Villacorta AS,Amador F,Hadlich M,Albuquerque DC,Azevedo CF

    更新日期:2012-12-01 00:00:00

  • Radial approach in percutaneous coronary interventions: current status in Brazil.

    abstract:BACKGROUND:Although the radial approach offers an unquestionable result in terms of reduction of vascular complications and occurrence of severe bleeding in comparison to the femoral approach, so far it has only been used in few centers which elected it as the preferential access. OBJECTIVE:To evaluate the current sta...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2011005000026

    authors: Andrade PB,Tebet MA,Andrade MV,Labrunie A,Mattos LA

    更新日期:2011-04-01 00:00:00

  • Patient Management with Metallic Valve Prosthesis during Pregnancy and Postpartum Period.

    abstract::Prosthetic thrombosis is a rare complication, but it has high mortality and morbidity. Young women of childbearing age that have prosthetic heart valves are at increased risk of thrombosis during pregnancy due to changes in coagulation factors. Anticoagulation with adequate control and frequent follow-up if pregnancy ...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.5935/abc.20150130

    authors: Garcez JD,Rosa VE,Lopes AS,Accorsi TA,Fernandes JR,Pomerantzeff PM,Avila WS,Tarasoutchi F

    更新日期:2015-10-01 00:00:00

  • [Efficacy and tolerability of the captopril and hydrochlorothiazide combination in the treatment of mild to moderate hypertension. Multicenter study].

    abstract:PURPOSE:To evaluate the antihypertensive efficacy and tolerability of captopril 50 mg + hydrochlorothiazide 25 mg daily in mild to moderate primary hypertension. METHODS:Out-patients (n = 471) with mild to moderate hypertension, diastolic blood pressure (DBP) 95-115 mmHg, with 15 days of washout, were included to the ...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 临床试验,杂志文章,多中心研究

    doi:

    authors: Velasco-Cornejo IF,Martin LC,Franco RJ

    更新日期:1995-06-01 00:00:00

  • [Pulmonary atresia with intact ventricular septum. Natural development of the right ventricle].

    abstract::A case of pulmonary atresia with intact ventricular septum and a hypoplastic right ventricle, with three wall formed portions, that became naturally well developed until 2 years of age, is related. A Blalock-Taussig shunt had been performed early in life. Z value of tricuspid valve of 0.3 and left ventricular in ECG h...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:

    authors: Atik E,Cury A,Albuquerque AM,Ikari NM,Barbero-Marcial M,Ebaid M

    更新日期:1995-01-01 00:00:00

  • Is systemic lupus erithematosus a new risk factor for atherosclerosis?

    abstract:OBJECTIVE:To evaluate the prevalence of cardiovascular events (CVE) secondary to atherosclerosis in lupus patients and correlate them to the traditional risk factors, disease duration and drug therapy used. METHODS:A retrospective study was carried out based on data obtained from patients charts. Patients included wer...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2006001600012

    authors: Freire BF,da Silva RC,Fabro AT,dos Santos DC

    更新日期:2006-09-01 00:00:00

  • Upregulation of mRNA myocardium calcium handling in rats submitted to exercise and food restriction.

    abstract:BACKGROUND:Chronic exercise and food restriction (FR) have directionally opposite changes in transcription of molecular structures of calcium handling and thyroid hormone (TH) status. OBJECTIVE:Evaluate the association of chronic exercise and FR on serum thyroid hormones and gene transcription of molecular structures ...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2011005000066

    authors: Sugizaki MM,Leopoldo AP,Conde SJ,Campos DS,Damato R,Leopoldo AS,Nascimento AF,Oliveira Júnior Sde A,Cicogna AC

    更新日期:2011-07-01 00:00:00

  • [Intermittent myocardial ischemia after surgical angioplasty of left main coronary artery].

    abstract::Two 38 and 53-year old male patients with unstable angina, whose hemodynamic study showed an isolated stenosis of the left coronary artery ostium, were submitted to a surgical angioplasty of the left main coronary artery (LMCA) with saphenous vein patch. At the end of the operation, the patients presented intermitent ...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x1997000900007

    authors: Gerola LR,Eckert ID,Sejópolis JA,Najjar A,Scala LC,Fontes RD

    更新日期:1997-09-01 00:00:00

  • [Diabetes mellitus and ischemie heart disease. Comparison by gender].

    abstract:PURPOSE:To test the association between diabetes mellitus and ischaemic heart disease (IHD) in males and females, after adjusting for known confounders and/or modifiers of effect. METHODS:The study was designed as a case-control and the period of data collection was one year (March/93 until February/94). The associati...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:

    authors: de Moraes SA,de Souza JM

    更新日期:1996-02-01 00:00:00

  • Characteristics and identification of sites of chagasic ventricular tachycardia by endocardial mapping.

    abstract:OBJECTIVE:To study electrophysiological characteristics that enable the identification and ablation of sites of chagasic tachycardia. METHODS:Thirty-one patients with chronic Chagas' heart disease and sustained ventricular tachycardia (SVT) underwent electrophysiological study to map and ablate that arrhythmia. Fiftee...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x1999000400006

    authors: Távora MZ,Mehta N,Silva RM,Gondim FA,Hara VM,de Paola AA

    更新日期:1999-04-01 00:00:00

  • [Nonsurgical treatment of coronary pulmonary arteriovenous fistula].

    abstract::Fifty eight year old man, with dyspnea, fatigue and progressive angina underwent cinecoronarography, which showed an arterio-venous coronary-pulmonary fistula originating from the circumflex artery to the pulmonary circulation. We decided to occlude it percutaneously, using a detachable balloon technic. The occlusion ...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:

    authors: Cano MN,Kambara A,Maldonado G,Mattos LA,Tanajura LF,Fontes VF,Pinto IM,Feres F,Sousa AG,Sousa JE

    更新日期:1993-03-01 00:00:00

  • Left ventricular hypertrophy evaluation in obese hypertensive patients: effect of left ventricular mass index criteria.

    abstract:PURPOSE:To evaluate left ventricular mass (LVM) index in hypertensive and normotensive obese individuals. METHODS:Using M mode echocardiography, 544 essential hypertensive and 106 normotensive patients were evaluated, and LVM was indexed for body surface area (LVM/BSA) and for height2 (LVM/h2). The 2 indexes were then...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2002000400001

    authors: Rosa EC,Moyses VA,Sesso RC,Plavnik FL,Ribeiro FF,Kohlmann NE,Ribeiro AB,Zanella MT,Kohlmann O Jr

    更新日期:2002-04-01 00:00:00

  • Prevalence of electrocardiographic findings in elderly individuals: the Sao Paulo aging & health study.

    abstract:BACKGROUND:The determination of the prevalence of electrocardiographic alterations in the older age strata of the Brazilian population represents important information with clinical and epidemiological purpose. OBJECTIVE:To verify the prevalence rates of atrial fibrillation, enlarged Q/QS waves (Minnesota code 1.1-1.2...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2009001200015

    authors: Kawabata-Yoshihara LA,Benseñor IM,Kawabata VS,Menezes PR,Scazufca M,Lotufo PA

    更新日期:2009-12-01 00:00:00

  • [Treatment of systemic arterial hypertension with urapidil. Study in mild and moderate hypertension with ambulatory monitoring of arterial pressure].

    abstract:PURPOSE:To study the efficacy and tolerability of urapidil in patients with mild and moderate arterial hypertension, including ambulatory blood pressure monitoring (ABPM). METHODS:Twenty patients, either sex, 40 to 75 years old, with diastolic blood pressure (DBP) between 90 to 115mmHg were studied. The DBP was the fo...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:

    authors: Nobre F,Nogueira JL

    更新日期:1993-07-01 00:00:00