[Different therapies in the treatment of obesity in hypertensive patients].

Abstract:

PURPOSE:To evaluate the efficacy and tolerability of different therapies associated with diet in the treatment of hypertensive obese patients. METHODS:In a clinical study we randomly evaluated 39 hypertensive obese patients (body mass index (BMI) > or = 30 kg/m2). After 45 days of diet the patients were again randomly distributed in 3 groups and received in double blind way: group 1-hypocaloric diet+placebo; group 2-hypocaloric diet+dexfenfluramine; group 3-hypocaloric diet+spiruline+fucus+gelatin. We followed their progress during 12 weeks under medication and further 24 weeks without. We evaluated the groups comparing: weight, BMI, blood pressure and side-effects. RESULTS:Twenty seven patients completed the observation. In those patients from groups 1 and 3 no changes in any of parameters were observed. In group 2 we observed a clear loss of weight (-3.8 Kg) and a fall in BMI. Blood Pressure changes were only observed in group 2 (-9.6%). The only patients to maintain weight loss after the termination of use of medicines were those from group 2. We did not observe any side-effects. CONCLUSION:In hypertensive obese patients, when isolated diet is not enough to control weight loss, dexfenfluramine could be useful in association with a controlled diet. The drug assists in weight loss, does not promote side-effects and does not interfere in the treatment of blood pressure.

journal_name

Arq Bras Cardiol

authors

Monego ET,Peixoto Mdo R,Jardim PC,Sousa AL,Braga VL,Moura MF

subject

Has Abstract

pub_date

1996-06-01 00:00:00

pages

343-7

issue

6

eissn

0066-782X

issn

1678-4170

journal_volume

66

pub_type

临床试验,杂志文章,随机对照试验
  • 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

  • Prevalence of cardiovascular risk factors in a population of Brazilian industry workers.

    abstract:BACKGROUND:Determining the cardiovascular risk factors is essential for the primary and secondary prevention of circulatory system diseases. OBJECTIVE:To obtain the prevalence of cardiovascular risk factors in a population of industry workers in Brazil. METHODS:Transversal cohort study, with a sociodemographic interv...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2009000100004

    authors: Cassani RS,Nobre F,Pazin Filho A,Schmidt A

    更新日期:2009-01-01 00:00:00

  • [Ventricular fibrillation in a patient with the permanent form of junctional reciprocating tachycardia].

    abstract::A case of a 20 year old young man having the permanent form of junctional reciprocating tachycardia complicated by ventricular fibrillation (VF) is reported. A number of antiarrhythmic drugs either as single or combined therapy fail to control tachycardia. Paroxisms of a faster palpitation which never lasted longer th...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:

    authors: Sternick EB,Gerken LM,Azevedo Sobrinho AL,Barbosa MR,Gontijo B,Vrandecic M

    更新日期:1996-01-01 00:00:00

  • Genetic Testing and Pregnancy Outcome Analysis of 362 Fetuses with Congenital Heart Disease Identified by Prenatal Ultrasound.

    abstract:BACKGROUND:Congenital heart defects (CHD), as the most common congenital anomaly, have been reported to be associated with chromosomal abnormalities. Currently, patients with CHD are routinely offered karyotyping and chromosomal microarray (CMA) testing, but the genotype-phenotype relationship has not yet been fully es...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.5935/abc.20180144

    authors: Luo S,Meng D,Li Q,Hu X,Chen Y,He C,Xie B,She S,Li Y,Fu C

    更新日期:2018-10-01 00:00:00

  • Ischemic preconditioning and spinal cord function monitoring in the descending thoracic aorta approach.

    abstract:OBJECTIVES:To evaluate the effectiveness of acute ischemic preconditioning (IP), based on somatosensory evoked potentials (SSEP) monitoring, as a method of spinal cord protection and to asses SSEP importance in spinal cord neuromonitoring. METHODS:Twenty-eight dogs were submitted to spinal cord ischemic injury attaine...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2007000300007

    authors: Mônaco BA,Benício A,Contreras IS,Mingrone LE,Ballester G,Moreira LF

    更新日期:2007-03-01 00:00:00

  • Early Markers of Atherosclerotic Disease in Individuals with Excess Weight and Dyslipidemia.

    abstract:BACKGROUND:Excessive weight is a cardiovascular risk factor since it generates a chronic inflammatory process that aggravates the endothelial function. OBJECTIVE:To evaluate the endothelial function in individuals with excess weight and mild dyslipidemia using brachial artery flow-mediated dilation (BAFMD), and the as...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.5935/abc.20160060

    authors: Menti E,Zaffari D,Galarraga T,Lessa JR,Pontin B,Pellanda LC,Portal VL

    更新日期:2016-06-01 00:00:00

  • Validation of a Brazilian Portuguese Version of the Walking Estimated-Limitation Calculated by History (WELCH).

    abstract:BACKGROUND:The Walking Estimated-Limitation Calculated by History (WELCH) questionnaire has been proposed to evaluate walking impairment in patients with intermittent claudication (IC), presenting satisfactory psychometric properties. However, a Brazilian Portuguese version of the questionnaire is unavailable, limiting...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.5935/abc.20160004

    authors: Cucato GG,Correia Mde A,Farah BQ,Saes GF,Lima AH,Ritti-Dias RM,Wolosker N

    更新日期:2016-01-01 00:00:00

  • [Assessment of the Bezold-Jarisch reflex in experimental myocardial infarction].

    abstract:PURPOSE:To evaluate the cardiogenic depressor Bezold-Jarisch reflex in rats with chronic myocardial infarction. METHODS:Adult Wistar rats were submitted to ligation of the anterior descending coronary artery of the left ventricle (group INF, n = 15) and compared with rats submitted to sham-operation (group Sham, n = 1...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:

    authors: Meyrelles SS,Mill JG,Vasquez EC

    更新日期:1995-06-01 00:00:00

  • Impact of nutritional counseling in reducing serum cholesterol in public health service patients.

    abstract:OBJECTIVE:To assess the impact of nutritional attention on the lipid profile and nutritional status of hypercholesterolemic patients attended in health centers of Belo Horizonte. METHODS:Using nutritional attendance patient record cards from two health units, the evolution of the lipid profile and the nutritional stat...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2003000200005

    authors: Batista Mda C,Franceschini Sdo C

    更新日期:2003-02-01 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

  • Diagnosis and therapeutics of pulmonary arteriovenous fistula in childhood. Case report and review of the literature.

    abstract::We report the case of a 3-year-old female patient, who, since birth, had cyanosis difficult to explain with usual diagnostic tests. The only findings on physical examination were cyanosis and clubbing of her fingers. Chest computerized tomography showed images of excessive attenuation in the right lung, which resemble...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章,评审

    doi:10.1590/s0066-782x2001000900008

    authors: Gianisella RB,Rossi Filho RI,Zielinsky P

    更新日期:2001-09-01 00:00:00

  • Immune-inflammatory activation in heart failure.

    abstract::Despite being relatively recent, a growing and significant accumulation of experimental and clinical evidence has been observed that points to a gradual state of immune-inflammatory activation in patients with heart failure (HF). High levels of several cytokines are found in the circulation and cardiac muscle of indiv...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章,评审

    doi:10.1590/s0066-782x2007001500009

    authors: Candia AM,Villacorta H Jr,Mesquita ET

    更新日期:2007-09-01 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

  • [Pulmonary arteriovenous fistula. A case report and review of the literature].

    abstract::The aim of this paper is to review clinical and laboratory features of this unusual pathology and its complications, indicating transcatheter embolization as a first choice for its management. Our case report is of a seven year-old child, with complex pulmonary arteriovenous fistula of the anterior segment of right su...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章,评审

    doi:

    authors: de Melo JC,de Araújo AP,Monteiro Eda S,Rongel EB,Felipe H,Ferreira MC,Tavares W,Medeiros R

    更新日期:1989-07-01 00:00:00

  • Leisure-Time Physical Activity, but not Commuting Physical Activity, is Associated with Cardiovascular Risk among ELSA-Brasil Participants.

    abstract:BACKGROUND:Despite reports in the literature that both leisure-time physical activity (LTPA) and commuting physical activity (CPA) can promote health benefits, the literature lacks studies comparing the associations of these domains of physical activity with cardiovascular risk scores. OBJECTIVE:To investigate the ass...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.5935/abc.20170178

    authors: Pitanga FJG,Matos SMA,Almeida MDC,Barreto SM,Aquino EML

    更新日期:2018-01-01 00:00:00

  • Hypomethylation of Interleukin-6 Promoter is Associated with the Risk of Coronary Heart Disease.

    abstract:BACKGROUND:Interleukin-6 (IL-6) is implicated in the pathogenesis of coronary heart disease (CHD), and IL-6 expression has associated with reduced DNA methylation of its gene promoter. However, there are no data on IL-6 promoter methylation and the risk of CHD. OBJECTIVE:To examine whether IL-6 promoter methylation me...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.5935/abc.20160124

    authors: Zuo HP,Guo YY,Che L,Wu XZ

    更新日期:2016-08-01 00:00:00

  • Left Atrial Appendage Closure with Amplatzer Cardiac Plug in Nonvalvular Atrial Fibrillation: Safety and Long-Term Outcome.

    abstract:BACKGROUND:Atrial fibrillation (AF) is a cardiac arrhythmia with high risk for thromboembolic events, specially stroke. OBJECTIVE:To assess the safety of left atrial appendage closure (LAAC) with the Amplatzer Cardiac Plug for the prevention of thromboembolic events in patients with nonvalvular AF. METHODS:This study...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.5935/abc.20170167

    authors: Costa MJMD,Ferreira E,Quintella EF,Amorim B,Fuchs A,Zajdenverg R,Sabino H,Albuquerque DC

    更新日期:2017-12-01 00:00:00

  • [Ablation therapy of type I atrial flutter with radiofrequency].

    abstract::PURPOSE--To present initial experience on radiofrequency (RF) ablation of atrial flutter (AFL) guided by anatomic and electrophysiologic parameters. METHODS--Eight patients (six males), mean-age of 42 +/- 17.5 years with chronic type I AFL (mean cycle length of 251 +/- 14.3 msec, range 240 to 280 msec) were undergone ...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 临床试验,杂志文章

    doi:

    authors: Cruz Filho FE,Fagundes ML,Boghossian S,Vanheusden LM,Ribeiro JC,Villacorta H,Maia IG

    更新日期:1995-04-01 00:00:00

  • Systemic Arterial Hypertension in Patients Exposed to Cesium-137 in Goiânia-GO: Prevalence Study.

    abstract:Background::Systemic Arterial Hypertension (SAH) in the Brazilian population, in populations not exposed to Césio-137, presents a prevalence of 28% nationwide. However, in the group of radioactivity victims, these values are unknown. Objective::To analyze the prevalence of hypertension in patients exposed to Cesium-13...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.5935/abc.20170062

    authors: Rodrigues JVR,Pinto MM,Figueredo RMP,Lima H,Souto R,Sacchetim SC

    更新日期:2017-01-01 00:00:00

  • [24-hour blood pressure in normotensive elderly women and elderly women with white-coat hypertension].

    abstract:BACKGROUND:Changes in the behavior of the circadian rhythm can be deleterious, leading to target-organ damage, which suggests that they can have a prognostic significance and, eventually, can also demand therapeutic intervention. OBJECTIVE:To describe and compare the circadian rhythms of blood pressure (BP) in normote...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2010005000010

    authors: Hekman PR,Barbisan JN,Menezes HS,Antonello V

    更新日期:2010-04-01 00:00:00

  • [Acute occlusion after coronary angioplasty. Early management and late course].

    abstract:PURPOSE:Assess the efficacy of the different strategies employed in the management of acute closure and verify the late prognosis of patients who develop this complication. METHODS:From january 1987, through December 1990, 2315 consecutive patients underwent percutaneous transluminal coronary angioplasty (PTCA) in our...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:

    authors: Nunes GL,Sousa AG,Tanajura LF,Cano MN,Maldonado G,Feres F,Mattos LA,Pinto IM,Sousa JE

    更新日期:1993-06-01 00:00:00

  • Arterial hypertension and family care: care provided to hypertensive individuals in a small municipality in Southern Brazil.

    abstract:OBJECTIVE:Based on the analysis of indicators which express the rationale of the actions of the program, we developed a cross-sectional study to assess the performance of a Family Healthcare Team as regards the care provided to individuals with arterial hypertension living in a small municipality. METHODS:The study ca...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2006001700015

    authors: de Sousa LB,de Souza RK,Scochi MJ

    更新日期:2006-10-01 00:00:00

  • [Transient ventricular dysfunction (Takotsubo cardiomyopathy)].

    abstract::The patient was a male with myasthenia gravis, hospitalized with acute respiratory failure due to decompensation of the underlying disease. He evolved with findings suggestive of acute myocardial infarction, with electrocardiographic and enzymatic alterations compatible with that diagnosis. The patient underwent emerg...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2005000400013

    authors: Sousa JM,Knobel M,Buchelle G,Sousa JA,Fisher CH,Born D,Akamine N,Knobel E

    更新日期:2005-04-01 00:00:00

  • Validation of the Killip-Kimball classification and late mortality after acute myocardial infarction.

    abstract:BACKGROUND:The classification or index of heart failure severity in patients with acute myocardial infarction (AMI) was proposed by Killip and Kimball aiming at assessing the risk of in-hospital death and the potential benefit of specific management of care provided in Coronary Care Units (CCU) during the decade of 60....

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.5935/abc.20140091

    authors: Mello BH,Oliveira GB,Ramos RF,Lopes BB,Barros CB,Carvalho Ede O,Teixeira FB,Arruda GD,Revelo MS,Piegas LS

    更新日期:2014-08-01 00:00:00

  • [Surgical treatment of dysphagia lusória].

    abstract::Two cases of this anomaly, in women (26 and 49 years old), with symptoms of short duration (4 and 3 months) of dysphagia, regurgitation and esophagitis, without loss of weight, are presented. In both, the final diagnosis was made by mean of thoracic aortogram. Esophagoscopy realized only in the first patient, demonstr...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:

    authors: Cherri J,Carneiro JJ,Piccinato CE,Moryia T,Vicente WV,Sader AA

    更新日期:1991-01-01 00:00:00

  • Prevalence of Masked and White-Coat Hypertension in Pre-Hypertensive and Stage 1 Hypertensive patients with the use of TeleMRPA.

    abstract:BACKGROUND:The diagnosis of arterial hypertension based on measurements of blood pressure in the office has low accuracy. OBJECTIVE:To evaluate the prevalence of masked hypertension (MH) and white-coat hypertension through home blood pressure monitoring (HBPM) in pre-hypertensive and stage 1 hypertensive patients. ME...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.5935/abc.20190147

    authors: Barroso WKS,Feitosa ADM,Barbosa ECD,Miranda RD,Brandão AA,Vitorino PVO,Ribeiro LPS,Gomes MM

    更新日期:2019-11-01 00:00:00

  • Influence of angiotensin II receptor subtypes of the paraventricular nucleus on the physiological responses induced by angiotensin II injection into the medial septal area.

    abstract:OBJECTIVE:We determined the effects of losartan and PD 123319 (antagonists of the AT1 and AT2 angiotensin receptors, respectively), and [Sar1, Ala8] ANG II (a relatively peptide antagonist of angiotensin receptors) injected into the paraventricular nucleus (PVN) on water and 3% NaCl intake, and the diuretic, natriureti...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2003000400004

    authors: Saad WA,Camargo LA

    更新日期:2003-04-01 00:00:00

  • Recommendations for the Post-Mortem Management of Cardiac Implantable Electronic Devices.

    abstract::The management of cardiac implantable electronic devices after death has become a source of controversy. There are no uniform recommendations for such management in Brazil; practices rely exclusively on institutional protocols and regional custom. When the cadaver is sent for cremation, it is recommended to remove the...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 信件

    doi:10.36660/abc.20200447

    authors: Oliveira JC,Fagundes AA,Alkmim-Teixeira R,Baggio Junior JM,Armaganijan L,d'Avila A,Saad EB,Andrade VS,Moraes LGB,Kuniyoshi R,Rezende AGDS,Pimentel M,Rodrigues TDR,Brito Junior HL,Nadalin E,Pisani CF,Arfelli E,Cintra FD

    更新日期:2020-12-01 00:00:00

  • [Cardiovascular diseases observed during follow-up of a group of patients with undetermined form of Chagas' disease].

    abstract:PURPOSE:The aim of this study was to evaluate the cardiovascular outcome in patients with the undetermined form of Chagas' disease and whether or not it is related to the infectious disease in the long-term. METHODS:One hundred and sixty patients were prospectively followed-up at three month intervals for up to 177 mo...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x1998000700005

    authors: Ianni BM,Mady C,Arteaga E,Fernandes F

    更新日期:1998-07-01 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