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 device due to the risk of explosion and damage to crematorium equipment, in addition to other precautions. Especially in the context of the SARS-CoV-2 pandemic, proper guidance and organization of hospital mortuary facilities and funeral services is essential to minimize the flow of people in contact with bodily fluids from individuals who have died with COVID-19. In this context, the Brazilian Society of Cardiac Arrhythmias has prepared this document with practical guidelines, based on international publications and a recommendation issued by the Brazilian Federal Medical Council. :O manejo de dispositivos cardíacos eletrônicos implantáveis de pacientes que evoluem a óbito tem sido motivo de controvérsia. Em nosso meio, não há recomendações uniformes, estando baseadas exclusivamente em protocolos institucionais e em costumes regionais. Quando o cadáver é submetido para cremação, além de outros cuidados, recomenda-se a retirada do dispositivo devido ao risco de explosão e dano do equipamento crematório. Principalmente no contexto da pandemia causada pelo SARS-Cov-2, a orientação e organização de unidades hospitalares e serviços funerários é imprescindível para minimizar o fluxo de pessoas em contato com fluidos corporais de indivíduos falecidos por COVID-19. Nesse sentido, a Sociedade Brasileira de Arritmias Cardíacas elaborou este documento com orientações práticas, tendo como base publicações internacionais e recomendação emitida pelo Conselho Federal de Medicina do Brasil.

journal_name

Arq Bras Cardiol

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

doi

10.36660/abc.20200447

subject

Has Abstract

pub_date

2020-12-01 00:00:00

pages

1178-1179

issue

6

eissn

0066-782X

issn

1678-4170

pii

S0066-782X2020001401178

journal_volume

115

pub_type

信件
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    abstract:OBJECTIVE:To quantify the percentage of contractility of different myocardial segments in patients with Chagas' disease by measuring myocardial strain and to assess the differences in the radial and longitudinal ventricular contractile function in the undetermined and dilated forms of chronic chagasic cardiomyopathy as...

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    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...

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    abstract:PURPOSE:To report the result of patients treated with IV methylprednisolone divided into three groups and compare their follow-up during the last 12 years. METHODS:Seventy children with active rheumatic carditis (76 episodes) in heart failure Class III and IV (NYHA) were studied. The diagnosis was based on modified Jo...

    journal_title:Arquivos brasileiros de cardiologia

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    journal_title:Arquivos brasileiros de cardiologia

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    journal_title:Arquivos brasileiros de cardiologia

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    journal_title:Arquivos brasileiros de cardiologia

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    journal_title:Arquivos brasileiros de cardiologia

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  • 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

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  • Study of ventricular electrical systole in patients with end-stage kidney disease on hemodialysis.

    abstract:BACKGROUND:Patients with end-stage kidney disease (ESKD) experience elevated cardiac stress because of the repetitive and intermittent character of dialysis. Changes in ventricular electrical systole induced by necessary dialysis significantly contribute to predict sudden death due to arrhythmia in ESKD. OBJECTIVE:The...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

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  • [Mononuclear magnesium in elderly hypertensive patients treated with thiazide].

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    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 临床试验,杂志文章

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  • [Absence of nocturnal dipping is associated with stroke and myocardium infarction].

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    journal_title:Arquivos brasileiros de cardiologia

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    journal_title:Arquivos brasileiros de cardiologia

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  • Prevalence of Lens Opacity in Interventional Cardiologists and Professional Working in the Hemodynamics in Brazil.

    abstract:BACKGROUND:Posterior subcapsular cataract is a tissue reaction commonly found among professionals exposed to ionizing radiation. OBJECTIVE:To assess the prevalence of cataract in professionals working in hemodynamics in Brazil. METHODS:Professionals exposed to ionizing radiation (group 1, G1) underwent slit lamp exam...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.5935/abc.20190028

    authors: Barbosa AHP,Medeiros RB,Corpa AMR,Higa FS,Souza MT,Barbosa PL,Moreira AC,Quadros AS,Lemke VMG,Cantarelli MJC

    更新日期:2019-04-01 00:00:00

  • [Resistive exercise in the evaluation of endothelial dysfunction in heart failure].

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    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

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  • Coronary artery disease in patients with rheumatic and non-rheumatic valvular heart disease treated at a public hospital in Rio de Janeiro.

    abstract:OBJECTIVE:to estimate the prevalence of coronary artery disease (CAD) in valvular heart disease of rheumatic (RVHD) and non-rheumatic (NVHD) etiology, assessing possible predictive factors for the presence of CAD. METHODS:This is a cross-sectional study of a series of cases obtained from a pre-defined population, wher...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2008000300010

    authors: Kruczan DD,Silva NA,Pereira Bde B,Romão VA,Correa Filho WB,Morales FE

    更新日期:2008-03-01 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

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  • Methodological Gaps in Left Atrial Function Assessment by 2D Speckle Tracking Echocardiography.

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    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章,评审

    doi:10.5935/abc.20150144

    authors: Rimbaş RC,Dulgheru RE,Vinereanu D

    更新日期:2015-12-01 00:00:00

  • Predictors of Atrial Fibrillation Recurrence in Hyperthyroid and Euthyroid Patients.

    abstract:BACKGROUND:Atrial fibrillation (AF) is the most common arrhythmia in adults, and is encountered in 10-15% of the patients with hyperthyroidism. Unless euthyroidism is restored, pharmacological or electrical cardioversion is controversial in patients with AF who remain hyperthyroid. OBJECTIVE:The aim of this study was ...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

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    authors: Gürdoğan M,Ari H,Tenekecioğlu E,Ari S,Bozat T,Koca V,Melek M

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  • [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:

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    更新日期:1995-06-01 00:00:00

  • Lipid profile analysis in school children.

    abstract:BACKGROUND:According to the World Health Organization, coronary atherosclerosis is the leading cause of death worldwide. The INTERHEART study demonstrated that dyslipidemia is one of the most important independent risk factors for AMI. OBJECTIVE:To evaluate the lipid profile and blood pressure of school children atten...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章,多中心研究

    doi:10.1590/s0066-782x2007001400001

    authors: Scherr C,Magalhães CK,Malheiros W

    更新日期:2007-08-01 00:00:00

  • [Cardiovascular disease and risk factors in candidates for renal transplantation].

    abstract:OBJECTIVE:To determine the prevalence of cardiovascular disease (CVD) and traditional risk factors in patients with chronic renal failure undergoing evaluation for inclusion on the renal transplantation list. METHODS:One hundred ninety-five patients with dialytic chronic renal failure underwent clinical evaluation and...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2005000200012

    authors: Gowdak LH,Paula FJ,Giorgi DM,Vieira ML,Krieger EM,Lima JJ

    更新日期:2005-02-01 00:00:00

  • Joint hypermobility in patients with mitral valve prolapse.

    abstract::Studies on hypermobility have aroused great interest in the last decades, as they are associated to musculoskeletal disorders, as well as abnormalities in several organic systems, such as the mitral valve prolapse. Therefore, in this study, data on the association between joint hypermobility and the mitral valve prola...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章,评审

    doi:10.1590/s0066-782x2009000900016

    authors: Cavenaghi S,Marino LH,Oliveira PP,Lamari NM

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  • [Subaortic stenosis associated with perimembranous ventricular septal defect. Clinical follow-up of 36 patients].

    abstract:OBJECTIVE:To study the clinical pattern of subaortic stenosis associated with perimembranous ventricular septal defect. METHODS:From January 1979 to June 2000, 36 children with perimembranous ventricular septal defect and fixed subaortic stenosis were followed-up regarding anatomic characteristics, evolvement, and cli...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2005000200002

    authors: Horta Mda G,Faria CA,Rezende DF,Masci TL,Rabelo CC,Katina T,Oliveira Md,Oliveira LP

    更新日期:2005-02-01 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

  • Features of the onset of Takayasu's arteritis according to gender.

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    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.5935/abc.20130180

    authors: Mont'Alverne AR,Paula LE,Shinjo SK

    更新日期:2013-10-01 00:00:00

  • Mild stunting is associated with higher blood pressure in overweight adolescents.

    abstract:BACKGROUND:Studies have shown that pre/postnatal undernutrition leads to higher risk of non communicable diseases such as diabetes, hypertension and obesity in adulthood. OBJECTIVE:To determine whether overweight adolescents with mild stunting [height-for-age Z scores (HAZ) in the range <-1 to ≥ -2] have higher blood ...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2011005000115

    authors: Clemente AP,Santos CD,Silva AA,Martins VJ,Marchesano AC,Fernandes MB,Albuquerque MP,Sawaya AL

    更新日期:2012-01-01 00:00:00

  • Influence of breast characteristics in myocardial scintigraphy through the Monte Carlo method.

    abstract:BACKGROUND:By reducing the specificity associated with loss of information, the influence of attenuation of the breasts is very important in myocardial perfusion studies. However, although several studies have been conducted over the past years, little has been developed to determine accurately the influence of the cha...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2010005000162

    authors: Oliveira A,Meguerian BA,Mesquita CT

    更新日期:2011-01-01 00:00:00

  • [Lipid profile and nutrition counseling effects in adolescents with family history of premature coronary artery disease].

    abstract:OBJECTIVE:To assess lipid profile and nutritional parameters from adolescents with family history of premature coronary artery disease (CAD) and assess the effects of nutritional counseling. METHODS:The study included 48 adolescents of both gender and with ages ranging from 10 and 19 years old (case group, n=18; contr...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2006000500006

    authors: Mendes GA,Martinez TL,Izar MC,Amancio OM,Novo NF,Matheus SC,Bertolami MC,Fonseca FA

    更新日期:2006-05-01 00:00:00

  • Transhepatic access for atrioseptostomy in a neonate.

    abstract::We report a case in which a neonate with complete transposition of the great arteries was submitted to an atrial septostomy through transhepatic access due to congenital interruption of the inferior vena cava. The technical aspects of the procedure are discussed. ...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2007000300024

    authors: Neves JR,Ferreiro CR,Fontes VF,Pedra CA

    更新日期:2007-03-01 00:00:00

  • [Detection of myocardial ischemia during dobutamine stress echocardiography. Correlation with coronary cineangiography].

    abstract:PURPOSE:To detect myocardial ischemia during dobutamine stress echocardiography (DSE). METHODS:Two hundred and seventy one patients were studied; 63 (23%) underwent coronary angiography within a month of DSE. Angiograms were analyzed independently by 3 angiographers, and coronary lesions larger than 50% of luminal occ...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:

    authors: Mathias Júnior W,Doya EH,Ribeiro EE,Silva LA,Gasques A,Salvadori RA,Duprat Filho R

    更新日期:1993-04-01 00:00:00