Abstract：
BACKGROUND:Most reports regarding the obesity paradox have focused on body mass index (BMI) to classify obesity and the prognostic values of other indirect measurements of body composition remain poorly examined in heart failure (HF). OBJECTIVE:To evaluate the association between BMI and other indirect, but easily accessible, body composition measurements associated with the risk of all-cause mortality in HF. METHODS:Anthropometric parameters of body composition were assessed in 344 outpatients with a left ventricular ejection fraction (LVEF) of <50% from a prospective HF cohort that was followed-up for 30 ± 8.2 months. Survival was evaluated using the Kaplan-Meier method and Cox proportional hazard regression analysis. RESULTS:HF patients were predominantly male, of non-ischemic etiology, and had moderate to severe LV systolic dysfunction (mean LVEF = 32 ± 9%). Triceps skinfold (TSF) was the only anthropometric index that was associated with HF prognosis and had significantly lower values in patients who died (p = 0.047). A TSF > 20 mm was present in 9% of patients that died and 22% of those who survived (p = 0.027). Univariate analysis showed that serum creatinine level, LVEF, and NYHA class were associated with the risk of death, while Cox proportional hazard regression analysis showed that TSF > 20 was a strong independent predictor of all-cause mortality (hazard ratio = 0.36; 95% confidence interval = 0.13-0.97, p = 0.03). CONCLUSION:Although BMI is the most widely used anthropometric parameter in clinical practice, our results suggested that TSF is a better predictive marker of mortality in HF outpatients.
journal_name
Arq Bras Cardioljournal_title
Arquivos brasileiros de cardiologiaauthors
Zuchinali P,Souza GC,Alves FD,d'Almeida KS,Goldraich LA,Clausell NO,Rohde LEdoi
10.5935/abc.20130185subject
Has Abstractpub_date
2013-11-01 00:00:00pages
434-41issue
5eissn
0066-782Xissn
1678-4170pii
S0066-782X2013005000081journal_volume
101pub_type
杂志文章abstract：BACKGROUND:Heart failure is a severe complication associated with doxorubicin (DOX) use. Strain, assessed by two-dimensional speckle tracking (2D-STE), has been shown to be useful in identifying subclinical ventricular dysfunction. OBJECTIVES:a) To investigate the role of strain in the identification of subclinical ve...
journal_title：Arquivos brasileiros de cardiologia
pub_type： 杂志文章
doi：10.5935/abc.20140209
更新日期：2015-04-01 00:00:00
abstract：BACKGROUND:In clinical tests, the Informed Consent is critical to preserve the ethics, but due to its high complexity level, it cannot be fully understood. This study assesses the Informed Consent as viewed by patients. OBJECTIVE:We addressed the issue of what do patients understand about the studies based on the IC. ...
journal_title：Arquivos brasileiros de cardiologia
pub_type： 杂志文章
doi：10.1590/s0066-782x2010000100003
更新日期：2010-01-01 00:00:00
abstract：:A 78-year-old patient presented with shortness of breath after falling down. Transthoracic echocardiogram showed an extensive thrombus in the right atrium (RA), extensive thrombosis of the inferior vena cava (IVC), and abdominal aortic aneurysm (AAA). A magnetic resonance confirmed the thrombosis of the RA extending t...
journal_title：Arquivos brasileiros de cardiologia
pub_type： 杂志文章
doi：10.5935/abc.20160143
更新日期：2016-10-01 00:00:00
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：
更新日期：1995-04-01 00:00:00
abstract：PURPOSE:To evaluate the feasibility, efficacy and safety of the use of 4F Judkins catheters for coronary angiography. METHODS:From August/95 to January/96, 70 patients with suspected coronary artery disease underwent coronary cineangiography by the Judkins technique, with 4F catheters. Following puncture of the right ...
journal_title：Arquivos brasileiros de cardiologia
pub_type： 杂志文章
doi：10.1590/s0066-782x1998000100002
更新日期：1998-01-01 00:00:00
abstract：OBJECTIVE:To evaluate the anti-hypertensive effect of verapamil COER-24 180/240 mg in a single dose at bedtime as single therapy in mild to moderate hypertensives. METHODS:A multicentric, open, placebo controlled study of 81 hypertensive patients older than 20 years-old followed to 8 weeks. Blood pressure was measured...
journal_title：Arquivos brasileiros de cardiologia
pub_type： 临床试验,杂志文章,多中心研究
doi：10.1590/s0066-782x2000000300009
更新日期：2000-03-01 00:00:00
abstract：BACKGROUND:Today, chronic kidney diseases represent a great challenge to public health as regards the acquisition of knowledge to support interventions that can slow the progression of renal function loss. OBJECTIVE:To analyze the magnitude of the renal function deficit in hypertensive adult patients and its relations...
journal_title：Arquivos brasileiros de cardiologia
pub_type： 杂志文章
doi：10.5935/abc.20130102
更新日期：2013-06-01 00:00:00
abstract：:Percutaneous mitral and tricuspid balloon valvuloplasty was realized in the same procedure using a double lumen exchange catheter that could accommodate two guide wires and two balloons (19 mm and Trefoil 3 c 10 mm--Schneider) with simultaneous insufflation. Hemodynamically successful was accomplished as evidenced by ...
journal_title：Arquivos brasileiros de cardiologia
pub_type： 杂志文章
doi：
更新日期：1989-12-01 00:00:00
abstract：OBJECTIVE:To determine the prevalence of coronary artery disease (CAD) risk factors (RF) and myocardial ischemia in a sample of asymptomatic diabetic patients treated on an outpatient basis. METHODS:From 80 type 2 diabetic patients initially recruited at an university outpatient endocrinology clinic, with no symptoms ...
journal_title：Arquivos brasileiros de cardiologia
pub_type： 杂志文章
doi：10.1590/s0066-782x2007001700005
更新日期：2007-11-01 00:00:00
abstract：BACKGROUND:Polycystic ovarian syndrome (PCOS) women have a high prevalence of obesity and alterations in cardiovascular autonomic control, mainly modifications in heart rate variability (HRV) autonomic modulation. However, there are few studies about other autonomic control parameters, such as blood pressure variabilit...
journal_title：Arquivos brasileiros de cardiologia
pub_type： 杂志文章
doi：10.5935/abc.20190031
更新日期：2019-04-01 00:00:00
abstract：BACKGROUND:Familial hypercholesterolemia (FH) is a common autosomal dominant disorder, characterized by a high level of low-density lipoprotein cholesterol (LDL-C) and a high risk of premature cardiovascular disease. OBJECTIVE:To evaluate clinical and anthropometric characteristics of patients with the familiar hyperc...
journal_title：Arquivos brasileiros de cardiologia
pub_type： 杂志文章
doi：10.5935/abc.20180005
更新日期：2018-02-01 00:00:00
abstract：PURPOSE:To evaluate clinical findings and etiology of bacterial infections diagnosed in 100 consecutive heart transplantations. METHODS:One hundred consecutive heart transplant patients were studied. Follow-up after heart transplantation varied from 3 to 90 (mean 25.38 +/- SD 25.97) months. Etiology of bacterial infec...
journal_title：Arquivos brasileiros de cardiologia
pub_type： 杂志文章
doi：
更新日期：1996-03-01 00:00:00
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
更新日期：2016-06-01 00:00:00
abstract：BACKGROUND:Transvenous lead extraction (TLE) of cardiac implantable electronic devices (CIED) is an uncommon procedure and requires specialized personnel and adequate facilities. OBJECTIVES:To evaluate the effectiveness and safety of the removal of CIED leads and to determine risk factors for surgical complications an...
journal_title：Arquivos brasileiros de cardiologia
pub_type： 杂志文章
doi：10.36660/abc.20200476
更新日期：2020-12-01 00:00:00
abstract：:Contrast echocardiography is based on intravenous injection of microbubbles that act as blood flow tracers and increase ultra-sound signal. Contrast agents have shown to improve cardiac cavities opacification and endocardial border delineation in addition to helping perfusion evaluation. Contrast echocardiography has ...
journal_title：Arquivos brasileiros de cardiologia
pub_type： 杂志文章
doi：10.1590/s0066-782x2008001700015
更新日期：2008-11-01 00:00:00
abstract：:Background: To alert for the diagnosis of the 22q11.2 deletion syndrome (22q11.2DS) in patients with congenital heart disease (CHD). Objective: To describe the main CHDs, as well as phenotypic, metabolic and immunological findings in a series of 60 patients diagnosed with 22q11.2DS. Methods: The study included 60 pati...
journal_title：Arquivos brasileiros de cardiologia
pub_type： 杂志文章
doi：10.5935/abc.20140145
更新日期：2014-11-01 00:00:00
abstract：BACKGROUND:Cardiovascular diseases (CVD) are the leading causes of death in our population. There was a progressive decrease in mortality due to CVD up to 2005. OBJECTIVE:To update the trends in mortality from cardiovascular diseases in Brazil and in the metropolitan region of São Paulo (MRSP) from 1990 to 2009. METH...
journal_title：Arquivos brasileiros de cardiologia
pub_type： 杂志文章
doi：10.1590/s0066-782x2012005000061
更新日期：2012-08-01 00:00:00
abstract：:Three infants with anomalous origin of left coronary artery, being two from the right pulmonary artery and one from the left, without other congenital defects, ages of 5, 15 and 3 months old, presented with early congestive heart failure due to anterolateral myocardial infarction. Anatomical characteristic was peculia...
journal_title：Arquivos brasileiros de cardiologia
pub_type： 杂志文章
doi：
更新日期：1991-08-01 00:00:00
abstract：BACKGROUND:Electrocardiographically-detected left ventricular hypertrophy (LVH) is a strong predictor of cardiovascular morbidity and mortality. OBJECTIVE:To assess the performance of the Sokolow-Lyon-Rappaport (SLR) and Cornell voltage criteria in a population sample regarding the diagnosis of LVH on echocardiogram (...
journal_title：Arquivos brasileiros de cardiologia
pub_type： 杂志文章
doi：10.1590/s0066-782x2008000100008
更新日期：2008-01-01 00:00:00
abstract：BACKGROUND:Levosimendan, a calcium sensitizer, increases the sensitivity of the heart to calcium, thus increasing myocardial contractility without a rise in intracellular calcium. It was recently shown that levosimendan is beneficial in improving renal function. However, it remains to be established that the beneficial...
journal_title：Arquivos brasileiros de cardiologia
pub_type： 杂志文章
doi：10.1590/s0066-782x2012005000048
更新日期：2012-06-01 00:00:00
abstract：BACKGROUND:Lifestyle intervention programs can reduce the prevalence of metabolic syndrome (MetS) and, therefore, reduce the risk for cardiac disease, one of the main public health problems nowadays. OBJECTIVE:The aim of this study was to compare the effects of three types of approach for lifestyle change programs in ...
journal_title：Arquivos brasileiros de cardiologia
pub_type： 杂志文章,随机对照试验
doi：10.5935/abc.20160186
更新日期：2017-01-01 00:00:00
abstract：:The origin of the right pulmonary artery from the ascending aorta is a rare cogenital anomaly, with very few reports in the literature. We describe two cases of this rare malformation, one of them, associated with interruption of the aortic arch (type B). In both cases, the diagnosis was made by two-dimensional echoca...
journal_title：Arquivos brasileiros de cardiologia
pub_type： 杂志文章
doi：10.1590/s0066-782x1998000500007
更新日期：1998-05-01 00:00:00
abstract：PURPOSE:To assess the effects of the elevation of the left-ventricular end-diastolic pressure (LVEDP) on the value of the 1st temporal derivative of the ventricular pressure (dP/dt). METHODS:Nineteen anesthetized dogs were studied. The dogs were mechanically ventilated and underwent thoracotomy with parasympathetic ne...
journal_title：Arquivos brasileiros de cardiologia
pub_type： 杂志文章
doi：10.1590/s0066-782x1999000700004
更新日期：1999-07-01 00:00:00
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
更新日期：2003-02-01 00:00:00
abstract：:The authors studied 20 patients undergoing cardiac surgery with extracorporeal circulation using a protocol proposed by Bull for the control of heparinization using the activated coagulation time of whole blood proposed by Hattersley. The patients, alterations in the coagulation and in red cell values were evaluated c...
journal_title：Arquivos brasileiros de cardiologia
pub_type： 杂志文章
doi：
更新日期：1989-03-01 00:00:00
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：
更新日期：1995-01-01 00:00:00
abstract：:Case report on a 6-year-old patient with vascular ring, due to double aortic arch. The patient was asymptomatic. The barium-filled esophagus showed bilateral indentations and a large posterior indentation. Echocardiographic study in notch suprasternal view revealed features of this pathology. The diagnosis was made by...
journal_title：Arquivos brasileiros de cardiologia
pub_type： 杂志文章
doi：
更新日期：1993-01-01 00:00:00
abstract：BACKGROUND:Plasma levels of brain natriuretic peptides have better diagnostic accuracy compared to clinical-radiologic judgment for acute heart failure. In acute coronary syndromes (ACS), the prognostic value of acute heart failure is incorporated into predictive models through Killip classification. It is not establis...
journal_title：Arquivos brasileiros de cardiologia
pub_type： 杂志文章
doi：10.36660/abc.20180345
更新日期：2020-04-01 00:00:00
abstract：:We report on a 30-year-old female patient, with biological mitral valve prosthesis due to symptomatic mitral stenosis and a history of acute myocardial infarction and generalized tonic-clonic seizure episodes, visual hallucinations, cerebral thromboembolic events and, at present, chorea and acute carditis. The patient...
journal_title：Arquivos brasileiros de cardiologia
pub_type： 杂志文章
doi：10.1590/s0066-782x2012000200016
更新日期：2012-02-01 00:00:00
abstract：:The assessment of activated protein C resistance (APCR) caused by mutations in factor V (factor V Leiden) is an important risk factor for venous thromboembolism, of which role as the originator of arterial obstructions in situ is still a controversial subject. The clinical case of a young patient with history of coron...
journal_title：Arquivos brasileiros de cardiologia
pub_type： 杂志文章
doi：
更新日期：2010-03-01 00:00:00
