Cross-sectional study of treatment strategies on atrial fibrillation.

Abstract:

BACKGROUND:Despite the high prevalence and clinical importance of atrial fibrillation (AF), there is no Brazilian study describing the clinical profile of patients with AF and the most used treatment strategy (rhythm control vs. rate control). OBJECTIVE:Assess the most common treatment on AF in an outpatient specialized clinic for management of AF. In addition, the clinical profile of the population studied was provided. METHODS:Cross-sectional study assessing the most used strategy for atrial fibrillation control in 167 patients. The clinical profile was also described. A standardized form was used for data collection and statistical analysis was performed by SPSS 13.0 software. RESULTS:In This high risk population for thromboembolic events (61% had CHADS(2) ≥ 2), 54% of patients had paroxysmal or persistent AF, 96.6% were on vitamin K antagonists or acetylsalicylic acid, and 76.6% on beta-blocker (rate control 81,2% x rhythm control 58,8%; p < 0.05). Heart rate control was the most used strategy (79.5% x 20.5%; p < 0.001). A statistical tendency towards more patients with ventricular dysfunction (15.2% x 2.9%; p = 0.06), CHADS(2) ≥ 2 (60.5% x 39.5%; p = 0.07) and heart valve diseases (25.8% x 11.8%; p = 0.08) was observed in the heart rate control group. CONCLUSION:In this high risk population for thromboembolic events, the rate control strategy was the most used.

journal_name

Arq Bras Cardiol

authors

Oliveira LH,Mallmann FB,Botelho FN,Paul LC,Gianotto M,Abt Rde B,Silva NJ,Luize CM,Nogueira FL,Carvalho RS,Paola AA,Cirenza C

doi

10.1590/s0066-782x2012005000020

subject

Has Abstract

pub_date

2012-03-01 00:00:00

pages

195-202

issue

3

eissn

0066-782X

issn

1678-4170

pii

S0066-782X2012005000020

journal_volume

98

pub_type

杂志文章
  • Prevalence and surgical approach of supravalvular pulmonary stenosis after Jatene operation for transposition of great arteries.

    abstract:BACKGROUND:The Transposition of the Great Arteries is the most frequent congenital cyanogenic cardiopathy in the neonatal period, corresponding to 7% of all congenital cardiopathies. Among the operations for surgical treatment, the Jatene operation, with arterial correction, is the treatment of choice. During the late ...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章,多中心研究

    doi:10.1590/s0066-782x2008001300003

    authors: Jatene MB,Jatene IB,Oliveira PM,Moysés RA,Souza LC,Fontes V,Miura N,Lopes AA,Marcial MB,Jatene AD

    更新日期:2008-07-01 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

  • Relationship between depression, BNP levels and ventricular impairment in heart failure.

    abstract:BACKGROUND:Depression is a common comorbidity in heart failure (HF); however, the mechanisms related to a poorer outcome of depressed patients with HF remain unclear. OBJECTIVE:To evaluate the role of severe depression in the outcome of patients with decompensated HF. METHODS:A total of 43 patients with advanced HF, ...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2010005000125

    authors: Aguiar VB,Ochiai ME,Cardoso JN,Del Carlo CH,Morgado PC,Munhoz RT,Pereira-Barretto AC

    更新日期:2010-12-01 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

  • [Heparinization control by activated coagulation time in cardiac surgery with extracorporeal circulation].

    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:

    authors: Daudt CA,Pereira SN,Moraes LB,Costa PS,Deboni LM,Figueiredo MS

    更新日期:1989-03-01 00:00:00

  • Arterial Stiffness Use for Early Monitoring of Cardiovascular Adverse Events due to Anthracycline Chemotherapy in Breast Cancer Patients. A Pilot Study.

    abstract:BACKGROUND:Chemotherapy with doxorubicin and cyclophosphamide, although efficient for treating breast cancer, is associated with cardiovascular complications. Recent studies seek to identify methods that can early detect cardiological and vascular changes as a strategy to decrease the incidence of cardiovascular comorb...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.5935/abc.20180168

    authors: Souza CA,Simões R,Borges KBG,Oliveira AN,Zogeib JB,Alves B,Malachias MVB,Drummond-Lage AP,Rezende BA

    更新日期:2018-11-01 00:00:00

  • [Value of pericardial biopsy in the etiologic diagnosis of pericardial diseases].

    abstract:PURPOSE:To determine the value of pericardial biopsy as a complementary exam in the etiology of pericardial effusion. METHODS:We analyzed retrospectively (from 1990 to 1997) 38 patients with pericardial effusion. The age ranged between 3 months and 79 years (mean 41.15 +/- 21.78 years). Pericardial biopsy was performe...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x1998000600003

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

    更新日期:1998-06-01 00:00:00

  • [Sudden death and tachycardiomyopathy in a young man with incessant tachycardia].

    abstract::The case of a 19-year-old young man with clinical picture of congestive heart failure and supraventricular tachycardia is reported. Heart failure got better with conventional treatment, but the tachycardia persisted in spite of antiarrhythmic drugs. Echocardiogram showed dilated cardiomyopathy of important degree and ...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:

    authors: Afonso MR,França HH

    更新日期:1992-04-01 00:00:00

  • [Hypocalcemia causing heart failure].

    abstract::A 39-year-old female patient with refractory heart failure has been studied. On February, 1982 she was submitted to right lobar thyroidectomy for remotion of the left thyroid lobe. Following the surgery, she had signs of hypocalcemia and the diagnosis of secondary hypoparathyroidism and heart failure had been made. Se...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:

    authors: Musse NS,Albanesi Filho FM,Barbosa EC,Ginefra P

    更新日期:1992-11-01 00:00:00

  • Anthropometric indicators as predictors of high blood pressure in adolescents.

    abstract:BACKGROUND:Hypertension is related to increased body fat, which can be evaluated by anthropometric indicators. OBJECTIVE:To determine the predictive power of anthropometric indicators and establish their cutoff points as discriminators of high blood pressure. METHODS:Cross-sectional study with a sample of 660 adolesc...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2010005000153

    authors: Beck CC,Lopes Ada S,Pitanga FJ

    更新日期:2011-02-01 00:00:00

  • Early glucometabolic profile in patients with acute coronary syndromes and metabolic syndrome.

    abstract:BACKGROUND:Patients with metabolic syndrome (MetS) are at high coronary risk and beta-cell dysfunction or insulin resistance might predict an additional risk for early cardiovascular events. OBJECTIVE:This study aimed to evaluate early glucometabolic alterations in patients with MetS, but without previously known type...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2009000200004

    authors: Monteiro CM,Oliveira L,Izar MC,Helfenstein T,Santos AO,Fischer SM,Barros SW,Pinheiro LF,Carvalho AC,Fonseca FA

    更新日期:2009-02-01 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

  • Echocardiographic abnormalities and antiphospholipid antibodies in patients with systemic lupus erythematosus.

    abstract:OBJECTIVE:Lupus anticoagulant and anticardiolipin antibodies (aCL) have been associated with thrombosis, recurrent abortion, and thrombocytopenia in patients with systemic lupus erythematosus (SLE), but their relationship with cardiac disease is less clear. The purpose of this study was to evaluate the association betw...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:

    authors: Falcao CA,Alves IC,Chahade WH,Duarte AL,Lucena-Silva N

    更新日期:2002-09-01 00:00:00

  • Ministernotomy in myocardial revascularization preserves postoperative pulmonary function.

    abstract:BACKGROUND:In coronary artery bypass graft (CABG) surgery, the need to perform a midsternotomy has been considered a factor for the decrease in postoperative pulmonary function. OBJECTIVE:To prospectively evaluate early postoperative (PO) pulmonary function in patients submitted to off-pump CABG, comparing the convent...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2010005000137

    authors: Guizilini S,Bolzan DW,Faresin SM,Alves FA,Gomes WJ

    更新日期:2010-10-01 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

  • [Single daily dose of verapamil (COER-24 180/24 mg) in mild and moderate hypertension evaluated by ambulatory blood pressure monitoring].

    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

    authors: Ortega KC,Santello JL,Nobre F,Kohlman Júnior O,Jardim PC,da Costa LS,Rosito GA,Raposo Filho JJ,Oigman W,Mion Júnior D

    更新日期:2000-03-01 00:00:00

  • Chronic stress improves NO- and Ca2+ flux-dependent vascular function: a pharmacological study.

    abstract:BACKGROUND:Stress is associated with cardiovascular diseases. OBJECTIVE:This study aimed at assessing whether chronic stress induces vascular alterations, and whether these modulations are nitric oxide (NO) and Ca(2+) dependent. METHODS:Wistar rats, 30 days of age, were separated into 2 groups: control (C) and Stress...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.5935/abc.20140207

    authors: Bruder-Nascimento T,Campos DH,Cicogna AC,Cordellini S

    更新日期:2015-03-01 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

  • 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

  • Why do we need randomized and epidemiological studies on cardiovascular disease? Evidence-based cardiology VII.

    abstract::Over the last two decades the results of randomized clinical studies, which are powerful aids for correctly assessing therapeutical strategies, have consolidated cardiological practice. In addition, scientifically interesting hypotheses have been generated through the results of epidemiological studies. Properly condu...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章,评审

    doi:10.1590/s0066-782x1999000300002

    authors: Avezum A,Rossi Neto JM,Piegas L

    更新日期:1999-03-01 00:00:00

  • Autonomic regulation of mechanical properties in porcine mitral valve cusps.

    abstract:BACKGROUND:The presence of nerves in heart valves was first depicted decades ago and identified into subpopulations: sympathetic, parasympathetic. So valves are expected to be greatly affected by the autonomic nerves. However, few studies have focused on the regulation of heart valves by the autonomic nervous system. ...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2012000400006

    authors: Hu X,Zhao Q,Ye X

    更新日期:2012-04-01 00:00:00

  • Effects of added salt reduction on central and peripheral blood pressure.

    abstract:BACKGROUND:Although the effects of salt intake reduction on casual blood pressure have been extensively studied in hypertensive individuals, data on reductions of added salt on arterial stiffness in both normotensive and prehypertensive subjects are scarce. OBJECTIVE:To evaluate the effects of progressive reduction in...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 临床试验,杂志文章

    doi:10.36660/abc.20180426

    authors: Arantes AC,Sousa ALL,Vitorino PVO,Jardim PCBV,Jardim TSV,Rezende JM,Lelis ES,Rodrigues RB,Coca A,Barroso WKS

    更新日期:2020-05-01 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

  • Atorvastatin Reduces Accumulation of Vascular Smooth Muscle Cells to Inhibit Intimal Hyperplasia via p38 MAPK Pathway Inhibition in a Rat Model of Vein Graft.

    abstract:BACKGROUND:The rate of saphenous vein graft failure one year after coronary artery bypass grafting ranges from 10% to 25%. The aim of this study was to explore whether atorvastatin can reduce accumulation of vascular smooth muscle cells to inhibit intimal hyperplasia via p38 MAPK pathway inhibition. METHODS:Forty-five...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.36660/abc.20190231

    authors: Chu T,Huang M,Zhao Z,Ling F,Cao J,Ge J

    更新日期:2020-10-01 00:00:00

  • Effects of chlorthalidone and diltiazem on myocardial ischemia in elderly patients with hypertension and coronary artery disease.

    abstract:OBJECTIVE:Antihypertensive therapy with thiazides decreases coronary events in elderly patients. However, the influence of diuretics on myocardial ischemia has not been fully investigated. The aim of this study was to compare the effect of chlorthalidone and diltiazem on myocardial ischemia. METHODS:Following a random...

    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/s0066-782x2001000400001

    authors: Serro-Azul JB,de Paula RS,Gruppi C,Pinto L,Pierri H,Nussbacher A,Gebara O,Moffa P,Pereira-Barreto AC,Wajngarten M

    更新日期:2001-04-01 00:00:00

  • Development and validation of the Brazilian Portuguese version of the Cardiac Rehabilitation Barriers Scale.

    abstract:BACKGROUND:Cardiovascular diseases show high incidence and prevalence in Brazil; however, participation in Cardiac Rehabilitation (CR) is limited and has been poorly investigated in the country. The Cardiac Rehabilitation Barriers Scale (CRBS) was developed to assess the barriers to participation and adherence to CR. ...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2012005000025

    authors: Ghisi GL,Santos RZ,Schveitzer V,Barros AL,Recchia TL,Oh P,Benetti M,Grace SL

    更新日期:2012-04-01 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

  • One-year follow-up after primary coronary intervention for acute myocardial infarction in diabetic patients. A substudy of the STENT PAMI trial.

    abstract:OBJECTIVE:This analysis was undertaken to determine the composite incidence of cumulative adverse events (death, reinfarction, disabling stroke, and target vessel revascularization) at the end of the first year after acute myocardial infarction, in diabetic patients who underwent coronary stenting or primary coronary b...

    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/s0066-782x2001001200006

    authors: Mattos LA,Grines CL,Sousa JE,Sousa AG,Stone GW,Cox D,Garcia E,Morice MC,O'Neill W,Grines L,Boura J

    更新日期:2001-12-01 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

  • Safety and efficacy of angioplasty with intracoronary stenting in patients with unstable coronary syndromes. Comparison with stable coronary syndromes.

    abstract:OBJECTIVE:To assess safety and efficacy of coronary angioplasty with stent implantation in unstable coronary syndromes. METHODS:Retrospective analysis of in-hospital and late evolution of 74 patients with unstable coronary syndromes (unstable angina or infarction without elevation of the ST segment) undergoing coronar...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2000000600003

    authors: Correia LC,Brito JC,Barbosa AC,Azevedo Júnior AM,Rocha MS,Carvalho HG,Esteves JP

    更新日期:2000-06-01 00:00:00