Heart failure treatment profile at the beta blockers era.

Abstract:

OBJECTIVES:The inhibition of the rennin-angiotensin-aldosterone system (RAAS) and sympathetic autonomous nervous system has increased the perspective of survival in these patients, as well as allowing the improvement of the quality of life. The aim of this study was to evaluate the reality of the treatment employed and its impact on the disease in patients followed at a specialized heart failure (HF) outpatient clinic. METHODS:A sample of 96 patients followed at the HF and Transplant Outpatient Clinic of Heart Institute of the University of São Paulo School of Medicine (InCor -HCFMUSP) were evaluated. The data were collected during the ambulatory consultation from the medical files and through physical examination. Patients were randomly selected for the study. RESULTS:Most of the patients were Functional Class II (42.3%) and evolution stage C (94.9%). The medical prescription given to the patients was quite similar to the one recommended by the directives. Approximately 95% of them received RAAS inhibitors (ACE inhibitor--enalapril and captopril--or angiotensin receptor antagonist--losartan), whereas 85% of the patients additionally received beta blockers (carvedilol). The mean dose prescribed was also similar to the one used in large studies and reached more than 60% of the maximum dose for each medication. The hemodynamic data show that patients were stable, despite the intensity of the dysfunction and ventricular remodeling observed in these patients. CONCLUSION:Patients with HF followed by a specialized medical team receive a medical prescription that is closer to the recommended one. These patients, despite the marked characteristics of disease severity, achieve hemodynamic and clinical stability with an adequate therapeutic optimization.

journal_name

Arq Bras Cardiol

authors

Silva CP,Bacal F,Pires PV,Mangini S,Issa VS,Moreira SF,Chizzola PR,Souza GE,Guimarães GV,Bocchi EA

doi

10.1590/s0066-782x2007000400018

subject

Has Abstract

pub_date

2007-04-01 00:00:00

pages

475-9

issue

4

eissn

0066-782X

issn

1678-4170

pii

S0066-782X2007000400018

journal_volume

88

pub_type

杂志文章
  • [Influence of the clinical presentation on immediate and long-term results after rotational atherectomy].

    abstract:PURPOSE:To analyse the influence of unstable coronary syndromes (UCS) in the early and late prognosis after rotational atherectomy (RA). METHODS:We treated 236 patients with RA between Aug/1992 and May/1996. Patients were divided into two groups: A) stable coronary syndromes 120 (51%) patients; B) UCS: 116 (49%) patie...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:

    authors: Tanajura LF,Sousa AG,Feres F,Mattos LA,Nunes GL,Abizaid A,Pinto IM,Centemero MP,Chaves AJ,Abizaid AC,Sousa JE

    更新日期:1997-02-01 00:00:00

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

    abstract:PURPOSE:To study mononuclear magnesium and serum cations (Na, K and Mg) in elderly hypertensive patients treated with hydrochlorothiazide during 90 days. PATIENTS AND METHODS:15 elderly hypertensive patients treated with hydrochlorothiazide, 25 mg/day or placebo. A method of freezing produced total lysis of the cells;...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 临床试验,杂志文章

    doi:

    authors: Faintuch JJ,Azul JB,Wajngarten M,Rocha Ados S

    更新日期:1991-06-01 00:00:00

  • Mortality due to cardiovascular diseases in Brazil and in the metropolitan region of São Paulo: a 2011 update.

    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

    authors: Mansur Ade P,Favarato D

    更新日期:2012-08-01 00:00:00

  • Prevention of Sudden Cardiac Death in Hypertrophic Cardiomyopathy: What has Changed in The Guidelines?

    abstract:BACKGROUND:The new European Society of Cardiology guidelines for hypertrophic cardiomyopathy (HCM) define the estimation of sudden cardiac death (SCD) risk as an integral part of clinical management. An implantable cardioverter defibrillator (ICD) is recommended (class IIa) when the risk is ≥ 6%. OBJECTIVES:To compare...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.5935/abc.20180099

    authors: Reis L,Teixeira R,Fernandes A,Almeida I,Madeira M,Silva J,Botelho A,Pais J,Nascimento J,Gonçalves L

    更新日期:2018-06-01 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

  • [Relationship between regular attendance to ambulatory appointments and blood pressure control among hypertensive patients].

    abstract:OBJECTIVE:Our objective was to determine the rate of hypertensive patients with controlled BP (BP < 140 x 90 mmHg) and to study its relationship with regular attendance to ambulatory appointments. METHODS:A total of 245 medical records from patients followed up at the Unidade Clínica de Hipertensão Arterial (Clinical ...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2005001600002

    authors: Coelho EB,Moysés Neto M,Palhares R,Cardoso MC,Geleilete TJ,Nobre F

    更新日期:2005-09-01 00:00:00

  • Alternative endocardial sites for artificial cardiac stimulation.

    abstract::The conventional right ventricular stimulation can be associated with deleterious effects on cardiac function. The need for a more physiological artificial cardiac stimulation is undoubtedly one of the most important points in the area of cardiac electrotherapy. The programming algorithms for the maintenance of adequa...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章,评审

    doi:

    authors: Silva Júnior Od,Melo CS,Marra M,Correia D

    更新日期:2011-01-01 00:00:00

  • Ruthenium Complex Improves the Endothelial Function in Aortic Rings From Hypertensive Rats.

    abstract:Background::The endothelium is a monolayer of cells that extends on the vascular inner surface, responsible for the modulation of vascular tone. By means of the release of nitric oxide (NO), the endothelium has an important protective function against cardiovascular diseases. Objective::Verify if cis- [Ru(bpy)2(NO2)(N...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.5935/abc.20170090

    authors: Vatanabe IP,Rodrigues CNDS,Buzinari TC,Moraes TF,Silva RSD,Rodrigues GJ

    更新日期:2017-06-29 00:00:00

  • Analysis of plasma homocysteine levels in patients with unstable angina.

    abstract:OBJECTIVE:To determine the prevalence of hyperhomocystinemia in patients with acute ischemic syndrome of the unstable angina type. METHODS:We prospectively studied 46 patients (24 females) with unstable angina and 46 control patients (19 males), paired by sex and age, blinded to the laboratory data. Details of diets, ...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 临床试验,杂志文章

    doi:10.1590/s0066-782x2002001100008

    authors: Tavares JR,D'Almeida V,Diniz DC,Terzi CA,Cruz EN,Stefanini E,Andriollo A,Paola AA,Carvalho AC

    更新日期:2002-08-01 00:00:00

  • Dual anterior descending coronary artery associated with coronary artery disease.

    abstract::The patient is a male with risk factors for coronary artery disease, who was referred for cardiac catheterization after acute myocardial infarction in the inferior wall. The patient underwent transluminal coronary angioplasty in the right coronary artery with successful stent implantation. ...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2003000500008

    authors: da L V Siqueira L,Bueno RR,Guérios EE,de Andrade PM,Nercolini DC,Negrão SW,Pacheco AL,Tarastchuck JC

    更新日期:2003-05-01 00:00:00

  • Value of left atrial diameter with CHA2DS2-VASc score in predicting left atrial/left atrial appendage thrombosis in non-valvular atrial fibrillation.

    abstract:BACKGROUND:Atrial fibrillation is the most common persistent arrhythmia, and is the main factor that leads to thromboembolism. OBJECTIVE:To investigate the value of left atrial diameter combined with CHA2DS2-VASc score in predicting left atrial/left atrial appendage thrombosis in non-valvular atrial fibrillation. MET...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.36660/abc.20190492

    authors: Zhang Y,Yuan YQ

    更新日期:2021-01-18 00:00:00

  • Prevalence of risk factors for cardiovascular disease in employees of the Research Center at Petrobras.

    abstract:OBJECTIVE:To determine the prevalence of risk factors for cardiovascular diseases in employees of the research center at Petrobras. METHODS:In a cross-sectional study, employees of the research center at Petrobras were assessed clinically and by laboratory testing from March 2000 and February 2001. Those who did not a...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2004000100001

    authors: Matos Mde F,Souza e Silva NA,Pimenta AJ,da Cunha AJ

    更新日期:2004-01-01 00:00:00

  • Influence of cardiopulmonary bypass on the plasma concentrations of atenolol.

    abstract:BACKGROUND:Betablockers are used in the treatment of angina pectoris and others ischemic coronary diseases, reducing mortality and cardiovascular events. Atenolol is a hydrophilic betablocker which is characterized by gastrointestinal absorption, small extent of distribution and renal function-dependent elimination. O...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2007000600003

    authors: Leite Fda S,dos Santos LM,Bonafé WW,Chignalia AZ,Carmona MJ,Suyama MJ,Malbouisson LM,Auler JO Jr,Santos SR

    更新日期:2007-06-01 00:00:00

  • [Pulmonary atresia with intact ventricular septum. Valvar perforation by radiofrequency].

    abstract::Six days old neonate with pulmonary atresia and intact ventricular septum is reported in which a communication was established between the right ventricle and the pulmonary artery. The membraneous atresia was perforated with a special radiofrequency catheter 2F connected to a Hat 200S radiofrequency generator (Osypka)...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:

    authors: Fontes VF,Esteves CA,Braga SL,Acuña U,Santana MV,de Oliveira LM,Pedra SR,Sousa JE

    更新日期:1995-03-01 00:00:00

  • p.Q192R SNP of PON1 seems not to be Associated with Carotid Atherosclerosis Risk Factors in an Asymptomatic and Normolipidemic Brazilian Population Sample.

    abstract:BACKGROUND:Evidences suggest that paraoxonase 1 (PON1) confers important antioxidant and anti-inflammatory properties when associated with high-density lipoprotein (HDL). OBJECTIVE:To investigate the relationships between p.Q192R SNP of PON1, biochemical parameters and carotid atherosclerosis in an asymptomatic, normo...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.5935/abc.20150053

    authors: Scherrer DZ,Zago VH,Vieira IC,Parra ES,Panzoldo NB,Alexandre F,Secolin R,Baracat J,Quintão EC,Faria EC

    更新日期:2015-07-01 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

  • 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

  • Dyslipidemia in Adolescents Seen in a University Hospital in the city of Rio de Janeiro/Brazil: Prevalence and Association.

    abstract:BACKGROUND:Early exposure to obesity favors greater risks of cardiovascular factors such as dyslipidemia. OBJECTIVES:To establish the prevalence of dyslipidemia, and to evaluate its association with nutritional status of the adolescents attended at the ambulatory of the Adolescent Health Studies Center of the Universi...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.5935/abc.20180254

    authors: Vizentin NP,Cardoso PMS,Maia CAG,Alves IP,Aranha GL,Giannini DT

    更新日期:2019-02-01 00:00:00

  • [Echocardiographic monitoring of balloon atrial septostomy].

    abstract:OBJECTIVE:To assess balloon atrial septostomy monitored with echocardiography. METHODS:From August 1997 to January 2004, 31 infants with congenital heart diseases indicated for balloon atrial septostomy underwent the procedure with exclusive echocardiographic monitoring. Success was defined as the obtainment of an atr...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2005000300010

    authors: Marchi CH,Godoy MF,Santos MA,Moscardini AC,Hassen Sobrinho S,Croti UA

    更新日期:2005-03-01 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

  • [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

  • 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

  • High blood pressure detection in adolescents by clustering overall and abdominal adiposity markers.

    abstract:BACKGROUND:Obesity is linked to high blood pressure (HBP) in childhood. However, the role of fat as a predictor of HBP in adolescents remains unknown. OBJECTIVE:To investigate the association between general and abdominal obesity with HBP and to identify the sensitivity and specificity of these indicators to detect HB...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2011005000050

    authors: Christofaro DG,Ritti-Dias RM,Fernandes RA,Polito MD,Andrade SM,Cardoso JR,Oliveira AR

    更新日期:2011-06-01 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

  • Predictors of hospitalization in patients with syncope assisted in specialized cardiology hospital.

    abstract:BACKGROUND:Risk stratification of a syncopal episode is necessary to better differentiate patients needing hospitalization of those who can be safely set home from the emergency department. Currently there are no strict guidelines from our Brazilian medical societies to guide the cardiologist that evaluate patients in ...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.5935/abc.20130206

    authors: Fischer LM,Dutra JP,Mantovani A,Lima GG,Leiria TL

    更新日期:2013-12-01 00:00:00

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

    abstract:OBJECTIVE:To evaluate the use of resistive exercise in the study of endothelial dysfunction in heart failure (HF) comparatively to reactive hyperemia (RH). METHODS:Eighteen patients with heart failure and 15 normal volunteers were submitted to intermittent handgrip exercise in a pneumatic bag, at an intensity that cor...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2006000600008

    authors: de Carvalho RT,Vieira ML,Romano A,Kopel L,Lage SG

    更新日期:2006-06-01 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

  • 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

  • Coronary artery bypass using only computed tomography as pre-operative angiogram.

    abstract::Coronary artery bypass graft (CABG) is a well established procedure with current precise indications. The advent and spread of this technique was possible after the introduction of the coronary angiogram. Although many evaluation methods have been developed in the past years, to date, none have been able to replace th...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2009000900019

    authors: Gaia DF,Palma JH,Branco JN,Teles CA,Catani R,Buffolo E

    更新日期:2009-09-01 00:00:00

  • [Natural history of myocardial hypertrophy and its association with hyperinsulinism in infants of diabetic mothers].

    abstract:PURPOSE:To test the hypothesis that myocardial hypertrophy is associated with increased serum insulin levels in children of diabetic mothers and to determine the frequency and timing of this spontaneous regression. METHODS:Seventy-two patients were studied (54 children of diabetic mothers and 18 controls). Diagnosis o...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x1997001200005

    authors: Zielinsky P,da Costa MH,Oliveira LT,Bonow FP,da Silva NI,Hagemann LL

    更新日期:1997-12-01 00:00:00