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 Jones' criteria. After ruling out infections and strongyloidiasis, treatment with IV methylprednisolone bolus was started three times a week until the laboratory tests became negative. Patients were divided into 3 groups, according to the time of hospital admittance: Groups 1, 2 and 3, comprising of 40, 18 and 12 children, respectively. RESULTS:Eighteen children in Group 1 (45%) were in their 1st attack: 2 series of pulsetherapy were used in 10 (25%), 3 in 9 (23%) and 4 in 21 (52%). In Group 2, 14 cases (77%) were in their 1st attack: 2 series were used in 7 (39%), 4 in 9 (50%) and 5 in 2 (11%). The echocardiogram showed a flail mitral valve in 12 (66%) of these patients (1 death occurred after mitral valvoplasty). In Group 3, 6 patients needed 5 or more series of pulsetherapy and a flail mitral valve was present in 5 (41%). One child underwent mitral valve replacement while still in the active phase, after 8 series of pulsetherapy, and another died. The number of patients who needed 5 or more series was significantly higher in Group 3. CONCLUSION:There were variations in the presentation and evolution of the cases during these 12 year. The established pulsetherapy protocol continues to be useful to treat severe cases.
journal_name
Arq Bras Cardioljournal_title
Arquivos brasileiros de cardiologiaauthors
Herdy GV,Pinto CA,Olivaes MC,Carvalho EA,Tchou H,Cosendey R,Ribeiro R,Azeredo F,de Souza D,Herdy AH,Lopes VGdoi
10.1590/s0066-782x1999000500007subject
Has Abstractpub_date
1999-05-01 00:00:00pages
601-6issue
5eissn
0066-782Xissn
1678-4170journal_volume
72pub_type
杂志文章abstract：:Constrictive chronic pericarditis in a 13-year-old male patient was previously treated as chronic hepatitis for seven years, with the use of furosemide and spironolactone. Investigation for diagnosis included chest radiography, echo-doppler-cardiography, thoracocentesis with pleural biopsy and computerized tomography ...
journal_title：Arquivos brasileiros de cardiologia
pub_type： 杂志文章
doi：
更新日期：1991-12-01 00:00:00
abstract：PURPOSE:To evaluate epidemiological, clinical and therapeutic aspects of elderly patients with cardiovascular disease in Brazil. METHODS:Elderly patients with cardiovascular disease treated in 36 centers of cardiology and geriatrics were investigated through a questionnaire applied to those who had an appointment duri...
journal_title：Arquivos brasileiros de cardiologia
pub_type： 杂志文章,多中心研究
doi：10.1590/s0066-782x1997001100007
更新日期：1997-11-01 00:00:00
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：
更新日期：1993-04-01 00:00:00
abstract：:We report the case of a girl with chronic rheumatic valvar heart disease who developed infective endocarditis and two complications, ischemic stroke due to cerebral embolic event and mycotic aneurysm of the superior mesenteric artery. ...
journal_title：Arquivos brasileiros de cardiologia
pub_type： 杂志文章
doi：10.1590/s0066-782x2007000100023
更新日期：2007-01-01 00:00:00
abstract：PURPOSE:To verify whether accentuated reductions of left ventricular volume lead to mitral valve prolapse. METHODS:Seven mongrel dogs were bled through the internal jugular vein, the systolic systemic pressure being kept between 100 and 140 mmHg by means of continuous infusion of dopamine; the inferior vena cava vein,...
journal_title：Arquivos brasileiros de cardiologia
pub_type： 杂志文章
doi：
更新日期：1993-10-01 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：OBJECTIVE:To evaluate the association between cardiovascular risk factors and the anthropometric values--body mass index (BMI) and waist circumference (WC). METHODS:It was studied 231 employees of Federal University of Viçosa, Brazil, 54.1% of them were men (21-76 years old). Glycemia, total cholesterol, LDL, HDL, tri...
journal_title：Arquivos brasileiros de cardiologia
pub_type： 杂志文章
doi：10.1590/s0066-782x2006001900008
更新日期：2006-12-01 00:00:00
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：
更新日期：1996-01-01 00:00:00
abstract：:A 61 year-old Chagasic woman, with previous left ventricular systolic disfunction, ventricular tachychardia and cardiac pacemaker, presented cardiac arrest in asystolia after surgical ressection of apical aneurysm. ...
journal_title：Arquivos brasileiros de cardiologia
pub_type： 杂志文章
doi：10.1590/s0066-782x2003001000010
更新日期：2003-08-01 00:00:00
abstract：OBJECTIVE:To determine the diagnostic accuracy of echocardiography for indicating surgery without catheterization in patients with congenital heart disease through a prospective analysis and comparison of the echocardiographic diagnosis with the intraoperative findings, or invasive study, or both. METHODS:From Februar...
journal_title：Arquivos brasileiros de cardiologia
pub_type： 杂志文章
doi：10.1590/s0066-782x2005000500006
更新日期：2005-05-01 00:00:00
abstract：:We presented two cases of falsely elevated CK-MB due to the presence of a type 2 macro CK, showed by isoenzymes electrophoresis. The association of this CK-MB falsely elevated with some digestive diseases are frequent. Quantification of CK isoenzymes by electrophoresis could be indicated in those cases in which the cl...
journal_title：Arquivos brasileiros de cardiologia
pub_type： 杂志文章
doi：
更新日期：1994-10-01 00:00:00
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
更新日期：2016-08-01 00:00:00
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：
更新日期：1991-06-01 00:00:00
abstract：OBJECTIVE:To compare the prevalence of systemic hypertension in two different populations: a representative sample of the adult urban population of Porto Alegre, and individuals who sought blood pressure measurement in a hypertension prevention and control campaign. METHODS:A cross-sectional study was carried out invo...
journal_title：Arquivos brasileiros de cardiologia
pub_type： 杂志文章
doi：10.1590/s0066-782x2001000600002
更新日期：2001-06-01 00:00:00
abstract：OBJECTIVE:Patients who underwent heart transplantation (HTX) experience a reduction in the elevation that is usual in systolic blood pressure during exercise testing. Of unknown origin, this phenomenon varies in frequency and intensity. The aim of this study was to analyze the relationship between systolic blood pressu...
journal_title：Arquivos brasileiros de cardiologia
pub_type： 杂志文章
doi：10.1590/s0066-782x2006001800013
更新日期：2006-11-01 00:00:00
abstract：BACKGROUND:Although team-based care is recommended for patients with hypertension, results of this intervention in a real-world setting are missing in the literature. OBJECTIVE:To report the results of a real-world long-term team-based care for hypertensive patients we conducted this study. METHODS:Data of hypertensi...
journal_title：Arquivos brasileiros de cardiologia
pub_type： 杂志文章
doi：10.36660/abc.20180384
更新日期：2020-08-28 00:00:00
abstract：:Cardiovascular diseases (CVD) are a major cause of death in developed countries as well as in developing countries. In general, the clinical manifestations of CVD, such as myocardial infarction, stroke and peripheral vascular disease, are caused by an atherosclerotic process with onset as from the middle age. However,...
journal_title：Arquivos brasileiros de cardiologia
pub_type： 杂志文章,评审
doi：10.1590/s0066-782x2008000400012
更新日期：2008-04-01 00:00:00
abstract：PURPOSE:To test the association between diabetes mellitus and ischaemic heart disease (IHD) in males and females, after adjusting for known confounders and/or modifiers of effect. METHODS:The study was designed as a case-control and the period of data collection was one year (March/93 until February/94). The associati...
journal_title：Arquivos brasileiros de cardiologia
pub_type： 杂志文章
doi：
更新日期：1996-02-01 00:00:00
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：
更新日期：1995-03-01 00:00:00
abstract：BACKGROUND:Risk scores for cardiac surgery cannot continue to be neglected. OBJECTIVE:To assess the performance of "Age, Creatinine and Ejection Fraction Score" (ACEF Score) to predict mortality in patients submitted to elective coronary artery bypass graft and/or heart valve surgery, and to compare it to other scores...
journal_title：Arquivos brasileiros de cardiologia
pub_type： 杂志文章
doi：10.5935/abc.20150101
更新日期：2015-11-01 00:00:00
abstract：BACKGROUND:Changes in the angiotensin-converting enzyme (ACE) gene may contribute to the increase in blood pressure and consequently to the onset of heart failure (HF). The role of polymorphism is very controversial, and its identification in patients with HF secondary to Chagas disease in the Brazilian population is r...
journal_title：Arquivos brasileiros de cardiologia
pub_type： 杂志文章
doi：10.5935/abc.20170137
更新日期：2017-10-01 00:00:00
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
更新日期：2018-01-01 00:00:00
abstract：OBJECTIVE:Assess the prevalence of white coat hypertension in the municipality of Dumont, in São Paulo State, and map study participants' demographics, and physiologic and metabolic changes. METHODS:One hundred and nine (109) users of the Municipal Health Service were selected and then divided into three groups: normo...
journal_title：Arquivos brasileiros de cardiologia
pub_type： 杂志文章
doi：
更新日期：2007-07-01 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：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
更新日期：1998-06-01 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：:Growth hormone (GH), the main regulator for post-natal growth, has important metabolic actions on different tissues, similar or opposite to insulin like growth factor I (IGF-I), mainly produced by the liver after the binding of GH to its receptor. Experiments with animal models indicate an important role of GH on insu...
journal_title：Arquivos brasileiros de cardiologia
pub_type： 杂志文章,评审
doi：10.1590/s0066-782x2011001400012
更新日期：2011-11-01 00:00:00
abstract：:The assessment of left atrial (LA) function is used in various cardiovascular diseases. LA plays a complementary role in cardiac performance by modulating left ventricular (LV) function. Transthoracic two-dimensional (2D) phasic volumes and Doppler echocardiography can measure LA function non‑invasively. However, eval...
journal_title：Arquivos brasileiros de cardiologia
pub_type： 杂志文章,评审
doi：10.5935/abc.20150144
更新日期：2015-12-01 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：:Beginning with a patient presenting with an atrial septal defect (ASD) of the secundum type, the genealogy was identified in four affected individuals who belonged to three successive generations of the same family. The defects were visually confirmed in all individuals and were found to be anatomically similar. No ot...
journal_title：Arquivos brasileiros de cardiologia
pub_type： 杂志文章
doi：10.1590/s0066-782x1999000800009
更新日期：1999-08-01 00:00:00
