Arquivos brasileiros de cardiologia
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Arq. Bras. Cardiol. · Apr 2014
Use of evidence-based interventions in acute coronary syndrome - Subanalysis of the ACCEPT registry.
The recommendations in guidelines are based on evidence; however, there is a gap between recommendations and clinical practice. ⋯ This registry showed high initial prescription rates of antiplatelet drugs, antithrombotic drugs, and statins, and lower prescription rates of beta-blockers and angiotensin-converting enzyme inhibitors/IAT1RB. Independently of the class, the use of all drugs decreased by six months. Most patients with ST-segment elevation myocardial infarction did not undergo myocardial reperfusion within the time recommended.
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Arq. Bras. Cardiol. · Apr 2014
Duke Activity Status Index for cardiovascular diseases: validation of the Portuguese translation.
The Duke Activity Status Index (DASI) assesses the functional capacity of patients with cardiovascular disease (CVD), but there is no Portuguese version validated for CVD. ⋯ The Brazilian version of the DASI appears to be a valid, reliable, fast and easy to administer tool to assess functional capacity among patients with CVD.
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Arq. Bras. Cardiol. · Apr 2014
Renal denervation using an irrigated catheter in patients with resistant hypertension: a promising strategy?
Systemic hypertension is an important public health problem and a significant cause of cardiovascular mortality. Its high prevalence and the low rates of blood pressure control have resulted in the search for alternative therapeutic strategies. Percutaneous renal sympathetic denervation emerged as a perspective in the treatment of patients with resistant hypertension. ⋯ Renal denervation is feasible and safe in the treatment of resistant systemic arterial hypertension. Larger studies are required to confirm our findings.