Arquivos brasileiros de cardiologia
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Cardiocerebral Resuscitation (CCR) is a new approach to the resuscitation of patients with out-of-hospital cardiac arrest (OHCA). The first major component of CCR is continuous chest compressions (also referred to as chest compression-only CPR or "hands-only CPR") advocated as part of CCR for all bystanders who witness a sudden collapse of presumed cardiac origin. The second component of CCR is a new ACLS treatment algorithm for Emergency Medical Services. ⋯ A third component has recently been added to CCR, namely aggressive post-resuscitation care. Cardiocerebral resuscitation has increased bystander participation and has improved survival rates in a number of communities. Now is the time for other communities to re-examine their own outcomes with cardiac arrest and consider joining those cities and communities that have doubled and even tripled their survival from OHCA.
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Arq. Bras. Cardiol. · Mar 2011
Randomized Controlled TrialEducation and telephone monitoring by nurses of patients with heart failure: randomized clinical trial.
Nursing approaches to manage patients with heart failure (HF) showed benefits in reducing the morbidity and mortality. However, combining intra-hospital education with telephone contact after hospital discharge has been little explored. ⋯ An in-hospital educational nursing intervention benefitted all HF patients in understanding their disease, regardless of telephone contact after discharge.
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Arq. Bras. Cardiol. · Mar 2011
Randomized Controlled TrialSedation with sufentanil and clonidine in patients undergoing heart catheterization.
Sedation for heart catheterization has been a cause for concern. Benzodiazepines, alpha-2 adrenergic agonists and opioids are used for this purpose. However, each drug has advantages and disadvantages. ⋯ Sufentanil and clonidine were effective as sedative in patients undergoing heart catheterization.
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Arq. Bras. Cardiol. · Dec 2010
Randomized Controlled TrialEndoscopic left sympathetic blockade in the treatment for dilated cardiomyopathy.
The level of sympathetic nervous activity is a major determinant of prognosis in patients with heart failure. ⋯ Endoscopic left thoracic sympathetic blockade is feasible and appears to be safe in severe heart failure patients. This initial study suggests that this procedure might be an effective alternative approach to sympathetic blockade in the treatment of dilated cardiomyopathies.