Arquivos brasileiros de cardiologia
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Arq. Bras. Cardiol. · Jan 2015
Use of short-term circulatory support as a bridge in pediatric heart transplantation.
Heart transplantation is considered the gold standard therapy for the advanced heart failure, but donor shortage, especially in pediatric patients, is the main limitation for this procedure, so most sick patients die while waiting for the procedure. ⋯ Mechanical circulatory support increases survival on the pediatric heart transplantation waiting list in patients classified as Intermacs 1 and 2.
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Arq. Bras. Cardiol. · Aug 2014
Validation of the Killip-Kimball classification and late mortality after acute myocardial infarction.
The classification or index of heart failure severity in patients with acute myocardial infarction (AMI) was proposed by Killip and Kimball aiming at assessing the risk of in-hospital death and the potential benefit of specific management of care provided in Coronary Care Units (CCU) during the decade of 60. ⋯ The Killip and Kimball classification performs relevant prognostic role in mortality at mean follow-up of 05 years post-AMI, with a similar pattern between NSTEMI and STEMI patients.
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Arq. Bras. Cardiol. · Jun 2014
Comparative StudyTeaching basic life support to students of public and private high schools.
Despite being recommended as a compulsory part of the school curriculum, the teaching of basic life support (BLS) has yet to be implemented in high schools in most countries. ⋯ Before training, most students had insufficient knowledge about CPR and AED; after BLS training a significant immediate and delayed improvement in learning was observed in students, especially in private school students.
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Arq. Bras. Cardiol. · Jun 2014
Femoral versus radial access in primary angioplasty. Analysis of the ACCEPT registry.
The radial access provides a lower risk of bleeding and vascular complications related to the puncture site in comparison to the femoral access. Recent studies have suggested a reduction in mortality associated with the radial access in patients with acute myocardial infarction undergoing percutaneous coronary intervention. ⋯ The femoral and radial accesses are equally safe and effective for the performance of primary percutaneous coronary intervention. The low rate of cardiovascular events and of hemorrhagic complications reflects the quality of the participating centers and the operators expertise with the use of both techniques.