CONTENTS

EDITORIAL
Sergio V. Perrone
Insuf Card 2010;5(4):155.
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ALGORITHM
Acute right heart failure
Insuf Card 2010;5(4):156.
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REVIEW ARTICLE
Cardiovascular system and hyperthyroidism. Pathophysiological bases and its clinical manifestation
Diego Mantilla, Mónica Liliana Echin, Cecilia Perel
The aim of this review is to reinforce the mechanisms of action of thyroid hormone on the heart and peripheral vascular system, anatomic and structural changes that occur at myocardial level, interaction with the sympathetic nervous system, impaired electrical activity, hemodynamic changes on myocardial contractility and ventricular relaxation. The clinical manifestations of hyperthyroidism can lead to symptoms such as palpitations initial advance to a state of greater complexity such as heart failure (HF), an entity of high morbidity and mortality. Heart failure could be expressed with rhythm disturbances, damage and impaired ventricular function valve, which left to their natural evolution may lead to death of the patient, giving relevance to the early recognition by professionals of the hormonal etiology of HF and/or the cause of his decompensation. This diagnosis allows early treatment and effective as euthyroid states lead to the normalization of cardiovascular disease in most patients.
Keywords: Hyperthyroidism - Thyroid hormone - Cardiovascular system - Atrial fibrillation - Heart failure - Myocardial damage - Pulmonary hypertension
Insuf Card 2010;5(4):157-177.
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ORIGINAL ARTICLE (Original version)
Depressive symptoms and hospitalizations for heart failure: prevalence, predictors and mortality
Felipe Montes Pena, Maria Angela Magalhães de Queiroz Carreira, Carlos Augusto Cardozo de Faria, Renata de Faria Modenesi, Amanda Ferreira Barcelos, Maria Clara Teixeira Piraciaba, Sabrina Bernardez Pereira, Jamil da Silva Soares
Studies of depressive symptoms (DS) has been made in patients hospitalized for heart failure (HF) and the influence of various characteristics has been ignored. A prospective study was conducted in order to assess prevalence, predictors and correlated to the severity of DS and mortality in HF hospitalizations. Sociodemographic and clinical data were analyzed and the main outcome was death. Authors concluded that DS are common in HF hospitalizations. Their prevalence varies according to clinical characteristics of patients. The predictors were gender, marital status, lifestyle and etiology of HF. Mortality was related to moderate and severe DS.
Keywords: Depressive symptoms - Heart failure - Hospitalization
Insuf Card 2010;5(4):178-184.
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ORIGINAL ARTICLE (Spanish version)
Depressive symptoms and hospitalizations for heart failure: prevalence, predictors and mortality
Felipe Montes Pena, Maria Angela Magalhães de Queiroz Carreira, Carlos Augusto Cardozo de Faria, Renata de Faria Modenesi, Amanda Ferreira Barcelos, Maria Clara Teixeira Piraciaba, Sabrina Bernardez Pereira, Jamil da Silva Soares
Studies of depressive symptoms (DS) has been made in patients hospitalized for heart failure (HF) and the influence of various characteristics has been ignored. A prospective study was conducted in order to assess prevalence, predictors and correlated to the severity of DS and mortality in HF hospitalizations. Sociodemographic and clinical data were analyzed and the main outcome was death. Authors concluded that DS are common in HF hospitalizations. Their prevalence varies according to clinical characteristics of patients. The predictors were gender, marital status, lifestyle and etiology of HF. Mortality was related to moderate and severe DS.
Keywords: Depressive symptoms - Heart failure - Hospitalization
Insuf Card 2010;5(4):185-191.
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PULMONARY HYPERTENSION
Epidemiology of pulmonary hypertension
Norma Naval
As a topic of clinical medicine and medicine science, pulmonary hypertension (PH) has made great progresses in a relatively short time. Within past decades interest in pulmonary arterial hypertension has increased, being reflected in the large amount of publications about diagnosis, poor prognostic indicators, new drugs and knowledge of its pathogenesis. Unfortunately, there are no epidemiological data available in most countries, including ours that has sub-registry evidences. We must reinforce programs towards a better knowledge of this disease, and propel a unique data registry.
Keywords: Pulmonary arterial hypertension - Epidemiology - Registries
Insuf Card 2010;5(4):192-196.
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CASE REPORT (Original version)
Eisenmenger syndrome in a patient with atrial septal defects. Study of a case
Fábio Azevedo Simão, Felipe Montes Pena, Fernanda Arêdo Carvalho, Carlos Augusto Cardozo de Faria
The Eisenmenger syndrome represents the most advanced form of pulmonary arterial hypertension associated with congenital heart defects. We present a case of female, 41 years old, who had cyanosis at rest, lower limb edema and atrial septal defect type communication interatrial diagnosed in echocardiography who was tackled drug with calcium channel blockers.
Keywords: Pulmonary hypertension - Eisenmenger - Congenital heart disease
Insuf Card 2010;5(4):197-200.
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CASE REPORT (Spanish version)
Eisenmenger syndrome in a patient with atrial septal defects. Study of a case
Fábio Azevedo Simão, Felipe Montes Pena, Fernanda Arêdo Carvalho, Carlos Augusto Cardozo de Faria
The Eisenmenger syndrome represents the most advanced form of pulmonary arterial hypertension associated with congenital heart defects. We present a case of female, 41 years old, who had cyanosis at rest, lower limb edema and atrial septal defect type communication interatrial diagnosed in echocardiography who was tackled drug with calcium channel blockers.
Keywords: Pulmonary hypertension - Eisenmenger - Congenital heart disease
Insuf Card 2010;5(4):201-204.
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CASE REPORT (English version)
Eisenmenger syndrome in a patient with atrial septal defects. Study of a case
Fábio Azevedo Simão, Felipe Montes Pena, Fernanda Arêdo Carvalho, Carlos Augusto Cardozo de Faria
The Eisenmenger syndrome represents the most advanced form of pulmonary arterial hypertension associated with congenital heart defects. We present a case of female, 41 years old, who had cyanosis at rest, lower limb edema and atrial septal defect type communication interatrial diagnosed in echocardiography who was tackled drug with calcium channel blockers.
Keywords: Pulmonary hypertension - Eisenmenger - Congenital heart disease
Insuf Card 2010;5(4):205-208.
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