Abstract Severe cardiac injuries, such as blunt or penetrating injuries caused by bladed weapons, require early diagnosis, usually by electrocardiography, tomography, and Focused Assessment With Sonography in Trauma (FAST). This study describes a case of penetrating cardiac trauma successfully treated by surgical intervention. During surgery, the medical team identified a serrated knife blade in the anterior chest wall, associated with a rib fracture and pericardial injury, without compromising the diaphragm. The patient had a positive outcome after the intervention. Effective […]

Social explosion The creation of various types of AI has led to the generation of a large cluster of data, called “Big Data”. This data storage brings countless possibilities for use, such as in health and education, data interpretation, recognition of writing patterns, and analysis and construction of texts. The social explosion of AI occurred in November 2022, with the launch of the chatbot ChaGTP, developed by OpenAi, which was the first use of generative AI to be successful and […]

Abstract Background Current guidelines recommend incorporating exercise and physical activity, such as inspiratory muscle training (IMT) and neuromuscular training, as adjunctive therapies alongside pharmacological treatments for patients with heart failure (HF). Objective To evaluate the effects of IMT and peripheral muscle training (PMT) on respiratory and peripheral muscle strength, lung function, and functional capacity in patients with HF. Methods This is a randomized controlled trial. Prior to randomization, all patients were assessed with the 6-minute walk test, inspiratory muscle strength […]

Abstract Background Psoriasis is a chronic inflammatory disease. Cardiovascular diseases, including arrhythmias, tend to occur more frequently in these patients. Objective This study aimed to investigate new electrocardiographic markers for assessing ventricular repolarization in outpatients with psoriasis in a tertiary center in Brazil. Methods This work is a cross-sectional study, which selected outpatients with psoriasis undergoing follow-up in a tertiary dermatology service in southern Brazil. The controls were selected from a private outpatient clinic. All the electrocardiogram (ECG) analyses were […]

Abstract Background Right ventricle (RV) involvement in inferior wall myocardial infarction (IWMI) is considered a strong predictor of in-hospital mortality and complications. However, assessment of RV involvement and function remains challenging due to difficulties in chamber visualization. Objective This study aimed to assess RV involvement in patients with IWMI using myocardial wall velocity (tissue Doppler imaging) and strain rate parameters with conventional echocardiographic indices, evaluating RV function and its correlations with in-hospital mortality and morbidity. Methods An observational study was […]

Abstract Background It is estimated that 1 in 10 patients will survive a cardiopulmonary arrest (CPA), with half of them occurring in an out-of-hospital setting. Mobile pre-hospital care services aim to reduce morbidity and mortality resulting from CPA. Objective To analyze five years of data regarding response time for assistance, mortality, and characteristics of victims of out-of-hospital CPA cases treated by a public mobile emergency service in Southern Brazil. Methods Data collected between 2018 and 2022 included the number of […]

Abstract Introduction Intraoperative hypotension (IOH) is a frequent complication associated with adverse cardiovascular, cerebral, and renal outcomes, with increased mortality. Recent evidence indicates that cumulative exposure time to hypotension is a significant factor, related to both the duration and severity of hypotensive episodes. The Hypotension Prediction Index (HPI) algorithm, with active alerts, showed that hypotension periods can be significantly reduced. Objectives To describe an artificial intelligence (AI) algorithm for hypotension prediction integrated into real-time anesthesia record-keeping software and Clinical Decision […]

Abstract Background Digital health uses innovative information technology for healthcare needs. Virtual reality (VR) is increasingly adopted in healthcare, including cardiovascular rehabilitation (CVR), to improve performance and adherence. However, digital interventions must consider users’ perspectives to prevent VR from becoming a barrier. Objective This study aimed to assess the usability and enjoyment of physical activity associated with VR among inpatients with heart failure (HF). Method A prospective pilot study was conducted with ten patients diagnosed with HF. Participants completed an […]

Abstract Hypertensive emergencies (HE) are life-threatening conditions triggered by sudden increases in blood pressure (BP) exceeding 180 mmHg systolic and/or 110 mmHg diastolic levels, often resulting in acute organ damage (AOD) and the risk of death. This article discusses contemporary practices in diagnosing and managing these episodes, emphasizing early recognition and immediate therapeutic intervention. It highlights the significance of a meticulous diagnostic assessment for appropriate clinical and therapeutic approaches, including detailed medical history, physical examination, and complementary investigations. Treatment focuses […]

Abstract Background Supraventricular tachycardia (SVT) is a common arrhythmia in pediatric patients. Emerging evidence suggests a link between systemic inflammation and cardiovascular diseases. Objectives This study aims to investigate the relationship between the monocyte/lymphocyte ratio (MLR) and neutrophil/lymphocyte ratio (NLR) with SVT in pediatric patients. Methods: We conducted a retrospective study at Rize Education and Research Hospital’s Pediatric Health and Diseases Department, including 33 patients diagnosed with SVT and 33 control subjects without sinus tachycardia. Hemogram (CBC) parameters, electrocardiography (ECG), […]