The Importance of Intra-aortic Pulse Pressure After Anterior ST-segment Elevation Myocardial Infarction
Objective: To evaluate the association of pulse pressure (PP) with mortality and major adverse cardiac events (MACE) in one-year period after anterior ST-elevation myocardial infarction (A-STEMI).Methods: A total of 261 consecutive patients whose blood pressure was measured with the aid of a catheter before primary percutaneous coronary intervention (PPCI) between August 2016 and February 2017 were included in the study. The patients were divided into three groups according to pulse pressure (PP) (Group 1, PP50 mmHg).Results: The mean age of the patients was 63.4 ±14.1 y ... (Sour...
Source: Brazilian Journal of Cardiovascular Surgery - December 26, 2018 Category: Cardiology Source Type: research

Should Sinus of Valsalva be Replaced in Patients with Dilated Ascending Aorta and Aortic Valve Diseases?
Introduction: The aim of this study is to investigate the change in the dimension of sinus of Valsalva in patients who underwent supracoronary ascending aorta replacement with aortic valve replacement.Methods: A total of 81 patients who underwent supracoronary ascending aorta replacement with aortic valve replacement were included. Ten of 81 patients died during the follow-up. The patients were divided into three groups according to the aortic valve diseases. Group I (n=17) included patients with bicuspid valves, group II (n=30) included patients with stenotic degenerative v...
Source: Brazilian Journal of Cardiovascular Surgery - December 26, 2018 Category: Cardiology Source Type: research

Does Moderate Coronary Stenosis Affect the Fate of the Left Internal Thoracic Artery Graft?
In this study we try to observe the fate of the left internal thoracic artery grafts that were bypassed to left anterior descending artery with moderate stenosis identified with fractional flow reserve (FFR) technique. Doppler ultrasonography was chosen as a noninvasive screening method.Methods: A total of 30 patients who underwent coronary artery bypass grafting depending on results of the fractional flow reserve between January 2007 and January 2012, were subjected to transthoracic color Doppler ultrasonographic evaluation irrespective of the presence of symptoms, and the presenc...
Source: Brazilian Journal of Cardiovascular Surgery - December 26, 2018 Category: Cardiology Source Type: research

The Negative Effect of Mean Perfusion Pressure on the Development of Acute Kidney Injury after Transcatheter Aortic Valve Implantation
Objective: To evaluate the predictive value of mean perfusion pressure (mPP) in the development of acute kidney injury (AKIN) after transcatheter aortic valve implantation (TAVI).Methods: One hundred and forty seven consecutive patients with aortic stenosis (AS) were evaluated for this study and 133 of them were included. Mean arterial pressure (mAP) and central venous pressure (CVP) were used to calculate mPP before TAVI procedure (mPP = mAP-CVP). The occurrence of AKIN was evaluated with AKIN classification according to the Valve Academic Research Consortium-2 recommendati...
Source: Brazilian Journal of Cardiovascular Surgery - December 26, 2018 Category: Cardiology Source Type: research

Vasodilatory Efficacy and Impact of Papaverine on Endothelium in Radial Artery Predilatation for CABG Surgery: in Search for Optimal Concentration
Objective: The aim of this study was to compare the efficacy of two different papaverine concentrations (0.5 mg/ml and 2 mg/ml) for vasospasm prevention and their impact on endothelium integrity.Methods: We have studied distal segments of radial arteries obtained by no-touch technique from coronary artery bypass graft (CABG) patients (n=10). The vasodilatory effect of papaverine (concentrations of 0.5 mg/ml and 2 mg/ml) was assessed in vitro, in isometric tension studies using ex vivo myography (organ bath technique) and arterial rings precontracted with potassium chloride ...
Source: Brazilian Journal of Cardiovascular Surgery - December 26, 2018 Category: Cardiology Source Type: research

Which Method to Use for Surgical Ablation of Atrial Fibrillation Performed Concomitantly with Mitral Valve Surgery: Radiofrequency Ablation
Objective: The effects of energy source on the maintenance of sinus rhythm and the contribution of demographic characteristics to the case selection in patients submitted to ablation performed concurrently with mitral valve surgery were analyzed.Methods: Cryothermal (n=42; 43.8%) and radiofrequency (n=54; 56.3%) energy were employed in 96 patients submitted to mitral valve replacement and Cox maze IV procedure. Patients were called for control visits between 15 days and 12 months after discharge. The causal relationship between recurrence of atrial fibrillation and factors s...
Source: Brazilian Journal of Cardiovascular Surgery - December 26, 2018 Category: Cardiology Source Type: research

Behavior of Ultrasensitive C-Reactive Protein in Myocardial Revascularization with and without Cardiopulmonary Bypass
Objective: To analyze the inflammation resulting from myocardial revascularization techniques with and without cardiopulmonary bypass, based on ultrasensitive C-reactive protein (US-CRP) behavior.Methods: A prospective non-randomized clinical study with 136 patients was performed. Sixty-nine patients were enrolled for Group 1 (on-pump coronary artery bypass - ONCAB) and 67 patients were assigned to Group 2 (off-pump coronary artery bypass - OPCAB). All study participants had blood samples collected for analysis of glucose, triglycerides, creatinine, total cholesterol, high-d...
Source: Brazilian Journal of Cardiovascular Surgery - December 26, 2018 Category: Cardiology Source Type: research

Operating with Data - Statistics for the Cardiovascular Surgeon: Part III. Comparing Groups
(Source: Brazilian Journal of Cardiovascular Surgery)
Source: Brazilian Journal of Cardiovascular Surgery - December 26, 2018 Category: Cardiology Source Type: research

Heart Team - The Reality?
(Source: Brazilian Journal of Cardiovascular Surgery)
Source: Brazilian Journal of Cardiovascular Surgery - December 26, 2018 Category: Cardiology Source Type: research

Inflammatory Biomarkers in Cardiac Surgery and the Suggestion of an Editors' Heart Team
(Source: Brazilian Journal of Cardiovascular Surgery)
Source: Brazilian Journal of Cardiovascular Surgery - December 26, 2018 Category: Cardiology Source Type: research

Post-Infarction Left Ventricular Aneurysm Repair
(Source: Brazilian Journal of Cardiovascular Surgery)
Source: Brazilian Journal of Cardiovascular Surgery - December 19, 2018 Category: Cardiology Source Type: research

Platelet to Lymphocyte Ratio and Neutrophil to Lymphocyte Ratio May Contribute Little Compared to Standard Preoperative Evaluation
(Source: Brazilian Journal of Cardiovascular Surgery)
Source: Brazilian Journal of Cardiovascular Surgery - December 19, 2018 Category: Cardiology Source Type: research

Lack of Benefit on Treating Asymptomatic Bacteriuria Prior to Cardiovascular Surgery: a Systematic Review and Meta-Analysis
(Source: Brazilian Journal of Cardiovascular Surgery)
Source: Brazilian Journal of Cardiovascular Surgery - December 19, 2018 Category: Cardiology Source Type: research

Comment on “Predictive Value of Mean Platelet Volume in Saphenous Vein Graft Disease”
(Source: Brazilian Journal of Cardiovascular Surgery)
Source: Brazilian Journal of Cardiovascular Surgery - December 19, 2018 Category: Cardiology Source Type: research

Comment on “Lidocaine and pinacidil added to blood versus crystalloid cardioplegic solutions: study in isolated hearts”
(Source: Brazilian Journal of Cardiovascular Surgery)
Source: Brazilian Journal of Cardiovascular Surgery - December 19, 2018 Category: Cardiology Source Type: research