Cisto de sangue

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6726829/#!po=43.7500

Presentation of cardiac blood cysts in adulthood is rare. Moreover, a few of these cases occasionally develop complications, such as valvular dysfunction, embolic stroke, and ventricular outflow system obstruction.1,2 We report a case of an adult male patient who developed frequent syncope due to mitral valve blood cysts occluding the aortic orifice. This condition was detected by transthoracic and contrast echocardiography.

https://www.cureus.com/articles/23662-evaluation-of-mitral-apparatus-blood-cyst-a-case-report-and-review-of-literature

Risco e progressão da FR

Simplified Echocardiography Screening Criteria for Diagnosing and Predicting Progression of Latent Rheumatic Heart Disease

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https://www.ahajournals.org/doi/10.1161/CIRCIMAGING.118.007928

Conclusions:

This simplified score, based on components of the World Heart Federation criteria, is highly accurate to recognize definite RHD and provides the first tool for risk stratification, assigning children with latent RHD to low, intermediate, or high risk based on echocardiographic features at diagnosis.

Um artigo muito bom e completo

Braile é central na história das cardiopatias no Brasil

Tive a oportunidade de trabalhar com o Professor Braile na UNICAMP nos anos 90

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Como residente, foi muito bom para minha formação de clínico

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Sempre cordial com os alunos, espalhando sua experiência para quem estivesse disposto a aprender

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Sempre defendeu trocar a válvula Aórtica antes do ventrículo sofrer

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Vintes anos depois, as TAVR caminham para a realização do seu conselho

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TAVR vai parar no SUS

Hoje compramos uma válvula biológica no HC por menos de 3 mil reais

Para o SUS mudar de procedimento, um desconto na TAVR de 75 mil para menos de 30 mil seria necessário

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Sabemos que para calcular o preço de um novo procedimento, um ganho enorme é embutido

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Para pagar o investimento em pesquisa e desenvolvimento…

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O grande volume de implantes que virá após entrar na lista SUS certamente vai permitir a aplicação de descontos que seguem leis de mercado e não de “ressarcimento de pesquisa”

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Esperar para ver !

Fazer estudo de ICFEp sem Ecoestresse diastólico? Sorry Paragon HF.

https://www.onlinejase.com/article/S0894-7317(16)00044-4/fulltext#sec6

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Recommendations for the Evaluation of Left Ventricular Diastolic Function by Echocardiography: An Update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging

Indications

Diastolic stress testing is indicated when resting echocardiography does not explain the symptoms of heart failure or dyspnea, especially with exertion. In general, patients with completely normal hearts and diastolic function at rest with preserved e′ velocity (>7 cm/sec for septal e′, >10 cm/sec for lateral e′) need not undergo stress testing as it is highly unlikely that they will develop diastolic dysfunction and elevated filling pressures with exercise. Likewise, patients with abnormal findings at baseline consistent with elevated LV filling pressures should not be referred for stress testing as the cardiac etiology for dyspnea has already been established and their filling pressures will almost certainly increase further with exercise. The most appropriate patient population for diastolic exercise testing is the group of patients with grade 1 diastolic dysfunction, which indicates delayed myocardial relaxation and normal LA mean pressure at rest.

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Diastolic stress testing is best performed with exercise and not using dobutamine as the administration of the drug does not simulate the day-to-day physiologic stress

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O teste de estresse diastólico é melhor realizado com exercícios e não o uso de dobutamina, pois a administração do medicamento não simula o estresse fisiológico do dia-a-dia.

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https://www.escardio.org/Congresses-&-Events/ESC-Congress/Congress-resources/Congress-news/PARAGON-HF-Do-patients-with-HFpEF-benefit-from-sacubitril-valsartan

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