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  2. Palavra-chave: Stress, Psychological
IJCS
Brief Communication

Takotsubo Syndrome in the Context of Transmural Acute Myocardial Infarction: Prevalence and How to Differentiate?

João Paulo Soares Costa et al. Luiz Eduardo Fonteles Ritt Rafael Modesto Fernandes Felipe Alvarenga Duarte Campos … Queila Borges Eduardo Sahade Darzé

Introduction

Takotsubo syndrome (TTS) is characterized by transient left ventricular dysfunction culminating in acute cardiac dysfunction. It is frequently preceded by emotional or physical stress.,

The most common symptoms at presentation are chest pain and dyspnea. Because the presentation of TTS is similar to that of acute coronary syndrome (ACS), the differential diagnosis is difficult, especially from ST-elevation myocardial infarction (STEMI). Absence of coronary artery disease in the affected area must be confirmed to establish the diagnosis of TTS. To facilitate the diagnosis of TTS, the European Society of Cardiology has recently developed the InterTAK diagnostic score, a promising tool that estimates the probability of a TTS event.,

[…]

  • Acute Coronary Syndrome/diagnosis
  • ST Elevation Myocardial Infarction
  • Stress, Physiological
  • Stress, Psychological
  • Takotsubo Cardiomyopathy
  • Ventricular Function, Left
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Creative Commons Attribution (CC BY) Creative Commons license
17/02/2020 DOI: 10.5935/2359-4802.20190080 Visualizações 2
IJCS
Original Article

Bioprosthesis versus Mechanical Valve Heart Prosthesis: Assessment of Quality of Life

José Carlos Molero Junior et al. Rodrigo Daminello Raimundo, Joice Anaize Tonon do Amaral Luiz Carlos de Abreu João Roberto Breda

Abstract

Background:

The aim of this study was to evaluate the QoL of patients undergoing heart valve replacement using the SF-36 questionnaire, compare it between patients with mechanical prosthesis and patients with bioprosthesis, and correlate the results with sociodemographic variables.

Objective:

To assess the QoL of patients undergoing heart valve replacement and compare it between patients with bioprosthetic valves and patients with mechanical prosthetic valves.

Methods:

We included 36 consecutive patients (16 men) with a mean age of 51 years and six months, who underwent mitral or aortic valve replacement from September 2007 to December 2011. The study was conducted between March and May 2012 and involved the application of the SF-36 survey and a sociodemographic questionnaire. Statistical tests were performed, and data are expressed as absolute frequency and percentile, and median and interquartile range (P25 and P75) (Mann-Whitney test), considering a significance of 95%.

Results:

The average time of surgery was 32.5 months (8-61 months). Participants were asked about the practice of physical activity, and 41.7% were physically active. For the SF-36 domains, the highest scores were observed for the social domain whereas the lowest scores were found for mental health, with a mean of 89.25 and 54.44, respectively. In the statistical analysis, we found statistically higher values in emotional functional for patients with mechanical valve prosthesis (p = 0.0084).

Conclusion:

The QoL of the patients undergoing heart valve replacement improves considerably after the surgery, except for the mental health domain, probably due to the low practice of physical activity. The type of prosthesis seems not to influence the QoL or the patients in the late postoperative period.

  • Aortic Valve
  • heart valve prosthesis
  • mitral valve
  • Quality of life
  • Sickness Impact Profile
  • Stress, Psychological
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Creative Commons Attribution (CC BY) Creative Commons license
24/10/2019 DOI: 10.5935/2359-4802.20190074
IJCS
Editorial

Anxiety, Depression, Stress and the Heart: When Measurement Matters

Cristiano Tschiedel Belem da Silva et al. Rafaela Doebber Escobar

The interplay between cardiovascular symptoms and stress has been a matter of concern for centuries. The first known scientific description of panic disorder, for example, which would nowadays be considered a mixture of panic disorder itself, post-traumatic-stress disorder, cardiac arrhythmia and congestive heart failure, took place in a cohort of three hundred patients of a military hospital in Philadelphia (USA). The name of the new diagnostic entity that followed (“irritable heart syndrome” or simply “Da Costa Syndrome,” named after the author of the original description) is rather an indicator of the historical overlap between cardiovascular diseases (CVD) and psychosocial conditions than properly an example of scientific rigor in describing the discovery of a new medical syndrome.

About sixteen years after the description of the irritable heart syndrome, Augustus Waller, a British physiologist, published the first human electrocardiogram (EKG) applying a capillary electrometer and placing electrodes in the chest and back of an individual. More than half a century after Waller’s publication, the 12-Lead EKG – as we know it now – was standardized by the American Heart Association. Since then, EKG is the most important test for the interpretation of cardiac rhythm and for the detection of myocardial ischemia. In sharp contrast with diagnostic developments in Cardiology and despite a whole new era in neuroimaging, no single physiological marker has emerged to help detecting anxiety disorders or depression in Psychiatry. Nonetheless, the degree to which mental disorders are realized within the brain or in the rest of the body is still unclear.

[…]

  • Anxiety
  • cardiovascular diseases
  • Depression
  • Imaging, Diagnosis
  • Life Style
  • Stress, Psychological
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Creative Commons Attribution (CC BY) Creative Commons license
03/10/2019 DOI: 10.5935/2359-4802.20190082

Como citar este artigo

EndNote RIS

Formato de Documento Eletrônico (Vancouver)

Costa JPS, Ritt LEF, Fernandes RM, Campos FAD, Borges Q, Darzé ES. Takotsubo Syndrome in the Context of Transmural Acute Myocardial Infarction: Prevalence and How to Differentiate?. International Journal of Cardiovascular Sciences 2020;33(1):94-7.

Formato de Documento Eletrônico (ABNT)

Costa, João Paulo Soares; Ritt, Luiz Eduardo Fonteles; Fernandes, Rafael Modesto; Campos, Felipe Alvarenga Duarte; Borges, Queila; Darzé, Eduardo Sahade. Takotsubo Syndrome in the Context of Transmural Acute Myocardial Infarction: Prevalence and How to Differentiate?. International Journal of Cardiovascular Sciences, v. 33, n. 1, p. 94-97, fev. 2020.

Formato de Documento Eletrônico (APA)

Costa, J. P. S., Ritt, L. E. F., Fernandes, R. M., Campos, F. A. D., Borges, Q., & Darzé, E. S. (2020). Takotsubo Syndrome in the Context of Transmural Acute Myocardial Infarction: Prevalence and How to Differentiate?. International Journal of Cardiovascular Sciences, 33(1), 94-97.

Formato de Documento Eletrônico (ISO)

Costa, João Paulo Soares and Ritt, Luiz Eduardo Fonteles and Fernandes, Rafael Modesto and Campos, Felipe Alvarenga Duarte and Borges, Queila and Darzé, Eduardo Sahade. Takotsubo Syndrome in the Context of Transmural Acute Myocardial Infarction: Prevalence and How to Differentiate?. International Journal of Cardiovascular Sciences [online]. 2020, vol. 33, n. 1, [citado 2026-10-14], pp. 94-97. Disponível em: <https://journals.cardiol.br/article/takotsubo-syndrome-in-the-context-of-transmural-acute-myocardial-infarction-prevalence-and-how-to-differentiate-2/>. ISSN 2359-4802

EndNote RIS

Formato de Documento Eletrônico (Vancouver)

Molero Junior JC, Raimundo RD, Amaral JAT, Abreu LC, Breda JR. Bioprosthesis versus Mechanical Valve Heart Prosthesis: Assessment of Quality of Life. International Journal of Cardiovascular Sciences 2019;33(1):36-42.

Formato de Documento Eletrônico (ABNT)

Molero Junior, José Carlos; Raimundo, Rodrigo Daminello; Amaral, Joice Anaize Tonon do; Abreu, Luiz Carlos de; Breda, João Roberto. Bioprosthesis versus Mechanical Valve Heart Prosthesis: Assessment of Quality of Life. International Journal of Cardiovascular Sciences, v. 33, n. 1, p. 36-42, out. 2019.

Formato de Documento Eletrônico (APA)

Molero Junior, J. C., Raimundo, R. D., Amaral, J. A. T. , Abreu, L. C. , & Breda, J. R. (2019). Bioprosthesis versus Mechanical Valve Heart Prosthesis: Assessment of Quality of Life. International Journal of Cardiovascular Sciences, 33(1), 36-42.

Formato de Documento Eletrônico (ISO)

Molero Junior, José Carlos and Raimundo, Rodrigo Daminello and Amaral, Joice Anaize Tonon do and Abreu, Luiz Carlos de and Breda, João Roberto. Bioprosthesis versus Mechanical Valve Heart Prosthesis: Assessment of Quality of Life. International Journal of Cardiovascular Sciences [online]. 2019, vol. 33, n. 1, [citado 2026-10-14], pp. 36-42. Disponível em: <https://journals.cardiol.br/article/bioprosthesis-versus-mechanical-valve-heart-prosthesis-assessment-of-quality-of-life-2/>. ISSN 2359-4802

EndNote RIS

Formato de Documento Eletrônico (Vancouver)

Silva CTB, Escobar RD. Anxiety, Depression, Stress and the Heart: When Measurement Matters. International Journal of Cardiovascular Sciences 2019;32(5):447-8.

Formato de Documento Eletrônico (ABNT)

Silva, Cristiano Tschiedel Belem da; Escobar, Rafaela Doebber. Anxiety, Depression, Stress and the Heart: When Measurement Matters. International Journal of Cardiovascular Sciences, v. 32, n. 5, p. 447-448, out. 2019.

Formato de Documento Eletrônico (APA)

Silva, C. T. B. , & Escobar, R. D. (2019). Anxiety, Depression, Stress and the Heart: When Measurement Matters. International Journal of Cardiovascular Sciences, 32(5), 447-448.

Formato de Documento Eletrônico (ISO)

Silva, Cristiano Tschiedel Belem da and Escobar, Rafaela Doebber. Anxiety, Depression, Stress and the Heart: When Measurement Matters. International Journal of Cardiovascular Sciences [online]. 2019, vol. 32, n. 5, [citado 2026-10-14], pp. 447-448. Disponível em: <https://journals.cardiol.br/article/anxiety-depression-stress-and-the-heart-when-measurement-matters-2/>. ISSN 2359-4802

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