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  2. Keyword: Health Equity
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Editorial

Bridging Global Calls to Local Action: Advancing Cardiovascular Equity for Women in Brazil

Ariane Vieira Scarlatelli Macedo et al. Fernanda Souza de Carvalho Teresa Glynn Neil Johnson … Karen Padilla Cabrera Marlene Oliveira

The Global Burden of Disease 2023 highlights the catastrophic impact of cardiovascular disease, accounting for 19.2 million deaths worldwide in 2023. Women experience 20% higher post-myocardial infarction mortality, a greater prevalence of heart failure with preserved ejection fraction, and faster-rising metabolic risks (such as body mass index) compared with men. Critically, 79.6% of the global cardiovascular burden is attributable to modifiable risk factors – including high blood pressure, dyslipidemia, diet, and air pollution – yet age-standardized rates remain highest in low-income settings, where women are disproportionately affected.,

Evidence consistently shows that women face specific disadvantages across the cardiovascular care continuum.– They are more likely to experience late, missed, or misdiagnosed heart disease, driven by gaps in symptom recognition, male-centered diagnostic pathways, underrepresentation in research, and fragmented care., These systemic inequities contribute to delayed diagnosis and poorer treatment outcomes for women.

[…]

  • Cardiovascular Diseases
  • Health Equity
  • Health Status Disparities
  • Primary Prevention
  • Women
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Creative Commons Attribution (CC BY) Creative Commons license
11/05/2026 DOI: 10.36660/abc.20260110i Views 2
Figure 1
ABCHF
Original Article

Availability of Natriuretic Peptide Testing in Primary Public Health Care in Brazil

Andressa Araujo Braga et al. Marisa da Silva Santos Bernardo Rangel Tura Bruno Monteiro Barros … Quenia Cristina Dias Morais Ione Gualandi Oliveira

Abstract

Background:

Early detection of heart failure makes it possible to intervene in risk factors, and treatment is capable of modifying the natural history of the disease. For diagnostic confirmation, natriuretic peptide (NP) testing or transthoracic echocardiography can be performed; the former is preferable when considering cost and accessibility. Although this test was incorporated into the Brazilian Unified Health System (SUS) in 2018, requests for this test were registered in only 4.63% of municipalities in the SUS Outpatient Information System (SIA/SUS) in 2022. This leads to difficulties in both heart failure diagnosis and access to specific treatments, given that the use of sacubitril valsartan sodium depends on the performance of this test.

Objective:

To evaluate the availability of NP testing in the SUS.

Methods:

Cross-sectional study carried out by means of telephone contact with a probabilistic sample of 255 Brazilian municipal health departments.

Results:

NP testing was reported as available in 20.78% (53/255) of contacts, either within the municipality (16.86% [43/255]) or in the reference municipality (3.92% [10/255]), while 78.04% (199/255) of interviewees reported that the test was not available through the SUS.

Conclusion:

Although NP testing has been incorporated into the SUS since 2018, we observed that the test was available in 12.23% of municipalities, in addition to those that actually registered a request in the SIA/SUS during the year studied (2022). This suggests that, in addition to the fact that the test is not offered in a uniform manner throughout the country, there are still municipalities where the test is available, but its use has not been registered.

  • Brain Natriuretic Peptide
  • Effective Access to Health Services
  • Health Equity
  • Heart Failure
  • Unified Health System
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Creative Commons Attribution (CC BY) Creative Commons license
31/12/2023 DOI: 10.36660/abchf.20230087
Figure 1
IJCS
Editorial

Access to Health Services Among Deaf People: An Issue of Inclusion and Linguistic Rights

Gildete da Silva Amorim Mendes Francisco et al. Claudio Tinoco Mesquita

Hearing loss and individualities

Studies have shed light on the physiology of the auditory system, which is fundamental to understanding the diversity found in the deaf community. A study by Silva discusses the 3 types of auditory load described in Silman & Silverman’s classification system: conductive, neurosensory, and mixed.

The first type is caused by inflammatory processes, excess cerumen in the external auditory canal, changes in the articulation of the auditory ossicles and tympanic membrane, malformations of the external ear, etc. Hearing function can be completely restored in most of these cases. The second type is caused by degeneration due to the natural aging process, industrial or environmental noise exposure, drugs, stress, metabolic alterations, chronic diseases, head trauma, and diseases of the inner ear, such as Ménière’s disease or auditory neuropathy, etc. Hearing loss of this type is considered irreversible, and the remaining sensory cells are stimulated through external amplifiers. The third category, defined as mixed hearing loss, occurs due to changes in the auditory system that can simultaneously affect the outer, middle, and inner ear.

[…]

  • Auditory Diseases
  • Deafness
  • Health Equity
  • Health Services Accessibility
  • Persons with Hearing Impairments/education
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Creative Commons Attribution (CC BY) Creative Commons license
27/01/2023 DOI: 10.36660/ijcs.20220196

How to cite this article

EndNote RIS

Electronic Document Format (Vancouver)

Macedo AVS, Carvalho FS, Glynn T, Johnson N, Cabrera KP, Oliveira M. Bridging Global Calls to Local Action: Advancing Cardiovascular Equity for Women in Brazil. Arquivos Brasileiros de Cardiologia 2026;123(3):e20260110.

Electronic Document Format (ABNT)

Macedo, Ariane Vieira Scarlatelli; Carvalho, Fernanda Souza de; Glynn, Teresa; Johnson, Neil; Cabrera, Karen Padilla; Oliveira, Marlene. Bridging Global Calls to Local Action: Advancing Cardiovascular Equity for Women in Brazil. Arquivos Brasileiros de Cardiologia, v. 123, n. 3, e20260110, May. 2026.

Electronic Document Format (APA)

Macedo, A. V. S., Carvalho, F. S. , Glynn, T., Johnson, N., Cabrera, K. P., & Oliveira, M. (2026). Bridging Global Calls to Local Action: Advancing Cardiovascular Equity for Women in Brazil. Arquivos Brasileiros de Cardiologia, 123(3), e20260110.

Electronic Document Format (ISO)

Macedo, Ariane Vieira Scarlatelli and Carvalho, Fernanda Souza de and Glynn, Teresa and Johnson, Neil and Cabrera, Karen Padilla and Oliveira, Marlene. Bridging Global Calls to Local Action: Advancing Cardiovascular Equity for Women in Brazil. Arquivos Brasileiros de Cardiologia [online]. 2026, vol. 123, n. 3, [cited 2026-10-14], e20260110. Available from: <https://journals.cardiol.br/en/article/bridging-global-calls-to-local-action-advancing-cardiovascular-equity-for-women-in-brazil/>. ISSN 0066-782X

EndNote RIS

Electronic Document Format (Vancouver)

Braga AA, Santos MS, Tura BR, Barros BM, Morais QCD, Oliveira IG. Availability of Natriuretic Peptide Testing in Primary Public Health Care in Brazil. ABC Heart Fail Cardiomyop 2023;3(4):e20230087.

Electronic Document Format (ABNT)

Braga, Andressa Araujo; Santos, Marisa da Silva; Tura, Bernardo Rangel; Barros, Bruno Monteiro; Morais, Quenia Cristina Dias; Oliveira, Ione Gualandi. Availability of Natriuretic Peptide Testing in Primary Public Health Care in Brazil. ABC Heart Fail Cardiomyop, v. 3, n. 4, e20230087, Dec. 2023.

Electronic Document Format (APA)

Braga, A. A., Santos, M. S., Tura, B. R., Barros, B. M., Morais, Q. C. D., & Oliveira, I. G. (2023). Availability of Natriuretic Peptide Testing in Primary Public Health Care in Brazil. ABC Heart Fail Cardiomyop, 3(4), e20230087.

Electronic Document Format (ISO)

Braga, Andressa Araujo and Santos, Marisa da Silva and Tura, Bernardo Rangel and Barros, Bruno Monteiro and Morais, Quenia Cristina Dias and Oliveira, Ione Gualandi. Availability of Natriuretic Peptide Testing in Primary Public Health Care in Brazil. ABC Heart Fail Cardiomyop [online]. 2023, vol. 3, n. 4, [cited 2026-10-14], e20230087. Available from: <https://journals.cardiol.br/en/article/availability-of-natriuretic-peptide-testing-in-primary-public-health-care-in-brazil/>

EndNote RIS

Electronic Document Format (Vancouver)

Francisco GSAM, Mesquita CT. Access to Health Services Among Deaf People: An Issue of Inclusion and Linguistic Rights. International Journal of Cardiovascular Sciences 2023;36:e20220196.

Electronic Document Format (ABNT)

Francisco, Gildete da Silva Amorim Mendes; Mesquita, Claudio Tinoco. Access to Health Services Among Deaf People: An Issue of Inclusion and Linguistic Rights. International Journal of Cardiovascular Sciences, v. 36, e20220196, Jan. 2023.

Electronic Document Format (APA)

Francisco, G. S. A. M., & Mesquita, C. T. (2023). Access to Health Services Among Deaf People: An Issue of Inclusion and Linguistic Rights. International Journal of Cardiovascular Sciences, 36, e20220196.

Electronic Document Format (ISO)

Francisco, Gildete da Silva Amorim Mendes and Mesquita, Claudio Tinoco. Access to Health Services Among Deaf People: An Issue of Inclusion and Linguistic Rights. International Journal of Cardiovascular Sciences [online]. 2023, vol. 36, [cited 2026-10-14], e20220196. Available from: <https://journals.cardiol.br/en/article/access-to-health-services-among-deaf-people-an-issue-of-inclusion-and-linguistic-rights/>. ISSN 2359-4802

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