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  2. Keyword: Myocardial Infarction/physiopathology
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Original Article

Creation and Implementation of a Prospective and Multicentric Database of Patients with Acute Myocardial Infarction: RIAM

Jacqueline Vaz et al. Anibal Pereira Abelin Marcia Moura Schmidt Pedro Piccaro de Oliveira … Carlos A. M. Gottschall Clarissa Garcia Rodrigues Alexandre Schaan de Quadros

Abstract

Background

Multicenter registries representing the real world can be a significant source of information, but few studies exist describing the methodology to implement these tools.

Objective

To describe the process of implementing a database of ST-segment elevation acute myocardial infarction (STEMI) at a reference hospital, and the application of this process to other centers by means of an online platform.

Methods

In 2009, our institution implemented an Registry of Acute Myocardial Infarction (RIAM), with the prospective and consecutive inclusion of every patient admitted to the institution who received a diagnosis of STEMI. From March 2014 to April 2016, the registries were uploaded to a web-based system using the REDCap software and the registry was expanded to other centers. Upon subscription, the REDCap platform is a noncommercial software made available by Vanderbilt University to institutions interested in research.

Results

The following steps were taken to improve and expand the registry: 1. Standardization of variables; 2. Implementation of institutional REDCap (Research Electronic Data Capture); 3. Development of data collection forms (Case Report Form – CRF); 4. Expansion of registry to other reference centers using the REDCap software; 5. Training of teams and participating centers following an SOP (Standard Operating Procedure).

Conclusion

The description of the methodology used to implement and expand the RIAM may help other centers and researchers to conduct similar studies, share information between institutions, develop new health technologies, and assist public policies regarding cardiovascular diseases. (Arq Bras Cardiol. 2020; 114(3):446-455)

  • Cardiovascular Diseases, mortality
  • Database
  • Multicenter Study
  • Myocardial Infarction/physiopathology
  • Myocardial Ischemia / physiopathology
  • Public Health Policy
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Creative Commons Attribution (CC BY) Creative Commons license
06/04/2020 DOI: 10.36660/abc.20190036
IJCS
Editorial

Chocolate Consumption: Benefits in Cardiovascular Disease

Milena Barcza Stockler-Pinto

The major risk factors for cardiovascular diseases (CVDs) are directly related to endothelial dysfunction, reduced bioavailability of nitric oxide, vasoconstriction, oxidative stress, and inflammation. Several studies have been stimulating the use of non-pharmacological strategies to reduce these risk factors. In this sense, some nutrients and bioactive compounds in foods have demonstrated beneficial effects. Chocolate, for example, has gained attention for its content of cocoa, a polyphenols-rich food, and flavanols.

In the paper entitled “Association between chocolate consumption and severity of first infarction”, Duarte et al., found that patients with the first acute myocardial infarction (AMI) who consumed chocolate, showed a low Syntax index, indicating low complexity of coronary lesions. The authors also demonstrated a negative correlation between Syntax and the amount of chocolate consumed, and an association between chocolate consumption and absence of systemic arterial hypertension and diabetes. The cardioprotective effects of polyphenols present in chocolate have been studied, and a series of results supported the protective effects of cocoa and chocolate intake on CVDs. These protective effects are associated with vasodilation, improvement of endothelial function, platelet aggregation, increase in HDL and reduction in LDL levels.

[…]

  • Cardiovascular Diseases, mortality
  • Chocolate
  • Flavonoids
  • Myocardial Infarction/physiopathology
  • Polyphenols
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Creative Commons Attribution (CC BY) Creative Commons license
24/10/2019 DOI: 10.5935/2359-4802.20190091 Views 1
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Case Report

Extensive Anterior Myocardial Infarction … and Something Else?

Andrés Ricardo Pérez Riera et al. Raimundo Barbosa Barros Antônio Fernandes Silva e Sousa Neto Rodrigo Daminello Raimundo … Luiz Carlos de Abreu Kjell Nikus

Case report

A 64-year-old Caucasian female, with a one-week history of stress angina. She was admitted to the hospital 2 hours after the onset of oppressive retrosternal pain at rest.

Risk factors: hypertension, smoker, dyslipidemia and diabetes.

[…]

  • Arrhythmias Cardiac
  • Diagnosis Imaging
  • Drug-Eluting Stents
  • Myocardial Infarction/physiopathology
  • P Wave
  • Percutaneous Coronary Intervention
  • Risk Factors
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Creative Commons Attribution (CC BY) Creative Commons license
15/07/2019 DOI: 10.5935/abc.20190096 Views 2
IJCS
Original Article

Association Between Chocolate Consumption and Severity of First Infarction

Heloyse Martins Duarte et al. Milena Christy Rocha de Oliveira Ramona Jung Roberto Léo da Silva … Tammuz Fatah Daniel Medeiros Moreira

Abstract

Background:

Cardiovascular diseases, such as acute myocardial infarction, are the main causes of death in the world. The flavonoids present in chocolate can have benefits for people who have risk factors to the development of cardiovascular diseases and have a coadjuvant effect on known therapies.

Objective:

To analyze the association between chocolate consumption, severity of coronary lesions, risk factors and severity of the first infarction in patients attended at the Cardiology Institute of Santa Catarina and other hospitals in the State of Santa Catarina.

Methods:

Subanalysis of the Catarina Heart Study cohort, evaluated 350 patients with first myocardial infarction. We evaluated clinical, echocardiographic, hemodynamic laboratorial variables. We used chi square test to evaluate qualitative variables, t student test in the case of parametric variables and U Mann Whitney test in non-parametric variables. We considered significant p < 0,05.

Results:

Lower prevalence of hypertension (43.2% % vs. 62.3% p = 0.003), diabetes mellitus (13.5% vs. 25.7%, p = 0.027) and smoking (24.3% vs. 37.7%, p = 0.032) among those who consume chocolate. Higher use of alcohol (40.5% vs. 26.4%, p = 0.018) and drugs (9.5% vs. 3.3%, p = 0.023) among those who consumed chocolate. Among the patients who consumed chocolate, there was a negative correlation between amount consumed and Syntax (r = -0.296, p = 0.019).

Conclusion:

There was association between chocolate consumption and lower prevalence of hypertension, diabetes and smoking. There was no association between amount of chocolate consumed and post-infarction ventricular function and TIMI frame count. Higher prevalence of alcohol and drug use among those who consume chocolate. Negative correlation between Syntax and the amount of chocolate consumed.

  • Cacao
  • Cardiovascular Diseases, mortality
  • Flavonoids
  • Myocardial Infarction/physiopathology
  • Polyphenols
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Creative Commons Attribution (CC BY) Creative Commons license
06/05/2019 DOI: 10.5935/2359-4802.20190039 Views 2
Chart 1
IJCS
Review Article

Accuracy of Impedance Cardiography in Acute Myocardial Infarction: A Literature Review

Lucelia dos Santos Silva et al. Fernanda Faria Reis Monyque Evelyn Santos Silva Dalmo Valerio Machado de Lima

Introduction

Hemodynamic monitoring of individuals with acute myocardial infarction, for evaluation of progression and prognosis of the patient’s clinical picture, has been studied for years.

The Swan-Ganz catheter is an invasive hemodynamic monitoring measurement, indicated for clinical situations, such as acute heart failure (e.g. acute myocardial infarction, complicated by progressive hypotension or cardiogenic shock); mechanical complications of acute myocardial infarction; right ventricular infarction; refractory congestive heart failure; pulmonary hypertension.

[…]

  • cardiography, impedance
  • Data Accuracy
  • Electric Impedance
  • Hemodynamics
  • Myocardial Infarction/physiopathology
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Creative Commons Attribution (CC BY) Creative Commons license
01/01/2018 DOI: 10.5935/2359-4802.20180008 Views 1

How to cite this article

EndNote RIS

Electronic Document Format (Vancouver)

Vaz J, Abelin AP, Schmidt MM, Oliveira PP, Gottschall CAM, Rodrigues CG, Quadros AS, et al. Creation and Implementation of a Prospective and Multicentric Database of Patients with Acute Myocardial Infarction: RIAM. Arquivos Brasileiros de Cardiologia 2020;114(3):446-55.

Electronic Document Format (ABNT)

Vaz, Jacqueline; Abelin, Anibal Pereira; Schmidt, Marcia Moura; Oliveira, Pedro Piccaro de; Gottschall, Carlos A. M.; Rodrigues, Clarissa Garcia; Quadros, Alexandre Schaan de. Creation and Implementation of a Prospective and Multicentric Database of Patients with Acute Myocardial Infarction: RIAM. Arquivos Brasileiros de Cardiologia, v. 114, n. 3, p. 446-455, Apr. 2020.

Electronic Document Format (APA)

Vaz, J., Abelin, A. P., Schmidt, M. M., Oliveira, P. P. , Gottschall, C. A. M., Rodrigues, C. G., & Quadros, A. S. (2020). Creation and Implementation of a Prospective and Multicentric Database of Patients with Acute Myocardial Infarction: RIAM. Arquivos Brasileiros de Cardiologia, 114(3), 446-455.

Electronic Document Format (ISO)

Vaz, Jacqueline and Abelin, Anibal Pereira and Schmidt, Marcia Moura and Oliveira, Pedro Piccaro de and Gottschall, Carlos A. M. and Rodrigues, Clarissa Garcia and Quadros, Alexandre Schaan de. Creation and Implementation of a Prospective and Multicentric Database of Patients with Acute Myocardial Infarction: RIAM. Arquivos Brasileiros de Cardiologia [online]. 2020, vol. 114, n. 3, [cited 2026-10-14], pp. 446-455. Available from: <https://journals.cardiol.br/en/article/creation-and-implementation-of-a-prospective-and-multicentric-database-of-patients-with-acute-myocardial-infarction-riam/>. ISSN 0066-782X

EndNote RIS

Electronic Document Format (Vancouver)

Stockler-Pinto MB. Chocolate Consumption: Benefits in Cardiovascular Disease. International Journal of Cardiovascular Sciences 2019;32(6):583-4.

Electronic Document Format (ABNT)

Stockler-Pinto, Milena Barcza. Chocolate Consumption: Benefits in Cardiovascular Disease. International Journal of Cardiovascular Sciences, v. 32, n. 6, p. 583-584, Oct. 2019.

Electronic Document Format (APA)

Stockler-Pinto, M. B. (2019). Chocolate Consumption: Benefits in Cardiovascular Disease. International Journal of Cardiovascular Sciences, 32(6), 583-584.

Electronic Document Format (ISO)

Stockler-Pinto, Milena Barcza. Chocolate Consumption: Benefits in Cardiovascular Disease. International Journal of Cardiovascular Sciences [online]. 2019, vol. 32, n. 6, [cited 2026-10-14], pp. 583-584. Available from: <https://journals.cardiol.br/en/article/chocolate-consumption-benefits-in-cardiovascular-disease/>. ISSN 2359-4802

EndNote RIS

Electronic Document Format (Vancouver)

Riera ARP, Barros RB, Sousa Neto AFS, Raimundo RD, Abreu LC, Nikus K. Extensive Anterior Myocardial Infarction … and Something Else?. Arquivos Brasileiros de Cardiologia 2019;112(6):803-6.

Electronic Document Format (ABNT)

Riera, Andrés Ricardo Pérez; Barros, Raimundo Barbosa; Sousa Neto, Antônio Fernandes Silva e; Raimundo, Rodrigo Daminello; Abreu, Luiz Carlos de; Nikus, Kjell. Extensive Anterior Myocardial Infarction … and Something Else?. Arquivos Brasileiros de Cardiologia, v. 112, n. 6, p. 803-806, Jul. 2019.

Electronic Document Format (APA)

Riera, A. R. P., Barros, R. B., Sousa Neto, A. F. S. , Raimundo, R. D., Abreu, L. C. , & Nikus, K. (2019). Extensive Anterior Myocardial Infarction … and Something Else?. Arquivos Brasileiros de Cardiologia, 112(6), 803-806.

Electronic Document Format (ISO)

Riera, Andrés Ricardo Pérez and Barros, Raimundo Barbosa and Sousa Neto, Antônio Fernandes Silva e and Raimundo, Rodrigo Daminello and Abreu, Luiz Carlos de and Nikus, Kjell. Extensive Anterior Myocardial Infarction … and Something Else?. Arquivos Brasileiros de Cardiologia [online]. 2019, vol. 112, n. 6, [cited 2026-10-14], pp. 803-806. Available from: <https://journals.cardiol.br/en/article/extensive-anterior-myocardial-infarction-and-something-else/>. ISSN 0066-782X

EndNote RIS

Electronic Document Format (Vancouver)

Duarte HM, Oliveira MCR, Jung R, Silva RL, Fatah T, Moreira DM. Association Between Chocolate Consumption and Severity of First Infarction. International Journal of Cardiovascular Sciences 2019;32(6):576-82.

Electronic Document Format (ABNT)

Duarte, Heloyse Martins; Oliveira, Milena Christy Rocha de; Jung, Ramona; Silva, Roberto Léo da; Fatah, Tammuz; Moreira, Daniel Medeiros. Association Between Chocolate Consumption and Severity of First Infarction. International Journal of Cardiovascular Sciences, v. 32, n. 6, p. 576-582, May. 2019.

Electronic Document Format (APA)

Duarte, H. M., Oliveira, M. C. R. , Jung, R., Silva, R. L. , Fatah, T., & Moreira, D. M. (2019). Association Between Chocolate Consumption and Severity of First Infarction. International Journal of Cardiovascular Sciences, 32(6), 576-582.

Electronic Document Format (ISO)

Duarte, Heloyse Martins and Oliveira, Milena Christy Rocha de and Jung, Ramona and Silva, Roberto Léo da and Fatah, Tammuz and Moreira, Daniel Medeiros. Association Between Chocolate Consumption and Severity of First Infarction. International Journal of Cardiovascular Sciences [online]. 2019, vol. 32, n. 6, [cited 2026-10-14], pp. 576-582. Available from: <https://journals.cardiol.br/en/article/association-between-chocolate-consumption-and-severity-of-first-infarction/>. ISSN 2359-4802

EndNote RIS

Electronic Document Format (Vancouver)

Silva LS, Reis FF, Silva MES, Lima DVM. Accuracy of Impedance Cardiography in Acute Myocardial Infarction: A Literature Review. International Journal of Cardiovascular Sciences 2018;31(3):282-9.

Electronic Document Format (ABNT)

Silva, Lucelia dos Santos; Reis, Fernanda Faria; Silva, Monyque Evelyn Santos; Lima, Dalmo Valerio Machado de. Accuracy of Impedance Cardiography in Acute Myocardial Infarction: A Literature Review. International Journal of Cardiovascular Sciences, v. 31, n. 3, p. 282-289, Dec. 2017.

Electronic Document Format (APA)

Silva, L. S., Reis, F. F., Silva, M. E. S., & Lima, D. V. M. (2018). Accuracy of Impedance Cardiography in Acute Myocardial Infarction: A Literature Review. International Journal of Cardiovascular Sciences, 31(3), 282-289.

Electronic Document Format (ISO)

Silva, Lucelia dos Santos and Reis, Fernanda Faria and Silva, Monyque Evelyn Santos and Lima, Dalmo Valerio Machado de. Accuracy of Impedance Cardiography in Acute Myocardial Infarction: A Literature Review. International Journal of Cardiovascular Sciences [online]. 2018, vol. 31, n. 3, [cited 2026-10-14], pp. 282-289. Available from: <https://journals.cardiol.br/en/article/accuracy-of-impedance-cardiography-in-acute-myocardial-infarction-a-literature-review/>. ISSN 2359-4802

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