América Latina Investiga Covid-19

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COVID-19

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América Latina Investiga

Artículos recientes publicados por colecciones de revistas científicas biomédicas de América Latina.
La información se presenta en castellano, portugués o inglés, según fuera publicada por los editores o registrada en las bases de datos.
La mayoría de los artículos enlaza con los textos completos y gratuitos de las revistas.
Los trabajos fueron provistos por sus editores o seleccionados por SIIC en recursos documentarios de la región: Scielo, Lilacs, BVS, WHO Iris, Lis, PAHO Iris, SIIC Data Bases y otros.

Emergency Department Visits and Deaths from Cardiovascular Diseases at a Referral Center for Cardiology During the COVID-19 Pandemic

Luciano, Luis Sérgio Carvalho; Instituto de Cardiologia de Santa Catarina. São José. BR, Thiago, Luiz Eduardo Koenig São; Instituto de Cardiologia de Santa Catarina. São José. BR, Leer más

Back, Isabela de Carlos; Universidade Federal de Santa Catarina. Florianópolis. BR, Waldrich, Leandro; Instituto de Cardiologia de Santa Catarina. São José. BR, Thiago, Luiza Di Bernardi de São; Universidade do Sul de Santa Catarina. Florianópolis. BR, Alves, Amabile Rodrigues; Universidade do Sul de Santa Catarina. Florianópolis. BR, Comelli, Beatriz Campos; Universidade do Sul de Santa Catarina. Florianópolis. BR, Santos, Mariane Janning; Universidade do Sul de Santa Catarina. Florianópolis. BR, Giuliano, Luiz Carlos; Instituto de Cardiologia de Santa Catarina. São José. BR

Fuente científica: Int. j. cardiovasc. sci. (Impr.)

Fecha de actualización: 4 Febrero, 2022

Abstract Background The COVID-19 pandemic has imposed measures of social distancing and, during this time, there has been an elevation in cardiovascular mortality rates and a decrease in the number of emergency visits. Objectives To assess and compare in-hospital mortality for cardiovascular diseases and emergency department visits during the COVID-19 pandemic and the same period in 2019. Methods Retrospective, single-center study that evaluated emergency visits and in-hospital deaths between March 16, 2020 and June 16, 2020, when the steepest fall in the number of emergency admissions for COVID-19 was registered. These data were compared with the emergency visits and in-hospital deaths between March 16 and June 16, 2019. We analyzed the total number of deaths, and cardiovascular deaths. The level of significance was set at p < 0.05. Results There was a 35% decrease in the number of emergency visits and an increase in the ratio of the number of deaths to the number of emergency visits in 2020. The increase in the ratio of the number of all-cause deaths to the number of emergency visits was 45.6% and the increase in the ratio of the number of cardiovascular deaths to the number of emergency visits was 62.1%. None of the patients who died in the study period in 2020 tested positive for COVID-19. Conclusion In-hospital mortality for cardiovascular diseases increased proportionally to the number of emergency visits during the COVID-19-imposed social distancing compared with the same period in 2019. (Int J Cardiovasc Sci. 2020; [online].ahead print, PP.0-0)

Palabras clave: Betacoronavirus/complications, COVID-19, Cardiovascular Diseases, Emergency Service, Hospitalar, Hospitalization, Hospitals, Packaged, Pandemics, Visitors to Patients

Predictive Value of Myocardial injury in Patients with COVID-19 Admitted to a Quaternary Hospital in the City of Rio de Janeiro

Rocha, Antônio Sérgio Cordeiro da; Hospital Pró-cardíaco. Rio de Janeiro. BR, Volschan, Andre; Hospital Pró-cardíaco. Rio de Janeiro. BR, Leer más

Campos, Luiz Antonio Almeida; Hospital Pró-cardíaco. Rio de Janeiro. BR, Coelho, Roberta Pereira dos Santos; Hospital Pró-cardíaco. Rio de Janeiro. BR, Thielmann, Dominique Cardoso de Almeida; Hospital Pró-cardíaco. Rio de Janeiro. BR, Ferreira, Carlos Augusto Lobbe Cotta; Hospital Pró-cardíaco. Rio de Janeiro. BR, Colafranceschi, Alexandre Siciliano; Hospital Pró-cardíaco. Rio de Janeiro. BR

Fuente científica: Int. j. cardiovasc. sci. (Impr.)

Fecha de actualización: 4 Febrero, 2022

Abstract Background In Brazil the factors involved in the risk of death in patients with COVID-19 have not been well established. Objective To analyze whether elevations of high-sensitivity troponin I (hTnI) levels influence the mortality of patients with COVID-19. Methods Clinical and laboratory characteristics of hospitalized patients with COVID-19 were collected upon hospital admission. Univariate and binary logistic regression analyzes were performed to assess the factors that influence mortality. P-value<0.05 was considered significant. Results This study analyzed192 patients who received hospital admission between March 16 and June 2, 2020 and who were discharged or died by July 2, 2020. The mean age was 70±15 years, 80 (41.7%) of whom were women. In comparison to those who were discharged, the 54 (28.1%) who died were older (79±12 vs 66±15years; P=0.004), and with a higher Charlson´s index (5±2 vs 3±2; P=0.027). More patients, aged≥60years (P <0.0001), Charlson´s index>1 (P=0.004), lung injury>50% in chest computed tomography (P=0.011), with previous coronary artery disease (P=0.037), hypertension (P=0.033), stroke (P=0.008), heart failure (P=0.002), lymphocytopenia (P=0.024), high D-dimer (P=0.024), high INR (P=0.003), hTnI (P<0.0001), high creatinine (P<0.0001), invasive mechanical ventilation (P<0.0001), renal replacement therapy (P<0.0001), vasoactive amine (P<0.0001), and transfer to the ICU (P=0.001), died when compared to those who were discharged. In logistic regression analysis, elevated hTnI levels (OR=9.504; 95% CI=1.281-70.528; P=0.028) upon admission, and the need for mechanical ventilation during hospitalization (OR=46.691; 95% CI=2.360-923.706; P=0.012) increased the chance of in-hospital mortality. Conclusion This study suggests that in COVID-19 disease, myocardial injury upon hospital admission is a harbinger of poor prognosis.

Palabras clave: COVID-19, Mortality, Myocardial Contusions, SARS-CoV-2, Troponin I

Cardiovascular Risk Assessment after COVID-19 Infection before Resuming Sports Activities - Practical Flowchart and Meta-Analysis

Puga, Luís; Centro Hospitalar e Universitário de Coimbra EPE. Coimbra. PT, Dinis, Paulo; Centro de Saúde Militar de Coimbra. Coimbra. PT, Leer más

Teixeira, Rogério; Hospital Geral. Coimbra. PT, Ribeiro, Joana Maria; Centro Hospitalar e Universitário de Coimbra EPE. Coimbra. PT, Dores, Hélder; Hospital da Luz. Lisboa. PT, Gonçalves, Lino; Centro Hospitalar e Universitário de Coimbra EPE. Coimbra. PT

Fuente científica: Int. j. cardiovasc. sci. (Impr.)

Fecha de actualización: 4 Febrero, 2022

Abstract Background: The risk of sports-related sudden cardiac arrest after COVID-19 infection can be a serious problem. There is an urgent need for evidence-based criteria to ensure patient safety before resuming exercise. Objective: To estimate the pooled prevalence of acute myocardial injury caused by COVID-19 and to provide an easy-to-use cardiovascular risk assessment toolkit prior to resuming sports activities after COVID-19 infection. Methods: We searched the Medline and Cochrane databases for articles on the prevalence of acute myocardial injury associated with COVID-19 infection. The pooled prevalence of acute myocardial injury was calculated for hospitalized patients treated in different settings (non-intensive care unit [ICU], ICU, overall hospitalization, and non-survivors). Statistical significance was accepted for p values <0.05. We propose a practical flowchart to assess the cardiovascular risk of individuals who recovered from COVID-19 before resuming sports activities. Results: A total of 20 studies (6,573 patients) were included. The overall pooled prevalence of acute myocardial injury in hospitalized patients was 21.7% (95% CI 17.3-26.5%). The non-ICU setting had the lowest prevalence (9.5%, 95% CI 1.5-23.4%), followed by the ICU setting (44.9%, 95% CI 27.7-62.8%), and the cohort of non-survivors (57.7% with 95% CI 38.5-75.7%). We provide an approach to assess cardiovascular risk based on the prevalence of acute myocardial injury in each setting. Conclusions: Acute myocardial injury is frequent and associated with more severe disease and hospital admissions. Cardiac involvement could be a potential trigger for exercise-induced clinical complications after COVID-19 infection. We created a toolkit to assist with clinical decision-making prior to resuming sports activities after COVID-19 infection.

Palabras clave: Betacoronavirus, COVID-19, Inflammation, Myocarditis, Risk Factors, Sports Medicine, Sports, Sudden Cardiac Death

Quais os significados sobre família em situação de pandemia para os adolescentes?
What are the meanings of families in a pandemic situation for adolescents?

Santos, Kedma Augusto Martiniano; Universidade Federal de Alagoas. Programa de Pós-Graduação em Psicologia. Maceió. BR, Miura, Paula Orchiucci; Universidade Federal de Alagoas. Programa de Pós-Graduação em Psicologia. Maceió. BR, Leer más

Barboza, Alana Madeiro de Melo; Universidade Federal de Alagoas. Programa de Pós-Graduação em Psicologia. Maceió. BR, Araújo, Cristina Generino dos Santos Lima; Universidade Federal de Alagoas. Programa de Pós-Graduação em Psicologia. Maceió. BR

Fuente científica: Ciênc. Saúde Colet

Fecha de actualización: 4 Febrero, 2022

Resumo Este artigo objetivou identificar e compreender os significados da família em situação de pandemia da COVID-19 para jovens do nordeste brasileiro. Trata-se de uma pesquisa qualitativa, com o uso do Procedimento DE-T. Participaram 32 adolescentes do nordeste brasileiro. Observou-se 13 temas, sendo os mais incidentes: distanciamento físico; sentimentos expressos; relações familiares integradoras; aparelhos tecnológicos; relações familiares desintegradoras. Conclui-se sobre a representação da potência familiar no enfrentamento da pandemia, bem como sobre o sofrimento e padecimento familiar frente ao problema de saúde pública que assola o país.

Abstract This paper aimed to identify and understand the meanings of family in a COVID-19 pandemic situation for adolescents in Northeastern Brazil. This qualitative research used the DE-T Procedure with 32 adolescents from Northeastern Brazil. Thirteen themes were observed, and the most incident were physical distance, expressed feelings, integrating family relationships, technological devices, and disintegrating family relationships. We finalize with the representation of family power in facing the pandemic and family suffering in the face of the public health problem that plagues the country.

Palabras clave: Adolescentes, Adolescents, COVID- 19, COVID-19, Family, Família, Pandemia, Pandemic

Sobre o viver em uma cidade capacitista: antes, durante e depois da pandemia da COVID-19
On living in an ableist city: before, during and after the COVID-19 pandemic

Amorim, Annibal Coelho de; Fundação Oswaldo Cruz. Gabinete da Presidência. Programa IdeiaSUS. Rio de Janeiro. BR, Gertner, Sônia Regina da Cunha Barreto; Fundação Oswaldo Cruz. Presidência da Fiocruz. Coordenação-Geral de Gestão de Pessoas. Rio de Janeiro. BR, Leer más

Costa, Laís Silveira; Fundação Oswaldo Cruz. Escola Nacional de Saúde Publica Sergio Arouca. Departamento de Administração e Planejamento em Saúde. Rio de Janeiro. BR, Feminella, Anna Paula; Escola Nacional de Administração Pública. Brasilia. BR

Fuente científica: Ciênc. Saúde Colet

Fecha de actualización: 4 Febrero, 2022

Resumo As imagens das cidades antes, durante e depois da pandemia de COVID-19 representam um desafio contemporâneo. Nesse período, pensar sobre o ser, o estar e o habitar em uma cidade/sociedade capacitista traz à tona a perda de direitos e as demandas de segmentos populacionais particularmente diante das barreiras arquitetônicas, comunicacionais, atitudinais, sensoriais e socioculturais. Tematizar sobre o viver as diferentes inacessibilidades cotidianas nas cidades tangenciam e suscitam discussões no plano ético-estético dos territórios existenciais das pessoas com deficiência e sofrimento psíquico. Em que medida, urbanistas mantém conceitos que sustentam constructos de invisibilidade, que refletem segregações geradas pela macropolítica? Estariam pensando as cidades sem pensar nas pessoas que nelas habitam? O ensaio colabora com o debate sobre a necessidade de ações que visam superar o capacitismo. Partindo de teorias das ciências críticas e da noção de direito do sujeito sanitário, sobrevoa-se a "paisagem do tema" com vistas à efetivação de políticas públicas acessíveis e inclusivas.

Abstract The images of cities before, during and after the COVID-19 pandemic represent a contemporary challenge. During this period, thinking about being a person, being there and living in an ableist city/society brings to light the loss of rights and the demands of population segments, particularly in the face of architectural, communicational, attitudinal, sensory and sociocultural barriers. To thematize about experiencing the different types of daily inaccessibility in the cities come into contact with and raise discussions about the ethical-aesthetic level of the existential territories of people with disabilities and mental suffering. To what extent do urban planners maintain concepts that support invisibility constructs, which reflect segregations generated by macropolitics? Would they be imagining the cities without thinking about the people who inhabit them? The present essay collaborates with the debate on the need for actions aimed at overcoming capacitism. Based on critical science theories and the concept of the health subject's right, the "topic landscape" is explored with a view to implementing accessible and inclusive public policies.

Palabras clave: COVID-19, COVID-19, Deficiência, Disability, Disabled persons, Normatividade, Normativity, Pessoas com deficiência

Cause or Consequence? What is the Relationship between Cardiac Injury and COVID-19 Severity?

Mesquita, Claudio Tinoco; Universidade Federal Fluminense. Niterói. BR

Fuente científica: Int. j. cardiovasc. sci. (Impr.)

Fecha de actualización: 4 Febrero, 2022

Palabras clave: COVID-19/complications, Cardiovascular Diseases/complications, Diabetes Mellitus, Hospitalization, Hypertension, Mortality, Risk Factors, SARS-CoV-2, Troponin I

Exercise Is Medicine! How to Safely Return to Sports after COVID-19? A Meta-Analysis and a Practical Flowchart for Cardiovascular Risk Assessment may Help you

Colombo, Clea; Faculdade São Leopoldo Mandic. Campinas. BR

Fuente científica: Int. j. cardiovasc. sci. (Impr.)

Fecha de actualización: 4 Febrero, 2022

Palabras clave: Athletes, COVID-19, Cardiovascular Diseases, Comorbidities, Exercise, Pandemic, SARS-CoV-2, Sport, Sudden Death

Physical Activity, Obesity, and COVID-19: What can we Expect from his Relationship?

Queiroz, Ciro Oliveira; Escola Bahiana de Medicina e Saúde Pública. Salvador. BR, Conceição, Ariani França; Escola Bahiana de Medicina e Saúde Pública. Salvador. BR, Leer más

Aristides, Paulo Rodrigo Santos; Escola Bahiana de Medicina e Saúde Pública. Salvador. BR, Alves, Leandro Silva; Universidade de São Paulo. São Paulo. BR, Almeida, Rogério Tosta; Universidade Estadual de Feira de Santana. Feira de Santana. BR

Fuente científica: Int. j. cardiovasc. sci. (Impr.)

Fecha de actualización: 4 Febrero, 2022

Palabras clave: COVID-19, Coronavirus, Exercise, Obesity

Pulmonary Embolism in Patients with Covid-19 in Direct Oral Anticoagulant

Luca, Fabio Augusto De; Rede DOr São Luiz. São Paulo. BR, Arruda, Guilherme; Rede DOr São Luiz. São Paulo. BR, Leer más

Esteves, Vinicius; Rede DOr São Luiz. São Paulo. BR, Feldman, André; Rede DOr São Luiz. São Paulo. BR, Sousa, Ítalo Bruno dos Santos; Universidade de São Paulo. INCOR. São Paulo. BR, Brandão, José Célio Vieira; Rede DOr São Luiz. São Paulo. BR, Garcia, Raquel Muarrek; Rede DOr São Luiz. São Paulo. BR, Souza, Olga Ferreira de; Rede DOr São Luiz. São Paulo. BR

Fuente científica: Int. j. cardiovasc. sci. (Impr.)

Fecha de actualización: 4 Febrero, 2022

Palabras clave: Anticoagulants, COVID-19, Pandemics, Pulmonary Embolism, Respiratory Acute Syndrome

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