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ISSN (Print): 2359-4802 | ISSN (Online): 2359-5647

Article's Author

4 result(s) for: Luiz Fernando Machado Barbosa

Quality of life analysis among men and women with heart failure

Análise da qualidade de vida em homens e mulheres portadores de insuficiência cardíaca

Roberto Ramos Barbosa; Rafaela Vieira Franklin; Anelise Venturini Stefenoni; Vanessa Delfino Moraes; Tiago de Melo Jacques; Renato Giestas Serpa; Osmar de Araujo Calil; Luiz Fernando Machado Barbosa

Rev Bras Cardiol.2014;27(2):97-103 : Original Article

Abstract PDF PORT

BACKGROUND: Heart failure (HF) can severely impact the quality of life (QOL), and little is known about QOL and differences between men and women with HF. The Minnesota Living with Heart Failure Questionnaire (MLHFQ) is tool that assesses the QOL of HF patients.
OBJECTIVE: To assess the QOL of HF patients, comparing men and women.
METHODS: A single-center transversal descriptive study applying the MLHFQ to HF patients with reduced ejection fraction monitored at the HF Clinic of a University Hospital between October 2012 and March 2013. The MLHFQ findings were analyzed for these patients and compared by gender.
RESULTS: This study encompassed 74 patients: male (n=42; 56.8%) and female (n=32; 43.2%). A comparison of these two groups revealed no differences in their clinical characteristics and medications. The male group presented 0.27 hospitalizations/patient/year vs. 0.17 hospitalizations/patient/year in the female group (p=0.32). The average MLHFQ score was 35.6±18.9 for men and 47.8±24.0 for women (p=0.02).
CONCLUSIONS: Despite fewer hospitalizations, a poorer QOL was noted among female HF patients, compared to the male group.

Study on lifestyles and stress levels in medicine students

Estudo sobre estilos de vida e níveis de estresse em estudantes de medicina

Roberto Ramos Barbosa; Mariana Carvalho Gomes Martins; Felipe Poubel Timm do Carmo; Tiago de Melo Jacques; Renato Giestas Serpa; Osmar de Araujo Calil; Luiz Fernando Machado Barbosa

Int J Cardiovasc Sci.2015;28(4):313-319 : Original Article


BACKGROUND: Unhealthy lifestyles are preventable risk factors for chronic diseases. Intervening on them is a fundamental strategy of preventive health.
OBJECTIVE: To evaluate lifestyle, stress levels, diseases and cardiovascular risk factors of medical students.
METHODS: Cross-sectional, observational study with students from a medical school stratified into: Group 1 (G1) - from the 1st to the 4th period of the course, Group 2 (G2) - from the 5th to the 8th and Group 3 (G3) - from the 9th to the 12th. Two questionnaires were given: Fantastic Lifestyle and another one related to stress levels, diseases and cardiovascular risk factors.
RESULTS: The study included 482 students, average age 21.7±2.7 years. The average score on the Fantastic Lifestyle questionnaire ranked G1 and G3 at Very good (72.1 and 71.3 points, respectively) and G2 in Good (69.2 points) (p=0.007). As for the stress levels, they responded High or Very High 22.3% in G1, 34.9% in G2 and 30.7% in G3 (p=0.008). The most prevalent diseases were dyslipidemia (7.4%), hypertension (2.6%) and depressive disorder (2.2%).
CONCLUSIONS: There was considerable worsening of lifestyle and stress levels from the 5th period, with partial improvement in the last two years of the course. There was a significant prevalence of dyslipidemia, hypertension and depressive disorder.

Impact of heart failure clinic on six-minute walk test

Impacto da clínica de insuficiência cardíaca no teste de caminhada de seis minutos

Roberto Ramos Barbosa; Márya Duarte Pagotti; Thiago Ceccatto de Paula; Tiago de Melo Jacques; Renato Giestas Serpa; Osmar de Araujo Calil; Andressa Corteletti; Luiz Fernando Machado Barbosa

Int J Cardiovasc Sci.2015;28(6):451-459 : Original Article


BACKGROUND: The six-minute walk test (6MWT) is an easy-to-use low-cost test that is employed to objectively evaluate the degree of functional limitation and the prognosis of heart failure (HF).
OBJECTIVE: To evaluate the 6MWT of individuals with newly diagnosed HF, performed on admission and after six months, analyzing the minimal important difference - MID between the two tests.
METHODS: Historical cohort study. The first 6MWT was evaluated in patients with systolic HF referred to the HF clinic from July 2012 to October 2014 and the second 6MWT after six months. The group that reached the MID distance in the second test was compared to the group that did not reach it. Delta-distance and need for hospitalizations were assessed as adherence to treatment, functional class (FC) of the New York Heart Association at the first visit and degree of left ventricular dysfunction.
RESULTS: The difference in the distance covered between the 6MWT was 48.79 m in the study population and the MID distance calculated was 49 m. Thirty patients (58.8%) had lower delta-distance than the MID distance, with an average age higher than the other group (p=0.01). The average delta-distance was significantly higher in patients adhering to treatment and in those who were in FC III at the first visit.
CONCLUSION: There was general increase in the average distance covered from the first to the second 6MWT in patients with HF, but less than half of patients achieved significant increment.

Management of pregnant woman with Marfan Syndrome and mechanical aortic valved conduit

Acompanhamento de gestante portadora de Síndrome de Marfan com tubo valvado metálico aórtico

Roberto Ramos Barbosa; Afonso Dalmazio Souza Mario; Osmar Araujo Calil; Tiago de Melo Jacques; Renato Giestas Serpa; Luiz Fernando Machado Barbosa

Int J Cardiovasc Sci.2016;29(4):329-332 : Case Report


We report a case of a 29-year-old patient with Marfan Syndrome and a mechanical aortic valved conduit graft that was referred to cardiologist at seven weeks pregnant. Echocardiogram: aortic root diameter 35 mm, normally functioning mechanical aortic valve graft. She had a specialized cardiologist follow up. The patient was submitted to cesarean at 38 weeks pregnant, with general anesthesia, antibiotic prophylaxis for endocarditis, cardiac monitoring on the surgical center and stayed in the Coronary Care Unit for 24 hours. Pregnancy and puerperium evolved without hemorrhagic events. The clinical and obstetric follow up of pregnant women with Marfan Syndrome is challenging, and the condition of the previously implanted mechanical heart valve enhances the risk for those patients.