1,063 research outputs found

    A good excuse for skipping the test: electrical storm in a teenager

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    We describe the case of a teenager with a structurally normal heart that presented with torsades de pointes and cardiac arrest. He had a history of epilepsy in childhood, mild cognitive impairment and cognitive visual dysfunction. The baseline electrocardiogram had prominent J waves and a marked early repolarization pattern in all the leads, with normal QT interval. We discuss the differential diagnosis for this interesting case, as well as the patient's management.info:eu-repo/semantics/publishedVersio

    Composição proximal e perfil de ácidos graxos de hambúrgueres de carne de capivara (Hydrochoerus hydrochaeris).

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    A carne de capivara (Hidrochoerus hydrochaeris) tem se destacado pelo seu potencial de aproveitamento econômico e pela riqueza em ácidos graxos. Estudos da composição físico-química da carne de capivara e aspectos nutricionais ainda são escassos e trabalhos que a caracterizem são raros, diante deste fato, o trabalho teve por objetivo realizar a caracterização físico-química e o perfil de ácidos graxos de hambúrguer de carne de capivara. Os valores encontrados na análise de umidade (77,23 ± 0,31), cinzas (1,24 ± 0,32), proteínas (18,67 ± 0,32) e gorduras (2,90 ± 1,46) foram satisfatórios. Em relação aos ácidos graxos, observa-se que o hambúrguer de capivara é fonte de ácidos graxos monoinsaturados (31,42%) tendo como principal representante deste grupo o ácido oleico (27,43%). Também, o grupo dos ômegas encontra-se em quantidades expressivas no hambúrguer de capivara. Do total de ácidos graxos insaturados presentes 30% são polinsaturados, sendo os principais representantes deste grupo o ácido linoléico (21,34%), o ácido linolênico (7,01%) e o ácido eicosatrienóico (1,83%). A relação entre o total de ácidos graxos saturados (37,77%) e insaturados (62,22%) é plenamente satisfatória. Dessa forma recomenda-se o consumo de hambúrguer de capivara não só por seu sabor peculiar como também pelo elevado valor nutricional em termos de composição proximal e de ácidos graxos insaturados

    Efficacy And Safety Of Implantable Loop Recorder: Experience Of A Center

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    Introduction: Symptoms like syncope or palpitations frequently present a diagnostic challenge. An implantable loop recorder (ILR) is an important aid in the management of these patients. Methods: A retrospective study of patients that underwent ILR implantation from November 2007 to 2014. For each patient the indication for implantation, baseline characteristics, previous study, complications, recorded tracing and interventions were evaluated. Results: A total of 62 patients were included, 50% men, with a mean age of 62.5±18.8 years old. Previously to ILR implantation 88.7% of patients had performed Holter, 17.7% external events recorder, 33.9% Tilt test and 29% an electrophysiological study. The implantation indications were recurrent syncope in 90.3%, palpitations 8.1% and ischemic stroke in one patient. Mean follow-up time was 17.1±16.3 months. Symptoms were reported in 66.1% of the patients, 46.8% of those yielding a diagnostic finding. In all cases of palpitation complaints with diagnosis we found atrial fibrillation (AF). In patients with syncope atrioventricular conduction disturbance was demonstrated in 19.6%, sinus node dysfunction in 16.1%, paroxysmal supra-ventricular tachycardia 7.1% and AF in 1.8%. These finding resulted in 19 pacemaker and one CRT-D implantation, introduction of anticoagulation in five patients and one ablation of accessory pathway. There were no major complications. Conclusion: ILR proved to be safe and efficient. It has enabled the identification or exclusion of serious rhythm disturbances in more than half of patients and provided a targeted therapeutic intervention.info:eu-repo/semantics/publishedVersio
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