Ischemic cardiomyopathy is one of the major health problems worldwide,
representing a significant part of mortality in the general population nowadays.
Cardiac magnetic resonance imaging (CMRI) and cardiac computed tomography (CCT)
are noninvasive imaging methods that serve as useful tools in the diagnosis of
coronary artery disease and may also help in screening individuals with risk
factors for developing this illness. Technological developments of CMRI and CCT
have contributed to the rise of several clinical indications of these imaging
methods complementarily to other investigation methods, particularly in cases
where they are inconclusive. In terms of accuracy, CMRI and CCT are similar to
the other imaging methods, with few absolute contraindications and minimal risks
of adverse side-effects. This fact strengthens these methods as powerful and
safe tools in the management of patients. The present study is aimed at
describing the role played by CMRI and CCT in the diagnosis of ischemic
cardiomyopathies.
Hypertrophic cardiomyopathy (HCM) is the most common genetic cardiovascular
disease and represents the main cause of sudden death in young patients. Cardiac
magnetic resonance (CMR) and cardiac computed tomography (CCT) are noninvasive
imaging methods with high sensitivity and specificity, useful for the
establishment of diagnosis and prognosis of HCM, and for the screening of
patients with subclinical phenotypes. The improvement of image analysis by CMR
and CCT offers the potential to promote interventions aiming at stopping the
natural course of the disease. This study aims to describe the role of RCM and
CCT in the diagnosis and prognosis of HCM, and how these methods can be used in
the management of these patients.
Only 28% knew the term "nephrology", illustrating the specialty's low penetration. We must strive to popularize this field of medicine aiming at better educating the population concerning the prevention and care of kidney diseases.
Amyloidosis is a disease caused by extracellular deposition of insoluble protein fibrils, that results in changes in tissue architecture and consequently modification of the organ structure. Cardiac involvement is common in amyloidosis. Two major types of systemic amyloidosis affect the myocardium-immunoglobulin light chain and transthyretin amyloidosis-each leading to different prognosis. Early detection and diagnosis of cardiac amyloidosis are the main objectives in the assessment of the disease. New techniques of magnetic resonance imaging have minimized the need for biopsies for the diagnosis. Late gadolinium enhancement technique, and more recently T1 mapping, have allowed a simplified evaluation of amyloid deposits and extracellular volume. The aim of this review was to describe basic concepts and updates of the use of magnetic resonance imaging for the diagnosis amyloidosis and evaluation of its severity.
RESUMOObjetivo: Avaliar a prevalência de diabéticos em uma amostra de pacientes com glaucoma; verificar se existe associação entre diabetes mellitus e glaucoma na amostra estudada; verificar outros fatores de risco associados. Métodos: Foram analisados de forma retrospectiva os prontuários de 50 pacientes com diagnóstico de glaucoma. Os dados registrados foram sexo, idade, raça, história familiar de glaucoma e história pessoal de diabetes mellitus tipo 2. Resultados: Do total de pacientes avaliados, 5 (10%) apresentavam diabetes mellitus tipo 2. Destes, 3 eram mulheres e 2 eram homens, com mediana de idade de 81 anos (71-88). A prevalência de diabetes nos pacientes com glaucoma não mostrou diferenças significativas (OR: 1,476; Intervalo de Confiança 95%: 0,4438 a 4,910; p= 0,5352) quando comparada à prevalência de diabetes mellitus tipo 2 na população geral brasileira (7,6%). Conclusão: Nesta amostra de pacientes com glaucoma, a prevalência de diabetes mellitus tipo 2 foi pouco mais elevada que a da população. Entretanto, nenhuma associação foi encontrada entre diabetes mellitus e glaucoma.
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