I Diretriz de Insuficiência Cardíaca (IC) e Transplante Cardíaco, no Feto, na Criança e em Adultos com Cardiopatia Congênita, da Sociedade Brasileira de Cardiologia

Azeka, Estela; Jatene, M. B.; Jatene, IB; Horowitz, Esk; Branco, KC; Neto, JD Souza; Miura, Nana; Mattos, Samanta de Souza; Afiune, JY; Tanaka, A; Santos, C.G.; Guimarães, Icb; Manso, Paulo Henrique; Pellizari, Rcrs; Santos, M.B.S; Thomaz, AM; Cristofani, L.M.; Ribeiro, Acl; Kulikowski, Leslie Domenici; Sampaio, MC; Pereira, AC; Soares, AM; Soares, Jamil da Silva; Oh, Ghy; Moreira,; C, Mota; Afiune, Cmc; Pedra, Carlos Augusto Cardoso; Pedra, Simone Rolim Fernandes Fontes; Pedrosa, Anísio; Guimaraes, M. S.; Canêo, Luiz Fernando; Ferreiro, CR; Filho, Costa; Stefanello, B; Negrão, C. E.; Turquetto, Aida Luiza Ribeiro; Mesquita, Smf; Wt, Maeda; Zorzanelli, Leína; Panajotopolos, N; Siqueira, A.; Galas, Frb; Hajjar, L; Benvenuti, L.A.; Vincenzi, Paolo; Odone,; Lopes, Marta Heloísa; Strabelli, Tmv; Franchi, SM; Takeuti, AD; Duarte, MF; León, R. Llorens; Hermida, Rpm; Sorpreso, Ice; Soares, J P; Melo, N. B.; Ec, Baracat; Bortolotto, Maria Rita Lemos; Scanavacca, Maurício; Shimoda,; Foronda, Gustavo; Romano, B. W.; Silva, DB; Omura, M.; Barbeiro, C.; Vinhole, Arg; Palomo, J. D. García; Gonçalves, Mab; Reis, Icf; Oliveira, L. M. ura; Ribeiro, C. N. M.; Isosaki, Mitsue; Vieira, Lis Proença; Feltrim, Miz; Manoel, LA; Abud, Kco; Paschotto,; Neves, Ili; Garcia, A Iglesias; Cipriano, SL; Santos, VG; Ferraz, A.F.B.; Moreira, Aelc; A, Paulo; Duque, Ampc; Trindade, Evelinda; Bacal, Fernando; Jo, Auler Júnior; Almeida, Hugo

doi:10.5935/abc.2014s005

Cited by 13 publications

(26 citation statements)

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Section: Introductionmentioning

confidence: 99%

“…(1,2) In an attempt to minimize the situation, heart transplantation is a surgical alternative used to treat heart failure not responsive to clinical and/or outpatient treatment, improving the expectancy and quality of life of patients suffering from this disease. (2) However, the survival rate after heart transplantation decreases as the years since the procedure go by, and this rate suffers the influence of the post-surgery monitoring of patients. Hence, heart transportation outpatient care plays an important role in the maintenance of the well-being of heart transplantation patients, favoring longer survival time with better quality of life, which is correlated to the absence of heart failure symptoms that allows resuming basic and instrumental activities of daily living and a potential return to labor activities.…”

Section: Introductionmentioning

confidence: 99%

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Repercussões no cotidiano dos pacientes pós-transplante cardíaco

et al. 2015

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Objective: To learn the repercussions on the daily living of patients that underwent heart transplantation. Methods: A descriptive and qualitative study was conducted in a transplantation center in the Brazilian Northeast region. Nine patients who underwent heart transplantation participated in the study. Data were collected using the focus group technique, facilitated in four meetings. The excerpts of their statements resulted in two thematic categories: being a heart transplantation patient -before and after; and feelings and perceptions on heart transplantation. Results: The people submitted to transplantation identified positive changes achieved after the surgery, but suffered with the countless prohibitions that directly interfered on their daily living; the limitations resulting from transplantation were highlighted and hindered patients from feeling effectively healed. Conclusion: Participants recognized heart transportation as a solution for their clinical symptoms, but with a significant loss of autonomy that compel them to intensive adaptation efforts. ResumoObjetivo: Conhecer as repercussões no cotidiano de pacientes submetidos a transplante cardíaco. Métodos: Trata-se de estudo descritivo, qualitativo, conduzido em um centro de transplantes do nordeste brasileiro. Nove pacientes submetidos ao transplante cardíaco participaram do estudo, tendo sido utilizada para coleta dos dados a técnica de grupo focal, facilitada em quatro reuniões. Os recortes de suas falas resultaram em duas categorias temáticas: ser transplantado cardíaco -o antes e o depois; e sentimentos e percepções sobre o transplante cardíaco. Resultados: A pessoa submetida ao transplante identificou as modificações positivas obtidas após o procedimento, porém ressentiu-se com as inúmeras proibições, com interferência direta em seu cotidiano; as limitações decorrentes do transplante ganharam destaque e não permitiram que os pacientes se sentissem realmente curados. Conclusão: Os participantes reconheceram o transplante cardíaco como uma solução para seus sintomas clínicos, contudo, com significativa perda de autonomia, obrigando-os a um intenso esforço adaptativo.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Repercussões no cotidiano dos pacientes pós-transplante cardíaco

et al. 2015

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“…7,18,19 Cardiotoxicity related to cancer treatment may become manifest at any time, with reports of it occurring within 45 years or more after the end of treatment. 11,20,21 Theoretically, any chemotherapy has the potential to cause toxicity. 7 The main chemotherapeutic agents that present cardiotoxicity include anthracyclines (such as doxorubicin, epirubicin, and idarubicin), alkylating agents (cyclophosphamide and ifosfamide), antimicrotubule agents (such as paclitaxel and docetaxel), monoclonal antibodies (such as trastuzumab, bevacizumab), and tyrosine kinase inhibitor (such as sunitinib).…”

Section: Introductionmentioning

confidence: 99%

Analysis of the costs and quality of cardiovascular care in oncological monitoring

Costa

Hyeda

2016

Rev. Assoc. Med. Bras.

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Summary Objective: To analyze the health care costs specifically related to cardiovascular diseases, which were spent by patients of a private healthcare provider in southern Brazil, after their diagnosis of cancer. Method: We developed an observational, cross-sectional, retrospective study, with a qualitative-quantitative strategy, through the activity of analytical internal audit of medical accounts. Results: 860 accounts from 2012 to 2015 were analyzed, 73% referred to female users, with average age of 62.38 years, and a total direct cost of BRL 241,103.72. There was prevalence of 37% of breast cancer, 15% of prostate cancer and 9% of colon cancer. In relation to the cardiovascular care, 44% were consultations, 44% were complementary exams, 10% were emergency care, and 3% were hospitalizations. Regarding the health care costs with cardiovascular services, higher costs were in hospitalizations (51%), followed by complementary exams (37%), consultations (8%) and emergency care (4%). Conclusion: The cancer survivors commonly use health care in other specialties such as cardiology, and the main cost refers to hospitalization. It is recommended to invest in prevention (consultation and complementary exam) as well as in programs of chronic disease management to reduce costs and improve the quality of health care.

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“…For children with a survival expectancy of less than two years, and after exhausting conservative therapies, heart transplants are recommended [4].…”

Section: Introductionmentioning

confidence: 99%

Family Organization in the Care of Pediatric Heart Transplant Patients: The Genogram as an Investigative Tool

Ribeiro¹,

Souza²,

Monteiro³

et al. 2015

Health

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This study aimed to describe structure, functionality and development of pediatric heart transplant families, from the understanding of the experienced chronic condition. A descriptive, exploratory study using a qualitative approach was developed in a hospital situated in a city of Northeast Brazil, in 2012. The study was conducted with three families, using the Calgary Family Assessment Model (CFAM). In addition to the genogram, an analysis of the children's/adolescents' family members was conducted at the time of interview. Two families were binuclear families and one was mononuclear. From the evaluation, it was possible to determine the care and support network of children and adolescents with heart transplants, as well as some difficulties faced by the investigated families. Nurses are important in this family context since the visualization of the family genogram can generate a change in the nursing care to each family.

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I Diretriz de Insuficiência Cardíaca (IC) e Transplante Cardíaco, no Feto, na Criança e em Adultos com Cardiopatia Congênita, da Sociedade Brasileira de Cardiologia

Cited by 13 publications

References 0 publications

Repercussões no cotidiano dos pacientes pós-transplante cardíaco

Repercussões no cotidiano dos pacientes pós-transplante cardíaco

Analysis of the costs and quality of cardiovascular care in oncological monitoring

Family Organization in the Care of Pediatric Heart Transplant Patients: The Genogram as an Investigative Tool

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