Sílvia Moreira Ayub Ferreira

Publications (2)2.63 Total impact

• Article: [I Brazilian Guideline for Cardio-Oncology from Sociedade Brasileira de Cardiologia].

  Roberto Kalil Filho, Ludhmila Abrahão Hajjar, Fernando Bacal, Paulo Marcelo Gehm Hoff, Maria Del Pilar Estevez Diz, Filomena Regina Barbosa Gomes Galas, Júlia Tizue Fukushima, Juliano Pinheiro de Almeida, Rosana Ely Nakamura, Thalia Rodrigues Trielli, [......], Luís Beck da Silva Neto, Luís Eduardo Paim Rohde, Marcelo Westerlund Montera, Márcia Barbosa, Max Senna Mano, Rachel Simões Riechelmann, Roberto Jun Arai, Sílvia M Martins, Sílvia Moreira Ayub Ferreira, Verônica Santos
  Arquivos brasileiros de cardiologia 01/2011; 96(2 Suppl 1):1-52. · 1.32 Impact Factor
• Source

  Available from: scielo.br

  Article: Decompensated heart failure in the emergency department of a cardiology hospital.

  Sandrigo Mangini, Fábio Serra Silveira, Christiano Pereira Silva, Petherson Suzano Grativvol, Luís Fernando Bernal da Costa Seguro, Sílvia Moreira Ayub Ferreira, Amílcar Oshiro Mocelin, Luiz Francisco Cardoso, Fernando Bacal, Edimar Alcides Bocchi
  [show abstract] [hide abstract]
  ABSTRACT: National studies on decompensated heart failure (DHF) are key to the understanding of this condition in our midst. To determine the characteristics of DHF patients in an emergency department. A total of 212 patients diagnosed with decompensated heart failure who had been admitted to an emergency department (EU) of a cardiology hospital were prospectively evaluated. Clinical variables, form of presentation and causes of decompensation were studied. In 100 patients, ancillary tests, prescription of vasoactive drugs, length of hospital stay and mortality were also analyzed. There was a predominance of the male gender (56%) and the most frequent etiology was ischemia (29,7%) despite high frequency of valvular (15%) and chagasic (14,7%) etiologies. The most common form of presentation and cause of decompensation were congestion (80.7%) and poor compliance/inadequate medication (43.4%), respectively. In the subanalysis of the 100 patients, systolic dysfunction was the most common cause of decompensation (55%); use of vasoactive drugs occurred in 20%, and mortality was 10%. The comparative analysis between the patients who were discharged and those who died during hospitalization confirmed some criteria of poor prognosis: reduced systolic blood pressure, low cardiac output associated with congestion, need for vasoactive drugs, reduced left ventricular ejection fraction, increased left ventricular diastolic diameter (LVDD) and hyponatremia. This study presents information about the profile of decompensated heart failure patients attended on the emergency unit of a brazilian southeast cardiology hospital. Clinical, hemodynamical and ancillary data may provide information for risk assessment in the initial evaluation helping the decision on hospitalization and advanced strategic therapies.
  Arquivos brasileiros de cardiologia 07/2008; 90(6):400-6. · 1.32 Impact Factor