BACKGROUND There is few data evaluating the prevalence and influence of adverse psychological characteristics on the prognosis of individuals submitted to percutaneous coronary interventions. No study has addressed this issue in Brazil. OBJECTIVE To investigate the prevalence of depression, anxiety, psychological stress, and Type D personality and its association with cardiovascular events in...

CONTEXT A higher mortality risk for women with acute myocardial infarction (AMI) is a common finding in studies that compare the postinfarction outcome of women vs men. It is not clear, however, whether sex is an independent predictor of death among patients systematically treated with aggressive reperfusion and medical strategies. OBJECTIVE To assess the impact of patient's sex on outcome in...

The growing use of the transradial approach for percutaneous coronary interventions has been shown to decrease the risk of major vascular complications. However, in this case report we describe a iatrogenic left main dissection during diagnostic coronary catheterization, which remains a rare, but still life-threatening condition. The adjunctive use of intravascular ultrasound may assist in the ...

Recent recommendations state that considerable coronary artery disease (CAD) should be treated before the index procedure in patients with severe aortic stenosis who have a transcatheter valve implant. However, data supporting this suggestion is still limited. We aimed to assess recent updates on percutaneous intervention (PCI) among undergoing interventions. A search was performed PubMed, Web ...

1 year and 56% vs 82% after 2 years. Therefore, in diabetic patients with multivessel disease amenable to percutaneous intervention the increased rate of major cardiac events in the follow-up period must be emphasized and carefully weighed against the increased perioperative mortality and morbidity. Most patients with multivessel coronary artery disease, including patients with high operative r...

Distinction: Selected as one of 13 Highest Value Hospitals by the Leapfrog Group in 2008, based on efficiency scores taking into account the quality of care as well as resource utilization, among nearly 1,300 hospitals reviewed. Received a top efficiency score for three of four conditions/procedures examined (coronary artery bypass graft, percutaneous coronary interventions, and pneumonia care)...

Technological and procedural innovations presently permit the safe effective performance of increasingly complex percutaneous coronary interventions, while new mechanical circulatory support devices offer ventricular to patients with severely reduced left systolic function deranged cardiovascular hemodynamics. Together, these advances now application interventions higher-risk who might otherwis...