Publications by authors named "K Taubert"
Background: A Nationwide Initiative to Improve Cardiology Quality: The Best Practice in Cardiology Program in Brazil ACEI/ARB: angiotensin-converting enzyme inhibitor/angiotensin receptor blocker; LVEF: left ventricular ejection fraction; LVSD: left ventricular systolic dysfunction; AF: atrial fibrillation; PT/INR: prothrombin time/international normalized ratio.
Background: Despite significant progress in improving the quality of cardiovascular care, persistent gaps remain in terms of inconsistent adherence to guideline recommendations.
Objective: This study evaluates the effects of implementing a quality improvement program adapted from the American Heart Association's Get with the Guidelines™ initiative on adherence to guideline-directed medical therapy for acute coronary syndrome (ACS), atrial fibrillation (AF), and heart failure (HF).
Primary prevention of acute rheumatic fever (ARF) and rheumatic heart disease (RHD) encompasses the timely diagnosis and adequate treatment of the superficial group A (GAS) infections pharyngitis and impetigo. GAS is the only known inciting agent in the pathophysiology of the disease. However, sufficient evidence indicates that the uptake and delivery of primary prevention approaches in RHD-endemic regions are significantly suboptimal.
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- Regular intramuscular benzathine penicillin G (BPG) is crucial for managing rheumatic heart disease, but new evidence indicates it may pose increased risks, especially for those with severe heart conditions.
- Patients with elevated risk factors (e.g., severe valvular diseases or decreased heart function) might face a higher chance of serious cardiovascular issues post-BPG injection, potentially making the risks outweigh the benefits.
- The advisory recommends risk stratification, with low-risk patients continuing BPG, while high-risk patients should consider oral prophylaxis and implement strategies to reduce vasovagal reactions during BPG administration.