Publications by authors named "Micaela Neto"

Although not routinely used, cardioneuroablation or modulation of the cardiac autonomic nervous system has been proposed as an alternative approach to treat young individuals with enhanced vagal tone and significant atrioventricular (AV) disturbances. We report the case of a 42-year-old athlete with prolonged ventricular pauses associated with sinus bradycardia and paroxysmal episodes of AV block (maximum of 6.6 s) due to enhanced vagal tone who was admitted to our hospital for pacemaker implantation.

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Introduction: Acute coronary syndrome (ACS) is the result of a complex pathophysiological process with various dynamic factors. The 10-item Perceived Stress Scale (PSS-10) is a validated instrument for estimating stress levels in clinical practice and may be useful in the assessment of ACS.

Methods: We carried out a single-center prospective study engaging patients hospitalized with ACS between March 20, 2019 and March 3, 2020.

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Article Synopsis
  • Obesity is a known risk factor for heart failure (HF), but surprisingly, it may lead to better outcomes for HF patients, particularly those receiving cardiac resynchronization therapy (CRT).
  • In a study of 1,277 patients who underwent CRT implantation, follow-up data suggested that those with a BMI between 25 and 29.9 kg/m had a significantly lower risk of mortality or needing advanced heart therapies compared to those with normal or higher BMI.
  • The use of defibrillator backup (CRT-D) also independently improved survival rates, showing that both a moderate BMI and CRT-D can enhance long-term survival in heart failure patients.
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Introduction: Complex risk scores have limited applicability in the assessment of patients with myocardial infarction (MI). In this work, the authors aimed to develop a simple to use clinical score to stratify the in-hospital mortality risk of patients with MI at first medical contact.

Methods: In this single-center prospective registry assessing 1504 consecutively admitted patients with MI, the strongest predictors of in-hospital mortality were selected through multivariate logistic regression.

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