Publications by authors named "Viviana Lemke"

Article Synopsis
  • TAVI's use has significantly increased in Brazil, especially after being integrated into the public health system in 2022, prompting a need for evaluation of its effects.
  • A study of 2,588 patients revealed that in-hospital mortality (8.2%) was mainly linked to procedural complications like major vascular complications and acute kidney injury, with notable mortality rates for those complications.
  • Non-fatal complications were common (50.5%), varying by gender and the type of bioprosthesis used, with higher risks observed in women and patients with first-generation bioprostheses.
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Background: Women, in comparison to men, experience worse outcomes after acute coronary syndrome (ACS). However, whether the female sex per se is an independent predictor of such adverse events remains unclear.

Objective: This study aims to assess the association between the female sex and in-hospital mortality after ST-elevation myocardial infarction (STEMI).

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Background: At the beginning of the COVID-19 pandemic, patients with myocardial infarction (MI) took longer to present to hospitals because of fear of contamination and health care access difficulties.

Objectives: To assess interventional cardiology procedures performed during the COVID-19 pandemic and its implications for MI approach.

Methods: Prospective registry of 24 cardiac catheterization laboratories in Brazil, with adult patients undergoing interventional cardiology procedures between May 26 and November 30, 2020.

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Background: Major advances have been seen in techniques and devices for performing percutaneous coronary interventions (PCIs) for chronic total occlusions (CTOs), but there are limited real-world practice data from developing countries.

Objectives: To report clinical and angiographic characteristics, procedural aspects, and clinical outcomes of CTO PCI performed at dedicated centers in Brazil.

Methods: Included patients underwent CTO PCI at centers participating in the LATAM CTO Registry, a Latin American multicenter registry dedicated to prospective collection of these data.

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Background: COVID-19 has placed a tremendous burden on physicians worldwide, especially women physicians, affected by increased workload and loss of quality of life.

Objective: To assess the effects of the COVID-19 pandemic on the quality of life, burnout and spirituality of Brazilian women physicians directly or indirectly providing care to COVID-19 patients.

Methods: Prospective, observational study performed from July 28 to September 27, 2020, in Brazil, with women physicians from 47 specialities, the most frequent being cardiology (22.

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Article Synopsis
  • A study was conducted to analyze the clinical outcomes and characteristics of chronic total occlusion (CTO) percutaneous coronary interventions (PCI) in Latin America, revealing vital data from 1,040 procedures across seven countries.
  • The procedures primarily aimed to relieve angina and showed a technical success rate of 82.5%, with most techniques involving antegrade wire escalation.
  • Key predictors of unsuccessful procedures included moderate to severe calcification, a blunt proximal cap, and previous unsuccessful attempts, while the incidence of major adverse cardiovascular events remained low.
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Background: Posterior subcapsular cataract is a tissue reaction commonly found among professionals exposed to ionizing radiation.

Objective: To assess the prevalence of cataract in professionals working in hemodynamics in Brazil.

Methods: Professionals exposed to ionizing radiation (group 1, G1) underwent slit lamp examination with a biomicroscope for lens examination and compared with non-exposed subjects (group 2, G2).

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Percutaneous coronary intervention in chronic total occlusion is a rapidly evolving area, being considered the last frontier of interventional cardiology. In recent years, the development of new techniques and equipment, as well as the training of specialized personnel, increased their success rates, making it the most predictable procedure available. Although the number of randomized and controlled studies is still limited, results from large multicentered registries allow us to safely offer this intervention to patients, as another treatment option along with the optimized drug treatment and myocardial revascularization surgery.

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