Blog - INTERNET MÉDICA

Choque Cardiogênico: Clínicos Online (Cardiogenic Shock: Case Reports)

Por Paulo Leite 22/04/2020

Choque cardiogênico é uma condição clínica de inadequada perfusão tecidual devido à disfunção cardíaca. Sua definição inclui os seguintes parâmetros hemodinâmicos: hipotensão persistente (pressão arterial sistólica < 80 a 90 mmHg ou pressão arterial média 30 mmHg menor que a pressão arterial média basal), com acentuada redução no índice cardíaco (< 1,8 L/min por m², sem suporte hemodinâmico ou < 2,0 a 2,2 L/min por m² com suporte hemodinâmico) e pressões de enchimento ventricular normal ou elevadas. A etiologia mais comum do choque cardiogênico é o infarto agudo do miocárdio com supradesnivelamento do segmento ST (IMCSST), levando à insuficiência ventricular esquerda, mas também pode ser causado por complicações mecânicas, como insuficiência mitral aguda, ruptura do septo interventricular ou da parede livre do ventrículo esquerdo. No entanto, qualquer causa de disfunção ventricular aguda grave, esquerda ou direita, pode levar ao choque cardiogênico. As taxas de mortalidade ainda são altas, oscilando nos estudos mais recentes entre 42 e 48%.

■ Multidisciplinary management of a large pheochromocytoma presenting with cardiogenic shock: a case report

Umberto Maestroni, Francesco Ziglioli, Marco Baciarello et al

BMC Urol. 2019; 19: 118

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6868789/

■ Cardiogenic shock requiring extracorporeal membrane oxygenation support in a patient with panhypopituitarism: a case report

Huang D, Kreitler K, Tilton S, Cavarocchi NC, Hirose H.

Cureus. 2019 Jun 25;11(6):e4995

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6726413/

■ Mechanical circulatory support in management of cardiogenic shock and myxedema coma

Jelena Z. Arnautovic, Randi Connor-Schuler, Randy Ip

Case Rep Cardiol. 2019; 2019: 2595736

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6431388/

■ Initial low-dose oral levothyroxine in a child with Down syndrome, myxedema, and cardiogenic shock

Janson A, Hällström C, Iversen M, Finder M, Elimam A, Nergårdh R.

Clin Case Rep. 2019 May 20;7(7):1291-1296

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6637322/

■ Uma outra causa de choque cardiogênico

G Morgado, F Gonzalez, A A Oliveira, A Fernandes

Arq. Bras. Cardiol., Dec 2019, vol.113, no.6

http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2019001201150&lng=en&nrm=iso&tlng=pt (portuguese)

http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2019001201150&lng=en&nrm=iso&tlng=en (english)

■ Miocardite com choque cardiogênico como a primeira manifestação de lúpus eritematoso sistêmico

Rebelato, Jáder Buzati et al

Arq. Bras. Cardiol., Dec 2018, vol.111, no.6, p.864-86

http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2018001800864&lng=en&nrm=iso&tlng=pt (portuguese)

http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2018001800864&lng=en&nrm=iso&tlng=en (english)

■ Insuficiência respiratória aguda e choque cardiogênico em mulher no primeiro trimestre de gravidez e portadora de prótese

Ávila, Walkíria Samuel et al.

Arq. Bras. Cardiol., Oct 2018, vol.111, no.4, p.629-634

http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2018001600629&lng=en&nrm=iso&tlng=pt (portuguese)

http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2018001600629&lng=en&nrm=iso&tlng=en (english)

■ Syncope and cardiogenic shock in na 80-year-old woman

Toba Obafemi, Nicola Carline, Aleem Khand

BMJ Case Rep. 2018; 2018: bcr2017223924

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5836677/

■ Fluouracil-induced Takotsubo cardiomyopathy causing cardiogenic shock: a case report of clinical and acute cardiac magnetic resonance imaging features

Joy G, Eissa H, Al Karoudi R, White SK.

Eur Heart J Case Rep. 2019 Dec;3(4):1-6

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6939794/

■ A cardiogenic shock due to an acute MI with LCA arising from the right coronary sinus successfully treated with PCI

Rayyan Jadeed, Klaus Pethig, Dirk Böcker

Case Rep Cardiol. 2019; 2019: 2018268

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6637689/

■ Hemodynamic support using percutaneous transfemoral impella 5.0 and impella RP for refractory cardiogenic shock

Pratik K. Dalal, Amy Mertens, Dinesh Shah, Ivan Hanson

Rep Cardiol. 2019; 2019: 4591250

https://www.hindawi.com/journals/cric/2019/4591250/

■ Flecainide-associated cardiogenic shock in a patient with a atrial fibrillation

Erind Gjermeni, Andreas Bollmann, Gerhard Hindricks, Andreas Müssigbrodt

Case Rep Cardiol. 2019; 2019: 4820652

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6885768/

■ Emergency valve-in-valve transcatheter aortic valve implantation for the treatment of acute stentless bioprosthetic aortic insufficiency and cardiogenic shock

Ivan D. Hanson, Pratik K. Dalal, Brian M. Renard, George S. Hanzel, Alessandro Vivacqua

Case Rep Cardiol. 2018; 2018: 6872748

■ A case report: unmasking a singular culprit for cardiogenic shock: looking beyond the coronary tree

Luís Almeida-Morais, Guilherme Portugal, Rui Cruz-Ferreira

Eur Heart J Case Rep. 2019 Jun; 3(2): ytz009

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5872675/

■ Cardiogenic shock requiring extracorporeal membrane oxygenation support in a patient with panhypopituitarism: a case report

Huang D, Kreitler K, Tilton S, Cavarocchi NC, Hirose H.

Cureus. 2019 Jun 25;11(6):e4995

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6726413/

■ Case of anthracycline-induced cardiogenic shock: a call to optimize modifiable cardiac risk fators prior to chemotherapy

Gabriel A, Stringer B, Hadfield MJ, Madady M.

Cureus. 2019 Jun 20;11(6):e4961

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6726340/

■ Cardiogenic shock due to Kounis syndrome following cobra bite

Priyankara WDD, Manoj EM, Gunapala A, Ranaweera AGRMA, Vithanage KS, Sivasubramanium M, Snajeeva E.

Case Rep Crit Care. 2019 Aug 4;2019:518571

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6699288/

■ Cardiogenic shock in a hemodialyzed patient on flecainide: treatment with intravenous fat emulsion, extracorporeal cardiac life support, and CytoSorb heoadsorption

Nicolas De Schryver, Philippe Hantson, Vincent Haufroid, Mélanie Dechamps

Case Rep Cardiol. 2019; 2019: 1905871.

https://www.hindawi.com/journals/cric/2019/1905871/

■ Dr Paulo Fernando Leite

Cardiologia/Prevenção Cardiovascular

Estratificação de Risco Cardiovascular

Consultório: Rua Padre Rolim 815/sala 601 – Belo Horizonte/MG/Brasil

Tel: 33245518

CRMMG: 7026

Email: pfleite1873@gmail.com

Data: Abril 2020

Tenossinovite de Quervain Online (Quervain´s Tenosynovitis)

Por Paulo Leite 22/04/2020

A tenossinovite de De Quervain (TDQ), decorrente da inflamação dos tendões dos músculos abdutor longo e extensor curto do polegar, vem aumentando sua incidência no mundo nos últimos anos, sendo mais uma dentre as doenças ocupacionais relacionadas ao trabalho. Seu tratamento clássico é realizado através de anti-inflamatórios não esteroides, infiltração de corticoide local, talas, fisioterapia e cirurgia reparadora. A acupuntura desponta como alternativa terapêutica válida e de baixo custo para tratamento dessa e de outras síndromes, dentro das práticas integrativas e complementares.

■ Efetividade da infiltração de corticosteróide no tratamento de pacientes com tenossinovite estenosante de de Quervain: resultado terapêutico

B M Vasconcelos, L G R A Rezende, H G Chamon, L H Vilela

Archives of Health Investigation 2019, vol 8 (5)

http://www.archhealthinvestigation.com.br/ArcHI/article/view/4652/pdf

■ ¨The side of my wrist hurts¨ De Quervains´s tenosynovitis

V Allbrook

AJGP 2019, vol 48 (11)

https://www1.racgp.org.au/ajgp/2019/november/side-of-my-wrist-hurts

■ Dispelling the myth of work-related de Quervain´s tenosynovitis

John C. Dunn, Michael M. Polmear, Leon J. Nesti

J Wrist Surg. 2019 Apr; 8(2): 90–95

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6443382/

■ Clinical outcome of nonoperative treatment of de Quervain´s disease with local corticosteroid injection in Nigerian setting

Njoku Isaac Omoke, Ugochukwu Uzodimma Nnadozie

Niger J Surg. 2019 Jul-Dec; 25(2): 146–152

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6771191/

■ Comparison between acupotomy and local steroid injection for the management of de Quervain disease: a systematic review protocol

Xiaojie Sun, Yifeng Shen, Qiaoyin Zhou, Yan Jia, Zuyun Qiu, Shiliang Li

Medicine (Baltimore) 2019 Nov; 98(46): e17765

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6867724/

■ Tratamento da tenossinovite de Quervain por acupuntura – relato de caso

F M Sant´Ana, V M Rangel, D D S Mota

Revista de Ciências da Saúde 2018, vol 30 (1)

https://periodicos.furg.br/vittalle/article/view/7460/5314

■ Deferring routine wrist radiography does not affect management of de Quervain tendinopathy patients

Nikolas H. Kazmers, Tiffany C. Liu, Chia H. Wu et al

J Wrist Surg. 2018 Apr; 7(2): 115–120

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5864493/

■ Pulley reconstruction for symptomatic instability of the tendons of the first extensor compartment following de Quervain´s release

Daan Renson, Koen Mermuys, Bert Vanmierlo et al

J Wrist Surg. 2018 Feb; 7(1): 31–37

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5788753/

■ Role of guided ultrasound in the treatment of de Quervain tenosynovitis by local steroid infiltration

Raja Shekar Danda, Jagannath Kamath, Nikil Jayasheelan, Prashanth Kumar

J Hand Microsurg. 2016 Apr; 8(1): 34–37

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5016983/

■ Making a dent with corticosteroid injections for de Quervain´s tenosynovitis

Andre Khoo, Clive E Grattan

BMJ Case Rep. 2016; 2016: bcr2015214225

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4746548/

■ de Quervain´s tenosynovitis: a review of the rehabilitative options

R Goel, J M Abzug

Hand (N.J) 2015, vol 10 (1): 1-5

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4349843/

■ de Quervain tenosynovitis following trapeziometacarrpal ball-and-socket joint replacement

Jean F. Goubau, Laurent Goubau, Chul Ki Goorens et al

J Wrist Surg. 2015 Feb; 4(1): 35–42.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4327722/

■ Factors associated with operative treatment of de Quervain tendinopathy

Amir Reza Kachooei, Sjoerd P.F.T Nota, Mariano E Menendez et a

Arch Bone Jt Surg. 2015 Jul; 3(3): 198–203

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4507074/

■ Physiotherapy management of people diagnosed with de Quervain´s disease: a case series

Alon Rabin, Tomer Israeli, Zvi Kozol

Physiother Can. Summer 2015; 67(3): 263–267

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4594817/

■ Work related etiology of de Quervain´s tenosynovitis: a case -control study with prospectively collected data

Stéphane Stahl, Daniel Vida, Christoph Meisner et al

BMC Musculoskelet Disord. 2015; 16: 126

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4446862/

■ Intraneural ganglion in superficial radial nerve mimics de Quervain tenosynovitis

Justin M. Haller, Michael Q. Potter, Micah Sinclair, Douglas T. Hutchinson

J Wrist Surg. 2014 Nov; 3(4): 262–26

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4208964/

■ Frequency of de Quervain´s tenosynovitis and its association with SMS texting

Maryam Ali, Muhammad Asim, Syed Hasan Danish et al

Muscles Ligaments Tendons J. 2014 Jan-Mar; 4(1): 74–78

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4049654/

■ de Quervain tenosynovitis: clinical outcomes of surgical treatment with longitudinal and transverse incision

Syyed Jalil Abrisham, Mohammad Hosein Akhavan Karbasi et al

Oman Med J. 2011 Mar; 26(2): 91–93.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3191679/