Blog

 

■ Chronic obstructive pulmonary disease guidelines in Europe: a look into the future

Marc Miravitlles, Nicolas Roche, João Cardoso et AL

Respir Res. 2018; 19: 11

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5774162/

 

■ Recomendações para o tratamento farmacológico da DPOC: perguntas e respostas

Fernandes, Frederico Leon Arrabal et al

1. bras. pneumol., Aug 2017, vol.43, no.4, p.290-301

http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132017000400290&lng=pt&nrm=iso&tlng=pt

 

■ Guideline-based early detection of chronic obstructive pulmonary disease in eight Danish municipalities: The TOP-KOM Study

Ulla Borup Hemmingsen, Margit Stycke, Jens Dollerup, Peter Bo Poulsen

Pulm Med. 2017; 2017: 7620397.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5339421/

 

■ Respiratory care in familial dysautonomia: systematic review and expert consensus recommendations

Mikhail Kazachkov, Jose-Alberto Palma, Lucy Norcliffe-Kaufmann et al

Respir Med. 2018 ,vol 141: 37–46

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6084453/

 

■ The management of children with bronchiolitis in the Australasian hospital setting: development of a clinical practice guideline

S O´Brien, S Wilson, F J Gill et al

BMC Med Res Methodol 2018, vol 18: 22

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5809867/

 

■ ECFS best practice guidelines: the 2018 revision

European Cystic Fibrosis Society (ECFS)

C Castellani, A J A Duff, Scott C Bell et al

Journal of Cystic Fibrosis 2018, vol 17(2): 153-178

https://www.cysticfibrosisjournal.com/article/S1569-1993(18)30029-8/fulltext

 

■ Diretrizes brasileiras de diagnóstico e tratamento da fibrose cística. 

Athanazio, Rodrigo Abensur et al

1. bras. pneumol., June 2017, vol.43, no.3, p.219-245

http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132017000300219&lng=pt&nrm=iso&tlng=pt

 

■ Physiotherapy for cystic fibrosis in Australian and New Zealand: A clinical practice guideline

Brenda M. Button, Christine Wilson, Ruth Dentice et al

Respirology. 2016 May; 21(4): 656–667

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4840479/

 

■ Idiopathic pulmonary fibrosis in Switzerlands: diagnosis and treatment

Position paper of the Swiss Working Group for Interstitial and Rare Lung Diseases of the Swiss Respiratory Society

M Funke-Chambour, A Azzola, D Adler et al

Respiration 2017, vol 93: 363-378

https://www.karger.com/Article/Fulltext/464332

 

■ Current best practice in rehabilitation in interstitial lung disease

Atsuhito Nakazawa, Narelle S. Cox, Anne E. Holland

Ther Adv Respir Dis. 2017 Feb; 11(2): 115–128

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5933636/

 

■ Overview of idiopathic pulmonary fibrosis (IPF) and evidence-based guidelines

R Sharif

AJMC july 2017

http://www.ajmc.com/journals/supplement/2017/a-managed-care-perspective-treatment-of-idiopathic-pulmonary-fibrosis/overview-of-idiopathic-pulmonary-fibrosis-ipf-and-evidence-based-guidelines-article

 

■ Recommendations for evaluating and managing idiopathic pulmonary fibrosis

D M Provencher S R Jauregui

Journal of the American Academy of PAs 2018, vol 31 (9): 21-26

https://journals.lww.com/jaapa/Fulltext/2018/09000/Recommendations_for_evaluating_and_managing.3.aspx

 

■ Contemporary best practice in the management of malignant pleural effusion

Coenraad F.N. Koegelenberg, Jane A. Shaw, Elvis M. Irusen, Y. C. Gary Lee

Ther Adv Respir Dis. 2018 Jan-Dec; 12: 1753466618785098

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6048656/

 

■ Current best practice in the evaluation and management of malignant pleural effusions

Steven Walker, Anna C. Bibby, Nick A. Maskell

Ther Adv Respir Dis. 2017 Feb; 11(2): 105–114

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5933635/

 

■ BTS guidelines for the investigation and management of malignant pleural mesothelioma

Ian Woolhouse, Lesley Bishop, Liz Darlison et al

BMJ Open Respir Res. 2018; 5(1): e000266

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5844375/

 

■ British Thoracic Society guidelines for the initial outpatient management of pulmonary embolism

Luke S Howard, Steven Barden, Robin Condliffe et al

BMJ Open Respir Res. 2018; 5(1): e000281

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6018844/

 

■ The use of a home sleep apnea test for the diagnosis of OSA in children

American Academy of Sleep Medicine Position Paper for

Valerie Kirk, Julie Baughn, Lynn D’Andrea et al

J Clin Sleep Med. 2017 Oct 15; 13(10): 1199–120

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5612636/

 

■ Clinical use of a home sleep apnea test

An American Academy of Sleep Medicine Position Statement

Ilene M. Rosen, Douglas B. Kirsch, Ronald D. Chervin et al

American Academy of Sleep Medicine Board of Directors

J Clin Sleep Med. 2017 Oct 15; 13(10): 1205–1207

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5612637/

 

■ ANMCO Position Paper: the use of non-vitamin K dependent new oral anticoagulant (s) in pulmonary embolism therapy and prevention

Iolanda Enea, Loris Roncon, Michele Massimo Gulizia et al

Eur Heart J Suppl. 2017 , vol 19(Suppl D): D293–D308

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5526474/

 

■ ANMCO Position Paper: long-term follow-up of patients with pulmonary thromboembolism

Carlo D’Agostino, Pietro Zonzin, Iolanda Enea et al

Eur Heart J Suppl. 2017, vol; 19(Suppl D): D309–D332

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5520763/

 

■ ANMCO-SIMEU Consensus document: in-hospital management of patients presenting with chest pain

Guerrino Zuin, Vito Maurizio Parato, Paolo Groff et al

Eur Heart J Suppl. 2017 , vol 19(Suppl D): D212–D228

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5520764/

 

■ Practical considerations for the diagnosis and management of asthma in older adults

B P Yawn, M K Han

Mayo Clinic Proceedings 2017, vol 92 (11): 1697-1705

http://www.mayoclinicproceedings.org/article/S0025-6196(17)30607-9/fulltext

 

■ Improving the global diagnosis and management of asthma in children

Warren Lenney, Andrew Bush, Dominic A Fitzgerald, Monica Fletcher, Anders Ostrem, Soren Pedersen, Stanley J Szefler, Heather J Zar

Thorax. 2018 , vol 73(7): 662–669

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6035489/

 

■ At-risk children with asthma (ARC): a systematic review

Audrey Buelo, Susannah McLean, Steven Julious et al

the ARC Group

Thorax. 2018 , vol 73(9): 813–824

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6109248/

 

■ Efficacy and safety of tiotropium in children and adolescents

Eckard Hamelmann, Stanley J. Szefler

Drugs. 2018; vol 78(3): 327–33

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5829125/

 

■ Guidelines for the diagnosis and management of asthma: a look at the key differences between BTS/SIGN and NICE

J White, J Y Paton, R Niven, H Pinnock

Thorax 2018, vol 73 (3):293-297

https://thorax.bmj.com/content/73/3/293

 

■ Guidelines on management of the acute asthma attack in children by Italian Society of Pediatrics

The Italian Panel for the management of acute asthma attack in children

Roberto Bernardini

Ital J Pediatr. 2018; vol 44: 46

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5889573/

 

■ An algorithmic approach for the treatment of severe uncontrolled asthma

Eleftherios Zervas, Konstantinos Samitas, Andriana I. Papaioannou et al

ERJ Open Res. 2018 Jan; 4(1): 00125-2017

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5838355/

 

■ Nordic consensus statement on the systematic assessment and management of possible severe asthma in adults

Celeste Porsbjerg, Charlotte Ulrik, Tina Skjold et al

Eur Clin Respir J. 2018; 5(1): 144086

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5844041/

 

■ Biomarkers in inflammatory pediatric asthma: utility in daily clinical practice

Silvia Sánchez-García, Alicia Habernau Mena, Santiago Quirce

Eur Clin Respir J. 2017; 4(1): 1356160

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5553097/

 

■ Applications and mechanisms of immunotherapy in allergic rhinitis and asthma

Jasper H. Kappen, Stephen R. Durham, Hans In ’t Veen, Mohamed H. Shamji

Ther Adv Respir Dis. 2017 Jan; 11(1): 73–86.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5941975/

 

■ Mechanisms, measurement and management of exertional dyspnoea in asthma

J Weatherald, M D Lougheed, C Taillé, G Garcia

European Respiratory Review 2017, vol 26 (144): 170015

http://err.ersjournals.com/content/26/144/170015

 

■ Guías de Práctica Clínica para el Tratamiento del Tabaquismo, Chile 2017

Corvalán B., María Paz et al.

Rev. méd. Chile, Nov 2017, vol.145, no.11, p.1471-1479

https://scielo.conicyt.cl/scielo.php?script=sci_arttext&pid=S0034-98872017001101471&lng=en&nrm=iso

 

■ National guidelines for smoking cessation in primary care: a literature review and evidence analysis

Marjolein Verbiest, Evelyn Brakema, Rianne van der Kleij et al

NPJ Prim Care Respir Med. 2017; 27: 2

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5434788/

 

■ British Thoracic Society guidelines for oxygen use in adults in healthcare and emergency settings

B R O’Driscoll, L S Howard, J Earis, V Mak

BMJ Open Respir Res. 2017; 4(1): e000170

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5531304/

 

■ A review of therapeutic agents for the management of pulmonary arterial hypertension

Stella S Hahn, Mina Makaryus, Arunabh Talwar et al

Ther Adv Respir Dis. 2017 Jan; 11(1): 46–63

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5941973/

 

■ Mepolizumab in the management of severe eosinophilic asthma in adults: current evidence and practical experience

Gilda Varricchi, Diego Bagnasco, Matteo Ferrando et al

Ther Adv Respir Dis. 2017 Jan; 11(1): 40–4

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5941977/

 

■ Recommendations for the clinical management of patients receiving macitentan for pulmonary arterial hypertension (PAH): A Delphi consensus document

Franck F. Rahaghi, Hassan M. Alnuaimat, Rana L.A. Awdish et al

Pulm Circ. 2017 Sep; 7(3): 702–71

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5841904/

 

■ Recommendations for the use of oral trepostinil in clinical practice: a Delphi consensus project pulmonary circulation

Franck F. Rahaghi, Jeremy P. Feldman, Roblee P. Allen et al

Pulm Circ. 2017 Mar; 7(1): 167–174

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5448528/

 

■ Guiding principles for the use of nebulized long-acting beta2-agonists in patients with COPD: an expert panel consensus

Robert A. Wise, Russell A. Acevedo, Antonio R. Anzueto et al

Chronic Obstr Pulm Dis. 2017; 4(1): 7–20

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5560246/

 

■ The role of cardiopulmonary exercise tests in pulmonary arterial hypertension

S Farina, M Correale,N Bruno et AL

European Respiratory Review 2018, vol 27: 17013

http://err.ersjournals.com/content/27/148/170134

 

■ Evaluation and management approaches for scleroderma lung disease

Sara R. Schoenfeld, Flavia V. Castelino

Ther Adv Respir Dis. 2017 Aug; 11(8): 327–340

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5933653/

 

■ State of the art in interstitial pneumonia with autoimmune features: a systematic review on retrospective studies and suggestions for further advances

G Sambataro, D Sambataro, S E Torrisi et AL

European Respiratory Review 2018, vol 27 (18: 17013

http://err.ersjournals.com/content/27/148/170139

 

■ Guideline for antibiotic use in adults with community-acquired pneumonia

Mi Suk Lee, Jee Youn Oh, Cheol-In Kang et al

Infect Chemother. 2018, vol 50(2): 160–198

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6031596/

 

■ Antibiotic therapy, supportive treatment and management of immunomodulation-inflammation response in community acquired pneumonia: review of recommendations

Marco Mantero, Paolo Tarsia, Andrea Gramegna et al

Multidiscip Respir Med. 2017; 12: 2

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5628439/

 

■ Antibiotic prescribing for acute lower respiratory tract infections (LRTI)- guideline adherence in the German primary care setting: An analysis of routine data

Eva Maria Kraus, Steffen Pelzl, Joachim Szecsenyi, Gunter LauPLoS One. 2017; vol 12(3): e0174584.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5370139/

 

■ The clinical practice guideline for the management of ARDS in Japan

S Hashimoto, M Sanui, M Egi et al

ARDS clinical practice guideline committee from the Japanese Society of Respiratory Care Medicine and the Japanese Society of Intensive Care Medicine

J Intensive Care. 2017; 5: 50

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5526253/

 

■ Manejo clínico y programático de la tuberculosis con resistencia a fármacos

Peña M., Carlos et al.

Rev. chil. enferm. respir., Ago 2018, vol.34, no.2, p.122-128

https://scielo.conicyt.cl/scielo.php?script=sci_arttext&pid=S0717-73482018000200122&lng=es&nrm=iso

 

■ International research and guidelines on post-tuberculosis chronic lung disorders: a systematic scoping review

Sanne C van Kampen, Amanda Wanner, Miles Edwards et al

BMJ Glob Health. 2018; vol 3(4): e000745

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6058174/

 

■ Recomendaciones en el tratamiento de la tuberculosis sensible (Según las Guías ATS/CDC/IDSA. 2016).

Lagos C, Macarena et al

Rev. chil. enferm. respir., Mar 2017, vol.33, no.1, p.54-61

http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-73482017000100008&lng=es&nrm=iso

 

■ British Thoracic Society guidelines for the management of no-tuberculous mycobacterial pulmonary disease (NTM-PD)

Charles S Haworth, John Banks, Toby Capstick et al

BMJ Open Respir Res. 2017; 4(1): e000242

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5663249/

 

■ Tuberculosis: a new screening recommendation and na expanded approach to elimination in the United States: a review of risk assessment, testing, and treatment

John Parmer, Leeanna Allen, Wanta Walton

Am J Nurs. 2017 Aug; 117(8): 24–34

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5651671/

 

■ British Thoracic Society guidelines for the management of no-tuberculous mycobacterial pulmonary disease (NTM-PD)

Charles S Haworth, John Banks, Toby Capstick et al

BMJ Open Respir Res. 2017; 4(1): e000242

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5663249/

 

■ 2018 Korean Clinical Imaging Guideline for Hemoptysis

Mi-Jin Kang, Jin Hwan Kim, Yoon Kyung Kim et al

Korean J Radiol. 2018, vol 19(5): 866–871

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6082761/

 

■ Acute high-altitude sicknesss

A M Luks, E R Swenson, P Bärtsch

European Respiratory Review 2017, vol 26 (143): 16009

http://err.ersjournals.com/content/26/143/160096

 

■ Swimming-induced pulmonary edema: current perspectives

R Smith, J O M Ormerod, N Sabharwal, C Kipps

Open Acess J Sports Med 2018, vol 9: 131-137

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6067793/

 

■ Exertional dyspnoea in interstitial lung diseases:the clinical utility of cardiopulmonary exercise testing

M Bonini, G Fiorenzano

European Respiratory Review 2017, vol 26 (13): 160099

http://err.ersjournals.com/content/26/143/160099

 

■ Tele-medicine in respiratory diseases

Nicolino Ambrosino, Dewi Nurul Makhabah, Yusup Subagio Sutanto

Multidiscip Respir Med. 2017; 12: 9.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5397786/

 

■ Novel aspects in diagnostic approach to respiratory patients: Is it the time for a new semiotics?

Gino Soldati, Andrea Smargiassi, Alberto A. Mariani, Riccardo Inchingolo

Multidiscip Respir Med. 2017; 12: 15

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5485552/

 

by Dr Paulo Fernando Leite

■ Cardiologia/Prevenção Cardiovascular

■ Estratificação de Risco Cardiovascular

Av Contorno 8351 – Conj 01

Belo Horizonte/MG/Brasil

Tel: 31 32919216    2917003    3357229

(- consulta particular –)

CRMMG: 7026

Email: pfleite1873@gmail.com

 

¨- Uma mulher de 29 anos de idade apresentou-se ao pronto-socorro com uma história de 1 mês de agravamento da fadiga e fraqueza e uma história de 2 semanas de febre e dispnéia. Ela emigrou de Angola, para Portugal, 9 anos antes da apresentação. A temperatura era de 39,5 ° C, pressão arterial de 80/50 mm Hg, freqüência cardíaca de 135 batimentos por minuto e frequência respiratória de 32 respirações por minuto. No exame, presença de ingurgitamento veias do pescoço da paciente e os sons cardíacos estavam abafados. Um eletrocardiograma mostrava taquicardia sinusal e complexos de baixa voltagem em todas derivações. O ecocardiograma transtorácico revelou um grande derrame pericárdico com evidência de tamponamento. A pericardiocentese foi realizada e a estabilidade hemodinâmica foi obtida após aspiração direta de 1400 ml de líquido purulento; um dreno pericárdico foi colocado. O nível de adenosina desaminase no líquido pericárdico foi de 100 U por litro (faixa de referência, 0 a 9), e o exame do líquido pericárdico revelou bacilos álcool-ácido resistentes. Um diagnóstico de pericardite tuberculosa foi feito. O teste para o vírus da imunodeficiência humana foi positivo. O paciente foi tratado com isoniazida, rifampicina, pirazinamida e etambutol por 2 meses, seguido de rifampicina e isoniazida por mais 4 meses juntamente com prednisolona por 6 semanas para prevenção de pericardite constritiva. A terapia antiretroviral também foi iniciada. A febre desapareceu na primeira semana de tratamento.¨

¨- A tuberculose (TB) é uma doença infecciosa caracterizada pela ocorrência de inflamação granulomatosa com necrose, com localização predominante no tecido pulmonar. Brasil faz parte do grupo de 22 países que juntos são responsáveis por 90% dos casos de TB no mundo e, apesar da redução da incidência da doença no país, ainda constitui uma importante causa de mortalidade, com 52.199 óbitos registrados entre os anos de 2003 e 2013. A TB pode acometer o pericárdio e levar à uma condição clínica conhecida como pericardite tuberculosa (PT), que em sua apresentação típica se dá na forma de pericardite constrictiva (PC). A PT acomete entre 1% e 4% dos pacientes diagnosticados com TB, representa 10% de todos os casos de pericardite e sua taxa de mortalidade pode chegar a 90% quando sem o correto diagnóstico e tratamento. O quadro clínico da PT é variado e pode incluir: febre, dispneia, dor torácica, palpitação, ganho ou perda de peso, pulso paradoxal, turgência jugular, sinal de Kussmaul e atrito pericárdico.
O diagnóstico da PT é feito pela identificação do bacilo de Koch (BK) no líquido ou no tecido pericárdico. A pericardiocentese deve ser feita em todos os pacientes com suspeita de PT. A biópsia pericárdica realizada em conjunto leva ao diagnóstico mais precoce se comparado a realização de pericardiocentese isolada. A pericardite tuberculosa associada a HIV deve ser suspeitada em pacientes de alto risco (história de exposição, estado imunocomprometido). Em pacientes com quadro de pericardite em que as características clínicas e epidemiológicas aumentam a suspeita de pericardite por tuberculose, o tratamento pelo esquema RIPE associado a corticóides deve ser realizado mesmo que os exames não comprovem a presença do agente etiológico.¨

 

■ Tuberculous pericarditis

D Faria, A Freitas

N Engl J Med 2018, vol 378: e27

https://www.nejm.org/doi/full/10.1056/NEJMicm1709552

 

■ Pericardite constritiva por tuberculose, uma condição de difícil diagnóstico.

Lagoeiro Jorge, Antonio José et al.

Insuf. card., Jun 2018, vol.13, no.2, p.93-96

http://www.scielo.org.ar/scielo.php?script=sci_arttext&pid=S1852-38622018000200007&lng=es&nrm=iso

 

■ Eletrocardiograma típico de pericardite

A A Friedmann

Diagn tratamento 2017, vol 22 (4): 119-120

http://docs.bvsalud.org/biblioref/2017/08/848013/rdt_v22n3_119-120.pdf

 

■ Effect of prednisolone on inflammatory markers in pericardial tuberculosis: a pilot study

Shenje J, Lai RP, Ross IL, Mayosi BM, Wilkinson RJ, Ntsekhe M, Wilkinson KA.

Int J Cardiol Heart Vasc. 2017 Nov 3;18:104-108

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5941241/

 

■ Tuberculous pericarditis: a complex puzzle to put together

Lazaros G, Tousoulis D.

EBioMedicine. 2015 Oct 8;2(11):1570-1

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4740324/

 

■ Tuberculous pericarditis leading to cardiac tamponade: importance of screening prior to immunosuppression

Wee E, Denton E, Daffy J.

Respirol Case Rep. 2015 Sep 22;3(4):135-

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4694605/

 

■ Pericardial tuberculosis

Cataño JC.

Am J Trop Med Hyg. 2013 Jul;89(1):1-2

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3748462/

 

■ Pericardite por tuberculose apresentando-s como síndrome consuptiva- relato de caso

V E E Rosal, R T Munhoz, A C P Barretto, J A F Ramires

Rev Bras Clin Med 2012, vol 10 (5): 459-461

http://files.bvs.br/upload/S/1679-1010/2012/v10n5/a3134.pdf

 

■ Tuberculous pericarditis in acquired immune deficiency syndrome patients.

Guidugli, Ruggero Bernardo, Hamrick, Paul Albert and Rezende, Nancy Figueiroa de

1. Pneumologia, Apr 2003, vol.29, no.2, p.98-100

http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-35862003000200009&lng=pt&nrm=iso&tlng=en

 

by Dr Paulo Fernando Leite

■ Cardiologia/Prevenção Cardiovascular

■ Estratificação de Risco Cardiovascular

Av Contorno 8351 – Conj 01

Belo Horizonte/MG/Brasil

Tel: 31 32919216    2917003    3357229

(- consulta particular –)

CRMMG: 7026

Email: pfleite1873@gmail.com