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A equipe de pesquisa em cardiologia acompanha a implementação de protocolos de atendimento em cardiologia na RDSL e explora os dados obtidos nestes atendimentos, em particular nos casos de fibrilação atrial, insuficiência cardíaca, dor torácica e síncope que chegam às salas de emergência dos hospitais RDSL em todo o Brasil. Também desenvolve projetos sobre amiloidoses, grupo de doenças raras geradas pelo acúmulo de proteínas anormais em tecidos como o do coração, prejudicando sua função.

Além disso, os cientistas do IDOR desenvolvem pesquisas de ponta em imagem cardiovascular, com uso de tecnologias como ressonância magnética, PET-CT e SPECT-CT. As três técnicas são usadas, por exemplo, no acompanhamento de pacientes com complicações cardíacas da doença de Chagas. Neste projeto, os cientistas avaliam a presença de fibrose do miocárdio como fator prognóstico para pacientes que apresentam arritmias, além de observar o impacto da inflamação sobre a saúde cardiovascular dos pacientes.

Pacientes com manifestações cardiológicas da doença de Chagas, em especial a dor torácica associada a alterações de eletrocardiograma, podem ser erroneamente diagnosticados com síndrome coronária aguda. Por isso, a equipe de pesquisa em cardiologia também trabalha com novas modalidades de exames de imagem que permitam o diagnóstico mais preciso dessa condição.

Outros objetos de estudo do grupo são a fibrose cardíaca e o risco cardiovascular em pacientes com doença hepática gordurosa não alcoólica, a disfunção cardíaca gerada pelo uso de medicamentos quimioterápicos, o uso de novos dispositivos, como os desfibriladores implantáveis, e a análise genética de canalopatias – anormalidades genéticas que levam a um risco aumentado de arritmias e morte súbita. A equipe trabalha, ainda, no desenvolvimento de ensaios clínicos envolvendo novas drogas, patrocinados pela indústria farmacêutica.

Pesquisadores
Notícias Relacionadas
Principais Publicações

Albuquerque DC, Neto JD, Bacal F, Rohde LE, Bernardez-Pereira S, Berwanger O, Almeida DR; Investigadores Estudo BREATHE. I Brazilian Registry of Heart Failure – Clinical Aspects, Care Quality and Hospitalization Outcomes. Arq Bras Cardiol. 2015 Jun;104(6):433-42. doi: 10.5935/abc.20150031. Epub 2015 Apr 3. Erratum in: Arq Bras Cardiol. 2015 Aug;105(2):208. PMID: 26131698; PMCID: PMC4484675.

Moll-Bernardes R, Mattos JD, Schaustz EB, Sousa AS, Ferreira JR, Tortelly MB, Pimentel AML, Figueiredo ACBS, Noya-Rabelo MM, Sales ARK, Albuquerque DC, Rosado-de-Castro PH, Camargo GC, Souza OF, Bozza FA, Medei E, Luiz RR. Troponin in COVID-19: To Measure or Not to Measure? Insights from a Prospective Cohort Study. J Clin Med. 2022 Oct 9;11(19):5951. PMID: 36233816; PMCID: PMC9570932.

Cowie MR, Mourilhe-Rocha R, Chang HY, Volterrani M, Ban HN, Campos de Albuquerque D, Chung E, Fonseca C, Lopatin Y, Magaña Serrano JA, Mircheva L, Moncada-Paz GA, Pagava Z, Reyes EB, Saldarriaga C, Schwartzmann P, Sim Kheng Leng D, Trivi M, Yotov YT, Zieroth S; OPTIMIZE Heart Failure Care program coordinators. The impact of the COVID-19 pandemic on heart failure management: Global experience of the OPTIMIZE Heart Failure Care network. Int J Cardiol. 2022 Sep 15;363:240-246. Epub 2022 Jun 22. PMID: 35750302; PMCID: PMC9217066.

Lopes RD, Macedo AVS, de Barros E Silva PGM, Moll-Bernardes RJ, Feldman A, D’Andréa Saba Arruda G, de Souza AS, de Albuquerque DC, Mazza L, Santos MF, Salvador NZ, Gibson CM, Granger CB, Alexander JH, de Souza OF; BRACE CORONA investigators. Continuing versus suspending angiotensin-converting enzyme inhibitors and angiotensin receptor blockers: Impact on adverse outcomes in hospitalized patients with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)–The BRACE CORONA Trial. Am Heart J. 2020 Aug;226:49-59. Epub 2020 May 13. PMID: 32502882; PMCID: PMC7219415.

DE Albuquerque DC, DE Barros E Silva PGM, Lopes RD, Hoffmann-Filho CR, Nogueira PR, Reis H, Nishijuka FA, Martins SM, DE Figueiredo Neto JA, Pavanello R, DE Souza Neto JD, Danzmann LC, Gemelli JR, Rohde LEP, Hernandes ME, Rivera MAM, Simões MV, Dos Santos ES, Canesin MF, Zilli AC, Santos RHN, Jesuino IA, Mourilhe-Rocha R, Moura LZ, Marcondes-Braga FG, Mesquita ET; BREATHE INVESTIGATORS. In-Hospital Management and Long-term Clinical Outcomes and Adherence in Patients With Acute Decompensated Heart Failure: Primary Results of the First Brazilian Registry of Heart Failure (BREATHE). J Card Fail. 2024 May;30(5):639-650. Epub 2023 Aug 28. PMID: 37648061.

Moll-Bernardes R, Ferreira JR, Schaustz EB, Sousa AS, Mattos JD, Tortelly MB, Pimentel AL, Figueiredo ACBS, Noya-Rabelo MM, Fortier S, Matos E Silva FA, Vera N, Conde L, Cabral-Castro MJ, Albuquerque DC, Rosado-de-Castro PH, Camargo GC, Pinheiro MVT, Freitas DOL, Pittella AM, Araújo JAM, Marques AC, Gouvêa EP, Terzi FVO, Zukowski CN, Gismondi RAOC, Bandeira BS, Oliveira RS, Abufaiad BEJ, Miranda JSS, Miranda LG, Souza OF, Bozza FA, Luiz RR, Medei E. New Insights on the Mechanisms of Myocardial Injury in Hypertensive Patients With COVID-19. J Clin Immunol. 2023 Oct;43(7):1496-1505. doi: 10.1007/s10875-023-01523-6. Epub 2023 Jun 9. PMID: 37294518; PMCID: PMC10250847.

de Oliveira RS, Moll-Bernardes R, de Brito AX, Pinheiro MVT, de Almeida SA, da Silva Gomes NL, de Oliveira Terzi FV, Moreira OC, Xavier SS, Rosado-de-Castro PH, de Sousa AS. Use of PET/CT to detect myocardial inflammation and the risk of malignant arrhythmia in chronic Chagas disease. J Nucl Cardiol. 2023 Dec;30(6):2702-2711. doi: 10.1007/s12350-023-03350-z. Epub 2023 Aug 21. PMID: 37605061.

Moll-Bernardes R, Ferreira JR, Sousa AS, Tortelly MB, Pimentel AL, Figueiredo ACBS, Schaustz EB, Secco JCP, Sales ARK, Terzi FVO, Xavier de Brito A, Sarmento RO, Noya-Rabelo MM, Fortier S, Matos E Silva FA, Vera N, Conde L, Cabral-Castro MJ, Albuquerque DC, Rosado de-Castro P, Camargo GC, Pinheiro MVT, Souza OF, Bozza FA, Luiz RR, Medei E. Impact of the immune profiles of hypertensive patients with and without obesity on COVID-19 severity. Int J Obes (Lond). 2023 Nov 6. doi: 10.1038/s41366-023-01407-0. Epub ahead of print. PMID: 37932408.

de Brito ASX, Moll-Bernardes RJ, Pinheiro MVT, Camargo GC, Siqueira FPR, Oliveira RS, Glavam AP, de Almeida SA, de Holanda MT, Sangenis LHC, Mendes FSNS, Rosado-de-Castro PH, de Sousa AS. Autonomic denervation, myocardial hypoperfusion and fibrosis may predict ventricular arrhythmia in the early stages of Chagas cardiomyopathy. J Nucl Cardiol. 2023 Dec;30(6):2379-2388. doi: 10.1007/s12350-023-03281-9. Epub 2023 May 24. PMID: 37226005.

Terzi FVO, Camargo GC, Parente DB, Pittella AM, Silva-Junior G, de Novaes GG, Oliveira Neto JA, Barroso JM, Pinheiro MVT, Xavier de Brito AS, de Oliveira RS, Rodrigues RS, de Mello Perez R, de Sousa AS, Moll-Bernardes RJ. How Cardiac Fibrosis Assessed via T1 Mapping Is Associated with Liver Fibrosis in Patients with Non-Alcoholic Fatty Liver Disease. J Clin Med. 2023 Nov 29;12(23):7381. doi: 10.3390/jcm12237381. PMID: 38068433; PMCID: PMC10707357.

Lopes RD, Macedo AVS, de Barros E Silva PGM, Moll-Bernardes RJ, Feldman A, D’Andréa Saba Arruda G, de Souza AS, de Albuquerque DC, Mazza L, Santos MF, Salvador NZ, Gibson CM, Granger CB, Alexander JH, de Souza OF; BRACE CORONA investigators. Continuing versus suspending angiotensin-converting enzyme inhibitors and angiotensin receptor blockers: Impact on adverse outcomes in hospitalized patients with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)–The BRACE CORONA Trial. Am Heart J. 2020 Aug;226:49-59. Epub 2020 May 13. PMID: 32502882; PMCID: PMC7219415.

Esteves V, Zukowski CN, Luca FA de, Sousa IB dos S, Bandeira BS, Camiletti A, Arruda, G, Feldman, A, & Souza, OF de. The Association between Covid-19 and ST Elevation Myocardial Infarction: Variable Clinical Presentations on a Case Report Series. Int J Cardiovasc Sci [Internet]. 2020Jul;33(4):429–35.

Lopes RD, Macedo AVS, de Barros E Silva PGM, Moll-Bernardes RJ, Dos Santos TM, Mazza L, Feldman A, D’Andréa Saba Arruda G, de Albuquerque DC, Camiletti AS, de Sousa AS, de Paula TC, Giusti KGD, Domiciano RAM, Noya-Rabelo MM, Hamilton AM, Loures VA, Dionísio RM, Furquim TAB, De Luca FA, Dos Santos Sousa ÍB, Bandeira BS, Zukowski CN, de Oliveira RGG, Ribeiro NB, de Moraes JL, Petriz JLF, Pimentel AM, Miranda JS, de Jesus Abufaiad BE, Gibson CM, Granger CB, Alexander JH, de Souza OF; BRACE CORONA Investigators. Effect of Discontinuing vs Continuing Angiotensin-Converting Enzyme Inhibitors and Angiotensin II Receptor Blockers on Days Alive and Out of the Hospital in Patients Admitted With COVID-19: A Randomized Clinical Trial. JAMA. 2021 Jan 19;325(3):254-264. PMID: 33464336; PMCID: PMC7816106.

Luca, FAD, Arruda, G, Esteves, V, Feldman, A, Sousa, BS, Brandão, JCV, Garcia, RM, & Souza, OF (2021). Pulmonary Embolism in Patients with Covid-19 in Direct Oral Anticoagulant. Int J Cardiovasc Sci, 35(1), 140-144.

Moll-Bernardes R, Fortier SC, Sousa AS, Lopes RD, Vera N, Conde L, Feldman A, Arruda G, Cabral-Castro M, Albuquerque DC, Paula TC, Furquim T, Loures VA, Giusti K, Oliveira N, Macedo A, Barros E Silva P, De Luca F, Kotsugai M, Domiciano R, Silva FA, Santos MF, Souza OF, Bozza FA, Luiz RR, Medei E. NKG2A Expression among CD8 Cells Is Associated with COVID-19 Progression in Hypertensive Patients: Insights from the BRACE CORONA Randomized Trial. J Clin Med. 2022 Jun 27;11(13):3713. PMID: 35806995; PMCID: PMC9267446.

Scanavini-Filho MA, Berwanger O, Matthias W, Aguiar MO, Chiang HP, Azevedo L, Baracioli LM, Lima FG, Furtado RHM, Dalcoquio TF, Menezes FR, Ferrari AG, de Luca F, Giugliano RP, Goodman S, Nicolau JC. Effects of Ticagrelor and Clopidogrel on Coronary Microcirculation in Patients with Acute Myocardial Infarction. Adv Ther. 2022 Apr;39(4):1832-1843. Epub 2022 Feb 26. PMID: 35218519; PMCID: PMC8989815.

Lopes RD, Macedo AVS, de Barros E Silva PGM, Moll-Bernardes RJ, Dos Santos TM, Mazza L, Feldman A, D’Andréa Saba Arruda G, de Albuquerque DC, Camiletti AS, de Sousa AS, de Paula TC, Giusti KGD, Domiciano RAM, Noya-Rabelo MM, Hamilton AM, Loures VA, Dionísio RM, Furquim TAB, De Luca FA, et al.; BRACE CORONA Investigators. Effect of Discontinuing vs Continuing Angiotensin-Converting Enzyme Inhibitors and Angiotensin II Receptor Blockers on Days Alive and Out of the Hospital in Patients Admitted With COVID-19: A Randomized Clinical Trial. JAMA. 2021 Jan 19;325(3):254-264. PMID: 33464336; PMCID: PMC7816106.

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Lopes RD, Macedo AVS, de Barros E Silva PGM, Moll-Bernardes RJ, Dos Santos TM, Mazza L, Feldman A, D’Andréa Saba Arruda G, de Albuquerque DC, Camiletti AS, de Sousa AS, de Paula TC, Giusti KGD, Domiciano RAM, Noya-Rabelo MM, et al.; BRACE CORONA Investigators. Effect of Discontinuing vs Continuing Angiotensin-Converting Enzyme Inhibitors and Angiotensin II Receptor Blockers on Days Alive and Out of the Hospital in Patients Admitted With COVID-19: A Randomized Clinical Trial. JAMA. 2021 Jan 19;325(3):254-264. PMID: 33464336; PMCID: PMC7816106.

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