Abstract Background Measuring blood pressure is a simple method, but it is subject to errors. Objective to evaluate the theoretical and practical knowledge of the steps of blood pressure measurement in health professionals, before and after the educational intervention. Methods The theoretical knowledge questionnaire on indirect blood pressure measurement was used to assess theoretical knowledge; to assess practical knowledge, the simulation strategy was applied in a standardized clinical setting and environment. The assessments were reapplied after one month. For data analysis, descriptive statistics were used. Results 30 health professionals from different categories; 19 of whom were males aged 41 ± 9.4 years and 11 were females aged 35 ± 9.5 years. Improvement was observed in most stages of theoretical and practical knowledge when compared to pre-and post-intervention, with an emphasis on the theoretical stages: "Position of the lower limbs" 2 (6.6%) x 16 (53.3%) and "Forceps with adequate position" 1 (3.3%) x 6 (20%). In the assessment of practical knowledge, it should be highlighted: "Do not speak during the measurement" 6 (20%) x 28 (93.3%) and in the "ideal size clamp" stage 0 (0%) x 5 (16.6 %). Conclusion The theoretical and practical knowledge on the stages of BP measurement by health professionals in this sample was insufficient. However, after the educational intervention, there was an improvement in the technique in most stages. (International Journal of Cardiovascular Sciences. 2020; [online].ahead print, PP.0-0)

Abstract Background: Acute myocardial infarction (AMI) is defined as the death of cardiomyocytes due to prolonged ischemia, caused by thrombosis and / or vasospasm on an atherosclerotic plaque. Objective: To determine the incidence of patients with myocardial infarction undergoing primary angioplasty; characterize the anthropometric variables and identify the risk factors in this population. Methods: This was a cross-sectional, observational, retrospective study in which we collected secondary data from medical records of a hospital in a city in the state of São Paulo, where the largest number of interventions is via Public Health System, patients with a diagnosis of Myocardial Infarction, undergoing primary coronary angioplasty, from January 2011 to December 2013. Results: The total sample consisted of 437 subjects, 282 male and 155 female. In this study, there was predominance of myocardial infarction in the anterior descending artery ADA (45.51%), followed by right coronary artery RCA (38.46%), in carrying out the rescue angioplasty and stent implantation in 96.62% of cases. There was a predominance of high blood pressure as risk factors for 73.71%, followed by smoking with 41.66% of the sample. Conclusion: According to the present study data, it appears a higher prevalence of infarction occurred in the ADA, with individuals performing the rescue angioplasty procedure and the placement of the stent, and a growing incidence of drug stent placement. We observed a high incidence of risk factors, prevailing hypertension. (Int J Cardiovasc Sci. 2018; [online].ahead print, PP.0-0).

Resumo Fundamento: Atualmente, a constante preocupação relacionada à qualidade de vida tem instigado a população a buscar parâmetros para a prevenção de doenças, com isso surge a necessidade de investigação e a capacidade de mensurar elementos que caracterizam o estilo de vida adequado. Objetivo: comparar as determinantes de qualidade de vida a partir do questionário Fantástico entre estudantes da área da saúde. Métodos: estudo de caráter descritivo, transversal, de base populacional. A amostra deste estudo foi por conveniência, em estudantes de Medicina e Fisioterapia, de uma instituição privada de ensino superior que aceitaram responder ao questionário, sem distinção de sexo e etnia. O instrumento Fantástico utilizado neste estudo possui 25 questões fechadas que exploraram 9 domínios sobre os componentes físicos, psicológicos e sociais do estilo de vida. Resultados: Participaram 57 estudantes do ensino superior, sendo 28 (15%) do curso de Fisioterapia e 29 (50,8%) do curso de Medicina, 40 (70,1%) do sexo feminino e 17 (28,8%) do sexo masculino, com idade média de 23 ± 2 anos. A classificação geral foi de "Regular" e nenhum participante apresentou pontuação na categoria "Muito Bom" e "Excelente". Os domínios que mais necessitam de mudança do curso de Medicina estão relacionados em Nutrição e Atividade Física e da Fisioterapia são Cigarro, drogas, e álcool. Conclusão: Baseado nos dados coletados a partir do questionário FANTASTICO, é notável a necessidade de melhoria no manejo da qualidade de vida de ambos os cursos abordados, possibilitando assim algumas medidas socioeducativas, através de promoção de saúde e prevenção de doenças.

Abstract Background: The constant concern about quality of life nowadays has incited individuals to seek parameters for disease prevention. Along with that, arise a need to investigate and the ability to measure elements that characterize an appropriate lifestyle. Objective: To compare the factors determining the quality of life of students in the healthcare area using the Fantastic questionnaire. Methods: Descriptive, cross-sectional, population study. The sample was obtained by convenience and comprised medical and physical therapy students of both sexes and any ethnicity, attending a private institution of higher education, who agreed to fill out the questionnaire voluntarily. The Fantastic instrument used in this study has 25 closed questions that explore nine domains including physical, psychological, and social lifestyle components. Results: In total, 57 university students participated, of whom 28 (15%) were physical therapy students and 29 (50.8%) were medical students. The mean age was 23 ± 2 years, and 40 (70.1%) were female and 17 (28.8%) were male. The overall rating was "regular", and none of the participants scored in the "very good" and "excellent" categories. The domains that mostly required change among medical students related to nutrition and physical activity, while among physical therapy students they related to cigarette, drugs, and alcohol. Conclusion: According to the data collected using the Fantastic questionnaire, there was a remarkable need for improvement in the management of the quality of life of physical therapy and medical students, therefore allowing some social and educational measures through health promotion and disease prevention.

Introdução A Distrofia Muscular de Duchenne (DMD) é uma desordem muscular de origem genética que causa degeneração e atrofia da musculatura estriada esquelética e cardíaca. Objetivo Realizar uma avaliação eletrocardiográfica e ecocardiográfica dos pacientes portadores de Distrofia Muscular de Duchenne, observando quais as alterações presentes, o grau de comprometimento cardíaco e a eficácia destes exames na avaliação cardiológica. Métodos Foram avaliados 9 pacientes do sexo masculino portadores de DMD, com idade média de 14,12 ± 4,19 anos, variando de 7 a 23 anos. Todos foram submetidos à avaliação fisioterápica e aos exames cardiológicos: eletrocardiograma e ecocardiograma. Resultados As condições experimentais do presente trabalho nos propiciam a observação de alterações ecocardiográficas, bem como: aumento significativo no diâmetro diastólico do ventrículo esquerdo, aumento do diâmetro sistólico do átrio esquerdo, e diminuição significativa da fração de ejeção do ventrículo esquerdo, caracterizando função sistólica global diminuída, e das alterações eletrocardiográficas que mostraram possível sobrecarga de ventrículo direito, hipertrofia septal, bloqueio de fascículo anterior esquerdo e sobrecarga de átrio esquerdo. Não foram observadas alterações compatíveis de hipertrofia ventricular esquerda no eletrocardiograma. Conclusão As evidências corroboram com os dados descritos na literatura na caracterização de um comprometimento cardíaco importante apresentado por estes pacientes, assim a avaliação cardiológica, através dos exames complementares de ecocardiográfica e eletrocardiografia, nos proporcionam informações importantes para o prognóstico, o acompanhamento, e o tratamento dos pacientes portadores de DMD.

Introduction Duchenne Muscular Dystrophies (DMD) is a genetic muscle disorder that causes degeneration and atrophy of skeletal muscle and heart. Objective The aim of this survey is accomplish an evaluation electrocardiographic and echocardiography in the patients bearers of Duchene Muscular Dystrophies (DMD), to observe which alterations, which the degree of cardiac compromising these patient present and the effectiveness of these exams in the evaluation cardiologic. Methods Nine patients of the sex male bearers of DMD, with medium age of 14.12 ± 4.19 years, varying of 7 to 23 years were appraised. All were submitted to the evaluation physiotherapy and the cardiologic: electrocardiogram and echocardiogram. Results The experimental conditions of the present survey we propitiate the observation of the alterations echocardiography, as well as: significant increase in the diastolic diameter of the left ventricular (LV), increase in the systolic diameter of the left atrium (LA), and significant decrease of the ejection fraction of the LV, characterizing global systolic function reduced, and of the alterations electrocardiographic suggested possible overload of RV, septum hypertrophy, blockade of left previous fascicle and overload of atrium left. Compatible alterations of hypertrophy left ventricular were not observed. Conclusion The evidences corroborate with the data described in the literature in the characterization of an important heart compromising that these patient present, like this the evaluation cardiologic, through the complemented exams of the echocardiography and electrocardiography provide important information for the prognostic, the accompaniment, and the treatment of patient bearers of DMD.

INTRODUÇÃO: O sistema nervoso autônomo governa, a curto e médio prazo, as modificações necessárias para adaptação da pressão arterial e da frequência cardíaca às mudanças posturais. OBJETIVO: Analisar as variáveis hemodinâmicas em indivíduos saudáveis quando submetidos ao posicionamento gravitacional. MATERIAIS E MÉTODOS: Sessenta indivíduos saudáveis, divididos por faixa etária em três grupos: GI (n = 20), de 15 a 20 anos, GII (n = 20), de 21 a 40 anos, GIII (n = 20), de 41 a 60 anos. Todos foram submetidos ao posicionamento gravitacional e tiveram tanto a frequência cardíaca quanto a pressão arterial monitoradas durante todo o tempo de inversão. RESULTADOS: Houve diminuição significativa da frequência cardíaca e da pressão arterial sistólica após 3, 6, 9 e 12 minutos de inversão quando comparado aos valores de repouso, porém 3 minutos após o retorno à posição ortostática, essas variáveis retornaram aos valores basais. Em relação à pressão arterial diastólica, não foi verificada diminuição significativa no GI e no GII 3 minutos após a inversão, mas no GIII houve queda significativa. Após 6 minutos de inversão somente o GI apresentou queda significativa. Analisando 9 minutos após o posicionamento, somente o GIII apresentou queda significativa. Após 12 minutos de inversão, houve queda da pressão arterial diastólica somente no GIII quando comparado com os valores em repouso. Retornando à posição vertical, todos os grupos retornaram aos valores basais. CONCLUSÃO: O posicionamento gravitacional altera as variáveis hemodinâmicas, causando queda nos valores da frequência cardíaca e pressão arterial durante o período de inversão.

INTRODUCTION: The autonomic nervous system governs the short and medium term, the necessary modifications to adapt blood pressure and heart rate to changes in posture. OBJECTIVE: To analyze the hemodynamics variables in healthy individuals when subjected to positional gravity. MATERIALS AND METHODS: Sixty healthy individuals, divided in groups based on age, being GI (n = 20), from 15 to 20 years old, GII (n = 20), from 21 to 40 years old, GIII (n = 20) from 41 to 60 years old, being submitted to the position gravity through the GPS equipment and they had the cardiac frequency and blood pressure monitored throughout all the time of inversion. RESULTS: A significant reduction of heart rate and blood pressure in the rest position when compared after 3, 6, 9 and 12 minutes of inversion, however 3 minutes after return to the orthostatic position this variables came back near to the baseline. About the blood pressure diastolic, it was not observed a significant decrease in the GI and GII group in the rest position when compared after 3 minutes; however in the GIII group it was observed a significant drop. After 6 minutes of inversion only the GI group showed a significant drop. When analyzed 9 minutes after the position, only the GIII group showed a significant dro. After 12 minutes the inversion, it was also showed a blood pressure diastolic drop only in GIII group when compared to the values of the rest position. Returning to the vertical position, all groups returned to the baseline values after 3 minutes. CONCLUSION: The gravitational positioning changes the hemodynamics variables causing a drop of the values of the heart rate and the blood pressure during the inversion period.