In Brazil, the Food and Nutrition Surveillance System (SISVAN) is the main tool in collecting and consolidating information on the nutritional status and the feeding habits of the population encompassed by primary health care services of the country. This study explores data from SISVAN to analyze the system’s potential as a tool for monitoring the nutritional status of children and adolescents in the country. We seek to evaluate the evolution of the system’s coverage rate in relation to the population regarding different age groups and geographic regions, how this coverage rate varies according to the characteristics of the Brazilian municipalities, and to what extent the results from SISVAN differ from representative sample surveys of the population. We present four main results. First, we documented that from 2008 to 2019, SISVAN significantly expanded its coverage; with a significant decrease, however, in 2020, reaching levels similar to those at the beginning of the series. Second, our results indicate that coverage is not homogeneous, being higher in the North and Northeast regions and among underage children. Third, there is a systematic association between the characteristics of the municipalities and the level of coverage of the system. Finally, SISVAN results differ from those presented by surveys representative of the general population. Jointly, the results of this study point to the need to refine the nutritional surveillance instruments on children and adolescents in Brazil.

En Brasil, el Sistema de Vigilancia Alimentaria y Nutricional (SISVAN) es una herramienta clave para recolectar y consolidar información sobre el estado nutricional y la dieta de la población atendida por los servicios de atención primaria en el país. Este trabajo analiza, a partir de los datos de SISVAN, el potencial del sistema como una herramienta de seguimiento del estado nutricional de niños y adolescentes del país. Se pretende evaluar la evolución de la tasa de cobertura del sistema con relación a la población según diferentes grupos de edad y regiones geográficas, cómo varía esta tasa de cobertura según las características de los municipios brasileños y en qué medida los resultados de SISVAN se diferencian de las encuestas por muestreo representativas de la población. Se presentan cuatro resultados principales. Primero, entre 2008 y 2019, SISVAN amplió significativamente su cobertura, pero en 2020 hubo un significativo descenso a niveles similares a los del inicio de la serie. Segundo, los resultados indican que la cobertura no es homogénea, y hay una mayor cobertura en las regiones Norte y Nordeste del país, entre los niños más pequeños. Tercero, existe una asociación sistemática entre las características de los municipios y el nivel de cobertura del sistema. Cuarto, los resultados de SISVAN se diferencian de los presentados en las encuestas representativas de la población general. Los resultados de este estudio apuntan que es necesario mejorar las herramientas de vigilancia nutricional de niños y adolescentes en Brasil.

No Brasil, o Sistema de Vigilância Alimentar e Nutricional (SISVAN) é a ferramenta central para coletar e consolidar informações sobre o estado nutricional e alimentação da população atendida pelos serviços de atenção básica no país. Este trabalho explora dados do SISVAN com o objetivo de analisar o potencial do sistema como ferramenta de monitoramento do estado nutricional de crianças e adolescentes no país. Procura-se avaliar a evolução da taxa de cobertura do sistema em relação à população para diferentes faixas etárias e regiões geográficas, como essa taxa de cobertura varia conforme as características dos municípios brasileiros e em que medida os resultados provenientes do SISVAN diferem de pesquisas amostrais representativas da população. Apresentamos quatro principais resultados. Primeiro, documentamos que, entre 2008 e 2019, o SISVAN expandiu significativamente a sua cobertura, mas houve uma queda expressiva em 2020 até níveis similares aos do início da série. Segundo, nossos resultados apontam que a cobertura não é homogênea, sendo maior nas regiões Norte e Nordeste e entre crianças de menor idade. Terceiro, existe uma associação sistemática entre características dos municípios e o nível de cobertura do sistema. Por último, os resultados do SISVAN divergem dos apresentados por pesquisas representativas da população geral. Em conjunto, os resultados deste estudo apontam para a necessidade de refinar os instrumentos de vigilância nutricional sobre crianças e adolescentes no Brasil.

In Brazil, the Food and Nutrition Surveillance System (SISVAN) is the main tool in collecting and consolidating information on the nutritional status and the feeding habits of the population encompassed by primary health care services of the country. This study explores data from SISVAN to analyze the system’s potential as a tool for monitoring the nutritional status of children and adolescents in the country. We seek to evaluate the evolution of the system’s coverage rate in relation to the population regarding different age groups and geographic regions, how this coverage rate varies according to the characteristics of the Brazilian municipalities, and to what extent the results from SISVAN differ from representative sample surveys of the population. We present four main results. First, we documented that from 2008 to 2019, SISVAN significantly expanded its coverage; with a significant decrease, however, in 2020, reaching levels similar to those at the beginning of the series. Second, our results indicate that coverage is not homogeneous, being higher in the North and Northeast regions and among underage children. Third, there is a systematic association between the characteristics of the municipalities and the level of coverage of the system. Finally, SISVAN results differ from those presented by surveys representative of the general population. Jointly, the results of this study point to the need to refine the nutritional surveillance instruments on children and adolescents in Brazil.

En Brasil, el Sistema de Vigilancia Alimentaria y Nutricional (SISVAN) es una herramienta clave para recolectar y consolidar información sobre el estado nutricional y la dieta de la población atendida por los servicios de atención primaria en el país. Este trabajo analiza, a partir de los datos de SISVAN, el potencial del sistema como una herramienta de seguimiento del estado nutricional de niños y adolescentes del país. Se pretende evaluar la evolución de la tasa de cobertura del sistema con relación a la población según diferentes grupos de edad y regiones geográficas, cómo varía esta tasa de cobertura según las características de los municipios brasileños y en qué medida los resultados de SISVAN se diferencian de las encuestas por muestreo representativas de la población. Se presentan cuatro resultados principales. Primero, entre 2008 y 2019, SISVAN amplió significativamente su cobertura, pero en 2020 hubo un significativo descenso a niveles similares a los del inicio de la serie. Segundo, los resultados indican que la cobertura no es homogénea, y hay una mayor cobertura en las regiones Norte y Nordeste del país, entre los niños más pequeños. Tercero, existe una asociación sistemática entre las características de los municipios y el nivel de cobertura del sistema. Cuarto, los resultados de SISVAN se diferencian de los presentados en las encuestas representativas de la población general. Los resultados de este estudio apuntan que es necesario mejorar las herramientas de vigilancia nutricional de niños y adolescentes en Brasil.

No Brasil, o Sistema de Vigilância Alimentar e Nutricional (SISVAN) é a ferramenta central para coletar e consolidar informações sobre o estado nutricional e alimentação da população atendida pelos serviços de atenção básica no país. Este trabalho explora dados do SISVAN com o objetivo de analisar o potencial do sistema como ferramenta de monitoramento do estado nutricional de crianças e adolescentes no país. Procura-se avaliar a evolução da taxa de cobertura do sistema em relação à população para diferentes faixas etárias e regiões geográficas, como essa taxa de cobertura varia conforme as características dos municípios brasileiros e em que medida os resultados provenientes do SISVAN diferem de pesquisas amostrais representativas da população. Apresentamos quatro principais resultados. Primeiro, documentamos que, entre 2008 e 2019, o SISVAN expandiu significativamente a sua cobertura, mas houve uma queda expressiva em 2020 até níveis similares aos do início da série. Segundo, nossos resultados apontam que a cobertura não é homogênea, sendo maior nas regiões Norte e Nordeste e entre crianças de menor idade. Terceiro, existe uma associação sistemática entre características dos municípios e o nível de cobertura do sistema. Por último, os resultados do SISVAN divergem dos apresentados por pesquisas representativas da população geral. Em conjunto, os resultados deste estudo apontam para a necessidade de refinar os instrumentos de vigilância nutricional sobre crianças e adolescentes no Brasil.

Abstract The present study provides some parameters of the population biology of Charybdis (Charybdis) hellerii (A. Milne-Edwards, 1867), an invasive swimming crab inhabiting the estuarine portion of the Sergipe River, northeastern Brazilian coast. Samplings were carried out monthly from July 2015 to June 2016 with baited traps. The species was the second most abundant caught organism and its relative abundance ranged over the time from 11 to 59%. Sex ratio was 1:1 and all individuals were morphologically mature. Males were bigger than females. Ovigerous females were observed year-round and the smallest one was 31.35 mm carapace width. These findings show that the population is well established on the Sergipe coast. The entire distribution, and possible impacts, of C. (C.) hellerii on local environments need to be evaluated in further studies.

Abstract The goal of this study was to estimate the biometric relationships and sex ratio for the red-spotted shrimp Farfantepenaeus brasiliensis (Latreille, 1817) from the coast of Sergipe, northeastern Brazil. A total of 132 specimens of F. brasiliensis were collected and analyzed (65 females and 67 males) from May 2015 to May 2016. The overall sex ratio did not differ significantly from 1:1. Female size ranged from 20.73-46.43 mm of carapace length (CL), whereas male size ranged from 20.75-32.47 mm CL. Females were larger (34.78±6.05 mm CL, 152.61±19.68 mm of total length (TL)) and heavier (27.45±11.12 g of wet weight (WW)) than males (27.07±2.56 mm CL, 123.77±11.37 mm TL and 14.48±3.98 g WW). All biometric relationships were different between females and males. Both TL vs CL and WW vs TL relationships indicated positive allometric growth. Data shown here correspond to an adult population exploited by local shrimp fleets and are an important contribution to the biological knowledge of this species, especially in northeastern Brazil, where there is no information available.

Abstract The objective of this study was to describe the morphology and morphometry of saggitta otoliths of Polydactylus virginicus, Menticirrhus cuiaranensis and Conodon nobilis in a tropical environment. Fishes were caught with rod and reel in competitive fishing events promoted in 2014-2015 along the coast of Sergipe. A total of 174 pairs of sagitta otoliths of P. virginicus, 181 of M. cuiaranensis and 77 of C. nobilis was extracted. In general, the sagitta otoliths of all three species analyzed here presented different morphology and shape indices. The permutational multivariate analysis of variance (PERMANOVA) demonstrated significant differences among species and ontogenetic phases within each species using morphometry and shape indices. The linear discriminant analysis (LDA) presented a 98.3% correct reclassification of the otoliths by species.

Resumo: Objetivo Esse trabalho tem como objetivo registrar pela primeira vez a presença do berbigão asiático Corbicula fluminea no Rio Poxim-Açu, região nordeste do Brasil. Métodos As amostragens foram realizadas em 20 de outubro de 2016 em cinco pontos ao longo do Rio Poxim-Açu. Em cada ponto foram coletadas cinco amostras com o auxílio de um tudo de PVC (diâmetro de 0,25 m). Todos os indivíduos presentes dentro do tubo foram coletados manualmente. Resultados A espécie esteve presente em todos os pontos amostrais com densidades variando entre 412±169 e 1692±1474 indivíduos/m2. Conclusão Esse registro amplia a distribuição de C. fluminea na região nordeste do Brasil.

Abstract: Aim The objective of this work is to provide a new occurrence record of the Asian clam Corbicula fluminea in the Poxim-Açu River, northeastern Brazil. Methods Samplings were carried out on October 20th of 2016 at five sites along Poxim-Açu River. At each site five samples were taken with a PVC core of 0.25 m of diameter and all individuals found inside core were sorted by hand. Results The species was recorded at all sites with densities ranging from 412±169 to 1692±1474 individuals/m2. Conclusion This record extends the distribution of C. fluminea at northeastern Brazil.

ABSTRACT Shrimp trawling is an important socioeconomic activity but catches a large number of non-target species, including Hepatus pudibundus. This study aimed at assessing the population structure of H. pudibundus, analyzing its sex ratio, length distribution, size at first morphological maturity and biometric relationships, and identifying latitudinal patterns. Four samples of 6 kg (shrimps plus by-catch) were monthly collected in March/2015-May/2016 in Pirambu, Sergipe. Carapace width (CW) and length (LC), and total weight (TW, g) were measured. Sex and stage of morphological maturity were defined. A total of 240 individuals wes collected from all samples and the sex ratio did not differ from 1:1. This was observed in low latitudes, but females dominated in higher latitudes. The carapace width was 20.8-60.1 mm for females and 19.1-60.8 mm CW for males. Larger sizes were observed in higher latitudes. The estimated carapace width-length relationships for females and males were not significantly different (CL=0.6764+0.7390∙CW; sex grouped). The estimated weight-length relationship was TW=0.0004∙CW2.8568 for females and TW=0.0001∙CW3.1225 for males. When compared with previous studies carried out throughout the Brazilian coast, slope values (b) for weight-length relationships were higher for males. The length at first morphological maturity for females and males was 28.9 and 29.6 mm, respectively, the lowest ever recorded for this species, reflecting the occurrence of smaller sizes in lower latitudes. These results are the first obtained for northeastern Brazil.

Abstract Shrimps are the main fishery resource in marine waters off Sergipe (northeastern Brazil), where they are landed in three categories: ‘espigão’, ‘escolha’ and ‘pistola’. The objective of this study was to identify which species are landed in each category, relating to the perception of stakeholders, and to analyze their effect on the interpretation of historical catch statistics. Samples of 3kg were collected monthly for each category before landing in Aracaju (May/2015-May/2016) to identify the shrimp species caught. All specimens were identified, measured (carapace length - mm) and weighed (total weight - g), and had their sex determined. We interviewed attendees of two meetings promoted by the Programa de Monitoramento Participativo do Desembarque Pesqueiro in Aracaju and Pirambu, the two main ports where shrimp catches are landed in Sergipe, and asked for their perception of shrimp species included in each category. Finally, we used all shrimp catch data available for Sergipe in a national reconstructed database to improve the reconstruction based on the species composition estimated here for the main shrimp species. The analysis of each category indicated the presence of commercially important species (Xiphopenaeus kroyeri, Penaeus subtilis, Penaeus brasiliensis, and Penaeus schmitti), and also species of no local commercial interest: Exhippolysmata oplophoroides, Nematopalaemon schmitti, Rimapenaeus constrictus, and Sicyonia dorsalis. The category ‘espigão’ was dominated by X. kroyeri (94.2%) and ‘escolha’ by P. subtilis (95.3%). ‘pistola’ was mostly P. subtilis (78.3%), almost all of them females, followed by P. schmitti (12.3%). The perception of stakeholders was correct for ‘espigão’ and ‘escolha’, but not for ‘pistola’, as 38% of the respondents classified it as ‘camarão-branco’ (P. schmitti). The mean carapace length for all species together was: 18.90mm (‘espigão’), 22.34mm (‘escolha’), and 30.96mm (‘pistola’). Decreasing catches of X. kroyeri, P. subtilis and P. schmitti in the last years raise concern.

ABSTRACT The cliff crab Plagusia depressa (Fabricius, 1775) is recorded for the first time from the state of Sergipe, northeastern Brazil. This new record fills the gap in the species distribution between Pernambuco (8°S) and Bahia (12°S).

Resumo Objetivo: Este trabalho tem como objetivo avaliar o conhecimento de médicos com formação nas especialidades de clínica médica e cirúrgica acerca do processo de doação de córneas, bem como avaliar a segurança por parte desses profissionais neste processo e, se há insegurança, os motivos para tal. Métodos: A pesquisa se baseia na coleta de dados por meio de um questionário com dez perguntas de múltipla escolha sobre o processo de doação de córneas, sendo duas perguntas sobre segurança no processo de doação. A amostra consiste em 60 profissionais médicos do Hospital Universitário HU-UFSC selecionados por conveniência e não probabilística. Resultados: Os entrevistados obtiveram uma média de acertos de 72,2%. Em relação à segurança no processo de doação de córneas, 41 (68,66%) referem se sentir seguros quanto ao mesmo e 19 (31,33%) revelam não ter segurança para essa condição. Do total de entrevistados que revelaram insegurança no processo de doação de córneas, 13 apontaram como fator contribuinte pouca informação sobre o assunto na faculdade. Alguns temas relevantes a respeito do assunto se mostraram insuficientes e 31,66% dos entrevistados se revelaram inseguros frente a uma situação que envolva doação de córneas. Conclusão: Esses achados sugerem a necessidade de melhorar o nível de informação transmitida durante o curso de graduação acerca do processo de doação de córneas, a fim de conscientizar, melhorar o conhecimento e promover segurança frente a um potencial doador.

Abstract Objective: This study aims to evaluate the knowledge of physicians trained in Internal medicine and General surgery specialties about cornea donation process clinic, as well as to assess the confidence by these professionals in this process and, if there is uncertainty, the reasons for this. Methods: The research is based on data collected through a questionnaire with ten multiple choice questions about the process of cornea donation, in which two questions are about confidence in the donation process. The sample consists of 60 physicians of University Hospital HU-UFSC selected for convenience and non-probability. Results: Respondents had a mean score of 72.2%. Regarding confidence in the donation of corneas, 41 (68.66%) feel confident in the donation process and 19 (31.33%) did not reveal safety for this condition. From the total of respondents who revealed insecurity in cornea donation process, 13 of these indicated as a contributing factor little information on the subject in college. Some relevant themes on the subject are insufficient and 31.66% of the interviewees proved insecure against a situation involving the corneal donation. Conclusion: This finds suggest the need to improve the level of information transmitted during the undergraduate course about the process of corneal donation in order to raise awareness, improve knowledge and promote confidence when facing a potential donor.

RESUMO As praias brasileiras fornecem bens e serviços ecossistêmicos fundamentais, desempenhando papel importante para a manutenção de populações humanas e para a conservação da biodiversidade. Entretanto, apesar da sua importância ecológica e social, essas praias são amplamente impactadas por alterações humanas, turismo, poluição química e orgânica e mudanças climáticas globais. Esses fatores tornam urgente a melhor percepção e compreensão das mudanças ambientais nas praias brasileiras, assim como de suas consequências na biota. Com o objetivo de promover estudos integrados que possam detectar variações nas características das praias e de outros habitats bentônicos do litoral do Brasil, foi estabelecida a Rede de Monitoramento de Habitats Bentônicos Costeiros (ReBentos). Para fornecer subsídios para o planejamento amostral da ReBentos, realizamos um intenso levantamento sobre os estudos conduzidos nas praias brasileiras e sintetizamos o atual conhecimento relativo a esse ambiente. Os resultados do levantamento são apresentados no presente trabalho e demonstram as principais características físicas, biológicas e socioeconômicas dessas praias. A partir das informações, assim como de nossa experiência e de pesquisas realizadas em diversos países, apontamos estudos e medidas que devem ser considerados prioritários para a avaliação dos efeitos das mudanças regionais e globais sobre as praias brasileiras. Esperamos que esse trabalho possa fornecer subsídios para futuros estudos e que constitua um importante passo em direção à conservação das praias do Brasil e de sua biodiversidade.

ABSTRACT Sandy beaches constitute a key ecosystem and provide socioeconomic goods and services, thereby playing an important role in the maintenance of human populations and in biodiversity conservation. Despite the ecological and social importance of these ecosytems, Brazilian sandy beaches are significantly impacted by human interference, chemical and organic pollution and tourism, as well as global climate change. These factors drive the need to better understand the environmental change and its consequences for biota. To promote the implementation of integrated studies to detect the effects of regional and global environmental change on beaches and on other benthic habitats of the Brazilian coast, Brazilian marine researchers have established The Coastal Benthic Habitats Monitoring Network (ReBentos). In order to provide input for sample planning by ReBentos, we have conducted an intensive review of the studies conducted on Brazilian beaches and summarized the current knowledge about this environment. In this paper, we present the results of this review and describe the physical, biological and socioeconomics features of Brazilian beaches. We have used these results, our personal experience and worldwide literature to identify research projects that should be prioritized in the assessment of regional and global change on Brazilian sandy beaches. We trust that this paper will provide insights for future studies and represent a significant step towards the conservation of Brazilian beaches and their biodiversity.

La estrella de mar Astropecten marginatus presenta una distribución neotropical y debido a su abundancia es frecuente encontrarla como captura incidental durante actividades de pesca de arrastre; actividad por la cual se encuentra amenazada en muchos lugares a lo largo de la costa brasileña. En este estudio se analizaron las variaciones estacionales de la estructura de la población y se determinaron los principales componentes de la dieta de A. marginatus frente a la costa de Paraná, sur de Brasil. Las muestras analizadas provinieron de las capturas de la pesca de arrastre recogidas en febrero (verano), abril (otoño), junio (invierno) y octubre (primavera) 2008. De cada individuo se midió la longitud y se pesó, posteriormente se analizó el contenido estomacal de 10 organismos de cada una de las dos clases de talla más frecuentes por cada temporada. Se analizaron 994 ejemplares de A. marginatus, los cuales presentaron una longitud que varió entre 7.0-56.2mm, con mayor frecuencia de individuos entre 20.1-25mm. Los organismos mayores (>40mm) se encontraron solamente en la primavera, mientras aquellos con talla inferior a los 10mm se obtuvieron durante el otoño y el invierno. El peso de los individuos se mantuvo entre los 0.1-15.3g. La relación entre el peso y talla mostró un crecimiento alométrico negativo (b<2.54). En cuanto a la dieta, esta especie consumió un total de once presas, de las cuales los cumáceos y moluscos fueron los grupos más consumidos. Una mayor cantidad de presas exploradas se registró en el invierno-primavera de los períodos de verano-otoño. El predominio de la presa cambió de gasterópodos (verano y otoño) a cumáceos (invierno y primavera). Las diferencias estacionales en el patrón de alimentación podrían estar asociadas a una baja disponibilidad de presas y a los cambios en las tasas de alimentación, lo cual se ve reflejado en algunos rasgos biológicos, como el pequeño tamaño del cuerpo esta población.

The sea star Astropecten marginatus has a neotropical distribution and is a highly abundant and frequent species in shrimp trawling by-catchin many places along the Brazilian coast. This has caused its threat to extinction and in addition, its bio-ecological aspects are poorly known. Thus, the main objective of this study was to analyze the seasonal variations of population length structure and feeding habits of the sea stars A. marginatus inhabiting off state of Paraná, Southern Brazil. The analyzed specimens were collected in February (summer), April (fall), June (winter) and October (spring) of 2008 from shrimp by-catch trawling. In the laboratory, each individual had its length measured and then weighed on an analytical scale. Afterwards, the stomach contents of 10 individuals of each of two most frequent length classes were seasonally analyzed. The relative frequency and abundance for each prey category was determined and, then combined into an index of alimentary importance. A total of 994 individuals of A. marginatus were collected with length ranging from 7.0 to 56.2mm, but most individuals were in the 20.1-25mm length classes. Individuals larger than 40mm were only collected in the spring while a few recruits (<10mm) were found in fall and winter. The total weight of individuals ranged from 0.1 to 15.3g and the weight-length relationships showed a negative allometric growth (b<2.54). Regarding its food consumption, this sea star explored eleven food items, with cumaceans and mollusks as the most frequent items. High frequency of empty stomach was recorded at fall. Seasonal differences in the amount explored preys and ingested items as well as in the prey composition were also observed. Higher amount of explored prey categories and ingested items were recorded at winter-spring than summer-fall periods. Predominance in prey category changed from gastropods (summer and fall) to cumaceans (winter and spring). The importance of gastropods as main prey category at summer and fall should be carefully considered since it was coincidently observed with high frequency of empty stomach and low amount of ingested items. The observed seasonal differences in feeding behavior pattern were mainly associated to low prey availability and to changes in the sea star feeding rates, and probably reflected in some biological traits such as small body size of the population inhabiting waters off the Paraná coast, Southern Brazil.

The fluid dynamic behavior of an anaerobic fermentation bioreactor through three-dimensional numerical simulations using Computational Fluid Dynamics with the software OpenFOAM® has been studied. Two operating conditions were evaluated: one with a downward recirculating regime and another in the opposite direction. Results obtained with upward recirculating flow indicate an optimization of the process in this regime. This implies a larger turbulent region in the bioreactor and a better mixing without compromising the integrity of the flocs.

Se ha evaluado el comportamiento hidrodinámico de un reactor de fermentación anaerobia a través de simulaciones numéricas tridimensionales, usando Dinámica de Fluidos Computacional con el software OpenFOAM®. Se evaluaron dos condiciones de funcionamiento: una con régimen de circulación hacia abajo y otra en la dirección opuesta. Se consideró un modelo bifásico, transitorio y turbulento. Los resultados obtenidos con flujo de recirculación hacia arriba indican una optimización del proceso con este régimen. Esto implica una mayor porción turbulenta en el interior del biorreactor y una mejor mezcla sin comprometer la integridad de los gránulos.

A miocardiopatia não compactada isolada é uma doença rara, que provavelmente surge no período embrionário, com a parada intrauterina da compactação miocárdica no início do desenvolvimento fetal, e que determina trabeculações miocárdicas proeminentes com recessos intertrabeculares profundos e espessamento do miocárdio em duas camadas distintas (compactado e não compactado). Embora descrita inicialmente na população pediátrica ou em conjunto com cardiopatia congênita, pode-se compreender que essa doença ocorre de forma isolada, porque o diagnóstico é cada vez mais comum em pacientes adultos que não apresentam outra doença cardíaca. As manifestações clínicas são altamente variáveis, porque partem da ausência de sintomas à insuficiência cardíaca congestiva, arritmias e tromboembolismo sistêmico. A ecocardiografia é o procedimento diagnóstico mais utilizado, porém o pouco conhecimento sobre essa doença, sua semelhança com outras afecções miocárdicas e a limitação da técnica ecocardiográfica empregada fazem com que o diagnóstico seja postergado. Esta revisão objetiva mostrar que outras modalidades de imagem como ressonância magnética, tomografia computadorizada e ventriculografia esquerda são alternativas diagnósticas.

Isolated non-compaction cardiomyopathy is a rare disease that is likely to develop in the embryonic period. It is caused by the intrauterine arrest of the myocardial compaction process in the beginning of the fetal development. It is characterized by prominent myocardial trabeculations and deep intertrabecular recesses, as well as the thickening of the myocardium into two distinct layers (compacted and not compacted). Even though this disease is said to be prevalent in the pediatric population or together with congenital heart disease, one can understand that this disease occurs in isolation, because the diagnosis is becoming more common in adult patients that have no other heart disease. The clinical manifestations vary greatly, because they range from absence of symptoms to congestive heart failure, arrhythmias and systemic thromboembolism. Echocardiography is the most widely used diagnostic procedure, but the little knowledge about this disease, its similarity to other myocardial diseases and the limitation of the echocardiographic technique used delay the diagnosis. The purpose of this review is to show that that other imaging techniques, such as MRI, CT and left ventriculography have emerged as diagnostic alternatives.

La miocardiopatía no compactada aislada es una enfermedad rara, que probablemente surge en el período embrionario, con la parada intrauterina de la compactación miocárdica en el comienzo del desarrollo fetal, y que determina trabeculaciones miocárdicas prominentes con recesos intertrabeculares profundos y espesamiento del miocardio en dos capas distintas (compactado y no compactado). Aunque descripta inicialmente en la población pediátrica o en conjunto con cardiopatía congénita, se puede comprender que esa enfermedad ocurre de forma aislada, porque el diagnóstico es cada vez más común en pacientes adultos que no presentan otra enfermedad cardíaca. Las manifestaciones clínicas son altamente variables, porque parten de la ausencia de síntomas a la insuficiencia cardíaca congestiva, arritmias y tromboembolismo sistémico. La ecocardiografía es el procedimiento diagnóstico más utilizado, sin embargo el poco conocimiento sobre esa enfermedad, su semejanza con otras afecciones miocárdicas y la limitación de la técnica ecocardiográfica empleada hacen que el diagnóstico sea postergado. Esta revisión pretende mostrar que otras modalidades de imagen como resonancia magnética, tomografía computarizada y ventriculografía izquierda son alternativas diagnósticas.