Repositório RCAAP

A new species of stygobitic aeglid from lentic subterranean waters in southeastern Brazil, with an unusual morphological trait: short pleopods in adult males

Abstract Aegla charon n. sp. is endemic to the “Lago Subterrâneo” cave from the Alto Ribeira karst region, southeastern Brazil. The most remarkable morphological trait observed in the new species was the presence of partially developed pair of uniramous pleopods 2‒5 in adult male specimens, whereas the absence of these pleonal appendages is the general condition in this sex in Aegla Leach, 1820. Some of the pleopods are even morphologically similar to those typically observed in adult females in that they may also be two-segmented, only shorter in size. The pigmented area of the cornea is slightly reduced, which is probably a troglomorphic adaptation to subterranean habitats. Aegla charon n. sp. is also the only obligate cave-dwelling aeglid known to inhabit lentic subterranean waters. A key to all species from the Alto Ribeira karst area is provided.

Ano

2017

Creators

Bueno,Sérgio Luiz de Siqueira Camargo,Alexandre Lopes Moraes,Juliana Cristina Bertacini

Length/weight relationship and condition factor of Macrobrachium jelskii (Miers, 1877) and M. brasiliense (Heller, 1862) (Decapoda, Palaemonidae) in two locations in the state of São Paulo

Abstract This study describes the weight vs. carapace length relationship and provides the total and monthly condition factor values for populations of Macrobrachium jelskii (Miers, 1977) and M. brasiliense (Heller, 1868) occurring in southeastern Brazil. The biological characteristics were compared and related to the climatic environmental factors between the two areas. Our investigation sampled M. jelskii from the Barra Mansa Dam, Mendonça, SP, a semilotic environment with greater resilience than the Talhadinho Stream, Talhado, SP, a lotic environment where specimens of M. brasiliense were captured. Individuals were classified according to sex and measured at the carapace length (CL) and weighed (WE). The relationship WE/CL was analyzed by dispersion diagrams of the empirical points, which were set to the power function (WE = a.CL b ). Values of the mean condition factor were compared monthly. In total, 1493 individuals of M. jelskii and 843 individuals of M. brasiliense were captured. Analyses of the constant allometry revealed that both sexes of M. jelskii, as well as females of M. brasiliense grow proportionately more in size than weight. The results concerning the morphometric aspects studied in both species suggest an association with the reproductive processes.

Ano

2017

Creators

Taddei,Fabiano Gazzi Herrera,Daphine Ramiro Davanso,Thiago Maia Silva,Thiago Elias da Costa,Rogério Caetano da Fransozo,Adilson

Population biology of Macrobrachium jelskii (Miers, 1877) (Decapoda, Palaemonidae) from an artificial pond in Bahia, Brazil

Abstract The freshwater prawn Macrobrachium jelskii (Miers, 1877) is widely distributed in South America’s lentic and lotic habitats. We studied the population structure and reproductive biology of the species in the municipality of Cruz das Almas, state of Bahia, Brazil, to supply information on this ecologically and economically relevant species. Samples were collected monthly, from February 2013 to January 2014, at Laranjeiras pond. The sex ratio was biased towards females (1.4 females : 1 male). The mean carapace length of females and males was respectively 8.08 ± 1.37 mm and 6.61 ± 1.11 mm. Ovigerous females comprised 22.5% of all sampled females, and their reproductive activity, characterized as seasonal-continuous, was positively correlated with precipitation. The average size of females at the onset of functional maturity was estimated at 6.67 mm CL and the mean fecundity was 25.2 ± 8.9 eggs. Egg size, mass and volume increased significantly during embryonic development. Our data strongly indicate that the reproductive strategy that best fits the species is the “pure search” mating system.

Ano

2017

Creators

Rocha,Sérgio Schwarz da Barbosa,Rosiane de Jesus

Checklist of fossil decapod crustaceans from tropical America. Part I: Anomura and Brachyura

Abstract Our knowledge of fossil crustaceans from the tropics has increased considerably during recent decades, thanks to novel findings and the re-examination of museum specimens. However, several previous records have been misidentified, numerous museum specimens have never been reported, and many new discoveries are yet to be published. Here, we present a detailed, up-to-date, and revised checklist for every marine, terrestrial, or freshwater fossil decapod crustacean occurrence from tropical America known to us, including their age, geographic occurrences, and related literature. We recognize the occurrence of at least 32 superfamilies, 69 families, 190 genera, and 415 species of brachyurans (‘true’ crabs), and anomurans (‘false’ crabs, hermit crabs, squat lobsters, and allies), several of them previously unknown. The checklist comprises records from three main geographic regions: 1) northern South America (Bolivia, Brazil, Chile, Colombia, Ecuador, Peru, Venezuela); 2) Central America and southern North America (Belize, Costa Rica, Honduras, Panama, Mexico, southern and central Florida); and 3) the Caribbean Islands + Bermuda (Anguilla, Antigua, Aruba, Bahamas, Barbados, Bermuda, Bonaire, Cuba, Curaçao, Dominican Republic, The Grenadines, Haiti, Jamaica, Puerto Rico, Saint Bartélemy, Saint Martin, Trinidad). Previous findings, new occurrences, and the revised systematic placement for several problematic/misidentified records, indicate that the fossil record of anomurans and brachyurans in tropical America is more diverse than previously envisioned, with a considerable degree of endemism at the genus- and species-levels.

Ano

2017

Creators

Luque,Javier Schweitzer,Carrie E. Santana,William Portell,Roger W. Vega,Francisco J. Klompmaker,Adiël A.

Species of Excorallana (Isopoda, Corallanidae) from northern and northeastern Brazil, with description of a new species, Excorallana lemoscastroi sp. nov.

Abstract Several Brazilian specimens of the genus Excorallana Stebbing, 1904, were revised based on material deposited in the carcinological collection of the Museu de Oceanografia Prof. Petrônio Alves Coelho, Universidade Federal de Pernambuco, Recife, Brazil. The material examined was collected during oceanographic expeditions off northern and northeastern Brazil between 1965 and 2000. Seven species were identified: Excorallana bicornis Lemos de Castro & Lima, 1971; Excorallana costata Lemos de Castro, 1960; Excorallana oculata (Hansen, 1890); Excorallana richardsoni Lemos de Castro, 1960; Excorallana subtilis (Hansen, 1890); Excorallana warmingii (Hansen, 1890); and a putative new species, Excorallana lemoscastroi sp. nov. The new species was found in Paraíba and Pernambuco and shares characters with Excorallana antillensis (Hansen, 1890), in having the head and pereon unornamented; the pleon with tubercles; and the pleotelson triangular, with a lateral incision and with four tubercles on the anterior margin. However, the two species differ in the head size, length of the antenna, shape of the frontal lamina, and number and arrangement of tubercles on the pleon.

Ano

2017

Creators

Silva,Elinai dos Santos Souza-Filho,Jesser F.

Grooming behaviors and gill fouling in the commercially important blue crab (Callinectes sapidus) and stone crab (Menippe mercenaria)

Abstract Grooming behaviors reduce fouling of body regions. In decapods, grooming time budgets, body regions groomed, and grooming appendages are known in several species; however, little data exists on brachyuran crabs. In this study, grooming behaviors of two commercially important crabs were documented (blue crabs: Callinectes sapidus Rathbun, 1896; stone crabs: Menippe mercenaria Say, 1818). These crabs are harvested by fishermen and knowing their grooming behaviors is valuable, as clean crabs are preferred by consumers and the stone crab fishery consequence of removing one cheliped to grooming behaviors is unknown. Crabs were observed individually and agonistically to determine how grooming behaviors vary in the presence of another conspecific. Both species frequently use their maxillipeds and groom, with the gills being cleaned by epipods. Respiratory and sensory structures were groomed frequently in both species. Removal of a grooming appendage resulted in higher fouling levels in the gills, indicating that grooming behaviors do remove fouling. Overall, stone crabs had a larger individual time budget for grooming, but agonistic grooming time budgets were similar. Stone crab chelipeds are used in grooming, especially cleaning the other cheliped. The chelipeds are not the main grooming appendage; however, implications of losing one cheliped may have large impacts.

Ano

2017

Creators

Wortham,Jen L. Pascual,Stephanie

An update for cladoceran fauna (Crustacea, Branchiopoda) from Lake Paranoá, Central Brazil, with the first description of a male of Leydigiopsis ornata Daday, 1905

Abstract Until recently, Lake Paranoá was considered the most thoroughly studied aquatic environment in relation to cladocerans in the Federal District. However, in new samplings carried out during the dry and rainy seasons of 2014, we found 10 new records of species. These species were presumed to occur in Lake Paranoá because of their range of geographical distribution. The male of Leydigiopsis ornata Daday, 1905 is described for the first time, adding new morphological traits to a recent redescription of the species. The presence of three rows of setulae on the labral keel is unique to the L. ornata male. As is the case in females, the male of L. ornata is mainly differentiated from L. megalops Sars, 1901 and L. curvirostris Sars, 1901 by the morphology of the postabdomen.

Ano

2017

Creators

Sousa,Francisco Diogo R. Rangel,Elisângela Reis Silva,Mariana Lessa Carneiro da Joko,Ciro Y. Elmoor-Loureiro,Lourdes M. A.

Behavior of cardiac variables in animals exposed to cigarette smoke

OBJECTIVE: To assess the behavior of cardiac variables in animals exposed to cigarette smoke. METHODS: Two groups of Wistar rats were studied as follows: control group (C), comprising 28 animals; and smoking group (S), comprising 23 animals exposed to cigarette smoke for 30 days. Left ventricular cardiac function was assessed in vivo with transthoracic echocardiography, and myocardial performance was analyzed in vitro in preparations of isolated left ventricular papillary muscle. The cardiac muscle was assessed in isometric contractions with an extracellular calcium concentration of 2.5 mmol/L. RESULTS: No statistical difference was observed in the values of the body variables of the rats and in the mechanical data obtained from the papillary muscle between the control and smoking groups. The values of left ventricular systolic diameter were significantly greater in the smoking animals than in the control animals (C= 3.39 ± 0.4 mm and S= 3.71 ± 0.51 mm, P=0.02). A significant reduction was observed in systolic shortening fraction (C= 56.7 ± 4.2% and S= 53.5 ± 5.3%, P=0.02) and in ejection fraction (C= 0.92 ± 0.02 and S= 0.89 ± 0.04, P=0.01). CONCLUSION: The rats exposed to cigarette smoke had a reduction in left ventricular systolic function, although their myocardial function was preserved.

Ano

2003

Creators

Paiva,Sergio Alberto Rupp de Zornoff,Leonardo Antonio Mamede Okoshi,Marina Politi Okoshi,Katashi Cicogna,Antonio Carlos Campana,Alvaro Oscar

Coronary heart disease clinical manifestation and risk factors in Japanese immigrants and their descendents in the city of São Paulo

OBJECTIVE: To assess whether a difference exists in coronary heart disease clinical manifestations and the prevalence of risk factors between Japanese immigrants and their descendents in the city of São Paulo. METHODS: Retrospective analysis of coronary artery disease clinical manifestations and the prevalence of risk factors, comparing 128 Japanese immigrants (Japanese group) with 304 Japanese descendents (Nisei group). RESULTS: The initial manifestation of the disease was earlier in the Nisei group (mean = 53 years), a difference of 12 years when compared with that in the Japanese group (mean = 65 years) (P<0.001). Myocardial infarction was the first manifestation in both groups (P = 0.83). The following parameters were independently associated with early coronary events: smoking (OR = 2.25; 95% CI = 1.35-3.77; P<0.002); Nisei group (OR = 10.22; 95% CI = 5.64-18.5; P<0.001); and female sex (OR = 5.04; 95% CI = 2.66-9.52; P<0.001). CONCLUSION: The clinical presentation of coronary heart disease in the Japanese and their descendents in the city of São Paulo was similar, but coronary heart disease onset occurred approximately 12 years earlier in the Nisei group than in the Japanese group.

Ano

2003

Creators

Amato,Reynaldo Vicente César,Luiz Antonio Machado Mansur,Antonio de Pádua Hueb,Whady Armindo Martins,José Renato Martines Vianna,Caio de Brito Ramires,José Antonio Franchini

ProBNP for stratifying patients with heart failure

OBJECTIVE: To verify whether the serum levels of N-Terminal ProBNP fraction (ProBNP) allow us to identify with accuracy the clinical functional status of patients with heart failure (HF), because the clinical diagnosis of this syndrome is based basically on clinical data when the complementary tests have lower specificity. METHODS: Sixty-nine patients with a history of HF were studied. Their mean age of was 53.5 years and 78.3% were males. All underwent clinical and echocardiographic evaluations and a test to determine the serum dosage of ProBNP. According to clinical manifestation, patients were in the following functional classes (FC), 14% FC I, 40.6% FC II, 28.1% FC III, and 23.4% FC IV. The mean ejection fraction (EF) was 0.28. RESULTS: ProBNP did not differ according to age, sex, and cause of cardiopathy. No correlation existed between EF and the ProBNP serum level. ProBNP levels were significantly lower in patients in FC I than those in FC II (42 vs 326.7 pmol/L; P=0.0001), and in FC II than those in FC III (P=0.01). ProBNP levels did not differ statically between FC III and IV patients (888.1 vs 1082.8 pmol/L; P=0.25). ProBNP values greater than 100 pmol/L identify patients with decompensated HF with a sensitivity of 98%. CONCLUSION: ProBNP values over 100 pmol/L were indicative of HF, and patients with advanced HF had values over 270 pmol/L. A ProBNP dosage test was an excellent auxiliary in the clinical characterization of patients with HF.

Ano

2003

Creators

Pereira-Barretto,Antonio Carlos Oliveira Jr,Mucio Tavares de Franco,Fabio Gazellato Cassaro-Strunz,Célia

Prevalence of dyslipidemia and risk factors in Campos dos Goytacazes, in the Brazilian State of Rio de Janeiro

OBJECTIVE: To determine the prevalence of dyslipidemias in adults in the city of Campos dos Goytacazes, in the Brazilian state of Rio de Janeiro, and to identify its relation to risk factors. METHODS: Cross-sectional, population-based, observational study with sampling through conglomerates and stratified according to socioeconomic levels, sex, and age, with 1,039 individuals. Risk factors, familial history, blood pressure, anthropometric measurements, glucose, triglycerides and cholesterol were determined. RESULTS: The following prevalences were observed: of dyslipidemias 24.2%; of hypercholesterolemia, 4.2%; of elevated LDL-C, 3.5%; of low HDL-C, 18.3%; and of hypertriglyceridemia, 17.1%. The following mean levels were observed: cholesterol, 187.6± 33.7 mg/dL; LDL-C, 108.7±26.8 mg/dL; HDL-C, 48.5±7.7 mg/dL; and triglycerides, 150.1±109.8 mg/dL. The following variables showed a positive correlation with dyslipidemia: increased age (P<0.001), male sex (P<0.001), low familial income (P<0.001), familial history (P<0.01), overweight/obesity (P<0.001), waist measure (P<0.001), high blood pressure (P<0.001), and diabetes mellitus (P<0.001). The following variables had no influence on dyslipidemias: ethnicity, educational level, smoking habits, and sedentary lifestyle. CONCLUSION: The frequency of lipid changes in the population studied was high, suggesting that measures for the early diagnosis should be taken, in association with implementation of programs for primary and secondary prevention of atherosclerosis.

Ano

2003

Creators

Souza,Luiz José de Souto Filho,João Tadeu Damian Souza,Thiago Ferreira de Reis,Aldo Franklin Ferreira Gicovate Neto,Carlos Bastos,Diogo Assed Côrtes,Vitor Azevedo Chalita,Félix Elias Barros Teixeira,Cláudio Luiz

Kawasaki disease: involution of giant coronary aneurysms after prolonged anti-inflammatory treatment

The patient is a 5-year-old male with Kawasaki disease, whose involution of giant aneurysms of the left coronary arteries was surprising after a prolonged period of treatment, which lasted 80 uninterrupted days and comprised anti-inflammatory drugs associated with anticoagulation agents. The distal diameters of the anterior interventricular, the diagonal, and the circumflex arteries normalized by the end of the treatment. A residual giant aneurysm localized at the beginning of the anterior interventricular artery did not cause ischemia. Continuation of the medication for a prolonged period was recommended.

Ano

2003

Creators

Atik,Edmar Foronda,Antonio Bustamante,Luiz Narcio P.

Aneurysmal dilation of the reimplant segment of the visceral vessels after thoracoabdominal aneurysm correction

We present a case of aneurysmal dilation of the aortic residual segment, involving abdominal vessels in corrective surgeries for thoracoabdominal aortic aneurysm, through the identification of risk groups for recurrent dilation, aiming at using a specific operative technique with a branched graft, to prevent aneurysm relapse.

Ano

2003

Creators

Dias,Ricardo R. Coselli,Joseph S. Stolf,Noedir A. G. Dias,Altamiro R. Mady,Charles Oliveira,Sérgio A.

Behavior of inflammatory markers of myocardial injury in cardiac surgery: laboratory correlation with the clinical picture of postpericardiotomy syndrome

OBJECTIVE: To verify the association of serum markers of myocardial injury, such as troponin I, creatinine kinase, and creatinine kinase isoenzyme MB, and inflammatory markers, such as tumor necrosis factor alpha (TNF-alpha), C-reactive protein, and the erythrocyte sedimentation rate in the perioperative period of cardiac surgery, with the occurrence of possible postpericardiotomy syndrome. METHODS: This was a cohort study with 96 patients undergoing cardiac surgery assessed at the following 4 different time periods: the day before surgery (D0); the 3rd postoperative day (D3); between the 7th and 10th postoperative days (D7-10); and the 30th postoperative day (D30). During each period, we evaluated demographic variables (sex and age), surgical variables (type and duration , extracorporeal circulation), and serum dosages of the markers of myocardial injury and inflammatory response. RESULTS: Of all patients, 12 (12.5%) met the clinical criteria for a diagnosis of postpericardiotomy syndrome, and their mean age was 10.3 years lower than the age of the others (P=0.02). The results of the serum markers for tissue injury and inflammatory response were not significantly different between the 2 assessed groups. No significant difference existed regarding either surgery duration or extracorporeal circulation. CONCLUSION: The patients who met the clinical criteria for postpericardiotomy syndrome were significantly younger than the others were. Serum markers for tissue injury and inflammatory response were not different in the clinically affected group, and did not correlate with the different types and duration of surgery or with extracorporeal circulation.

Ano

2003

Creators

Köhler,Ilmar Saraiva,Paulo J. Wender,Orlando B. Zago,Alcides J.

Assessment of cardiovascular risk factors in a rural community in the Brazilian state of Bahia

OBJECTIVE: To assess the frequency of cardiovascular risk factors in the rural community of Cavunge, in the Brazilian state of Bahia. METHODS: A cross-sectional study was carried out with 160 individuals (age > 19 years) randomly drawn from those listed in the population census of the Cavunge Project. The following parameters were studied: arterial hypertension, dyslipidemia, diabetes, obesity, smoking, waist-hip ratio (WHR), physical activity, and overall cardiovascular risk classified according to the Framingham score. The assessing parameters used were those established by the III Brazilian Consensus on Hypertension and the II Brazilian Consensus on Dyslipidemia. RESULTS: Of the randomly drawn individuals, 126 with a mean age of 46.6 + 19.7 years were included in the study, 43.7% of whom were males. The frequency of arterial hypertension was 36.5%; 20.4% of the individuals had cholesterol levels >240 mg/dL; 31.1% of the individuals had LDL-C levels > 130 mg/dL; 4% were diabetic; and 39.7% had a high-risk Framingham score. Abdominal obesity was observed in 41.3% of the population and in 57.7% of the females. High caloric-expenditure (HCE) physical activities were performed by 56.5% of the individuals. The HCE group had a greater frequency of normal triglyceride levels (63% vs 44%; P=0.05), no diabetes, and WHR tending towards normal (46% vs 27%, P=0.08) as compared with those in the low caloric-expenditure group. CONCLUSION: Cardiovascular risk factors, such as hypertension and hypercholesterolemia, are frequently found in rural communities. The greatest frequency of normal triglyceride levels and normal WHR in the HCE group reinforces the association between greater caloric expenditure and a better risk profile.

Ano

2003

Creators

Matos,André Costa Ladeia,Ana Marice

Demographic characteristics of the population undergoing cine coronary angiography at the Instituto do Coração of the Medical School of USP from 1986 to 1995

OBJECTIVE: To obtain information about the profile and behavior of a population with ischemic heart disease undergoing cine coronary angiography and to determine disease severity. METHODS: Retrospective study assessing patients hospitalized at InCor from 1986 to 1995, in which the variables age, sex, and number of major coronary arteries with obstruction degree > 40% were analyzed. RESULTS: We studied 18,221 patients and observed a significant increase in the number of females (22.8% to 25.2%, P=0.001) and an increase in age (57.1±29.3 to 60.4±10.7 years, P=0.0001). A significant increase in the incidence of multivessel disease was observed, which was more frequent among males (69.2% and 64.5%) and among the older patients (59.8±9.8 and 56.8±10.7 years, P=0.0001). A reduction in the incidence of single-vessel disease was also observed (66.2% vs 69.2% and 33.8% vs 30.5%, respectively, P<0.0001). CONCLUSION: A change in the profile of the population studied was observed as follows: patients undergoing cine coronary angiography at InCor were older, had a greater number of impaired major coronary arteries, and the number of females affected increased, leading to indices suggestive of a poorer prognosis.

Ano

2003

Creators

Caramelli,Bruno Fornari,Luciana Savoy Monachini,Maristela Ballas,Dália Fachini,Nilson Roberto Mansur,Antônio de Pádua Ramires,José Antônio Franchini

Medical care and deaths due to coronary artery disease in Brazil, 1980-1999

OBJECTIVE: To estimate the frequency of medical care preceding deaths due to coronary artery diseases (CAD) in different Brazilian regions and capitals and to describe trends in medical care from 1980 to 1999. METHODS: Information on medical care preceding deaths due to coronary artery diseases/acute myocardial infarction in adults > 20 years from 1980 to 1999 was collected in the DATASUS, the databank of the Brazilian Health Ministry. Sex, states, and capitals selected for 1999 were analyzed in the study. Medical care was stratified as follows: with, without, and ignored medical care. The descriptive analysis comprised frequencies, ratios of frequency, test for proportions, and increments or reductions in frequencies. RESULTS: Acute myocardial infarction (AMI) represented 75 to 85% of the CAD in the period; the frequency of deaths with medical care ranged from 48.9 to 63%, and that of ignored medical care ranged from 27.2 to 41.5%. The frequency of other CAD with medical care ranged from 56 to 76%. The frequency of deaths preceded by medical care decreased by 17.8%, and that with ignored medical care increased by 36.5% (RF=2). The values for the other CAD were -20.2% and +64.6% (RF=44.4). Deaths preceded by medical care were more frequent in females at all ages and in all Brazilian regions. CONCLUSION: The results show a high frequency of sudden death and suggest errors in diagnosis or codification and overestimation of the statistics about mortality. Validation of the death certificate diagnosis and frequent surveillance are required.

The influence of patient's consciousness regarding high blood pressure and patient's attitude in face of disease controlling medicine intake

OBJECTIVE: To assess the relation between blood pressure control and the following: the Morisky-Green test, the patient's consciousness regarding high blood pressure, the patient's attitude in face of medicine intake, the patient's attendance at medical consultations, and the subjective physician's judgment. METHODS: We studied 130 hypertensive patients with the following characteristics: 73% females, 60±11 years, 58% married, 70% white, 45% retired, 45% with incomplete elementary schooling, 64% had a familial income of 1 to 3 minimum wages, body mass index of 30±7 kg/m², consciousness regarding the disease for a mean period of 11±9.5 years, and mean treatment duration of 8 ±7 years. RESULTS: Only 35% of the hypertensive individuals had blood pressure under control and a longer duration of treatment (10±7 vs 7±6.5 years; P<0.05). The retiree predominated. The result of the Morisky-Green test did not relate to blood pressure control. In evaluating the attitude in face of medicine intake, the controlled patients achieved significantly higher scores than did the noncontrolled patients (8±1.9 vs 7 ±2, P<0.05). The hypertensive patients had higher levels of consciousness regarding their disease and its treatment, and most (70%) patients attended 3 or 4 medical consultations, which did not influence blood pressure control. The physicians attributed significantly higher scores regarding adherence to treatment to controlled patients (6±0.8 vs 5±1.2; P<0.05). CONCLUSION: Consciousness regarding the disease, the Morisky-Green test, and attendance to medical consultations did not influence blood pressure control.

Ano

2003

Creators

Strelec,Maria Aparecida A Moura Pierin,Angela M. G. Mion Jr.,Décio

Morphometric and topographic study of coronary ostia

OBJECTIVE: To investigate the morphometric and topographic aspects of coronary ostia, correlating them with the aortic leaflets. METHODS: Fifty-one hearts with the great vessels attached were analyzed in this study. The ascending aorta was transversally sectioned 1 cm above the commissures of the aortic leaflets. The right and left coronary ostia were analyzed, as were the distances from these ostia to the bottom of the aortic sinuses and to the commissures of the aortic leaflets. RESULTS: The left coronary ostium was located below the intercommissural line in 42% of cases, above that line in 40% of cases, and at the level of that line in 18% of cases. The mean distance from the left coronary ostium to the bottom of the corresponding sinus was 12.6±2.61 mm. The right coronary ostium was located below the intercommissural line in 60% of cases, above that line in 28% of cases, and at the level of that line in 12% of cases. The mean distance from the right coronary ostium to the bottom of the corresponding aortic sinus was 13.2±2.64 mm. The mean diameters of the left and right coronary ostia were 4.75±0.93 mm and 3.46±0.94 mm, respectively. The mean diameters of the juxtamural portion of the left and right coronary arteries were 3.75±0.79 mm and 2.9±0.73 mm, respectively. In one case, both ostia were located in the left coronary sinus. CONCLUSION: The left coronary ostium may be located either above or below the intercommissural line. The right coronary ostium is predominantly located below the intercommissural line. The coronary ostia have reduced diameters as compared with the juxtamural diameters of their respective coronary arteries.

Ano

2003

Creators

Cavalcanti,Jennecy Sales Melo,Natália Corrêa Vieira de Vasconcelos,Renata Simões de

Secular trends in a population with ischemic heart disease admitted to the Instituto do Coração in São Paulo

OBJECTIVE: To assess the clinical and demographic characteristics of a population with ischemic heart disease admitted in the final decades of the 20th century. METHODS: This study retrospectively assessed patients hospitalized with ischemic heart disease divided into the following 2 groups: acute group - 11.181 patients with acute myocardial infarction admitted from 1/1/82 to 12/31/94; and chronic group - 4.166 patients undergoing coronary artery bypass graft surgery from 1/1/84 to 12/31/94. RESULTS: In the acute group, an increase in the percentage of females (from 22.7% to 27.7%, P<0.001) and diabetic individuals (from 12.4% to 17.5%, P<0.001) was observed, as was an increase in age (from 57.4±11.5 to 59.9±12.1 years, P<0.05). In-hospital mortality was greater among females (27.8% and 15.7%, P=0.001), among diabetic individuals (24.2% and 17.8%, P=0.001), and among the elderly (60.9±15.2 and 57.7±11.8 years, P=0.0001). In the chronic group, an increase in the percentage of females (from 17.5% to 27.2%, P=0.001) was observed, as was an increase in age (from 56.3±8.6 to 60.5±9.6 years, P=0.0001). In-hospital mortality was greater among females (8.3% and 5.8%, P<0.05) and among the elderly (58.1±9.1 and 62.1±7.9 years, P=0.0001). CONCLUSION: The characteristics of the population studied with ischemic heart disease point towards a worse prognosis, due to the greater percentages of females, older patients, and diabetic patients, groups known to have greater in-hospital mortality.

Ano

2003

Creators

Caramelli,Bruno Fornari,Luciana Savoy Monachini,Maristela Ballas,Dália Fachini,Nilson Roberto Mansur,Antônio de Pádua Ramires,José Antônio Franchini