Abstract Heart failure (HF) is a complex clinical syndrome with high prevalence, significant morbi-mortality and is the leading cause of hospital admissions of Brazilian patients over 65 years of age. Drug therapy plays a key role in the care of HF patients, aimed to control symptoms, improve functional classification, reduce hospital readmissions and HF-related mortality rates. Despite the evidence of drug therapy proven benefits in HF, their access through the Unified Health System (Sistema Único de Saúde, SUS) remains unexplored. […]

Cardiogenic shock (CS) is defined by the presence of signs and symptoms of low tissue perfusion associated with systolic blood pressure (BP) < 90mmHg, according to the European Society of Cardiology. Within the different types of shock – cardiogenic, distributive, hypovolemic, and mixed – CS is responsible for up to 66% of shock cases in intensive care units and occurs due to poor perfusion secondary to low cardiac output. The most prevalent etiology is ST-elevation myocardial infarction (STEMI); other causes […]

Introduction Heart failure (HF) is a highly prevalent, complex clinical syndrome, that is associated with significant morbidity and mortality. HF severity can be estimated by the New York Heart Association (NYHA) classification, however, this has several limitations, including high subjectivity, poor reproducibility, and poor correlation with objective physical capacity measures. Recent studies have suggested limitations of the NYHA classification in differentiating asymptomatic patients, with NYHA functional class (FC) I from patients with mild symptoms., The Specific Activity Scale (SAS) is […]

ABC Heart Fail Cardiomyop. 2023; 3(1):e20230040 ABC Heart Fail Cardiomyop. 2023; 3(1):e20230040 In the Review Article “Diagnosis and Treatment of Hypertrophic Cardiomyopathy”, with https://doi.org/10.36660/abchf.20230040, published in the journal ABC Heart Failure & Cardiomyopathy, ABC Heart Fail Cardiomyop. 2023; 3(1):e20230040, on page 1, correct the author’s name: Mariani Mendes Madison for: Mariani Mendes Madisson Bernardo. […]

“It is not the strongest of the species that survives, nor the most intelligent, but the most responsive to change.” […]

Abstract Heart failure with preserved ejection fraction (HFpEF) is the most common condition of heart failure (HF) in patients over 65 years of age and is associated with high morbidity and mortality. Epidemiological data on this condition are still scarce in Brazil and these data are relevant for a better understanding of the impact and unmet needs in HFpEF and for the planning of actions to improve prevention, diagnosis, and treatment of this disease. The objective of the study was […]

Diagnosis The criterion for the diagnostic confirmation of myocarditis defined by the 2013 European and Brazilian Myocarditis Guidelines is the identification of myocardial inflammation by endomyocardial biopsy (EMB)., This diagnostic criterion, used solely without the option of classifying clinical suspicion, does not mirror clinical practice in the real world, where only a minority of patients in specialized centers are referred for diagnostic investigation through EMB with diagnostic confirmation or exclusion, and most have the diagnosis of clinical suspicion of myocarditis. […]

Introduction Takotsubo Cardiomyopathy (CT), also known as stress-induced cardiomyopathy, is a reversible syndrome that usually presents as an acute coronary syndrome, especially in postmenopausal women. The pathophysiology involves multiple factors, including coronary vasospasm, microcirculation dysfunction, catecholaminergic aggression, and sympathetic hyperactivity. The diagnosis of the classic presentation is the presence of a segmental alteration in the form of ballooning or dyskinesia in the antero-septo-apical region of the left ventricle, associated with hyperdynamia of the basal segments, in the absence of obstructive […]

Introduction Non-compacted myocardium (NCM) remains controversial between those who consider it a genetic cardiomyopathy and those who believe that excessive trabeculation is a characteristic morphological condition shared by distinct pathological processes and, therefore, not a single disease. The hallmark of this phenotype is the presence of prominent trabeculae in the left ventricle (LV) and deep intertrabecular recesses, continuous with the LV cavity and separated from the epicardial coronary arteries., Such abnormalities are identified through imaging exams and may affect the […]

Abstract Arrhythmogenic cardiomyopathy with exclusive or predominant involvement of the left ventricle has been described recently. It has a heterogeneous genetic basis with different clinical phenotypes ranging from ventricular arrhythmias and sudden death (SD), symptoms suggestive of acute myocarditis with chest pain and troponin elevation, symptoms of heart failure, to asymptomatic patients. A high level of suspicion is needed for a correct diagnosis and implementation of a genotype-based therapy, to prevent its most feared complication, SD. This review aims to […]