An outbreak of coronavirus disease began in a large penitentiary complex in Brazil on April 1, 2020. By June 12, there were 1,057 confirmed cases among inmates and staff. Nine patients were hospitalized, and 3 died. Mean serial interval was ≈2.5 days; reproduction number range was 1.0–2.3.
SummaryBackground: Perioperative myocardial infarction (POMI) is a complication of coronary artery bypass grafting (CABG) with a potential prognostic impact. Technetium-99m pyrophosphate myocardial scintigraphy (MS) is used in the diagnosis of POMI; however it shows a limited sensitivity for subendocardial lesions. Cardiovascular magnetic resonance imaging (CMRI), in turn, has a high accuracy in the detection of myocardial necrosis.
O medo que tens, Sancho, faz com que nem vejas nem ouças direito -disse dom Quixote -, porque um dos efeitos do medo é perturbar os sentidos e fazer com que as coisas não pareçam o que são."
Miguel de Cervantes em Dom QuixotePaciente do sexo masculino, 49 anos, hipertenso há 8 anos, dislipidêmico, com histórico familiar de doença arterial coronariana (pai cursou com infarto aos 60 anos), vinha em uso de olmesartana 40 mg e rosuvastatina 10 mg ao dia até 10 dias antes da admissão hospitalar, quando suspendeu a olmesartana pelo receio de que esta droga facilitasse a infecção por SARS-CoV-2.
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