The analysis of the ventricular late potentials (VLP) has been considered a valuable diagnostic tool for stratification of patients at risk of life threatening arrhythmia. This study evaluates the prevalence of VLP in a late phase post-myocardial infarction (median 924 days) in patients with anteriorlantero-lateral and inferiodinferodorsal wall lesion, from the data bank and test diagnostic pe$ormance of filters for VLP analysis.The results indicate that the prevalence of VLP is higher in inferiorlinfero-dorsal than anteriodanteroseptal wall infarction, and depends on filter setting.

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Objetivo: Este estudo visa abordar a Rede Cegonha em seus aspectos que envolvem a Atenção Primária em Saúde, com foco nos serviços de pré-natal de baixo risco, acolhimento da gestante e do bebê, humanização do parto do nascimento e vinculação da gestante à maternidade, no município de Anápolis, durante o ano de 2018. Método: Trata-se de um estudo retrospectivo descritivo com base na análise observacional através de dados fornecidos pelo sistema de dados registrados no Sistema de Informações Ambulatoriais do SUS (SIA/SUS), a partir do programa Tab para Windows – Tabwin, pelo Cadastro Nacional de Estabelecimentos de Saúde (CNES), no sistema de Informação e Gestão da Atenção Básica (e-Gestor AB) e por dados fornecidos diretamente na Secretaria Municipal de Anápolis. Resultados: Ao se analisar a cobertura da Rede Cegonha na cidade de Anápolis, levantou-se 35 estabelecimentos que realizam tal tipo de serviço e, dentre eles, 30 correspondem exclusivamente aos serviços prestados pela Atenção Primária, com uma cobertura de 56,10% da população para os serviços prestados pela ESF. Dentre 45.165 mulheres em idade fértil atendidas pela atenção primária, contabilizou-se 5.023 atendimentos de Pré-Natal, sendo destes 3.233 atendimentos por profissionais médicos. Quanto à situação de saúde, constatou-se problemas de subnotificação, ausência de equipamentos de pré-natal adequados, falta de capacitação e educação permanente da equipe multidisciplinar e precária captação de gestantes.  Conclusões: Mesmo sendo o Acolhimento e Acesso Pré-Natal difundido nacionalmente, constata-se uma precariedade e falha na efetividade de assistência às gestantes nessa base fundamental da Rede Cegonha, necessitando de intervenções estratégicas de imediato para a resolução efetiva do quadro situacional atual.

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Background Acute Coronary Syndromes (ACS) are the most common and life-threatening manifestation of cardiovascular diseases. This disease burden along with progress in cardiovascular technology has led to substantial growth in the number of cardiovascular procedures performed in ACS management. In Brazil, there are no contemporary data about in-hospital mortality related to urgent myocardial revascularization procedures. Purpose To describe trends in mortality in patients with ACS who underwent urgent myocardial revascularization procedures in Brazil, between 2008 and 2016. Methods Data on hospital admission and in-hospital mortality were obtained from the database of the Brazilian Public Health System (DATASUS) over a nine-years period (2008–2016). All admissions due to ACS were identified using standard ICD codes. Additionally, data about percutaneous coronary intervention (PCI) or coronary artery bypass surgery (CABG) performed as an urgency were retrieved. Trend analyses over the period were performed using Poisson regression. Results Between 2008 and 2016, 472,810 urgent myocardial revascularization procedures were performed, of which 370,018 (78.3%) were PCI and 102,792 (21.7%) were CABG. The in-hospital mortality in patients with ACS submitted to PCI was 3.4%, and 6.8% among those submitted to CABG. There was an increase in the number of PCI procedures from 26,929 in 2008 to 53,542 in 2016 (98%), although the mortality remained stable (3.3% to 3.6%, respectively). CABG procedures also raised 77%, from 9,535 in 2008 to 12,262 in 2016, but the observed related mortality decreased from 8.0% to 6.3%, respectively. However, disparities among Brazilian geographical regions were noted: in 2016, mortality among ACS patients who underwent urgent PCI was lower in Southeast (3.2%) and higher in the Northeast Region (5.9%). The Southeast Region also presented the lowest CABG related mortality (5.7%), whereas the Midwest had the higher death rates (7.8%). Conclusions In this contemporary analysis based on national public health data, there was an increase in the number of urgent myocardial revascularization procedures in patients hospitalized for ACS in Brazil. Despite stable death rates in patients undergoing PCI, CABG-related mortality decreased significantly. Due to the heterogeneity of results among the different geographical Regions of the country, there are still opportunities to improve these national results.