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males regarding ischemic heart disease presentations and vessel distribution were leveled.

The Covid-19 pandemic period closed the gap between men and women in ACS, with similar rates of reduction of hospitalized STEMI and NSTEMI and a trend toward greater reduction in UA admission among women. Furthermore, many typical differences between males and females regarding ischemic heart disease presentations and vessel distribution were leveled.

Coronary artery bypass grafing (CABG) is responsible for the decrease in pulmonary function and functionality. In this case the virtual reality is an alternative to reduce the impact of the surgical procedure.

To evaluate the effect of virtual reality on pulmonary function and functional independence in patients undergoing CABG.

This is a clinical trial. In the preoperative period, pulmonary function was assessed using maximum inspiratory pressure (MIP), maximum expiratory pressure (MEP), vital capacity (VC), peak expiratory flow (PEF) and functionality through the measurement of functional independence (FIM) and time up and go (TUG). On the first postoperative day, patients were randomized into two groups the control group (CG), submitted to conventional physiotherapy, and the virtual rehabilitation group (VRG), increased through virtual reality. On the day of hospital discharge, patients were reassessed.

56 patients were analyzed, 25 in the CG, with a mean age of 51 ± 10 years, male prevalence 17 (68%), 31 in the VRG aged 54 ± 8 years, 21 (68%) men. All variables showed an intragroup reduction. At the end, the MIP of the CG was 74 ± 15 vs 92 ± 12 cmH

O of the VRG (P < 0.001), the MEP of the GC was 54 ± 14 vs 75 ± 16 cmH

O of the VRG (P < 0.001), the VC was 1.9 ± 0.6 ml/Kg in GC vs 2.4 ± 0.7 ml/Kg in VRG (P = 0.22), PEF in GC was 231 ± 28 vs 311 ± 26 L/min in VRG (P < 0.001), TUG of CG 22 ± 9.1 seconds vs 10 ± 1.6 seconds in the VRG (P < 0.001), the CG's FIM was 112 ± 5 vs 120 ± 3 in the GRV (P < 0.001).

Based on the results obtained, it was found that the intervention with virtual reality was effective in reducing the loss of pulmonary function and functional independence after CABG.

Based on the results obtained, it was found that the intervention with virtual reality was effective in reducing the loss of pulmonary function and functional independence after CABG.

Heart Failure (HF) treatment may be improved by good knowledge of the disease (Health Literacy) that, despite the well-established role on improving self-care, preventing complications and avoiding worse outcomes, has little evidence on affecting QoL of HF patients. Therefore, the objective of the present study was to evaluate the impact of Health Literacy on QoL in hospitalized HF patients.

A cross-sectional exploratory study was conducted with HF patients hospitalized at a public cardiological hospital. Health Literacy was assessed using the "Questionnaire about Heart Failure Patients' Knowledge of Disease" and QoL using the "Minnesota Living with Heart Failure Questionnaire" (MLHFQ). The association between Health Literacy and QoL was assessed by linear regression (P<0.05).

50 patients were included in the study; the mean Health Literacy score was 34.2 ± 15.1 (the majority presenting acceptable or better knowledge). The mean MLHFQ score was 73.5 ± 19.8. The one-year hospital readmission rate (β=+3.8; P=0.009) and the patients' Health Literacy score (β=-0.4; P=0.024) or good knowledge category (β=-20.2; P=0.016) were independently associated with QoL.

While the readmission rate was inversely associated with QoL, the better the HF knowledge the better QoL in hospitalized HF patients.

While the readmission rate was inversely associated with QoL, the better the HF knowledge the better QoL in hospitalized HF patients.In December 2019, an unprecedented outbreak of pneumonia cases associated with acute respiratory distress syndrome (ARDS) first occurred in Wuhan, Hubei Province, China. The disease, later named Coronavirus disease 2019 (COVID-19) by the World Health Organization (WHO), was caused by the Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2), and on January 30, 2020, the WHO declared the outbreak of COVID-19 to be a public health emergency. COVID-19 is now a global pandemic impacting more than 43,438,043 patients with 1,158,596 deaths globally as of August 26th, 2020. COVID-19 is highly contagious and has caused more deaths than SARS in 2002-2003 or the Middle East Respiratory Syndrome (MERS) in 2012-2013 combined and represents an unprecedented human affliction not seen since the influenza pandemic of 1918. COVID-19 has been associated with several cardiac complications, including hypercoagulability, acute myocardial injury and myocarditis, arrhythmias, and acute coronary syndromes. Patients with pre-existing cardiovascular disease (CVD) are at the highest risk for myocardial injury and mortality among infected patients. The mechanism by which COVID-infected patients develop cardiac complications remains unclear, though it may be mediated by increased ACE-2 gene expression. Despite initial concerns, there is no evidence that angiotensin-converting enzyme (ACE) inhibitor or angiotensin receptor blocker (ARB) therapy increases risk for myocardial injury among those infected with COVID-19. In the current report, we summarize the peer-reviewed and preprint literature on cardiovascular risks and complications associated with COVID-19, as well as provide insights into its pathogenesis and management.

In cardiac surgery, systemic venous drainage is provided by gravity. During the procedure, the amount of venous drainage can be increased by using a vacuum-assisted venous drainage (VAVD) technique. The purpose of this study is to compare the effects of VAVD and gravitational drainage (GD) techniques on hemolysis.

Totally, 60 patients were included in the study. The patients were separated into three groups, and each group designed with 20 patients Groups are defined as Group 1 (-40 mmHg VAVD), Group 2 (-60 mmHg VAVD), and Group 3 (GD). find more Preoperative and postoperative values of lactate dehydrogenase (LDH), haptoglobin (Hpt), mean platelet volume (MVP), and platelet count (Plt) were evaluated.

The duration of cardiopulmonary bypass, cross-clamp, and vacuum assistance times were similar in all groups (P > 0.05), whereas Group GD required more additional volume to maintain adequate perfusion (P = 0.034). Preoperative and postoperative measurements showed no significant difference in terms of LDH, MVP, Plt, and Hpt among the groups (P > 0.