Navegando por Assunto "Eletrocardiograma"

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Acesso aberto (Open Access)
Desenvolvimento e avaliacao empirica de um simulador educacional para o apoio ao ensino de ECG, baseado na orientacão espacial do coração.
(Universidade Federal do Pará, 2018-09-21) PONTES, Paulo André Ignácio; SERUFFO, Marcos Cesar da Rocha; http://lattes.cnpq.br/3794198610723464; FRANCÊS, Carlos Renato Lisboa; http://lattes.cnpq.br/7458287841862567
The electrocardiogram (ECG) is one of the most commonly used diagnostic procedures in medicine, so it is essential that undergraduate medical students learn to interpret it correctly while they are still in training. Of course, students go through classical learning (ex: lectures and lectures). However, they are generally not efficiently trained in ECG interpretation. In this regard, educational support methodologies and tools in medical practice, such as educational software, should be considered as a valuable approach for medical training purposes. This thesis deals with the development of a simulator (VETOECG) that allows experiential teaching, so that students can relate to projections of the cardiac electrical vectors, through the manipulation of the spatial orientation of the heart and the repercussions in their respective waves in the ECG. In addition, this thesis reports a formal experiment (pre / posttest with a randomized control group) to evaluate empirically the learning effetiveness of the tool and analyzes the subjective factors of students' perception regarding motivation, user experience and collected through questionnaires. The results indicated that the simulator has positive learning efficacy compared to traditional methodologies (statistically significant difference, p-value <0.0001 *, median of 38.5 points and interquartile range 23.1 to 46.2 points) used for learning in the proposed study. It can be verified that the simulator is adequate in the most diverse dimensions, since they were evaluated positively: in terms of motivation (88.15%), user experience (76%) and learning (96.5%).
Acesso aberto (Open Access)
Electrocardiogram Performance in the Diagnosis of Left Ventricular Hypertrophy in Hypertensive Patients With Left Bundle Branch Block
(Universidade Federal do Pará, 2016-12) BURGOS, Paula Freitas Martins; LUNA FILHO, Bráulio; COSTA, Francisco de Assis; BOMBIG, Maria Teresa Nogueira; SOUZA, Dilma do Socorro Moraes de; BIANCO, Henrique Tria; OLIVEIRA FILHO, Japy Angelini; IZAR, Maria Cristina de Oliveira; FONSECA, Francisco Antonio Helfenstein; PÓVOA, Rui Manuel dos Santos
Background: Left ventricular hypertrophy (LVH) is an important risk factor for cardiovascular events, and its detection usually begins with an electrocardiogram (ECG). Objective: To evaluate the impact of complete left bundle branch block (CLBBB) in hypertensive patients in the diagnostic performance of LVH by ECG. Methods: A total of 2,240 hypertensive patients were studied. All of them were submitted to an ECG and an echocardiogram (ECHO). We evaluated the most frequently used electrocardiographic criteria for LVH diagnosis: Cornell voltage, Cornell voltage product, Sokolow-Lyon voltage, Sokolow-Lyon product, RaVL, RaVL+SV3, RV6 /RV5 ratio, strain pattern, left atrial enlargement, and QT interval. LVH identification pattern was the left ventricular mass index (LVMI) obtained by ECHO in all participants. Results: Mean age was 11.3 years ± 58.7 years, 684 (30.5%) were male and 1,556 (69.5%) were female. In patients without CLBBB, ECG sensitivity to the presence of LVH varied between 7.6 and 40.9%, and specificity varied between 70.2% and 99.2%. In participants with CLBBB, sensitivity to LVH varied between 11.9 and 95.2%, and specificity between 6.6 and 96.6%. Among the criteria with the best performance for LVH with CLBBB, Sokolow-Lyon, for a voltage of≥ 3,0mV, stood out with a sensitivity of 22.2% (CI 95% 15.8 – 30.8) and specificity of 88.3% (CI 95% 77.8 – 94.2). Conclusion: In hypertensive patients with CLBBB, the most often used criteria for the detection of LVH with ECG showed significant decrease in performance with regards to sensitivity and specificity. In this scenario, Sokolow-Lyon criteria with voltage ≥3,0mV presented the best performance. (Arq Bras Cardiol. 2017; 108(1):47-52).