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        "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Introdu&#231;&#227;o&#58;</span> A asma &#233; uma doen&#231;a inflamat&#243;ria cr&#243;-nica cuja preval&#234;ncia vem aumentando nos &#250;ltimos 20 anos&#46; Demanda grande utiliza&#231;&#227;o de recursos&#44; principalmente no grupo grave&#46; Neste&#44; h&#225; consumo cr&#243;nico de cortic&#243;ides inalat&#243;rios e de &#946;2-agonistas&#44; que podem produzir uma s&#233;rie de problemas&#46; O objectivo deste trabalho &#233; o de rastrear as altera&#231;&#245;es electro e ecocardiogr&#225;ficas e relacion&#225;-las ao grau da asma&#46;</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Metodologia&#58;</span> Selecion&#225;mos 87 doentes do ambula-t&#243;rio de asma do HUGG&#44; que&#44; por rotina&#44; possuem uma espirografia&#44; um eletrocardiograma &#40;ECG&#41; e um ecocardiograma &#40;ECO&#41; feitos com um intervalo m&#225;ximo de um m&#234;s&#46; As altera&#231;&#245;es ecocardiogr&#225;ficas encontradas foram relacionadas com o grau da asma&#46; Foram usadas estat&#237;sticas n&#227;o param&#233;tricas para essas compara&#231;&#245;es&#46;</p><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Resultados&#58;</span> Encontr&#225;mos diferen&#231;as significativas &#40;p<span class="elsevierStyleHsp" style=""></span>&#8804;<span class="elsevierStyleHsp" style=""></span>0&#44;05&#41; quanto &#224; idade&#44; tempo de asma e satura&#231;&#227;o da hemoglobina &#40;SaO<span class="elsevierStyleInf">2</span>&#41; entre os grupos leve e grave&#46; Na amostra&#44; foi identificada alta preval&#234;ncia de insufici&#234;ncia tric&#250;spide &#40;41&#44;4&#37;&#41;&#46;</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Conclus&#245;es&#58;</span> O ECO identificou uma s&#233;rie de anor-malidades&#44; dependentes ou n&#227;o da gravidade da asma&#46; O ECO pode identificar a hipertens&#227;o arterial pulmonar&#44; pelo c&#225;lculo da press&#227;o m&#233;dia da art&#233;ria pulmonar&#46;</p><p id="sp0025" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2008&#59; XIV &#40;3&#41;&#58; 363-377</span></p></span>"
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        "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0030" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Introduction&#58;</span> Asthma is a chronic inflammatory disease which has increased during the last 20 years&#44; putting a strain on medical resources&#44; particularly severe forms of the disease&#46; Treatment in such cases is inhaled corticosteroids and beta agonist drugs that can produce a range of side effects&#46; The aim of this study is to identify echocardiograph abnormalities and correlate them with severity of disease&#46;</p><p id="sp0035" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Methodology&#58;</span> Eight-seven outpatients were selected at the asthma unit of the Gaffr&#233;e Guinle University Hospital &#40;HUGG&#41;&#46; Each patient underwent spirometry&#44; electrocardiogram &#40;ECG&#41; and echocardiogram &#40;ECO&#41; during the trial within a month maximum&#46; Echocardiograph abnormalities found related to degree of asthma&#46; Statistical analysis was made by non-parametric tests&#46;</p><p id="sp0040" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Results&#58;</span> We found significant differences &#40;p<span class="elsevierStyleHsp" style=""></span>&#8804;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#41; for age&#44; disease duration and haemoglobin saturation &#40;SaO<span class="elsevierStyleInf">2</span>&#41; between the moderate and severe groups&#46; In the sample a high prevalence of tricuspid insufficiency &#40;41&#46;4&#37;&#41; was identified&#46;</p><p id="sp0045" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Conclusions&#58;</span> ECO identified a series of abnormalities that were not always dependent on severity of disease&#46; ECO can identify pulmonary hypertension through calculation of mean pressure of the pulmonary artery&#46;</p><p id="sp0050" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2008&#59; XIV &#40;3&#41;&#58; 363-377</span></p></span>"
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Vol. 14. Issue 3.
Pages 363-377 (May - June 2008)
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Vol. 14. Issue 3.
Pages 363-377 (May - June 2008)
Artigo Original/Original Article
Open Access
Alterações ecocardiográficas em doentes asmáticos
Echocardiograph alterations in asthma patients
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André Luís Mancini1, Sonia Regina da Silva Carvalho2, Maria do Carmo Valente de Crasto3, Ricardo Marques Dias4,
Corresponding author
dias.ricardomarques@gmail.com

Endereço correspondência / Corresponding author: Ricardo Marques Dias, Rua Barão da Torre 388/104, Ipanema, Rio de Janeiro, Brasil. CEP 22411.000. Tel: 55 21 22472431.
1 Médico formado pela Universidade Federal do Estado do Rio de Janeiro – UNIRIO. Monitor da disciplina de Iniciação Científica 2 / Doctor trained at Universidade Federal do Estado do Rio de Janeiro – UNIRIO. Teaching Assistant, Iniciação Científica 2
2 Prof. Assistente da Universidade Federal do Estado do Rio de Janeiro – UNIRIO. Mestre em medicina / Assistant Professor, Universidade Federal do Estado do Rio de Janeiro – UNIRIO. MSc, Medicine
3 Prof. Adjunto da Universidade Federal do Estado do Rio de Janeiro – UNIRIO. Doutor em medicina / Adjunct Professor, Universidade Federal do Estado do Rio de Janeiro – UNIRIO. PhD, Medicine
4 Universidade Federal do Estado do Rio de Janeiro – UNIRIO. Doutor em medicina / Professor at Universidade Federal do Estado do Rio de Janeiro – UNIRIO. PhD, Medicine
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Article information
Resumo

Introdução: A asma é uma doença inflamatória cró-nica cuja prevalência vem aumentando nos últimos 20 anos. Demanda grande utilização de recursos, principalmente no grupo grave. Neste, há consumo crónico de corticóides inalatórios e de β2-agonistas, que podem produzir uma série de problemas. O objectivo deste trabalho é o de rastrear as alterações electro e ecocardiográficas e relacioná-las ao grau da asma.

Metodologia: Selecionámos 87 doentes do ambula-tório de asma do HUGG, que, por rotina, possuem uma espirografia, um eletrocardiograma (ECG) e um ecocardiograma (ECO) feitos com um intervalo máximo de um mês. As alterações ecocardiográficas encontradas foram relacionadas com o grau da asma. Foram usadas estatísticas não paramétricas para essas comparações.

Resultados: Encontrámos diferenças significativas (p0,05) quanto à idade, tempo de asma e saturação da hemoglobina (SaO2) entre os grupos leve e grave. Na amostra, foi identificada alta prevalência de insuficiência tricúspide (41,4%).

Conclusões: O ECO identificou uma série de anor-malidades, dependentes ou não da gravidade da asma. O ECO pode identificar a hipertensão arterial pulmonar, pelo cálculo da pressão média da artéria pulmonar.

Rev Port Pneumol 2008; XIV (3): 363-377

Palavras-chave:
Asma
ecocardiograma
hipertensão arterial pulmonar
Abstract

Introduction: Asthma is a chronic inflammatory disease which has increased during the last 20 years, putting a strain on medical resources, particularly severe forms of the disease. Treatment in such cases is inhaled corticosteroids and beta agonist drugs that can produce a range of side effects. The aim of this study is to identify echocardiograph abnormalities and correlate them with severity of disease.

Methodology: Eight-seven outpatients were selected at the asthma unit of the Gaffrée Guinle University Hospital (HUGG). Each patient underwent spirometry, electrocardiogram (ECG) and echocardiogram (ECO) during the trial within a month maximum. Echocardiograph abnormalities found related to degree of asthma. Statistical analysis was made by non-parametric tests.

Results: We found significant differences (p0.05) for age, disease duration and haemoglobin saturation (SaO2) between the moderate and severe groups. In the sample a high prevalence of tricuspid insufficiency (41.4%) was identified.

Conclusions: ECO identified a series of abnormalities that were not always dependent on severity of disease. ECO can identify pulmonary hypertension through calculation of mean pressure of the pulmonary artery.

Rev Port Pneumol 2008; XIV (3): 363-377

Key-words:
Asthma
electrocardiogram
echocardiogram
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Copyright © 2008. Sociedade Portuguesa de Pneumologia/SPP
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