Marcos Knobel

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OBJECTIVE The vasoplegic syndrome (VS) has been implicated in life-threatening complications after open heart surgery, where the whole-body inflammatory reaction is attributed to the cardiopulmonary bypass (CPB). Off-pump coronary artery bypass grafting (OPCAB) has been recently achieving growing enthusiasm mainly due avoiding the side effects of CPB.(More)
BACKGROUND Brazil lacks published multicenter registries of acute coronary syndrome. OBJECTIVE The Brazilian Registry of Acute Coronary Syndrome is a multicenter national study aiming at providing data on clinical aspects, management and hospital outcomes of acute coronary syndrome in our country. METHODS A total of 23 hospitals from 14 cities,(More)
OBJECTIVE To evaluate the compliance rates to quality of care indicators along the implementation of an acute myocardial infarction clinical practice guideline. METHODS A clinical guideline for acute myocardial infarction was introduced on March 1st, 2005. Patients admitted for acute myocardial infarction from March 1st, 2005 to December 31st, 2012(More)
Hashimoto encephalopathy (HE) has been recognized as a syndrome of encephalopathy, and high serum levels of antithyroid antibody concentrations that are responsive to corticosteroid therapy [1]. Few studies have demonstrated neurophysiological improvement after treatment with corticosteroids in HE patients. Herein, we describe a patient diagnosed with HE(More)
The patient was a male with myasthenia gravis, hospitalized with acute respiratory failure due to decompensation of the underlying disease. He evolved with findings suggestive of acute myocardial infarction, with electrocardiographic and enzymatic alterations compatible with that diagnosis. The patient underwent emergency coronary angiography, which showed(More)
BACKGROUND Tics beginning in late adulthood often have an identifiable etiology. Psychogenic tics with onset around 60 years of age are rarely described in the literature. CASE REPORT A 67-year-old female had experienced phonic tics for 8 years. Episodes occurred without premonitory sensations and precipitant factors, and she could not suppress them. She(More)