Paulo Roberto Benchimol-Barbosa

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BACKGROUND Physiological aging leads to cardiac autonomic dysfunction, which is associated with the onset and worsening of cardiovascular disease and an increased risk of death. Currently, physical exercise is considered a cardioprotective strategy and more research is needed on its benefit on cardiac autonomic function. OBJECTIVE To evaluate the(More)
BACKGROUND Deceleration capacity (DC) of heart rate is a measure of cardiac vagal modulation. This study introduced a DC adaptation (Modified Index) that measured the velocity of change in the phase-rectified signal averaging curve, and assessed its ability to discriminate athletes from controls. MATERIALS AND METHODS The Modified Index was compared to(More)
Some thrombophilias and severe preeclampsia may increase the risk for preterm deliveries and fetal death due to placental insufficiency. Our objective was to evaluate clinical and laboratory data as predictors of preeclampsia in a population of mothers with 3rd trimester fetal losses or preterm deliveries. In a longitudinal retrospective study, 54(More)
This paper proposes a technique to improve the quality of high-resolution electrocardiogram by weighting the coherent average of beats by a function of the energy of the corrupting myoelectric noise, prior to subsequent detection of ventricular late potentials. The results obtained with 20 patients indicate the method requires fewer beats than conventional(More)
BACKGROUND The electrocardiogram (ECG) of the athlete displays particular characteristics as a consequence of both electrophysiological and autonomic remodeling of the heart that follows continued physical training. However, doubts persist on how these changes directly interact during ventricular activation and repolarization ultimately affecting surface(More)
BACKGROUND The athlete's heart represents a reversible structural and functional adaptations of myocardial tissue developed through physical conditioning. Surface electrocardiogram (ECG) has the capability to detect myocardial hypertrophy but has limited performance in monitoring physical conditioning-induced myocardial remodeling. The aim of this study was(More)
Chagas' disease is complex immune-mediated disease originated after Trypanosome cruzi transmission, and a major cause of heart failure in Latin American continent. Auto-antibodies directed to type 2 muscarinic parasympathetic (M2) receptors seem to play key roles on the pathogenesis of heart disease, in particular in the impairment of the cardiac autonomic(More)
Ventricular late potentials (VLP) are electrical signals detected at the terminal region of the ventricular activation on surface ECG and often correlated to regions of fragmented electrical conduction in subjacent damaged myocardium. Intraventricular electrical transients (IVET) arisen from myocardial infarction scars may influence VLP identification(More)