Efficacy and Safety of PARACHUTE® Device: systematic review

Detalhes bibliográficos
Autor(a) principal: Teixeira,Roberta da Silva
Data de Publicação: 2018
Outros Autores: Veras,Bruna Medeiros Gonçalves de, Senna,Kátia Marie Simões e, Caetano,Rosângela
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista da Associação Médica Brasileira (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302018000900853
Resumo: SUMMARY INTRODUCTION Heart failure due to an acute myocardial infarction is a very frequent event, with a tendency to increase according to improvements in the treatment of acute conditions which have led to larger numbers of infarction survivors. OBJECTIVE The aim of this study is to synthesize the evidence, through a systematic review, on efficacy and safety of the device in patients with this basic condition. METHODS Studies published between January 2002 and October 2016 were analysed, having as reference databases Embase, Medline, Cochrane Library, Lilacs, Web of Science and Scopus. The selection of studies, data extraction and methodological quality assessment of studies were examined by two independent reviewers, with disagreements resolved by consensus. RESULTS Only prospective studies without control group were identified. Six studies were included, with averages of 34 participants and follow-up of 13 months. Clinical, functional, hemodynamic and quality of life outcomes were evaluated. The highest mortality rate was 8.4% with 12-month follow-up for unspecified cardiovascular reasons, and heart failure rehospitalization was 29.4% with 36-month follow-up. Statistically significant improvements were found only in some of the studies which evaluating changes in left ventricular volume indices, the distance measured by the six-minute walk test, New York Heart Association functional classification, and quality of life, in pre and post-procedure analysis. CONCLUSIONS The present review indicates that no available quality evidence can assert efficacy and safety of PARACHUTE® in the treatment of heart failure after apical or anterior wall myocardial infarction.
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spelling Efficacy and Safety of PARACHUTE® Device: systematic reviewHeart failureMyocardial infarctionEquipment and suppliesTechnology assessment, biomedicalReview literature as topicSUMMARY INTRODUCTION Heart failure due to an acute myocardial infarction is a very frequent event, with a tendency to increase according to improvements in the treatment of acute conditions which have led to larger numbers of infarction survivors. OBJECTIVE The aim of this study is to synthesize the evidence, through a systematic review, on efficacy and safety of the device in patients with this basic condition. METHODS Studies published between January 2002 and October 2016 were analysed, having as reference databases Embase, Medline, Cochrane Library, Lilacs, Web of Science and Scopus. The selection of studies, data extraction and methodological quality assessment of studies were examined by two independent reviewers, with disagreements resolved by consensus. RESULTS Only prospective studies without control group were identified. Six studies were included, with averages of 34 participants and follow-up of 13 months. Clinical, functional, hemodynamic and quality of life outcomes were evaluated. The highest mortality rate was 8.4% with 12-month follow-up for unspecified cardiovascular reasons, and heart failure rehospitalization was 29.4% with 36-month follow-up. Statistically significant improvements were found only in some of the studies which evaluating changes in left ventricular volume indices, the distance measured by the six-minute walk test, New York Heart Association functional classification, and quality of life, in pre and post-procedure analysis. CONCLUSIONS The present review indicates that no available quality evidence can assert efficacy and safety of PARACHUTE® in the treatment of heart failure after apical or anterior wall myocardial infarction.Associação Médica Brasileira2018-09-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302018000900853Revista da Associação Médica Brasileira v.64 n.9 2018reponame:Revista da Associação Médica Brasileira (Online)instname:Associação Médica Brasileira (AMB)instacron:AMB10.1590/1806-9282.64.09.853info:eu-repo/semantics/openAccessTeixeira,Roberta da SilvaVeras,Bruna Medeiros Gonçalves deSenna,Kátia Marie Simões eCaetano,Rosângelaeng2018-11-30T00:00:00Zoai:scielo:S0104-42302018000900853Revistahttps://ramb.amb.org.br/ultimas-edicoes/#https://old.scielo.br/oai/scielo-oai.php||ramb@amb.org.br1806-92820104-4230opendoar:2018-11-30T00:00Revista da Associação Médica Brasileira (Online) - Associação Médica Brasileira (AMB)false
dc.title.none.fl_str_mv Efficacy and Safety of PARACHUTE® Device: systematic review
title Efficacy and Safety of PARACHUTE® Device: systematic review
spellingShingle Efficacy and Safety of PARACHUTE® Device: systematic review
Teixeira,Roberta da Silva
Heart failure
Myocardial infarction
Equipment and supplies
Technology assessment, biomedical
Review literature as topic
title_short Efficacy and Safety of PARACHUTE® Device: systematic review
title_full Efficacy and Safety of PARACHUTE® Device: systematic review
title_fullStr Efficacy and Safety of PARACHUTE® Device: systematic review
title_full_unstemmed Efficacy and Safety of PARACHUTE® Device: systematic review
title_sort Efficacy and Safety of PARACHUTE® Device: systematic review
author Teixeira,Roberta da Silva
author_facet Teixeira,Roberta da Silva
Veras,Bruna Medeiros Gonçalves de
Senna,Kátia Marie Simões e
Caetano,Rosângela
author_role author
author2 Veras,Bruna Medeiros Gonçalves de
Senna,Kátia Marie Simões e
Caetano,Rosângela
author2_role author
author
author
dc.contributor.author.fl_str_mv Teixeira,Roberta da Silva
Veras,Bruna Medeiros Gonçalves de
Senna,Kátia Marie Simões e
Caetano,Rosângela
dc.subject.por.fl_str_mv Heart failure
Myocardial infarction
Equipment and supplies
Technology assessment, biomedical
Review literature as topic
topic Heart failure
Myocardial infarction
Equipment and supplies
Technology assessment, biomedical
Review literature as topic
description SUMMARY INTRODUCTION Heart failure due to an acute myocardial infarction is a very frequent event, with a tendency to increase according to improvements in the treatment of acute conditions which have led to larger numbers of infarction survivors. OBJECTIVE The aim of this study is to synthesize the evidence, through a systematic review, on efficacy and safety of the device in patients with this basic condition. METHODS Studies published between January 2002 and October 2016 were analysed, having as reference databases Embase, Medline, Cochrane Library, Lilacs, Web of Science and Scopus. The selection of studies, data extraction and methodological quality assessment of studies were examined by two independent reviewers, with disagreements resolved by consensus. RESULTS Only prospective studies without control group were identified. Six studies were included, with averages of 34 participants and follow-up of 13 months. Clinical, functional, hemodynamic and quality of life outcomes were evaluated. The highest mortality rate was 8.4% with 12-month follow-up for unspecified cardiovascular reasons, and heart failure rehospitalization was 29.4% with 36-month follow-up. Statistically significant improvements were found only in some of the studies which evaluating changes in left ventricular volume indices, the distance measured by the six-minute walk test, New York Heart Association functional classification, and quality of life, in pre and post-procedure analysis. CONCLUSIONS The present review indicates that no available quality evidence can assert efficacy and safety of PARACHUTE® in the treatment of heart failure after apical or anterior wall myocardial infarction.
publishDate 2018
dc.date.none.fl_str_mv 2018-09-01
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dc.language.iso.fl_str_mv eng
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dc.publisher.none.fl_str_mv Associação Médica Brasileira
publisher.none.fl_str_mv Associação Médica Brasileira
dc.source.none.fl_str_mv Revista da Associação Médica Brasileira v.64 n.9 2018
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