Teleconsultation in Heart Failure: A Scope Review

    January 2023 in “ Brazilian Journals Editora eBooks
    José Eurico de Vasconcelos Filho, Virna Ribeiro Feitosa Cestari, Maria Gyslane Vasconcelos Sobral, Caroline Araújo Lopes, Michell Ícaro Lima Oliveira, Jéssica Lustosa Costa Lima, Vera Lúcia Mendes de Paula Pessoa
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    TLDR Passiflora incarnata may help with anxiety and sleep issues but has side effects; teleconsultation for heart failure can improve quality of life; increased screen time for children during the pandemic led to more clinical complaints; older and severely affected COVID-19 patients are more likely to have long-term symptoms.
    The document provides an analysis of Passiflora incarnata as an alternative treatment for anxiety disorders, detailing its anxiolytic, sedative, and sleep-inducing effects due to bioactive compounds that inhibit MAO and activate GABA receptors. It is useful for conditions like anxiety, insomnia, and alcoholism symptoms but has side effects and drug interaction risks. The review included 43 publications from 2012 to 2021 and emphasized the importance of pharmaceutical care in preventing misuse and promoting rational use of treatments. Another study identified Klebsiella pneumoniae, E. coli, and Pseudomonas aeruginosa as the main agents in nosocomial UTIs at Hospital Geral de Guanambi, based on 1,278 urine cultures with 85 positive results. A review on teleconsultation in heart failure management during the COVID-19 pandemic found that while it did not affect death or hospital readmission rates, it improved quality of life and reduced all-cause mortality and HF-related hospitalizations. A study involving 100 parents/guardians showed an 86% increase in children's screen use during the pandemic, with associated clinical complaints. Lastly, a study with 141 patients assessed long-term sequelae of COVID-19, finding that older individuals and those with severe acute disease had more post-COVID-19 symptoms, with cardiovascular, respiratory, and neurological symptoms being the most common.
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