{"id":1728,"date":"2025-01-29T11:04:03","date_gmt":"2025-01-29T11:04:03","guid":{"rendered":"https:\/\/segurosecidadania.pt\/?p=1728"},"modified":"2025-01-29T11:04:24","modified_gmt":"2025-01-29T11:04:24","slug":"ricardo-ferreira-reis-3-2-2-3-2-2-7-2-2","status":"publish","type":"post","link":"https:\/\/segurosecidadania.pt\/?p=1728","title":{"rendered":"LUIS NEGR\u00c3O, M\u00c9DICO ASSESSOR DA FUNDA\u00c7\u00c3O PORTUGUESA DE CARDIOLOGIA"},"content":{"rendered":"\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-av_section-e97917424a5c34e162cd7af24397866d\">\n.avia-section.av-av_section-e97917424a5c34e162cd7af24397866d{\nbackground-color:#4db8e8;\nbackground-image:unset;\nz-index:0;\nposition:relative;\n}\n.av-curtain-footer.av-curtain-activated #main .avia-section.av-av_section-e97917424a5c34e162cd7af24397866d{\nz-index:0;\n}\n<\/style>\n<div id='av_section_1'  class='avia-section av-av_section-e97917424a5c34e162cd7af24397866d main_color 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only screen and (min-width: 768px) and (max-width: 989px){ \n#top .av-special-heading.av-m6hqzqb1-d230e27f78f20f1d74de1bc40411f48e{\nmargin:0 0 -35px 0;\n}\n}\n\n@media only screen and (min-width: 480px) and (max-width: 767px){ \n#top .av-special-heading.av-m6hqzqb1-d230e27f78f20f1d74de1bc40411f48e{\nmargin:0 0 -35px 0;\n}\n#top #wrap_all .av-special-heading.av-m6hqzqb1-d230e27f78f20f1d74de1bc40411f48e .av-special-heading-tag{\nfont-size:0.8em;\n}\n}\n<\/style>\n<div  class='av-special-heading av-m6hqzqb1-d230e27f78f20f1d74de1bc40411f48e av-special-heading-h6 custom-color-heading blockquote modern-quote  avia-builder-el-2  avia-builder-el-no-sibling  av-inherit-size'><h6 class='av-special-heading-tag'  itemprop=\"headline\"  >Newsletter APS #07 | janeiro 2025<\/h6><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><\/div><\/div><\/div><\/main><!-- close content main element --><\/div><\/div><div id='after_section_1'  class='main_color av_default_container_wrap container_wrap fullsize'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-full alpha units'><div class='post-entry post-entry-type-page post-entry-1728'><div class='entry-content-wrapper clearfix'><div  class='flex_column av-6kwi4-8e596f04c27eab16388547305a04b6bc av_one_full  avia-builder-el-3  el_after_av_section  avia-builder-el-no-sibling  first flex_column_div  '     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-hlakc-11ef2cbb47b41d5d366e5e7b4b06b95f\">\n#top .av-post-metadata-container.av-hlakc-11ef2cbb47b41d5d366e5e7b4b06b95f{\nfont-size:14px;\nmargin:0 0 1px 0;\n}\n#top .av-post-metadata-container.av-hlakc-11ef2cbb47b41d5d366e5e7b4b06b95f .av-post-metadata-container-inner{\nfont-size:14px;\n}\n<\/style>\n<div  class='av-post-metadata-container av-hlakc-11ef2cbb47b41d5d366e5e7b4b06b95f av-metadata-container-align-left  avia-builder-el-4  el_before_av_heading  avia-builder-el-first  av-metadata-container-1'><div class='av-post-metadata-container-inner'><span class=\"av-post-metadata-content av-post-metadata-meta-content\"><span class=\"av-post-metadata-content av-post-metadata-category\"><span class=\"av-post-metadata-category-link\" ><a href=\"https:\/\/segurosecidadania.pt\/?cat=15\" >Opini\u00e3o<\/a><\/span><\/span><\/span><\/div><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-ls1ryc5k-154cdb4a99bfdb087d908f7e2cdb72a5\">\n#top .av-special-heading.av-ls1ryc5k-154cdb4a99bfdb087d908f7e2cdb72a5{\nmargin:0 0 0 0;\npadding-bottom:-20px;\n}\nbody .av-special-heading.av-ls1ryc5k-154cdb4a99bfdb087d908f7e2cdb72a5 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-ls1ryc5k-154cdb4a99bfdb087d908f7e2cdb72a5 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-ls1ryc5k-154cdb4a99bfdb087d908f7e2cdb72a5 av-special-heading-h6 blockquote modern-quote  avia-builder-el-5  el_after_av_post_metadata  el_before_av_heading '><div class='av-subheading av-subheading_above'><p>LUIS NEGR\u00c3O, M\u00c9DICO ASSESSOR DA FUNDA\u00c7\u00c3O PORTUGUESA DE CARDIOLOGIA<\/p>\n<\/div><h6 class='av-special-heading-tag'  itemprop=\"headline\"  >  <\/h6><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-ls1rzmt1-92d7963bc5d9f36a0b23a227e6e030c4\">\n#top .av-special-heading.av-ls1rzmt1-92d7963bc5d9f36a0b23a227e6e030c4{\nmargin:20px 0 0 0;\npadding-bottom:20px;\nfont-size:30px;\n}\nbody .av-special-heading.av-ls1rzmt1-92d7963bc5d9f36a0b23a227e6e030c4 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n#top #wrap_all .av-special-heading.av-ls1rzmt1-92d7963bc5d9f36a0b23a227e6e030c4 .av-special-heading-tag{\nfont-size:30px;\npadding:0 0 10px 0;\n}\n.av-special-heading.av-ls1rzmt1-92d7963bc5d9f36a0b23a227e6e030c4 .av-subheading{\nfont-size:15px;\n}\n\n@media only screen and (min-width: 480px) and (max-width: 767px){ \n#top #wrap_all .av-special-heading.av-ls1rzmt1-92d7963bc5d9f36a0b23a227e6e030c4 .av-special-heading-tag{\nfont-size:0.8em;\n}\n}\n\n@media only screen and (max-width: 479px){ \n#top #wrap_all .av-special-heading.av-ls1rzmt1-92d7963bc5d9f36a0b23a227e6e030c4 .av-special-heading-tag{\nfont-size:0.8em;\n}\n}\n<\/style>\n<div  class='av-special-heading av-ls1rzmt1-92d7963bc5d9f36a0b23a227e6e030c4 av-special-heading-h1 blockquote modern-quote  avia-builder-el-6  el_after_av_heading  el_before_av_image  av-inherit-size'><h1 class='av-special-heading-tag'  itemprop=\"headline\"  >ATEROSCLEROSE, A DOEN\u00c7A SILENCIOSA <\/h1><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-ls1s056x-74d2418c2f836536a5d2b86d503247d0\">\n.avia-image-container.av-ls1s056x-74d2418c2f836536a5d2b86d503247d0 img.avia_image{\nbox-shadow:none;\n}\n.avia-image-container.av-ls1s056x-74d2418c2f836536a5d2b86d503247d0 .av-image-caption-overlay-center{\ncolor:#ffffff;\n}\n<\/style>\n<div  class='avia-image-container av-ls1s056x-74d2418c2f836536a5d2b86d503247d0 av-styling- avia-align-center  avia-builder-el-7  el_after_av_heading  el_before_av_textblock '   itemprop=\"image\" itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/ImageObject\" ><div class=\"avia-image-container-inner\"><div class=\"avia-image-overlay-wrap\"><img decoding=\"async\" fetchpriority=\"high\" class='wp-image-1729 avia-img-lazy-loading-not-1729 avia_image ' src=\"https:\/\/segurosecidadania.pt\/wp-content\/uploads\/2025\/01\/perna.jpg\" alt='' title='perna'  height=\"800\" width=\"2000\"  itemprop=\"thumbnailUrl\" srcset=\"https:\/\/segurosecidadania.pt\/wp-content\/uploads\/2025\/01\/perna.jpg 2000w, https:\/\/segurosecidadania.pt\/wp-content\/uploads\/2025\/01\/perna-300x120.jpg 300w, https:\/\/segurosecidadania.pt\/wp-content\/uploads\/2025\/01\/perna-1030x412.jpg 1030w, https:\/\/segurosecidadania.pt\/wp-content\/uploads\/2025\/01\/perna-768x307.jpg 768w, https:\/\/segurosecidadania.pt\/wp-content\/uploads\/2025\/01\/perna-1536x614.jpg 1536w, https:\/\/segurosecidadania.pt\/wp-content\/uploads\/2025\/01\/perna-1500x600.jpg 1500w, https:\/\/segurosecidadania.pt\/wp-content\/uploads\/2025\/01\/perna-705x282.jpg 705w\" sizes=\"(max-width: 2000px) 100vw, 2000px\" \/><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-ls1s13k0-bd5659602c8ec4c80c8d120e3dc440cc '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p>A fun\u00e7\u00e3o principal do aparelho digestivo \u00e9 o de proporcionar ao organismo \u00e1gua, vitaminas, sais minerais, hidratos de carbono, prote\u00ednas e l\u00edpidos. Como s\u00e3o mol\u00e9culas muito grandes para serem absorvidas pelas c\u00e9lulas que revestem o intestino, (enter\u00f3citos) o aparelho digestivo encarrega-se de digerir os nutrientes, tornando-os mol\u00e9culas mais pequenas e absorv\u00edveis. As prote\u00ednas s\u00e3o fracionadas em amino\u00e1cidos, os hidratos de carbono em gl\u00facidos, e as gorduras em \u00e1cidos gordos.<\/p>\n<p>Cerca de 95% das gorduras provenientes da nossa alimenta\u00e7\u00e3o, s\u00e3o triglic\u00e9ridos (3 \u00e1cidos gordos ligados a uma mol\u00e9cula de glicerol). Os outros 5% s\u00e3o colesterol e fosfolip\u00eddios.<\/p>\n<p>Os triglic\u00e9ridos s\u00e3o importantes fornecedores de energia e por isso t\u00eam como destino preferencial as c\u00e9lulas musculares. S\u00e3o armazenados como reserva energ\u00e9tica, no tecido adiposo subcut\u00e2neo.<\/p>\n<p>Os fosfolip\u00eddios e o colesterol s\u00e3o importantes para formar a membrana das c\u00e9lulas.<\/p>\n<p>O colesterol \u00e9 tamb\u00e9m essencial para a produ\u00e7\u00e3o de algumas hormonas esteroides sais biliares e vitamina D.<\/p>\n<p>As gorduras n\u00e3o s\u00e3o sol\u00faveis no plasma sangu\u00edneo que \u00e9 90% \u00e1gua. Para que possam ser transportadas t\u00eam de se ligar a uma prote\u00edna formando uma lipoprote\u00edna e \u00e9 desta forma que elas percorrem o organismo.<\/p>\n<p>Existem v\u00e1rios tipos de lipoprote\u00ednas:<\/p>\n<ul>\n<li>Quilom\u00edcrons<\/li>\n<li>Lipoprote\u00ednas de densidade muito baixa (VLDL)<\/li>\n<li>Lipoprote\u00ednas de baixa densidade (LDL)<\/li>\n<li>Lipoprote\u00ednas de alta densidade (HDL)<\/li>\n<\/ul>\n<p>As quilomicrons s\u00e3o formadas pelos enter\u00f3citos a partir da gordura contidas nos alimentos. S\u00e3o maioritariamente constitu\u00eddas por triglic\u00e9ridos.<\/p>\n<p>As VLDL s\u00e3o produzidas pelo f\u00edgado, s\u00e3o ricas tamb\u00e9m em triglic\u00e9ridos que os transportam para os m\u00fasculos e para o tecido adiposo.<\/p>\n<p>As LDL s\u00e3o o remanescente das VLDL ap\u00f3s a entrega dos triglicer\u00eddeos. J\u00e1 s\u00e3o ricas em colesterol e levam-no para todas as c\u00e9lulas do organismo.<\/p>\n<p>As HDL s\u00e3o formadas no f\u00edgado e servem para remover e trazer para o f\u00edgado o colesterol em excesso nos tecidos do organismo e da\u00ed que sejam consideradas o \u201cbom colesterol\u201d ao contr\u00e1rio das outras lipoprote\u00ednas que v\u00e3o deixando o colesterol \u201cpelo caminho\u201d formando as placas de gordura que estreitam as art\u00e9rias e dificultam a passagem do sangue rico em oxig\u00e9nio para os \u00f3rg\u00e3os (a aterosclerose).<\/p>\n<p>Sendo assim, se subtrair ao valor do meu colesterol total o valor do HDL-colesterol vou ficar com o \u201cn\u00e3o-bom\u201d colesterol, grande parte dele ser\u00e1 o LDL-colesterol.<\/p>\n<p>O que est\u00e1 recomendado \u00e9 que o colesterol total n\u00e3o exceda os 190 mg\/dL e que o HDL-colesterol seja superior a 60 mg\/dL. Ora 190-60=130 e este \u00e9 o valor que n\u00e3o devemos exceder de colesterol n\u00e3o HDL ou seja, um \u201cn\u00e3o-bom\u201d colesterol, que dever\u00e1 ser quanto mais baixo melhor.<\/p>\n<p>Os n\u00edveis de lipoprote\u00ednas aumentam ligeiramente \u00e0 medida que as pessoas envelhecem. Normalmente esses n\u00edveis s\u00e3o ligeiramente mais elevados nos homens do que nas mulheres, ainda que nestas comecem a aumentar depois da menopausa. Mas tamb\u00e9m aumentam precocemente devido a maus h\u00e1bitos alimentares, ao sedentarismo, ao tabagismo, \u00e0 diabetes, entre outros fatores de risco.<\/p>\n<p>A aterosclerose n\u00e3o \u00e9 uma doen\u00e7a exclusiva do cora\u00e7\u00e3o, \u00e9 sim uma doen\u00e7a exclusiva das art\u00e9rias e da\u00ed que, de facto, afeta as art\u00e9rias que fornecem sangue ao cora\u00e7\u00e3o (causando doen\u00e7a coron\u00e1ria), as que fornecem sangue ao c\u00e9rebro (causando acidente vascular cerebral, AVC) mas afeta tamb\u00e9m as art\u00e9rias que fornecem sangue ao resto do corpo (causando doen\u00e7a arterial perif\u00e9rica).<\/p>\n<p>A doen\u00e7a coron\u00e1ria e o AVC s\u00e3o preocupa\u00e7\u00e3o habitual da Funda\u00e7\u00e3o Portuguesa de Cardiologia. J\u00e1 a Doen\u00e7a Vascular Perif\u00e9rica n\u00e3o \u00e9 muito falada, mas n\u00e3o deixa de ser uma doen\u00e7a bastante incapacitante.<\/p>\n<p>\u00c9 por vezes chamada a \u201cdoen\u00e7a das montras\u201d uma vez que as pessoas depois de caminharem alguns metros, sentem uma dor na barriga de uma das pernas (a que tem a art\u00e9ria mais afetada com aterosclerose) que as obriga a parar. Aproveitam uma montra para o fazer. Olham sem ver, at\u00e9 que a circula\u00e7\u00e3o se restabele\u00e7a. Nessa altura a dor desaparece e a pessoa pode retomar o caminho sem dores. Habitualmente a dor surge sensivelmente \u00e0 mesma dist\u00e2ncia. Esta \u00e9 a doen\u00e7a vascular perif\u00e9rica que se mant\u00e9m assim at\u00e9 a art\u00e9ria estar totalmente obstru\u00edda. A gangrena e a amputa\u00e7\u00e3o do membro s\u00e3o o destino final da doen\u00e7a.<\/p>\n<p>As doen\u00e7as cardiovasculares s\u00e3o bastante incapacitantes, quer ocorram no cora\u00e7\u00e3o, no c\u00e9rebro ou noutros territ\u00f3rios arteriais.<\/p>\n<\/div><\/section><\/p><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00c9 por vezes chamada a \u201cdoen\u00e7a das montras\u201d uma vez que as pessoas depois de caminharem alguns metros, sentem uma dor na barriga de uma das pernas (a que tem a art\u00e9ria mais afetada com aterosclerose) que as obriga a parar. Aproveitam uma montra para o fazer.<\/p>\n","protected":false},"author":2,"featured_media":1729,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[15],"tags":[],"class_list":["post-1728","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-opiniao"],"_links":{"self":[{"href":"https:\/\/segurosecidadania.pt\/index.php?rest_route=\/wp\/v2\/posts\/1728","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/segurosecidadania.pt\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/segurosecidadania.pt\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/segurosecidadania.pt\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/segurosecidadania.pt\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1728"}],"version-history":[{"count":1,"href":"https:\/\/segurosecidadania.pt\/index.php?rest_route=\/wp\/v2\/posts\/1728\/revisions"}],"predecessor-version":[{"id":1730,"href":"https:\/\/segurosecidadania.pt\/index.php?rest_route=\/wp\/v2\/posts\/1728\/revisions\/1730"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/segurosecidadania.pt\/index.php?rest_route=\/wp\/v2\/media\/1729"}],"wp:attachment":[{"href":"https:\/\/segurosecidadania.pt\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1728"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/segurosecidadania.pt\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1728"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/segurosecidadania.pt\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1728"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}