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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Patient prognosis after an acute myocardial infarction &#40;AMI&#41; depends on several factors including&#44; patient history and comorbidities&#44; acute episode characteristics&#44; and management&#44; the presence&#47;absence of residual ischemia&#47;risk&#44; patient adherence to treatments prescribed at discharge&#44; among many other factors&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">Another not so frequently mentioned factor is patient health literacy related to the disease and its management&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">A few studies have already shown that cardiovascular disease health literacy has a major influence on their prognosis&#46;<a class="elsevierStyleCrossRefs" href="#bib0045"><span class="elsevierStyleSup">1&#44;2</span></a> This is also true for AMI patients as demonstrated by Bailey et al&#46;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">3</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">In recent decades&#44; in-hospital length of stay after AMI has been significantly reduced&#44; mainly due to invasive revascularization in the acute phase with primary percutaneous coronary interventions&#46; Unfortunately&#44; this has considerably reduced the time for phase 1 of the cardiac rehabilitation programs and the number of opportunities for healthcare providers to educate their patients &#40;while still in-hospital&#41; about the disease&#44; the risk factors&#44; the importance of good treatment adherence&#44; and other recommendations such as diet&#44; exercise or stress management&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">These days&#44; patients are increasingly willing to learn more about their disease and to become active partners in the future management of their condition&#46; Consequently&#44; they look for additional information concerning coronary heart disease&#44; risk factors&#44; and secondary prevention&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">And so they go to their computers&#44; tablets&#44; smartphones trying to obtain more information&#46; As their health literacy is reduced&#44; they search for medical&#47;health information in the same places where they get other kinds of information&#58; browsers such as Google&#174; or Yahoo&#174;&#44; social networks such as Facebook&#174;&#44; Twitter&#174;&#44; Instagram&#174; and also on free video-sharing platforms such as YouTube&#174;&#44; the second largest search engine behind Google Search&#174;&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">The medical community needs to be made aware of these circumstances and assess the quality of the information made available on the internet&#46; This is why many investigators have conducted of research on these internet-based sources of &#8220;medical information&#8221; to gain an understanding of what their patients are learning on line&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">Concerning YouTube&#174; videos&#44; a quick search on PubMed returned more than 870 articles with the word &#8220;YouTube&#8221; in the title &#40;&#40;youtube&#91;Title&#93;&#41;&#41;&#46; The majority of these articles are related to the analysis of videos concerning a specific disease or procedure&#44; but others are dedicated to a more generic analysis of the information related to healthcare issues&#46;<a class="elsevierStyleCrossRefs" href="#bib0060"><span class="elsevierStyleSup">4&#44;5</span></a></p><p id="par0045" class="elsevierStylePara elsevierViewall">There is therefore great interest in the medical community concerning the evaluation of the quality of the information made available on YouTube&#174;&#44; to the point of publishing methodologies on how to analyze the quality of this kind of information&#44; such as for example the article by Drozd et al&#46;<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">6</span></a></p><p id="par0050" class="elsevierStylePara elsevierViewall">However&#44; we only found two articles with both &#8220;YouTube&#8221; and &#8220;Infarction&#8221; in the title &#40;youtube&#91;Title&#93;&#41; AND &#40;infarction&#91;Title&#93;&#41;&#46;<a class="elsevierStyleCrossRefs" href="#bib0075"><span class="elsevierStyleSup">7&#44;8</span></a> One of those two articles is being published in this issue of the Portuguese Journal of Cardiology by Fialho et al&#46;<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">8</span></a> This paper makes a great contribution to the analysis of the quality of videos on myocardial infarction in Portuguese&#44; by analyzing 242 videos and applying validated quality evaluation scores such The Health on the Net Code and the DISCERN scores&#46;</p><p id="par0055" class="elsevierStylePara elsevierViewall">This was a very thorough study that led the authors to conclude that the average quality of the information given on the analyzed videos was poor&#46; I endorse the authors&#8217; recommendations that the medical societies have the responsibility to define strategies to improve the quality of online health information in their respective disciplines&#46; Health authorities and healthcare institutions&#44; such as hospitals and medical and nursing schools&#44; also share this responsibility&#46;</p><p id="par0060" class="elsevierStylePara elsevierViewall">I might add that it should be the duty of every healthcare professional to be aware of the online sites&#44; videos&#44; apps&#44; etc&#46; where their patients can obtain good quality information about their disease&#44; so that they can &#8220;prescribe&#8221; online information to their patients&#44; to significantly increase their health literacy&#44; which could then translate into better outcomes&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicts of interest</span><p id="par0065" class="elsevierStylePara elsevierViewall">The author has no conflicts of interest to declare&#46;</p></span></span>"
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You had a myocardial infarction. Time to find out more
Teve um enfarte do miocárdio. Procure saber mais
Daniel Ferreira
Intensive Medicine Department, Hospital da Luz Lisboa, Lisboa, Portugal
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Patient prognosis after an acute myocardial infarction &#40;AMI&#41; depends on several factors including&#44; patient history and comorbidities&#44; acute episode characteristics&#44; and management&#44; the presence&#47;absence of residual ischemia&#47;risk&#44; patient adherence to treatments prescribed at discharge&#44; among many other factors&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">Another not so frequently mentioned factor is patient health literacy related to the disease and its management&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">A few studies have already shown that cardiovascular disease health literacy has a major influence on their prognosis&#46;<a class="elsevierStyleCrossRefs" href="#bib0045"><span class="elsevierStyleSup">1&#44;2</span></a> This is also true for AMI patients as demonstrated by Bailey et al&#46;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">3</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">In recent decades&#44; in-hospital length of stay after AMI has been significantly reduced&#44; mainly due to invasive revascularization in the acute phase with primary percutaneous coronary interventions&#46; Unfortunately&#44; this has considerably reduced the time for phase 1 of the cardiac rehabilitation programs and the number of opportunities for healthcare providers to educate their patients &#40;while still in-hospital&#41; about the disease&#44; the risk factors&#44; the importance of good treatment adherence&#44; and other recommendations such as diet&#44; exercise or stress management&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">These days&#44; patients are increasingly willing to learn more about their disease and to become active partners in the future management of their condition&#46; Consequently&#44; they look for additional information concerning coronary heart disease&#44; risk factors&#44; and secondary prevention&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">And so they go to their computers&#44; tablets&#44; smartphones trying to obtain more information&#46; As their health literacy is reduced&#44; they search for medical&#47;health information in the same places where they get other kinds of information&#58; browsers such as Google&#174; or Yahoo&#174;&#44; social networks such as Facebook&#174;&#44; Twitter&#174;&#44; Instagram&#174; and also on free video-sharing platforms such as YouTube&#174;&#44; the second largest search engine behind Google Search&#174;&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">The medical community needs to be made aware of these circumstances and assess the quality of the information made available on the internet&#46; This is why many investigators have conducted of research on these internet-based sources of &#8220;medical information&#8221; to gain an understanding of what their patients are learning on line&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">Concerning YouTube&#174; videos&#44; a quick search on PubMed returned more than 870 articles with the word &#8220;YouTube&#8221; in the title &#40;&#40;youtube&#91;Title&#93;&#41;&#41;&#46; The majority of these articles are related to the analysis of videos concerning a specific disease or procedure&#44; but others are dedicated to a more generic analysis of the information related to healthcare issues&#46;<a class="elsevierStyleCrossRefs" href="#bib0060"><span class="elsevierStyleSup">4&#44;5</span></a></p><p id="par0045" class="elsevierStylePara elsevierViewall">There is therefore great interest in the medical community concerning the evaluation of the quality of the information made available on YouTube&#174;&#44; to the point of publishing methodologies on how to analyze the quality of this kind of information&#44; such as for example the article by Drozd et al&#46;<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">6</span></a></p><p id="par0050" class="elsevierStylePara elsevierViewall">However&#44; we only found two articles with both &#8220;YouTube&#8221; and &#8220;Infarction&#8221; in the title &#40;youtube&#91;Title&#93;&#41; AND &#40;infarction&#91;Title&#93;&#41;&#46;<a class="elsevierStyleCrossRefs" href="#bib0075"><span class="elsevierStyleSup">7&#44;8</span></a> One of those two articles is being published in this issue of the Portuguese Journal of Cardiology by Fialho et al&#46;<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">8</span></a> This paper makes a great contribution to the analysis of the quality of videos on myocardial infarction in Portuguese&#44; by analyzing 242 videos and applying validated quality evaluation scores such The Health on the Net Code and the DISCERN scores&#46;</p><p id="par0055" class="elsevierStylePara elsevierViewall">This was a very thorough study that led the authors to conclude that the average quality of the information given on the analyzed videos was poor&#46; I endorse the authors&#8217; recommendations that the medical societies have the responsibility to define strategies to improve the quality of online health information in their respective disciplines&#46; Health authorities and healthcare institutions&#44; such as hospitals and medical and nursing schools&#44; also share this responsibility&#46;</p><p id="par0060" class="elsevierStylePara elsevierViewall">I might add that it should be the duty of every healthcare professional to be aware of the online sites&#44; videos&#44; apps&#44; etc&#46; where their patients can obtain good quality information about their disease&#44; so that they can &#8220;prescribe&#8221; online information to their patients&#44; to significantly increase their health literacy&#44; which could then translate into better outcomes&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicts of interest</span><p id="par0065" class="elsevierStylePara elsevierViewall">The author has no conflicts of interest to declare&#46;</p></span></span>"
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