18 documents found, page 1 of 2
From wristbands to implants: the transformative role of wearables in heart fail...
Gregório, Catarina; Agostinho, João R.; Rigueira, Joana; Santos, Rafael; Pinto, Fausto J.; Brito, DulceBackground: Heart failure (HF) management increasingly relies on innovative solutions to enhance monitoring and care. Wearable devices, originally popularized for fitness tracking, show promise in clinical decision-making for HF. This study explores the application and potential for the broader integration of wearable technology in HF management, emphasizing remote monitoring and personalized care. Methods: A c...
conTemporary reflectiOns regarding heart failure manaGEmenT – How to ovERcome t...
Silva-Cardoso, José; Santos, Jonathan; Araújo, Inês; Andrade, Aurora; Morais Sarmento, Pedro; Santos, Paulo; Moura, Brenda; Marques, IreneIntroduction and objectives: Heart failure (HF) is a complex clinical syndrome that is a significant burden in hospitalisations, morbidity, and mortality. Although a significant effort has been made to better understand its consequences and current barriers in its management, there are still several gaps to address. The present work aimed to identify the views of a multidisciplinary group of health care profess...
Effectiveness and safety of sacubitril/valsartan in patients with chronic kidne...
Couto Pereira, Sara Cristina; Rodrigues, Tiago; Ferreira, Afonso Nunes; Agostinho, João R.; Pinto, Fausto J.; Brito, DulceBackground: data regarding the effectiveness and safety of sacubitril/valsartan in heart failure and reduced ejection fraction (HFrEF) patients with chronic kidney disease (CKD) are scarse. Objective: to evaluate the effectiveness and safety of sacubitril/valsartan in HFrEF and CKD in a real-world population. Methods: we included consecutive ambulatory HFrEF patients that initiated sacubitril/valsartan between ...
The value of multiparametric prediction scores in heart failure varies with the...
Rodrigues, Tiago; Agostinho, João R.; Santos, Rafael; Cunha, Nelson; Silvério António, Pedro; Couto Pereira, Sara Cristina; Brito, JoanaAims: Multiple prediction score models have been validated to predict major adverse events in patients with heart failure. However, these scores do not include variables related to the type of follow-up. This study aimed to evaluate the impact of a protocol-based follow-up programme of patients with heart failure regarding scores accuracy for predicting hospitalizations and mortality occurring during the first ...
Acute coronay syndrome in a patient with severe hemophilia A: dificult decisions
Aguiar-Ricardo, Inês; Agostinho, João R.; Pereira, Artur; Rodrigues, Fatima; Brito, Dulce; Pinto, Fausto J.; Catarino, Cristina; Mendes Pedro, MónicaHemophilia A is an inherited coagulation disease characterized by factor VIII (FVIII) deficiency and is associated with high hemorrhagic risk, especially in its severe forms. As the average life expectancy of patients with hemophilia has increased, so has the prevalence of acute coronary events. There is however limited experience in dealing with them. The strategy of acting on acute coronary events in patients...
Heart and brain interactions in heart failure: cognition, depression, anxiety, ...
Rigueira, Joana; Agostinho, João R.; Aguiar-Ricardo, Inês; Gonçalves, Inês; Santos, Rafael; Nunes-Ferreira, Afonso; Rodrigues, Tiago; Cunha, NelsonBackground: Cognitive impairment, anxiety and depression are common in heart failure (HF) patients and its evolution is not fully understood. Objectives: To assess the cognitive status of HF patients over time, its relation to anxiety and depression, and its prognostic impact. Methods: Prospective, longitudinal, single center study including patients enrolled in a structured program for follow-up after hospital...
Are we aiming for different metabolic targets in heart failure patients?
Brito, J.; Agostinho, João R.; Duarte, C.; Silva, B.; Couto Pereira, Sara Cristina; Morais, Pedro; Cunha, Nelson; Rodrigues, Tiago; Antonio, P. S.Introduction: Metabolic control plays an important role on major cardiovascular events (MACE) prevention. The 2019 ESC guidelines on dyslipidaemia management recommend tighter LDL-cholesterol (LDL-C) control in order to prevent cardiovascular events. However, it is not yet proven that thigh control of dyslipidaemia, glycaemic levels and body mass index (BMI) in Heart Failure (HF) patients (pts) have an impact o...
The sensitivity of DPD scintigraphy to detect transthyretin cardiac amyloidosis...
Coutinho, Maria Conceição Azevedo; Cortez-Dias, Nuno; Cantinho, Guilhermina; Gonçalves, Susana; Menezes, Miguel Nobre; Guimarães, TatianaBackground: There is a growing need for a non-invasive test to detect cardiac involvement in patients with transthyretin-related hereditary amyloidosis (ATTR) caused by V30M mutation. 99mTc-3,3-diphosphono-1,2-propanodicarboxylic acid (DPD) scintigraphy is a promising method, but its accuracy in this particular mutation remains unknown. Methods: A cohort of 179 patients: 92 with early-onset disease (EoD, sympto...
Non‐invasive telemonitoring improves outcomes in heart failure with reduced eje...
Nunes-Ferreira, Afonso; Agostinho, João R.; Rigueira, Joana; Aguiar-Ricardo, Inês; Guimarães, Tatiana; Santos, Rafael; Rodrigues, Tiago; Cunha, NelsonAims: Non-invasive telemonitoring (TM) in patients with heart failure (HF) and reduced left ventricular ejection fraction (HFrEF) may be useful in the early diagnosis of HF decompensation, allowing therapeutic optimization and avoiding re-hospitalization. We describe a TM programme in this population and evaluate its effectiveness during a 12 month period. Methods and results: We conducted a single-centre study...
iBox-CRT : better response, less complicated, equally fast
Aguiar-Ricardo, Inês; Nunes-Ferreira, Afonso; Rigueira, Joana; Agostinho, João R.; Santos, R.; Lima da Silva, G.; Antonio, Pedro Silverio; Rodrigues, T.Introduction: The optimization of the left ventricle (LV) pacing site guided by the electrical delay increases CRT response rate (RR), however it’s necessary to develop technology that allows its universal use. Purpose: The aim is automatically, and operator-independent, access the conduction delay between the right ventricular (RV) stimulus and the LV available veins in order to select the LV pacing site. It i...