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Case Report and Literature Review of Cardiac Amyloidosis: A Not-So-Rare Cause o...

Baptista, Patrícia; Moura De Azevedo, Sofia; Alexandre, André; Dias-Frias, André

Restrictive cardiomyopathy secondary to cardiac amyloidosis is an underdiagnosed cause of heart failure and it is associated with significant morbidity and mortality. The most common types of amyloidosis are light chain amyloidosis, transthyretin amyloidosis and secondary amyloidosis. We report the case of a 84-year-old man that presented with new onset signs and symptoms of heart failure. Multimodality imaging...


Acute total occlusion of the unprotected left main coronary artery: Patient cha...

Calvão, João; Braga, Marta; Brandão, Mariana; Campinas, Andreia; Alexandre, André; Amador, Ana; Costa, Catarina; Silva, João C.; Silva, Marisa

Introduction and objectives: Acute total occlusion of the unprotected left main coronary artery (LMCA) is a dramatic event. There are limited data regarding this population. We aimed to describe the clinical presentation and outcomes of patients and to determine predictors of in-hospital mortality. Methods: This retrospective study included patients presenting with acute (<12 h) myocardial infarction due to tot...


Temporary atrial septal defect balloon occlusion test as a must in the elderly

Alexandre, André; Luz, André; de Frias, André Dias; Santos, Raquel Baggen; Brochado, Bruno; Oliveira, Filomena; Silveira, João; Torres, Severo

Background: Atrial septal defect (ASD) can often remain asymptomatic until adulthood. It still remains unclear whether large ASD closure in senior people should be performed or not. Temporary ASD balloon occlusion test has been suggested as a tool to assess the risk of acute left ventricular heart failure post-ASD closure, and it allows to better distinguish responders from non-responders. Case presentation: An...


Transitioning intravenous epoprostenol to oral selexipag in idiopathic pulmonar...

Alexandre, André; Furtado, Inês; Gonçalves, Fabienne; Gonçalves, Fabienne; Melo, Alzira; Alves, Joana; Santos, Mario; Reis, Abilio

Intravenous (i.v.) prostacyclin is the cornerstone treatment in high-risk pulmonary arterial hypertension (PAH) patients. Selexipag is an orally available prostacyclin receptor agonist. Limited data are available regarding the feasibility of transitioning from i.v. epoprostenol to selexipag. A 50-year-old woman with idiopathic PAH was diagnosed in a World Health Organization (WHO) Functional Class (FC) IV. She ...


COVID-19: The performance of the Radiographer in an intraoperative environment

Santos, Lucília; Alexandre, André; Leal, Ricardo; Pinto, Alda; Fernandes, Vilma

An outbreak of pneumonia associated to a new coronavirus appeared in December 2019 in the city of Wuhan, in the province of Hubei, China and was named as Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). This virus is highly contagious which led to the adaptation of new performance techniques in hospital scenarios such as Operating Room. Faced with this new reality, the Radiographer who as an increa...


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