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Electroanatomical mapping of coronary artery anatomy to guide epicardial ventri...

Silva, Gustavo Lima da; Dias, Nuno Cortez; Carpinteiro, Luís; Sousa, João de


Triple-site pacing for cardiac resynchronization in permanent atrial fibrillati...

Marques, Pedro; Menezes, Miguel Nobre; Silva, Gustavo Lima da; Guimarães, Tatiana; Bernardes, Ana; Dias, Nuno Cortez; Carpinteiro, Luis; Sousa, João de

Aims: Cardiac Resynchronization Therapy (CRT) is associated with a particularly high non-response rate in patients with atrial fibrillation (AF). We aimed to assess the effectiveness of triple-site (Tri-V) pacing CRT in this population. Methods and results: Prospective observational study of patients with permanent AF who underwent CRT implantation with an additional right ventricle lead in the outflow tract se...


Taquicardia mediada por via Mahaim

Silva, Gustavo Lima da; Dias, Nuno Cortez; Bernardes, Ana; Sousa, João

We present the case of a previously healthy 42-year-old man who attended the emergency department due to a sudden onset of rapid and regular palpitations. The ECG showed 190 bpm, wide QRS with left bundle branch block tachycardia. He was started on amiodarone with progression to 230 bpm, wide QRS tachycardia with multiple morphologies, followed by spontaneous conversion to sinus rhythm, normal PR interval and r...


Prognostic stratification in pulmonary hypertension : a multi-biomarker approach

Plácido, Rui; Dias, Nuno Cortez; Martins, Susana Robalo; Almeida, Ana G.; Calisto, Carina; Gonçalves, Susana; Sadoune, Malha; Diogo, António Nunes

Introduction: Pulmonary hypertension (PH) covers a group of conditions characterized by an increase in pulmonary vascular resistance leading to right ventricular failure. Risk stratification is crucial for adequate prognostic and therapeutic assessment. However, the accuracy of conventional parameters is limited, especially biomarkers. Objectives: To determine the prognostic value of new biomarkers and their co...


Rare association of two genetic causes of sudden death in a young survivor

Brito, Dulce; Magalhães, Andreia; Dias, Nuno Cortez; Miltenberger-Miltenyi, Gabriel

Introduction: Sudden cardiac arrest (SCA) in young adults is frequently caused by inherited cardiac diseases, particularly cardiomyopathies and ion channelopathies. 1 Genetic testing can be essential in the follow-up of survivors and today´s genetic diagnostics may include the parallel analysis of several SCA related genes, most commonly those associated with ion channelopathies and hypertrophic cardiomyopathy ...


Always look at the sinus rhythm electrocardiogram in patients with ventricular ...

Silva, Gustavo Lima da; Dias, Nuno Cortez; Neves, Irina; Almeida, Ana G.; Sousa, João de


Implantation of ICD and CRT-D in the elderly population : will it be a limiting...

Ricardo, I. Aguiar; Dias, Nuno Cortez; Marques, P.; Magalhães, A.; Gonçalves, I.; Agostinho, J.; Silva, G. Lima da; Guimarães, T.; Santos, I.

Introduction: Implantable cardioverter defibrillator (ICD) and cardiac resynchronization (CRT-D) implantation in elderly patients is effective in preventing sudden death, although limited by the natural shorter life expectancy. The different device brands present very variable survival estimates and it has been discussed the availability of less expensive, less longevity generators for the elderly population. P...


Utility of pace-matching mapping in the ablation of idiopathic ventricular tach...

Gonçalves, I. S. S.; Silva, G. L.; Agostinho, J. R.; Guimarães, T.; Francisco, A. R.; Ricardo, I. A.; Rigueira, J.; Quaresma, J.; Barreiros, C.

Introduction: The electroanatomical mapping of idiopathic ventricular tachyarrhythmias (iVT) - premature ventricular contractions (PVC) and idiopathic ventricular tachycardia (VT) - is dependent on the recording of spontaneous PVC or induction of the clinical VT during the procedure to obtain the iVT activation map. The presence of infrequent and non-inducible iVT may preclude ablation. Pace-matching (PM) mappi...


Progression of myocardial sympathetic denervation assessed by 123I-MIBG imaging...

Coutinho, Maria da Conceição Azevedo; Dias, Nuno Cortez; Cantinho, Guilhermina; Conceição, Isabel; Guimarães, Tatiana; Silva, Gustavo Lima da

Introduction: Familial amyloid polyneuropathy (FAP) is a rare disease caused by systemic deposition of amyloidogenic variants of the transthyretin (TTR) protein. The TTR-V30M mutation is caused by the substitution of valine by methionine at position 30 and mainly affects the peripheral and autonomic nervous systems. Cardiovascular manifestations are common and are due to autonomic denervation and to amyloid dep...


Circulating mir-122-5p/mir-133b ratio is a specific early prognostic biomarker ...

Dias, Nuno Cortez; Costa, Marina C.; Silva, Doroteia; Jorge, Cláudia; Calisto, Carina; Pessoa, Teresa; Martins, Susana Robalo; Sousa, João Carvalho de

Background: MicroRNAs (miRNAs) are key players in cardiovascular development and disease. However, not only miRNAs of a cardiac origin have a critical role in heart function. Recent studies have demonstrated that miR-122-5p, a hepatic miRNA, increases in the bloodstream during ischemic cardiogenic shock and it is upregulated in the infarcted myocardium. The aim of the present study was to determine the potentia...


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