12 documents found, page 1 of 2
Monitoring beta-blocker therapy in adolescents with exercise-induced intraventr...
Cotrim, Nuno; Café, Hugo M.; Guardado, Jorge; Cordeiro, Pedro; Martins, Rui; Cotrim, Hortense; Cotrim, CarlosBackground: Treadmill exercise stress echocardiography (ESE) is both feasible and safe in the pediatric population. Although regional wall motion abnormalities (RWMAs) have limited diagnostic utility, Doppler studies frequently demonstrate significant intraventricular pressure gradients (IVPGs) during exercise. These IVPGs, which were observed in 39% of 258 previously studied adolescents, are absent at rest. Th...
Children’s understanding of informed assents in research studies
Cotrim, Hortense; Granja, Cristina; Carvalho, Ana Sofia; Cotrim, Carlos; Martins, RuiThe assent procedure reflects an effort to enable the minor to understand, to the degree they are capable of, what their participation in the decision making process would involve. Aims: To evaluate the minors’ ability to understand the information provided to them when obtaining assent and to evaluate the opinion of the parents regarding the importance of asking the child’s assent. Methods: The sample included...
The prognostic value of exercise echocardiography after percutaneous coronary i...
Marques, Ana; Cruz, Inês; João, Isabel; Almeida, Ana Rita; Fazendas, Paula; Caldeira, Daniel; Alegria, Sofia; Pereira, Ana Rita; Briosa, AlexandraBackground: Exercise echocardiography (EE) is a valuable noninvasive method for diagnostic and prognostic assessment of ischemic cardiac disease. The prognostic value of a negative EE test is well known overall, but its role in patients who undergo percutaneous coronary intervention remains poorly validated. The aim of this study was to ascertain the prognostic value of treadmill EE and to determine predictors ...
TRICUSPID PROSTHESIS MALFUNCTION UNMASKED BY EXERCISE STRESS ECHOCARDIOGRAPHY
Cotrim, Carlos; Costa, Francisco; Baquero, LuisExercise echocardiography is used mainly in the study of patients with coronary artery disease, however the technique is increasingly used in the study of other pathologies. We present the first case of use of exercise stress echocardiography for clinical decision in one patient with biological prostheses in tricuspid position. The clinical exam, the echocardiogram, the cardiac MRI, the NT proBNP were normal an...
Prognostic value of reduced heart rate reserve during exercise in hypertrophic ...
Ciampi, Quirino; Olivotto, Iacopo; Peteiro, Jesus; D’Alfonso, Maria; Mori, Fabio; Tassetti, Luigi; Milazzo, Alessandra; Monserrat, LorenzoBackground: Sympathetic dysfunction can be evaluated by heart rate reserve (HRR) with exercise test. Objectives: To determine the value of HRR in predicting outcome of patients with hypertrophic cardiomyopathy (HCM). Methods: We enrolled 917 HCM patients (age = 49 +/- 15 years, 516 men) assessed with exercise stress echocardiography (ESE) in 11 centres. ESE modality was semi-supine bicycle in 51 patients (6%), ...
Stress Echo 2030: the novel ABCDE-(FGLPR) protocol to define the future of imaging
Picano, Eugenio; Ciampi, Quirino; Cortigiani, Lauro; Arruda-Olson, Adelaide M.; Borguezan-Daros, Clarissa; de Castro e Silva Pretto, José LuisWith stress echo (SE) 2020 study, a new standard of practice in stress imaging was developed and disseminated: the ABCDE protocol for functional testing within and beyond CAD. ABCDE protocol was the fruit of SE 2020, and is the seed of SE 2030, which is articulated in 12 projects: 1-SE in coronary artery disease (SECAD); 2-SE in diastolic heart failure (SEDIA); 3-SE in hypertrophic cardiomyopathy (SEHCA); 4-SE ...
Quality control of B-lines analysis in stress Echo 2020
Scali, Maria C.; Ciampi, Quirino; Picano, Eugenio; Bossone, Eduardo; Ferrara, Francesco; Citro, Rodolfo; Colonna, Paolo; Costantino, Marco F.Background The effectiveness trial “Stress echo (SE) 2020” evaluates novel applications of SE in and beyond coronary artery disease. The core protocol also includes 4-site simplified scan of B-lines by lung ultrasound, useful to assess pulmonary congestion. Purpose To provide web-based upstream quality control and harmonization of B-lines reading criteria. Methods 60 readers (all previously accredited for regio...
Left ventricular thrombus in repaired Tetralogy of Fallot
Caldeira, Daniel; Cotrim, Carlos; Calé, Rita; Cruz, Inês; Stuart, Bruno; Pereira, HélderWe present a 48 year-old female patient with a previous history of Tetralogy of Fallot submitted to surgical repair at 18 years old. Recent echocardiograms were remarkable for the absence of residual interventricular communication, a good left ventricular systolic function without regional wall motion abnormalities, and a moderate pulmonary regurgitation.
Left ventricular outflow tract obstruction as a primary phenotypic expression o...
Lopes, Luis; Cotrim, Carlos; Cruz, Inês; Picano, Eugenio; Pinto, Fátima; Pereira, HélderThe late and incomplete penetrance that characterizes hypertrophic cardiomyopathy (HCM), combined with the relatively low – 40–50% – yield of genetic testing, has stimulated the search for markers of early disease in “pre-hypertrophic” relatives of index patients. The main suggested aims of those markers are to identify relatives at risk of developing HCM in families where a causal mutation is not identified, o...
A ecocardiografia de esforço : contributo para uma nova perspectiva na sindrome...
Cotrim, CarlosO desenvolvimento de gradiente intraventricular durante ecocardiografia de sobrecarga com dobutamina tem sido largamente relatado e essa ocorrência associada a sintomas durante este exame. A ocorrência de gradiente intraventricular durante ecocardiografia de esforço, pelo contrário, é um fenómeno raramente encontrado. Estudos anteriores revelaram ocorrerem gradientes intraventriculares demonstrados por ecocardi...