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Surgical Ablation of Atrial Fibrillation and Left Atrial Appendage Occlusion by...

Rodrigues, C; Silva, M; Cerejo, R; Portugal, G; Cunha, PS; Rodrigues, R; Oliveira, MM; Fragata, J

Introduction: Atrial fibrillation (AF) contributes to increased morbidity and mortality. Pharmacological and percutaneous catheter therapies are unsatisfactory, with potential serious adverse effects. Cox-Maze III/IV surgery, with higher rates of success, has not been widely adopted because of the associated complexity of the procedure. Methods: We performed a retrospective analysis of the first patients submit...


Impact of Substrate-Based Ablation for Ventricular Tachycardia in Patients with...

Oliveira, MM; Cunha, PS; Valente, B; Portugal, G; Lousinha, A; Pereira, M; Braz, M; Delgado, A; Cruz Ferreira, R

Introduction: Recurrent ventricular tachycardia (VT) episodes have a negative impact on the clinical outcome of implantable cardioverter-defibrillator (ICD) patients. Modification of the arrhythmogenic substrate has been used as a promising approach for treating recurrent VTs. However, there are limited data on long-term follow-up. Aim: To analyze long-term results of VT substrate-based ablation using high-dens...



Response and Outcomes of Cardiac Resynchronization Therapy in Patients with Ren...

Ilhão Moreira, R; Cunha, PS; Rio, P; Nogueira da Silva, M; Branco, LM; Galrinho, A; Feliciano, J; Soares, R; Cruz Ferreira, R; Oliveira, MM

PURPOSE: Renal dysfunction is often associated with chronic heart failure, leading to increased morbi-mortality. However, data regarding these patients after cardiac resynchronization therapy (CRT) is sparse. We sought to evaluate response and long-term mortality in patients with heart failure and renal dysfunction and assess renal improvement after CRT. METHODS: We analyzed 178 consecutive patients who underwe...


Complete Atrioventricular Block in Acute Coronary Syndrome: Prevalence, Charact...

Aguiar Rosa, S; Timóteo, AT; Ferreira, L; Carvalho, R; Oliveira, MM; Cunha, PS; Viveiros Monteiro, A; Portugal, G; Almeida Morais, L; Daniel, P

PURPOSE: The aim was to characterise acute coronary syndrome patients with complete atrioventricular block and to assess the effect on outcome. METHODS: Patients admitted with acute coronary syndrome were divided according to the presence of complete atrioventricular block: group 1, with complete atrioventricular block; group 2, without complete atrioventricular block. Clinical, electrocardiographic and echocar...


Predictors of Response to Cardiac Resynchronization Therapy: A Prospective Coho...

Abreu, A; Oliveira, MM; Cunha, PS; Santa Clara, H; Santos, V; Portugal, G; Rio, P; Soares, R; Branco, LM; Alves, M; Papoila, AL; Cruz Ferreira, R

INTRODUCTION: Cardiac resynchronization therapy (CRT) has modified the prognosis of chronic heart failure (HF) with left ventricular systolic dysfunction. However, 30% of patients do not have a favorable response. The big question is how to determine predictors of response. AIMS: To identify baseline characteristics that might influence echocardiographic response to CRT. METHODS AND RESULTS: We performed a pros...


Left Atrial Appendage Volume As a New Predictor of Atrial Fibrillation Recurren...

Teixeira, P; Oliveira, MM; Ramos, R; Rio, P; Cunha, PS; Delgado, AS; Pimenta, R; Cruz Ferreira, R

PURPOSE: Recurrence of atrial fibrillation (AF) after catheter ablation is common, being clinically relevant to identify predictors of recurrence. The left atrial appendage (LAA) role as an AF trigger is scarcely explored. Our aim was to identify if LAA volume is an independent predictor of AF recurrence after catheter ablation. METHODS: We analysed 52 patients (aged 54 ± 10 years, 58% male) with paroxysmal and...



Does Permanent Atrial Fibrillation Modify Response to Cardiac Resynchronization...

Abreu, A; Oliveira, MM; Cunha, PS; Santa Clara, H; Portugal, G; Rodrigues, I; Santos, V; Almeida-Morais, L; Selas, M; Soares, R; Branco, LM

INTRODUCTION: The benefits of cardiac resynchronization therapy (CRT) documented in heart failure (HF) may be influenced by atrial fibrillation (AF). We aimed to compare CRT response in patients in AF and in sinus rhythm (SR). METHODS: We prospectively studied 101 HF patients treated by CRT. Rates of clinical, echocardiographic and functional response, baseline NYHA class and variation, left ventricular ejectio...


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