Hypertension (HTN) is a major risk factor for death and disability that is very prevalent and has a lower than desired degree of control. In this context, the Portuguese Hypertension Society implemented Mission 70/26, a multifaceted strategic program that aims to achieve 70% control in hypertensive patients monitored in Primary Health Care by 2026. One year after its start, there was a monthly increase in HTN c...
Cardiovascular (CV) guidelines stress the need for global intervention to manage risk factors and reduce the risk of major vascular events. Growing evidence supports the use of polypill as a strategy to prevent cerebral and cardiovascular disease, however it is still underused in clinical practice. This paper presents an expert consensus aimed to summarize the data regarding polypill use. The authors consider t...
Hypertensive disorders of pregnancy continue to be acause of maternal and fetal morbidity and mortality, not onlyin pregnancy and peripartum but also in the future life ofthe mother and baby. It is essential not only to understandthe underlying pathophysiological mechanisms, but also toknow how to make the diagnosis with the appropriate methodology, assess the woman’s risk, and know the particular therapeutic o...
Introduction: Home hospitalization is an alternative to conventionalhospitalization of acute patients that emerged inthe 40’s of the 20th century in the United States of America.The adherence of American and European hospitals to thisapproach has been growing and has proven to be safe, effective,and responsive to a large number of acute medicalconditions avoiding all the problems inherent in conventionalhospita...
The authors report a case of a 31-year-old woman, pregnantfor the third time, with a medical history of severe placentalmediated obstetrical complications, referred for exclusion ofa pro-thrombotic state. Thrombophilia testing was negative,however isolated alkaline phosphates elevation (10 times superiorto the upper reference limit) was detected. Alkalinephosphatase elevation that does not surpass twice the upp...
Propylthiouracil (PTU) is widely used in the treatment of Hyperthyroidism. Usually well tolerated, it is though associated with antineutrophil cytoplasmic antibodies (ANCA) and, less frequently, with late-onset ANCA positive vasculitis. The authors describe the clinical case of a 45-year-old female patient with Graves’ disease for which she was being treated with PTU since 3 years before, who developed an ANCA-...