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Underuse of reperfusion therapy with systemic thrombolysis in high-risk acute p...

Martinho, Mariana; Calé, Rita; Grade Santos, João; Rita Pereira, Ana; Alegria, Sofia; Ferreira, Filipa; José Loureiro, Maria; Judas, Tiago

Introduction: Reperfusion therapy is generally recommended in acute high-risk pulmonary embolism (HR-PE), but several population-based studies report that it is underused. Data on epidemiology, management and outcomes of HR-PE in Portugal are scarce. Objective: To determine the reperfusion rate in HR-PE patients, the reasons for non-reperfusion, and how it influences outcomes. Methods: In this retrospective coh...


Síndrome Cerebelar Rapidamente Progressiva: Um Caso Clínico

Santos, Leticia; Monteiro, Filipa; Marquês, Maria Inês; Valadão, Catarina; Delerue, Francisca

A síndrome cerebelar rapidamente progressiva é a segunda apresentação neurológica paraneoplásica mais frequente e a elevada suspeita clínica e a exclusão de outras etiologias é essencial no diagnóstico. Este pode preceder o da neoplasia e apresentar efeitos dramáticos, independentemente do estadiamento da neoplasia. É apresentado o caso de uma mulher de 69 anos foi hospitalizada por quadro com algumas semanas d...

Date: 2023   |   Origin: SPMI Case Reports

Prevalence and predictors of chronic thromboembolic pulmonary hypertension foll...

Pargana, Joana; Calé, Rita; Martinho, Mariana; Santos, João; Lourenço, Cândida; Castro Pereira, José Alberto; Araújo, Patrícia; Morgado, João

Introduction and objectives: The true prevalence of chronic thromboembolic pulmonary hypertension (CTEPH) after pulmonary embolism (PE) in the Portuguese population remains unknown. We aimed to assess the prevalence and predictors of CTEPH two years after a symptomatic high- (HR) or intermediate-high risk (IHR) PE. Methods: We conducted a retrospective cohort study of patients admitted with PE between 2014 and ...


The Internist in the COVID-19 Era

Delerue, Francisca; Pape, Estevão


Hospitalization at Home and COVID-19

Nortadas, Rita; Correia Azevedo, Pedro; Cunha, Vitória; Delerue, Francisca



Home Hospitalization: One Year Balance of the First Portuguese Unit

Cunha, Vitória; Escarigo, Maria Conceição; Correia, João; Nortadas, Rita; Correia Azevedo, Pedro; Beirão, Pedro; Gomes, Ana; Delerue, Francisca

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...


Noninvasive Ventilation in an Intermediate-Care-Unit

Felgueiras, Joana; Lohmann, Corinna; Delerue, Francisca; Barata, José

Background: Non-Invasive Ventilation (NIV) is a method of alveolar ventilation, which has been shown to be effi cient and safe in patients with chronic or acute respiratory insuffi ciency. Our experience with NIV, in a Medical Intermediate-Care-Unit, over a 2-year period, is presented.Methods: A retrospective study of 66 patients who were treated with NIV, in the medical intermediate care unit (MICU) of the Gar...


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