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Monitoring beta-blocker therapy in adolescents with exercise-induced intraventr...

Cotrim, Nuno; Café, Hugo M.; Guardado, Jorge; Cordeiro, Pedro; Martins, Rui; Cotrim, Hortense; Cotrim, Carlos

Background: 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...


Exercise stress echocardiography: Where are we now?

Cotrim, Carlos Alberto; Café, Hugo; João, Isabel; Cotrim, Nuno; Guardado, Jorge; Cotrim, Hortense; Cordeiro, Pedro; Baquero, Luis

Exercise stress echocardiography (ESE) is a widely used diagnostic test in cardiology departments. ESE is mainly used to study patients with coronary artery disease; however, it has increasingly been used in other clinical scenarios including valve pathology, congenital heart disease, hypertrophic and dilated cardiomyopathies, athlete evaluations, diastolic function evaluation, and pulmonary circulation study. ...


Usefulness of Routine Fractional Flow Reserve for Clinical Management of Corona...

Van Belle, Eric; Cosenza, Alessandro; Baptista, Sergio Bravo; Vincent, Flavien; Henderson, John; Santos, Lino; Ramos, Ruben; Pouillot, Christophe

Importance: Approximately one-third of patients considered for coronary revascularization have diabetes, which is a major determinant of clinical outcomes, often influencing the choice of the revascularization strategy. The usefulness of fractional flow reserve (FFR) to guide treatment in this population is understudied and has been questioned. Objective: To evaluate the usefulness and rate of major adverse car...


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