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Cardiogenic shock: Inotropes and vasopressors

Amado, José; Gago, Paula; Santos, Walter; Mimoso, Jorge; de Jesus, Ilidio

Cardiogenic shock is characterized by a decrease in myocardial contractility, and presents a high mortality rate. Inotropic and vasopressor agents have been recommended and used for several years in the treatment of patients in shock, but they remain controversial. Despite its beneficial effect on myocardial contractility, the side effects of inotropic therapy (arrhythmias and increased myocardial oxygen consum...


Coronary arteries anomalous aortic origin on a computed tomography angiography ...

Amado, José; Carvalho, Mónica; Ferreira, Wilson; Gago, Paula; Gama, Vasco; Bettencourt, Nuno

Anomalous aortic origin of coronary arteries (AAOCA) is one of the most frequent causes of cardiovascular sudden death among the young population. We aimed to determine the prevalence and anatomic characteristics of AAOCA in a population referred to computed tomography angiography (CTA) and to describe the clinical prognosis of these findings at middle term follow-up. From a total of 3539 CTA, 53 were found to ...


Congenital left ventricular apical aneurysm presenting as ventricular tachycardia

Amado, José; Marques, Nuno; Candeias, Rui; Gago, Paula; de Jesus, Ilidio

The authors present the case of a 34-year-old male patient seen in our department due to palpitations. On the electrocardiogram monomorphic ventricular tachycardia (VT) was documented, treated successfully with amiodarone. The subsequent study revealed a normal echocardiogram and an apical aneurysm of the left ventricle on magnetic resonance imaging, confirmed by computed tomography coronary angiography that al...


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