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A Portuguese expert panel position paper on the management of heart failure wit...

Silva-Cardoso, José; Moreira, Emília; Melo, Rachel Tavares de; Moraes-Sarmento, Pedro; Cardim, Nuno; Oliveira, Mário; Gavina, Cristina; Moura, Brenda

In Portugal, a 15.2% prevalence of heart failure with preserved ejection fraction (HFpEF) was recently identified among those aged ≥50 years. HFpEF represents 90% of Portuguese heart failure patients. HFpEF management in Portugal is challenging due to patient heterogeneity, diagnostic and therapeutic complexity, and organizational constraints on the healthcare system. Considering the above, a panel of Portugues...


A Portuguese expert panel position paper on the management of heart failure wit...

Silva-Cardoso, José; Moreira, Emília; Melo, Rachel Tavares de; Moraes-Sarmento, Pedro; Cardim, Nuno; Oliveira, Mário; Gavina, Cristina; Moura, Brenda

Heart failure (HF) with preserved ejection fraction (HFpEF) affects more than 50% of HF patients worldwide, and more than 70% of HF patients aged over 65. This is a complex syndrome with a clinically heterogeneous presentation and a multifactorial pathophysiology, both of which make its diagnosis and treatment challenging. A Portuguese HF expert panel convened to address HFpEF pathophysiology and therapy, as we...


A Portuguese Expert Panel Position Paper on the Management of Heart Failure wit...

Silva-Cardoso, José; Moreira, Emília; Tavares de Melo, Rachel; Moraes-Sarmento, Pedro; Cardim, Nuno; Oliveira, Mário; Gavina, Cristina; Moura, Brenda

In Portugal, a 15.2% prevalence of heart failure with preserved ejection fraction (HFpEF) was recently identified among those aged ≥50 years. HFpEF represents 90% of Portuguese heart failure patients. HFpEF management in Portugal is challenging due to patient heterogeneity, diagnostic and therapeutic complexity, and organizational constraints on the healthcare system. Considering the above, a panel of Portugues...


Antithrombotic Treatment After Valve-in-Valve, Valve-in-Ring, and Valve-in-MAC ...

Batista, Gonçalo; Costa, Gonçalo; Delgado Silva, Joana; Gonçalves, Lino

Introduction: While antithrombotic therapy following transcatheter valve implantation has been extensively studied in various clinical trials, there remains a notable gap in evidence regarding the optimal approach following valve-in-valve (ViV), valve-in-ring (ViR) and valve-in-mitral annular calcification (ViMAC) procedures, warranting further assessment. This gap is particularly concerning due to the apparent...

Date: 2025   |   Origin: Acta Médica Portuguesa

CARDIOVASCULAR RISK ASSESSMENT IN A WORK CONTEXT

Homem, Filipa; Caetano, Ana; Gomes, Andreia; Costa, Mafalda; Marcelino, Susana; Gonçalves, Lino; Ramos, Domingos

Cardiovascular disease is the leading cause of death in Portugal and a major contributor to morbidity and disability. With an aging population and increased survival following initial cardiovascular events, the burden of disability-adjusted life years is expected to grow, posing a significant challenge for health systems (Ferreira & Macedo, 2017). In this context, the European Society of Cardiology recommen...


A Portuguese expert panel position paper on the management of heart failure wit...

Silva-Cardoso, José; Moreira, Emília; Tavares de Melo, Rachel; Moraes-Sarmento, Pedro; Cardim, Nuno; Oliveira, Mario; Gavina, Cristina; Moura, Brenda

Heart failure (HF) with preserved ejection fraction (HFpEF) affects more than 50% of HF patients worldwide, and more than 70% of HF patients aged over 65. This is a complex syndrome with a clinically heterogeneous presentation and a multifactorial pathophysiology, both of which make its diagnosis and treatment challenging. A Portuguese HF expert panel convened to address HFpEF pathophysiology and therapy, as we...


World Heart Federation cholesterol roadmap: the Portuguese case

Abreu, Ana; Dores, Hélder; Gonçalves, Lino; Franco, Fátima; Silveira, Conceição; Proença, Gonçalo; Timóteo, Ana Teresa; Cardim, Nuno; Pedro, Mónica

Atherosclerotic cardiovascular disease (ASCVD) remains the major cause of premature death and disability; effective cardiovascular (CV) risk prevention is fundamental. The World Heart Federation (WHF) Cholesterol Roadmap provides a framework for national policy development and aims to achieve ASCVD prevention. At the invitation of the WHF, a group of experts from the Portuguese Society of Cardiology (SPC), addr...


Perceptions of cardiology, professional preferences and impact on career choice...

Timóteo, Ana Teresa; Ribeiras, Regina; Gavina, Cristina; Cabral, Sofia; Almeida, Ana G.; António, Natália; Calé, Rita; Moura, Brenda; Franco, Fátima

Introduction and objectives: Cardiology has not been seen as an attractive specialty, and women have avoided it for many years. Some surveys have been performed in other countries, but in Portugal, the situation is largely unknown. Methods: An online survey on perceptions of cardiology and professional preferences was sent to 1371 members of the Portuguese Society of Cardiology, of whom 18.2% completed the surv...


Three-dimensional simulation for interventional cardiology procedures: face and...

Sequeira, Carolina; Oliveira-Santos, Manuel; Borges Rosa, João; Silva Marques, João; Oliveira Santos, Eduardo; Norte, Gustavo; Gonçalves, Lino

Introduction and objectives: Three-dimensional (3D) model simulation provides the opportunity to manipulate real devices and learn intervention skills in a realistic, controlled, and safe environment. To ensure that simulators provide a realistic surrogate to real procedures they must undergo scientific validation. We aimed to evaluate the 3D-printed simulator SimulHeart® for face and content validity to demons...


The association of collaterals with myocardial ischemia and viability in chroni...

Leite, Luís; Campos, Gustavo; Silva, Rodolfo; Jorge, Elisabete; Oliveira-Santos, Manuel; Gomes, Andreia; Gonçalves, Lino; Castelo-Branco, Miguel

Collateral development in chronic total occlusions (CTO) is crucial to perfuse the distal myocardium and its angiographic evaluation is frequently used to assess the need for revascularization. We aimed to analyse the association between the presence of ischemia and hibernating myocardium, evaluated by cardiac [13 N]NH3/2-[18 F]FDG PET-CT, and the angiographic characterization of the collateral circulation. Pro...


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