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Cancer Patients with Acute Coronary Syndrome Have Non-Superior Bleeding Risk Co...

Mano, T; Timóteo, AT; Aguiar Rosa, S; Belo, A; Cruz Ferreira, R; ProACS Registry Investigators

Introduction: The management of acute coronary syndrome (ACS) in malignancy is challenging due to higher bleeding risk. Methods: We analyzed patients with cancer (active or in the previous five years) prospectively included in the ProACS registry between 2010 and 2019. Our aim was to assess safety (major bleeding, primary endpoint) and secondary efficacy endpoints (in-hospital mortality and combined in-hospital...


Genetic Variants Are Not Rare in ICD Candidates with Dilated Cardiomyopathy: Ti...

Sousa, A; Canedo, P; Campelo, M; Moura, B; Leite, S; Baixia, M; Belo, A; Rocha-Gonçalves, F; Machado, JC; Silva-Cardoso, J; Martins, E; Investigators, F

Sudden cardiac death (SCD) risk stratification in dilated cardiomyopathy (DCM) has been based on left ventricular ejection fraction (LVEF), even though SCD may occur with LVEF > 35%. Family history of unexplained SCD, especially in the young, raises concern about potential inheritable risk factors. It remains largely unknown how genetic tests can be integrated into clinical practice, particularly in the selecti...


The Portuguese Registry of Hypertrophic Cardiomyopathy: Overall results

Cardim, N; Brito, D; Lopes, LR; Freitas, A; Araújo, C; Belo, A; Gonçalves, L; Mimoso, J; Olivotto, I; Elliott, P; Madeira, H

Introduction: We report the results of the Portuguese Registry of Hypertrophic Cardiomyopathy, an initiative that reflects the current spectrum of cardiology centers throughout the territory of Portugal. Methods: A direct invitation to participate was sent to cardiology departments. Baseline and outcome data were collected. Results: A total of 29 centers participated and 1042 patients were recruited. Four cente...


ProACS Risk Score: an Early and Simple Score for Risk Stratification of Patient...

Timóteo, AT; Rosa, S; Nogueira, M; Belo, A; Cruz Ferreira, R

INTRODUCTION: There are barriers to proper implementation of risk stratification scores in patients with acute coronary syndromes (ACS), including their complexity. Our objective was to develop a simple score for risk stratification of all-cause in-hospital mortality in a population of patients with ACS. METHODS: The score was developed from a nationwide ACS registry. The development and internal validation coh...


Role of Intra-Aortic Balloon Pump Counterpulsation in the Treatment of Acute My...

Timóteo, AT; Nogueira, M; Aguiar Rosa, S; Belo, A; Cruz Ferreira, R

BACKGROUND: In previous guidelines, intra-aortic balloon pump (IABP) use was strongly recommended in the treatment of cardiogenic shock in the context of acute myocardial infarction. The recent IABP-SHOCK II trial demonstrated no benefit in short- and medium-term mortality with the use of IABP. It was our objective to evaluate in a real life nationwide population of patients with acute myocardial infarction the...


External Validation of the ProACS Score for Risk Stratification of Patients wit...

Timóteo, AT; Aguiar Rosa, S; Nogueira, M; Belo, A; Cruz Ferreira, R

INTRODUCTION: The ProACS risk score is an early and simple risk stratification score developed for all-cause in-hospital mortality in acute coronary syndromes (ACS) from a Portuguese nationwide ACS registry. Our center only recently participated in the registry and was not included in the cohort used for developing the score. Our objective was to perform an external validation of this risk score for short- and ...


Risk Factor Paradox in the Occurrence of Cardiac Arrest in Acute Coronary Syndr...

Aguiar Rosa, S; Timóteo, AT; Nogueira, M; Belo, A; Cruz Ferreira, R

OBJECTIVE:: To compare patients without previously diagnosed cardiovascular risk factors) and patients with one or more risk factors admitted with acute coronary syndrome. METHODS:: This was a retrospective analysis of patients admitted with first episode of acute coronary syndrome without previous heart disease, who were included in a national acute coronary syndrome registry. The patients were divided accordi...


Twins prematurity--the influence of prenatal surveillance

Domingues, AP; Fonseca, E; Belo, A; Moura, P

OBJECTIVE: To evaluate the influence of the local prenatal surveillance of twin pregnancies in the obstetrical results. METHODS: A prospective cohort study of multiple pregnancies delivered over a period of 16 years in a tertiary centre was conducted. In this study 861 twin pregnancies were included. They were compared for obstetric complications, gestational age at delivery, mode of delivery and birthweight, a...


Triplet pregnancies: perinatal outcome evolution

Almeida, P; Domingues, AP; Belo, A; Fonseca, E; Moura, P

PURPOSE: To evaluate the obstetric and perinatal outcomes evolution of triplet pregnancies. METHODS: A prospective observational study was conducted in triplet pregnancies delivered over 16 years in a tertiary obstetric center with differentiated perinatal support. Evaluation of demographic factors, obstetric complications, gestational age at delivery, mode of delivery, birth weight and immediate newborn outcom...


Prevalência de Obstrução numa População Exposta ao Fumo do Tabaco - Projecto PN...

Reis Ferreira, JM; Matos, MJ; Rodrigues, F; Belo, A; Brites, H; Cardoso, J; Simão, P; Moutinho dos Santos, J; Almeida, J; Gouveia, A; Bárbara, C

A espirometria não atingiu ainda a divulgação que se justificaria em patologia respiratória, ou indivíduos que se encontram em risco relativamente a esta patologia, cujo diagnóstico é insuficiente, havendo um escasso conhecimento, e consequente controlo, dos custos atribuíveis a estas doenças, com destaque para a doença pulmonar obstrutiva crónica (DPOC). O PNEUMOBIL, iniciativa que visa esta divulgação entre f...


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