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Lung Adenocarcinoma: The Diagnostic Importance of Echocardiography

Ferreira Neves, I; Garcia Brás, P; Coelho, P; Calvinho, P; Branco, L


Microvascular Dysfunction Is Associated With Impaired Myocardial Work in Obstru...

Garcia Brás, P; Aguiar Rosa, S; Cardoso, I; Branco, L; Galrinho, A; Valentim Gonçalves, A; Thomas, B; Viegas, JM; Fiarresga, A; Branco, G; Pereira, R

Background Two-dimensional speckle tracking echocardiography has been shown to correlate with microvascular dysfunction, a hallmark of hypertrophic cardiomyopathy (HCM). We hypothesized that there is an association between myocardial work and left ventricular ischemia, with incremental value to global longitudinal strain, in patients with HCM. Methods and Results We performed a prospective assessment of patient...


Initial Single-Center Experience of a Standardized Protocol for Invasive Assess...

Vaz Ferreira, V; Ramos, R; Castelo, A; Mendonça, T; Almeida-Morais, L; Pereira-da-Silva, T; Oliveira, E; Viegas, J; Garcia Brás, P; Grazina, A

Introduction: Coronary vasomotion disorders (CVDs), including microvascular angina (MVA) and vasospastic angina (VSA), account for significant morbidity among patients with non-obstructive coronary artery disease (NOCAD). However, protocols for CVD assessment in clinical practice are seldom standardized and may be difficult to implement. Purpose: To assess the safety and feasibility of a comprehensive coronary ...


Myocardial Work Brings New Insights into Left Ventricular Remodelling in Cardio...

Vaz Ferreira, V; Mano, T; Cardoso, I; Coutinho Cruz, M; Branco, LM; Almeida-Morais, L; Timóteo, AT; Galrinho, A; Castelo, A; Garcia Brás, P; Simão, D

Serial transthoracic echocardiographic (TTE) assessment of 2D left ventricular ejection fraction (LVEF) and global longitudinal strain (GLS) are the gold standard screening methods for cancer therapeutics-related cardiac dysfunction (CTRCD). Non-invasive left ventricular (LV) pressure-strain loop (PSL) provides a novel method of quantifying myocardial work (MW) with potential advantages to evaluate the impact o...



Transcatheter Aortic Valve Implantation Outcomes in Patients with Low Flow Low ...

Castelo, A; Grazina, A; Mendonça, T; Rodrigues, I; Garcia Brás, P; Ferreira, V; Ramos, R; Fiarresga, A; Cacela, D; Cruz Ferreira, R

Background: Some studies suggest that patients with low flow low gradient (LF-LG) aortic stenosis (AS) may achieve worse results after undergoing transcatheter aortic valve implantation (TAVI). Purpose: To compare outcomes between LF-LG AS and high gradient (HG) AS patients submitted to TAVI. Methods: Inclusion of 480 consecutive patients who underwent TAVI between 2008 and 2020 at a single tertiary center. Pat...


Predictive Ability of Cardiopulmonary Exercise Test Parameters in Heart Failure...

Ferreira Reis, J; Valentim Gonçalves, A; Garcia Brás, P; Ilhão Moreira, R; Rio, P; Timóteo, AT; Soares, RM; Cruz Ferreira, R

Background: There is evidence suggesting that a peak oxygen uptake (pVO2) cut-off of 10ml/kg/min provides a more precise risk stratification in cardiac resynchronization therapy (CRT) patients. Objective: To compare the prognostic power of several cardiopulmonary exercise testing (CPET) parameters in this population and assess the discriminative ability of the guideline-recommended pVO2cut-off values. Methods: ...


Multimodality Imaging in Cardiac Amyloidosis: State‐of‐the‐Art Review

Timóteo, AT; Aguiar Rosa, S; Garcia Brás, P; Vidigal Ferreira, MJ; Bettencourt, N

Amyloidosis is a systemic disease, characterized by deposition of amyloid fibrils in various organs, including the heart. For the diagnosis of cardiac amyloidosis (CA) it is required a high level of clinical suspicion and in the presence of clinical, laboratorial, and electrocardiographic red flags, a comprehensive multimodality imaging evaluation is warranted, including echocardiography, magnetic resonance, sc...


Late Gadolinium Enhancement in the Left Ventricular Wall Is Associated with Atr...

Castelo, A; Aguiar Rosa, S; Fiarresga, A; Jalles, N; Vaz Ferreira, V; Garcia Brás, P; Branco, L; Oliveira, M; Cruz Ferreira, R

Purpose: Atrial fibrillation (AF) is the most common arrhythmia in patients with hypertrophic cardiomyopathy (HCM). The aim of this study was to evaluate the relation between AF and left ventricular (LV) late gadolinium enhancement (LGE). Methods: 55 patients with HCM were retrospectively included. Patients were divided in HCM with AF and HCM without AF. Baseline clinical, echocardiographic and cardiovascular m...


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