28 documents found, page 1 of 3
Association between the number of altered late potential criteria and increased...
Brito, Joana; Cortez-Dias, Nuno; Lima Da Silva, Gustavo; Ferreira, Afonso Nunes; Aguiar-Ricardo, Inês; Cunha, Nelson; António, Pedro SilvérioBackground: Brugada syndrome (BrS) is associated with abnormal electrophysiological properties at right ventricular epicardium, consisting of fragmented electrograms extending well beyond QRS termination. We aimed to evaluate the utility of signal-averaged electrocardiogram (SA-ECG) for the noninvasive assessment of late potentials (LP) and risk stratification of BrS patients. Methods: A prospective, observatio...
Rapidly progressive coronary aneurysm: a rare case of isolated coronary vasculi...
Rodrigues, Tiago; Aguiar-Ricardo, Inês; Menezes, Miguel Nobre; Rigueira, Joana; Santos, Rafael; Fonseca, Valter R; Pinto, Fausto J.; Almeida, Ana G.Isolated coronary arteritis without systemic involvement in adults is exceedingly rare. A 60-year-old patient developed recurrent non–ST-segment elevation myocardial infarctions for 1 year. After an initial coronary angiogram that was normal, serial angiograms showed de novo aneurysm formation. The patient responded favorably to corticosteroids, supporting the diagnosis of isolated coronary arteritis.
Heart and brain interactions in heart failure: Cognition, depression, anxiety, ...
Rigueira, Joana; R. Agostinho, João; Aguiar-Ricardo, Inês; Gonçalves, Inês; Santos, Rafael; Nunes-Ferreira, Afonso; Rodrigues, Tiago; Cunha, NelsonBackground: Cognitive impairment, anxiety and depression are common in heart failure (HF) patients and its evolution is not fully understood. Objectives: To assess the cognitive status of HF patients over time, its relation to anxiety and depression, and its prognostic impact. Methods: Prospective, longitudinal, single center study including patients enrolled in a structured program for follow-up after hospital...
Home-based cardiac rehabilitation during COVID-19 pandemic: effectiveness of an...
Silva, B. V.; Aguiar-Ricardo, Inês; Alves Da Silva, P.; Rodrigues, Tiago; Cunha, Nelson; Couto Pereira, Sara Cristina; Silverio Antonio, P.; Brito, J.Patient education is considered a core component of cardiac rehabilitation (CR) and nowadays, particularly during the COVID-19 pandemic, online education programs are critical. However, the best strategy for implementing these digital programs to increase patients’ adherence and learning is not fully established.
Mitral valve prolapse: American versus European guidelines : which one is better
Brito, J.; Rigueira, Joana; Rodrigues, Tiago; Aguiar-Ricardo, Inês; Santos, R.; Ferreira, Afonso Nunes; Cunha, Nelson; Pereira, S.; António, P. S.According to the most recent recommendations of AHA, mitral valve prolapse (MVP) is defined as systolic displacement of the mitral leaflet into the left atrium (LA) of at least 2 mm from the mitral annular plane. The ESC recommendations define MVP, flail and billowing, according to the location of the leaflet tips in relation to the coaptation plan. Differences in outcomes considering these classifications are ...
COVID-19 era in long-term cardiac rehabilitation programs: how did physical act...
Pires, Madalena; Borges, Margarida; Pinto, R.; Aguiar-Ricardo, Inês; Cunha, Nelson; Alves Da Silva, P.; Liñan Pinto, Mariana; Guerreiro, Catarina SousaCardiovascular rehabilitation (CR) was one of the many areas negatively affected by the COVID-19 pandemic. A high number of cardiovascular disease (CVD) patients had their centre-based program suspended. Physical activity (PA) recommendations for CVD patients are well established and its benefits largely documented. However, few studies have objectively measured the PA of these patients throughout the years and...
Acute coronay syndrome in a patient with severe hemophilia A: dificult decisions
Aguiar-Ricardo, Inês; Agostinho, João R.; Pereira, Artur; Rodrigues, Fatima; Brito, Dulce; Pinto, Fausto J.; Catarino, Cristina; Mendes Pedro, MónicaHemophilia A is an inherited coagulation disease characterized by factor VIII (FVIII) deficiency and is associated with high hemorrhagic risk, especially in its severe forms. As the average life expectancy of patients with hemophilia has increased, so has the prevalence of acute coronary events. There is however limited experience in dealing with them. The strategy of acting on acute coronary events in patients...
Clinical impact of MultiPoint pacing in responders to cardiac resynchronization...
Marques, Pedro; Nunes-Ferreira, Afonso; António, Pedro; Aguiar-Ricardo, Inês; Rodrigues, Tiago; Badie, Nima; Marcos, Ivo; Bernardes, AnaBackground: Cardiac resynchronization therapy demonstrated benefits in heart failure. However, only 60-70% are responders and only 22% are super-responders. MultiPoint pacing (MPP) improves structural remodeling, but data in responder patients is scarce. Methods: A prospective, randomized study of the efficacy of MPP was conducted in patients who were CRT responders after 6 months of bi-ventricular (BiV) therap...
Heart and brain interactions in heart failure: cognition, depression, anxiety, ...
Rigueira, Joana; Agostinho, João R.; Aguiar-Ricardo, Inês; Gonçalves, Inês; Santos, Rafael; Nunes-Ferreira, Afonso; Rodrigues, Tiago; Cunha, NelsonBackground: Cognitive impairment, anxiety and depression are common in heart failure (HF) patients and its evolution is not fully understood. Objectives: To assess the cognitive status of HF patients over time, its relation to anxiety and depression, and its prognostic impact. Methods: Prospective, longitudinal, single center study including patients enrolled in a structured program for follow-up after hospital...
Are we aiming for different metabolic targets in heart failure patients?
Brito, J.; Agostinho, João R.; Duarte, C.; Silva, B.; Couto Pereira, Sara Cristina; Morais, Pedro; Cunha, Nelson; Rodrigues, Tiago; Antonio, P. S.Introduction: Metabolic control plays an important role on major cardiovascular events (MACE) prevention. The 2019 ESC guidelines on dyslipidaemia management recommend tighter LDL-cholesterol (LDL-C) control in order to prevent cardiovascular events. However, it is not yet proven that thigh control of dyslipidaemia, glycaemic levels and body mass index (BMI) in Heart Failure (HF) patients (pts) have an impact o...