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Practical Guide for the Use of PCSK9 Inhibitors in Portugal

Fontes-Carvalho, R; Marques da Silva, P; Rodrigues, E; Araújo, F; Gavina, C; Ferreira, J; Morais, J

Reducing low-density lipoprotein cholesterol (LDL-C) levels is one of the most important strategies for reducing the risk of cardiovascular events. However, in clinical practice, a high proportion of patients do not achieve recommended LDL-C levels through lifestyle and lipid-lowering therapy with statins and ezetimibe. PCSK9 inhibitors (PCSK9i) are a new therapeutic option that significantly (50-60%) reduces L...


Suboptimal Lipid Levels in Clinical Practice Among Portuguese Adults With Dysli...

Marques da Silva, P; Aguiar, C; Morais, J; DISGEN-LIPID study Investigators

Introduction: Cardiovascular disease (CVD) is the leading cause of morbidity and mortality in Portugal. Hypercholesterolemia has a causal role in atherosclerotic CVD. Guidelines recommend that cardiovascular (CV) risk reduction should be individualized and treatment goals identified. Low-density lipoprotein cholesterol (LDL-C) is the primary treatment target. Methods: DISGEN-LIPID was a cross-sectional observat...


Prevalência de Fatores de Risco Cardiovascular e Outras Comorbilidades em Doent...

Marques da Silva, P; Lima, MJ; Macedo Neves, P; Espiga de Macedo, M

Introduction: Cardiovascular (CV) disease is the leading cause of death in Portugal. The prevalence of hypertension, the second most important risk factor accounting for overall disability-adjusted life years (DALYs), is significant. Hypertension rarely occurs in isolation, but is usually associated with other determining risk factors that contribute to greater overall CV risk. The main objective of the PRECISE...


CODAP: a Multidisciplinary Consensus Among Portuguese Experts on the Definition...

Mello e Silva, A; Aguiar, C; Sequeira Duarte, J; Couto, L; Teixeira Veríssimo, M; Marques da Silva, P

Introduction and aims: Atherogenic dyslipidemia is an important contributor to residual cardiovascular (CV) risk, but it is underdiagnosed and undertreated. This study aimed to assess the opinion of Portuguese experts to generate a consensus concerning the diagnosis and treatment of atherogenic dyslipidemia, as well as to contribute toward standardization of clinical practice in this disorder. Methods: The stud...


Hemodynamic Patterns in Obesity Associated Hypertension

Santos, C; Marques da Silva, P

Obesity is a well-known condition of resistant hypertension (HT). Insights to the hemodynamic patterns that characterize obesity related hypertension may help guide therapeutic adjustments and shorten time to HT control.


Standardization of Laboratory Lipid Profile Assessment: A Call for Action with ...

Marques da Silva, P; Sequeira Duarte, J; von Hafe, P; Gil, V; Nunes de Oliveira, J; de Sousa, G

Even with improvements in lifestyle interventions, better control of cardiovascular (CV) risk factors, and improvements in CV outcomes, cardiovascular disease (CVD) remains the leading cause of morbidity and mortality in Portugal and Europe. Atherogenic dyslipidemias, particularly hypercholesterolemia, have a crucial causal role in the development of atherosclerotic CVD. The clinical approach to a patient with ...



Standardization of Laboratory and Lipid Profile Evaluation: a Call for Action w...

Marques da Silva, P; Sequeira Duarte, J; von Hafe, P; Gil, V; Nunes de Oliveira, J; de Sousa, G

Even with the improvement in lifestyle interventions, a better control of cardiovascular (CV) risk factors, and improvements in CV outcomes, cardiovascular disease (CVD) still persists as the leading cause of morbidity and mortality in Portugal and Europe. Atherogenic dyslipidaemias, namely hypercholesterolaemia, have a crucial and causal role in the development of atherosclerotic CVD. The clinical approach of ...


Good Agreement Between Echocardiography and Impedance Cardiography in the Asses...

Leão, R; Marques da Silva, P; Pocinho, R; Alves, M; Virella, D; Palma Reis, R

Background: Impedance cardiography (ICG) is a noninvasive hemodynamic monitoring tool which can define hypertensive patients' hemodynamic profiles and help to tailor antihypertensive therapy. This study assesses the concordance between ICG-derived indexes used to evaluate left ventricular performance and transthoracic echocardiography (TTE) in hypertensive patients. Methods: In this IMPEDDANS post-hoc analysis,...


Design and Rationale of the Non-Interventional, Edoxaban Treatment in RoutiNe C...

Cohen, A; Ay, C; Hainaut, P; Décousus, H; Hoffmann, U; Gaine, S; Coppens, M; Marques da Silva, P; Jimenez Castro, D; Amann-Vesti, B; Brüggenjürgen, B

BACKGROUND: Venous thromboembolism (VTE, including deep vein thrombosis [DVT] and pulmonary embolism [PE]) has an annual incidence rate of 104-183 per 100,000 person-years. After a VTE episode, the two-year recurrence rate is about 17%. Consequently, effective and safe anticoagulation is paramount. Edoxaban is a direct oral anticoagulant (DOAC) approved VTE treatment. Current safety and efficacy data are derive...


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