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An inverted puzzle: a complex case of CRT in a congenitally corrected transposi...

Lima Lopes, Joana; Madeira, Francisco; Cabanelas, Nuno

TTE: congenitally corrected transposition of great vessels (ccTGA) and a dextrocardia; suspicion of ventricular septal defect (VSD; severely depressed left ventricular function (ejection fraction < 30%) Heart CT scan: confirmation of CCTGA and dextrocardia


Cardioneuroablation: a new era for vagal syncope?

Lima Lopes, Joana; Cabanelas, Nuno; Beringuilho, Marco; Ferreira, Ar; Faustino, Mariana; Madeira, Francisco

42 years old male athlete Bradycardia and vagal syncope episodes ECGs showed sinus rhythm with bradycardia (40-44 bpm) Transthoracic Echocardiogram: normal TILT test: positive - 2b cardio inhibitory response and 20s asystole


Cardiac arrhythmias in patients presenting with COVID-19 treated in Portuguese ...

Mesquita, Dinis; Carmo, Pedro; Cabanelas, Nuno; Santos, Nuno; Martins, Vítor; Sanfins, Victor; Costa, Helena Cristina; Fontes, José Paulo

Introduction and objectives: In December 2019, SARS-CoV-2, was discovered as the agent of COVID-19 disease. Cardiac arrhythmias have been reported as frequent but their incidence is unknown. The aim of this research was to assess the real incidence of cardiac arrhythmias among COVID-19 patients admitted to Portuguese hospitals and to understand the underlying prognostic implications. Methods: The Portuguese Ass...


Left ventricular mechanical dyssynchrony in patients with impaired left ventric...

Ferreira, Maria João Vidigal; Silva, Rodolfo; Cabanelas, Nuno; Cunha, Maria João; Ramos, Domingos; Albuquerque, Anabela; Teixeira, Rogério

Introduction: Gated SPECT myocardial perfusion imaging (MPI) has been used to quantify mechanical dyssynchrony. Mechanical dyssynchrony appears to be related to response to cardiac resynchronization therapy. Objective: To evaluate the presence and predictors of mechanical dyssynchrony in patients with impaired left ventricular function (LVEF) ≤50%. Methods: The study included 143 consecutive patients referred f...


New insights in adult Still disease's knowledge.

Cabanelas, Nuno; Ferreira, Patrícia; Esteves, Maria Cristina; Roxo, Fausto

Adult Still's Disease has systemic consequences, an inflammatory origin and unknown etiology. Knowledge about this disease is still limited, but some evolution has occurred in the last few years.Using a clinical case as example, the purpose of this paper is to review actual knowledge about Adult Still's Disease, giving special relevance to the most recent findings.Search in Pubmed and Cochrane database (1970-20...

Date: 2011   |   Origin: Acta Médica Portuguesa

Antihypertensive therapy in diabetic patients

António, Sandra; Ferreira, Patrícia; Esteves, Maria Cristina; Cabanelas, Nuno

Diabetes mellitus and hypertension are clinical entities frequently combined in the same patient; together they exert a synergetic effect that causes, among other events, a fast deterioration of the kidney function and a growing cardiovascular risk. The diabetic patient’s blood pressure must be strictly controlled, aiming at values inferior to 130/80 mmHg. Goals: The analysis of the classes of antihypertensives...


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