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Prognostic impact of invasive hemodynamic evaluation in patients with pulmonary...

Ricardo, I. Aguiar; Plácido, R.; Gonçalves, I.; Agostinho, J.; Silva, G. Lima da; Menezes, M. Nobre; Francisco, A. R.; Santos, R.; Ferreira, A.

Introduction: Invasive hemodynamic evaluation is a fundamental diagnostic method in patients with pulmonary hypertension (PH). However, its prognostic value in this group of patients is not fully established. Purpose: To assess the prognostic impact of hemodynamic parameters of right catheterization in patients with PH. Methods: Prospective observational study of patients with PH undergoing right and left cathe...


Can we rely on iFR for avoiding FFR? Conclusions of a 5-year experience

Menezes, M. Nobre; Francisco, A. R. G.; Agostinho, J.; Ferreira, P. Carrilho; Jorge, C.; Torres, D.; Cardoso, P.; Oliveira, E. Infante de

Background: Recently, the instantaneous wave free ratio (iFR), has been proposed an alternative or complementary method to fractional flow reserve (FFR). This new method does not require the use of adenosine and may expedite the speed of functional assessment. The iFR “hybrid strategy” relies on values <0,86 or >0,93 as definitive results which would not require the use of FFR. However, this strategy is much le...


A unique congenital aorto-caval fistula : multi-modality imaging role for succe...

Menezes, M. Nobre; Almeida, A. G.; Nobre, A.; Rosario, L. Bras


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