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Underuse of reperfusion therapy with systemic thrombolysis in high-risk acute p...
Martinho, Mariana; Calé, Rita; Grade Santos, João; Rita Pereira, Ana; Alegria, Sofia; Ferreira, Filipa; José Loureiro, Maria; Judas, TiagoIntroduction: Reperfusion therapy is generally recommended in acute high-risk pulmonary embolism (HR-PE), but several population-based studies report that it is underused. Data on epidemiology, management and outcomes of HR-PE in Portugal are scarce. Objective: To determine the reperfusion rate in HR-PE patients, the reasons for non-reperfusion, and how it influences outcomes. Methods: In this retrospective coh...
Balloon pulmonary angioplasty protocol in a Portuguese pulmonary hypertension e...
Calé, Rita; Ferreira, Filipa; Pereira, Ana Rita; Saraiva, Carla; Santos, Ana; Alegria, Sofia; Repolho, Débora; Vitorino, Sílvia; Santos, PedroIntroduction: Balloon pulmonary angioplasty (BPA) has emerged as a promising therapeutic option for patients with chronic thromboembolic pulmonary hypertension (CTEPH) who are not eligible for pulmonary thromboendarterectomy (PEA) or who have recurrent or persistent pulmonary hypertension after surgery. There is no standardized technique for BPA and, its complexity and high risk of severe complications, require...
Is the time in therapeutic range using the ratio of tests equivalent to the Ros...
Caldeira, Daniel; Cruz, Inês; Morgado, Gonçalo; Stuart, Bruno; Gomes, Ana Catarina; Martins, Cristina; João, Isabel; Pereira, HelderThe percentage of time in therapeutic range (TTR) is a measure of anticoagulation quality with vitamin K antagonists (VKAs). The method most commonly used in clinical trials is the Rosendaal TTR. However, the application of this method in daily practice for clinical decision lacks appropriate instruments. We aimed to evaluate the percentage of tests within the target international normalized ratio (INR) (tests ...
The burnout stage of an apical hypertrophic cardiomyopathy
Caldeira, Daniel; Lopes, Luis; Cruz, Inês; Almeida, Ana Rita; Morgado, Gonçalo; Gomes, Catarina; Stuart, Bruno; Almeida, Sofia; Brandão, LuísA 66 year-old female with a previous medical history of hypertension and ischemic stroke was admitted in the Emergency Room with persistent regular palpitations. In the admission the patient had normal blood pressure and tachycardia. The remaining physical examination was unremarkable. The electrocardiogram showed ventricular tachycardia, 150 bpm (Fig. 1, Panel A), with an inferior axis and right bundle branch ...