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Balloon pulmonary angioplasty and Riociguat in the management of chronic thromb...

Camões De Araújo, Patrícia; Calé, Rita; Pereira, Ernesto; Ferreira, Filipa; Alegria, Sofia; Pereira, Helder; Coelho, André

Background: No systematic review has been published comparing the effectiveness and safety of balloon pulmonary angioplasty (BPA) and riociguat in patients with chronic thromboembolic pulmonary hypertension (CTEPH) across studies that evaluate both treatment methods. Methods: A literature search was conducted using PubMed, ScienceDirect, and Elsevier. Clinical, functional, and hemodynamic effectiveness criteria...


Depression and Anxiety of Portuguese University Students: A Cross-Sectional Stu...

Amaro, Pedro; Fonseca, César; Afonso, Anabela; Jacinto, Gonçalo; Gomes, Luis; Pereira, Helder; José, Helena; Silva, Celso; Lima, Andreia; Arco, Helena

ABSTRACT: The mental health of university students has worsened over time, and it is young people who have suffered the most from the COVID-19 pandemic in terms of mental health. Anxiety and depression are the most common symptoms reported by university students and are often the cause of disabilities, either in academic performance or in other spheres of life. Aim. The aim of this study was to both assess the ...


In-hospital mortality of high-risk pulmonary embolism: a nationwide population-...

Calé, R.; Ascenção, Raquel; Bulhosa, C.; Pereira, Helder; Borges, Margarida; Costa, J.; Caldeira, Daniel

Background: The mortality associated with high-risk pulmonary embolism (PE) is remarkably high, and reperfusion to unload right ventricle should be a priority. However, several registries report reperfusion underuse. In Portugal, epidemiological data about the incidence, rate of reperfusion and mortality of high-risk PE are not known. Methods: Nationwide population-based temporal trend study in the incidence an...



Smart Grid Ecosystem Modeling Using a Novel Framework for Heterogenous Agent Co...

Pereira, Helder; Ribeiro, Bruno; Gomes, Luis; Vale, Zita

The modeling of smart grids using multi-agent systems is a common approach due to the ability to model complex and distributed systems using an agent-based solution. However, the use of a multi-agent system framework can limit the integration of new operation and management models, especially artificial intelligence algorithms. Therefore, this paper presents a study of available open-source multi-agent systems ...


Balloon pulmonary angioplasty in inoperable chronic thromboembolic pulmonary hy...

Pereira, Ana Rita; Calé, Rita; Ferreira, Filipa; Pereira, Helder

Balloon pulmonary angioplasty (BPA) is an emerging treatment for inoperable chronic thromboembolic pulmonary hypertension (CTEPH) or residual/recurrent pulmonary hypertension after pulmonary thromboendarterectomy. We report two patients with inoperable and severe CTEPH who were submitted to the BPA programme after optimised treatment with long-term oxygen therapy (LTOT) and pulmonary vasodilator drugs, includin...


Stent-Save a Life international survey on the practice of primary percutaneous ...

Pereira, Helder; Naber, Christoph; Wallace, Sandrine; Gabor, Tóth; Abdi, Sayfollah; Alekyan, Bagrat; Alexander, Thomas; Artucio, Carolina

Aim: To assess the impact of the COVID-19 pandemic on admissions of patients with acute coronary syndromes (ACS) and primary percutaneous coronary intervention (PPCI) in countries participating in the Stent-Save a Life (SSL) global initiative. Methods and results: We conducted a multicenter observational survey to collect data on patient admissions for ACS, ST-elevation myocardial infarction (STEMI) and PPCI in...


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, Pedro

Introduction: 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...


Multimodality imaging in the recurrence of left ventricular pseudoaneurysm afte...

Marques, Ana; Caldeira, Daniel; Alegria, Sofia; Pereira, Ana Rita; Briosa, Alexandra; Cruz, Inês; Almeida, Ana Rita; João, Isabel; Pereira, Helder

A 61-year-old male, former smoker and diabetic patient with a previous medical history noted for an inferior myocardial infarction complicated with left ventricular free wall rupture that had been surgically corrected 6 years prior, presented to the cardiology unit complaining of a new-onset dyspnoea, orthopnoea and fatigue which had started over the month prior to presenting.


Socioeconomic impact of cardiovascular disease

Pereira, Ernesto; Pereira, Helder

Cardiovascular disease (CVD) remains one of the leading causes of mortality and morbidity in developed countries. Nevertheless, in recent years, mortality associated with diseases of the circulatory system has decreased steadily across several European Union (EU) member states. This change may, at least in part, be due to increased screening and awareness of appropriate and timely treatment procedures, as well ...


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