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Ostial vs. wide area circumferential ablation guided by the Ablation Index in p...

Sousa, Pedro A.; Barra, Sérgio; Saleiro, Carolina; Khoueiry, Ziad; Adão, Luís; Primo, João; Lagrange, Philippe; Lebreiro, Ana; Fonseca, Paulo

Pulmonary vein isolation (PVI) guided by the Ablation Index (AI) has shown high acute and mid-term efficacy in the treatment of paroxysmal atrial fibrillation (AF). Previous data before the AI-era had suggested that wide-area circumferential ablation (WACA) was preferable to ostial ablation. However, with the use of AI, we hypothesize that ostial circumferential ablation is non-inferior to WACA and can improve ...


Two years after pulmonary vein isolation guided by ablation index—a multicenter...

Sousa, Pedro A.; Puga, Luís; Adão, Luís; Primo, João; Khoueiry, Ziad; Lebreiro, Ana; Fonseca, Paulo; Lagrange, Philippe; Elvas, Luís; Gonçalves, Lino

Background: The use of the Ablation Index (AI) software for paroxysmal atrial fibril-lation (AF) has been associated with higher acute effectiveness and higher 1-year ar -rhythmia freedom. There is, however, a lack of data concerning longer follow-up. We aim to evaluate the 2-year outcomes after a standardized AI- guided pulmonary vein isolation (PVI).Methods: Prospective, multicenter study of consecutive patie...


Remote versus in-office monitoring for implantable cardioverter defibrillators:...

Oliveira, Mário; Fernandes, Milene; Reis, Hipólito; Primo, João; Sanfins, Victor; Silva, Vânia; Cunha, Pedro Silva; Silva, Mónica

Introduction: Remote monitoring (RM) is a safe and effective alternative to in-office conventional follow-up. Objective: We aimed to evaluate patient satisfaction with RM and its impact on healthcare resources in a population with cardiac implantable electronic devices. Methods: Randomized, pragmatic, open-label controlled trial, with adult wearers of implantable cardioverter-defibrillator (ICD) or cardiac resy...


Measuring impacts of “rat-running” driver behaviour in urban environment using ...

Macedo, Eloísa; Tomás, Ricardo; Primo, João; Coelho, Margarida C.

On specific congested sites of cities, drivers, attempting to minimize their own travel time, use secondary roads instead of the main roads. This rat-running behaviour may affect network performance, but little research has been conducted in this topic. The present study explores rat-running network impacts and suggests evaluation of network performance in a global perspective with respect to travel time, pollu...


Monitorização à distância versus seguimento convencional presencial em portador...

Oliveira, Mário; Fernandes, Milene; Primo, João; Reis, Hipólito; Nicola, Paulo

With expanding indications for cardiac implantable electronic devices (CIEDs) capable of treating bradycardias, complex cardiac tachyarrhythmias and heart failure, the number of patients requiring regular long-term specialized care is growing rapidly. Currently, routine face-to-face follow-up consultations for patients with CIEDs are a significant burden on hospital services. Remote telemonitoring appears to of...


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