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Association of LDL-cholesterol with prognosis in patients admitted for acutely ...
Brito, Joana; Rin, João; Duarte, Catarina; Couto Pereira, Sara Cristina; Morais, Pedro; Cunha, Nelson; Ferreira, Diogo; Santos, Rafael; Rigueira, JoanaIntroduction and objectives: The association of low-density lipoprotein cholesterol (LDL-C) levels and prognosis in patients with heart failure (HF) remains uncertain. This study aimed to evaluate the prognostic significance of LDL-C in patients admitted for acutely decompensated HF and establish a safety cut-off value in this population. Methods: This retrospective, observational study included 167 consecutive...
From wristbands to implants: the transformative role of wearables in heart fail...
Gregório, Catarina; Agostinho, João R.; Rigueira, Joana; Santos, Rafael; Pinto, Fausto J.; Brito, DulceBackground: Heart failure (HF) management increasingly relies on innovative solutions to enhance monitoring and care. Wearable devices, originally popularized for fitness tracking, show promise in clinical decision-making for HF. This study explores the application and potential for the broader integration of wearable technology in HF management, emphasizing remote monitoring and personalized care. Methods: A c...
Coronary artery calcium identified on non-gated chest CT scans: a wasted opport...
Valente Silva, Beatriz; Menezes, Miguel Nobre; Plácido, Rui; Jorge, Claudia; Rigueira, Joana; Garcia, Ana Beatriz; Martins, Ana MargaridaBackground: Coronary artery calcium (CAC) evaluated on dedicated cardiac computed tomography (CT) is an independent predictor of cardiovascular events. This study aimed to evaluate the correlation between CAC detected on non-gated standard chest CT and coronary lesions on coronary angiography (CAG) and determine its impact on prognosis. Methods: Consecutive patients who underwent CAG due to acute coronary syndr...
The value of multiparametric prediction scores in heart failure varies with the...
Rodrigues, Tiago; Agostinho, João R.; Santos, Rafael; Cunha, Nelson; Silvério António, Pedro; Couto Pereira, Sara Cristina; Brito, JoanaAims: Multiple prediction score models have been validated to predict major adverse events in patients with heart failure. However, these scores do not include variables related to the type of follow-up. This study aimed to evaluate the impact of a protocol-based follow-up programme of patients with heart failure regarding scores accuracy for predicting hospitalizations and mortality occurring during the first ...
Prognostic Accuracy of the Modified CHA2DS2-VASc Score in COVID-19 Patients Adm...
Valente Silva, Beatriz; Plácido, Rui; Jorge, Cláudia; Mendonça, Carlos; Urbano, Maria Luísa; Rodrigues, Tiago; Brito, Joana; Alves da Silva, PedroIntroduction: Risk factors comprising the CHA2DS2VASc score are recognized as risk factors for venous thromboembolism and mortality in COVID-19 patients. A modified CHA2DS2VASc score (M-CHA2D2VASc), developed by changing gender criteria from female to male, has been proposed to predict in-hospital mortality in COVID-19 patients. The aim of this study was to evaluate the prognostic accuracy of M-CHA2D2VASc for a...
Rapidly progressive coronary aneurysm: a rare case of isolated coronary vasculi...
Rodrigues, Tiago; Aguiar-Ricardo, Inês; Menezes, Miguel Nobre; Rigueira, Joana; Santos, Rafael; Fonseca, Valter R; Pinto, Fausto J.; Almeida, Ana G.Isolated coronary arteritis without systemic involvement in adults is exceedingly rare. A 60-year-old patient developed recurrent non–ST-segment elevation myocardial infarctions for 1 year. After an initial coronary angiogram that was normal, serial angiograms showed de novo aneurysm formation. The patient responded favorably to corticosteroids, supporting the diagnosis of isolated coronary arteritis.
Comparison of 5 acute pulmonary embolism mortality risk scores in patients with...
Rodrigues, Tiago; Valente Silva, Beatriz; Plácido, Rui; Mendonça, Carlos; Urbano, Maria Luísa; Rigueira, Joana; Almeida, Ana G.; Pinto, Fausto J.Objective: Pulmonary embolism (PE) is a common complication of SARS-CoV-2 infection. We aimed to explore the short-term outcomes among patients with acute PE and COVID-19 and to further determine and compare the performance of the different prognostic scores (PESI, sPESI, BOVA, FAST and ESC scores) for risk-stratification in this scenario. Methods: Retrospective single-centre study of 85 patients with SARS-CoV-...
Heart and brain interactions in heart failure: Cognition, depression, anxiety, ...
Rigueira, Joana; R. Agostinho, João; Aguiar-Ricardo, Inês; Gonçalves, Inês; Santos, Rafael; Nunes-Ferreira, Afonso; Rodrigues, Tiago; Cunha, NelsonBackground: Cognitive impairment, anxiety and depression are common in heart failure (HF) patients and its evolution is not fully understood. Objectives: To assess the cognitive status of HF patients over time, its relation to anxiety and depression, and its prognostic impact. Methods: Prospective, longitudinal, single center study including patients enrolled in a structured program for follow-up after hospital...
Mitral valve prolapse: American versus European guidelines : which one is better
Brito, J.; Rigueira, Joana; Rodrigues, Tiago; Aguiar-Ricardo, Inês; Santos, R.; Ferreira, Afonso Nunes; Cunha, Nelson; Pereira, S.; António, P. S.According to the most recent recommendations of AHA, mitral valve prolapse (MVP) is defined as systolic displacement of the mitral leaflet into the left atrium (LA) of at least 2 mm from the mitral annular plane. The ESC recommendations define MVP, flail and billowing, according to the location of the leaflet tips in relation to the coaptation plan. Differences in outcomes considering these classifications are ...
Pulmonary embolism and COVID-19: a comparative analysis of different diagnostic...
Valente Silva, Beatriz; Jorge, Cláudia; Plácido, Rui; Mendonça, Carlos; Urbano, Maria Luísa; Rodrigues, Tiago; Brito, Joana; Alves da Silva, PedroObjective: Pulmonary embolism (PE) is a common complication of SARS-CoV-2 infection. Several diagnostic prediction rules based on pretest probability and D-dimer have been validated in non-COVID patients, but it remains unclear if they can be safely applied in COVID-19 patients. We aimed to compare the diagnostic accuracy of the standard approach based on Wells and Geneva scores combined with a standard D-dimer...