Existem vários sistemas de pontuação para a estratificação de doentes com tromboembolismo pulmonar (TEP). As taxas de mortalidade no TEP agudo dependem principalmente da gravidade da disfunção cardiopulmonar na apresentação e das comorbidades associadas.
Há alguns casos descritos na literatura de insuficiência da supra renal como causa reversível de disfunção ventricular esquerda; O vasospasmo coronário está associado a défice de corticosteroides; A combinação de hipocortisolismo com doença arterial coronária aterosclerótica é raro (inflamação acelerada?); Este caso ilustra a importância de procurar causas reversíveis de disfunção ventricular esquerda.
Introduction and objective: Several scoring systems have been developed for risk stratification in patients with acute pulmonary embolism (PE). The Pulmonary Embolism Severity Index (PESI) and its simplified version (sPESI) are among the most used, however the high number of variables hinder its application. Our aim was to derive an easy-to-perform score based on simple parameters obtained at admission to predi...
Introduction: Despite an improvement in diagnostic and the- rapeutic procedures, infective endocarditis still carries a high mortality and morbidity that has been unchanged for the last 30 years. There has been a recent epidemiological shift trans- lated by an increase of prevalence in older patients, without the characteristic risk factors. This audit aims at analysing the characteristics of the patients admit...
The pathways and transformations of dense water overflows, which depend on small-scale interactions between flow dynamics and erosional-depositional processes, are a central piece in the ocean's large-scale circulation. A novel, high-resolution current and hydrographic data set highlights the intricate pathway travelled by the saline Mediterranean Overflow as it enters the Atlantic. Interaction with the topogra...