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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 ...


CARDIAC PAPILLARY FIBROELASTOMA: A CASE WITH UNPRECEDENTED SPREAD

Lopes Cardoso, João; Saleiro, Carolina; Botelho, Ana; E. Antunes, Pedro; Gonçalves, Lino

Introduction: Papillary fibroelastomas (PFE) are a rare primary cardiac neoplasm, out of which multifocal PFE constitute a small minority of cases. These benign masses are commonly found on valvular surfaces, particularly the aortic valve. Clinical case: We present a patient with a history of embolic stroke and intra-cardiac masses. Multimodal imaging revealed multiple nodules with extensive intra-cardiac distr...


Global longitudinal strain in chronic asymptomatic aortic regurgitation: system...

Campos, Diana; Teixeira, Rogério; Saleiro, Carolina; Botelho, Ana; Gonçalves, Lino

Chronic aortic regurgitation (AR) patients typically remain asymptomatic for a long time. Left ventricular mechanics, namely global longitudinal strain (GLS), has been associated with outcomes in AR patients. The authors conducted a systematic review to summarize and appraise GLS impact on mortality, the need for aortic valve replacement (AVR) and disease progression in AR patients. A literature search was perf...


Glycoprotein IIb/IIIa inhibitors for cardiogenic shock complicating acute myoca...

Saleiro, Carolina; Teixeira, Rogério; De Campos, Diana; Lopes, João; Oliveiros, Bárbara; Costa, Marco; Gonçalves, Lino

Background: Cardiogenic shock complicates 5–10% of myocardial infarction (MI) cases. Data about the benefit of glycoprotein IIb/IIIa inhibitors (GPI) in these patients is sparse and conflicting. Methods: We performed a systematic review, meta-analysis, and meta-regression of studies assessing the impact of GPI use in the setting of MI complicated cardiogenic shock on mortality, angiographic success, and bleedin...


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