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Left ventricular thrombus in repaired Tetralogy of Fallot

Caldeira, Daniel; Cotrim, Carlos; Calé, Rita; Cruz, Inês; Stuart, Bruno; Pereira, Hélder

We present a 48 year-old female patient with a previous history of Tetralogy of Fallot submitted to surgical repair at 18 years old. Recent echocardiograms were remarkable for the absence of residual interventricular communication, a good left ventricular systolic function without regional wall motion abnormalities, and a moderate pulmonary regurgitation.


Is the time in therapeutic range using the ratio of tests equivalent to the Ros...

Caldeira, Daniel; Cruz, Inês; Morgado, Gonçalo; Stuart, Bruno; Gomes, Ana Catarina; Martins, Cristina; João, Isabel; Pereira, Helder

The percentage of time in therapeutic range (TTR) is a measure of anticoagulation quality with vitamin K antagonists (VKAs). The method most commonly used in clinical trials is the Rosendaal TTR. However, the application of this method in daily practice for clinical decision lacks appropriate instruments. We aimed to evaluate the percentage of tests within the target international normalized ratio (INR) (tests ...


The burnout stage of an apical hypertrophic cardiomyopathy

Caldeira, Daniel; Lopes, Luis; Cruz, Inês; Almeida, Ana Rita; Morgado, Gonçalo; Gomes, Catarina; Stuart, Bruno; Almeida, Sofia; Brandão, Luís

A 66 year-old female with a previous medical history of hypertension and ischemic stroke was admitted in the Emergency Room with persistent regular palpitations. In the admission the patient had normal blood pressure and tachycardia. The remaining physical examination was unremarkable. The electrocardiogram showed ventricular tachycardia, 150 bpm (Fig. 1, Panel A), with an inferior axis and right bundle branch ...


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