18 documents found, page 1 of 2
Adrenal Vein Sampling in the Management of Primary Aldosteronism: The Added Val...
Manique, I; Amaral, S; Matias, A; Bouça, B; Serranito, S; Torres, J; Gutu, O; Bilhim, T; Coimbra, E; Rodrigues, I; Godinho, C; Cortez, L; Silva-Nunes, JIntroduction: Primary aldosteronism is the most common cause of secondary hypertension. Adrenal vein sampling is the gold standard for subtyping primary aldosteronism. However, this procedure is technically challenging and often has a low success rate. Our center is one of the very few performing this technique in our country with an increasing experience. Objective: The aim of this study was to evaluate the ro...
Epidemiological, Social and Economic Burden of Severe Hypoglycaemia in Patients...
Soares, AR; Coelho, M; Tracey, M; Carvalho, D; Silva-Nunes, JIntroduction: The aim of this review was to identify and review studies reporting on the epidemiological, social and economic impact associated with severe hypoglycaemia (SH) in people with diabetes mellitus (DM) in Portugal. Methods: A structured literature search was carried out in PubMed and Embase using a predefined selection criterion. Studies published in either Portuguese or English, between January 2010...
Central Diabetes Insipidus Following Immunization With BNT162b2 mRNA COVID-19 V...
Bouça, B; Roldão, M; Bogalho, P; Cerqueira, L; Silva-Nunes, JIntroduction: Cases of central diabetes insipidus (CDI) have been reported after COVID-19 infection, with hypophysitis being the most likely cause. COVID-19 vaccines potential adverse effects may mimetize some of these complications. Case report: Woman 37 years old, with rheumatoid arthritis under adalimumab (40 mg twice a month) since December 2018. She was in her usual state of health when she has received th...
Case Report: Artifactual Hypoglycemia: A Condition That Should Not Be Forgotten
Amaral, A; Palha, A; Bernardino, V; Silva-Nunes, JBackground: Hypoglycemia is uncommon in people who are not being treated for diabetes mellitus and, when present, the differential diagnosis is broad. Artifactual hypoglycemia describes discrepancy between low capillary and normal plasma glucose levels regardless of symptoms and should be considered in patients with Raynaud's phenomenon. Case presentation: A 46-year-old female patient with a history of a sleeve...
Preoperative Location of Parathyroid Adenomas in Primary Hyperparathyroidism: t...
Amaral, S; Rego, T; Palha, A; Carrilho, N; Coutinho, JM; Tavares, P; Silva-Nunes, JIntroduction: Parathyroid adenoma is the most frequent cause of primary hyperparathyroidism. In recent years, the preoperative location of parathyroid adenomas allowed minimally invasive surgical techniques that have become preferred over the traditional bilateral neck exploration. The more recent guidelines on this subject highlight the role of nuclear medicine imaging tests. The aim of this study was to revie...
The Role of the Metabolome and Non-Coding RNA on Pheochromocytomas and Paragang...
Bouça, B; Bogalho, P; Rizzo, M; Silva-Nunes, JPheochromocytoma and paragangliomas (PPGL) are rare neuroendocrine tumors. In some patients they exhibit malignant behavior characterized by the presence of metastases, limiting treatment options and survival rates. Therapeutic options are limited to surgery, localized radiotherapy, and a few systemic therapies. However, in several recent studies, non-coding RNA molecules are gaining increasing attention as mar...
Quality of Life in Obese Patients from a Multidisciplinary Bariatric Consultati...
Rego de Figueiredo, I; Carvalho Vasques, M; Cunha, N; Martins, D; Silva-Nunes, JObesity is a chronic disease defined by a body mass index of ≥30 kg/m2, which can result in a decrease in quality of life (QoL). Our study aim was to assess the QoL of an obese population of bariatric surgery (BS) candidates, and to compare it to both that of a non-bariatric obese population (C) and that of the general population. This was a cross-sectional study using: (1) the EQ-5D-3L instrument: comparing BS...
Absolute Hyperglycemia versus Stress Hyperglycemia Ratio for the Prognosis of H...
Matias, AA; Manique, I; Sabino, T; Rego, T; Mihon, C; Panarra, A; Rizzo, M; Silva-Nunes, JDiabetes is a risk factor for greater severity of coronavirus disease 2019 (COVID-19). The stress hyperglycemia ratio (SHR) is an independent predictor of critical illness, and it is reported to have a stronger association than absolute hyperglycemia. The aim of this study was to assess the relationship of absolute hyperglycemia and SHR with the severity of COVID-19, since there are no studies investigating SHR...
Identification of Genetic Variants in 65 Obesity Related Genes in a Cohort of P...
Ginete, C; Serrasqueiro, B; Silva-Nunes, J; Veiga, L; Brito, MObesity is a major public health problem, which has a strong genetic component that interplays with environmental factors. Several genes are known to be implicated in the regulation of body weight. The identification of alleles that can be associated with obesity is a key element to control this pandemic. On the basis of a Portuguese population, 65 obesity-related genes are sequenced using Next-Generation Seque...
Heterogeneity Amongst GLP-1 RA Cardiovascular Outcome Trials Results: Can Defin...
Melo, M; Gavina, C; Silva-Nunes, J; Andrade, L; Carvalho, DAtherosclerotic cardiovascular diseases are the leading cause of adverse outcomes in patients with type 2 diabetes, and all new anti-diabetic agents are mandated to undergo cardiovascular outcome trials (CVOTs). Glucagon-like peptide-1 receptor agonists (GLP-1 RA) are incretin mimetics that reduce blood glucose levels with a low associated risk of hypoglycaemia. CVOTs with different GLP-1 RAs yielded different ...