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Validation of a Heart Failure Risk Score in a Cohort of Cardiac Resynchronizati...

Cardoso, I; Cunha, P; Laranjo, S; Grazina, A; Viegas, J; Portugal, G; Valente, B; Lousinha, A; Brás, P; Brás, M; Cruz Ferreira, R; Oliveira, M

The heart failure risk status (HFRS) is a validated dynamic tool for risk score prediction, based on the TriageHF™ algorithm (Medtronic, Minneapolis, MN, USA), for the occurrence of a heart failure (HF) event in the 30 days following a remote monitoring (RM) transmission. The aim of this study was to evaluate the accuracy of the HFRS in predicting an unplanned hospital admission due to HF decompensation in a re...


Clinical Outcome of a Single Procedure Cryoballoon Ablation for the Treatment o...

Silva Cunha, P; Fonseca, P; Laranjo, S; Montenegro Sá, F; Valente, B; Portugal, G; Gonçalves, H; Nogueira da Silva, M; Brandão, L; Oliveira, MM

Background: Cryoballoon ablation (CBA) for pulmonary vein isolation (PVI) has been growing as an alternative technique, not only in patients with paroxysmal atrial fibrillation (PAF) but also in persistent atrial fibrillation (AF). Cryoballoon ablation has demonstrated encouraging acute and mid-term results. However, data on long-term follow-up of CB-based PVI are scarce. Objective: We sought to examine efficac...


Socioeconomic factors and intergenerational differences in height of Portuguese...

Valente, B; Ramos, E; Araújo, J

Average adult height is an indicator of population health and a marker of socioeconomic inequalities. This study aimed to assess how socioeconomic differences affect intergenerational height increase between adults born in 1990 and their parents. Data from a population-based cohort of subjects born in 1990 (EPITeen) were analysed. Participants’ adult height was objectively measured. Parental height, education, ...


A Systemic Review of Endocardial Left Ventricular Pacing

Santos, H; Santos, M; Almeida, I; Paula, S; Figueiredo, M; Portugal, G; Valente, B; Silva Cunha, P; Almeida, L; Oliveira, MM

Background: Endocardial left ventricular pacing is an alternative technique used in cardiac resynchronization therapy (CRT), when placement of a left ventricular lead is not possible via the coronary sinus or in non-responders to conventional CRT. Objectives: To review the evidence regarding the efficacy and safety of endocardial left ventricular pacing. Methods: Systematic research on Medline (PubMed), Clinica...


Long-Term Outcomes of Non-Contact Multi-Electrode Balloon Catheter Mapping-Guid...

Almeida, I; Lousinha, A; Silva Cunha, P; Valente, B; Paulo, M; Delgado, AS; Cruz Ferreira, R; Oliveira, MM

Introduction: The outflow tract (OT) regions of the ventricles are a common location of origin for idiopathic ventricular arrhythmias (VA). Non-contact mapping (NCM) with a multi-electrode balloon catheter Ensite-Array enables three-dimensional reconstruction of the geometry of the cardiac chambers and accurate mapping of the propagation map, based on a single beat analysis, facilitating the ablation and contri...


Impact of Substrate-Based Ablation for Ventricular Tachycardia in Patients with...

Oliveira, MM; Cunha, PS; Valente, B; Portugal, G; Lousinha, A; Pereira, M; Braz, M; Delgado, A; Cruz Ferreira, R

Introduction: Recurrent ventricular tachycardia (VT) episodes have a negative impact on the clinical outcome of implantable cardioverter-defibrillator (ICD) patients. Modification of the arrhythmogenic substrate has been used as a promising approach for treating recurrent VTs. However, there are limited data on long-term follow-up. Aim: To analyze long-term results of VT substrate-based ablation using high-dens...


Lockdown Measures for COVID-19 Outbreak and Variation in Physical Activity in P...

Silva Cunha, P; Laranjo, S; Lourenço, A; Rodrigues, L; Cardoso, I; Portugal, G; Valente, B; Delgado, AS; Cruz Ferreira, R; Abreu, A; Oliveira, M

Aims: The present study analysed the patterns of physical activity pre-, during and post-lockdown measures for COVID-19 pandemic in patients with chronic heart failure (CHF) and cardiac implantable electronic devices (CIED) under remote monitoring (RM), and assessed the physical activity patterns during these periods. Methods: The raw data from 95 patients with CHF (age 67,7 ± 15,1 years, 71,5% male) correspond...


Importance of Monitoring Zones in the Detection of Arrhythmias in Patients with...

Aguiar Rosa, S; Silva Cunha, P; Lousinha, A; Valente, B; Delgado, AS; Pimenta, R; Brás, M; Coutinho Cruz, M; Portugal, G; Viveiros Monteiro, A

INTRODUCTION: Implantable cardioverter-defibrillator (ICD) monitoring zones (MZ) provide passive features that do not interfere with the functioning of active treatment zones. However, it is not known for certain whether programming an MZ affects arrhythmia detection by the ICD. The aim of the present study is to assess the clinical relevance of MZ in a population of patients with ICDs. METHODS: In this retrosp...


Impact on Long-Term Cardiovascular Outcomes of Different Cardiac Resynchronizat...

Rodrigues, I; Abreu, A; Oliveira, MM; Silva Cunha, P; Santa Clara, H; Osório, P; Lousinha, A; Valente, B; Portugal, G; Rio, P; Morais, L; Santos, V

INTRODUCTION: There is a lack of consensus on the definition of response to cardiac resynchronization therapy (CRT), and it is not clear which response criteria have most influence on cardiac event-free survival. OBJECTIVES: To assess the predictive value of various response criteria in patients undergoing CRT and the agreement between them. METHODS: We performed a secondary analysis of the BETTER-HF trial. Pat...


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