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Non-Vitamin K Oral Anticoagulants Assessment in High Risk of Bleeding Patients ...

Silva Cunha, P; Viveiros Monteiro, A; Coutinho Cruz, M; Malveiro, P; Reis, JP; Portugal, G; Dias, A; Cruz Ferreira, R; Oliveira, MM

Atrial fibrillation (AF) is commonly associated with advanced age and the presence of multiple, concomitant acute and chronic health conditions, placing this population at high risk for serious therapeutic side effects. Nonvitamin K antagonist oral anticoagulants (NOACs) are increasingly used for stroke prevention in patients with atrial fibrillation. The purpose of this study was to investigate the effectivene...


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...


RoPE Score As a Predictor of Recurrent Ischemic Events After Percutaneous Paten...

Morais, LA; Sousa, L; Fiarresga, A; Martins, JD; Timóteo, AT; Viveiros Monteiro, A; Soares, C; Agapito, A; Pinto, MF; Cruz Ferreira, R

The benefits of patent foramen ovale (PFO) closure for cryptogenic stroke secondary prevention are still debated. The Risk of Paradoxical Embolism (RoPE) study developed a score to improve patient selection for this procedure. We proposed to assess the validity of this score to assess the prognostic impact of PFO closure.From 2000 to 2014, all consecutive patients submitted to PFO closure were included in a pro...


Complete Atrioventricular Block in Acute Coronary Syndrome: Prevalence, Charact...

Aguiar Rosa, S; Timóteo, AT; Ferreira, L; Carvalho, R; Oliveira, MM; Cunha, PS; Viveiros Monteiro, A; Portugal, G; Almeida Morais, L; Daniel, P

PURPOSE: The aim was to characterise acute coronary syndrome patients with complete atrioventricular block and to assess the effect on outcome. METHODS: Patients admitted with acute coronary syndrome were divided according to the presence of complete atrioventricular block: group 1, with complete atrioventricular block; group 2, without complete atrioventricular block. Clinical, electrocardiographic and echocar...


Time to Left Ventricular Reverse Remodeling after Cardiac Resynchronization The...

Viveiros Monteiro, A; Oliveira, MM; Cunha, PS; Nogueira da Silva, M; Feliciano, J; Branco, LM; Rio, P; Pimenta, R; Delgado, AS; Cruz Ferreira, R

INTRODUCTION: Left ventricular reverse remodeling (LVRR), defined as reduction of end-diastolic and end-systolic dimensions and improvement of ejection fraction, is associated with the prognostic implications of cardiac resynchronization therapy (CRT). The time course of LVRR remains poorly characterized. Nevertheless, it has been suggested that it occurs ≤6 months after CRT. OBJECTIVE: To characterize the long...


Timing and Long-Term Prognosis of Recurrent MI After Primary Angioplasty : Sten...

Viveiros Monteiro, A; Ramos, R; Fiarresga, A; Sousa, L; Cacela, D; Patrício, L; Bernardes, L; Soares, C; Cruz Ferreira, R

BACKGROUND: In patients recovering from an ST-segment elevation myocardial infarction (STEMI), it is not clear whether the negative impact of stent thrombosis (ST) is different from a non-stent-related recurrent myocardial infarction (NSRMI). This study sought to assess the long-term incidence and prognostic impact of recurrent myocardial infarction (MI) after percutaneous coronary intervention (PCI) for STEMI ...


Validation of Two US Risk Scores for Percutaneous Coronary Intervention in a Si...

Timóteo, AT; Viveiros Monteiro, A; Portugal, G; Teixeira, P; Aidos, H; Ferreira, ML; Cruz Ferreira, R

INTRODUCTION: New scores have been developed and validated in the US for in-hospital mortality risk stratification in patients undergoing coronary angioplasty: the National Cardiovascular Data Registry (NCDR) risk score and the Mayo Clinic Risk Score (MCRS). We sought to validate these scores in a European population with acute coronary syndrome (ACS) and to compare their predictive accuracy with that of the GR...


Reabilitação Cardíaca Após Síndrome Coronária Aguda. Deveremos Continuar a Reab...

Rosa, S; Abreu, A; Filipe, C; Soares, RM; Rio, P; Silva, S; Alves, S; Alves, T; Ferreira, V; Soares, C; Rodrigues, I; Viveiros Monteiro, A; Portugal, G

Introdução: A Reabilitação cardíaca (Rc) é um elemento fundamental na prevenção secundária após síndrome coronária aguda (ScA). A American Association of Cardiovascular and Pulmonary Rehabilitation (AAcPR)definiu critérios de estratificação de risco para os doentes elegíveis para programas de Rc. Contudo, tem sido questionada a integração de doentes de baixo risco em programas estruturados de treino de exercíci...


Multiple Mechanical Complications in ST-Segment Elevation Myocardial Infarction...

Viveiros Monteiro, A; Galrinho, A; Branco, LM; Fragata, J; Cruz Ferreira, R

This case report discusses an unusual presentation of ST-segment elevation myocardial infarction (STEMI) with normal coronary arteries and severe mechanical complications successfully treated with surgery. An 82-year-old man presented STEMI with angiographically normal coronary arteries and no major echocardiographic alterations at discharge. At the first month follow-up, he complained of fatigue and dyspnea, a...


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