Cardiovascular risk in HIV-infected patients
Publication date: July 2019Source: Revista Portuguesa de Cardiologia (English Edition), Volume 38, Issue 7Author(s): Roberto Palma Reis (Source: Revista Portuguesa de Cardiologia)
Source: Revista Portuguesa de Cardiologia - September 28, 2019 Category: Cardiology Source Type: research
Short- and long-term outcome after alcohol septal ablation in obstructive hypertrophic cardiomyopathy: Experience of a reference center
ConclusionASA is a safe procedure with a high success rate. Patients who achieved significant reductions in LVOT gradient suffered less cardiac death and rehospitalization for cardiac cause.ResumoIntroduçãoNa miocardiopatia hipertrófica obstrutiva (MCHO), ablação septal alcoólica (ASA) pode levar a redução do gradiente e melhoria sintomática. O objetivo foi avaliar a eficácia e segurança da ASA no desfecho a longo prazo.MétodosAnálise de doentes submetidos a ASA, durante sete anos, num centro terciário. Endpoint primário ecocardiográfico: redução>50% do gradiente na câmara de saÃda do ventrÃculo esquer...
Source: Revista Portuguesa de Cardiologia - September 28, 2019 Category: Cardiology Source Type: research
Relieved by the alcohol
Publication date: July 2019Source: Revista Portuguesa de Cardiologia (English Edition), Volume 38, Issue 7Author(s): LÃgia Mendes (Source: Revista Portuguesa de Cardiologia)
Source: Revista Portuguesa de Cardiologia - September 28, 2019 Category: Cardiology Source Type: research
Lipoprotein(a) as a key target in combined therapeutic approaches for cardiovascular disease
ConclusionsLp(a) is a key overall indicator of vascular risk and should be considered a therapeutic target. Besides a healthy lifestyle, primary prevention should include combined drug therapies to address all cardiovascular risk factors and to delay the atherosclerotic process.ResumoIntrodução e objetivoLp(a) é um fator de risco cardiovascular independente, mas intrinsecamente associado a outros fatores de risco similares, controláveis com terapêuticas e orientações adequadas. O nosso objetivo é estudar o impacto do uso de terapêuticas combinadas na gestão da evolução da Lp(a) em doentes com elevado risco vasc...
Source: Revista Portuguesa de Cardiologia - September 28, 2019 Category: Cardiology Source Type: research
Lipoprotein(a) as a novel therapeutic target for preventing cardiovascular disease: A whiter shade of pale?
Publication date: July 2019Source: Revista Portuguesa de Cardiologia (English Edition), Volume 38, Issue 7Author(s): Manuela Fiuza (Source: Revista Portuguesa de Cardiologia)
Source: Revista Portuguesa de Cardiologia - September 28, 2019 Category: Cardiology Source Type: research
Invasive pulmonary aspergillosis in heart transplant recipients: Is mortality decreasing?
ConclusionsIPA is a potentially lethal complication after HT. Early diagnosis and prompt initiation of aggressive treatment are the cornerstone of better survival.ResumoIntroduçãoA infeção continua a ser uma complicação major nos recipientes para transplante cardÃaco (TC), causando cerca de 20% de mortes no primeiro ano após o transplante. Nestes doentes, o Aspergillus species pode levar a várias apresentações clÃnicas incluindo a aspergilose pulmonar invasiva (API), com uma mortalidade elevada (53% a 78%).ObjetivosEstabelecer as caracterÃsticas da infeção por API nos recipientes para TC e os respetivos resu...
Source: Revista Portuguesa de Cardiologia - September 28, 2019 Category: Cardiology Source Type: research
Authorship: From credit to accountability. Reflections from the Editors’ Network
Publication date: July 2019Source: Revista Portuguesa de Cardiologia (English Edition), Volume 38, Issue 7Author(s): Fernando Alfonso, Parounak Zelveian, Jean-Jacques Monsuez, Michael Aschermann, Michael Boehm, Alfonso Buendia Hernandez, Tzung-Dau Wang, Ariel Cohen, Sebija Izetbegovic, Anton Doubell, Dario Echeverri, Nuray Enç, Ignacio Ferreira-González, Anetta Undas, Ulrike Fortmüller, Plamen Gatzov, Carmen Ginghina, Lino Goncalves, Faouzi Addad, Mahmoud HassaneinAbstractThe Editors’ Network of the European Society of Cardiology (ESC) provides a dynamic forum for editorial discussions and endorses the recommendations...
Source: Revista Portuguesa de Cardiologia - September 28, 2019 Category: Cardiology Source Type: research
Sacubitril/valsartan: A practical guide revisited
Publication date: July 2019Source: Revista Portuguesa de Cardiologia (English Edition), Volume 38, Issue 7Author(s): Cândida Fonseca, Dulce Brito, Jorge Ferreira, Fátima Franco, João Morais, José Silva Cardoso, Expert opinion endorsed by the Heart Failure Study Group of the Portuguese Society of Cardiology (Source: Revista Portuguesa de Cardiologia)
Source: Revista Portuguesa de Cardiologia - September 28, 2019 Category: Cardiology Source Type: research
Postmortem genetic testing: Clinical diagnosis is not ended by the patient’s death
Publication date: Available online 18 September 2019Source: Revista Portuguesa de Cardiologia (English Edition)Author(s): SÃlvia Ribeiro, LuÃs Coelho, Katerina Puentes, Gabriel Miltenberger-Miltenyi, Bebiana Faria, Lucy Calvo, João Primo, VÃctor Sanfins, António LourençoAbstractIn up to one-third of cases of sudden death, the medico-legal autopsy finding is inconclusive, and the option to perform a molecular autopsy is covered in international guidelines. The importance of postmortem genetic testing lies in its ability to identify hereditary diseases, often those with an autosomal dominant transmission pattern, and, ...
Source: Revista Portuguesa de Cardiologia - September 18, 2019 Category: Cardiology Source Type: research
Nonbacterial thrombotic endocarditis
Publication date: Available online 18 September 2019Source: Revista Portuguesa de Cardiologia (English Edition)Author(s): Isabel Durães Campos, Ana Rita Marques, Luciana Sousa, Sara Fonseca, Cátia Oliveira, Catarina Vieira, Isabel Apolinário, IlÃdio BrandãoAbstractAn 83-year-old woman with a 10-year history of rheumatoid arthritis was admitted for urinary tract infection with exacerbation of chronic kidney disease and decompensated heart failure of unknown etiology. Transesophageal echocardiography (TEE) showed a vegetation involving the posterior mitral valve leaflet, and a hypothesis of infective endocarditis was pr...
Source: Revista Portuguesa de Cardiologia - September 18, 2019 Category: Cardiology Source Type: research
A pregnant woman with a mechanical prosthetic valve
Publication date: June 2019Source: Revista Portuguesa de Cardiologia (English Edition), Volume 38, Issue 6Author(s): Gonçalo J. Morgado, Inês R. Cruz, Ana Catarina Gomes, Ana Rita Almeida, Maria José Loureiro, Carlos Cotrim, Hélder PereiraAbstractA 24-year-old woman who was 11 weeks pregnant and had a mechanical mitral valve presented at the emergency department with ischemic stroke. Although treatment with aspirin and unfractionated heparin was initially successful, subsequent management was almost impossible, as she eventually suffered a right hemispheric stroke, requiring percutaneous intervention and an emergency c...
Source: Revista Portuguesa de Cardiologia - September 14, 2019 Category: Cardiology Source Type: research
Keeping prognostic assessment simple: The value of clinical features in normotensive cancer patients with pulmonary embolism
ConclusionsThis is the first article reporting the value of the SI, a user-friendly and readily available clinical tool, as an independent and accurate predictor of 30-day and one-year all-cause mortality in normotensive cancer patients with symptomatic PE.ResumoIntroduçãoApesar de os doentes oncológicos (DO) normotensos com tromboembolia pulmonar aguda (TEP) constituÃrem uma população heterogénea, a maioria dos scores de prognóstico classifica estes doentes como sendo de alto risco, limitando a sua utilidade. O objetivo deste estudo foi a identificação de variáveis clÃnicas simples que constituÃssem preditore...
Source: Revista Portuguesa de Cardiologia - September 14, 2019 Category: Cardiology Source Type: research
Metformin monotherapy significantly decreases epicardial adipose tissue thickness in newly diagnosed type 2 diabetes patients
ConclusionsIn this study we show that metformin monotherapy significantly decreases EAT thickness and BMI in T2D patients. This suggests that metformin could reduce the frequency of coronary atherosclerosis.ResumoObjetivosO desequilÃbrio entre as citocinas pro e anti-inflamatórias segregadas pelo tecido adiposo visceral (TAV) contribui para a patogénese de certas doenças cardiovasculares e metabólicas, incluindo a resistência à insulina. O tecido adiposo epicárdico (EAT) é o TAV, concentrado principalmente ao longo das artérias coronárias. É previamente demonstrado em vários estudos que a espessura do EAT estÃ...
Source: Revista Portuguesa de Cardiologia - September 14, 2019 Category: Cardiology Source Type: research
Epicardial adipose tissue: An important therapeutic target
Publication date: June 2019Source: Revista Portuguesa de Cardiologia (English Edition), Volume 38, Issue 6Author(s): Cristina M. Sena (Source: Revista Portuguesa de Cardiologia)
Source: Revista Portuguesa de Cardiologia - September 14, 2019 Category: Cardiology Source Type: research
Control of risk factors in hypertensive patients: A task to fulfill
Publication date: June 2019Source: Revista Portuguesa de Cardiologia (English Edition), Volume 38, Issue 6Author(s): Manuela Fiuza (Source: Revista Portuguesa de Cardiologia)
Source: Revista Portuguesa de Cardiologia - September 14, 2019 Category: Cardiology Source Type: research
