The use of intravascular ultrasound in Portugal: Japan is a long way away
Publication date: Available online 29 January 2020Source: Revista Portuguesa de Cardiologia (English Edition)Author(s): Lino Patrício (Source: Revista Portuguesa de Cardiologia)
Source: Revista Portuguesa de Cardiologia - January 30, 2020 Category: Cardiology Source Type: research
15 years of coronary intravascular ultrasound in percutaneous coronary intervention in Portugal
ConclusionCoronary IVUS has been increasingly used in Portugal since 2003. It is used preferentially in elective PCIs, and in patients with higher cardiovascular risk, with more complex coronary lesions and lesions of the left main coronary artery.ResumoIntroduçãoA ecografia intravascular coronária tem ganho importância nos laboratórios de hemodinâmica pela evidência de impacto prognóstico positivo para os doentes. Este trabalho tem como objetivo caraterizar a utilização de ecografia intravascular em intervenções coronárias percutâneas em Portugal.MétodosEstudo observacional retrospetivo com base no Registo ...
Source: Revista Portuguesa de Cardiologia - January 30, 2020 Category: Cardiology Source Type: research
Effect of empagliflozin beyond glycemic control: Cardiovascular benefit in patients with type 2 diabetes and established cardiovascular disease
This study has led to the development of ongoing trials that will establish which patients will benefit most from this therapy, particularly with regard to comorbidities.ResumoA prevalência da diabetes mellitus tipo 2 (DMT2) continua a aumentar e a sua associação com a doença cardiovascular (CV) tem levado à incorporação e valorização de endpoints CV nos ensaios clínicos sobre o tratamento da DMT2.Este artigo faz uma revisão dos vários ensaios já realizados e em desenvolvimento, neste âmbito, com especial enfoque no estudo EMPA-REG OUTCOME. Neste estudo, a empagliflozina, um inibidor do cotransportador tipo 2...
Source: Revista Portuguesa de Cardiologia - January 16, 2020 Category: Cardiology Source Type: research
Looking into the crystal ball
Publication date: Available online 8 January 2020Source: Revista Portuguesa de Cardiologia (English Edition)Author(s): Armando L. Bordalo e Sá (Source: Revista Portuguesa de Cardiologia)
Source: Revista Portuguesa de Cardiologia - January 8, 2020 Category: Cardiology Source Type: research
A rare cause of acute coronary syndromes in young adults – myeloproliferative neoplasms: A case series
ConclusionsIn young adults presenting with ACS, MPNs should be considered, especially in the absence of atherosclerotic coronary artery lesions. It is also important to pay attention to blood cell count abnormalities seen in intracoronary thrombotic events. Early diagnosis and treatment of MPNs is essential to prevent recurrence of thrombotic events and may reduce mortality and morbidity related to thrombotic complications.ResumoIntroduçãoAs síndromes coronárias agudas (SCA) ocorrem sobretudo em doentes com fatores de risco tradicionais. No caso particular dos adultos jovens sem fatores de risco cardiovasculares (CV) m...
Source: Revista Portuguesa de Cardiologia - December 24, 2019 Category: Cardiology Source Type: research
When specialties intersect: Acute coronary syndrome as the first clinical manifestation of myeloproliferative neoplasms
Publication date: September 2019Source: Revista Portuguesa de Cardiologia (English Edition), Volume 38, Issue 9Author(s): Júlia Toste (Source: Revista Portuguesa de Cardiologia)
Source: Revista Portuguesa de Cardiologia - December 24, 2019 Category: Cardiology Source Type: research
Time to reperfusion in high-risk patients with myocardial infarction undergoing primary percutaneous coronary intervention
ConclusionElderly patients showed longer patient and system delays, regardless of gender and presence of diabetes. These data suggest that the elderly subgroup should be the target of a new action by the SFL initiative.ResumoIntroduçãoNos últimos anos, a Iniciativa Stent for Life (SFL) em Portugal desenvolveu um plano de ação de forma a aumentar o acesso atempado à angioplastia primária (ICPP). Este trabalho pretende avaliar os indicadores de desempenho no enfarte agudo do miocárdio com supradesnivelamento de ST (EAMCSST), em populações de alto risco: idosos, mulheres e diabéticos.MétodosDados de 1340 doentes c...
Source: Revista Portuguesa de Cardiologia - December 24, 2019 Category: Cardiology Source Type: research
Time to reperfusion in high-risk patients with myocardial infarction
Publication date: September 2019Source: Revista Portuguesa de Cardiologia (English Edition), Volume 38, Issue 9Author(s): Jorge Mimoso (Source: Revista Portuguesa de Cardiologia)
Source: Revista Portuguesa de Cardiologia - December 24, 2019 Category: Cardiology Source Type: research
Effects of exercise training and stem cell therapy on the left ventricle of infarcted rats
ConclusionAerobic exercise training appears to enhance the beneficial effects of stem cell therapy on remodeling of the extracellular matrix and fetal gene expression in the left ventricle of rats with moderate infarction.ResumoIntrodução e objetivosTerapia com células estromais e exercício aeróbio são estratégias não farmacológicas no tratamento pós-enfarte do miocárdio. O objetivo foi testar se o treinamento aeróbio amplia os benefícios da terapia com células mesenquimais estromais (CME) na remodelagem da matriz extracelular e na expressão de genes fetais no ventrículo esquerdo de ratos enfartados.Método...
Source: Revista Portuguesa de Cardiologia - December 24, 2019 Category: Cardiology Source Type: research
Functional assessment of coronary disease using workstation-based computed tomography-derived fractional flow reserve
Publication date: September 2019Source: Revista Portuguesa de Cardiologia (English Edition), Volume 38, Issue 9Author(s): Nuno Dias Ferreira, Ricardo Ladeiras-Lopes, Gustavo Pires de Morais, Vasco Gama, Pedro Braga (Source: Revista Portuguesa de Cardiologia)
Source: Revista Portuguesa de Cardiologia - December 24, 2019 Category: Cardiology Source Type: research
Secondary transport: Still an important obstacle to the performance of the coronary and stroke fast-track systems in Portugal?
Publication date: Available online 18 December 2019Source: Revista Portuguesa de Cardiologia (English Edition)Author(s): Hélder Pereira (Source: Revista Portuguesa de Cardiologia)
Source: Revista Portuguesa de Cardiologia - December 18, 2019 Category: Cardiology Source Type: research
Impact on mortality of direct admission versus interhospital transfer in patients with ST-segment elevation myocardial infarction undergoing primary percutaneous coronary intervention
ConclusionInterhospital transfer of patients with STEMI increased the time before PCI. No differences were detected between groups in one-year mortality. This may be related to the fact that the direct admission group had twice as many patients in Killip class IV as the interhospital transfer group.ResumoIntroduçãoNum programa de angioplastia primária, a transferência inter-hospitalar dos doentes com enfarte agudo do miocárdio com elevação do segmento ST (EAMcEST) pode aumentar o tempo de isquemia relativamente aos doentes que são admitidos diretamente num laboratório de hemodinâmica.ObjetivoAvaliar o impacto da ...
Source: Revista Portuguesa de Cardiologia - December 13, 2019 Category: Cardiology Source Type: research
Diagnostic and therapeutic approach to cardioinhibitory reflex syncope: A complex and controversial issue
Publication date: Available online 13 December 2019Source: Revista Portuguesa de Cardiologia (English Edition)Author(s): Bruno M.L. Rocha, Rita V. Gomes, Gonçalo J.L. Cunha, Beatriz M.V. Silva, Rita Pocinho, Rui Morais, Inês Araújo, Cândida FonsecaAbstractSyncope is defined as a transient loss of consciousness due to global cerebral hypoperfusion and is one of the leading causes of emergency department admission. The initial approach should focus on excluding non-syncopal causes for loss of consciousness and risk stratification for a cardiac cause, in order to ensure an appropriate etiological investigation and therape...
Source: Revista Portuguesa de Cardiologia - December 13, 2019 Category: Cardiology Source Type: research
Pulmonary sequestration: Two case reports
Publication date: August 2019Source: Revista Portuguesa de Cardiologia (English Edition), Volume 38, Issue 8Author(s): Natália Noronha, João Rio Martins, Lisete Lopes, Patrícia Caldas, António Marinho (Source: Revista Portuguesa de Cardiologia)
Source: Revista Portuguesa de Cardiologia - December 1, 2019 Category: Cardiology Source Type: research
Does lowering triglycerides reduce cardiovascular risk?
Publication date: August 2019Source: Revista Portuguesa de Cardiologia (English Edition), Volume 38, Issue 8Author(s): José Pereira de Moura (Source: Revista Portuguesa de Cardiologia)
Source: Revista Portuguesa de Cardiologia - December 1, 2019 Category: Cardiology Source Type: research
