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Portuguese Journal of Cardiology: An Official Journal of the Portuguese Society of Cardiology | Page 2

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https://read.qxmd.com/read/31122865/adjuvant-antithrombotic-therapy-in-st-elevation-myocardial-infarction-a-narrative-review
#21
REVIEW
Daniel Caldeira, Hélder Pereira
This article reviews the major pharmacologic features of, and clinical evidence on, adjuvant medical therapy in patients with ST-elevation myocardial infarction (STEMI) treated with primary percutaneous coronary intervention. These drugs include oral antiplatelets (aspirin and P2Y12 inhibitors such as clopidogrel, prasugrel and ticagrelor), intravenous antiplatelet agents (the P2Y12 inhibitor cangrelor, GP IIb/IIIa inhibitors such as abciximab, eptifibatide and tirofiban), and intravenous anticoagulant agents (unfractionated heparin, low molecular weight heparin and bivalirudin)...
May 20, 2019: Portuguese Journal of Cardiology: An Official Journal of the Portuguese Society of Cardiology
https://read.qxmd.com/read/31122864/2019-recommendations-for-reducing-tobacco-consumption-in-the-portuguese-speaking-countries
#22
Gláucia Maria Moraes de Oliveira, Miguel Mendes, Óscar Pereira Dutra, Aloysio Achutti, Mário Fernandes, Vanda Azevedo Correia, Maria Beatriz de Sena E Costa Dos Santos Ferreira, Armando Serra Coelho, Miryan Bandeira Dos Prazeres Cassandra Soares, Mário Alberto de Brito Lima Évora, Mário Gomes Mariotto, João Carlos Araujo Morais
After several decades of initiatives at international and national level inspired by the World Health Organization, tobacco consumption is still the second leading cause of death in the world and the leading cause of premature death and disability, as a result of various types of cancer and pulmonary, cerebrovascular and cardiovascular disease. Tobacco consumption is also an important public health issue in Portuguese-speaking countries, which fully justifies the launch and implementation of these 2019 recommendations for reducing tobacco consumption in Portuguese-speaking countries by the Federation of Portuguese Language Cardiology Societies...
May 20, 2019: Portuguese Journal of Cardiology: An Official Journal of the Portuguese Society of Cardiology
https://read.qxmd.com/read/31122863/surgical-aortic-valve-replacement-improves-the-quality-of-life-of-octogenarians-with-severe-aortic-stenosis
#23
Dina Bento, Pedro Coelho, João Lopes, José Fragata
INTRODUCTION: Aortic stenosis (AS) is the most common valvular disease in the elderly, affecting around 8.1% by the age of 85, with a negative impact on quality of life. OBJECTIVE: To determine the impact of surgical aortic valve replacement (SAVR) on quality of life in octogenarians. METHODS: In a single-center retrospective study of octogenarians undergoing isolated SAVR for symptomatic AS between 2011 and 2015, quality of life was assessed using the Medical Outcomes Study Short Form (SF-36) at baseline and at three, six and 12 months after surgery...
May 20, 2019: Portuguese Journal of Cardiology: An Official Journal of the Portuguese Society of Cardiology
https://read.qxmd.com/read/31113695/surgery-for-symptomatic-aortic-stenosis-in-the-elderly-still-an-excellent-option
#24
Manuel J Antunes
No abstract text is available yet for this article.
May 18, 2019: Portuguese Journal of Cardiology: An Official Journal of the Portuguese Society of Cardiology
https://read.qxmd.com/read/31113694/papillary-muscle-rupture-correlation-between-echocardiography-and-surgical-pathology
#25
Mariana Castro, João Abecasis, Rosa Gouveia, Regina Ribeiras, Miguel Abecasis
No abstract text is available yet for this article.
May 18, 2019: Portuguese Journal of Cardiology: An Official Journal of the Portuguese Society of Cardiology
https://read.qxmd.com/read/31109760/progression-of-aerobic-exercise-intensity-in-a-cardiac-rehabilitation-program
#26
Hugo Amorim, Rui Cadilha, Fernando Parada, Afonso Rocha
INTRODUCTION AND OBJECTIVES: To describe the progression of aerobic exercise intensity in patients on a cardiac rehabilitation (CR) program. METHODS: We conducted a retrospective analysis of a random sample of patients referred for CR after acute coronary syndrome between 2008 and 2016. The weekly peak exercise intensity achieved during aerobic exercise was estimated by treadmill speed and grade at peak effort and the corresponding perception of effort was assessed using the Borg scale...
May 17, 2019: Portuguese Journal of Cardiology: An Official Journal of the Portuguese Society of Cardiology
https://read.qxmd.com/read/31109759/c-reactive-protein-albumin-ratio-in-the-assessment-of-risk-for-in-stent-restenosis-another-small-piece-in-the-puzzle-of-vascular-inflammation
#27
Luís Bronze
No abstract text is available yet for this article.
May 17, 2019: Portuguese Journal of Cardiology: An Official Journal of the Portuguese Society of Cardiology
https://read.qxmd.com/read/31104927/assessment-of-the-relationship-between-preprocedural-c-reactive-protein-albumin-ratio-and-stent-restenosis-in-patients-with-st-segment-elevation-myocardial-infarction
#28
Ibrahim Rencuzogullari, Yavuz Karabağ, Metin Çağdaş, Süleyman Karakoyun, Sabri Seyis, Mustafa Ozan Gürsoy, Mahmut Yesin, İnanç Artaç, Doğan İliş, İbrahim Halil Tanboğa
INTRODUCTION: Stent restenosis remains a clinical challenge for patients with ischemic heart disease, since it is associated with repeated coronary interventions as well as higher hospitalization rates and medical costs. Inflammation plays a significant role. Although an association between stent restenosis, increased C-reactive protein (CRP) and decreased albumin levels has been previously reported, no studies have investigated the ability of the CRP/albumin ratio to predict stent restenosis...
May 16, 2019: Portuguese Journal of Cardiology: An Official Journal of the Portuguese Society of Cardiology
https://read.qxmd.com/read/31104926/longitudinal-strain-by-speckle-tracking-echocardiography-is-it-useful-in-clinical-practice-for-differentiating-takotsubo-syndrome-from-anterior-myocardial-infarction
#29
Nuno Marques
No abstract text is available yet for this article.
May 16, 2019: Portuguese Journal of Cardiology: An Official Journal of the Portuguese Society of Cardiology
https://read.qxmd.com/read/31104925/are-we-doing-our-best-for-our-cardiac-rehabilitation-patients-could-we-go-further
#30
Luís Martins Brízida
No abstract text is available yet for this article.
May 16, 2019: Portuguese Journal of Cardiology: An Official Journal of the Portuguese Society of Cardiology
https://read.qxmd.com/read/31104924/myocardial-dysfunction-in-takotsubo-syndrome-more-than-meets-the-eye
#31
Gonçalo Pestana, Marta Tavares-Silva, Carla Sousa, Roberto Pinto, Vânia Ribeiro, Mariana Vasconcelos, Pedro Bernardo Almeida, M Júlia Maciel, Filipe Macedo
INTRODUCTION: Takotsubo syndrome (TTS) is characterized by transient left ventricular (LV) dysfunction, typically mimicking an anterior wall myocardial infarction (MI), without obstructive coronary artery disease. In the few published reports assessing myocardial deformation in TTS and MI, no consistent differences have been described between the two entities. We sought to characterize global and regional function in TTS and to compare it with a population with MI. METHODS: Clinical data, including echocardiography, were gathered from 17 TTS patients and 20 anterior wall ST-segment elevation myocardial infarction (STEMI) controls...
May 16, 2019: Portuguese Journal of Cardiology: An Official Journal of the Portuguese Society of Cardiology
https://read.qxmd.com/read/31029493/neurohormonal-modulation-the-new-paradigm-of-pharmacological-treatment-of-heart-failure
#32
J Silva-Cardoso, D Brás, F Canário-Almeida, A Andrade, L Oliveira, F Pádua, C Fonseca, N Bragança, S Carvalho, R Soares, J Ferreira Santos
The current paradigm of medical therapy for heart failure with reduced ejection fraction (HFrEF) is triple neurohormonal blockade with an angiotensin-converting enzyme inhibitor (ACEI), a beta-blocker (BB) and a mineralocorticoid receptor antagonist (MRA). However, three-year mortality remains over 30%. Stimulation of counter-regulatory systems in addition to neurohormonal blockade constitutes a new paradigm, termed neurohormonal modulation. Sacubitril/valsartan is the first element of this new strategy. PARADIGM-HF was the largest randomized clinical trial conducted in HFrEF...
April 24, 2019: Portuguese Journal of Cardiology: An Official Journal of the Portuguese Society of Cardiology
https://read.qxmd.com/read/31028004/socioeconomic-factors-and-mortality-due-to-cerebrovascular-and-hypertensive-disease-in-brazil
#33
Paolo Blanco Villela, Carlos Henrique Klein, Gláucia Maria Moraes de Oliveira
INTRODUCTION AND OBJECTIVE: Socioeconomic factors may affect mortality due to cerebrovascular diseases (CBVDs), hypertensive diseases (HYPDs), and circulatory system diseases (CSDs). This study aimed to assess the association between the Human Development Index (HDI) and the extent of supplementary health coverage and mortality due to these diseases in the Brazilian Federative Units (FUs) between 2004 and 2013. METHODS: The Municipal HDI (MHDI) scores of each FU for 2000 and 2010 were retrieved from the Atlas Brasil website, and supplementary health coverage data for the period 2004-2013 were obtained from the national regulatory agency for private health insurance...
April 23, 2019: Portuguese Journal of Cardiology: An Official Journal of the Portuguese Society of Cardiology
https://read.qxmd.com/read/31014998/right-single-coronary-artery-as-an-incidental-finding-in-takotsubo-syndrome-and-acute-heart-failure-case-report-and-review-of-the-literature
#34
REVIEW
Joana Neiva, Marisa Passos Silva, Gustavo Pires-Morais, Adelaide Dias, Marta Ponte, Daniel Caeiro, José Pedro Braga, Nuno Ferreira, Vasco Ribeiro
INTRODUCTION: Single coronary artery (SCA) with no associated congenital heart disease is a rare congenital anomaly. Most cases are asymptomatic and incidental findings, but SCA can cause ischemia, congestive heart failure, and sudden cardiac death (SCD). CASE REPORT: A 44-year-old woman presented with Takotsubo cardiomyopathy and cardiogenic shock. Selective cannulation of the left coronary artery (LCA) was not possible on coronary angiography (CA); an SCA was revealed arising from the right sinus, continuing distally as the circumflex artery and thereafter as the left anterior descending artery...
April 20, 2019: Portuguese Journal of Cardiology: An Official Journal of the Portuguese Society of Cardiology
https://read.qxmd.com/read/31014997/optical-coherence-tomography-guided-balloon-pulmonary-angioplasty-of-a-web-lesion
#35
Sofia Alegria, Rita Calé, Filipa Ferreira, Sílvia Vitorino, Maria José Loureiro, Hélder Pereira
No abstract text is available yet for this article.
April 20, 2019: Portuguese Journal of Cardiology: An Official Journal of the Portuguese Society of Cardiology
https://read.qxmd.com/read/31256796/identification-of-a-critical-isthmus-in-complex-macroreentrant-atrial-tachycardia-using-ripple-mapping-in-a-patient-with-surgically-repaired-ebstein-s-anomaly
#36
Gustavo Lima da Silva, Nuno Cortez-Dias, Luís Carpinteiro, João de Sousa
Ripple mapping is a novel, three-dimensional, electroanatomic mapping tool that displays each electrogram at its corresponding 3-dimensional coordinate as a dynamic moving bar, which changes in length according to the electrogram voltage-time relationship. We present the case of a 43-year-old male patient with surgically repaired Ebstein's anomaly who previously underwent two unsuccessful ablation procedures for right atrial flutter (cavotricuspid isthmus and intercaval lines). Ripple mapping was decisive, enabling the arrhythmia mechanism to be appropriately recognized, and a distinction to be made between critical areas of the circuit and delayed activated bystander regions...
May 2019: Portuguese Journal of Cardiology: An Official Journal of the Portuguese Society of Cardiology
https://read.qxmd.com/read/30992176/strategies-for-reducing-cardiovascular-mortality-should-go-beyond-control-of-classic-risk-factors
#37
Marcus Vinícius Bolívar Malachias
No abstract text is available yet for this article.
April 13, 2019: Portuguese Journal of Cardiology: An Official Journal of the Portuguese Society of Cardiology
https://read.qxmd.com/read/30992175/catheter-ablation-of-atrioventricular-nodal-re-entrant-tachycardia-humans-versus-machines
#38
António Creta, Rui Providência
No abstract text is available yet for this article.
April 13, 2019: Portuguese Journal of Cardiology: An Official Journal of the Portuguese Society of Cardiology
https://read.qxmd.com/read/31203919/early-manifestation-of-myocardial-involvement-in-systemic-sclerosis
#39
Patrícia Marques-Alves, Rui Baptista, Catarina Canha, Fátima Franco, Lèlita Santos, Mariano Pêgo
INTRODUCTION: Systemic sclerosis (SSc) is a systemic autoimmune disease involving multiple organs. We present a rare case of SSc in which clinical manifestations of cardiac fibrosis occurred early in the disease course. CASE REPORT: We report the case of a 40-year-old Caucasian man, previously diagnosed with SSc, who presented with decompensated heart failure. Transthoracic echocardiography was remarkable for severe right ventricular systolic dysfunction, abnormal ventricular septal motion, severe functional tricuspid regurgitation and normal pulmonary artery systolic pressure...
April 2019: Portuguese Journal of Cardiology: An Official Journal of the Portuguese Society of Cardiology
https://read.qxmd.com/read/30879895/ischemic-stroke-in-patients-previously-anticoagulated-for-non-valvular-atrial-fibrillation-why-does-it-happen
#40
Luís Fernandes, João Sargento-Freitas, James Milner, Alexandra Silva, Ana Novo, Tatiana Gonçalves, Ana Vera Marinho, Guilherme Mariano Pego, Luís Cunha, Natália António
INTRODUCTION: Oral anticoagulants have proved to be highly effective in preventing atrial fibrillation (AF)-related strokes. The occurrence of stroke despite oral anticoagulation is unexpected and little is known about the mechanisms responsible. The aim of this study was to assess possible mechanisms for stroke occurrence, such as poor treatment adherence and inappropriate dosage, in patients chronically anticoagulated for AF. METHODS: We performed a prospective observational study of 60 consecutive patients with non-valvular AF, chronically medicated with an oral anticoagulant and admitted due to ischemic stroke...
March 14, 2019: Portuguese Journal of Cardiology: An Official Journal of the Portuguese Society of Cardiology
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