A5017516607- Mechanical Circulatory Support Devices
- Heart Failure Treatment and Management
- Cardiac Arrest and Resuscitation
- Cardiac Structural Anomalies and Repair
- Cardiac Imaging and Diagnostics
- Acute Myocardial Infarction Research
- Cardiovascular Function and Risk Factors
- Cardiac Valve Diseases and Treatments
- Cardiac, Anesthesia and Surgical Outcomes
- Cardiac pacing and defibrillation studies
- Respiratory Support and Mechanisms
- Infective Endocarditis Diagnosis and Management
- Aortic Disease and Treatment Approaches
- Sepsis Diagnosis and Treatment
- COVID-19 Clinical Research Studies
- Cardiovascular Effects of Exercise
- Transplantation: Methods and Outcomes
- Advanced X-ray and CT Imaging
- Lipoproteins and Cardiovascular Health
- Viral Infections and Immunology Research
- Advanced MRI Techniques and Applications
- Cardiovascular and exercise physiology
- Radiation Dose and Imaging
- Cardiovascular and Diving-Related Complications
- Eosinophilic Disorders and Syndromes
Hospital de Santa Cruz
2016-2025
Universidade Nova de Lisboa
2022-2023
Centro Hospitalar de Lisboa Ocidental
2014-2022
Hospital of St. Francis Xavier
2019-2022
Hôpital Européen
2019
Hôpital Européen Georges-Pompidou
2019
Assistance Publique – Hôpitaux de Paris
2019
Hospital da Luz
2016
Hospital de Egas Moniz
2014
The European System for Cardiac Operative Risk Evaluation (EuroSCORE) has been established as a tool assisting decision-making in surgical patients and benchmark quality assessment. Infective endocarditis often requires treatment is associated with high mortality. This study was undertaken to (i) validate both versions of the EuroSCORE, older logistic EuroSCORE I recently developed II compare their performances; (ii) identify predictors other than those included models that might further...
COVID-19 is a new form of acute respiratory failure leading to multiorgan and ICU admission. Gathered evidence suggests that 3-fold rise in D-dimer concentrations may be linked poor prognosis higher mortality.To describe admission profile severe COVID19 patients its predictive role outcomes mortality.Single-center retrospective cohort study. All adult admitted with were divided into 3 groups: (1) Lower-values group (D-dimer levels < normal range value [NRV] [500ng/mL]), Intermediate-values...
The optimal length of stay for patients with uncomplicated ST-segment elevation myocardial infarction (STEMI) treated primary percutaneous coronary intervention (PPCI) is still undetermined. Zwolle risk score (ZRS) a simple tool designed to identify who can be safely discharged within 72 hours. purpose this study was assess the applicability and performance ZRS in our population. We studied 276 consecutive (mean age 62±14 years, 75% male, 20% Killip class >1) admitted over two-year period...
Dabigatran is a direct thrombin inhibitor with favorable effectiveness and safety profile when compared to vitamin K antagonists, both in randomized trials real world registries of atrial fibrillation patients. Yet, physicians' fear high bleeding risk scenarios daily clinical practice still precludes more widespread use oral anticoagulation. We hereby report successful case dabigatran reversal the novel monoclonal antibody fragment idarucizumab patient undergoing heart transplantation.A...
A new drug with prognostic impact on heart failure, sacubitril/valsartan, has been introduced in current guidelines. However, randomized trial results can be compromised by lack of representativeness. We aimed to assess the representativeness PARADIGM-HF a real-world population patients failure. reviewed records 196 outpatients followed failure clinic between January 2013 and December 2014. After exclusion 44 preserved ejection fraction, inclusion criteria were applied. Of 152 systolic 106...
Abstract Aims Right heart catheterization (RHC) is indicated in all candidates for transplantation (HT). An acute vasodilator challenge recommended those with pulmonary hypertension (PH) to assess its reversibility. The effects of inhaled nitric oxide (iNO) on and systemic haemodynamics have been reported only small series. Our purpose was describe the response iNO a larger population potential clinical implications. Methods results From 210 RHC procedures performed between 2010 2019, used...
BACKGROUNDCoronavirus disease 2019 (COVID-19) can be associated with life-threatening organ dysfunction due to septic shock, frequently requiring intensive care unit (ICU) admission, respi-ratory and vasopressor support.There-fore, clear clinical criteria are pivotal for early recognition of patients more likely need prompt support.Although most severe COVID-19 meet the Sepsis-3.0criteria it has been increasingly recognized that hyperlactatemia is absent, possibly leading an underestimation...
Takotsubo syndrome (TTS) mimics acute coronary syndromes but can lead to serious cardiac complications, emphasizing the need for improved understanding and management.
Background Different cardiovascular risk calculators and risk-based thresholds for initiating statin therapy are currently in use. Using coronary computed tomography angiography, we sought to compare the Pooled-Cohort Equation [atherosclerotic disease (ASCVD) score] with Systematic COronary Risk Evaluation (SCORE) identification of patients high atherosclerotic burden. Methods In a single-center prospective registry undergoing identified individuals aged 40–75 years without diabetes or known...
To assess whether a simplified cardiac magnetic resonance (CMR)-derived lung water density (LWD) quantification predicted major events in Heart Failure (HF). Single-centre retrospective study of consecutive HF patients with left ventricular ejection fraction (LVEF) < 50% who underwent CMR. All measurements were performed on HASTE sequences parasagittal plane at the right midclavicular line. LWD was determined by lung-to-liver signal ratio multiplied 0.7. A cohort 102 controls used to derive...
Aortic stenosis is the most prevalent type of valvular disease in Europe. Surgical aortic valve replacement (SAVR) standard therapy, while transcatheter implantation (TAVI) an alternative patients at unacceptably high surgical risk. Assessment by a heart team recommended guidelines but there little published evidence on this subject. The purpose paper to describe experience multidisciplinary TAVI program that began 2008. prospectively assessed 473 using standardized approach. A total 214...
Isolated aortic valve replacement (AVR) in octogenarians is associated with increased operative risk, due to higher prevalence of risk factors and other comorbidities, making outcome prediction essential. We sought analyze mortality morbidity compare the predictive accuracy logistic European System for Cardiac Operative Risk Evaluation score (EuroSCORE) I, EuroSCORE II Society Thoracic Surgeons (STS) this population.We retrospectively enrolled 106 consecutive symptomatic severe stenosis...
The high prevalence and natural history of atherosclerosis make young people important targets for cardiovascular prevention. This study aimed to analyze changes over time in the risk profile a population healthy adults.We studied 923 Portuguese Air Force applicants between 1991 2007, divided into two-year periods. In addition factors, Framingham score HeartScore were calculated age 65. Cochran-Armitage Jonckheere-Terpstra tests trend used categorical continuous variables, respectively.Mean...
Coronary artery calcium (CAC) scoring is used for both cardiovascular risk reclassification and as a gatekeeper coronary computed tomography angiography (CCTA). The aims of this study were to assess what extent CAC score results can reclassify the patients without obstructive disease (CAD) on CCTA, measure proportion these whose primary prevention medication changed after exam.In retrospective analysis multicenter registry individuals who underwent CCTA suspected CAD during two-year period,...
Heart transplant (HT) remains the gold standard treatment for selected patients with advanced heart failure (HF).1 However, increasing number of HT candidates and limited donor supply has led to extended waiting list times.2 Thus, may be at risk progressive clinical deterioration delisting due development contraindication(s).3 Left ventricular assist devices (LVADs) improve survival, reduce mortality, have significantly changed patient prioritization criteria in several countries.3-6 Yet,...