Albertino Damasceno
- Obesity, Physical Activity, Diet
- Blood Pressure and Hypertension Studies
- Heart Failure Treatment and Management
- Global Public Health Policies and Epidemiology
- Cardiovascular Function and Risk Factors
- Nutritional Studies and Diet
- Cardiovascular Health and Risk Factors
- Chronic Disease Management Strategies
- Physical Activity and Health
- Children's Physical and Motor Development
- Sodium Intake and Health
- HIV/AIDS Impact and Responses
- Health Systems, Economic Evaluations, Quality of Life
- Consumer Attitudes and Food Labeling
- Child Nutrition and Water Access
- Global Maternal and Child Health
- Global Health Care Issues
- Cardiovascular Syncope and Autonomic Disorders
- Cardiovascular Disease and Adiposity
- Smoking Behavior and Cessation
- Heart Rate Variability and Autonomic Control
- Sepsis Diagnosis and Treatment
- Cardiac Health and Mental Health
- Cardiac, Anesthesia and Surgical Outcomes
- Healthcare Systems and Reforms
Maputo Central Hospital
2004-2025
Eduardo Mondlane University
2015-2025
Universidade do Porto
2003-2023
Administração Regional de Saúde de Lisboa e Vale do Tejo
2022
Catholic University of Mozambique
2022
Graduate Institute of International and Development Studies
2021
University of Geneva
2021
University of Abuja
2016
University of Nigeria Teaching Hospital
2016
Groote Schuur Hospital
2016
Raised blood pressure (BP) is the leading cause of preventable death in world. Yet, its global prevalence increasing, and it remains poorly detected, treated, controlled both high- low-resource settings. From perspective members International Society Hypertension based all regions, we reflect on past, present, future hypertension care, highlighting key challenges opportunities, which are often region-specific. We report that most countries failed to show sufficient improvements BP control...
Contrary to elderly patients with ischaemic-related acute heart failure (AHF) typically enrolled in North American and European registries, the sub-Saharan Africa Survey of Heart Failure (THESUS-HF) were middle-aged AHF due primarily non-ischaemic causes. We sought describe factors prognostic re-admission death this developing population. Prognostic models developed from data collected on 1006 THESUS-HF, a prospective registry 12 hospitals nine African countries, mostly Nigeria, Uganda,...
STRONG-HF examined a high-intensity care (HIC) strategy of rapid up-titration guideline-directed medical therapy (GDMT) and close follow-up after acute heart failure (AHF) admission. We assess the role age on efficacy safety HIC.Hospitalized AHF patients, not treated with optimal GDMT were randomized to HIC or usual care. The primary endpoint 180-day death HF readmission occurred equally in older (>65 years, n = 493, 74 ± 5 years) younger patients (53 11 adjusted hazard ratio [aHR] 1.02, 95%...
The aim of this study was to evaluate efficacy and safety rapid up-titration guideline-directed medical therapies (GDMT) in men women hospitalized for acute heart failure (AHF).In STRONG-HF, AHF patients were randomized just prior discharge either usual care (UC) or a high-intensity (HIC) strategy GDMT up-titration. In these analyses, we compared the implementation, efficacy, HIC between women. population, 416/1078 (39%) By day 90, higher proportion both sexes group had been up-titrated full...
Aims Biologically active adrenomedullin (bio‐ADM) is a promising marker of residual congestion. The STRONG‐HF trial showed that high‐intensity care (HIC) guideline‐directed medical therapy (GDMT) improved congestion and clinical outcomes in heart failure (HF) patients. association between bio‐ADM, decongestion, the effect size HIC GDMT remains to be elucidated. Methods results We measured plasma bio‐ADM concentrations 1005 patients within 2 days prior anticipated discharge (baseline) 90...
In September 2017, KDIGO (Kidney Disease: Improving Global Outcomes) convened a Controversies Conference titled Blood Pressure in Chronic Kidney Disease (CKD). The purpose of the meeting was to consider which recommendations from 2012 Clinical Practice Guideline for Management CKD should be reevaluated based on new evidence clinical trials. Participants included multidisciplinary panel and scientific experts. Discussions focused optimal means measuring blood pressure (BP) as well managing BP...
Physical activity (PA) surveillance, policy, and research efforts need to be periodically appraised gain insight into national global capacities for PA promotion. The aim of this paper was assess the status trends in 164 countries.
BackgroundSTRONG-HF demonstrated the safety and efficacy of rapid up-titration guideline-directed medical therapy (GDMT) with high intensity care (HIC) compared to usual in patients hospitalized for acute heart failure (HF). In HIC group, following indicators were used guide up-titration: estimated glomerular filtration rate [eGFR] <30ml/min/1.73m2, serum potassium >5.0 mmol/L, systolic blood pressure (SBP) <95mmHg, <55bpm, NT-proBNP concentration >10% higher than pre-discharge...
Alcohol is a leading risk factor for over 200 conditions and an important contributor to socioeconomic health inequalities. However, little known about the associations between individuals' circumstances alcohol consumption, especially heavy episodic drinking (HED; ≥5 drinks on one occasion) in low-income or middle-income countries. We investigated association individual household level status, habits these settings.
Abstract Aims Acute heart failure (AHF) impacts millions globally, with outcomes varying based on socio‐economic status (SES). Methods SES measured by annual household income, years of education and medical insurance coverage. Each patient's income level relative to the median or mean, respectively, in country was calculated, categorized into tertiles (0, 1 2 from lowest highest). scores (0–5) were computed as sum these levels plus coverage (0 = no yes ). Patients' baseline characteristics,...
Abstract The May Measurement Month (MMM) campaign was carried out in Mozambique 2022 with the aim of raising awareness raised blood pressure (BP). Here, we report on findings campaign. Adults aged ≥ 18 years were recruited opportunistically at Zambézia, Sofala and Maputo city, Northern, Central Southern regions Mozambique, respectively. Three seated BP readings taken for each participant, along completion a questionnaire demographics, lifestyle factors, comorbidities. Hypertension defined as...
A sífilis apresenta-se como uma das Infecções Sexualmente Transmissíveis (IST) mais incidentes no Brasil (78,5 casos/100.000 habitantes) e estado do Amazonas (109,5 habitantes). É causada pela bactéria Treponema pallidum, pertencente ao grupo espiroquetas. No a incidência dessa IST é ainda maior em comparação cenário nacional, exigindo melhor análise dos aspectos da saúde na região, principalmente os associados essa infecção bacteriana. Assim, detecção através de testes rápidos, bem como, o...
Aim In this subgroup analysis of STRONG‐HF, we explored the association between changes in renal function and efficacy rapid up‐titration guideline‐directed medical therapy (GDMT) according to a high‐intensity care (HIC) strategy. Methods results patients randomized HIC arm ( n = 542), was assessed at baseline during follow‐up visits. We studied with clinical characteristics outcomes decrease estimated glomerular filtration rate (eGFR) week 1, defined as ≥15% from baseline. Patients usual...
In 2005 we evaluated a nationally representative sample of the Mozambican adult population (n=2913; 25-64 years old) following STEPwise approach to chronic disease risk factor surveillance estimate urban-rural differences in overweight and obesity waist circumferences. The prevalences were, respectively, 6.8% (95% CI: 5.1-8.6) 11.8% 8.4-15.4) among women, 2.3% 1.1-3.6) 9.4% 5.7-13.1) men. Overweight/obesity was more frequent urban settings (age-, income- education-adjusted prevalence ratios;...
Africa is the world's most genetically diverse, second largest, and populous continent, with over one billion people distributed across 54 countries. With a 23% lifetime risk of stroke, has some highest rates stroke worldwide many occur in prime life huge economic losses grave implications for individual, family, society terms mental capital, productivity, socioeconomic progress. Tackling escalating burden requires prioritized, multipronged, inter-sectoral strategies tailored to unique...