A5008772542- Cardiac Valve Diseases and Treatments
- Infective Endocarditis Diagnosis and Management
- Cardiac Imaging and Diagnostics
- Aortic Disease and Treatment Approaches
- Coronary Interventions and Diagnostics
- Cardiac pacing and defibrillation studies
- Cardiac Structural Anomalies and Repair
- Cardiac Arrhythmias and Treatments
- Cardiovascular Function and Risk Factors
- Atrial Fibrillation Management and Outcomes
- Acute Myocardial Infarction Research
- Venous Thromboembolism Diagnosis and Management
- Cardiovascular and exercise physiology
- Mechanical Circulatory Support Devices
- Cardiac Health and Mental Health
- Advanced MRI Techniques and Applications
- Coronary Artery Anomalies
- Cardiac, Anesthesia and Surgical Outcomes
- Aortic aneurysm repair treatments
- Advanced X-ray and CT Imaging
- Pulmonary Hypertension Research and Treatments
- Paraoxonase enzyme and polymorphisms
- Cardiovascular Effects of Exercise
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Cardiomyopathy and Myosin Studies
Centro Hospitalar de Vila Nova de Gaia
2016-2025
Hospital do Coração
2024-2025
Universidade de São Paulo
2020-2025
Universidade Federal de Uberlândia
2025
Universidade Vila Velha
2024
Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo
2022-2023
Instituto do Coração
2022
National Heart Institute
2020
Hospital de Faro EPE
2019
Assistance Publique – Hôpitaux de Paris
2019
Multislice computed tomography (MSCT) has shown high negative predictive value in ruling out obstructive coronary artery disease. Preliminary studies patients with valvular heart disease (VHD) have demonstrated the potential of MSCT angiography (CTA) such patients, precluding need for invasive (XA). However, larger prospectively designed studies, including atrial fibrillation and incorporating dose reduction algorithms, are needed.To evaluate clinical utility 64-slice CT preoperative...
Background A permanent pacemaker (PPM) implantation is common after transcatheter aortic valve (TAVI). We sought to evaluate requirements of pacing and incidence dependency during the first year TAVI. Methods From August 2007 until May 2011, 65 patients underwent TAVI with self‐expandable prosthesis. Five paced at baseline two procedure‐related deaths were excluded. Evaluation ventricular percentage (VP%) look for spontaneous rhythm performed 3, 6, 12 months . Results PPM was required in...
Resumo O objetivo do presente estudo é investigar a influência da prática de atividade física, na frequência cardíaca (FC) recuperação após o teste ergométrico, em esteira, adultos assintomáticos, com e sem fator risco familiar para doença cardiovascular. Duzentos cinquenta ambos os sexos idades entre 18 59 anos foram estudados. Nenhum dos participantes tinham histórico cardiovascular não utilizavam remédios doenças crônicas. Todos submetidos ao esforço protocolo Ellestad. Os valores delta...
Abstract The objective of this study is to investigate the influence physical activity on heart rate (HR) recovery, after treadmill exercise testing, in asymptomatic adults, with and without familial risk factors (FR) for cardiovascular disease. Two hundred fifty (250) adults both sexes aged 18 59 years were included study. None participants had a history disease or used medications chronic diseases. All individuals underwent testing using Ellestad protocol. Delta values calculated by...
To present the report on trends in percutaneous coronary activity data Portugal from last decade (from 2014 to 2023). Data were extracted Portuguese National Registry of Interventional Cardiology (RNCI) and numbers recent years compared complemented by information 2023 European Society Atlas (IC) survey, which was administered director every IC department. Linear regression analysis used assess over time. From 2023, there 160 101 interventions reported RNCI. The number annual PCI remained...
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Previous reports have suggested the occurrence of cardiac conduction disorders and permanent pacemaker (PPM) requirement after transcatheter aortic valve implantation (TAVI). Based on a single-center experience, we aim to assess incidence postprocedural disorders, need for PPM, its determinants TAVI with self-expanding bioprosthesis.From August 2007 October 2009, 32 consecutive patients underwent Medtronic CoreValve (MCV) System (Medtronic Inc., Minneapolis, MN, USA). Three paced at baseline...
Objective This study sought to evaluate the impact of aortic valve (AV) and left ventricle outflow tract (LVOT) calcium on paravalvular regurgitation (PVR) need for balloon post‐dilatation (BPD) during transcatheter implantation (TAVI). Methods The overall population comprised 152 patients. Calcium mass volume AV LVOT were estimated from contrast‐enhanced multislice computed tomography imaging, using 3 thresholds detection [650, 850, 1,050 Hounsfield units (HU)]. Results A self‐expandable...
Cardiovascular magnetic resonance (CMR) myocardial perfusion imaging (MPI) is a state-of-the-art noninvasive modality for detection of ischemia and coronary artery disease. Magnetic angiography (MRCA) allows visualization the tree, but its incremental value as part CMR protocol including MPI late gadolinium enhancement (LGE) not well established. We aimed to evaluate additive diagnostic 3-dimensional whole-heart MRCA integration into 1.5T CMR-MPI/LGE functionally significant...
Previous studies showed that metabolic syndrome is associated with aortic valve calcification (AVC) and poor outcomes in stenosis (AS). However, if these associations change how body fat impacts the prognosis of patients late stage disease have been not yet explored. To determine association mass index (BMI) visceral AVC mortality after transcatheter replacement (TAVR). This was a prospective cohort 170 severe AS referred to TAVR. We quantified score depots including epicardial adipose...
The impact of coronary artery disease (CAD) on outcomes after transcatheter aortic valve implantation (TAVI) has not been clarified. Furthermore, less is known about the indication and strategy revascularization in these high risk patients.This study sought to determine prevalence prognostic CAD patients undergoing TAVI, assess safety feasibility percutaneous intervention (PCI) before TAVI.Patients with severe stenosis (AS) TAVI were included into a prospective single center registry from...
Vascular access site complications in transfemoral (TF) transcatheter aortic valve implantation (TAVI) are associated with increased morbidity and mortality; however, their incidence predictors conflicting between studies. This study sought to assess the of vascular patients undergoing TF TAVI.A total 140 TAVI were included study. Minimum iliofemoral diameter calcium score (CS) estimated from contrast-enhanced multidetector computed tomography imaging, using different thresholds according...
The effects of regular physical activity on two important anti-atherosclerosis functions high-density lipoprotein (HDL), namely its capacity to receive both forms cholesterol and anti-oxidant function, were investigated in this study comparing older adults with young individuals. One-hundred eight healthy adult individuals enrolled separated into the following groups: active (60–80 yrs, n = 24); inactive (60–79 21); (20–34 39); (20–35 24). All performed cardiopulmonary tests. Blood samples...
Objectives Compare final morphology of self‐expanding and balloon‐expandable prosthesis association with paravalvular regurgitation (PVR). Background PVR after transcatheter aortic valve replacement (TAVR) remains a frequent complication. A better understanding the geometry may be important to improve selection best device for each case possibly reduce rates PVR. Methods Retrospective study including patients consecutively submitted replacement: August/2007‐October/2016. Three months...
Exercise-based cardiac rehabilitation (EBCR) is part of the management patients who have suffered an acute myocardial infarction (AMI). Patients with a reduced ejection fraction (EF) comprise higher-risk subgroup and are referred less often for these programmes. This study aimed at assessing impact baseline EF on functional benefits, as assessed by peak oxygen uptake (pVO2) exercise duration, EBCR programme in AMI survivors.Observational, retrospective cohort including all admitted to...
A endocardite infeciosa (EI) tem uma mortalidade intra‐hospitalar significativa (15‐30%), apesar dos avanços no tratamento médico e cirúrgico. Caracterização clínica de doentes submetidos a cirurgia cardíaca por EI identificação fatores preditores intra‐hospitalar. Análise retrospetiva 145 com admitidos entre janeiro 2006 outubro 2017. mediana das idades foi 72 anos. maioritariamente adquirida na comunidade (69%), atingiu válvula aórtica nativa em 54% casos, 22,1% as próteses biológicas...