- Cardiac Valve Diseases and Treatments
- Infective Endocarditis Diagnosis and Management
- Coronary Interventions and Diagnostics
- Aortic Disease and Treatment Approaches
- Cardiac Imaging and Diagnostics
- Cardiac Structural Anomalies and Repair
- Atrial Fibrillation Management and Outcomes
- Venous Thromboembolism Diagnosis and Management
- Cardiac pacing and defibrillation studies
- Aortic aneurysm repair treatments
- Acute Myocardial Infarction Research
- Mechanical Circulatory Support Devices
- Cardiac Arrhythmias and Treatments
- Social and Political Issues
- Advanced MRI Techniques and Applications
- Antiplatelet Therapy and Cardiovascular Diseases
- Cardiovascular Function and Risk Factors
- Advanced X-ray and CT Imaging
- Cardiovascular and Diving-Related Complications
- Cardiac tumors and thrombi
- Vascular Procedures and Complications
- COVID-19 and healthcare impacts
- Social and Economic Solidarity
- Brazilian cultural history and politics
- Politics and Society in Latin America
Centro Hospitalar de Vila Nova de Gaia
2015-2025
Centro Hospitalar do Tâmega e Sousa
2017-2020
Hospital de Faro EPE
2019
Inserm
2017
Hospital de Santa Cruz
2017
Université Claude Bernard Lyon 1
2017
Hôpital Louis Pradel
2017
Hospital Garcia de Orta
2002-2016
Philadelphia University
2015
Universidade do Porto
2012-2013
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...
Fractional flow reserve (FFR) is not firmly established as a guide to treatment in patients with acute coronary syndromes (ACS). Primary goals were evaluate the impact of integrating FFR on management decisions and clinical outcome ACS undergoing angiography, compared stable artery disease.R3F (French Registry) POST-IT (Portuguese Study Evaluation FFR-Guided Treatment Coronary Disease), sharing common design, pooled PRIME-FFR (Insights From R3F Integrated Multicenter Registries -...
Background— Penetration of fractional flow reserve (FFR) in clinical practice varies extensively, and the applicability results from randomized trials is understudied. We describe extent to which information gained routine FFR affects patient management strategy outcome. Methods Results— Nonselected patients undergoing coronary angiography, at least 1 lesion was interrogated by FFR, were prospectively enrolled a multicenter registry. FFR-driven change (medical therapy, revascularization, or...
Muitos brasileiros, incluindo estudantes da educação básica, orientam-se diariamente por decisões geradas inteligência artificial (IA) em plataformas web. Essas moldam seus gostos, hábitos e percepção de mundo, mas grande parte não percebe essa influência. Esse desconhecimento agrava-se à medida que tais podem, alguns casos, reforçar efeitos discriminatórios disseminar desinformação. Assim, reconhecer influência permite desenvolver um olhar mais crítico evitar sua aceitação passiva. Este...
Approximately one-third of patients considered for coronary revascularization have diabetes, which is a major determinant clinical outcomes, often influencing the choice strategy. The usefulness fractional flow reserve (FFR) to guide treatment in this population understudied and has been questioned.To evaluate rate adverse cardiovascular events (MACE) integrating FFR management decisions with diabetes who undergo angiography.This cross-sectional study used data from PRIME-FFR derived merger...
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...
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...
Abstract Aims Quadricuspid aortic valve (QAV) is a rare abnormality, which may cause regurgitation (AR) requiring surgical intervention in some patients. The characteristics associated with functional degeneration patients QAV are still unknown. aim of this study to describe prevalence, characterize the disease by multimodality imaging, evaluate predictors severe AR, and assess mid-term prognosis. Methods results Retrospective search imaging exams database one tertiary centre, for diagnosed...
Ischemic cardiomyopathy is the leading cause of heart failure. In patients with left ventricular (LV) dilatation, low ejection fraction, and transmural scar in an anteroseptal distribution, surgical reconstruction (SVR) a treatment option. We describe our first experience Less Invasive Ventricular Enhancement (LIVE) technique using Revivent™ system (Bioventrix Inc., San Ramon, CA), large anteroapical aneurysm. A cardiomiopatia isquémica é principal causa de insuficiência cardíaca. cirurgia...
Elective percutaneous coronary intervention (PCI) has become an increasingly safe procedure. However, same day discharge (SDD) yet to standard practice. Our aim is characterize the patients who underwent elective PCI and compare outcomes between overnight stay (ONS) patient group that was discharged on at 24 hours 30 days. One-year registry of PCI. The possibility SDD established by operator. Appropriate candidates were least four after end intervention. primary endpoints defined as: Major...
Thoracic endovascular aortic repair (TEVAR) is increasingly used in the treatment of acute type B dissection. Type Ia endoleaks are a common complication procedure, but its clinical significance and best strategy remain poorly defined. We present case endoleak following TEVAR Chimney technique approach was an attempt to seal endoleak. Although technical success suboptimal, patient remained clinically stable event free. Data regarding natural course management for dissection sparse. Future...
Introduction Balloon aortic valvuloplasty (BAV), introduced in 1986, quickly lost its wide adoption due to the high incidence of restenosis after procedure and improved skills transcatheter valve implantation (TAVI). It has seen a re-emergence last few years as bailout therapy critical care patients presenting with cardiogenic shock (CS) severe stenosis (AS), who are temporarily unable tolerate such TAVI or surgery for replacement. Methods We did retrospective analysis every BAV performed...