- Cardiomyopathy and Myosin Studies
- Cardiovascular Function and Risk Factors
- Cardiac Imaging and Diagnostics
- Cardiovascular Effects of Exercise
- Congenital Heart Disease Studies
- Cardiac Arrhythmias and Treatments
- Acute Myocardial Infarction Research
- Pulmonary Hypertension Research and Treatments
- Cardiac Structural Anomalies and Repair
- Atrial Fibrillation Management and Outcomes
- Cardiac pacing and defibrillation studies
- Amyloidosis: Diagnosis, Treatment, Outcomes
- Cardiac Valve Diseases and Treatments
- Cardiac tumors and thrombi
- Cardiac, Anesthesia and Surgical Outcomes
- Acute Ischemic Stroke Management
- Heart Failure Treatment and Management
- Cardiac Arrest and Resuscitation
- Cardiac Health and Mental Health
- Cardiac electrophysiology and arrhythmias
- Coronary Artery Anomalies
- Cardiovascular and exercise physiology
- Aortic Disease and Treatment Approaches
- Healthcare cost, quality, practices
- Infective Endocarditis Diagnosis and Management
Hospital de Santa Marta
2016-2025
Centro Hospitalar de Lisboa Central
2015-2025
Administração Regional de Saúde de Lisboa e Vale do Tejo
2025
Universidade Nova de Lisboa
2018-2025
University of Milan
2024
Cruz Vermelha Portuguesa
2021-2023
Escola Superior de Saúde da Cruz Vermelha Portuguesa
2021-2023
ASST Fatebenefratelli Sacco
2021-2023
Universidad de Cádiz
2018
Hospital Santo António dos Capuchos
2015
Early diagnosis of transthyretin amyloid cardiomyopathy (ATTR-CM) is crucial for better disease management and outcome. To ensure timely diagnosis, a multidisciplinary panel Portuguese experts, including cardiologists, internal medicine specialists, general practitioners, have developed national consensus to aid physicians in enhancing the referral patients with suspicion ATTR-CM Portugal. A structured approach was used develop consensus: (1) an online survey aimed at identifying clinical...
BackgroundBicuspid aortic valve is the most common CHD. Its association with early valvular dysfunction, endocarditis, thoracic aorta dilatation, and dissection well established.ObjectiveThe aim of this study was to assess incidence predictors cardiac events in adults bicuspid valve.MethodsWe carried out a retrospective analysis outcomes ambulatory followed-up tertiary hospital centre. Outcomes were defined as follows: interventional – intervention on or aorta; medical death, dissection,...
Background Two-dimensional speckle tracking echocardiography has been shown to correlate with microvascular dysfunction, a hallmark of hypertrophic cardiomyopathy (HCM). We hypothesized that there is an association between myocardial work and left ventricular ischemia, incremental value global longitudinal strain, in patients HCM. Methods Results performed prospective assessment HCM, undergoing 2-dimensional stress perfusion cardiac magnetic resonance. were stratified according obstructive...
Purpose: The aim was to characterise acute coronary syndrome patients with complete atrioventricular block and assess the effect on outcome. Methods: Patients admitted were divided according presence of block: group 1, block; 2, without block. Clinical, electrocardiographic echocardiographic characteristics prognosis during one year follow-up compared between groups. Results: Among 4799 study period, 91 (1.9%) presented At presentation, 1 lower systolic blood pressure, higher Killip class...
There are barriers to proper implementation of risk stratification scores in patients with acute coronary syndromes (ACS), including their complexity. Our objective was develop a simple score for all-cause in-hospital mortality population ACS.The developed from nationwide ACS registry. The development and internal validation cohorts were obtained the first 31829 patients, randomly separated (60% 40%, respectively). external cohort consisted last 8586 included This is significantly different...
In previous guidelines, acute coronary syndromes (ACS) with new or presumably left bundle branch block (LBBB) were an indication for reperfusion treatment, preferably primary angioplasty. Recent guidelines also included the presence of right (RBBB) in this recommendation. It was our objective to evaluate a population patients ACS differential impact RBBB and LBBB prognosis. Consecutive prospectively single-centre registry study. Patients analyzed according baseline ECG characteristics...
Objective: To determine whether right ventricular and/or atrial speckle tracking strain is associated with previous arrhythmic events in patients repaired tetralogy of Fallot.Methods and Results: We studied 100 consecutive Fallot referred for routine echocardiographic evaluation.Patients were divided into two groups, one documentation arrhythmias (n=26) without arrhythmias, a median follow-up 22 years.Patients older (p<0.001) had surgical repair at an age (p=0.001).They also significantly...
Bicuspid aortic valve (BAV) aortopathy remains of difficult clinical management due to its heterogeneity and further assessment related hemodynamics is necessary. The aim this study was assess systolic hemodynamic indexes wall stresses in patients with diverse BAV phenotypes dilated ascending aortas. geometry reconstructed from patient-specific images while the generated based on measurements. Physiologic material properties boundary conditions were applied fully coupled fluid-structure...
Introduction: Ischaemic stroke patients with atrial fibrillation (AF) are at high risk of recurrence despite oral anticoagulation therapy. Patients cardiovascular comorbidities may take both antiplatelet and therapy (OAC/AP). Our study aims to evaluate the safety efficacy OAC/AP as secondary prevention in people AF ischaemic stroke. methods: We performed a post-hoc analysis pooled individual data from multicenter prospective cohort studies compared outcomes on DOAC/VKA alone (OAC cohort)....
In obstructive hypertrophic cardiomyopathy (HCM), alcohol septal ablation (ASA) can lead to gradient reduction and symptom improvement. We aimed assess the efficacy safety of ASA in a long-term outcome study. analyzed patients who underwent over seven-year period tertiary center. The primary echocardiographic endpoint was >50% left ventricular outflow tract (LVOT) within year procedure. clinical endpoints were improvement functional capacity combined cardiac death rehospitalization for...
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Aims: The aim of the study is to investigate association between degree ischemia due coronary microvascular dysfunction (CMD) and left ventricular (LV) tissue characteristics, systolic performance, clinical manifestations in hypertrophic cardiomyopathy (HCM). Methods Results: This prospective enrolled 75 patients with HCM without obstructive epicardial artery disease. Each patient underwent cardiovascular magnetic resonance (CMR) including parametric mapping, perfusion imaging during...
Microvascular dysfunction is an often overlooked feature of hypertrophic cardiomyopathy (HCM). Our aim was to assess the association between microvascular dysfunction, wall thickness, tissue characteristics and myocardial deformation in HCM patients, by analyzing individual segments. Prospective assessment including cardiac magnetic resonance T1 T2 mapping, extracellular volume, late gadolinium enhancement (LGE) stress perfusion. Results were stratified according 16 American Heart...