A5012785122- Acute Myocardial Infarction Research
- Coronary Interventions and Diagnostics
- Cardiac Imaging and Diagnostics
- Cardiac Valve Diseases and Treatments
- Cardiac Health and Mental Health
- Mechanical Circulatory Support Devices
- Cardiac pacing and defibrillation studies
- Heart Rate Variability and Autonomic Control
- Infective Endocarditis Diagnosis and Management
- Coronary Artery Anomalies
- Cardiac Arrhythmias and Treatments
- Cardiac Arrest and Resuscitation
- Cardiovascular and exercise physiology
- Venous Thromboembolism Diagnosis and Management
- Atrial Fibrillation Management and Outcomes
- Cardiovascular Function and Risk Factors
- Cardiomyopathy and Myosin Studies
- Antiplatelet Therapy and Cardiovascular Diseases
- Cardiac Structural Anomalies and Repair
- Kawasaki Disease and Coronary Complications
- Neurological disorders and treatments
- Acute Ischemic Stroke Management
- Cardiovascular and Diving-Related Complications
- Cardiac and Coronary Surgery Techniques
- Patient Satisfaction in Healthcare
Hospital de Santo António
2012-2025
Universidade do Porto
2021-2025
Centro Hospitalar do Porto
2012-2024
Administração Regional de Saúde de Lisboa e Vale do Tejo
2024
CUF Porto Hospital
2014-2023
Clinique Pasteur
2018-2020
Peri-procedural transcatheter valve embolization and migration (TVEM) is a rare but potentially devastating complication of aortic implantation (TAVI). We sought to assess the incidence, causes, outcome TVEM in large multicentre cohort.We recorded cases peri-procedural patients undergoing TAVI between January 2010 December 2017 from 26 international sites. occurred 273/29 636 (0.92%) (age 80.8 ± 7.3 years; 53.8% female), which 217 were ascending aorta 56 left ventricle. The use...
ST-elevation myocardial infarction (STEMI) is a medical emergency that benefits from rapid access to specialized care. The objective of this study was describe developments in patient transport via the pre-hospital system (EMS) and its impact on clinical outcomes. We retrospectively studied STEMI patients who underwent primary percutaneous coronary intervention between January 2008 July 2015. Patients were divided according type admission. Total ischemic time (TIT), door-to-balloon (DBT)...
System delay (time between first medical contact and reperfusion therapy) is an indicator of quality primary percutaneous coronary intervention (pPCI) in ST-segment elevation myocardial infarction (STEMI) patients. This study aimed to assess changes system 2011 2015, identify its predictors. The included 838 patients admitted 18 Portuguese interventional cardiology centers suspected having STEMI with less than 12 hours' duration who were referred for intervention. Data collected a one-month...
Cardiac rehabilitation (CR) has been shown to decrease mortality and morbidity, improve the control of risk factors quality life patients with coronary artery disease. However, elderly are underrepresented in most studies real-life CR programs. Our goal was evaluate impact after an acute syndrome population.A cutoff 65 years used dichotomize age. main focus on effects ambulatory supervised exercise training several surrogate markers, namely total cholesterol, low- high-density lipoprotein...
Acute total occlusion of the unprotected left main coronary artery (LMCA) is a dramatic event. There are limited data regarding this population. We aimed to describe clinical presentation and outcomes patients determine predictors in-hospital mortality.This retrospective study included presenting with acute (<12 h) myocardial infarction due LMCA (TIMI flow 0) between January 2008 December 2020 in three tertiary hospitals.During period, 11036 emergent angiographies were performed, 59 (0.5%)...
Coronary heart disease is the leading cause of death in women worldwide and several studies have shown that they are under-represented cardiac rehabilitation therapy. The objectives this study were to assess prevalence a program their response intervention.This retrospective 858 patients who attended an exercise-based after acute coronary syndrome or elective percutaneous intervention, between January 2008 December 2012. analyzed by gender, impact intervention on cardiovascular risk factors...
Coronary heart disease is the leading cause of death in women worldwide and several studies have shown that they are under‐represented cardiac rehabilitation therapy. The objectives this study were to assess prevalence a program their response intervention. This retrospective 858 patients who attended an exercise‐based after acute coronary syndrome or elective percutaneous intervention, between January 2008 December 2012. analyzed by gender, impact intervention on cardiovascular risk factors...
Concerns surrounding the consequences of ionizing radiation (IR) have increased in interventional cardiology (IC). Despite this, ever-growing complexity diseases as well procedures can lead to greater exposure radiation. The aim this survey, led by Portuguese Association Interventional Cardiology (APIC), was evaluate level awareness and current practices on IR protection among its members.
The satisfaction with the medical profession has been identified as an essential factor for quality of care, wellbeing patients and healthcare systems' stability. Recent studies have emphasized a growing discontent physicians, mainly result changes in labor relations.To assess perception Portuguese residents about: correspondence residency previous expectations; degree specialty, place training; reasons dissatisfaction; opinion regarding clinical practice Portugal emigration...
Acute myocardial infarction (AMI) resulting from unprotected left main coronary artery (LMCA) occlusion and subtotal is a life-threatening condition. Although AMI management has improved in the past two decades, there limited information on recent trends patient characteristics, management, outcomes for acute LMCA-related AMI. This study aims to assess such over 12 year period.
Abstract Background Atrial septal defect (ASD) can often remain asymptomatic until adulthood. It still remains unclear whether large ASD closure in senior people should be performed or not. Temporary balloon occlusion test has been suggested as a tool to assess the risk of acute left ventricular heart failure post-ASD closure, and it allows better distinguish responders from non-responders. Case presentation An 83-year-old man with long-standing uncorrected secundum was admitted for recently...
The benefit of manual thrombus aspiration (TA) in the reperfusion patients with ST-elevation myocardial infarction (STEMI) has been hotly debated. In most series, failure TA largely unreported. Our objectives were to assess rate, predictors, and impact on cumulative mortality failed during primary percutaneous coronary intervention (PPCI).This was a single-center, retrospective study consecutive STEMI undergoing PPCI TA. considered ineffective if, before angioplasty, flow TIMI <2....
Purpose: In the era of individualized medicine, trying to predict response patients established therapy is a constant target. cardiac rehabilitation program (CRP) increasing functional capacity has been used as defining criterion this intervention. The aim study was characterize subpopulation non-responder and assess its prognostic value. Methods: Retrospective 814 with ischemic heart disease who attended CRP (3 months supervised moderate aerobic exercise) after diagnosis acute coronary...
Preinfarction angina (PIA) may play a protective role in patients with ST-elevation myocardial infarction. Data on the relationship between PIA and time to reperfusion are scarce. We aimed assess infarct size by peak troponin-T (TnT) or without three different intervals primary percutaneous coronary intervention (PPCI), left ventricular ejection fraction, its impact midterm survival.Single-center, retrospective analyses were carried out of 575 consecutive PPCI-treated patients, divided into...
Nosocomial infections (NI) are associated with high morbidity and mortality. Existing data on the impact of NI patients ST-elevation myocardial infarction (STEMI) is scarce.Our aim was to determine incidence, predictors, prognosis in a contemporary series STEMI patients.1131 consecutive treated by primary percutaneous coronary intervention from January 2008 December 2017 were analyzed. Binary logistic regression Cox proportional hazard models used identify predictors major adverse...
Some atmospheric features have been linked to the triggering of myocardial infarction. Because data from Temperate-Mediterranean is scarce, we sought study whether meteorological parameters influence incidence ST-elevation infarction (STEMI) as confirmed by primary percutaneous intervention in a city with temperate weather (Porto, Portugal). Retrospective analysis series STEMI-patients January 2010 December 2017. Temperature (T), relative humidity (RH), precipitation, and pressure were...
O enfarte agudo do miocárdio com elevação de ST (EAMcST) constitui uma emergência médica, beneficiando um acesso rápido a cuidados diferenciados. objetivo deste estudo foi avaliar evolução transporte através da pré‐hospitalar (EPH) e o seu impacto nos eventos clínicos. Estudo retrospetivo doentes EAMcST, submetidos intervenção coronária percutânea primária entre janeiro 2008 julho 2015. Os foram divididos acordo modo transporte/admissão. Para cada grupo analisado tempo isquémico total (TIT),...
A greater number of patients with bicuspid aortic valves (BAV) may be identified and treated as indications for transcatheter valve implantation (TAVI) are expected to expand younger patients. We evaluated the contemporary frequency management symptomatic stenotic BAV in a multicenter European registry.Between November 2017 February 2018, all consecutive admitted stenosis across six high-volume hospitals were prospectively enrolled BiTri registry.Of 832 patients, 17% (n = 138) had BAV. The...
Myocardial bridging (MB) is a congenital coronary anomaly, which defined as cardiac muscle overlying portion of artery. Although traditionally considered benign in nature, increasing attention being given to specific subsets MB. Sports medicine recognizes MB cause sudden death among young athletes. We present case 30-year-old man who suddenly collapsed during marathon running. Diagnostic workup with computed tomography angiography revealed the presence three simultaneous myocardial bridges...
Objectives To review the effectiveness of manual thrombectomy (MT) in a series patients with ST‐elevation myocardial infarction (STEMI) exclusively presenting TIMI 0‐1 flow undergoing percutaneous coronary intervention (PCI), accordance to angiographically estimated area at risk (AAR). Second, assess major in‐hospital clinical events, emphasizing neurological outcomes. Background The routine utilization MT STEMI is not recommended. However, recent trials, significant proportion had neither...
The UK National Student Survey (NSS) is a sound and widely used instrument for assessing students’ academic experiences. We aimed to translate the NSS Portuguese students validate in sample of medical undergraduates. research team translated adapted (NSS-P). survey was administered on an online platform 1,256 final-year at eight schools. A total 329 (69.9% female) replied NSS-P, response rate 26.2%. Confirmatory factor analysis showed that original six-factor structure had adequate fit data....
System delay (time between first medical contact and reperfusion therapy) is an indicator of quality primary percutaneous coronary intervention (pPCI) in ST-segment elevation myocardial infarction (STEMI) patients. This study aimed to assess changes system 2011 2015, identify its predictors. The included 838 patients admitted 18 Portuguese interventional cardiology centers suspected having STEMI with less than 12 hours' duration who were referred for intervention. Data collected a one-month...