Pub Date : 2024-10-01Epub Date: 2024-08-06DOI: 10.1016/j.repc.2024.08.001
Sílvio Leal
{"title":"Diagnostic prediction rules in acute pulmonary embolism: Is it acceptable to compromise safety?","authors":"Sílvio Leal","doi":"10.1016/j.repc.2024.08.001","DOIUrl":"10.1016/j.repc.2024.08.001","url":null,"abstract":"","PeriodicalId":48985,"journal":{"name":"Revista Portuguesa De Cardiologia","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-01Epub Date: 2024-08-06DOI: 10.1016/j.repc.2024.08.003
Jorge Mimoso
{"title":"Regional myocardial infarction networks: How to improve quality.","authors":"Jorge Mimoso","doi":"10.1016/j.repc.2024.08.003","DOIUrl":"10.1016/j.repc.2024.08.003","url":null,"abstract":"","PeriodicalId":48985,"journal":{"name":"Revista Portuguesa De Cardiologia","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-01Epub Date: 2024-07-11DOI: 10.1016/j.repc.2024.07.002
Miguel Nobre Menezes, Marta Tavares da Silva, Andreia Magalhães, Bruno Melica, Júlia Cristina Toste, Rita Calé, Manuel Almeida, Manuela Fiuza, Eduardo Infante de Oliveira
{"title":"Response to the letter \"Cardio-oncology guidelines, structural heart disease and Kounis syndrome in the upcoming guidelines\".","authors":"Miguel Nobre Menezes, Marta Tavares da Silva, Andreia Magalhães, Bruno Melica, Júlia Cristina Toste, Rita Calé, Manuel Almeida, Manuela Fiuza, Eduardo Infante de Oliveira","doi":"10.1016/j.repc.2024.07.002","DOIUrl":"10.1016/j.repc.2024.07.002","url":null,"abstract":"","PeriodicalId":48985,"journal":{"name":"Revista Portuguesa De Cardiologia","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141604383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-01Epub Date: 2024-08-06DOI: 10.1016/j.repc.2024.08.002
Doroteia Silva
{"title":"Cardiac arrest: It is important not just to survive, but to survive with at least an acceptable quality of life.","authors":"Doroteia Silva","doi":"10.1016/j.repc.2024.08.002","DOIUrl":"10.1016/j.repc.2024.08.002","url":null,"abstract":"","PeriodicalId":48985,"journal":{"name":"Revista Portuguesa De Cardiologia","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-01Epub Date: 2024-05-03DOI: 10.1016/j.repc.2024.02.009
Hélder Dores, Mafalda Antunes, Daniel Caldeira, Hugo V Pereira
Despite the well-known health benefits of regular physical activity, sedentary behavior and physical inactivity remain a real global pandemic. Exercise is associated with increased life expectancy, improved quality of life and prevention of multiple diseases. Although less implemented in practice compared to aerobic exercise, recent evidence shows that resistance exercise (RE) is also responsible for various benefits, including improvements in body composition, control of several cardiovascular (CV) risk factors, and reduction of CV outcomes. RE increases strength and muscle mass, is effective in controlling type 2 diabetes, and improves the management of obesity, lipids, and blood pressure profiles. In this setting, clinical guidelines recommend the inclusion of RE for primary and secondary CV risk prevention, particularly in combination with aerobic exercise, in which the benefits are most pronounced. Prescription of RE should follow a methodology that includes key variables such as frequency, intensity, type, time, and progression. Despite challenges, professionals in the CV field should be familiar with RE prescription in order to maximize its referral in clinical practice. This review aims to analyze the CV effects of RE and current recommendations regarding the prescription of this type of exercise.
尽管经常进行体育锻炼对健康的益处众所周知，但久坐不动和缺乏体育锻炼仍是全球的一个现实问题。运动与延长预期寿命、提高生活质量和预防多种疾病有关。虽然与有氧运动相比，阻力运动（RE）在实践中开展得较少，但最近的证据显示，阻力运动（RE）也能带来各种益处，包括改善身体成分、控制多种心血管（CV）风险因素和减少 CV 后果。阻力运动能增强力量和肌肉质量，有效控制 2 型糖尿病，改善肥胖、血脂和血压状况。在这种情况下，临床指南建议将 RE 纳入一级和二级心血管风险预防，尤其是与有氧运动相结合，因为有氧运动的益处最为明显。RE 的处方应遵循包括频率、强度、类型、时间和进展等关键变量的方法。尽管存在挑战，但心血管领域的专业人士仍应熟悉 RE 的处方，以便在临床实践中最大限度地推广它。本综述旨在分析 RE 对心血管疾病的影响，以及目前有关此类运动处方的建议。
{"title":"Cardiovascular benefits of resistance exercise: It's time to prescribe.","authors":"Hélder Dores, Mafalda Antunes, Daniel Caldeira, Hugo V Pereira","doi":"10.1016/j.repc.2024.02.009","DOIUrl":"10.1016/j.repc.2024.02.009","url":null,"abstract":"<p><p>Despite the well-known health benefits of regular physical activity, sedentary behavior and physical inactivity remain a real global pandemic. Exercise is associated with increased life expectancy, improved quality of life and prevention of multiple diseases. Although less implemented in practice compared to aerobic exercise, recent evidence shows that resistance exercise (RE) is also responsible for various benefits, including improvements in body composition, control of several cardiovascular (CV) risk factors, and reduction of CV outcomes. RE increases strength and muscle mass, is effective in controlling type 2 diabetes, and improves the management of obesity, lipids, and blood pressure profiles. In this setting, clinical guidelines recommend the inclusion of RE for primary and secondary CV risk prevention, particularly in combination with aerobic exercise, in which the benefits are most pronounced. Prescription of RE should follow a methodology that includes key variables such as frequency, intensity, type, time, and progression. Despite challenges, professionals in the CV field should be familiar with RE prescription in order to maximize its referral in clinical practice. This review aims to analyze the CV effects of RE and current recommendations regarding the prescription of this type of exercise.</p>","PeriodicalId":48985,"journal":{"name":"Revista Portuguesa De Cardiologia","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140872323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-01Epub Date: 2024-06-28DOI: 10.1016/j.repc.2024.03.003
Nicholas G Kounis
{"title":"Cardio-oncology guidelines, structural heart disease and Kounis syndrome in the upcoming guidelines.","authors":"Nicholas G Kounis","doi":"10.1016/j.repc.2024.03.003","DOIUrl":"10.1016/j.repc.2024.03.003","url":null,"abstract":"","PeriodicalId":48985,"journal":{"name":"Revista Portuguesa De Cardiologia","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141471852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-30DOI: 10.1016/j.repc.2024.05.009
Shiraslan Bakhshaliyev, Ergin Arslanoğlu, Bahruz Aliyev, Görkem Çitoğlu, Kaan Altunyuva, Ibrahim Demir, Mohammed Skaik, Dogan Yetut, Murat Başaran, Emin Tireli
Introduction and objectives: The Ross method is the preferred surgical treatment for pediatric aortic valve diseases, and its long-term outcomes have been extensively documented. This article presents the results of the Ross and Ross-Konno procedures performed on pediatric patients in our center.
Methods: Ross and Ross-Konno procedures were performed on 20 patients in our center between January 2015 and January 2019.
Results: The patients' mean age was 10.6 years (range: 23 days to 18 years) and mean weight was 37.6 kg (range: 3-63 kg). 13 had aortic valve stenosis, four had aortic valve insufficiency, and three had a mixed disease. The Ross-Konno procedure was used for four patients. The mean cardiopulmonary bypass time was 184.68±60.1 min and the mean cross time was 149±67.8 min. One neonatal patient died in the early postoperative phase due to low cardiac output. The mean follow-up time was 60.15 ± 24.45 months. One patient later underwent reoperation due to conduit stenosis. One patient is being monitored for moderately serious conduit stenosis. At present, of those who underwent the procedure, one has moderate aortic regurgitation, two have mild or moderate aortic regurgitation, and others have minimal aortic regurgitation. No patients required intervention for left ventricular outflow tract obstruction and mortality was not observed in the long term.
Conclusion(s): The reintervention rates for autograft and conduit-related cases were low in early and medium-term follow-up, and no significant autograft insufficiency was observed. Ross or Ross-Konno surgery is preferred for aortic diseases in pediatric patients due to its low mortality and satisfactory long-term results.
简介和目的：Ross 法是治疗小儿主动脉瓣疾病的首选手术方法，其长期疗效已被广泛记录。本文介绍了本中心为儿科患者实施的 Ross 和 Ross-Konno 手术的结果：2015年1月至2019年1月期间，本中心为20名患者实施了Ross和Ross-Konno手术：患者的平均年龄为10.6岁（范围：23天至18岁），平均体重为37.6公斤（范围：3-63公斤）。13人患有主动脉瓣狭窄，4人患有主动脉瓣功能不全，3人患有混合性疾病。4 名患者采用了 Ross-Konno 手术。平均心肺旁路时间为（184.68±60.1）分钟，平均交叉时间为（149±67.8）分钟。一名新生儿患者由于心输出量低而在术后早期死亡。平均随访时间为（60.15±24.45）个月。一名患者后来因导管狭窄而接受了再次手术。一名患者因导管中度狭窄而接受监测。目前，在接受手术的患者中，一人有中度主动脉瓣反流，两人有轻度或中度主动脉瓣反流，其他人有轻微主动脉瓣反流。没有患者因左心室流出道梗阻而需要介入治疗，长期观察也未发现死亡率：结论：在早期和中期随访中，自体移植和导管相关病例的再介入率较低，未发现明显的自体移植不足。Ross或Ross-Konno手术因其低死亡率和令人满意的长期效果而成为治疗儿童主动脉疾病的首选。
{"title":"The early and medium-term results of the Ross procedure in pediatric patients.","authors":"Shiraslan Bakhshaliyev, Ergin Arslanoğlu, Bahruz Aliyev, Görkem Çitoğlu, Kaan Altunyuva, Ibrahim Demir, Mohammed Skaik, Dogan Yetut, Murat Başaran, Emin Tireli","doi":"10.1016/j.repc.2024.05.009","DOIUrl":"https://doi.org/10.1016/j.repc.2024.05.009","url":null,"abstract":"<p><strong>Introduction and objectives: </strong>The Ross method is the preferred surgical treatment for pediatric aortic valve diseases, and its long-term outcomes have been extensively documented. This article presents the results of the Ross and Ross-Konno procedures performed on pediatric patients in our center.</p><p><strong>Methods: </strong>Ross and Ross-Konno procedures were performed on 20 patients in our center between January 2015 and January 2019.</p><p><strong>Results: </strong>The patients' mean age was 10.6 years (range: 23 days to 18 years) and mean weight was 37.6 kg (range: 3-63 kg). 13 had aortic valve stenosis, four had aortic valve insufficiency, and three had a mixed disease. The Ross-Konno procedure was used for four patients. The mean cardiopulmonary bypass time was 184.68±60.1 min and the mean cross time was 149±67.8 min. One neonatal patient died in the early postoperative phase due to low cardiac output. The mean follow-up time was 60.15 ± 24.45 months. One patient later underwent reoperation due to conduit stenosis. One patient is being monitored for moderately serious conduit stenosis. At present, of those who underwent the procedure, one has moderate aortic regurgitation, two have mild or moderate aortic regurgitation, and others have minimal aortic regurgitation. No patients required intervention for left ventricular outflow tract obstruction and mortality was not observed in the long term.</p><p><strong>Conclusion(s): </strong>The reintervention rates for autograft and conduit-related cases were low in early and medium-term follow-up, and no significant autograft insufficiency was observed. Ross or Ross-Konno surgery is preferred for aortic diseases in pediatric patients due to its low mortality and satisfactory long-term results.</p>","PeriodicalId":48985,"journal":{"name":"Revista Portuguesa De Cardiologia","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-19DOI: 10.1016/j.repc.2024.07.008
Joana Lima Lopes, Sérgio Bravo Baptista, Ana Rita Ferreira, Pedro Magno, João Bicho Augusto
{"title":"Multiple giant coronary aneurysms: A rare form of coronary artery disease.","authors":"Joana Lima Lopes, Sérgio Bravo Baptista, Ana Rita Ferreira, Pedro Magno, João Bicho Augusto","doi":"10.1016/j.repc.2024.07.008","DOIUrl":"https://doi.org/10.1016/j.repc.2024.07.008","url":null,"abstract":"","PeriodicalId":48985,"journal":{"name":"Revista Portuguesa De Cardiologia","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-19DOI: 10.1016/j.repc.2024.07.009
Joana Lima Lopes, Luís Brízida, João Bicho Augusto
{"title":"Superdominant circumflex as culprit of inferior myocardial infarction.","authors":"Joana Lima Lopes, Luís Brízida, João Bicho Augusto","doi":"10.1016/j.repc.2024.07.009","DOIUrl":"https://doi.org/10.1016/j.repc.2024.07.009","url":null,"abstract":"","PeriodicalId":48985,"journal":{"name":"Revista Portuguesa De Cardiologia","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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