Revista Portuguesa De Cardiologia最新文献

{"title":"Rare images of a unileaflet mitral valve.","authors":"Nikolaos Miaris, Dimitrios-Persefs Zampelis, Konstantina Ntalekou, Maria Karakosta, Alkistis-Eleni Kalesi, Nearchos Kasinos","doi":"10.1016/j.repc.2024.04.007","DOIUrl":"https://doi.org/10.1016/j.repc.2024.04.007","url":null,"abstract":"","PeriodicalId":48985,"journal":{"name":"Revista Portuguesa De Cardiologia","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141535770","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}

{"title":"Enhancing diagnostic yield in MINOCA: The critical timing of cardiac magnetic resonance","authors":"Rita Faria","doi":"10.1016/j.repc.2024.05.007","DOIUrl":"10.1016/j.repc.2024.05.007","url":null,"abstract":"","PeriodicalId":48985,"journal":{"name":"Revista Portuguesa De Cardiologia","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0870255124001550/pdfft?md5=ba1d1ee2565de58f0e976daee4c9778f&pid=1-s2.0-S0870255124001550-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141184989","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Not your typical cardiac mass – Renal cell carcinoma invading the right atrium","authors":"Catarina Isabel Ribeiro Carvalho, Marta Catarina Ribeiro Bernardo, Joana Trigo Ribeiro, Ana Isabel Santos Baptista, José Ilídio Azevedo Moreira","doi":"10.1016/j.repc.2023.10.009","DOIUrl":"10.1016/j.repc.2023.10.009","url":null,"abstract":"","PeriodicalId":48985,"journal":{"name":"Revista Portuguesa De Cardiologia","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0870255124000076/pdfft?md5=900aa9763b3e1b938a8b2a6f145f308c&pid=1-s2.0-S0870255124000076-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139546837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Minimizing ionizing radiation exposure in interventional cardiology: Still a long way to go","authors":"Daniel A. Gomes, Sérgio Madeira, Henrique Mesquita Gabriel","doi":"10.1016/j.repc.2024.02.002","DOIUrl":"10.1016/j.repc.2024.02.002","url":null,"abstract":"","PeriodicalId":48985,"journal":{"name":"Revista Portuguesa De Cardiologia","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0870255124000131/pdfft?md5=1bbb68dae646569eb7f886d886f83cd9&pid=1-s2.0-S0870255124000131-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139693272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Three-dimensional simulation for interventional cardiology procedures: Face and content validity","authors":"Carolina Sequeira ,&nbsp;Manuel Oliveira-Santos ,&nbsp;João Borges Rosa ,&nbsp;João Silva Marques ,&nbsp;Eduardo Oliveira Santos ,&nbsp;Gustavo Norte ,&nbsp;Lino Gonçalves","doi":"10.1016/j.repc.2023.11.006","DOIUrl":"10.1016/j.repc.2023.11.006","url":null,"abstract":"<div><h3>Introduction and objectives</h3><p>Three-dimensional (3D) model simulation provides the opportunity to manipulate real devices and learn intervention skills in a realistic, controlled, and safe environment. To ensure that simulators provide a realistic surrogate to real procedures they must undergo scientific validation. We aimed to evaluate the 3D-printed simulator SimulHeart® for face and content validity to demonstrate its value as a training tool in interventional cardiology (IC).</p></div><div><h3>Methods</h3><p>Health professionals were recruited from sixteen Portuguese IC units. All participants received a 30-minute theoretical introduction, 10-minute demonstration of each task and then performed the intervention on a 3D-printed simulator (SimulHeart®). Finally, a post-training questionnaire focusing on the appearance of the simulation, simulation content, and satisfaction/self-efficacy was administered.</p></div><div><h3>Results</h3><p>We included 56 participants: 16 “experts” (general and interventional cardiologists), 26 “novices” (cardiology residents), and 14 nurses and allied professionals. On a five-point Likert scale, the overall mean score of face validity was 4.38±0.35 and the overall mean score of content validity was 4.69±0.32. There was no statistically significant difference in the scores provided by “experts” and “novices”. Participants reported a high level of satisfaction/self-efficacy with 60.7% considering it strongly improved their skills. The majority (82.1%) “agreed” or “strongly agreed” that after the simulation they felt confident to perform the procedure on a patient.</p></div><div><h3>Conclusion</h3><p>The 3D-printed simulator (SimulHeart®) showed excellent face and content validity. 3D simulation may play an important role in future IC training programs. Further research is required to correlate simulator performance with clinical performance in real patients.</p></div>","PeriodicalId":48985,"journal":{"name":"Revista Portuguesa De Cardiologia","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0870255124000684/pdfft?md5=86f585780724db04e266488835ad20c7&pid=1-s2.0-S0870255124000684-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139944597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The bidirectional association between cardiovascular disease and cancer: Is there an increased risk of cancer among heart failure patients?","authors":"Júlia Cristina Toste","doi":"10.1016/j.repc.2024.05.003","DOIUrl":"10.1016/j.repc.2024.05.003","url":null,"abstract":"","PeriodicalId":48985,"journal":{"name":"Revista Portuguesa De Cardiologia","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0870255124001380/pdfft?md5=0fe5a1c720e0394788e2614d22539bbf&pid=1-s2.0-S0870255124001380-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141053378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exercise and sports revisited: Is too much exercise bad for your heart?","authors":"Pedro Rio ,&nbsp;Nuno Cardim","doi":"10.1016/j.repc.2024.05.005","DOIUrl":"10.1016/j.repc.2024.05.005","url":null,"abstract":"","PeriodicalId":48985,"journal":{"name":"Revista Portuguesa De Cardiologia","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0870255124001409/pdfft?md5=70329c392926aac1d8e6ca37ac3cca04&pid=1-s2.0-S0870255124001409-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141094216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The association between pre-existing heart failure and cancer incidence: A systematic review and meta-analysis","authors":"Carla Barbosa ,&nbsp;André Cabrita ,&nbsp;Camila Dias ,&nbsp;Elisabete Martins","doi":"10.1016/j.repc.2023.10.015","DOIUrl":"10.1016/j.repc.2023.10.015","url":null,"abstract":"<div><h3>Introduction and objectives</h3><p>Cardiovascular diseases (CVD) and cancer are some of the most recognized causes of mortality and morbidity worldwide. Cancer is the second leading cause of death in heart failure (HF) populations. Recent studies have hypothesized that HF might promote the development and progression of cancer. We aim to analyze and discuss the most recent evidence on the relationship between HF and cancer development.</p></div><div><h3>Methods</h3><p>From inception to November 2022, we searched PubMed, Web of Science and ClinicalTrials.gov for relevant articles on patients with HF and a subsequent cancer diagnosis that reported outcomes of overall and site-specific cancer incidence, or mortality.</p></div><div><h3>Results</h3><p>Of 2401 articles identified in our original search, 13 articles met our criteria. Studies reporting risk rate estimates were summarized qualitatively. Studies reporting hazard ratios (HRs), or relative risks were combined in a meta-analysis and revealed that HF was associated with an increased overall cancer incidence with a HR=1.30 (95% CI: 1.04–1.62) compared with individuals without HF. Subgroup analyses by cancer type revealed increased risk for lung cancer (HR=1.87; 95% CI: 1.28–2.73), gastrointestinal cancer (HR=1.22; 95% CI: 1.03–1.45), hematologic cancer (HR=1.60; 95% CI: 1.23–2.08) and female reproductive cancer (HR=1.67; 95% CI: 1.27–2.21). Mortality from cancer was higher in HF patients compared with non-HF subjects with a HR=2.17 (95% CI: 1.23–3.84).</p></div><div><h3>Conclusions</h3><p>Our systematic review and meta-analysis revealed that HF may result in a subsequent increase in cancer incidence as well as in cancer-related mortality. The most common cancer subtypes in HF patients were lung, female reproductive system, and hematologic cancers. Further research is needed to understand this association better and to provide the best cardiological and oncological care.</p></div>","PeriodicalId":48985,"journal":{"name":"Revista Portuguesa De Cardiologia","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0870255124000763/pdfft?md5=b71159e928e4292054700fba91d04323&pid=1-s2.0-S0870255124000763-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140794316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ionizing radiation exposure in complex percutaneous coronary intervention: Defining local diagnostic reference levels in the catheterization laboratory","authors":"Hugo Costa ,&nbsp;Miguel Espírito-Santo ,&nbsp;João Bispo ,&nbsp;João Guedes ,&nbsp;Graciano Paulo ,&nbsp;Jorge Mimoso ,&nbsp;Hugo Palmeiro ,&nbsp;Rui Baptista Gonçalves ,&nbsp;Hugo Vinhas","doi":"10.1016/j.repc.2023.10.010","DOIUrl":"10.1016/j.repc.2023.10.010","url":null,"abstract":"<div><h3>Introduction and objectives</h3><p>Concerns regarding the consequences of ionizing radiation (IR) have been increasing in the field of interventional cardiology (IC). There is little information on reported national and local radiation diagnostic reference levels (DRLs) in catheterization laboratories in Portugal. This study was designed to assess the IR dose exposure during complex percutaneous coronary intervention (PCI), and to set the respective DRLs and future achievable doses (ADs).</p></div><div><h3>Methods</h3><p>This was a retrospective cohort study which took place between 2019 and 2020, including patients who underwent complex PCI. Complex PCI was defined as all procedures that encompass treatment of chronic total occlusions (CTO) or left main coronary artery. DRLs were defined as the 75th percentile of the distribution of the median values of air kerma area product (<em>P</em>_KA) and cumulative air kerma (<em>K</em>_a,r). ADs were set at the 50th percentile of the study dose distribution. Multivariate analysis was performed using linear regression to identify predictors significantly associated with radiation dose (<em>K</em>_a,r).</p></div><div><h3>Results</h3><p>A total of 242 patients were included in the analysis. Most patients underwent a CTO procedure (146, 60.3%). Patients were aged 67.9±11.2 years and mostly male (81.4%). DRLs were set in <em>K</em>_a,r (3012 mGy) and <em>P</em>_KA (162 Gy cm²) for complex PCI. ADs were also set in <em>K</em>_a,r (1917 mGy) and <em>P</em>_KA (101 Gy cm²). Independent predictors of <em>K</em>_a,r with a positive correlation were <em>P</em>_KA (0.893, p&lt;0.001), fluoroscopy time (0.520, p&lt;0.001) and PCI time (0.521, p&lt;0.001).</p></div><div><h3>Conclusions</h3><p>This study reports the results of IR in complex PCI. DRLs were set for IR dose exposure measured in <em>K</em>_a,r (3012 mGy) and <em>P</em>_KA (162 Gy cm²). ADs, values to be achieved in future assessment, were set to <em>K</em>_a,r (1917 mGy) and <em>P</em>_KA (101 Gy cm²).</p></div>","PeriodicalId":48985,"journal":{"name":"Revista Portuguesa De Cardiologia","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0870255124000143/pdfft?md5=7a111485a806376712a0c3b62682cc2a&pid=1-s2.0-S0870255124000143-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139713218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Heart with Mozambique: A Portuguese contribution to the eradication of rheumatic heart disease","authors":"Inês Grácio de Almeida ,&nbsp;Ana Esteves ,&nbsp;Victor Gil","doi":"10.1016/j.repc.2024.01.006","DOIUrl":"10.1016/j.repc.2024.01.006","url":null,"abstract":"","PeriodicalId":48985,"journal":{"name":"Revista Portuguesa De Cardiologia","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0870255124001185/pdfft?md5=2fe378d9150aefa3028645b40975b099&pid=1-s2.0-S0870255124001185-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140904646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}