Revista Portuguesa de Cardiologia (English Edition)最新文献

{"title":"Suboptimal control of cardiovascular risk factors in myocardial infarction survivors in a cardiac rehabilitation program","authors":"Vasco Silva ,&nbsp;Eduardo Matos Vilela ,&nbsp;Lilibeth Campos ,&nbsp;Fátima Miranda ,&nbsp;Susana Torres ,&nbsp;Ana João ,&nbsp;Madalena Teixeira ,&nbsp;Pedro Braga ,&nbsp;Ricardo Fontes-Carvalho","doi":"10.1016/j.repce.2021.11.007","DOIUrl":"10.1016/j.repce.2021.11.007","url":null,"abstract":"<div><h3>Introduction and objectives</h3><p>As short-term mortality continues to decrease after myocardial infarction (MI), secondary prevention strategies attain increasing relevance. This study aimed at assessing the control of cardiovascular (CV) risk factors, including dyslipidemia, hypertension and diabetes, in a contemporary cohort of MI survivors who completed an exercise-based cardiac rehabilitation (EBCR) program.</p></div><div><h3>Methods</h3><p>Observational, retrospective cohort study including patients admitted to a tertiary center with acute MI between November 2012 and April 2017, who completed a phase II EBCR program after discharge. Achievement of low-density lipoprotein (LD) cholesterol, blood pressure and HbA1c guideline recommended targets was assessed. Lipid profile parameters were assessed and compared at three time points (hospitalization, beginning and end of the program).</p></div><div><h3>Results</h3><p>A total of 379 patients were included. Mean age was 58.8±10.6 years; 81% were male. Considering the European Society of Cardiology's guidelines on contemporary data collection, 61%, 87% and 71% achieved the recommended LDL cholesterol, blood pressure and HbA1c targets, respectively, at the end of the program. Combining all three risk factors, 42% achieved the recommended targets. High-sensitivity C-reactive protein decreased between the beginning and the end of the program [0.14 (0.08-0.29) mg/L to 0.12 (0.06-0.26) mg/L; p&lt;0.001].</p></div><div><h3>Conclusion</h3><p>Despite contemporary management strategies, including enrollment in a structured EBCR program, a substantial number of patients presented suboptimal control of CV risk factors. Considering the dyslipidemia, hypertension and diabetes results, less than half of the enrolled individuals achieved the recommended targets. These findings highlight a pivotal unmet need which could be particularly relevant in improving CV outcomes by enhancing secondary prevention profiles.</p></div>","PeriodicalId":101121,"journal":{"name":"Revista Portuguesa de Cardiologia (English Edition)","volume":"40 12","pages":"Pages 911-920"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2174204921003603/pdfft?md5=9427f8be40386099aa6d3f5f386a4b00&pid=1-s2.0-S2174204921003603-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9207876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"2020 Top 10 Original Articles in the Arquivos Brasileiros de Cardiologia and the Revista Portuguesa de Cardiologia","authors":"Ricardo Fontes-Carvalho ,&nbsp;Gláucia Maria Moraes de Oliveira ,&nbsp;Nuno Cardim ,&nbsp;Carlos Eduardo Rochitte","doi":"10.1016/j.repce.2021.07.003","DOIUrl":"10.1016/j.repce.2021.07.003","url":null,"abstract":"","PeriodicalId":101121,"journal":{"name":"Revista Portuguesa de Cardiologia (English Edition)","volume":"40 12","pages":"Pages 903-910"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2174204921001574/pdfft?md5=527262f1514528e17313bd14dd6aefd8&pid=1-s2.0-S2174204921001574-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39737376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fistulous coronary artery aneurysms: Further insights into mechanistic and clinical implications","authors":"Kenan Yalta ,&nbsp;Cihan Ozturk ,&nbsp;Tulin Yalta ,&nbsp;Ertan Yetkın","doi":"10.1016/j.repce.2021.11.019","DOIUrl":"10.1016/j.repce.2021.11.019","url":null,"abstract":"","PeriodicalId":101121,"journal":{"name":"Revista Portuguesa de Cardiologia (English Edition)","volume":"40 12","pages":"Pages 989-990"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S217420492100372X/pdfft?md5=c75bda5f9269a3384eca794cc66bf1f6&pid=1-s2.0-S217420492100372X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39825543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Giant right coronary artery aneurysm and fistula into the coronary sinus","authors":"Andre Briosa e Gala,&nbsp;Michael Pope,&nbsp;Milena Leo,&nbsp;Andrew D. Kelion,&nbsp;Yaver Bashir","doi":"10.1016/j.repce.2021.11.020","DOIUrl":"10.1016/j.repce.2021.11.020","url":null,"abstract":"","PeriodicalId":101121,"journal":{"name":"Revista Portuguesa de Cardiologia (English Edition)","volume":"40 12","pages":"Page 991"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2174204921003731/pdfft?md5=5b26744071ceecc95fe21f9b6d101d4f&pid=1-s2.0-S2174204921003731-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39825544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cardiac rehabilitation and improvement of chronotropic incompetence: Is it the exercise or just the beta blockers?","authors":"Tiago Pimenta,&nbsp;J. Afonso Rocha","doi":"10.1016/j.repce.2021.11.013","DOIUrl":"10.1016/j.repce.2021.11.013","url":null,"abstract":"<div><h3>Introduction</h3><p>Clinical use of chronotropic response has been limited due to lack of consensus on the appropriate formula for chronotropic index (Ci) calculation and the definition of chronotropic incompetence.</p></div><div><h3>Objectives</h3><p>To assess the effects of cardiac rehabilitation programs (CRP) on Ci, irrespective of betablockers (BB) use and dosage. Assess the relative contribution of change in Ci on improvement in functional capacity.</p></div><div><h3>Methods</h3><p>Retrospective analysis of a sample of patients admitted to a CRP after acute coronary syndrome, with at least 12 months of follow-up. Ci was calculated using the conventional (CCi) and the Brawner formula (BCi) for age-predicted maximum heart rate. Ci and functional capacity were estimated at three time points: T1 and T2, before and at the end of the CRP, and T3, at 12 months. The sample was categorized according to BB dosage modification between T1 and T3: G1 – reduced; G2 – no change; G3 – increased.</p></div><div><h3>Results</h3><p>In G1, CCi increased from 63.5% in T1 to 77.9% in T3; in G2, from 67.3% to 77.9%; in G3, from 71.2% to 75.4%. In G1, BCi increased from 110.4% to 140.0%; in G2, from 122.8% to 140.1%; in G3, from 133.3% to 139.2%. An average increase in 1.0% in CCi was associated with an average increase in functional capacity of 0.37 METS.</p></div><div><h3>Conclusions</h3><p>Chronotropic index significantly improves with CRP, irrespective of BB dose changes. CCi is more closely related with improvement in functional capacity than BCi. Improvement of Ci is an important predictor of functional capacity and prognosis in cardiovascular disease patients.</p></div>","PeriodicalId":101121,"journal":{"name":"Revista Portuguesa de Cardiologia (English Edition)","volume":"40 12","pages":"Pages 947-953"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2174204921003664/pdfft?md5=2530a98c39013eb4da284c5bff11e983&pid=1-s2.0-S2174204921003664-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39737382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Facemasks during aerobic exercise: Implications for cardiac rehabilitation programs during the Covid-19 pandemic","authors":"Tiago Pimenta,&nbsp;Helena Tavares,&nbsp;João Ramos,&nbsp;Mafalda Oliveira,&nbsp;David Reis,&nbsp;Hugo Amorim,&nbsp;Afonso Rocha","doi":"10.1016/j.repce.2021.11.014","DOIUrl":"10.1016/j.repce.2021.11.014","url":null,"abstract":"<div><h3>Introduction and objectives</h3><p>During the COVID-19 pandemic, among the safety measures adopted, use of facemasks during exercise training sessions in cardiac rehabilitation programs raised concerns regarding possible detrimental effects on exercise capacity. Our study examined the cardiorespiratory impact of wearing two types of the most common facemasks during treadmill aerobic training.</p></div><div><h3>Methods</h3><p>Twelve healthy health professionals completed three trials of a symptom-limited Bruce treadmill protocol: Without a mask, with a surgical mask and with a respirator. Perceived exertion and dyspnea were evaluated with the Borg Scale of Perceived Exertion and the Borg Dyspnea Scale, respectively. Blood pressure, heart rate and arterial oxygen saturation (SpO2) were measured at each 3-minute stage.</p></div><div><h3>Results</h3><p>Using a surgical mask or a respirator resulted in a shorter duration of exercise testing. At peak capacity, using a respirator resulted in higher levels of dyspnea and perceived exertion compared to not wearing a facemask. A significant drop in SpO2 was present at the end of exercise testing only when using a respirator. There were no differences in either chronotropic or blood pressure responses between testing conditions.</p></div><div><h3>Conclusions</h3><p>Professionals involved in cardiac rehabilitation should be aware of the cardiorespiratory impact of facemasks. Future studies should assess whether exposure to these conditions may impact on the overall results of contemporary cardiac rehabilitation programs.</p></div>","PeriodicalId":101121,"journal":{"name":"Revista Portuguesa de Cardiologia (English Edition)","volume":"40 12","pages":"Pages 957-964"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8673478/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39737384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sinus Node Syndrome in a critical COVID-19 patient","authors":"Juliana Elices-Teja ,&nbsp;Álvaro Bueno-Sacristán ,&nbsp;Olga Durán-Bobin ,&nbsp;Ana María Ferreiro-González ,&nbsp;Carlos Gonzalez-Juanatey","doi":"10.1016/j.repce.2021.11.018","DOIUrl":"10.1016/j.repce.2021.11.018","url":null,"abstract":"","PeriodicalId":101121,"journal":{"name":"Revista Portuguesa de Cardiologia (English Edition)","volume":"40 12","pages":"Pages 987-988"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8673485/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39825542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Protein-losing enteropathy managed with percutaneous enlargement of a restrictive atrial septal defect","authors":"Milan Djukic ,&nbsp;Stefan A. Djordjevic ,&nbsp;Andrija S. Pavlovic ,&nbsp;Igor Stefanovic ,&nbsp;Mirko Topalovic ,&nbsp;Ingo Dähnert","doi":"10.1016/j.repce.2021.11.005","DOIUrl":"10.1016/j.repce.2021.11.005","url":null,"abstract":"<div><p>Protein-losing enteropathy is one of the most feared complications of the Fontan circulation. The diagnosis of protein-losing enteropathy in this setting should prompt a thorough investigation for the presence of a treatable hemodynamic impairment. In this report, we describe a complete reversal of protein-losing enteropathy following percutaneous enlargement of a restrictive atrial septal defect in a patient with a fenestrated lateral tunnel Fontan and severe mitral stenosis.</p></div>","PeriodicalId":101121,"journal":{"name":"Revista Portuguesa de Cardiologia (English Edition)","volume":"40 11","pages":"Pages 895.e1-895.e4"},"PeriodicalIF":0.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2174204921003573/pdfft?md5=276c5cdd0f931ed9a2323b60bf149598&pid=1-s2.0-S2174204921003573-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39939165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diagnosis of Takotsubo syndrome in the COVID-19 era","authors":"Kristian Rivera,&nbsp;Diego Fernández-Rodríguez,&nbsp;Marta Zielonka,&nbsp;Juan Casanova-Sandoval","doi":"10.1016/j.repce.2021.10.027","DOIUrl":"10.1016/j.repce.2021.10.027","url":null,"abstract":"","PeriodicalId":101121,"journal":{"name":"Revista Portuguesa de Cardiologia (English Edition)","volume":"40 11","pages":"Pages 899-901"},"PeriodicalIF":0.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8628165/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10331923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impella support – Over- or underused?","authors":"Holger Thiele","doi":"10.1016/j.repce.2021.10.022","DOIUrl":"10.1016/j.repce.2021.10.022","url":null,"abstract":"","PeriodicalId":101121,"journal":{"name":"Revista Portuguesa de Cardiologia (English Edition)","volume":"40 11","pages":"Pages 863-864"},"PeriodicalIF":0.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2174204921003275/pdfft?md5=db0456efe421b351956a8cadf1735303&pid=1-s2.0-S2174204921003275-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39687211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}