Revista Portuguesa de Cardiologia (English Edition)最新文献_第2页

Acute coronay syndrome in a patient with severe hemophilia A: Dificult decisions 严重血友病a患者的急性冠状综合征:艰难的决定

Revista Portuguesa de Cardiologia (English Edition) Pub Date : 2021-12-01 DOI: 10.1016/j.repce.2021.10.002

Inês Aguiar-Ricardo , João Agostinho , Artur Pereira , Fátima Rodrigues , Dulce Brito , Fausto J. Pinto , Cristina Catarino , Mónica Mendes Pedro

{"title":"Acute coronay syndrome in a patient with severe hemophilia A: Dificult decisions","authors":"Inês Aguiar-Ricardo , João Agostinho , Artur Pereira , Fátima Rodrigues , Dulce Brito , Fausto J. Pinto , Cristina Catarino , Mónica Mendes Pedro","doi":"10.1016/j.repce.2021.10.002","DOIUrl":"10.1016/j.repce.2021.10.002","url":null,"abstract":"<div><p>Hemophilia A is an inherited coagulation disease characterized by factor VIII (FVIII) deficiency and is associated with high hemorrhagic risk, especially in its severe forms. As the average life expectancy of patients with hemophilia has increased, so has the prevalence of acute coronary events. There is however limited experience in dealing with them. The strategy of acting on acute coronary events in patients with hemophilia, as demonstrated in the present case, is a real challenge, not only due to the need for antiplatelet therapy (which is essential in the prevention of stent thrombosis, but increases hemorrhagic risk), but also due to the lack of specific recommendations related to the most adequate and safe replacement therapy in these situations. The authors describe the case of a 48-year-old man with unstable angina and a previous diagnosis of severe hemophilia A who underwent percutaneous coronary intervention under FVIII therapy without hemorrhagic complications.</p></div>","PeriodicalId":101121,"journal":{"name":"Revista Portuguesa de Cardiologia (English Edition)","volume":"40 12","pages":"Pages 985.e1-985.e5"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2174204921002841/pdfft?md5=272f9f9c10aa11a3d2bcd2d52c6a3a66&pid=1-s2.0-S2174204921002841-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39825541","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}

引用次数: 1

Fistulous coronary artery aneurysms: Further insights into mechanistic and clinical implications 冠状动脉瘘:进一步了解机制和临床意义

Revista Portuguesa de Cardiologia (English Edition) Pub Date : 2021-12-01 DOI: 10.1016/j.repce.2021.11.019

Kenan Yalta , Cihan Ozturk , Tulin Yalta , Ertan Yetkın

引用次数: 0

Giant right coronary artery aneurysm and fistula into the coronary sinus 巨大的右冠状动脉动脉瘤和冠状窦瘘管

Revista Portuguesa de Cardiologia (English Edition) Pub Date : 2021-12-01 DOI: 10.1016/j.repce.2021.11.020

Andre Briosa e Gala, Michael Pope, Milena Leo, Andrew D. Kelion, Yaver Bashir

引用次数: 0

2020 Top 10 Original Articles in the Arquivos Brasileiros de Cardiologia and the Revista Portuguesa de Cardiologia 《巴西心脏病学档案》和《葡萄牙心脏病学杂志》2020年十大原创文章

Revista Portuguesa de Cardiologia (English Edition) Pub Date : 2021-12-01 DOI: 10.1016/j.repce.2021.07.003

Ricardo Fontes-Carvalho , Gláucia Maria Moraes de Oliveira , Nuno Cardim , Carlos Eduardo Rochitte

引用次数: 3

Cardiac rehabilitation and improvement of chronotropic incompetence: Is it the exercise or just the beta blockers? 心脏康复和改善变时功能不全:是运动还是仅仅是受体阻滞剂?

Revista Portuguesa de Cardiologia (English Edition) Pub Date : 2021-12-01 DOI: 10.1016/j.repce.2021.11.013

Tiago Pimenta, J. Afonso Rocha

{"title":"Cardiac rehabilitation and improvement of chronotropic incompetence: Is it the exercise or just the beta blockers?","authors":"Tiago Pimenta, 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}

引用次数: 0

Facemasks during aerobic exercise: Implications for cardiac rehabilitation programs during the Covid-19 pandemic 有氧运动期间戴口罩:对Covid-19大流行期间心脏康复计划的影响

Revista Portuguesa de Cardiologia (English Edition) Pub Date : 2021-12-01 DOI: 10.1016/j.repce.2021.11.014

Tiago Pimenta, Helena Tavares, João Ramos, Mafalda Oliveira, David Reis, Hugo Amorim, Afonso Rocha

{"title":"Facemasks during aerobic exercise: Implications for cardiac rehabilitation programs during the Covid-19 pandemic","authors":"Tiago Pimenta, Helena Tavares, João Ramos, Mafalda Oliveira, David Reis, Hugo Amorim, 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}

引用次数: 4

Sinus Node Syndrome in a critical COVID-19 patient COVID-19危重患者窦房结综合征1例

Revista Portuguesa de Cardiologia (English Edition) Pub Date : 2021-12-01 DOI: 10.1016/j.repce.2021.11.018

Juliana Elices-Teja , Álvaro Bueno-Sacristán , Olga Durán-Bobin , Ana María Ferreiro-González , Carlos Gonzalez-Juanatey

引用次数: 0

Diagnosis of Takotsubo syndrome in the COVID-19 era 新冠肺炎时代Takotsubo综合征的诊断

Revista Portuguesa de Cardiologia (English Edition) Pub Date : 2021-11-01 DOI: 10.1016/j.repce.2021.10.027

Kristian Rivera, Diego Fernández-Rodríguez, Marta Zielonka, Juan Casanova-Sandoval

引用次数: 2

Protein-losing enteropathy managed with percutaneous enlargement of a restrictive atrial septal defect 限制性房间隔缺损经皮扩大治疗的蛋白质丢失性肠病

Revista Portuguesa de Cardiologia (English Edition) Pub Date : 2021-11-01 DOI: 10.1016/j.repce.2021.11.005

Milan Djukic , Stefan A. Djordjevic , Andrija S. Pavlovic , Igor Stefanovic , Mirko Topalovic , Ingo Dähnert

引用次数: 0

Impella support – Over- or underused? Impella支持-过度还是未充分利用?

Revista Portuguesa de Cardiologia (English Edition) Pub Date : 2021-11-01 DOI: 10.1016/j.repce.2021.10.022

Holger Thiele

引用次数: 0