{"title":"Percutaneous closure of patent ductus arteriosus: A standard procedure with new perspectives","authors":"Fátima F. Pinto","doi":"10.1016/j.repce.2021.07.027","DOIUrl":"10.1016/j.repce.2021.07.027","url":null,"abstract":"","PeriodicalId":101121,"journal":{"name":"Revista Portuguesa de Cardiologia (English Edition)","volume":"40 8","pages":"Pages 569-571"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.repce.2021.07.027","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39311721","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}
Erkut Öztürk , İbrahim Cansaran Tanıdır , Hacer Kamalı , Pelin Ayyıldız , Cagdas Topel , İsmihan Selen Onan , Aysel Türkvatan , Sertaç Haydin , Alper Güzeltaş
{"title":"Comparison of echocardiography and 320-row multidetector computed tomography for the diagnosis of congenital heart disease in children","authors":"Erkut Öztürk , İbrahim Cansaran Tanıdır , Hacer Kamalı , Pelin Ayyıldız , Cagdas Topel , İsmihan Selen Onan , Aysel Türkvatan , Sertaç Haydin , Alper Güzeltaş","doi":"10.1016/j.repce.2020.12.017","DOIUrl":"10.1016/j.repce.2020.12.017","url":null,"abstract":"<div><h3>Introduction</h3><p>Echocardiography (echo) is the primary non-invasive imaging modality for the assessment of congenital heart disease (CHD). Computed tomography angiography (CTA) also has potential to examine the anatomy of complex heart anomalies as well as extracardiac involvement.</p></div><div><h3>Objectives</h3><p>The aim of this study is to determine the impact of new CTA technology in the diagnosis of CHD and to compare echo and CTA in terms of diagnostic accuracy.</p></div><div><h3>Methods</h3><p>Forty-five patients who underwent preoperative echo and CTA assessment in the intensive care unit were included in this study. The results were assessed for three main types of CHD (cardiac malformations, cardiac-major vessel connections and major vessels). The main groups were also divided into subgroups according to surgical features in order to assess them more objectively. Imaging methods were compared for diagnostic accuracy, sensitivity and specificity, while surgical findings were accepted as the gold standard.</p></div><div><h3>Results</h3><p>Patients’ median age and weight were two months (three days-eight years) and 12 kg (2.5-60 kg), respectively. In 45 operated cases, 205 subgroup malformations were assessed. Diagnostic accuracy was significantly greater in echo (echo vs. CTA: 98.4% and 96.2% [chi-square=6.4, p=0.011]). During surgery, 84 cardiac malformations (echo vs. CTA: 97.4% and 95.1% [chi-square=4.9, p=0.03]), 47 cardiac-major vessel connections (echo vs. CTA: 98.3% and 95.4% [chi-square=7.5, p=0.03]), and 74 major vessel malformations (echo vs. CTA: 96% and 98% [chi-square=1.8, p=0.48]) were confirmed.</p></div><div><h3>Conclusion</h3><p>Echocardiography and CTA are imaging methods with high diagnostic accuracy in children with CHD. The use of echocardiography together with CTA, especially for the visualization of extracardiac anatomy, provides additional information for clinicians.</p></div>","PeriodicalId":101121,"journal":{"name":"Revista Portuguesa de Cardiologia (English Edition)","volume":"40 8","pages":"Pages 583-590"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.repce.2020.12.017","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39311728","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":"Arrhythmias in COVID-19. Do they influence outcomes in hospitalized patients?","authors":"Mário Oliveira","doi":"10.1016/j.repce.2021.07.028","DOIUrl":"10.1016/j.repce.2021.07.028","url":null,"abstract":"","PeriodicalId":101121,"journal":{"name":"Revista Portuguesa de Cardiologia (English Edition)","volume":"40 8","pages":"Pages 581-582"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.repce.2021.07.028","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39311724","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":"New-generation multidetector computed tomography technology for the management of congenital heart disease in children: Now we can!","authors":"Marta António","doi":"10.1016/j.repce.2021.07.029","DOIUrl":"10.1016/j.repce.2021.07.029","url":null,"abstract":"","PeriodicalId":101121,"journal":{"name":"Revista Portuguesa de Cardiologia (English Edition)","volume":"40 8","pages":"Pages 591-593"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.repce.2021.07.029","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39311726","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}
Jorge Ferreira , Natália António , Nuno Cortez-Dias , Luciana Ricca Gonçalves , João Sargento-Freitas , Pedro von Hafe , Victor Gil
{"title":"Optimizing prognosis in atrial fibrillation: A call to action in Portugal","authors":"Jorge Ferreira , Natália António , Nuno Cortez-Dias , Luciana Ricca Gonçalves , João Sargento-Freitas , Pedro von Hafe , Victor Gil","doi":"10.1016/j.repce.2020.07.022","DOIUrl":"10.1016/j.repce.2020.07.022","url":null,"abstract":"<div><p>Atrial fibrillation (AF), the most common arrhythmia in the adult population worldwide, represents a significant burden in terms of cardiovascular mortality and morbidity and has repercussions on health economics. Oral anticoagulation (OAC) is key to stroke prevention in AF and, in recent years, results from landmark clinical trials of non-vitamin K oral anticoagulants (NOAC) have triggered a paradigm shift in thrombocardiology. Despite these advances, there is still a significant residual vascular risk associated with silent AF, bleeding, premature sudden death and heart failure.</p><p>The authors review AF epidemiologic data, the importance of new tools for early AF detection, the current role of catheter ablation for rhythm control in AF, the state-of-the-art in periprocedural OAC, the optimal management of major bleeding, the causes of residual premature death and future strategies for improvements in AF prognosis.</p></div>","PeriodicalId":101121,"journal":{"name":"Revista Portuguesa de Cardiologia (English Edition)","volume":"40 8","pages":"Pages 595-605"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.repce.2020.07.022","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39311730","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":"Isn’t it IRONic? In the era of complex cardiac procedures, the deficiency of a simple tiny cation makes a difference in acute coronary syndromes","authors":"Marisa Peres","doi":"10.1016/j.repce.2021.07.024","DOIUrl":"10.1016/j.repce.2021.07.024","url":null,"abstract":"","PeriodicalId":101121,"journal":{"name":"Revista Portuguesa de Cardiologia (English Edition)","volume":"40 8","pages":"Pages 537-538"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.repce.2021.07.024","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39322990","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":"Cadmium and cardiovascular disease: An overview of pathophysiology, epidemiology, therapy, and predictive value","authors":"Hung-Chen Lin , Wei-Ming Hao , Pao-Hsien Chu","doi":"10.1016/j.repce.2021.07.031","DOIUrl":"10.1016/j.repce.2021.07.031","url":null,"abstract":"<div><p>Cadmium is a widely distributed toxic heavy metal that has been associated with many diseases including chronic renal dysfunction, osteomalacia, acute heart failure, secondary hypertension, and atherosclerosis. Although several studies have suggested that cadmium may affect multiple systems by inducing lipid per oxidation in cells and disturbing the antioxidant system, the mechanism by which cadmium affects the cardiovascular system remains unclear. Recent studies on heart failure and acute myocardial infarction have shown that cadmium has good predictive ability for mortality in patients with cardiovascular disease. In this study, we briefly review the role of cadmium in cardiovascular disease, which may prompt further studies to investigate the potential association between cadmium and mortality in patients with cardiovascular disease.</p></div>","PeriodicalId":101121,"journal":{"name":"Revista Portuguesa de Cardiologia (English Edition)","volume":"40 8","pages":"Pages 611-617"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.repce.2021.07.031","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39311162","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":"Atrial fibrillation - How to improve prognosis and quality of life in 2021: Early ablation to stop atrial fibrillation and oral anticoagulation to avoid cardioembolic events","authors":"Pedro Adragão","doi":"10.1016/j.repce.2021.07.030","DOIUrl":"10.1016/j.repce.2021.07.030","url":null,"abstract":"","PeriodicalId":101121,"journal":{"name":"Revista Portuguesa de Cardiologia (English Edition)","volume":"40 8","pages":"Pages 607-609"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.repce.2021.07.030","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39311727","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}