{"title":"HowBP Study: a cross-sectional study evaluating How Blood Pressure is usually measured.","authors":"Daniel Caldeira, Beatriz Garcia, Fausto J Pinto","doi":"10.1016/j.repc.2025.05.006","DOIUrl":"https://doi.org/10.1016/j.repc.2025.05.006","url":null,"abstract":"","PeriodicalId":48985,"journal":{"name":"Revista Portuguesa De Cardiologia","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144765671","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}
Sérgio Bravo Baptista, Gustavo Pires de Morais, Luís Almeida Morais, João Costa, Hugo Vinhas, Gustavo Campos, Pedro Carrilho Ferreira, Nélson Vale, Filipe Seixo, Miguel Santos, Cristina Martins, Diogo Rodrigues Brás, André Alexandre, Luís Raposo
{"title":"Anti-thrombotic and glucose lowering therapy in diabetic patients with coronary artery disease undergoing PCI with stent implantation: A prospective multicenter observational study on prescription patterns and clinical outcomes.","authors":"Sérgio Bravo Baptista, Gustavo Pires de Morais, Luís Almeida Morais, João Costa, Hugo Vinhas, Gustavo Campos, Pedro Carrilho Ferreira, Nélson Vale, Filipe Seixo, Miguel Santos, Cristina Martins, Diogo Rodrigues Brás, André Alexandre, Luís Raposo","doi":"10.1016/j.repc.2025.03.006","DOIUrl":"https://doi.org/10.1016/j.repc.2025.03.006","url":null,"abstract":"<p><strong>Introduction and objectives: </strong>Diabetes is a major determinant of ischemic events after percutaneous coronary intervention (PCI). In a nationwide prospective registry, antiplatelet and glucose-lowering treatment regimens, and two-year clinical outcomes were studied in unselected patients with type 2 diabetes undergoing coronary stent implantation. The current analysis describes the population's baseline characteristics and the prescription patterns of anti-thrombotic and glucose-lowering drugs.</p><p><strong>Methods: </strong>Between January and November 2021, 1000 patients were enrolled in 12 Portuguese hospitals. In addition to clinical and procedural-related variables, thrombotic (DAPT score) and bleeding risks (PRECISE DAPT) were estimated, and medication (including planned duration of dual antiplatelet therapy) were recorded.</p><p><strong>Results: </strong>Inclusion rate was relatively high (68.6%) among all eligible patients during the study period (mean age 68±10 years-old, and 70% of male gender). The indication for PCI was an acute coronary syndrome in 58% of cases and 63% had 2-3 vessel coronary artery disease (SYNTAX score 15.6±10.7; mean stent length and diameter 26.3±14.8 and 3.0±1.2 mm, respectively). In patients not on oral anticoagulation, only 49.8% of received potent P2Y12 inhibitors; recommendation for shorter DAPT regimens (<6 months,) was 26.5% and did not differ according to low vs. high bleeding risk (24.6% vs. 29.7%; p<0.125). In those also under anticoagulation 62.6% received a recommendation for <30-day regimens, or no DAPT at all (13.6%). Prolonged DAPT (>12 months) was planned at baseline in 0.7% of the whole cohort and 1.2% of ACS patients. PCI complexity (but not CAD extent) was associated with DAPT duration. Self-reported duration of diabetes was >6-years in 57% (HbA1c 7.6±1.7%) and 12% had known microangiopathy at inclusion. SGLT2 inhibitors (28%) and GLP-1 analogues (3%) were used seldomly at admission.</p><p><strong>Conclusions: </strong>Standard six-to-12-month antiplatelet regimens were the most widely used, largely with acetylsalicylic acid and clopidogrel. DAPT duration was mostly related to PCI complexity and oral-anticoagulation. Metabolic control was off-target and guideline-directed treatment for diabetes was underused at admission (clinicaltrials.gov NCT04481997).</p>","PeriodicalId":48985,"journal":{"name":"Revista Portuguesa De Cardiologia","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144754923","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":"ECG for Cardiac Resynchronization Therapy: a great past, what future?","authors":"Serge Cazeau","doi":"10.1016/j.repc.2025.07.003","DOIUrl":"https://doi.org/10.1016/j.repc.2025.07.003","url":null,"abstract":"","PeriodicalId":48985,"journal":{"name":"Revista Portuguesa De Cardiologia","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144734533","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}
F Homem, M Alves, M Oliveira-Santos, L Rodrigues, C Fernandes
{"title":"Unlocking the potential of digital health in portuguese cardiovascular disease management.","authors":"F Homem, M Alves, M Oliveira-Santos, L Rodrigues, C Fernandes","doi":"10.1016/j.repc.2025.01.012","DOIUrl":"https://doi.org/10.1016/j.repc.2025.01.012","url":null,"abstract":"","PeriodicalId":48985,"journal":{"name":"Revista Portuguesa De Cardiologia","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144718892","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":"Cardiac rehabilitation in women with heart failure.","authors":"Miguel Mendes","doi":"10.1016/j.repc.2025.07.002","DOIUrl":"https://doi.org/10.1016/j.repc.2025.07.002","url":null,"abstract":"","PeriodicalId":48985,"journal":{"name":"Revista Portuguesa De Cardiologia","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144718889","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}
Paulo Dias Costa, João Pedro Bessa, Mariana Canelas Pais, Daniela Ferreira-Santos, Sá Fernando Montenegro, Matilde Monteiro-Soares, António Hipólito-Reis, Mário Martins Oliveira, Pedro Pereira Rodrigues
{"title":"Predição da resposta à terapêutica de ressincronização cardíaca utilizando critérios eletrocardiográficos: revisão sistemática.","authors":"Paulo Dias Costa, João Pedro Bessa, Mariana Canelas Pais, Daniela Ferreira-Santos, Sá Fernando Montenegro, Matilde Monteiro-Soares, António Hipólito-Reis, Mário Martins Oliveira, Pedro Pereira Rodrigues","doi":"10.1016/j.repc.2025.02.011","DOIUrl":"https://doi.org/10.1016/j.repc.2025.02.011","url":null,"abstract":"<p><strong>Background: </strong>Cardiac resynchronization therapy (CRT) is an established therapeutic option for heart failure, but despite careful selection around 30% of the patients still do not respond to this therapy. The standard electrocardiogram (ECG) is a practical and inexpensive tool to assess potential responders to CRT but with conflicting evidence regarding the value of different ECG parameters. As such, we conducted a systematic review of real-world studies to assess the value of pre-implantation standard ECG parameters in predicting response to CRT.</p><p><strong>Methods: </strong>We searched on PubMed, Scopus, and Web of Knowledge online databases to identify analytic studies and synthesized results through evidence tables.</p><p><strong>Results: </strong>62 eligible articles were included in this review. Traditional predictors of response were QRS duration ≥ 150ms and the presence of left bundle branch block (LBBB) morphology. Contemporary ECG parameters, such as the presence of QRS notching or fragmentation, the S wave assessment, the time to intrinsicoid deflection (ID) in lateral leads, and a lead one ratio (LOR) ≥ 12 also showed great potential in assessing response to CRT.</p><p><strong>Conclusions: </strong>This review highlights the promising capability of the standard ECG in predicting response to CRT, particularly when using more contemporary predictors, while emphasizing the necessity for further research to validate the prognostic value of these predictors.</p>","PeriodicalId":48985,"journal":{"name":"Revista Portuguesa De Cardiologia","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144718891","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}
Rui Pedro Albuquerque, Hélder Dores, Gonçalo Cunha, Miguel Mendes, Manuel Gonçalves-Pereira
{"title":"Enrollment and adherence in cardiac rehabilitation: Are we neglecting the aging brain?","authors":"Rui Pedro Albuquerque, Hélder Dores, Gonçalo Cunha, Miguel Mendes, Manuel Gonçalves-Pereira","doi":"10.1016/j.repc.2025.01.011","DOIUrl":"https://doi.org/10.1016/j.repc.2025.01.011","url":null,"abstract":"","PeriodicalId":48985,"journal":{"name":"Revista Portuguesa De Cardiologia","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144718890","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":"Rethinking the radiation: toward a fluoroless future in electrophysiology.","authors":"Renato Margato","doi":"10.1016/j.repc.2025.07.001","DOIUrl":"https://doi.org/10.1016/j.repc.2025.07.001","url":null,"abstract":"","PeriodicalId":48985,"journal":{"name":"Revista Portuguesa De Cardiologia","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700137","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":"Quality of Life Scores Association with other Patient Reported Outcomes: Validating Minnesota Living with Heart Failure Questionnaire to Portuguese.","authors":"Irene Marques, Sofia Viamonte, Milton Severo, António Gomes Pinto, Cândida Fonseca, Henrique Cyrne Carvalho","doi":"10.1016/j.repc.2025.03.005","DOIUrl":"https://doi.org/10.1016/j.repc.2025.03.005","url":null,"abstract":"<p><strong>Introduction and objectives: </strong>Pragmatic validated instruments are needed to assess quality of life (QoL) in the real-world care of heart failure (HF) patients. This study aimed to validate the Minnesota Living with Heart Failure Questionnaire (MLHFQ) in European Portuguese and to search for associations with other patient-reported outcomes (PROs).</p><p><strong>Methods: </strong>This is a single-center prospective study with two samples of HF patients, used for MLHFQ translation, cultural adaptation and validation. Validation sample included patients managed in a multidisciplinary HF clinic between February 29, 2016, and February 29, 2020.</p><p><strong>Results: </strong>The validation sample included 294 HF patients, with a median age of 78 years, 53.1% female sex, 45.2% with reduced left ventricle ejection fraction (LVEF) and 43.9% with preserved LVEF. The principal component analysis identified three components, representing three groups of questions from the MLHFQ, each related to one domain and subscore: physical, emotional and social. The validated version showed a reliable general factor and good internal consistency. MLHFQ total score was associated with all the other variables studied. All the scores were strongly associated with NYHA functional class. Associations were found between the physical score and both the Borg fatigue score and the six-minute walking distance. Emotional score was associated with both anxiety and depression scores from Hospital Anxiety and Depression Scale.</p><p><strong>Conclusions: </strong>This study validated the MLHFQ in Portuguese and revealed the existence of three subscores. It enables the pragmatic assessment of the QoL of Portuguese HF patients, particularly of those with preserved LVEF, and future research concerning PROs.</p>","PeriodicalId":48985,"journal":{"name":"Revista Portuguesa De Cardiologia","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144676261","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}