Revista Portuguesa De Cardiologia最新文献

{"title":"The long Fontan crusade.","authors":"José Fragata","doi":"10.1016/j.repc.2025.09.001","DOIUrl":"10.1016/j.repc.2025.09.001","url":null,"abstract":"","PeriodicalId":48985,"journal":{"name":"Revista Portuguesa De Cardiologia","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145006697","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":"10.1016/j.repc.2025.07.002","url":null,"abstract":"","PeriodicalId":48985,"journal":{"name":"Revista Portuguesa De Cardiologia","volume":"44 9","pages":"Pages 533-535"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","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}

{"title":"Electrocardiogram for cardiac resynchronization therapy: A great past, what's its future?","authors":"Serge Cazeau","doi":"10.1016/j.repc.2025.07.003","DOIUrl":"10.1016/j.repc.2025.07.003","url":null,"abstract":"","PeriodicalId":48985,"journal":{"name":"Revista Portuguesa De Cardiologia","volume":"44 9","pages":"Pages 577-579"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","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}

{"title":"Mitral valve aneurysm, an unusual lesion not to miss","authors":"Cristhian Emilio Herrera , Jhon F. Salamanca , Luisa F. Durango","doi":"10.1016/j.repc.2025.01.010","DOIUrl":"10.1016/j.repc.2025.01.010","url":null,"abstract":"","PeriodicalId":48985,"journal":{"name":"Revista Portuguesa De Cardiologia","volume":"44 9","pages":"Pages 591-593"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530624","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":"Unlocking the potential of digital health in Portuguese cardiovascular disease management","authors":"Filipa de Brito Homem , Maurício Alves , Manuel Oliveira-Santos , Luís Rodrigues , Carlos Fernandes","doi":"10.1016/j.repc.2025.01.012","DOIUrl":"10.1016/j.repc.2025.01.012","url":null,"abstract":"","PeriodicalId":48985,"journal":{"name":"Revista Portuguesa De Cardiologia","volume":"44 9","pages":"Pages 585-588"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","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":"Prediction of response to cardiac resynchronization therapy using electrocardiographic criteria: A systematic review","authors":"Paulo Dias Costa ,&nbsp;João Pedro Bessa ,&nbsp;Mariana Canelas Pais ,&nbsp;Daniela Ferreira-Santos ,&nbsp;Fernando Montenegro Sá ,&nbsp;Matilde Monteiro-Soares ,&nbsp;António Hipólito-Reis ,&nbsp;Mário Martins Oliveira ,&nbsp;Pedro Pereira Rodrigues","doi":"10.1016/j.repc.2025.02.011","DOIUrl":"10.1016/j.repc.2025.02.011","url":null,"abstract":"<div><h3>Background</h3><div>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.</div></div><div><h3>Methods</h3><div>We searched on PubMed, Scopus, and Web of Knowledge online databases to identify analytic studies and synthesized results through evidence tables.</div></div><div><h3>Results</h3><div>Sixty-two eligible articles were included in this review. Traditional predictors of response were QRS duration ≥150 ms and the presence of left bundle branch block 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 ≥12 also showed great potential in assessing response to CRT.</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":48985,"journal":{"name":"Revista Portuguesa De Cardiologia","volume":"44 9","pages":"Pages 561-576"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","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}

{"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. Baseline inclusion data of the ARTHEMIS registry","authors":"Sérgio Bravo Baptista ,&nbsp;Gustavo Pires de Morais ,&nbsp;Luís Almeida Morais ,&nbsp;João Costa ,&nbsp;Hugo Vinhas ,&nbsp;Gustavo Campos ,&nbsp;Pedro Carrilho Ferreira ,&nbsp;Nélson Vale ,&nbsp;Filipe Seixo ,&nbsp;Miguel Santos ,&nbsp;Cristina Martins ,&nbsp;Diogo Rodrigues Brás ,&nbsp;André Alexandre ,&nbsp;Luís Raposo","doi":"10.1016/j.repc.2025.03.006","DOIUrl":"10.1016/j.repc.2025.03.006","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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). Of patients not on oral anticoagulation, only 49.8% received potent P2Y12 inhibitors; overall recommendation for shorter DAPT regimens (&lt;6 months,) was 26.5% and did not differ according to low vs. high bleeding risk (24.6% vs. 29.7%; p&lt;0.125). In those also under anticoagulation, 62.6% received a recommendation for &lt;30-day regimens, or no DAPT at all (13.6%). Prolonged DAPT (&gt;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 &gt;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 seldom at admission.</div></div><div><h3>Conclusions</h3><div>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 <span><span>NCT04481997</span><svg><path></path></svg></span>).</div></div>","PeriodicalId":48985,"journal":{"name":"Revista Portuguesa De Cardiologia","volume":"44 9","pages":"Pages 537-546"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","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":"Enrollment and adherence in cardiac rehabilitation: Are we neglecting the aging brain?","authors":"Rui Pedro Albuquerque ,&nbsp;Hélder Dores ,&nbsp;Gonçalo Cunha ,&nbsp;Miguel Mendes ,&nbsp;Manuel Gonçalves-Pereira","doi":"10.1016/j.repc.2025.01.011","DOIUrl":"10.1016/j.repc.2025.01.011","url":null,"abstract":"","PeriodicalId":48985,"journal":{"name":"Revista Portuguesa De Cardiologia","volume":"44 9","pages":"Pages 581-583"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","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":"Antithrombotic therapy after stent implantation. One size does not fit all","authors":"João Morais","doi":"10.1016/j.repc.2025.08.001","DOIUrl":"10.1016/j.repc.2025.08.001","url":null,"abstract":"","PeriodicalId":48985,"journal":{"name":"Revista Portuguesa De Cardiologia","volume":"44 9","pages":"Pages 547-549"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144800755","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":"Economic evaluation of the impact of generic prasugrel widespread adoption at a national level","authors":"Filipa Gerardo ,&nbsp;Miguel Santos ,&nbsp;Daniel Faria ,&nbsp;Maura Nédio ,&nbsp;Célia Monteiro ,&nbsp;Sérgio Bravo Baptista ,&nbsp;Pedro Farto e Abreu","doi":"10.1016/j.repc.2025.03.004","DOIUrl":"10.1016/j.repc.2025.03.004","url":null,"abstract":"","PeriodicalId":48985,"journal":{"name":"Revista Portuguesa De Cardiologia","volume":"44 9","pages":"Pages 589-590"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530623","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}