Revista Portuguesa De Cardiologia最新文献

{"title":"Multimodality imaging for cardiac metastatic squamous cell carcinoma of unknown primary","authors":"Leizhi Ku, Jie Wang, Xiaojing Ma","doi":"10.1016/j.repc.2026.03.010","DOIUrl":"10.1016/j.repc.2026.03.010","url":null,"abstract":"","PeriodicalId":48985,"journal":{"name":"Revista Portuguesa De Cardiologia","volume":"45 8","pages":"Pages 459-461"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148354552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Scientific publishing in the era of artificial intelligence: Integrity and responsibility","authors":"Mário Martins Oliveira, Glaucia Maria Moraes de Oliveira","doi":"10.1016/j.repc.2026.06.002","DOIUrl":"10.1016/j.repc.2026.06.002","url":null,"abstract":"","PeriodicalId":48985,"journal":{"name":"Revista Portuguesa De Cardiologia","volume":"45 8","pages":"Pages 433-435"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148165204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acknowledgement to the reviewers - Agradecimento aos avaliadores","authors":"","doi":"10.1016/S0870-2551(26)00300-8","DOIUrl":"10.1016/S0870-2551(26)00300-8","url":null,"abstract":"","PeriodicalId":48985,"journal":{"name":"Revista Portuguesa De Cardiologia","volume":"45 ","pages":"Page III"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149072140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"When Less May Be Enough: A Pragmatic Haemodynamic Strategy for Degenerative Mitral Stenosis","authors":"Márcia Presume, Eduardo Infante de Oliveira","doi":"10.1016/j.repc.2026.07.002","DOIUrl":"10.1016/j.repc.2026.07.002","url":null,"abstract":"","PeriodicalId":48985,"journal":{"name":"Revista Portuguesa De Cardiologia","volume":"45 8","pages":"Pages 417-419"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148680172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Direção da Sociedade Portuguesa de Cardiologia e Direção da APAPE","authors":"","doi":"10.1016/S0870-2551(26)00299-4","DOIUrl":"10.1016/S0870-2551(26)00299-4","url":null,"abstract":"","PeriodicalId":48985,"journal":{"name":"Revista Portuguesa De Cardiologia","volume":"45 ","pages":"Pages I-II"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149072139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Practical guide on acute heart failure management: From hospital admission to outpatient care","authors":"Joana Pimenta,&nbsp;João Pedro Ferreira,&nbsp;Francisco Vasques-Nóvoa,&nbsp;David Roque,&nbsp;Inês Araújo,&nbsp;César Lourenço,&nbsp;Susana Dias da Costa,&nbsp;Sara Gonçalves,&nbsp;Ana Neto,&nbsp;Filipa Almeida,&nbsp;Pedro Moraes Sarmento,&nbsp;João Agostinho,&nbsp;Irene Marques,&nbsp;Elisabete Martins","doi":"10.1016/j.repc.2026.03.007","DOIUrl":"10.1016/j.repc.2026.03.007","url":null,"abstract":"<div><div>Acute heart failure (AHF) presents significant clinical and economic challenges that require a comprehensive, evidence-based strategy extending from in-hospital management to post-discharge care. Patients with AHF usually require prompt initiation or intensification of HF-directed treatment, which commonly includes intravenous diuretics, and frequently culminates in unplanned hospitalization. Despite therapeutic advances, AHF is still associated with poor outcomes, with in-hospital mortality in Portugal reaching 12.4%. Based on the expertise and clinical experience of a panel of cardiology and internal medicine specialists, this paper provides a practical guide to AHF management over the patient journey, which has been adapted to align with the specificities of the Portuguese national healthcare system: hospital admission, initial management of AHF, in-hospital management of stable phase, pre-discharge and transition of care. This practical guide highlights the importance of optimizing guideline-directed medical therapy by tailoring and rapidly uptitrating treatments to reduce mortality and readmissions. It is equally essential that structured, multidisciplinary transition-of-care programs are established that promote continuity and coordination across care settings.</div></div>","PeriodicalId":48985,"journal":{"name":"Revista Portuguesa De Cardiologia","volume":"45 7","pages":"Pages 377-392"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147870235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cervical pulsatile mass due to dissecting aortic arch aneurysm","authors":"Hisato Takagi","doi":"10.1016/j.repc.2026.03.008","DOIUrl":"10.1016/j.repc.2026.03.008","url":null,"abstract":"","PeriodicalId":48985,"journal":{"name":"Revista Portuguesa De Cardiologia","volume":"45 7","pages":"Pages 405-406"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148158694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Performance of the DERIVATE Risk Score 2.0 for predicting major arrhythmic events in non-ischemic cardiomyopathy: A Portuguese validation study","authors":"Francisco Sousa,&nbsp;Catarina Santos-Jorge,&nbsp;Pedro Freitas,&nbsp;Pedro M. Lopes,&nbsp;Sara Guerreiro,&nbsp;João Abecasis,&nbsp;Francisco Gama,&nbsp;Cláudia Silva,&nbsp;Rita Dos Reis Santos,&nbsp;Sérgio Maltês,&nbsp;Bruno Rocha,&nbsp;António Miguel Ferreira","doi":"10.1016/j.repc.2026.03.004","DOIUrl":"10.1016/j.repc.2026.03.004","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>Sudden cardiac death (SCD) risk stratification in non-ischemic cardiomyopathy (NICM) remains challenging. The recently proposed Derivate Risk Score 2.0 (DRS 2.0) seeks to enhance risk prediction using three variables: sex, cardiac magnetic resonance-derived left ventricular ejection fraction (CMR-LVEF), and the presence of midwall late gadolinium enhancement (LGE). The aim of this study was to assess the accuracy of the DRS 2.0 for predicting Major arrhythmic events (MAACE) in a Portuguese NICM cohort.</div></div><div><h3>Methods</h3><div>Patients with the clinical diagnosis of NICM who underwent CMR for clinical purposes were included in this single-center retrospective study. Patients with obstructive coronary artery disease, infiltrative, inflammatory or hypertrophic cardiomyopathy, or significant valvular or congenital heart disease were excluded. The DRS 2.0 score was calculated for each patient based on male sex, CMR-derived LVEF and on the presence and pattern of midwall LGE as reported. The primary endpoint was major arrhythmic cardiac events (MAACE), defined as SCD, sustained ventricular tachycardia (VT), or appropriate ICD therapy (shock or ATP). Follow-up was performed using clinical records and device interrogations.</div></div><div><h3>Results</h3><div>A total of 385 patients were enrolled (age 62.5 years (±14.9); 63% male, median CMR-LVEF 37% (27–43), midwall LGE present 51.4%). One hundred two patients had an ICD (26.5%), 5 had an ICD previous to CMR and the remaining 97 patients received one during follow up. The median DRS2.0 score was 6.0 (IQR 4.0–9.0). Risk distribution according to the DRS 2.0 was 20% low risk (n=76), 53% intermediate risk (n=203), and 28% high risk (n=106). During a mean follow-up of 3.0±1.4 years, 26 MAACE (6.8%) occurred, including 7 SCD, 9 sustained VT, and 10 appropriate ICD therapies. The annualized MAACE rates were 0.4%/year in low risk, 1.0%/year in intermediate-risk, and 6.0%/year in the high-risk patients. Patients classified as high risk by DRS 2.0 represented 28% of the cohort yet accounted for 73% of all MAACE (HR 8.00, 95% CI 3.36–19.04, p&lt;0.001). The DRS 2.0 showed good discrimination (C statistic 0.76, 95% CI: 0.66–0.85, p&lt;0.001). Calibration was excellent, as indicated by a non-significant Hosmer–Lemeshow test (<em>χ</em>²=0.802, p=0.371).</div></div><div><h3>Conclusions</h3><div>DRS 2.0 showed robust discrimination and calibration in our Portuguese NICM cohort, effectively identifying a small subgroup that accounted for most arrhythmic events. This score appears applicable in our population and may assist in refining SCD risk stratification and management.</div></div>","PeriodicalId":48985,"journal":{"name":"Revista Portuguesa De Cardiologia","volume":"45 7","pages":"Pages 335-342"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147617155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predicting major arrhythmic events in dilated cardiomyopathy and nondilated left ventricular cardiomyopathy: Scar beyond ejection fraction","authors":"Luís R. Lopes","doi":"10.1016/j.repc.2026.06.003","DOIUrl":"10.1016/j.repc.2026.06.003","url":null,"abstract":"","PeriodicalId":48985,"journal":{"name":"Revista Portuguesa De Cardiologia","volume":"45 7","pages":"Pages 343-344"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148220514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rethinking thrombus risk in atrial flutter: Context matters","authors":"Sérgio Barra","doi":"10.1016/j.repc.2026.06.001","DOIUrl":"10.1016/j.repc.2026.06.001","url":null,"abstract":"","PeriodicalId":48985,"journal":{"name":"Revista Portuguesa De Cardiologia","volume":"45 7","pages":"Pages 355-357"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148158749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}