Revista Portuguesa De Cardiologia最新文献

{"title":"Transient, persistent and permanent left bundle branch block?","authors":"Wan Lin, Xinyin Xie, Min Yu","doi":"10.1016/j.repc.2024.12.010","DOIUrl":"10.1016/j.repc.2024.12.010","url":null,"abstract":"","PeriodicalId":48985,"journal":{"name":"Revista Portuguesa De Cardiologia","volume":"44 8","pages":"Page 521"},"PeriodicalIF":1.6,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250524","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":"Use of direct oral anticoagulants in patients with stroke transferred for thrombectomy","authors":"Ana Isabel Rodrigues ,&nbsp;Inês V. Carvalho ,&nbsp;Carolina Sousa Fernandes ,&nbsp;Francisco Millet Barros ,&nbsp;João Sousa ,&nbsp;Pedro Faustino ,&nbsp;Emanuel Martins ,&nbsp;Diogo Damas ,&nbsp;Catarina Bernardes ,&nbsp;Carolina Teles ,&nbsp;Telma Alves ,&nbsp;Carolina Martins ,&nbsp;Rita Ramalho ,&nbsp;Carolina Maia ,&nbsp;Henrique Queirós ,&nbsp;Elisa Viegas ,&nbsp;Filipa Costa Sousa ,&nbsp;Inês Pinheiro ,&nbsp;Laura Baptista ,&nbsp;Ana Patrícia Gomes ,&nbsp;Gustavo C. Santo","doi":"10.1016/j.repc.2025.01.007","DOIUrl":"10.1016/j.repc.2025.01.007","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>Regional telestroke networks offer several advantages, including upstream selection of thrombectomy candidates. However, it is unclear whether the network performance and the functional outcome of patients with ischemic stroke treated with direct oral anticoagulants and transferred to thrombectomy differ from those of non-hypocoagulated patients.</div><div>To compare the time metrics and the functional status of patients with ischemic stroke treated with direct oral anticoagulants and transferred to thrombectomy with non-hypocoagulated patients.</div></div><div><h3>Methods</h3><div>This was a retrospective multicenter cohort study involving the eight hospitals involved a regional telestroke network. Clinical, imaging and time measures data were obtained from patients transferred for thrombectomy in the period between 01 January 2016 and 18 March 2021. Reperfusion was assumed for modified Thrombolysis in Cerebral Infarction scores 2b and 3. Functional status was assessed using the modified Rankin scale at 90 days.</div></div><div><h3>Results</h3><div>Of the 4341 patients evaluated in teleconsultation, 945 patients were transferred for thrombectomy and 15.98% had been previously treated with direct oral anticoagulants. There was no statistically significant difference between groups in the time interval, measured in minutes, between admission to the primary and tertiary hospital (231.59 versus 235.71, p=0.805) and, in patients undergoing thrombectomy, between admission to the tertiary hospital and reperfusion (100.45 versus 102.79, p=0.789). The reperfusion rate did not differ between groups (86.64% versus 83.57%, p=0.625). The functional outcome was not affected by direct oral anticoagulants intake (odds ratio 1.04 [95% confidence interval 0.69–1.55], p=0.857).</div></div><div><h3>Conclusion(s)</h3><div>Treatment with direct oral anticoagulants did not have an impact on the performance or the functional outcome of ischemic stroke patients transferred for thrombectomy.</div></div>","PeriodicalId":48985,"journal":{"name":"Revista Portuguesa De Cardiologia","volume":"44 8","pages":"Pages 481-486"},"PeriodicalIF":1.6,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227335","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":"Flecainide toxicity in a patient with a pacemaker","authors":"Sonia Peribáñez ,&nbsp;Mario Martínez-Fleta ,&nbsp;Pablo M. Corredoira","doi":"10.1016/j.repc.2025.02.008","DOIUrl":"10.1016/j.repc.2025.02.008","url":null,"abstract":"","PeriodicalId":48985,"journal":{"name":"Revista Portuguesa De Cardiologia","volume":"44 8","pages":"Pages 519-520"},"PeriodicalIF":1.6,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227334","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":"A holy situation: An unexpected complication during a transcatheter aortic valve implantation procedure","authors":"Inês Ferreira Neves,&nbsp;Tiago Mendonça,&nbsp;Ruben Ramos","doi":"10.1016/j.repc.2025.01.004","DOIUrl":"10.1016/j.repc.2025.01.004","url":null,"abstract":"","PeriodicalId":48985,"journal":{"name":"Revista Portuguesa De Cardiologia","volume":"44 6","pages":"Pages 397-398"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804635","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":"Portuguese National Registry of Interventional Cardiology: Official report of percutaneous coronary angiography and intervention from 2014 to 2023","authors":"Rita Calé ,&nbsp;Hélder Pereira ,&nbsp;André Luz ,&nbsp;Rui Campante Teles ,&nbsp;Marco Costa ,&nbsp;João Carlos Silva ,&nbsp;Pedro Braga ,&nbsp;Pedro Pinto Cardoso ,&nbsp;Rui Cruz Ferreira ,&nbsp;Filipe Seixo ,&nbsp;João Costa ,&nbsp;Hélder Ribeiro ,&nbsp;João Brum da Silveira ,&nbsp;Pedro Costa Ferreira ,&nbsp;Jorge Guardado ,&nbsp;Pedro Farto e Abreu ,&nbsp;Renato Fernandes ,&nbsp;Hugo Vinhas ,&nbsp;Dinis Martins ,&nbsp;Graça Caires ,&nbsp;Manuel Almeida","doi":"10.1016/j.repc.2024.12.003","DOIUrl":"10.1016/j.repc.2024.12.003","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>To present the report on the trends in percutaneous coronary activity data in Portugal from the last decade (from 2014 to 2023).</div></div><div><h3>Methods</h3><div>Data were extracted from the Portuguese National Registry of Interventional Cardiology (RNCI) and the numbers in recent years were compared and complemented by information from the 2023 European Society of Cardiology Atlas in Interventional Cardiology (IC) survey, which was administered to the director of every IC department. Linear regression analysis was used to assess trends in activity over time.</div></div><div><h3>Results</h3><div>From 2014 to 2023, there were 160<!--> <!-->101 percutaneous coronary interventions reported in the RNCI. The number of annual PCI in the last decade remained constant (1360/million inhabitants in 2014 to 1322/million in 2023; R²=0.039, p=0.276). Importantly, there was a 22% increase in primary PCI (306/million inhabitants in 2014 to 374/million inhabitants in 2023; R²=0.759, p&lt;0.001) and there was a decrease in the geographical disparities in primary PCI across Portugal. The following PCI trends were noted: a 43% increase in PCI performed by radial access (57.4% in 2014 to 82.1% in 2023; R²=0.908, p&lt;0.001), a 27% increase in drug-eluting stents (78.4% in 2014 to 99.2% of all PCI with stents in 2023; R²=0.638, p=0.003), and a 47% decrease of thrombectomy in primary PCI (35.0% in 2014 to 18.6% in 2023; R²=0.649, p=0.003). There was a slight increase in the use of intracoronary diagnostic devices during PCI, with intravascular imaging and physiological assessments reaching 7.6% and 4.2%, respectively, in 2023.</div></div><div><h3>Conclusion</h3><div>The RNCI was able to depict changes in our practice along the study period. The annual PCI volume per million inhabitants remained stable, driven by an increase in primary PCI offset by a decrease in chronic coronary syndrome indications. The geographical asymmetries were markedly reduced due to the expansion on PCI capable centers, enabling a progress towards a more universal access to percutaneous coronary techniques.</div></div>","PeriodicalId":48985,"journal":{"name":"Revista Portuguesa De Cardiologia","volume":"44 6","pages":"Pages 335-345"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143531052","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":"Expanding left bundle branch area pacing – A new step in daily practice","authors":"Mário Oliveira","doi":"10.1016/j.repc.2025.04.004","DOIUrl":"10.1016/j.repc.2025.04.004","url":null,"abstract":"","PeriodicalId":48985,"journal":{"name":"Revista Portuguesa De Cardiologia","volume":"44 6","pages":"Pages 387-388"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055336","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":"Exercise prescription in cardiac rehabilitation for heart failure patients: Why threshold-based training matters","authors":"Anaí Durazzo","doi":"10.1016/j.repc.2025.05.002","DOIUrl":"10.1016/j.repc.2025.05.002","url":null,"abstract":"","PeriodicalId":48985,"journal":{"name":"Revista Portuguesa De Cardiologia","volume":"44 6","pages":"Pages 373-375"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056249","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":"A large-scale biobank and more genome-wide association studies of cardiovascular disease are needed in Portugal","authors":"Rui Providência","doi":"10.1016/j.repc.2025.04.002","DOIUrl":"10.1016/j.repc.2025.04.002","url":null,"abstract":"","PeriodicalId":48985,"journal":{"name":"Revista Portuguesa De Cardiologia","volume":"44 6","pages":"Pages 359-360"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143994031","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":"From rhythm to rupture: A case of double left ventricular perforation","authors":"Rita Almeida Carvalho ,&nbsp;Débora Sá ,&nbsp;Catarina Brízido ,&nbsp;Francisco Gama","doi":"10.1016/j.repc.2024.12.005","DOIUrl":"10.1016/j.repc.2024.12.005","url":null,"abstract":"","PeriodicalId":48985,"journal":{"name":"Revista Portuguesa De Cardiologia","volume":"44 6","pages":"Pages 401-402"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143789211","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":"Electronic health records-based research in Cardiology: The time has come for pragmatic trials","authors":"Daniel Seabra ,&nbsp;Afonso Oliveira ,&nbsp;Cristina Gavina","doi":"10.1016/j.repc.2024.12.007","DOIUrl":"10.1016/j.repc.2024.12.007","url":null,"abstract":"<div><div>Randomized clinical trials (RCTs) are the cornerstone of evidence-based medicine, as they minimize bias in the allocation of interventions. However, RCTs performed in a very selective population and overcontrolled conditions may impair the generalizability of results. Moreover, increasing running costs and regulatory complexity compromise the conduct of these studies. The need for pragmatic trial designs, with streamlined procedures and low running costs, will shape the short-term future of research in RCTs.</div><div>Electronic health records (EHR) are routinely collected as part of the treatment of patients. These provide large amounts of data at no significant cost. The so-called “real-world data” are often used in observational studies with unavoidable bias. However, by combining the randomization of large numbers of patients with the data collected in EHRs, it is possible to answer very relevant clinical questions at a relatively low cost.</div><div>In this review, we describe how the integration of EHR and randomization is fostering innovative approaches to the conduct of RCTs in Cardiology.</div></div>","PeriodicalId":48985,"journal":{"name":"Revista Portuguesa De Cardiologia","volume":"44 6","pages":"Pages 389-396"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052842","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}