Revista Portuguesa De Cardiologia最新文献_第9页

Real-world evaluation of vascular complications and comorbidities in Portuguese patients with type 2 diabetes: Results from the cMORE study 葡萄牙 2 型糖尿病患者血管并发症和合并症的实际评估：cMORE 研究的结果。

IF 1.6 4区医学

Revista Portuguesa De Cardiologia Pub Date : 2024-12-01 DOI: 10.1016/j.repc.2024.08.004

Luís Bronze

引用次数: 0

Diagnostic prediction rules in acute pulmonary embolism: Is it acceptable to compromise safety? 急性肺栓塞的诊断预测规则：牺牲安全性是否可以接受？

IF 1.6 4区医学

Revista Portuguesa De Cardiologia Pub Date : 2024-10-01 DOI: 10.1016/j.repc.2024.08.001

Sílvio Leal

引用次数: 0

Regional myocardial infarction networks: How to improve quality 地区心肌梗死网络：如何提高质量。

IF 1.6 4区医学

Revista Portuguesa De Cardiologia Pub Date : 2024-10-01 DOI: 10.1016/j.repc.2024.08.003

Jorge Mimoso

引用次数: 0

Experience from a regional percutaneous coronary intervention center: Aiming to assess and improve quality of care 地区经皮冠状动脉介入治疗中心的经验：旨在评估和提高护理质量。

IF 1.6 4区医学

Revista Portuguesa De Cardiologia Pub Date : 2024-10-01 DOI: 10.1016/j.repc.2024.02.007

{"title":"Experience from a regional percutaneous coronary intervention center: Aiming to assess and improve quality of care","authors":"","doi":"10.1016/j.repc.2024.02.007","DOIUrl":"10.1016/j.repc.2024.02.007","url":null,"abstract":"<div><h3>Introduction and Objectives</h3><div>Ischemic heart disease is the single most common cause of death in Europe. Mortality in patients presenting with ST-elevation myocardial infarction (STEMI) is associated with many factors, one of which is the time delay to treatment. The purpose of this work is to analyze the coronary pathway in our region in terms of timing, taking into consideration the place of first medical contact (FMC).</div></div><div><h3>Methods</h3><div>Consecutive patients admitted to our center with STEMI to undergo percutaneous coronary intervention (PCI) between 2013 and 2022 were analyzed. Age, gender, and time delays were collected. Analysis was performed with IBM SPSS version 28 for a significance level of 0.05.</div></div><div><h3>Results</h3><div>We found that non-PCI centers had a significantly greater FMC to diagnosis delay and diagnosis to wire delay compared to other places of origin. Only 2.2% of patients met the 10-min FMC to diagnosis target; 44.8% met the target of 90 min from diagnosis to wire in transferred patients, while 40.6% met the 60-min target for patients admitted to a PCI center. Median patient, electrocardiogram (ECG) and logistic delays are 92.0±146.0 min, 19.0±146.0 min and 15.5±46.3 min, respectively.</div></div><div><h3>Conclusion</h3><div>A significant difference between state-of-the-art targets and reality was found, depending on the place of FMC, with the worst delays in non-PCI centers. Patient delay, ECG delay, FMC to diagnosis and logistic delay are identified as key areas in which to intervene.</div></div>","PeriodicalId":48985,"journal":{"name":"Revista Portuguesa De Cardiologia","volume":"43 10","pages":"Pages 563-569"},"PeriodicalIF":1.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140767892","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}

引用次数: 0

Response to the letter “Cardio-oncology guidelines, structural heart disease and Kounis syndrome in the upcoming guidelines” 对 "即将发布的指南中的心肿瘤指南、结构性心脏病和库尼斯综合征 "一信的回复。

IF 1.6 4区医学

Revista Portuguesa De Cardiologia Pub Date : 2024-10-01 DOI: 10.1016/j.repc.2024.07.002

Miguel Nobre Menezes , Marta Tavares da Silva , Andreia Magalhães , Bruno Melica , Júlia Cristina Toste , Rita Calé , Manuel Almeida , Manuela Fiuza , Eduardo Infante de Oliveira

引用次数: 0

Cardiac arrest: It is important not just to survive, but to survive with at least an acceptable quality of life 心脏骤停：重要的是不仅要活下来，而且至少要有可接受的生活质量。

IF 1.6 4区医学

Revista Portuguesa De Cardiologia Pub Date : 2024-10-01 DOI: 10.1016/j.repc.2024.08.002

Doroteia Silva

引用次数: 0

Comparison of the accuracy of four diagnostic prediction rules for pulmonary embolism in patients admitted to the emergency department 比较急诊科入院患者肺栓塞四种诊断预测规则的准确性。

IF 1.6 4区医学

Revista Portuguesa De Cardiologia Pub Date : 2024-10-01 DOI: 10.1016/j.repc.2024.02.006

{"title":"Comparison of the accuracy of four diagnostic prediction rules for pulmonary embolism in patients admitted to the emergency department","authors":"","doi":"10.1016/j.repc.2024.02.006","DOIUrl":"10.1016/j.repc.2024.02.006","url":null,"abstract":"<div><h3>Introduction and Objectives</h3><div>Ruling out pulmonary embolism (PE) through a combination of clinical assessment and D-dimer level can potentially avoid excessive use of computed tomography pulmonary angiography (CTPA). We aimed to compare the diagnostic accuracy of the standard approach based on the Wells and Geneva scores combined with a standard D-dimer cut-off (500 ng/ml), with three alternative strategies (age-adjusted and the YEARS and PEGeD algorithms) in patients admitted to the emergency department (ED) with suspected PE.</div></div><div><h3>Methods</h3><div>Consecutive outpatients admitted to the ED who underwent CTPA due to suspected PE were retrospectively assessed. Sensitivity, specificity, positive and negative predictive values, likelihood ratios and diagnostic odds ratios were calculated and compared between the different diagnostic prediction rules.</div></div><div><h3>Results</h3><div>We included 1402 patients (mean age 69±18 years, 54% female), and PE was confirmed in 25%. Compared to the standard approach (p<0.001), an age-adjusted strategy increased specificity with a non-significant decrease in sensitivity only in patients older than 70 years. Compared to the standard and age-adjusted approaches, the YEARS and PEGeD algorithms had the highest specificity across all ages, but were associated with a significant decrease in sensitivity (p<0.001), particularly in patients aged under 60 years (sensitivity of 81% in patients aged between 51 and 60 years).</div></div><div><h3>Conclusion</h3><div>Compared to the standard approach, all algorithms were associated with increased specificity. The age-adjusted strategy was the only one not associated with a significant decrease in sensitivity compared to the standard approach, enabling CTPA requests to be reduced safely.</div></div>","PeriodicalId":48985,"journal":{"name":"Revista Portuguesa De Cardiologia","volume":"43 10","pages":"Pages 551-559"},"PeriodicalIF":1.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140789558","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}

引用次数: 0

Quality of life and performance status after cardiopulmonary resuscitation: A study in Cova da Beira University Hospital Center's intensive care unit 心肺复苏后的生活质量和表现状态：Cova da Beira大学医院中心重症监护室的一项研究。

IF 1.6 4区医学

Revista Portuguesa De Cardiologia Pub Date : 2024-10-01 DOI: 10.1016/j.repc.2024.02.005

{"title":"Quality of life and performance status after cardiopulmonary resuscitation: A study in Cova da Beira University Hospital Center's intensive care unit","authors":"","doi":"10.1016/j.repc.2024.02.005","DOIUrl":"10.1016/j.repc.2024.02.005","url":null,"abstract":"<div><h3>Introduction and Objectives</h3><div>Cardiac arrest (CA) is associated with high morbidity and mortality. Many studies focus on survival, but few explore the outcomes. The aim of this study is to analyze the survival curve, independence, quality of life, and performance status after CA.</div></div><div><h3>Methods</h3><div>This retrospective study included adults admitted to the intensive care unit of Cova da Beira University Hospital Center after CA between 2015 and 2019. We analyzed patient records and applied a questionnaire including EuroQoL's EQ-5D-3L and ECOG performance status.</div></div><div><h3>Results</h3><div>Ninety-seven patients were included (mean age 75.74 years). Thirty-one patients (32.0%) survived to hospital discharge. There was a significant loss of independence for activities of daily living, with 50.0% of those previously independent becoming dependent and 47.5% of those previously at home being institutionalized. Diabetes, female gender, and length of hospital stay were especially impactful on these findings. One year after CA, only 20.6% were alive and only 13.4% (65% of the one-year survivors) were independent. Nine patients answered our questionnaire. Mean EQ-5D quality of life index (0.528±0.297) and the most affected domains (‘Pain/discomfort’ and ‘Anxiety/depression’) were similar to the Portuguese population aged >30 years. However, 66.6% reported a decline in their quality of life. Lastly, seven respondents had a good performance status (ECOG 0-1).</div></div><div><h3>Conclusions</h3><div>There was a significant loss of independence after CA. Moreover, despite the acceptable performance status and the quality of life results being similar to the general population, there was a perceived deterioration post-CA. Ultimately, we emphasize the need to improve care for these patients.</div></div>","PeriodicalId":48985,"journal":{"name":"Revista Portuguesa De Cardiologia","volume":"43 10","pages":"Pages 539-548"},"PeriodicalIF":1.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140756731","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}

引用次数: 0

Cardiovascular benefits of resistance exercise: It's time to prescribe 阻力运动对心血管的益处：是时候开处方了。

IF 1.6 4区医学

Revista Portuguesa De Cardiologia Pub Date : 2024-10-01 DOI: 10.1016/j.repc.2024.02.009

{"title":"Cardiovascular benefits of resistance exercise: It's time to prescribe","authors":"","doi":"10.1016/j.repc.2024.02.009","DOIUrl":"10.1016/j.repc.2024.02.009","url":null,"abstract":"<div><div>Despite the well-known health benefits of regular physical activity, sedentary behavior and physical inactivity remain a real global pandemic. Exercise is associated with increased life expectancy, improved quality of life and prevention of multiple diseases. Although less implemented in practice compared to aerobic exercise, recent evidence shows that resistance exercise (RE) is also responsible for various benefits, including improvements in body composition, control of several cardiovascular (CV) risk factors, and reduction of CV outcomes. RE increases strength and muscle mass, is effective in controlling type 2 diabetes, and improves the management of obesity, lipids, and blood pressure profiles. In this setting, clinical guidelines recommend the inclusion of RE for primary and secondary CV risk prevention, particularly in combination with aerobic exercise, in which the benefits are most pronounced. Prescription of RE should follow a methodology that includes key variables such as frequency, intensity, type, time, and progression. Despite challenges, professionals in the CV field should be familiar with RE prescription in order to maximize its referral in clinical practice. This review aims to analyze the CV effects of RE and current recommendations regarding the prescription of this type of exercise.</div></div>","PeriodicalId":48985,"journal":{"name":"Revista Portuguesa De Cardiologia","volume":"43 10","pages":"Pages 573-582"},"PeriodicalIF":1.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140872323","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}

引用次数: 0

Cardio-oncology guidelines, structural heart disease and Kounis syndrome in the upcoming guidelines 对 "即将发布的指南中的心肿瘤指南、结构性心脏病和库尼斯综合征 "一信的回复。

IF 1.6 4区医学

Revista Portuguesa De Cardiologia Pub Date : 2024-10-01 DOI: 10.1016/j.repc.2024.03.003

引用次数: 0