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Seabra D, Araújo F, Afonso-Silva M, Grangeia D, Taveira-Gomes T, Gavina C. Do atherosclerotic events change lipid lowering therapy use in clinical practice? - The answer with real-world data. Atherosclerosis 2022. [DOI: 10.1016/j.atherosclerosis.2022.06.211] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Araújo F, Seabra D, Afonso-Silva M, Grangeia D, Taveira-Gomes T, Gavina C. Cardiovascular outcomes according to risk category: Results of a retrospective database study. Atherosclerosis 2022. [DOI: 10.1016/j.atherosclerosis.2022.06.518] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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3
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Islas F, De Agustin A, Jimenez P, Nombela L, Marcos Alberca P, Seabra D, Olmos C, Lepori A, Mahia P, Perez De Isla L. The discongruence index, a simple predictor of cardiac remodeling after transcatheter aortic valve replacement. Eur Heart J 2021. [DOI: 10.1093/eurheartj/ehab724.086] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
Aortic stenosis causes several changes in left ventricular (LV) geometry and function; cardiac remodeling after transcatheter aortic valve replacement (TAVR) is variable among patients and it is not clearly defined. The aim of this study is to identify factors associated with LV functional and structural recovery.
Methods
428 patients were retrospectively studied; all patients underwent transthoracic echocardiography prior to TAVR; specific measurements such as maximum internal diameter of the prosthetic valve, nominal loss and percentage of nominal loss regarding to valve size, as well as the discongruence index (Prosthesis size/BSA) were evaluated at discharge and 1-year follow up. Positive cardiac remodeling (PCR) was considered if patients had a reduction of ≥20% of left ventricle mass index (LVMi) and ≥10% of end-diastolic volume index (LVEDVi).
Results
Mean age of the cohort was 83±5.6 years, 55% were female (n=236), mean aortic valve area was 0.7±0.2cm2; mean LVMi and LVEDVi were 129.4±35.4gr/m2 and 54.5±22ml/m2 respectively. LVMi reduction ≥20% was observed in 30% (n=128) of patients; LVEDVi reduction ≥10% was observed in 44% (n=188) of patients. A total of 107 patients (25%) showed PCR. Female patients showed more PCR (p=0.04). Discongruence index was significantly higher in patients with PCR (15.5±1.9 vs 14.5±1.8, p=0.01) and was significantly associated to LVMi (121.5±28.9 vs 150.8±41.1g/m2) and LVEDVi individually (55.1±17.2 vs 42.7±16.7ml/m2; p<0.01). Left ventricular ejection fraction (LVEF) had a statistically significant increase among patients with PCR (53.2±14.9 vs 56.7±11.5, p=0.04) global longitudinal strain showed improvement at 1-year follow-up as well, although not statistically significant (−17.3±3.7 vs −18.3±3.4 p=0.53).
Conclusions
The discongruence index is a simple and feasible parameter that can predict positive cardiac remodeling after TAVR which can have a significant impact in clinical outcome of patients.
Funding Acknowledgement
Type of funding sources: None.
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Affiliation(s)
- F Islas
- Hospital Clinic San Carlos, Cardiovascular Institute, Madrid, Spain
| | - A De Agustin
- Hospital Clinic San Carlos, Cardiovascular Institute, Madrid, Spain
| | - P Jimenez
- Hospital Clinic San Carlos, Cardiovascular Institute, Madrid, Spain
| | - L Nombela
- Hospital Clinic San Carlos, Cardiovascular Institute, Madrid, Spain
| | - P Marcos Alberca
- Hospital Clinic San Carlos, Cardiovascular Institute, Madrid, Spain
| | - D Seabra
- Hospital Clinic San Carlos, Cardiovascular Institute, Madrid, Spain
| | - C Olmos
- Hospital Clinic San Carlos, Cardiovascular Institute, Madrid, Spain
| | - A Lepori
- Hospital Clinic San Carlos, Cardiovascular Institute, Madrid, Spain
| | - P Mahia
- Hospital Clinic San Carlos, Cardiovascular Institute, Madrid, Spain
| | - L Perez De Isla
- Hospital Clinic San Carlos, Cardiovascular Institute, Madrid, Spain
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Neto A, Oliveira I, Cruz I, Seabra D, Pontes Dos Santos R, Andrade A, Azevedo J, Pinto P. What if HCM Risk-SCD was assessed with CMR maximum LV wall thickness measurements? Eur Heart J Cardiovasc Imaging 2021. [DOI: 10.1093/ehjci/jeaa356.324] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Funding Acknowledgements
Type of funding sources: None.
Introduction
The HCM Risk-SCD estimates the risk of sudden cardiac death at 5 years in patients (pts) with hypertrophic cardiomyopathy (HCM). According to ESC Guidelines, in pts with a 5-year risk of SCD <4%, an implantable cardioverter defibrillator (ICD) is generally not indicated, in pts with a risk of 4 to less than 6%, an ICD may be considered and in pts with a 5-year risk ≥6%, an ICD should be considered. The association between the degree of LVH and sudden cardiac death (SCD) has been based on measurements of maximum LVWT by echocardiography which is part of HCM Risk-SCD score. However, cardiac magnetic resonance (CMR) has shown a superior resolution in characterization of cardiac structures, with additional role in SCD risk stratification. Whether measurements of LVWT by echocardiography and CMR are interchangeable has been brought to question.
Purpose
We sought to evaluate the incidence of discrepant measurements of maximal LVWT between echocardiography and CMR and determine its implication in HCM Risk-SCD score and ICD indication.
Methods
Unicentric, retrospective analysis of pts submitted to CMR who had HCM as definitive diagnosis, between 1/2013 and 9/2019. CMR and echocardiographic measures were compared, as well as HCM Risk-SCD score calculated with these values (maximum LVWT was the only variable that differed between measures). Subsequently, pts were divided in three groups according to HCM Risk-SCD score: pts with a 5-year risk of SCD <4% (G1), risk of 4 to less than 6% (G2) and risk ≥6% (G3).
Results
Out of the 781 CMR studies evaluated, 59 pts were found to have HCM (7.6%) with mean age of 62 ± 11 years and female predominance (50.8%). 12 pts had obstructive phenotype (20.3%). Mean LVWT was 20.0 ± 4.6mm when measured by CMR and 18.8 ± 4.6mm by echo; when comparing the measures by echo with CMR, there was a positive correlation between them (p < 0.001; r 0.719). Mean HCM Risk-SCD was 2.80 ± 1.51% when measured by CMR and 2.69 ± 1.53% by echo; there was a positive correlation between these measures too (p < 0.001; r 0.963). Maximum LV thickness evaluated by CMR showed a positive correlation (p = 0.006, r 0.384) with the HCM risk-score assessed by CMR. Only 1 pt changed risk group with CMR measurement of maximum LVWT (from G1 to G2). Conclusion: In this cohort, there was a positive, linear relationship between maximum LVWT and HCM Risk-SCD score measured by CMR and echocardiogram. Only 1 pt changed risk stratification group (5-year risk of SCD <4% to 4 to less than 6%). Although CMR measurements, when interpreted correctly, are more precise compared with echocardiography, in this cohort there was no impact on the patient"s future clinical orientation regarding ICD implantation.
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Affiliation(s)
- A Neto
- Hospital Centre do Tamega e Sousa, Cardiology, Penafiel, Portugal
| | - I Oliveira
- Hospital Centre do Tamega e Sousa, Cardiology, Penafiel, Portugal
| | - I Cruz
- Hospital Centre do Tamega e Sousa, Cardiology, Penafiel, Portugal
| | - D Seabra
- Hospital Centre do Tamega e Sousa, Cardiology, Penafiel, Portugal
| | | | - A Andrade
- Hospital Centre do Tamega e Sousa, Cardiology, Penafiel, Portugal
| | - J Azevedo
- Hospital Centre do Tamega e Sousa, Cardiology, Penafiel, Portugal
| | - P Pinto
- Hospital Centre do Tamega e Sousa, Cardiology, Penafiel, Portugal
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Pereira Oliveira I, Neto A, Seabra D, Cruz I, Abreu G, Pereira A, Azevedo J, Pinto P. P767 Imagiologic features and Prevalence of Cardiac Lesions detected in Transesophageal Echocardiography. Eur Heart J Cardiovasc Imaging 2020. [DOI: 10.1093/ehjci/jez319.428] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
INTRODUCTION
Echocardiography plays a central role in the detection of intracardiac lesions, with transesophageal echocardiography (TEE) acquiring an outstanding role due to its increased sensitivity, improving diagnosis and evaluation of complications.
PURPOSE
To characterize clinically and echocardiographically the type of intracardiac masses mostly identified on TEE, in order to reflect about its prevalence, exam indication and echocardiographic criteria for correct diagnosis.
METHODS
Unicentric, retrospective observational analysis of TEE examinations performed between 01/2014 and 05/2019. Data collected from TEE registers and patient process assessment. Cardiac findings were classified according to its echocardiographic features as vegetations, thrombi or suspected tumoral masses.
RESULTS
144 TEE examinations revealed the presence of intracavitary lesions, with 62% of them (89 exams) having imagiologic features suggestive of vegetations, with polypoid highly mobile lesions attached to valve leaflets, often leading to valvular insufficiency. More than one valve was affected in 21% and about 30% were prosthetic valves. Potential serious complications such as perforation and abscess formation were present in 13% and 7%, respectively.
35 examinations disclosed the presence of thrombi, 66% located on the left atrial appendage and 17% on the left atrium (LA). In 4 cases they were attached to prosthetic valves and 10 of the patients had not been anticoagulated previously. Some doubtful diagnosis were lately confirmed after disappearance of the lesion with anticoagulation therapy.
Diagnosis of tumoral masses was made in 11%, some of them waiting for histologic confirmation. 50% had features resembling pappilary fibroelastomas (PF) (38% of the aortic valve, 25% of the mitral valve, 1 of the pulmonary valve and 1 the left ventricle pathologically confirmed), such as a filiform highly mobile pedunculated structure attached to a valve leaflet. Heterogeneous masses suggestive of myxomas were identified in 35%, 80% located on the LA.
The most frequent reason for performing a TEE examination was a previous embolic event, a doubtful image on transthoracic echocardiogram or before electrical cardioversion.
Except for PF which were increasingly detected by echocardiography, the prevalence of thrombi or vegetations remained similar across the years.
Most presumptive diagnosis made by TEE were confirmed based on clinical evolution or histology.
CONCLUSIONS
In this cohort, most TEE examinations revealed the presence of vegetations, a major criterion for establishing the diagnosis of infective endocarditis.
TEE enables more accurate evaluation of the lesions and although histologic confirmation is frequently necessary, some imagiologic features allow for a presumptive diagnosis which is often correct.
This analysis also reflects the prevalence of cardiac lesions and the increased awareness of some conditions, such as PF.
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Affiliation(s)
| | - A Neto
- Hospital Centre do Tamega e Sousa, Penafiel, Portugal
| | - D Seabra
- Hospital Centre do Tamega e Sousa, Penafiel, Portugal
| | - I Cruz
- Hospital Centre do Tamega e Sousa, Penafiel, Portugal
| | - G Abreu
- Hospital Centre do Tamega e Sousa, Penafiel, Portugal
| | - A Pereira
- Hospital Centre do Tamega e Sousa, Penafiel, Portugal
| | - J Azevedo
- Hospital Centre do Tamega e Sousa, Penafiel, Portugal
| | - P Pinto
- Hospital Centre do Tamega e Sousa, Penafiel, Portugal
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Neto A, Seabra D, Moreno N, Magalhaes S, Pires L, Pinto P. P1346 Not all chest pains are scary: a case report of an important - but often forgotten - diagnosis. Eur Heart J Cardiovasc Imaging 2020. [DOI: 10.1093/ehjci/jez319.783] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
INTRODUCTION
Epipericardial fat necrosis (EFN) is an uncommon self-limiting benign condition that curses with chest pain. The first case was reported in 1957 and since than only few cases were reported. Recently, new imaging modalities have increased its diagnosis.
CASE REPORT
An otherwise healthy 42 years-old man presented with severe left-sided pleuritic chest pain, non-radiating, with 4 days duration, mildly relieved by an analgesic. No other symptoms nor history of infection. Physical examination, chest x-ray (CXR), ECG, routine laboratory testing, d-dimer and troponin measurements were unrevealing. Chest CT with contrast showed an increased density of anterior pericardial fat with nodular appearance consistent with EFN. The transthoracic echocardiogram was normal. For better characterization, a cardiac MRI was performed, and confirmed a small nodular lesion (10x17mm) with regular contours, externally to the pericardium, in relation to the apex of the right ventricle and the anterior thoracic wall (hypersignal on T1 and T2, loss of signal in fat saturation sequences, no contrast capture during the first pass nor late enhancement). The mass was delimited from the remaining pericardiac fat by a regular halo. Combined antiinflamatory therapy was started with favourable evolution. Cardiac surgery concluded that there was no need to perform a biopsy of the lesion unless there was recurrence of the symptoms. At 3 and 6-month follow-up, chest pain had resolved (no recurrence) - CT was performed for comparison and still showed a slight densification of the anterior mediastinum’s fat.
DISCUSSION
EFN is an often-overlooked etiology of chest pain in patients with a negative cardiopulmonary workup. The aetiology of EFN is still unknown but appears to be similar to other analogous conditions such as epiploic appendagitis and fat necrosis in the omentum or breast. It’s not expectable that patients with EFN have a higher risk of coronary heart disease. Onset is usually acute but can persist up to a year. Increased heart rate and diaphoresis may be found. ECG and lab tests are usually normal. CXR often shows a paracardiac opacity, occasionally with an associated pleural effusion. CT typically shows a fatty lesion anterior to the pericardium, in the epipericardial fat, with stranding of surrounding soft tissue. In most cases the adjacent pericardium is also thickened. CT enables prompt diagnosis in most cases, preventing further invasive procedures. No evidence-based treatment guidelines are available due to the rarity and benign behaviour of the disease. Treatment is usually conservative with analgesics and non-steroidal anti-inflammatory drugs. Follow-up imaging is recommended to confirm resolution and exclude neoplastic diseases such as liposarcoma. It is important to be familiar with its features since the clinical and radiologic characteristics suggest a presumptive diagnosis, thereby avoiding more aggressive techniques.
Abstract P1346 Figure. MRI - small nodular lesion
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Affiliation(s)
- A Neto
- Hospital Centre do Tamega e Sousa, Cardiology, Penafiel, Portugal
| | - D Seabra
- Hospital Centre do Tamega e Sousa, Cardiology, Penafiel, Portugal
| | - N Moreno
- Hospital Pedro Hispano, Cardiology, Matosinhos, Portugal
| | - S Magalhaes
- Hospital Center of Porto, Radiology, Porto, Portugal
| | - L Pires
- Hospital Centre do Tamega e Sousa, Internal Medicine, Penafiel, Portugal
| | - P Pinto
- Hospital Centre do Tamega e Sousa, Cardiology, Penafiel, Portugal
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Pereira Oliveira I, Seabra D, Neto A, Cruz I, Abreu G, Azevedo J, Pinto P. P228 Mitral valve aneurysm in the context of post-infective endocarditis in hypertrophic cardiomyopathy: an issue of inflammation or pressure gradients? Eur Heart J Cardiovasc Imaging 2020. [DOI: 10.1093/ehjci/jez319.093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Mitral valve aneurysms (MVA) are uncommon and usually develop acutely in the setting of infective endocarditis (IE).
We present a case report of a patient with a ruptured aneurysm of the mitral valve (MV) leaflet and obstructive hypertrophic cardiomyopathy (HCM), previously treated for IE. Echocardiography is essential for diagnosis, highlighting the importance of imaging for early identification and timely intervention.
CASE REPORT
68-year-old male patient with type 2 diabetes mellitus and dyslipidemia was admitted to hospital with a 3-week history of malaise, fever and recent left-sided abdominal pain. No past relevant history.
Physical examination revealed a grade II/VI systolic heart murmur at the cardiac apex, fever, abdominal tenderness in the left upper quadrant and purpuric lesions in the inferior limbs.
Neutrophilia, CPR 211mg/L. Positive blood cultures for Staphylococcus aureus methicillin-sensitive. Spleen embolization, with no abcess on abdominal CT.
Transthoracic (TTE) and transesophageal echocardiography (TEE) disclosed a highly mobile polypoid mass in the atrial side of the anterior MV leaflet, septal left ventricular hypertrophy and systolic anterior motion (SAM) of the MV. Mild mitral regurgitation (MR). No evidence of abcess, aneurysm or valve perforation.
The diagnosis of IE was established and the patient completed 42 days of Flucloxaciline. Favorable clinical evolution, residual lesions on the MV.
TTE and TEE were repeated on follow-up. Besides HCM and SAM of the MV, an aneurysm of the anterior leaflet of the MV was identified and two regurgitant jets: one due to incomplete coaptation of the leaflets; other through the perforated aneurysm. Mild global MR.
A strategy of close follow-up was adopted. Beta blocker dose was increased. Maintenance of the characteristics of the aneurysm.
DISCUSSION
MVA are rare, with perforation and significant MR development as the most serious complications.
They mostly develop in the acute setting of IE of the aortic valve (AV), due to the "jet lesion" from the regurgitant jet or direct extension of the infection. In this case, MVA developed as a late complication of IE of the MV.
Previous infection and inflammation lead to increased susceptibility of the valve leaflet, with possible persistent chronic inflammation. In the setting of obstructive HCM, the lesioned endothelium is exposed to significant intraventricular pressure gradients, which have probably raised its propensity to bulge towards the atrium, resulting in aneurysm formation and perforation.
Optimal approach to MVA has not been defined. If the setting of perforation with severe MR, surgery must be performed in order to avoid a fatal outcome. In small aneurysms with mild MR, a conservative approach seems reasonable.
The purpose of this case is to highlight potential complications of IE, which should be actively investigated, with echocardiography playing a central role in the diagnosis and follow-up.
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Affiliation(s)
| | - D Seabra
- Hospital Centre do Tamega e Sousa, Penafiel, Portugal
| | - A Neto
- Hospital Centre do Tamega e Sousa, Penafiel, Portugal
| | - I Cruz
- Hospital Centre do Tamega e Sousa, Penafiel, Portugal
| | - G Abreu
- Hospital Centre do Tamega e Sousa, Penafiel, Portugal
| | - J Azevedo
- Hospital Centre do Tamega e Sousa, Penafiel, Portugal
| | - P Pinto
- Hospital Centre do Tamega e Sousa, Penafiel, Portugal
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Seabra D, Marques L, Neto A, Azevedo J, Pinto P. P5535Role of cardiovascular magnetic resonance in evaluation of myocardial infarction with non-obstructive coronary arteries. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy566.p5535] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- D Seabra
- Hospital Centre do Tamega e Sousa, Cardiology Department, Penafiel, Portugal
| | - L Marques
- Hospital Centre do Tamega e Sousa, Cardiology Department, Penafiel, Portugal
| | - A Neto
- Hospital Centre do Tamega e Sousa, Cardiology Department, Penafiel, Portugal
| | - J Azevedo
- Hospital Centre do Tamega e Sousa, Cardiology Department, Penafiel, Portugal
| | - P Pinto
- Hospital Centre do Tamega e Sousa, Cardiology Department, Penafiel, Portugal
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9
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Marques L, Castro A, Guedes H, Seabra D, Neto A, Andrade A, Pinto P. P1231Pacemaker implantation in iatrogenic bradycardia: clinical, analytical and electrical predictors of heart rhythm disturbances persistence. Europace 2018. [DOI: 10.1093/europace/euy015.712] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- L Marques
- Centro Hospitalar do Tâmega e Sousa, EPE, Cardiology Department, Penafiel, Portugal
| | - A Castro
- Centro Hospitalar do Tâmega e Sousa, EPE, Cardiology Department, Penafiel, Portugal
| | - H Guedes
- Centro Hospitalar do Tâmega e Sousa, EPE, Cardiology Department, Penafiel, Portugal
| | - D Seabra
- Centro Hospitalar do Tâmega e Sousa, EPE, Cardiology Department, Penafiel, Portugal
| | - A Neto
- Centro Hospitalar do Tâmega e Sousa, EPE, Cardiology Department, Penafiel, Portugal
| | - A Andrade
- Centro Hospitalar do Tâmega e Sousa, EPE, Cardiology Department, Penafiel, Portugal
| | - P Pinto
- Centro Hospitalar do Tâmega e Sousa, EPE, Cardiology Department, Penafiel, Portugal
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Marques L, Castro A, Santos R, Guedes H, Seabra D, Sousa R, Pinto P. 073_16730-J3 Predictors of Cardiac Permanent Pacing in Patients With Potential Reversible Causes for Bradycardia: A Retrospective Analysis. JACC Clin Electrophysiol 2017. [DOI: 10.1016/j.jacep.2017.09.068] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Vijiiac AE, Kemaloglu Oz T, Neves Pestana G, Stefan C, Coutinho Cruz M, Sanz Sanchez J, Fernandez Cabeza J, Amanullah MR, Marques L, Ruivo C, Piro V, Morgado GJ, Peteiro Vazquez JC, De Santos M, Furniss GO, Boutsikou M, Lopez Pais J, Kemal HS, Braga M, Nestoruc AG, Iancovici S, Scafa-Udriste A, Tatu-Chitoiu G, Dorobantu M, Nanda N, Kalenderoglu K, Akyuz S, Atasoy I, Osken A, Onuk T, Eren M, Sousa C, Maia S, Pinto R, Tavares-Silva M, Pinho T, Bernardo-Almeida P, Macedo F, Maciel MJ, Zamfir D, Dan M, Onut R, Onciul S, Vatasescu R, Bogdan S, Dorobantu L, Calmac L, Dorobantu M, Moura Branco L, Galrinho A, Soares Ferreira R, Bastos Goncalves F, Castro J, Mota Capitao L, Cruz Ferreira R, Osa Saez A, Arnau Vives MA, Rueda Soriano J, Blanes Julia M, Perez Guillen M, Loaiza Gongora J, Fonfria Esparcia C, Martinez Dolz L, Mesa Rubio D, Ruiz Ortiz M, Delgado Ortega M, Lopez Granados A, Lopez Aguilera J, Gutierrez Ballesteros G, Aristizabal Duque C, Pan Alvarez Ossorio M, Suarez De Lezo J, Soon JL, Ho KW, Chuah SC, Tan SY, Ding ZP, Ewe SH, Pereira A, Santos R, Guedes H, Seabra D, Sousa R, Pinto P, Montenegro Sa F, Santos L, Correia J, Guardado J, Pernencar S, Saraiva F, Morais J, Gomes AC, Cruz IR, Carmona S, Fazendas P, Joao I, Santos AI, Lopes LR, Pereira H, Bouzas-Zubeldia B, Bouzas-Mosquera A, Reyes Graciela GR, Gastaldello Natalio NG, Granillo Fernandez Marcos MGF, Potito Mauricio MP, Velazco Maria Paula PV, Streitemberger Gisela GS, Chicote-Hughes L, Morgan-Hughes GN, Viswanathan GN, Babu-Narayan S, Swan L, Alonso-Gonzalez R, Dimopoulos K, Rubens M, Ioannides M, Gatzoulis MA, Li W, Casado Alvarez R, Pais Lopez M, Gorriz Magana J, Mata Caballero R, Molina Blazquez L, Hernandez Jimenez V, Perea Egido J, Saavedra Falero J, Alonso Martin J, Gunsel A, Calkavur T, Akin M, Nascimento H, Dias P, Vasconcelos M, Madureira A, Rodrigues R, Almeida PB, Maciel MJ. Clinical Case Poster session 3P938Spectacular disappearance of a massive 4-chamber thrombusP939A very rare reason of the left atrial appendage massP940A deeper look into an aortic regurgitation - case reportP941Reversible cause of right heart failure in a patient diagnosed with cardiomyopathyP942Consequences of an infectionP943Pacemaker leads in endocarditis surgery, leave it or remove it?P944Infective endocarditis with transesophageal echocardiography inconclusive: a diagnostic challenge resolved with nuclear medicine testsP945Thrombosed transcatheter valve after a mitral valve-in-valve implantationP946Monomorphic ventricular tachycardia in a 68-year-old woman: a late diagnosis of arrhythmogenic right ventricular cardiomyopathy/dysplasia (ARVC/D)P947A clinical case of myotonic dystrophy with complex cardiac involvementP948A case of Churg Strauss diagnosed in the cardiology consultP949Sometimes it is more than just coronary atherosclerosisP950Looking to the other side: exercise echo unveils right ventricular dysfunction in a patient with a final diagnosis of primary pulmonary hypertensionP951Right ventricle myocardial herniation as a complication of constrictive pericarditisP952An acquired gerbode defect mistaken for tricuspid regurgitation: the importance of multi-modality imaging in infective endocarditisP953Right atrial thrombus and pulmonary embolism in two patients with tricuspid atresia after Fontan operationP954Asymptomatic L-transposition of the great vessels diagnosed in adulthoodP955Aorta - right atrial tunnel with aneursymatic left main coronary arteryP956Partial anomalous pulmonary venous connection in a 70-year-old patient. Eur Heart J Cardiovasc Imaging 2016. [DOI: 10.1093/ehjci/jew259] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Marques L, Yoshida Y, Pace N, Moreno N, Pereira A, Santos R, Guedes H, Seabra D, Amorim M, Almeida J, Sousa R, Pinto P, Mahara K, Abe K, Saito M, Terada M, Nagatomo Y, Takanashi S, Venner C, Selton-Suty C, Sellal JM, Mandry D, Marie PY, Juilliere Y, Huttin I. Clinical Cases: Valvular heart disease142A sub-aortic valve mass in a rheumatoid arthritis patient: an unconventional mechanism of aortic regurgitation143Symptomatic severe aortic regurgitation with coronary obstruction due to chronic type a dissection144Mitral valve prolapse and ventricular tachycardia: a long-lasting love story. Eur Heart J Cardiovasc Imaging 2016. [DOI: 10.1093/ehjci/jew234] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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