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- Uso apropriado da ecocardiografia transtorácicaPublication . Gomes, Susana; Freitas, Estela; Pereira, Décio
- Survival after out-of-hospital cardiac arrest in Europe - Results of the EuReCa TWO studyPublication . Gräsner, Jan-Thorsten; Wnent, Jan; Herlitz, Johan; Perkins, Gavin D.; Lefering, Rolf; Tjelmeland, Ingvild; Koster, Rudolph W.; Masterson, Siobhán; Rossell-Ortiz, Fernando; Maurer, Holger; Böttiger, Bernd W.; Moertl, Maximilian; Mols, Pierre; Alihodžić, Hajriz; Hadžibegović, Irzal; Ioannides, Marios; Truhlář, Anatolij; Wissenberg, Mads; Salo, Ari; Escutnaire, Josephine; Nikolaou, Nikolaos; Nagy, Eniko; Jonsson, Bergthor Steinn; Wright, Peter; Semeraro, Federico; Clarens, Carlo; Beesems, Steffie; Cebula, Grzegorz; Correia, Vitor H; Cimpoesu, Diana; Raffay, Violetta; Trenkler, Stefan; Markota, Andrej; Strömsöe, Anneli; Burkart, Roman; Booth, Scott; Bossaert, LeoBackground The epidemiology and outcome after out-of-hospital cardiac arrest (OHCA) varies across Europe. Following on from EuReCa ONE, the aim of this study was to further explore the incidence of and outcomes from OHCA in Europe and to improve understanding of the role of the bystander. Methods This prospective, multicentre study involved the collection of registry-based data over a three-month period (1st October 2017 to 31st December 2017). The core study dataset complied with the Utstein-style. Primary outcomes were return of spontaneous circulation (ROSC) and survival to hospital admission. Secondary outcome was survival to hospital discharge. Results All 28 countries provided data, covering a total population of 178,879,118. A total of 37,054 OHCA were confirmed, with CPR being started in 25,171 cases. The bystander cardiopulmonary resuscitation (CPR) rate ranged from 13% to 82% between countries (average: 58%). In one third of cases (33%) ROSC was achieved and 8% of patients were discharged from hospital alive. Survival to hospital discharge was higher in patients when a bystander performed CPR with ventilations, compared to compression-only CPR (14% vs. 8% respectively). Conclusion In addition to increasing our understanding of the role of bystander CPR within Europe, EuReCa TWO has confirmed large variation in OHCA incidence, characteristics and outcome, and highlighted the extent to which OHCA is a public health burden across Europe. Unexplained variation remains and the EuReCa network has a continuing role to play in improving the quality management of resuscitation.
- Cardiac arrhythmias in patients presenting with COVID-19 treated in Portuguese hospitals: A national registry from the Portuguese Association of Arrhythmology, Pacing and ElectrophysiologyPublication . Mesquita, Dinis; Carmo, Pedro; Cabanelas, Nuno; Santos, Nuno; Martins, Vítor; Sanfins, Victor; Costa, Helena Cristina; Fontes, José Paulo; Fonseca, Paulo; Parreira, LeonorIntroduction and objectives: In December 2019, SARS-CoV-2, was discovered as the agent of COVID-19 disease. Cardiac arrhythmias have been reported as frequent but their incidence is unknown. The aim of this research was to assess the real incidence of cardiac arrhythmias among COVID-19 patients admitted to Portuguese hospitals and to understand the underlying prognostic implications. Methods: The Portuguese Association of Arrhythmology, Pacing and Electrophysiology (APAPE) conducted a survey in Portuguese hospitals to assess the occurrence of arrhythmias in COVID-19 patients, their clinical characteristics, the use of experimental therapies and the impact on QT interval.
- Terapêutica Antiagregante na Doença Coronária -novos desafios (Power Point)Publication . Temtem, Margarida; Marco, Gomes Serrão; Drumond, António
- Miocardiopatia Takotsubo: estado da artePublication . Nóbrega, SofiaTakotsubo cardiomyopathy is a reversible condition, characterized by transient left ventricular systolic dysfunction, that mimics an acute coronary syndrome. It usually occurs after physical or emotional stress, predominantly in postmenopausal women, although it also can affect younger age groups and males. It often presents as chest pain or dyspnea with electrocardiographic changes and mild elevation of cardiac enzymes suggesting acute myocardial infarction. Coronary angiography excludes obstructive coronary disease, and imaging reveals ventricular apical akinesia and compensatory hypercontractility of the basal segments. Various pathophysiological mechanisms have been proposed for the syndrome, such as occult atherosclerotic disease, multivessel spasm and/or microvascular dysfunction. However, the most widely accepted hypothesis at present is an excess of catecholamines causing calcium overload in cardiac myocytes, leading to disruption of contraction and ventricular function. Treatment is essentially supportive, with spontaneous and complete reversal of the changes within days or weeks. However, the presence of complications and comorbidities may predict a more adverse prognosis. As much is still unknown about takotsubo cardiomyopathy and the number of reported cases is growing, we present a literature review.
- Reestruturação da Sala de EmergênciaPublication . Pereira, Decio
- An extremely unusual pacemaker complication (image)Publication . Rodrigues, Ricardo C; Correia, André; Gomes, Susana; Pereira, Décio; Caires, Graça
- New ‘refined ’criteria for the electrocardiographic assessment of athletesPublication . Rodrigues, RC; Serrão, G; Gomes, S; Pereira, D
- Pericardite com tamponamento por salmonella enteritidisPublication . Filipe de Mendonça Arruda Gonçalves Café, Hugo; Francisco Taborda Oliveira da Silva, BrunoRelata-se o caso de paciente feminina, 22 anos, sem história médica prévia relevante, admitida no Serviço de Urgência por cansaço progressivo e dor aguda, referindo queixas abdominais há 72 horas. Avaliação médica revela presença de derrame pericárdio moderado. Internada, evolui em tamponamento cardíaco, requerendo pericardiocentese.É determinada a presença de Salmonella enteritidis no líquido pericárdico, e então iniciado tratamento com antibiótico. O prognóstico foi satisfatório, com recuperação total clínica e ecocardiográfica.
- Cardiomiopatia Dilatada por Vírus H1N1Publication . Filipe de Mendonça Arruda Gonçalves Café, Hugo; Filipe Gomes Serrão, Marco; Paula Moreira Faria, Ana; Jorge Rodrigues Araújo, JoséMulher de 58 anos, sem antecedentes médicos relevantes, apresenta infecção respiratória pelo vírus H1N1, requerendo internação na Unidade de Cuidados Intensivos. Após a alta, refere progressiva astenia e dispneia, sendo internada nove meses depois por derrame pleural e infecção respiratória. Avaliação específica pela Cardiologia revela cardiomiopatia dilatada com má função sistólica do ventrículo esquerdo, compatível com miocardite. A ressonância magnética se apresenta compatível com miocardite. Dados os antecedentes e havendo sido descartada doença autoimune e tóxica, associou-se a doença ao vírus H1N1. O prognóstico é muito positivo, com recuperação quase total da função do ventrículo esquerdo.