14 results match your criteria: "Santa Maria University Hospital (CHULN)[Affiliation]"

The aim of this work was to validate the measurements of three physiological parameters, namely, body temperature, heart rate, and peripheral oxygen saturation, captured with an out-of-the-lab device using measurements taken with clinically proven devices. The out-of-the-lab specialized device was integrated into a customized mHealth application, e-CoVig, developed within the AIM Health project. To perform the analysis, single consecutive measurements of the three vital parameters obtained with e-CoVig and with the standard devices from patients in an intensive care unit were collected, preprocessed, and then analyzed through classical agreement analysis, where we used Lin's concordance coefficient to assess the agreement correlation and Bland-Altman plots with exact confidence intervals for the limits of agreement to analyze the paired data readings.

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Article Synopsis
  • * The 12 areas include issues like setup for PCI, managing vessel injuries, preventing haemodynamic collapse, and dealing with complications like perforations and radiation injuries.
  • * The statement serves to enhance clinical practice, research, and education by providing strategies to prevent complications and improve patient outcomes during CTO PCI procedures.
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Background: Helicobacter pylori infection acquisition occurs mainly in childhood and may be a critical factor in developing long-term complications. In contrast to other developed countries, previous studies have reported a relatively high H. pylori infection prevalence in Portugal, both in children and adults.

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Introduction: Critical isthmuses of atypical atrial flutters (AAFLs) are usually located at slow conduction areas that exhibit fractionated electrograms. We tested a novel software, intended for integration with a commercially available navigation system, that automatically detects fractionated electrograms, to identify the critical isthmus in patients with AAFL ablation.

Methods And Results: All available patients were analyzed; 27 patients with 33 AAFLs were included.

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Introduction: Scar-related ventricular tachycardia (VT) usually results from an underlying reentrant circuit facilitated by anatomical and functional barriers. The later are sensitive to the direction of ventricular activation wavefronts. We aim to evaluate the impact of different ventricular activation wavefronts on the functional electrophysiological properties of myocardial tissue.

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Background: Automated systems for substrate mapping in the context of ventricular tachycardia (VT) ablation may annotate far-field rather than near-field signals, rendering the resulting maps hard to interpret. Additionally, quantitative assessment of local conduction velocity (LCV) remains an unmet need in clinical practice. We evaluate whether a new late potential map (LPM) algorithm can provide an automatic and reliable annotation and localized bipolar voltage measurement of ventricular electrograms (EGMs) and if LCV analysis allows recognizing intrascar conduction corridors acting as VT isthmuses.

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Acute coronay syndrome in a patient with severe hemophilia A: Dificult decisions.

Rev Port Cardiol (Engl Ed)

December 2021

Cardiology Department, Santa Maria University Hospital CHULN, CAML, CCUL, Lisbon School of Medicine, Universidade de Lisboa, Portugal.

Hemophilia A is an inherited coagulation disease characterized by factor VIII (FVIII) deficiency and is associated with high hemorrhagic risk, especially in its severe forms. As the average life expectancy of patients with hemophilia has increased, so has the prevalence of acute coronary events. There is however limited experience in dealing with them.

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The World Heart Federation (WHF) Roadmap series covers a large range of cardiovascular conditions. These Roadmaps identify potential roadblocks and their solutions to improve the prevention, detection and management of cardiovascular diseases and provide a generic global framework available for local adaptation. A first Roadmap on raised blood pressure was published in 2015.

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The World Heart Federation (WHF) commenced a Roadmap initiative in 2015 to reduce the global burden of cardiovascular disease and resultant burgeoning of healthcare costs. Roadmaps provide a blueprint for implementation of priority solutions for the principal cardiovascular diseases leading to death and disability. Atrial fibrillation (AF) is one of these conditions and is an increasing problem due to ageing of the world's population and an increase in cardiovascular risk factors that predispose to AF.

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Pharmacogenomics of the Efficacy and Safety of Colchicine in COLCOT.

Circ Genom Precis Med

April 2021

Montreal Heart Institute (M.-P.D., M.-A.L., A.L., L.-P.L.P., R.F., G.A., S.P., A.B., M.S., M.C., L.B., I.M., A.D., D.R., N.B., M.S., S.d.D., P.L.L., M.-C.G., J.-C.T.), Université de Montréal, Canada.

Background: The randomized, placebo-controlled COLCOT (Colchicine Cardiovascular Outcomes Trial) has shown the benefits of colchicine 0.5 mg daily to lower the rate of ischemic cardiovascular events in patients with a recent myocardial infarction. Here, we conducted a post hoc pharmacogenomic study of COLCOT with the aim to identify genetic predictors of the efficacy and safety of treatment with colchicine.

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  • * Researchers analyzed over 4,600 patients, dividing them based on how quickly they received colchicine after their MI; those treated within 3 days had the best outcomes regarding heart-related events compared to those treated later.
  • * The findings suggest that initiating colchicine treatment early—ideally in the hospital—offers important benefits in reducing severe complications such as cardiac death, recurrent MI, and the need for urgent procedures.
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  • Advances in equipment and techniques have significantly improved the outcomes of chronic total occlusion (CTO) percutaneous coronary intervention (PCI), with seven best practice principles developed through global collaboration.
  • The primary reason for performing CTO-PCI is to alleviate ischemic symptoms, and using a combination of detailed angiography and specific crossing strategies is crucial for successful procedures.
  • Successful CTO-PCI relies on specialized expertise, careful lesion preparation, and the use of advanced equipment to minimize complications and enhance patient outcomes, underscoring the importance of adopting these best practices widely.
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Double Ventricular Rupture After Inferolateral Myocardial Infarction: A Rare Mechanical Complication.

JACC Cardiovasc Interv

June 2019

Cardiology Department, Santa Maria University Hospital (CHULN), Centro Académico de Medicina de Lisboa, Centro Cardiovascular da Universidade de Lisboa (CCUL), Lisbon School of Medicine, Universidade de Lisboa, Lisbon, Portugal.

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