Glória Abreu

Centro Hospitalar do Tamega e Sousa | CHTS · Department of Cardiology

Background: Although it is a poorly known disease, spontaneous coronary artery dissection is an important and frequently underdiagnosed cause of non-atherosclerotic acute coronary syndrome, particularly in women. The objective of this study was to characterize a consecutive sample of patients diagnosed with spontaneous coronary artery dissection wi...

Infective endocarditis is a condition associated with high morbidity and mortality, usually with univalvular involvement. We describe the case of a 76-year-old woman with triple-valve endocarditis due to Streptococcus gallolyticus, complicated by perivalvular suppurative lesions, acute heart failure and acute kidney injury. Unfortunately, the patie...

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 t...

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 mos...

Background Spontaneous coronary artery dissection (SCAD) is an unusual cause of acute coronary syndrome (ACS). Better recognition and diagnosis has raised awareness of this condition. However, the pathophysiology of SCAD and its prognosis are still little understood. We aimed to investigate the characteristics and prognosis of patients with SCAD, a...

Background: Spontaneous coronary artery dissection (SCAD) is an unusual cause of acute coronary syndrome (ACS). Better recognition and diagnosis has raised awareness of this condition. However, the pathophysiology of SCAD and its prognosis are still little understood. We aimed to investigate the characteristics and prognosis of patients with SCAD,...

Introduction Prompt identification of higher-risk patients presenting with ST-segment elevation myocardial infarction (STEMI) is crucial to pursue a more aggressive approach. Objective We aimed to assess whether the modified shock index (MSI), the ratio of heart rate to mean arterial pressure, could predict six-month mortality among patients admit...

Introduction: Prompt identification of higher-risk patients presenting with ST-segment elevation myocardial infarction (STEMI) is crucial to pursue a more aggressive approach. Objective: We aimed to assess whether the modified shock index (MSI), the ratio of heart rate to mean arterial pressure, could predict six-month mortality among patients a...

Introduction There have been no prospective randomized trials that enable the best strategy and timing to be determined for revascularization in patients with non-ST-segment elevation acute coronary syndrome (NSTE-ACS) and multivessel coronary artery disease (CAD). Objectives To compare short- and long-term adverse events following multivessel vs....

Introduction: There have been no prospective randomized trials that enable the best strategy and timing to be determined for revascularization in patients with non-ST-segment elevation acute coronary syndrome (NSTE-ACS) and multivessel coronary artery disease (CAD). Objectives: To compare short- and long-term adverse events following multivessel...

Introduction Prosthetic valve endocarditis (PVE) is an uncommon complication after valve replacement surgery, but potentially fatal. The scarcity of clinical trials makes harder the diagnostic and therapeutic approach of this entity. Aim To define the clinical characteristics and in-hospital evolution of a population with PVE. Methods Retrospecti...

Introduction De novo atrial fibrillation (AF) is common in the acute coronary syndrome (ACS), but most patients (P) are discharged in sinus rhythm (SR). The recurrence of arrhythmia in follow-up (FU) remains unknown and its undervaluation may have prognostic impact. Aim To characterize a population with ACS and de novo AF and determine its prognos...

Atrial fibrillation (AF) is widely recognized as an adverse prognostic factor during acute myocardial infarction, although the impact of AF type - new-onset (nAF) or pre-existing (pAF) - is still controversial. To identify the clinical differences and prognosis of nAF and pAF during acute coronary syndromes (ACS). We performed a retrospective obser...

European Journal of Preventive Cardiology May 2015 22: S46-S76, doi:10.1177/2047487315586734

Eur J Prev Cardiol. 2015 May;22(1 Suppl):S166-98.

Purpose Serum Iron (I) is a cofactor of several enzymes, but also, a mediator of reactive oxygen species production. In literature, the impact of I on prognosis of patients (P) with Acute Coronary Syndromes (ACS) is not well established. Methods Prospective study including 228 P with ACS consecutively admitted to a coronary care unit over 6 months...

Introduction Takotsubo cardiomyopathy (TC) is a still rarely diagnosed clinical syndrome, which is characterized by transient cardiac dysfunction with reversible wall motion abnormalities. Aim Determine the demographic characteristics, clinical presentation and prognosis of patients with TC. Methods Retrospective study of 39 patients admitted for...

A 65 year-old man was observed for weight loss and skin nodules. Skin biopsy allowed to make diagnosis of cell epidermoid melanoma. In the staging CT, there was pericardial effusion and the presence of a solid formation of irregular shape in the right sections of the heart (Figure 1). The transthoracic echocardiogram shows initial compression of th...

Intercoronary communication or 'coronary arcade' is a rare congenital coronary anomaly. We present the case of a 65-year-old man with atypical chest pain for four months. The 12-lead ECG and echocardiogram were normal. Treadmill exercise testing was interrupted at peak exercise due to consecutive salvos of ventricular premature beats, without signi...

Intercoronary communication or ‘coronary arcade’ is a rare congenital coronary anomaly. We present the case of a 65‐year‐old man with atypical chest pain for four months. The 12‐lead ECG and echocardiogram were normal. Treadmill exercise testing was interrupted at peak exercise due to consecutive salvos of ventricular premature beats, without signi...

A comunicação intercoronária ou arcada coronária é uma anomalia rara da circulação coronária de etiologia congénita. Apresentamos o caso de um homem de 65 anos com dor torácica atípica com quatro meses de evolução. O ECG e o ecocardiograma não evidenciavam alterações. Realizou prova de esforço que foi interrompida no pico de esforço máximo por salv...