Browsing by Author "Antunes, N."
Now showing 1 - 8 of 8
Results Per Page
Sort Options
- Efficacy And Safety Of Implantable Loop Recorder: Experience Of A CenterPublication . Silveira, I.; Sousa, M.; Antunes, N.; Silva, V.; Roque, C.; Pinheiro-Vieira, A.; Lagarto, V.; Hipólito-Reis, A.; Luz, A.; Torres, S.Introduction: Symptoms like syncope or palpitations frequently present a diagnostic challenge. An implantable loop recorder (ILR) is an important aid in the management of these patients. Methods: A retrospective study of patients that underwent ILR implantation from November 2007 to 2014. For each patient the indication for implantation, baseline characteristics, previous study, complications, recorded tracing and interventions were evaluated. Results: A total of 62 patients were included, 50% men, with a mean age of 62.5±18.8 years old. Previously to ILR implantation 88.7% of patients had performed Holter, 17.7% external events recorder, 33.9% Tilt test and 29% an electrophysiological study. The implantation indications were recurrent syncope in 90.3%, palpitations 8.1% and ischemic stroke in one patient. Mean follow-up time was 17.1±16.3 months. Symptoms were reported in 66.1% of the patients, 46.8% of those yielding a diagnostic finding. In all cases of palpitation complaints with diagnosis we found atrial fibrillation (AF). In patients with syncope atrioventricular conduction disturbance was demonstrated in 19.6%, sinus node dysfunction in 16.1%, paroxysmal supra-ventricular tachycardia 7.1% and AF in 1.8%. These finding resulted in 19 pacemaker and one CRT-D implantation, introduction of anticoagulation in five patients and one ablation of accessory pathway. There were no major complications. Conclusion: ILR proved to be safe and efficient. It has enabled the identification or exclusion of serious rhythm disturbances in more than half of patients and provided a targeted therapeutic intervention.
- ENCERRAMENTO PERCUTÂNEO DE COMUNICAÇÃO INTERAURICULAR E FORAMEN OVALE PATENTE EM ADULTOS – A EXPERIÊNCIA DE UM CENTROPublication . Vieira, M.; Dias, V.; Meireles, A.; Gomes, C.; Antunes, N.; Anjo, D.; Guedes, R.; Oliveira, F.; Cabral, S.; Pereira, L.; Braga, P.; Cyrne-Carvalho, H.; Torres, S.
- HOME MONITORING SYSTEM EM DOENTES COM POLINEUROPATIA AMILOIDÓTICA FAMILIARPublication . Vieira, M.; Dias, V.; Meireles, A.; Gomes, C.; Antunes, N.; Anjo, D.; Roque, C.; Reis, H.; Lagarto, V.; Cyrne-Carvalho, H.; Torres, S.
- PROGNÓSTICO A CURTO E LONGO PRAZO E FOLLOW-UP ANGIOGRÁFICO APÓS INTERVENÇÃO CORONÁRIA PERCUTÂNEA COM STENTS REVESTIDOS COM RAPAMICINA EM OCLUSÕES CORONÁRIAS CRÓNICAS: ESTUDO PROSPECTIVO DE UM CENTROPublication . Vieira, M.; Dias, V.; Meireles, A.; Gomes, C.; Antunes, N.; Anjo, D.; Luz, A.; Dias, H.; Correia, A.; Pinto, R.; Silveira, J.; Sousa, P.; Cyrne-Carvalho, H.; Torres, S.
- Pulmonary embolism with thromboembolus in transitPublication . Silva-Vieira, M.; Anjo, D.; Antunes, N.; Cyrne-Carvalho, H.; Torres, S.
- Renal cell carcinoma presentingas a stress cardiomyopathyPublication . Vieira, MS; Cyrne-Carvalho, H.; Torres, S.; Antunes, N.
- Successful management of Listeria monocytogenes pericarditis: case report and review of the literature.Publication . Dias, V.; Cabral, S.; Anjo, D.; Vieira, M.; Antunes, N.; Carvalheiras, G.; Gomes, C.; Meireles, A.; Mendonça, T.; Torres, S.Listeria monocytogenes, although an uncommon cause of illness in the general population, is feared principally because of the morbidity and mortality associated with CNS infections. Cardiovascular involvement with L. monocytogenes is very rare, and has been limited to endocarditis. We describe a case of Listeria pericarditis, which occurred in a 60-year-old man with Child-Pugh B cirrhosis who presented to the emergency department with asthenia, anorexia, and respiratory distress. The echocardiogram showed severe pericardial effusion and after pericardiocentesis, L. monocytogenes was isolated in the culture of pericardial fluid. After surgical pericardiectomy with draining of the pericardial effusion and antibiotic treatment with ampicillin, the patient experienced a slow, but full recovery. Documentation of L. monocytogenes pericarditis is an extremely rare entity with very scarce reports in medical literature, and is usually associated with a very poor prognosis. A case report is presented together with a review of the literature.
- Triple, simultaneous, very late coronary stent thrombosisPublication . Silva-Vieira, M.; Luz, A.; Anjo, D.; Antunes, N.; Santos, M.; Cyrne-Carvalho, H.; Torres, S.Abstract Coronary artery stent thrombosis is an uncommon but potentially catastrophic complication. The risk of very late stent thrombosis (VLST) raises important safety issues regarding the first generation of drug-eluting stents (DES). Although several complex mechanisms for VLST have been suggested and various predictors have been described, its pathophysiology is not completely understood and it is not known whether longer-term dual antiplatelet therapy reduces the risk. We present a rare case of simultaneous very late DES thrombosis in the three vascular territories, following discontinuation of antiplatelet therapy seven years after stent placement, presenting as cardiogenic shock.