David Neves
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View article: Pituitary Apoplexy: An Uncommon Cause of Postpartum Headache
Pituitary Apoplexy: An Uncommon Cause of Postpartum Headache Open
When a postpartum headache follows a dural puncture, the diagnosis of post-dural puncture headache (PDPH) is usually considered; however, anesthesiologists must also recognize findings that warrant urgent specialized evaluation. Pituitary …
View article: Does Polluted Air Increase COVID-19 Severity? A Critical Review of the Evidence and Proposals to Clarify a Potentially Dramatic Interaction
Does Polluted Air Increase COVID-19 Severity? A Critical Review of the Evidence and Proposals to Clarify a Potentially Dramatic Interaction Open
Several broad ecological analyses have been conducted, mostly in urban settings in Europe and North America, suggesting that air pollution may be associated with greater severity of SARS-CoV-2 infection. Following the identification of pos…
View article: Culprit-Lesion Drug-Coated-Balloon Percutaneous Coronary Intervention in Patients Presenting with ST-Elevation Myocardial Infarction (STEMI)
Culprit-Lesion Drug-Coated-Balloon Percutaneous Coronary Intervention in Patients Presenting with ST-Elevation Myocardial Infarction (STEMI) Open
Background/Objectives: Drug-eluting stents (DESs) remain the standard of treatment for patients with ST-elevation myocardial infarction (STEMI). However, complications such as stent thrombosis and in-stent restenosis still pose significant…
View article: Drug-coated balloons across different scenarios. Long-term single center experience
Drug-coated balloons across different scenarios. Long-term single center experience Open
To the Editor, Currently, drug-coated balloons (DCBs) are used across many different scenarios.1 There is solid evidence supporting their use in any type of in-stent restenosis (ISR), whether related to bare metal or drug-eluting stents (D…
View article: Coronary manual thrombectomy - a 12-year single centre experience
Coronary manual thrombectomy - a 12-year single centre experience Open
Funding Acknowledgements None. Background/Introduction Coronary manual thrombectomy is not routinely recommended, due to the risk of stroke, as supported by some dedicated clinical trials. It is, however, a simple and delicate technique th…
View article: Outpatient PCI - early discharge PCI, single center experience
Outpatient PCI - early discharge PCI, single center experience Open
Funding Acknowledgements None. Background Percutaneous coronary intervention (PCI) has undergone rapid evolution over the last years and is currently a widely generalized therapeutic option. In the past, it was associated with a significan…
View article: TAVI in younger patients: is it a reliable option?
TAVI in younger patients: is it a reliable option? Open
Funding Acknowledgements None. Background/Introduction Severe aortic stenosis is the most common valve disease requiring intervention. It has very poor prognosis, and early intervention is recommended. Either surgical or percutaneous trans…
View article: Bioresorbable vascular scaffolds - a single center experience
Bioresorbable vascular scaffolds - a single center experience Open
Funding Acknowledgements None. Background/Introduction Bioresorbable vascular scaffolds (BVS) were considered promising alternatives to drug-eluting stents in percutaneous coronary interventions (PCI). They would restore the normal vasomot…
View article: Experience from a regional percutaneous coronary intervention center: Aiming to assess and improve quality of care
Experience from a regional percutaneous coronary intervention center: Aiming to assess and improve quality of care Open
A significant difference between state-of-the-art targets and reality was found, depending on the place of FMC, with the worst delays in non-PCI centers. Patient delay, ECG delay, FMC to diagnosis and logistic delay are identified as key a…
View article: STEMI antiplatelet pretreatment strategy - national multicenter registry experience
STEMI antiplatelet pretreatment strategy - national multicenter registry experience Open
Funding Acknowledgements None. Background/Introduction Antiplatelet therapy is the cornerstone treatment for ST-segment elevation myocardial infarction (STEMI). Dual antiplatelet therapy (DAPT) including aspirin and a potent P2Y12 inhibito…
View article: Impact of chronic painful temporomandibular disorders on quality of life
Impact of chronic painful temporomandibular disorders on quality of life Open
Temporomandibular Disorders (TMDs) are pathologies based on multifactorial etiology and a biopsychosocial model, where anxiety becomes one of the most important psychological factors as it is the most frequent symptom presented in most of …
View article: Referral pathway in primary PCI - delays depend on the origin
Referral pathway in primary PCI - delays depend on the origin Open
Background Ischaemic heart disease is the single most common cause of death and its frequency is increasing. The mortality in patients presenting with an acute coronary syndrome with ST-elevation (STEMI) is associated with many factors suc…
View article: Oral Presentation No. 083 Coronary Aspiration Thrombectomy: bringing back the old kid on the block
Oral Presentation No. 083 Coronary Aspiration Thrombectomy: bringing back the old kid on the block Open
Background Traditionally, routine thrombus aspiration during primary percutaneous coronary intervention (PCI) was performed to prevent distal embolization and protect microvascular perfusion. However, recent trials showed no clinical benef…
View article: Iron deficiency – a factor in left ventricular ejection fraction depression post-myocardial infarction
Iron deficiency – a factor in left ventricular ejection fraction depression post-myocardial infarction Open
Introduction Iron deficiency was shown to affect functional capacity and ejection fraction in patients with heart failure and reduced ejection fraction. Myocardial infarction is an important cause of reduced left ventricular ejection fract…
View article: Characterization and quality of care indicators in patients with acute myocardial infarction without ST segment elevation
Characterization and quality of care indicators in patients with acute myocardial infarction without ST segment elevation Open
Introduction The definition of the quality of care in healthcare services is paramount to implement the resources necessary to grant the best quality of care according to the current guidelines. Recently, the European Society of Cardiology…
View article: The role of cardiac magnetic resonance in MINOCA diagnosis
The role of cardiac magnetic resonance in MINOCA diagnosis Open
Introduction Absence of obstructive coronary disease does not imply absence of acute myocardial infarction (AMI). Hence, it can be designated as Myocardial Infarction with Non-obstructive Coronary Arteries (MINOCA). Performing Cardiac Magn…
View article: Modified zwolle score with delta-creatinine: enhancing the safety of early discharge after STEMI
Modified zwolle score with delta-creatinine: enhancing the safety of early discharge after STEMI Open
Introduction The Zwolle score (ZS) is recommended to identify low-risk patients eligible for early discharge after acute ST-segment elevation myocardial infarction (STEMI), but as only one-third of STEMIs have a low ZS, the discharge is of…
View article: P275Positive predictive value of computed tomography coronary angiography vs exercise stress test in the diagnose of obstructive coronary artery disease
P275Positive predictive value of computed tomography coronary angiography vs exercise stress test in the diagnose of obstructive coronary artery disease Open
Introduction: European Society of Cardiology (ESC) guidelines on the management of stable coronary artery disease (2013) suggests a stress test, either treadmill exercise stress test (EST) or, preferably, stress imaging test for the diagno…
View article: New-Onset Atrial Fibrillation in St-Segment Elevation Myocardial Infarction: Predictors and Impact on Therapy And Mortality
New-Onset Atrial Fibrillation in St-Segment Elevation Myocardial Infarction: Predictors and Impact on Therapy And Mortality Open
Backgrund: New-onset atrial fibrillation complicating acute myocardial infarction represents an important challenge, with prognostic significance. Objective: To study the incidence, impact on therapy and mortality, and to identify predicto…
View article: New-Onset Atrial Fibrillation in St-Segment Elevation Myocardial Infarction: Predictors and Impact on Therapy And Mortality
New-Onset Atrial Fibrillation in St-Segment Elevation Myocardial Infarction: Predictors and Impact on Therapy And Mortality Open
Backgrund: New-onset atrial fibrillation complicating acute myocardial infarction represents an important challenge, with prognostic significance. Objective: To study the incidence, impact on therapy and mortality, and to identify predicto…
View article: New-Onset Atrial Fibrillation in St-Segment Elevation Myocardial Infarction: Predictors and Impact on Therapy And Mortality
New-Onset Atrial Fibrillation in St-Segment Elevation Myocardial Infarction: Predictors and Impact on Therapy And Mortality Open
New-onset atrial fibrillation remains a frequent complication of myocardial infarction and is associated with higher rate of complications and in-hospital mortality. Age, prior stroke, inferior myocardial infarction and complete atrioventr…
View article: Left main and/or three-vessel disease in patients with non-ST-segment elevation myocardial infarction and low-risk GRACE score: Prevalence, clinical outcomes and predictors
Left main and/or three-vessel disease in patients with non-ST-segment elevation myocardial infarction and low-risk GRACE score: Prevalence, clinical outcomes and predictors Open
LM/3VD was found in one in five patients. These patients had a tendency for higher in-hospital mortality and more MACCE, and higher one-year mortality. Simple clinical variables could help predict this severe coronary anatomy.
View article: Left main and/or three-vessel disease in patients with non-ST-segment elevation myocardial infarction and low-risk GRACE score: Prevalence, clinical outcomes and predictors
Left main and/or three-vessel disease in patients with non-ST-segment elevation myocardial infarction and low-risk GRACE score: Prevalence, clinical outcomes and predictors Open
Introduction: A low-risk GRACE score identifies patients with a lower incidence of major cardiac events, however it can erroneously classify patients with severe coronary artery disease as low-risk. We assessed the prevalence, clinical out…
View article: P4613A quick New Score to predict in-hospital mortality, cardiac arrest and cardiogenic shock in Acute Myocardial Infarction
P4613A quick New Score to predict in-hospital mortality, cardiac arrest and cardiogenic shock in Acute Myocardial Infarction Open
score was assessed in patients with acute myocardial infarction (MI) according to use of P2Y12 blocker.Methods: From the Korea Acute Myocardial Infarction Registry-National Institute of Health database, 7,791 patients with acute MI receivi…
View article: Clinical Case Poster session 6
Clinical Case Poster session 6 Open
Introduction and case report description: A 43-years old man was admitted to emergency department because of chest pain and dyspnoea.He had no prior cardiological history.His ecg demonstrated an anterior ST elevation.At presentation, he wa…