6 results on '"António Pires"'
Search Results
2. Insulin Resistance, Dyslipidemia and Cardiovascular Changes in a Group of Obese Children
- Author
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António Pires, Paula Martins, Ana Margarida Pereira, Patricia Vaz Silva, Joana Marinho, Margarida Marques, Eduardo Castela, Cristina Sena, and Raquel Seiça
- Subjects
Obesidade Pediátrica ,Resistência à Insulina ,Dislipidemias ,Doenças Cardiovasculares ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
Introduction: Obesity-related comorbidities are present in young obese children, providing a platform for early adult cardiovascular disorders. Objectives: To compare and correlate markers of adiposity to metabolic disturbances, vascular and cardiac morphology in a European pediatric obese cohort. Methods: We carried out an observational and transversal analysis in a cohort consisting of 121 obese children of both sexes, between the ages of 6 and 17 years. The control group consisted of 40 children with normal body mass index within the same age range. Markers of adiposity, plasma lipids and lipoproteins, homeostasis model assessment-insulin resistance, common carotid artery intima-media thickness and left ventricular diameters were analyzed. Results: There were statistically significant differences between the control and obese groups for the variables analyzed, all higher in the obese group, except for age, high-density lipoprotein cholesterol and adiponectin, higher in the control group. In the obese group, body mass index was directly correlated to left ventricular mass (r=0.542; p=0.001), the homeostasis model assessment-insulin resistance (r=0.378; p=
- Published
- 2015
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3. Doença de Kawasaki: Preditores de Resistência à Imunoglobulina Intravenosa e Complicações Cardíacas
- Author
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Diogo Faim, Cláudio Henriques, Ana Brett, Andreia Francisco, Fernanda Rodrigues, and António Pires
- Subjects
Doença de Kawasaki/complicações ,Síndrome de Linfonodos Mucocutâneos/complicações ,Resistência à Medicamentos ,Doenças da Artéria Coronariana ,Imunoglobulina ,Criança ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
Resumo Fundamento: A doença de Kawasaki (DK) é a principal causa de cardiopatia adquirida em idade pediátrica nos países desenvolvidos. Objetivos: Identificar fatores preditores de resistência à imunoglobulina intravenosa (IGIV), calcular a eficácia dos modelos preditores japoneses e caracterizar as complicações cardíacas. Métodos: Análise retrospectiva dos casos de DK entre janeiro de 2006 e julho de 2018 em um hospital pediátrico português. Foram construídas curvas ROC para encontrar fatores preditores de resistência e utilizada regressão logística multivariada para elaborar o modelo preditor. O nível de significância utilizado foi de 5%. Resultados: Foram incluídos 48 pacientes com mediana de idade de 36 meses. Verificou-se resistência à IGIV em 21%. Ocorreram alterações ecocardiográficas em 46%, com envolvimento coronário em 25%. Como variáveis preditoras de resistência, a proteína C-reativa (PC-R) apresentou uma AUC ROC = 0,789, ponto de corte = 15,1 mg/dL, sensibilidade (S) = 77,8% e especificidade (E) = 78,9%. A velocidade de sedimentação (VS) apresentou uma AUC ROC = 0,781, ponto de corte = 90,5 mm/h, S = 66,7% e E = 85,7%. O modelo com as duas variáveis apresentou valor p = 0,042 e AUC ROC = 0,790. O modelo Kobayashi apresentou S = 63,6% e E = 77,3%; Egami, S = 66,7% e E = 73,1%; e Sano, S = 28,6% e E = 94,1%. Conclusão: A PC-R e a VS são variáveis independentes que mostraram tendência preditora de resistência à IGIV com pontos de corte ótimos de 15,1 mg/dL e 90,5 mm/h, respectivamente. Cerca de metade dos pacientes teve algum tipo de envolvimento cardíaco. Os modelos japoneses não têm utilidade nessa população. (Arq Bras Cardiol. 2021; 116(3):485-491)
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4. Punção Trans Túnel Intra-Atrial Guiada por Imagem Multimodal e Sistema de Mapeamento 3-D com Integração de TC em Doente com Flutter Atrial Pós Cirurgia de Senning
- Author
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Patrícia Viana da Silva, Pedro Sousa, António Pires, and Andreia Palma
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Flutter atrial ,medicine.medical_specialty ,Ablação por cateter ,Transposição das Grandes Artérias ,medicine.medical_treatment ,Catheter ablation ,Punctures ,Imagem ,Catheter manipulation ,Internal medicine ,medicine ,Diseases of the circulatory (Cardiovascular) system ,Humans ,Atrium (heart) ,business.industry ,Arrhythmias, Cardiac ,Transeptal Puncture ,medicine.disease ,Arterial Switch Operation ,medicine.anatomical_structure ,Atrial Flutter ,Great arteries ,RC666-701 ,Cirurgia de Senning ,Image ,Catheter Ablation ,Cardiology ,Senning Procedure ,Tomography, X-Ray Computed ,Cardiology and Cardiovascular Medicine ,business ,Punção transeptal ,Atrial flutter ,Senning Surgery - Abstract
The complex post-surgical anatomy after the Senning procedure presents several challenges for catheter ablation. Transbaffle approach allows access to the pulmonary venous atrium and better catheter manipulation. However, this modified transseptal puncture can be challenging to perform. The authors present the case of a 29-year-old woman who underwent a Senning procedure for dextro-transposition of the great arteries. The patient had recurrent episodes of atrial flutter despite adequate antiarrhythmic therapy and was referred for catheter ablation. […] Transbaffle Puncture Using Multimodality [...]
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- 2021
5. Kawasaki Disease: Predictors of Resistance to Intravenous Immunoglobulin and Cardiac Complications
- Author
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Diogo Faim, Ana Maria Oliveira Brett, António Pires, Fernanda Rodrigues, Cláudio Henriques, and Andreia Francisco
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Resistência à Medicamentos ,medicine.medical_specialty ,Heart Diseases ,Mucocutaneous Lymph Node Syndrome/complications ,Drug Resistance ,Criança ,Coronary Artery Disease ,Mucocutaneous Lymph Node Syndrome ,030204 cardiovascular system & hematology ,Síndrome de Linfonodos Mucocutâneos/complicações ,Kawasaki Disease/complications ,03 medical and health sciences ,0302 clinical medicine ,Immunoglobulin ,Diseases of the circulatory (Cardiovascular) system ,Humans ,Medicine ,Child ,Gynecology ,business.industry ,Imunoglobulina ,Artigo Original ,Doenças da Artéria Coronariana ,Immunoglobulins, Intravenous ,Heart ,medicine.disease ,RC666-701 ,Doença de Kawasaki/complicações ,Original Article ,Kawasaki disease ,Cardiology and Cardiovascular Medicine ,business - Abstract
Resumo Fundamento A doença de Kawasaki (DK) é a principal causa de cardiopatia adquirida em idade pediátrica nos países desenvolvidos. Objetivos Identificar fatores preditores de resistência à imunoglobulina intravenosa (IGIV), calcular a eficácia dos modelos preditores japoneses e caracterizar as complicações cardíacas. Métodos Análise retrospectiva dos casos de DK entre janeiro de 2006 e julho de 2018 em um hospital pediátrico português. Foram construídas curvas ROC para encontrar fatores preditores de resistência e utilizada regressão logística multivariada para elaborar o modelo preditor. O nível de significância utilizado foi de 5%. Resultados Foram incluídos 48 pacientes com mediana de idade de 36 meses. Verificou-se resistência à IGIV em 21%. Ocorreram alterações ecocardiográficas em 46%, com envolvimento coronário em 25%. Como variáveis preditoras de resistência, a proteína C-reativa (PC-R) apresentou uma AUC ROC = 0,789, ponto de corte = 15,1 mg/dL, sensibilidade (S) = 77,8% e especificidade (E) = 78,9%. A velocidade de sedimentação (VS) apresentou uma AUC ROC = 0,781, ponto de corte = 90,5 mm/h, S = 66,7% e E = 85,7%. O modelo com as duas variáveis apresentou valor p = 0,042 e AUC ROC = 0,790. O modelo Kobayashi apresentou S = 63,6% e E = 77,3%; Egami, S = 66,7% e E = 73,1%; e Sano, S = 28,6% e E = 94,1%. Conclusão A PC-R e a VS são variáveis independentes que mostraram tendência preditora de resistência à IGIV com pontos de corte ótimos de 15,1 mg/dL e 90,5 mm/h, respectivamente. Cerca de metade dos pacientes teve algum tipo de envolvimento cardíaco. Os modelos japoneses não têm utilidade nessa população. (Arq Bras Cardiol. 2020; [online].ahead print, PP.0-0) Abstract Background Kawasaki disease (KD) is the leading cause of acquired cardiac disease in children, in developed countries. Objectives To identify predictive factors for resistance to intravenous immunoglobulin (IVIG), calculate the effectiveness of Japanese predictive models and characterize cardiac complications. Methods Retrospective analysis of KD cases admitted in a Portuguese paediatric hospital between january 2006 and july 2018. ROC curves were used to determine predictive factors for resistance and the multivariate logistic regression analysis was used to develop the predictive model. A significance level of 5% was used. Results 48 patients with a median age of 36 months were included. The IVIG resistance was 21%. Echocardiographic anomalies were noted in 46%, with coronary involvement in 25% of the sample population. As predictive variable of resistance, the C-reactive protein (CRP) presented an AUC ROC = 0.789, optimal cut-off value 15.1 mg/dL, sensitivity (Sn) 77.8% and specificity (Sp) 78.9%. The erythrocyte sedimentation rate (ESR) presented an AUC ROC = 0.781, optimal cut-off value 90.5 mm/h, Sn 66.7% and Sp 85.7%. The model with the two variables showed p = 0.042 and AUC ROC = 0.790. Predictive strength of Japanese models were: Kobayashi (Sn 63.6%, Sp 77.3%), Egami (Sn 66.7%, Sp 73.1%), Sano (Sn 28.6%, Sp 94.1%). Conclusion CRP and ESR are independent variables that were related to IVIG resistance, with optimal cut-off points of 15.1 mg/dL and 90.5 mm/h, respectively. About half of the patients had some form of cardiac involvement. The Japanese models appeared to be inadequate in our population. (Arq Bras Cardiol. 2020; [online].ahead print, PP.0-0)
- Published
- 2021
6. Insulin Resistance, Dyslipidemia and Cardiovascular Changes in a Group of Obese Children
- Author
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Cristina M. Sena, Paula Ventura Martins, Ana Margarida Pereira, Eduardo Castela, António Pires, Raquel Seiça, Patrícia Vaz Silva, Margarida Marques, and Joana Marinho
- Subjects
Leptin ,Male ,Pediatric Obesity ,Dislipidemias ,lcsh:Diseases of the circulatory (Cardiovascular) system ,Doenças Cardiovasculares ,Carotid Intima-Media Thickness ,Body Mass Index ,Risk Factors ,Obesidade Pediátrica ,Common carotid artery ,Acanthosis Nigricans ,Child ,Adiposity ,Age Factors ,Cardiovascular Diseases ,Cohort ,Cardiology ,Female ,Hypertrophy, Left Ventricular ,Adiponectin ,Waist Circumference ,Cardiology and Cardiovascular Medicine ,medicine.medical_specialty ,Adolescent ,Lipoproteins ,Resistência à Insulina ,Insulin resistance ,Sex Factors ,Internal medicine ,medicine.artery ,medicine ,Humans ,Dyslipidemias ,business.industry ,Case-control study ,Original Articles ,medicine.disease ,Endocrinology ,Cross-Sectional Studies ,lcsh:RC666-701 ,Case-Control Studies ,Insulin Resistance ,business ,Body mass index ,Dyslipidemia ,Biomarkers - Abstract
Introduction: Obesity-related comorbidities are present in young obese children, providing a platform for early adult cardiovascular disorders. Objectives: To compare and correlate markers of adiposity to metabolic disturbances, vascular and cardiac morphology in a European pediatric obese cohort. Methods: We carried out an observational and transversal analysis in a cohort consisting of 121 obese children of both sexes, between the ages of 6 and 17 years. The control group consisted of 40 children with normal body mass index within the same age range. Markers of adiposity, plasma lipids and lipoproteins, homeostasis model assessment-insulin resistance, common carotid artery intima-media thickness and left ventricular diameters were analyzed. Results: There were statistically significant differences between the control and obese groups for the variables analyzed, all higher in the obese group, except for age, high-density lipoprotein cholesterol and adiponectin, higher in the control group. In the obese group, body mass index was directly correlated to left ventricular mass (r=0.542; p=0.001), the homeostasis model assessment-insulin resistance (r=0.378; p=
- Published
- 2015
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