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1. Triple valve surgery: long-term follow-up from a single centre

Author

Veiga Oliveira, Paulo, Madeira, Márcio, Ranchordás, Sara, Nolasco, Tiago, Marques, Marta, Sousa-Uva, Miguel, Abecasis, Miguel, and Neves, José Pedro

Subjects
Male, Hypertension, Pulmonary, Humans, Female, Hospital Mortality, Obesity, Middle Aged, Follow-Up Studies, Retrospective Studies
Abstract

Aims: The aims of this study were to analyze early and late outcomes of TVS and identify predictors of short and long- term poor prognosis. Methods: Single centre retrospective study with 130 patients who underwent TVS between 2007 and 2020. Most of the patients were female (72.3%), mean age of 64.4 years; 61.1% were in New York Heart Association class III/IV, with a EuroSCORE II of 7.5%. Univariable and Multivariable analyses were undertaken to identify predictors of perioperative mortality and morbidity and long-term mortality. Results: In-hospital mortality was 10.8%, of which 7.6% were due to a cardiac cause. Diabetes Mellitus was an in- dependent predictor of increased perioperative mortality. This group had 27.7% rate of major perioperative complications. Elevated systolic pulmonary pressure and obesity were predictors of early morbidity. All-cause mortality was 43.1% for 14 years. The survival at 1, 5 and 10 years was 83%, 60% and 43%, respectively. Diabetes Mellitus was a risk factor for long-term mortality. Conclusions: Patients undergoing TVS have a high surgical risk making TVS an operation associated with high mor- tality and morbidity. This research suggests Diabetes Mellitus, pulmonary hypertension and obesity as risk factors for mortality in TVS., Portuguese Journal of Cardiac Thoracic and Vascular Surgery, Vol. 29 No. 2 (2022): Apr-Jun

Published
2022

2. LUNG RESECTION FOR NON-SMALL-CELL LUNG CANCER - A NEW RISK SCORE TO PREDICT MAJOR PERIOPERATIVE COMPLICATIONS

Author

Veiga Oliveira, Paulo, Cabral, Daniel, Antunes, Mariana, Torres, Carolina, Alvoeiro, Magda, Rodrigues, Cristina, Sousa-Uva, Miguel, and Félix, Francisco

Subjects
Male, Lung Neoplasms, Major perioperative complications, Risk Factors, Carcinoma, Non-Small-Cell Lung, Humans, Risk score, Non-small-cell lung cancer, Lung, Risk Assessment, Aged, Retrospective Studies
Abstract

Objectives: Identify risk factors for major perioperative complications (MPC) after anatomical lung resection for NonSmall-Cell Lung Cancer (NSCLC) and establish a scoring system. Methods: Single center retrospective study of all consecutive patients diagnosed with NSCLC submitted to anatomical lung resection from 2015 to 2019 (N=564). Exclusion criteria: previous lung surgery, concomitant non-lung cancer related procedures, urgency surgery. Study population: 520 patients. Primary end-point: MPC defined as a composite endpoint including at least one of the in-hospital complications. Univariable and Multivariable analyses were developed to identify predictors of perioperative complications and create a risk score. Discrimination was assessed using the C-statistic. Calibration was evaluated by Hosmer and Lemeshow test and internal validation was obtained by means of bootstrap replication. Results: Mean age of 65 years and 327 (62.9%) were males. Mean hospital stay of 9 days after surgery. Overall MPC rate was 23.3%. Male gender, hypertension, FEV110 points (PPV 88%). The score showed rea- sonable discrimination (C-statistic=0.70), good calibration (P=.643) and it was internally validated (C-statistic=0,70 BCa95% CI,0.65-0.79). Conclusions: This study proposes a simple and daily-life risk score system that was able to predict the incidence of perioperative complications., Portuguese Journal of Cardiac Thoracic and Vascular Surgery, Vol. 28 No. 4 (2021): October - December

Published
2022

3. POSTOPERATIVE ATRIAL FIBRILLATION - VIDEO-ASSISTED THORACOSCOPIC SURGERY VERSUS OPEN SURGERY

Author

Veiga Oliveira, Paulo, Cabral, Daniel, Antunes, Mariana, Torres, Carolina, Alvoeiro, Magda, Rodrigues, Cristina, Sousa-Uva, Miguel, and Félix, Francisco

Subjects
Male, Lung Neoplasms, non-small-cell lung cancer, Thoracic Surgery, Video-Assisted, postoperative atrial fibrillation, Atrial Fibrillation, Humans, Female, standard deviation, diffusing capacity for carbon monoxide, Pneumonectomy, video-assisted thoracoscopic surgery, Retrospective Studies
Abstract

Objectives: Compare the incidence of Postoperative atrial fibrillation (PAF) after anatomical lung resection for Non- Small-Cell Lung Cancer (NSCLC) following open surgery versus VATS. Methods: Single center retrospective study of all consecutive patients diagnosed with NSCLC submitted to anatomical lung resection from 2015 to 2019 (N=564). Exclusion criteria: prior atrial fibrillation, previous lung surgery, concomitant procedures, pneumectomy, non-pulmonary resections, urgency surgery. Study population of 439 patients. Primary end-point: incidence of PAF. Univariable analysis was used to compare the baseline characteristics of the 2 groups. Inverse probability of treatment weighting (IPTW) multivariable logistic regression was used including 23 clinical variables to analyze the effect of the approach. The balance was assessed by standardized mean differences. Results: Thoracotomy was performed in 280 patients (63.8%) and 159 (36.2%) were submitted to VATS. Patients submitted to VATS were more likely to be females, had a lower prevalence of non-adenocarcinoma cancer, stage TNM IIIIV, Diabetes Mellitus, respiratory disease, and chronic heart failure. They were submitted less often to neoadjuvant therapy, bilobectomy and they presented higher levels of diffusing capacity for carbon monoxide. After IPTW adjustment, all clinical covariates were well balanced. PAF occurred in 8.6% of the patients undergoing thoracotomy and 3,8% of the patients after VATS. After IPTW adjustment, VATS was not associated with a lower incidence of PAF (OR 0.40; CI95%:0.140-1.171; p=0.095). Conclusion: In this study, minimally invasive non���rib spreading VATS did not decrease the incidence of PAF when compared with standard thoracotomy regarding anatomical lung resection for NSCLC., Portuguese Journal of Cardiac Thoracic and Vascular Surgery, Vol. 28 No. 3 (2021): July - September

Published
2021

4. 2019 ESC Guidelines for the management of patients with supraventricular tachycardiaThe Task Force for the management of patients with supraventricular tachycardia of the European Society of Cardiology (ESC)

Author

Brugada, Josep, Katritsis, Demosthenes, Arbelo, Elena, Arribas, Fernando, Bax, Jeroen, Blomström-Lundqvist, Carina, Calkins, Hugh, Corrado, Domenico, Deftereos, Spyridon, Diller, Gerhard-Paul, Gomez-Doblas, Juan, Gorenek, Bulent, Grace, Andrew, Ho, Siew Yen, Kaski, Juan-Carlos, Kuck, Karl-Heinz, Lambiase, Pier David, Sacher, Frederic, Sarquella-Brugada, Georgia, Suwalski, Piotr, Zaza, Antonio, De Potter, Tom, Sticherling, Christian, Basso, Cristina, Bocchiardo, Mario, Budts, Werner, Dobrev, Dobromir, Gevaert, Sofie, Heidbuchel, Hein, Kanagaratnam, Prapa, Kriebel, Thomas, Lancellotti, Patrizio, Lopatin, Yury, Merkely, Béla, Paul, Thomas, Pavlović, Nikola, Potpara, Tatjana, Scherr, Daniel, Zeppenfeld, Katja, Windecker, Stephan, Aboyans, Victor, Baigent, Colin, Collet, Jean-Philippe, Dean, Veronica, Delgado, Victoria, Fitzsimons, Donna, Gale, Chris, Grobbee, Diederick, Halvorsen, Sigrun, Hindricks, Gerhard, Iung, Bernard, Jüni, Peter, Katus, Hugo, Landmesser, Ulf, Leclercq, Christophe, Lettino, Maddalena, Lewis, Basil, Merkely, Bela, Mueller, Christian, Petersen, Steffen, Petronio, Anna Sonia, Richter, Dimitrios, Roffi, Marco, Shlyakhto, Evgeny, Simpson, Iain, Sousa-Uva, Miguel, Touyz, Rhian, Amara, Walid, Grigoryan, Svetlana, Podczeck-Schweighofer, Andrea, Chasnoits, Alexandr, Vandekerckhove, Yves, Sokolovich, Sekib, Traykov, Vassil, Skoric, Bosko, Papasavvas, Elias, Kautzner, Josef, Riahi, Sam, Kampus, Priit, Parikka, Hannu, Piot, Olivier, Etsadashvili, Kakhaber, STELLBRINK, CHRISTOPH, Manolis, Antonis, Csanádi, Zoltán, Gudmundsson, Kristjan, Erwin, John, Barsheshet, Alon, De Ponti, Roberto, Abdrakhmanov, Ayan, Jashari, Haki, Lunegova, Olga, Jubele, Kristine, Refaat, Marwan, Puodziukynas, Aras, Groben, Laurent, Grosu, Aurel, Pavlovic, Nikola, Ibtissam, Fellat, Trines, Serge, Poposka, Lidija, Haugaa, Kristina, Kowalski, Oskar, Cavaco, Diogo, Dobreanu, Dan, Mikhaylov, Evgeny, Zavatta, Marco, Nebojša, Mujović, Hlivak, Peter, Ferreira-Gonzalez, Ignacio, Juhlin, Tord, Reichlin, Tobias, Haouala, Habib, Akgun, Taylan, Gupta, Dhiraj, IHU-LIRYC, and Université Bordeaux Segalen - Bordeaux 2-CHU Bordeaux [Bordeaux]

Subjects
Tachycardia, pre-excitation, congenital, hereditary, and neonatal diseases and abnormalities, medicine.medical_specialty, focal, [SDV]Life Sciences [q-bio], Cardiology, Guidelines, 030204 cardiovascular system & hematology, tachycardia, arrhythmia, ablation, atrioventricular, flutter, junctional, macro–re-entrant, nodal, re-entrant, supraventricular, Electrocardiography, 03 medical and health sciences, 0302 clinical medicine, Tachycardia, Supraventricular, medicine, Humans, cardiovascular diseases, ComputingMilieux_MISCELLANEOUS, reproductive and urinary physiology, Task force, business.industry, Arrhythmias, Cardiac, 030229 sport sciences, medicine.disease, 3. Good health, EBSTEIN ANOMALY, embryonic structures, Emergency medicine, Catheter Ablation, cardiovascular system, Re entrant, Supraventricular tachycardia, medicine.symptom, Cardiology and Cardiovascular Medicine, business
Abstract

2019 ESC Guidelines for the management of patients with supraventricular tachycardia : The Task Force for the management of patients with supraventricular tachycardia of the European Society of Cardiology (ESC): Developed in collaboration with the Association for European Paediatric and Congenital Cardiology (AEPC)

Published
2019
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5. Major Bleeding of Transjugular Native Kidney Biopsies. A French Nationwide Cohort Study

Author

Hindricks, Gerhard, Potpara, Tatjana, Dagres, Nikolaos, Arbelo, Elena, Bax, Jeroen, Blomström-Lundqvist, Carina, Boriani, Giuseppe, Castella, Manuel, Dan, Gheorghe-Andrei, Dilaveris, Polychronis, Fauchier, Laurent, Filippatos, Gerasimos, Kalman, Jonathan, La Meir, Mark, Lane, Deirdre, Lebeau, Jean-Pierre, Lettino, Maddalena, Lip, Gregory, Pinto, Fausto, Thomas, G Neil, Valgimigli, Marco, van Gelder, Isabelle, van Putte, Bart, Watkins, Caroline, Kirchhof, Paulus, Kühne, Michael, Aboyans, Victor, Ahlsson, Anders, Balsam, Pawel, Bauersachs, Johann, Benussi, Stefano, Brandes, Axel, Braunschweig, Frieder, Camm, a John, Capodanno, Davide, Casadei, Barbara, Conen, David, Crijns, Harry, Delgado, Victoria, Dobrev, Dobromir, Drexel, Heinz, Eckardt, Lars, Fitzsimons, Donna, Folliguet, Thierry, Gale, Chris, Gorenek, Bulent, Haeusler, Karl Georg, Heidbuchel, Hein, Iung, Bernard, Katus, Hugo, Kotecha, Dipak, Landmesser, Ulf, Leclercq, Christophe, Lewis, Basil, Mascherbauer, Julia, Merino, Jose Luis, Merkely, Béla, Mont, Lluís, Mueller, Christian, Nagy, Klaudia, Oldgren, Jonas, Pavlović, Nikola, Pedretti, Roberto, Petersen, Steffen, Piccini, Jonathan, Popescu, Bogdan, Pürerfellner, Helmut, Richter, Dimitrios, Roffi, Marco, Rubboli, Andrea, Scherr, Daniel, Schnabel, Renate, Simpson, Iain, Shlyakhto, Evgeny, Sinner, Moritz, Steffel, Jan, Sousa-Uva, Miguel, Suwalski, Piotr, Svetlosak, Martin, Touyz, Rhian, Neil Thomas, G, Delassi, Tahar, Sisakian, Hamayak, Chasnoits, Alexandr, Pauw, Michel De, Smajić, Elnur, Shalganov, Tchavdar, Avraamides, Panayiotis, Kautzner, Josef, Gerdes, Christian, Alaziz, Ahmad Abd, Kampus, Priit, Raatikainen, Pekka, Boveda, Serge, Papiashvili, Giorgi, Vassilikos, Vassilios, Csanádi, Zoltán, Arnar, David, Galvin, Joseph, Barsheshet, Alon, Caldarola, Pasquale, Rakisheva, Amina, Bytyçi, Ibadete, Kerimkulova, Alina, Kalejs, Oskars, Njeim, Mario, Puodziukynas, Aras, Groben, Laurent, Sammut, Mark, Grosu, Aurel, Boskovic, Aneta, Moustaghfir, Abdelhamid, Groot, Natasja De, Poposka, Lidija, Anfinsen, Ole-Gunnar, Mitkowski, Przemyslaw, Cavaco, Diogo Magalhães, Siliste, Calin, Mikhaylov, Evgeny, Bertelli, Luca, Kojic, Dejan, Hatala, Robert, Fras, Zlatko, Arribas, Fernando, Juhlin, Tord, Sticherling, Christian, Abid, Leila, Atar, Ilyas, Sychov, Oleg, Bates, Matthew, Zakirov, Nodir, Halimi, Jean-Michel, Gatault, Philippe, Longuet, Hélène, Barbet, Christelle, Goumard, Annabelle, Gueguen, Juliette, Goin, Nicolas, Sautenet, Bénédicte, Herbert, Julien, Bisson, Arnaud, Universität Leipzig [Leipzig], University of Belgrade [Belgrade], Leiden University Medical Center (LUMC), Uppsala University, Università degli Studi di Modena e Reggio Emilia, Colentina University Hospital, University of Medicine and Pharmacy 'Carol Davila' Bucharest (UMPCD), CHU Trousseau [Tours], Centre Hospitalier Régional Universitaire de Tours (CHRU Tours), Éducation Éthique Santé EA 7505 (EES), Université de Tours (UT), National and Kapodistrian University of Athens (NKUA), Université d'Athènes (UOA), Attikon University Hospital, The Royal Melbourne Hospital, University of Liverpool, San Gerardo Hospital of Monza, Aalborg University [Denmark] (AAU), Universidade Nova de Lisboa = NOVA University Lisbon (NOVA), Faculdade de Medicina [Lisboa], Universidade de Lisboa (ULISBOA), Hospital de Santa Maria [Lisboa], Service de néphrologie et immunologie clinique [CHRU Tours], Centre Hospitalier Régional Universitaire de Tours (CHRU Tours)-Hôpital Bretonneau-Université de Tours (UT), Centre de recherche en épidémiologie et santé des populations (CESP), Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Paul Brousse-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris-Saclay, MethodS in Patients-centered outcomes and HEalth ResEarch (SPHERE), Université de Tours (UT)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Nantes - UFR des Sciences Pharmaceutiques et Biologiques, and Université de Nantes (UN)-Université de Nantes (UN)

Subjects
medicine.medical_specialty, Framingham Risk Score, Percutaneous, business.industry, medicine.medical_treatment, kidney biopsy, Retrospective cohort study, Odds ratio, Lower risk, medicine.disease, transjugular, Nephrectomy, Surgery, [SHS]Humanities and Social Sciences, bleeding score, Hematoma, percutaneous, Nephrology, Clinical Research, medicine, epidemiology, business, ComputingMilieux_MISCELLANEOUS, Cohort study
Abstract

Introduction The risk of bleeding associated with transjugular kidney biopsies is unclear, and which patients are the best candidates for this route is unknown. Methods This was a retrospective cohort study comparing proportion of bleeding associated with transjugular versus percutaneous native kidney biopsies in all patients in France in the 2010–2019 period. Major bleeding at day 8 (i.e., blood transfusions, hemorrhage/hematoma, angiographic intervention, nephrectomy) and risk of death at day 30 were assessed, and we used a bleeding risk score initially developed for the percutaneous route. Results Our analysis included 60,331 patients (transjugular route: 5305; percutaneous route: 55,026 patients). The observed proportion of major bleeding varied widely (transjugular vs. percutaneous): 0.4% versus 0.5% for the lowest risk scores (0–4) to 19.1% versus 30.8% for the highest risk scores (≥35). Transjugular was more frequently used than percutaneous route (39% vs. 24%) when the risk score was ≥20 (15,133/60,331; 25% of all patients). Transjugular was associated with a lower risk of major bleeding than percutaneous route in multivariate analyses (odds ratio [OR]: 0.88 [0.78–0.99]), especially for scores ≥20 (OR: 0.83 [0.72–0.96], (i.e., 25% of patients). Major bleeding was associated with an increased risk of death both for transjugular (OR: 1.77 [1.00–3.14]) and percutaneous (OR: 1.80 [1.43–2.28]) routes. Conclusions The transjugular route is independently associated with a lower risk of bleeding than the percutaneous route, especially in high-risk patients identified by a preprocedure risk score ≥20 (i.e., 25% of patients). Major bleeding is associated with an increased risk of death for both routes., Graphical abstract

Published
2021
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6. 2020 ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation

Author

Collet, Jean-Philippe, Thiele, Holger, Barbato, Emanuele, Barthélémy, Olivier, Bauersachs, Johann, Bhatt, Deepak, Dendale, Paul, Dorobantu, Maria, Edvardsen, Thor, Folliguet, Thierry, Gale, Chris, Gilard, Martine, Jobs, Alexander, Jüni, Peter, Lambrinou, Ekaterini, Lewis, Basil, Mehilli, Julinda, Meliga, Emanuele, Merkely, Béla, Mueller, Christian, Roffi, Marco, Rutten, Frans, Sibbing, Dirk, Siontis, George, Kastrati, Adnan, Mamas, Mamas, Aboyans, Victor, Angiolillo, Dominick, Bueno, Hector, Bugiardini, Raffaele, Byrne, Robert, Castelletti, Silvia, Chieffo, Alaide, Cornelissen, Veronique, Crea, Filippo, Delgado, Victoria, Drexel, Heinz, Gierlotka, Marek, Halvorsen, Sigrun, Haugaa, Kristina Hermann, Jankowska, Ewa, Katus, Hugo, Kinnaird, Tim, Kluin, Jolanda, Kunadian, Vijay, Landmesser, Ulf, Leclercq, Christophe, Lettino, Maddalena, Meinila, Leena, Mylotte, Darren, Ndrepepa, Gjin, Omerovic, Elmir, Pedretti, Roberto, Petersen, Steffen, Petronio, Anna Sonia, Pontone, Gianluca, Popescu, Bogdan, Potpara, Tatjana, Ray, Kausik, Luciano, Flavio, Richter, Dimitrios, Shlyakhto, Evgeny, Simpson, Iain, Sousa-Uva, Miguel, Storey, Robert, Touyz, Rhian, Valgimigli, Marco, VRANCKX, PASCAL, Yeh, Robert, Collet, Jean-Philippe, Thiele, Holger, Barbato, Emanuele, Barthélémy, Olivier, Bauersachs, Johann, Bhatt, Deepak L, Dendale, Paul, Dorobantu, Maria, Edvardsen, Thor, Folliguet, Thierry, Gale, Chris P, Gilard, Martine, Jobs, Alexander, Jüni, Peter, Lambrinou, Ekaterini, Lewis, Basil S, Mehilli, Julinda, Meliga, Emanuele, Merkely, Béla, Mueller, Christian, Roffi, Marco, Rutten, Frans H, Sibbing, Dirk, Siontis, George C M, Unité de Recherche sur les Maladies Cardiovasculaires, du Métabolisme et de la Nutrition = Institute of cardiometabolism and nutrition (ICAN), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Institut National de la Santé et de la Recherche Médicale (INSERM)-CHU Pitié-Salpêtrière [AP-HP], Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU), Institut de cardiologie [CHU Pitié-Salpêtrière], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-CHU Pitié-Salpêtrière [AP-HP], Collet J.-P., Thiele H., Barbato E., Bauersachs J., Dendale P., Edvardsen T., Gale C.P., Jobs A., Lambrinou E., Mehilli J., Merkely B., Roffi M., Sibbing D., Kastrati A., Mamas M.A., Aboyans V., Angiolillo D.J., Bueno H., Bugiardini R., Byrne R.A., Castelletti S., Chieffo A., Cornelissen V., Crea F., Delgado V., Drexel H., Gierlotka M., Halvorsen S., Haugaa K.H., Jankowska E.A., Katus H.A., Kinnaird T., Kluin J., Kunadian V., Landmesser U., Leclercq C., Lettino M., Meinila L., Mylotte D., Ndrepepa G., Omerovic E., Pedretti R.F.E., Petersen S.E., Petronio A.S., Pontone G., Popescu B.A., Potpara T., Ray K.K., Luciano F., Richter D.J., Shlyakhto E., Simpson I.A., Sousa-Uva M., Storey R.F., Touyz R.M., Valgimigli M., Vranckx P., Yeh R.W., Barthelemy O., Bhatt D.L., Dorobantu M., Folliguet T., Gilard M., Juni P., Lewis B.S., Meliga E., Mueller C., Rutten F.H., and Siontis G.C.M.

Subjects
unstable angina, Myocardial ischaemia, [SDV]Life Sciences [q-bio], Vascular damage Radboud Institute for Health Sciences [Radboudumc 16], dual antithrombotic therapy, Guideline, heparin, 030204 cardiovascular system & hematology, Platelet inhibition, antiplatelet, 0302 clinical medicine, ST segment, Medicine, dabigatran, Myocardial infarction, guidelines, glycoprotein iib/iiia inhibitors, anticoagulation, Non-ST Elevated Myocardial Infarction, rivaroxaban, ComputingMilieux_MISCELLANEOUS, reproductive and urinary physiology, diabetes, bleedings, bivalirudin, atherothrombosi, Disease Management, angioplasty, Guidelines • acute cardiac care • acute coronary syndrome • angioplasty • anticoagulation • antiplatelet • apixaban • aspirin • atherothrombosis • betablockers • bleedings • bivalirudin • bypass surgery • cangrelor • chest pain unit • clopidogrel • dabigatran • diabetes • dual antithrombotic therapy • early invasive strategy • edoxaban • enoxaparin • European Society of Cardiology • fondaparinux • glycoprotein IIb/ IIIa inhibitors • heparin • high-sensitivity troponin • minoca • myocardial ischaemia • myocardial infarction • nitrates • non-ST-elevation myocardial infarction • platelet inhibition • prasugrel • recommendations • revascularization • rhythm monitoring • rivaroxaban • stent • ticagrelor • triple therapy • unstable angina, enoxaparin, General Medicine, Clopidogrel, 3. Good health, early invasive strategy, myocardial infarction, triple therapy, 030220 oncology & carcinogenesis, High sensitivity troponin, embryonic structures, Cardiology, Platelet aggregation inhibitor, revascularization, biological phenomena, cell phenomena, and immunity, Cardiology and Cardiovascular Medicine, Ticagrelor, medicine.drug, Human, recommendation, Acute coronary syndrome, medicine.medical_specialty, aspirin, glycoprotein IIb/IIIa inhibitor, non-ST-elevation myocardial infarction, apixaban, rhythm monitoring, European Society of Cardiology, ticagrelor, 03 medical and health sciences, nitrate, atherothrombosis, betablockers, Internal medicine, acute cardiac care, minoca, chest pain unit, Diseases of the circulatory (Cardiovascular) system, Humans, In patient, Acute Coronary Syndrome, clopidogrel, Unstable angina, urogenital system, nitrates, business.industry, fondaparinux, betablocker, Arrhythmias, Cardiac, 030229 sport sciences, bleeding, medicine.disease, myocardial ischaemia, platelet inhibition, prasugrel, diabete, Glycoprotein IIb/IIIa inhibitors, RC666-701, bypass surgery, Settore MED/11 - MALATTIE DELL'APPARATO CARDIOVASCOLARE, recommendations, edoxaban, high-sensitivity troponin, stent, business, Platelet Aggregation Inhibitors, cangrelor
Abstract

2020 ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation

Published
2021
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7. 2020 ESC Guidelines for the diagnosis and management of atrial fibrillation developed in collaboration with the European Association for Cardio-Thoracic Surgery (EACTS)

Author

Hindricks, Gerhard, Potpara, Tatjana, Dagres, Nikolaos, Arbelo, Elena, Bax, Jeroen J, Blomström-Lundqvist, Carina, Boriani, Giuseppe, Castella, Manuel, Dan, Gheorghe-Andrei, Dilaveris, Polychronis E, Fauchier, Laurent, Filippatos, Gerasimos, Kalman, Jonathan M, La Meir, Mark, Lane, Deirdre A, Lebeau, Jean-Pierre, Lettino, Maddalena, Lip, Gregory Y H, Pinto, Fausto J, Thomas, G Neil, Valgimigli, Marco, Van Gelder, Isabelle C, Van Putte, Bart P, Watkins, Caroline L, Kirchhof, Paulus, Kühne, Michael, Aboyans, Victor, Ahlsson, Anders, Balsam, Pawel, Bauersachs, Johann, Benussi, Stefano, Brandes, Axel, Braunschweig, Frieder, Camm, A John, Capodanno, Davide, Casadei, Barbara, Conen, David, Crijns, Harry J G M, Delgado, Victoria, Dobrev, Dobromir, Drexel, Heinz, Eckardt, Lars, Fitzsimons, Donna, Folliguet, Thierry, Gale, Chris P, Gorenek, Bulent, Haeusler, Karl Georg, Heidbuchel, Hein, Iung, Bernard, Katus, Hugo A, Kotecha, Dipak, Landmesser, Ulf, Leclercq, Christophe, Lewis, Basil S, Mascherbauer, Julia, Merino, Jose Luis, Merkely, Béla, Mont, Lluís, Mueller, Christian, Nagy, Klaudia V, Oldgren, Jonas, Pavlović, Nikola, Pedretti, Roberto F E, Petersen, Steffen E, Piccini, Jonathan P, Popescu, Bogdan A, Pürerfellner, Helmut, Richter, Dimitrios J, Roffi, Marco, Rubboli, Andrea, Scherr, Daniel, Schnabel, Renate B, Simpson, Iain A, Shlyakhto, Evgeny, Sinner, Moritz F, Steffel, Jan, Sousa-Uva, Miguel, Suwalski, Piotr, Svetlosak, Martin, Touyz, Rhian M, Neil Thomas, G, CHU Trousseau [Tours], Centre Hospitalier Régional Universitaire de Tours (CHRU Tours), Cardiovascular Centre (CVC), Surgical clinical sciences, and Cardiac Surgery

Subjects
left atrial ablation, left atrial appendage occlusion, AF surgery, medicine.medical_treatment, [SDV]Life Sciences [q-bio], Management of atrial fibrillation, 030204 cardiovascular system & hematology, Cardioversion, VITAMIN-K ANTAGONIST, surgery, chemistry.chemical_compound, 0302 clinical medicine, cardioversion, Edoxaban, QUALITY-OF-LIFE, antiarrhythmic drugs, OBSTRUCTIVE SLEEP-APNEA, catheter ablation, RADIOFREQUENCY CATHETER ABLATION, Medicine, atrial fibrillation, 030212 general & internal medicine, anticoagulation, reproductive and urinary physiology, ComputingMilieux_MISCELLANEOUS, pulmonary vein isolation, 0303 health sciences, rhythm control, EACTS, HEART RHYTHM SOCIETY, recommendations, Atrial fibrillation, General Medicine, non-Vitamin K antagonist oral anticoagulants, Vitamin K antagonist, PULMONARY-VEIN ISOLATION, stroke, 3. Good health, 2020 ESC Guidelines, Dronedarone, vitamin K antagonists, Cardiothoracic surgery, Cardio-Thoracic Surgery, embryonic structures, DIRECT ORAL ANTICOAGULANTS, cardiovascular system, Cardiology, Dose reduction, biological phenomena, cell phenomena, and immunity, Cardiology and Cardiovascular Medicine, medicine.drug, Quinidine, medicine.medical_specialty, medicine.drug_class, non-vitamin K antagonist oral anticoagulants, PERCUTANEOUS CORONARY INTERVENTION, Renal function, macromolecular substances, ABC pathway, Guidelines, rate control, screening, upstream therapy, Vitamin K antagonists, B700, 03 medical and health sciences, Internal medicine, Diseases of the circulatory (Cardiovascular) system, cardiovascular diseases, 030304 developmental biology, urogenital system, business.industry, medicine.disease, TRANSIENT ISCHEMIC ATTACK, ANTIARRHYTHMIC-DRUG-THERAPY, chemistry, 030228 respiratory system, Concomitant, RC666-701, business
Abstract

Supplementary Table 9, column 'Edoxaban', row 'eGFR category', '95 mL/min' (page 15). The cell should be coloured green instead of yellow. It should also read "60 mg"instead of "60 mg (use with caution in 'supranormal' renal function)."In the above-indicated cell, a footnote has also been added to state: "Edoxaban should be used in patients with high creatinine clearance only after a careful evaluation of the individual thromboembolic and bleeding risk."Supplementary Table 9, column 'Edoxaban', row 'Dose reduction in selected patients' (page 16). The cell should read "Edoxaban 60 mg reduced to 30 mg once daily if any of the following: creatinine clearance 15-50 mL/min, body weight

Published
2021
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8. Clinical Practice Guides ESC 2019 guide on diabetes, prediabetes and cardiovascular disease, in collaboration with the European Association for the Study of Diabetes (EASD)

Author

Cosentino, Francesco Grant, Peter J. Aboyans, Victor Bailey, Clifford J. Ceriello, Antonio Delgado, Victoria Federici, Massimo Filippatos, Gerasimos Grobbee, Diederick E. Hansen, Tina Birgitte Huikuri, V, Heikki Johansson, Isabelle Juni, Peter Lettino, Maddalena Marx, Nikolaus Mellbin, Linda G. and Ostgren, Carl J. Rocca, Bianca Roffi, Marco Sattar, Naveed Seferovic, Petar M. Sousa-Uva, Miguel Valensi, Paul and Wheeler, David C. Grp Trabajo Diabet Prediabet Enfer and European Assoc Study Diabet EASD

Published
2020

9. [2017 ESC/EACTS Guidelines for the management of valvular heart disease]

Author

Baumgartner, Helmut, Falk, Volkmar, Bax, Jeroen J., De Bonis, Michele, Hamm, Christian, Holm, Per Johan, Iung, Bernard, Lancellotti, Patrizio, Lansac, Emmanuel, Muã±oz, Daniel Rodriguez, Rosenhek, Raphael, Sjã¶gren, Johan, Tornos Mas, Pilar, Vahanian, Alec, Walther, Thomas, Wendler, Olaf, Windecker, Stephan, Zamorano, Jose Luis, Roffi, Marco, Alfieri, Ottavio, Agewall, Stefan, Ahlsson, Anders, Barbato, Emanuele, Bueno, Hector, Collet, Jean-philippe, Coman, Ioan Mircea, Czerny, Martin, Delgado, Victoria, Fitzsimons, Donna, Folliguet, Thierry, Gaemperli, Oliver, Habib, Gilbert, Harringer, Wolfgang, Haude, Michael, Hindricks, Gerhard, Katus, Hugo A., Knuuti, Juhani, Kolh, Philippe, Leclercq, Christophe, Mcdonagh, Theresa A., Piepoli, Massimo Francesco, Pierard, Luc A., Ponikowski, Piotr, Rosano, Giuseppe M. C., Ruschitzka, Frank, Shlyakhto, Evgeny, Simpson, Iain A., Sousa-uva, Miguel, Stepinska, Janina, Tarantini, Giuseppe, Tche, Didier, Aboyans, Victor, Unité de Recherche sur les Maladies Infectieuses Tropicales Emergentes (URMITE), Unité de Recherche sur les Maladies Infectieuses et Tropicales Emergentes (URMITE), Institut de Recherche pour le Développement (IRD)-Aix Marseille Université (AMU)-Institut National de la Santé et de la Recherche Médicale (INSERM)-IFR48, Institut des sciences biologiques (INSB-CNRS)-Institut des sciences biologiques (INSB-CNRS)-Centre National de la Recherche Scientifique (CNRS)-Institut de Recherche pour le Développement (IRD)-Aix Marseille Université (AMU)-Institut National de la Santé et de la Recherche Médicale (INSERM)-IFR48, Institut des sciences biologiques (INSB-CNRS)-Institut des sciences biologiques (INSB-CNRS)-Centre National de la Recherche Scientifique (CNRS), Baumgartner, Helmut, Falk, Volkmar, Bax, Jeroen J., DE BONIS, Michele, Hamm, Christian, Johan Holm, Per, Iung, Bernard, Lancellotti, Patrizio, Lansac, Emmanuel, Rodriguez Munoz, Daniel, Rosenhek, Raphael, Sjögren, Johan, Tornos Mas, Pilar, Vahanian, Alec, Walther, Thoma, Wendler, Olaf, Windecker, Stephan, Luis Zamorano, Jose, Scientific Document Group, Esc, Bax, Jeroen J, De Bonis, Michele, Holm, Per Johan, Muñoz, Daniel Rodriguez, Zamorano, Jose Lui, Barbato, Emanuele, Zamorano, Jose Luis, Bonis, Michele De, Munoz, Daniel Rodriguez, Mas, Pilar Torno, INSB-INSB-Centre National de la Recherche Scientifique (CNRS)-Institut de Recherche pour le Développement (IRD)-Aix Marseille Université (AMU)-Institut National de la Santé et de la Recherche Médicale (INSERM)-IFR48, INSB-INSB-Centre National de la Recherche Scientifique (CNRS), Muñoz, Daniel Rodríguez, and Zamorano, José Luis

Subjects
Male, Aortic stenosi, Valve surgery, Percutaneous valve intervention, Heart Valve Diseases, Tricuspid regurgitation, Guideline, 030204 cardiovascular system & hematology, 0302 clinical medicine, operacje zastawkowe, Valvular disease, [SDV.MHEP.MI]Life Sciences [q-bio]/Human health and pathology/Infectious diseases, protezy zastawkowe, 030212 general & internal medicine, Disease management (health), 610 Medicine & health, ComputingMilieux_MISCELLANEOUS, Societies, Medical, Heart Valve Prosthesis Implantation, Aged, 80 and over, Mitral stenosis, valvular heart disease, wytyczne, Disease Management, General Medicine, Middle Aged, Europe, niedomykalność trójdzielna, Prosthetic heart valve, Cardiology, Transcatheter mitral valve repair, Female, Cardiology and Cardiovascular Medicine, Aortic regurgitation, Aortic stenosis, Guidelines, Mitral regurgitation, Prosthetic heart valves, Tricuspid stenosis, Valve disease, Pulmonary and Respiratory Medicine, Adult, medicine.medical_specialty, MEDLINE, wady zastawkowe, stenoza aortalna, 03 medical and health sciences, Mitral valve stenosis, [SDV.MHEP.CSC]Life Sciences [q-bio]/Human health and pathology/Cardiology and cardiovascular system, Internal medicine, medicine, Humans, Mitral stenosi, Intensive care medicine, Symptomatic aortic stenosis, przezskórne interwencje zastawkowe, Aged, Tricuspid stenosi, business.industry, stenoza mitralna, niedomykalność aortalna, ta3121, medicine.disease, [SDV.MP.BAC]Life Sciences [q-bio]/Microbiology and Parasitology/Bacteriology, niedomykalność mitralna, Surgery, stenoza trójdzielna, business
Abstract

International audience

Published
2017
Full Text
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10. Operacionalização do heart team em Portugal

Author

Sousa Uva, Miguel, Leite-Moreira, Adelino F., Gavina, Cristina, Pereira, Helder, Lopes, Mario G., and Repositório da Universidade de Lisboa

Subjects
lcsh:Diseases of the circulatory (Cardiovascular) system, Heart Diseases, Heart team, Guidelines, Recommendations, Informed consent, Multidisciplinary approach, Intervention (counseling), medicine, Humans, Line of communication, General Environmental Science, Patient Care Team, Portugal, business.industry, Decision Trees, medicine.disease, Patient information, lcsh:RC666-701, General Earth and Planetary Sciences, Medical emergency, business, Decision making, Algorithms
Abstract

© 2013 Sociedade Portuguesa de Cardiologia Published by Elsevier España, S.L. All rights reserved., Whenever several therapeutic options exist, multidisciplinary decision-making is beneficial for the patient and for society at large. The main obstacles to the establishment of heart teams in Portugal are organizational and logistical. Implementing a heart team approach entails definition of the situations requiring multidisciplinary discussion, creation of clear lines of communication, written protocols and obtaining patient informed consent. The European Society of Cardiology guidelines define the clinical scenarios where intervention of the heart team is recommended., A decisão médica tomada em equipas multidisciplinares é uma mais-valia indiscutível para o doente e para a sociedade, particularmente quando existem várias opções terapêuticas. A falta de disponibilidade dos intervenientes, problemas logísticos e barreiras interdisciplinares são alguns dos obstáculos à operacionalização do Heart Team em Portugal. A operacionalização passa pela definição das situações que necessitam discussão multidisciplinar, a elaboração de protocolos escritos, a criação de vias de comunicação claras, a consignação das decisões tomadas e a informação fornecida ao doente. As situações, na doença coronária e na doença valvular, que requerem a intervenção do Heart Team estão definidas nas recomendações da Sociedade Europeia de Cardiologia.

Published
2014
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11. Guidelines on myocardial revascularization: The Task Force on Myocardial Revascularization of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS)

Author

European Association, for Percutaneous Cardiovascular Interventions, Wijns, William, Kolh, Philippe, Danchin, Nicolas, Di Mario, Carlo, Falk, Volkmar, Folliguet, Thierry, Garg, Scot, Huber, Kurt, James, Stefan, Knuuti, Juhani, Lopez-Sendon, Jose, Marco, Jean, Menicanti, Lorenzo, Ostojic, Miodrag, Piepoli, Massimo F, Pirlet, Charles, Pomar, Jose L, Reifart, Nicolaus, Ribichini, Flavio L, Schalij, Martin J, Sergeant, Paul, Serruys, Patrick W, Silber, Sigmund, Sousa Uva, Miguel, Taggart, David, ESC Committee, for Practice Guidelines, Vahanian, Alec, Auricchio, Angelo, Bax, Jeroen, Ceconi, Claudio, Dean, Veronica, Filippatos, Gerasimos, Funck-Brentano, Christian, Hobbs, Richard, Kearney, Peter, McDonagh, Theresa, Popescu, Bogdan A, Reiner, Zeljko, Sechtem, Udo, Sirnes, Per Anton, Tendera, Michal, Vardas Panos, E, Widimsky, Petr, EACTS Clinical Guidelines, Committee, Alfieri, Ottavio, Dunning, Joel, Elia, Stefano, Kappetein, Pieter, Lockowandt, Ulf, Sarris, George, Vouhe, Pascal, von Segesser, Ludwig, Agewall, Stefan, Aladashvili, Alexander, Alexopoulos, Dimitrios, Antunes, Manuel J, Atalar, Enver, Brutel de la Riviere, Aart, Doganov, Alexander, Eha, Jaan, Fajadet, Jean, Ferreira, Rafael, Garot, Jerome, Halcox, Julian, Hasin, Yonathan, Janssens, Stefan, Kervinen, Kari, Laufer, Gunther, Legrand, Victor, Nashef Samer, A M, Neumann, Franz-Josef, Niemela, Kari, Nihoyannopoulos, Petros, Noc, Marko, Piek, Jan J, Pirk, Jan, Rozenman, Yoseph, Sabate, Manel, Starc, Radovan, Thielmann, Matthias, Wheatley, David J, Windecker, Stephan, and Zembala, Marian

Subjects
myocardial, revascularization, medicine.medical_specialty, business.industry, Judgement, Medizin, MEDLINE, Conflict of interest, EuroSCORE, Evidence-based medicine, medicine.disease, Coronary artery bypass surgery, Cardiothoracic surgery, Internal medicine, medicine, Cardiology, Medical emergency, Cardiology and Cardiovascular Medicine, Risk assessment, business
Abstract

Guidelines and Expert Consensus Documents summarize and evaluate all available evidence with the aim of assisting physicians in selecting the best management strategy for an individual patient suffering from a given condition, taking into account the impact on outcome and the risk–benefit ratio of diagnostic or therapeutic means. Guidelines are no substitutes for textbooks and their legal implications have been discussed previously. Guidelines and recommendations should help physicians to make decisions in their daily practice. However, the ultimate judgement regarding the care of an individual patient must be made by his/her responsible physician(s). The recommendations for formulating and issuing ESC Guidelines and Expert Consensus Documents can be found on the ESC website (http://www.escardio.org/knowledge/guidelines/rules). Members of this Task Force were selected by the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS) to represent all physicians involved with the medical and surgical care of patients with coronary artery disease (CAD). A critical evaluation of diagnostic and therapeutic procedures is performed including assessment of the risk–benefit ratio. Estimates of expected health outcomes for society are included, where data exist. The level of evidence and the strength of recommendation of particular treatment options are weighed and graded according to predefined scales, as outlined in Tables 1 and 2 . View this table: Table 1 Classes of recommendations View this table: Table 2 Levels of evidence The members of the Task Force have provided disclosure statements of all relationships that might be perceived as real or potential sources of conflicts of interest. These disclosure forms are kept on file at European Heart House, headquarters of the ESC. Any changes in conflict of interest that arose during the writing period were notified to the ESC. The Task Force report received its entire financial support from the ESC and EACTS, without any involvement of the pharmaceutical, device, or surgical industry. ESC …

Published
2010
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12. 2017 EACTS Guidelines on perioperative medication in adult cardiac surgery

Author

Miguel Sousa-Uva, Joel Dunning, Giovanni Landoni, Anders Jeppsson, Milan Milojevic, Jean-Philippe Collet, Manuel Castellá, Elena Sandoval, Matthias Thielmann, Nick J Linker, Tomas Gudbjartsson, Ulf Landmesser, Stuart J. Head, Cardiothoracic Surgery, Sousa uva, Miguel, Head, Stuart J, Milojevic, Milan, Collet, Jean philippe, Landoni, Giovanni, Castella, Manuel, Dunning, Joel, Gudbjartsson, Tóma, Linker, Nick J, Sandoval, Elena, Thielmann, Matthia, Jeppsson, Ander, and Landmesser, Ulf

Subjects
medicine.medical_treatment, Medizin, Coronary artery bypass grafting, 030204 cardiovascular system & hematology, Perioperative medication, 0302 clinical medicine, Valve replacement, Antithrombotic, Glucose management, 030212 general & internal medicine, CABG, Secondary prevention, Thoracic Surgery, Atrial fibrillation, General Medicine, Cardiac surgery, Quality Improvement, Europe, Cardiology and Cardiovascular Medicine, Pulmonary and Respiratory Medicine, Adult, medicine.medical_specialty, Pain, Preoperative care, Perioperative Care, 03 medical and health sciences, medicine, Antiplatelet, Humans, Beta-blocker, Cardiac Surgical Procedures, Intensive care medicine, Steroid, Transcatheter aortic valve implantation, business.industry, Antibiotic, Statin, Cardiovascular Agents, Perioperative, EACTS Guideline, medicine.disease, Risk reduction, Surgery, business
Published
2018

13. Perioperative Medication Management in Adult Cardiac Surgery: The 2017 European Association for Cardio-Thoracic Surgery Guidelines

Author

Milan Milojevic, Antonio Pisano, Miguel Sousa-Uva, Giovanni Landoni, Cardiothoracic Surgery, Milojevic, Milan, Pisano, Antonio, Sousa-Uva, Miguel, and Landoni, Giovanni

Subjects
Adult, medicine.medical_specialty, business.industry, General surgery, Cardiology, MEDLINE, Disease Management, Thoracic Surgery, Perioperative, Perioperative Care, Cardiac surgery, Europe, Postoperative Complications, Anesthesiology and Pain Medicine, Cardiothoracic surgery, Practice Guidelines as Topic, medicine, Humans, Cardiac Surgical Procedures, Disease management (health), Cardiology and Cardiovascular Medicine, business, Societies, Medical
Published
2019

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