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CPC 2018
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Curso de Atualização em Medicina Cardiovascular 2019
Reunião Anual Conjunta dos Grupos de Estudo de Cirurgia Cardíaca, Doenças Valvulares e Ecocardiografia da SPC
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0 Topics
A. Basics
B. Imaging
C. Arrhythmias and Device Therapy
D. Heart Failure
E. Coronary Artery Disease, Acute Coronary Syndromes, Acute Cardiac Care
F. Valvular, Myocardial, Pericardial, Pulmonary, Congenital Heart Disease
G. Aortic Disease, Peripheral Vascular Disease, Stroke
H. Interventional Cardiology and Cardiovascular Surgery
I. Hypertension
J. Preventive Cardiology
K. Cardiovascular Disease In Special Populations
L. Cardiovascular Pharmacology
M. Cardiovascular Nursing
N. E-Cardiology / Digital Health, Public Health, Health Economics, Research Methodology
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01. History of Cardiology
02. Clinical Skills
03. Imaging
04. Arrhythmias, General
05. Atrial Fibrillation
06. Supraventricular Tachycardia (non-AF)
07. Syncope and Bradycardia
08. Ventricular Arrhythmias and Sudden Cardiac Death (SCD)
09. Device Therapy
10. Chronic Heart Failure
11. Acute Heart Failure
12. Coronary Artery Disease (Chronic)
13. Acute Coronary Syndromes
14. Acute Cardiac Care
15. Valvular Heart Disease
16. Infective Endocarditis
17. Myocardial Disease
18. Pericardial Disease
19. Tumors of the Heart
20. Congenital Heart Disease and Pediatric Cardiology
21. Pulmonary Circulation, Pulmonary Embolism, Right Heart Failure
22. Aortic Disease
23. Peripheral Vascular and Cerebrovascular Disease
24. Stroke
25. Interventional Cardiology
26. Cardiovascular Surgery
27. Hypertension
28. Risk Factors and Prevention
29. Rehabilitation and Sports Cardiology
30. Cardiovascular Disease in Special Populations
31. Pharmacology and Pharmacotherapy
32. Cardiovascular Nursing
33. e-Cardiology / Digital Health
34. Public Health and Health Economics
35. Research Methodology
36. Basic Science
37. Miscellanea
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Pericardiectomy for constrictive pericarditis: a 24-year experience
Session:
Posters 3 - Écran 02 - Miocárdio e Pericárdio
Speaker:
André de Lima Antunes
Congress:
CPC 2018
Topic:
F. Valvular, Myocardial, Pericardial, Pulmonary, Congenital Heart Disease
Theme:
18. Pericardial Disease
Subtheme:
18.4 Pericardial Disease – Treatment
Session Type:
Posters
FP Number:
---
Authors:
Antunes de Lima Antunes; Carlos Pinto; David Prieto; Manuel Antunes
Abstract
<p><strong>Introduction:</strong> Constrictive pericarditis is a rare and disabling disease that can lead to severe heart failure with poor quality of life. Pericardiectomy is the only effective treatment, although post-operative prognosis remains to be clearly elucidated. Pericardiectomy is reported to be associated with high morbidity and mortality. We evaluated the preoperative characteristics, in-hospital complications and clinical outcomes in patients with the diagnosis of constrictive pericarditis submitted to pericardiectomy at our center.</p> <p><strong>Methods:</strong> We analyzed retrospectively 37 patients with constrictive pericarditis who underwent surgery from January 1994 to July 2017.</p> <p><strong>Results:</strong> We observed an increasing number of patients submitted to surgery in the second decade comparatively to the first (11 vs. 24). The mean age of the study cohort was 54 years (8-77) and 91.4% were male (32 cases). Most of the patients were in NYHA class III/IV. The most common etiologies were idiopathic disease, followed by tuberculosis (22.9%). All patients underwent pericardiectomy by midline sternotomy and cardiopulmonary bypass was used in 25.7%. The mean ICU stay was 2 days (1-65) and the mean in-hospital stay was 7 days. Eight patients (22.9%) needed inotropic support for low cardiac output and 6 patients (17.1%) needed dopamine for low urine output. There was no intra-operative mortality and a 2.9% in-hospital mortality (1 patient) was found. The survival rate was 91% at 1 year, 85% at 5 years and 79% at 10 years.</p> <p><strong>Conclusions:</strong> Despite the severity of the disease, the morbi-mortality observed was low. The impact of specific markers associated with increased risk for complications such as need for cardiopulmonary bypass and inotropic support, have yet to be determined. However, we found that the Portuguese population follows the European trend for pericardial disease. </p>
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