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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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A. Basics
B. Imaging
C. Arrhythmias and Device Therapy
D. Heart Failure
E. Coronary Artery Disease, Acute Coronary Syndromes, Acute Cardiac Care
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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
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15. Valvular Heart Disease
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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
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Thromboembolic events in left ventricular non-compactation cardiomyopathy, are there any predictors?
Session:
Posters 4 - Écran 09 - Miocárdio e Pericárdio
Speaker:
Nuno Craveiro
Congress:
CPC 2018
Topic:
F. Valvular, Myocardial, Pericardial, Pulmonary, Congenital Heart Disease
Theme:
17. Myocardial Disease
Subtheme:
17.2 Myocardial Disease – Epidemiology, Prognosis, Outcome
Session Type:
Posters
FP Number:
---
Authors:
Nuno Craveiro; Hugo Da Silva Antunes; Nuno Marques; Liliana Reis; Rui Azevedo Guerreiro; Rui Santos; Ana Almeida; Olga Azevedo
Abstract
<p>Introduction: Patients with left ventricular non-compaction cardiomyopathy (LVNC) have a higher prevalence of heart failure, ventricular arrhythmias and thromboembolic events leading to increased mortality and morbidity.</p> <p>Aim: To identify predictors of thromboembolic events in patients with LVNC.</p> <p>Methods: One-hundred-eleven-patients (N=111) diagnosed with LVNC were included from a Portuguese multicenter study involving 12 hospital centers. We evaluated demographic, clinical, electrocardiographic, echocardiographic and cardiac magnetic resonance, and follow-up data. We determined the factors and conducted a multivariate analysis to establish the independent predictors that were associated with the occurrence of thromboembolic events in these patients.</p> <p>Results: A thromboembolic event occurred in 10 patients (9%). In our study the factors associated with a thromboembolic event were male gender (90% p=0,042), presence of diastolic dysfunction as evaluated by deceleration time (200±81 ms vs 191±44 ms, p=0,001) and left atrium volume (40,58±16,6 ml/m2 vs 30,4± 11,7 ml/m2 p=0,036), as well as older age of diagnosis (60,4±13,9 years vs 45,13±17,7 years p=0,010) and the presence of sustained ventricular tachycardia in Holter monitoring (p=0,03). After multivariable analysis the only independent predictor of thromboembolic event was the presence of sustained ventricular tachycardia in Holter monitoring (Beta=0,334; p=0.016).</p> <p>Conclusion: Thromboembolic events are frequently associated with LVNC. In our population the incidence of thromboembolism was 9%. The presence of sustained ventricular tachycardia in Holter monitoring was an independent predictor of events in our study. </p>
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