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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
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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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Abstract
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CLEAR FILTERS
Prognostic impact of left ventricle dysfunction in patients with pulmonary hypertension
Session:
Posters 3 - Écran 10 - Insuficiência Cardíaca
Speaker:
Nzinga Carolina Manuel André
Congress:
CPC 2019
Topic:
D. Heart Failure
Theme:
10. Chronic Heart Failure
Subtheme:
10.7 Chronic Heart Failure - Other
Session Type:
Posters
FP Number:
---
Authors:
Nzinga André; Rui Plácido; Tatiana Guimarães; João Pedro Ribeiro Agostinho; Joana Rigueira; Inês Aguiar Ricardo; Rafael Santos; Nelson P. Cunha; Tiago Graça Rodrigues; Ana Mineiro; Susana Martins; Nuno Lousada; Fausto José Pinto
Abstract
<p><strong>Introduction</strong>: Left ventricular (LV) dysfunction is the main cause of pulmonary hypertension (PH) and is associated with a worse prognosis. However, the contributory factor of LV dysfunction in patients with predominantly pre-capillary PH is unclear.</p> <p><strong>Objective</strong>: to assess the prognostic impact of LV dysfunction in patients with PH.</p> <p><strong>Methods</strong>: Retrospective, single-center study of consecutive patients followed in the PH treatment center, with hemodynamic diagnosis of PH, submitted to transthoracic echocardiography at diagnosis.</p> <p>The concomitant presence of LV dysfunction, classified as isolated diastolic dysfunction, systolic dysfunction or valvulopathy with hemodynamic repercussion was evaluated. The association of this variable with any cause mortality at 5 years was determined using the Kaplan Meier survival analysis and the Cox regression analysis.</p> <p><strong>Results</strong>: 176 patients were included, 69.9% female (N = 123), with a median age of 68 years (IQR: 24). LV dysfunction was identified in 28.4% (N = 49), with the majority (N = 40) presenting with group 2 PH.</p> <p>The 5-year mortality rate from any cause was 27.3%. Patients with systolic dysfunction had 50% mortality at 5 years, significantly higher than the other groups (p=0,001), being a predictor of mortality in this period (p=0,003).</p> <p><strong>Conclusion</strong>: The presence of left ventricular systolic dysfunction is associated with worse prognosis in PH patients.</p>
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