Login
Search
Search
0 Dates
2024
2023
2022
2021
2020
2019
2018
0 Events
CPC 2018
CPC 2019
Curso de Atualização em Medicina Cardiovascular 2019
Reunião Anual Conjunta dos Grupos de Estudo de Cirurgia Cardíaca, Doenças Valvulares e Ecocardiografia da SPC
CPC 2020
CPC 2021
CPC 2022
CPC 2023
CPC 2024
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
O. Basic Science
P. Other
0 Themes
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
0 Resources
Abstract
Slides
Vídeo
Report
CLEAR FILTERS
Patent Foramen Ovale: the balance between RoPE score and echocardiographic characteristics
Session:
Painel 11 - Doença Aórtica 1
Speaker:
Ana Neto
Congress:
CPC 2020
Topic:
G. Aortic Disease, Peripheral Vascular Disease, Stroke
Theme:
24. Stroke
Subtheme:
24.1 Stroke – Pathophysiology and Mechanisms
Session Type:
Posters
FP Number:
---
Authors:
Ana Leal Neto; Inês Pereira Oliveira; Isabel Martins Da Cruz; Daniel Seabra De Carvalho; Rui Pontes dos Santos; João A. G. Azevedo; Aurora Andrade; Paula Pinto
Abstract
<p><strong>Introduction:</strong> Patent foramen ovale (PFO) is the most common congenital heart abnormality and is present in approximately 25% of the worldwide adult population, with higher prevalence in patients (pts) with embolic stroke of undetermined source (ESUS). The Risk of Paradoxical Embolism (RoPE) score was developed with the aim of stratifying pts according to the probability of a causative role of PFO in the pathogenesis of ESUS. However, it is mainly based on clinical criteria and does not correlate with anatomo-functional PFO parameters, which may aid the decision-making process in this pts Whether both information should be incorporated together is still debatable. </p> <p><strong>Purpose: </strong>Characterize a cohort of ESUS pts with PFO and identify possible relations between RoPE score and echocardiographic PFO features. </p> <p><strong>Methods: </strong>Unicentric, retrospective analysis of pts with ESUS diagnosis and PFO confirmation by transesophageal echocardiography (TEE) between 1/2014 and 11/2019. Excluded pts aged older than 70 years. Clinical, demographic and echocardiographic PFO-characteristics were analyzed. Pts were divided in two groups: G1 – low-risk RoPE score (0-5 points) and G2 – high-risk RoPE score (6-10 points).</p> <p><strong>Results:</strong> Included 60 pts with mean age of 48.3±13.1 years (y) [20;68] and female gender predominance (53%). G1 had 21pts (35%) and G2 had 39 (65%). G2 had more significant right-to-left<em> </em>shunt (64.1 vs G1 57.1%, p<0.001), more shunts occurring at rest and during the Valsalva maneuver (63.2 vs G1 47.6%, p<0.001) and more tunnel-like morphology (61.5 vs G1 38.1%, p<0.001). G1 pts had more atrial septum aneurysm (ASA) (70.0 vs G2 48.7%, p=0.003).</p> <p><strong>Conclusion: </strong>In this cohort, the majority of pts had high-risk RoPE score. Shunt size, PFO <em>tunnel-like</em> conformation and shunt occurring at rest and Valsalva maneuver conditions were more frequently related to high-risk RoPE score. On the other hand, G1 pts had more ASA. These results suggest that high-risk RoPE score might be associated with important echocardiographic PFO features that can help on pt selection for specific treatments.</p>
Slides
Our mission: To reduce the burden of cardiovascular disease
Visit our site