2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC). Developed with the special contribution of the Heart Failure Association (HFA) of the ESC.

ACC/AHA
: American College of Cardiology/American Heart Association
ACCF/AHA
: American College of Cardiology Foundation/American Heart Association
ACE
: angiotensin-converting enzyme
ACEI
: angiotensin-converting enzyme inhibitor
ACS
: acute coronary syndrome
AF
: atrial fibrillation

/pdf/2016-esc-guidelines-for-the-diagnosis-and-treatment-of-acute-z18hg30pp1.pdf

2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure

/pdf/2016-esc-guidelines-for-the-diagnosis-and-treatment-of-acute-53v7yllhiz.pdf

ESC guidelines for the diagnosis and treatment of acute and chronic heart failure 2012 : The Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2012 of the European Society of Cardiology. Developed in collaboration with the Heart Failure Association (HFA) of the ESC

https://anmco.it/uploads/u_cms/media/2014/12/798e9298d77b7b8c9aa0514e43fe95a2.pdf

ESC guidelines for the diagnosis and treatment of acute and chronic heart failure 2012: The Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2012 of the European Society of Cardiology. Developed in collaboration with the Heart Failure Association (HFA) of the ESC.

2018 ESC/ESH Guidelines for the management of arterial hypertension.

Primary neuroendocrine tumours (carcinoid tumours) account for about 4% of anterior mediastinal tumours concerning thymus localization. They appear to have a male predilection (3:1 ratio) and occur mostly between 40 and 60 years of age. Classified primarily as thymomas, they have been considered a different group of thymic neoplasia since 1972. They can be biologically active, mostly associated with MEN -1 (19 -25% of patients and more aggressive in these cases). As a locally invasive disease, with recurrence and metastasis in a high percentage of cases, it correlates with a poor prognosis. Staging is the most important determinant of survival. Encapsulated tumours diagnosed in early stages have an excellent prognosis, while locally invasive tumours in more advanced stages have a relatively poor prognosis as happens with thymomas. Complete surgical removal is the critical factor for long -term survival rates and the basis for treatment of all thymic tumours, independent of histologic type. As an important cause of death, especially in carcinoid tumours associated with MEN -1 and Cushing's syndrome, some authors advocate the need for profilactic thymectomy in these patients.

[Thymic carcinoid - case report].

Resumo A Origem Anomala da Arteria Coronaria Esquerda da Arteria Pulmonar e uma cardiopatia congenita rara e uma causa de isquemia miocardica em idade pediatrica. A maioria dos casos nao diagnosticados morre no primeiro ano de vida, sendo necessaria a formacao de uma extensa rede de colaterais para permitir a sobrevivencia. O diagnostico nao e linear exigindo elevada suspeicao clinica. Os autores apresentam o caso de uma crianca de oito anos de idade, de raca negra, assintomatica, referenciada de Cabo Verde para esclarecimento de dilatacao e disfuncao do ventriculo esquerdo com fluxos turbulentos sistodiastolicos a nivel do septo interventricular. Dos antecedentes destacava‐se quadro de insuficiencia cardiaca diagnosticada aos tres meses de idade, com avaliacao posterior compativel com miocardiopatia dilatada. Teve melhoria clinica apos inicio de terapeutica anticongestiva que mantinha na altura da admissao no nosso Centro. Ecocardiograficamente suspeitou‐se de Origem Anomala da Arteria Coronaria Esquerda da Arteria Pulmonar, sendo este diagnostico confirmado atraves de angiotomografia computorizada e cateterismo cardiaco. A doente foi submetida, com sucesso, a implantacao direta da arteria coronaria esquerda na aorta permitindo criar um sistema de perfusao coronario duplo. Este caso ilustra uma forma incomum de uma patologia rara que sobreviveu sem diagnostico apos o primeiro ano de vida. Reforca igualmente a importância da multimodalidade de imagem nestes casos.

Causa rara de disfunção ventricular esquerda em idade pediátrica

We report the case of a 51-year-old patient who presented with tiredness and leg swelling, with recurrent pericardial effusion; a right atrial tumor, suggestive of sarcoma, was diagnosed, which responded poorly to chemotherapy. In the absence of metastases, surgery for excision of the tumor was undertaken. Two months after surgery she had a new recurrence of pericardial effusion and chemotherapy was reinitiated. She is currently well and asymptomatic, with no signs of recurrence ten months after surgery and nearly 24 months after the initial diagnosis.

https://rihuc.huc.min-saude.pt/bitstream/10400.4/858/1/Primary%20cardiac%20angiosarcoma.pdf

Primary cardiac angiosarcoma. Extended resection of the right atrial wall. Case report.

Commentary: Low left ventricular ejection fraction in coronary artery bypass grafting: Accept or control factors determining survival?

https://rihuc.huc.min-saude.pt/bitstream/10400.4/705/1/Endocarditis%20of%20the%20mitral%20valve%20with%20left%20ventricular%20atrial%20fistula.pdf

Manuel J. Antunes

Papers

[Thymic carcinoid - case report].

Causa rara de disfunção ventricular esquerda em idade pediátrica

Primary cardiac angiosarcoma. Extended resection of the right atrial wall. Case report.

Commentary: Low left ventricular ejection fraction in coronary artery bypass grafting: Accept or control factors determining survival?

Endocarditis of the mitral valve with left ventricular atrial fistula.