Percorrer por autor "Fernandes, Raquel Menezes"
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- Multidisciplinary cardiorenal program for heart failure patients: Improving outcomes through comprehensive carePublication . Calça, Rita; Malho, Anabela; Domingos, Ana Teresa; Fernandes, Raquel Menezes; Silva, Francisca Gomes da; Aguiar, Carlos; Tralhão, António; Ferreira, Jorge; Rodrigues, Anabela; Fonseca, Cândida; Branco, PatríciaThe cardiorenal program (CRP), implemented within a specialized heart failure and kidney disease clinic, encompasses a multidisciplinary approach to the management of patients with heart failure and kidney disease. It focuses on optimizing therapy and improving patient outcomes. The CRP includes a range of services, including clinical evaluation, diagnostic testing, medical treatment, and patient education. The program provides comprehensive care for patients with cardiorenal syndrome, and includes a variety of healthcare professionals, such as cardiologists, nephrologists, pharmacists, and nurses, working together to provide the best possible care. The program also incorporates specific performance indicators to continuously evaluate and improve patient outcomes. The CRP's integrated multidisciplinary care and patient-centered approach is promising for the management of patients with cardiorenal syndrome. (c) 2025 Sociedade Portuguesa de Cardiologia. Published by Elsevier Espana, S.L.U. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/bync-nd/4.0/).
- Portuguese recommendations for the management of transthyretin amyloid cardiomyopathy (Part 1 of 2): screening, diagnosis and treatment. Developed by the task force on the management of transthyretin amyloid cardiomyopathy of the working group on myocardial and pericardial diseases of the portuguese society of cardiologyPublication . Marques, Nuno; Rosa, Sílvia Aguiar; Cordeiro, Filipa; Fernandes, Raquel Menezes; Ferreira, Catarina; Bento, Dina; Brito, Dulce; Cardim, Nuno; Lopes, Luís; Azevedo, OlgaThe Portuguese recommendations for the management of transthyretin amyloid cardiomyopathy (ATTR-CM) evaluate and summarize the available evidence and provide evidence-based recommendations on the best management of patients with ATTR-CM. These recommendations represent the official position of the Working Group on Myocardial and Pericardial Diseases (WGMPD) of the Portuguese Society of Cardiology. The Portuguese WGMPD selected the members of this Task Force as expert professionals involved in the care of patients with this disease. The Task Force performed a critical evaluation of the available evidence on the diagnostic procedures and therapeutic options for ATTR-CM, including an assessment of risk-benefit ratios. The strength of every recommendation and its level of evidence were weighed and scored according to predefined scales, usually those used by the European Society of Cardiology (ESC) in their guidelines, as outlined below in Tables 1 and 2. This Task Force followed voting procedures, and all approved recommendations were subject to a vote and achieved at least 75% agreement among voting members. The experts of the writing panels provided declaration of interest forms for all relationships that might be perceived as actual or potential sources of conflicts of interest. These recommendations were developed without any financial support or involvement of the healthcare industry. The Portuguese WGMPD supervised and coordinated the preparation of these recommendations and was responsible for the approval process. After appropriate revisions, the recommendations were signed off by all the experts involved in the Task Force. The WGMPD submitted the final document for publication in the official journal of the Portuguese Society of Cardiology, Revista Portuguesa de Cardiologia (Portuguese Journal of Cardiology). The recommendations were developed after careful consideration of the scientific knowledge and evidence available at the time of writing. Tables of recommendations are provided in this document along with the corresponding class of recommendation and level of evidence for each statement. Specific areas on which there are uncertainties concerning the existing evidence for the recommendation were also identified. The Task Force members carried out systematic reviews of the literature on these topics, which will be provided in separate publications. These recommendations do not override the individual responsibility of health professionals to make appropriate and accurate decisions in consideration of each individual patient’s health condition.
- Sindrome coronária aguda sem supradesnivelamento do segmento ST – abordagem pré hospitalarPublication . Fernandes, Raquel Menezes; Bento, Dina; Mimoso, Jorge; Jesus, IlídioO eletrocardiograma (ECG) de 12 derivações é o exame complementar de diagnóstico inicial de maior relevância num doente que se apresenta com dor torácica aguda e persistente. Se se documentar elevação persistente do segmento-ST, cumprindo critérios diagnósticos de Enfarte Agudo do Miocárdio com supradesnivelamento do segmento-ST, está indicada a terapêutica de reperfusão imediata. Já o diagnóstico de Síndrome coronária aguda sem supradesnivelamento do segmento-ST (SCA-SST) requer um elevado nível de suspeição, com base na apresentação clínica do doente, na presença de fatores de risco e de alterações eletrocardiográficas. Se suspeita clínica de SCA-SST, deverá administrar-se 300 mg de ácido acetilsalicílico, iniciar terapêutica antianginosa e transportar o doente monitorizado até ao Serviço de Urgência para ser submetido a avaliação adicional. Não está recomendada a administração de inibidor P2Y12 ou de anticoagulação em contexto pré-hospitalar, devendo ser reservados para o momento do diagnóstico definitivo de SCA-SST. Caso o doente mantenha dor torácica recorrente ou sinais de instabilidade clínica apesar da terapêutica instituída, deverá repetir-se ECG e, na presença de alterações dinâmicas do segmento-ST, contactar-se o Serviço de Cardiologia da área para internamento e eventual realização de coronariografia emergente.