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  1. Article ; Online: Late "failing" Fontan: 20-year experience of a tertiary centre in Portugal.

    Correia-Costa, Ana / Granja, Sofia

    Cardiology in the young

    2019  Volume 29, Issue 11, Page(s) 1412–1413

    MeSH term(s) Adolescent ; Adult ; Arrhythmias, Cardiac/complications ; Arrhythmias, Cardiac/epidemiology ; Child ; Female ; Fontan Procedure/adverse effects ; Fontan Procedure/statistics & numerical data ; Heart Defects, Congenital/epidemiology ; Heart Defects, Congenital/surgery ; Humans ; Male ; Portugal/epidemiology ; Tertiary Care Centers ; Treatment Outcome ; Young Adult
    Language English
    Publishing date 2019-09-24
    Publishing country England
    Document type Journal Article
    ZDB-ID 1078466-4
    ISSN 1467-1107 ; 1047-9511
    ISSN (online) 1467-1107
    ISSN 1047-9511
    DOI 10.1017/S104795111900221X
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 4050: Show issues Location:
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  2. Article ; Online: Hyperkinetic Movement Disorder in a Child.

    Magalhães, Tiago / Melo, Cláudia / Sampaio, Mafalda / Correia-Costa, Ana / Sousa, Raquel

    Pediatrics in review

    2023  Volume 44, Issue 9, Page(s) e24–e28

    MeSH term(s) Child ; Humans ; Hyperkinesis/diagnosis ; Hyperkinesis/etiology
    Language English
    Publishing date 2023-08-31
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 774515-1
    ISSN 1526-3347 ; 0191-9601
    ISSN (online) 1526-3347
    ISSN 0191-9601
    DOI 10.1542/pir.2021-005247
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.B 2595: Show issues Location:
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    Zs.MO 53: Show issues

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  3. Article ; Online: Rare cause of dynamic aortic obstruction in pulmonary atresia, ventricular septal defect, and major aortopulmonary collateral arteries: a case report.

    Correia-Costa, Ana / Casanova, Jorge / Granja, Sofia

    Cardiology in the young

    2020  Volume 31, Issue 1, Page(s) 151–152

    Abstract: A 2-month-old infant with pulmonary atresia, ventricular septal defect, and major aortopulmonary collateral arteries developed an aneurysmatic elongation of the tricuspid valve tissue that partially closed and dynamically protruded through the ... ...

    Abstract A 2-month-old infant with pulmonary atresia, ventricular septal defect, and major aortopulmonary collateral arteries developed an aneurysmatic elongation of the tricuspid valve tissue that partially closed and dynamically protruded through the ventricular septal defect, beneath the aortic valve. This rare finding caused dynamic left ventricle outflow tract obstruction and recurrent cardiac arrests and ultimately required surgical intervention.
    MeSH term(s) Collateral Circulation ; Heart Defects, Congenital ; Heart Septal Defects, Ventricular/diagnostic imaging ; Heart Septal Defects, Ventricular/surgery ; Humans ; Infant ; Pulmonary Artery/diagnostic imaging ; Pulmonary Artery/surgery ; Pulmonary Atresia/diagnosis ; Pulmonary Atresia/diagnostic imaging
    Language English
    Publishing date 2020-10-23
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 1078466-4
    ISSN 1467-1107 ; 1047-9511
    ISSN (online) 1467-1107
    ISSN 1047-9511
    DOI 10.1017/S1047951120003327
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: The Association between Childhood Obesity and Cardiovascular Changes in 10 Years Using Special Data Science Analysis.

    Cordeiro, João Rala / Mosca, Sara / Correia-Costa, Ana / Ferreira, Cátia / Pimenta, Joana / Correia-Costa, Liane / Barros, Henrique / Postolache, Octavian

    Children (Basel, Switzerland)

    2023  Volume 10, Issue 10

    Abstract: The increasing prevalence of overweight and obesity is a worldwide problem, with several well-known consequences that might start to develop early in life during childhood. The present research based on data from children that have been followed since ... ...

    Abstract The increasing prevalence of overweight and obesity is a worldwide problem, with several well-known consequences that might start to develop early in life during childhood. The present research based on data from children that have been followed since birth in a previously established cohort study (Generation XXI, Porto, Portugal), taking advantage of State-of-the-Art (SoA) data science techniques and methods, including Neural Architecture Search (NAS), explainable Artificial Intelligence (XAI), and Deep Learning (DL), aimed to explore the hidden value of data, namely on electrocardiogram (ECG) records performed during follow-up visits. The combination of these techniques allowed us to clarify subtle cardiovascular changes already present at 10 years of age, which are evident from ECG analysis and probably induced by the presence of obesity. The proposed novel combination of new methodologies and techniques is discussed, as well as their applicability in other health domains.
    Language English
    Publishing date 2023-10-05
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2732685-8
    ISSN 2227-9067
    ISSN 2227-9067
    DOI 10.3390/children10101655
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Cardiovascular rhythmicity in overweight and obese children.

    Pinto-Silva, Catarina / Correia-Costa, Ana / Moura, Cláudia / Mota, Cláudia / Guerra, António / Areias, José Carlos / Schaefer, Franz / Afonso, Alberto Caldas / Wühl, Elke / Azevedo, Ana / Correia-Costa, Liane

    Jornal brasileiro de nefrologia

    2023  Volume 45, Issue 4, Page(s) 449–457

    Abstract: Introduction: Obesity is thought to play a role in the disruption of cardiac rhythmicity in obese children, but this is mostly an unexplored field of investigation. We aimed to evaluate the impact of overweight and obesity on circadian and ultradian ... ...

    Abstract Introduction: Obesity is thought to play a role in the disruption of cardiac rhythmicity in obese children, but this is mostly an unexplored field of investigation. We aimed to evaluate the impact of overweight and obesity on circadian and ultradian cardiovascular rhythmicity of prepubertal children, in comparison with normal weight counterparts.
    Methods: We performed a cross sectional study of 316 children, followed in the birth cohort Generation XXI (Portugal). Anthropometrics and 24-hour ambulatory blood pressure were measured and profiles were examined with Fourier analysis for circadian and ultradian blood pressure (BP) and heart rate (HR) rhythms.
    Results: Overweight/obese children presented more frequently a non-dipping BP pattern than normal weight counterparts (31.5% vs. 21.6%, p = 0.047). The prevalence of 24-hour mean arterial pressure (MAP) and 8-hour HR rhythmicity was significantly lower in obese children (79.3% vs. 88.0%, p = 0.038 and 33.3% vs. 45.2%, p = 0.031, respectively). The prevalence of the remaining MAP and HR rhythmicity was similar in both groups. No differences were found in the median values of amplitudes and acrophases of MAP and HR rhythms.
    Discussion: The alterations found in rhythmicity suggest that circadian and ultradian rhythmicity analysis might be sensitive in detecting early cardiovascular dysregulations, but future studies are needed to reinforce our findings and to better understand their long-term implications.
    MeSH term(s) Humans ; Child ; Overweight/complications ; Pediatric Obesity/complications ; Blood Pressure Monitoring, Ambulatory ; Cross-Sectional Studies ; Circadian Rhythm/physiology ; Blood Pressure/physiology ; Hypertension
    Language Portuguese
    Publishing date 2023-08-01
    Publishing country Brazil
    Document type Journal Article
    ZDB-ID 2057873-8
    ISSN 2175-8239 ; 2175-8239
    ISSN (online) 2175-8239
    ISSN 2175-8239
    DOI 10.1590/2175-8239-JBN-2022-0138en
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Percutaneous patent ductus arteriosus closure: Twelve years of experience.

    Antunes Sarmento, João / Correia-Costa, Ana / Gonçalves, Edite / Baptista, Maria João / Silva, João Carlos / Moreira, Jorge

    Revista portuguesa de cardiologia

    2021  Volume 40, Issue 8, Page(s) 561–568

    Abstract: Introduction: Patent ductus arteriosus, a persistent communication between the descending thoracic aorta and the pulmonary artery, is one of the most common congenital heart defects. Transcatheter occlusion is an effective alternative to surgery and is ... ...

    Abstract Introduction: Patent ductus arteriosus, a persistent communication between the descending thoracic aorta and the pulmonary artery, is one of the most common congenital heart defects. Transcatheter occlusion is an effective alternative to surgery and is currently standard of care for most patients. The authors present the results from a single center after twelve years of experience using this technique.
    Methods: Retrospective analysis of medical records from all patients referred to a tertiary center for percutaneous ductus closure between January 2006 and September 2018.
    Results: A total of 221 patients were referred, with a mean age of 5.5 years-old (16 patients were infants, with the youngest aged four months). A Nit-Occlud® coil was used 139 times (62.9%), an Amplatzer™ duct occluder 79 times (35.7%), and vascular plugs were used three times. Percutaneous closure was achieved in every treated patient, with 1.4% maintaining residual shunting. Although higher overall coil device implantation was noted, duct occluder usage has been greater since 2011. Of all the coils, 55% were either 4x4 or 5x4 mm, and 73% of all Amplatzer duct occluders were either 6x4 or 8x6 mm, which correlates to the majority of patients having a small to moderately sized ductus. No complications were noted during the procedure, with a 1.8% post-procedure complication rate (one device embolization after 48 hours and three cases of loss of arterial pulse).
    Conclusions: Percutaneous patent ductus arteriosus closure was safe and effective in this setting, with a low global complication rate and similar outcomes to most equivalent centers.
    Language English
    Publishing date 2021-07-27
    Publishing country Spain
    Document type Journal Article
    ZDB-ID 2646972-8
    ISSN 2174-2049 ; 2174-2049
    ISSN (online) 2174-2049
    ISSN 2174-2049
    DOI 10.1016/j.repce.2020.09.009
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Determinants of carotid-femoral pulse wave velocity in prepubertal children.

    Correia-Costa, Ana / Correia-Costa, Liane / Caldas Afonso, Alberto / Schaefer, Franz / Guerra, António / Moura, Cláudia / Mota, Cláudia / Barros, Henrique / Areias, José Carlos / Azevedo, Ana

    International journal of cardiology

    2016  Volume 218, Page(s) 37–42

    Abstract: Background: Pulse wave velocity (PWV) is a noninvasive technique to evaluate arterial stiffness, a dynamic property of the vessels, reflecting their structure and function. Childhood obesity is associated with several cardiovascular comorbidities and to ...

    Abstract Background: Pulse wave velocity (PWV) is a noninvasive technique to evaluate arterial stiffness, a dynamic property of the vessels, reflecting their structure and function. Childhood obesity is associated with several cardiovascular comorbidities and to the progression of atherosclerosis. We aimed to compare carotid-femoral PWV between normal weight and overweight/obese prepubertal children and to quantify its association with other cardiovascular risk factors.
    Methods: Cross-sectional study of 315 children aged 8-9years. Anthropometrics, 24-h ambulatory blood pressure (BP) and carotid-femoral PWV were measured. Classification of obesity was according to World Health Organization (WHO) body mass index (BMI)-for-age reference values.
    Results: Compared to normal weight children, overweight and obese children presented significantly higher levels of PWV (4.95 (P25-P75: 4.61-5.23), 5.00 (4.71-5.33), 5.10 (4.82-5.50) m/s, respectively; ptrend<0.001). Significant positive correlations were found between PWV and total cholesterol, LDL cholesterol, triglycerides, fasting insulin and insulin resistance levels (HOMA-IR) and with high-sensitivity C-reactive protein (hs-CRP). In a multivariate linear regression model adjusted for sex, age, height and 24-h systolic blood pressure z-score, the independent determinants of PWV were BMI, HOMA-IR and the absence of dipping.
    Conclusions: The association between PWV and the loss of dipping and insulin resistance levels, independently of the BMI, reinforces the contribution of these comorbidities to vascular injury in early life.
    MeSH term(s) Blood Pressure Monitoring, Ambulatory/methods ; Carotid Arteries/physiology ; Child ; Cohort Studies ; Cross-Sectional Studies ; Female ; Femoral Artery/physiology ; Humans ; Male ; Obesity/diagnosis ; Obesity/physiopathology ; Pulse Wave Analysis/methods ; Vascular Stiffness/physiology
    Language English
    Publishing date 2016-09-01
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 779519-1
    ISSN 1874-1754 ; 0167-5273
    ISSN (online) 1874-1754
    ISSN 0167-5273
    DOI 10.1016/j.ijcard.2016.05.060
    Database MEDical Literature Analysis and Retrieval System OnLINE

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