Abstract：
OBJECTIVE:To evaluate, in an elderly Portuguese population, the diagnostic capacities of the most popular treadmill stress test protocols. DESIGN:Retrospective study of an elderly Portuguese population submitted to a stress test. PATIENTS AND METHODS:A population of 45 patients (35 male), aged 65 or more years, consecutively submitted to a stress test. The average age of the group was 67.8 +/- 2.9 years. The three protocols (Bruce, Bruce Modified and Naughton) were comparatively studied in terms of the patients capacity to execute the protocol, capacity to obtain a maximum and a diagnostic stress test, and the complications of the stress test protocol. MAIN RESULTS:The Bruce protocol was used in 19 patients, the Bruce Modified in 13 patients and the Naughton protocol in 13 patients. The three protocols did not lead to any complication. The Bruce protocol led to a larger increment in heart rate (p < 0.001) and to larger maximum rate pressure product (p < 0.05) than the Naughton one. The Bruce protocol obtained a larger number of diagnostic tests (p < 0.01) and a significantly lower number of inconclusive stress tests. The Naughton protocol led to a larger duration of the exercise tests and was not suitable for some of the elderly patients owing to the exhaustion of the protocol. The results obtained with the Bruce Modified protocol were among those of other two protocols. CONCLUSIONS:In the elderly, the stress tests are safe and useful in the diagnosis of exercise induced ischemia and in the stratification of cardiovascular risk. From the protocols studied, the Bruce protocol was the most adequate, globally speaking, for this group of patients. The Bruce protocol presented a better diagnostic capacity with no complications related to the protocol.
journal_name
Acta Med Portjournal_title
Acta medica portuguesaauthors
Aguiar J,Reis RP,Caria R,Nunes H,de Almeida AR,Tavares J,Veiga C,Simões R,Romano H,d'Almeida VCsubject
Has Abstractpub_date
1997-04-01 00:00:00pages
311-6issue
4eissn
0870-399Xissn
1646-0758journal_volume
10pub_type
杂志文章abstract：:The Portuguese population is affected by the highest mortality rates in all the countries of the European Union. The highest mortality rates occur in some districts on the north coast where, in 1995, the rates standardised by age were above 200/100,000/annum, with the lowest figures in some districts in the interior a...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：1997-08-01 00:00:00
abstract：:We reviewed all the cases of Squamous Cell Carcinoma in people under 40 years of age, diagnosed histologically at the Dermatopathology Laboratory of the Santa Maria Hospital, from January 1985 to December 1993. The 19 cases detected were analysed for age, sex, occupation, anatomical site of the tumor, evolution, smoke...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：1997-11-01 00:00:00
abstract：:Essencial Thrombocytemia is a rare chronic myeloproliferative disease of unknown etiology, characterized by markedly elevated platelet production (> 600,000/ml). It is more frequent among women above 50 years of age and may be associated with hemorrhagic or thrombotic tendencies. The authors report a case of Essencial...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2003-03-01 00:00:00
abstract：INTRODUCTION:Pneumocystis jirovecii pneumonia remains one of the most common opportunistic illnesses in patients infected with the human immunodeficiency virus. It is currently the most reported AIDS-defining infection in Portugal. The aims of this study were to analyze the features of a human immunodeficiency virus /P...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：10.20344/amp.7022
更新日期：2016-10-01 00:00:00
abstract：:Blood samples collected from 1017 individuals incarcerated in the prisons of Caxias, Linhó and Tires, during 1990, were tested for anti-HIV. Rates of seropositivity were interpreted in the view of statistical data issued from the Council of Europe. ...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：1991-11-01 00:00:00
abstract：INTRODUCTION:The determination of hand grip strength is an objective method of evaluation of upper members' integrity. It is also used as a general health indicator. Data about grip strength values in healthy children is useful in the research and diagnosis of diseases that interfere with grip force. The aim of this st...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2010-09-01 00:00:00
abstract：:After the discovery of insulin and during almost an half of a century, physicians and researchers apply their efforts in a better knowledge to reduce the perinatal mortality of the offspring of the diabetic mother. The optimisation of glucose control--the main key of the management of diabetic pregnancy--and the new m...
journal_title：Acta medica portuguesa
pub_type： 杂志文章,评审
doi：
更新日期：2002-05-01 00:00:00
abstract：:Pleural mesothelioma is a disease associated with exposure to asbestos. Although rare, it is the most common malignant pleural neoplasm. It is difficult to diagnose and it has a poor prognosis. We report the case of a 62-year-old male patient with a history of prolonged occupational exposure to asbestos, with dyspnea ...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：10.20344/amp.11406
更新日期：2020-02-03 00:00:00
abstract：:The development of a kidney abscess is extremely rare despite the fact that urinary tract infections are quite common during pregnancy. The pathogenesis of renal abscess has changed over the years. Nowadays, more than 75% of the renal abscess arises from a previous urinary tract infection. The authors report the case ...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2006-09-01 00:00:00
abstract：:Anaplastic thyroid tumor is a rare tumor and constitutes 5 to 10% of thyroid carcinomas. Is one of the most aggressive solid tumors and the prognosis is always fatal with a mean survival of 3 to 7 months. The current therapeutics are scarce and inefficacious. A retrospective analysis was performed in 12 clinical cases...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2004-09-01 00:00:00
abstract：:New generation oral anticoagulants - rivaroxaban, apixaban and edoxaban - represent an important medical achievement. Their therapeutic effectiveness and ease of use make them essential in the management of thromboembolic conditions. However, as warfarin, they have known haemorrhagic risks. This paper reports the case...
journal_title：Acta medica portuguesa
pub_type：
doi：10.20344/amp.9397
更新日期：2019-06-28 00:00:00
abstract：INTRODUCTION:Scientific evidence regarding children's understanding of the concept of death is scarce. This has recently been pointed out by the International Children's Palliative Care Network as a priority area of research. In particular, the avoidance of emotion in this area of research is an important shortcoming. ...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：10.20344/amp.12815
更新日期：2020-10-01 00:00:00
abstract：INTRODUCTION:Perfectionism and intolerance to frustration are the main factors of vulnerability to psychological stress observed in students of the Integrated Master Degree in Medicine of the Faculty of Medicine, University of Coimbra, a study claims. We aimed to ascertain their reasons, seeking for their prevention. ...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：10.20344/amp.9976
更新日期：2018-10-31 00:00:00
abstract：INTRODUCTION:Vaccines prevent more cases of diseases than any other medical treatment. However, information on new vaccines introduced in the market and not included in the National Vaccination Program (NVP) is often sparse, and their knowledge limited. OBJECTIVES:Evaluate general and specific knowledge of healthy chi...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2011-12-01 00:00:00
abstract：:Parkinson's disease (PD) is a common disorder that causes a marked decrease in the quality of life of patients and implies high costs at the social, familiar and economic levels. The diagnosis is essentially achieved on clinical grounds and there is an extensive list of possible differential diagnoses, thus being fund...
journal_title：Acta medica portuguesa
pub_type： 杂志文章,评审
doi：
更新日期：2011-12-01 00:00:00
abstract：INTRODUCTION:The objective of the study was to evaluate the experience of our service in the treatment of esophageal perforations. MATERIALS AND METHODS:Retrospective chart review of the nine cases occurred between January 1, 1996 and December 31, 2011. Seven occurred after accidental ingestion of foreign bodies and i...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2013-03-01 00:00:00
abstract：INTRODUCTION:Outpatient antimicrobial therapy programs have been in place for more than four decades. They provide safe and effective treatment for a selected group of patients while reducing costs. In Europe in general, and in Portugal in particular, these programs are still a relatively new phenomenon. The aim of thi...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：10.20344/amp.11730
更新日期：2019-09-02 00:00:00
abstract：:Hidrosadenitis supurativa is a chronic inflammatory disease with great physical and psychological impact. Although conservative treatments may be effective in mild forms of the disease, extensive surgical resection and reconstruction are necessary in more severe forms of the disease. The purpose of this paper is to de...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：10.20344/amp.8656
更新日期：2018-01-31 00:00:00
abstract：:The authors present a case of disseminated tuberculosis in a patient under dialysis with endstage renal disease. Fever, nocturnal sweating, anorexia, asthenia, ascites, lymph node involvement and granulomatous involvement of the bone marrow were observed. In the twenty nine months of renal failure which preceded the b...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：1996-07-01 00:00:00
abstract：:Wernicke Encephalopathy (WE) is a severe neurological disease caused by vitamin B1 (thiamine) deficiency, which is potentially treatable if early diagnosed. This is the clinical case of a young female patient, with renal insufficiency on haemodialysis, who has been submitted to an abdominal surgery. After the interven...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2006-11-01 00:00:00
abstract：UNLABELLED:In Portugal, there have been many studies on the prevalence of overweight and obesity in children and adolescents. However, because many of the studies are not submitted to publication in scientific journals, these results remain unknown. OBJECTIVE:To obtain recent data on the prevalence of overweight and o...
journal_title：Acta medica portuguesa
pub_type： 杂志文章,评审
doi：
更新日期：2011-03-01 00:00:00
abstract：:The purpose of this study was to determine if the feeding competencies influence the nutritional status in a group of Portuguese children with cerebral palsy (CP). One hundred and five children, aged between 4 and 12 years, were studied. Nutritional status was determined through BMI for age (BMI_y), and subescapular (...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2007-01-01 00:00:00
abstract：OBJECTIVE:The aim of this study was to evaluate the efficacy of post-caesarean analgesia comparing three techniques most frequently used. PATIENTS AND METHODS:For three months all pregnant women submitted to elective or urgent caesarean section, under general or regional anaesthesia, were evaluate with a total of 129 ...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2001-07-01 00:00:00
abstract：:Despite the recent advances in the development of complementary diagnostic exams and modern targeted therapies, colorectal cancer remains a major cause of morbidity and mortality worldwide. In this context, a lot of research has been conducted in the last years to find new markers of poor prognosis. The existence of a...
journal_title：Acta medica portuguesa
pub_type： 杂志文章,评审
doi：10.20344/amp.5398
更新日期：2015-05-01 00:00:00
abstract：INTRODUCTION:Peritoneal dialysis is the dialytic method of choice in chronic end-stage renal disease in children. This study main purpose was to characterize the long-term survival of a pediatric population who began peritoneal dialysis within the first two years of life. MATERIAL AND METHODS:A descriptive and retrosp...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：10.20344/amp.6913
更新日期：2016-09-01 00:00:00
abstract：:The objective of this manuscript is to discuss the existing barriers for the dissemination of medical guidelines, and to present strategies that facilitate the adaptation of the recommendations into clinical practice. The literature shows that it usually takes several years until new scientific evidence is adopted in ...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2009-01-01 00:00:00
abstract：:The aim of this study was to evaluate the adverse effects on the exocrine pancreas of ethanol and ethanol with congeners which coexist in alcoholic beverages most commonly consumed by the Portuguese population. Eighteen male Wistar rats were divided into three groups and submitted to a daily intraperitoneal injection ...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：1995-03-01 00:00:00
abstract：:In this review of cochlear otosclerosis 14 cases were studied by CT scan aiming to establish a densitometric pattern of the capsular foci and relating it to the hearing and vestibule dysfunctions. Severe demineralization with characteristics of probable activity (increased lucency of 30-40%) was demonstrated in the ca...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：1994-09-01 00:00:00
abstract：INTRODUCTION:In the context of a pronounced population ageing and rising mortality due to chronic illnesses, this national epidemiological study compares the places where people die with population preferences. MATERIAL AND METHODS:Data on numbers of deaths in 2010 by gender, age group, region of residence NUTS II and...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2013-07-01 00:00:00
abstract：:Stevens-Johnson syndrome and toxic epidermal necrolysis are potentially life-threatening adverse cutaneous drug reactions. Clinically, it manifests as a rash, often morbilliform, or atypical target lesions that evolve to epidermal detachment. There is mucosal involvement in almost all patients. The loss of skin's barr...
journal_title：Acta medica portuguesa
pub_type： 杂志文章,评审
doi：
更新日期：2011-12-01 00:00:00
