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  2. Keyword: Diagnostic Techniques and Procedures
ABC
Editorial

Exercise Stress Test For Detecting High-Risk Accessory Pathways In Patients With Wolff-Parkinson-White Syndrome

Fabricio Vassallo

In the description of Wolff, Parkinson, and White in 1930 of accessory pathway exhibiting antegrade conduction much work had been done to describe the anatomy, electrophysiology, and natural history of the syndrome. During sinus rhythm, a typical pattern in the resting electrocardiogram (ECG) is present: a short PR interval (120ms). In most cases, accessory pathways giving rise to the WPW patterns are seen in structurally normal hearts.

Patients with WPW syndrome presented with palpitations caused by an atrioventricular tachycardia or, less commonly, due to primary atrial tachycardia or fibrillation.

[…]

  • Diagnostic Techniques and Procedures
  • Exercise Test
  • Wolff-Parkinson White Syndrome
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Creative Commons Attribution (CC BY) Creative Commons license
23/05/2025 DOI: 10.36660/abc.20250194i Views 2
Figure 1
ABC
Image

Peek-A-Boo What are You? The Diagnostic Challenge of a Cardiac Mass

Mariana Tinoco et al. Filipa Castro Sérgio Leite Francisco Sousa António Lourenço

A 49-year-old female was found to have an incidental right atrial mass on a routine transthoracic echocardiography (TTE) ( ). She reported no previous significant medical history, besides a mammoplasty in 2017 complicated with implant rupture in 2019. She did not take any medication, was fit and well, and showed full exercise tolerance. There were no risk factors for venous thromboembolism, and she had no significant family medical history. The patient is a former smoker of 12 pack-years. She had 2 previous pregnancies with no miscarriages. The physical examination was unremarkable.

[…]

  • Cardiac Mass
  • Diagnostic Imaging/methods
  • Diagnostic Techniques and Procedures
  • Echocardiography, Transesophageal/methods
  • Heart Atrial
  • Resonance Magnetic/methods
  • Trombosis
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Creative Commons Attribution (CC BY) Creative Commons license
21/10/2022 DOI: 10.36660/abc.20211033
Figure 1
ABC
Review Article

Cardiovascular Imaging and Interventional Procedures in Patients with Novel Coronavirus Infection

Isabela Bispo Santos da Silva Costa et al. Carlos Eduardo Rochitte Carlos M. Campos Silvio Henrique Barberato … Gláucia Maria Moraes de Oliveira Marcelo Antônio Cartaxo Queiroga Lopes Cesar Higa Nomura Alexandre A. Abizaid Giovanni Cerri Roberto Kalil Filho Ludhmila Abrahão Hajjar

Abstract

The coronavirus disease 2019 (COVID-19) pandemic is a huge challenge to the health system because of the exponential increase in the number of individuals affected. The rational use of resources and correct and judicious indication for imaging exams and interventional procedures are necessary, prioritizing patient, healthcare personnel, and environmental safety. This review was aimed at guiding health professionals in safely and effectively performing imaging exams and interventional procedures.

  • Cardiovascular Diseases/prevention and control
  • Communicable Diseases, Emergency
  • Coronavirus
  • COVID-19
  • Diagnostic Imaging
  • Diagnostic Techniques and Procedures
  • Medical Examination/methods
  • Pandemics
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Creative Commons Attribution (CC BY) Creative Commons license
07/08/2020 DOI: 10.36660/abc.20200370
Prognostic value of dipyridamole stress echocardiography in women
ABC
Artigo Original

Prognostic value of dipyridamole stress echocardiography in women

Maria Celita de Almeida et al. Brivaldo Markman Filho

BACKGROUND: Stress echocardiography is an important diagnostic and prognostic tool in ischemic heart disease. OBJECTIVE: To evaluate the role of dipyridamole stress echocardiography (DSE) in the investigation of myocardial ischemia in women and its ability to predict combined events (cardiovascular death, acute myocardial infarction [AMI], unstable angina, coronary artery bypass grafting [surgery or percutaneous intervention] at an average follow-up of 16 months. METHODS: A prospective study using the protocol of dipyridamole at 0.84 mg in 10 minutes, associated with atropine (0.25 mg/min up to 1.0 mg). RESULTS: This study evaluated 147 women. DSE was positive in 14 patients (9.5%), negative in 128 (87.1%) and inconclusive in 5 (3.4%). Events occurred in 8 patients, 7 had positive DSE. The other 138 did not present any events. Our of these, 128 had negative DSE. The sensitivity, specificity, accuracy, the positive and negative predictive values of the test before the events were respectively: 83%, 95%, 94%, 42% and 99%. The event-free survival for patients with negative DSE was 99.2% compared with 58% for positive DSE (p < 0.001). Univariate analysis identified the DSE result, basal electrocardiogram (ECG), LV ejection fraction, dyslipidemia, wall motion score index at rest and peak, history of AMI, coronary artery bypass grafting, as prognostic predictors related to outcomes. The results of DSE and ECG remained significantly associated with outcomes in the multivariate analysis (p < 0.001). CONCLUSION: The baseline ECG and positive DSE were independent variables for the occurrence of outcomes. The DSE showed excellent negative predictive value, confirming its usefulness in evaluating prognosis in such patients.

  • Diagnostic Techniques and Procedures
  • Dipyridamole
  • Echocardiography, Stress
  • Myocardial Ischemia
  • Prognostic
  • Women
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Creative Commons Attribution (CC BY) Creative Commons license
26/11/2010 DOI: 10.1590/S0066-782X2010005000156

How to cite this article

EndNote RIS

Electronic Document Format (Vancouver)

Vassallo F. Exercise Stress Test For Detecting High-Risk Accessory Pathways In Patients With Wolff-Parkinson-White Syndrome. Arquivos Brasileiros de Cardiologia 2025;122(4):e20250194.

Electronic Document Format (ABNT)

Vassallo, Fabricio. Exercise Stress Test For Detecting High-Risk Accessory Pathways In Patients With Wolff-Parkinson-White Syndrome. Arquivos Brasileiros de Cardiologia, v. 122, n. 4, e20250194, May. 2025.

Electronic Document Format (APA)

Vassallo, F. (2025). Exercise Stress Test For Detecting High-Risk Accessory Pathways In Patients With Wolff-Parkinson-White Syndrome. Arquivos Brasileiros de Cardiologia, 122(4), e20250194.

Electronic Document Format (ISO)

Vassallo, Fabricio. Exercise Stress Test For Detecting High-Risk Accessory Pathways In Patients With Wolff-Parkinson-White Syndrome. Arquivos Brasileiros de Cardiologia [online]. 2025, vol. 122, n. 4, [cited 2026-10-14], e20250194. Available from: <https://journals.cardiol.br/en/article/exercise-stress-test-for-detecting-high-risk-accessory-pathways-in-patients-with-wolff-parkinson-white-syndrome/>. ISSN 0066-782X

EndNote RIS

Electronic Document Format (Vancouver)

Tinoco M, Castro F, Leite S, Sousa F, Lourenço A. Peek-A-Boo What are You? The Diagnostic Challenge of a Cardiac Mass. Arquivos Brasileiros de Cardiologia 2022;119(4):616-8.

Electronic Document Format (ABNT)

Tinoco, Mariana; Castro, Filipa; Leite, Sérgio; Sousa, Francisco; Lourenço, António. Peek-A-Boo What are You? The Diagnostic Challenge of a Cardiac Mass. Arquivos Brasileiros de Cardiologia, v. 119, n. 4, p. 616-618, Oct. 2022.

Electronic Document Format (APA)

Tinoco, M., Castro, F., Leite, S., Sousa, F., & Lourenço, A. (2022). Peek-A-Boo What are You? The Diagnostic Challenge of a Cardiac Mass. Arquivos Brasileiros de Cardiologia, 119(4), 616-618.

Electronic Document Format (ISO)

Tinoco, Mariana and Castro, Filipa and Leite, Sérgio and Sousa, Francisco and Lourenço, António. Peek-A-Boo What are You? The Diagnostic Challenge of a Cardiac Mass. Arquivos Brasileiros de Cardiologia [online]. 2022, vol. 119, n. 4, [cited 2026-10-14], pp. 616-618. Available from: <https://journals.cardiol.br/en/article/peek-a-boo-what-are-you-the-diagnostic-challenge-of-a-cardiac-mass/>. ISSN 0066-782X

EndNote RIS

Electronic Document Format (Vancouver)

Costa IBSS, Rochitte CE, Campos CM, Barberato SH, Oliveira GMM, Lopes MACQ, Nomura CH, et al. Cardiovascular Imaging and Interventional Procedures in Patients with Novel Coronavirus Infection. Arquivos Brasileiros de Cardiologia 2020;115(1):111-26.

Electronic Document Format (ABNT)

Costa, Isabela Bispo Santos da Silva; Rochitte, Carlos Eduardo; Campos, Carlos M.; Barberato, Silvio Henrique; Oliveira, Gláucia Maria Moraes de; Lopes, Marcelo Antônio Cartaxo Queiroga; Nomura, Cesar Higa; Abizaid, Alexandre A.; Cerri, Giovanni; Kalil Filho, Roberto; Hajjar, Ludhmila Abrahão. Cardiovascular Imaging and Interventional Procedures in Patients with Novel Coronavirus Infection. Arquivos Brasileiros de Cardiologia, v. 115, n. 1, p. 111-126, Aug. 2020.

Electronic Document Format (APA)

Costa, I. B. S. S., Rochitte, C. E., Campos, C. M., Barberato, S. H., Oliveira, G. M. M. , Lopes, M. A. C. Q., Nomura, C. H., Abizaid, A. A., Cerri, G., Kalil Filho, R., & Hajjar, L. A. (2020). Cardiovascular Imaging and Interventional Procedures in Patients with Novel Coronavirus Infection. Arquivos Brasileiros de Cardiologia, 115(1), 111-126.

Electronic Document Format (ISO)

Costa, Isabela Bispo Santos da Silva and Rochitte, Carlos Eduardo and Campos, Carlos M. and Barberato, Silvio Henrique and Oliveira, Gláucia Maria Moraes de and Lopes, Marcelo Antônio Cartaxo Queiroga and Nomura, Cesar Higa and Abizaid, Alexandre A. and Cerri, Giovanni and Kalil Filho, Roberto and Hajjar, Ludhmila Abrahão. Cardiovascular Imaging and Interventional Procedures in Patients with Novel Coronavirus Infection. Arquivos Brasileiros de Cardiologia [online]. 2020, vol. 115, n. 1, [cited 2026-10-14], pp. 111-126. Available from: <https://journals.cardiol.br/en/article/cardiovascular-imaging-and-interventional-procedures-in-patients-with-novel-coronavirus-infection/>. ISSN 0066-782X

EndNote RIS

Electronic Document Format (Vancouver)

Almeida MC, Markman Filho B. Prognostic value of dipyridamole stress echocardiography in women. Arquivos Brasileiros de Cardiologia 2010;96(1):31-7.

Electronic Document Format (ABNT)

Almeida, Maria Celita de; Markman Filho, Brivaldo. Prognostic value of dipyridamole stress echocardiography in women. Arquivos Brasileiros de Cardiologia, v. 96, n. 1, p. 31-37, Nov. 2010.

Electronic Document Format (APA)

Almeida, M. C. , & Markman Filho, B. (2010). Prognostic value of dipyridamole stress echocardiography in women. Arquivos Brasileiros de Cardiologia, 96(1), 31-37.

Electronic Document Format (ISO)

Almeida, Maria Celita de and Markman Filho, Brivaldo. Prognostic value of dipyridamole stress echocardiography in women. Arquivos Brasileiros de Cardiologia [online]. 2010, vol. 96, n. 1, [cited 2026-10-14], pp. 31-37. Available from: <https://journals.cardiol.br/en/article/prognostic-value-of-dipyridamole-stress-echocardiography-in-women/>. ISSN 0066-782X

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