Current Cardiology Reports最新文献_第7页

Differential Incidence of Contrast-Associated Acute Kidney Injury: Comparing Intravenous and Intraarterial Contrast Administration. 对比剂相关急性肾损伤的不同发生率：比较静脉注射和动脉内注射造影剂。

IF 3.1 3区医学

Current Cardiology Reports Pub Date : 2024-08-01 Epub Date: 2024-07-16 DOI: 10.1007/s11886-024-02083-w

Maya Guhan, Mostafa Shalaby, Tareq Abu Sharifeh, Amer Abdulla, Hani Jneid, Joseph Allencherril

{"title":"Differential Incidence of Contrast-Associated Acute Kidney Injury: Comparing Intravenous and Intraarterial Contrast Administration.","authors":"Maya Guhan, Mostafa Shalaby, Tareq Abu Sharifeh, Amer Abdulla, Hani Jneid, Joseph Allencherril","doi":"10.1007/s11886-024-02083-w","DOIUrl":"10.1007/s11886-024-02083-w","url":null,"abstract":"Purpose of the review: Contrast-associated acute kidney injury (CA-AKI) remains a significant concern in diagnostic and invasive procedures, particularly in the context of iodinated contrast material administration. The traditional definition of CA-AKI, based on serum creatinine elevation following contrast exposure, may not accurately capture its multifactorial nature.Recent findings: Studies have provided new insights into the differential incidence of CA-AKI between intravenous and intraarterial contrast administration, emphasizing the importance of tailored preventative strategies for high-risk procedures. This higher risk may arise from two proposed mechanisms: one implicating free radical formation leading to cytotoxicity and apoptosis in renal cells and another suggesting that contrast media alter renal hemodynamics, particularly in the outer medulla, by constricting the vasa recta and reducing medullary flow. Advances in technology and patient care, including contemporary use of low-osmolar contrast agents and hydration protocols, mitigate CA-AKI risk. Diagnostic and invasive procedures should not be avoided solely due to concerns about renal dysfunction if the patient is likely to benefit clinically.","PeriodicalId":10829,"journal":{"name":"Current Cardiology Reports","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141619595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Is Intensive Blood Pressure Control Indicated in Older Patients with Hypertension? 老年高血压患者是否需要加强血压控制？

IF 3.1 3区医学

Current Cardiology Reports Pub Date : 2024-08-01 Epub Date: 2024-06-25 DOI: 10.1007/s11886-024-02080-z

Thwe Htay, Mariela Lane, Narges Khanjani, Aliasghar Arabi Mianroodi, Sarah Ream-Winnick

{"title":"Is Intensive Blood Pressure Control Indicated in Older Patients with Hypertension?","authors":"Thwe Htay, Mariela Lane, Narges Khanjani, Aliasghar Arabi Mianroodi, Sarah Ream-Winnick","doi":"10.1007/s11886-024-02080-z","DOIUrl":"10.1007/s11886-024-02080-z","url":null,"abstract":"Purpose of review: This review aims to evaluate intensive blood pressure control in older adults, assessing its necessity, effectiveness, benefits and risks including cardiovascular outcomes, adverse events, quality of life, and overall mortality.Recent findings: Recent studies have supported that intensive antihypertensive treatment lowers the rates of cardiovascular events compared to standard treatment in older patients with hypertension, and it may also reduce the risk of cognitive decline. Intensive blood pressure lowering strategies are associated with reduced risk of cardiovascular morbidity and mortality as well as all-cause mortality, without compromising quality of life or functional status, and are relatively well tolerated in this patient population. Evidence suggests that maintaining systolic blood pressure below 130 mm Hg can yield cardiovascular and cognitive benefits in older patients with hypertension, particularly among those at risk of myocardial infarction or stroke. However, clinicians should vigilantly monitor for adverse events and engage in shared decision-making when pursuing intensive blood pressure goals tailored to individual risks and benefits.","PeriodicalId":10829,"journal":{"name":"Current Cardiology Reports","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141445854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Multidisciplinary Approach to Pulmonary Embolism and the Role of the Pulmonary Embolism Response Team. 肺栓塞的多学科方法和肺栓塞应对小组的作用。

IF 3.1 3区医学

Current Cardiology Reports Pub Date : 2024-08-01 Epub Date: 2024-07-04 DOI: 10.1007/s11886-024-02084-9

Afaq Motiwala, Hira Tanwir, Alexander Duarte, Syed Gilani, Abe DeAnda, Mohammed Fathi Zaidan, Hani Jneid

{"title":"Multidisciplinary Approach to Pulmonary Embolism and the Role of the Pulmonary Embolism Response Team.","authors":"Afaq Motiwala, Hira Tanwir, Alexander Duarte, Syed Gilani, Abe DeAnda, Mohammed Fathi Zaidan, Hani Jneid","doi":"10.1007/s11886-024-02084-9","DOIUrl":"10.1007/s11886-024-02084-9","url":null,"abstract":"Purpose of review: Acute pulmonary embolism (PE) is a leading cause of cardiovascular death and morbidity, and presents a major burden to healthcare systems. The field has seen rapid growth with development of innovative clot reduction technologies, as well as ongoing multicenter trials that may completely revolutionize care of PE patients. However, current paucity of robust clinical trials and guidelines often leave individual physicians managing patients with acute PE in a dilemma.Recent findings: The pulmonary embolism response team (PERT) was developed as a platform to rapidly engage multiple specialists to deliver evidence-based, organized and efficient care and help address some of the gaps in knowledge. Several centers investigating outcomes following implementation of PERT have demonstrated shorter hospital and intensive-care unit stays, lower use of inferior vena cava filters, and in some instances improved mortality. Since the advent of PERT, early findings demonstrate promise with improved outcomes after implementation of PERT. Incorporation of artificial intelligence (AI) into PERT has also shown promise with more streamlined care and reducing response times. Further clinical trials are needed to examine the impact of PERT model on care delivery and clinical outcomes.","PeriodicalId":10829,"journal":{"name":"Current Cardiology Reports","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141497372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Management of the peri-intubation period in patients with pulmonary arterial hypertension and respiratory failure. 肺动脉高压和呼吸衰竭患者插管前的管理。

IF 3.1 3区医学

Current Cardiology Reports Pub Date : 2024-08-01 Epub Date: 2024-06-24 DOI: 10.1007/s11886-024-02081-y

Alexander I Papolos, Benjamin B Kenigsberg, Daniel R Austin, Christopher F Barnett

引用次数: 0

Optical Coherence Tomography in the Assessment and Management of Cardiac Allograft Vasculopathy. 光学相干断层扫描在心脏移植血管病变评估和管理中的应用。

IF 3.1 3区医学

Current Cardiology Reports Pub Date : 2024-08-01 Epub Date: 2024-06-12 DOI: 10.1007/s11886-024-02078-7

Arka Chatterjee, Madhan Shanmugasundaram, Kwan S Lee, Toshinobu Kazui, Indranee N Rajapreyar, Deepak Acharya

引用次数: 0

Marital Quality-A Neglected Player in the Prevention of Cardiovascular Diseases: A Systematic Review of Longitudinal Studies. 婚姻质量--预防心血管疾病中被忽视的因素：纵向研究的系统回顾。

IF 3.1 3区医学

Current Cardiology Reports Pub Date : 2024-08-01 Epub Date: 2024-07-04 DOI: 10.1007/s11886-024-02082-x

Bayan Azizi, Danesh Soltani, Amanuel Godana Arero, Asal Sadat Karimi, Akam Ramezani, Ali Vasheghani-Farahani, Haleh Ashraf, Shahin Akhondzadeh, Helin Khosravi, Saeed Nateghi, Tahereh Dadpey

{"title":"Marital Quality-A Neglected Player in the Prevention of Cardiovascular Diseases: A Systematic Review of Longitudinal Studies.","authors":"Bayan Azizi, Danesh Soltani, Amanuel Godana Arero, Asal Sadat Karimi, Akam Ramezani, Ali Vasheghani-Farahani, Haleh Ashraf, Shahin Akhondzadeh, Helin Khosravi, Saeed Nateghi, Tahereh Dadpey","doi":"10.1007/s11886-024-02082-x","DOIUrl":"10.1007/s11886-024-02082-x","url":null,"abstract":"Purpose of review: Marital quality (MQ) is a psychosocial factor that has been neglected in cardiovascular prevention guidelines, although its association with cardiovascular diseases has been identified in several studies. Therefore, we aim to investigate how MQ either in positive or negative dimensions affect different cardiovascular risk factors and diseases.Recent findings: We systematically searched different databases in September 2023 for longitudinal studies conducted to assess the contribution of MQ to well-established cardiovascular risk factors and diseases. Two independent researchers screened studies and carried out data extraction and quality assessment of included ones. From 12,175 potential studies screened, 40 were included. The presence of significant heterogeneity in methodology, follow-up, and subsequent effect estimates made it unfeasible to do a meta-analysis. Despite the variation, most studies found a significant association of negative MQ measures with physical inactivity (2/2), high levels of smoking (4/5) and alcohol (3/3) use, increased metabolic syndrome risk (3/3), elevated type 2 diabetes mellitus (T2DM) risk and poor T2DM management (3/6), elevated cardiovascular disease risk and progression (9/11), increased body weight and obesity risk (2/3), elevated blood pressure and hypertension risk (7/8). Positive MQ measures were mainly associated with improvement in blood pressure control (2/2), reduced T2DM risk and its good management (1/1), reduced body weight and obesity risk (2/2), and increased survival in cardiovascular diseases (4/4). Based on current evidence, MQ seems to play a crucial role in developing established cardiovascular risk factors and diseases and is worth considering in preventive strategies.","PeriodicalId":10829,"journal":{"name":"Current Cardiology Reports","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141497371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Effectiveness and Safety of Leadless Pacemakers: An Updated Meta-Analysis. 无引线起搏器的有效性和安全性：最新的 Meta 分析。

IF 3.1 3区医学

Current Cardiology Reports Pub Date : 2024-08-01 Epub Date: 2024-06-13 DOI: 10.1007/s11886-024-02079-6

Vinícius Martins Rodrigues Oliveira, André Rivera, Izadora Caiado Oliveira, André Maroccolo de Sousa, Maria Elisa Passos Nishikubo, Frans Serpa, Antônio da Silva Menezes Junior

{"title":"The Effectiveness and Safety of Leadless Pacemakers: An Updated Meta-Analysis.","authors":"Vinícius Martins Rodrigues Oliveira, André Rivera, Izadora Caiado Oliveira, André Maroccolo de Sousa, Maria Elisa Passos Nishikubo, Frans Serpa, Antônio da Silva Menezes Junior","doi":"10.1007/s11886-024-02079-6","DOIUrl":"10.1007/s11886-024-02079-6","url":null,"abstract":"Background: Leadless pacemakers (LPs) are promising alternatives to traditional transvenous pacemakers (TVPs), but their comparative effectiveness and safety in clinical outcomes remain uncertain.Methods: We systematically searched PubMed, Embase, Scopus, Cochrane, and ClinicalTrials.gov for studies comparing LPs and TVPs. A restricted maximum likelihood random-effects model was used for all outcomes. Heterogeneity was assessed using I2 statistics. We performed a subgroup analysis with studies with multivariate-adjusted data.Results: We included 21 studies involving 47,229 patients, of whom 12,199 (25.8%) underwent LP implantation. Compared with TVPs, LPs were associated with a significantly lower risk of overall complications (OR 0.61; 95% CI 0.45-0.81; p < 0.01), dislodgement (OR 0.34; 95% CI 0.20-0.56; p < 0.01), and pneumothorax (OR 0.27; 95% CI 0.16-0.46; p < 0.01). No significant difference in all-cause mortality was observed in the overall analysis (OR 1.43; 95% CI 0.65-3.15; p = 0.35) and in studies with multivariate-adjusted data (OR 1.34; 95% CI 0.65-2.78; p = 0.43). However, LPs were associated with a higher risk of pericardial effusion (OR 2.47; 95% CI 1.39-4.38; p < 0.01) and cardiac tamponade (OR 3.75; 95% CI 2.41-5.83; p < 0.01). LPs also demonstrated a lower pacing capture threshold (MD -0.19 V; 95% CI [-0.23 V]-[-0.16 V]; p < 0.01), but no significant difference in impedance (MD 32.63 ohms; 95% CI [-22.50 ohms]-[87.76 ohms]; p = 0.25).Conclusions: These findings suggest that LPs were associated with lower overall complication rates and similar effectiveness to TVPs. However, randomized controlled trials are warranted to validate these results.","PeriodicalId":10829,"journal":{"name":"Current Cardiology Reports","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141310251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Conduction System Pacing: Hope, Challenges, and the Journey Forward. 传导系统起搏：希望、挑战和前行。

IF 3.1 3区医学

Current Cardiology Reports Pub Date : 2024-08-01 Epub Date: 2024-07-08 DOI: 10.1007/s11886-024-02085-8

S König, S Hilbert, K Bode

{"title":"Conduction System Pacing: Hope, Challenges, and the Journey Forward.","authors":"S König, S Hilbert, K Bode","doi":"10.1007/s11886-024-02085-8","DOIUrl":"10.1007/s11886-024-02085-8","url":null,"abstract":"Purpose of the review: Cardiac pacing has evolved in recent years currently culminating in the specific stimulation of the cardiac conduction system (conduction system pacing, CSP). This review aims to provide a comprehensive overview of the available literature on CSP, focusing on a critical classification of studies comparing CSP with standard treatment in the two fields of pacing for bradycardia and cardiac resynchronization therapy in patients with heart failure. The article will also elaborate specific benefits and limitations associated with CSP modalities of His bundle pacing (HBP) and left bundle branch area pacing (LBBAP).Recent findings: Based on a growing number of observational studies for different indications of pacing therapy, both CSP modalities investigated are advantageous over standard treatment in terms of narrowing the paced QRS complex and preserving or improving left ventricular systolic function. Less consistent evidence exists with regard to the improvement of heart failure-related rehospitalization rates or mortality, and effect sizes vary between HBP and LBBAP. LBBAP is superior over HBP in terms of lead measurements and procedural duration. With regard to all reported outcomes, evidence from large scale randomized controlled clinical trials (RCT) is still scarce. CSP has the potential to sustainably improve patient care in cardiac pacing therapy if patients are appropriately selected and limitations are considered. With this review, we offer not only a summary of existing data, but also an outlook on probable future developments in the field, as well as a detailed summary of upcoming RCTs that provide insights into how the journey of CSP continues.","PeriodicalId":10829,"journal":{"name":"Current Cardiology Reports","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141554375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Current and Emerging Approaches for Primary Prevention of Coronary Artery Disease Using Cardiac Computed Tomography 使用心脏计算机断层扫描进行冠状动脉疾病一级预防的现有方法和新方法

IF 3.7 3区医学

Current Cardiology Reports Pub Date : 2024-07-27 DOI: 10.1007/s11886-024-02104-8

Polydoros N. Kampaktsis, Carolyn Hennecken, Mrinali Shetty, Laura McLaughlin, Georgios Rampidis, Athanasios Samaras, Dimitrios Avgerinos, Nikolaos Spilias, Toshiki Kuno, Alexandros Briasoulis, Andrew J. Einstein

{"title":"Current and Emerging Approaches for Primary Prevention of Coronary Artery Disease Using Cardiac Computed Tomography","authors":"Polydoros N. Kampaktsis, Carolyn Hennecken, Mrinali Shetty, Laura McLaughlin, Georgios Rampidis, Athanasios Samaras, Dimitrios Avgerinos, Nikolaos Spilias, Toshiki Kuno, Alexandros Briasoulis, Andrew J. Einstein","doi":"10.1007/s11886-024-02104-8","DOIUrl":"https://doi.org/10.1007/s11886-024-02104-8","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Purpose of Review</h3>To summarize the current use of cardiac computed tomography (CT) technologies as well as their pertinent evidence in regards to prevention of coronary artery disease (CAD).<h3 data-test=\"abstract-sub-heading\">Recent Findings</h3>Cardiac CTA has now become a main non-invasive method for the evaluation of symptomatic CAD. In addition to coronary calcium score, other CT technologies such as atherosclerotic plaque analysis, fractional flow reserve estimation by CT, pericoronary fat attenuation, and endothelial wall shear stress have emerged. Whether the use of CT modalities can enhance risk prediction and prevention in CAD has not been fully answered.<h3 data-test=\"abstract-sub-heading\">Summary</h3>We discuss the evidence for coronary artery calcium scoring and coronary CT angiography in primary prevention and the current barriers to their use. We attempt to delineate what can be done to expand use and what studies are needed to broaden adoption in the future. We also examine the potential roles of emerging CT technologies. Finally, we describe potential clinical approaches to prevention that would incorporate cardiac CT technologies.","PeriodicalId":10829,"journal":{"name":"Current Cardiology Reports","volume":null,"pages":null},"PeriodicalIF":3.7,"publicationDate":"2024-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141770060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Assessing Regurgitation Severity, Adverse Remodeling, and Fibrosis with CMR in Primary Mitral Regurgitation. 用 CMR 评估原发性二尖瓣反流的反流严重程度、不良重塑和纤维化。

IF 3.1 3区医学

Current Cardiology Reports Pub Date : 2024-07-01 Epub Date: 2024-05-15 DOI: 10.1007/s11886-024-02069-8

Amr Darwish, Akila Bersali, Mujtaba Saeed, Aneesh Dhore, Dimitrios Maragiannis, K Carlos El-Tallawi, Dipan J Shah

{"title":"Assessing Regurgitation Severity, Adverse Remodeling, and Fibrosis with CMR in Primary Mitral Regurgitation.","authors":"Amr Darwish, Akila Bersali, Mujtaba Saeed, Aneesh Dhore, Dimitrios Maragiannis, K Carlos El-Tallawi, Dipan J Shah","doi":"10.1007/s11886-024-02069-8","DOIUrl":"10.1007/s11886-024-02069-8","url":null,"abstract":"Purpose of review: This review offers an evidence-based analysis of established and emerging cardiovascular magnetic resonance (CMR) techniques used to assess the severity of primary mitral regurgitation (MR), identify adverse cardiac remodeling and its prognostic effect. The aim is to provide different insights regarding clinical decision-making and enhance the clinical outcomes of patients with MR.Recent findings: Cardiac remodeling and myocardial replacement fibrosis are observed frequently in the presence of substantial LV volume overload, particularly in cases with severe primary MR. CMR serves as a useful diagnostic imaging modality in assessing mitral regurgitation severity, early detection of cardiac remodeling, myocardial dysfunction, and myocardial fibrosis, enabling timely intervention before irreversible damage ensues. Incorporating myocardial remodeling in terms of left ventricular (LV) dilatation and myocardial fibrosis with quantitative MR severity assessment by CMR may assist in defining optimal timing of intervention.","PeriodicalId":10829,"journal":{"name":"Current Cardiology Reports","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140921762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0