Current Cardiology Reviews最新文献

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Prediction of Recurrence of Atrial Fibrillation Post-ablation Based on Atrial Fibrosis Seen on Late Gadolinium Enhancement MRI: A Metaanalysis. 根据晚期钆增强MRI上的心房纤维化预测消融后心房颤动复发:Metaanalysis。
IF 1.9
Current Cardiology Reviews Pub Date : 2023-01-01 DOI: 10.2174/1573403X19666221205100148
Manjari Rani Regmi, Mukul Bhattarai, Priyanka Parajuli, Albert Botchway, Nitin Tandan, Jumana Abdelkarim, Mohamed Labedi
{"title":"Prediction of Recurrence of Atrial Fibrillation Post-ablation Based on Atrial Fibrosis Seen on Late Gadolinium Enhancement MRI: A Metaanalysis.","authors":"Manjari Rani Regmi, Mukul Bhattarai, Priyanka Parajuli, Albert Botchway, Nitin Tandan, Jumana Abdelkarim, Mohamed Labedi","doi":"10.2174/1573403X19666221205100148","DOIUrl":"10.2174/1573403X19666221205100148","url":null,"abstract":"<p><strong>Objectives: </strong>This meta-analysis aims to investigate the recurrence of atrial fibrillation (AF) post-ablation based on the various stages of fibrosis seen in the late gadolinium enhancement magnetic resonance imaging (LGE-MRI).</p><p><strong>Methods: </strong>Electronic databases were searched using specific terms and identified nine studies that met the inclusion criteria. A total of 1,787 patients underwent LGE-MRI to assess atrial fibrosis before catheter ablation for AF. We performed three analyses: first, we compared stage IV versus stage I (reference group). The second set examined the combined stages III and IV versus stages I and II (reference group). The third set compared stage IV versus combined stages I, II, and III. The metanalysis relied on a random-effects model to pool the odds ratios (OR) and 95% confidence intervals (CI) using the DerSimonian and Laird method. The data was analyzed using StatsDirect software in England.</p><p><strong>Results: </strong>The study showed a higher rate of AF recurrence after ablation in stage IV atrial fibrosis than in stage I (OR, 9.54; 95% CI, 3.81 to 28.89; P<00001). Also, in patients with combined stages III & IV of atrial fibrosis, AF recurrence was significantly higher after ablation than in stages I & II groups (OR, 2.37; 95% CI, 1.61 to 3.50; P<00001). Similarly, compared to combined stages I, II, and III, patients with stage IV have higher odds of recurrence post-ablation (OR, 4.24; 95% CI, 2.39- 7.52, P < 0.001).</p><p><strong>Conclusion: </strong>This metanalysis demonstrates the strong association between left atrial fibrosis in LGE-MRI and AF post-ablation recurrence. The finding of this study will further assist clinicians in predicting the recurrence rate of AF based on the amount of fibrosis and tailor therapeutic decisions for further management.</p>","PeriodicalId":10832,"journal":{"name":"Current Cardiology Reviews","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10280994/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9771922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Hypertrophic Cardiomyopathy in Saudi Arabia: A Systematic Review of the Epidemiological, Clinical, and Imaging Features. 沙特阿拉伯的肥厚型心肌病:流行病学、临床和影像学特征的系统综述。
IF 1.9
Current Cardiology Reviews Pub Date : 2023-01-01 DOI: 10.2174/1573403X18666220825153725
Bodour S Rajab
{"title":"Hypertrophic Cardiomyopathy in Saudi Arabia: A Systematic Review of the Epidemiological, Clinical, and Imaging Features.","authors":"Bodour S Rajab","doi":"10.2174/1573403X18666220825153725","DOIUrl":"10.2174/1573403X18666220825153725","url":null,"abstract":"<p><strong>Background: </strong>A systematic review was performed to deliver a critical view of clinical and research practice on hypertrophic cardiomyopathy (HCM) in Saudi Arabia. Scopus, PubMed, and Google Scholar databases were searched for original articles reporting clinical and/or imaging findings among HCM patients in Saudi Arabia. Of 559 records identified, 3 studies and 1 abstract were included, involving 169 patients.</p><p><strong>Methods: </strong>The mean age ranged between 40and 56 years, up to 93.3% were males. A family history of HCM was reported in one study (5%), and sudden cardiac death was investigated in two studies (9% and 13%). Dyspnea was the most frequent symptom (60-68.7%) reported, followed by chest pain (12.5%-73.3%).</p><p><strong>Results: </strong>Regarding complications, atrial fibrillation was reported among 0-25% of the patients, mitral regurgitations among 13.3-50%, and ventricular tachycardia among 5-12.5%. Imaging parameters were inadequately documented and suggested a high prevalence of left atrial enlargement, SVI + RV5 > 35 mm, blocks, and asymmetric septal hypertrophy.</p><p><strong>Conclusion: </strong>The ejection fraction was reported by two studies with a mean±SD of 68±13% and 77.2±8.07%. The researchers stress the paucity, low quality, and disparity in time of original studies about HCM in Saudi Arabia and recommend conducting national multicenter studies, with appropriate design, notably using screening-based recruitment methods.</p>","PeriodicalId":10832,"journal":{"name":"Current Cardiology Reviews","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10201901/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9777853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Malthusian Trajectory for Heart Failure and Novel Translational Ambulatory Technologies. 心力衰竭的马尔萨斯轨迹和新型转化动态技术。
IF 1.9
Current Cardiology Reviews Pub Date : 2023-01-01 DOI: 10.2174/1573403X18666220524145646
Bidargaddi Niranjan, Maximilian P de Courten, Pupalan Iyngkaran, Malcolm Battersby
{"title":"Malthusian Trajectory for Heart Failure and Novel Translational Ambulatory Technologies.","authors":"Bidargaddi Niranjan, Maximilian P de Courten, Pupalan Iyngkaran, Malcolm Battersby","doi":"10.2174/1573403X18666220524145646","DOIUrl":"10.2174/1573403X18666220524145646","url":null,"abstract":"<p><strong>Introduction: </strong>It has been estimated that congestive heart failure (CHF) will reach epidemic proportions and contribute to large unsustainable impacts on health budgets for any cardiovascular condition. Against other major trends in cardiovascular outcomes, readmission and disease burden continue to rise as the demographics shift.</p><p><strong>Methods: </strong>The rise in heart failure with preserved ejection fraction (HFpEF) among elderly women will present new challenges. Gold standard care delivers sustainable and cost-effective health improvements using organised care programs. When coordinated with large hospitals, this can be replicated universally.</p><p><strong>Results: </strong>A gradient of outcomes and ambulatory care needs to be shifted from established institutions and shared with clients and community health services, being a sizeable proportion of CHF care.</p><p><strong>Conclusion: </strong>In this review, we explore health technologies as an emerging opportunity to address gaps in CHF management.</p>","PeriodicalId":10832,"journal":{"name":"Current Cardiology Reviews","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10280992/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9890529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Diagnostic Role and Methods of Detection of Cardiac Troponins: An Opinion from Historical and Current Points of View. 心脏肌钙蛋白检测的诊断作用和方法:从历史和当前的角度来看。
IF 1.9
Current Cardiology Reviews Pub Date : 2023-01-01 DOI: 10.2174/1573403X18666220610164946
Aleksey Michailovich Chaulin
{"title":"Diagnostic Role and Methods of Detection of Cardiac Troponins: An Opinion from Historical and Current Points of View.","authors":"Aleksey Michailovich Chaulin","doi":"10.2174/1573403X18666220610164946","DOIUrl":"10.2174/1573403X18666220610164946","url":null,"abstract":"<p><p>The laboratory methods for the determination of cardiac troponins (cTnI, cTnT) used nowadays are extremely diverse, which has a significant impact on our understanding of the biology and diagnostic the value of cTnI and cTnT as biomarkers. The main classification of methods for the determination of cTnI and cTnT is based on the sensitivity of the immunoassay. Low- and moderately sensitive detection methods are known to be relatively less sensitive, which leads to a relatively late confirmation of cardiomyocyte death. Due to the new highly sensitive methods used to determine cTnI and cTnT, designated as a highly or ultrasensitive immunoassays (hs-TnT and hs-TnT), we received new, revised data about the biology of cardiac troponin molecules. In particular, it became clear that they can be considered products of normal myocardium metabolism since hs-TnT and hs-TnT are detected in almost all healthy patients. It also turned out that hs-TnT and hs-TnT differ by gender (in men, troponin concentration in the blood is higher than in women), age (in elderly patients, the levels of troponins are higher than in young ones) and circadian cycles (morning concentrations of troponins are higher than in the evening). A large variety of methods for determining cTnI and cTnT, differing in their diagnostic capabilities, creates the need for tests to perform an unbiased assessment of the analytical characteristics of each method. This review focuses on the most pressing issues related to the discussion of the biological characteristics of cardiac troponin and the analytical characteristics of troponin immunoassays from a historical and contemporary point of view.</p>","PeriodicalId":10832,"journal":{"name":"Current Cardiology Reviews","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10201884/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9218244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
The Risk Factors of Acute Coronary Syndrome in Young Women: A Systematic Review and Meta-Analysis. 年轻女性急性冠状动脉综合征的危险因素:系统综述和荟萃分析。
IF 1.9
Current Cardiology Reviews Pub Date : 2023-01-01 DOI: 10.2174/1573403X19666221116113208
Sisca Natalia Siagian, Christianto Christianto, Phoniex Angellia, Ho Indra Holiyono
{"title":"The Risk Factors of Acute Coronary Syndrome in Young Women: A Systematic Review and Meta-Analysis.","authors":"Sisca Natalia Siagian, Christianto Christianto, Phoniex Angellia, Ho Indra Holiyono","doi":"10.2174/1573403X19666221116113208","DOIUrl":"10.2174/1573403X19666221116113208","url":null,"abstract":"<p><strong>Background: </strong>Acute coronary syndrome (ACS) has been one of the leading causes of mortality in the world. Despite common understanding regarding ACS as an older population's or man's disease, the number of young women affected by this condition is increasing. Many studies have assessed the risk factors of ACS, but only a few studies focused on this subpopulation. Therefore, this systematic review and meta-analysis aim to evaluate the risk factors predisposing to ACS in the young women population.</p><p><strong>Methods: </strong>Nine online databases were screened from the date of inception to September 2021, where the acquired studies were evaluated using the PRISMA statement. The inclusion criteria were a case control study with women age cut-off of <50 years. The risk factors of acute coronary syndrome were analyzed using a random-effect model, expressed as summary statistics of odds ratio (OR) for categorical variable and standard mean difference (SMD) for continuous data with normal distribution, with 95% confidence interval (CI). Quality assessment was conducted using the STROBE statement.</p><p><strong>Results: </strong>Seven studies with the total of 7042 patients met the inclusion criteria of this metaanalysis. Diabetes mellitus, high BMI, obesity, hypercholestrolemia, hypertension, smoking, and family history significantly increased acute coronary syndrome risk in young women. Other risks such as heavy alcohol consumption, oral contraceptive use, and postmenopausal state were associated with higher risk of ACS.</p><p><strong>Conclusion: </strong>The independent risk factors which are strongly related to ACS in young women were diabetes mellitus, hypertension, and hypercholesterolemia with odd ratios of 6.21, 5.32, and 4.07. Other risk factors which may be associated with an increased risk of ACS in young women were heavy alcohol consumption, oral contraceptive use, and postmenopausal state. Health promotion and effective intervention on this specific population regarding these risk factors can decrease young female cardiovascular morbidity and mortality as well as improved quality of life of women.</p>","PeriodicalId":10832,"journal":{"name":"Current Cardiology Reviews","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10280997/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9830721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Gender Differences in Treatment Delays, Management and Mortality among Patients with Acute Coronary Syndrome: A Systematic Review and Meta-analysis. 急性冠状动脉综合征患者治疗延误、管理和死亡率的性别差异:系统综述和荟萃分析。
IF 1.9
Current Cardiology Reviews Pub Date : 2023-01-01 DOI: 10.2174/1573403X18666220630120259
Tetiana Lunova, Roman Komorovsky, Ivan Klishch
{"title":"Gender Differences in Treatment Delays, Management and Mortality among Patients with Acute Coronary Syndrome: A Systematic Review and Meta-analysis.","authors":"Tetiana Lunova, Roman Komorovsky, Ivan Klishch","doi":"10.2174/1573403X18666220630120259","DOIUrl":"10.2174/1573403X18666220630120259","url":null,"abstract":"<p><strong>Background: </strong>We aimed to provide a comprehensive overview of existing gender differences in acute coronary syndrome (ACS), with respect to treatment delays, invasive management of ACS, and short and long-term mortality in patients with ACS.</p><p><strong>Methods: </strong>We defined 37 observational studies (OSs) and 21 randomized trials (RCTs) that best corresponded to our interests. OSs and RCTs were analyzed separately.</p><p><strong>Results: </strong>Women with ACS more often experienced delays in treatment compared to men (OR 1.43; 95% CI, 1.12-1.82) in RCTs. Female patients were less often treated invasively: RCTs (OR 0.87; 95% CI, 0.83-0.9), OSs: (OR 0.66; 95% CI, 0.63-0.68). Women had higher crude in-hospital mortality (OR 1.56; 95% CI, 1.53-1.59) and 30-day mortality (OR 1.71; 95% CI, 1.22-2.4) in OSs and (OR 2.74; 95% CI, 2.48-3.02) in RCTs. After adjustment for multiple covariates, gender difference was attenuated: in-hospital mortality (OR 1.19; 95% CI, 1.17-1.2), 30-day mortality (OR 1.18; 95% CI, 1.12-1.24) in OSs. Unadjusted long-term mortality in women was higher than in men (OR 1.41; 95% CI, 1.31-1.52) in RCTs and (OR 1.4; 95% CI, 1.3-1.5) in OSs.</p><p><strong>Conclusion: </strong>Women with ACS experience a delay in time to treatment more often than men. They are also less likely to be treated invasively. Females have shown worse crude short-and long-term all-cause mortality compared to males. However, after adjustment for multiple covariates, a less significant gender difference has been observed. Considering the difference between crude and adjusted mortality, we deem it reasonable to conduct further investigations on gender-related influence of particular risk factors on the outcomes of ACS.</p>","PeriodicalId":10832,"journal":{"name":"Current Cardiology Reviews","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10201882/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10670165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Contemporary Considerations in the Evolution of Wearable Technology for Arrhythmia Detection. 心律失常检测可穿戴技术发展的当代思考。
IF 1.9
Current Cardiology Reviews Pub Date : 2023-01-01 DOI: 10.2174/1573403X19666230811093048
Tobin Joseph, Mahmoud Barrie, Akbar Karimi, Sharmi Haque, Innocent Ogunmwonyi, Utkarsh Ojha
{"title":"Contemporary Considerations in the Evolution of Wearable Technology for Arrhythmia Detection.","authors":"Tobin Joseph, Mahmoud Barrie, Akbar Karimi, Sharmi Haque, Innocent Ogunmwonyi, Utkarsh Ojha","doi":"10.2174/1573403X19666230811093048","DOIUrl":"10.2174/1573403X19666230811093048","url":null,"abstract":"<p><p>Arrhythmias are an increasingly common cause of hospital admissions worldwide. Late detection of arrhythmias is associated with a significantly increased risk of cardiovascular complications. Early identification and management of life-threatening arrhythmias is paramount to reduce mortality. Wearable technologies are now widespread among the general population, providing a continuous output of healthcare data. However, this data are not routinely integrated into clinical practice. Here, we begin by outlining the current landscape in wearable technology for aiding arrhythmia detection; we then consider the clinical impact of wearable technology for both clinicians and patients; we further highlight the latest and emerging trials in wearable technology for arrhythmia detection and finally postulate the wider implications of the expansion of such cardiac devices.</p>","PeriodicalId":10832,"journal":{"name":"Current Cardiology Reviews","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10636792/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10211160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Narrative Review of Anomalous Origin of Coronary Arteries: Pathophysiology, Management, and Treatment. 冠状动脉异常起源的叙述性综述:病理生理学、管理和治疗。
IF 1.9
Current Cardiology Reviews Pub Date : 2023-01-01 DOI: 10.2174/1573403X19666230530095341
Sai Gautham Kanagala, Vasu Gupta, Garrett V Dunn, Harmanjit Kaur, Farid Zieneddine, Rohit Jain, Nikita Garg
{"title":"Narrative Review of Anomalous Origin of Coronary Arteries: Pathophysiology, Management, and Treatment.","authors":"Sai Gautham Kanagala, Vasu Gupta, Garrett V Dunn, Harmanjit Kaur, Farid Zieneddine, Rohit Jain, Nikita Garg","doi":"10.2174/1573403X19666230530095341","DOIUrl":"10.2174/1573403X19666230530095341","url":null,"abstract":"<p><p>Coronary artery anomalies (CAA) are a diverse group of congenital anomalies and are the second most common cause of sudden cardiac death in the young population after Hypertrophic Cardiomyopathy (HCM). Symptoms range from chest pain, syncope, or sudden cardiac arrest to completely asymptomatic. The prevalence of congenital coronary artery anomalies in the general population is estimated to be between 1% and 2%. CAA often gets underdiagnosed due to the lack of knowledge of the disease process. Approximately 5% of patients with acute myocardial infarction do not have atherosclerotic coronary artery disease or luminal narrowing due to other causes. Congenital coronary artery anomalies account for 50-60% of this 5% of patients. Most patients are asymptomatic for most of their lives, and chest pain is the most common symptom in symptomatic patients when referred for coronary angiography, typically when the diagnosis is typically made. The malignant coronary artery is a rare presentation of a coronary anomaly when associated with atherosclerotic coronary artery disease or valvular heart disease. Patients with symptoms of an abnormal coronary artery origin will receive medical treatment/observation, exercise restriction, coronary angioplasty with stent deployment, or surgical repair.</p>","PeriodicalId":10832,"journal":{"name":"Current Cardiology Reviews","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10636800/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9545740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Narrative Review of Emerging Therapies for Hypertrophic Obstructive Cardiomyopathy. 肥厚性阻塞性心肌病新兴治疗方法的叙述性综述。
IF 2.4
Current Cardiology Reviews Pub Date : 2023-01-01 DOI: 10.2174/1573403X19666230324102828
Antonio da Silva Menezes Junior, Ana Ligia Valeriano de Oliveira, Thais Aratak Maia, Silvia Marçal Botelho
{"title":"A Narrative Review of Emerging Therapies for Hypertrophic Obstructive Cardiomyopathy.","authors":"Antonio da Silva Menezes Junior, Ana Ligia Valeriano de Oliveira, Thais Aratak Maia, Silvia Marçal Botelho","doi":"10.2174/1573403X19666230324102828","DOIUrl":"10.2174/1573403X19666230324102828","url":null,"abstract":"<p><p>Hypertrophic obstructive cardiomyopathy is a hereditary condition that affects myocardial contraction. In case of failure of pharmacological treatment, alternative approaches might be used that include surgical myectomy, percutaneous transluminal septal myocardial ablation, and radiofrequency ablation. In respect of long-term advantages, surgical septal myectomy remains the therapy of choice for symptomatic hypertrophic obstructive cardiomyopathy. Alcohol septal ablation has been considered an alternative to surgical myectomy, which confers the benefits of a shorter hospital stay, less discomfort, and fewer complications. However, only expert operators should perform it on carefully chosen patients. Further, radiofrequency septal ablation reduces the left ventricular outflow tract gradient and improves the NYHA functional class of patients with hypertrophic obstructive cardiomyopathy, despite complications like cardiac tamponade and atrioventricular block. Further research with a larger sample size is required to compare the radiofrequency approach with established invasive treatment methods for hypertrophic obstructive cardiomyopathy. Septal myectomy has low morbidity and mortality rates, making it the preferred procedure; however, the efficacy and morbidity remain debatable. Advances in invasive techniques, including percutaneous septal radiofrequency ablation and transcatheter myotomy, have provided alternative approaches for reducing left ventricular outflow tract (LVOT) obstruction in patients who are not candidates for traditional surgical septal myectomy. Candidates for alcohol and radiofrequency septal ablation include patients with symptomatic hypertrophic obstructive cardiomyopathy, older adults, and those with multiple comorbidities.</p>","PeriodicalId":10832,"journal":{"name":"Current Cardiology Reviews","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10494274/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9780448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Quadricuspid Pulmonary Valve: Case Report and the Comparison with Quadricuspid Aortic Valve. 四尖肺动脉瓣:病例报告及与四尖主动脉瓣的比较。
IF 1.9
Current Cardiology Reviews Pub Date : 2023-01-01 DOI: 10.2174/1573403X18666220322092706
Toshiharu Miyake, Tomohiro Inoue, Sotaro Mushiake
{"title":"Quadricuspid Pulmonary Valve: Case Report and the Comparison with Quadricuspid Aortic Valve.","authors":"Toshiharu Miyake, Tomohiro Inoue, Sotaro Mushiake","doi":"10.2174/1573403X18666220322092706","DOIUrl":"10.2174/1573403X18666220322092706","url":null,"abstract":"<p><strong>Background: </strong>Quadricuspid pulmonary valve (QPV) is a rare congenital anomaly. Simple QPV had been mainly diagnosed at the time of autopsy before 2000, and the frequency rates of QPV are approximately 0.02%-0.41%. QPV was initially diagnosed using transthoracic echocardiography (TTE) after 2000 and with contrast computed tomography (CT) or cardiac magnetic resonance imaging (CMR) after 2009. Obtaining the cross-sectional view of the pulmonary valve using TTE is difficult. We aimed to review the papers regarding the incidence, embryology, diagnosis, associated congenital heart anomalies, and prognosis in patients with QPV, and furthermore to compare with those in patients with quadricuspid aortic valve (QAV).</p><p><strong>Case presentation: </strong>We diagnosed QPV with mild stenosis in a 12-month-old infant. With a slight angulation of the transducer superiorly from the left high parasternal short-axis view, a short-axis view of QPV was obtained.</p><p><strong>Results: </strong>In QPV cases diagnosed at autopsy, Hurwitz's type-b with three equal cusps and one smaller cusp is dominant, whereas Hurwitz's type-a with four equal cusps is dominant in clinically diagnosed cases. Congenital heart anomaly and valvular stenosis are more frequent in patients with QPV than in patients with QAV. Coronary artery anomalies and infectious endocarditis are more frequent in patients with QAV than in patients with QPV. The incidence of PR is more common in type-a QPV than in type-b QPV. There is no difference between type-a QAV and type-b QAV with respect to the incidence of aortic regurgitation (AR). It is assumed that QPV is a risk factor for a Ross operation. However, QPVs have been used as autografts in certain patients.</p><p><strong>Conclusion: </strong>Between QPV and QAV, various differences were found in frequency rates, diagnostic methods, valve morphology, valve function, associated congenital heart diseases, and frequencies of infectious endocarditis.</p>","PeriodicalId":10832,"journal":{"name":"Current Cardiology Reviews","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10201900/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9771318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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