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European Heart Journal: Acute Cardiovascular Care最新文献

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Answer: Diagnostic dilemma in a critical extracorporeal membrane oxygenation patient: a case of uncertain aortic pathology. 回答：诊断困境的关键体外膜氧合病人：一个病例不确定的主动脉病理。
IF 3.9 2区 医学
European Heart Journal: Acute Cardiovascular Care Pub Date : 2025-04-26 DOI: 10.1093/ehjacc/zuaf016
Catarina Gregório, José António Duarte, Fausto J Pinto, Doroteia Silva
{"title":"Answer: Diagnostic dilemma in a critical extracorporeal membrane oxygenation patient: a case of uncertain aortic pathology.","authors":"Catarina Gregório, José António Duarte, Fausto J Pinto, Doroteia Silva","doi":"10.1093/ehjacc/zuaf016","DOIUrl":"10.1093/ehjacc/zuaf016","url":null,"abstract":"","PeriodicalId":11861,"journal":{"name":"European Heart Journal: Acute Cardiovascular Care","volume":" ","pages":"252-253"},"PeriodicalIF":3.9,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143763469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Intra-aortic balloon pump in patients with heart failure-related cardiogenic shock: the Altshock-2 trial in perspective. 主动脉内球囊泵在心力衰竭相关心源性休克患者中的应用：Altshock-2试验
IF 3.9 2区 医学
European Heart Journal: Acute Cardiovascular Care Pub Date : 2025-04-26 DOI: 10.1093/ehjacc/zuaf056
Uwe Zeymer, David A Morrow
{"title":"Intra-aortic balloon pump in patients with heart failure-related cardiogenic shock: the Altshock-2 trial in perspective.","authors":"Uwe Zeymer, David A Morrow","doi":"10.1093/ehjacc/zuaf056","DOIUrl":"10.1093/ehjacc/zuaf056","url":null,"abstract":"","PeriodicalId":11861,"journal":{"name":"European Heart Journal: Acute Cardiovascular Care","volume":" ","pages":"237-239"},"PeriodicalIF":3.9,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143771656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Association between air pollutants and out-of-hospital cardiac arrest: a 5-year time series analysis. 空气污染物与院外心脏骤停的关系：5年时间序列分析
IF 3.9 2区 医学
European Heart Journal: Acute Cardiovascular Care Pub Date : 2025-04-26 DOI: 10.1093/ehjacc/zuaf013
Jingjing Wang, Qiang Zhou, Song Ni, Jie Li, Chongzhen Qin, Wangsheng Deng, Zhe Deng
{"title":"Association between air pollutants and out-of-hospital cardiac arrest: a 5-year time series analysis.","authors":"Jingjing Wang, Qiang Zhou, Song Ni, Jie Li, Chongzhen Qin, Wangsheng Deng, Zhe Deng","doi":"10.1093/ehjacc/zuaf013","DOIUrl":"10.1093/ehjacc/zuaf013","url":null,"abstract":"<p><strong>Aims: </strong>We aimed to analyse the yet unclear correlation between air pollutant concentrations and out-of-hospital cardiac arrest (OHCA) in Shenzhen, China.</p><p><strong>Methods and results: </strong>A 5-year time series analysis of all OHCA events reported to the Shenzhen Emergency Center was conducted. Quasi-Poisson regression, controlling for meteorological variables (daily mean relative temperature and humidity) with multivariable fractional polynomial and using Fourier series to adjust for long-term trends and account for periodic patterns, was used to assess the association among particulate matter of 2.5 μm (PM2.5), ozone (O3), particulate matter of ≥10 μm (PM10), carbon monoxide (CO), nitrogen dioxide (NO2), sulfur dioxide (SO2), and OHCA. Data from 16 769 patients who experienced OHCA were analysed. An increase of 10 μg/m3 in PM2.5 was associated with a higher risk of OHCA (relative risk (RR): 1.026 [95% confidence interval [CI]: 1.001-1.053]) on lag Day 1. A similar increase in PM10 was linked to an immediate risk of OHCA on the onset day (RR: 1.02 [95% CI: 1.005-1.036]) and a cumulative risk on lag Day 1 (RR: 1.021 [95% CI: 1.003-1.039]). An increased risk of OHCA was associated with NO2 and O3 exposure, while a reduced risk of OHCA was associated with SO2 and CO exposure in the subsequent 5 days. The relationship between PM2.5 and OHCA varied by gender and arrest rhythm. A reduction in the average daily PM2.5 concentration by 1 µg/m³ could decrease the incidence of OHCA attributable to PM2.5 exposure by 4.60%, while a reduction by 3 µg/m³ could decrease it by 18.41% on lag Day 1. PM2.5 was significantly associated with the occurrence of OHCA on lag Day 1. This association was modulated by gender and arrest rhythm.</p><p><strong>Conclusion: </strong>Improving the levels of PM2.5, NO2, and O3 could decrease the risk of OHCA and the demand for emergency medical service related to PM2.5 exposure.</p>","PeriodicalId":11861,"journal":{"name":"European Heart Journal: Acute Cardiovascular Care","volume":" ","pages":"223-231"},"PeriodicalIF":3.9,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143022624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Prevalence and prognostic impact of ST-segment elevation in lead aVR among patients with cardiac arrest. 心脏骤停患者aVR导联ST段抬高的患病率及对预后的影响。
IF 3.9 2区 医学
European Heart Journal: Acute Cardiovascular Care Pub Date : 2025-04-26 DOI: 10.1093/ehjacc/zuaf018
Soumya Banna, Christopher Schenck, Noah Kim, Tariq Ali, Emily J Gilmore, David M Greer, Rachel Beekman, P Elliott Miller
{"title":"Prevalence and prognostic impact of ST-segment elevation in lead aVR among patients with cardiac arrest.","authors":"Soumya Banna, Christopher Schenck, Noah Kim, Tariq Ali, Emily J Gilmore, David M Greer, Rachel Beekman, P Elliott Miller","doi":"10.1093/ehjacc/zuaf018","DOIUrl":"10.1093/ehjacc/zuaf018","url":null,"abstract":"<p><strong>Aims: </strong>In acute coronary syndrome, ST-segment elevation in lead aVR (STE-aVR) indicates global myocardial ischaemia, often related to multivessel or severe left main disease, and correlates with increased mortality. The prevalence and prognostic significance of STE-aVR in cardiac arrest (CA) patients is unknown.</p><p><strong>Methods and results: </strong>We identified patients (≥18 years) with CA between 2011 and 2022 who achieved return of spontaneous circulation (ROSC). The first electrocardiogram post-ROSC was assessed for STE-aVR, defined as ≥1 mm ST-segment elevation at the J point, measured by two trained assessors. Multivariable logistic regression was used to analyse the association between STE-aVR and outcomes (in-hospital mortality and poor neurologic outcome), adjusted for patient and arrest characteristics. Including 443 CA patients, the median (interquartile range) age was 61 years (50-72 years), with 60.5% (n = 268) male, 65.7% (n = 291) presenting with out-of-hospital CA (OHCA), and 29.8% (n = 132) with shockable rhythms. ST-segment elevation in lead aVR was observed in 18.3% (n = 81) of patients. Those with STE-aVR were more likely to present with OHCA and less likely to have a shockable rhythm (both, P < 0.05). ST-segment elevation in lead aVR was associated with higher in-hospital mortality (86.4% vs. 65.8%, P < 0.001) and poor neurologic outcomes (90.1% vs. 72.9%, P = 0.001). After multivariable adjustment, STE-aVR remained associated with higher in-hospital mortality [odds ratio (OR) 2.23; 95% confidence interval (CI): 1.02-4.84, P = 0.04], but not a poor neurologic outcome (OR 2.12; 95% CI: 0.90-4.98, P = 0.09).</p><p><strong>Conclusion: </strong>ST-segment elevation in lead aVR was present in one in five CA survivors and was independently associated with higher in-hospital mortality.</p>","PeriodicalId":11861,"journal":{"name":"European Heart Journal: Acute Cardiovascular Care","volume":" ","pages":"232-236"},"PeriodicalIF":3.9,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143052048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Question: Diagnostic dilemma in a critical extracorporeal membrane oxygenation patient: a case of uncertain aortic pathology. 问题：诊断困境在一个关键的体外膜氧合病人：一个病例不确定的主动脉病理。
IF 3.9 2区 医学
European Heart Journal: Acute Cardiovascular Care Pub Date : 2025-04-26 DOI: 10.1093/ehjacc/zuaf015
Catarina Gregório, José António Duarte, Fausto J Pinto, Doroteia Silva
{"title":"Question: Diagnostic dilemma in a critical extracorporeal membrane oxygenation patient: a case of uncertain aortic pathology.","authors":"Catarina Gregório, José António Duarte, Fausto J Pinto, Doroteia Silva","doi":"10.1093/ehjacc/zuaf015","DOIUrl":"10.1093/ehjacc/zuaf015","url":null,"abstract":"","PeriodicalId":11861,"journal":{"name":"European Heart Journal: Acute Cardiovascular Care","volume":" ","pages":"250-251"},"PeriodicalIF":3.9,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143709227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Spring into innovation: connecting minds, transforming care, saving lives. 进入创新：连接思想，改变护理，拯救生命。
IF 3.9 2区 医学
European Heart Journal: Acute Cardiovascular Care Pub Date : 2025-04-26 DOI: 10.1093/ehjacc/zuaf040
Pascal Vranckx, David Morrow, Sean van Diepen, Frederik H Verbrugge
{"title":"Spring into innovation: connecting minds, transforming care, saving lives.","authors":"Pascal Vranckx, David Morrow, Sean van Diepen, Frederik H Verbrugge","doi":"10.1093/ehjacc/zuaf040","DOIUrl":"https://doi.org/10.1093/ehjacc/zuaf040","url":null,"abstract":"","PeriodicalId":11861,"journal":{"name":"European Heart Journal: Acute Cardiovascular Care","volume":"14 4","pages":"201-202"},"PeriodicalIF":3.9,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143976306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Moving forward one loss at a time. 从一次失败中走出来。
IF 3.9 2区 医学
European Heart Journal: Acute Cardiovascular Care Pub Date : 2025-04-26 DOI: 10.1093/ehjacc/zuaf028
Jonas Sundermeyer, Benedikt Schrage
{"title":"Moving forward one loss at a time.","authors":"Jonas Sundermeyer, Benedikt Schrage","doi":"10.1093/ehjacc/zuaf028","DOIUrl":"10.1093/ehjacc/zuaf028","url":null,"abstract":"","PeriodicalId":11861,"journal":{"name":"European Heart Journal: Acute Cardiovascular Care","volume":" ","pages":"212-213"},"PeriodicalIF":3.9,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143482448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Myocardial ischaemic syndromes: time for a new nomenclature? 心肌缺血综合征-新的命名时间？
IF 3.9 2区 医学
European Heart Journal: Acute Cardiovascular Care Pub Date : 2025-04-26 DOI: 10.1093/ehjacc/zuaf026
Alessandro Galluzzo, Anna Juliane Buch, Janine Pöss
{"title":"Myocardial ischaemic syndromes: time for a new nomenclature?","authors":"Alessandro Galluzzo, Anna Juliane Buch, Janine Pöss","doi":"10.1093/ehjacc/zuaf026","DOIUrl":"10.1093/ehjacc/zuaf026","url":null,"abstract":"","PeriodicalId":11861,"journal":{"name":"European Heart Journal: Acute Cardiovascular Care","volume":" ","pages":"254-255"},"PeriodicalIF":3.9,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143448561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Development and external validation of a deep learning electrocardiogram model for risk stratification of coronary revascularization need in the emergency department. 透视：用于急诊科冠状动脉血运重建需求风险分层的深度学习心电图模型的开发和外部验证。
IF 3.9 2区 医学
European Heart Journal: Acute Cardiovascular Care Pub Date : 2025-04-26 DOI: 10.1093/ehjacc/zuaf058
Konstantin A Krychtiuk, Alessandro Sionis
{"title":"Development and external validation of a deep learning electrocardiogram model for risk stratification of coronary revascularization need in the emergency department.","authors":"Konstantin A Krychtiuk, Alessandro Sionis","doi":"10.1093/ehjacc/zuaf058","DOIUrl":"10.1093/ehjacc/zuaf058","url":null,"abstract":"","PeriodicalId":11861,"journal":{"name":"European Heart Journal: Acute Cardiovascular Care","volume":" ","pages":"240-242"},"PeriodicalIF":3.9,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143794852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
End-of-life issues in the intensive therapy unit: 10 important points to remember. 关于国际电联生命终结问题- 10个要点要记住。
IF 3.9 2区 医学
European Heart Journal: Acute Cardiovascular Care Pub Date : 2025-04-26 DOI: 10.1093/ehjacc/zuaf011
Jean-Louis Vincent
{"title":"End-of-life issues in the intensive therapy unit: 10 important points to remember.","authors":"Jean-Louis Vincent","doi":"10.1093/ehjacc/zuaf011","DOIUrl":"10.1093/ehjacc/zuaf011","url":null,"abstract":"<p><p>End-of-life (EOL) issues have become increasingly common in intensive therapy units (ITUs), largely due to advances in critical care that enable patients to be kept alive for extended periods. Death in the ITU now generally follows an EOL decision, which can pose ethical, emotional, and practical challenges. Our approach to such issues should be based on adherence to the four bioethical principles - autonomy, beneficence, non-maleficence, and distributive justice - as well as the concept of proportionate care, and requires careful and effective communication with the whole ITU team, including the patient and their family. In this article, we discuss 10 key considerations related to EOL care in the ITU, in an attempt to highlight some critical aspects of EOL decision-making for intensivists navigating this sensitive and multifaceted area of practice.</p>","PeriodicalId":11861,"journal":{"name":"European Heart Journal: Acute Cardiovascular Care","volume":" ","pages":"245-249"},"PeriodicalIF":3.9,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143002573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
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