Christiaan Lucas Meuwese, Joris Anthonius Melkert, Jacob Eifer Møller
{"title":"The haemodynamic envelope, a novel aviation-inspired safety framework for personalized monitoring in cardiogenic shock.","authors":"Christiaan Lucas Meuwese, Joris Anthonius Melkert, Jacob Eifer Møller","doi":"10.1093/ehjacc/zuag031","DOIUrl":"10.1093/ehjacc/zuag031","url":null,"abstract":"<p><p>Mortality in severe forms of cardiogenic shock remains above 50%, despite substantial advances in mechanical circulatory support strategies that have enabled clinicians to manage levels of patient complexity once thought unattainable. A key obstacle to effectively implementing and individualizing these sophisticated treatments lies in the continued reliance on outdated safety monitoring strategies that apply uniform cut-off values to a limited set of clinical variables. Such approaches fail to account for the dynamic and patient-specific nature of 'safe' haemodynamics. To overcome this, we propose an aviation-inspired safety framework, referred to by 'the haemodynamic envelope', designed to continuously and automatically compute patient- and time-specific thresholds across nine interrelated dimensions. This framework defines a dynamic safety window analogous to the systems that transformed flight safety.</p>","PeriodicalId":11861,"journal":{"name":"European Heart Journal: Acute Cardiovascular Care","volume":" ","pages":"674-677"},"PeriodicalIF":7.8,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13624657/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147389887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mads Dam Lyhne, Andrew Liteplo, Alona Muzikansky, Christopher Kabrhel, David M Dudzinski
{"title":"Association and discrimination of TAPSE and S' for short-term outcomes in acute pulmonary embolism.","authors":"Mads Dam Lyhne, Andrew Liteplo, Alona Muzikansky, Christopher Kabrhel, David M Dudzinski","doi":"10.1093/ehjacc/zuag081","DOIUrl":"10.1093/ehjacc/zuag081","url":null,"abstract":"","PeriodicalId":11861,"journal":{"name":"European Heart Journal: Acute Cardiovascular Care","volume":" ","pages":"706-708"},"PeriodicalIF":7.8,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13624655/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148149160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"PRAGUE-26 in perspective: convincing early stabilization, but durable benefit remains unproven.","authors":"Johannes Grand, David A Morrow","doi":"10.1093/ehjacc/zuag119","DOIUrl":"10.1093/ehjacc/zuag119","url":null,"abstract":"","PeriodicalId":11861,"journal":{"name":"European Heart Journal: Acute Cardiovascular Care","volume":" ","pages":"709-711"},"PeriodicalIF":7.8,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148886293","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}
Hans C Helseth, Pedro Mansur, Mazen El-Baba, Jesse T T McLaren, José Nunes de Alencar, Stephen W Smith
{"title":"Electrocardiographic Principles for the Diagnosis of Occlusion Myocardial Infarction.","authors":"Hans C Helseth, Pedro Mansur, Mazen El-Baba, Jesse T T McLaren, José Nunes de Alencar, Stephen W Smith","doi":"10.1093/ehjacc/zuag114","DOIUrl":"https://doi.org/10.1093/ehjacc/zuag114","url":null,"abstract":"<p><p>The ECG is the only rapid, noninvasive diagnostic test that can identify coronary occlusion warranting reperfusion therapy at the bedside. The diagnostic paradigm of STEMI/NSTEMI is based on millimeter ST Elevation (STE) criteria as stated in the 4th Universal Definition of MI. It has identified candidates for emergent reperfusion for decades, but is limited by the low sensitivity and specificity of STE for acute coronary occlusion. A paradigm shift to Occlusion MI/Non-Occlusion MI (OMI/NOMI) has been proposed in response. Although the ECG is not embedded in the OMI/NOMI nomenclature as it is in STEMI/NSTEMI, it remains critical to the initial diagnosis of OMI. This review outlines six principles, dynamicity, acuteness, reciprocity, proportionality, totality, and surrogacy, that organize expert interpretation of the ischemic ECG and are essential to the electrocardiographic diagnosis of OMI. Each is drawn from established scholarship; the contribution here is their integration into one framework linked to coronary pathology.</p>","PeriodicalId":11861,"journal":{"name":"European Heart Journal: Acute Cardiovascular Care","volume":" ","pages":""},"PeriodicalIF":7.8,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148886317","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}