European Heart Journal: Acute Cardiovascular Care最新文献_第6页

Answer: Rhythmic chaos amidst brain death. 答案：脑死亡中有节奏的混乱。

IF 3.9 2区医学

European Heart Journal: Acute Cardiovascular Care Pub Date : 2025-01-31 DOI: 10.1093/ehjacc/zuae095

Akshay Prashanth, Bharath Raj Kidambi, Adhiya Senguttuvan, Vadivelu Ramalingam, Ramesh Sankaran, Nagendra Boopathy Senguttuvan

引用次数: 0

High VExUS grades are linked to cardiac function in general intensive care unit patients. VExUS 分级高与普通重症监护病房患者的心脏功能有关。

IF 3.9 2区医学

European Heart Journal: Acute Cardiovascular Care Pub Date : 2025-01-31 DOI: 10.1093/ehjacc/zuae126

Stefan Andrei, Maxime Nguyen, Belaid Bouhemad, Pierre-Grégoire Guinot

{"title":"High VExUS grades are linked to cardiac function in general intensive care unit patients.","authors":"Stefan Andrei, Maxime Nguyen, Belaid Bouhemad, Pierre-Grégoire Guinot","doi":"10.1093/ehjacc/zuae126","DOIUrl":"10.1093/ehjacc/zuae126","url":null,"abstract":"Aims: Even though initially considered as a new standard in systemic venous congestion assessment, the semi-quantitative Doppler ultrasound-based venous excess ultrasound grading system (VExUS) showed inconsistent associations with outcomes in general intensive care unit (ICU) patients. It is unclear why VExUS is so effective in predicting outcomes in some cohorts and not in others. The determinants of higher VExUS have not been studied in a general ICU cohort. The aim of this study was to determine the factors associated with higher VExUS (≥ 2) in a general ICU cohort.Methods and results: We performed a post-hoc analysis of a prospective, observational cohort, including adult patients within 24 h of ICU admission and expected ICU length of stay longer than 2 days. Collected data included patients' haemodynamic status (including ultrasound evaluation) at several points in time: ICU admission, Day 1, Day 2, Day 5, and the last day of ICU stay. We analysed 514 haemodynamic evaluations in 145 patients. In total, 96/514 (18.7%) had a VExUS grade ≥ 2. The univariable followed by multivariable mixed-effects logistic regression analyses only found a statistically significant association between VExUS ≥ 2 and right ventricle S wave [OR 0.85 (0.74;0.97), P = 0.02] and left ventricle E/A ratio [OR 2.34, 95% CI (1.27;4.33), P = 0.006].Conclusion: The current study has elucidated that higher VExUS is primarily associated with cardiac comorbidities and ultrasound parameters of left- and right-sided cardiac systolic and/or diastolic function in general ICU patients.","PeriodicalId":11861,"journal":{"name":"European Heart Journal: Acute Cardiovascular Care","volume":" ","pages":"24-30"},"PeriodicalIF":3.9,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142616640","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

Advancing neuroprotective strategies post-anoxic brain injury: the role of ghrelin in cognitive and psychosocial recovery. 推进缺氧脑损伤后的神经保护策略：胃饥饿素在认知和社会心理恢复中的作用。

IF 3.9 2区医学

European Heart Journal: Acute Cardiovascular Care Pub Date : 2025-01-31 DOI: 10.1093/ehjacc/zuae147

Fabio Silvio Taccone

引用次数: 0

Question: Rhythmic chaos amidst brain death. 问：脑死亡中有节奏的混乱。

IF 3.9 2区医学

European Heart Journal: Acute Cardiovascular Care Pub Date : 2025-01-31 DOI: 10.1093/ehjacc/zuae094

Akshay Prashanth, Bharath Raj Kidambi, Adhiya Senguttuvan, Vadivelu Ramalingam, Ramesh Sankaran, Nagendra Boopathy Senguttuvan

引用次数: 0

Delving in the troponin fragmentation and takotsubo syndrome: pathophysiologic implications. 深入研究肌钙蛋白断裂和takotsubo综合征：病理生理学意义。

IF 3.9 2区医学

European Heart Journal: Acute Cardiovascular Care Pub Date : 2025-01-31 DOI: 10.1093/ehjacc/zuae138

John E Madias

引用次数: 0

Looking back, moving forward: a bold start to 2025. 回顾过去，向前迈进：2025年的大胆开端。

IF 3.9 2区医学

European Heart Journal: Acute Cardiovascular Care Pub Date : 2025-01-31 DOI: 10.1093/ehjacc/zuaf009

Pascal Vranckx, David Morrow, Sean van Diepen, Frederik H Verbrugge

引用次数: 0

Prevalence and Prognostic Impact of ST Segment Elevation in Lead aVR Among Patients with Cardiac Arrest.

IF 3.9 2区医学

European Heart Journal: Acute Cardiovascular Care Pub Date : 2025-01-28 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":"https://doi.org/10.1093/ehjacc/zuaf018","url":null,"abstract":"Background: In acute coronary syndrome, ST-segment elevation in lead aVR (STE-aVR) indicates global myocardial ischemia, 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.Methods: We identified patients (≥18 years) with CA between 2011 to 2022 who achieved return of spontaneous circulation (ROSC). The first electrocardiogram (ECG) 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 analyze the association between STE-aVR and outcomes (in-hospital mortality and poor neurologic outcome), adjusted for patient and arrest characteristics.Results: Including 443 CA patients, the median (IQR) age was 61 years (50-72 years), with 60.5% (n=268) male, 65.7% (n=291) presenting with out-of-hospital cardiac arrest (OHCA) and 29.8% (n=132) with shockable rhythms. STE-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). STE-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).Conclusions: STE-aVR was present in 1 in 5 CA survivors and was independently associated with higher in-hospital mortality.","PeriodicalId":11861,"journal":{"name":"European Heart Journal: Acute Cardiovascular Care","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-01-28","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

Association between Air Pollutants and Out-of-Hospital Cardiac Arrest: A 5-Year Time Series Analysis.

IF 3.9 2区医学

European Heart Journal: Acute Cardiovascular Care Pub Date : 2025-01-23 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":"https://doi.org/10.1093/ehjacc/zuaf013","url":null,"abstract":"Background: We aimed to analyze the yet unclear correlation between air pollutant concentrations (AP) and out-of-hospital cardiac arrest (OHCA) in Shenzhen, China.Methods: 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.Results: Data from 16,769 patients who experienced OHCA were analyzed. 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.Conclusion: 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.","PeriodicalId":11861,"journal":{"name":"European Heart Journal: Acute Cardiovascular Care","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-01-23","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

End-of-life issues in the ITU - 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 : 2025-01-21 DOI: 10.1093/ehjacc/zuaf011

Jean-Louis Vincent

引用次数: 0

ACVC New Year's Dispatch 2025 Prospects, thoughts and visions from ACVC Board members and Committee Chairs. ACVC董事会成员和委员会主席的展望、想法和愿景。

IF 3.9 2区医学

European Heart Journal: Acute Cardiovascular Care Pub Date : 2025-01-09 DOI: 10.1093/ehjacc/zuae151

Janine Pöss, Milica Aleksic

引用次数: 0