{"title":"Adult-onset type 1 diabetes: new insights but still much to learn.","authors":"Dianna J Magliano,Olov Rolandsson","doi":"10.1093/eurheartj/ehaf427","DOIUrl":"https://doi.org/10.1093/eurheartj/ehaf427","url":null,"abstract":"","PeriodicalId":11976,"journal":{"name":"European Heart Journal","volume":"14 1","pages":""},"PeriodicalIF":39.3,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144747886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Martijn Scherrenberg, Maarten Falter, Ana Abreu, Suleman Aktaa, Stefan Busnatu, Ruben Casado-Arroyo, Paul Dendale, Polychronis Dilaveris, Emanuela T Locati, Elena Marques-Sule, Daniel Neunhaeuserer, Roberto Pedretti, Francesco Perone, Annett Salzwedel, Matthias Wilhelm, Maria Bäck
{"title":"Standards for cardiac telerehabilitation","authors":"Martijn Scherrenberg, Maarten Falter, Ana Abreu, Suleman Aktaa, Stefan Busnatu, Ruben Casado-Arroyo, Paul Dendale, Polychronis Dilaveris, Emanuela T Locati, Elena Marques-Sule, Daniel Neunhaeuserer, Roberto Pedretti, Francesco Perone, Annett Salzwedel, Matthias Wilhelm, Maria Bäck","doi":"10.1093/eurheartj/ehaf408","DOIUrl":"https://doi.org/10.1093/eurheartj/ehaf408","url":null,"abstract":"Participation in comprehensive, multidisciplinary cardiac rehabilitation programmes as part of secondary prevention is recommended for patients with cardiovascular disease. However, recent data reveal that participation in cardiac rehabilitation is only around 30%–40% of eligible patients in Europe. Key barriers are practical barriers such as limitations in transport or scheduling issues. In recent years, home-based cardiac rehabilitation, delivered by telerehabilitation, has been suggested as an alternative or adjunct to centre-based cardiac rehabilitation to increase access, adherence, and participation rates. Multiple trials have demonstrated the effectiveness and cost-effectiveness of cardiac telerehabilitation. Recently, the European Association of Preventive Cardiology (EAPC) of the European Society of Cardiology (ESC) has defined the presence of a cardiac telerehabilitation programme as one of the quality indicators for centres requesting accreditation. This document aims to provide a clear description of cardiac telerehabilitation and to provide minimal standards and core components to ensure the high quality of cardiac telerehabilitation in Europe.","PeriodicalId":11976,"journal":{"name":"European Heart Journal","volume":"1 1","pages":""},"PeriodicalIF":39.3,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144747640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Avoiding immortal time bias for cardiac transthyretin treatment in aortic stenosis.","authors":"Christian Nitsche,Robin Ristl,Thomas A Treibel","doi":"10.1093/eurheartj/ehaf542","DOIUrl":"https://doi.org/10.1093/eurheartj/ehaf542","url":null,"abstract":"","PeriodicalId":11976,"journal":{"name":"European Heart Journal","volume":"26 1","pages":""},"PeriodicalIF":39.3,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144747890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Masatake Kobayashi, Antoni Bayes-Genis, Kevin Duarte, John J V McMurray, João Pedro Ferreira, Stuart J Pocock, Dirk J Van Veldhuisen, Josep Lupón, Bertram Pitt, Faiez Zannad, Nicolas Girerd
{"title":"Kidney function trajectories before and after hospitalization for heart failure with reduced ejection fraction","authors":"Masatake Kobayashi, Antoni Bayes-Genis, Kevin Duarte, John J V McMurray, João Pedro Ferreira, Stuart J Pocock, Dirk J Van Veldhuisen, Josep Lupón, Bertram Pitt, Faiez Zannad, Nicolas Girerd","doi":"10.1093/eurheartj/ehaf457","DOIUrl":"https://doi.org/10.1093/eurheartj/ehaf457","url":null,"abstract":"Background and Aims Worsening kidney function is a key prognostic factor in heart failure (HF) with reduced ejection fraction (HFrEF). However, associations between kidney function trajectories and HF-related events remain unclear. Methods Longitudinal changes in estimated glomerular filtration rate (eGFR) before and after a HF-related event, defined as HF hospitalization or HF death, were examined using individual patient data from two clinical trials (EPHESUS and EMPHASIS-HF) and a real-world cohort (BARCELONA). Results HF-related events occurred in 14.1% of 8587 patients [EPHESUS/EMPHASIS-HF; median follow-up 17.1 (12.4–22.7) months] and 33.8% of 2048 patients [BARCELONA; median 47.0 (18.8–90.6) months]. In EPHESUS and EMPHASIS-HF, patients who experienced an HF-related event had a steeper decline in eGFR in the year preceding the event (average −4.83 mL/min/1.73 m²/year) compared with those who did not have an HF-related event (−1.18 mL/min/1.73 m²/year). Over the 1 year following an HF-related event, eGFR continued to decline, though at a slower rate (average −3.45 mL/min/1.73 m²/year). Similar kidney function trajectories were observed in BARCELONA (average eGFR decline −1.35 mL/min/1.73 m²/year in patients without HF event vs −5.77 mL/min/1.73 m²/year 1 year before an event and −3.04 mL/min/1.73 m²/year over the year after an event). Worsening New York Heart Association class paralleled steeper eGFR decline prior to HF events. Conclusions In HFrEF, kidney function decline may precede a HF hospitalization or death by up to 1 year, linking to symptomatic congestion. Monitoring eGFR slopes rather than relying solely on specific cut-off values may allow early detection of at-risk patients.","PeriodicalId":11976,"journal":{"name":"European Heart Journal","volume":"149 1","pages":""},"PeriodicalIF":39.3,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144747087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Immortal time bias for active treatment of cardiac transthyretin amyloidosis with aortic stenosis.","authors":"Atsuyuki Watanabe,Yuriko Hiruma,Tadashi Asanuma","doi":"10.1093/eurheartj/ehaf539","DOIUrl":"https://doi.org/10.1093/eurheartj/ehaf539","url":null,"abstract":"","PeriodicalId":11976,"journal":{"name":"European Heart Journal","volume":"1 1","pages":""},"PeriodicalIF":39.3,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144747949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}