Future cardiologyPub Date : 2025-07-22DOI: 10.1080/14796678.2025.2530909
Kamran Namjouyan, Jonathan A Tangsrivimol, Affan Rizwan, Iqra Riaz, Johao Escobar, Muzamil Khawaja, Hafeez Hassan Virk, Mahboob Alam, Alan Dardik, Chayakrit Krittanawong
{"title":"Carotid artery stenosis: a guide for clinicians.","authors":"Kamran Namjouyan, Jonathan A Tangsrivimol, Affan Rizwan, Iqra Riaz, Johao Escobar, Muzamil Khawaja, Hafeez Hassan Virk, Mahboob Alam, Alan Dardik, Chayakrit Krittanawong","doi":"10.1080/14796678.2025.2530909","DOIUrl":"https://doi.org/10.1080/14796678.2025.2530909","url":null,"abstract":"<p><p>Carotid artery stenosis (CS) is a critical diagnosis linked to ischemic stroke, a leading cause of morbidity and mortality, affecting about 4% of the general population. Risk factors for CS include age, hypertension, dyslipidemia, diabetes, and smoking, with poly vascular disease seen in 45% of patients with known atherosclerotic disease. Early recognition and management of CS are crucial to prevent stroke by utilizing imaging modalities like Duplex ultrasound (DUS). Management of CS involves complex decision-making that balances the risks and benefits of intervention against the developing diagnostic and therapeutic modalities. This narrative review aims to review and examine the current guidelines for clinicians' approach to CS.</p>","PeriodicalId":12589,"journal":{"name":"Future cardiology","volume":" ","pages":"1-11"},"PeriodicalIF":1.6,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144689924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Future cardiologyPub Date : 2025-07-21DOI: 10.1080/14796678.2025.2535218
Hosam I Taha, Abdalhakim Shubietah, Bashar M Al Zoubi, Mohamed S Elgendy, Hazem Reyad Mansour, Anas Abdulkader, Abdelrahman M Ghazal, Noura Shamis, Mohamed Abuelazm, Mustafa Turkmani, Robert J Mentz
{"title":"Angiotensin-neprilysin inhibition in acute decompensated heart failure: a meta-analysis of randomized controlled trials.","authors":"Hosam I Taha, Abdalhakim Shubietah, Bashar M Al Zoubi, Mohamed S Elgendy, Hazem Reyad Mansour, Anas Abdulkader, Abdelrahman M Ghazal, Noura Shamis, Mohamed Abuelazm, Mustafa Turkmani, Robert J Mentz","doi":"10.1080/14796678.2025.2535218","DOIUrl":"https://doi.org/10.1080/14796678.2025.2535218","url":null,"abstract":"<p><strong>Background: </strong>Angiotensin receptor - neprilysin inhibitors (ARNI) are well-established for chronic heart failure (HF) with reduced ejection fraction. However, their efficacy and safety after stabilization of acute decompensation (ADHF) remain unclear. This meta-analysis evaluates ARNI versus angiotensin-converting enzyme inhibitors (ACEIs) or angiotensin receptor blockers (ARBs) post-ADHF.</p><p><strong>Methods: </strong>Meta-analysis of randomized controlled trials (RCTs) from PubMed, Scopus, WOS, Embase, and CENTRAL up to November 2024. Risk ratios (RR) and standardized mean differences (SMD) with 95% confidence intervals (CI) were used.</p><p><strong>Results: </strong>Three RCTs (1,741 patients) were included. ARNI use after ADHF stabilization significantly reduced HF rehospitalization/all-cause mortality (RR: 0.71; 95% CI: 0.57-0.88; <i>p</i> < 0.01), HF rehospitalization (RR: 0.73; 95% CI: 0.57-0.93; <i>p</i> = 0.01), worsening renal function (RR: 0.80; 95% CI: 0.64-1.00; <i>p</i> = 0.048), and NT-proBNP at 4 weeks (SMD: -0.24; 95% CI: -0.34 to -0.14; <i>p</i> < 0.0001) and 8 weeks (SMD: -0.21; 95% CI: -0.31 to -0.10; <i>p</i> = 0.0001). However, ARNI increased symptomatic hypotension risk (RR: 1.33; 95% CI: 1.04-1.71; <i>p</i> = 0.024).</p><p><strong>Conclusion: </strong>initiation of ARNI after ADHF stabilization is more effective than ACEIs/ARBs for cardiovascular and renal outcomes, albeit with higher symptomatic hypotension risk.</p><p><strong>Protocol registration: </strong>PROSPERO: CRD42024618027.</p>","PeriodicalId":12589,"journal":{"name":"Future cardiology","volume":" ","pages":"1-13"},"PeriodicalIF":1.6,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144674463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Future cardiologyPub Date : 2025-07-16DOI: 10.1080/14796678.2025.2535184
Rafael Zubiran, Alan T Remaley
{"title":"Current opinions on the role of apolipoprotein B in the clinical management of cardiovascular risk.","authors":"Rafael Zubiran, Alan T Remaley","doi":"10.1080/14796678.2025.2535184","DOIUrl":"https://doi.org/10.1080/14796678.2025.2535184","url":null,"abstract":"","PeriodicalId":12589,"journal":{"name":"Future cardiology","volume":" ","pages":"1-3"},"PeriodicalIF":1.6,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144642309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Contemporary evidence of non-steroidal mineralocorticoid receptor antagonists in cardio-kidney-metabolic syndrome.","authors":"Tanawat Attachaipanich, Kotchakorn Kaewboot, Suthinee Attachaipanich","doi":"10.1080/14796678.2025.2530842","DOIUrl":"https://doi.org/10.1080/14796678.2025.2530842","url":null,"abstract":"<p><p>Cardiovascular-kidney-metabolic (CKM) syndrome represents a complex interaction between cardiovascular (CV) disease, chronic kidney disease (CKD), and metabolic risk factors. Non-steroidal mineralocorticoid receptor antagonists (ns-MRAs) are an emerging therapy showing promise in improving CKM syndrome outcomes. A recent large randomized trial, the FINEARTS-HF study, demonstrated a 16% reduction in the composite endpoint of worsening heart failure (HF) and CV death in patients with mildly reduced and preserved ejection fraction after a median 32-month follow-up. Additionally, two pivotal randomized studies demonstrated the efficacy of finerenone in CKD with diabetes patients. The FIDELIO-DKD trial showed a reduction in the renal composite outcome, including kidney failure and related death, over 2.6 years. Similarly, the FIGARO-DKD trial demonstrated a reduction in composite CV outcomes, including CV death, myocardial infarction, stroke, or HF hospitalization, after a median follow-up of 3.4 years. Evidence from in vitro and in vivo studies suggests that finerenone attenuates cardiac and kidney injury by reducing fibrosis, apoptotic cell death, oxidative stress, and endothelial dysfunction. Despite these advances, further research is necessary to evaluate the efficacy of ns-MRAs in specific CKM subpopulations, including HF with reduced ejection fraction and CKD without diabetes, to expand their indications and improve outcomes for CKM syndrome patients.</p>","PeriodicalId":12589,"journal":{"name":"Future cardiology","volume":" ","pages":"1-15"},"PeriodicalIF":1.6,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144583589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Future cardiologyPub Date : 2025-07-03DOI: 10.1080/14796678.2025.2529692
Edoardo Conte, Susanna Landi, Daniele Andreini
{"title":"Cardiac MRI: a pivotal tool for the management of cardiomyopathy.","authors":"Edoardo Conte, Susanna Landi, Daniele Andreini","doi":"10.1080/14796678.2025.2529692","DOIUrl":"https://doi.org/10.1080/14796678.2025.2529692","url":null,"abstract":"","PeriodicalId":12589,"journal":{"name":"Future cardiology","volume":" ","pages":"1-3"},"PeriodicalIF":1.6,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144559884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Future cardiologyPub Date : 2025-07-01Epub Date: 2025-05-15DOI: 10.1080/14796678.2025.2506915
Mattia Galli, Dominick J Angiolillo
{"title":"Direct oral anticoagulants in stroke prevention of atrial fibrillation patients: can we rely on them in all clinical scenarios?","authors":"Mattia Galli, Dominick J Angiolillo","doi":"10.1080/14796678.2025.2506915","DOIUrl":"10.1080/14796678.2025.2506915","url":null,"abstract":"","PeriodicalId":12589,"journal":{"name":"Future cardiology","volume":" ","pages":"635-637"},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12258194/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144077298","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}
Future cardiologyPub Date : 2025-07-01Epub Date: 2025-05-09DOI: 10.1080/14796678.2025.2503692
Muhammad Adnan Zaman
{"title":"The challenges in improving myocardial infarction outcomes and the year 2024 in a nutshell.","authors":"Muhammad Adnan Zaman","doi":"10.1080/14796678.2025.2503692","DOIUrl":"10.1080/14796678.2025.2503692","url":null,"abstract":"","PeriodicalId":12589,"journal":{"name":"Future cardiology","volume":" ","pages":"631-633"},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12263123/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143987618","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}
Future cardiologyPub Date : 2025-07-01Epub Date: 2025-06-17DOI: 10.1080/14796678.2025.2507466
Brittany N J Davis, Tara Suplicki, Natalie Patzlaff, James White
{"title":"Plain language summary: oral treprostinil (Orenitram) for the treatment of pulmonary arterial hypertension (PAH).","authors":"Brittany N J Davis, Tara Suplicki, Natalie Patzlaff, James White","doi":"10.1080/14796678.2025.2507466","DOIUrl":"10.1080/14796678.2025.2507466","url":null,"abstract":"","PeriodicalId":12589,"journal":{"name":"Future cardiology","volume":" ","pages":"651-661"},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12258211/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144316598","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}
Future cardiologyPub Date : 2025-07-01Epub Date: 2025-06-03DOI: 10.1080/14796678.2025.2511412
Richard J MacIsaac
{"title":"Semaglutide: a key medication for managing cardiovascular-kidney-metabolic syndrome.","authors":"Richard J MacIsaac","doi":"10.1080/14796678.2025.2511412","DOIUrl":"10.1080/14796678.2025.2511412","url":null,"abstract":"<p><p>Recent trials underscore the cardiovascular (CV), renal, and metabolic benefits of semaglutide in individuals with and without type 2 diabetes (T2D). In T2D, semaglutide enhances glycemic control, reduces major adverse CV events (MACE), and slows chronic kidney disease (CKD) progression. The SUSTAIN-6 trial demonstrated a 26% MACE reduction (HR 0.74; 95% CI: 0.58-0.95; <i>p</i> = 0.02) in high CV-risk patients with T2D using semaglutide (0.5 or 1.0 mg weekly). Similarly, the FLOW trial showed a 24% reduction in major kidney disease events (HR 0.76; 95% CI: 0.66-0.88; <i>p</i> = 0.002) with weekly 1.0 mg semaglutide in individuals with T2D with CKD. Beyond T2D, the SELECT trial highlighted semaglutide's efficacy in reducing MACE by 20% (HR 0.80; 95% CI: 0.72-0.90; <i>p</i> < 0.001) and slowing kidney function loss in overweight or obese individuals with preexisting CV disease using 2.4 mg weekly. Additionally, semaglutide alleviates heart failure symptoms and reduces hospitalizations in obese individuals regardless of T2D status. These findings underscore semaglutide's role in improving kidney, CV, and survival outcomes among high-risk patients. This review highlights the cardio-kidney-metabolic benefits of semaglutide in individuals with and without T2D to inform cardiologists about its potential to enhance patient care.</p>","PeriodicalId":12589,"journal":{"name":"Future cardiology","volume":" ","pages":"663-683"},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12258229/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144208242","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}
Future cardiologyPub Date : 2025-07-01Epub Date: 2025-06-06DOI: 10.1080/14796678.2025.2511416
Judit Andreka, Fazila-Tun-Nesa Malik, Mariam Khandaker, Kalim Uddin, Abdul Kayum, Anass Maaroufi, Dan Prunea, Zoltan Ruzsa, Gabor G Toth
{"title":"Stenting strategy and imaging use in left main percutaneous coronary intervention: insights from a 15-year registry.","authors":"Judit Andreka, Fazila-Tun-Nesa Malik, Mariam Khandaker, Kalim Uddin, Abdul Kayum, Anass Maaroufi, Dan Prunea, Zoltan Ruzsa, Gabor G Toth","doi":"10.1080/14796678.2025.2511416","DOIUrl":"10.1080/14796678.2025.2511416","url":null,"abstract":"<p><strong>Background: </strong>Left main (LM) percutaneous coronary intervention (PCI) remains a major interventional challenge, with outcomes influenced by various patient- and procedure-related factors.</p><p><strong>Objectives: </strong>To analyze procedural characteristics and outcomes of patients who underwent LM PCI over a 15-year period in a single center.</p><p><strong>Methods: </strong>We retrospectively analyzed data from all consecutive patients who underwent LM PCI between 2006 and 2022. Procedural details, with a focus on stenting technique, were collected. Primary outcome was all-cause mortality at 1 year.</p><p><strong>Results: </strong>In total 3494 patients were included. The majority (67%) presented with chronic coronary syndrome. Seventy-seven percent of all patients (n = 2690) underwent PCI by single stent (SS) strategy and 23% (n = 804) by double stent (DS) strategy. One-year mortality was significantly lower in SS cases compared to DS (3.5% vs. 5.1%, HR 0.64, 95% CI 0.43-0.96). Intravascular imaging was used in 17% of the cases but showed no significant difference in one-year mortality compared to angio-guided PCI (4.8% vs. 3.7%; HR 1.11, 95% CI 0.71-1.73).</p><p><strong>Conclusions: </strong>In real-world LM PCI practice, patients for whom a provisional single-stent strategy was feasible had better outcomes than those requiring a double-stent approach.</p>","PeriodicalId":12589,"journal":{"name":"Future cardiology","volume":" ","pages":"693-700"},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12258215/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144233815","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}