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A mix of aminophylline and heparin plus nitroglycerin can reduce bradycardia during rotational atherectomy on the right coronary artery and dominant circumflex artery. 氨茶碱和肝素加硝酸甘油混合可减少右冠状动脉和旋支动脉旋转动脉粥样硬化切除术时的心动过缓。
IF 1.7 4区 医学
Herz Pub Date : 2023-12-01 Epub Date: 2023-07-04 DOI: 10.1007/s00059-023-05195-1
Emrah Acar, Servet Izci, Ibrahim Donmez, Neryan Ozgul, Eda Ozcan, Tuba Kaygusuz, Oguz Kayabası, Yilmaz Güneş, Ibrahim Akin Izgi, Cevat Kirma
{"title":"A mix of aminophylline and heparin plus nitroglycerin can reduce bradycardia during rotational atherectomy on the right coronary artery and dominant circumflex artery.","authors":"Emrah Acar, Servet Izci, Ibrahim Donmez, Neryan Ozgul, Eda Ozcan, Tuba Kaygusuz, Oguz Kayabası, Yilmaz Güneş, Ibrahim Akin Izgi, Cevat Kirma","doi":"10.1007/s00059-023-05195-1","DOIUrl":"10.1007/s00059-023-05195-1","url":null,"abstract":"<p><strong>Background: </strong>Rotational atherectomy (RA) may cause bradyarrhythmias and transitory atrioventricular block when performed in the right coronary artery (RCA) or a dominant circumflex (CX) coronary artery. However, there are no studies of a solution that can prevent coronary flow deterioration and bradycardia complications that may occur during RA. We aimed to create an alternative rota-flush solution to minimize the risk of bradycardia and complete atrioventricular block (AVB) that can occur during RA.</p><p><strong>Materials and methods: </strong>The study comprised 60 patients who were randomly divided into two groups: 30 received rotaphylline (= 240 mg aminophylline, 10,000 U unfractionated heparin, and 2000 mcg nitroglycerin to 1000 mL saline), and 30 received the traditional rota-flush (= 10,000 U unfractionated heparin, 2000 mcg nitroglycerin, and 1000 mL saline). The incidence of bradycardia or high-grade AVB (HAVB) during RA, coronary slow-flow phenomenon or no-reflow phenomenon, and coronary spasm were the primary endpoints of the study. Procedure success and RA-related procedural complications were secondary endpoints.</p><p><strong>Results: </strong>The use of rotaphylline was an independent predictor of bradycardia and HAVB after accounting for all other factors (OR: 0.47, 95% CI: 0.24-0.79, p < 0.001). Lesion length (OR: 2.17, 95% CI: 1.24-3.04, p < 0.001), burr-to-artery ratio (OR: 0.59, 95% CI: 0.39-1.68, p < 0.001), and total run duration (OR: 0.79, 95% CI: 0.35-1.43, p < 0.001) were additional independent predictors.</p><p><strong>Conclusion: </strong>Bradycardia and the development of HAVB may be avoided by rotaphylline intracoronary infusion during RA applied to the RCA and dominant CX lesions. Multicenter studies including sizable patient populations should be conducted to validate the present findings.</p>","PeriodicalId":12863,"journal":{"name":"Herz","volume":" ","pages":"480-486"},"PeriodicalIF":1.7,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10124240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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: 1
Fragmented QRS as a predictor of hypertensive crisis in patients with newly diagnosed essential hypertension: 4-year follow-up data. 碎片化QRS作为新诊断原发性高血压患者高血压危象的预测因子:4年随访数据
IF 1.7 4区 医学
Herz Pub Date : 2023-12-01 Epub Date: 2023-06-27 DOI: 10.1007/s00059-023-05194-2
Emine Altuntas, Sükrü Cetın
{"title":"Fragmented QRS as a predictor of hypertensive crisis in patients with newly diagnosed essential hypertension: 4-year follow-up data.","authors":"Emine Altuntas, Sükrü Cetın","doi":"10.1007/s00059-023-05194-2","DOIUrl":"10.1007/s00059-023-05194-2","url":null,"abstract":"<p><strong>Background: </strong>Hypertensive crisis (HC) is a life-threatening condition in patients with hypertension (HT). However, there is no electrocardiography (ECG) marker that can predict which hypertensive patient may develop HC. The fragmented QRS (fQRS) complex is an important prognostic marker in ECG that might be predict cardiovascular events and mortality. Our study aimed to investigate whether fQRS can predict the development of HC in patients with HT, within 4 years of follow-up.</p><p><strong>Methods: </strong>Newly diagnosed patients with essential HT were recruited for the study from an outpatient clinic. The patients were divided into two groups according to the presence of HC: HC (+) and HC (-). During follow-up, the relationship between fQRS and HC was evaluated.</p><p><strong>Results: </strong>The study group included 504 patients with newly diagnosed HT. During the follow-up period, HC occurred in 98 of the patients. In 57 (11.30%) patients, fQRS was observed on ECG; fQRS was detected in the ECG of 19 (19.38%) of the HC (+) patients (p = 0.008). The results of multivariate logistic regression analysis showed that fQRS (p < 0.001) was as independent predictor for HC development. Kaplan-Meier analysis further demonstrated that the presence of fQRS affects the development of hypertensive urgency in hypertensive patients (log-rank p < 0.001).</p><p><strong>Conclusion: </strong>In patients with newly diagnosed HT, the presence of fQRS was found to be an independent predictor of HC.</p>","PeriodicalId":12863,"journal":{"name":"Herz","volume":" ","pages":"474-479"},"PeriodicalIF":1.7,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9695920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Honeycomb-like structure (HLS) in the left anterior-descending coronary artery-recanalized thrombus demonstrated by intravascular ultrasound (IVUS) in a patient with polycythemia vera and thrombocythemia. 真性红细胞增多症和血小板增多症患者血管内超声(IVUS)显示左冠状动脉前降再通血栓的蜂窝状结构(HLS)。
IF 1.7 4区 医学
Herz Pub Date : 2023-12-01 Epub Date: 2023-08-11 DOI: 10.1007/s00059-023-05193-3
Xiaoyuan Gao, Bingkun Liu, Xinyun Li, Siyuan Ma, Guoying Su, Zhenhua Li
{"title":"Honeycomb-like structure (HLS) in the left anterior-descending coronary artery-recanalized thrombus demonstrated by intravascular ultrasound (IVUS) in a patient with polycythemia vera and thrombocythemia.","authors":"Xiaoyuan Gao, Bingkun Liu, Xinyun Li, Siyuan Ma, Guoying Su, Zhenhua Li","doi":"10.1007/s00059-023-05193-3","DOIUrl":"10.1007/s00059-023-05193-3","url":null,"abstract":"<p><p>A 71 year old male patient who experienced acute myocardial infarction (AMI) 4 years ago and had a history of polycythemia vera and thrombocythemia was admitted because acute attack of chronic heart failure. Coronary angiography revealed an unusual filling defect in the middle segment of the left anterior descending (LAD) coronary artery and IVUS showed it is a HLS which is different from dissection or woven coronary artery. We review the recent literature of HLS in this article and further investigations are warranted for the optimal management of HLS.</p>","PeriodicalId":12863,"journal":{"name":"Herz","volume":" ","pages":"470-473"},"PeriodicalIF":1.7,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9974886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Relationship between myocardial bridging and fatal ventricular arrhythmias in patients with hypertrophic cardiomyopathy: the HCM-MB study. 肥厚型心肌病患者心肌桥接与致命性室性心律失常的关系:HCM-MB研究。
IF 1.7 4区 医学
Herz Pub Date : 2023-10-01 Epub Date: 2023-04-20 DOI: 10.1007/s00059-023-05171-9
Ahmet Güner, Sezgin Atmaca, İsmail Balaban, İrem Türkmen, Doğancan Çeneli, Aysel Türkvatan, Ender Öner, Özgür Sürgit, Arda Güler, Fatih Uzun, Gamze Babür Güler, Serkan Kahraman, Selçuk Pala, Nuri Havan, Mustafa Yıldız, Mehmet Ertürk
{"title":"Relationship between myocardial bridging and fatal ventricular arrhythmias in patients with hypertrophic cardiomyopathy: the HCM-MB study.","authors":"Ahmet Güner,&nbsp;Sezgin Atmaca,&nbsp;İsmail Balaban,&nbsp;İrem Türkmen,&nbsp;Doğancan Çeneli,&nbsp;Aysel Türkvatan,&nbsp;Ender Öner,&nbsp;Özgür Sürgit,&nbsp;Arda Güler,&nbsp;Fatih Uzun,&nbsp;Gamze Babür Güler,&nbsp;Serkan Kahraman,&nbsp;Selçuk Pala,&nbsp;Nuri Havan,&nbsp;Mustafa Yıldız,&nbsp;Mehmet Ertürk","doi":"10.1007/s00059-023-05171-9","DOIUrl":"10.1007/s00059-023-05171-9","url":null,"abstract":"<p><strong>Background: </strong>Myocardial bridging (MB) and hypertrophic cardiomyopathy (HCM) are associated with the risk of fatal ventricular arrhythmias (VAs). The goal of the study was to determine the relationship between MB and fatal VAs in HCM patients with implantable cardiac defibrillators (ICD).</p><p><strong>Methods: </strong>A total of 108 HCM patients (mean age: 46.6 ± 13.6 years; male: 73) were enrolled in this retrospective study. All patients underwent transthoracic echocardiography and coronary computed tomography angiography. Fatal VAs including sustained ventricular tachycardia and ventricular fibrillation were documented in ICD records.</p><p><strong>Results: </strong>There were documented fatal VAs in 29 (26.8%) patients during a mean follow-up time of 71.3 ± 30.9 months. Compared with the other groups, the fatal VA group had a higher incidence of the following: presence of MB (82.8 vs. 38%, p < 0.001), deep MB (62.1 vs. 6.3%, p < 0.001), very deep MB (24.1 vs. 0%, p < 0.001), long MB (65.5 vs. 11.4%, p < 0.001), presence of > 1 MB (17.2 vs. 0%, p = 0.001), and MB of the left anterior descending artery (79.3 vs. 17.7%, p < 0.001) . Sudden cardiac death (SCD) risk score (hazard ratio: 1.194; 95% CI: 1.071-1.330; p = 0.001) and presence of MB (hazard ratio: 3.815; 95% CI: 1.41-10.284; p = 0.008) were found to be independent predictors of fatal VAs in HCM patients.</p><p><strong>Conclusions: </strong>The current data suggest that the SCD risk score and presence of MB were independent risk factors for fatal VAs in patients with HCM. In addition to conventional risk factors, the coronary anatomical course can provide clinicians with valuable information when assessing the risk of fatal VAs in HCM patients.</p>","PeriodicalId":12863,"journal":{"name":"Herz","volume":" ","pages":"399-407"},"PeriodicalIF":1.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9414505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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: 3
[Cardiac imaging-more than just diagnostics]. [心脏成像不仅仅是诊断]。
IF 1.7 4区 医学
Herz Pub Date : 2023-10-01 Epub Date: 2023-09-29 DOI: 10.1007/s00059-023-05206-1
Stephan Achenbach
{"title":"[Cardiac imaging-more than just diagnostics].","authors":"Stephan Achenbach","doi":"10.1007/s00059-023-05206-1","DOIUrl":"10.1007/s00059-023-05206-1","url":null,"abstract":"","PeriodicalId":12863,"journal":{"name":"Herz","volume":"48 5","pages":"337-338"},"PeriodicalIF":1.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41110485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
[Echocardiography with high frame rates in the clinical practice : Principles, applications and perspectives]. [临床实践中的高帧率超声心动图:原理、应用和前景]。
IF 1.7 4区 医学
Herz Pub Date : 2023-10-01 Epub Date: 2023-08-02 DOI: 10.1007/s00059-023-05199-x
Aniela Petrescu, Jens-Uwe Voigt
{"title":"[Echocardiography with high frame rates in the clinical practice : Principles, applications and perspectives].","authors":"Aniela Petrescu,&nbsp;Jens-Uwe Voigt","doi":"10.1007/s00059-023-05199-x","DOIUrl":"10.1007/s00059-023-05199-x","url":null,"abstract":"<p><p>Continuous developments in cardiovascular imaging, software and hardware have led to technological advancements that open new ways for assessing myocardial mechanics, hemodynamics, and function. Through new scan modalities, echocardiographic scanners can nowadays achieve very high frame rates up to 5000 frames s<sup>-1</sup> which enables a wide variety of new applications, including shear wave elastography, ultrafast speckle tracking, the visualization of intracardiac blood flow and myocardial perfusion imaging. This review provides an overview of these advances and demonstrates possible applications and their potential added value in the clinical practice.</p>","PeriodicalId":12863,"journal":{"name":"Herz","volume":" ","pages":"339-351"},"PeriodicalIF":1.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9920830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Analysis of risk factors for systemic inflammatory response syndrome in patients after transcatheter aortic valve replacement. 经导管主动脉瓣置换术后患者全身炎症反应综合征的危险因素分析。
IF 1.7 4区 医学
Herz Pub Date : 2023-10-01 Epub Date: 2023-01-31 DOI: 10.1007/s00059-023-05163-9
Jifang Cheng, Mingqi Dong, Chunjie Wen, Bin Yu, Jiaqi Fan
{"title":"Analysis of risk factors for systemic inflammatory response syndrome in patients after transcatheter aortic valve replacement.","authors":"Jifang Cheng,&nbsp;Mingqi Dong,&nbsp;Chunjie Wen,&nbsp;Bin Yu,&nbsp;Jiaqi Fan","doi":"10.1007/s00059-023-05163-9","DOIUrl":"10.1007/s00059-023-05163-9","url":null,"abstract":"<p><strong>Objective: </strong>Our aim was to determine the risk factors of postoperative systemic inflammatory response syndrome (SIRS) in patients with transcatheter aortic valve replacement (TAVR), identify those with a high risk of SIRS, and help reduce SIRS occurrence.</p><p><strong>Methods: </strong>A retrospective cohort study was conducted to collect the clinical data of patients who underwent TAVR from January 2014 to December 2019 at a tertiary hospital in Zhejiang Province. The study included 156 men and 94 women. Patients were divided into SIRS and non-SIRS groups. The pre-, intra-, and postoperative indices of the two groups were recorded. The data of the two groups were compared, and univariate analysis was performed. All statistically significant factors were assessed using binary logistic regression analysis to clarify the risk factors of SIRS after TAVR.</p><p><strong>Results: </strong>Overall, 30 patients developed SIRS after TAVR, with an incidence rate of 12%, an odds ratio (OR) of 0.571, and a 95% confidence interval (CI) of 0.469-0.694 (p = 0.000). There was a significant correlation between SIRS and glucose (OR: 0.823, 95% CI: 0.678-1.000, p = 0.049), albumin (OR: 0.938, 95% CI: 0.881-0.998, p = 0.044), brain natriuretic peptide (OR: 1.000, 95% CI: 1.000-1.000, p = 0.010), sex (OR: 0.412, 95% CI: 0.190-0.892, p = 0.025), and history of hypertension (OR: 0.375, 95% CI: 0.169-0.819, p = 0.014). Multivariate regression analysis demonstrated that age (OR: 1.190, 95%CI: 1.073-1.319, p = 0.001) and body mass index (BMI; OR: 0.559, 95% CI: 0.447-0.698, p = 0.000) were independent risk factors for postoperative SIRS in patients with TAVR.</p><p><strong>Conclusion: </strong>The incidence of SIRS after TAVR was 12%. There was a significant correlation between SIRS and albumin, glucose, and hypertension. The independent risk factors for SIRS after TAVR were age and BMI.</p>","PeriodicalId":12863,"journal":{"name":"Herz","volume":" ","pages":"393-398"},"PeriodicalIF":1.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10647349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Comparison of outcomes between single long stent and overlapping stents: a meta-analysis of the literature. 单个长支架和重叠支架的疗效比较:一项文献荟萃分析。
IF 1.7 4区 医学
Herz Pub Date : 2023-10-01 Epub Date: 2023-01-11 DOI: 10.1007/s00059-022-05152-4
Faysal Şaylık, Tufan Çınar, Murat Selçuk, Vedat Çiçek, Mert Ilker Hayıroğlu, Ahmet Lütfullah Orhan
{"title":"Comparison of outcomes between single long stent and overlapping stents: a meta-analysis of the literature.","authors":"Faysal Şaylık,&nbsp;Tufan Çınar,&nbsp;Murat Selçuk,&nbsp;Vedat Çiçek,&nbsp;Mert Ilker Hayıroğlu,&nbsp;Ahmet Lütfullah Orhan","doi":"10.1007/s00059-022-05152-4","DOIUrl":"10.1007/s00059-022-05152-4","url":null,"abstract":"<p><strong>Objectives: </strong>There is no consensus on whether to treat diffuse coronary artery lesions with a single long stent (SLS) or by overlapping two or more stents (OLS). The goal of this review was to compare the outcomes of these two approaches through a meta-analysis of the literature.</p><p><strong>Methods: </strong>We searched for relevant studies in MEDLINE, Scopus, EMBASE, Google Scholar, and the Cochrane Library. Our meta-analysis included 12 studies (n = 6414) that reported outcomes during the follow-up period.</p><p><strong>Results: </strong>Individuals who received OLS had a greater risk of cardiac mortality and target lesion revascularization (TLR) than those who received SLS (RR: 1.51, CI: 1.03-2.21, p = 0.03, I<sup>2</sup> = 0% and RR: 1.64, CI: 1.02-2.65, p = 0.04, I<sup>2</sup> = 38%, respectively). The fluoroscopy period in the OLS group was longer than in the SLS group (SMD: 0.35, CI: 0.25-0.46, p < 0.01, I<sup>2</sup> = 0%). more contrast volume was sued for the OLS group; however, there was substantial variability in the pooled analysis (I<sup>2</sup> = 95%). In terms of all outcomes, there were no differences between stent generation types.</p><p><strong>Conclusion: </strong>In the first meta-analysis of mainly observational data comparing OLS vs. SLS for long coronary lesions, OLS had higher rates of cardiac mortality and TLR as well as longer fluoroscopy times compared to SLS.</p>","PeriodicalId":12863,"journal":{"name":"Herz","volume":" ","pages":"376-383"},"PeriodicalIF":1.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10513793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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: 5
Atrial fibrillation increases the risk of new-onset myocardial infarction amongst working-age population: a propensity-matched study. 工作年龄人群中心房颤动增加新发心肌梗死的风险:一项倾向匹配研究。
IF 1.7 4区 医学
Herz Pub Date : 2023-10-01 Epub Date: 2023-06-01 DOI: 10.1007/s00059-023-05181-7
Bocheng Yue, Qiqi Hou, Julian Bredehorst, Quanle Han, Boheng Zhang, Chao Zhang, Jiawei Zhang, Shuohua Chen, Shouling Wu, Kangbo Li
{"title":"Atrial fibrillation increases the risk of new-onset myocardial infarction amongst working-age population: a propensity-matched study.","authors":"Bocheng Yue,&nbsp;Qiqi Hou,&nbsp;Julian Bredehorst,&nbsp;Quanle Han,&nbsp;Boheng Zhang,&nbsp;Chao Zhang,&nbsp;Jiawei Zhang,&nbsp;Shuohua Chen,&nbsp;Shouling Wu,&nbsp;Kangbo Li","doi":"10.1007/s00059-023-05181-7","DOIUrl":"10.1007/s00059-023-05181-7","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to investigate the association between atrial fibrillation (AF) and new-onset myocardial infarction (MI) among a working-age population in an industrial city of North China.</p><p><strong>Methods: </strong>In total 77,670 participants aged under 60 years were selected for this cohort study. Participants were divided into an AF group (n = 121) and a non-AF group (n = 74,565) based on their medical histories. Thereafter, 121 participants from the AF group were propensity-matched with 363 participants from the non-AF group. All participants were followed up from June 2006 to December 2020; new-onset MI was regarded as the endpoint of this study. Multivariate Cox proportional hazards regression analysis models were designed to analyze the correlation between AF and new-onset MI.</p><p><strong>Results: </strong>During the 14-year follow-up, eight cases of new-onset MI were documented in the AF group, while five cases were documented in the non-AF group. The cumulative incidence of new-onset MI in the AF group (7.40%) was markedly higher than in the non-AF group (1.41%; p < 0.001). Atrial fibrillation was associated with an increased risk of new-onset MI in both univariate analysis (hazard ratio: 5.202, 95% confidence interval [CI]: 1.700-15.913) and multivariable-adjusted analysis (hazard ratio: 5.335, 95% CI: 1.683-16.910).</p><p><strong>Conclusion: </strong>Atrial fibrillation increased the risk of new-onset MI amongst working-age individuals in an industrial city of North China.</p>","PeriodicalId":12863,"journal":{"name":"Herz","volume":" ","pages":"408-412"},"PeriodicalIF":1.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9560277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Effects of hydroxychloroquine on atrial electrophysiology in in silico wild-type and PITX2+/- atrial cardiomyocytes. 羟氯喹对矽肺野生型和PITX2+/-心房心肌细胞心房电生理的影响。
IF 1.7 4区 医学
Herz Pub Date : 2023-10-01 Epub Date: 2023-02-02 DOI: 10.1007/s00059-023-05162-w
Euijun Song
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