{"title":"Letter to the editor: “Performance evaluation of four scoring systems for mortality prediction in a contemporary cardiac intensive care unit”","authors":"Biao Wang, Yanming Wu","doi":"10.1016/j.ijcard.2025.133532","DOIUrl":"10.1016/j.ijcard.2025.133532","url":null,"abstract":"","PeriodicalId":13710,"journal":{"name":"International journal of cardiology","volume":"437 ","pages":"Article 133532"},"PeriodicalIF":3.2,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144330599","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}
{"title":"Letter to the editor: “Heart failure and co-morbidities confer a negative prognosis in COVID-19 infection”","authors":"Rachana Mehta , Ranjana Sah","doi":"10.1016/j.ijcard.2025.133535","DOIUrl":"10.1016/j.ijcard.2025.133535","url":null,"abstract":"","PeriodicalId":13710,"journal":{"name":"International journal of cardiology","volume":"437 ","pages":"Article 133535"},"PeriodicalIF":3.2,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144320874","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}
Swasthi S. Kumar, Arun Gopalakrishnan, K.M. Krishnamoorthy, Harikrishnan Sivadasanpillai
{"title":"Reply to “The efficacy and safety of dapagliflozin in pediatric heart failure: Interpreting causality in clinical outcomes”","authors":"Swasthi S. Kumar, Arun Gopalakrishnan, K.M. Krishnamoorthy, Harikrishnan Sivadasanpillai","doi":"10.1016/j.ijcard.2025.133525","DOIUrl":"10.1016/j.ijcard.2025.133525","url":null,"abstract":"","PeriodicalId":13710,"journal":{"name":"International journal of cardiology","volume":"437 ","pages":"Article 133525"},"PeriodicalIF":3.2,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144330597","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}
{"title":"Reframing the CHADS-P2A2RC score in chronic coronary syndrome: From ischemic risk stratification to a signal for caution","authors":"Ahmed B. Shamsulddin","doi":"10.1016/j.ijcard.2025.133536","DOIUrl":"10.1016/j.ijcard.2025.133536","url":null,"abstract":"","PeriodicalId":13710,"journal":{"name":"International journal of cardiology","volume":"437 ","pages":"Article 133536"},"PeriodicalIF":3.2,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144330596","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}
{"title":"Radial access crossover for percutaneous coronary procedures and outcome: The REPEAT study","authors":"Alessandro Sciahbasi , Ernesto Cristiano , Enrico Romagnoli , Mauro Pennacchi , Flavia Belloni , Filippo Zilio , Enrico Occhiuzzi , Massimo Mancone , Giuseppe Talanas , Alberto Marrangoni , Simona Minardi , Carmine Musto , Giulia Mattaroccia , Stefano Rigattieri","doi":"10.1016/j.ijcard.2025.133523","DOIUrl":"10.1016/j.ijcard.2025.133523","url":null,"abstract":"<div><h3>Background</h3><div>Transradial approach (TRA), compared with transfemoral, reduces vascular and bleeding complications during percutaneous coronary procedures (PCP) at the expense of a higher conversion rate to another vascular access. Aim of our study was to evaluate the crossover rate and direction (other arm vs femoral access) after primary TRA failure and to assess the clinical impact of access-site crossover.</div></div><div><h3>Methods</h3><div>From July 2022 to January 2025, at 10 experienced radial Centers, we prospectively enrolled all patients with attempted TRA requiring vascular crossover. A control group of effective TRA procedures (with a rate of 2:1 compared to crossover) was also included. Primary endpoint was the rate of in-hospital vascular complications and major bleeding in crossover versus non-crossover groups. Univariate and multivariate analyses were performed to determine independent predictors of TRA crossover.</div></div><div><h3>Results</h3><div>Among 17,462 undergoing TRA-PCP, vascular crossover was needed in 462 patients (2.6 %) and the second alternative vascular access was femoral in the majority of cases (53 %). Compared to controls (895 patients), the rate of major bleeding and vascular complications was significantly higher in the crossover group (7 % vs 1 %, <em>p</em> < 0.001). Patients undergoing femoral access after TRA failure showed higher bleeding and vascular complications compared to patients with a “full arm” approach (9 % vs 3 %, p < 0.001). Female sex was an independent factor associated with a higher rate of crossover, bleeding and vascular complications in the multivariable analysis.</div></div><div><h3>Conclusions</h3><div>The crossover rate during TRA-PCP is low but associated with increased vascular and bleeding complications in particular when a femoral access is required.</div></div>","PeriodicalId":13710,"journal":{"name":"International journal of cardiology","volume":"437 ","pages":"Article 133523"},"PeriodicalIF":3.2,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144321163","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}
{"title":"LV-PA coupling in PAH: Addressing measurement uncertainty and therapeutic diversity in prognostic models.","authors":"Jianpeng Li, Weizhuo Wang, Gang Cheng","doi":"10.1016/j.ijcard.2025.133527","DOIUrl":"https://doi.org/10.1016/j.ijcard.2025.133527","url":null,"abstract":"","PeriodicalId":13710,"journal":{"name":"International journal of cardiology","volume":" ","pages":"133527"},"PeriodicalIF":3.2,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144484288","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}
{"title":"Efficacy of beta-blocker therapy in Takotsubo cardiomyopathy: Insights from a systematic review and meta-analysis.","authors":"Yufei Liu, Xingchen Li","doi":"10.1016/j.ijcard.2025.133538","DOIUrl":"https://doi.org/10.1016/j.ijcard.2025.133538","url":null,"abstract":"","PeriodicalId":13710,"journal":{"name":"International journal of cardiology","volume":" ","pages":"133538"},"PeriodicalIF":3.2,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144484287","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}
{"title":"Serum Beta-2 microglobulin: A new marker in postmenopausal cardiovascular risk?","authors":"Ana Teresa Timoteo","doi":"10.1016/j.ijcard.2025.133512","DOIUrl":"10.1016/j.ijcard.2025.133512","url":null,"abstract":"","PeriodicalId":13710,"journal":{"name":"International journal of cardiology","volume":"437 ","pages":"Article 133512"},"PeriodicalIF":3.2,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144290865","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}
{"title":"Cardiovascular comorbidities and risk of in-hospital mortality in acute pancreatitis","authors":"Masashi Hasebe , Chen-Yang Su","doi":"10.1016/j.ijcard.2025.133508","DOIUrl":"10.1016/j.ijcard.2025.133508","url":null,"abstract":"","PeriodicalId":13710,"journal":{"name":"International journal of cardiology","volume":"437 ","pages":"Article 133508"},"PeriodicalIF":3.2,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144320875","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}
Jacob J. Elscot , Hala Kakar , Wijnand K. den Dekker , Johan Bennett , Manel Sabaté , Giovanni Esposito , Eric Boersma , Eugene McFadden , Hector M. Garcia-Garcia , Nicolas M. Van Mieghem , Roberto Diletti , on behalf of the BIOVASC investigators
{"title":"Immediate versus staged complete revascularization in patients presenting with multivessel disease and ST- or non-ST-segment elevation acute coronary syndrome","authors":"Jacob J. Elscot , Hala Kakar , Wijnand K. den Dekker , Johan Bennett , Manel Sabaté , Giovanni Esposito , Eric Boersma , Eugene McFadden , Hector M. Garcia-Garcia , Nicolas M. Van Mieghem , Roberto Diletti , on behalf of the BIOVASC investigators","doi":"10.1016/j.ijcard.2025.133496","DOIUrl":"10.1016/j.ijcard.2025.133496","url":null,"abstract":"<div><h3>Background</h3><div>Recent randomized trials have suggested that immediate complete revascularization (ICR) is a viable alternative to staged complete revascularization (SCR) in patients with acute coronary syndrome (ACS) and multivessel disease. However, long-term outcomes comparing ICR with SCR in ST-segment elevation (STE) and non-ST-segment elevation (NSTE) ACS remain unclear.</div></div><div><h3>Methods</h3><div>This study analyzes 2-year follow-up data from the BIOVASC trial, randomizing ACS patients to ICR or SCR. The primary composite endpoint includes all-cause mortality, myocardial infarction, unplanned ischemia-driven revascularization, and cerebrovascular events. Secondary endpoints evaluate these outcomes individually. Cox regression assessed if STE/NSTE-ACS diagnosis influences treatment effect.</div></div><div><h3>Results</h3><div>In 608 STE-ACS patients, the 2-year cumulative incidence of the primary composite endpoint was 10.9 % (ICR) and 11.7 % (SCR) (risk difference [RD] 0.8 %, 95 % confidence interval [CI] -4.3 % to 5.9 %; <em>P</em> = 0.71). In NSTE-ACS, cumulative incidence was 13.5 % (ICR) and 12.8 % (SCR) (RD −0.7 %, 95 % CI -5.1 % to 3.7 %; <em>P</em> = 0.90). No differential effect was observed comparing ICR with SCR between STE- and NSTE-ACS.</div></div><div><h3>Conclusions</h3><div>ICR did not sustain a significant benefit in terms of the primary and secondary outcomes at 2 years follow-up. In addition, no differential effect of ICR versus SCR was observed between STE-ACS and NSTE-ACS after 2 years follow-up. However, there seems to be a late catch-up in the cumulative event rate in patients randomized to ICR.</div></div>","PeriodicalId":13710,"journal":{"name":"International journal of cardiology","volume":"437 ","pages":"Article 133496"},"PeriodicalIF":3.2,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144293717","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}