International journal of cardiology最新文献

{"title":"Individualized glycemic management in acute coronary syndrome: Insights and unresolved questions from the CCC-ACS project","authors":"Yiguo Huang, Xiumin Wang","doi":"10.1016/j.ijcard.2025.133262","DOIUrl":"10.1016/j.ijcard.2025.133262","url":null,"abstract":"","PeriodicalId":13710,"journal":{"name":"International journal of cardiology","volume":"431 ","pages":"Article 133262"},"PeriodicalIF":3.2,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143823484","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":"Early detection of cardiac amyloidosis in patients with multiple myeloma by echocardiography: Is it suitable?","authors":"Yu Fu Ferrari Chen , Alberto Aimo , Michele Emdin","doi":"10.1016/j.ijcard.2025.133253","DOIUrl":"10.1016/j.ijcard.2025.133253","url":null,"abstract":"","PeriodicalId":13710,"journal":{"name":"International journal of cardiology","volume":"431 ","pages":"Article 133253"},"PeriodicalIF":3.2,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143823485","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":"EMPACT-ing prognosis: Tailoring SGLT2i therapy with GDF-15","authors":"Luca Monzo, Nicolas Girerd","doi":"10.1016/j.ijcard.2025.133251","DOIUrl":"10.1016/j.ijcard.2025.133251","url":null,"abstract":"","PeriodicalId":13710,"journal":{"name":"International journal of cardiology","volume":"431 ","pages":"Article 133251"},"PeriodicalIF":3.2,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143823486","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":"One step closer to improving detection rates of coarctation of the aorta and ventricular septal defect in fetal life","authors":"Colin J. McMahon","doi":"10.1016/j.ijcard.2025.133250","DOIUrl":"10.1016/j.ijcard.2025.133250","url":null,"abstract":"","PeriodicalId":13710,"journal":{"name":"International journal of cardiology","volume":"432 ","pages":"Article 133250"},"PeriodicalIF":3.2,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143834590","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":"Comment on “Signal-morphology impedance cardiography is a non-invasive tool for predicting responses to exercise-based cardiac rehabilitation”","authors":"Aabir Imran, Aaila Haider","doi":"10.1016/j.ijcard.2025.133259","DOIUrl":"10.1016/j.ijcard.2025.133259","url":null,"abstract":"","PeriodicalId":13710,"journal":{"name":"International journal of cardiology","volume":"431 ","pages":"Article 133259"},"PeriodicalIF":3.2,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143825772","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":"Favorable impact of FFRCT on myocardial revascularization outcomes: Results from an observational real-world registry","authors":"Johanna Lammens ,&nbsp;Andreea Motoc ,&nbsp;Kaoru Tanaka ,&nbsp;Dries Belsack ,&nbsp;Bert Vandeloo ,&nbsp;Stijn Lochy ,&nbsp;Danny Schoors ,&nbsp;Ines Van Loo ,&nbsp;Tom De Potter ,&nbsp;Vincent Michiels ,&nbsp;Toshimitsu Tsugu ,&nbsp;Annelien Van Dalem ,&nbsp;Yves Thorrez ,&nbsp;Julien Magne ,&nbsp;Johan De Mey ,&nbsp;Bernard Cosyns ,&nbsp;Jean-François Argacha","doi":"10.1016/j.ijcard.2025.133245","DOIUrl":"10.1016/j.ijcard.2025.133245","url":null,"abstract":"<div><h3>Background</h3><div>Coronary computed tomography angiography (CCTA)-derived fractional flow reserve (FFR_CT) strategy significantly decreases unnecessary invasive coronary angiography and refines the appropriateness of revascularization decision. The present study aimed to evaluate how FFR_CT guided - strategy impacts outcomes postrevascularization.</div></div><div><h3>Methods</h3><div>We included patients with suspected obstructive coronary artery disease (OCAD in a registry from 2013 to 2021. FFR_CT entered Heart-Team decision from 2017. Propensity score adjusted Cox - and logistic - regression analyzed FFR_CT's impact on post- revascularization major adverse cardiovascular events (MACE) and myocardial injury (PMI).</div></div><div><h3>Results</h3><div>Among 7541 patients, 1601 had suspected OCAD. 559 patients underwent revascularization: 69.0 % PCI, 29.7 % CABG and 1.2 % both. 252(45.1 %) patients underwent FFR_CT. Over 4.4 ± 2.2 years, 137(24.5 %) patients experienced MACE. FFR_CT was associated with a trend toward reduced MACE (HR 0.736, 95 % CI 0.513–1.055, <em>p</em> = 0.095) and significantly reduced all-cause mortality (HR 0.476, 95 % CI 0.230–0.985, <em>p</em> = 0.046). In the post-2017 cohort (413 patients, follow-up 3.7 ± 1.5 years), FFR_CT significantly reduced MACE (HR 0.610, 95 % CI 0.390–0.954, <em>P</em> = 0.030) and all-cause mortality (HR 0.285, 95 % CI 0.104–0.779, <em>P</em> = 0.014). In CABG patients, FFR_CT was associated with lower PMI incidence (5.3 % vs. 15.6 %, <em>p</em> = 0.044). Multivariable analysis revealed no significant association between FFR_CT use and PMI.</div></div><div><h3>Conclusions</h3><div>Revascularization decision-making with FFR_CT translates into better post-revascularization outcomes, primarily by reducing MACE through lower mortality. There was no clear impact on PMI. These findings suggests that FFR_CT's value lies indeed in improving patient selection for revascularization, but warrants further confirmation in randomized clinical trials.</div></div>","PeriodicalId":13710,"journal":{"name":"International journal of cardiology","volume":"431 ","pages":"Article 133245"},"PeriodicalIF":3.2,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143825771","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":"Reply to the letter to the editor: “Radiomics for abdominal aortic aneurysm prognosis prediction: Additional feature suggestions”","authors":"Shanya Huang ,&nbsp;Yan Wu","doi":"10.1016/j.ijcard.2025.133261","DOIUrl":"10.1016/j.ijcard.2025.133261","url":null,"abstract":"","PeriodicalId":13710,"journal":{"name":"International journal of cardiology","volume":"431 ","pages":"Article 133261"},"PeriodicalIF":3.2,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143825773","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":"Sudden death of an athlete with concealed arrhythmogenic cardiomyopathy","authors":"Alessandro Zorzi ,&nbsp;Carlo Moreschi ,&nbsp;Cristina Basso ,&nbsp;Domenico Corrado ,&nbsp;Gaetano Thiene","doi":"10.1016/j.ijcard.2025.133254","DOIUrl":"10.1016/j.ijcard.2025.133254","url":null,"abstract":"<div><div>We report the case of a professional soccer athlete who died suddenly due to early arrhythmogenic cardiomyopathy that was not diagnosed at the time of preparticipation screening. Exercise testing had repeatedly shown effort-induced premature ventricular beats with normal echocardiography, a finding that was considered reassuring. However, there is emerging evidence that cardiac diseases characterized by focal ventricular scarring may not cause wall motion abnormalities and can be revealed only by tissue characterization with cardiac magnetic resonance. Modern interpretation of premature ventricular beats features is essential to select athletes who should undergo advanced cardiac imaging investigations to achieve a correct diagnosis and sport eligibility.</div></div>","PeriodicalId":13710,"journal":{"name":"International journal of cardiology","volume":"431 ","pages":"Article 133254"},"PeriodicalIF":3.2,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143823181","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":"The use of supersaturated oxygen therapy in patients with late-presentation anterior ST-segment elevation myocardial infarction","authors":"Paige E. Carlson ,&nbsp;Sarah Schwager ,&nbsp;Katianna Feldewerd ,&nbsp;Stephanie Schmidt ,&nbsp;Michelle Campbell ,&nbsp;Seth Bergstedt ,&nbsp;Joao L. Cavalcante ,&nbsp;Jay H. Traverse","doi":"10.1016/j.ijcard.2025.133256","DOIUrl":"10.1016/j.ijcard.2025.133256","url":null,"abstract":"<div><h3>Background</h3><div>Patients with late-presentation anterior ST-elevation myocardial infarction (STEMI) are at increased risk of heart failure and mortality due to greater infarct size and microvascular injury including microvascular obstruction (MVO) and intramyocardial hemorrhage (IMH). Apart from primary percutaneous coronary intervention (PCI), no additional therapies are available for this high-risk group. Supersaturated oxygen therapy (SSO₂) is utilized for anterior STEMIs with ischemic times under 6 h and may reduce infarct size. We investigated if SSO₂ therapy may provide a clinical benefit for late-presentation anterior STEMI patients.</div></div><div><h3>Methods</h3><div>SSO₂ therapy was administered to 19 late-presentation anterior STEMI patients (12 males (M), 7 females (F); 60 yr.) for 60-min following primary PCI. Patients underwent cardiac MRI (CMR) prior to discharge for evaluation of infarct size, MVO, and IMH. Results were compared to a control group of 31 late-presentation anterior STEMI patients (19 M, 12F; 59 yr.) who received PCI and CMR but not SSO₂.</div></div><div><h3>Results</h3><div>The left anterior descending artery (LAD) was completely occluded in 89 % of SSO₂ patients and 77 % of control patients prior to PCI. Final TIMI 3 flow was achieved in 84 % of all patients. Ejection fraction at baseline as well as infarct size, were similar between the two groups. Significantly fewer SSO₂ patients had MVO (75 % vs 100 %, <em>p</em> = 0.01) and residual ST-segment elevation following PCI was significantly less in the SSO2 group suggestive of improved microvascular perfusion. Mortality was significantly reduced in the SSO2 group following STEMI compared to control patients (0 % vs 23 %, <em>p</em> = 0.03).</div></div><div><h3>Conclusions</h3><div>SSO₂ can be safely delivered to late-presentation anterior STEMI patients and results in less MVO and less adverse events including all-cause mortality. SSO₂ therapy may represent a new treatment for this high-risk patient group.</div></div>","PeriodicalId":13710,"journal":{"name":"International journal of cardiology","volume":"431 ","pages":"Article 133256"},"PeriodicalIF":3.2,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143816469","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":"Relation between previously implanted coronary stents and vasospasm: Patient- and vessel-level analysis","authors":"Kayo Yamamoto ,&nbsp;Yuichi Saito ,&nbsp;Kazuya Tateishi ,&nbsp;Ken Kato ,&nbsp;Hideki Kitahara ,&nbsp;Yoshio Kobayashi","doi":"10.1016/j.ijcard.2025.133248","DOIUrl":"10.1016/j.ijcard.2025.133248","url":null,"abstract":"<div><h3>Background</h3><div>Catheter-based coronary interventions, particularly those with stent implantation, are associated with arterial wall injury, leading to endothelial dysfunction and vasospasm. However, the impact of previously implanted coronary stents on vasospasm during acetylcholine (ACh) provocation testing remains uncertain.</div></div><div><h3>Methods</h3><div>From May 2012 to October 2023, a total of 1039 patients underwent intracoronary ACh provocation tests for the diagnosis of vasospastic angina. Patients and coronary vessels were divided into two groups according to the presence of previously implanted coronary stents. Angiographic coronary vasospasm was defined as total or subtotal occlusion induced by ACh injection at the vessel level, and positive diagnosis of ACh testing was defined as angiographic coronary vasospasm accompanied by chest symptoms and/or ischemic electrocardiographic changes at the patient level.</div></div><div><h3>Results</h3><div>Of the 1039 patients, 175 (16.8 %) had previously implanted coronary stents. The incidence of positive ACh provocation test was significantly higher in patients with previous coronary stents than in those without (60.6 % vs. 52.0 %, <em>P</em> = 0.04). At the vessel-level analysis, intracoronary ACh was administered in the 175 patients with a history of coronary stenting, with coronary arteries with previously implanted coronary stents (<em>n</em> = 236) and no stents (<em>n</em> = 254). ACh-induced angiographic vasospasm was more frequently observed in vessels with coronary stents than in those without (50.0 % vs. 33.3 %, <em>P</em> &lt; 0.001). No significant interactions between bare metal and drug-eluting stents were found in the rate of ACh-induced vasospasm.</div></div><div><h3>Conclusions</h3><div>Previously implanted stents were associated with coronary vasoreactivity during intracoronary ACh provocation testing at the patient and vessel levels.</div></div>","PeriodicalId":13710,"journal":{"name":"International journal of cardiology","volume":"431 ","pages":"Article 133248"},"PeriodicalIF":3.2,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143816468","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}