Journal of cardiology最新文献

{"title":"Surface steel ball calibration — A novel method for facilitating fluoroscopic measurement during implantation of WATCHMAN","authors":"Feng Mao MD ,&nbsp;Yijun Sun MD ,&nbsp;Xianfeng Du MD, PhD ,&nbsp;Guohua Fu MD ,&nbsp;Fei Yu MD, PhD ,&nbsp;Libin Chen MD, PhD ,&nbsp;Yibo Yu MD ,&nbsp;Mingjun Feng MD ,&nbsp;Shengmin Zhang MD ,&nbsp;Huimin Chu MD","doi":"10.1016/j.jjcc.2025.01.002","DOIUrl":"10.1016/j.jjcc.2025.01.002","url":null,"abstract":"<div><h3>Background</h3><div>Although the method of autocalibration or calibration based on catheter diameters was proposed for fluoroscopic measurement during percutaneous left atrial appendage occlusion (LAAO), it may be imprecise and lead to mismeasurement. We sought to investigate whether the utilization of the surface steel ball calibration (SSBC) method under fluoroscopy could facilitate the fluoroscopic measurement of the post-implanted WATCHMAN device (Boston Scientific Corporation, Natick, MA, USA) in LAAO.</div></div><div><h3>Methods</h3><div>This retrospective study included 97 consecutive patients who underwent percutaneous LAAO with the WATCHMAN device. The SSBC method and sheath calibration method under fluoroscopy, and transesophageal echocardiography (TEE) were employed to measure the diameter of the post-implanted device during the LAAO procedure. The results of the three methods were then compared.</div></div><div><h3>Results</h3><div>The success rate for procedural WATCHMAN implantation was 100 %. The mean maximal diameter of the post-implanted devices was 24.7 ± 3.1 mm, 23.5 ± 3.2 mm, and 24.2 ± 3.0 mm, as measured by the SSBC method, sheath calibration method, and TEE, respectively (all <em>p</em> &lt; 0.001). The relevant coefficient of correlation between the SSBC method/TEE, SSBC method/sheath calibration method, and TEE/sheath calibration method, was 0.94, 0.93, and 0.89, respectively (all <em>p</em> &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>The SSBC method, when employed under fluoroscopy, demonstrated a high correlation with the sheath calibration method and TEE for measurements. It may be applied to facilitate fluoroscopic measurements during percutaneous LAAO procedures.</div></div>","PeriodicalId":15223,"journal":{"name":"Journal of cardiology","volume":"86 1","pages":"Pages 32-37"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143006184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of cardiac rehabilitation on progression to long-term care: A clinical and economic longitudinal study in Japan","authors":"Tomoyuki Takura PhD ,&nbsp;Arihiro Kiyosue MD, FJCC ,&nbsp;Teruyuki Koyama MD ,&nbsp;Mitsuo Takei MD ,&nbsp;Asao Honda MD","doi":"10.1016/j.jjcc.2025.01.005","DOIUrl":"10.1016/j.jjcc.2025.01.005","url":null,"abstract":"<div><h3>Background</h3><div>The social burden of nursing care is increasing with age, particularly for patients with heart failure who often require intensive care. This study aimed to clarify the relationship between nursing care needs and the clinical status of patients with a history of cardiovascular disease, focusing on the benefits of cardiac rehabilitation (CR) in reducing these needs.</div></div><div><h3>Methods</h3><div>This single-gate, multicenter, retrospective observational study included patients of all ages with a history of hospitalization for cardiovascular diseases using government-administered insurance claims and health examination data. Data spanning a four-year period (April 2014 to March 2018) were analyzed, and the effects of CR on nursing care needs and associated factors were examined. Multivariate analysis and propensity score matching were used to adjust for confounding factors, ensuring a robust comparison between CR and non-CR groups.</div></div><div><h3>Results</h3><div>A total of 48,456 patients were enrolled, with an average follow-up of 36.1 months. After propensity score matching, patients who participated in CR demonstrated significantly lower mortality rates and reduced nursing care needs compared to those who did not (0.02 ± 0.13 vs. 0.04 ± 0.20, <em>p &lt;</em> 0.01, 0.94 ± 0.27 vs. base: 1, <em>p =</em> 0.05). CR was associated with improved adherence to medications and increased generic drug prescriptions, contributing to better long-term health outcomes. The adjusted odds ratio for CR in reducing nursing care needs was 0.574 (95 % CI, 0.347–0.948, <em>p &lt;</em> 0.05).</div></div><div><h3>Conclusions</h3><div>This study confirms the potential critical role of CR in reducing mortality and nursing care needs in patients with cardiovascular disease. Although CR did not directly reduce nursing care costs, it contributed to improved health outcomes and reduced dependency on long-term care services. These findings highlight the benefits of CR as a preventive intervention, especially in aging populations. Further research is needed regarding its long-term economic benefits.</div></div>","PeriodicalId":15223,"journal":{"name":"Journal of cardiology","volume":"86 1","pages":"Pages 56-63"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143023655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Excimer LASER coronary atherectomy for ST-segment elevation myocardial infarction: Insights from a multicenter registry","authors":"Yuji Matsuda MD, PhD ,&nbsp;Taishi Yonetsu MD, PhD ,&nbsp;Ken Kurihara MD ,&nbsp;Shigeo Shimizu MD, PhD ,&nbsp;Daisuke Ueshima MD, PhD ,&nbsp;Hiroshi Inagaki MD, PhD ,&nbsp;Yuko Onishi MD ,&nbsp;Kaoru Sakurai MD, PhD ,&nbsp;Takaaki Tsuchiyama MD ,&nbsp;Takashi Ashikaga MD, PhD, FJCC ,&nbsp;Hiroyuki Fujii MD, PhD ,&nbsp;Kazuo Kobayashi MD, PhD ,&nbsp;Ikhtiyorjon Khamdamov MD ,&nbsp;Yoshinori Kanno MD ,&nbsp;Takayuki Niida MD, PhD ,&nbsp;Yosuke Yamakami MD ,&nbsp;Tomoyo Sugiyama MD, PhD ,&nbsp;Tomoyuki Umemoto MD, PhD ,&nbsp;Tsunekazu Kakuta MD, PhD ,&nbsp;Tetsuo Sasano MD, PhD, FJCC","doi":"10.1016/j.jjcc.2025.01.008","DOIUrl":"10.1016/j.jjcc.2025.01.008","url":null,"abstract":"<div><h3>Background</h3><div>Excimer laser coronary atherectomy (ELCA) is used for thrombotic culprit lesions in ST-segment elevation myocardial infarction (STEMI), but its effectiveness is still unclear.</div></div><div><h3>Methods</h3><div>Consecutive patients undergoing primary percutaneous coronary intervention within 24 h of onset were retrospectively investigated. Patients were divided into ELCA and non-ELCA groups. The primary endpoint was target vessel-related major adverse cardiac events (TV-MACE). Cox regression analysis and propensity score matching were performed to compare clinical outcomes between the two groups.</div></div><div><h3>Results</h3><div>A total of 2593 patients were included in the analysis, with a median follow-up of 815 (390–1385) days. In the total cohort, there was no significant difference between the two groups in terms of TV-MACE-free survival rate. ELCA use was not a significant determinant of TV-MACE (hazard ratio 1.265, 95 % confidence interval, 0.910–1.757; <em>p</em> = 0.161). Nevertheless, when the ELCA group was stratified by the ELCA catheter size, the large catheter (1.4 mm–1.7 mm) group showed a lower event rate compared to the others in univariate analysis, although this difference was not significant in multivariate analysis. In the propensity score-matched cohort of 736 patients (368 pairs), the TV-MACE-free survival did not differ between the two groups.</div></div><div><h3>Conclusions</h3><div>ELCA use was not associated with a reduced rate of adverse cardiac events in patients with STEMI. However, the use of large-sized ELCA catheters showed a potential association with better clinical outcomes, warranting further prospective studies.</div></div>","PeriodicalId":15223,"journal":{"name":"Journal of cardiology","volume":"86 1","pages":"Pages 73-82"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143023656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Challenging perspectives on the role of Impella in biventricular failure: A response to Matsushita et al.","authors":"Arif Albulushi MD","doi":"10.1016/j.jjcc.2025.02.002","DOIUrl":"10.1016/j.jjcc.2025.02.002","url":null,"abstract":"","PeriodicalId":15223,"journal":{"name":"Journal of cardiology","volume":"86 1","pages":"Page 108"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143390855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"TRP channels in cardiac mechano-redox coupling and diseases","authors":"Xinya Mi PhD ,&nbsp;Di Wu MS ,&nbsp;Tomoya Ito PhD ,&nbsp;Yuri Kato PhD ,&nbsp;Akiyuki Nishimura PhD ,&nbsp;Motohiro Nishida PhD","doi":"10.1016/j.jjcc.2025.02.016","DOIUrl":"10.1016/j.jjcc.2025.02.016","url":null,"abstract":"<div><div>Reactive oxygen species (ROS) produced by mechanically stretching cardiomyocytes is a crucial mediator to increase contractile force in accordance with the Frank-Starling law. However, excessive ROS production leads to oxidative stress, contributing to myocardial atrophic remodeling and cellular damage. NADPH oxidase, the primary enzyme responsible for ROS production localized on the plasma membrane and organelle membranes, plays a key role in membrane-oriented ROS signaling. Two isoforms of NADPH oxidase, Nox2 (constitutive) and Nox4 (inducible), are predominantly expressed in cardiomyocytes, each playing unique roles in different contexts. Recent studies have revealed that Nox proteins form protein signaling complexes with transient receptor potential (TRP) channel proteins, amplifying ROS signaling in hearts. This review presents the putative mechanism of protein-protein interaction between TRP and Nox and their pathophysiological significance in hearts and discusses therapeutic strategies targeting TRP-Nox protein interactions for the treatment of heart failure.</div></div>","PeriodicalId":15223,"journal":{"name":"Journal of cardiology","volume":"86 1","pages":"Pages 20-24"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143425583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How to indicate left atrial posterior wall isolation adjunctive to conventional pulmonary vein isolation in patients with atrial fibrillation","authors":"Naoya Kataoka MD,&nbsp;Teruhiko Imamura MD, PhD, FJCC","doi":"10.1016/j.jjcc.2025.01.020","DOIUrl":"10.1016/j.jjcc.2025.01.020","url":null,"abstract":"","PeriodicalId":15223,"journal":{"name":"Journal of cardiology","volume":"86 1","pages":"Page 106"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143373983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pathophysiology and management of adults with complex congenital heart disease after biventricular repair","authors":"Mitsutaka Nakashima MD, PhD ,&nbsp;Norihisa Toh MD, PhD ,&nbsp;Takashi Miki MD, PhD ,&nbsp;Yoichi Takaya MD, PhD ,&nbsp;Koji Nakagawa MD, PhD ,&nbsp;Kazuhiro Omori DDS, PhD ,&nbsp;Toru Miyoshi MD, PhD, FJCC ,&nbsp;Kazufumi Nakamura MD, PhD, FJCC ,&nbsp;Hiroshi Morita MD, PhD ,&nbsp;Teiji Akagi MD, PhD, FJCC ,&nbsp;Shinsuke Yuasa MD, PhD","doi":"10.1016/j.jjcc.2025.03.014","DOIUrl":"10.1016/j.jjcc.2025.03.014","url":null,"abstract":"<div><div>Surgical management of congenital heart disease encompasses a spectrum of procedures, ranging from biventricular repair to univentricular palliation, each tailored to the specific anatomical and hemodynamic features of individual cases. Among these, biventricular repair, which preserves a functional ventricle to sustain pulmonary circulation, is prioritized whenever feasible. Advances in approaches have significantly improved outcomes, enabling many patients with congenital heart disease to reach adulthood, including the majority who have undergone biventricular repair. Despite these advancements, long-term complications—such as valvular disease, arrhythmias, heart failure, outflow tract obstruction, and dysfunction of extracardiac conduits—pose persistent challenges in the lifelong care of these patients. This review examines the distinct challenges and management strategies associated with adult patients who have undergone biventricular repair for complex congenital heart disease. The discussion focuses on key conditions, including repaired tetralogy of Fallot, transposition of the great arteries following atrial or arterial switch procedures, surgically managed or untreated congenitally corrected transposition of the great arteries with significant tricuspid regurgitation necessitating intervention, pulmonary atresia with intact ventricular septum, and Ebstein's anomaly. By addressing the long-term complications and therapeutic considerations unique to this patient population, this review aims to provide a comprehensive framework for optimizing care as these individuals transition into adulthood.</div></div>","PeriodicalId":15223,"journal":{"name":"Journal of cardiology","volume":"86 1","pages":"Pages 12-19"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143692288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Contrast-associated acute kidney injury in patients with diabetes mellitus following elective percutaneous coronary intervention: Insights from an iodixanol-acute kidney injury registry study","authors":"Yanbing Jiang MM ,&nbsp;Song Li MM ,&nbsp;Zaiyan Chen MM ,&nbsp;Denglu Zhou MD ,&nbsp;Qi Mao MM ,&nbsp;Li Xiang MM ,&nbsp;Ning Zhao MM ,&nbsp;Zhe Zhang MD ,&nbsp;Yinpin Zhou MD ,&nbsp;Rong Zhang MD, PhD ,&nbsp;Xiaohui Zhao MD, PhD","doi":"10.1016/j.jjcc.2024.12.006","DOIUrl":"10.1016/j.jjcc.2024.12.006","url":null,"abstract":"<div><h3>Background</h3><div>Patients with diabetes mellitus (DM) are particularly susceptible to contrast-associated acute kidney injury (CA-AKI). However, few studies have evaluated CA-AKI stages in patients with DM following elective percutaneous coronary intervention (PCI) with iodixanol.</div></div><div><h3>Methods</h3><div>Patients with DM who underwent elective PCI in 8 Chinese hospitals from May 2020 to November 2021 were prospectively enrolled in the Iodixanol-Acute Kidney Injury Registry (No. ChiCTR1800016719). According to the European Society of Urogenital Radiation on their CA-AKI diagnosis, and follow-up of major adverse renal and cardiovascular events (MARCE), CA-AKI and prognosis predictors were identified using logistic and Cox multivariable regression, respectively.</div></div><div><h3>Results</h3><div>There were 1120 patients with DM included and the incidence of CA-AKI was 5.8 % (65/1120). However, most CA-AKI patients were at acute kidney injury stage 1 (96.9 %, 63/65). The dose of iodixanol was not an independent risk factor for CA-AKI, however, a hemoglobin level &lt;110 g/L, a left ventricular ejection fraction (LVEF) &lt;40 %, an estimated glomerular filtration rate &lt;60 mL/min/1.73m², an N-terminal pro-B-type natriuretic peptide level ≥300 pg/mL, and the use of loop diuretics were independent risk factors. Only 3.5 % (39/1120) of patients experienced MARCE. Hypertension, LVEF &lt;40 %, hemoglobin level &lt;110 g/L, and age &gt;75 years old were independent risk factors for MARCE, while in comparison to indobufen, aspirin is an independent protective factor against MARCE in diabetic patients.</div></div><div><h3>Conclusions</h3><div>The incidence of CA-AKI in patients with DM who underwent PCI was low, mostly associated with mild renal impairment, and therefore did not increase the risk of MARCE.</div></div>","PeriodicalId":15223,"journal":{"name":"Journal of cardiology","volume":"86 1","pages":"Pages 48-55"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142983594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of glucagon-like peptide-1 receptor agonists in HFpEF and obesity without diabetes mellitus","authors":"Aravinthan Vignarajah MD ,&nbsp;Jia Yean Thong MBBS ,&nbsp;Min Choon Tan MD ,&nbsp;Nishanthi Vigneswaramoorthy MD ,&nbsp;Senthil Anand MD ,&nbsp;Justin Z. Lee MD","doi":"10.1016/j.jjcc.2025.02.017","DOIUrl":"10.1016/j.jjcc.2025.02.017","url":null,"abstract":"","PeriodicalId":15223,"journal":{"name":"Journal of cardiology","volume":"86 1","pages":"Pages 88-89"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143482947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Author's reply","authors":"Takashi Unoki MD ,&nbsp;Keita Saku MD, PhD","doi":"10.1016/j.jjcc.2025.03.016","DOIUrl":"10.1016/j.jjcc.2025.03.016","url":null,"abstract":"","PeriodicalId":15223,"journal":{"name":"Journal of cardiology","volume":"86 1","pages":"Pages 116-117"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}