Journal of Cardiovascular Medicine最新文献

{"title":"To be or not to be: a cardiac mass in question.","authors":"Filipe Silva Vilela, Carla Oliveira Ferreira, Inês Conde, Pedro Azevedo, António Gaspar, Rui Flores","doi":"10.2459/JCM.0000000000001850","DOIUrl":"https://doi.org/10.2459/JCM.0000000000001850","url":null,"abstract":"","PeriodicalId":15228,"journal":{"name":"Journal of Cardiovascular Medicine","volume":"27 3","pages":"259-261"},"PeriodicalIF":2.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147491076","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":"Percutaneous therapy for pulmonary embolism: is it time for a 'primary reperfusion' network?","authors":"Antonio Giulio Bruno, Francesco Saia","doi":"10.2459/JCM.0000000000001863","DOIUrl":"https://doi.org/10.2459/JCM.0000000000001863","url":null,"abstract":"","PeriodicalId":15228,"journal":{"name":"Journal of Cardiovascular Medicine","volume":"27 3","pages":"204-206"},"PeriodicalIF":2.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147490931","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":"Balloon-expandable valve vs. self-expandable valve for small aortic annuli: a GRADE-assessed systematic review and updated meta-analysis.","authors":"Umama Alam, Abdul Rehman Shahid, Maria Qadri, Haris Khan, Shree Rath, Krithika Sriram, Adeel Muhammad Yaseen, Maira Shahid, Aleena Amir Malik, Marva Ali, Umeya Faisal, Javeria Javed, Sharmeen Naz, Malik Muhammad Kabir, Rabia Ahmed, Kainat Husain, Fazeela Bibi, Raheel Ahmed","doi":"10.2459/JCM.0000000000001851","DOIUrl":"10.2459/JCM.0000000000001851","url":null,"abstract":"<p><strong>Introduction: </strong>Aortic stenosis is a prevalent and serious heart valve disorder, particularly affecting older adults. A significant subset of these patients presents with small aortic annuli (SAA), complicating the selection of optimal transcatheter aortic valve replacement (TAVR) devices. The comparative efficacy and safety of balloon-expandable valves (BEV) vs. self-expandable valves (SEV) for this subgroup remain uncertain.</p><p><strong>Purpose: </strong>This systematic review and meta-analysis aimed to evaluate and compare the clinical and hemodynamic outcomes of BEV and SEV in patients with SAA undergoing TAVR, using the GRADE approach to assess the certainty of evidence.</p><p><strong>Methods: </strong>A comprehensive electronic search was conducted in PubMed, Embase, Scopus, and other databases up to July 2025. Studies were included if they compared BEV and SEV in patients with SAA. Data extraction and quality assessment followed the Cochrane and PRISMA guidelines. The primary outcomes were new permanent pacemaker implantation and paravalvular leak greater than mild. Secondary outcomes included indexed effective orifice area, mean transvalvular gradient, and prosthesis-patient mismatch (PPM). Random-effects meta-analyses were performed to pool odds ratios (ORs) or mean differences (MDs) with 95% confidence intervals (CIs).</p><p><strong>Results: </strong>Fourteen studies comprising 8451 patients (4797 BEV, 3654 SEV) met the inclusion criteria. There was no significant difference in the risk of severe PPM (OR = 0.61, 95% CI: 0.27-1.37, P = 0.23) or moderate/severe PPM (OR = 0.78, 95% CI: 0.45-1.38, P = 0.40) between BEV and SEV. The mean indexed orifice area did not differ significantly (MD = -0.01, 95% CI: -0.12-0.11, P = 0.93). The risk of new permanent pacemaker implantation was similar between groups (OR = 1.03, 95% CI: 0.67-1.59, P = 0.89). BEV were associated with a near-significant increase in moderate or greater paravalvular leak (OR = 1.39, 95% CI: 1.00-1.93, P = 0.05). Mean transvalvular gradients showed no significant difference (MD = -0.91 mmHg, 95% CI: -3.38-1.57, P = 0.47), though SEV showed a trend toward lower gradients. The certainty of evidence was rated as moderate across most outcomes.</p><p><strong>Conclusion: </strong>In patients with SAA undergoing TAVR, BEV and SEV yield comparable rates of PPM and permanent pacemaker implantation. However, BEV may be associated with a higher risk of moderate or greater paravalvular leak. Valve selection should be individualized, considering patient anatomy and device-specific characteristics to optimize outcomes.</p>","PeriodicalId":15228,"journal":{"name":"Journal of Cardiovascular Medicine","volume":"27 3","pages":"207-220"},"PeriodicalIF":2.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147490823","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":"Balloon-expandable vs. self-expandable valves for small aortic annuli: which valve is better?","authors":"Mohammed AlKasab, Alexandru Patrascu","doi":"10.2459/JCM.0000000000001864","DOIUrl":"https://doi.org/10.2459/JCM.0000000000001864","url":null,"abstract":"","PeriodicalId":15228,"journal":{"name":"Journal of Cardiovascular Medicine","volume":"27 3","pages":"221-223"},"PeriodicalIF":2.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147490853","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":"Should clopidogrel replace aspirin for long-term therapy after percutaneous coronary intervention?","authors":"Antonino Imbesi, Luigi Cutore, Davide Capodanno","doi":"10.2459/JCM.0000000000001840","DOIUrl":"https://doi.org/10.2459/JCM.0000000000001840","url":null,"abstract":"","PeriodicalId":15228,"journal":{"name":"Journal of Cardiovascular Medicine","volume":"27 3","pages":"239-243"},"PeriodicalIF":2.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147490955","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":"Safety of cardiologist-only propofol sedation for elective electrical cardioversion: a retrospective observational study.","authors":"Marco Biasin, Sara Lomi, Laura Pagani, Yari Noacco, Lorenzo Bonadiman, Davide Betta, Luca Callegarin, Giovanni Morani","doi":"10.2459/JCM.0000000000001824","DOIUrl":"10.2459/JCM.0000000000001824","url":null,"abstract":"<p><strong>Aims: </strong>To evaluate the safety and feasibility of elective electrical cardioversion (ECV) performed under deep sedation with propofol administered exclusively by cardiologists, using predefined clinical criteria in a real-world setting without anesthesiologist involvement.</p><p><strong>Methods: </strong>This retrospective single-center study included adult patients who underwent elective ECV for atrial fibrillation or atrial flutter, with intravenous sedation performed using propofol administered exclusively by cardiologists without anesthesiology involvement. Clinical, procedural, and sedation-related data were extracted from electronic health records. Sedation-related adverse events were predefined as follows: hypotension (systolic blood pressure <90 mmHg or requiring fluid/vasopressor support), respiratory depression (oxygen desaturation <90% or need for assisted ventilation), and bradycardia (heart rate <40 bpm or requiring atropine). All events were evaluated according to predefined criteria.</p><p><strong>Results: </strong>A total of 80 patients were included. The mean age was 69.4 ± 7.3 years, and 60 patients (75.0%) were male. The mean weight-adjusted propofol dose was 0.81 ± 0.20 mg/kg. The procedural success rate was 91.2%. Sedation-related adverse events occurred in seven patients (8.8%): hypotension in two (2.5%), respiratory depression in one (1.3%), and bradycardia in four (5.0%). All events were mild, self-limiting, and managed without escalation or anesthesiologist intervention.</p><p><strong>Conclusion: </strong>Cardiologist led administration of propofol for elective ECV appears safe and feasible. This approach may be particularly useful in healthcare systems with limited access to anesthesiology personnel, supporting a resource efficient model of care.</p>","PeriodicalId":15228,"journal":{"name":"Journal of Cardiovascular Medicine","volume":" ","pages":"234-238"},"PeriodicalIF":2.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145998185","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":"Remote monitoring and outcomes in heart failure: 5-year study.","authors":"Massimiliano Marini, Lodovica Videsott, Maddalena Widmann, Silvia Quintarelli, Michele Moretti, Lorenzo Di Spazio, Alessio Coser, Paolo Moggio, Roberto Bonmassari, Giuseppe Boriani","doi":"10.2459/JCM.0000000000001854","DOIUrl":"10.2459/JCM.0000000000001854","url":null,"abstract":"<p><strong>Aim: </strong>Managing heart failure is particularly challenging for patients with cardiac implantable electronic devices (CIEDs), often suffering from chronic conditions. This study aimed to evaluate the clinical outcomes of patients with implantable cardioverter-defibrillators or cardiac resynchronization therapy defibrillators who were remotely monitored over a 5-year period.</p><p><strong>Methods: </strong>Clinical data were sourced from the Electrophysiology Registry of the Cardiology Unit. Survival rates, cardiovascular events (i.e. hospitalization or death), and the risk factors associated with these events were the main focus of the analysis. Univariate survival analyses were performed based on patient characteristics [ischemic disease, age over 75 years, atrial fibrillation, severe chronic kidney disease (CKD)]. Additionally, multivariate survival analysis was conducted using Cox regression.</p><p><strong>Results: </strong>A total of N = 402 patients were included in the analysis. Over the 5-year follow-up, there were N = 68 deaths and N = 190 cardiovascular events. Kaplan-Meier analysis indicated that ischemic disease, age at least 75 years, atrial fibrillation and severe CKD were statistically significant risk factors for both death and cardiovascular events (log-rank test, P < 0.001). Cox regression analysis confirmed that ischemic disease, age 75 years and older, atrial fibrillation, implantation with a CRT-D device and severe CKD were all associated with a significantly higher risk of cardiovascular events and mortality.</p><p><strong>Conclusion: </strong>Despite the proven effectiveness of remote monitoring, the clinical impact of heart failure in patients with CIEDs remains substantial. Continuous enhancements are necessary to facilitate early intervention and improve outcomes for these high-risk groups.</p>","PeriodicalId":15228,"journal":{"name":"Journal of Cardiovascular Medicine","volume":"27 3","pages":"224-233"},"PeriodicalIF":2.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13021130/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147490995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cardiologists' attitudes toward psychological care: a national survey on perceptions, collaboration and barriers.","authors":"Alessandra Gorini, Martina Vigorè, Federica Galli, Gianluca Cruciani, Marianna Liotti, Stefano Triberti, Lucrezia Savioni, Maria Teresa La Rovere, Annalisa Tanzilli, Vittorio Lingiardi, Leonardo De Luca, Alessandro Navazio, Furio Colivicchi, Massimo Grimaldi, Alice Sacco, Fabrizio Oliva","doi":"10.2459/JCM.0000000000001822","DOIUrl":"10.2459/JCM.0000000000001822","url":null,"abstract":"<p><strong>Background: </strong>Despite evidence of a bidirectional relationship between cardiac and mental health, psychological care remains insufficiently integrated into cardiology practice. This study explored cardiologists' perceptions and attitudes toward the role of psychology in cardiovascular disease (CVD) care.</p><p><strong>Methods: </strong>We conducted an online cross-sectional survey of cardiologists affiliated with the Italian National Association of Hospital Cardiologists (ANMCO). The questionnaire assessed their experiences with psychologists, attitudes toward managing psychological distress in CVD, perceived barriers to referral, and attitudes toward psychological help.</p><p><strong>Results: </strong>Of 268 cardiologists who accessed the survey, 218 (mean age 54.0 ± 13.8 years) completed it. Although 96.3% acknowledged the relevance of psychological factors to CVD management and treatment, 33.9% reported never having collaborated with a psychologist, and 39.0% reported withholding psychological referrals despite recognizing patient need. Major barriers included concern that patients might interpret a referral as minimization of somatic symptoms or that it could reinforce stigma. Overall, 64.2% had never received training on psychological aspects of CVD, although interest in such training was high (≥82.6%). Prior collaboration with psychologists and more positive help-seeking attitudes were associated with greater perceived usefulness of psychological care.</p><p><strong>Conclusions: </strong>Cardiologists recognize the importance of psychological factors, yet educational, structural, and cultural barriers limit the integration of psychological interventions into cardiovascular care. Targeted training, clear communication strategies, and stronger interprofessional collaboration may improve patient outcomes and advance a biopsychosocial approach in cardiology.</p>","PeriodicalId":15228,"journal":{"name":"Journal of Cardiovascular Medicine","volume":"27 3","pages":"244-248"},"PeriodicalIF":2.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147490945","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":"The missing link in heart failure: a case of cobalt cardiomyopathy uncovered through medical history.","authors":"Jesús Rivera-Del-Amo, Paula Bolea-Ramos, William Delgado-Nava, Pablo Andres-Cano, José Antonio Girón-González, César Jimenez-Mendez","doi":"10.2459/JCM.0000000000001843","DOIUrl":"10.2459/JCM.0000000000001843","url":null,"abstract":"","PeriodicalId":15228,"journal":{"name":"Journal of Cardiovascular Medicine","volume":"27 2","pages":"176-177"},"PeriodicalIF":2.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146213311","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":"Cardiogenic shock in Takotsubo syndrome: from drugs to devices, toward pathophysiology-guided care.","authors":"Francesco Santoro, Matilde Di Peppo, Giuseppe D'Elia, Venere Perrini, Natale Daniele Brunetti","doi":"10.2459/JCM.0000000000001842","DOIUrl":"10.2459/JCM.0000000000001842","url":null,"abstract":"","PeriodicalId":15228,"journal":{"name":"Journal of Cardiovascular Medicine","volume":"27 2","pages":"133-135"},"PeriodicalIF":2.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146213330","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}