Netherlands Heart Journal最新文献

{"title":"2024 European Society of Cardiology guidelines for the management of chronic coronary syndromes : Statement of endorsement by the NVVC.","authors":"Alexander Hirsch, Leo H B Baur, Peter Damman, Marco Guglielmo, Maarten A H van Leeuwen, Sanne Ruigrok, Maik J Grundeken","doi":"10.1007/s12471-026-02059-1","DOIUrl":"10.1007/s12471-026-02059-1","url":null,"abstract":"<p><p>This article discusses the updated 2024 European Society of Cardiology guidelines on chronic coronary syndromes and situates them within the context of Dutch clinical practice. A working group was appointed by the Netherlands Society of Cardiology (Nederlandse Vereniging voor Cardiologie). It consisted of a general cardiologist, interventional cardiologists, cardiovascular imaging cardiologists, and a representative of the Dutch Heart Foundation (Nederlandse Hartstichting). This document summarizes the key recommendations and includes additional guidance tailored to clinical practice in the Netherlands, focusing on the risk-factor-weighted clinical likelihood model, the choice of non-invasive imaging modality, functional assessment of epicardial artery stenosis during invasive coronary angiography, and angina and ischemia with non-obstructive coronary arteries. It is intended for all healthcare professionals involved in the care of patients with chronic coronary syndromes and has been approved by the Netherlands Society of Cardiology and the Dutch Heart Foundation.</p>","PeriodicalId":18952,"journal":{"name":"Netherlands Heart Journal","volume":" ","pages":"244-253"},"PeriodicalIF":2.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13376111/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148422717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beyond ST elevation: Recognizing STEMI-Equivalent patterns.","authors":"Ana Rodrigo Costa, Joana Laranjeira Correia, Aurora Andrade","doi":"10.1007/s12471-026-02067-1","DOIUrl":"https://doi.org/10.1007/s12471-026-02067-1","url":null,"abstract":"","PeriodicalId":18952,"journal":{"name":"Netherlands Heart Journal","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148584979","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}

{"title":"Beyond ST elevation: Recognizing STEMI-Equivalent patterns.","authors":"Ana Rodrigo Costa, Joana Laranjeira Correia, Aurora Andrade","doi":"10.1007/s12471-026-02066-2","DOIUrl":"https://doi.org/10.1007/s12471-026-02066-2","url":null,"abstract":"","PeriodicalId":18952,"journal":{"name":"Netherlands Heart Journal","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148584982","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}

{"title":"Where is the tachycardia? Cardiac tamponade in severe hypothyroidism.","authors":"Ilire Imeri, Edgard Prihadi","doi":"10.1007/s12471-026-02068-0","DOIUrl":"https://doi.org/10.1007/s12471-026-02068-0","url":null,"abstract":"","PeriodicalId":18952,"journal":{"name":"Netherlands Heart Journal","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148536174","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}

{"title":"Beyond the catheter: patient selection and pathways in complex interventional cardiology.","authors":"Pim van der Harst","doi":"10.1007/s12471-026-02056-4","DOIUrl":"10.1007/s12471-026-02056-4","url":null,"abstract":"","PeriodicalId":18952,"journal":{"name":"Netherlands Heart Journal","volume":" ","pages":"199"},"PeriodicalIF":2.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13216354/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147974173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exercise-induced ventricular tachycardia in a young adult: what lies beneath?","authors":"Ana Sofia Nogueira Fernandes, Rui Pedro Files Flores, Sérgia Andreia Alves Rodrigues da Rocha Costa","doi":"10.1007/s12471-026-02037-7","DOIUrl":"10.1007/s12471-026-02037-7","url":null,"abstract":"","PeriodicalId":18952,"journal":{"name":"Netherlands Heart Journal","volume":" ","pages":"236-237"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13216372/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147645720","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of a multidisciplinary clinical pathway on the management of spontaneous coronary artery dissection.","authors":"Jin Al-Gully, Jessica P Forouzanfar, Jose M Montero-Cabezas, Jeroen Eikenboom, Paul L den Exter, Sophie Ter Haar, Bart Scheenstra, Melina C den Haan, Frank van der Kley, J Wouter Jukema, Brian O Bingen, Ibtihal Al Amri","doi":"10.1007/s12471-026-02050-w","DOIUrl":"10.1007/s12471-026-02050-w","url":null,"abstract":"<p><strong>Aim: </strong>To evaluate the clinical impact of a dedicated multidisciplinary spontaneous coronary artery dissection (SCAD) care pathway compared with standard acute coronary syndrome management, focusing on safety, treatment patterns, clinical outcomes, and recurrence rates in patients with SCAD.</p><p><strong>Methods: </strong>In this retrospective observational cohort study, 117 SCAD patients were included: 63 managed within a SCAD-specific care pathway and 54 receiving standard care prior to or independent of its implementation. The SCAD pathway included protocolized angiographic diagnosis, conservative management when feasible, individualized medical therapy, screening for fibromuscular dysplasia (FMD) and systemic disorders, and SCAD-specific rehabilitation with structured follow-up. The primary endpoint was major adverse cardiovascular events (MACE) at 1‑year follow-up.</p><p><strong>Results: </strong>Patients in the SCAD pathway group were more often managed conservatively in the acute setting (76% vs. 24%, p < 0.001), had significantly lower rates of stent implantation (8% vs. 65%, p < 0.001), and were less frequently prescribed dual antiplatelet therapy (19% vs. 96%, p < 0.001). At 12-month follow-up, beta-blocker adherence was higher (76% vs. 41%, p < 0.001), aspirin use was lower (38% vs. 59%, p < 0.001), and recurrent SCAD occurred numerically less often but not statistically significantly (3% vs. 9%, p = 0.231). MACE rates were similar between groups, and no deaths occurred. FMD screening was more common in the pathway group (92% vs. 17%, p < 0.001), facilitating diagnosis and tailored long-term therapy.</p><p><strong>Conclusion: </strong>Implementation of a standardized SCAD care pathway was associated with a safe conservative approach, more targeted secondary prevention, improved beta-blocker adherence, and a trend toward fewer recurrent SCAD events. These findings support integration of SCAD-specific multidisciplinary care into routine clinical practice to improve diagnostic precision and long-term outcomes.</p>","PeriodicalId":18952,"journal":{"name":"Netherlands Heart Journal","volume":" ","pages":"225-235"},"PeriodicalIF":2.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13216445/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147964307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exercise-induced ventricular tachycardia in a young adult: what lies beneath?","authors":"Ana Sofia Nogueira Fernandes, Rui Pedro Files Flores, Sérgia Andreia Alves Rodrigues da Rocha Costa","doi":"10.1007/s12471-026-02043-9","DOIUrl":"10.1007/s12471-026-02043-9","url":null,"abstract":"","PeriodicalId":18952,"journal":{"name":"Netherlands Heart Journal","volume":" ","pages":"241-242"},"PeriodicalIF":2.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13216352/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147645745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dedicated versus non-dedicated transcatheter valves for pure native aortic regurgitation: a single-centre experience.","authors":"Lucas Uchoa de Assis, Antigone Kostea, Andrea Mariani, Giulio M Mondellini, Mark M P van den Dorpel, Isabella Kardys, Joost Daemen, Rutger-Jan Nuis, Nicolas M Van Mieghem","doi":"10.1007/s12471-026-02048-4","DOIUrl":"10.1007/s12471-026-02048-4","url":null,"abstract":"<p><strong>Background: </strong>Aortic regurgitation (AR) is the third most common valvular heart disease in the Western world. Management of high-surgical-risk patients is challenging. The absence of calcifications in the aortic valve presents anchoring challenges for transcatheter aortic valve implantation (TAVI) in patients with severe native AR. The Trilogy device is a dedicated transcatheter heart valve for the treatment of AR and anchors by clipping onto the native aortic valve leaflets. Real-world data comparing dedicated vs. non-dedicated THVs remains scarce.</p><p><strong>Methods: </strong>We evaluated 42 consecutive high- or prohibitive-surgical-risk patients with pure native AR who underwent transfemoral TAVI. Twenty-one patients received the Trilogy device, and 21 received non-dedicated transcatheter valves (THV). Co-primary endpoints were device success and early safety at 30 days. Secondary endpoints included valve embolisation, residual moderate-to-severe AR, new pacemaker implantation, mortality, and length of hospital stay.</p><p><strong>Results: </strong>Device success was significantly higher with dedicated THVs (100% vs. 61.9%; p = 0.002). Early safety was comparable (71.4% vs. 61.9%; p = 0.513). There were 4 valve embolisations (9.5%) and two cardiovascular deaths (4.8%) in the non-dedicated group. Residual moderate-to-severe AR was absent in the dedicated cohort and occurred in 2 of 21 non-dedicated cases. Overall, new permanent pacemaker implantation occurred in 19%, with no significant difference between the 2 cohorts (p = 1.00). Median hospital stay was significantly shorter in the dedicated cohort (2 vs. 5 days; p = 0.015).</p><p><strong>Conclusion: </strong>TAVI with the Trilogy valve system had higher device success as compared to non-dedicated valves and should become the preferred transcatheter strategy for patients with severe native AR at high-operative risk.</p>","PeriodicalId":18952,"journal":{"name":"Netherlands Heart Journal","volume":" ","pages":"206-215"},"PeriodicalIF":2.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13216396/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147875136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Coronary angiography in cardiac arrest patients undergoing extracorporeal cardiopulmonary resuscitation.","authors":"Margriet Bogerd, Jarno N R de Haas, Sanne Ten Berg, Luuk C Otterspoor, Bimmer E P M Claessen, Niels J W Verouden, Marcel A M Beijk, Paul Knaapen, Yolande Appelman, Jan Baan, Jorrit S Lemkes, Marije M Vis, Alexander W den Hartog, Maik J Grundeken, Alexander Nap, Ronak Delewi, Alexander P J Vlaar, Annemarie E Engström, José P S Henriques","doi":"10.1007/s12471-026-02049-3","DOIUrl":"10.1007/s12471-026-02049-3","url":null,"abstract":"<p><strong>Background: </strong>The use of extracorporeal cardiopulmonary resuscitation (ECPR) is emerging. In cardiac arrest patients with return of spontaneous circulation (ROSC), the electrocardiogram (ECG) guides the need for immediate coronary angiography (CAG). In ECPR patients, the diagnostic value of the ECG and the role of CAG remain unclear.</p><p><strong>Methods: </strong>This single-centre, retrospective study included all adult ECPR patients admitted to Amsterdam UMC (2018-2024). ECPR was defined as cannulation on venoarterial extracorporeal membrane oxygenation during ongoing continuous or intermittent resuscitation, before sustained ROSC (≥ 20 min). The primary outcome included the presence and extent of coronary artery disease (CAD). Logistic regression was used to identify predictors of undergoing CAG and having a culprit. The impact of CAG on survival was assessed using Cox proportional hazard models and Kaplan-Meier curves.</p><p><strong>Results: </strong>Ninety-two patients (mean age of 53 years, 65% male) were included, with 70% presenting after out-of-hospital cardiac arrest and 52% with an initial shockable rhythm. Survival to discharge was 18%. Survivors more often had intermittent ROSC and were less often obese. CAG was performed in 59%, revealing significant CAD in 94%, multivessel disease in 60%, and a culprit lesion in 78%. Revascularisation occurred in 74%. Among patients with ST-segment elevations, those without CAG had higher in-hospital mortality (HR 4.06, 95%CI 1.72-9.61).</p><p><strong>Conclusion: </strong>The presence of CAD and culprit lesions was high among ECPR patients undergoing CAG. Early CAG was associated with a benefit in patients with ST-segment elevations. Further research is necessary to evaluate the benefit of early CAG in patients without ST-segment elevation.</p>","PeriodicalId":18952,"journal":{"name":"Netherlands Heart Journal","volume":" ","pages":"216-224"},"PeriodicalIF":2.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13216418/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147974189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}