Revista espanola de cardiologia最新文献

{"title":"Bloqueo de la conducción interauricular como consecuencia del aislamiento antral ampliado de las venas pulmonares","authors":"Amaia Martínez León , David Testa Alonso , María Salgado , Minel Soroa , Daniel García-Iglesias , David Calvo","doi":"10.1016/j.recesp.2024.11.018","DOIUrl":"10.1016/j.recesp.2024.11.018","url":null,"abstract":"","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"78 6","pages":"Pages 571-573"},"PeriodicalIF":5.9,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144134696","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":"Desarrollo y puesta en marcha de un plan nacional de salud cardiovascular. Estrategia en salud cardiovascular (ESCAV) española","authors":"Héctor Bueno ,&nbsp;Germán Seara ,&nbsp;María Rosario Azcutia ,&nbsp;María Jesús Rodríguez-García ,&nbsp;Sonia Peláez ,&nbsp;Yolanda Agra ,&nbsp;Carla A. Dueñas ,&nbsp;Pedro Gullón ,&nbsp;Pilar Aparicio Azcárraga ,&nbsp;en representación del Comité Asesor Multidisciplinar de la Estrategia en Salud Cardiovascular del Sistema Nacional de Salud (ESCAV)","doi":"10.1016/j.recesp.2024.11.022","DOIUrl":"10.1016/j.recesp.2024.11.022","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>Cardiovascular disease (CVD) remains the leading cause of death in most countries; however, few specific political actions have been implemented to improve cardiovascular health at both national and international levels. We aimed to describe the methodology used for the development and initial rollout of Spain's Cardiovascular Health Strategy of the National Health System (ESCAV, <em>Estrategia en Salud Cardiovascular del Sistema Nacional de Salud</em>).</div></div><div><h3>Methods</h3><div>A multidisciplinary team comprising diverse stakeholders developed a national strategy to reduce the burden of CVD in Spain. The team used qualitative methodologies to identify and select priorities and design strategic map models.</div></div><div><h3>Results</h3><div>The strategy was structured around a matrix with 6 cross-cutting themes (citizen empowerment; health promotion, prevention, and early CVD detection; comprehensive management of acute and chronic CVD; health care coordination; equity; and knowledge management) and 4 longitudinal lines (ischemic heart disease, heart failure, arrhythmias, and valve disease). The framework was further supported by 3 overarching axes: continuity of care, patient safety, and leveraging of information systems. A total of 27 critical points were selected, leading to the definition of 99 strategic objectives (32 general and 67 specific) and 136 actions through iterative reviews and prioritization. Strategic maps were developed for the overall strategy and for each action line, incorporating 61 indicators to facilitate and monitor the development of the strategy.</div></div><div><h3>Conclusions</h3><div>ESCAV represents one of the most ambitious initiatives aimed at transforming a nation's cardiovascular health. The methods and steps undertaken in this process could serve as a valuable reference for other countries seeking to establish similar initiatives. Furthermore, it may act as a catalyst to advance efforts toward establishing a European plan for cardiovascular health.</div></div>","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"78 7","pages":"Pages 628-636"},"PeriodicalIF":5.9,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144481500","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":"Prevención cardiovascular primaria y secundaria en los ciclos vitales de la mujer. Documento de consenso de la SEC-GT ECV en la Mujer, ACP-SEC, SEGO, AEEM, SEEN, semFYC, SEMERGEN, AEP y AEM","authors":"Antonia Sambola ,&nbsp;Raquel Campuzano ,&nbsp;Almudena Castro ,&nbsp;María Goya ,&nbsp;Pluvio Coronado ,&nbsp;Rosa Fernández-Olmo ,&nbsp;Miguel Ángel María-Tablado ,&nbsp;Carolina Ortiz-Cortés ,&nbsp;Xènia Ortolà ,&nbsp;Vicente Pallarés-Carratalá ,&nbsp;Antonia Pijuan-Domenech ,&nbsp;Rosa M. Plata ,&nbsp;Rosa María Sánchez-Hernández ,&nbsp;José Manuel Siurana ,&nbsp;Càtia Timoteo ,&nbsp;Begoña Viejo-Hernández","doi":"10.1016/j.recesp.2025.01.015","DOIUrl":"10.1016/j.recesp.2025.01.015","url":null,"abstract":"<div><div>This consensus document on cardiovascular disease in women summarizes the views of a panel of experts organized by the Working Group on Women and Cardiovascular Disease of the Spanish Society of Cardiology (SEC-GT CVD in Women), and the Association of Preventive Cardiology of the SEC (ACP-SEC). The document was developed in collaboration with experts from various Spanish societies and associations: the Spanish Society of Gynecology and Obstetrics (SEGO), the Spanish Society of Endocrinology and Nutrition (SEEN), the Spanish Association for the Study of Menopause (AEEM), the Spanish Association of Pediatrics (AEP), the Spanish Society of Primary Care Physicians (SEMERGEN), the Spanish Society of Family and Community Medicine (semFYC), and the Spanish Association of Midwives (AEM). The document received formal approval from the SEC. This consensus serves as a guide for the clinical community on the diagnostic approach and management of cardiovascular health during the stages or life cycles of women: adolescence, the menopausal transition, postpartum disorders, and other gynecologic conditions. It is based on current evidence and best available practices.</div></div>","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"78 7","pages":"Pages 639-651"},"PeriodicalIF":5.9,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144481502","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":"Asociación entre enfermedades autoinmunitarias y mortalidad por cualquier causa en pacientes con arritmias cardiacas","authors":"Le Li,&nbsp;Lingmin Wu,&nbsp;Zhicheng Hu,&nbsp;Limin Liu,&nbsp;Likun Zhou,&nbsp;Zhuxin Zhang,&nbsp;Minghao Zhao,&nbsp;Yulong Xiong,&nbsp;Zhenhao Zhang,&nbsp;Lihui Zheng,&nbsp;Ligang Ding,&nbsp;Yan Yao","doi":"10.1016/j.recesp.2024.12.004","DOIUrl":"10.1016/j.recesp.2024.12.004","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>Autoimmune diseases (ADs) are associated with an increased risk of developing certain cardiac arrhythmias. However, their prognostic effect in patients with cardiac arrhythmias has not been comprehensively investigated. We aimed to assess the association between ADs and prognosis in this population.</div></div><div><h3>Methods</h3><div>Based on a large retrospective observational cohort, this study included patients with various cardiac arrhythmias, including atrial fibrillation/atrial flutter (AF/AFl), ventricular tachycardia/ventricular fibrillation (VT/VF), and bradyarrhythmias. ADs were considered an exposure factor. The endpoint was all-cause mortality. Cox proportional hazards regression analyses were performed to calculate hazard ratios (HR) and 95% confidence intervals (95%CI) to quantify associations. Propensity score matching was used to mitigate potential confounding bias.</div></div><div><h3>Results</h3><div>The analysis included 14 225 patients (mean age, 73.9<!--> <!-->±<!--> <!-->12.5 years, 59.2% women), of whom 4552 (32.0%) died within 1 year of discharge. After adjustment for various covariates, patients with ADs showed a higher risk of mortality in AF/AFl (HR, 1.23; 95%CI, 1.1-1.33; <em>P</em> <!-->&lt;<!--> <!-->.001) and VT/VF (HR, 1.28; 95%CI, 1.02-1.60, <em>P</em> <!-->=<!--> <!-->.032). For bradyarrhythmias, although a potential association was observed, the trend did not reach statistical significance (HR, 1.20; 95%CI, 0.93-1.56; <em>P</em> <!-->=<!--> <!-->.168). The association persisted among multiple sensitivity analyses and remained consistent after adjustment for a wide range of covariates.</div></div><div><h3>Conclusions</h3><div>ADs were significantly associated with an increased risk of all-cause mortality in patients with cardiac arrhythmias, particularly in those with AF/AFl and VT/VF.</div></div>","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"78 7","pages":"Pages 609-617"},"PeriodicalIF":5.9,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144481498","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":"Cierre percutáneo de fístulas coronarias múltiples: una clasificación anatómica basada en la angiografía por tomografía computarizada coronaria","authors":"Peijian Wei ,&nbsp;Yihang Li ,&nbsp;Fengwen Zhang ,&nbsp;Zhongying Xu ,&nbsp;Liang Xu ,&nbsp;Junyi Wan ,&nbsp;Shiguo Li ,&nbsp;Wenbin Ouyang ,&nbsp;Shouzheng Wang ,&nbsp;Gejun Zhang ,&nbsp;Gary Tse ,&nbsp;Jeffrey Shi Kai Chan ,&nbsp;Fang Fang ,&nbsp;Xiangbin Pan","doi":"10.1016/j.recesp.2024.06.012","DOIUrl":"10.1016/j.recesp.2024.06.012","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>This study aimed to retrospectively analyze the anatomical characteristics and classification of multiple coronary artery fistulas (MCAFs), and to compare the outcomes of transcatheter closure between MCAFs and single fistulas.</div></div><div><h3>Methods</h3><div>All patients who underwent attempts at transcatheter closure of coronary artery fistulas (CAFs) at Fuwai Hospital from 2010 to 2023 were retrospectively reviewed. Patients were categorized into single fistula and MCAFs groups, and anatomical characteristics and transcatheter closure outcomes were compared between the 2 groups.</div></div><div><h3>Results</h3><div>This retrospective study included 146 patients who underwent attempted transcatheter closure of CAFs, with a 14.38% failure rate. Among the 146 patients with CAFs, 32.19% were identified as having MCAFs, with types I, II, and III constituting 40.43%, 42.55%, and 17.02%, respectively. Unlike single fistulas, which predominantly originated from the right coronary artery and terminated in the left ventricle, MCAFs mainly had simultaneous origins from the right coronary artery and left anterior descending artery (29.79%), and predominantly drained into the pulmonary artery (70.21%), with a notable prevalence of plexus-like morphology (38.3% vs 2.02%, <em>P</em> <!-->&lt;<!--> <!-->.001). The success rate of transcatheter closure was significantly lower for multiple fistulas compared with single fistula (64.29% vs 84.34%, <em>P</em> <!-->=<!--> <!-->.011). Multivariate regression analysis indicated that the risk of closure failure for MCAFs was 2.64 times that of single fistulas.</div></div><div><h3>Conclusions</h3><div>MCAFs are common among CAFs and can be classified into 3 types based on the number and location of their origins and terminations. The risk of failure of transcatheter closure is significantly higher in MCAFs than in single fistulas.</div></div>","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"78 3","pages":"Pages 206-217"},"PeriodicalIF":5.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143507968","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":"Avances en nutrición de precisión y enfermedades cardiometabólicas","authors":"Miguel A. Martínez-González ,&nbsp;Francisco J. Planes ,&nbsp;Miguel Ruiz-Canela ,&nbsp;Estefanía Toledo ,&nbsp;Ramón Estruch ,&nbsp;Jordi Salas-Salvadó ,&nbsp;Rafael Valdés-Más ,&nbsp;Pedro Mena ,&nbsp;Olga Castañer ,&nbsp;Montse Fitó ,&nbsp;Clary Clish ,&nbsp;Rikard Landberg ,&nbsp;Clemens Wittenbecher ,&nbsp;Liming Liang ,&nbsp;Marta Guasch-Ferré ,&nbsp;Rosa M. Lamuela-Raventós ,&nbsp;Dong D. Wang ,&nbsp;Nita Forouhi ,&nbsp;Cristina Razquin ,&nbsp;Frank B. Hu","doi":"10.1016/j.recesp.2024.09.005","DOIUrl":"10.1016/j.recesp.2024.09.005","url":null,"abstract":"<div><div>A growing body of research on nutrition omics has led to recent advances in cardiovascular disease epidemiology and prevention. Within the PREDIMED trial, significant associations between diet-related metabolites and cardiovascular disease were identified, which were subsequently replicated in independent cohorts. Some notable metabolites identified include plasma levels of ceramides, acyl-carnitines, branched-chain amino acids, tryptophan, urea cycle pathways, and the lipidome. These metabolites and their related pathways have been associated with incidence of both cardiovascular disease and type 2 diabetes. Future directions in precision nutrition research include: <em>a)</em> developing more robust multimetabolomic scores to predict long-term risk of cardiovascular disease and mortality; <em>b)</em> incorporating more diverse populations and a broader range of dietary patterns; and <em>c)</em> conducting more translational research to bridge the gap between precision nutrition studies and clinical applications.</div></div>","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"78 3","pages":"Pages 263-271"},"PeriodicalIF":5.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143507971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Historia clínica electrónica modelo agujero negro. ¡Basta ya!","authors":"Héctor Bueno","doi":"10.1016/j.recesp.2024.11.010","DOIUrl":"10.1016/j.recesp.2024.11.010","url":null,"abstract":"","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"78 3","pages":"Pages 286-287"},"PeriodicalIF":5.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143508121","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":"Tratamiento de la cardiopatía en receptores de trasplante renal: documento de consenso nacional de SET/SEC/SEN basado en una encuesta Delphi","authors":"María Dolores García-Cosío ,&nbsp;Josep María Cruzado ,&nbsp;Marta Farrero ,&nbsp;María Teresa Blasco Peiró ,&nbsp;Marta Crespo ,&nbsp;Juan Francisco Delgado Jiménez ,&nbsp;Beatriz Díaz Molina ,&nbsp;Constantino Fernández Rivera ,&nbsp;Iris Paula Garrido Bravo ,&nbsp;Verónica López Jiménez ,&nbsp;Edoardo Melilli ,&nbsp;Sonia Mirabet Pérez ,&nbsp;María Lourdes Pérez Tamajón ,&nbsp;Diego Rangel Sousa ,&nbsp;Emilio Rodrigo Calabia ,&nbsp;Domingo Hernández Marrero","doi":"10.1016/j.recesp.2024.09.011","DOIUrl":"10.1016/j.recesp.2024.09.011","url":null,"abstract":"<div><div>Renal transplantation improves the survival and quality of life of patients with end-stage renal disease. Cardiovascular disease is the leading cause of morbidity and mortality in renal transplant recipients. The bidirectional relationship between renal and heart disease creates a unique clinical scenario that demands a comprehensive and personalized approach. This expert consensus, drafted by the Spanish Society of Transplantation, the Spanish Society of Cardiology, and the Spanish Society of Nephrology, aims to assess current practices and propose strategies for the management of heart disease in renal transplant recipients. A panel of Spanish nephrologists and cardiologists with expertise in renal and heart transplantation reviewed the scientific evidence concerning the current management of heart disease in renal transplant recipients. Subsequently, consensus statements were created through a 2-round Delphi methodology, resulting in 30 statements covering key topics such as the identification of renal transplant candidates, the management of heart disease in renal transplant recipients, and eligibility for combined heart-kidney transplantation in patients with both end-stage renal disease and cardiac disease. These consensus statements provide expert guidance for the management of heart disease in renal transplant recipients, an area where published clinical evidence remains limited.</div></div>","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"78 3","pages":"Pages 252-262"},"PeriodicalIF":5.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143507970","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":"Comentarios a la guía ESC 2024 para el tratamiento de la enfermedad arterial periférica y aórtica","authors":"Grupo de Trabajo de la SEC para la guía ESC 2024 sobre el diagnóstico y el tratamiento de la enfermedad arterial periférica y aórtica y Comité de Guías de la SEC","doi":"10.1016/j.recesp.2024.10.008","DOIUrl":"10.1016/j.recesp.2024.10.008","url":null,"abstract":"","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"78 3","pages":"Pages 164-169"},"PeriodicalIF":5.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143508086","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":"Importancia pronóstica del acoplamiento ventriculoarterial derecho en pacientes sometidos a cirugía aislada de la válvula tricúspide","authors":"Marcelo Luque ,&nbsp;Isidre Vilacosta ,&nbsp;Manuel Carnero ,&nbsp;Julián Pérez-Villacastín ,&nbsp;Alberto de Agustín ,&nbsp;Eduardo Pozo Osinalde","doi":"10.1016/j.recesp.2024.08.016","DOIUrl":"10.1016/j.recesp.2024.08.016","url":null,"abstract":"","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"78 3","pages":"Pages 279-281"},"PeriodicalIF":5.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143507965","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}