Revista espanola de cardiologia最新文献_第2页

Intervención coronaria percutánea guiada por tomografía de coherencia óptica frente a guiada por ecografía intravascular en pacientes con infarto agudo de miocardio 急性心肌梗死患者在光学相干断层扫描引导下进行经皮冠状动脉介入治疗与在血管内超声引导下进行经皮冠状动脉介入治疗的比较

IF 5.9 2区医学

Revista espanola de cardiologia Pub Date : 2024-08-01 DOI: 10.1016/j.recesp.2023.11.017

{"title":"Intervención coronaria percutánea guiada por tomografía de coherencia óptica frente a guiada por ecografía intravascular en pacientes con infarto agudo de miocardio","authors":"","doi":"10.1016/j.recesp.2023.11.017","DOIUrl":"10.1016/j.recesp.2023.11.017","url":null,"abstract":"<div><h3>Introduction and objectives</h3><p>Optical coherence tomography (OCT)-guided percutaneous coronary intervention (PCI) yields clinical outcomes comparable to intravascular ultrasound (IVUS)-guided PCI in patients with stable ischemic heart disease. However, there is a scarcity of data comparing the clinical outcomes of OCT-guided and IVUS-guided PCI in the setting of acute myocardial infarction (AMI). We sought to compare the clinical outcomes of OCT-guided vs IVUS-guided PCI for patients with AMI in the era of second-generation drug-eluting stent (DES).</p></div><div><h3>Methods</h3><p>We identified 5260 consecutive patients who underwent PCI with a second-generation DES for AMI under IVUS or OCT guidance from pooled data derived from a series of Korean AMI registries between 2011 and 2020. The primary endpoint was the 1-year rate of target lesion failure, defined as a composite of cardiac death, target vessel myocardial infarction, or ischemia-driven target lesion revascularization.</p></div><div><h3>Results</h3><p>A total of 535 (10.2%) and 4725 (89.8%) patients were treated under OCT and IVUS guidance, respectively. The 1-year target lesion failure rates were comparable between the OCT and IVUS groups before and after propensity score matching (hazard ratio, 0.92; 95%<span>C</span>I, 0.42-2.05, <em>P</em>     <!-->mm.</p></div><div><h3>Conclusions</h3><p>OCT-guided PCI in patients with AMI treated with a second-generation DES provided comparable clinical outcomes for 1-year target lesion failure compared with IVUS-guided PCI.</p></div>","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":null,"pages":null},"PeriodicalIF":5.9,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140274287","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}

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Intervención coronaria percutánea guiada por OCT frente a IVUS en pacientes con infarto agudo de miocardio. ¿Tenemos un ganador? 在急性心肌梗死患者中，OCT 引导的经皮冠状动脉介入治疗与 IVUS 比较：我们有赢家吗？

IF 5.9 2区医学

Revista espanola de cardiologia Pub Date : 2024-08-01 DOI: 10.1016/j.recesp.2024.02.002

引用次数: 0

Oclusores del septo auricular Gore como opción para pacientes alérgicos al níquel 镍过敏患者可选择戈尔房间隔封堵器

IF 5.9 2区医学

Revista espanola de cardiologia Pub Date : 2024-08-01 DOI: 10.1016/j.recesp.2024.02.007

引用次数: 0

Nuevas estrategias de prevención del ictus tras ablación con catéter de la fibrilación auricular 心房颤动导管消融术后预防中风的新策略

IF 5.9 2区医学

Revista espanola de cardiologia Pub Date : 2024-08-01 DOI: 10.1016/j.recesp.2024.02.008

引用次数: 0

La respuesta al levosimendán predice la respuesta a la terapia de modulación de la contractilidad cardiaca: un estudio piloto 对左西孟旦的反应可预测对心脏收缩力调节疗法的反应：一项试点研究

IF 5.9 2区医学

Revista espanola de cardiologia Pub Date : 2024-08-01 DOI: 10.1016/j.recesp.2024.02.016

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Agrupación familiar de anomalías coronarias mediante signo de RAC 利用 RAC 符号对冠状动脉异常进行家族聚类

IF 5.9 2区医学

Revista espanola de cardiologia Pub Date : 2024-08-01 DOI: 10.1016/j.recesp.2023.12.011

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Mejorando la calidad de la asistencia desde la Sociedad Española de Cardiología. Resultados del programa SEC-Excelente en insuficiencia cardiaca 西班牙心脏病学会提高医疗质量。SEC-Excelente 计划在心力衰竭领域取得的成果。

IF 5.9 2区医学

Revista espanola de cardiologia Pub Date : 2024-08-01 DOI: 10.1016/j.recesp.2024.02.001

引用次数: 0

Depósitos fibrotrombóticos crónicos: ¿causa o consecuencia de la hipertensión pulmonar? 慢性纤维血栓沉积：肺动脉高压的原因还是结果？

IF 5.9 2区医学

Revista espanola de cardiologia Pub Date : 2024-08-01 DOI: 10.1016/j.recesp.2023.12.014

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La dexmedetomidina mitiga la insuficiencia renal aguda tras la cirugía de revascularización coronaria: un ensayo clínico prospectivo 右美托咪定减轻冠状动脉搭桥术后急性肾功能衰竭：一项前瞻性临床试验

IF 5.9 2区医学

Revista espanola de cardiologia Pub Date : 2024-08-01 DOI: 10.1016/j.recesp.2024.02.004

{"title":"La dexmedetomidina mitiga la insuficiencia renal aguda tras la cirugía de revascularización coronaria: un ensayo clínico prospectivo","authors":"","doi":"10.1016/j.recesp.2024.02.004","DOIUrl":"10.1016/j.recesp.2024.02.004","url":null,"abstract":"<div><h3>Introduction and objectives</h3><p>To evaluate the impact of dexmedetomidine impact on cardiac surgery-associated acute kidney injury (CSA-AKI), kidney function, and metabolic and oxidative stress in patients undergoing coronary artery bypass grafting with heart-lung machine support.</p></div><div><h3>Methods</h3><p>A randomized double-masked trial with 238 participants (50-75 years) undergoing coronary artery bypass grafting was conducted from January 2021 to December 2022. The participants were divided into Dex (n=119) and NS (n = 119) groups. Dex was administered at 0.5 mcg/kg over 10minutes, then 0.4 mcg/kg/h until the end of surgery; the NS group received equivalent saline. Blood and urine were sampled at various time points pre- and postsurgery. The primary outcome measure was the incidence of CSA-AKI, defined as the occurrence of AKI within 96hours after surgery.</p></div><div><h3>Results</h3><p>The incidence of CSA-AKI was significantly lower in the Dex group than in the NS group (18.26% vs 32.46%; <em>P</em>  <.05) and urine volume 24hours after surgery (<em>P</em>  <.01), blood urea nitrogen level at T3–T6 (<em>P</em>  <.01), and lactate level at T3–T4 (<em>P</em>  <!-->.01).</p></div><div><h3>Conclusions</h3><p>Dex reduces CSA-AKI, potentially by regulating metabolic disorders and reducing oxidative stress.</p><p>Registered with the Chinese Clinical Study Registry (No. ChiCTR2100051804).</p></div>","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":null,"pages":null},"PeriodicalIF":5.9,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141041535","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}

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Ecocardiografía transtorácica previa al procedimiento para predecir los resultados de la reparación percutánea de borde a borde en la insuficiencia mitral primaria crónica 术前经胸超声心动图预测慢性原发性二尖瓣反流经皮边缘对边缘修补术的疗效

IF 5.9 2区医学

Revista espanola de cardiologia Pub Date : 2024-08-01 DOI: 10.1016/j.recesp.2023.12.001

{"title":"Ecocardiografía transtorácica previa al procedimiento para predecir los resultados de la reparación percutánea de borde a borde en la insuficiencia mitral primaria crónica","authors":"","doi":"10.1016/j.recesp.2023.12.001","DOIUrl":"10.1016/j.recesp.2023.12.001","url":null,"abstract":"<div><h3>Introduction and objectives</h3><p>Limited data exist on the prognostic usefulness of transthoracic echocardiography preceding MitraClip for chronic primary mitral regurgitation (MR). We evaluated the predictive ability of transthoracic echocardiography in this setting.</p></div><div><h3>Methods</h3><p>A total of 410 patients (median age, 83 years, 60.7% males) were included in the study. The primary outcome was the 1-year composite of all-cause mortality or heart failure hospitalization. Secondary endpoints encompassed individual elements of the primary outcome, the persistence of significant functional impairment or above-moderate MR at 1 year, and above-mild MR at 1-month.</p></div><div><h3>Results</h3><p>The only parameter associated with the risk of the primary outcome was a ventricular end systolic diameter index of ≥ 2.1cm/m2, corresponding to the cohort's 4th quartile (HR, 2.44; 95%CI, 1.09-4.68; P=.022). Concurrently, higher left atrial volume index (LAVi) and a mid-diastolic medial-lateral mitral annular diameter (MAD) equal to or above the cohort's median of 32.2 mm were linked to a higher probability of death and heart failure hospitalization, respectively. LAVi of ≥ 60 mL/m2, above-mild mitral annular calcification, and above-moderate tricuspid regurgitation conferred higher odds of functional class III-IV or above-moderate MR persistence. All variables except LAVi and MAD, as well as indexed mid-diastolic medial-lateral MAD of ≥ 20.2 mm/m2 and mitral effective regurgitant orifice area of ≥ 0.40cm2, were associated with greater-than-mild MR at 1 month.</p></div><div><h3>Conclusions</h3><p>Preprocedural increased indexed left heart dimensions, mainly left ventricular end-systolic diameter index, MAD, mitral annular calcification, mitral effective regurgitant orifice area, and tricuspid regurgitation mark a less favorable course post-MitraClip for chronic primary MR.</p></div>","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":null,"pages":null},"PeriodicalIF":5.9,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140276800","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}

引用次数: 0