Revista espanola de cardiologia最新文献

{"title":"Reemplazo percutáneo valvular mitral. El inicio de una nueva era","authors":"Ángel Sánchez-Recalde, Ariana González-Gómez, Covadonga Fernández-Golfín, Luisa Salido-Tahoces, Eduardo Martín Montero, José L. Zamorano","doi":"10.1016/j.recesp.2025.12.004","DOIUrl":"10.1016/j.recesp.2025.12.004","url":null,"abstract":"","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"79 8","pages":"Pages 723-726"},"PeriodicalIF":4.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148660490","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":"Tomografía computarizada frente a cardiorresonancia magnética para la cuantificación del realce tardío miocárdico","authors":"Cristina García-Sebastián, Juan Manuel Monteagudo Ruiz, Sonia Antoñana Ugalde, Javier Moreno, José Luis Zamorano, Covadonga Fernández-Golfín","doi":"10.1016/j.recesp.2025.12.005","DOIUrl":"10.1016/j.recesp.2025.12.005","url":null,"abstract":"","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"79 8","pages":"Pages 726-729"},"PeriodicalIF":4.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148634232","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":"Trabajo en equipo para la reanimación cardiopulmonar con ECMO-VA: un buen aliado en la parada cardiaca extrahospitalaria refractaria","authors":"Carlos Roca-Guerrero, Oreste Lanza, Teresa López-Sobrino, Elena Sandoval-Martínez, Silvia Pérez-Ortega, Rut Andrea","doi":"10.1016/j.recesp.2025.12.003","DOIUrl":"10.1016/j.recesp.2025.12.003","url":null,"abstract":"","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"79 8","pages":"Pages 721-723"},"PeriodicalIF":4.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148660486","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":"Implante de stents en la coartación aórtica de población joven: la altura importa","authors":"Andrea Amici,&nbsp;Ga-Lem Bethge-Ng,&nbsp;Peter Ewert,&nbsp;Katarzyna Gendera,&nbsp;Stanimir Georgiev,&nbsp;Andreas Eicken,&nbsp;Maria von Stumm,&nbsp;Felix Berger,&nbsp;Pinar Bambul-Heck","doi":"10.1016/j.recesp.2025.12.015","DOIUrl":"10.1016/j.recesp.2025.12.015","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>Stent implantation is an established treatment for aortic coarctation (CoA) in adults. In pediatric patients, however, ongoing somatic growth necessitates repeated stent redilations, and the optimal timing of these procedures remains undefined. This retrospective study aimed to identify an objective association between stent diameter and body growth parameters, thereby providing a basis for prognostic assessment and structured planning of redilation strategies.</div></div><div><h3>Methods</h3><div>In the derivation cohort, all stent implantations and redilations performed in 155 patients younger than 20 years with CoA at a tertiary center were analyzed (218 interventions; median age 10.1 years, IQR, 3.4-14.4). The findings were subsequently validated in an independent validation cohort from another tertiary center, comprising 198 patients (323 interventions; median age 7.5 years, IQR, 1.3-14.6).</div></div><div><h3>Results</h3><div>To assess the association between stent diameter and body growth parameters, correlation analyses were performed. Despite interindividual variability, a significant linear correlation between stent diameter and body height was identified (τ: 0.737, <em>P</em> <!-->≤<!--> <!-->.001) and this finding was confirmed in the validation cohort. Based on this relationship, a formula, f(x)<!--> <!-->=<!--> <!-->0.0831<!--> <!-->·<!--> <!-->x<!--> <!-->+<!--> <!-->1.86, where x represents body height, was derived to estimate the appropriate stent diameter. This formula yields minimum and maximum reference body heights for each stent diameter, which are reached at different ages depending on individual growth velocity. These results were subsequently translated into sex-specific reference tables.</div></div><div><h3>Conclusions</h3><div>The derived formula enables prediction of the required stent diameter and the anticipated number of subsequent catheter-based procedures, thereby supporting rapid estimation of intervention timing throughout somatic growth.</div></div>","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"79 8","pages":"Pages 670-679"},"PeriodicalIF":4.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148647182","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":"Abordaje percutáneo secuencial en insuficiencia tricuspídea carcinoide","authors":"María Fernández,&nbsp;Isaac Pascual,&nbsp;Pablo Avanzas","doi":"10.1016/j.recesp.2026.04.005","DOIUrl":"10.1016/j.recesp.2026.04.005","url":null,"abstract":"","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"79 8","pages":"Pages 734-735"},"PeriodicalIF":4.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148660492","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":"Evaluación de la probabilidad clínica ponderada por factores de riesgo y por puntuación de calcio coronario como cribado para pruebas avanzadas de isquemia","authors":"Simon M. Frey,&nbsp;Igor G. Schneider,&nbsp;Ann-Sophie Otto,&nbsp;Florian M. Geiser,&nbsp;Fiona Nafaa,&nbsp;Gabrielle Huré,&nbsp;Jinju Elavathingal,&nbsp;Karolina Sobolewska,&nbsp;Klara Rumora,&nbsp;Damian Wild,&nbsp;Philip Haaf,&nbsp;Felix Mahfoud,&nbsp;Christian E. Mueller,&nbsp;Michael J. Zellweger","doi":"10.1016/j.recesp.2025.12.010","DOIUrl":"10.1016/j.recesp.2025.12.010","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>Gatekeeper strategies using risk factor-weighted clinical likelihood (RF-CL), alone or combined with coronary artery calcium score-weighted clinical likelihood (CACS-CL), may reduce the number of normal scans, radiation exposure, and health care costs.</div></div><div><h3>Methods</h3><div>Three diagnostic algorithms based on RF-CL and CACS-CL were evaluated in 1792 patients (mean age 65<!--> <!-->± 11 years; 43% female) referred for rubidium-82 (⁸²Rb) positron emission tomography (PET). Algorithm 1 deferred testing if RF-CL ≤ 5%. Algorithm 2 reclassified patients with RF-CL &gt;<!--> <!-->5%-15% using CACS-CL and deferred testing if either RF-CL or CACS-CL was ≤ 5%. Algorithm 3 deferred testing if CACS-CL ≤ 5%. Missed diagnoses, normal scans, radiation exposure, and costs were compared with the current reference standard (CACS<!--> <!-->+<!--> <!-->PET). Endpoints were defined as small ischemia (summed difference score [SDS] ≥ 2) and relevant ischemia (≥ 10% of the myocardium).</div></div><div><h3>Results</h3><div>Median RF-CL and CACS-CL were 11% [6-19] and 12% [3-28], respectively. Algorithm 1 reduced radiation exposure and costs by 22.0% while maintaining high gatekeeper performance (sensitivity/negative predictive value [NPV]: 92.7%/98.2%). Algorithm 2 deferred the largest proportion of patients (36.4%) but missed small ischemia in 2.0%. Algorithm 3 demonstrated the best overall gatekeeper performance, reducing radiation exposure by 28.7% and costs by 29.7% without compromising diagnostic accuracy (sensitivity/NPV: 93.2%/98.4% for small ischemia and 97.0%/99.7% for relevant ischemia).</div></div><div><h3>Conclusions</h3><div>Refining RF-CL in all patients and deferring testing when CACS-CL ≤ 5% provided the most effective gatekeeper strategy in patients with suspected chronic coronary syndromes.</div></div>","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"79 8","pages":"Pages 658-666"},"PeriodicalIF":4.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148647177","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":"¿La reparación percutánea de borde a borde puede cambiar el paradigma en la insuficiencia mitral aguda grave? Un enfoque basado en el mecanismo fisiopatológico","authors":"Itshak Amsalem,&nbsp;Mony Shuvy","doi":"10.1016/j.recesp.2026.02.010","DOIUrl":"10.1016/j.recesp.2026.02.010","url":null,"abstract":"","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"79 8","pages":"Pages 654-657"},"PeriodicalIF":4.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148647178","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":"Crecimiento de las arterias pulmonares en Fontan: ¿cuál es la estrategia más eficaz?","authors":"Neil Derridj,&nbsp;Manon Hily,&nbsp;Olivier Raisky,&nbsp;Regis Gaudin,&nbsp;Mathilde Méot,&nbsp;Lucile Houyel,&nbsp;Sophie Malekzadeh Milani,&nbsp;Damien Bonnet","doi":"10.1016/j.recesp.2025.11.018","DOIUrl":"10.1016/j.recesp.2025.11.018","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>To model the growth of pulmonary artery (PA) branches in children with a functionally univentricular heart between the Glenn procedure and total cavopulmonary connection (TCPC) and to assess whether anterograde pulmonary blood flow (APBF) promotes growth and influences morbidity and mortality.</div></div><div><h3>Methods</h3><div>Patients with a functionally univentricular heart who underwent cardiac catheterization prior to Glenn and TCPC between 2004 and 2024 were included. Growth was assessed by comparing pre-Glenn and pre-TCPC cross-sectional areas. PA growth was modeled using linear regression.</div></div><div><h3>Results</h3><div>A total of 180 children with a median follow-up of 8.8 years were included: 64 (35.6%) had maintained APBF. PA growth was linear over time (fractional polynomials; <em>P</em> <!-->=<!--> <!-->.20), with an estimated β<!--> <!-->=<!--> <!-->11.6<!--> <!-->mm/y; 95%<span>C</span>I, 5.8-17.4<!--> <!-->mm²/y. Maintaining APBF was independently associated with increased PA growth (β<!--> <!-->=<!--> <!-->50.9<!--> <!-->mm; 95%CI, 25.3-76.5<!--> <!-->mm²; <em>P</em> &lt;<!--> <!-->.01), independent of TCPC timing. The multivariable model explained 21% of the variance in PA branch growth. Nine-year survival did not differ significantly between the APBF and non-APBF groups: 86.7% (95%CI, 71.9-93.9) vs 73.4% (95%CI, 61.3-82.3), respectively (<em>P</em> <!-->=<!--> <!-->.21). Morbidity outcomes, including length of hospital stay, hemodynamic contraindications to fenestration closure, and Fontan failure rates, were similar between groups.</div></div><div><h3>Conclusions</h3><div>PA growth between the Glenn procedure and TCPC is substantial and can be considered linear, suggesting that delaying TCPC optimizes growth potential. Maintaining APBF accelerates PA growth without increasing morbidity or mortality. Due to considerable interindividual variability, these findings are most meaningful at a group level and should be interpreted with caution when applied to individual patients.</div></div>","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"79 7","pages":"Pages 582-589"},"PeriodicalIF":4.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148544296","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":"Índice diastólico instantáneo sin ondas positivo difuso en la arteria descendente anterior: pronóstico a largo plazo con tratamiento médico","authors":"Jorge Perea-Armijo,&nbsp;Adriana Resúa-Collazo,&nbsp;Javier Herrera-Flores,&nbsp;Javier Suárez de Lezo,&nbsp;Soledad Ojeda,&nbsp;Manuel Pan-Álvarez","doi":"10.1016/j.recesp.2025.11.012","DOIUrl":"10.1016/j.recesp.2025.11.012","url":null,"abstract":"","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"79 7","pages":"Pages 643-645"},"PeriodicalIF":4.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148544289","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":"Influencia del sexo en la cirugía de disección aórtica aguda de tipo A: supervivencia y episodios cardiovasculares a medio plazo","authors":"Yolanda Carrascal,&nbsp;Javier Gómez-Pilar,&nbsp;Rocío Bernal,&nbsp;Irene Velasco,&nbsp;Bárbara Segura-Méndez","doi":"10.1016/j.recesp.2025.12.002","DOIUrl":"10.1016/j.recesp.2025.12.002","url":null,"abstract":"","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"79 7","pages":"Pages 647-650"},"PeriodicalIF":4.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148544298","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}