Carmen Arveras Martínez, Francisco Ribes Tur, Blanca Trejo Velasco, Víctor Pérez Roselló, Clara Gunturiz-Beltrán, Alejandro Bellver Navarro
{"title":"Terapia de resincronización cardiaca optimizada en la rama izquierda: repercusiones en el electrocardiograma y la función ventricular izquierda","authors":"Carmen Arveras Martínez, Francisco Ribes Tur, Blanca Trejo Velasco, Víctor Pérez Roselló, Clara Gunturiz-Beltrán, Alejandro Bellver Navarro","doi":"10.1016/j.recesp.2024.06.009","DOIUrl":"10.1016/j.recesp.2024.06.009","url":null,"abstract":"","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"78 1","pages":"Pages 64-66"},"PeriodicalIF":5.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143321381","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}
Luis Fernández González , Roberto Blanco Mata , Josune Arriola Meabe , Maite Luis García , Javier Ayala Curiel , Juan Alcibar Villa
{"title":"Valvuloplastia percutánea en cardiopatías congénitas con limitación extrema del flujo pulmonar","authors":"Luis Fernández González , Roberto Blanco Mata , Josune Arriola Meabe , Maite Luis García , Javier Ayala Curiel , Juan Alcibar Villa","doi":"10.1016/j.recesp.2024.07.001","DOIUrl":"10.1016/j.recesp.2024.07.001","url":null,"abstract":"","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"78 1","pages":"Pages 68-71"},"PeriodicalIF":5.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141844568","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}
Hongyu Chen , Haoxian Tang , Xuan Zhang , Jingtao Huang , Nan Luo , Qingqian Guo , Xin Wang
{"title":"La adherencia al Life's Essential 8 se asocia con un retraso en el envejecimiento biológico: un estudio transversal poblacional","authors":"Hongyu Chen , Haoxian Tang , Xuan Zhang , Jingtao Huang , Nan Luo , Qingqian Guo , Xin Wang","doi":"10.1016/j.recesp.2024.04.004","DOIUrl":"10.1016/j.recesp.2024.04.004","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>The aim of this study was to explore the potential of adhering to the American Heart Association's updated Life's Essential 8 (LE8) scores in delaying biological aging amid growing concerns about aging populations and related diseases.</div></div><div><h3>Methods</h3><div>A total of 18 261 adults (≥ 20 years old) were examined using National Health and Nutrition Examination Survey data from 2005-2010 and 2015-2018. The LE8 includes 8 components, covering health behaviors and factors. Acceleration of biological aging was defined as an excess of biological/phenotypic age over chronological age, assessed by using clinical biomarkers. The association between LE8 score and biological aging was explored through regression analyses.</div></div><div><h3>Results</h3><div>Each 10-point increase in LE8 scores was associated with a 1.19-year decrease in biological age and a 1.63-year decrease in phenotypic age. Individuals with high cardiovascular health (CVH) had a 90% reduction in their risk of accelerated aging based on biological age and an 81% reduction based on phenotypic age compared with individuals with low CVH. Bootstrap-based model estimates and weighted quantile sum regression suggested that health factors, particularly blood glucose, had strong impact on delaying aging. The association between smoking and biological aging seemed to differ depending on the definition of aging used. Among all subgroups, LE8 consistently correlated negatively with biological aging, despite observed interactions. Three sensitivity analyses confirmed the robustness of our conclusions.</div></div><div><h3>Conclusions</h3><div>A higher CVH is associated with a lower risk of biological aging. Maintaining elevated LE8 levels across demographics, regardless of cardiovascular history, is recommended to delay aging and promote healthy aging, with significant implications for primary health care.</div></div>","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"78 1","pages":"Pages 37-46"},"PeriodicalIF":5.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143357100","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":"Embarazo en mujeres con variantes genéticas de miocardiopatía dilatada","authors":"Luis Ruiz-Guerrero , Francisco González-Vílchez","doi":"10.1016/j.recesp.2024.06.007","DOIUrl":"10.1016/j.recesp.2024.06.007","url":null,"abstract":"","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"78 1","pages":"Pages 10-11"},"PeriodicalIF":5.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143356897","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}
Sergio Raposeiras-Roubín , Emad Abu-Assi , José Ángel Pérez Rivera , Pablo Jorge Pérez , Ana Ayesta López , Ana Viana Tejedor , Miguel José Corbí Pascual , Anna Carrasquer , César Jiménez Méndez , Cristina González Cambeiro , Aitor Uribarri González , Clara Bonanad Lozano , Marta Marcos Mangas , Ana Merino-Merino , Ester Sánchez-Corral , Isabel Santos-Sánchez , Lara Aguilar-Iglesias , Alberto Alen , José Rozado Castaño , Ester Mínguez de la Guía , Albert Ariza-Solé
{"title":"Eficacia y seguridad del ácido bempedoico en el síndrome coronario agudo. Diseño del ensayo clínico ES-BempeDACS","authors":"Sergio Raposeiras-Roubín , Emad Abu-Assi , José Ángel Pérez Rivera , Pablo Jorge Pérez , Ana Ayesta López , Ana Viana Tejedor , Miguel José Corbí Pascual , Anna Carrasquer , César Jiménez Méndez , Cristina González Cambeiro , Aitor Uribarri González , Clara Bonanad Lozano , Marta Marcos Mangas , Ana Merino-Merino , Ester Sánchez-Corral , Isabel Santos-Sánchez , Lara Aguilar-Iglesias , Alberto Alen , José Rozado Castaño , Ester Mínguez de la Guía , Albert Ariza-Solé","doi":"10.1016/j.recesp.2024.05.004","DOIUrl":"10.1016/j.recesp.2024.05.004","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>Only about 1 out of every 3 patients with acute myocardial infarction (AMI) achieve low-density lipoprotein cholesterol (LDL-<span>C</span>) values <<!--> <!-->55<!--> <!-->mg/dL in the first year. The present study aims to evaluate the impact of early intensive therapy on lipid control after an AMI.</div></div><div><h3>Methods</h3><div>An independent, prospective, pragmatic, controlled, randomized, open-label, evaluator-blinded clinical trial (PROBE design) will analyze the efficacy and safety of an oral lipid-lowering triple therapy: high-potency statin<!--> <!-->+<!--> <!-->bempedoic acid (BA) 180<!--> <!-->mg<!--> <!-->+<!--> <!-->ezetimibe (EZ) 10<!--> <!-->mg versus current European-based guidelines (high-potency statin<!--> <!-->±<!--> <!-->EZ 10<!--> <!-->mg), in AMI patients. LDL-C will be determined within the first 48<!--> <!-->hours. Patients with LDL-C ≥ 115<!--> <!-->mg/dL (without previous statin therapy), ≥ 100<!--> <!-->mg/dL (with previous low-potency or high-potency statin therapy at submaximal dose), or ≥ 70<!--> <!-->mg/dL (with previous high-potency statin therapy at high dose) will be randomly assigned 1:1 between 24 and 72<!--> <!-->hours post-AMI to the BA/EZ combination or to statin<!--> <!-->±<!--> <!-->EZ, without BA. The primary endpoint is the proportion of patients reaching LDL-C <<!--> <!-->55<!--> <!-->mg/dL at 8 weeks after treatment.</div></div><div><h3>Results</h3><div>The results of this study will provide novel information for post-AMI LDL-C control by evaluating the usefulness of an early intensive lipid-lowering strategy based on triple oral therapy.</div></div><div><h3>Conclusions</h3><div>Early intensive lipid-lowering triple oral therapy vs the treatment recommended by current clinical practice guidelines could facilitate the achievement of optimal LDL-C levels in the first 2 months after AMI (a high-risk period).</div></div><div><h3>Identification number</h3><div>EudraCT 2021-006550-31.</div></div>","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"78 1","pages":"Pages 56-63"},"PeriodicalIF":5.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141035362","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}
María Anguita Gámez , Juan L. Bonilla Palomas , Alejandro Recio Mayoral , Rafael González Manzanares , Javier Muñiz García , Nieves Romero Rodríguez , Francisco J. Elola Somoza , Ángel Cequier Fillat , Luis Rodríguez Padial , Manuel Anguita Sánchez
{"title":"Pronóstico de los pacientes con insuficiencia cardiaca seguidos en unidades acreditadas en el programa SEC-Excelente-IC con relación al tipo de unidad","authors":"María Anguita Gámez , Juan L. Bonilla Palomas , Alejandro Recio Mayoral , Rafael González Manzanares , Javier Muñiz García , Nieves Romero Rodríguez , Francisco J. Elola Somoza , Ángel Cequier Fillat , Luis Rodríguez Padial , Manuel Anguita Sánchez","doi":"10.1016/j.recesp.2024.04.019","DOIUrl":"10.1016/j.recesp.2024.04.019","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>The development of specific heart failure (HF) units has improved the management of patients with this disease due to improved organization and resource management. The Spanish Society of Cardiology (SEC) has defined 3 types of HF units (community, specialized, and advanced) based on their complexity and service portfolio. Our aim was to compare the characteristics, treatment, and outcomes of patients with HF according to the type of unit.</div></div><div><h3>Methods</h3><div>We analyzed data from the <em>SEC-Excelente-IC</em> quality accreditation program registry, with 1716 patients consecutively included in two 1-month cutoffs (March and October) from 2019 to 2021 by 45 SEC-accredited HF units. We compared the characteristics, treatment and 1-year outcomes between the 3 types of units.</div></div><div><h3>Results</h3><div>Of the 1716 patients, 13.2% were treated in community units, 65.9% in specialized units, and 20.9% in advanced units. The rates of mortality (27.5 vs 15.5/100 patients-year; <em>P</em> <!--><<!--> <!-->.001), admissions for HF (39.7 vs 29.2/100 patients-year; <em>P</em> <!-->=<!--> <!-->.019), total decompensations (56.1 vs 40.5/100 patients-year; <em>P</em> <!-->=<!--> <!-->.003), and combined death/admission for HF (45.2 vs 31.4/100 patients-year; <em>P</em> <!-->=<!--> <!-->.005) were higher in community units than in specialized/advanced units. Follow-up in a community unit was an independent predictor of higher mortality and admissions at 1 year.</div></div><div><h3>Conclusions</h3><div>Compared with follow-up by more specialized units, follow-up in a community unit was associated with a higher decompensation rate and increased 1-year mortality.</div></div>","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"78 1","pages":"Pages 12-21"},"PeriodicalIF":5.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141027244","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}
Chi-Hion Pedro Li, Lluís Asmarats, Marcel Santaló-Corcoy
{"title":"Experiencia inicial en el reemplazo percutáneo de la válvula tricúspide con la prótesis EVOQUE","authors":"Chi-Hion Pedro Li, Lluís Asmarats, Marcel Santaló-Corcoy","doi":"10.1016/j.recesp.2024.07.007","DOIUrl":"10.1016/j.recesp.2024.07.007","url":null,"abstract":"","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"78 1","pages":"Pages 74-75"},"PeriodicalIF":5.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141850884","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":"Tres parejas que se parecen, pero no son lo mismo","authors":"","doi":"10.1016/j.recesp.2024.05.012","DOIUrl":"10.1016/j.recesp.2024.05.012","url":null,"abstract":"","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"77 11","pages":"Pages 879-880"},"PeriodicalIF":5.9,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142526472","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}