Revista espanola de cardiologia最新文献

{"title":"Revascularización en la miocardiopatía isquémica. ¿Siguen siendo viables los test de viabilidad?","authors":"James F. Howick V , Bernard J. Gersh","doi":"10.1016/j.recesp.2024.10.010","DOIUrl":"10.1016/j.recesp.2024.10.010","url":null,"abstract":"","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"78 2","pages":"Pages 78-81"},"PeriodicalIF":5.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143211094","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":"Intervención coronaria percutánea y TAVI: cuanto más sencillo, mejor","authors":"Manel Sabaté","doi":"10.1016/j.recesp.2024.08.012","DOIUrl":"10.1016/j.recesp.2024.08.012","url":null,"abstract":"","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"78 2","pages":"Pages 94-96"},"PeriodicalIF":5.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143211145","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":"Impacto de la intervención coronaria percutánea compleja en el estudio previo al TAVI","authors":"Marisa Avvedimento ,&nbsp;Francisco Campelo-Parada ,&nbsp;Luis Nombela-Franco ,&nbsp;Quentin Fischer ,&nbsp;Pierre Donaint ,&nbsp;Vicenç Serra ,&nbsp;Gabriela Veiga ,&nbsp;Enrique Gutiérrez ,&nbsp;Anna Franzone ,&nbsp;Victoria Vilalta ,&nbsp;Alberto Alperi ,&nbsp;Ander Regueiro ,&nbsp;Lluis Asmarats ,&nbsp;Henrique B. Ribeiro ,&nbsp;Anthony Matta ,&nbsp;Antonio Muñoz-García ,&nbsp;Gabriela Tirado ,&nbsp;Marina Urena ,&nbsp;Damien Metz ,&nbsp;Eduard Rodenas-Alesina ,&nbsp;Josep Rodés-Cabau","doi":"10.1016/j.recesp.2024.05.002","DOIUrl":"10.1016/j.recesp.2024.05.002","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>In patients undergoing percutaneous coronary intervention (PCI) in the workup pre-transcatheter aortic valve replacement (TAVR), the clinical impact of coronary revascularization complexity remains unknown. This study sought to examine the impact of PCI complexity on clinical outcomes after TAVR in patients undergoing PCI in the preprocedural workup.</div></div><div><h3>Methods</h3><div>This was a multicenter study including consecutive patients scheduled for TAVR with concomitant significant coronary artery disease. Complex PCI was defined as having at least 1 of the following features: 3 vessels treated, ≥ 3 stents implanted, ≥ 3 lesions treated, bifurcation with 2 stents implanted, total stent length &gt;<!--> <!-->60<!--> <!-->mm, or chronic total occlusion. The rates of major adverse cardiac events (MACE), including cardiovascular mortality, myocardial infarction, and coronary revascularization were evaluated.</div></div><div><h3>Results</h3><div>A total of 1550 patients were included, of which 454 (29.3%) underwent complex PCI in the pre-TAVR workup. After a median follow-up period of 2 [1-3] years after TAVR, the incidence of MACE was 9.6 events per 100 patients-years. Complex PCI significantly increased the risk of cardiac death (HR, 1.44; 95%<span>C</span>I, 1.01-2.07), nonperiprocedural myocardial infarction (HR, 1.52; 95%CI, 1.04-2.21), and coronary revascularization (HR, 2.46; 95%CI, 1.44-4.20). In addition, PCI complexity was identified as an independent predictor of MACE after TAVR (HR, 1.31; 95%CI, 1.01-1.71; <em>P</em> <!-->=<!--> <!-->.042).</div></div><div><h3>Conclusions</h3><div>In TAVR candidates with significant coronary artery disease requiring percutaneous treatment, complex revascularization was associated with a higher risk of MACE. The degree of procedural complexity should be considered a strong determinant of prognosis in the PCI-TAVR population.</div></div>","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"78 2","pages":"Pages 82-93"},"PeriodicalIF":5.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143211095","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":"La onda P durante la estimulación de vena pulmonar para localizar reconexiones transitoriamente desenmascaradas por adenosina","authors":"Daniel Cantero Lozano ,&nbsp;Isabel Cornejo Mazzuchelli ,&nbsp;Paloma Lapunzina Soler ,&nbsp;M. Teresa Barrio-López ,&nbsp;Eduardo Castellanos Martínez ,&nbsp;Jesús Almendral","doi":"10.1016/j.recesp.2024.08.005","DOIUrl":"10.1016/j.recesp.2024.08.005","url":null,"abstract":"","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"78 2","pages":"Pages 153-156"},"PeriodicalIF":5.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143211115","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":"Tendencias en la frecuentación y mortalidad hospitalaria por síndrome de tako-tsubo en España","authors":"Fernando Alfonso ,&nbsp;Jorge Salamanca ,&nbsp;Iván Núñez-Gil ,&nbsp;Náyade Del Prado ,&nbsp;Nicolás Rosillo ,&nbsp;Javier Elola","doi":"10.1016/j.recesp.2024.08.007","DOIUrl":"10.1016/j.recesp.2024.08.007","url":null,"abstract":"","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"78 2","pages":"Pages 158-160"},"PeriodicalIF":5.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143211341","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":"Abordaje minimalista para el cierre percutáneo de la orejuela izquierda mediante minisonda transesofágica 4D","authors":"Laura Sanchis ,&nbsp;Pedro Cepas-Guillén ,&nbsp;Eduardo Flores ,&nbsp;Ander Regueiro ,&nbsp;Marta Sitges ,&nbsp;Xavier Freixa","doi":"10.1016/j.recesp.2024.08.006","DOIUrl":"10.1016/j.recesp.2024.08.006","url":null,"abstract":"","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"78 2","pages":"Pages 156-158"},"PeriodicalIF":5.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143211342","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":"Aneurisma gigante de la arteria pulmonar derecha en el síndrome de Eisenmenger","authors":"Xiang-Ting Lu,&nbsp;Yi-Bing Lu,&nbsp;Hai-Long Dai","doi":"10.1016/j.recesp.2024.08.003","DOIUrl":"10.1016/j.recesp.2024.08.003","url":null,"abstract":"","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"78 2","pages":"Pages 161-162"},"PeriodicalIF":5.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143211343","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":"Calidad del sueño e hipertensión incidental","authors":"Zhihao Zheng ,&nbsp;Yanjun Song ,&nbsp;Zechen Liu ,&nbsp;Jining He ,&nbsp;Shanshan Shi ,&nbsp;Chenxi Song ,&nbsp;Rui Fu ,&nbsp;Lei Jia ,&nbsp;Guofeng Gao ,&nbsp;Qiuting Dong ,&nbsp;Min Yang ,&nbsp;Wenjun Ma ,&nbsp;Kefei Dou","doi":"10.1016/j.recesp.2024.12.002","DOIUrl":"10.1016/j.recesp.2024.12.002","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>Poor sleep quality poses significant public health challenges worldwide. This study aimed to investigate the association between sleep quality and the risk of hypertension.</div></div><div><h3>Methods</h3><div>The study analyzed 284 250 adults from the UK Biobank (UKB) and 6104 participants from the English Longitudinal Study of Ageing (ELSA) without hypertension at baseline. The exposure of interest was sleep quality, which was evaluated based on questionnaires. Participants were divided into 3 groups based on the assessment of sleep quality. Sleep duration was assessed by self-reported sleep hours by each participant. The primary endpoint was new onset hypertension.</div></div><div><h3>Results</h3><div>In the UKB cohort, participants with poor sleep quality showed a significantly higher risk of hypertension than those with healthy sleep quality (HR, 1.277; 95%<span>C</span>I, 1.21-1.346]. The results from the ELSA cohort effectively validated those from the UKB cohort; participants with poor sleep quality had a notably heightened risk of hypertension (HR, 1.264; 95%CI, 1.02-1.566). Prolonging sleep duration was associated with a decrease in the risk of hypertension in individuals with intermediate or healthy sleep quality. Although several factors were independently associated with a lower risk of hypertension (<em>P</em> <!-->&lt;<!--> <!-->.001), the association between sleep quality and an increased risk of hypertension remained significant regardless of genetic susceptibility to hypertension (<em>P</em> for interaction<!--> <!-->=<!--> <!-->.067).</div></div><div><h3>Conclusions</h3><div>Considering the genetic predisposition to hypertension, poor sleep quality is associated with an elevated risk of hypertension. In intermediate or healthy levels of sleep quality, prolonging sleep duration is linked to a reduced risk of hypertension.</div></div>","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"78 7","pages":"Pages 600-608"},"PeriodicalIF":5.9,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144481414","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":"Justificación y diseño del estudio sobre bloqueadores beta en el síndrome de tako-tsubo: un estudio clínico aleatorizado (β-Tako)","authors":"Fernando Alfonso ,&nbsp;Jorge Salamanca ,&nbsp;Iván Núñez-Gil ,&nbsp;Borja Ibáñez ,&nbsp;Juan Sanchis ,&nbsp;Manel Sabaté ,&nbsp;Maite Velázquez ,&nbsp;Sergio Raposeiras-Roubín ,&nbsp;Tamara García-Camarero ,&nbsp;Paula Antuña ,&nbsp;Hernán Mejía ,&nbsp;Xavier Carrillo ,&nbsp;Irene Buera ,&nbsp;Manuel Martínez-Sellés ,&nbsp;Juan Manuel Escudier-Villa ,&nbsp;Joaquín Sánchez-Prieto ,&nbsp;Emilia Blanco Ponce ,&nbsp;Gonzalo Cabezón ,&nbsp;Covadonga Fernández-Golfín ,&nbsp;Domingo Pascual-Figal ,&nbsp;Filippo Crea","doi":"10.1016/j.recesp.2024.12.008","DOIUrl":"10.1016/j.recesp.2024.12.008","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Introducción y objetivos&lt;/h3&gt;&lt;div&gt;El síndrome de &lt;em&gt;tako-tsubo&lt;/em&gt; (STT) es una entidad cardiaca que simula un síndrome coronario agudo, caracterizada por una disfunción ventricular izquierda transitoria en ausencia de lesiones coronarias culpables. Su etiología es desconocida, pero se postula una disfunción microvascular reversible secundaria a una tormenta catecolaminérgica. El tratamiento es empírico, pero en la práctica clínica la mayoría de los pacientes reciben bloqueadores beta (BB). El estudio sobre bloqueadores beta en el STT (β-Tako) es un estudio académico, pragmático, prospectivo, multicéntrico, aleatorizado y abierto con evaluación ciega de acontecimientos, que pretende conocer la eficacia y seguridad de los BB en pacientes con STT.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Métodos&lt;/h3&gt;&lt;div&gt;El diagnóstico de STT se confirmará por coronariografía invasiva y estudios ecocardiográficos seriados. Se aleatorizarán 200 pacientes con STT (1:1) a BB (n&lt;!--&gt; &lt;!--&gt;=&lt;!--&gt; &lt;!--&gt;100) o no BB (n&lt;!--&gt; &lt;!--&gt;=&lt;!--&gt; &lt;!--&gt;100). Se utilizarán BB con actividad alfa o liberadora de óxido nítrico.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Resultados&lt;/h3&gt;&lt;div&gt;El objetivo primario de eficacia del estudio es la comparación del índice de puntuación del movimiento parietal por ecocardiografía a los 7 días, analizado en un laboratorio central independiente. También se estudiarán los cambios en la fracción de eyección y en la deformación longitudinal global. Un comité clínico independiente analizará el objetivo clínico combinado (muerte, accidente cerebrovascular, o reingreso por STT recurrente, síndrome coronario agudo, insuficiencia cardiaca o fibrilación auricular) a un año. Se realizarán diversos subestudios predefinidos (clínicos, imagen, biomarcadores, farmacogenéticos, inflamación, ácido ribonucleico mensajero y de calidad de vida).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusiones&lt;/h3&gt;&lt;div&gt;El estudio β-Tako generará una valiosa evidencia científica sobre aspectos no conocidos del STT, y permitirá guiar las decisiones de abordaje clínico y tratamiento en esta compleja entidad clínica.&lt;/div&gt;&lt;div&gt;Estudio registrado en EU-CT número: 2023-510213-25-01, &lt;em&gt;ClinicalTrials.gov Identifier&lt;/em&gt;, &lt;span&gt;&lt;span&gt;NCT06509074&lt;/span&gt;&lt;svg&gt;&lt;path&gt;&lt;/path&gt;&lt;/svg&gt;&lt;/span&gt;.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Introduction y objectives&lt;/h3&gt;&lt;div&gt;Tako-tsubo syndrome (TTS) is a cardiac condition that mimics acute coronary syndrome, characterized by transient left ventricular dysfunction in the absence of culprit coronary artery stenosis. Although its etiology remains unknown, reversible microvascular dysfunction secondary to an adrenergic surge is thought to play a role. Treatment is empirical, although most patients receive beta-blockers (BB) in clinical practice. The Beta-blockers in Tako-tsubo Syndrome study (&lt;em&gt;β&lt;/em&gt;-Tako), is an academic, multicenter, pragmatic, prospective randomized open-label trial with blinded endpoint evaluation that aims to assess the efficacy and safety of BB in patients with TTS.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;T","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"78 7","pages":"Pages 592-599"},"PeriodicalIF":5.9,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144481413","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":"Reparación mitral percutánea a través de filtro de vena cava","authors":"Ignacio Fernández-Herrero,&nbsp;Iván Gómez-Blázquez,&nbsp;Fernando Sarnago-Cebada","doi":"10.1016/j.recesp.2025.01.013","DOIUrl":"10.1016/j.recesp.2025.01.013","url":null,"abstract":"","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"78 8","pages":"Pages 748-750"},"PeriodicalIF":5.9,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144713021","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}