Revista espanola de cardiologia最新文献_第8页

Propuesta de modelo asistencial para el implante urgente de marcapasos 紧急起搏器植入术的拟议护理模式

IF 5.9 2区医学

Revista espanola de cardiologia Pub Date : 2024-05-13 DOI: 10.1016/j.recesp.2024.04.020

引用次数: 0

Revisión sistemática y metanálisis de la mortalidad en la miocardiopatía chagásica crónica frente a otras miocardiopatías: ¿mayor riesgo o ficción? 慢性恰加斯病心肌病与其他心肌病死亡率的系统回顾和荟萃分析：风险增加还是子虚乌有？

IF 5.9 2区医学

Revista espanola de cardiologia Pub Date : 2024-05-11 DOI: 10.1016/j.recesp.2024.02.022

{"title":"Revisión sistemática y metanálisis de la mortalidad en la miocardiopatía chagásica crónica frente a otras miocardiopatías: ¿mayor riesgo o ficción?","authors":"","doi":"10.1016/j.recesp.2024.02.022","DOIUrl":"10.1016/j.recesp.2024.02.022","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>Although multiple studies suggest that chronic Chagas cardiomyopathy (<span>CCC</span>) has higher mortality than other cardiomyopathies, the absence of meta-analyses supporting this perspective limits the possibility of generating robust conclusions. The aim of this study was to systematically evaluate the current evidence on mortality risk in CCC compared with that of other cardiomyopathies.</div></div><div><h3>Methods</h3><div>PubMed/Medline and EMBASE were searched for studies comparing mortality risk between patients with CCC and those with other cardiomyopathies, including in the latter nonischemic cardiomyopathy (NICM), ischemic cardiomyopathy, and non-Chagas cardiomyopathy (nonCC). A random-effects meta-analysis was performed to combine the effects of the evaluated studies.</div></div><div><h3>Results</h3><div>A total of 37 studies evaluating 17 949 patients were included. Patients with CCC had a significantly higher mortality risk compared with patients with NICM (HR, 2.04; 95%CI, 1.60-2.60; I<sup>2</sup>, 47%; 8 studies) and non-CC (HR, 2.26; 95%CI, 1.65-3.10; I<sup>2</sup>, 71%; 11 studies), while no significant association was observed compared with patients with ischemic cardiomyopathy (HR, 1.72; 95%CI, 0.80-3.66; I<sup>2</sup>, 69%; 4 studies) in the adjusted-measures meta-analysis.</div></div><div><h3>Conclusions</h3><div>Patients with CCC have an almost 2-fold increased mortality risk compared with individuals with heart failure secondary to other etiologies. This finding highlights the need for effective public policies and targeted research initiatives to optimally address the challenges of CCC.</div><div><em>Full English text available from</em>:<span><span>www.revespcardiol.org/en</span><svg><path></path></svg></span></div></div>","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"77 10","pages":"Pages 843-850"},"PeriodicalIF":5.9,"publicationDate":"2024-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141041657","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}

引用次数: 0

Estado nutricional al ingreso y pronóstico en el shock cardiogénico 心源性休克患者入院时的营养状况和预后

IF 5.9 2区医学

Revista espanola de cardiologia Pub Date : 2024-05-10 DOI: 10.1016/j.recesp.2024.05.001

引用次数: 0

Pericarditis aguda por fiebre Q: una manifestación poco frecuente Q 热引起的急性心包炎：罕见病例

IF 5.9 2区医学

Revista espanola de cardiologia Pub Date : 2024-05-10 DOI: 10.1016/j.recesp.2024.05.003

Ana Belén Merón Pino, Andrea Alonso Campana, Eugenio Picazo Feu, Miguel Ángel Vallejo Ruiz, Alejandra Vaello Paños

引用次数: 0

Resultados de un servicio ininterrumpido de implante urgente de marcapasos permanente 全天候紧急永久起搏器植入服务的成果

IF 5.9 2区医学

Revista espanola de cardiologia Pub Date : 2024-05-09 DOI: 10.1016/j.recesp.2024.03.005

{"title":"Resultados de un servicio ininterrumpido de implante urgente de marcapasos permanente","authors":"","doi":"10.1016/j.recesp.2024.03.005","DOIUrl":"10.1016/j.recesp.2024.03.005","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>Most of the complications associated with acute and symptomatic bradyarrhythmia (ASB) occur in the time from diagnosis to permanent pacemaker implantation (PPI). We aimed to evaluate the outcomes of an urgent 24/7 PPI service (PPI-24/7) for patients with ASB.</div></div><div><h3>Methods</h3><div>A total of 664 patients undergoing first-time PPI for ASB were prospectively assessed during 2 periods of identical length (18 months): 341 patients who underwent the procedure during working hours only (PPI-WH), and 323 patients who underwent the procedure after the implementation of the PPI-24/7 service. The primary safety endpoint was established as the cumulative 180-day incidence of complications related to the index arrhythmia and device implant. The primary efficacy endpoint was determined as the average number of hospital stays per patient.</div></div><div><h3>Results</h3><div>The PPI-24/7 period was associated with a significant shortening of the time from diagnosis to implantation (median [interquartile range]): 3hours [2-6] vs 16 [5-21]). The cumulative incidence of patients with complications at 180 days was lower in the PPI-24/7 period: 9% vs 17% (adjusted odds ratio, 0.5; <em>P</em>      <!-->178) were safe, with a 180-day cumulative incidence in procedure-related complications of 3.9%.</div></div><div><h3>Conclusions</h3><div>Among patients with ASB, PPI-24/7 was associated with a significant reduction in patient morbidity and efficient hospital resource use.</div></div>","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"77 11","pages":"Pages 899-909"},"PeriodicalIF":5.9,"publicationDate":"2024-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141025142","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

Desafíos en el avance de la sonda de ecocardiografía transesofágica: identificación de causas y soluciones 推进经食道超声心动图探头的挑战：找出原因和解决方案

IF 5.9 2区医学

Revista espanola de cardiologia Pub Date : 2024-05-08 DOI: 10.1016/j.recesp.2024.04.016

引用次数: 0

Valvulitis: un nuevo criterio ecocardiográfico para el diagnóstico de endocarditis infecciosa de bioprótesis de válvula aórtica 瓣膜炎：诊断主动脉瓣生物假体感染性心内膜炎的新超声心动图标准

IF 5.9 2区医学

Revista espanola de cardiologia Pub Date : 2024-05-07 DOI: 10.1016/j.recesp.2024.03.001

{"title":"Valvulitis: un nuevo criterio ecocardiográfico para el diagnóstico de endocarditis infecciosa de bioprótesis de válvula aórtica","authors":"","doi":"10.1016/j.recesp.2024.03.001","DOIUrl":"10.1016/j.recesp.2024.03.001","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>Diffuse homogeneous hypoechoic leaflet thickening, with a wavy leaflet motion documented by transesophageal echocardiography (TEE), has been described in some cases of prosthetic valve endocarditis (PVE) involving aortic bioprosthesis (AoBio-PVE). This echocardiographic finding has been termed valvulitis. We aimed to estimate the prevalence of valvulitis, precisely describe its echocardiographic characteristics, and determine their clinical significance in patients with AoBio-PVE.</div></div><div><h3>Methods</h3><div>From 2011 to 2022, 388 consecutive patients with infective endocarditis (IE) admitted to a tertiary care hospital were prospectively included in a multipurpose database. For this study, all patients with AoBio-PVE (n=86) were selected, and their TEE images were thoroughly evaluated by 3 independent cardiologists to identify all cases of valvulitis.</div></div><div><h3>Results</h3><div>The prevalence of isolated valvulitis was 12.8%, and 20.9% of patients had valvulitis accompanied by other classic echocardiographic findings of IE. A total of 9 out of 11 patients with isolated valvulitis had significant valve stenosis, whereas significant aortic valve regurgitation was documented in only 1 patient. Compared with the other patients with AoBio-PVE, cardiac surgery was less frequently performed in patients with isolated valvulitis (27.3% vs 62.7%, <em>P <!-->.017). In 4 out of 5 patients with valve stenosis who did not undergo surgery but underwent follow-up TEE, valve gradients significantly improved with appropriate antibiotic therapy.</div></div><div><h3>Conclusions</h3><div>Valvulitis can be the only echocardiographic finding in infected AoBio and needs to be identified by imaging specialists for early diagnosis. However, this entity is a diagnostic challenge and additional imaging techniques might be required to confirm the diagnosis. Larger series are needed.</div></div>","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"77 10","pages":"Pages 859-867"},"PeriodicalIF":5.9,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141033702","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

Hipertensión arterial pulmonar asociada a cortocircuitos pretricuspídeos: perfil de riesgo y supervivencia 与前三尖瓣分流相关的肺动脉高压：风险和存活概况

IF 5.9 2区医学

Revista espanola de cardiologia Pub Date : 2024-05-07 DOI: 10.1016/j.recesp.2024.04.014

引用次数: 0

Certificación de programas de cardio-onco-hematología: una oportunidad para mejorar la calidad asistencial de los pacientes con cáncer 心血肿瘤项目认证：提高癌症患者护理质量的契机

IF 5.9 2区医学

Revista espanola de cardiologia Pub Date : 2024-05-01 DOI: 10.1016/j.recesp.2024.04.013

引用次数: 0

Tomografía computarizada espectral en el abordaje del MINOCA MINOCA 方法中的光谱计算机断层扫描

IF 5.9 2区医学

Revista espanola de cardiologia Pub Date : 2024-05-01 DOI: 10.1016/j.recesp.2024.03.006

引用次数: 0