Revista espanola de cardiologia最新文献

{"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":"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 ,&nbsp;Juan L. Bonilla Palomas ,&nbsp;Alejandro Recio Mayoral ,&nbsp;Rafael González Manzanares ,&nbsp;Javier Muñiz García ,&nbsp;Nieves Romero Rodríguez ,&nbsp;Francisco J. Elola Somoza ,&nbsp;Ángel Cequier Fillat ,&nbsp;Luis Rodríguez Padial ,&nbsp;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> <!-->&lt;<!--> <!-->.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}

{"title":"Cierre percutáneo de la orejuela izquierda en pacientes con fibrilación auricular y cáncer. Resultados a corto y medio plazo","authors":"Sergio López-Tejero ,&nbsp;Pablo Antúnez-Muiños ,&nbsp;Miguel Hernández-Hidalgo ,&nbsp;Ana Martín-García ,&nbsp;Pedro L. Sánchez-Fernández ,&nbsp;Ignacio Cruz-González","doi":"10.1016/j.recesp.2024.12.015","DOIUrl":"10.1016/j.recesp.2024.12.015","url":null,"abstract":"","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"78 7","pages":"Pages 659-662"},"PeriodicalIF":5.9,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144481505","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":"Interacción entre la edad y el enfoque terapéutico en el resultado en pacientes de edad avanzada con ictus asociado a foramen oval permeable","authors":"Seyoung Jung ,&nbsp;Byung Joo Sun ,&nbsp;Soe Hee Ann ,&nbsp;Jong Shin Woo ,&nbsp;Jung-Sun Kim ,&nbsp;Pil Hyung Lee","doi":"10.1016/j.recesp.2024.11.004","DOIUrl":"10.1016/j.recesp.2024.11.004","url":null,"abstract":"","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"78 5","pages":"Pages 487-488"},"PeriodicalIF":5.9,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143879479","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":"Guías de práctica clínica e indicadores de calidad: ¿practicamos lo que predicamos?","authors":"Finn Åkerström ,&nbsp;Emma Svennberg","doi":"10.1016/j.recesp.2024.10.013","DOIUrl":"10.1016/j.recesp.2024.10.013","url":null,"abstract":"","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"78 5","pages":"Pages 401-403"},"PeriodicalIF":5.9,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143879476","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":"Asociación clínica de la variante c.2302A>G (p. Ile 768 Val) de SCN5A con el síndrome de Brugada","authors":"Boris Kuzmicic Calderón ,&nbsp;Bernardita Martínez Galdames ,&nbsp;Mario Hassi Thumala ,&nbsp;Jorge Van Grieken ,&nbsp;Jovan Kuzmicic","doi":"10.1016/j.recesp.2024.12.010","DOIUrl":"10.1016/j.recesp.2024.12.010","url":null,"abstract":"","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"78 7","pages":"Pages 657-659"},"PeriodicalIF":5.9,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144481504","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":"¿Valvuloplastia o valvuloplastía?","authors":"","doi":"10.1016/j.recesp.2024.12.007","DOIUrl":"10.1016/j.recesp.2024.12.007","url":null,"abstract":"","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"78 7","pages":"Page 579"},"PeriodicalIF":5.9,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144481508","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":"Seguridad y eficacia del tratamiento antiplaquetario en pacientes con estenosis coronaria intermedia y revascularización diferida","authors":"David Hong ,&nbsp;Seung Hun Lee ,&nbsp;Jihye Heo ,&nbsp;Doosup Shin ,&nbsp;Juhee Cho ,&nbsp;Eliseo Guallar ,&nbsp;Hyun Sung Joh ,&nbsp;Hyun Kuk Kim ,&nbsp;Junho Ha ,&nbsp;Ki Hong Choi ,&nbsp;Taek Kyu Park ,&nbsp;Jeong Hoon Yang ,&nbsp;Young Bin Song ,&nbsp;Joo-Yong Hahn ,&nbsp;Seung-Hyuk Choi ,&nbsp;Hyeon-Cheol Gwon ,&nbsp;Danbee Kang ,&nbsp;Joo Myung Lee","doi":"10.1016/j.recesp.2024.11.001","DOIUrl":"10.1016/j.recesp.2024.11.001","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>This study investigated the safety and efficacy of antiplatelet therapy in patients with intermediate coronary artery stenosis who underwent deferred revascularization due to their fractional flow reserve (FFR).</div></div><div><h3>Methods</h3><div>A nationwide cohort study was conducted using the Korean National Health Insurance Service database. A total of 4657 patients with intermediate coronary artery stenosis who underwent deferred revascularization due to their FFR were identified from 2013 to 2020. FFR was indicated in patients with no prior evidence of myocardial ischemia and intermediate coronary artery stenosis (50%-70%) as determined by quantitative coronary angiography. Patients were classified according to whether antiplatelet therapy was initiated after the index procedure. The primary efficacy outcome was major adverse cardiac and cerebrovascular events (MACCE), a composite of all-cause death, myocardial infarction, unplanned revascularization, and stroke, during a 5-year follow-up period. The primary safety outcome was any gastrointestinal bleeding.</div></div><div><h3>Results</h3><div>After propensity score matching, there were 1634 patients in the antiplatelet therapy group and 1634 in the nonantiplatelet therapy group. The risk of MACCE was similar between the 2 groups (24.8% vs 24.7%; adjusted HR, 0.97; 95%CI, 0.84-1.13; <em>P</em> <!-->=<!--> <!-->0.745). The risk of gastrointestinal bleeding was higher in the antiplatelet therapy group than in the nonantiplatelet therapy group (2.2% vs 1.2%; aHR, 2.07; 95%CI, 1.08-4.00). These results were similar in subgroup analyses.</div></div><div><h3>Conclusions</h3><div>In patients with intermediate coronary artery stenosis who underwent deferred revascularization due to their FFR, antiplatelet therapy may increase the risk of gastrointestinal bleeding without reducing the risk of future ischemic events.</div></div>","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"78 7","pages":"Pages 580-589"},"PeriodicalIF":5.9,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144481411","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":"Infusión y perfusión","authors":"Fernando A. Navarro","doi":"10.1016/j.recesp.2024.11.023","DOIUrl":"10.1016/j.recesp.2024.11.023","url":null,"abstract":"","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"78 6","pages":"Page 493"},"PeriodicalIF":5.9,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144134689","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 descarga del ventrículo izquierdo en el resultado tras el trasplante en pacientes asistidos con ECMO-VA","authors":"Daniel Enríquez-Vázquez ,&nbsp;Eduardo Barge-Caballero ,&nbsp;Francisco González-Vílchez ,&nbsp;Luis Almenar-Bonet ,&nbsp;María Dolores García-Cosío Carmena ,&nbsp;José González-Costello ,&nbsp;Manuel Gómez-Bueno ,&nbsp;María Ángeles Castel-Lavilla ,&nbsp;Beatriz Díaz-Molina ,&nbsp;Manuel Martínez-Sellés ,&nbsp;Sonia Mirabet-Pérez ,&nbsp;Luis de la Fuente-Galán ,&nbsp;Daniela Hervás-Sotomayor ,&nbsp;Diego Rangel-Sousa ,&nbsp;Iris P. Garrido-Bravo ,&nbsp;Teresa Blasco-Peiró ,&nbsp;Gregorio Rábago Juan-Aracil ,&nbsp;Javier Muñiz ,&nbsp;María G. Crespo-Leiro","doi":"10.1016/j.recesp.2024.09.010","DOIUrl":"10.1016/j.recesp.2024.09.010","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>The impact of preoperative left ventricular (LV) unloading on postoperative outcomes in patients bridged with venoarterial extracorporeal membrane oxygenation (VA-ECMO) to heart transplantation (HT) is unknown. Our aim was to compare posttransplant outcomes in patients bridged to HT with VA-ECMO, with or without the use of different mechanical strategies for LV decompression.</div></div><div><h3>Methods</h3><div>We conducted a retrospective analysis of the postoperative outcomes of consecutive HT candidates bridged with VA-ECMO, with or without concomitant LV unloading. Patients were included from 16 Spanish centers from 2010 to 2020. The primary endpoint was 1-year post-HT survival, which was assessed using Cox regression.</div></div><div><h3>Results</h3><div>Overall, 245 patients underwent high-emergency HT while supported with VA-ECMO. A mechanical strategy for LV unloading was used in 133 (54.3%) patients, with the intra-aortic balloon pump being the most commonly used method (n<!--> <!-->=<!--> <!-->112; 84.2%). One-year posttransplant survival was 74.4% in the LV unloading group and 59.8% in the control group (<em>P</em> <!-->=<!--> <!-->.025). In multivariate analyses, preoperative LV unloading was independently associated with lower 1-year mortality (adjusted HR, 0.50; 95%<span>C</span>I, 0.32–0.78; <em>P</em> <!-->=<!--> <!-->.003). This association was observed both in patients managed with an intra-aortic balloon pump alone (adjusted HR, 0.52; 95%CI, 0.32–0.84; <em>P</em> <!-->=<!--> <!-->.007) and with other strategies for mechanical LV unloading (adjusted HR, 0.43; 95%CI, 0.19–0.97; <em>P</em> <!-->=<!--> <!-->.042). No significant differences were found between groups regarding other postoperative complications.</div></div><div><h3>Conclusions</h3><div>Preoperative LV unloading was independently associated with increased 1-year posttransplant survival in candidates bridged with VA-ECMO.</div></div>","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"78 6","pages":"Pages 494-503"},"PeriodicalIF":5.9,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144134690","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}