Revista espanola de cardiologia最新文献

{"title":"Estilo de vida poco saludable y perfil de riesgo cardiovascular: una preocupación en trabajadores adultos jóvenes en España","authors":"","doi":"10.1016/j.recesp.2024.04.009","DOIUrl":"10.1016/j.recesp.2024.04.009","url":null,"abstract":"","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"77 10","pages":"Pages 832-834"},"PeriodicalIF":5.9,"publicationDate":"2024-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141393901","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":"Uso de un catéter orientable de ablación para facilitar la valvuloplastia mitral percutánea","authors":"","doi":"10.1016/j.recesp.2024.04.018","DOIUrl":"10.1016/j.recesp.2024.04.018","url":null,"abstract":"","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"77 10","pages":"Pages 872-874"},"PeriodicalIF":5.9,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141408476","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":"Registro español de trasplante cardiaco. XXXV informe oficial de la Asociación de Insuficiencia Cardiaca de la Sociedad Española de Cardiología","authors":"","doi":"10.1016/j.recesp.2024.05.016","DOIUrl":"10.1016/j.recesp.2024.05.016","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>Our aim was to describe the characteristics and outcomes of heart transplants in Spain.</div></div><div><h3>Methods</h3><div>We analyzed trends in recipient and donor characteristics, recipient-donor interaction, surgical procedures, immunosuppression, and outcomes of patients included in the Spanish heart transplant registry from 2014 to 2023. Changes in survival were analyzed using the Kaplan-Meier method.</div></div><div><h3>Results</h3><div>In 2023, 325 cardiac transplants were performed (4.5% more than in the previous year), with a total of 2987 procedures from 2014 to 2023. There was a trend toward performing more transplants in women (29.2%), with etiologies other than cardiomyopathy (32.6%), and with better pretransplant status (less hepatic [12.5%], renal [glomerular filtration rate, 81.5<!--> <!-->mL/min/1.73 m²], and respiratory [8.7%] involvement). In 2023, the number of urgent transplants increased (44% of the total), especially those performed after circulatory support with extracorporeal membrane oxygenation (36% of total assistance), and transplants performed with donation after circulatory death (17.9%). Survival improved in the triennium from 2020 to 2022 compared with 2014 to 2016 (83.0% at 1 year from 2020-2022 vs 79.0% from 2014-2016).</div></div><div><h3>Conclusions</h3><div>The number of transplants performed in Spain showed an upward trend, with recipients with better clinical status and an increasing use of donation after circulatory death. Survival improved in the last triennium.</div></div>","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"77 11","pages":"Pages 926-935"},"PeriodicalIF":5.9,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141406741","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 clínico del tratamiento a distancia de la insuficiencia cardiaca con la alerta multiparamétrica del DAI HeartLogic","authors":"Javier de Juan Bagudá ,&nbsp;Rocío Cózar León ,&nbsp;Juan J. Gavira Gómez ,&nbsp;Marta Pachón ,&nbsp;Josebe Goirigolzarri Artaza ,&nbsp;Virgilio Martínez Mateo ,&nbsp;Vanessa Escolar Pérez ,&nbsp;Ángel Manuel Iniesta Manjavacas ,&nbsp;Nuria Rivas Gándara ,&nbsp;Jesús Álvarez-García ,&nbsp;Jesús Gabriel Sánchez Ramos ,&nbsp;Cristina Aguilera Agudo ,&nbsp;José Manuel Rubín López ,&nbsp;Alfonso Macías Gallego ,&nbsp;Silvia López Fernández ,&nbsp;Luis González Torres ,&nbsp;Juan Gabriel Martínez ,&nbsp;Natalia Marrero Negrín ,&nbsp;Javier Ramos Maqueda ,&nbsp;Mercedes Cabrera Ramos ,&nbsp;Rafael Salguero Bodes","doi":"10.1016/j.recesp.2024.04.007","DOIUrl":"10.1016/j.recesp.2024.04.007","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>The multiparametric implantable cardioverter-defibrillator HeartLogic index has proven to be a sensitive and timely predictor of impending heart failure (HF) decompensation. We evaluated the impact of a standardized follow-up protocol implemented by nursing staff and based on remote management of alerts.</div></div><div><h3>Methods</h3><div>The algorithm was activated in HF patients at 19 Spanish centers. Transmitted data were analyzed remotely, and patients were contacted by telephone if alerts were issued. Clinical actions were implemented remotely or through outpatient visits. The primary endpoint consisted of HF hospitalizations or death. Secondary endpoints were HF outpatient visits. We compared the 12-month periods before and after the adoption of the protocol.</div></div><div><h3>Results</h3><div>We analyzed 392 patients (aged 69<!--> <!-->±<!--> <!-->10 years, 76% male, 50% ischemic cardiomyopathy) with implantable cardioverter-defibrillators (20%) or cardiac resynchronization therapy defibrillators (80%). The primary endpoint occurred 151 times in 86 (22%) patients during the 12 months before the adoption of the protocol, and 69 times in 45 (11%) patients (<em>P</em> <!-->&lt;<!--> <!-->.001) during the 12 months after its adoption. The mean number of hospitalizations per patient was 0.39<!--> <!-->±<!--> <!-->0.89 pre- and 0.18<!--> <!-->±<!--> <!-->0.57 postadoption (<em>P</em> <!-->&lt;<!--> <!-->.001). There were 185 outpatient visits for HF in 96 (24%) patients before adoption and 64 in 48 (12%) patients after adoption (<em>P</em> <!-->&lt;<!--> <!-->.001). The mean number of visits per patient was 0.47<!--> <!-->±<!--> <!-->1.11 pre- and 0.16<!--> <!-->±<!--> <!-->0.51 postadoption (<em>P</em> <!-->&lt;<!--> <!-->.001).</div></div><div><h3>Conclusions</h3><div>A standardized follow-up protocol based on remote management of HeartLogic alerts enabled effective remote management of HF patients. After its adoption, we observed a significant reduction in HF hospitalizations and outpatient visits.</div></div>","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"77 12","pages":"Pages 1008-1017"},"PeriodicalIF":5.9,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141406966","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":"Pericarditis aguda: ¿cuándo es necesaria una búsqueda exhaustiva de las causas?","authors":"José Rozado","doi":"10.1016/j.recesp.2024.05.014","DOIUrl":"10.1016/j.recesp.2024.05.014","url":null,"abstract":"","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"77 12","pages":"Pages 1062-1064"},"PeriodicalIF":5.9,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141406344","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":"Disfunción del ventrículo derecho: fisiopatología, modelos experimentales, evaluación y tratamiento","authors":"","doi":"10.1016/j.recesp.2024.05.017","DOIUrl":"10.1016/j.recesp.2024.05.017","url":null,"abstract":"<div><div>Interest in the right ventricle has substantially increased due to advances in knowledge of its pathophysiology and prognostic implications across a wide spectrum of diseases. However, we are still far from understanding the multiple mechanisms that influence right ventricular dysfunction, its evaluation continues to be challenging, and there is a shortage of specific treatments in most scenarios. This review article aims to update knowledge about the physiology of the right ventricle, its transition to dysfunction, diagnostic tools, and available treatments from a translational perspective.</div></div>","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"77 11","pages":"Pages 957-970"},"PeriodicalIF":5.9,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141394605","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":"Vena pulmonar superior derecha que cruza la línea media","authors":"","doi":"10.1016/j.recesp.2024.03.015","DOIUrl":"10.1016/j.recesp.2024.03.015","url":null,"abstract":"","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"77 10","pages":"Page 877"},"PeriodicalIF":5.9,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141275800","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":"Estilo de vida y riesgo cardiovascular de jóvenes trabajadores: hallazgos en una cohorte de toda España","authors":"","doi":"10.1016/j.recesp.2024.02.006","DOIUrl":"10.1016/j.recesp.2024.02.006","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>This study aimed to describe the cardiovascular risk profile of working young adults from Spain and its association with lifestyle.</div></div><div><h3>Methods</h3><div>Participants (18-30 years) were recruited from a nationwide cohort of economically active adults insured by a large occupational risk prevention company, with data obtained from routine medical assessments<em>.</em> The participants were categorized as having an “unhealthy” cardiovascular risk profile based on the presence of prediabetes/diabetes, prehypertension/hypertension, or hypercholesterolemia, or a “healthy” profile if these conditions were completely absent. The association with lifestyle factors (weight, physical activity, sleeping characteristics, alcohol consumption, smoking) was assessed.</div></div><div><h3>Results</h3><div>A total of 78 421 young adults (27<!--> <!-->±<!--> <!-->2 years, 36% female) were evaluated at baseline. The “unhealthy” cardiovascular risk profile was prevalent (18%) and inversely associated (OR, 0.64; 95%<span>C</span>I, 0.57-0.80) with an optimal lifestyle (normal weight, regular physical activity, no drinking/smoking, and good sleep). The latter condition was found in only 3.5% of the participants. On the other hand, prospective analyses in 44 776 participants (median follow-up<!--> <!-->=<!--> <!-->2 [range 2-5] years) showed that 2.0% transitioned from a “healthy” to an “unhealthy” profile. Being physically active (OR, 0.95; 95%CI, 0.81-0.99) and having a normal weight (OR, 0.61; 95%CI, 0.51-0.70) were associated with a lower likelihood of this transition. No consistent associations were found for other lifestyle factors.</div></div><div><h3>Conclusions</h3><div>The prevalence of cardiovascular risk factors is high in economically active young Spanish adults. An unhealthy cardiovascular risk profile is inversely associated with an optimal lifestyle, but the latter is highly infrequent in this population.</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 821-831"},"PeriodicalIF":5.9,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141281018","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":"Corrección en el artículo de de Juan Bagudá et al. «Levosimendán ambulatorio repetitivo como puente al trasplante cardiaco», Rev Esp Cardiol. 2024;77:290-301","authors":"","doi":"10.1016/j.recesp.2024.05.009","DOIUrl":"10.1016/j.recesp.2024.05.009","url":null,"abstract":"","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"77 9","pages":"Page 802"},"PeriodicalIF":5.9,"publicationDate":"2024-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0300893224001970/pdfft?md5=dc51caab267406cb7058d1f1f2da0213&pid=1-s2.0-S0300893224001970-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142076697","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":"Intervención coronaria percutánea guiada por imagen intravascular en pacientes con infarto agudo de miocardio y shock cardiogénico","authors":"Hyun Sung Joh ,&nbsp;Seung Hun Lee ,&nbsp;Jinhwan Jo ,&nbsp;Hyun Kuk Kim ,&nbsp;Woo-Hyun Lim ,&nbsp;Hack-Lyoung Kim ,&nbsp;Jae-Bin Seo ,&nbsp;Woo-Young Chung ,&nbsp;Sang-Hyun Kim ,&nbsp;Joo-Hee Zo ,&nbsp;Myung-A. Kim ,&nbsp;Min Chul Kim ,&nbsp;Ju Han Kim ,&nbsp;Young Joon Hong ,&nbsp;Young Keun Ahn ,&nbsp;Myung Ho Jeong ,&nbsp;Seung Ho Hur ,&nbsp;Doo Il Kim ,&nbsp;Kiyuk Chang ,&nbsp;Hun Sik Park ,&nbsp;Joo Myung Lee","doi":"10.1016/j.recesp.2024.03.017","DOIUrl":"10.1016/j.recesp.2024.03.017","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>There are no clinical data on the efficacy of intravascular imaging-guided percutaneous coronary intervention (PCI) compared with angiography-guided PCI in patients with acute myocardial infarction (AMI) and cardiogenic shock. The current study sought to evaluate the impact of intravascular imaging-guided PCI in patients with AMI and cardiogenic shock.</div></div><div><h3>Methods</h3><div>Among a total of 28 732 patients from the nationwide pooled registry of KAMIR-NIH (November, 2011 to December, 2015) and KAMIR-V (January, 2016 to June, 2020), we selected a total of 1833 patients (6.4%) with AMI and cardiogenic shock who underwent PCI of the culprit vessel. The primary endpoint was major adverse cardiovascular events (MACE) at 1 year, a composite of cardiac death, myocardial infarction, repeat revascularization, and definite or probable stent thrombosis.</div></div><div><h3>Results</h3><div>Among the study population, 375 patients (20.5%) underwent intravascular imaging-guided PCI and 1458 patients (79.5%) underwent angiography-guided PCI. Intravascular imaging-guided PCI was associated with a significantly lower risk of 1-year MACE than angiography-guided PCI (19.5% vs 28.2%; HR, 0.59; 95%CI, 0.45-0.77; <em>P</em> <!-->&lt;<!--> <!-->.001), mainly driven by a lower risk of cardiac death (13.7% vs 24.0%; adjusted HR, 0.53; 95%CI, 0.39-0.72; <em>P</em> <!-->&lt;<!--> <!-->.001). These results were consistent in propensity score matching (HR, 0.68; 95%CI, 0.46-0.99), inverse probability weighting (HR, 0.61; 95%CI, 0.45-0.83), and Bayesian analysis (Odds ratio, 0.66, 95% credible interval, 0.49-0.88).</div></div><div><h3>Conclusions</h3><div>In AMI patients with cardiogenic shock, intravascular imaging-guided PCI was associated with a lower risk of MACE at 1-year than angiography-guided PCI, mainly driven by the lower risk of cardiac death.</div></div>","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"77 12","pages":"Pages 995-1007"},"PeriodicalIF":5.9,"publicationDate":"2024-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142720530","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}