Revista espanola de cardiologia最新文献

{"title":"Evaluación mediante ecocardiografía tridimensional de la geometría del anillo tricuspídeo en niños con cardiopatías congénitas","authors":"Ramona Ghenghea ,&nbsp;Clement Karsenty ,&nbsp;Pierrick Pyra ,&nbsp;Aitor Guitarte ,&nbsp;Yves Dulac ,&nbsp;Paul Vignaud ,&nbsp;Philippe Acar ,&nbsp;Khaled Hadeed","doi":"10.1016/j.recesp.2025.05.013","DOIUrl":"10.1016/j.recesp.2025.05.013","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>The tricuspid annulus (TA) in congenital heart diseases (CHD) may undergo significant changes in size, shape, and function due to hemodynamic overload. This study aimed to compare TA remodeling in children with CHD based on the type of right ventricle (RV) overload, using three-dimensional transthoracic echocardiography (3D-TTE).</div></div><div><h3>Methods</h3><div>This prospective case-control study included children with CHD who were divided into 2 groups based on the type of RV overload. Using 3D-TTE, we assessed the dimensions of the right chambers, the surface area, and the tenting volume of the TA, and analyzed the correlation among these measurements.</div></div><div><h3>Results</h3><div>A total of 90 patients were enrolled: 30 with pretricuspid overload (atrial septal defect and partial anomalous pulmonary venous connection), 33 with posttricuspid overload (pulmonary regurgitation after RV outflow tract surgery), and 27 healthy controls. 3D TA surface area was larger in the pretricuspid group than in the posttricuspid group (median 6.60<!--> <!-->cm²/m² vs 5.16<!--> <!-->cm²/m²; <em>P</em> <!-->=<!--> <!-->.01) and was correlated with right atrial (RA) volume (<em>P</em> <!-->=<!--> <!-->.0001, r<!--> <!-->=<!--> <!-->0.66) and RA surface area (<em>P</em> <!-->&lt;<!--> <!-->.0001, r<!--> <!-->=<!--> <!-->0.74) in the pretricuspid group. The tenting volume was greater in the posttricuspid group than in the control group. The 3D TA surface area and tenting volume were not correlated with RV end-diastolic volume.</div></div><div><h3>Conclusions</h3><div>3D modeling of the TA using 3D-TTE is feasible and provides insights into TA remodeling in different RV overload conditions. RA volume and surface area are key determinants of TA size, which could have an impact on therapeutic strategies in patients with tricuspid regurgitation.</div></div>","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"79 1","pages":"Pages 59-67"},"PeriodicalIF":5.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145824213","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":"Resonancia magnética cardiovascular feature-tracking para predecir eventos cardiovasculares adversos mayores en pacientes con amiloidosis cardiaca","authors":"Ilaria Dentamaro ,&nbsp;Andrea Igoren Guaricci ,&nbsp;Yassin Belahnech ,&nbsp;Paolo Basile ,&nbsp;Gianluca Pontone ,&nbsp;José Fernando Rodríguez Palomares","doi":"10.1016/j.recesp.2025.04.002","DOIUrl":"10.1016/j.recesp.2025.04.002","url":null,"abstract":"","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"79 1","pages":"Pages 88-92"},"PeriodicalIF":5.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145824174","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":"Inteligencia artificial (IA): una de arena…","authors":"Fernando A. Navarro","doi":"10.1016/j.recesp.2025.07.001","DOIUrl":"10.1016/j.recesp.2025.07.001","url":null,"abstract":"","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"79 1","pages":"Pages 1-2"},"PeriodicalIF":5.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145824168","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":"Acoplamiento entre el ventrículo derecho y la arteria pulmonar como predictor de muerte o ingreso por IC en pacientes con insuficiencia tricuspídea grave","authors":"Ana Fernández Ruiz ,&nbsp;Martín Ruiz Ortiz ,&nbsp;Consuelo Fernández-Avilés Irache ,&nbsp;Ana María Rodríguez Almodóvar ,&nbsp;Mónica Delgado Ortega ,&nbsp;Fátima Esteban Martínez ,&nbsp;Adriana Resúa Collazo ,&nbsp;Gloria Heredia Campos ,&nbsp;Rafael González Manzanares ,&nbsp;José López Aguilera ,&nbsp;Juan Carlos Castillo Domínguez ,&nbsp;Manuel Anguita Sánchez ,&nbsp;Manuel Pan Álvarez-Ossorio ,&nbsp;Dolores Mesa Rubio","doi":"10.1016/j.recesp.2025.04.012","DOIUrl":"10.1016/j.recesp.2025.04.012","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>The right ventricular-pulmonary arterial coupling, evaluated by tricuspid annular plane systolic excursion and pulmonary artery systolic pressure ratio (TAPSE/PASP), has been studied in the prognostic assessment of severe tricuspid regurgitation only in selected populations and mainly in relation to all-cause mortality.</div></div><div><h3>Methods</h3><div>We retrospectively included all adult patients with severe tricuspid regurgitation who underwent echocardiography at a tertiary care hospital between January 1, 2008, and December 31, 2017. We investigated the association of TAPSE/PASP, either as a continuous variable or dichotomized at &lt;<!--> <!-->0.31<!--> <!-->mm/mmHg, with the combined endpoint of mortality and heart failure (HF) admission, as well as its usefulness in several subgroups of interest.</div></div><div><h3>Results</h3><div>A total of 474 patients (70<!--> <!-->±<!--> <!-->13 years; 71% women) were included, with a median follow-up of 5 [p25-75, 2-7] years. During follow-up, 285 patients died and 192 experienced 481 HF admissions. Patients with TAPSE/PASP &lt;<!--> <!-->0.31<!--> <!-->mm/mmHg had significantly worse HF admission-free survival at median follow-up (25% vs 53%, <em>P</em> &lt;<!--> <!-->.0005). The discriminative ability of TAPSE/PASP was statistically significant (area under the curve, 0.69; 95%CI, 0.65-0.74; <em>P</em> &lt;<!--> <!-->.0005). After multivariate adjustment, TAPSE/PASP remained an independent predictor of the combined endpoint (HR, 0.017; 95%CI, 0.004-0.075; <em>P</em> &lt;<!--> <!-->.0005), with significant incremental prognostic value over clinical variables (<em>P</em> &lt;<!--> <!-->.0005). The performance of the index was consistent in patients with pacemaker/defibrillator leads or prior cardiac surgery, but not in those with reduced ejection fraction.</div></div><div><h3>Conclusions</h3><div>In this cohort of patients with severe tricuspid regurgitation, TAPSE/PASP was a strong independent predictor of HF admission or mortality during long-term follow-up.</div></div>","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"79 1","pages":"Pages 35-45"},"PeriodicalIF":5.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145824192","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":"Imagen de fusión ecocardiográfica-fluoroscópica con la minisonda transesofágica 3D en cardiopatías congénitas pediátricas","authors":"Ramona Ghenghea ,&nbsp;Khaled Hadeed ,&nbsp;Paul Vignaud-Marighetto ,&nbsp;Nicolas Combes ,&nbsp;Philippe Acar ,&nbsp;Clement Karsenty","doi":"10.1016/j.recesp.2025.03.011","DOIUrl":"10.1016/j.recesp.2025.03.011","url":null,"abstract":"","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"79 1","pages":"Pages 85-88"},"PeriodicalIF":5.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145824193","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":"Síndrome de Sézary como causa inusual de endocarditis de Loeffler","authors":"Juan Manuel Serrano-Marcos,&nbsp;Miguel Morales-García,&nbsp;Sara Ruiz-Magaña","doi":"10.1016/j.recesp.2025.07.009","DOIUrl":"10.1016/j.recesp.2025.07.009","url":null,"abstract":"","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"79 1","pages":"Pages 95-96"},"PeriodicalIF":5.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145824216","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 entre la metilación del ADN en loci relacionados con el tabaco y mortalidad en pacientes con enfermedad arterial periférica","authors":"Lidia Marcos-García ,&nbsp;Albert Clarà ,&nbsp;Sonia Pérez-Cabezón ,&nbsp;Manuel Miralles-Hernández ,&nbsp;Roberto Elosua ,&nbsp;Alina Velescu","doi":"10.1016/j.recesp.2025.02.024","DOIUrl":"10.1016/j.recesp.2025.02.024","url":null,"abstract":"","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"79 1","pages":"Pages 80-82"},"PeriodicalIF":5.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145824126","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 de la discapacidad con la mortalidad cardiovascular en la población adulta española no institucionalizada","authors":"Roberto Pastor-Barriuso ,&nbsp;Alicia Padrón-Monedero ,&nbsp;Fernando J. García López ,&nbsp;Javier Almazán-Isla ,&nbsp;Jesús de Pedro-Cuesta ,&nbsp;Javier Damián","doi":"10.1016/j.recesp.2025.03.010","DOIUrl":"10.1016/j.recesp.2025.03.010","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>Adults with disability have higher risk of all-cause mortality, but evidence on their risk of cardiovascular mortality is scarce. This study aimed to evaluate the association between disability severity and mortality from cardiovascular causes among community-dwelling adults.</div></div><div><h3>Methods</h3><div>A representative cohort of 105 743 community-dwelling Spanish adults aged 40 years or older was screened for disability severity within the framework of the international classification of functioning, disability, and health from 2007 to 2008 and was followed up for cardiovascular mortality until 2017. Five- and 10-year cardiovascular mortality risks in each disability category were standardized by sociodemographic characteristics using inverse probability weighting and corrected for competing causes of death. Bias analyses were performed to quantify residual confounding by unmeasured baseline cardiovascular conditions.</div></div><div><h3>Results</h3><div>The baseline prevalence of disability was 16.2% (95%CI, 15.9-16.4), including 11.5% with mild, 3.5% with moderate, and 1.1% with severe/complete disability. Compared with no disability, the standardized 5-year risk ratios for cardiovascular mortality (95%CI) were 1.70 (1.49-1.93), 3.92 (3.23-4.76), and 4.77 (3.42-6.66) for mild, moderate, and severe/complete disability, respectively, corresponding to 11.7 (8.4-15.0), 49.0 (37.0-60.9), and 63.1 (37.0-89.3) excess cardiovascular deaths per 1000 persons. The positive confounding in these risk ratios by unmeasured prevalent cardiovascular conditions was 5.9%. Results were similar for ischemic heart disease and cerebrovascular mortality and were sustained after 10 years of follow-up.</div></div><div><h3>Conclusions</h3><div>Adults with disability have higher mortality from cardiovascular causes. Conditions that increase cardiovascular risk in people with disability should be investigated. Preventive measures and health promotion initiatives are needed to reduce the risk of cardiovascular mortality in this population.</div></div>","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"79 1","pages":"Pages 3-12"},"PeriodicalIF":5.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145824169","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":"Precisión diagnóstica del cociente cuantitativo de flujo en lesiones intermedias no culpables de pacientes con infarto agudo de miocardio con elevación del segmento ST","authors":"Emilio Alfonso Rodríguez ,&nbsp;Josep Gómez-Lara ,&nbsp;Ramón López-Palop ,&nbsp;Enrique Gutiérrez ,&nbsp;Luis Renier Goncalves Ramírez ,&nbsp;José Valencia ,&nbsp;Alfonso Jurado-Román ,&nbsp;Juan Gabriel Córdoba Soriano ,&nbsp;Antonio Gómez-Menchero ,&nbsp;Estefanía Fernández-Peregrina ,&nbsp;Carlos Cortés ,&nbsp;Paula Tejedor ,&nbsp;Raúl Millán ,&nbsp;Guillermo Sánchez-Elvira ,&nbsp;Tamara García-Camarero ,&nbsp;José Antonio Linares Vicente ,&nbsp;Eva Rúmiz ,&nbsp;Rosa María Cardenal Piris ,&nbsp;Irene Elizondo Rua ,&nbsp;Jean Paul Vílchez ,&nbsp;Joan Antoni Gómez-Hospital","doi":"10.1016/j.recesp.2025.05.010","DOIUrl":"10.1016/j.recesp.2025.05.010","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>The reliability of quantitative flow ratio (QFR) has been questioned. Our aim was to evaluate the diagnostic accuracy of QFR in intermediate nonculprit lesions during the index ST-segment elevation myocardial infarction (STEMI) procedure compared with positive pressure wire-based fractional flow reserve (FFR ≤<!--> <!-->0.80) in a staged procedure.</div></div><div><h3>Methods</h3><div>This was a substudy of the multicenter, controlled, and randomized VULNERABLE trial, including 428 intermediate nonculprit lesions from 388 consecutive STEMI patients undergoing FFR assessment in a staged procedure between 1 and 60 days. Off-line QFR analyses were performed during both the index and staged procedures. The primary objective was to assess the diagnostic accuracy of index QFR compared with staged positive FFR.</div></div><div><h3>Results</h3><div>Angiographic vessel diameter (2.80<!--> <!-->±<!--> <!-->0.59 vs 2.91<!--> <!-->±<!--> <!-->0.57<!--> <!-->mm; <em>P</em> <!-->&lt;<!--> <!-->.01), stenosis severity (51.33<!--> <!-->±<!--> <!-->8.04% vs 50.54<!--> <!-->±<!--> <!-->7.63%; <em>P</em> <!-->=<!--> <!-->.053), and QFR values (0.85<!--> <!-->±<!--> <!-->0.09 vs 0.86<!--> <!-->±<!--> <!-->0.09; <em>P</em> <!-->=<!--> <!-->.120) showed minimal changes between the index and staged procedures. Moderate concordance was observed between index QFR and staged FFR (kappa index<!--> <!-->=<!--> <!-->0.629; intraclass correlation coefficient<!--> <!-->=<!--> <!-->0.641). The diagnostic accuracy of index QFR for predicting positive FFR was good (area under the curve<!--> <!-->=<!--> <!-->0.825). An index QFR cutoff ≤<!--> <!-->0.80 showed moderate sensitivity (72%) and excellent specificity (91%). An index QFR ≤<!--> <!-->0.87 achieved a sensitivity of 86% for detecting lesions with positive FFR, with 55% of lesions presenting QFR ≤<!--> <!-->0.87 at the index procedure.</div></div><div><h3>Conclusions</h3><div>Index QFR demonstrated good diagnostic accuracy for identifying lesions with positive FFR in a staged procedure. However, an index QFR cutoff value of ≤<!--> <!-->0.80 showed moderate sensitivity and may underdiagnose approximately 3 out of 10 lesions with positive FFR. An index QFR ≤<!--> <!-->0.87 provided higher sensitivity and may help avoid invasive (staged) procedures in many patients.</div></div>","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"79 1","pages":"Pages 49-58"},"PeriodicalIF":5.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145824214","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":"Pequeñas dimensiones telediastólicas del ventrículo izquierdo identifican a pacientes con insuficiencia cardiaca y fracción de eyección supranormal","authors":"Enrique Santas ,&nbsp;Rafael de la Espriella ,&nbsp;Gema Miñana ,&nbsp;Anna Mollar ,&nbsp;Patricia Palau ,&nbsp;Julio Núñez","doi":"10.1016/j.recesp.2025.03.002","DOIUrl":"10.1016/j.recesp.2025.03.002","url":null,"abstract":"","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"79 1","pages":"Pages 82-85"},"PeriodicalIF":5.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145824194","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}