Gisela Teixido-Tura , Lydia Dux-Santoy , Clara Badia , Javier Limeres , Andrea Guala , Artur Evangelista Masip , Ignacio Ferreira-González , José Rodríguez-Palomares
{"title":"Presente y futuro de la evaluación del riesgo aórtico en pacientes con enfermedad aórtica hereditaria","authors":"Gisela Teixido-Tura , Lydia Dux-Santoy , Clara Badia , Javier Limeres , Andrea Guala , Artur Evangelista Masip , Ignacio Ferreira-González , José Rodríguez-Palomares","doi":"10.1016/j.recesp.2024.10.012","DOIUrl":"10.1016/j.recesp.2024.10.012","url":null,"abstract":"<div><div>Heritable thoracic aortic diseases (HTAD) are a group of diverse genetic conditions characterized by an increased risk of aortic complications. The standard surveillance of these patients involves monitoring aortic diameters until a defined threshold is reached, at which point preventive aortic surgery is recommended. However, assessing aortic risk in these patients is far more complex and, in many aspects, remains incompletely understood. Several factors contribute to this complexity, including the diversity and low prevalence of the conditions within HTAD and the limited understanding of the factors influencing the progression of aortic dilation and the advent of acute aortic events. This article reviews current knowledge on clinical, genetic, and imaging factors related to aortic risk in HTAD and explores their potential future roles in improving risk assessment. By advancing our understanding of these factors, we aim to enhance the precision of risk stratification and develop more effective, personalized management strategies for HTAD patients, with the final goal of improving clinical outcomes and quality of life in individuals affected by these genetic disorders.</div></div>","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"78 4","pages":"Pages 358-367"},"PeriodicalIF":5.9,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143706163","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}
José Antonio Sorolla Romero , Andrea Teira Calderón , Jean Paul Vilchez Tschischke , José Luis Díez Gil , Hector M. Garcia-Garcia , Jorge Sanz Sánchez
{"title":"Modificación de placa coronaria e impacto en la microcirculación tras angioplastia con balón farmacoactivo: el estudio PLAMI","authors":"José Antonio Sorolla Romero , Andrea Teira Calderón , Jean Paul Vilchez Tschischke , José Luis Díez Gil , Hector M. Garcia-Garcia , Jorge Sanz Sánchez","doi":"10.1016/j.recesp.2024.10.002","DOIUrl":"10.1016/j.recesp.2024.10.002","url":null,"abstract":"","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"78 5","pages":"Pages 481-482"},"PeriodicalIF":5.9,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143879371","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}
Zojaina Hernández Rojas , M. Rosa Dalmau Llorca , Carina Aguilar Martín , Elisabet Castro Blanco , Manuel García-Goñi , Josep M. Alegret
{"title":"Análisis poblacional del coste de los anticoagulantes orales de acción directa frente a los antagonistas de la vitamina K en fibrilación auricular no valvular","authors":"Zojaina Hernández Rojas , M. Rosa Dalmau Llorca , Carina Aguilar Martín , Elisabet Castro Blanco , Manuel García-Goñi , Josep M. Alegret","doi":"10.1016/j.recesp.2024.11.024","DOIUrl":"10.1016/j.recesp.2024.11.024","url":null,"abstract":"","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"78 7","pages":"Pages 652-655"},"PeriodicalIF":5.9,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144481503","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}
Francisco José Hernández-Pérez , Alba Martín-Centellas , Mercedes Rivas-Lasarte , Cristina Mitroi , Manuel Gómez-Bueno , Javier Segovia-Cubero
{"title":"Trasplante cardiaco como tratamiento del shock cardiogénico: ¿una estrategia eficiente o una «excepción española»?","authors":"Francisco José Hernández-Pérez , Alba Martín-Centellas , Mercedes Rivas-Lasarte , Cristina Mitroi , Manuel Gómez-Bueno , Javier Segovia-Cubero","doi":"10.1016/j.recesp.2024.11.025","DOIUrl":"10.1016/j.recesp.2024.11.025","url":null,"abstract":"<div><div>Cardiogenic shock remains one of the main challenges in modern cardiovascular medicine. In Spain, urgent cardiac transplantation is the most widely used heart replacement therapy fin eligible patients who do not achieve cardiac recovery. However, this approach has significant implications related to the principle of equity, influenced by the characteristics of the recipient, the donor, and organ access. When selecting a recipient, multiorgan failure must first be addressed before considering transplantation. At the same time, it is essential to expand the donor pool through various strategies to meet the growing demand, even if it involves using suboptimal organs. Given the scarcity of donors and favorable outcomes, long-term left ventricular assist devices should be considered as an alternative to transplantation. Finally, designing organ distribution criteria remains a constantly evolving challenge, as there is no universal system that can address all the issues involved. Allocating organs to the most critically ill patients can provide substantial individual benefits, as long as it does not significantly compromise the common good.</div></div>","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"78 5","pages":"Pages 465-472"},"PeriodicalIF":5.9,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143879369","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}
Mireia Llevadot , Germán Cediel , Mar Domingo , Gloria Moragas , Montserrat Solà , Antoni Bayés-Genís
{"title":"Validación de 2 puntuaciones de riesgo de amiloidosis cardiaca por transtirretina en una cohorte mediterránea de pacientes en riesgo","authors":"Mireia Llevadot , Germán Cediel , Mar Domingo , Gloria Moragas , Montserrat Solà , Antoni Bayés-Genís","doi":"10.1016/j.recesp.2024.09.009","DOIUrl":"10.1016/j.recesp.2024.09.009","url":null,"abstract":"","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"78 4","pages":"Pages 374-376"},"PeriodicalIF":5.9,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143706166","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}
Carlos Moliner-Abós , Meritxell Santaló-Corcoy , Javier Meseguer-Donlo , Andrea Crehuet-Llonch , Bieito Campos García , Sònia Mirabet Pérez
{"title":"Tendencia temporal en la prescripción de desfibrilador automático implantable por prevención primaria en miocardiopatía dilatada","authors":"Carlos Moliner-Abós , Meritxell Santaló-Corcoy , Javier Meseguer-Donlo , Andrea Crehuet-Llonch , Bieito Campos García , Sònia Mirabet Pérez","doi":"10.1016/j.recesp.2024.11.016","DOIUrl":"10.1016/j.recesp.2024.11.016","url":null,"abstract":"","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"78 6","pages":"Pages 568-571"},"PeriodicalIF":5.9,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144134580","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":"ApoB y pronóstico de los pacientes con síndrome coronario crónico","authors":"Alberto Cordero , Rosa Fernández Olmo","doi":"10.1016/j.recesp.2024.10.004","DOIUrl":"10.1016/j.recesp.2024.10.004","url":null,"abstract":"","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"78 5","pages":"Pages 414-415"},"PeriodicalIF":5.9,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143879478","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}
Héctor A. Álvarez-Covarrubias , Niklas Altaner , Rafael Adolf , Martin Jurisic , Elisabeth Horban , Costanza Pellegrini , Charlotte Duesmann , Mark Lachmann , Christian Thilo , Finn Syryca , Markus Klos , N. Patrick Mayr , Tobias Rheude , Matthias Renker , Efstratios I. Charitos , Heribert Schunkert , Adnan Kastrati , Erion Xhepa , Kim Won-Keun , Michael Joner
{"title":"Volumen de calcificación de la válvula aórtica y su pronóstico en pacientes sometidos a implante percutáneo de válvula aórtica","authors":"Héctor A. Álvarez-Covarrubias , Niklas Altaner , Rafael Adolf , Martin Jurisic , Elisabeth Horban , Costanza Pellegrini , Charlotte Duesmann , Mark Lachmann , Christian Thilo , Finn Syryca , Markus Klos , N. Patrick Mayr , Tobias Rheude , Matthias Renker , Efstratios I. Charitos , Heribert Schunkert , Adnan Kastrati , Erion Xhepa , Kim Won-Keun , Michael Joner","doi":"10.1016/j.recesp.2024.10.003","DOIUrl":"10.1016/j.recesp.2024.10.003","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>It is unknown whether aortic valve calcium volume, as measured by contrast-enhanced computed tomography angiography (angio-CT), is associated with mortality in patients undergoing transcatheter aortic valve implantation (TAVI). We aimed to confirm that contrast-enhanced aortic valve calcium correlates with noncontrast-enhanced calcium score and provides useful prognostic information in patients undergoing TAVI.</div></div><div><h3>Methods</h3><div>This retrospective observational study included patients from 2 high-volume TAVI centers in Germany, all of whom underwent high-quality angio-CT prior to TAVI. Calcium volume in contrast-enhanced angio-CT was calculated using 3<!--> <!-->Mensio software (Pie Medical, The Netherlands), while the calcium score from noncontrast-enhanced angio-CT was obtained using the Syngo.via (Siemens Healthineers, Germany) workstation to validate contrast-enhanced angio-CT values. Calcium volume was dichotomized using the median based on to sex-specific values from contrast-enhanced angio-CT, and the risk associated with increased calcium volume was determined using Cox proportional hazard regression analysis.</div></div><div><h3>Results</h3><div>We included 3318 TAVI patients. A good correlation was observed between noncontrast-enhanced and contrast-enhanced angio-CT (r<sup>2</sup> <!-->=<!--> <!-->0.680; <em>P</em> <!--><<!--> <!-->.001). The median values for sex-specific contrast-enhanced angio-CT calcium volume were 514 mm<sup>3</sup> for women and 1025 mm<sup>3</sup> for men. Patients with higher calcium volumes showed lower mortality at 1 year (8.8% vs 12.1%; adjusted HR, 0.86; 95%CI, 0.75-0.98; <em>P</em> <!-->=<!--> <!-->.02) compared with those with lower calcium volumes.</div></div><div><h3>Conclusions</h3><div>Calcium volume in contrast-enhanced angio-CT correlated well with noncontrast-enhanced angio-CT calcium score. Patients with higher calcium volume showed lower mortality at 1 year after TAVI.</div></div>","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"78 6","pages":"Pages 507-518"},"PeriodicalIF":5.9,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144134692","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}