REC: CardioClinics最新文献

{"title":"Seeing “double”","authors":"Inês Macedo Conde , Carlos Braga , Ana Isabel Azevedo , Nuno Salomé","doi":"10.1016/j.rccl.2025.01.005","DOIUrl":"10.1016/j.rccl.2025.01.005","url":null,"abstract":"","PeriodicalId":36870,"journal":{"name":"REC: CardioClinics","volume":"60 4","pages":"Pages 316-317"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145340520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Holter de 24 horas frente a un dispositivo de monitorización electrocardiográfica en pacientes con palpitaciones","authors":"Nerea Torres González, Luis Álvarez Acosta, Diego Valdivia Miranda, Dácil Díaz Gómez, Julio Salvador Hernández Afonso","doi":"10.1016/j.rccl.2024.12.001","DOIUrl":"10.1016/j.rccl.2024.12.001","url":null,"abstract":"","PeriodicalId":36870,"journal":{"name":"REC: CardioClinics","volume":"60 4","pages":"Pages 308-311"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145340529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physical inactivity and chronic diseases in people aged 65 years and older: A population-based cross-sectional study in Spain","authors":"Ester Forcano Queralt ,&nbsp;José Antonio Quesada ,&nbsp;Domingo Orozco Beltrán","doi":"10.1016/j.rccl.2025.03.003","DOIUrl":"10.1016/j.rccl.2025.03.003","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>Sedentary lifestyles and physical activity are key areas of scientific focus owing to their impact on the main causes of morbidity and mortality worldwide, especially in vulnerable populations. The objectives of this study were to estimate the prevalence of sedentary behaviour in people over 64 years of age living in Spain with cardiovascular disease or cardiovascular risk factors, and to analyse the associated chronic diseases.</div></div><div><h3>Methods</h3><div>We conducted a population-based cross-sectional study using data from the 2017 Spanish National Health Survey. The sample comprised people aged over 64 years who had at least 1 of the following: hypertension, diabetes, high cholesterol, history of acute myocardial infarction, or history of stroke. We used Poisson models with robust variance to estimate prevalence ratios.</div></div><div><h3>Results</h3><div>Among a representative sample of 5314 people, the prevalence of sedentary behaviour was 32.2%. Sedentary behaviour was more common in women, older people, and people with urinary incontinence or mental disorders.</div></div><div><h3>Conclusions</h3><div>We found a moderate-to-high level of sedentary behaviour in a Spanish population aged over 64 years with cardiovascular risk factors or a history of myocardial infarction or stroke. Factors associated with higher levels of sedentary behaviour were female sex, older age, urinary incontinence, and mental health disorders. Longitudinal studies with greater precision are needed to delve deeper into these associations.</div></div>","PeriodicalId":36870,"journal":{"name":"REC: CardioClinics","volume":"60 4","pages":"Pages 244-252"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145340516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Extubación orotraqueal inmediata en procedimientos quirúrgicos cardiacos. Revisión sistemática y metanálisis","authors":"María Oslaida Agüero Martínez ,&nbsp;Luis Carlos Alarcón Gómez","doi":"10.1016/j.rccl.2025.04.001","DOIUrl":"10.1016/j.rccl.2025.04.001","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>The anesthesia for cardiovascular surgical procedures has evolved along with the surgical specialty. Enhanced recovery programs are a typical example of this advance, and within them are actions aimed at achieving immediate orotracheal extubation in the operating room. The objective was to estimate the effectiveness of the implementation immediate orotracheal extubation in the perioperative evolution of patients scheduled for cardiac surgical procedures.</div></div><div><h3>Methods</h3><div>A systematic review with meta-analysis was carried out according to the recommendations of the manual 5.1.0 and 6.2.0 for reviewers of the Cochrane library.</div></div><div><h3>Results</h3><div>Eight studies were evaluated, for a total of 786 patients. Their quality is not ideal. Meta-analyses suggest that this procedure is associated with a decrease in intensive care unit stay (mean difference: −10.46; 95%CI, −17.15 to −3.77), hospital stay (mean difference: −1.88; 95%CI, −3.73 to −0.03), and the incidence of reintubation (RR, 0.85; 95%CI, 0.32-2.23). However, the influence of orotracheal extubation time on postoperative complications (RR, 1.08; 95%CI, 0.52-2.26) could not be demonstrated.</div></div><div><h3>Conclusions</h3><div>It is necessary to carry out and publish controlled and randomized clinical trials, as the first level of evidence, to safely endorse the implementation of this technique in cardiovascular surgical procedures.</div><div>Registered at PROSPERO: CRD42021281286.</div></div>","PeriodicalId":36870,"journal":{"name":"REC: CardioClinics","volume":"60 4","pages":"Pages 288-296"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145340526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impacto pronóstico de los factores psicosociales en la cardiopatía isquémica crónica: aspectos que recordar","authors":"Marisol Bravo-Amaro ,&nbsp;Dámaris Carballeira-Puentes ,&nbsp;Cristina Prieto-Fernández","doi":"10.1016/j.rccl.2025.07.002","DOIUrl":"10.1016/j.rccl.2025.07.002","url":null,"abstract":"","PeriodicalId":36870,"journal":{"name":"REC: CardioClinics","volume":"60 4","pages":"Pages 241-243"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145340621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sedentarismo, ejercicio físico y salud cardiovascular","authors":"Juan Quiles,&nbsp;Maria Dolores Masiá","doi":"10.1016/j.rccl.2025.06.001","DOIUrl":"10.1016/j.rccl.2025.06.001","url":null,"abstract":"","PeriodicalId":36870,"journal":{"name":"REC: CardioClinics","volume":"60 4","pages":"Pages 239-240"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145340620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Síndromes cardiogeriátricos: potenciadores y determinantes del riesgo cardiovascular","authors":"Guillermo A. Suárez ,&nbsp;María Soledad Palacio ,&nbsp;Patricia Blanco ,&nbsp;Pablo Schygiel ,&nbsp;María Laura Flor","doi":"10.1016/j.rccl.2025.06.003","DOIUrl":"10.1016/j.rccl.2025.06.003","url":null,"abstract":"<div><div>Population aging continues to increase worldwide. Geriatric syndromes, prevalent in older adults and described for several years by geriatrics, refer to different health conditions. Many of them have been incorporated and evaluated in cardiology studies, increasing the possibility of adverse cardiovascular events, a term we coined as cardiogeriatric syndromes. Among them, we highlight frailty, multimorbidity, polypharmacy, sarcopenia and malnutrition. Others can determine and predispose to poor outcomes of cardiovascular diseases. This review focuses on those geriatric syndromes that enhance and determine risk and their impact on cardiovascular disease.</div></div>","PeriodicalId":36870,"journal":{"name":"REC: CardioClinics","volume":"60 4","pages":"Pages 297-304"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145340527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"La hipocloremia en la insuficiencia cardiaca descompensada. A propósito de 3 casos","authors":"Bárbara Soler Bonafont ,&nbsp;Andrea Falcón Hernández ,&nbsp;Miguel Lorenzo Hernández ,&nbsp;Gonzalo Núñez Marín ,&nbsp;Rafael de la Espriella ,&nbsp;Julio Núñez","doi":"10.1016/j.rccl.2024.11.001","DOIUrl":"10.1016/j.rccl.2024.11.001","url":null,"abstract":"","PeriodicalId":36870,"journal":{"name":"REC: CardioClinics","volume":"60 4","pages":"Pages 305-308"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145340528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predicción de morbimortalidad mediante inteligencia artificial aplicada al electrocardiograma: un metanálisis","authors":"Lorenzo Fácila Rubio ,&nbsp;Rafael Vidal Pérez ,&nbsp;Miguel Benedito ,&nbsp;Maria Lourdes Sempere Andreu ,&nbsp;Carlos Escobar Cervantes ,&nbsp;Alberto Cordero Fort","doi":"10.1016/j.rccl.2025.07.001","DOIUrl":"10.1016/j.rccl.2025.07.001","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>Artificial intelligence (AI) applied to electrocardiogram (ECG) analysis has shown promise for predicting cardiovascular morbidity and mortality. This meta-analysis evaluates the diagnostic and prognostic accuracy of deep learning (DL) and machine learning (ML) algorithms in predicting adverse events and cardiovascular mortality.</div></div><div><h3>Methods</h3><div>A systematic search was conducted in PubMed, Embase, Cochrane, and Web of Science (2010-2024). Studies evaluating AI applied to ECG for predicting morbidity and mortality were included, and diagnostic accuracy measures were calculated through meta-analysis. The protocol was previously registered at PROSPERO (CRD420251017753).</div></div><div><h3>Results</h3><div>A total of 28 studies with 3 569 731 patients were included. DL algorithms showed higher accuracy than ML algorithms (combined AUC: 0.85 vs 0.78; <em>P</em> &lt;<!--> <!-->.001). For predicting mortality and major cardiovascular adverse events, sensitivity and specificity were high. Heterogeneity between studies was moderate to high (I² <!-->=<!--> <!-->68%, <em>P</em> &lt;<!--> <!-->.001).</div></div><div><h3>Conclusions</h3><div>AI algorithms applied to ECG are effective for predicting cardiovascular morbidity and mortality, with DL models demonstrating higher accuracy than ML models. External validation in diverse populations is required before widespread clinical implementation.</div></div>","PeriodicalId":36870,"journal":{"name":"REC: CardioClinics","volume":"60 4","pages":"Pages 263-274"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145340517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Influence of social factors in a cohort of ischemic heart disease: Insights from the RECORVAL registry","authors":"Jon Zubiaur ,&nbsp;Raquel Pérez Barquín ,&nbsp;Adrián Margarida de Castro ,&nbsp;Andrea Teira Calderón ,&nbsp;Fermín Sáinz Laso ,&nbsp;Dae-Hyun Lee Hwang ,&nbsp;Tamara García-Camarero ,&nbsp;Gabriela Veiga ,&nbsp;Aritz Gil Ongay ,&nbsp;Celia Garilleti ,&nbsp;Rigoberto Hernández ,&nbsp;Sergio Barrera ,&nbsp;Víctor Fradejas ,&nbsp;Cristina Obregón ,&nbsp;José M. de la Torre Hernández","doi":"10.1016/j.rccl.2025.05.002","DOIUrl":"10.1016/j.rccl.2025.05.002","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>Cardiovascular disease accounts for a considerable proportion of both morbidity and mortality. In addition to well-established risk factors, some studies have identified a correlation between social determinants such as social support, income, and psychosocial factors and worse outcomes.</div></div><div><h3>Methods</h3><div>A prospective, single-centre observational study was conducted on patients diagnosed with coronary disease following coronary angiography. In addition to traditional risk factors, social determinants were collected via a researcher-administered questionnaire. Clinical events were prospectively recorded. A composite endpoint was defined as cardiovascular death, myocardial infarction (MI), or coronary revascularization. A multivariate Cox proportional hazards regression analysis was conducted using variables selected from the univariate analysis.</div></div><div><h3>Results</h3><div>A total of 2213 patients were followed for a median duration of 1461 days. The mean age of the cohort was 66.3 years; 23.5% were women, 27.8% had diabetes mellitus, and 10.4% had chronic kidney disease. During the follow-up period, there were 343 (15.5%) composite endpoint events, including 109 (4.9%) deaths, 85 (4%) cardiovascular deaths, 182 (8.2%) MI, 229 (10.3%) revascularizations, 70 (3.2%) strokes, and 129 (5.8%) clinically significant haemorrhages. The multivariate analysis revealed that 2 social variables were significantly associated with the composite endpoint: self-management of treatment (aHR, 0.61; 95%CI, 0.44–0.85; <em>P</em> <!-->&lt;<!--> <!-->.01) and home Internet access (aHR, 0.73; 95%CI, 0.56–0.97; <em>P</em> <!-->=<!--> <!-->.013).</div></div><div><h3>Conclusions</h3><div>Certain social factors, such as self-management of treatment and internet access, are associated with a better prognosis in patients with ischemic heart disease. Identification of these patients would enable healthcare professionals to potentially improve prognosis.</div></div>","PeriodicalId":36870,"journal":{"name":"REC: CardioClinics","volume":"60 4","pages":"Pages 275-287"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145340525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}