REC: CardioClinics最新文献_第8页

Validation of a new model of non-invasive functional assessment of coronary lesions by computer tomography fractional flow reserve 计算机断层分数血流储备对冠状动脉病变无创功能评估新模型的验证

REC: CardioClinics Pub Date : 2024-01-01 DOI: 10.1016/j.rccl.2023.07.004

Alberto Otero-Cacho , Diego López-Otero , Manuel Insúa Villa , Brais Díaz-Fernández , María Bastos-Fernández , Vicente Pérez-Muñuzuri , Alberto P. Muñuzuri , José Ramón González-Juanatey

{"title":"Validation of a new model of non-invasive functional assessment of coronary lesions by computer tomography fractional flow reserve","authors":"Alberto Otero-Cacho , Diego López-Otero , Manuel Insúa Villa , Brais Díaz-Fernández , María Bastos-Fernández , Vicente Pérez-Muñuzuri , Alberto P. Muñuzuri , José Ramón González-Juanatey","doi":"10.1016/j.rccl.2023.07.004","DOIUrl":"10.1016/j.rccl.2023.07.004","url":null,"abstract":"<div><h3>Introduction and objectives</h3><p>Computed tomography of coronary arteries (CTCA) is emerging as the gold standard in the initial evaluation of chest pain. The aim of this study is to calculate the diagnostic performance and clinical usefulness of numerical models of arterial channels flow to assess non-invasive coronary fractional flow reserve by computed tomography (FFRct) compared to assessment by invasive angiography (FFR).</p></div><div><h3>Methods</h3><p>Computation of FFR from CTCA images was performed on 39 vessels in 32 patients who followed the usual clinical protocol including invasive coronary angiography and FFR following the usual clinical protocol. From the segmentation of the CTCA images, 3D geometry is obtained, and computational fluid dynamics techniques are applied to accurately reproduce the circulation of blood considering steady and unsteady circulatory conditions. Additional parameters as wall shear stress, stenosis resistance index and ΔFFRct were also calculated.</p></div><div><h3>Results</h3><p>The results obtained show a good correlation between FFRct and invasive FFR, without obtaining false positives values. In addition, no differences were observed between the simulations considering steady conditions or those considering the transient. Additional parameters as wall shear stress, stenosis resistance, and ΔFFRct also showed a good correlation with the invasive values.</p></div><div><h3>Conclusions</h3><p>This new model for calculating the FFRct from non-invasive 3D medical images of coronary tree has shown good agreement with those obtained using invasive techniques. Parameters as wall shear stress, stenosis resistance and ΔFFRct provide useful information that could be helpful in medical decision-making in those situations with FFR values close to the cut-off zone.</p></div>","PeriodicalId":36870,"journal":{"name":"REC: CardioClinics","volume":"59 1","pages":"Pages 35-45"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44327622","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}

引用次数: 0

Sífilis cardiovascular 心血管梅毒

REC: CardioClinics Pub Date : 2024-01-01 DOI: 10.1016/j.rccl.2023.05.001

Diana Isabel Katekaru-Tokeshi , Moisés Jiménez-Santos , Eric Kimura-Hayama

引用次数: 0

Remote monitoring in remote places: an archipelago experience in heart failure patients with cardiac electronic devices 偏远地区的远程监控：群岛心衰患者使用心脏电子设备的经验

REC: CardioClinics Pub Date : 2024-01-01 DOI: 10.1016/j.rccl.2023.09.002

Maria Inês Barradas, Fabiana Duarte, Inês Coutinho dos Santos, André Viveiros Monteiro, Anabela Tavares, Dinis Martins

{"title":"Remote monitoring in remote places: an archipelago experience in heart failure patients with cardiac electronic devices","authors":"Maria Inês Barradas, Fabiana Duarte, Inês Coutinho dos Santos, André Viveiros Monteiro, Anabela Tavares, Dinis Martins","doi":"10.1016/j.rccl.2023.09.002","DOIUrl":"10.1016/j.rccl.2023.09.002","url":null,"abstract":"<div><h3>Introduction and objectives</h3><p>Remote monitoring (RM) is a new tool in heart failure (HF) patients with cardiac implantable electronic devices but its effect in clinical outcomes is still uncertain. In remote regions as islands HF management is even more challenging and RM may have a different impact. We aimed to assess its impact in clinical outcomes in an insular reality.</p></div><div><h3>Methods</h3><p>This was a retrospective, non-randomized study conducted in our hospital, that is the reference center of a nine-island archipelago. Patients in the HF remote monitoring program were matched 1:1 with usual standard of care patients.</p></div><div><h3>Results</h3><p>From 307 patients, 96 with RM (group 1 – G1) were matched 1:1 according to age ±2 years and gender with 96 usual standard of care (group 2 – G2) (mean age 69 years, 76% males, mean follow-up period 55 months). Primary endpoint was cardiovascular (CV) mortality and secondary endpoints all-cause mortality, HF hospitalizations at 12 months and at FUP. CV mortality was lower in G1 (hazard ratio [HR] 6.7; 95% confidence interval [95% CI] 1.46–30.87; <em>P</em>  <.001) and HF hospitalizations at 12 months (<em>P</em>  <!-->.02) with a tendency toward less hospitalizations during follow-up.</p></div><div><h3>Conclusions</h3><p>RM in the management of HF patients with cardiac implantable electronic devices in a remote geographic location, as a nine-island archipelago, was effective in reducing CV mortality, all-cause mortality and HF hospitalizations.</p></div>","PeriodicalId":36870,"journal":{"name":"REC: CardioClinics","volume":"59 1","pages":"Pages 14-22"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135661546","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}

引用次数: 0

Cambios en el diagnóstico de la amiloidosis en las últimas dos décadas. ¿Que 20 años no es nada? 过去二十年淀粉样变性病诊断的变化--20 年算得了什么？

REC: CardioClinics Pub Date : 2024-01-01 DOI: 10.1016/j.rccl.2023.10.005

Fernando Domínguez

引用次数: 0

Estimulación fisiológica: estado actual y perspectivas futuras 生理刺激：现状与未来展望

REC: CardioClinics Pub Date : 2023-11-01 DOI: 10.1016/j.rccl.2023.06.003

Cristina Lozano Granero , Álvaro Marco del Castillo , Sem Briongos Figuero , Miguel Amores Luque

引用次数: 0

IV CardioMIR: el Congreso de los Jóvenes Cardiólogos IV CardioMIR：青年心脏病学家大会

REC: CardioClinics Pub Date : 2023-11-01 DOI: 10.1016/j.rccl.2023.11.001

Ana Laffond , Javier Borrego , David González-Calle , Pedro Cepas-Guillén

引用次数: 0

«Mind the gap». Fundamentos de economía de la salud para una comunicación efectiva entre clínicos y gestores sanitarios "注意差距。临床医生与健康管理者之间有效沟通的健康经济学基础。

REC: CardioClinics Pub Date : 2023-11-01 DOI: 10.1016/j.rccl.2023.06.004

Ana Barradas-Pires , Lucía Matute-Blanco , Mario Diaznuila-Alcazar

引用次数: 0

Introducción 导言

REC: CardioClinics Pub Date : 2023-11-01 DOI: 10.1016/j.rccl.2023.07.005

Pablo Díez-Villanueva , María Thiscal López Lluva

引用次数: 0

Insuficiencia tricuspídea. Definición y actualización sobre su historia natural, diagnóstico y tratamiento 三尖瓣反流。三尖瓣反流的定义及其自然史、诊断和治疗的最新进展。

REC: CardioClinics Pub Date : 2023-11-01 DOI: 10.1016/j.rccl.2023.08.001

Juan Carlos Gómez Polo , Noemí Ramos López , Irene Carrión Sánchez , María Thiscal López-Lluva

引用次数: 0

Situación actual del abordaje integral de la insuficiencia cardiaca en España. Proyecto OPTIMISE-IC 西班牙心力衰竭综合治疗的现状。项目优化-IC

REC: CardioClinics Pub Date : 2023-10-01 DOI: 10.1016/j.rccl.2023.07.003

Vivencio Barrios , Eduardo Barge-Caballero , M. José Castillo Moraga , M. Isabel Egocheaga Cabello , Carlos Escobar Cervantes , Román Freixa-Pamias , Juan Carlos Obaya Rebollar , Carolina Ortiz Cortés , María Cruz Seoane Vicente

{"title":"Situación actual del abordaje integral de la insuficiencia cardiaca en España. Proyecto OPTIMISE-IC","authors":"Vivencio Barrios , Eduardo Barge-Caballero , M. José Castillo Moraga , M. Isabel Egocheaga Cabello , Carlos Escobar Cervantes , Román Freixa-Pamias , Juan Carlos Obaya Rebollar , Carolina Ortiz Cortés , María Cruz Seoane Vicente","doi":"10.1016/j.rccl.2023.07.003","DOIUrl":"10.1016/j.rccl.2023.07.003","url":null,"abstract":"<div><h3>Introduction and objectives</h3><p>To determine the current situation about the clinical management of heart failure (HF) in primary care (PC) and cardiology, in order to identify potential areas for improvement in the healthcare continuity.</p></div><div><h3>Methods</h3><p>The program was implemented through joint work sessions between PC and cardiology in our country, in which possible deficiencies, difficulties, and areas for improvement were identified in the integrative management of patients with HF.</p></div><div><h3>Results</h3><p>66 sessions were performed throughout Spain, with a total of 1187 attendees. 61.8% of the participants indicated that the healthcare centers did not have a HF cardiology referrer, in 64.7% the relationship between both healthcare levels was isolated and communication was carried out predominantly through telematic tools. 88.2% of PC physicians could request natriuretic peptides directly, but in 75.8% the echocardiogram had to be requested through cardiology. In 61.8% of the cases there was a therapeutic plan to optimize the treatment with quadruple therapy, although in 82.4% the full doses were not attained. In most centers (60.3%) there was no expert nurse in the management of HF.</p></div><div><h3>Conclusions</h3><p>In Spain there are significant deficiencies in the integrative management of patients with HF. A higher education of PC physicians and nurses, a better coordination between both healthcare levels, and the development of local protocols that facilitates treatment optimization, could be helpful to improve this situation.</p></div>","PeriodicalId":36870,"journal":{"name":"REC: CardioClinics","volume":"58 4","pages":"Pages 289-302"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48795420","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}

引用次数: 0