{"title":"Surgical Closure of Iatrogenic Atrial Septal Defect and Tricuspid Valve Replacement in a Patient With Moderate Right Heart Failure","authors":"Takehiro Inoue MD , Takuma Satsu MD , Hitoshi Kitayama MD","doi":"10.1016/j.cjco.2023.12.005","DOIUrl":"10.1016/j.cjco.2023.12.005","url":null,"abstract":"","PeriodicalId":36924,"journal":{"name":"CJC Open","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2589790X23003736/pdfft?md5=e0f0921fd1628b0eb1f5108151c2f550&pid=1-s2.0-S2589790X23003736-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139020238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effectiveness of Cardiac Rehabilitation With mHealth Through Smartphone Functionalities: A Systematic Review Protocol","authors":"Marília Costa Paiva PT , Antonio A.M. Castro PhD , Polyagna Ferreira Carvalho PT , Weslley Barbosa Sales PT , Isabelly Cristina Soares Oliveira PsC , Maryela Neves Mourão PT , Álvaro Campos Cavalcanti Maciel PhD , Gérson Fonseca Souza PhD","doi":"10.1016/j.cjco.2023.02.001","DOIUrl":"10.1016/j.cjco.2023.02.001","url":null,"abstract":"<div><p>Cardiovascular diseases are the leading cause of mortality worldwide, requiring support to manage symptoms and improve prognosis. Home-based cardiac rehabilitation is a realistic resource for this purpose, but it requires patients’ self-management skills in order to change behaviours. Smartphones are considered mHealth technology (mobile technological resources in healthcare) and have the potential to provide modalities for delivery of cardiac rehabilitation. This systematic review aims to examine these modalities and identify those that are most effective for improving exercise capacity, quality of life, and patient compliance. Randomized controlled trials (1994 to 2022) performed with adults with coronary artery disease (post-myocardial infarction, angina, post-coronary artery bypass graft surgery) or heart failure eligible for home-based cardiac rehabilitation (mHealth) will be selected. Studies published in English, Spanish, or Portuguese that compare rehabilitation-specific mobile apps or smartphone-based features with conventional cardiac rehabilitation will be included. Searches will be conducted in MEDLINE, CENTRAL, EMBASE, LILACS, PEDro, grey literature, and ongoing or recently completed studies. Data and risk of bias will be assessed, and if appropriate, a meta-analysis will be carried out.</p></div>","PeriodicalId":36924,"journal":{"name":"CJC Open","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2589790X23000252/pdfft?md5=1e046d06877a4b17e00d82bf8d060452&pid=1-s2.0-S2589790X23000252-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48735690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Single-Centre Registry Analysis of Patients Who Underwent Percutaneous Coronary Intervention on Their Coronary Bypass Grafts","authors":"Wan Cheol Kim MD, FRCPC, DRCPSC , Gregory Hirsch MD, FRCSC , Catherine Kells MD, FACC, FRCPC, FCCS , Ata-Ur-Rehman Quraishi MBBS, FACC, FCPS , Helen Bishop MD, FRCPC , Bakhtiar Kidwai MBBS, MSc, MRCPI , Lawrence Title MD, FRCPC , Hussein Beydoun MBBS, FRCPC, FACC , Navjot Sandila BSc, MPH , Wael Sumaya MD, PhD, MRCP , Osama Elkhateeb MD, FACC, FRCPC, DRCPSC","doi":"10.1016/j.cjco.2023.11.005","DOIUrl":"10.1016/j.cjco.2023.11.005","url":null,"abstract":"<div><h3>Background</h3><p>The study assessed the outcomes of patients undergoing percutaneous coronary intervention (PCI) to bypass grafts, focusing on all-cause mortality and target vessel failure (TVF) rates.</p></div><div><h3>Methods</h3><p>A single-centre registry analysis included 364 patients who underwent PCI on coronary bypass grafts between 2008 and 2019. The study analyzed all-cause mortality and TVF, which encompassed target lesion revascularization, target vessel revascularization, and medically treated occluded target graft post-PCI.</p></div><div><h3>Results</h3><p>The median age of the patients was 71 years (interquartile range: [IQR] 65-78), with 82.1% being male. Most patients (94.8%) received PCI on saphenous vein grafts, and the median graft age was 13.0 years (IQR: 8.4-17.6). Drug-eluting stents were used more frequently (54.4%) than bare-metal stents (45.6%), with a median stent diameter of 3.5 mm (IQR: 3-4) and length of 19 mm (IQR: 18-28). Outcome differences were not significant for PCI sites (aorto-ostial, graft body, anastomosis), use of drug-eluting stents, or use of protection devices. The 1-year mortality rate was 3.3%, whereas the combined rate of TVF or death was 20.3%. After 5 years, the mortality rate increased to 14.9%, and the combined TVF or death rate rose to 40.3%. Multivariable analyses revealed that chronic kidney disease was independently associated with mortality (hazard ratio [HR] 1.74, 95% confidence interval [CI] 1.16-2.61, <em>P</em> = 0.007), whereas hypertension (HR 2.42, 95% CI 1.32-4.42, <em>P</em> = 0.004) and increased stent length (HR 1.01, 95% CI 1.00-1.02, <em>P</em> = 0.007) were independently associated with the TVF-or-mortality outcome.</p></div><div><h3>Conclusions</h3><p>Patients undergoing PCI to bypass grafts experience considerable adverse outcomes over a 5-year period, highlighting the need for further strategies in managing this high-risk population.</p></div>","PeriodicalId":36924,"journal":{"name":"CJC Open","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2589790X23003268/pdfft?md5=3fd764ec88dbb52f1af6b15b98bdfba0&pid=1-s2.0-S2589790X23003268-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135614471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
CJC OpenPub Date : 2024-03-01DOI: 10.1016/j.cjco.2023.11.021
Lisa Ware PhD , Bridget Vermeulen PhD , Innocent Maposa PhD , David Flood MD , Luisa C.C. Brant PhD , Shweta Khandelwal PhD , Kavita Singh PhD , Sara Soares PhD , Neusa Jessen PhD , Gastón Perman MD , Baizid Khoorshid Riaz PhD , Harshpal Singh Sachdev FRCPCH , Norrina B. Allen PhD , Darwin R. Labarthe PhD
{"title":"Comparison of Cardiovascular Health Profiles Across Population Surveys From 5 High- to Low-Income Countries","authors":"Lisa Ware PhD , Bridget Vermeulen PhD , Innocent Maposa PhD , David Flood MD , Luisa C.C. Brant PhD , Shweta Khandelwal PhD , Kavita Singh PhD , Sara Soares PhD , Neusa Jessen PhD , Gastón Perman MD , Baizid Khoorshid Riaz PhD , Harshpal Singh Sachdev FRCPCH , Norrina B. Allen PhD , Darwin R. Labarthe PhD","doi":"10.1016/j.cjco.2023.11.021","DOIUrl":"https://doi.org/10.1016/j.cjco.2023.11.021","url":null,"abstract":"<div><h3>Background</h3><p>To facilitate the shift from risk-factor management to primordial prevention of cardiovascular disease, the American Heart Association developed guidelines to score and track cardiovascular health (CVH). How the prevalence and trajectories of a high level of CVH across the life course compare among high- and lower-income countries is unknown.</p></div><div><h3>Methods</h3><p>Nationally representative survey data with CVH variables (physical activity, cigarette smoking, body mass index, blood pressure, blood glucose, and total cholesterol levels) were identified in Ethiopia, Bangladesh, Brazil, England, and the US for adults (aged 18–69 years and not pregnant). Data were harmonized, and CVH metrics were scored using the American Heart Association guidelines, as high (2), moderate (1), or low (0), with the prevalence of high scores (better CVH) across the life course compared across countries.</p></div><div><h3>Results</h3><p>Among 28,092 adults (Ethiopia n = 7686, 55.2% male; Bangladesh n = 6731, 48.4% male; Brazil n = 7241, 47.9% male; England n = 2691, 49.5% male, and the US n = 3743, 50.3% male), the prevalence of high CVH scores decreased as country income level increased. Declining CVH with age was universal across countries, but differences were already observable in those aged 18 years. Excess body weight appeared to be the main driver of poor CVH in higher-income countries, and the prevalence of current smoking was highest in Bangladesh.</p></div><div><h3>Conclusions</h3><p>Our findings suggest that CVH decline with age may be universal. Interventions to promote and preserve CVH throughout the life course are needed in all populations, tailored to country-specific time courses of the decline. In countries where the level of CVH remains relatively high, protection of whole societies from risk-factor epidemics may still be feasible.</p></div>","PeriodicalId":36924,"journal":{"name":"CJC Open","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2589790X23003426/pdfft?md5=bc27e6dd0a938383f5f7941825113807&pid=1-s2.0-S2589790X23003426-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140138668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
CJC OpenPub Date : 2024-03-01DOI: 10.1016/j.cjco.2023.11.004
Eliana S. Kagal , Nicholas Bauer BSc , Sheldon M. Singh MD
{"title":"Same-Day Discharge After Percutaneous Left Atrial Appendage Occlusion Procedures","authors":"Eliana S. Kagal , Nicholas Bauer BSc , Sheldon M. Singh MD","doi":"10.1016/j.cjco.2023.11.004","DOIUrl":"10.1016/j.cjco.2023.11.004","url":null,"abstract":"<div><p>Information is evolving on the safety of same-day discharge (SDD) after left atrial appendage occlusion (LAAO) procedures. This single-centre retrospective study evaluated the feasibility of SDD and reported on the 30-day rehospitalization rate in patients discharged same-day compared with those admitted overnight after LAAO. Key findings of this study included more than 85% of patients with LAAO were safely discharged same-day; the rate of postdischarge rehospitalization was similar in SDD patients and those admitted overnight; and approximately 1 in 10 patients who had LAAO procedures were rehospitalized within 30 days postprocedure.</p></div>","PeriodicalId":36924,"journal":{"name":"CJC Open","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2589790X23003256/pdfft?md5=d850033820bfde32453c23433fbe80f4&pid=1-s2.0-S2589790X23003256-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135566100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
CJC OpenPub Date : 2024-03-01DOI: 10.1016/j.cjco.2023.11.002
Braeden Hill BHSc , Nicholas Grubic MSc , Kiera Liblik MSc , Amer M. Johri MD, MSc, FRCPC, FASE
{"title":"Patient Involvement in Care, Psychosocial Outcomes, and Quality of Life in Hypertrophic Cardiomyopathy: A Pilot Study","authors":"Braeden Hill BHSc , Nicholas Grubic MSc , Kiera Liblik MSc , Amer M. Johri MD, MSc, FRCPC, FASE","doi":"10.1016/j.cjco.2023.11.002","DOIUrl":"10.1016/j.cjco.2023.11.002","url":null,"abstract":"<div><p>This cross-sectional study evaluated the impact of patient involvement in care (PIC) on psychosocial outcomes and health-related quality of life (HRQoL) in patients with hypertrophic cardiomyopathy (HCM) (n = 34). Patients with low-to-moderate PIC were older than those with high PIC (66.8 years vs 57.3 years; <em>P</em> = 0.04). PIC was negatively correlated with depressive symptoms (<em>r</em> = –0.39; <em>P</em> = 0.02) and positively correlated with heart-focused attention (<em>r</em> = 0.39; <em>P</em> = 0.02). No significant correlations were observed between PIC and HRQoL. Greater PIC was associated with reduced depressive symptoms but increased cardiac anxiety. Future studies should investigate the relationship between PIC and HRQoL in a larger cohort.</p></div>","PeriodicalId":36924,"journal":{"name":"CJC Open","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2589790X23003219/pdfft?md5=16f272500c5d53fb7ccde074a3ca6571&pid=1-s2.0-S2589790X23003219-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135455609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}