CJC Open最新文献

{"title":"Impact of Early Menopause and Hormonal Therapy Replacement on Aortic Stenosis Progression","authors":"K. Abdoun, L. Tastet, E. Bedard, M. Arsenault, P. Pibarot, M.-A. Clavel","doi":"10.1016/j.cjco.2025.04.019","DOIUrl":"10.1016/j.cjco.2025.04.019","url":null,"abstract":"","PeriodicalId":36924,"journal":{"name":"CJC Open","volume":"7 6","pages":"Page S1"},"PeriodicalIF":2.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144177567","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":"Three Systematic Reviews of Prospective Associations Between Social Connections and Cardiovascular Risk Factors Using a Gender Lens","authors":"A.I. Conklin, S. Mehranfar, R. Madani Civi, P. Guo","doi":"10.1016/j.cjco.2025.04.067","DOIUrl":"10.1016/j.cjco.2025.04.067","url":null,"abstract":"","PeriodicalId":36924,"journal":{"name":"CJC Open","volume":"7 6","pages":"Page S19"},"PeriodicalIF":2.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144177780","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":"Characterizing Arterial Stiffness and Reproductive Status in Hospital-based Nurses: Results From the Champlain Nurses’ Study","authors":"L. Lew, L. Cotie, T. Coutinho, P. Harvey, K. Way, J. Reed","doi":"10.1016/j.cjco.2025.04.025","DOIUrl":"10.1016/j.cjco.2025.04.025","url":null,"abstract":"","PeriodicalId":36924,"journal":{"name":"CJC Open","volume":"7 6","pages":"Pages S3-S4"},"PeriodicalIF":2.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144178063","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":"Echoing Intelligence: Assessing the Capabilities of a Novel Generative AI With a Large Language Model in Cardiology Education","authors":"Muneeb Ahmed MD ,&nbsp;Flora Huang MD, FRCPC ,&nbsp;Chi-Ming Chow MD, MSc, FRCPC, FCCS, FASE","doi":"10.1016/j.cjco.2025.03.013","DOIUrl":"10.1016/j.cjco.2025.03.013","url":null,"abstract":"<div><h3>Background</h3><div>Artificial intelligence (AI) holds promise for enhancing medical education, particularly in complex fields like cardiology. We assessed the ability of a large language model (LLM) to generate and evaluate educational material comparable to that created by human experts.</div></div><div><h3>Methods</h3><div>We trained an AI model on cardiology-specific content using 80 lectures from the St. Michael’s Hospital Virtual Echo Rounds. The AI generated 10 multiple-choice questions (MCQs), and experienced cardiologists crafted an additional 10 MCQs. Eleven postgraduate year 4-6 cardiology trainees answered all 20 questions and attempted to identify the source (AI or human) of each question. The AI also answered the same set of questions. We analyzed performance using the Wilcoxon signed-rank test and recognition ability.</div></div><div><h3>Results</h3><div>Trainees scored similarly on AI-generated and human-generated questions (median 8/10 vs 8/10; <em>P</em> &gt; 0.05). Their ability to identify the source of questions did not exceed chance levels (median correct identifications: 10/20; <em>P</em> &gt; 0.05). The AI achieved 95% accuracy on AI-generated questions and 100% on human-generated questions.</div></div><div><h3>Conclusions</h3><div>The AI-generated educational content was of comparable quality to that produced by human experts, and trainees could not reliably distinguish between the 2 sources. Our findings suggest that AI could significantly augment cardiology education by providing high-quality, scalable learning resources.</div></div>","PeriodicalId":36924,"journal":{"name":"CJC Open","volume":"7 6","pages":"Pages 795-798"},"PeriodicalIF":2.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144263036","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":"Progression of Atherosclerosis and Left Ventricular Dysfunction in High-Risk Young Women With and Without Polycystic Ovary Syndrome","authors":"X. Wu,&nbsp;M. Ghosh M,&nbsp;P. Raggi,&nbsp;H. Becher,&nbsp;J. Windram,&nbsp;D. Vine","doi":"10.1016/j.cjco.2025.04.050","DOIUrl":"10.1016/j.cjco.2025.04.050","url":null,"abstract":"","PeriodicalId":36924,"journal":{"name":"CJC Open","volume":"7 6","pages":"Pages S12-S13"},"PeriodicalIF":2.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144177711","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":"Impact of Patient-Physician Sex Concordance on Patient Outcomes in Cardiac Electrophysiology Procedures","authors":"T. Anpalagan,&nbsp;F. Qiu,&nbsp;R. Manoragavan,&nbsp;H. Wijeysundera","doi":"10.1016/j.cjco.2025.04.034","DOIUrl":"10.1016/j.cjco.2025.04.034","url":null,"abstract":"","PeriodicalId":36924,"journal":{"name":"CJC Open","volume":"7 6","pages":"Page S7"},"PeriodicalIF":2.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144177866","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":"Development of a Post-Pregnancy Inter-Professional Workshop for Patients With a Hypertensive Disorder of Pregnancy Within an Academic Family Health Team","authors":"J. Rao,&nbsp;M. Shireen,&nbsp;I. Wirsig,&nbsp;T. Johannsen,&nbsp;N. Leung,&nbsp;D. Elman,&nbsp;L. Caplan,&nbsp;K. Fung,&nbsp;L. Copeland,&nbsp;M. Feldt,&nbsp;K. Fleming","doi":"10.1016/j.cjco.2025.04.057","DOIUrl":"10.1016/j.cjco.2025.04.057","url":null,"abstract":"","PeriodicalId":36924,"journal":{"name":"CJC Open","volume":"7 6","pages":"Pages S15-S16"},"PeriodicalIF":2.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144178072","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":"Review of Transcatheter Aortic Valve Insertion (TAVI) Clinician Opinions on the Canadian Cardiovascular Society Post-TAVI Driving Guidelines","authors":"Catherine R. Jarvis BSc ,&nbsp;Pishoy Gouda MBBCh, MSc, FRCPC ,&nbsp;Justin Ezekowitz MBBCh, MSc, FRCPC ,&nbsp;Harriette G.C. Van Spall MD, MPH, FRCPC ,&nbsp;Benjamin Tyrrell MD, FRCPC ,&nbsp;Robert C. Welsh MD, FRCPC","doi":"10.1016/j.cjco.2025.04.004","DOIUrl":"10.1016/j.cjco.2025.04.004","url":null,"abstract":"<div><h3>Background</h3><div>As compared to surgical aortic valve replacement, transcatheter aortic valve insertion (TAVI) has a lower perioperative risk and an abbreviated recovery. In the absence of robust clinical data to guide decision-making, the Canadian Cardiovascular Society has now recommended the same 1-month driving restriction for both procedures.</div></div><div><h3>Methods</h3><div>In April 2024, a 15-question survey was circulated to all 31 Canadian TAVI centres to explore opinions on the current driving recommendations and the safety of driving post TAVI, with the goal of informing updated expert-informed guidelines.</div></div><div><h3>Results</h3><div>Of 31 TAVI centres, 29 individuals from 25 centres (80.6%) provided responses. The majority (79.3%) expressed that a 1-month driving prohibition was “too long,” and 20.7% stated that this restriction was appropriate. When asked to suggest a new post-TAVI driving recommendation for successful, uncomplicated, transfemoral TAVI patients, 41.4% proposed that patients be prohibited from driving for 2 weeks, 24.1% suggested 1 week, 13.8% were supportive of 1 month, and 6.9% were supportive of either 3 weeks, 72 hours, or 48 hours. The predominant driving-related concern was the development of conduction abnormalities (89.7%). A longer driving prohibition (≥ 1 month) was suggested in cases of alternative-access TAVI (transapical: 67.7%; alternative arterial: 51.6%), access-site and/or vascular complications (48.4%), and conduction abnormalities without a pacemaker (45.2%).</div></div><div><h3>Conclusions</h3><div>The majority of Canadian TAVI programs expressed that a 1-month driving restriction period was overly cautious and that shorter restriction periods would be more appropriate. Ultimately, before any change to post-TAVI driving restrictions may be considered, a clinical assessment of patient recovery post TAVI is needed.</div></div>","PeriodicalId":36924,"journal":{"name":"CJC Open","volume":"7 6","pages":"Pages 843-850"},"PeriodicalIF":2.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144262908","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":"Heart Transplant and Durable Mechanical Circulatory Support for Specific Less-Common Cardiomyopathies","authors":"Ana Roussoulières MD, PhD ,&nbsp;Marta Farrero MD, PhD ,&nbsp;Finn Gustafsson MD, PhD ,&nbsp;Michelle Kittleson MD, PhD ,&nbsp;Mrudula Munagala MD ,&nbsp;Josef Stehlik MD, MPH","doi":"10.1016/j.cjco.2025.03.015","DOIUrl":"10.1016/j.cjco.2025.03.015","url":null,"abstract":"<div><div>Clinical characteristics of progressive heart failure warranting advanced heart failure (AHF) therapies are not well defined in patients with atypical cause-specific cardiomyopathies, as in conventional ischemic and dilated cardiomyopathies. Some of these specific cardiomyopathies are associated with systemic diseases, and the impact and the severity of extracardiac involvement is crucial in defining the appropriate choice of AHF therapies. This review focuses on special considerations in cause-specific cardiomyopathies, such as hypertrophic cardiomyopathy, cardiac sarcoidosis, cardiac amyloidosis, and arrhythmogenic right ventricular cardiomyopathy. The review evaluates AHF therapies, including heart transplantation and durable mechanical circulatory support devices, along with nuances in the management of these patients after they receive AHF therapies.</div></div>","PeriodicalId":36924,"journal":{"name":"CJC Open","volume":"7 6","pages":"Pages 813-820"},"PeriodicalIF":2.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144263968","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":"V02max Determinants Are Associated With Different Cognitive Outcomes in Women With HFrEF and HFpEF","authors":"C. Gagnon,&nbsp;F. Besnier,&nbsp;P.O. Magnan,&nbsp;B. Bérubé,&nbsp;F. Sellier,&nbsp;J. Iglesies-Grau,&nbsp;M. Gayda,&nbsp;V. Dionne,&nbsp;H. Benhalima,&nbsp;A. Nigam,&nbsp;M. Juneau,&nbsp;P.L. L’Allier,&nbsp;N. Bouabdallaoui,&nbsp;J.L. Rouleau,&nbsp;L. Bherer","doi":"10.1016/j.cjco.2025.04.040","DOIUrl":"10.1016/j.cjco.2025.04.040","url":null,"abstract":"","PeriodicalId":36924,"journal":{"name":"CJC Open","volume":"7 6","pages":"Page S9"},"PeriodicalIF":2.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144177737","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}