Revista española de cardiología (English ed.)最新文献

{"title":"Can transcatheter edge-to-edge repair change the paradigm in severe acute mitral regurgitation? A mechanism-based approach","authors":"Itshak Amsalem, Mony Shuvy","doi":"10.1016/j.rec.2026.03.001","DOIUrl":"10.1016/j.rec.2026.03.001","url":null,"abstract":"","PeriodicalId":38430,"journal":{"name":"Revista española de cardiología (English ed.)","volume":"79 8","pages":"Pages 654-657"},"PeriodicalIF":4.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147366705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Off-label use of mavacamten for peri-TAVI dynamic LVOT obstruction in patients with left ventricular hypertrophy secondary to aortic stenosis.","authors":"Alejandro Lara-García, Elsa Prieto-Moriche, Alfonso Jurado-Román, Guillermo Galeote, Raúl Moreno, Juan Caro-Codón","doi":"10.1016/j.rec.2026.07.004","DOIUrl":"10.1016/j.rec.2026.07.004","url":null,"abstract":"","PeriodicalId":38430,"journal":{"name":"Revista española de cardiología (English ed.)","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148550756","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":"Exaptation in the electrophysiology laboratory.","authors":"Javier Jiménez-Candil","doi":"10.1016/j.rec.2026.06.013","DOIUrl":"10.1016/j.rec.2026.06.013","url":null,"abstract":"","PeriodicalId":38430,"journal":{"name":"Revista española de cardiología (English ed.)","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148550691","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":"Complicated silent myocardial infarction presenting as acute confusional state.","authors":"Mario José Recio Ibarz, Diana Cristina Batin, Maialen Guerrero Gómez","doi":"10.1016/j.rec.2026.05.011","DOIUrl":"10.1016/j.rec.2026.05.011","url":null,"abstract":"","PeriodicalId":38430,"journal":{"name":"Revista española de cardiología (English ed.)","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148550783","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":"A prospective randomized study of a cardiac rehabilitation program in patients with ischemia and nonobstructive coronary artery disease (REHAB-INOCA).","authors":"Margarita Calvo-López, Salvatore Brugaletta, Raquel Arranz, Montserrat Gutiérrez, Xavier Segú, María Sanz-de la Garza","doi":"10.1016/j.rec.2026.07.002","DOIUrl":"10.1016/j.rec.2026.07.002","url":null,"abstract":"","PeriodicalId":38430,"journal":{"name":"Revista española de cardiología (English ed.)","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148537260","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":"Nutritional intervention in older outpatients with chronic heart failure and malnutrition or at risk of malnutrition: the BOCADOS-IC randomized trial.","authors":"José-Ángel Pérez-Rivera, Juan Luis Bonilla-Palomas, Pablo Diez-Villanueva, César Jiménez-Méndez, Pablo Solla-Suárez, Juan Carlos López-Azor, Rocío Ayala-Muñoz, Miguel Rodríguez-Santamarta, Carolina Ortiz-Cortés, Carolina Robles-Gamboa, Eduardo Enríquez-Rodríguez, Mikel Taibo-Urquia, Josebe Goirigolzarri-Artaza, Teresa Morales-Martínez, Fernando Alfonso, Julia González-González, Alberto Esteban-Fernández","doi":"10.1016/j.rec.2026.07.001","DOIUrl":"10.1016/j.rec.2026.07.001","url":null,"abstract":"<p><strong>Introduction and objectives: </strong>Heart failure (HF) is a growing public health concern, particularly among the elderly. Malnutrition is frequent in these patients and worsens prognosis. We aimed to determine the impact of a real-world, multidimensional nutritional program on major clinical outcomes and quality of life in older ambulatory patients with chronic HF who were malnourished or at risk of malnutrition.</p><p><strong>Methods: </strong>This pragmatic, multicenter, prospective, randomized, open-label, blinded-endpoint trial enrolled outpatients aged> 65 years with chronic HF and a Mini Nutritional Assessment-Short Form (MNA-SF) score ≤ 11 from 14 Spanish hospitals. Participants were randomly assigned to either a structured nutritional strategy, comprising tailored dietary optimization and physical exercise recommendations, or usual care. The primary outcome was a 6-month composite of all-cause death or HF-related hospitalization.</p><p><strong>Results: </strong>Recruitment was terminated early after enrolling 204 patients: 106 in the intervention group and 98 in the control group. At 6 months, no significant difference was observed in the primary composite endpoint between the intervention and control groups (17.9% vs 19.4%; HR, 0.90; 95%CI, 0.48-1.70). However, the intervention group showed significantly greater improvements in MNA-SF scores (+4.99 vs+3.65; P=.003), mid-arm muscle circumference (+0.86cm vs-1.38cm; P=.006), and quality of life as measured by the Minnesota Living with HF Questionnaire (-7.95 vs-2.44; P=.028).</p><p><strong>Conclusions: </strong>In elderly patients with chronic HF and malnutrition or at risk of malnutrition, a pragmatic nutritional intervention did not reduce major clinical outcomes. However, the intervention did improve nutritional status, biometric parameters, and quality of life. Achieving a reduction in clinical outcomes in this population may require more prolonged and individualized interventions.</p><p><strong>Clinicaltrials: </strong>gov number NCT05923138.</p>","PeriodicalId":38430,"journal":{"name":"Revista española de cardiología (English ed.)","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148537280","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":"Interstage outcomes in single ventricle neonates: ductal stenting versus modified Blalock-Taussig shunt.","authors":"Valentin Vescovo, Sophie Malekzadeh-Milani, Olivier Raisky, Régis Gaudin, Margaux Pontailler, Alexander Moiroux-Sahraoui, Ségolène Bernheim, Mathilde Méot, Alessia Callegari, Damien Bonnet, Neil Derridj","doi":"10.1016/j.rec.2026.07.003","DOIUrl":"10.1016/j.rec.2026.07.003","url":null,"abstract":"<p><strong>Introduction and objectives: </strong>To compare outcomes of ductal stenting (DS) with those of modified Blalock-Taussig shunt (mBTS) as initial palliation in neonates with functionally univentricular heart and duct-dependent pulmonary blood flow, up to bidirectional cavopulmonary connection (BCPC).</p><p><strong>Methods: </strong>We retrospectively analyzed 192 neonates with functionally univentricular heart and duct-dependent pulmonary blood flow undergoing initial palliation with DS (n=39) or mBTS (n=153) between 2005 and 2025, using Cox proportional hazards models.</p><p><strong>Results: </strong>The median follow-up was 6.3 months, including follow-up after BCPC. Low birth weight was more frequent in the DS group (28.2% vs 11.1%; P=.01). Survival after initial palliation, during the interstage period, and post-BCPC was 85.7% (95%CI, 81.9-91.5), 83.3% (95%CI, 76.9-88.1), and 79.7% (95%CI, 71.9-85.5), respectively, with no between-group differences (log-rank P >.8). Early postoperative morbidity, including neonatal intensive care unit length of stay, duration of inotropic support, and mechanical ventilation was greater after mBTS (all P=.01). Reintervention rates were similar between DS and mBTS (approximately 23% overall), with no difference in time to reintervention, even for unplanned procedures. Patients initially palliated with DS underwent BCPC earlier (5.3 [3.6-8.6] vs 7.3 [6.0-11.2] months; P=.05) and at lower body weight (5.9 [5.0-7.9] vs 6.9 [5.7-8.2] kg; P=.02). Branch pulmonary artery stenosis before BCPC was more frequent after mBTS (P=.01). After adjustment, overall mortality and reintervention before BCPC were numerically higher in the mBTS group, although these differences were not statistically significant.</p><p><strong>Conclusions: </strong>DS provided safe and effective palliation and was associated with improved early postoperative recovery. Although mortality and reintervention before BCPC were numerically lower after DS, these differences were not statistically significant.</p>","PeriodicalId":38430,"journal":{"name":"Revista española de cardiología (English ed.)","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148537287","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":"Outcomes after primary surgical repair of coarctation of the aorta through lateral thoracotomy.","authors":"Katarzyna Gendera, Zhide Meng, Thibault Schaeffer, Doris Kienmoser, Jonas Palm, Teresa Lemmen, Christina Ruda, Muneaki Matsubara, Paul Philipp Heinisch, Nicole Piber, Alfred Hager, Peter Ewert, Jürgen Hörer, Masamichi Ono","doi":"10.1016/j.rec.2026.06.012","DOIUrl":"10.1016/j.rec.2026.06.012","url":null,"abstract":"<p><strong>Introduction and objectives: </strong>Simple coarctation of the aorta (CoA) can be repaired through left lateral thoracotomy without cardiopulmonary bypass. However, late adverse events such as death, restenosis, aneurysm formation, and development of hypertension can occur, even after initial successful repair. In this study, we evaluated outcomes after surgical repair of CoA through left lateral thoracotomy and examined risk factors for adverse events.</p><p><strong>Methods: </strong>Among 986 patients who underwent CoA repair at our institution from 2001 to 2023, we selected patients repaired through left lateral thoracotomy and excluded those with univentricular circulation. Surgical outcomes were evaluated using cumulative incidence curves, and risk factors were analyzed using Cox regression models.</p><p><strong>Results: </strong>A total of 401 patients were included; 138 (34.4%) were female and 56.6% had isolated CoA. Median age at surgery was 30 days. During a median follow-up of 10.3 years (interquartile range, 3.3-17.8 years), overall survival exceeded 98% at 20 years. Reoperation was required in 4.5% of patients and catheter-based reintervention in 9.7%, both after a median of approximately 10 years. Ventricular septal defect, associated heart defects, and patch plasty were associated with increased mortality. Older age at repair, prematurity, subaortic stenosis, prosthesis implantation, and associated cardiac anomalies were associated with an increased risk of reoperation, while hypoplastic aortic arch and repair in the neonatal period increased the risk of catheter-based reintervention.</p><p><strong>Conclusions: </strong>Survival after lateral thoracotomy repair of aortic coarctation is excellent. However, late adverse events are influenced by anatomical complexity and patient-related factors, underscoring the need for structured lifelong follow-up.</p>","PeriodicalId":38430,"journal":{"name":"Revista española de cardiología (English ed.)","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2026-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148438464","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":"Aspiration thrombectomy after failed fibrinolysis for right ventricular salvage.","authors":"Miguel Mejuto Blanco, Pablo de la Fuente López, Ana Belén Cid Álvarez","doi":"10.1016/j.rec.2026.05.010","DOIUrl":"10.1016/j.rec.2026.05.010","url":null,"abstract":"","PeriodicalId":38430,"journal":{"name":"Revista española de cardiología (English ed.)","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2026-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148438453","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":"Inadvertent false-lumen stenting during iatrogenic aortocoronary dissection.","authors":"Aday Monzón Melián, Juan José Portero Portaz, Jesús María Jiménez Mazuecos","doi":"10.1016/j.rec.2026.06.011","DOIUrl":"10.1016/j.rec.2026.06.011","url":null,"abstract":"","PeriodicalId":38430,"journal":{"name":"Revista española de cardiología (English ed.)","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2026-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148431213","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}