Revista española de cardiología (English ed.)最新文献_第8页

Challenges in advancing transesophageal echocardiography probes: identifying causes and solutions. 推动经食道超声心动图探头发展的挑战：找出原因和解决方案。

IF 7.2 2区医学

Revista española de cardiología (English ed.) Pub Date : 2024-06-13 DOI: 10.1016/j.rec.2024.04.018

Lucía Fernández Gassó, Regina Dalmau, Silvia Valbuena López, Elena Refoyo Salicio, Guadalupe Buitrago Weiland, Esther Pérez David

引用次数: 0

Richard S. Cooper 理查德-S-库珀

IF 7.2 2区医学

Revista española de cardiología (English ed.) Pub Date : 2024-06-13 DOI: 10.1016/j.rec.2024.05.009

引用次数: 0

Outcomes of patients with heart failure followed in units accredited by the SEC-Excelente-IC quality program according to the type of unit. 在获得 SEC-Excelente-IC 质量计划认证的单位中，根据单位类型对心力衰竭患者进行随访的结果。

IF 7.2 2区医学

Revista española de cardiología (English ed.) Pub Date : 2024-06-11 DOI: 10.1016/j.rec.2024.04.017

María Anguita Gámez, Juan L Bonilla Palomas, Alejandro Recio Mayoral, Rafael González Manzanares, Javier Muñiz García, Nieves Romero Rodríguez, Francisco J Elola Somoza, Ángel Cequier Fillat, Luis Rodríguez Padial, Manuel Anguita Sánchez

{"title":"Outcomes of patients with heart failure followed in units accredited by the SEC-Excelente-IC quality program according to the type of unit.","authors":"María Anguita Gámez, Juan L Bonilla Palomas, Alejandro Recio Mayoral, Rafael González Manzanares, Javier Muñiz García, Nieves Romero Rodríguez, Francisco J Elola Somoza, Ángel Cequier Fillat, Luis Rodríguez Padial, Manuel Anguita Sánchez","doi":"10.1016/j.rec.2024.04.017","DOIUrl":"10.1016/j.rec.2024.04.017","url":null,"abstract":"Introduction and objectives: The development of specific heart failure (HF) units has improved the management of patients with this disease due to improved organization and resource management. The Spanish Society of Cardiology (SEC) has defined 3 types of HF units (community, specialized, and advanced) based on their complexity and service portfolio. Our aim was to compare the characteristics, treatment, and outcomes of patients with HF according to the type of unit.Methods: We analyzed data from the SEC-Excelente-IC quality accreditation program registry, with 1716 patients consecutively included in two 1-month cutoffs (March and October) from 2019 to 2021 by 45 SEC-accredited HF units. We compared the characteristics, treatment and 1-year outcomes between the 3 types of units.Results: Of the 1716 patients, 13.2% were treated in community units, 65.9% in specialized units, and 20.9% in advanced units. The rates of mortality (27.5 vs 15.5/100 patients-year; P<.001), admissions for HF (39.7 vs 29.2/100 patients-year; P=.019), total decompensations (56.1 vs 40.5/100 patients-year; P=.003), and combined death/admission for HF (45.2 vs 31.4/100 patients-year; P=.005) were higher in community units than in specialized/advanced units. Follow-up in a community unit was an independent predictor of higher mortality and admissions at 1 year.Conclusions: Compared with follow-up by more specialized units, follow-up in a community unit was associated with a higher decompensation rate and increased 1-year mortality.","PeriodicalId":38430,"journal":{"name":"Revista española de cardiología (English ed.)","volume":null,"pages":null},"PeriodicalIF":7.2,"publicationDate":"2024-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141318528","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}

引用次数: 0

Pulmonary arterial hypertension associated with pretricuspid shunts: risk profile and survival. 与前三尖瓣分流相关的肺动脉高压：风险概况和存活率。

IF 7.2 2区医学

Revista española de cardiología (English ed.) Pub Date : 2024-06-11 DOI: 10.1016/j.rec.2024.04.016

María Calvo-Asensio, Francisco Buendía Fuentes, Miguel Ángel Arnau Vives, Luis Andrés Lalaguna, Luís Martínez Dolz, Joaquín Rueda Soriano

引用次数: 0

Importance of sudden cardiac death risk assessment: the wearable cardioverter defibrillator as a bridge to transplant. 心脏性猝死风险评估的重要性：可穿戴式心脏除颤器作为移植的桥梁。

IF 7.2 2区医学

Revista española de cardiología (English ed.) Pub Date : 2024-06-11 DOI: 10.1016/j.rec.2024.04.015

Borja Guerrero Cervera, Raquel López-Vilella, Víctor Donoso Trenado, Maite Izquierdo, Joaquín Osca Asensi, Luis Almenar-Bonet

引用次数: 0

Nutritional status on admission and role in prognosis of cardiogenic shock. 入院时的营养状况及其在心源性休克预后中的作用。

2区医学

Revista española de cardiología (English ed.) Pub Date : 2024-06-10 DOI: 10.1016/j.rec.2024.05.008

Javier Pérez Cervera, Carlos Antonio Aranda López, José Miguel Rojo Pérez, Clara Nuevo Gallardo, Elena Cobos González, José Ramón López Mínguez

引用次数: 0

Invasive assessment of coronary microvascular dysfunction and cardiovascular outcomes across the full spectrum of CHD: a meta-analysis. 冠状动脉微血管功能障碍的侵入性评估与心血管疾病的预后：一项荟萃分析。

IF 7.2 2区医学

Revista española de cardiología (English ed.) Pub Date : 2024-06-04 DOI: 10.1016/j.rec.2024.05.007

Yang Xu, Xiaochen Liu, Yingying Guo, Yuyao Qiu, Yushi Zhang, Xiao Wang, Shaoping Nie

{"title":"Invasive assessment of coronary microvascular dysfunction and cardiovascular outcomes across the full spectrum of CHD: a meta-analysis.","authors":"Yang Xu, Xiaochen Liu, Yingying Guo, Yuyao Qiu, Yushi Zhang, Xiao Wang, Shaoping Nie","doi":"10.1016/j.rec.2024.05.007","DOIUrl":"10.1016/j.rec.2024.05.007","url":null,"abstract":"Introduction and objectives: Coronary microvascular dysfunction (CMD) is highly prevalent and is recognized as an important clinical entity in patients with coronary heart disease (CHD). Nevertheless, the association of CMD with adverse cardiovascular events in the spectrum of CHD has not been systemically quantified.Methods: We searched electronic databases for studies on patients with CHD in whom coronary microvascular function was measured invasively, and clinical events were recorded. The primary endpoint was major adverse cardiac events (MACE), and the secondary endpoint was all-cause death. Estimates of effect were calculated using a random-effects model from published risk ratios.Results: We included 27 studies with 11 404 patients. Patients with CMD assessed by invasive methods had a higher risk of MACE (RR, 2.18; 95%CI, 1.80-2.64; P<.01) and all-cause death (RR, 1.88; 95%CI, 1.55-2.27; P<.01) than those without CMD. There was no significant difference in the impact of CMD on MACE (interaction P value=.95) among different invasive measurement modalities. The magnitude of risk of CMD assessed by invasive measurements for MACE was greater in acute coronary syndrome patients (RR, 2.84, 95%CI, 2.26-3.57; P<.01) than in chronic coronary syndrome patients (RR, 1.77, 95%CI, 1.44-2.18; P<.01) (interaction P value<.01).Conclusions: CMD based on invasive measurements was associated with a high incidence of MACE and all-cause death in patients with CHD. The magnitude of risk for cardiovascular events in CMD as assessed by invasive measurements was similar among different methods but varied among CHD populations.","PeriodicalId":38430,"journal":{"name":"Revista española de cardiología (English ed.)","volume":null,"pages":null},"PeriodicalIF":7.2,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141284911","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}

引用次数: 0

NT-proBNP in systemic right ventricles: a new cutoff level for risk stratification? 系统性右心室中的 NT-proBNP：风险分层的新临界值？

IF 7.2 2区医学

Revista española de cardiología (English ed.) Pub Date : 2024-06-04 DOI: 10.1016/j.rec.2024.05.006

Fabian Tran, Francisco Javier Ruperti-Repilado, Philip Haaf, Pedro Lopez-Ayala, Matthias Greutmann, Markus Schwerzmann, Judith Bouchardy, Harald Gabriel, Dominik Stambach, Juerg Schwitter, Kerstin Wustmann, Michael Freese, Christian Mueller, Daniel Tobler

{"title":"NT-proBNP in systemic right ventricles: a new cutoff level for risk stratification?","authors":"Fabian Tran, Francisco Javier Ruperti-Repilado, Philip Haaf, Pedro Lopez-Ayala, Matthias Greutmann, Markus Schwerzmann, Judith Bouchardy, Harald Gabriel, Dominik Stambach, Juerg Schwitter, Kerstin Wustmann, Michael Freese, Christian Mueller, Daniel Tobler","doi":"10.1016/j.rec.2024.05.006","DOIUrl":"10.1016/j.rec.2024.05.006","url":null,"abstract":"Introduction and objectives: The role of N-terminal pro-B-type natriuretic peptide (NT-proBNP) in the risk prediction of patients with systemic right ventricles (sRV) is not well defined. The aim of this study was to analyze the prognostic value of NT-proBNP in patients with an sRV.Methods: The prognostic value of NT-proBNP was assessed in 98 patients from the SERVE trial. We used an adjusted Cox proportional hazards model, survival analysis, and c-statistics. The composite primary outcome was the occurrence of clinically relevant arrhythmia, heart failure, or death. Correlations between baseline NT-proBNP values and biventricular volumes and function were assessed by adjusted linear regression models.Results: The median age [interquartile range] at baseline was 39 [32-48] years and 32% were women. The median NT-proBNP was 238 [137-429] ng/L. Baseline NT-proBNP concentrations were significantly higher among the 20 (20%) patients developing the combined primary outcome compared with those who did not (816 [194-1094] vs 205 [122-357]; P=.003). In patients with NT-proBNP concentrations> 75th percentile (> 429 ng/L), we found an exponential increase in the sex- and age-adjusted hazard ratio for the primary outcome. The prognostic value of NT-proBNP was comparable to right ventricular ejection fraction and peak oxygen uptake on exercise testing (c-statistic: 0.71, 0.72, and 0.71, respectively).Conclusions: In patients with sRVs, NT-proBNP concentrations correlate with sRV volumes and function and may serve as a simple tool for predicting adverse outcomes.","PeriodicalId":38430,"journal":{"name":"Revista española de cardiología (English ed.)","volume":null,"pages":null},"PeriodicalIF":7.2,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141284912","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}

引用次数: 0

The state of cardiac rehabilitation in Spain. Results of the AULARC registry 西班牙心脏康复的现状：AULARC 登记的结果。

IF 7.2 2区医学

Revista española de cardiología (English ed.) Pub Date : 2024-06-04 DOI: 10.1016/j.rec.2024.04.014

引用次数: 0

Superiority of 3D planimetry over pressure half-time method for the assessment of mitral valve area after percutaneous edge-to-edge mitral repair. 在经皮二尖瓣边缘对边缘修补术后评估二尖瓣面积时，三维平面测量法优于压力半衰期法。

2区医学

Revista española de cardiología (English ed.) Pub Date : 2024-06-04 DOI: 10.1016/j.rec.2024.03.017

Miriam Estrada Ledesma, Diana Bastidas Plaza, Eduardo Pozo Osinalde, Pedro Marcos-Alberca, Carmen Olmos Blanco, Patricia Mahía Casado, María Luaces, José Juan Gómez de Diego, Luis Nombela-Franco, Pilar Jiménez-Quevedo, Gabriela Tirado, Luis Collado Yurrita, Antonio Fernández-Ortiz, Julián Villacastín, José Alberto de Agustín

{"title":"Superiority of 3D planimetry over pressure half-time method for the assessment of mitral valve area after percutaneous edge-to-edge mitral repair.","authors":"Miriam Estrada Ledesma, Diana Bastidas Plaza, Eduardo Pozo Osinalde, Pedro Marcos-Alberca, Carmen Olmos Blanco, Patricia Mahía Casado, María Luaces, José Juan Gómez de Diego, Luis Nombela-Franco, Pilar Jiménez-Quevedo, Gabriela Tirado, Luis Collado Yurrita, Antonio Fernández-Ortiz, Julián Villacastín, José Alberto de Agustín","doi":"10.1016/j.rec.2024.03.017","DOIUrl":"10.1016/j.rec.2024.03.017","url":null,"abstract":"Introduction and objectives: There is limited evidence to identify the most accurate method for measuring the mitral valve area (MVA) after percutaneous edge-to-edge mitral repair. Our objective was to evaluate the optimal method in this context and its correlation with the mean transmitral gradient.Methods: A registry of patients undergoing percutaneous mitral repair was conducted, analyzing different methods of measuring MVA and their correlation with the mean gradient.Results: We analyzed data from 167 patients. The mean age was 76±10.3 years, 54% were men, and 46% were women. Etiology was degenerative in 45%, functional in 39%, and mixed in 16%. Postclip MVA measurements were 1.89±0.60 cm2 using pressure half-time (PHT), 2.87±0.83 cm2 using 3D planimetry, and the mean gradient was 3±1.19mmHg. MVA using 3D planimetry showed a stronger correlation with the mean gradient (r=0.46, P<.001) than MVA obtained by PHT (r=0.19, P=.048). Interobserver agreement was also higher with 3D planimetry than with PHT (intraclass correlation coefficient of 0.90 vs 0.81 and variation coefficient of 9.6 vs 19.7%, respectively).Conclusions: Our study demonstrates that the PHT method significantly underestimates MVA after clip implantation compared with direct measurement using transesophageal 3D planimetry. The latter method also correlates better with postimplantation gradients and has less interobserver variability. These results suggest that 3D planimetry is a more appropriate method for assessing postclip mitral stenosis.","PeriodicalId":38430,"journal":{"name":"Revista española de cardiología (English ed.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141284913","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}

引用次数: 0