Journal of Cardiovascular Development and Disease最新文献_第10页

Peripartum Takotsubo Cardiomyopathy: A Review and Insights from a National Registry 围产期 Takotsubo 心肌病：国家登记处的回顾与启示

Journal of Cardiovascular Development and Disease Pub Date : 2024-01-25 DOI: 10.3390/jcdd11020037

Ravi Vazirani, E. Blanco-Ponce, Manuel Almendro Delia, A. Martín-Garcia, Clara Fernández-Cordón, Aitor Uribarri, O. Vedia, A. Sionis, Jorge Salamanca, M. Corbí-Pascual, A. Pérez-Castellanos, M. Martínez-Sellés, Víctor Manuel-Becerra, Sergio Raposeiras-Roubín, David Aritza-Conty, Javier López-País, Marta Guillén-Marzo, Carmen Lluch-Requerey, Iván J. Núñez-Gil

{"title":"Peripartum Takotsubo Cardiomyopathy: A Review and Insights from a National Registry","authors":"Ravi Vazirani, E. Blanco-Ponce, Manuel Almendro Delia, A. Martín-Garcia, Clara Fernández-Cordón, Aitor Uribarri, O. Vedia, A. Sionis, Jorge Salamanca, M. Corbí-Pascual, A. Pérez-Castellanos, M. Martínez-Sellés, Víctor Manuel-Becerra, Sergio Raposeiras-Roubín, David Aritza-Conty, Javier López-País, Marta Guillén-Marzo, Carmen Lluch-Requerey, Iván J. Núñez-Gil","doi":"10.3390/jcdd11020037","DOIUrl":"https://doi.org/10.3390/jcdd11020037","url":null,"abstract":"Takotsubo syndrome (TTS) during the peripartum period is a relevant cause of morbidity in this population; its clinical course and prognosis, compared to the general TTS population, is yet to be elucidated. Our aim was to analyze the clinical features and prognosis of peripartum TTS in a nationwide prospective specifically oriented registry database and consider the published literature. Peripartum TTS patients from the prospective nationwide RETAKO registry—as well as peripartum TTS patients from the published literature—were included, and multiple comparisons between groups were performed in order to assess for statistically and clinically relevant prognostic differences between the groups. Patients with peripartum TTS exhibit a higher prevalence of secondary forms, dyspnea, atypical symptoms, and echocardiographic patterns, as well as less ST-segment elevation than the general TTS population. In the literature, patients with peripartum TTS had a higher Killip status on admission. TTS during the peripartum period has a higher prevalence of angina and dyspnea, as well as physical triggers, neither of which are related to a worse prognosis. Killip status on admission was higher in the literature for patients with TTS but with excellent mid- and long-term prognoses after the acute phase, despite mostly being secondary forms.","PeriodicalId":502527,"journal":{"name":"Journal of Cardiovascular Development and Disease","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139597830","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

Health Equity and Policy Considerations for Pediatric and Adult Congenital Heart Disease Care among Minoritized Populations in the United States 美国少数民族人群中小儿和成人先天性心脏病护理的健康公平和政策考虑因素

Journal of Cardiovascular Development and Disease Pub Date : 2024-01-25 DOI: 10.3390/jcdd11020036

Keila N Lopez, Kiona Y. Allen, C. Baker-Smith, K. Bravo-Jaimes, Joseph Burns, Bianca Cherestal, Jason F. Deen, Brittany K. Hills, Jennifer H. Huang, Ramiro W. Lizano Santamaria, Carlos A. Lodeiro, Valentina Melo, Jasmine S. Moreno, F. Nuñez Gallegos, Harris Onugha, Tony A. Pastor, Michelle C. Wallace, Deidra A. Ansah

{"title":"Health Equity and Policy Considerations for Pediatric and Adult Congenital Heart Disease Care among Minoritized Populations in the United States","authors":"Keila N Lopez, Kiona Y. Allen, C. Baker-Smith, K. Bravo-Jaimes, Joseph Burns, Bianca Cherestal, Jason F. Deen, Brittany K. Hills, Jennifer H. Huang, Ramiro W. Lizano Santamaria, Carlos A. Lodeiro, Valentina Melo, Jasmine S. Moreno, F. Nuñez Gallegos, Harris Onugha, Tony A. Pastor, Michelle C. Wallace, Deidra A. Ansah","doi":"10.3390/jcdd11020036","DOIUrl":"https://doi.org/10.3390/jcdd11020036","url":null,"abstract":"Achieving health equity in populations with congenital heart disease (CHD) requires recognizing existing disparities throughout the lifespan that negatively and disproportionately impact specific groups of individuals. These disparities occur at individual, institutional, or system levels and often result in increased morbidity and mortality for marginalized or racially minoritized populations (population subgroups (e.g., ethnic, racial, social, religious) with differential power compared to those deemed to hold the majority power in the population). Creating actionable strategies and solutions to address these health disparities in patients with CHD requires critically examining multilevel factors and health policies that continue to drive health inequities, including varying social determinants of health (SDOH), systemic inequities, and structural racism. In this comprehensive review article, we focus on health equity solutions and health policy considerations for minoritized and marginalized populations with CHD throughout their lifespan in the United States. We review unique challenges that these populations may face and strategies for mitigating disparities in lifelong CHD care. We assess ways to deliver culturally competent CHD care and to help lower-health-literacy populations navigate CHD care. Finally, we review system-level health policies that impact reimbursement and research funding, as well as institutional policies that impact leadership diversity and representation in the workforce.","PeriodicalId":502527,"journal":{"name":"Journal of Cardiovascular Development and Disease","volume":"18 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139597688","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

Cardiovascular Complications in Patients with Heart Failure and COVID-19: CARDIO COVID 19-20 Registry 心力衰竭患者的心血管并发症和 COVID-19：CARDIO COVID 19-20 登记

Journal of Cardiovascular Development and Disease Pub Date : 2024-01-23 DOI: 10.3390/jcdd11020034

Mario Speranza, J. D. D. de León, Pedro Schwartzmann, Igor Morr, María Juliana Rodríguez-González, Andrés Buitrago, Freddy Pow-Chon-Long, L. C. Passos, Víctor Rossel, Eduardo Perna, Manuela Escalante, Alexander Romero, Andrea Alejandra Arteaga-Tobar, Daniel Quesada, Walter Alarco, J. Gómez-Mesa

{"title":"Cardiovascular Complications in Patients with Heart Failure and COVID-19: CARDIO COVID 19-20 Registry","authors":"Mario Speranza, J. D. D. de León, Pedro Schwartzmann, Igor Morr, María Juliana Rodríguez-González, Andrés Buitrago, Freddy Pow-Chon-Long, L. C. Passos, Víctor Rossel, Eduardo Perna, Manuela Escalante, Alexander Romero, Andrea Alejandra Arteaga-Tobar, Daniel Quesada, Walter Alarco, J. Gómez-Mesa","doi":"10.3390/jcdd11020034","DOIUrl":"https://doi.org/10.3390/jcdd11020034","url":null,"abstract":"Since early 2020, different studies have shown an increased prevalence of COVID-19 and poorer prognosis in older adults with cardiovascular comorbidities. This study aimed to assess the impact of heart failure (HF) on cardiovascular complications, intensive care unit (ICU) admissions, and in-hospital mortality in patients hospitalized with COVID-19. The CARDIO COVID 19-20 registry includes 3260 hospitalized patients with a COVID-19 serological diagnosis between May 2020 and June 2021 from Latin American countries. A history of HF was identified in 182 patients (5.6%). In patients with and without previous HF, the incidence of supraventricular arrhythmia was 16.5% vs. 6.3%, respectively (p = 0.001), and that of acute coronary syndrome was 7.1% vs. 2.7%, respectively (p = 0.001). Patients with a history of HF had higher rates of ICU admission (61.5% vs. 53.1%, respectively; p = 0.031) and in-hospital mortality (41.8% vs. 24.5%, respectively; p = 0.001) than patients without HF. Cardiovascular mortality at discharge (42.1% vs. 18.5%, respectively; p < 0.001) and at 30 days post-discharge (66.7% vs. 18.0%, respectively) was higher for patients with a history of HF than for patients without HF. In patients hospitalized with COVID-19, previous history of HF was associated with a more severe cardiovascular profile, with increased risk of cardiovascular complications, and poor in-hospital and 30-day outcomes.","PeriodicalId":502527,"journal":{"name":"Journal of Cardiovascular Development and Disease","volume":"84 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139603796","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

Adverse Events Requiring Hospitalization Following Catheter Ablation for Atrial Fibrillation in Heart Failure with versus without Systolic Dysfunction 有收缩功能障碍与无收缩功能障碍的心力衰竭患者心房颤动导管消融术后需要住院治疗的不良事件

Journal of Cardiovascular Development and Disease Pub Date : 2024-01-23 DOI: 10.3390/jcdd11020035

Naoya Kataoka, T. Imamura, Takahisa Koi, Keisuke Uchida, K. Kinugawa

{"title":"Adverse Events Requiring Hospitalization Following Catheter Ablation for Atrial Fibrillation in Heart Failure with versus without Systolic Dysfunction","authors":"Naoya Kataoka, T. Imamura, Takahisa Koi, Keisuke Uchida, K. Kinugawa","doi":"10.3390/jcdd11020035","DOIUrl":"https://doi.org/10.3390/jcdd11020035","url":null,"abstract":"Background: The safety and efficacy of atrial fibrillation (AF) ablation in individuals with heart failure (HF) with preserved ejection fraction (EF), particularly concerning the occurrence of post-procedural adverse events necessitating hospitalization, including anticoagulant-associated major bleeding, still lack conclusive determination. Methods: Data from patients with HF and AF who underwent catheter ablation for AF between 2019 and 2022 at our institution were retrospectively reviewed. All participants were divided into an EF < 50% group or an EF ≥ 50% group according to their baseline left ventricular EF. The composite incidence of the clinical events following catheter ablation was compared between the two groups: (1) all-cause death, (2) HF hospitalization, (3) stroke or systemic embolism, and (4) major bleeding. Results: A total of 122 patients (75 years old, 68 male) were included. Of them, 62 (50.8%) patients had an EF ≥ 50%. EF ≥ 50% was an independent predictor of the composite endpoint (adjusted odds ratio 6.07, 95% confidence interval 1.37–26.99, p = 0.018). The incidences of each adverse event were not significantly different between the two groups, except for a higher incidence of major bleeding in the EF ≥ 50% group (12.7% vs. 0%, p = 0.026). Conclusions: Among patients with HF coupled with AF, the incidence of adverse events following AF ablation proved notably elevated in patients with EF ≥ 50% in contrast to their counterparts with EF < 50%. This disparity primarily stems from a heightened occurrence of major bleeding within the EF ≥ 50% cohort. The strategy to reduce adverse events, especially in patients with EF ≥ 50%, remains the next concern.","PeriodicalId":502527,"journal":{"name":"Journal of Cardiovascular Development and Disease","volume":"63 13","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139603202","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