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Current Opinion in Cardiology最新文献

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The role of artificial intelligence in early detection and intervention of coronary artery disease. 人工智能在冠状动脉疾病早期发现和干预中的作用。
IF 2 4区 医学
Current Opinion in Cardiology Pub Date : 2025-09-01 Epub Date: 2025-08-07 DOI: 10.1097/HCO.0000000000001237
Fahad R Butt, Michael W A Chu, Rashmi Nedadur
{"title":"The role of artificial intelligence in early detection and intervention of coronary artery disease.","authors":"Fahad R Butt, Michael W A Chu, Rashmi Nedadur","doi":"10.1097/HCO.0000000000001237","DOIUrl":"https://doi.org/10.1097/HCO.0000000000001237","url":null,"abstract":"<p><strong>Purpose of review: </strong>The diagnosis and management of coronary artery disease (CAD) involves complex delivery of care. Artificial intelligence (AI) proves to be a timely solution to challenges with diagnostics and timely and appropriate, quality of care.</p><p><strong>Recent findings: </strong>Artificial intelligence has the capacity to improve care for patients with CAD at every step of the way including diagnosis, medical management, in the cath lab and operating room, and even at home. Integration of multiple data sources increases the utility of the individual data sources and can also improve the overall prediction accuracy compared to single dataset predictions. Applications in the cath lab and operating room involve augmented reality and rely on hardware improvements to deliver advanced analytics. User interphases have seen significant growth to operationalize the analytics and placing information in front of physicians and patients to improve accessibility.</p><p><strong>Summary: </strong>AI can revolutionize the way in which we deliver care to patients with CAD by improving access, enhancing diagnosis and treatment, and empowering patients to remain engaged in their health. Initiatives should be directed with a clinical goal in mind while respecting data privacy and protection procedures and accounting for the ethical responsibilities we have toward our patients and society.</p>","PeriodicalId":55197,"journal":{"name":"Current Opinion in Cardiology","volume":"40 5","pages":"343-349"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144796200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Desmoplakin cardiomyopathy: recent updates in natural history and management. Desmoplakin心肌病：自然史和治疗的最新进展。
IF 2 4区 医学
Current Opinion in Cardiology Pub Date : 2025-09-01 Epub Date: 2025-06-27 DOI: 10.1097/HCO.0000000000001240
Lily Hoffman-Andrews, Olivia G Anderson, Anjali Tiku Owens
{"title":"Desmoplakin cardiomyopathy: recent updates in natural history and management.","authors":"Lily Hoffman-Andrews, Olivia G Anderson, Anjali Tiku Owens","doi":"10.1097/HCO.0000000000001240","DOIUrl":"10.1097/HCO.0000000000001240","url":null,"abstract":"<p><strong>Purpose of review: </strong>Cardiomyopathy caused by pathogenic variants in the desmoplakin gene has recently emerged as an entity distinct from other genetic cardiomyopathies. This review summarizes recent literature, including the first large cohort studies of this disease, that have begun to characterize its natural history and specific management challenges.</p><p><strong>Recent findings: </strong>Desmoplakin cardiomyopathy may be characterized by episodic \"hot phases\", cutaneous findings, and a high risk of sudden cardiac death. Gene-specific risk factors for sudden cardiac death have begun to be elucidated.</p><p><strong>Summary: </strong>Genetic testing in arrhythmogenic cardiomyopathy and recurrent myocarditis can identify patients with desmoplakin variants who may have a unique phenotype that requires gene-specific management. More research is needed in this population to further guide treatment, counseling, and risk stratification.</p>","PeriodicalId":55197,"journal":{"name":"Current Opinion in Cardiology","volume":" ","pages":"375-380"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144546263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Revascularization in chronic coronary syndrome: shifts in clinical practice guidelines. 慢性冠脉综合征的血运重建术：临床实践指南的变化。
IF 2 4区 医学
Current Opinion in Cardiology Pub Date : 2025-09-01 Epub Date: 2025-05-14 DOI: 10.1097/HCO.0000000000001234
Maria Servito, Weiang Yan, Jenny Namkoong, Dominique Vervoort, Stephen E Fremes
{"title":"Revascularization in chronic coronary syndrome: shifts in clinical practice guidelines.","authors":"Maria Servito, Weiang Yan, Jenny Namkoong, Dominique Vervoort, Stephen E Fremes","doi":"10.1097/HCO.0000000000001234","DOIUrl":"10.1097/HCO.0000000000001234","url":null,"abstract":"<p><strong>Purpose of review: </strong>The optimal revascularization strategy for chronic coronary syndrome (CCS) is rapidly evolving due to emerging evidence and technological advancements. This review will discuss the guidelines for the management of CCS, examining how they align with and respond to recent high-quality studies. We will also discuss the evolution of the guidelines and highlight key differences.</p><p><strong>Recent findings: </strong>While broad consensus exists between the most recent European and American guidelines, notable differences exist in the management of multivessel disease with preserved ejection fraction and left main disease. The role of the Heart Teams has become increasingly vital particularly when the guidelines do not fit the clinical scenarios, and the evidence is controversial.</p><p><strong>Summary: </strong>Determining the optimal management strategy for patients with CCS requires careful consideration of anatomic complexity, comorbidities, and individual patient preferences. While advances in percutaneous coronary intervention (PCI) and medical therapy have been widely discussed, it is equally important to contextualize these with emerging innovations in surgical revascularization. Techniques such as multiple arterial grafting and minimally invasive surgical approaches represent significant progress in coronary artery bypass surgery. Randomized trials that compare state-of-the-art percutaneous and surgical revascularization techniques are thus needed.</p>","PeriodicalId":55197,"journal":{"name":"Current Opinion in Cardiology","volume":" ","pages":"357-366"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Ultrasound-Based assessment of systemic congestion in pulmonary hypertension. 肺动脉高压全身性充血的超声评估。
IF 2 4区 医学
Current Opinion in Cardiology Pub Date : 2025-09-01 Epub Date: 2025-05-02 DOI: 10.1097/HCO.0000000000001227
Pei-Lun Lee, Laura Marcela Romero Acero, Michele Nanna
{"title":"Ultrasound-Based assessment of systemic congestion in pulmonary hypertension.","authors":"Pei-Lun Lee, Laura Marcela Romero Acero, Michele Nanna","doi":"10.1097/HCO.0000000000001227","DOIUrl":"10.1097/HCO.0000000000001227","url":null,"abstract":"<p><strong>Purpose of review: </strong>Systemic congestion is a common manifestation in pulmonary hypertension (PH) associated with morbidity and mortality. Its extent can be difficult to define and is usually determined by subjective medical history and physical examinations, leading to delay in decision-making. We conducted a literature review to collect evidence on imaging tools aimed at detecting and defining severity of venous congestion in PH.</p><p><strong>Recent findings: </strong>We discussed pathophysiology and outlined a structured approach in the management of venous congestion. Point-of-care ultrasound becomes more accessible and aids in gauging the severity of systemic congestion. Venous excess ultrasound (VExUS) grading system analyzes the inferior vena cava, hepatic vein, portal vein, and intrarenal vein and provides a comprehensive assessment of systemic congestion. Nonetheless, almost all available studies were performed in unselected populations, and data on PH is scarce. Herein, we discuss the imaging methods proposed in systemic congestion as they apply to PH.</p><p><strong>Summary: </strong>VExUS offers fast, convenient assessment of volume status. Despite the promising data on VExUS, it should be emphasized that ultrasound should be placed in the context of a comprehensive evaluation and should not replace basic examination. Further research is needed to establish its role in PH and verify its clinical utility in guiding fluid management.</p>","PeriodicalId":55197,"journal":{"name":"Current Opinion in Cardiology","volume":" ","pages":"319-326"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
When is imaging needed to assess the response to treatment in cardiac amyloidosis. 什么时候需要影像学来评估对心脏淀粉样变性治疗的反应。
IF 2 4区 医学
Current Opinion in Cardiology Pub Date : 2025-09-01 Epub Date: 2025-05-21 DOI: 10.1097/HCO.0000000000001236
Shantanu P Sengupta, Prayag Kini
{"title":"When is imaging needed to assess the response to treatment in cardiac amyloidosis.","authors":"Shantanu P Sengupta, Prayag Kini","doi":"10.1097/HCO.0000000000001236","DOIUrl":"10.1097/HCO.0000000000001236","url":null,"abstract":"<p><strong>Purpose of review: </strong>Cardiac amyloidosis is characterized by systolic and diastolic abnormalities due to deposition of amyloid fibril within the myocardial extracellular space. Technological advances in multimodality cardiac imaging now helps in accurate diagnosis and prognosis of this disease. With technological advances in imaging, it is now easier to follow up these patients whether they are getting response to therapy.</p><p><strong>Recent findings: </strong>Left ventricular global longitudinal strain assessment is an important noninvasive tool to track response to treatment in cardiac amyloidosis patient.</p><p><strong>Summary: </strong>Present era has shown the importance of using multimodality imaging to understand the pathophysiology of this disease which has been supplemented by both imaging and blood biomarkers. These help in prognosticating the disease burden and to assess treatment response. Future research is now focused on the use of artificial intelligence and precision medicine to detect of changes earlier in the course of treatment.</p>","PeriodicalId":55197,"journal":{"name":"Current Opinion in Cardiology","volume":" ","pages":"335-342"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Patient selection in robotic mitral valve surgery. 机器人二尖瓣手术的患者选择。
IF 2 4区 医学
Current Opinion in Cardiology Pub Date : 2025-08-25 DOI: 10.1097/HCO.0000000000001251
Marc Gillinov, Tarek Malas, Mohamad Rabbani, Per Wierup
{"title":"Patient selection in robotic mitral valve surgery.","authors":"Marc Gillinov, Tarek Malas, Mohamad Rabbani, Per Wierup","doi":"10.1097/HCO.0000000000001251","DOIUrl":"10.1097/HCO.0000000000001251","url":null,"abstract":"<p><strong>Purpose of review: </strong>National databases reveal increased application of the surgical robot to facilitate mitral valve repair. Single-center and multiinstitutional studies confirm that excellent results are achievable with robotic mitral valve repair. However, not all patients with degenerative mitral valve disease are appropriate candidates for robotic mitral valve repair.</p><p><strong>Recent findings: </strong>With increased experience, surgeons have successfully applied the surgical robot to perform mitral valve repair in conjunction with concomitant procedures. Concurrently, selection criteria have expanded, enabling more patients to enjoy the benefits of a less invasive approach. A small group of patient-related and anatomic factors are best managed via a standard sternal approach.</p><p><strong>Summary: </strong>Approaching 15% of all mitral valve repairs for degenerative disease, robotic mitral valve repair has reached an inflection point in its growth. Well tolerated application of this technology requires understanding of both its advantages and its limitations.</p>","PeriodicalId":55197,"journal":{"name":"Current Opinion in Cardiology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Developing a professional and career identity: it's a journey to enjoy. 培养专业和职业身份：这是一个享受的旅程。
IF 2 4区 医学
Current Opinion in Cardiology Pub Date : 2025-07-01 Epub Date: 2025-03-29 DOI: 10.1097/HCO.0000000000001219
Paul A Checchia
{"title":"Developing a professional and career identity: it's a journey to enjoy.","authors":"Paul A Checchia","doi":"10.1097/HCO.0000000000001219","DOIUrl":"10.1097/HCO.0000000000001219","url":null,"abstract":"<p><strong>Purpose of review: </strong>Developing a professional identity in medicine is a crucial journey for healthcare professionals, as it encapsulates the blending of personal values, skills, knowledge, and the ethos of the medical profession. To examine the pathway towards developing a professional identity, we must define precisely what that represents.</p><p><strong>Recent findings: </strong>The journey to develop both a professional identity and an academic career presence has long been the focus of educators and mentors. The idea of teaching a student how to develop a professional identity has not always been seen as the role of medical training.</p><p><strong>Summary: </strong>The effort committed to developing an identity and a career should be satisfying.Throughout a long career, job satisfaction waxes and wanes. Having a diverse portfolio of interests and commitments allows for the backfill of motivation. Ultimately building a professional identity and career within cardiac critical care is a journey. There is never an end, but rather a progression and evolution.</p>","PeriodicalId":55197,"journal":{"name":"Current Opinion in Cardiology","volume":" ","pages":"305-309"},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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 burden of innovation in the pediatric heart center. 儿童心脏中心的创新负担。
IF 2 4区 医学
Current Opinion in Cardiology Pub Date : 2025-07-01 Epub Date: 2025-05-02 DOI: 10.1097/HCO.0000000000001224
Andrea Torzone, Alexandra Birely
{"title":"The burden of innovation in the pediatric heart center.","authors":"Andrea Torzone, Alexandra Birely","doi":"10.1097/HCO.0000000000001224","DOIUrl":"10.1097/HCO.0000000000001224","url":null,"abstract":"<p><strong>Purpose of review: </strong>The purpose of this review is to elucidate the growing complexity involved in providing pediatric cardiac care in the contemporary era of innovation. Aiming to highlight the phenomenon of chronic critical illness in a pediatric heart center, this review outlines the burdens placed on those caring for these uniquely challenging patients and poses considerations for alleviating those burdens.</p><p><strong>Recent findings: </strong>As care advancements drive improved survival for children with heart disease, heart centers face a growing population of chronically critically ill patients with high resource utilization and uncertain trajectories. Preterm infants, single ventricles, and complex heart failure patients require significant interventions and expertise. Their lengthy courses challenge care delivery systems and resources, in addition to placing significant emotional and cognitive burdens on the multidisciplinary teams.</p><p><strong>Summary: </strong>The growing population of chronically critically ill cardiac patients are some of the most challenging both at the system level and on the team members. While undertaking innovative therapies, we must recognize that survival as an outcome cannot be separated from associated costs of achieving that outcome; the resultant burdens of innovation cannot be ignored. Heart centers must take a proactive stance in optimizing care for children with prolonged illness while also addressing the needs of those who care for them.</p>","PeriodicalId":55197,"journal":{"name":"Current Opinion in Cardiology","volume":" ","pages":"265-274"},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144010287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Role of coronary artery calcification detection in tailoring patient care, personalized risk assessment, and prevention of future cardiac events. 冠状动脉钙化检测在定制患者护理、个性化风险评估和预防未来心脏事件中的作用。
IF 2 4区 医学
Current Opinion in Cardiology Pub Date : 2025-07-01 Epub Date: 2025-03-11 DOI: 10.1097/HCO.0000000000001216
Rohan Kankaria, Abhishek Gami, Jaideep Patel
{"title":"Role of coronary artery calcification detection in tailoring patient care, personalized risk assessment, and prevention of future cardiac events.","authors":"Rohan Kankaria, Abhishek Gami, Jaideep Patel","doi":"10.1097/HCO.0000000000001216","DOIUrl":"10.1097/HCO.0000000000001216","url":null,"abstract":"<p><strong>Purpose of review: </strong>We review the utility of coronary artery calcium (CAC) scoring in personalized risk assessment and initiation of cardiovascular disease risk modifying therapy.</p><p><strong>Recent findings: </strong>Many populations - including South Asians, patients with cancer, patients with human immunodeficiency virus (HIV), younger patients, and elderly patients - were not included during the conception of the current risk stratification tools. CAC scoring may allow clinicians to risk-stratify these individuals and help initiate preventive therapy in higher risk populations. Furthermore, CAC scoring may be able to be integrated into current imaging practices to allow for more ubiquitous and equitable screening practices.</p><p><strong>Summary: </strong>CAC scoring is an additional, objective metric that may allow for nuanced and personalized risk assessment of future atherosclerotic cardiovascular disease (ASCVD) events.</p>","PeriodicalId":55197,"journal":{"name":"Current Opinion in Cardiology","volume":" ","pages":"230-236"},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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 hypertension in 2025: next steps? 2025年肺动脉高压：下一步？
IF 2 4区 医学
Current Opinion in Cardiology Pub Date : 2025-07-01 Epub Date: 2025-05-02 DOI: 10.1097/HCO.0000000000001228
Kinjal Parikh
{"title":"Pulmonary hypertension in 2025: next steps?","authors":"Kinjal Parikh","doi":"10.1097/HCO.0000000000001228","DOIUrl":"10.1097/HCO.0000000000001228","url":null,"abstract":"<p><strong>Purpose of review: </strong>To review recent updates in pediatric pulmonary hypertension with a special focus on recent recommendations from the World Symposium of Pulmonary Hypertension (WSPH).</p><p><strong>Recent findings: </strong>The third pediatric specific WSPH report highlights updated recommendations for pediatric pulmonary hypertension classification, risk stratification, and management approaches, with special focus on an emerging cohort of pulmonary hypertension relating to bronchopulmonary dysplasia, in the premature population.</p><p><strong>Summary: </strong>Based on real-world data and expert opinion, the newest iteration of the WSPH report encourages recommendations that optimize detection and management of pediatric pulmonary hypertension, with the ultimate goal of enhancing quality of life and long-term prognosis.</p>","PeriodicalId":55197,"journal":{"name":"Current Opinion in Cardiology","volume":" ","pages":"251-258"},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
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