Archives of Cardiovascular Diseases最新文献

{"title":"The management of cancer-associated thromboembolism: Proposals from the French multidisciplinary INNOVTE CAT Working Group.","authors":"Isabelle Mahé, Ygal Benhamou, Asmahane Benmaziane, Laurent Bertoletti, Virginie Bichon, Coralie Bozec, Ariel Cohen, Francis Couturaud, Philippe Debourdeau, Pascale Dielenseger, Éric Douriez, Antoine Elias, Olivier Espitia, Corinne Frère, Yoann Gaboreau, Pascale Gendron, Philippe Girard, Olivier Hanon, Ahmed Idbaih, Silvy Laporte, Didier Mayeur, Farès Moustafa, Gilles Pernod, Pierre-Marie Roy, Marie-Eve Rouge Bugat, Jeannot Schmidt, Florian Scotte, Marie-Antoinette Sevestre, Patrick Mismetti, Olivier Sanchez","doi":"10.1016/j.acvd.2025.07.007","DOIUrl":"https://doi.org/10.1016/j.acvd.2025.07.007","url":null,"abstract":"","PeriodicalId":55472,"journal":{"name":"Archives of Cardiovascular Diseases","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter in response to the article entitled \"Propensity score analysis of very long-term outcome after coronary thrombus aspiration in acute myocardial infarction\" by Weizman et al.","authors":"Wenjuan Li, Shujing Zeng, Bin Liu","doi":"10.1016/j.acvd.2025.07.005","DOIUrl":"https://doi.org/10.1016/j.acvd.2025.07.005","url":null,"abstract":"","PeriodicalId":55472,"journal":{"name":"Archives of Cardiovascular Diseases","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145008560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Distinct clinical phenotypes of delirium in the cardiac intensive care unit: Moving beyond a single diagnostic entity.","authors":"Artur Dziewierz","doi":"10.1016/j.acvd.2025.07.004","DOIUrl":"https://doi.org/10.1016/j.acvd.2025.07.004","url":null,"abstract":"","PeriodicalId":55472,"journal":{"name":"Archives of Cardiovascular Diseases","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145002026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reply to letter: 'Exploring platelet count thresholds and long-term implications of PCI in acute coronary syndromes with thrombocytosis'.","authors":"Yang Zhang, Yongchen Hao, Yong Zeng","doi":"10.1016/j.acvd.2025.08.001","DOIUrl":"https://doi.org/10.1016/j.acvd.2025.08.001","url":null,"abstract":"","PeriodicalId":55472,"journal":{"name":"Archives of Cardiovascular Diseases","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reply to letter: 'Revisiting the role of percutaneous coronary intervention in acute coronary syndrome with elevated platelet count: A constructive perspective'.","authors":"Yang Zhang, Yongchen Hao, Yong Zeng","doi":"10.1016/j.acvd.2025.07.002","DOIUrl":"https://doi.org/10.1016/j.acvd.2025.07.002","url":null,"abstract":"","PeriodicalId":55472,"journal":{"name":"Archives of Cardiovascular Diseases","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145014411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative efficacy and safety of intravascular lithotripsy versus rotational atherectomy in coronary artery calcification: An updated meta-analysis.","authors":"Abdul Mueez Alam Kayani, Muhammad Faiq Umar, Alan Garcia, Thomas Fretz, Ricky E Lemus-Zamora, Chadi Alraies, Tarique Ahmed, Anas Alharbi, Ramesh Daggubati, Yasar Sattar","doi":"10.1016/j.acvd.2025.06.075","DOIUrl":"https://doi.org/10.1016/j.acvd.2025.06.075","url":null,"abstract":"<p><strong>Background: </strong>The presence of coronary artery calcification during percutaneous coronary intervention is associated with an increased risk of complications and poor outcomes. Comparison of the efficacy and safety of intravascular lithotripsy and rotational atherectomy in coronary artery calcification has always been a topic of debate in the literature.</p><p><strong>Aim: </strong>To present the most recent comparative analysis of these two calcium debulking techniques.</p><p><strong>Methods: </strong>A search was conducted in online databases, including PubMed, Web of Science and the Cochrane Library. We performed a meta-analysis to find the difference between intravascular lithotripsy and rotational atherectomy regarding all-cause death, myocardial infarction, coronary perforation, slow/no-reflow, target vessel revascularization and procedural success. Using a random effects model, the results were reported as risk ratios.</p><p><strong>Results: </strong>A total of nine studies with 2203 patients (intravascular lithotripsy, n=1004; rotational atherectomy, n=1199) were selected. Intravascular lithotripsy was associated with a reduced risk of coronary perforation (risk ratio 0.38, 95% confidence interval 0.23-0.62; P=0.0001) and increased procedural success (risk ratio 1.04, 95% confidence interval 1.02-1.06; P=0.0004). There was no significant difference between intravascular lithotripsy and rotational atherectomy in terms of the risk of all cause death, myocardial infarction, target vessel revascularization and slow/no-reflow.</p><p><strong>Conclusions: </strong>Intravascular lithotripsy was associated with a lower risk of coronary perforation and higher procedural success compared with rotational atherectomy in the management of coronary artery calcification. However, no significant differences were observed between intravascular lithotripsy and RA in terms of all-cause death, myocardial infarction, target vessel revascularization and slow/no-reflow. Given the predominance of retrospective studies in the analysis, randomized controlled trials with long-term follow-up are needed to better identify patient populations most likely to benefit, as well as to compare the long-term clinical outcomes of these two plaque modification strategies.</p>","PeriodicalId":55472,"journal":{"name":"Archives of Cardiovascular Diseases","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Single-centre retrospective series on neonatal intracardiac, aortic and arterial thrombosis: Clinical presentation, therapeutic strategies and outcomes.","authors":"Mohamed Jaber, Fanny Bajolle, Nicolas Garcelon, Damien Bonnet, Sophie Malekzadeh-Milani","doi":"10.1016/j.acvd.2025.06.074","DOIUrl":"https://doi.org/10.1016/j.acvd.2025.06.074","url":null,"abstract":"<p><strong>Background: </strong>Neonatal arterial thrombosis is a rare but extremely severe condition with a variable death rate.</p><p><strong>Aim: </strong>To evaluate treatment options and outcomes in a series of hyperacute presentations of intracardiac, aortic or arterial thrombosis in neonates.</p><p><strong>Methods: </strong>All neonates with proven aortic or arterial thrombus without iatrogenic aetiology were reviewed retrospectively in a single-centre series from January 1990 to September 2023. Clinical presentation was reviewed, as well as diagnostic tools used. Treatment, outcomes and potential aetiologies were analysed.</p><p><strong>Results: </strong>Seventeen neonates (six females) were identified from our database. Twelve were diagnosed between day 0 and day 1, and the rest in first week. The modes of presentation were antenatal ventricular asymmetry (n=3), cardiogenic shock (n=6), limb ischaemia (n=4), seizure (n=2) and pulmonary hypertension (n=2). The thrombus locations were thoracic aorta (n=4), abdominal aorta (n=5), coronary arteries (n=2), left atrial appendage (n=2), foramen ovale (n=1) and limb arteries (n=3). Five patients had surgical removal, four had percutaneous treatment (including thromboaspiration, thrombolysis and stent implantation) and seven had heparin infusion only. Two patients received parenteral thrombolysis. Two patients with coronary thrombosis ultimately died, one patient had limb amputation and the other patients had a complete cardiac recovery. Only one patient had a heterozygous factor V Leiden mutation as a potential thrombophilia.</p><p><strong>Conclusions: </strong>All therapeutic strategies should be discussed in multidisciplinary team, ranging from heparin infusion to surgical resection. Endovascular therapy is a valid option in a substantial number of patients.</p>","PeriodicalId":55472,"journal":{"name":"Archives of Cardiovascular Diseases","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144805285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Response to Dr Du and Dr Li.","authors":"Orianne Weizman, Nicolas Danchin","doi":"10.1016/j.acvd.2025.07.003","DOIUrl":"https://doi.org/10.1016/j.acvd.2025.07.003","url":null,"abstract":"","PeriodicalId":55472,"journal":{"name":"Archives of Cardiovascular Diseases","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144849714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cardiovascular safety of a standardized outpatient triage and diagnostic approach for suspected cardiovascular immune-related adverse events of immune checkpoint inhibitors.","authors":"Francesco Cribari, Imen Hamdi, Soledad Henriquez, Marie-Liesse Joulia, Pierre Charles, Raphael Colle, Delphine Loirat, Nicolas Girard, Agnes Lillo-Le Louet, Christophe Caussin, Mariana Mirabel","doi":"10.1016/j.acvd.2025.06.073","DOIUrl":"https://doi.org/10.1016/j.acvd.2025.06.073","url":null,"abstract":"<p><strong>Background: </strong>Immune checkpoint inhibitors have changed cancer prognosis, at the expense of potential cardiovascular immune-related adverse events. Guidelines recommend troponin testing, prompting hospital admission if abnormal.</p><p><strong>Aim: </strong>To assess the safety of outpatient management of suspected cardiovascular immune-related adverse events.</p><p><strong>Methods: </strong>This is a prospective cohort study of all consecutive adults referred for suspected cardiovascular immune-related adverse events. Hospital admission followed a prespecified algorithm. In the absence of cardiovascular or muscle symptoms, double immune checkpoint inhibitors, electrocardiogram changes, and cardiovascular or immune disease, patients were managed as outpatients. The primary objective was safety of outpatient management, with cardiovascular death at 30days as the main outcome; the secondary objective was identification of factors associated with cardiovascular immune-related adverse events at referral.</p><p><strong>Results: </strong>Among the 175 patients enrolled between March 2022 and October 2023, 135 (72.11%) were female, the median age was 61 (interquartile range 48.0; 72.0) years, 146 (83.43%) were outpatients and 112 (64.00%) were referred for asymptomatic troponin increase. There were no cardiovascular deaths at 30days. Ninety-five (54.29%) patients had cardiovascular immune-related adverse events at referral, among whom 72 (41.14%) were diagnosed with immune checkpoint inhibitor-related myocarditis. History of cardiovascular disease (odds ratio 2.52, 95% confidence interval 1.12-5.40; P=0.017) and global longitudinal strain <16% (odds ratio 2.18, 95% confidence interval 1.03-4.63; P=0.042) were independently associated with cardiovascular immune-related adverse events at referral.</p><p><strong>Conclusions: </strong>Outpatient management is feasible in most patients when cardiovascular immune-related adverse events are suspected, provided that a FAST TRACK immune checkpoint inhibitor safety checklist is applied by the oncologists for triage. History of cardiovascular disease and global longitudinal strain are associated with the diagnosis of cardiovascular immune-related adverse events.</p>","PeriodicalId":55472,"journal":{"name":"Archives of Cardiovascular Diseases","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144755194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of remote digital auscultation for identifying significant aortic stenosis: A pilot study.","authors":"Yuval Avidan, Vsevolod Tabachnikov, Amir Aker","doi":"10.1016/j.acvd.2025.06.072","DOIUrl":"https://doi.org/10.1016/j.acvd.2025.06.072","url":null,"abstract":"<p><strong>Background: </strong>Aortic stenosis (AS) is the most common valvular disease in the Western world. Technological advances, such as the TytoCare™ device, have introduced remote telemedicine-based cardiac auscultation. Its utility in diagnosing and grading AS remains unexplored. This study aims to evaluate the reliability of the TytoCare™ for assessing AS.</p><p><strong>Methods: </strong>Sixty patients were classified by standard echocardiogram into three groups: significant AS (at least moderate AS; n=20), non-significant AS (aortic sclerosis or mild AS; n=20) and controls (n=20). Heart sounds were self-recorded using the TytoCare™ stethoscope. Fifteen blinded physicians - five each from primary care, internal medicine and cardiology - reviewed the recordings using standardized equipment and assigned diagnoses based on a categorical scale: 0=insufficient data, 1=normal, 2=mild AS and 3=at least moderate AS.</p><p><strong>Results: </strong>The study groups had comparable baseline characteristics, with a mean±standard deviation age of 72.6±9.1years. The correct response rate for significant AS was 85% (95% confidence interval [95% CI]: 80-88%), with both cardiologists and non-cardiologists achieving≥80%. In contrast, performance declined in non-significant AS (57%, 95% CI: 51-62%), but remained high in the control group (87%, 95% CI: 82-90%). Cardiologists outperformed other physicians, overall (P=0.029) and in significant AS cases (P=0.022), while no significant differences were found among non-cardiologists.</p><p><strong>Conclusions: </strong>TytoCare™ demonstrated high reliability in the remote assessment of significant AS by both cardiologists and non-cardiologists. Its intuitive and user-friendly design enables self-application, even among older populations, emphasizing its potential as an effective screening tool for AS across diverse healthcare settings.</p>","PeriodicalId":55472,"journal":{"name":"Archives of Cardiovascular Diseases","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144644216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}