Acta cardiologica最新文献

{"title":"Diagnostic and prognostic yields of ambulatory blood pressure measurements in haemodialysis patients: a 6-year longitudinal study.","authors":"J Huart, P Vanderweckene, L Seidel, C Bovy, P Delanaye, B Dubois, S Grosch, P Xhignesse, A Saint-Remy, J-M Krzesinski, F Jouret","doi":"10.1080/00015385.2024.2436811","DOIUrl":"10.1080/00015385.2024.2436811","url":null,"abstract":"<p><strong>Background: </strong>Blood pressure (BP) control in haemodialysis (HD) patients is essential. Peri-dialytic BP levels do not accurately diagnose hypertension or predict the cardiovascular (CV) mortality.</p><p><strong>Methods: </strong>In this study, we recruited 43 adult patients who had been on chronic HD for ≥3 months. Seven-day home BP monitoring (HBPM) (values of Day1 discarded) and 44-h interdialytic ambulatory BP monitoring (iABPM) were performed. Pre- and post-dialysis BP levels were measured during the 6 dialysis sessions prior to iABPM. A 6-year follow-up was carried out to assess all-cause and CV mortality.</p><p><strong>Results: </strong>In patients considered as normotensive in pre-dialysis (<i>n</i> = 17), masked hypertension was found in 24% and 29% on the basis of iABPM and HBPM, respectively. Conversely, among hypertensive patients in pre-dialysis (<i>n</i> = 26), 'white-coat' hypertension was noted in 23% either by iABPM or HBPM. After a 6-year follow-up, 25 patients were deceased including 6 patients from CV causes. Day-time systolic BP measured by iABPM was associated with all-cause mortality in an adjusted model for age and gender (<i>p</i> = 0.045).</p><p><strong>Conclusion: </strong>In chronic HD patients, 44-h iABPM and 6-day HBPM show a reliable concordance and help to re-classify ∼25% of cases miscategorised based on pre-dialysis measurements. Day-time systolic BP levels using iABPM were significantly associated with 6-year all-cause mortality.</p>","PeriodicalId":6979,"journal":{"name":"Acta cardiologica","volume":" ","pages":"115-123"},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142790878","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}

{"title":"Myocardial work in ischaemic heart disease.","authors":"María Elena Sánchez, Mercedes Panno, Mateo Giordano, Anabel Gafni","doi":"10.1080/00015385.2025.2457179","DOIUrl":"10.1080/00015385.2025.2457179","url":null,"abstract":"","PeriodicalId":6979,"journal":{"name":"Acta cardiologica","volume":" ","pages":"198-199"},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143027506","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}

{"title":"Office white-coat effect tail and long-term cardiovascular risks in 60-year follow-up of the European cohorts of the Seven Countries Study.","authors":"Xavier Humbert, Andry Rabiaza, Anthony Kafatos, Paolo Piras, Hanna Tolonen, Paolo-Emilio Puddu","doi":"10.1080/00015385.2025.2467006","DOIUrl":"10.1080/00015385.2025.2467006","url":null,"abstract":"<p><strong>Aim: </strong>The aim of this study was to determine whether the office white-coat effect tail (OWCET), defined as decreasing of SBP ≥10 mmHg in multiple office systolic blood pressure measures, predicts major long-term fatal events in the nearly extinct European cohorts of the Seven Country Study (ECSCS).</p><p><strong>Material and methods: </strong>In the present analysis, 4,937 men (49 ± 5 years) were included. All-cause mortality and specific mortalities [cardiovascular mortality (CVD) including stroke, coronary heart disease (CHD) death as well as heart disease of uncertain aetiology (HDUE)] were considered using Cox models. Also non-CVD deaths were studied by Fine-Gray competing risk analysis.</p><p><strong>Results: </strong>At inclusion, subjects with OWCET were significantly more hypertensive. After 60-year follow-up, OWCET was not associated with risk of both CVD [aHR: 0.95 (95% CI: 0.82-1.03), <i>p</i> = 0.5] and all-cause death [aHR: 0.92 (95% CI: 0.82-1.03), <i>p</i> = 0.16] independently of traditional risk factors (age, SBP, BMI, total cholesterol and cigarettes) in ECSCS. Same results were found for Northern and Southern Europe cohorts of ECSCS concerning CVD death [aHR: 0.98 (95% CI: 0.76-1.26), <i>p</i> = 0.85 and aHR: 0.95 (95% CI: 0.74-1.20), <i>p</i> = 0.66] and all-cause death, respectively [aHR: 0.90 (95% CI: 0.75-1.07), <i>p</i> = 0.23 and aHR: 0.93 (95% CI: 0.79-1.09), <i>p</i> = 0.38].</p><p><strong>Conclusions: </strong>In a general population of men, OWCET is not associated to CVD or non-CVD and all-cause mortality and consequently cannot improve stratification of long-term CVD risks in ECSCS.</p>","PeriodicalId":6979,"journal":{"name":"Acta cardiologica","volume":" ","pages":"173-180"},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143456577","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}

{"title":"Unusual late presentation of symptomatic type II popliteal artery entrapment syndrome in a 62 years adult.","authors":"Gourav Saini, Resham Singh, Renu Yadav, Priyanka Singh","doi":"10.1080/00015385.2025.2484861","DOIUrl":"https://doi.org/10.1080/00015385.2025.2484861","url":null,"abstract":"","PeriodicalId":6979,"journal":{"name":"Acta cardiologica","volume":" ","pages":"1-3"},"PeriodicalIF":2.1,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143741767","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}

{"title":"Platelet-to-lymphocyte ratio (PLR) for coronary artery lesions in Kawasaki disease: correspondence.","authors":"Hinpetch Daungsupawong, Viroj Wiwanitkit","doi":"10.1080/00015385.2025.2484837","DOIUrl":"https://doi.org/10.1080/00015385.2025.2484837","url":null,"abstract":"","PeriodicalId":6979,"journal":{"name":"Acta cardiologica","volume":" ","pages":"1-3"},"PeriodicalIF":2.1,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143717618","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}

{"title":"Prediction of cardiovascular disease using blood pressure indices: more than just the level?","authors":"Guy De Backer","doi":"10.1080/00015385.2025.2480940","DOIUrl":"https://doi.org/10.1080/00015385.2025.2480940","url":null,"abstract":"","PeriodicalId":6979,"journal":{"name":"Acta cardiologica","volume":" ","pages":"1-2"},"PeriodicalIF":2.1,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143690682","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}

{"title":"Cardiac angiosarcoma.","authors":"A Maiorana, P Lancellotti","doi":"10.1080/00015385.2025.2480989","DOIUrl":"https://doi.org/10.1080/00015385.2025.2480989","url":null,"abstract":"","PeriodicalId":6979,"journal":{"name":"Acta cardiologica","volume":" ","pages":"1-2"},"PeriodicalIF":2.1,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143673159","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}

{"title":"Volume challenge in women with congenital heart disease during reproductive age and pregnancy outcomes.","authors":"Kaat Verhenne, Pieter De Meester, Geert Schuurmans, Philip Moons, Els Troost, Alexander Van De Bruaene, Werner Budts","doi":"10.1080/00015385.2025.2480939","DOIUrl":"https://doi.org/10.1080/00015385.2025.2480939","url":null,"abstract":"<p><strong>Background: </strong>Thanks to medical improvements in the care for patients with congenital heart disease (CHD), women with CHD reach reproductive age. Pregnancy is not without risk due to the cardiovascular changes that occur. University Hospitals Leuven use a standardised protocol, including a catheterisation and volume challenge, to assess these women before pregnancy. This protocol has never been evaluated.</p><p><strong>Objective: </strong>The primary aim was to evaluate this volume challenge protocol. The second objective was to investigate whether hemodynamic data obtained during cardiac catheterisation were associated with maternal and/or neonatal outcome.</p><p><strong>Methods: </strong>A single-centre, retrospective study was conducted. Primarily, changes in catheterisation measurements were evaluated. Second, correlation statistics investigated associations between catheterisation data and outcome.</p><p><strong>Results: </strong>Twenty-five women, with nine different CHDs were eligible for inclusion and underwent a catheterisation with volume challenge. Significant changes in pre- and post-volume challenge measurements were observed in the mean averaged systemic venous pressure (ASVP) (<i>p</i> < 0.001), diastolic and mean pulmonary artery pressures (<i>p</i> < 0.001), and the pulmonary capillary wedge pressure (<i>p</i> < 0.001). A negative correlation was observed between the pre-test ASVP and the neonatal gestational age at delivery (<i>p</i> = 0.002). Another negative correlation was found between the post-test cardiac index (CI) and gestational age at delivery (<i>p</i> = 0.049) and birthweight (<i>p</i> = 0.018).</p><p><strong>Conclusion: </strong>The results suggest that higher ASVP is associated with lower gestational age at delivery. Remarkably, higher CI was related with lower gestational age and birthweight. However, our data do not support that a systematic volume challenge in women with CHD can be considered as a reliable prediction test.</p>","PeriodicalId":6979,"journal":{"name":"Acta cardiologica","volume":" ","pages":"1-8"},"PeriodicalIF":2.1,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143655781","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}

{"title":"Enhancing predictive accuracy of the 13-item Acute Coronary Syndrome checklist: a novel approach to improving risk assessment and diagnosis.","authors":"Mohammad Sahebkar, Najme Lagzian, Mohammad Reza Armat, Sarina Ramtin, Seyyedeh Samaneh Tabaee, Abdolghader Assarroudi","doi":"10.1080/00015385.2025.2480958","DOIUrl":"https://doi.org/10.1080/00015385.2025.2480958","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to evaluate the discriminatory capacity of the 13-Item ACS checklist and improve the accuracy of ACS diagnosis through the application of weighted regression analysis.</p><p><strong>Materials and methods: </strong>This predictive correlation study enrolled 300 patients admitted to Emergency Department between February 2021 and January 2022. The ACS checklist was administered upon initial triage, followed by patient tracking over a one-month hospitalisation period, capturing ACS diagnoses. Data analysis employed STATA 17 and MEDCALC 20.0.13 software.</p><p><strong>Results: </strong>Findings indicated that patients with sweating and shortness of breath symptoms had a heightened likelihood of true ACS diagnosis by 14% and 11%, respectively, compared to those without ACS (<i>p</i> = 0.005 and 0.019). Conversely, palpitations were associated with a 20% decreased likelihood of authentic ACS diagnosis (<i>p</i> < 0.001). Integration of significant regression coefficients - palpitation severity (-21), sweating severity (13.7), and shortness of breath severity (11) demonstrated significant discriminatory enhancements in the checklists. The weighted 13-item ACS checklist surpassed the unweighted version's performance, yielding superior discriminatory power for ACS diagnosis (<i>p</i> < 0.001 and <i>p</i> = 0.089). The weighted checklist elevated the AUC score from 55% to 70%.</p><p><strong>Conclusions: </strong>Incorporating weighted factors - shortness of breath severity, sweating severity, and palpitations severity - into the checklist notably enhanced ACS identification. However, it's important to note that this tool, while showing promise, is not intended to serve as a standalone diagnostic tool for ACS. Instead, this tool has the potential to enhance risk assessment and aid in clinical decision-making.</p>","PeriodicalId":6979,"journal":{"name":"Acta cardiologica","volume":" ","pages":"1-7"},"PeriodicalIF":2.1,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143655776","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}

{"title":"Successful pregnancy and postpartum complications in patient with interrupted aortic arch type B.","authors":"Nikola Komazec, Nina Dračina, Milena Spirovski, Ranko Zdravković, Milenko Rosić","doi":"10.1080/00015385.2025.2476883","DOIUrl":"https://doi.org/10.1080/00015385.2025.2476883","url":null,"abstract":"","PeriodicalId":6979,"journal":{"name":"Acta cardiologica","volume":" ","pages":"1-2"},"PeriodicalIF":2.1,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143603284","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}