Acta cardiologicaPub Date : 2026-10-06DOI: 10.1080/00015385.2026.2743285
Selda Murat, Fatih Enes Durmaz, Esra Can Onder, Halit Emre Yalvac, Bektas Murat, Yuksel Cavusoglu
{"title":"Association of left atrioventricular coupling index with mortality in heart failure with preserved ejection fraction.","authors":"Selda Murat, Fatih Enes Durmaz, Esra Can Onder, Halit Emre Yalvac, Bektas Murat, Yuksel Cavusoglu","doi":"10.1080/00015385.2026.2743285","DOIUrl":"https://doi.org/10.1080/00015385.2026.2743285","url":null,"abstract":"<p><strong>Background: </strong>The left atrioventricular coupling index (LACI) is a novel echocardiographic parameter reflecting atrioventricular interaction and cardiac remodelling. However, its association with mortality in heart failure with preserved ejection fraction (HFpEF) remains unclear. We investigated the relationship between LACI and all-cause mortality in patients with HFpEF.</p><p><strong>Methods: </strong>This retrospective observational study included 193 patients with HFpEF. Clinical and echocardiographic data were analysed. LACI was calculated as the ratio of left atrial end-diastolic volume to left ventricular end-diastolic volume. ROC curve, Kaplan-Meier, and multivariable logistic regression analyses evaluated the association between LACI and mortality.</p><p><strong>Results: </strong>Patients were stratified using an ROC-derived LACI cut-off of 0.374. Elevated LACI was associated with significantly higher 1-year and 2-year all-cause mortality compared with lower LACI (25.8% vs. 5.8% and 38.2% vs. 8.7%, respectively; both <i>p</i> < 0.001). Higher LACI was also associated with increased systolic pulmonary artery pressure, impaired right ventricular systolic function, reduced left atrial functional parameters, and impaired left ventricular global longitudinal strain. LACI predicted mortality (AUC: 0.714, <i>p</i> < 0.001) and remained independently associated with all-cause mortality in multivariable logistic regression.</p><p><strong>Conclusion: </strong>Elevated LACI was associated with increased all-cause mortality and adverse cardiac remodelling in patients with HFpEF. As a practical echocardiographic parameter, LACI may provide additional information on atrioventricular and atrial remodelling. These hypothesis-generating findings require confirmation in larger prospective studies.</p>","PeriodicalId":6979,"journal":{"name":"Acta cardiologica","volume":" ","pages":"1-8"},"PeriodicalIF":4.0,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149102638","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}
Acta cardiologicaPub Date : 2026-10-03DOI: 10.1080/00015385.2026.2742042
Binglin Lai
{"title":"A silent survivor: syncope as the presenting symptom of Bland‑White‑Garland syndrome in a 66-year-old woman.","authors":"Binglin Lai","doi":"10.1080/00015385.2026.2742042","DOIUrl":"https://doi.org/10.1080/00015385.2026.2742042","url":null,"abstract":"","PeriodicalId":6979,"journal":{"name":"Acta cardiologica","volume":" ","pages":"1-2"},"PeriodicalIF":4.0,"publicationDate":"2026-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149102673","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}
Acta cardiologicaPub Date : 2026-09-24DOI: 10.1080/00015385.2026.2738972
Tuğba Yılmaz, Mehmet Murat Şahin, Macit Kalçık, Lütfü Bekar
{"title":"Risk stratification with the albumin-bilirubin score in infective endocarditis.","authors":"Tuğba Yılmaz, Mehmet Murat Şahin, Macit Kalçık, Lütfü Bekar","doi":"10.1080/00015385.2026.2738972","DOIUrl":"https://doi.org/10.1080/00015385.2026.2738972","url":null,"abstract":"","PeriodicalId":6979,"journal":{"name":"Acta cardiologica","volume":" ","pages":"1-2"},"PeriodicalIF":4.0,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149035797","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}
Acta cardiologicaPub Date : 2026-09-22DOI: 10.1080/00015385.2026.2732692
Thierry Verbeet, Thomas Nguyen, Antanas Strazdas, Ahmad Awada
{"title":"Slow pathway and atrioventricular nodal bumping in the setting of cryoablation of atrioventricular nodal re-entry tachycardia.","authors":"Thierry Verbeet, Thomas Nguyen, Antanas Strazdas, Ahmad Awada","doi":"10.1080/00015385.2026.2732692","DOIUrl":"https://doi.org/10.1080/00015385.2026.2732692","url":null,"abstract":"<p><strong>Introduction: </strong>Between 2005 and 2022, 364 patients were treated with cryoenergy for atrioventricular nodal re-entrant tachycardia (AVNRT). After we noticed that bumping of the slow pathway could occur a cohort of 68 consecutive patients, highly symptomatic, were prospectively studied between 2005 and 2008 for the occurrence of bumping of the slow pathway or other nodal structures during catheter manipulation. The analysis was stopped after 68 patients based on the results obtained. Slow pathway bumping was defined as the ability to induce sustained tachycardia at the baseline but not anymore after manipulation of the ablation catheter, before any energy delivery attempt was made, linked to slow pathway conduction impairment.</p><p><strong>Methods and results: </strong>In 63 patients a sustained tachycardia could repeatedly be induced at the baseline state when only diagnostic catheters were in place. In 20.6% of these patients (13 pat) bumping occurred. The bumping was linked to the slow pathway in 12 patients.</p><p><strong>Conclusions: </strong>Slow pathway bumping is a frequent phenomenon in the setting of cryocatheter ablation of AVNRT. It might explain the higher recurrence rate compared with radiofrequency (RF) when cryomapping is done during sinus rhythm rather than during ongoing tachycardia. It may also explain some cases of tachycardia non inducibility at the baseline. It also has implications when the ablation is done with radiofrequency current: in the case an accelerated nodal rhythm is absent after energy application but tachycardia is no more inducible slow pathway bumping may also be considered.</p>","PeriodicalId":6979,"journal":{"name":"Acta cardiologica","volume":" ","pages":"1-7"},"PeriodicalIF":4.0,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149015153","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}
Acta cardiologicaPub Date : 2026-09-15DOI: 10.1080/00015385.2025.2526308
Marco F Costantino, Francesca Cortese, Maria Giuseppina Veglia, Gianpaolo D'Addeo
{"title":"Uncommon subvalvular infective endocarditis: <i>Streptococcus salivarius</i> vegetation on the posteromedial chordae in a COVID-19 patient requiring urgent surgery.","authors":"Marco F Costantino, Francesca Cortese, Maria Giuseppina Veglia, Gianpaolo D'Addeo","doi":"10.1080/00015385.2025.2526308","DOIUrl":"https://doi.org/10.1080/00015385.2025.2526308","url":null,"abstract":"","PeriodicalId":6979,"journal":{"name":"Acta cardiologica","volume":" ","pages":"1-3"},"PeriodicalIF":4.0,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148966061","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}