Acta cardiologica最新文献_第3页

Coexisting bicuspid pulmonary and aortic valves. 肺动脉瓣和主动脉瓣双瓣并存。

IF 2.1 4区医学

Acta cardiologica Pub Date : 2025-05-01 Epub Date: 2024-10-25 DOI: 10.1080/00015385.2024.2414132

Simon Deffet, Raluca Dulgheru, Patrizio Lancellotti

引用次数: 0

Complete heart block after occlusion and repair for perimembranous ventricular septal defect. 膜周围室间隔缺损的完全性心脏传导阻滞和修复。

IF 2.1 4区医学

Acta cardiologica Pub Date : 2025-05-01 Epub Date: 2025-03-31 DOI: 10.1080/00015385.2025.2480961

Li Lin, Wanhua Chen, Hang Chen, Jianwen Liu, Kanghui Chen, Lianglong Chen, Liangwan Chen, Zhaoyang Chen

{"title":"Complete heart block after occlusion and repair for perimembranous ventricular septal defect.","authors":"Li Lin, Wanhua Chen, Hang Chen, Jianwen Liu, Kanghui Chen, Lianglong Chen, Liangwan Chen, Zhaoyang Chen","doi":"10.1080/00015385.2025.2480961","DOIUrl":"10.1080/00015385.2025.2480961","url":null,"abstract":"Background: Complete atrioventricular conduction block (CAVB) is a major complication of the repair and occlusion of perimembranous ventricular septal defects (pmVSDs).Objective: This study aimed to analyse the incidence and risk factors of CAVB after occlusion and repair of pmVSD.Methods: We reviewed patients with pmVSDs who underwent occlusion and repair between January 2010 and January 2022. Permanent CAVB was defined as a CAVB requiring permanent pacemaker implantation or occluder extraction.Results: Of 2436 patients who underwent pmVSD repair, 7 (0.3%) developed permanent CAVB. In all, 16 (0.7%) of the 2200 patients in the device group developed permanent CAVBs. All permanent CAVBs in the repair group occurred during hospital stay. In contrast, eight (50%) permanent CAVBs in the device group occurred over 1 month. A large pmVSD size (odds ratio [OR], 1.575; 95% confidence interval [CI], 1.260-1.970, p < 0.001) and device/defect ratio (OR, 2.608; 95% CI, 1.587-4.287, p < 0.001) were independent risk factors for permanent CAVB after surgical repair and device occlusion, respectively. Multivariate regression showed that device occlusion versus surgical repair was associated with a significantly higher risk of permanent CAVBs (OR, 4.675; 95% CI, 1.586-13.780, p = 0.005).Conclusion: The incidence rates of permanent CAVB after device occlusion and surgical repair were 0.7% and 0.3%, respectively. Large VSD size and device/defect ratio were independently associated with permanent CAVB after surgical repair and device occlusion, respectively. Compared with surgical repair, device occlusion was associated with a significantly higher risk of permanent CAVB after pmVSD closure.","PeriodicalId":6979,"journal":{"name":"Acta cardiologica","volume":" ","pages":"266-273"},"PeriodicalIF":2.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143750604","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

Left atrial strain as a surrogate parameter for successful percutaneous ballon mitral valvotomy? 左心房应变作为经皮球囊二尖瓣切开术成功的替代参数？

IF 2.1 4区医学

Acta cardiologica Pub Date : 2025-05-01 Epub Date: 2025-04-02 DOI: 10.1080/00015385.2025.2484506

Bhagwati Prasad Pant, Rohit Walse, Harikrishnan Sivadasapillai, Sanjay Ganapathi, Ajitkumar Valaparambil

{"title":"Left atrial strain as a surrogate parameter for successful percutaneous ballon mitral valvotomy?","authors":"Bhagwati Prasad Pant, Rohit Walse, Harikrishnan Sivadasapillai, Sanjay Ganapathi, Ajitkumar Valaparambil","doi":"10.1080/00015385.2025.2484506","DOIUrl":"10.1080/00015385.2025.2484506","url":null,"abstract":"Background: Severe mitral stenosis (MS) leads to morphological and functional changes in the left atrium (LA) causing dysfunction. Relieving mitral obstruction improves the LA mechanics and structural remodelling. However, this is not taken as a measure of successful Ballon Mitral Valvotomy (BMV) in clinical practice.Methods: We studied the relationship between LA strain and severe MS and the short-term effect of BMV on LA mechanics in a prospective observational single-centre study.Results: Peak atrial longitudinal strain (PALS) was impaired in patients (n = 40) with severe MS and improved 24 h following BMV (11.93 ± 3.29% vs 14.96 ± 3.59%, p < 0.001). There was a significant decrease in transmitral gradient (12.0 ± 4 mmHg vs 3.2 ± 1.6 mmHg, p < 0.001) and systolic pulmonary artery pressure (sPAP) (42.0 ± 8 mmHg vs 40.0 ± 4.8 mmHg, p < 0.001) after the procedure. Mitral valve area (1.03 ± 0.27 cm2 vs 1.81 ± 0.31 cm2, p < 0.001) significantly increased after the procedure. Peak atrial longitudinal strain failed to predict the success of the procedure as (AUC: 0.53; 95% CI, 0.32-0.75, p = 0.791). A cut-off value of 11.42% demonstrated a sensitivity of 64.7% and specificity of 66.7%. (R = 0.33; 95% CI 0.09, 0.6, p = 0.038).Conclusion: Peak atrial longitudinal strain shows a significant improvement following a successful BMV. This increase in values reflects an improvement in clinical status and function class in follow-up. While PALS offers promise, it has limitations. Therefore, it seems reasonable to consider PALS as a supportive indicator alongside established markers like MV area and pressure gradient for assessing procedural success.","PeriodicalId":6979,"journal":{"name":"Acta cardiologica","volume":" ","pages":"274-282"},"PeriodicalIF":2.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143771029","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

Three-dimensional transesophageal echocardiographic guided transcatheter puncture of the interatrial septum for mitral valve-in-valve replacement for mitral bioprosthetic valve failure. 三维经食管超声心动图引导下经导管穿刺房间隔进行二尖瓣内置换术治疗二尖瓣生物人工瓣膜衰竭。

IF 2.1 4区医学

Acta cardiologica Pub Date : 2025-05-01 Epub Date: 2024-12-16 DOI: 10.1080/00015385.2024.2436722

Junyi Gao, Xiaojing Ma, Yafeng He, Juan Xia, Qian Song, Chen Chen

引用次数: 0

Five-leaflet tricuspid valve regurgitation. Transcatheter repair at once? 三尖瓣五叶反流。立即进行经导管修复？

IF 2.1 4区医学

Acta cardiologica Pub Date : 2025-05-01 Epub Date: 2024-08-29 DOI: 10.1080/00015385.2024.2396751

Kyriakos Dimitriadis, Eirini Beneki, Konstantinos Aznaouridis, Constantina Aggeli, Konstantinos Tsioufis

引用次数: 0

Vericiguat versus sacubitril/valsartan for the treatment of heart failure with reduced ejection fraction in China: a cost-utility analysis. Vericiguat与sacubitril/缬沙坦在中国治疗心力衰竭并降低射血分数：成本效用分析

IF 2.1 4区医学

Acta cardiologica Pub Date : 2025-05-01 Epub Date: 2025-03-31 DOI: 10.1080/00015385.2025.2484848

Xingyuan Zhao, Nan Hu, Liying Wang, Zongling Xia

{"title":"Vericiguat versus sacubitril/valsartan for the treatment of heart failure with reduced ejection fraction in China: a cost-utility analysis.","authors":"Xingyuan Zhao, Nan Hu, Liying Wang, Zongling Xia","doi":"10.1080/00015385.2025.2484848","DOIUrl":"10.1080/00015385.2025.2484848","url":null,"abstract":"Background: PARADIGM-HF and VICTORIA studies have shown that treatment with sacubitril/valsartan or vericiguat could reduce cardiovascular mortality and hospitalisation in the patients with heart failure (HF) with reduced ejection fraction (HFrEF). However, the cost-utility analysis of adding sacubitril/valsartan or vericiguat to the standard treatment of heart failure in Chinese patients with HFrEF was still unclear.Methods: Based on the Chinese healthcare system, a multi-state Markov model has been established for the cost-utility analysis and compared with the results of VICTORIA study subgroups and relevant local data in China. This model simulated the direct medical costs and quality-adjusted life years (QALYs) of HFrEF patients over a period of 20 years, in which these patients were treated with the standard treatment of heart failure and either adding sacubitril/valsartan or vericiguat. Moreover, incremental cost-utility ratio (ICUR) and incremental net monetary benefit (INMB) were also analysed and the robustness of the results was verified by using sensitivity analysis.Results: In the base case study, according to the Chinese HFrEF patients, the total costs for the sacubitril/valsartan group and the vericiguat group were 4,237.42 USD and 4,618.59 USD, respectively, and the total utility was 3.62 and 3.48 QALYs, respectively. The ICUR was -2,611.68 USD/QALY, and the INMB was -5,772.32 USD. The sensitivity analysis indicated that the results were robust. The results of scenario analysis and base-case analysis were basically consistent.Conclusions: On the standard treatment of heart failure, adding sacubitril/valsartan alone was more cost-effective than adding vericiguat alone for the treatment of HFrEF.","PeriodicalId":6979,"journal":{"name":"Acta cardiologica","volume":" ","pages":"283-291"},"PeriodicalIF":2.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143750607","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

Predicting in-hospital mortality in infective endocarditis: insights from the Naples prognostic score. 预测感染性心内膜炎的住院死亡率：那不勒斯预后评分的见解。

IF 2.1 4区医学

Acta cardiologica Pub Date : 2025-05-01 Epub Date: 2025-04-15 DOI: 10.1080/00015385.2025.2491150

Mehmet Altunova, Ali Evsen, Hicaz Zencirkiran Agus, Samet Sevinc, Serpil Ozturk, Erhan Melikoglu, Gamze Babur Guler

{"title":"Predicting in-hospital mortality in infective endocarditis: insights from the Naples prognostic score.","authors":"Mehmet Altunova, Ali Evsen, Hicaz Zencirkiran Agus, Samet Sevinc, Serpil Ozturk, Erhan Melikoglu, Gamze Babur Guler","doi":"10.1080/00015385.2025.2491150","DOIUrl":"https://doi.org/10.1080/00015385.2025.2491150","url":null,"abstract":"Background: Infective Endocarditis (IE) is a severe and potentially life-threatening infection of the heart valves, necessitating a comprehensive understanding of factors influencing patient outcomes.Objective: The study aims to investigate the relationship between NPS and in-hospital mortality in patients diagnosed with Infective Endocarditis (IE).Methods: A total of 153 IE patients were included in the study, with 32 (20,9%) experiencing in-hospital mortality. Patients were categorised into survivors and non-survivors, and detailed clinical and demographic characteristics were recorded. The final endpoint of the study was determined as in-hospital mortality. Regression analyses were conducted to identify the independent variables, and Kaplan-Meier estimates were created to determine survival outcomes, using a significance level of p < 0.05 for all statistical analyses.Results: The non-survivor group exhibited a significantly higher NPS compared to the survivor group (28 (87.5) vs. 56 (46.3); p < 0.001). ROC curve analysis, utilising NPS, the neutrophil-to-lymphocyte ratio (NLR), the lymphocyte-to-monocyte ratio (LMR), albumin, and total cholesterol values, identified NPS as the most robust parameter, with an area under the curve of 0.704 (95% CI: 0.612-0.797; p < 0.001). Multivariate regression analysis revealed Septic shock (p = 0.001), NPS (p = 0.004), and Age (p = 0.012) as independent determinants of in-hospital mortality in IE patients.Conclusions: This study demonstrated a strong correlation between NPS and mortality in IE. This novel score, as it reflects both the level of inflammation and nutrition, can be used to predict the prognosis in IE.","PeriodicalId":6979,"journal":{"name":"Acta cardiologica","volume":"80 3","pages":"292-301"},"PeriodicalIF":2.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054019","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

Post-transseptal puncture re-entrant atrial tachycardia mimicking typical flutter. 经隔穿刺后再入性房性心动过速模拟典型的扑动。

IF 2.1 4区医学

Acta cardiologica Pub Date : 2025-05-01 Epub Date: 2025-01-15 DOI: 10.1080/00015385.2025.2452125

Lorenzo Caratti di Lanzacco, Mourad Boudouft, Caroline Lepièce, Damien Badot, Antoine de Meester de Ravestein

{"title":"Post-transseptal puncture re-entrant atrial tachycardia mimicking typical flutter.","authors":"Lorenzo Caratti di Lanzacco, Mourad Boudouft, Caroline Lepièce, Damien Badot, Antoine de Meester de Ravestein","doi":"10.1080/00015385.2025.2452125","DOIUrl":"10.1080/00015385.2025.2452125","url":null,"abstract":"This case report discusses the management of a 75-year-old man who developed an unusual type of atypical atrial flutter following a previous pulmonary vein isolation for paroxysmal atrial fibrillation. Despite a second attempt to re-isolate the pulmonary veins and performing cavotricuspid isthmus ablation (which was suspected to be part of the arrythmia circuit), the flutter continued and was converted to sinus rhythm through electrical cardioversion. A few weeks later, the patient's atrial tachycardia relapsed. Initial ablation attempts at the coronary sinus ostium were unsuccessful due to incomplete assessment of the circuit, leading to another transseptal approach. Activation mapping identified a macroreentrant circuit around the site of the first transseptal puncture, which was successfully ablated. This report highlights the risk of macroreentrant atrial tachycardias developing at transseptal puncture sites and the difficulty of diagnosing 'pseudotypical' flutters, which may appear to originate from the cavotricuspid isthmus but are in fact passively activated. The report emphasises that electrophysiologists should be aware of these factors in similar cases, especially with the growing number of left atrial procedures requiring transseptal access.","PeriodicalId":6979,"journal":{"name":"Acta cardiologica","volume":" ","pages":"213-216"},"PeriodicalIF":2.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142982213","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

Hidden risk behind the septum: late presentation of coronary compression following transcatheter atrial septal defect closure in a child. 隔后隐藏的风险：儿童经导管房间隔缺损关闭后冠状动脉压迫的晚期表现。

IF 2.1 4区医学

Acta cardiologica Pub Date : 2025-04-30 DOI: 10.1080/00015385.2025.2496852

Hayrettin Hakan Aykan, Ali Dinç Bozat, Tevfik Karagöz

引用次数: 0

Use of the octaspline multielectrode catheter in a patient with a mechanical mitral valve. 八线多电极导管在机械二尖瓣患者中的应用。

IF 2.1 4区医学

Acta cardiologica Pub Date : 2025-04-29 DOI: 10.1080/00015385.2025.2496851

Ilyass Zekhnini, Sohaib Mansour, Thomas Nguyen

引用次数: 0