Acta cardiologica最新文献_第5页

International survey of cardiac device clinic staff determining patient-perceived challenges with remote monitoring. 心脏装置临床工作人员确定患者感知挑战的远程监测的国际调查。

IF 2.5 4区医学

Acta cardiologica Pub Date : 2025-08-01 Epub Date: 2025-05-29 DOI: 10.1080/00015385.2025.2510704

Bert Vandenberk, Neal Ferrick, Elaine Y Wan, Sanjiv M Narayan, Aileen M Ferrick, Satish R Raj

{"title":"International survey of cardiac device clinic staff determining patient-perceived challenges with remote monitoring.","authors":"Bert Vandenberk, Neal Ferrick, Elaine Y Wan, Sanjiv M Narayan, Aileen M Ferrick, Satish R Raj","doi":"10.1080/00015385.2025.2510704","DOIUrl":"10.1080/00015385.2025.2510704","url":null,"abstract":"Background: Regular interaction with patients with cardiac implantable electronic devices (CIEDs) provides CIED clinic personnel with unique insights into patient-related barriers and challenges to remote monitoring (RM) implementation.Methods: Using a global network, an international survey was administered to CIED clinic personnel. Qualitative questions gathered information on perceived challenges with patient connectivity and patient-level barriers associated with RM implementation.Results: A total of 339 responses from 302 unique centres were included in the analysis. Respondents most often were cardiac electrophysiologists (57.8%), followed by nurses (17.1%) and nurse practitioners (7.7%). Most respondents (84.7%) reported at least one challenge in daily RM management. The biggest challenge was the increasing data volume and data variability (38.3%), followed by staff shortage (33.8%), difficulties with billing for technical activities (20.2%), and insufficient RM reimbursement (16.0%). Patient connectivity was identified as a major barrier by 72.7% of respondents. The main concerns were patient literacy (80.8%), followed by a lack of patient understanding of RM importance (65.8%), the lack of required bandwidth or technology to support RM (49.6%), and the cost to the patient (47.9%). Subgroup analyses showed that patient connectivity was often identified as a major barrier by non-MD CIED clinic staff, respondents working in office-based CIED clinics, and respondents from clinics with a per-patient payment reimbursement model.Conclusions: There are many patient-related barriers identified by non-MD CIED clinic staff. Dedicated strategies to optimise the utilisation and adherence of RM of patients with CIEDs are urgently needed to improve clinical outcomes.","PeriodicalId":6979,"journal":{"name":"Acta cardiologica","volume":" ","pages":"604-613"},"PeriodicalIF":2.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144172013","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

Summary of 2021 ESC Guidelines on cardiac pacing and cardiac resynchronisation therapy, on cardiovascular disease prevention, on the management of valvular heart disease and of heart failure. 关于心脏起搏和心脏再同步治疗、心血管疾病预防、瓣瓣膜心脏病和心力衰竭管理的2021年ESC指南摘要

IF 2.5 4区医学

Acta cardiologica Pub Date : 2025-08-01 Epub Date: 2025-05-26 DOI: 10.1080/00015385.2025.2506338

George H Mairesse, Johan De Sutter, Patrizio Lancellotti, Michel De Pauw, Marc J Claeys

引用次数: 0

Assessment of left atrial mechanical dispersion by real-time 3D echocardiography combined with DR-FLASH score for predicting late recurrence after ablation in paroxysmal atrial fibrillation. 实时三维超声心动图评价左房机械离散度结合DR-FLASH评分预测阵发性心房颤动消融后晚期复发

IF 2.5 4区医学

Acta cardiologica Pub Date : 2025-08-01 Epub Date: 2025-06-11 DOI: 10.1080/00015385.2025.2516944

Heng Sun, Run-Yu Zhu, Hao-Tian Hu, Chang Zhou, Wen-Shu Hu, Xin-Yi Li, Ao-Yi Zhang, Dian Shen

{"title":"Assessment of left atrial mechanical dispersion by real-time 3D echocardiography combined with DR-FLASH score for predicting late recurrence after ablation in paroxysmal atrial fibrillation.","authors":"Heng Sun, Run-Yu Zhu, Hao-Tian Hu, Chang Zhou, Wen-Shu Hu, Xin-Yi Li, Ao-Yi Zhang, Dian Shen","doi":"10.1080/00015385.2025.2516944","DOIUrl":"10.1080/00015385.2025.2516944","url":null,"abstract":"Background: Atrial fibrillation (AF) is a common arrhythmia causing serious health complications. Catheter ablation is used to treat AF, but the risk of recurrence is high. The DR-FLASH score, which predicts recurrence, has limited sensitivity and specificity. Left atrial mechanical dispersion (LAMD) is an effective index that reflects the synchronisation of left atrial mechanical movement and the degree of early remodelling.Objective: This study aimed to assess the predictive value of LAMD and the DR-FLASH score for late recurrence after ablation.Methods: The general clinical data, structural, and functional parameters of both the recurrence group and the non-recurrence group were collected. Univariate and multivariate logistic regression analysis explored the independent predictors of late recurrence after AF ablation. The ROC curve was used to evaluate the effectiveness of LAMD and DR-FLASH score on recurrence after AF ablation.Results: The study included 102 AF patients and 31 healthy controls. LAMD was found to be an independent predictor of recurrence, and combining it with the DR-FLASH score improved predictive efficiency, with an area under the curve (AUC) of 0.875, sensitivity of 77.8%, and specificity of 88.0%.Conclusion: LAMD combined with the DR-FLASH score can help identify high-risk patients and potentially reduce recurrence rates.","PeriodicalId":6979,"journal":{"name":"Acta cardiologica","volume":" ","pages":"631-640"},"PeriodicalIF":2.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144265027","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

Radiomics and machine learning for predicting valve vegetation in infective endocarditis: a comparative analysis of mitral and aortic valves using TEE imaging. 放射组学和机器学习用于预测感染性心内膜炎的瓣膜植被：使用TEE成像的二尖瓣和主动脉瓣的比较分析。

IF 2.5 4区医学

Acta cardiologica Pub Date : 2025-08-01 Epub Date: 2025-06-12 DOI: 10.1080/00015385.2025.2500887

Farid Esmaely, Pardis Moradnejad, Shabnam Boudagh, Ahmad Bitarafan-Rajabi

{"title":"Radiomics and machine learning for predicting valve vegetation in infective endocarditis: a comparative analysis of mitral and aortic valves using TEE imaging.","authors":"Farid Esmaely, Pardis Moradnejad, Shabnam Boudagh, Ahmad Bitarafan-Rajabi","doi":"10.1080/00015385.2025.2500887","DOIUrl":"10.1080/00015385.2025.2500887","url":null,"abstract":"Background: Detecting valve vegetation in infective endocarditis (IE) poses challenges, particularly with mechanical valves, because acoustic shadowing artefacts often obscure critical diagnostic details. This study aimed to classify native and prosthetic mitral and aortic valves with and without vegetation using radiomics and machine learning.Methods: 286 TEE scans from suspected IE cases (August 2023-November 2024) were analysed alongside 113 rejected IE as control cases. Frames were preprocessed using the Extreme Total Variation Bilateral (ETVB) filter, and radiomics features were extracted for classification using machine learning models, including Random Forest, Decision Tree, SVM, k-NN, and XGBoost. in order to evaluate the models, AUC, ROC curves, and Decision Curve Analysis (DCA) were used.Results: For native mitral valves, SVM achieved the highest performance with an AUC of 0.88, a sensitivity of 0.91, and a specificity of 0.87. Mechanical mitral valves also showed optimal results with SVM (AUC: 0.85, sensitivity: 0.73, specificity: 0.92). Native aortic valves were best classified using SVM (AUC: 0.86, sensitivity: 0.87, specificity: 0.86), while Random Forest excelled for mechanical aortic valves (AUC: 0.81, sensitivity: 0.89, specificity: 0.78).Conclusion: These findings suggest that combining the models with the clinician's report may enhance the diagnostic accuracy of TEE, particularly in the absence of advanced imaging methods like PET/CT.","PeriodicalId":6979,"journal":{"name":"Acta cardiologica","volume":" ","pages":"575-592"},"PeriodicalIF":2.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144273850","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

Haemostatic changes and outcomes in transcatheter aortic valve implantation. 经导管主动脉瓣植入术的止血变化和结果。

IF 2.5 4区医学

Acta cardiologica Pub Date : 2025-08-01 Epub Date: 2025-04-23 DOI: 10.1080/00015385.2025.2491157

Mai-Linh Nguyen Trung, Adriana Postolache, Hélène Petitjean, Mathieu Lempereur, Laurent Davin, Tommaso Viva, Cécile Oury, Raluca Dulgheru, Patrizio Lancellotti

引用次数: 0

When closure isn't closure: postoperative dehiscence of surgically ligated left atrial appendage. 闭合不闭合：手术结扎的左心耳术后破裂。

IF 2.5 4区医学

Acta cardiologica Pub Date : 2025-08-01 Epub Date: 2025-05-30 DOI: 10.1080/00015385.2025.2510015

Maria Gabriela Matta, Dipesh Raniga, Bradley Hefford, Ahmed Reza

引用次数: 0

Valvular heart disease and atrial fibrillation: advances in mechanisms, risk stratification, and therapeutic approaches. 瓣膜性心脏病和心房颤动：机制、风险分层和治疗方法的进展

IF 2.5 4区医学

Acta cardiologica Pub Date : 2025-08-01 Epub Date: 2025-08-07 DOI: 10.1080/00015385.2025.2543199

Patrizio Lancellotti, Vincenzo Miraglia

引用次数: 0

Valvular heart disease and heart-related disease: a bibliometric and visual analysis from 2000 to 2023. 瓣膜性心脏病和心脏相关疾病：2000年至2023年的文献计量学和视觉分析。

IF 2.5 4区医学

Acta cardiologica Pub Date : 2025-08-01 Epub Date: 2025-01-28 DOI: 10.1080/00015385.2025.2450983

Deshuang Zhao, Jing Bai

{"title":"Valvular heart disease and heart-related disease: a bibliometric and visual analysis from 2000 to 2023.","authors":"Deshuang Zhao, Jing Bai","doi":"10.1080/00015385.2025.2450983","DOIUrl":"10.1080/00015385.2025.2450983","url":null,"abstract":"Background: Previous studies have shown that valvular heart disease (VHD) is closely related to the development of heart-related disease (HRD). However, the current research for the relationship between VHD and HRD is complex and poorly targeted. Meanwhile, these studies lack the support of bibliometric analysis results.Objective: Our study focused on a bibliometric analysis of published papers on the relationship between VHD and HRDs. The study also attempted to identify the primary authors, institutions and countries to analyse the status and trends of research on VHD and HRDs.Methods: The PubMed database was searched for publications on VHD and HRD between 2000 and 2023. Python v3.10.8, R v4.2.2 and VOSviewer v1.6.18 software tools were utilised to perform this bibliometric analysis and visualisation.Results: There were 4,235 qualified publications found in total, with the annual number of publications increasing. According to the analysis of the co-occurrence of keywords, we found that the main research directions are for age, gender, disease diagnosis and treatment. Newly emerging research mainly focuses on heart failure, which is relatively related to VHD.Conclusion: These results provided a useful perspective on current research and future prospects for the research on the link between VHD and HRD, which could help researchers to select partners and facilitate their research to elucidate the underlying molecular mechanisms of VHD and HRD, including the causes, prevention, and treatment.","PeriodicalId":6979,"journal":{"name":"Acta cardiologica","volume":" ","pages":"553-564"},"PeriodicalIF":2.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143050978","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

Right atrium pressure estimation in tricuspid regurgitation: watch the "rainbow" of echocardiographic parameters. 三尖瓣反流的右心房压力估计：观察超声心动图参数的“彩虹”。

IF 2.5 4区医学

Acta cardiologica Pub Date : 2025-08-01 Epub Date: 2024-12-16 DOI: 10.1080/00015385.2024.2436812

Eirini Beneki, Konstantinos Rapis, Konstantinos Zisimos, Argyro Kalompatsou, Kyriakos Dimitriadis, Konstantinos Tsioufis, Constantina Aggeli

引用次数: 0

Libman-Sacks endocarditis. Libman-Sacks心内膜炎。

IF 2.5 4区医学

Acta cardiologica Pub Date : 2025-08-01 Epub Date: 2024-12-24 DOI: 10.1080/00015385.2024.2445344

Sophie Hennebicq, Déborah Silberberg, Philippe Dubois

引用次数: 0