Acta cardiologica最新文献_第6页

Infectious pseudoaneurysm of the apex of the left cardiac ventricle in a drug addict patient: report of a case. 吸毒患者左心室顶端感染性假性动脉瘤1例报告。

IF 2.5 4区医学

Acta cardiologica Pub Date : 2025-08-01 Epub Date: 2025-05-15 DOI: 10.1080/00015385.2025.2496565

Vincent Demesmaker, Kristof De Brabandere, Benjamin Born, Parla Astarci

引用次数: 0

Ischaemic stroke due to thrombus formation on the ventricular side of the mitral valve more than one year after MitraClip implantation: a case report. 二尖瓣植入1年多后二尖瓣心室侧血栓形成缺血性卒中1例。

IF 2.5 4区医学

Acta cardiologica Pub Date : 2025-08-01 Epub Date: 2025-01-06 DOI: 10.1080/00015385.2024.2448868

Ophelia De Pryck, David Derthoo, Kristoff Cornelis, Lineke Hens, Nick Hiltrop

{"title":"Ischaemic stroke due to thrombus formation on the ventricular side of the mitral valve more than one year after MitraClip implantation: a case report.","authors":"Ophelia De Pryck, David Derthoo, Kristoff Cornelis, Lineke Hens, Nick Hiltrop","doi":"10.1080/00015385.2024.2448868","DOIUrl":"10.1080/00015385.2024.2448868","url":null,"abstract":"Objectives: Edge-to-edge mitral valve repair with MitraClip leads to a differed flow pattern and a decreased flow velocity at the left ventricle apex. This combination may lead to initiation of thrombus formation, especially in patients with severely reduced ejection fraction. The prevalence and mechanism of left ventricular thrombus formation after MitraClip implantation is still unknown.Methods: We describe a case of a 74 year old women with a non-ischaemic cardiomyopathy and chronic heart failure with a severely reduced ejection fraction who was treated with a MitraClip for a severe secondary mitral valve insufficiency. One and a half year later she suffered from an ischaemic stroke due to a large thrombus at the ventricular side of the posterior mitral leaflet. Oral anticoagulation was started with complete resolution of the thrombus. We performed a literature review.Results: There are just a few case reports of this complication and two single centre observational retrospective studies on the prevalence of thrombus formation after MitraClip. They reported a divergent prevalence of 4.4% and 21%. Multiple hypotheses have been described such as the correction of the regurgitating blood that might be leading to more stasis of blood in the left ventricle. Another hypothesis states that the 2 divergent jets after the MitraClip can lead to an increase of shear stress, which might initiate thrombus formation.Conclusion: Thrombus formation in the left ventricle after MitraClip implantation in patients with severely reduced ejection fraction is a rare complication. This case reports shows that it may occur even more than one year after the intervention. Permanent vigilance is warranted, especially in patients who are not chronically treated with oral anticoagulation.","PeriodicalId":6979,"journal":{"name":"Acta cardiologica","volume":" ","pages":"541-544"},"PeriodicalIF":2.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142930390","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

Conventional versus modified superior vena cava ablation for atrial fibrillation: efficiency and recurrent burden. 传统与改良上腔静脉消融治疗心房颤动：效率和复发负担。

IF 2.5 4区医学

Acta cardiologica Pub Date : 2025-08-01 Epub Date: 2025-06-17 DOI: 10.1080/00015385.2025.2516945

Yanjia Chen, Haobin Zhou, Lanlan Wu, Yao Lu, Liwei He, Mingwei Bu, Dingli Xu, Xingfu Huang

{"title":"Conventional versus modified superior vena cava ablation for atrial fibrillation: efficiency and recurrent burden.","authors":"Yanjia Chen, Haobin Zhou, Lanlan Wu, Yao Lu, Liwei He, Mingwei Bu, Dingli Xu, Xingfu Huang","doi":"10.1080/00015385.2025.2516945","DOIUrl":"10.1080/00015385.2025.2516945","url":null,"abstract":"Introduction: The superior vena cava (SVC) is one of the most important non-pulmonary vein origins of atrial fibrillation (AF). Careful treatment is required to reduce AF recurrence following ablation. Previous SVC ablation strategies have had relatively low success rates, longer procedure times, and an increased risk of serious complications. Therefore, we propose a modified approach to improve the feasibility of SVC isolation (SVCI).Methods: A total of 234 patients with AF were divided into two groups. Group A (108 patients) underwent SVCI using a conventional approach, while group B (126 patients) underwent a modified three-step ablation approach. The modified SVC ablation plane was located 0.5-1 cm above the intersection of the right superior pulmonary vein (RSPV) and the left atrium (LA) roof in the posterior-anterior (PA) view. SVCI was avoided at sites with phrenic nerve (PN) capture.Results: There were fewer sites of ablation in group B than in group A (11.8 ± 4.7 versus 18.0 ± 7.1). Group B had significantly shorter radiofrequency time and total time of SVCI. Additionally, group B had a much lower incidence of PN injury. During a mean follow-up period of 35.0 ± 0.7 months, patients in group A had a lower AF recurrence-free rate compared to those in group B (75.0% and 86.2%, respectively; log-rank p < .005) after initial ablation.Conclusions: The modified SVCI approach demonstrates greater efficiency and a lower recurrence rate than the conventional approach, making it a potentially superior ablation strategy.","PeriodicalId":6979,"journal":{"name":"Acta cardiologica","volume":" ","pages":"641-650"},"PeriodicalIF":2.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144315747","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

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 2.5 4区医学

Acta cardiologica Pub Date : 2025-08-01 Epub Date: 2025-04-29 DOI: 10.1080/00015385.2025.2496851

Ilyass Zekhnini, Sohaib Mansour, Thomas Nguyen

引用次数: 0

Clinical impact of pulmonary artery pulsatility index in patients with atrial fibrillation and heart failure. 心房颤动合并心力衰竭患者肺动脉搏动指数的临床影响。

IF 2.5 4区医学

Acta cardiologica Pub Date : 2025-08-01 Epub Date: 2025-05-30 DOI: 10.1080/00015385.2025.2510705

Yuta Ozaki, Yusuke Uemura, Toru Kondo, Shingo Kazama, Shogo Yamaguchi, Takashi Okajima, Takayuki Mitsuda, Shinji Ishikawa, Kenji Takemoto, Takahiro Okumura, Toyoaki Murohara, Masato Watarai

{"title":"Clinical impact of pulmonary artery pulsatility index in patients with atrial fibrillation and heart failure.","authors":"Yuta Ozaki, Yusuke Uemura, Toru Kondo, Shingo Kazama, Shogo Yamaguchi, Takashi Okajima, Takayuki Mitsuda, Shinji Ishikawa, Kenji Takemoto, Takahiro Okumura, Toyoaki Murohara, Masato Watarai","doi":"10.1080/00015385.2025.2510705","DOIUrl":"10.1080/00015385.2025.2510705","url":null,"abstract":"Background: Both atrial fibrillation (AF) and right ventricular dysfunction (RVD) are prognostic factors in patients with heart failure (HF). However, the association between AF and RVD in patients with HF is not fully understood. The pulmonary artery pulsatility index (PAPi), obtained via right heart catheterisation, is a hemodynamic index of the right ventricular function. We investigated the clinical impact of PAPi in patients with HF and concomitant AF.Methods: This was a single-center, retrospective cohort study involving consecutive patients who underwent right heart catheterisation for HF between January 2016 and December 2018. Patients with acute decompensated phase of HF were excluded. The primary endpoint was a composite of all-cause death or hospitalisation due to HF.Results: A total of 347 patients with compensated HF were enrolled. The median follow-up duration was 3.2 years. Patients with AF had lower PAPi levels compared to those without AF. Multiple regression analysis revealed that AF was independently associated with reduced PAPi levels (partial regression coefficient -0.116, 95% confidence intervals [CIs] - 0.174 to -0.058; p < 0.001). Multivariate Cox regression analysis further revealed that low PAPi was an independent predictor of the incidence of the primary endpoint in patients with HF and AF (HR 1.861, 95% CIs 1.076-3.219, p = 0.026).Conclusion: AF was associated with reduced PAPi levels in patients with HF. Low PAPi independently predicted the prognosis of patients with AF and HF. Measuring PAPi provides useful information for the management of patients with HF and concomitant AF.","PeriodicalId":6979,"journal":{"name":"Acta cardiologica","volume":" ","pages":"614-622"},"PeriodicalIF":2.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144180353","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

Low-gradient normal-flow aortic stenosis: don't forget the assessment of the flow rate. 低梯度正常流量主动脉瓣狭窄：不要忘记流速的评估。

IF 2.5 4区医学

Acta cardiologica Pub Date : 2025-08-01 Epub Date: 2025-05-19 DOI: 10.1080/00015385.2025.2503023

Xavier Galloo, Stijn Lochy, Philippe Unger

引用次数: 0

Silent threat: navigating subacute cardiac tamponade following atrial fibrillation ablation. 无声威胁：导航心房颤动消融后的亚急性心包填塞。

IF 2.5 4区医学

Acta cardiologica Pub Date : 2025-08-01 Epub Date: 2025-04-28 DOI: 10.1080/00015385.2025.2493973

Cristian Castillo-Rodriguez, Douglas Andres Salguero-Lopez, Deephak Swaminath

引用次数: 0

A regularly irregular rhythm: how to explain it? 有规律的不规则心律：如何解释？

IF 2.5 4区医学

Acta cardiologica Pub Date : 2025-08-01 Epub Date: 2024-08-15 DOI: 10.1080/00015385.2024.2391137

Luc De Roy, David Dechaux, Nathalie Feller, Xavier Carryn, Olivier Deceuninck

引用次数: 0

The overlooked right atrial appendage. 被忽略的右心房附件。

IF 2.1 4区医学

Acta cardiologica Pub Date : 2025-07-24 DOI: 10.1080/00015385.2025.2538407

Desmond Mok, Tony Vo, Eric Jacombs, Ahmed Reza, Maria Gabriela Matta

引用次数: 0

Blood pressure variability ratio: a novel marker associated with metabolic syndrome in patients without known cardiovascular disease. 血压变异性比率：一种与无已知心血管疾病患者代谢综合征相关的新标志物

IF 2.1 4区医学

Acta cardiologica Pub Date : 2025-07-21 DOI: 10.1080/00015385.2025.2532945

Mehmet Serkan Cetin, Elif Hande Ozcan Cetin, Nedret Ulvan, Hasan Can Könte, Özgul Ucar Elalmıs, Ender Ornek, Burcu Demirkan, Ahmet Temizhan, Serkan Topaloglu

{"title":"Blood pressure variability ratio: a novel marker associated with metabolic syndrome in patients without known cardiovascular disease.","authors":"Mehmet Serkan Cetin, Elif Hande Ozcan Cetin, Nedret Ulvan, Hasan Can Könte, Özgul Ucar Elalmıs, Ender Ornek, Burcu Demirkan, Ahmet Temizhan, Serkan Topaloglu","doi":"10.1080/00015385.2025.2532945","DOIUrl":"https://doi.org/10.1080/00015385.2025.2532945","url":null,"abstract":"Background: Metabolic syndrome (MetS) significantly increases cardiovascular risk and is associated with subclinical organ damage, including arterial stiffness. The Blood Pressure Variability Ratio (BPVR), derived from ambulatory blood pressure monitoring (ABPM), is a novel, easily calculated marker proposed to reflect arterial stiffness. This study evaluated the association between BPVR and MetS, and compared its diagnostic performance to the Ambulatory Arterial Stiffness Index (AASI).Methods: A total of 196 patients without known cardiovascular or cerebrovascular disease who underwent ABPM between March and September 2024 were included. BPVR was calculated as the ratio of the standard deviation of systolic to diastolic blood pressure over 24 hours. MetS was diagnosed using the revised ATP III criteria. Logistic regression, ROC analysis, and Integrated Discrimination Improvement (IDI) were performed to evaluate the predictive utility of BPVR and AASI.Results: Patients with MetS were older and had higher BMI, glucose, LDL, and triglyceride levels. BPVR was significantly elevated in the MetS group and showed a moderate correlation with AASI (r = 0.509). Each 0.1-unit increase in BPVR was associated with a 25.6% higher odds of MetS (OR: 1.256, p = 0.014). ROC analysis showed similar performance for BPVR (AUC: 0.685) and AASI (AUC: 0.692). Decision curve analysis demonstrated greater net clinical benefit for models incorporating BPVR.Conclusion: BPVR is a promising and practical marker for identifying MetS, with predictive performance comparable to AASI. Its simplicity may support its integration into routine clinical assessments. Further validation is warranted.","PeriodicalId":6979,"journal":{"name":"Acta cardiologica","volume":" ","pages":"1-9"},"PeriodicalIF":2.1,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144673689","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