Acta cardiologica最新文献_第9页

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

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

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 2.1 4区医学

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

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

引用次数: 0

Effect of successful percutaneous balloon mitral valvotomy on aortic elastic properties in mitral stenosis. 经皮球囊二尖瓣切开术对二尖瓣狭窄患者主动脉弹性特性的影响。

IF 2.1 4区医学

Acta cardiologica Pub Date : 2025-04-25 DOI: 10.1080/00015385.2025.2493975

M Sudhakar Rao, Sravan K Reddy, Kanhai Lalani, Sree Madhurya Reddy

{"title":"Effect of successful percutaneous balloon mitral valvotomy on aortic elastic properties in mitral stenosis.","authors":"M Sudhakar Rao, Sravan K Reddy, Kanhai Lalani, Sree Madhurya Reddy","doi":"10.1080/00015385.2025.2493975","DOIUrl":"https://doi.org/10.1080/00015385.2025.2493975","url":null,"abstract":"Background: Aortic elastic properties in mitral stenosis have not been much studied. To date, only a few studies have studied the effect of percutaneous balloon mitral valvotomy (BMV) on aortic elastic properties. This was the first study done in Indian subcontinent in a tertiary care hospital in South India studying the effect of BMV on aortic stiffness in severe rheumatic mitral stenosis. We studied the relationship between aortic elastic properties and mitral stenosis and the effect of BMV on the same. Results: A total of thirty-two patients satisfying the criteria for severe mitral stenosis underwent balloon mitral valvotomy. All parameters were compared with age and sex-matched healthy volunteers. Aortic elastic properties were assessed by aortic strain and aortic stiffness index (ASI). The aortic strain was significantly higher in the patients with mitral stenosis 24-48 h after BMV, whereas the ASI was significantly lower. There was a significant decrease in mitral mean gradient and systolic pulmonary artery pressure after BMV. Mitral valve area significantly increased after BMV. Conclusions: Aortic elastic properties, as assessed by aortic stiffness, are usually impaired in patients with mitral stenosis, which improves following balloon mitral valvotomy.","PeriodicalId":6979,"journal":{"name":"Acta cardiologica","volume":" ","pages":"1-7"},"PeriodicalIF":2.1,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143955298","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

Rare spontaneous closure of a coronary pulmonary artery fistula: a case report. 罕见的自发性冠状动脉肺动脉瘘闭合1例。

IF 2.1 4区医学

Acta cardiologica Pub Date : 2025-04-24 DOI: 10.1080/00015385.2025.2493972

Shuyi Hu, Hua Yan, Yafeng He, Handong Zhu

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 2.1 4区医学

Acta cardiologica Pub 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

Challenges in identifying AHRE predictors. 确定AHRE预测因子的挑战。

IF 2.1 4区医学

Acta cardiologica Pub Date : 2025-04-12 DOI: 10.1080/00015385.2025.2491149

Şuara İrem Al, Bülent Görenek, Aytuğ Al

引用次数: 0

Congenital heart disease and volume loading: a critical evaluation of current predictive value. 先天性心脏病和容量负荷：当前预测价值的关键评估。

IF 2.1 4区医学

Acta cardiologica Pub Date : 2025-04-11 DOI: 10.1080/00015385.2025.2491148

İsa Ardahanlı, Ramazan Aslan, Murat Özmen

引用次数: 0

The value of handheld ultrasound in point-of-care or at home EF prediction. 手持式超声在护理点或家庭EF预测中的价值。

IF 2.1 4区医学

Acta cardiologica Pub Date : 2025-04-08 DOI: 10.1080/00015385.2025.2490382

Yue Jiang, Lingyan Zhang, Zhaoyang Liu, Lei Wang

{"title":"The value of handheld ultrasound in point-of-care or at home EF prediction.","authors":"Yue Jiang, Lingyan Zhang, Zhaoyang Liu, Lei Wang","doi":"10.1080/00015385.2025.2490382","DOIUrl":"10.1080/00015385.2025.2490382","url":null,"abstract":"In this paper, AI-enabled handheld ultrasound is used in point-of-care or at home, and evaluate the accuracy of it for left ventricular ejection fraction (LVEF) evaluation. It provides a simple, convenient, and practical tool for the patients with heart disease, especially those with heart failure. The AI model used for this AI-enabled handheld ultrasound is a machine learning model trained with tens of thousands of ultrasound four-chamber cardiograms. The LVEF evaluation accuracy of the AI model was compared by the experts performing ultrasound four-chamber cardiogram detection in 100 patients on high-end ultrasound in the hospital. In the 100 clinical trials, the sensitivity, specificity, and accuracy of the AI model were 91%, 95%, and 98%, respectively. Then 10 cases were used to compare the LVEF results of hospital tests with the predicted results of the AI model. The difference between the two is less than 10%. Finally, over the course of one month, the AI-enabled handheld ultrasound was employed to conduct regular evaluations of left LVEF for point-of-care purposes on a group of 10 patients diagnosed with heart failure. The LVEF evaluation accuracy of AI-enabled handheld ultrasound is more than 96%, which was higher than that of experts in high-end ultrasound in hospitals. The easy-to-use AI-enabled handheld ultrasound can evaluate the LVEF in the point of care or at home and get the same accuracy as the high-end ultrasound equipment in the hospital. It may play an important role in monitoring cardiac function at home for the ambulatory heart failure patients.","PeriodicalId":6979,"journal":{"name":"Acta cardiologica","volume":" ","pages":"1-7"},"PeriodicalIF":2.1,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143802069","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