{"title":"INTRAMYOCARDIAL STEM CELL TRANSPLANTATION IN CARDIAC SURGERY: FROM PRECLINICAL BACKGROUNDS TO THE PERFECT TRIAL","authors":"P. Donndorf, Prof. Dr. med. Gustav Steinhoff","doi":"10.5083/EJCM.20424884.20","DOIUrl":"https://doi.org/10.5083/EJCM.20424884.20","url":null,"abstract":"After initial reports of successful stem cell delivery to the injured heart, the clinical feasibility and safety of this new therapeutic strategy has been established, thereby focusing on the treatment of ischemic heart disease. Over 3000 patients with either recent myocardial infarction or chronic ischemic heart failure have been treated so far by means of interventional cardiology and cardiac surgery. Prospective clinical studies could prove the safety of both interventional intracoronary stem cell injection as well as surgical intramyocardial cell injection (4, 5).","PeriodicalId":75000,"journal":{"name":"The European journal of cardiovascular medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2011-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5083/EJCM.20424884.20","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70860913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yahya Islamoglu, Musa Cakici, Hayri Alici, Vedat Davutoglu
{"title":"Malign Asystole During Head-up Tilt Test: A Case Report and Overview.","authors":"Yahya Islamoglu, Musa Cakici, Hayri Alici, Vedat Davutoglu","doi":"10.5083/ejcm.20424884.22","DOIUrl":"https://doi.org/10.5083/ejcm.20424884.22","url":null,"abstract":"","PeriodicalId":75000,"journal":{"name":"The European journal of cardiovascular medicine","volume":"1 3","pages":"22-23"},"PeriodicalIF":0.0,"publicationDate":"2011-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5083/ejcm.20424884.22","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30090879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Malign Asystole During Head-up Tilt Test: A Case Report and Overview.","authors":"Y. Islamoğlu, M. Çakıcı, H. Alıcı, V. Davutoglu","doi":"10.1016/S0167-5273(11)70482-X","DOIUrl":"https://doi.org/10.1016/S0167-5273(11)70482-X","url":null,"abstract":"","PeriodicalId":75000,"journal":{"name":"The European journal of cardiovascular medicine","volume":"1 1","pages":"22-23"},"PeriodicalIF":0.0,"publicationDate":"2011-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89734402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effective Lipid-lowering Therapy in High-risk Patients","authors":"J. Kastelein, B. Arsenault, J. Tardif","doi":"10.5083/EJCM.20424884.211","DOIUrl":"https://doi.org/10.5083/EJCM.20424884.211","url":null,"abstract":"","PeriodicalId":75000,"journal":{"name":"The European journal of cardiovascular medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2011-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5083/EJCM.20424884.211","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70860919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cor Triatriatum Sinistrum: Classification and Imaging Modalities.","authors":"Pierre Nagib Nassar, Righab Haidar Hamdan","doi":"10.5083/ejcm.20424884.21","DOIUrl":"https://doi.org/10.5083/ejcm.20424884.21","url":null,"abstract":"<p><p>Cor Triatriatum Sinister is a rare congenital abnormality, usually diagnosed in childhood; few cases remain asymptomatic and are diagnosed in adulthood. In this review article we focus on classification and etiologies, clinical manifestations, novel diagnostic modalities and treatment of Cor triatriatum Sinister.</p>","PeriodicalId":75000,"journal":{"name":"The European journal of cardiovascular medicine","volume":"1 3","pages":"84-87"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5083/ejcm.20424884.21","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30497193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Emerging Risk Stratification in Syncope.","authors":"S V Jamalyan, L A Khachatryan","doi":"10.5083/ejcm.20424884.11","DOIUrl":"https://doi.org/10.5083/ejcm.20424884.11","url":null,"abstract":"","PeriodicalId":75000,"journal":{"name":"The European journal of cardiovascular medicine","volume":"1 2","pages":"38-48"},"PeriodicalIF":0.0,"publicationDate":"2010-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5083/ejcm.20424884.11","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30090877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Inherited Cardiac Diseases: Preimplantation Genetic Diagnosis - An Attractive Alternative to Prenatal Diagnosis","authors":"J. Theilade, M. Duno, S. Ziebe, H. Bundgaard","doi":"10.5083/EJCM.20424884.09","DOIUrl":"https://doi.org/10.5083/EJCM.20424884.09","url":null,"abstract":"","PeriodicalId":75000,"journal":{"name":"The European journal of cardiovascular medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2010-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5083/EJCM.20424884.09","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70860391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Clinical Benefit of Omega-3 PUFA Ethyl Esters","authors":"M. Cowie","doi":"10.5083/ejcm.20424884.07","DOIUrl":"https://doi.org/10.5083/ejcm.20424884.07","url":null,"abstract":"Chronic heart failure, a syndrome of cardiac dysfunction associated with breathlessness, effort intolerance and fluid retention, affects 1-2% of the population. The most frequent cause is impairment of systolic function of the left ventricle, usually due to coronary artery disease. Hypertension or diabetes often co-exist. Treatment of heart failure (HF) is centred on correction of any reversible pathology and antagonism of the intense neurohormonal activation triggered by the cardiac dysfunction. This is achieved by angiotensin converting enzyme inhibitors (or angiotensin receptor blockers), beta-blockers and in more severe cases, an aldosterone antagonist. The prognosis of HF remains poor – with a first year mortality of over 30%, reducing to 10% per annum thereafter. Death is usually due to either progressive pump failure or sudden death, which is presumably arrhythmic in origin. A randomised double-blind controlled trial of 1g daily of omega-3 polyunsaturated fatty acids (PUFA) ethyl esters in almost 7000 patients with symptomatic chronic heart failure of any cause reported a 9% relative risk reduction in mortality (P=0.04) and 8% relative risk reduction in mortality or cardiovascular hospitalisation (P=0.009)(GISSI-HF). In absolute terms, 56 patients need to be treated for 3.9 years to prevent one death. International guidelines recommend the prescription of 1g daily of n-3 PUFA as an adjuvant to secondary prevention in patients after myocardial infarction (based on the results of GISSI-Prevenzione, published in 1999) and for those with hypertriglyceridaemia, but are likely to be updated to recommend this therapy for patients with heart failure also.","PeriodicalId":75000,"journal":{"name":"The European journal of cardiovascular medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2010-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5083/ejcm.20424884.07","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70860170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Maeng, A. Kaltoft, L. Jensen, P. Thayssen, N. Holm, E. Christiansen, L. Krusell, C. Terkelsen, S. Kristensen, H. Bøtker, J. Lassen, L. Thuesen, H. Hansen, J. Ravkilde
{"title":"Review of Registry and Randomised Comparisons of Zotarolimus-eluting and Sirolimus-eluting Coronary Stents in Western Denmark","authors":"M. Maeng, A. Kaltoft, L. Jensen, P. Thayssen, N. Holm, E. Christiansen, L. Krusell, C. Terkelsen, S. Kristensen, H. Bøtker, J. Lassen, L. Thuesen, H. Hansen, J. Ravkilde","doi":"10.5083/EJCM.20424884.06","DOIUrl":"https://doi.org/10.5083/EJCM.20424884.06","url":null,"abstract":"The safety and efficacy of coronary stents utilised for treatment of ischaemic heart disease have been extensively evaluated. In comparison with bare metal stents, first-generation drug-eluting stents more than halved the need for target lesion revascularisation (TLR). However, the long-term safety has been questioned as the first-generation drug-eluting stents seemed to be associated with a small, but increased, risk of (very) late stent thrombosis. The latter may be related to an inflammatory reaction caused by the polymer used for drug release control. The second-generation zotarolimuseluting Endeavor® stent was believed to represent a safer alternative. We present an overview of our results from a large randomised trial and a large registry, both of which compared clinical outcomes with the Endeavor® and the first-generation sirolimus-eluting Cypher® stent. Both studies indicated that the Endeavor® stent had higher risks of adverse outcomes. We discuss these data in the light of the current available data from other randomised comparisons of these two drug-eluting stents.","PeriodicalId":75000,"journal":{"name":"The European journal of cardiovascular medicine","volume":"1 1","pages":"18-22"},"PeriodicalIF":0.0,"publicationDate":"2010-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5083/EJCM.20424884.06","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70859791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Drug-eluting Stents in Acute Coronary Syndrome: Is There a Risk of Stent Thrombosis with Second-Generation Stents?","authors":"Kamal Chitkara, Kushal Pujara","doi":"10.5083/ejcm.20424884.10","DOIUrl":"https://doi.org/10.5083/ejcm.20424884.10","url":null,"abstract":"<p><p>Over the past decade, the advent of drug-eluting stents (DES) has revolutionised the field of interventional cardiology by having a major impact on patient care through their efficacy in reducing the need for repeat revascularisation. A number of stents capable of delivering an anti-proliferative agent designed to prevent neointimal hyperplasia, the principal mechanism of restenosis after stenting, have been evaluated; four of these devices are currently approved by the U.S. Food and Drug Administration (FDA). Bare metal stent (BMS) and first-generation DES, such as sirolimus-eluting (SES-Cypher(®)) and paclitaxel-eluting stents (PES-Taxus(®)), have further improved results of percutaneous coronary intervention (PCI) by improving early results and reducing the risk of restenosis. However, there is currently debate on the safety of these first-generation DES, given the potential for late stent thrombosis (LST), especially after discontinuation of dual anti-platelet therapy. Second-generation DES, such as zotarolimus-eluting (ZES-Endeavor(®)) and everolimus-eluting stents (EES-Xience V(®)), are become available in the USA and/or Europe. Recently, long-term results comparing DES with BMS in patients with ST-segment-elevation MI (STEMI) have raised some questions about the long-term risks of the drug-eluting devices. It may be useful to pause, reflect for a moment, and consider some recent pertinent results regarding their wider use. This systematic review tries to provide a concise and critical appraisal of the data available to compare first and second generation stents especially to assess risk of stent thrombosis (ST) with second-generation DES.</p>","PeriodicalId":75000,"journal":{"name":"The European journal of cardiovascular medicine","volume":"1 2","pages":"20-24"},"PeriodicalIF":0.0,"publicationDate":"2010-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5083/ejcm.20424884.10","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29867673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}