Annales de cardiologie et d'angeiologie最新文献

{"title":"Stimulation de l’aire de la branche gauche et resynchronisation dans l’insuffisance cardiaque","authors":"Jérôme Taieb ,&nbsp;Walid Amara","doi":"10.1016/j.ancard.2025.101955","DOIUrl":"10.1016/j.ancard.2025.101955","url":null,"abstract":"<div><div>Left bundle branch block pacing (LBBAP) is a recent technique for capturing conduction pathways to allow physiological ventricular activation.</div><div>It is technically more reliable than Hisian pacing and can correct proximal left bundle branch block. In this context, numerous registries and the first small randomized studies have evaluated the benefit of left bundle branch block pacing compared to conventional resynchronization therapy, with encouraging results in favor of LBBAP. More robust randomized studies are underway. A consensus document has included this strategy as a possible first-line option and is recommended in cases of failure of conventional resynchronization therapy. Manufacturers are developing dedicated equipment with LBBAP pacing integrated into the defibrillation lead.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 5","pages":"Article 101955"},"PeriodicalIF":0.3,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145197557","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":"Activité physique et port d’un masque : comparaison des paramètres respiratoires pendant un exercice sous-maximal entre les masques chirurgicaux, les masques en tissu et les masques factices ; Étude PAM (Physical Activity Mask)","authors":"Philippe Duc ,&nbsp;Bich-Vân Duc ,&nbsp;Marie-Christine Iliou ,&nbsp;Marine Cachanado ,&nbsp;Audrey Fels ,&nbsp;Philippe Sosner ,&nbsp;Michel Komajda ,&nbsp;Romain Cador","doi":"10.1016/j.ancard.2025.101953","DOIUrl":"10.1016/j.ancard.2025.101953","url":null,"abstract":"<div><h3>Introduction</h3><div>Data on the effect of masks on ventilatory parameters are limited to maximal exercise. Their effects during submaximal exercise mimicking daily activities are unknown.</div></div><div><h3>Objective</h3><div>The primary endpoint was O₂ consumption (VO₂) at a level corresponding to 75% of maximum exercise capacity determined during a maximal treadmill test without a mask.</div></div><div><h3>Methods</h3><div>Prospective cohort study comparing the effects of surgical and cloth masks to those of a sham mask on a non-inferiority basis (threshold -2 ml/kg/min). Subjects with no apparent heart or lung disease who regularly participated in sports were included.</div></div><div><h3>Results</h3><div>Seventy-five subjects were selected and 41 were analyzed (age: 37.5 ± 11.8 years, women: 34.2%, BMI: 22.5 ± 2.5 kg/m2). At 75% of maximum exercise capacity, heart rate was 164 ± 14 bpm and VO₂ was 42 ± 6 ml/min/kg with the sham mask. A slight difference in VO₂ between the sham mask and the cloth or surgical masks was observed (-2.2 and -1.4 ml/kg/min, respectively), but the lower limit of the 97.5% confidence interval (-3.0 and -2.2 ml/kg/min, respectively) exceeded the predefined non-inferiority limit of -2 ml/kg/min, and we cannot conclude non-inferiority. No differences were observed in terms of heart rate or respiratory exchange ratio (RER).</div></div><div><h3>Conclusion</h3><div>Both surgical and cloth masks slightly reduced VO₂ consumption. However, expiratory volume was reduced with both surgical and cloth masks, suggesting that the masks significantly reduced ventilation during exercise.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 5","pages":"Article 101953"},"PeriodicalIF":0.3,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145197480","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":"Évolution de la prise en charge du rétrécissement aortique serré au centre hospitalier départemental de La Roche-sur-Yon, Vendée (2005, 2015 et 2022).","authors":"Marine Perion ,&nbsp;Jacques Chan Peng ,&nbsp;Louen Ropers ,&nbsp;Jérôme Dimet ,&nbsp;Emmanuel Boiffard ,&nbsp;Olivier Baron ,&nbsp;Thibaut Manigold ,&nbsp;Jean-Christian Roussel ,&nbsp;Patrice Guérin ,&nbsp;Hervé Pouliquen","doi":"10.1016/j.ancard.2025.101954","DOIUrl":"10.1016/j.ancard.2025.101954","url":null,"abstract":"<div><h3>Background</h3><div>Severe calcific aortic stenosis (AS) is the most common valvular heart disease in the elderly and carries a poor prognosis without intervention. The introduction of transcatheter aortic valve implantation (TAVI) in 2002 profoundly reshaped therapeutic strategies. This study aimed to evaluate changes in patient management and outcomes at the Departmental Hospital Center of La Roche‑sur‑Yon over three time periods: 2005 (pre‑TAVI era), 2015 (early TAVI integration), and 2022 (TAVI‑dominant era).</div></div><div><h3>Methods</h3><div>We conducted a retrospective, single-center observational study including all patients hospitalized for symptomatic severe AS or reduced left ventricular ejection fraction. Clinical characteristics, operative risk scores, management strategies, and one-year outcomes were analyzed.</div></div><div><h3>Results</h3><div>Between 2005 and 2022, the number of patients managed for SAS increased by 158% (65 in 2005, 136 in 2015, 168 in 2022). Mean age (79 years in 2022) and male proportion (60%) remained stable. Therapeutic strategies shifted markedly (p &lt; 0.001): surgery predominated in 2005 (67%), whereas TAVI became the most frequent treatment in 2022 (55%), followed by surgery (21%) and medical therapy (24%). Surgically treated patients were increasingly selected, with a median EuroSCORE II falling from 3,95 % (2005) to 1.1% (2022). One-year all-cause mortality in 2022 was 0% after surgery, 5.9% after TAVI (down from 28.8% in 2015, p = 0.008), and 68% with medical therapy (p &lt; 0.001). Heart failure rehospitalizations were also more frequent in the medical group (33% vs 6% after TAVI and 2% after surgery; p = 0.016). The proportion of patients not presented at the heart team meeting declined significantly (17% in 2022 vs 35% before 2015; p &lt; 0.001). The waiting times nevertheless remained significant (median of 70 days between admission and the MDT meeting, plus 41 days before the procedure).</div></div><div><h3>Conclusions</h3><div>Integration of TAVI has profoundly transformed AS management in our center, now the dominant strategy with significantly improved one-year prognosis. Medically treated patients still experience poor outcomes, underscoring the need to reduce delays and streamline the care pathway.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 5","pages":"Article 101954"},"PeriodicalIF":0.3,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145154176","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":"Fibrillation atriale révélatrice d’un hyperaldostéronisme primaire : à propos d’un cas","authors":"Hind Hibatouallah ,&nbsp;Mohamed Mehdi Guedira ,&nbsp;Selma Siagh ,&nbsp;Asmae Benssied ,&nbsp;Youssef Fihri ,&nbsp;Zouhair Lakhal ,&nbsp;Aatif Benyass","doi":"10.1016/j.ancard.2025.101952","DOIUrl":"10.1016/j.ancard.2025.101952","url":null,"abstract":"&lt;div&gt;&lt;div&gt;Primary hyperaldosteronism is the most common cause of secondary hypertension, with a prevalence estimated between 5% and 15%. Despite this, it remains largely underdiagnosed due to often non-specific clinical manifestations and insufficient screening. However, primary hyperaldosteronism is associated with significantly higher cardiovascular morbidity and mortality compared to essential hypertension, regardless of blood pressure levels and usual cardiac remodeling. Recent studies have highlighted a direct link between primary hyperaldosteronism and atrial fibrillation—the most common sustained arrhythmia in adults—associated with increased cardiovascular risk. This connection is partly explained by the direct involvement of the renin-angiotensin-aldosterone system in the pathophysiology of this arrhythmia.&lt;/div&gt;&lt;div&gt;We report the case of a patient with moderate hypertension, persistent hypokalemia, and unexplained atrial fibrillation. The absence of hemodynamic impact on echocardiography and the exclusion of classical etiologies of atrial fibrillation led to the suspicion of primary hyperaldosteronism. Hormonal testing confirmed the diagnosis of primary hyperaldosteronism due to a Conn's adenoma. A laparoscopic adrenalectomy was performed, with favorable outcomes.&lt;/div&gt;&lt;div&gt;This case highlights the often underestimated association between primary hyperaldosteronism and atrial fibrillation, and emphasizes the importance of targeted screening in hypertensive patients with unexplained atrial fibrillation, to optimize management and improve cardiovascular prognosis.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;div&gt;L’hyperaldostéronisme primaire est la cause la plus fréquente d’hypertension artérielle secondaire, avec une prévalence estimée entre 5 et 15 %. Malgré cela, il reste largement sous-diagnostiqué, en raison de manifestations cliniques souvent peu spécifiques et d’un dépistage encore insuffisant. Cependant, l’hyperaldostéronisme primaire est associé à une morbidité et une mortalité cardiovasculaires significativement plus élevées que l’hypertension artérielle essentielle, indépendamment des chiffres tensionnels et des remaniements cardiaques habituels. Des études récentes ont mis en évidence un lien direct entre l’ hyperaldostéronisme primaire et la fibrillation atriale, principale arythmie soutenue de l’adulte, associée à une augmentation du risque cardiovasculaire. Ceci s’explique notamment par l’implication directe du système rénine-angiotensine-aldostérone dans la physiopathologie de cette arythmie.&lt;/div&gt;&lt;div&gt;Nous rapportons le cas d’un patient présentant une hypertension artérielle modérée, une hypokaliémie persistante et une fibrillation atriale inexpliquée. L’absence de retentissement hémodynamique à l’échocardiographie, ainsi que l’exclusion des étiologies classiques de la fibrillation atriale, ont conduit à suspecter un hyperaldostéronisme primaire. Le bilan hormonal a confirmé le diagnostic d’ hyperaldostéronisme primaire en rapport avec un adénome d","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 5","pages":"Article 101952"},"PeriodicalIF":0.3,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145118142","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":"Le Strain réservoir de l’oreillette gauche dans l’accident vasculaire cérébral ischémique The left atrial reservoir strain in ischemic stroke","authors":"Amina Maamri ,&nbsp;Sabrina Denden ,&nbsp;Meriem Mediouni ,&nbsp;Amine Bejar ,&nbsp;Thibault Guitteny ,&nbsp;Mourad Bouayed ,&nbsp;Sara Hezili ,&nbsp;Nada Tababi ,&nbsp;Sihem Mbarki ,&nbsp;Taha Hassani ,&nbsp;Hakim Gourari ,&nbsp;Frederic Ghawche ,&nbsp;Vincent Lefebvre","doi":"10.1016/j.ancard.2025.101951","DOIUrl":"10.1016/j.ancard.2025.101951","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Introduction&lt;/h3&gt;&lt;div&gt;La recherche d’une source cardiaque potentielle est une étape fondamentale dans l’évaluation urgente d’un accident vasculaire cérébral ischémique (AVCI), dont la principale cause est la fibrillation atriale (FA). Des études récentes ont prouvé la supériorité de l’évaluation de la fonction atrial gauche par la méthode de Speckle-Tracking versus les dimensions de l’oreillette gauche (OG) comme prédicteur de FA paroxystique. L’altération du strain réservoir (SR) de l’OG est associée à l’incidence des AVCI.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Méthodes&lt;/h3&gt;&lt;div&gt;Etude rétrospective, observationnelle chez des patients hospitalisés dans le service de neurologie, de janvier 2022 à avril 2023 pour accident vasculaire cérébral ischémique constitué ou transitoire, sans fibrillation atriale connue ni traitement anticoagulant préalable. Les objectifs de l’étude étaient la recherche 1) d’une association entre le SR et l’origine embolique de l’AVCI, avec identification des facteurs associés aux AVCI ; 2) d’une association entre le SR et la survenue de fibrillation atriale, avec identification des facteurs associés à l’altération du SR.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Résultats&lt;/h3&gt;&lt;div&gt;L’étude a inclus 79 patients (56% d’hommes, âge médian 72 ans), 39% des AVCI étaient cryptogéniques (dont 26% sont transitoires), 23 % cardio-embolique et 14% emboliques d’origines indéterminées (ESUS). Parmi les causes cardio-embolique (18 patients), 33% étaient secondaires à une fibrillation atriale, 39 à un foramen ovale perméable (FOP). Le SR médian était de 27%, le SR était &lt; 39% dans 86% des cas, que l’oreillette gauche soit dilatée ou non. Avec un seuil de 20% et une valeur de P à 0,01, le SR était associé à l’origine embolique de l’AVCI (groupe FOP exclu). Le SR &lt; 20% était associé à la survenue de FA dans le suivi (P= 0,04).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;Notre étude suggère qu’un strain réservoir de l’oreillette gauche &lt; 20% à la phase aigue d’un AVCI/AIT, chez des patients sans antécédent de fibrillation atriale ni traitement anticoagulant, pourrait être associé à l’origine embolique de l’AVCI et à la survenue de fibrillation atriale dans le suivi.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;The search for a potential cardiac source is a fundamental step in the urgent evaluation of an ischaemic stroke (IS) or Transient ischemic attack (TIA). The most common cardioembolic cause of IS is atrial fibrillation (AF). Analysis of the left atrial function is superior to left atrial (LA) dimensions measurements as predictor of paroxysmal AF, especially with the study of deformation anomalies using 2D Speckle-Tracking. Alteration of the reservoir strain (RS) of the LA is associated with the incidence of IS.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;Retrospective observational study in patients hospitalised in the neurology departement from January 2022 to April 2023, for IS or TIA, with no history of AF nor anticoagulation treatment. The objectives of the study were t","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 5","pages":"Article 101951"},"PeriodicalIF":0.3,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145118248","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":"DOME-HF : évaluation rétrospective sur six mois de la prise en charge diurétique ambulatoire chez des patients âgés atteints d’insuffisance cardiaque","authors":"Marlène Esteban ,&nbsp;Olivier Maurou ,&nbsp;Marc Harboun ,&nbsp;Sophie Nisse Durgeat ,&nbsp;Rémi Esser","doi":"10.1016/j.ancard.2025.101933","DOIUrl":"10.1016/j.ancard.2025.101933","url":null,"abstract":"<div><h3>Introduction</h3><div>Heart failure (HF) is a major cause of morbidity and mortality in older adults, with a rising prevalence after the age of 70. Conventional hospitalization, commonly required in this frail population, exposes patients to numerous iatrogenic complications. Alternative care models, such as diuretic-based day hospital (DH) management, may help mitigate these risks.</div></div><div><h3>Objectives</h3><div>To describe the geriatric profile of patients treated for acute heart failure (AHF) in a diuretic day hospital within a cardiogeriatrics unit, and to report the organization of the associated care pathway.</div></div><div><h3>Methods</h3><div>This was a retrospective, observational, monocentric study conducted in the cardiogeriatrics department of Hôpital La Porte Verte (Versailles, France). Patients aged ≥65 years who were treated in a diuretic day hospital for acute heart failure between January and June 2025 were included. Geriatric, cardiologic, and organizational data were collected from medical records. A purely descriptive analysis was performed.</div></div><div><h3>Results</h3><div>Forty patients were included, with a mean age of 88 ± 6.8 years. Most lived at home (95%) and had preserved autonomy (mean ADL score: 5.4). The average Charlson Comorbidity Index was 8.9 ± 2.3; 50% were at risk of malnutrition and 92.5% had chronic kidney disease. From a cardiologic standpoint, 57.5% had preserved LVEF and 67.5% had atrial fibrillation. The mean delay between referral and the first day hospital session was 1.6 days, with an average of 3.1 sessions per patient. The rate of subsequent full hospitalization was 12.5%. Main complications included electrolyte disorders (5%), non-catheter-related infections (7.5%), and acute kidney injury (7.5%). Following day hospital management, 22.5% of patients were enrolled in a geriatric frailty day hospital program, 32.5% in an intravenous iron day hospital, and 22.5% in a remote monitoring program.</div></div><div><h3>Conclusion</h3><div>This diuretic day hospital model, integrated into a structured geriatric care pathway, appears feasible, safe, and relevant for managing very elderly patients with acute heart failure. It may represent an effective alternative to conventional hospitalization.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 5","pages":"Article 101933"},"PeriodicalIF":0.3,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145118254","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":"Safety of exercise training for cardiac patients : results of a French multicenter COCARE study (COmplications in CArdiac REhabilitation)","authors":"Bruno Pavy ,&nbsp;Marie-Christine Iliou ,&nbsp;Mohamed Ghannem ,&nbsp;Dany Marcadet ,&nbsp;Warner Mampuya","doi":"10.1016/j.ancard.2025.101940","DOIUrl":"10.1016/j.ancard.2025.101940","url":null,"abstract":"<div><h3>Background</h3><div>Cardiac rehabilitation is widely recognized as beneficial for patients with coronary artery disease, post-cardiac surgery, and heart failure, although it is underutilized. However, the benefit-risk balance must be updated to reflect the evolving characteristics of treated populations.</div></div><div><h3>Objective</h3><div>To evaluate the safety of supervised exercise training in a large sample of French cardiac rehabilitation patients, and to assess the utility of the modified Risk of Activity Related Events (RARE) score in identifying low-risk individuals.</div></div><div><h3>Methods</h3><div>This multicenter observational study included 6,793 patients from 32 centers surveyed between 2023 and 2025. Each center collected data over four consecutive months, including patient characteristics and events that interrupted programs, required transfer to acute care, or resulted in rehabilitation cessation. The modified RARE score was applied to identify a low-risk subgroup. Events were considered activity-related if they occurred during or within one hour of a training session.</div></div><div><h3>Results</h3><div>A total of 964 events (14.2%) were reported, of which 154 (2.3%) were activity-related. Two cardiac arrests occurred—one fatal—representing 0.98 cardiac arrests and 0.49 deaths per 100,000 patient-hours of training. A modified RARE score &lt; 4 defined a low-risk group with an area under the ROC curve of 0.67 and an excellent negative predictive value (0.99). However, specificity was limited (0.32), reflecting the low incidence of events even in high-risk patients.</div></div><div><h3>Conclusion</h3><div>The COCARE study confirms the low risk of supervised exercise in phase II cardiac rehabilitation. The modified RARE score may be useful in identifying patients who could safely benefit from alternative, less monitored formats such as telerehabilitation.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 5","pages":"Article 101940"},"PeriodicalIF":0.3,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145118255","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":"Vers un modèle national de télésurveillance en insuffisance cardiaque : proposition d'un cadre organisationnel à partir d'un consensus infirmier ville-hôpital","authors":"Christine Lecerf ,&nbsp;Gauthier Lefranc ,&nbsp;Nathalie Vionnet ,&nbsp;Valérie Ple ,&nbsp;Emilie Saunier ,&nbsp;Céline Picard ,&nbsp;Céline Chauveau ,&nbsp;Nawel Aouni","doi":"10.1016/j.ancard.2025.101929","DOIUrl":"10.1016/j.ancard.2025.101929","url":null,"abstract":"<div><div>Remote monitoring of heart failure is now being deployed throughout France. It allows for effective remote monitoring and aims to improve patients' quality of life. Given the heterogeneity of practices, a committee of nurses has proposed a structured and reproducible organizational framework based on four pillars: Engage, Personalize, Support, and Coordinate.</div><div>This model encourages the standardization of practices, improves patient adherence, and ensures quality follow-up. Remote monitoring must remain temporary, educational, and patient-centered. Indicators must be used to assess its effectiveness.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 5","pages":"Article 101929"},"PeriodicalIF":0.3,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145095954","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":"Experiment of Read’Hy : A hybrid, mix of home and centre, cardiac rehabilitation program","authors":"Sonia Corone ,&nbsp;Romain Carpentier David ,&nbsp;Christelle Pierre ,&nbsp;Céline Chouhan ,&nbsp;Titi Farrokhi ,&nbsp;Aude Brucker ,&nbsp;Romain Dorange ,&nbsp;Pascal Guillo ,&nbsp;Antoine Faure ,&nbsp;Annie Fouard","doi":"10.1016/j.ancard.2025.101937","DOIUrl":"10.1016/j.ancard.2025.101937","url":null,"abstract":"<div><h3>Introduction</h3><div>Despite the strong recommendations and obvious benefits, cardiac rehabilitation remains underutilised or is often discontinued in real‐world practice. To improve patient care, a hybrid (mix of home and centre) program (Read'Hy) has been developed, combining exercise training sessions and therapeutic education, with weekly face-to-face follow-up.</div></div><div><h3>Methods</h3><div>After a check-up and minimum five days initiation in the centre, patients returned home, equipped with a heart rate monitor and a mobile application. A personalised 10-week program was drawn up. Asynchronous home exercise was recorded and analysed daily by the rehabilitation technician. Each week, the patient came back to the centre for a supervised training session and interviews allowing to adjust the program.</div></div><div><h3>Results</h3><div>Out of 353 patients (mean age 55±11 years), 89% completed the program with 91% attendance and 35 physical activity sessions performed. Peak VO₂ increased by 20% (21.8 to 26.1 ml/min/kg, <em>p</em>&lt;0.0001), as did VO₂ at point of intersection (16.6 to 19.9 ml/min/kg, <em>p</em>&lt;0.0001) and maximum workload (140 to 168 Watts, <em>p</em>&lt;0.0001). Only one rhythmic event was reported. Quality of life improved (VAS +14%, <em>p</em>&lt;0.0001), and weekly physical activity quantified by IPAQ-SF increased by 53% (<em>p</em>&lt;0.0001). After one year, IPAQ-SF remained 43.6% higher than the initial level (<em>p</em>&lt;0.0001).</div></div><div><h3>Conclusion</h3><div>This hybrid program, both safe and effective, promotes the sustainable integration of physical activity into daily life.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 5","pages":"Article 101937"},"PeriodicalIF":0.3,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145095993","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":"Implantation de stimulateurs cardiaques sans sonde : plaidoyer pour un élargissement des conditions d’implantation dans les centres sans chirurgie cardiaque","authors":"Walid Amara ,&nbsp;Anas El Mahi ,&nbsp;Ahmed Salhi ,&nbsp;Pierre Socié ,&nbsp;Cyrus Moini ,&nbsp;Jérôme Taieb","doi":"10.1016/j.ancard.2025.101941","DOIUrl":"10.1016/j.ancard.2025.101941","url":null,"abstract":"<div><div>Leadless pacemakers’ implantations in France are limited to centers with onsite cardiac surgery. However, these implantations are now possible in centers without onsite surgery in most European countries. Indeed, the rates of tamponade and cardiac perforation are very low. This article argues for the implantation conditions to be extended to centers with thoracic or vascular surgery (and not cardiac), as is the case for atrial fibrillation ablations, because these centers already have immediate surgical back-up, allowing the treatment of cardiac tamponade or perforation.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 5","pages":"Article 101941"},"PeriodicalIF":0.3,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145095996","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}