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Annales de cardiologie et d'angeiologie最新文献

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Évaluation du strain de l’oreillette gauche en échocardiographie : intérêt physiopathologique, diagnostique et pronostic 超声心动图左心绞痛评估：生理病理意义、诊断和预后
IF 0.3
Annales de cardiologie et d'angeiologie Pub Date : 2025-09-20 DOI: 10.1016/j.ancard.2025.101934
Patrick Meimoun, Karina Rahmouni, Ines Idir, Vanessa Kacy, Houssam Louhani, Jérome Clerc
{"title":"Évaluation du strain de l’oreillette gauche en échocardiographie : intérêt physiopathologique, diagnostique et pronostic","authors":"Patrick Meimoun,&nbsp;Karina Rahmouni,&nbsp;Ines Idir,&nbsp;Vanessa Kacy,&nbsp;Houssam Louhani,&nbsp;Jérome Clerc","doi":"10.1016/j.ancard.2025.101934","DOIUrl":"10.1016/j.ancard.2025.101934","url":null,"abstract":"<div><div>Several studies have evaluated left atrial function, mainly using two-dimensional longitudinal myocardial strain with the speckle tracking technique. The study of left atrial strain (LAS) allows the analysis of the different phases of left atrial function (reservoir, conduit, pump) and its correlations with left ventricular systolic and diastolic function, and exercise capacity. Furthermore, LAS has diagnostic value in estimating left ventricular diastolic dysfunction and filling pressure. It helps differentiate the etiologies of left ventricular hypertrophy and has prognostic value in various diseases, including heart failure, valvular diseases, coronary artery disease, atrial fibrillation, and various causes of left ventricular hypertrophy. In this review, we will focus on these topics and discuss the growing interest in three-dimensional LAS.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 5","pages":"Article 101934"},"PeriodicalIF":0.3,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145095998","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}
引用次数: 0
Fibrose endomyocardique biventriculaire mimant une endocardite infectieuse 模拟感染性心内膜炎的双心室肌内纤维化
IF 0.3
Annales de cardiologie et d'angeiologie Pub Date : 2025-09-20 DOI: 10.1016/j.ancard.2025.101931
Falah Aboukhoudir , Karim Moussa , Sami Rahmani , Safia Chebrek , Sofiene Rekik , Alexandra Dernys
{"title":"Fibrose endomyocardique biventriculaire mimant une endocardite infectieuse","authors":"Falah Aboukhoudir ,&nbsp;Karim Moussa ,&nbsp;Sami Rahmani ,&nbsp;Safia Chebrek ,&nbsp;Sofiene Rekik ,&nbsp;Alexandra Dernys","doi":"10.1016/j.ancard.2025.101931","DOIUrl":"10.1016/j.ancard.2025.101931","url":null,"abstract":"<div><div>Endomyocardial fibrosis is a rare form of restrictive cardiomyopathy consequent to endocardial damage mediated by hypereosinophilia. It is characterized by fibrous deposits in the ventricular endocardium to a lesser extent, in the myocardium. We report the case of a 75-year-old man having chronic myeloid leukemia in blastic phase, in whom we diagnosed an endomyocardial fibrosis mimicking infective endocarditis. We describe diagnostic modalities and clinical evolution.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 5","pages":"Article 101931"},"PeriodicalIF":0.3,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145096000","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}
引用次数: 0
Profil clinique, échocardiographique, prise en charge et pronostic des thrombi intraventriculaire gauches : étude rétrospective analytique 左室内血栓形成的临床概况、超声心动图、治疗和预后：回顾性研究
IF 0.3
Annales de cardiologie et d'angeiologie Pub Date : 2025-09-20 DOI: 10.1016/j.ancard.2025.101938
Taryètba Andre Arthur Seghda , Abou Coulibaly , Martin Wendlassida Nacanabo , Djeme Claudine Dah , Mireille Abouga Loya , Laurence Flork , Anna Tall Thiam , Nobila Valentin Yaméogo , André K Samadoulougou , Patrice Zabsonre
{"title":"Profil clinique, échocardiographique, prise en charge et pronostic des thrombi intraventriculaire gauches : étude rétrospective analytique","authors":"Taryètba Andre Arthur Seghda ,&nbsp;Abou Coulibaly ,&nbsp;Martin Wendlassida Nacanabo ,&nbsp;Djeme Claudine Dah ,&nbsp;Mireille Abouga Loya ,&nbsp;Laurence Flork ,&nbsp;Anna Tall Thiam ,&nbsp;Nobila Valentin Yaméogo ,&nbsp;André K Samadoulougou ,&nbsp;Patrice Zabsonre","doi":"10.1016/j.ancard.2025.101938","DOIUrl":"10.1016/j.ancard.2025.101938","url":null,"abstract":"<div><h3>Introduction/objective</h3><div>To analyze the clinical and echocardiographic features, as well as the prognosis of patients hospitalized for left ventricular thrombi.</div></div><div><h3>Materials and Methods</h3><div>This retrospective cross-sectional study was conducted in the Cardiology Department of the Bogodogo University Hospital Center. The study period, which extended from January 1, 2017, to October 31, 2023, aimed to achieve both descriptive and analytical objectives. The study population consisted of all hospitalized patients diagnosed with left ventricular thrombi, regardless of the underlying cardiac pathology. Data collection focused on clinical characteristics, echocardiographic parameters, and in-hospital mortality outcomes.</div></div><div><h3>Results</h3><div>Sixty-five patients were included. Underlying heart conditions were mostly cardiomyopathies: Ischemic, idiopathic, and peripartum. Thrombi were considered high embolic risk in 49.2% of cases. In-hospital mortality was 23%. The mobility or floating nature of the thrombi did not influence mortality. Factors associated with in-hospital death were dyspnea of at least stage 3 and cardiogenic shock.</div></div><div><h3>Conclusion</h3><div>Left ventricular thrombi are common to ischemic, idiopathic, and peripartum cardiomyopathy. They don’t increase in-hospital but do increase morbidity.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 5","pages":"Article 101938"},"PeriodicalIF":0.3,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145095994","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}
引用次数: 0
Tachycardie de Gallavardin syncopale détectée sur un moniteur implantable chez une patiente âgée : prise en charge ablative 一名老年患者在植入监视器上发现的加拉瓦丁心动过速：消融治疗
IF 0.3
Annales de cardiologie et d'angeiologie Pub Date : 2025-09-20 DOI: 10.1016/j.ancard.2025.101930
P.-Y. Tarlet, F. Elmkies, P. Lachambre, T. Zerah, J. Clerc, P. Meimoun
{"title":"Tachycardie de Gallavardin syncopale détectée sur un moniteur implantable chez une patiente âgée : prise en charge ablative","authors":"P.-Y. Tarlet,&nbsp;F. Elmkies,&nbsp;P. Lachambre,&nbsp;T. Zerah,&nbsp;J. Clerc,&nbsp;P. Meimoun","doi":"10.1016/j.ancard.2025.101930","DOIUrl":"10.1016/j.ancard.2025.101930","url":null,"abstract":"<div><div>We report the case of a 75-year-old female patient who was evaluated for an exertional syncope, revealing an infundibular ventricular tachycardia. The diagnosis was made possible by the implantation of a loop recorder, which detected frequent episodes of non-sustained ventricular tachycardia. Radiofrequency ablation guided by a three-dimensional mapping system led to the complete suppression of the arrhythmias. This case highlights the value of implantable monitoring tools in the etiological diagnosis of syncope, the importance of obtaining a 12-lead ECG during the arrhythmia to determine its origin, and the role of three-dimensional mapping systems in the diagnosis and treatment of idiopathic ventricular arrhythmias.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 5","pages":"Article 101930"},"PeriodicalIF":0.3,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145095999","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}
引用次数: 0
Profil étiologique et pronostic de l’insuffisance cardiaque du sujet jeune dans un pays à ressources limitées 资源有限国家年轻人心力衰竭的病因和预后
IF 0.3
Annales de cardiologie et d'angeiologie Pub Date : 2025-09-20 DOI: 10.1016/j.ancard.2025.101935
Anna Thiam , Jules Ramdé , Georges RC Millogo , Larissa J. Kagambega , Jonas K. Kologo , Laurence Benon , Elisé Kabore , Valentin N. Yameogo , André K. Samadoulougou , Patrice Zabsonre
{"title":"Profil étiologique et pronostic de l’insuffisance cardiaque du sujet jeune dans un pays à ressources limitées","authors":"Anna Thiam ,&nbsp;Jules Ramdé ,&nbsp;Georges RC Millogo ,&nbsp;Larissa J. Kagambega ,&nbsp;Jonas K. Kologo ,&nbsp;Laurence Benon ,&nbsp;Elisé Kabore ,&nbsp;Valentin N. Yameogo ,&nbsp;André K. Samadoulougou ,&nbsp;Patrice Zabsonre","doi":"10.1016/j.ancard.2025.101935","DOIUrl":"10.1016/j.ancard.2025.101935","url":null,"abstract":"<div><h3>Objectives</h3><div>To study the etiological factors and prognosis of heart failure in subjects aged 15 to 45 in the cardiology department of the Yalgado Ouédraogo University Hospital Center.</div></div><div><h3>Methodology</h3><div>It was a retrospective cohort study from March 1, 2020, to February 28, 2022, involving 130 patients.</div></div><div><h3>Results</h3><div>The average age of our patients was 30 ±7,88 years, with a female predominance of 57,7 %. Sedentary lifestyle was the most found cardiovascular risk factor in 49,2 % of cases, followed by hypertension in 25,2%. Congestive heart failure was the most frequent clinical presentation in our total sample (79%). Rheumatic valvulopathies were the most common aetiology in 27,6 % followed by peripartum cardiomyopathy in 23,8 %. On the electrocardiogram, arrhythmias were found in 27,5 % of patients; they were dominated by atrial arrhythmias (33<u>,</u>3% of arrhythmias). The left ventricular ejection fraction was reduced in 53,85% of cases. One-year Mortality was 9,2 %. In a post-hospital survey, 65 patients were not coming back. Among the monitored patients, 11 were deceased. The factors linked to the deaths were the existence of comorbidities and rehospitalizations.</div></div><div><h3>Conclusion</h3><div>Aetiologies are always dominated by valvulopathies. However, the peripartum cardiomyopathy is often found in our context. The prognosis can be improved by more appropriate management, like cardiac surgery for valvulopathies and prevention for peripartum cardiomyopathy.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 5","pages":"Article 101935"},"PeriodicalIF":0.3,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145095955","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}
引用次数: 0
Thrombus enclavé dans le foramen ovale perméable : à propos d’un cas révélé par une embolie pulmonaire au CHU de Libreville 可渗透的椭圆形孔内的血栓：关于利伯维尔医院肺栓塞的一个病例
IF 0.3
Annales de cardiologie et d'angeiologie Pub Date : 2025-09-20 DOI: 10.1016/j.ancard.2025.101936
Christelle P Akagha Konde , Mahutondji Christian Allognon , Elsa Ayo Bivigou , Francis Ndoume Obiang , Jean Léonard Mbini Junior , Arthur Matsanga , Ervais Richard Obame
{"title":"Thrombus enclavé dans le foramen ovale perméable : à propos d’un cas révélé par une embolie pulmonaire au CHU de Libreville","authors":"Christelle P Akagha Konde ,&nbsp;Mahutondji Christian Allognon ,&nbsp;Elsa Ayo Bivigou ,&nbsp;Francis Ndoume Obiang ,&nbsp;Jean Léonard Mbini Junior ,&nbsp;Arthur Matsanga ,&nbsp;Ervais Richard Obame","doi":"10.1016/j.ancard.2025.101936","DOIUrl":"10.1016/j.ancard.2025.101936","url":null,"abstract":"<div><div>The patent foramen ovale is common in the general population. It is often encountered during paradoxical embolisms. During a pulmonary embolism, its presence is a poor prognosis. The discovery of an enclosed thrombus in this area is rare. We report a case of an enclaved thrombus in the patent foramen ovale discovered during a transthoracic echocardiography indicated in the presence of a suspected pulmonary embolism in a pregnant woman. This patient presented with hemodynamic instability, the evolution of which was favorable after thrombolysis with tenecteplase. In the absence of consensus on the management of thrombi trapped in the patent foramen ovale, the track of a better prognosis according to the class of thrombolytics used should be studied.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 5","pages":"Article 101936"},"PeriodicalIF":0.3,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145095956","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}
引用次数: 0
Syndrome d'apnée obstructive du sommeil et fibrillation atriale - mécanismes, diagnostic et traitement 阻塞性睡眠呼吸暂停和房颤-机制、诊断和治疗
IF 0.3
Annales de cardiologie et d'angeiologie Pub Date : 2025-09-20 DOI: 10.1016/j.ancard.2025.101932
Hoang T. Kien , Amara Walid , Alloujami Mazen , Jochmans Sébastien , Moini Cyrus
{"title":"Syndrome d'apnée obstructive du sommeil et fibrillation atriale - mécanismes, diagnostic et traitement","authors":"Hoang T. Kien ,&nbsp;Amara Walid ,&nbsp;Alloujami Mazen ,&nbsp;Jochmans Sébastien ,&nbsp;Moini Cyrus","doi":"10.1016/j.ancard.2025.101932","DOIUrl":"10.1016/j.ancard.2025.101932","url":null,"abstract":"<div><div>Obstructive sleep apnea syndrome is characterized by repeated airway obstructions leading to intermittent hypoxia and sleep fragmentation. It is a major independent risk factor for atrial fibrillation, with a high prevalence of obstructive sleep apnea among patients with atrial fibrillation. The pathophysiological mechanisms include intermittent hypoxia causing sympathetic activation and atrial remodeling, as well as negative intrathoracic pressure fluctuations that promote arrhythmia. Diagnosis relies on polysomnography and standardized tools such as the SCOPER system. Continuous positive airway pressure is the standard treatment and has shown beneficial effects on atrial fibrillation progression and recurrence, although study results vary. Integrated management of obstructive sleep apnea and atrial fibrillation, including weight control, is essential to optimize clinical outcomes. Further research is needed to better identify patient subgroups and evaluate different therapeutic options.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 5","pages":"Article 101932"},"PeriodicalIF":0.3,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145095997","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}
引用次数: 0
Le scanner pré-ablation de fibrillation auriculaire est une opportunité pour dépister la maladie coronaire 消融前心房纤颤扫描仪是冠状动脉疾病筛查的一个机会
IF 0.3
Annales de cardiologie et d'angeiologie Pub Date : 2025-09-20 DOI: 10.1016/j.ancard.2025.101939
Adrien Pasteur-Rousseau , Karam Souibri , Fabien Vannier , Benjamin Schurr , Laurent Sebagh , Guillaume Abehsira
{"title":"Le scanner pré-ablation de fibrillation auriculaire est une opportunité pour dépister la maladie coronaire","authors":"Adrien Pasteur-Rousseau ,&nbsp;Karam Souibri ,&nbsp;Fabien Vannier ,&nbsp;Benjamin Schurr ,&nbsp;Laurent Sebagh ,&nbsp;Guillaume Abehsira","doi":"10.1016/j.ancard.2025.101939","DOIUrl":"10.1016/j.ancard.2025.101939","url":null,"abstract":"<div><div>Atrial fibrillation is a frequent and potentially severe cardiovascular disease. Pulmonary vein isolation by radiofrequency is a common and increasing treatment. Pre-ablation cardiac CT-scan allows the screening for anomalous pulmonary venous return or for thrombus in the left atrial appendage. Moreover, it permits a complete three-dimensional left atrial mapping before the ablation, complementary to the electric mapping. But this acquisition also allows coronary artery analysis if the heart rhythm is controlled. The visualization of the coronary arteries permits the detection of obstructive coronary disease leading to revascularisation, thus lowering the anaesthesia risk during pulmonary vein isolation procedure but also allows the diagnostic of early and moderate stages of coronary atherosclerosis, guiding the preventive therapies thus improving the patient’s outcomes. Coronary analysis should be a constant goal while performing pre-ablation cardiac CT-scan.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 5","pages":"Article 101939"},"PeriodicalIF":0.3,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145095995","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}
引用次数: 0
[Myocardial infarction of the elderly : After FIRE trial, complete coronary revascularization for all ?] 老年人心肌梗死：FIRE试验后，所有人都能完成冠状动脉血运重建术？
IF 0.3
Annales de cardiologie et d'angeiologie Pub Date : 2025-09-01 Epub Date: 2025-08-08 DOI: 10.1016/j.ancard.2025.101919
Gabriel Chevrot, Giorgia Piccagliani, Marie Hauguel-Moreau
{"title":"[Myocardial infarction of the elderly : After FIRE trial, complete coronary revascularization for all ?]","authors":"Gabriel Chevrot, Giorgia Piccagliani, Marie Hauguel-Moreau","doi":"10.1016/j.ancard.2025.101919","DOIUrl":"10.1016/j.ancard.2025.101919","url":null,"abstract":"<p><p>Myocardial infarction (MI) is the leading cause of death worldwide, particularly affecting the elderly, a growing population. Yet, their management remains under-researched, especially in cases of multivessel coronary artery disease. These patients are at higher risk for post-procedural complications, but evidence - especially from the FIRE study (2023 - suggests that complete revascularization guided by coronary physiology (FFR or QFR) significantly reduces cardiovascular events in patients over 75, without a significant increase in complications. However, other studies like FLOWER-MI and SENIOR-RITA offer more nuanced perspectives. FLOWER-MI did not show a benefit of FFR guidance in younger patients, while SENIOR-RITA (2024) found that an invasive strategy after a non ST elevation acute coronary syndrome did not improve survival over medical therapy in very comorbid elderly patients, though it did reduce the rate of recurrent MIs. In conclusion, complete physiology-guided revascularization appears beneficial and safe for robust or mildly comorbid elderly patients, whereas a conservative approach may be preferable for more frail individuals. Treatment decisions should be individualized, considering overall health, comorbidities, life expectancy, patient preferences, and ideally discussed within a cardiogeriatric team. There's a growing need for practical tools to assess patient frailty and support clinical decision-making.</p>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 4","pages":"101919"},"PeriodicalIF":0.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144811527","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}
引用次数: 0
[Transcatheter aortic valve implantation in women: Sex-specific features]. 女性经导管主动脉瓣植入术：性别特征。
IF 0.3
Annales de cardiologie et d'angeiologie Pub Date : 2025-09-01 Epub Date: 2025-08-08 DOI: 10.1016/j.ancard.2025.101924
Thomas Barbe, Nicolas Bettinger, Attoumane Abdou Cheikh, Hélène Eltchaninoff
{"title":"[Transcatheter aortic valve implantation in women: Sex-specific features].","authors":"Thomas Barbe, Nicolas Bettinger, Attoumane Abdou Cheikh, Hélène Eltchaninoff","doi":"10.1016/j.ancard.2025.101924","DOIUrl":"10.1016/j.ancard.2025.101924","url":null,"abstract":"<p><p>Women remain underrepresented in major TAVI studies, despite notable anatomical, pathophysiological, and clinical characteristics. These differences impact diagnosis, technical decisions, outcomes, and post-TAVI complications. Women typically present with a smaller aortic annulus, lower calcific burden but increased fibrosis, and a specific hemodynamic profile: paradoxical low-flow, low-gradient aortic stenosis. In the short term, they are at higher risk of annular rupture, coronary obstruction, and vascular complications, but experience less paravalvular regurgitation. In the long term, women benefit from better survival and a quality of life comparable to that of men. In light of these findings and the RHEIA study, a sex-specific, personalized approach is essential in the management of aortic stenosis.</p>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 4","pages":"101924"},"PeriodicalIF":0.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144811529","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}
引用次数: 0
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