European heart journal open最新文献

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Corticosteroid therapy and long-term outcomes in patients with cardiac sarcoidosis stratified by left ventricular ejection fraction. 按左心室射血分数分层的皮质类固醇治疗和心脏肉瘤病患者的长期预后。
European heart journal open Pub Date : 2025-01-10 eCollection Date: 2025-01-01 DOI: 10.1093/ehjopen/oeae100
Takatsugu Segawa, Tatsunori Taniguchi, Takeru Nabeta, Yoshihisa Naruse, Takeshi Kitai, Kenji Yoshioka, Hidekazu Tanaka, Takahiro Okumura, Yuichi Baba, Yuya Matsue, Yasushi Sakata
{"title":"Corticosteroid therapy and long-term outcomes in patients with cardiac sarcoidosis stratified by left ventricular ejection fraction.","authors":"Takatsugu Segawa, Tatsunori Taniguchi, Takeru Nabeta, Yoshihisa Naruse, Takeshi Kitai, Kenji Yoshioka, Hidekazu Tanaka, Takahiro Okumura, Yuichi Baba, Yuya Matsue, Yasushi Sakata","doi":"10.1093/ehjopen/oeae100","DOIUrl":"10.1093/ehjopen/oeae100","url":null,"abstract":"<p><strong>Aims: </strong>This study aimed to investigate the relationship between corticosteroid therapy and long-term outcomes in patients with cardiac sarcoidosis, stratified by left ventricular ejection fraction (LVEF) at diagnosis.</p><p><strong>Methods and results: </strong>This study conducted a <i>post hoc</i> analysis of the ILLUstration of the Management and prognosIs of JapaNese PATiEnts with Cardiac Sarcoidosis, a retrospective multicentre registry. Cardiac sarcoidosis was diagnosed based on the 2016 Japanese Circulation Society and 2014 Heart Rhythm Society criteria. The primary endpoint was a composite of all-cause death, hospitalization for heart failure, and fatal ventricular arrhythmia events. Patients were divided into three groups based on LVEF: preserved LVEF (≥50%, <i>n</i> = 251), moderately impaired LVEF (LVEF, 35-49%; <i>n</i> = 149), and severely impaired LVEF (<35%, <i>n</i> = 99). Among 499 patients with cardiac sarcoidosis (mean age: 61.6 ± 11.4 years, male: 36.1%), 419 (84.0%) were treated with corticosteroids after diagnosis. During a median follow-up of 33.7 months (interquartile range, 16.8-62.7 months), 144 primary endpoints (28.9%) occurred. Corticosteroid therapy was associated with better prognosis when assessed in terms of primary endpoint in the entire cohort [hazard ratio (HR) 0.61, 95% confidence interval (CI) 0.41-0.89, <i>P</i> = 0.010]. When stratified by LVEF, corticosteroid therapy was significantly associated with a lower incidence of primary endpoints in the preserved LVEF group (HR, 0.30; 95% CI, 0.15-0.57, <i>P</i> < 0.001), but not in the moderately and severely impaired LVEF groups. This association remained robust, even after adjusting for confounders.</p><p><strong>Conclusion: </strong>In this large cohort of cardiac sarcoidosis, corticosteroid therapy was associated with a lower incidence of long-term outcomes only in patients with preserved LVEF at diagnosis.</p><p><strong>Clinical trial registration: </strong>UMIN000034974.</p>","PeriodicalId":93995,"journal":{"name":"European heart journal open","volume":"5 1","pages":"oeae100"},"PeriodicalIF":0.0,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11720171/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142974018","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}
引用次数: 0
Trends and disparities in cardiovascular disease-related mortality among adults with myeloproliferative neoplasms in USA. 美国成人骨髓增生性肿瘤患者心血管疾病相关死亡率的趋势和差异
European heart journal open Pub Date : 2024-12-18 eCollection Date: 2025-01-01 DOI: 10.1093/ehjopen/oeae101
Siddharth Agarwal, Usama Qamar, Muhammad Shahzeb Khan, Taha Al-Juhaishi, Abdul Rafeh Naqash, Avirup Guha, Eric H Yang, Ana Barac, Zain Ul Abideen Asad
{"title":"Trends and disparities in cardiovascular disease-related mortality among adults with myeloproliferative neoplasms in USA.","authors":"Siddharth Agarwal, Usama Qamar, Muhammad Shahzeb Khan, Taha Al-Juhaishi, Abdul Rafeh Naqash, Avirup Guha, Eric H Yang, Ana Barac, Zain Ul Abideen Asad","doi":"10.1093/ehjopen/oeae101","DOIUrl":"10.1093/ehjopen/oeae101","url":null,"abstract":"<p><strong>Aims: </strong>We aimed to perform a retrospective cohort study using the Centers for Disease Control and Prevention's (CDC's) Wide-Ranging Online Data for Epidemiologic Research (WONDER) database to analyse the trends in cardiovascular disease (CVD)-related mortality in patients with myeloproliferative neoplasms (MPNs) from 1999 to 2020.</p><p><strong>Methods and results: </strong>We analysed the death certificate data from the CDC WONDER database from 1999 to 2020 for CVD with co-morbid myeloproliferative disorders in the US population. Age-adjusted mortality rates (AAMRs) and 95% confidence intervals (CIs) were computed per 1 million population by standardizing crude mortality rates to the 2000 US census population. To assess annual national mortality trends, we employed the Joinpoint regression model, calculating the annual per cent change in AAMR and corresponding 95% CIs. A total of 15 269 deaths related to CVD occurred in patients with co-morbid MPNs from 1999 to 2020. Overall, there was a decreasing trend in CVD-related AAMRs throughout these years. Males contributed to 51% of total deaths, and their AAMR was persistently higher than women throughout the study. Non-Hispanic (NH) Whites had the highest overall AAMR, followed by NH Blacks, NH American Indians or Alaska Natives, Hispanics or Latinos, and NH Asian or Pacific Islanders.</p><p><strong>Conclusion: </strong>Our findings indicate a significant decline with notable gender, racial/ethnic, and regional differences in CVD-related mortality among patients with MPN over the past two decades. We emphasize the importance of a collaborative approach between oncologists and cardiologists in managing these patients, highlighting the potential benefits of integrating cardio-oncology services to enhance patient outcomes.</p>","PeriodicalId":93995,"journal":{"name":"European heart journal open","volume":"5 1","pages":"oeae101"},"PeriodicalIF":0.0,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11707680/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960525","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}
引用次数: 0
Cardiorespiratory fitness in COPD and HF from the Fitness Registry and the Importance of Exercise: a National Database. 来自健身登记和运动的重要性的COPD和HF的心肺健康:一个国家数据库。
European heart journal open Pub Date : 2024-12-17 eCollection Date: 2025-01-01 DOI: 10.1093/ehjopen/oeae104
Jacinthe Boulet, Jonathan Myers, Jeffrey W Christle, Ross Arena, Leonard Kaminsky, Anna Nozza, Joshua Abella, Michel White
{"title":"Cardiorespiratory fitness in COPD and HF from the Fitness Registry and the Importance of Exercise: a National Database.","authors":"Jacinthe Boulet, Jonathan Myers, Jeffrey W Christle, Ross Arena, Leonard Kaminsky, Anna Nozza, Joshua Abella, Michel White","doi":"10.1093/ehjopen/oeae104","DOIUrl":"10.1093/ehjopen/oeae104","url":null,"abstract":"<p><strong>Aims: </strong>To better characterize functional consequences of the presence of COPD on cardiorespiratory fitness in patients with HF.</p><p><strong>Methods and results: </strong>Patients with any clinical indication for cardiopulmonary exercise testing (CPET) were included in the international FRIEND registry. Diagnosis of COPD was confirmed by a ratio of forced expiratory volume in 1 s and forced vital capacity (FEV<sub>1</sub>/FVC) < 0.70. HF was diagnosed in the presence of symptoms and signs of HF. A total of 10 957 patients were divided into four groups: patients without HF or COPD (<i>n</i> = 8963), patients with HF (<i>n</i> = 852) or COPD (<i>n =</i> 991) alone, and patients with both HF and COPD (<i>n</i> = 151). Maximal workload was the lowest in patients with both HF and COPD [78.09 (95% CI: 72.92, 83.64 watts)], and all pairwise comparisons with adjusted <i>P</i> < 0.05 between groups were statistically significant. Patients with both HF and COPD yielded the lowest PETCO<sub>2</sub> values [31.80 (95% CI: 31.00, 32.60)] mmHg and exhibited a higher VE/VCO<sub>2</sub> slope compared with HF (36.73 (95% CI: 35.78, 37.68) vs. 33.91 (95% CI: 33.50, 34.33 units, <i>P</i>  <i><</i> 0.0001). Peak VO<sub>2</sub> was the lowest with concomitant HF and COPD 19.93 (95% CI: 18.60, 21.27) mL/kg/min and was significantly different compared with all other groups (<i>P</i> < 0.05).</p><p><strong>Conclusion: </strong>Patients referred for CPET with COPD and concomitant HF exhibit a profound impairment in CRF compared with patients with COPD or HF alone. Early identification of pulmonary obstruction in patients with HF by more frequent usage of pulmonary function testing may contribute to providing better treatment for both COPD and HF in these high-risk individuals.</p>","PeriodicalId":93995,"journal":{"name":"European heart journal open","volume":"5 1","pages":"oeae104"},"PeriodicalIF":0.0,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11707542/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960509","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}
引用次数: 0
Where your heart lies across the Atlantic may demand further assessment in cardiovascular management for non-cardiac surgery. 你的心脏在大西洋对岸,可能需要对非心脏手术的心血管管理进行进一步评估。
European heart journal open Pub Date : 2024-12-17 eCollection Date: 2025-01-01 DOI: 10.1093/ehjopen/oeae105
Benjamin Marchandot, Adrien Carmona, Olivier Morel
{"title":"Where your heart lies across the Atlantic may demand further assessment in cardiovascular management for non-cardiac surgery.","authors":"Benjamin Marchandot, Adrien Carmona, Olivier Morel","doi":"10.1093/ehjopen/oeae105","DOIUrl":"10.1093/ehjopen/oeae105","url":null,"abstract":"","PeriodicalId":93995,"journal":{"name":"European heart journal open","volume":"5 1","pages":"oeae105"},"PeriodicalIF":0.0,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11725381/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142974034","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}
引用次数: 0
Causes of death in patients with atrial fibrillation in the UK: a nationwide electronic health record study. 英国心房颤动患者的死亡原因:一项全国性的电子健康记录研究
European heart journal open Pub Date : 2024-12-13 eCollection Date: 2025-01-01 DOI: 10.1093/ehjopen/oeae103
Yongtong Lai, Hiroyuki Yoshimura, Nadine Zakkak, Eloi Marijon, Anwar Chahal, Gregory Y H Lip, Floriaan Schmidt, Rui Providencia
{"title":"Causes of death in patients with atrial fibrillation in the UK: a nationwide electronic health record study.","authors":"Yongtong Lai, Hiroyuki Yoshimura, Nadine Zakkak, Eloi Marijon, Anwar Chahal, Gregory Y H Lip, Floriaan Schmidt, Rui Providencia","doi":"10.1093/ehjopen/oeae103","DOIUrl":"10.1093/ehjopen/oeae103","url":null,"abstract":"<p><strong>Aims: </strong>Causes of death remain largely unexplored in the atrial fibrillation (AF) population. We aimed to (i) thoroughly assess causes of death in patients with AF, especially those associated with sudden cardiac death (SCD) and (ii) evaluate the potential association between AF and SCD.</p><p><strong>Methods and results: </strong>Linked primary and secondary care United Kingdom Clinical Practice Research Datalink dataset comprising 6 529 382 individuals aged ≥18. We identified 214 222 patients with newly diagnosed AF, and an equivalent number of non-AF patients matched for age, sex and primary care practice. The underlying primary cause of death for each patient was assessed in the form of International Classification of Diseases Tenth Revision (ICD-10) codes and also as part of broader disease categories (i.e. ICD-10 chapters).</p><p><strong>Findings: </strong>Over a median follow-up of 2.7 (interquartile range: 0.7-6.0) years, 124 781 (58.25%) patients with AF died. Sudden cardiac death occurred in 13 923 patients with AF [6.50% patients with AF vs. 2.01% non-AF patients; odds ratio (OR) = 3.38, 95% confidence interval (CI): 3.27-3.50, <i>P</i> < 0.0001], contributing to 11.05% of all AF mortality. Diseases of the circulatory system, neoplasms and respiratory diseases explained 45% of AF mortality. Sudden cardiac death occurred more frequently in males (OR = 1.87, 95% CI: 1.80-1.93, <i>P</i> < 0.0001), and females with AF died more often of diseases of the circulatory, respiratory, digestive, and genitourinary system and less often of neoplastic disorders.</p><p><strong>Interpretation: </strong>Conditions of the circulatory system are the main driver of mortality in the AF population. Females with AF experience higher cardiovascular and respiratory mortality but die less frequently of neoplasms. The risk of SCD is higher in the AF population, occurring more frequently in males.</p>","PeriodicalId":93995,"journal":{"name":"European heart journal open","volume":"5 1","pages":"oeae103"},"PeriodicalIF":0.0,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11711847/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960521","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}
引用次数: 0
Impact of pulmonary vein isolation on atrial arrhythmias in patients with typical atrial flutter: systematic review and meta-analysis of randomized clinical trials. 肺静脉隔离对典型房扑患者房性心律失常的影响:随机临床试验的系统回顾和荟萃分析。
European heart journal open Pub Date : 2024-12-12 eCollection Date: 2025-01-01 DOI: 10.1093/ehjopen/oeae102
Daniel A Gomes, Rita Reis Santos, Jorge Ferreira, Frédéric Anselme, Peter Calvert, Amand Floriaan Schmidt, Dhiraj Gupta, Serge Boveda, Pedro Adragão, Rui Providência
{"title":"Impact of pulmonary vein isolation on atrial arrhythmias in patients with typical atrial flutter: systematic review and meta-analysis of randomized clinical trials.","authors":"Daniel A Gomes, Rita Reis Santos, Jorge Ferreira, Frédéric Anselme, Peter Calvert, Amand Floriaan Schmidt, Dhiraj Gupta, Serge Boveda, Pedro Adragão, Rui Providência","doi":"10.1093/ehjopen/oeae102","DOIUrl":"10.1093/ehjopen/oeae102","url":null,"abstract":"<p><strong>Aims: </strong>Cavotricuspid isthmus (CTI) ablation is the current ablation treatment for typical atrial flutter (AFL). However, post-ablation atrial tachyarrhythmias, mostly in the form of atrial fibrillation (AF), are frequently observed after CTI ablation. We aimed to evaluate the effectiveness and safety of concomitant or isolated pulmonary vein isolation (PVI) in patients with typical AFL scheduled for ablation.</p><p><strong>Methods and results: </strong>Electronic databases (PubMED, EMBASE, Clinicaltrials.gov) were searched through July, 2024. Randomized controlled trials (RCTs) were eligible if comparing PVI ± CTI ablation vs. CTI alone. The primary outcomes were any sustained atrial arrhythmia, typical AFL relapse, and AF. Secondary outcomes were need for redo-ablation or antiarrhythmic drugs. Random-effects and fixed-effects meta-analyses were undertaken for each individual outcome. Seven RCTs, with a total of 902 patients, were included. Comparing to CTI ablation alone, PVI ± CTI was more effective in preventing atrial tachyarrhythmias [risk ratio (RR) = 0.57, 95% CI: 0.41-0.79, <i>P</i> = 0.0007, <i>I</i> <sup>2</sup> = 50%, number needed to treat (NNT) = 4.1]. The results were driven mainly by a reduction of new onset/recurrent AF (RR = 0.41, 95% CI: 0.27-0.61, <i>P</i> < 0.0001, <i>I</i> <sup>2</sup> = 0%, NNT = 3.3), whereas there were no differences in typical AFL relapse (RR = 1.52, 95% CI: 0.63-3.66, <i>P</i> = 0.35, <i>I</i> <sup>2</sup> = 9%). Major complication rate was low and comparable across groups, although uncomplicated pericardial effusion was higher in PVI ± CTI (1.8% vs. 0.0%, <i>P</i> = 0.04). Results were comparable for the sub-analysis of PVI alone vs. CTI ablation.</p><p><strong>Conclusion: </strong>In patients with typical AFL, PVI ± CTI ablation is more effective than CTI alone in reducing the atrial tachyarrhythmias and subsequent AF during follow-up, without affecting major complications rate. These results set the rationale for a well-designed, larger-scale RCT comparing both strategies.</p>","PeriodicalId":93995,"journal":{"name":"European heart journal open","volume":"5 1","pages":"oeae102"},"PeriodicalIF":0.0,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11668177/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142901415","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}
引用次数: 0
Acute cardiovascular effects of electronic cigarettes: a systematic review and meta-analysis. 电子烟对急性心血管的影响:一项系统综述和荟萃分析。
European heart journal open Pub Date : 2024-12-04 eCollection Date: 2024-11-01 DOI: 10.1093/ehjopen/oeae098
Mahdis Cheraghi, Mehrnaz Amiri, Fatemeh Omidi, Amir Hashem Shahidi Bonjar, Hooman Bakhshi, Atefeh Vaezi, Mohammad Javad Nasiri, Mehdi Mirsaeidi
{"title":"Acute cardiovascular effects of electronic cigarettes: a systematic review and meta-analysis.","authors":"Mahdis Cheraghi, Mehrnaz Amiri, Fatemeh Omidi, Amir Hashem Shahidi Bonjar, Hooman Bakhshi, Atefeh Vaezi, Mohammad Javad Nasiri, Mehdi Mirsaeidi","doi":"10.1093/ehjopen/oeae098","DOIUrl":"10.1093/ehjopen/oeae098","url":null,"abstract":"<p><p>Electronic cigarette (EC) is widely advertised as a safe alternative to traditional cigarette (TC). We aimed to investigate the cardiovascular effect of EC with/without nicotine compared with TC. We systematically searched PubMed/MEDLINE, EMBASE, and Cochrane CENTRAL for randomized controlled trials that compared the effect of different smoking modalities on cardiovascular function up to 1 October 2024. Analysis used the weighted mean difference (WMD) with a 95% confidence interval (CI) via Comprehensive Meta-Analysis software, version 3.0. The study evaluated key cardiovascular parameters, including pulse wave velocity (PWV), augmentation index at 75 beats/min (AIx75), flow-mediated dilation (FMD), heart rate (HR), systolic blood pressure, and diastolic blood pressure. We analysed 9 trials involving 370 participants. Acute exposure to EC with nicotine (ECN) compared with nicotine-free EC (EC0) increased PWV (WMD = 0.26; 95% CI: 0.14-0.38, <i>P</i> < 0.001), AIx75 (WMD = 4.29; 95% CI: 2.07-6.51, <i>P</i> < 0.001), and HR (WMD = 5.06; 95% CI: 2.13-7.98, <i>P</i> = 0.001), significantly. In contrast, comparison between ECN and TC revealed no significant differences in FMD (WMD = 0.80; 95% CI: -0.09-1.70, <i>P</i> = 0.08). Our meta-analysis suggests that ECN acutely increases arterial stiffness more than EC0 does. Additionally, we found that the acute effect of ECN on endothelial dysfunction is not different from TC. Therefore, our study suggests that vaping cannot be considered as a safe substitute for TC. Further investigation is needed to explore the long-term cardiovascular effects of vaping and its modalities.</p>","PeriodicalId":93995,"journal":{"name":"European heart journal open","volume":"4 6","pages":"oeae098"},"PeriodicalIF":0.0,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11660918/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878860","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}
引用次数: 0
Antibodies against angiotensin II type 1 and endothelin-1 type A receptors are associated with microvascular obstruction after revascularized ST-elevation myocardial infarction. 血管紧张素II型1和内皮素1型A受体抗体与st段抬高型心肌梗死后微血管阻塞有关。
European heart journal open Pub Date : 2024-12-03 eCollection Date: 2024-11-01 DOI: 10.1093/ehjopen/oeae099
Giovanni Civieri, Laura Iop, Emanuele Cozzi, Sabino Iliceto, Francesco Tona
{"title":"Antibodies against angiotensin II type 1 and endothelin-1 type A receptors are associated with microvascular obstruction after revascularized ST-elevation myocardial infarction.","authors":"Giovanni Civieri, Laura Iop, Emanuele Cozzi, Sabino Iliceto, Francesco Tona","doi":"10.1093/ehjopen/oeae099","DOIUrl":"10.1093/ehjopen/oeae099","url":null,"abstract":"","PeriodicalId":93995,"journal":{"name":"European heart journal open","volume":"4 6","pages":"oeae099"},"PeriodicalIF":0.0,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11660683/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142879044","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}
引用次数: 0
The acute effect of high-dose supplemental oxygen on haemodynamics assessed by echocardiography in patients with pulmonary vascular disease living in Quito at 2850 m: a randomized, single-blind, placebo-controlled crossover trial. 居住在基多2850米的肺血管疾病患者,超声心动图评估高剂量补充氧对血流动力学的急性影响:一项随机、单盲、安慰剂对照交叉试验。
European heart journal open Pub Date : 2024-12-02 eCollection Date: 2024-11-01 DOI: 10.1093/ehjopen/oeae097
Julian Müller, Mona Lichtblau, Stéphanie Saxer, Mirjam Schmucki, Michael Furian, Simon R Schneider, Joël J Herzig, Meret Bauer, Diego Saragoni, Esther I Schwarz, Elizabeth Cajamarca, Rodrigo Hoyos, Silvia Ulrich
{"title":"The acute effect of high-dose supplemental oxygen on haemodynamics assessed by echocardiography in patients with pulmonary vascular disease living in Quito at 2850 m: a randomized, single-blind, placebo-controlled crossover trial.","authors":"Julian Müller, Mona Lichtblau, Stéphanie Saxer, Mirjam Schmucki, Michael Furian, Simon R Schneider, Joël J Herzig, Meret Bauer, Diego Saragoni, Esther I Schwarz, Elizabeth Cajamarca, Rodrigo Hoyos, Silvia Ulrich","doi":"10.1093/ehjopen/oeae097","DOIUrl":"10.1093/ehjopen/oeae097","url":null,"abstract":"<p><strong>Aims: </strong>More than 220 Mio people live at altitudes above 2000 m, many of whom have pre-existing chronic diseases, including pulmonary vascular diseases (PVDs) such as pulmonary arterial hypertension (PAH) or chronic thromboembolic pulmonary hypertension (CTEPH). We investigated the acute effects of high-dose supplemental oxygen on pulmonary haemodynamics assessed by echocardiography in patients with PVD permanently living at 2850 m.</p><p><strong>Methods and results: </strong>In a randomized, single-blind, placebo-controlled crossover trial, patients with PVD diagnosed with PAH or CTEPH were allocated to receive 10 L/min supplemental oxygen (FiO<sub>2</sub> ≈ 95%) and placebo air administered via a facial mask with reservoir near their living altitude in Quito at 2850 m (FiO<sub>2</sub>0.21, PiO<sub>2</sub> ≈ 60% of sea level) in random order with a washout period of >2 h. After >15 min of breathing the respective FiO<sub>2</sub>, systolic pulmonary artery pressure (sPAP), cardiac output (CO), and other parameters were assessed by echocardiography. Furthermore, radial arterial blood gases were analysed. Twenty-eight patients with PVD (24 females, 26 PAH, age 45 ± 12 years) treated with phosphodiesterase-5 inhibitors (<i>n</i> = 28) and endothelin receptor antagonists (<i>n</i> = 9) were included. With oxygen vs. placebo air, sPAP was 57 ± 23 vs. 68 ± 24 mmHg, mean difference -11 mmHg (-15 to -6 mmHg, <i>P</i> < 0.001), CO was 3.2 ± 0.9 vs. 3.9 ± 1.1 L/min; -0.7 L/min (-0.9 to -0.4 L/min, <i>P</i> < 0.001), while sPAP/CO was unchanged, and the right ventriculo-arterial coupling was increased. PaO<sub>2</sub> was 22.5 ± 9.7 vs. 7.6 ± 1.5 kPa; 14.9 kPa (11.4-18.4 kPa, <i>P</i> < 0.001).</p><p><strong>Conclusion: </strong>High-dose oxygen therapy in prevalent patients with PVD living near 2850 m significantly lowered sPAP but also CO by a reduced heart rate, resulting in an unchanged pulmonary resistance. Whether longer-term oxygen therapy would improve pulmonary vascular resistance requires further investigation.</p><p><strong>Registration: </strong>NCT06084559 URL: https://clinicaltrials.gov/study/NCT06084559.</p>","PeriodicalId":93995,"journal":{"name":"European heart journal open","volume":"4 6","pages":"oeae097"},"PeriodicalIF":0.0,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11653896/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142857380","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}
引用次数: 0
Percutaneous thrombectomy with the FlowTriever for pulmonary embolism with right heart thrombi: a retrospective two centres study. 使用 FlowTriever 经皮血栓切除术治疗伴有右心血栓的肺栓塞:一项由两个中心进行的回顾性研究。
European heart journal open Pub Date : 2024-11-22 eCollection Date: 2024-11-01 DOI: 10.1093/ehjopen/oeae092
Laurent Bonello, Clément Tardivel, Marc Laine, François Roubille
{"title":"Percutaneous thrombectomy with the FlowTriever for pulmonary embolism with right heart thrombi: a retrospective two centres study.","authors":"Laurent Bonello, Clément Tardivel, Marc Laine, François Roubille","doi":"10.1093/ehjopen/oeae092","DOIUrl":"10.1093/ehjopen/oeae092","url":null,"abstract":"","PeriodicalId":93995,"journal":{"name":"European heart journal open","volume":"4 6","pages":"oeae092"},"PeriodicalIF":0.0,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11583047/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142712231","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}
引用次数: 0
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