Juan Pablo Costabel, Leonardo Lucas Suarez, Yogita Rochlani, Ahmad Masri, Leandro Slipczuk, Enrique Berrios
{"title":"Transthyretin amyloid cardiomyopathy: Evolving therapies, expanding hope.","authors":"Juan Pablo Costabel, Leonardo Lucas Suarez, Yogita Rochlani, Ahmad Masri, Leandro Slipczuk, Enrique Berrios","doi":"10.1016/j.pcad.2025.07.011","DOIUrl":"https://doi.org/10.1016/j.pcad.2025.07.011","url":null,"abstract":"<p><p>Transthyretin amyloid cardiomyopathy (ATTR-CM) is a progressive and life-threatening condition characterized by the deposition of misfolded transthyretin (TTR) protein in the myocardium, leading to restrictive cardiomyopathy and heart failure. Given its high mortality rate and historically limited therapeutic options, there is a growing need for effective treatments. Current therapeutic strategies focus on reducing the production of TTR using RNA-targeted therapies and stabilizing the native TTR tetramer to prevent misfolding and aggregation. In recent years, emerging therapies-including monoclonal antibodies aimed at promoting amyloid clearance and gene-editing techniques designed to eliminate pathogenic TTR expression-have demonstrated encouraging results in early-phase studies. However, several challenges persist, including delays in diagnosis, variability in clinical response, and limited long-term outcome data. Early detection, timely initiation of treatment, and a personalized approach based on disease stage and genotype are critical to improving prognosis. Ongoing clinical trials are expected to provide further insight into the durability, safety, and broader applicability of these novel therapies, potentially reshaping the treatment landscape for ATTR-CM.</p>","PeriodicalId":94178,"journal":{"name":"Progress in cardiovascular diseases","volume":" ","pages":""},"PeriodicalIF":7.6,"publicationDate":"2025-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144736395","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":"Atherogenic dyslipidemia: A marker of cardiovascular risk in treated hypertension.","authors":"Waqas A Malick, Omar Al Dhaybi, Deepak L Bhatt","doi":"10.1016/j.pcad.2025.07.008","DOIUrl":"10.1016/j.pcad.2025.07.008","url":null,"abstract":"","PeriodicalId":94178,"journal":{"name":"Progress in cardiovascular diseases","volume":" ","pages":""},"PeriodicalIF":7.6,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144719300","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":"Catheter ablation as first line therapy for atrial fibrillation.","authors":"Maham F Karatela, Hugh Calkins","doi":"10.1016/j.pcad.2025.07.009","DOIUrl":"https://doi.org/10.1016/j.pcad.2025.07.009","url":null,"abstract":"<p><p>The treatment for atrial fibrillation has evolved significantly over time. Previously, medication management was the mainstay of treatment. As we have developed more robust technologies and modalities for catheter ablation, these treatment recommendations have changed. Catheter ablation is a safe and effective strategy for treating atrial fibrillation that is now considered first-line therapy in some patient populations. In this review, we discuss historical perspectives regarding the treatment and management of atrial fibrillation. We review the literature on studies investigating catheter ablation as first-line therapy, including the impact of catheter ablation on arrhythmia recurrence, cardiovascular outcomes, and healthcare utilization. Finally, we discuss future directions for the management of atrial fibrillation as the technology for catheter ablation continues to grow and progress.</p>","PeriodicalId":94178,"journal":{"name":"Progress in cardiovascular diseases","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144710418","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}
Tyson S Burnham, Ravi Ranjan, Klitos Konstantinidis, Benjamin A Steinberg, T Jared Bunch
{"title":"Fat, fib, and forgetfulness: The interplay between adiposity, atrial fibrillation, and dementia.","authors":"Tyson S Burnham, Ravi Ranjan, Klitos Konstantinidis, Benjamin A Steinberg, T Jared Bunch","doi":"10.1016/j.pcad.2025.07.006","DOIUrl":"10.1016/j.pcad.2025.07.006","url":null,"abstract":"<p><p>Atrial Fibrillation, dementia, and obesity are prevalent and interconnected pathologic states with significant morbidity and mortality and increasing global incidence. This review examines the current literature regarding the known and hypothesized relationships between these three conditions, their risk factors, and treatment strategies. We aim to highlight a stepwise and potentially causative interplay between them. As all three states become increasingly common in clinical practice, a detailed understanding of their multifactorial and multimodal relationship becomes critical for effective multidisciplinary care. Appropriate treatment of each is likely to reduce the burden of all three.</p>","PeriodicalId":94178,"journal":{"name":"Progress in cardiovascular diseases","volume":" ","pages":""},"PeriodicalIF":7.6,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144669223","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}
Furio Colivicchi, Stefania Angela Di Fusco, Vered Gil Ad, Silvia Castelletti, Luigi Pollarolo, Maria Laura Canale, Simona Giubilato, Roberta Rossini, Stefano Oliva, Andrea Tedeschi, Alessandra Greco, Myriam Rita Intravaia, Francesco Antonio Veneziano, Piero Clavario, Claudio Bilato, Marco Corda, Giovanna Geraci, Attilio Iacovoni, Alessandro Navazio, Federico Nardi, Domenico Gabrielli, Massimo Grimaldi, Fabrizio Oliva
{"title":"How to facilitate smoking cessation.","authors":"Furio Colivicchi, Stefania Angela Di Fusco, Vered Gil Ad, Silvia Castelletti, Luigi Pollarolo, Maria Laura Canale, Simona Giubilato, Roberta Rossini, Stefano Oliva, Andrea Tedeschi, Alessandra Greco, Myriam Rita Intravaia, Francesco Antonio Veneziano, Piero Clavario, Claudio Bilato, Marco Corda, Giovanna Geraci, Attilio Iacovoni, Alessandro Navazio, Federico Nardi, Domenico Gabrielli, Massimo Grimaldi, Fabrizio Oliva","doi":"10.1016/j.pcad.2025.07.007","DOIUrl":"10.1016/j.pcad.2025.07.007","url":null,"abstract":"<p><p>Despite a decline in global smoking prevalence over recent decades, cigarette smoking remains one of the main modifiable risk factors for cardiovascular disease. The cardiovascular benefits of smoking cessation are well established; however, quitting smoking remains a major challenge. In this review, we aim to highlight useful tools to support smokers in their cessation journey. These include brief counseling, cognitive and behavioral interventions, and pharmacological therapies (e.g. nicotine replacement therapy, bupropion, varenicline). We also discuss evidence regarding eHealth-based interventions and the potential impact of e-cigarettes on smoking cessation. Finally, we focus on the role of public health interventions in promoting smoking cessation.</p>","PeriodicalId":94178,"journal":{"name":"Progress in cardiovascular diseases","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144669224","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}
Salvatore Di Napoli, Daniela Pacella, Leopoldo Ordine, Grazia Canciello, Felice Borrelli, Lorenzo Moscano, Raffaele Martorano, Roberto Polizzi, Brigida Napolitano, Alessandra Spinelli, Raffaella Lombardi, Giovanni Esposito, Maria Angela Losi
{"title":"Left atrial size trajectories and outcome over a 35-year follow-up in patients with hypertrophic cardiomyopathy.","authors":"Salvatore Di Napoli, Daniela Pacella, Leopoldo Ordine, Grazia Canciello, Felice Borrelli, Lorenzo Moscano, Raffaele Martorano, Roberto Polizzi, Brigida Napolitano, Alessandra Spinelli, Raffaella Lombardi, Giovanni Esposito, Maria Angela Losi","doi":"10.1016/j.pcad.2025.07.004","DOIUrl":"10.1016/j.pcad.2025.07.004","url":null,"abstract":"<p><strong>Background: </strong>In Hypertrophic cardiomyopathy (HCM) increasing evidence suggests left atrial (LA) remodelling plays a critical role in disease progression. Traditional static LA size measurements, while established as risk markers, do not reflect the dynamic nature of LA changes over time.</p><p><strong>Objectives: </strong>This study aimed to define long-term LA remodelling trajectories in HCM and assess their prognostic value for predicting atrial fibrillation (AF), sudden cardiac death (SCD), and heart failure (HF) death.</p><p><strong>Methods: </strong>A cohort of 210 HCM patients with at least 5 LA measurements (36 % women, mean age 45 ± 17 years) was followed over a 35-year period. Group-based trajectory modelling identified distinct longitudinal patterns of LA size. Clinical endpoints included incident AF, SCD, and a composite of heart failure-related death or transplantation. Cox regression analyses compared the predictive value of these trajectories against static baseline LA measurements.</p><p><strong>Results: </strong>Three LA remodelling trajectories were identified. Over a mean follow-up of 21.8 ± 7.8 years, 73 patients developed AF, 25 experienced SCD, and 9 died from HF. Moderate (Cluster B) and severe (Cluster C) remodelling trajectories were associated with significantly increased AF risk (log-rank p < 0.001), with Cluster C showing a markedly elevated adjusted hazard ratio (aHR 9.30 vs. 5.03 for baseline size). Cluster C was also significantly associated with higher risk of SCD (aHR 3.61, p = 0.031) and HF death (p = 0.028).</p><p><strong>Conclusions: </strong>Longitudinal LA remodelling patterns offer superior prognostic value over static measurements in HCM, enabling improved risk stratification and personalized care.</p>","PeriodicalId":94178,"journal":{"name":"Progress in cardiovascular diseases","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144628314","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}
Jacopo Marazzato, Fengwei Zou, Marco Schiavone, Vincenzo Mirco La Fazia, Giovanni Forleo, Sanghamitra Mohanty, Aung Lin, Domingo Ynoa Garcia, Andrea Natale, Xiaodong Zhang, Luigi Di Biase
{"title":"Impact of contact force and pulsed field ablation parameters on myocardial lesion formation during pulsed field ablation: A systematic review of pre-clinical studies.","authors":"Jacopo Marazzato, Fengwei Zou, Marco Schiavone, Vincenzo Mirco La Fazia, Giovanni Forleo, Sanghamitra Mohanty, Aung Lin, Domingo Ynoa Garcia, Andrea Natale, Xiaodong Zhang, Luigi Di Biase","doi":"10.1016/j.pcad.2025.07.001","DOIUrl":"10.1016/j.pcad.2025.07.001","url":null,"abstract":"<p><p>Pulsed field ablation (PFA) is a novel and minimally thermal energy source that exploits the biophysics of irreversible electroporation (IRE) to cause cell death. Differently from radiofrequency ablation (RFA) where adequate catheter-tissue contact proved paramount in lesion formation, the additional role of contact force (CF) during PFA is under debate due to the inherent myocardial selectivity and the customizable nature of IRE. In fact, it is not clear whether the amount of contact exerted during PFA delivery is as pivotal in achieving optimal lesion size as during RFA. Moreover, the variety of PFA catheters and the myriads of IRE ablation settings available would further potentially limit the role of CF in this scenario. However, beyond CF, specific ablation parameters, such as the PFA dose, number of pulses, catheter tip orientation and specific PFA workflows, proved to act in synergy with CF in achieving wide and deep ablation lesions even during PFA delivery. Therefore, the aim of this systematic review is to provide a better understanding on which ablation parameters - CF included - can help to obtain effective lesion formation during PFA.</p>","PeriodicalId":94178,"journal":{"name":"Progress in cardiovascular diseases","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144621578","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":"RSV in cardiovascular care: When the lungs speak to the heart.","authors":"Paul Loubet, François Roubille","doi":"10.1016/j.pcad.2025.07.003","DOIUrl":"10.1016/j.pcad.2025.07.003","url":null,"abstract":"","PeriodicalId":94178,"journal":{"name":"Progress in cardiovascular diseases","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144621579","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}