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Inhibitors of sodium-glucose transport protein 2: A new multidirectional therapeutic option for heart failure patients. 钠-葡萄糖转运蛋白2抑制剂:心力衰竭患者的一个新的多向治疗选择。
IF 2.9 3区 医学
Cardiology journal Pub Date : 2023-01-01 DOI: 10.5603/CJ.a2021.0133
Jacek Kubica, Aldona Kubica, Klaudyna Grzelakowska, Wioleta Stolarek, Zofia Grąbczewska, Piotr Michalski, Piotr Niezgoda, Stanisław Bartuś, Andrzej Budaj, Mariusz Dąbrowski, Jarosław Drożdż, Ryszard Gellert, Miłosz Jaguszewski, Piotr Jankowski, Jacek Legutko, Maciej Lesiak, Przemysław Leszek, Jolanta Małyszko, Przemysław Mitkowski, Jadwiga Nessler, Krzysztof Pawlaczyk, Jolanta Siller-Matula, Tomasz Stompór, Bogumił Wolnik, Eliano Pio Navarese
{"title":"Inhibitors of sodium-glucose transport protein 2: A new multidirectional therapeutic option for heart failure patients.","authors":"Jacek Kubica,&nbsp;Aldona Kubica,&nbsp;Klaudyna Grzelakowska,&nbsp;Wioleta Stolarek,&nbsp;Zofia Grąbczewska,&nbsp;Piotr Michalski,&nbsp;Piotr Niezgoda,&nbsp;Stanisław Bartuś,&nbsp;Andrzej Budaj,&nbsp;Mariusz Dąbrowski,&nbsp;Jarosław Drożdż,&nbsp;Ryszard Gellert,&nbsp;Miłosz Jaguszewski,&nbsp;Piotr Jankowski,&nbsp;Jacek Legutko,&nbsp;Maciej Lesiak,&nbsp;Przemysław Leszek,&nbsp;Jolanta Małyszko,&nbsp;Przemysław Mitkowski,&nbsp;Jadwiga Nessler,&nbsp;Krzysztof Pawlaczyk,&nbsp;Jolanta Siller-Matula,&nbsp;Tomasz Stompór,&nbsp;Bogumił Wolnik,&nbsp;Eliano Pio Navarese","doi":"10.5603/CJ.a2021.0133","DOIUrl":"https://doi.org/10.5603/CJ.a2021.0133","url":null,"abstract":"<p><p>Several mechanisms have been suggested to explain positive cardiovascular effects observed in studies with sodium-glucose co-transporter 2 (SGLT2) inhibitors. The reduction in glucose reabsorption in proximal tubuli induced by SGLT2 inhibitors increases urinary glucose and sodium excretion resulting in increased osmotic diuresis and consequently in decreased plasma volume, followed by reduced preload. In addition, the hemodynamic effects of SGLT2 inhibition were observed in both hyper and euglycemic patients. Due to the complex and multidirectional effects induced by SGLT2 inhibitors, this originally antidiabetic group of drugs has been successfully used to treat patients with heart failure as well as for subjects with chronic kidney disease. Moreover, their therapeutic potential seems to be even broader than the indications studied to date.</p>","PeriodicalId":9492,"journal":{"name":"Cardiology journal","volume":"30 1","pages":"143-149"},"PeriodicalIF":2.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/bc/c4/cardj-30-1-143.PMC9987542.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10856770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Immature platelet fraction in cardiovascular diagnostics and antiplatelet therapy monitoring. 未成熟血小板分数在心血管诊断和抗血小板治疗监测中的应用。
IF 2.9 3区 医学
Cardiology journal Pub Date : 2023-01-01 Epub Date: 2023-03-13 DOI: 10.5603/CJ.a2023.0019
Karolina Gumiężna, Piotr Baruś, Grażyna Sygitowicz, Agnieszka Wiśniewska, Dorota Ochijewicz, Karolina Pasierb, Dominika Klimczak-Tomaniak, Ewa Kuca-Warnawin, Janusz Kochman, Marcin Grabowski, Grzegorz Opolski, Mariusz Tomaniak, Krzysztof J Filipiak
{"title":"Immature platelet fraction in cardiovascular diagnostics and antiplatelet therapy monitoring.","authors":"Karolina Gumiężna, Piotr Baruś, Grażyna Sygitowicz, Agnieszka Wiśniewska, Dorota Ochijewicz, Karolina Pasierb, Dominika Klimczak-Tomaniak, Ewa Kuca-Warnawin, Janusz Kochman, Marcin Grabowski, Grzegorz Opolski, Mariusz Tomaniak, Krzysztof J Filipiak","doi":"10.5603/CJ.a2023.0019","DOIUrl":"10.5603/CJ.a2023.0019","url":null,"abstract":"<p><p>Immature platelet fraction (IPF), circulating platelets still containing RNA, can be easily calculated by automated flow cytometry, this makes them an accessible biomarker. Higher IPF concentrations were reported in patients with thrombocytopenia, patients who were smokers, and also those who were diabetics. Several studies have reported their diagnostic and prognostic importance in patients presenting with acute coronary syndromes, especially ST-segment elevation myocardial infarction, where increased IPF level is an independent predictor of cardiovascular death. In addition, higher IPF were reported in patients with inadequate response to either clopidogrel or prasugrel, suggesting their potential role in antiplatelet therapy monitoring. Their prognostic significance was also observed in both coronary artery disease and postcardiac surgery status, where their higher levels correlated with the risk of major adverse cardiac events. The current review aims to present the current evidence on diagnostic, prognostic and potentially therapeutic roles of IPF in cardiovascular medicine.</p>","PeriodicalId":9492,"journal":{"name":"Cardiology journal","volume":" ","pages":"817-824"},"PeriodicalIF":2.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10635728/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9092518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cardiac exercise imaging using a 3-tesla magnetic resonance-conditional pedal ergometer: Preliminary results in healthy volunteers and patients with known or suspected coronary artery disease. 使用3特斯拉磁共振条件踏板测力仪进行心脏运动成像:健康志愿者和已知或疑似冠状动脉疾病患者的初步结果。
IF 2.9 3区 医学
Cardiology journal Pub Date : 2023-01-01 DOI: 10.5603/CJ.a2021.0095
Agnes Mayr, Gert Klug, Sebastian J Reinstadler, Regina Esterhammer, Christian Kremser, Klemens Mairer, Bernhard Metzler, Michael F Schocke
{"title":"Cardiac exercise imaging using a 3-tesla magnetic resonance-conditional pedal ergometer: Preliminary results in healthy volunteers and patients with known or suspected coronary artery disease.","authors":"Agnes Mayr,&nbsp;Gert Klug,&nbsp;Sebastian J Reinstadler,&nbsp;Regina Esterhammer,&nbsp;Christian Kremser,&nbsp;Klemens Mairer,&nbsp;Bernhard Metzler,&nbsp;Michael F Schocke","doi":"10.5603/CJ.a2021.0095","DOIUrl":"https://doi.org/10.5603/CJ.a2021.0095","url":null,"abstract":"<p><strong>Background: </strong>Cardiac magnetic resonance imaging (CMR) remains underutilized as an exercise imaging modality, mostly because of the limited availability of MR-compatible exercise equipment. This study prospectively evaluates the clinical feasibility of a newly developed MR-conditional pedal ergometer for exercise CMR METHODS: Ten healthy volunteers (mean age 44 ± 16 years) and 11 patients (mean age 60 ± 9 years) with known or suspected coronary artery disease (CAD) underwent rest and post-exercise cinematic 3T CMR. Visual analysis of wall motion abnormalities (WMA) was rated by 2 experienced radiologists, and volumes and ejection fractions (EF) were determined. Image quality was assessed by a 4-point Likert scale for visibility of endocardial borders.</p><p><strong>Results: </strong>Median subjective image quality of real-time cine at rest was 1 (interquartile range [IQR] 1-2) and 2 (IQR 2-2.5) for post-exercise real-time cine (p = 0.001). Exercise induced a significant increase in heart rate (62 [62-73] to 111 [104-143] bpm, p < 0.0001). Stroke volume and cardiac index increased from resting to post-exercise conditions (85 ± 21 to 101 ± 19 mL and 2.9 ± 0.7 to 6.6 ± 1.9 L/min/m2, respectively; both p < 0.0001), driven by a reduction in end-systolic volume (55 ± 20 to 42 ± 21 mL, p < 0.0001). Patients (2/11) with inducible regional WMA at high-resolution postexercise cine imaging revealed significant coronary artery stenosis in subsequently performed invasive coronary angiography.</p><p><strong>Conclusions: </strong>Exercise-CMR using our newly developed 3T MR-conditional pedal ergometer is clinically feasible. Imaging of both cardiac response and myocardial ischemia, triggered by dynamic stress, is rapidly conducted while the patient is near their peak heart rate.</p>","PeriodicalId":9492,"journal":{"name":"Cardiology journal","volume":"30 2","pages":"276-285"},"PeriodicalIF":2.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/25/1d/cardj-30-2-276.PMC10129251.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9400961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
"Burying" covered coronary stents under drug-eluting stents: A novel approach to ensure long-term stent patency. 药物洗脱支架下“埋入”冠脉支架:一种确保支架长期通畅的新方法。
IF 2.9 3区 医学
Cardiology journal Pub Date : 2023-01-01 DOI: 10.5603/CJ.a2021.0096
Matthias Bossard, Giacomo Maria Cioffi, Mustafa Yildirim, Federico Moccetti, Mathias Wolfrum, Adrian Attinger, Stefan Toggweiler, Richard Kobza, Florim Cuculi
{"title":"\"Burying\" covered coronary stents under drug-eluting stents: A novel approach to ensure long-term stent patency.","authors":"Matthias Bossard,&nbsp;Giacomo Maria Cioffi,&nbsp;Mustafa Yildirim,&nbsp;Federico Moccetti,&nbsp;Mathias Wolfrum,&nbsp;Adrian Attinger,&nbsp;Stefan Toggweiler,&nbsp;Richard Kobza,&nbsp;Florim Cuculi","doi":"10.5603/CJ.a2021.0096","DOIUrl":"https://doi.org/10.5603/CJ.a2021.0096","url":null,"abstract":"<p><strong>Background: </strong>Covered coronary stent (CS) implantation is associated with a high risk for in-stent restenosis (ISR) and stent thrombosis (ST). We describe the outcomes after overstenting (\"burying\") CS using contemporary drug-eluting stents (DES).</p><p><strong>Methods: </strong>We analyzed short- and long-term outcomes of consecutive patients who had had a CS implanted, which was consecutively covered (\"buried\") with a third-generation DES. CSs were primarily post-dilated and then covered with a longer DES overlapping the proximal and distal edges of the CS. To ensure optimal stent expansion and appositions, all lesions were post-dilated using adequately sized non-compliant balloons.</p><p><strong>Results: </strong>Between 2015 and 2020, 23 patients (mean age 67 ± 14 years, 74% males) were treated using this novel approach. Reasons for implanting CS included treatment of coronary aneurysms (n = 7; 30%), coronary perforations (n = 13; 57%), and aorto-ostial dissections (n = 3; 13%). All CSs were successfully deployed, and no peri-procedural complications occurred. The median time of follow-up was 24.5 (interquartile range [IQR] 11.7-37.9) months. All patients had a 1-month follow-up (FU) and 19/23 (83%) patients had 12-month FU (FU range 1-60 months). No probable or definite STs occurred, and no cardiovascular deaths were observed. Among patients undergoing angiographic FU (11/23 [48%]), 1/23 showed angiographically significant ISR 6 months post CS implantation.</p><p><strong>Conclusions: </strong>Burying a coronary CS under a DES appears to be a safe and promising strategy to overcome the limitations of the currently available CS devices, including a relatively high risk for target lesion failure due to ISR and ST.</p>","PeriodicalId":9492,"journal":{"name":"Cardiology journal","volume":"30 2","pages":"196-203"},"PeriodicalIF":2.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a5/46/cardj-30-2-196.PMC10129266.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9400963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
About vegetation size and its clinical implications. 关于植被大小及其临床意义。
IF 2.9 3区 医学
Cardiology journal Pub Date : 2023-01-01 DOI: 10.5603/CJ.2023.0008
Isidre Vilacosta
{"title":"About vegetation size and its clinical implications.","authors":"Isidre Vilacosta","doi":"10.5603/CJ.2023.0008","DOIUrl":"https://doi.org/10.5603/CJ.2023.0008","url":null,"abstract":"This article is available in open access under Creative Common Attribution-Non-Commercial-No Derivatives 4.0 International (CC BY-NC-ND 4.0) license, allowing to download articles and share them with others as long as they credit the authors and the publisher, but without permission to change them in any way or use them commercially. Cardiology Journal 2023, Vol. 30, No. 1, 3–5 DOI: 10.5603/CJ.2023.0008 Copyright © 2023 Via Medica ISSN 1897–5593 eISSN 1898–018X EDITORIAL CLINICAL CARDIOLOGY","PeriodicalId":9492,"journal":{"name":"Cardiology journal","volume":"30 1","pages":"3-5"},"PeriodicalIF":2.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a0/3f/cardj-30-1-3.PMC9987551.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9423926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mindfulness-based emotional regulation for patients with implantable cardioverter-defibrillators: A randomized pilot study of efficacy, applicability, and safety. 植入式心律转复除颤器患者的正念情绪调节:疗效、适用性和安全性的随机先导研究。
IF 2.9 3区 医学
Cardiology journal Pub Date : 2023-01-01 DOI: 10.5603/CJ.a2021.0094
Santiago Montero Ruiz, Beatriz Rodriguez Vega, Carmen Bayón Pérez, Rafael Peinado Peinado
{"title":"Mindfulness-based emotional regulation for patients with implantable cardioverter-defibrillators: A randomized pilot study of efficacy, applicability, and safety.","authors":"Santiago Montero Ruiz,&nbsp;Beatriz Rodriguez Vega,&nbsp;Carmen Bayón Pérez,&nbsp;Rafael Peinado Peinado","doi":"10.5603/CJ.a2021.0094","DOIUrl":"https://doi.org/10.5603/CJ.a2021.0094","url":null,"abstract":"<p><strong>Background: </strong>The efficacy of mindfulness-based interventions to reduce anxiety or improve quality of life (QoL) in patients with cardiac pathologies is well established. However, there is scarce information on the efficacy, applicability, and safety of these interventions in adult patients with an implantable cardioverter-defibrillator (ICD). In this study, we examined their efficacy on QoL, psychological and biomedical variables, as well as the applicability and safety of a mindfulness-based intervention in patients with an ICD.</p><p><strong>Methods: </strong>Ninety-six patients with an ICD were randomized into two intervention groups and a control group. The interventions involved training in mindfulness-based emotional regulation, either face-to- -face or using the \"REM Volver a casa\" mobile phone application (app).</p><p><strong>Results: </strong>The sample presented medium-high QoL baseline scores (mean: 68), low anxiety (6.84) and depression (3.89), average mindfulness disposition (128), and cardiological parameters similar to other ICD populations. After the intervention, no significant differences were found in the variables studied between the intervention and control groups. Retention was average (59%), and there were no adverse effects due to the intervention.</p><p><strong>Conclusions: </strong>After training in mindfulness-based emotional regulation (face-to-face or via app), no significant differences were found in the QoL or psychological or biomedical variables in patients with an ICD. The intervention proved to be safe, with 59% retention.</p>","PeriodicalId":9492,"journal":{"name":"Cardiology journal","volume":"30 3","pages":"401-410"},"PeriodicalIF":2.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/78/4c/cardj-30-3-401.PMC10287067.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9699485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparison of long-term clinical outcomes among zotarolimus-, everolimus-, and biolimus-eluting stents in acute myocardial infarction patients with renal impairment. 在肾功能受损的急性心肌梗死患者中比较佐他洛利莫司、依维莫司和比奥利莫司洗脱支架的长期临床疗效。
IF 2.5 3区 医学
Cardiology journal Pub Date : 2023-01-01 Epub Date: 2021-09-07 DOI: 10.5603/CJ.a2021.0099
Seok Oh, Dae Young Hyun, Kyung Hoon Cho, Ju Han Kim, Myung Ho Jeong
{"title":"Comparison of long-term clinical outcomes among zotarolimus-, everolimus-, and biolimus-eluting stents in acute myocardial infarction patients with renal impairment.","authors":"Seok Oh, Dae Young Hyun, Kyung Hoon Cho, Ju Han Kim, Myung Ho Jeong","doi":"10.5603/CJ.a2021.0099","DOIUrl":"10.5603/CJ.a2021.0099","url":null,"abstract":"<p><strong>Background: </strong>It is important to determine the best drug-eluting stent (DES) for acute myocardial infarction (AMI) in patients with renal impairment. In this studythe outcomes of everolimus-eluting stents (EESs), zotarolimus-eluting stents (ZESs) and biolimus-eluting stents (BESs) were evaluated.</p><p><strong>Methods: </strong>From the Korea Acute Myocardial Infarction-National Institutes of Health registry, a total of 1,470 AMI patients with renal impairment undergoing percutaneous coronary intervention (PCI) were enrolled (816 with EES, 345 with ZES, and 309 with BES). Renal impairment was defined as creatinine clearance < 60 mL/min/1.73 m² estimated by the Cockcroft-Gault method. Major adverse cardiac and cerebrovascular events were determined as the composite of all-cause death, non-fatal myocardial infarction (MI), cerebrovascular accident, any revascularization, rehospitalization and stent thrombosis. All clinical outcomes were analyzed.</p><p><strong>Results: </strong>The baseline characteristics of the patients revealed no significant difference between the three groups, except for Killip classification > 2, beta-blockers, lesion type, vascular approach, staged PCI, left main coronary artery (LMCA) complex lesions, LMCA PCI, and the number and length of implanted stents. In the Kaplan-Meier analysis, similar clinical outcomes were derived from the unadjusted data between the three DES groups. However, after the inverse probability of treatment weighting, a statistically significant difference was found in non-fatal MI, which implied a higher incidence of non-fatal MI in the ZES group than in the other two DES groups.</p><p><strong>Conclusions: </strong>In AMI patients with renal impairment, there was no significant difference between the three stent groups in terms of long-term clinical outcomes, except for non-fatal MI.</p>","PeriodicalId":9492,"journal":{"name":"Cardiology journal","volume":"30 3","pages":"440-452"},"PeriodicalIF":2.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/66/3e/cardj-30-3-440.PMC10287071.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9699488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Subintimal shift as mechanism for side-branch occlusion in percutaneous treatment of chronic total occlusions with bifurcation lesions. 经皮治疗慢性全闭塞伴分叉病变时,内膜下移位作为侧支闭塞的机制。
IF 2.9 3区 医学
Cardiology journal Pub Date : 2023-01-01 DOI: 10.5603/CJ.a2021.0079
Juan Luis Gutiérrez-Chico, Carlos Cortés, Mohamed Ayoub, Bernward Lauer, Sylvia Otto, Bernd Reisbeck, Manuela Reisbeck, Christian Schulze, Kambis Mashayekhi
{"title":"Subintimal shift as mechanism for side-branch occlusion in percutaneous treatment of chronic total occlusions with bifurcation lesions.","authors":"Juan Luis Gutiérrez-Chico,&nbsp;Carlos Cortés,&nbsp;Mohamed Ayoub,&nbsp;Bernward Lauer,&nbsp;Sylvia Otto,&nbsp;Bernd Reisbeck,&nbsp;Manuela Reisbeck,&nbsp;Christian Schulze,&nbsp;Kambis Mashayekhi","doi":"10.5603/CJ.a2021.0079","DOIUrl":"https://doi.org/10.5603/CJ.a2021.0079","url":null,"abstract":"<p><strong>Background: </strong>The aim of this study was to describe the mechanism of subintimal shift (SIS), standardise diagnostic criteria and sensitise the interventional community to this phenomenon. The treatment of chronic total occlusions (CTO) by means of percutaneous coronary intervention (PCI) is complicated by bifurcation lesions involved in the CTO segment or adjacent to it. Extraplaque expansion of intracoronary devices during CTO PCI may extend the dissection plane over the bifurcation with the consequential side or main branch compression by an intimo-medial flap. This phenomenon is hereby described for the first time and named subintimal shift.</p><p><strong>Methods: </strong>Experienced CTO operators from 3 international high volume centers for CTO PCI retrospectively searched their personal records for paradigmatic cases of SIS, summarising key features and proposing diagnostic criteria.</p><p><strong>Results: </strong>The series comprised 7 demonstrative cases, illustrating SIS by intravascular imaging (2 cases) or indirect angiographic signs during CTO PCI (5 cases). Five cases were triggered by stent expansion, 1 by balloon inflation and 1 case was aborted after angiographic warning signs. In 4 cases, SIS resulted in total occlusion of a branch, refractory to ballooning whenever attempted. Four cases required bailout intervention and in 2 cases the branch was left occluded, resulting in a rise of cardiac markers.</p><p><strong>Conclusions: </strong>Subintimal shift is a noteworthy complication in CTO bifurcations, potentially resulting in occlusion of the relevant side or even the main branch. Intracoronary imaging prior to stenting is recommended to understand the tissue planes. Some counterintuitive peculiarities of this phenomenon, like its refractoriness to ballooning, must be known by CTO operators for its efficient resolution.</p>","PeriodicalId":9492,"journal":{"name":"Cardiology journal","volume":"30 1","pages":"24-35"},"PeriodicalIF":2.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f5/4a/cardj-30-1-24.PMC9987534.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9414386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
Vasomotor function and optical coherence tomography follow-up 4 years after Fantom bioresorbable scaffold implantation: A case report. Fantom生物可吸收支架植入术后4年的血管运动功能和光学相干断层扫描随访:一例报告。
IF 2.9 3区 医学
Cardiology journal Pub Date : 2023-01-01 DOI: 10.5603/cj.85511
Łukasz Koltowski, Martyna Zaleska, Jakub Maksym, Janusz Kochman
{"title":"Vasomotor function and optical coherence tomography follow-up 4 years after Fantom bioresorbable scaffold implantation: A case report.","authors":"Łukasz Koltowski,&nbsp;Martyna Zaleska,&nbsp;Jakub Maksym,&nbsp;Janusz Kochman","doi":"10.5603/cj.85511","DOIUrl":"10.5603/cj.85511","url":null,"abstract":"","PeriodicalId":9492,"journal":{"name":"Cardiology journal","volume":"30 4","pages":"671-672"},"PeriodicalIF":2.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ff/5b/cardj-30-4-671.PMC10508069.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10212353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Speckle-tracking echocardiographic evaluation of the right ventricle in patients with ischemic left ventricular dysfunction. 斑点跟踪超声心动图对缺血性左心室功能障碍患者右心室的评价。
IF 2.9 3区 医学
Cardiology journal Pub Date : 2023-01-01 DOI: 10.5603/CJ.a2022.0024
Dorota Smolarek, Wojciech Sobiczewski, Maria Dudziak, Marcin Hellmann
{"title":"Speckle-tracking echocardiographic evaluation of the right ventricle in patients with ischemic left ventricular dysfunction.","authors":"Dorota Smolarek,&nbsp;Wojciech Sobiczewski,&nbsp;Maria Dudziak,&nbsp;Marcin Hellmann","doi":"10.5603/CJ.a2022.0024","DOIUrl":"https://doi.org/10.5603/CJ.a2022.0024","url":null,"abstract":"<p><strong>Background: </strong>The comprehensive assessment of right ventricular (RV) performance is of paramount importance because it is has been recognized as a strong prognostic factor in a variety of clinical settings. The aim herein was to evaluate the usefulness of RV longitudinal strain imaging by speckle-tracking echocardiography (STE) in daily clinical practice, especially in the context of RV systolic function and its changes after acute coronary syndrome (ACS).</p><p><strong>Methods: </strong>This prospective study enrolled 63 patients with ischemic injury (left ventricular ejection fraction [LVEF] ≤ 45%). Additionally, a subgroup was created: patients with ACS treated with successful percutaneous coronary intervention. The clinical and echocardiographic parameters, including STE, were analyzed.</p><p><strong>Results: </strong>Significant correlations for both RV free-wall (RVFWSL) and four-chamber (RV4CSL) longitudinal strain evaluated by STE with New York Heart Association class, LVEF, E/E' ratio, as well as conventional parameters of RV function were found. RVFWSL was able to detect subtle RV functional abnormalities, unreachable for traditional indices. RV recovery after ACS was not related to higher LVEF but better contractility of the interventricular septum (IVS) assessed by STE.</p><p><strong>Conclusions: </strong>Right ventricular strain proved to be a useful two-dimensional echocardiographic method to detect impaired RV performance, which showed a significant relationship with clinical and other echocardiographic indices. The IVS played a vital role in RV recovery among ACS survivors.</p>","PeriodicalId":9492,"journal":{"name":"Cardiology journal","volume":"30 1","pages":"73-81"},"PeriodicalIF":2.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/94/12/cardj-30-1-73.PMC9987550.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9103267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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