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Canadian Journal of Cardiology最新文献

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Keep Your Finger On the Pulse: Emerging Technology of Pulsed Field Ablation for Atrial Fibrillation. 保持你的手指在脉搏：脉冲场消融心房颤动的新兴技术。
IF 5.3 2区 医学
Canadian Journal of Cardiology Pub Date : 2025-07-31 DOI: 10.1016/j.cjca.2025.07.033
Magdalene Au, Satoshi Higuchi, Edward P Gerstenfeld, Christopher C Cheung
{"title":"Keep Your Finger On the Pulse: Emerging Technology of Pulsed Field Ablation for Atrial Fibrillation.","authors":"Magdalene Au, Satoshi Higuchi, Edward P Gerstenfeld, Christopher C Cheung","doi":"10.1016/j.cjca.2025.07.033","DOIUrl":"https://doi.org/10.1016/j.cjca.2025.07.033","url":null,"abstract":"","PeriodicalId":9555,"journal":{"name":"Canadian Journal of Cardiology","volume":" ","pages":""},"PeriodicalIF":5.3,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144768392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Atrial Septal Fistula: a Rare Cause of Paradoxical Embolism Mimicking Patent Foramen Ovale. 房间隔瘘：一种罕见的似卵圆孔未闭的似卵圆孔栓塞的原因。
IF 5.3 2区 医学
Canadian Journal of Cardiology Pub Date : 2025-07-31 DOI: 10.1016/j.cjca.2025.07.034
Kristian Ujka, Alessandra Pizzuto, Carmine Perna, Giovanni Salomone, Francesca Valeria Contini, Giuseppe Santoro
{"title":"Atrial Septal Fistula: a Rare Cause of Paradoxical Embolism Mimicking Patent Foramen Ovale.","authors":"Kristian Ujka, Alessandra Pizzuto, Carmine Perna, Giovanni Salomone, Francesca Valeria Contini, Giuseppe Santoro","doi":"10.1016/j.cjca.2025.07.034","DOIUrl":"https://doi.org/10.1016/j.cjca.2025.07.034","url":null,"abstract":"","PeriodicalId":9555,"journal":{"name":"Canadian Journal of Cardiology","volume":" ","pages":""},"PeriodicalIF":5.3,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144768391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Beyond the Skinfolds: Diagnostic and Therapeutic Hope for the Obese & Formerly Obese. 超越皮肤褶皱：肥胖和曾经肥胖的诊断和治疗的希望。
IF 5.3 2区 医学
Canadian Journal of Cardiology Pub Date : 2025-07-29 DOI: 10.1016/j.cjca.2025.07.014
D Douglas Miller
{"title":"Beyond the Skinfolds: Diagnostic and Therapeutic Hope for the Obese & Formerly Obese.","authors":"D Douglas Miller","doi":"10.1016/j.cjca.2025.07.014","DOIUrl":"https://doi.org/10.1016/j.cjca.2025.07.014","url":null,"abstract":"","PeriodicalId":9555,"journal":{"name":"Canadian Journal of Cardiology","volume":" ","pages":""},"PeriodicalIF":5.3,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144759192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Predictors of cardiovascular events in patients with Takayasu arteritis: A real-world Study. 高须动脉炎患者心血管事件的预测因素：一项真实世界的研究。
IF 5.3 2区 医学
Canadian Journal of Cardiology Pub Date : 2025-07-29 DOI: 10.1016/j.cjca.2025.07.028
Shiping He, Jing Li, Xiaofeng Zeng
{"title":"Predictors of cardiovascular events in patients with Takayasu arteritis: A real-world Study.","authors":"Shiping He, Jing Li, Xiaofeng Zeng","doi":"10.1016/j.cjca.2025.07.028","DOIUrl":"https://doi.org/10.1016/j.cjca.2025.07.028","url":null,"abstract":"","PeriodicalId":9555,"journal":{"name":"Canadian Journal of Cardiology","volume":" ","pages":""},"PeriodicalIF":5.3,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144759194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Carbon and Travel Cost Reduction from Remote Medication Titration for Advanced Heart Failure: A Secondary Analysis of a Randomized Controlled Trial. 晚期心力衰竭远程药物滴定降低碳排放和旅行成本：一项随机对照试验的二次分析。
IF 5.3 2区 医学
Canadian Journal of Cardiology Pub Date : 2025-07-29 DOI: 10.1016/j.cjca.2025.07.026
Michael D Elfassy, Kyle Runeckles, Nicole Simms, Geoffrey M Anderson, Anne Simard, Darshan H Brahmbhatt, Emily Seto, Augusta Lipscombe, Farid Faroutan, Fiona A Miller, Heather J Ross
{"title":"Carbon and Travel Cost Reduction from Remote Medication Titration for Advanced Heart Failure: A Secondary Analysis of a Randomized Controlled Trial.","authors":"Michael D Elfassy, Kyle Runeckles, Nicole Simms, Geoffrey M Anderson, Anne Simard, Darshan H Brahmbhatt, Emily Seto, Augusta Lipscombe, Farid Faroutan, Fiona A Miller, Heather J Ross","doi":"10.1016/j.cjca.2025.07.026","DOIUrl":"https://doi.org/10.1016/j.cjca.2025.07.026","url":null,"abstract":"<p><strong>Background: </strong>Optimization of guideline-directed medical therapy (GDMT) in heart failure with reduced ejection fraction (HFrEF) often requires frequent in-person visits, contributing to patient burden and healthcare-related carbon emissions. Remote patient management (RPM) may offer a lower-carbon and cost alternative while maintaining care quality.</p><p><strong>Methods: </strong>This is a secondary analysis of the Medly Titrate randomized controlled trial comparing RPM-based remote GDMT titration with usual care. Carbon emissions and patient travel costs were estimated using the CASCADES Virtual Care Carbon Accounting Tool. A 1:1 nearest-neighbor matching analysis based on median one-way travel distance was conducted to mitigate geographic confounding. Bootstrap analyses were used to estimate confidence intervals for group differences.</p><p><strong>Results: </strong>Remote optimization resulted in more patients reaching GDMT targets (98% vs. 85%) and 62-day faster titration. Patients in the remote arm traveled a median of 140 km versus 213 km in usual care. Matched analysis showed significant reductions in total carbon emissions (-8.50 tonnes; 95% CI -34.58 to -1.84), travel distance (-41,923.53 km; 95% CI -170,491.85 to -9,064.21), and travel costs (-$12,258.78 CAD; 95% CI -49,806.33 to -2,661.51). A folded F test confirmed greater variance in one-way trip distances (P < 0.001).</p><p><strong>Conclusions: </strong>Remote GDMT titration reduced travel, carbon emissions, and costs while maintaining care quality. This study is the first to quantify environmental and financial savings from remote HF medication titration using an integrated carbon calculator.</p>","PeriodicalId":9555,"journal":{"name":"Canadian Journal of Cardiology","volume":" ","pages":""},"PeriodicalIF":5.3,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144759193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Could Mineralocorticoid Receptor Antagonists Restore Myocardial Iron Homeostasis in Heart Failure? 矿化皮质激素受体拮抗剂能否恢复心力衰竭患者心肌铁稳态？
IF 5.3 2区 医学
Canadian Journal of Cardiology Pub Date : 2025-07-26 DOI: 10.1016/j.cjca.2025.07.025
Aleksandar Cirovic
{"title":"Could Mineralocorticoid Receptor Antagonists Restore Myocardial Iron Homeostasis in Heart Failure?","authors":"Aleksandar Cirovic","doi":"10.1016/j.cjca.2025.07.025","DOIUrl":"https://doi.org/10.1016/j.cjca.2025.07.025","url":null,"abstract":"","PeriodicalId":9555,"journal":{"name":"Canadian Journal of Cardiology","volume":" ","pages":""},"PeriodicalIF":5.3,"publicationDate":"2025-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144728114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
De Winter pattern and transient prominent anterior forces in a patient with left anterior descending coronary artery stenosis. 左冠状动脉前降支狭窄患者的De Winter模式和短暂性突出的前力。
IF 5.8 2区 医学
Canadian Journal of Cardiology Pub Date : 2025-07-24 DOI: 10.1016/j.cjca.2025.07.022
Jani Rankinen, Andrés Ricardo Pérez-Riera, Raimundo Barbosa-Barros, Kjell Nikus
{"title":"De Winter pattern and transient prominent anterior forces in a patient with left anterior descending coronary artery stenosis.","authors":"Jani Rankinen, Andrés Ricardo Pérez-Riera, Raimundo Barbosa-Barros, Kjell Nikus","doi":"10.1016/j.cjca.2025.07.022","DOIUrl":"https://doi.org/10.1016/j.cjca.2025.07.022","url":null,"abstract":"<p><p>There is growing awareness that a considerable proportion of patients with acute coronary syndrome, who potentially benefit from emergent coronary intervention, do not present with persistent ST elevation. Subtle ECG changes can provide valuable diagnostic clues. We describe a case in which a de Winter-like ECG pattern was followed by unexplained prominent anterior forces. One possible explanation is a transient left septal fascicular block, a phenomenon previously reported in association with myocardial ischemia.</p>","PeriodicalId":9555,"journal":{"name":"Canadian Journal of Cardiology","volume":" ","pages":""},"PeriodicalIF":5.8,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144717617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Predicting Pacing After Transcatheter Aortic Valve Replacement: Cracking the Right Bundle Code. 预测经导管主动脉瓣置换术后的起搏：破解右束密码。
IF 5.8 2区 医学
Canadian Journal of Cardiology Pub Date : 2025-07-22 DOI: 10.1016/j.cjca.2025.07.023
Mattia Pagnoni, Stephane Fournier, David Meier
{"title":"Predicting Pacing After Transcatheter Aortic Valve Replacement: Cracking the Right Bundle Code.","authors":"Mattia Pagnoni, Stephane Fournier, David Meier","doi":"10.1016/j.cjca.2025.07.023","DOIUrl":"https://doi.org/10.1016/j.cjca.2025.07.023","url":null,"abstract":"","PeriodicalId":9555,"journal":{"name":"Canadian Journal of Cardiology","volume":" ","pages":""},"PeriodicalIF":5.8,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144706422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Aortic Valve Replacement in Women with Reduced Ejection Fraction: Still Left Behind? 射血分数降低的女性主动脉瓣置换术：仍然落后吗？
IF 5.8 2区 医学
Canadian Journal of Cardiology Pub Date : 2025-07-22 DOI: 10.1016/j.cjca.2025.07.024
Aurelia Zimmerli, David Meier, Baris Gencer
{"title":"Aortic Valve Replacement in Women with Reduced Ejection Fraction: Still Left Behind?","authors":"Aurelia Zimmerli, David Meier, Baris Gencer","doi":"10.1016/j.cjca.2025.07.024","DOIUrl":"https://doi.org/10.1016/j.cjca.2025.07.024","url":null,"abstract":"","PeriodicalId":9555,"journal":{"name":"Canadian Journal of Cardiology","volume":" ","pages":""},"PeriodicalIF":5.8,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144706421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pulmonary Artery Intramural Hematoma Associated with Type B Aortic Dissection and Ductus Diverticulum. 肺动脉壁内血肿与B型主动脉夹层和憩室导管相关。
IF 5.8 2区 医学
Canadian Journal of Cardiology Pub Date : 2025-07-21 DOI: 10.1016/j.cjca.2025.06.073
Zhongze Cao, Kun Fang, Mingyao Luo, Chang Shu
{"title":"Pulmonary Artery Intramural Hematoma Associated with Type B Aortic Dissection and Ductus Diverticulum.","authors":"Zhongze Cao, Kun Fang, Mingyao Luo, Chang Shu","doi":"10.1016/j.cjca.2025.06.073","DOIUrl":"https://doi.org/10.1016/j.cjca.2025.06.073","url":null,"abstract":"<p><p>Pulmonary artery (PA) intramural hematoma (IMH) is a rare but clinically critical complication of type B aortic dissection (TBAD), which might contribute to respiratory symptoms. We report the case of a 67-year-old man with TBAD complicated by PA-IMH who presented with dyspnea and low blood oxygen saturation. The TBAD originated from a ductus diverticulum, which connected the descending aorta to the PA, resulting in IMH formation. Thoracic endovascular aortic repair was successfully performed; 5-year follow-up results were favorable. This report underscores an infrequent cause of dyspnea in patients with TBAD and the need for careful PA evaluation in such cases.</p>","PeriodicalId":9555,"journal":{"name":"Canadian Journal of Cardiology","volume":" ","pages":""},"PeriodicalIF":5.8,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144697721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","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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