Pub Date : 2024-08-01DOI: 10.1016/j.hlc.2024.06.060
{"title":"Implementation of a Quality Assurance Program in ECG Reporting","authors":"","doi":"10.1016/j.hlc.2024.06.060","DOIUrl":"10.1016/j.hlc.2024.06.060","url":null,"abstract":"","PeriodicalId":13000,"journal":{"name":"Heart, Lung and Circulation","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1443950624007182/pdfft?md5=da2d7646765e766854fa0ab2a9ff928e&pid=1-s2.0-S1443950624007182-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141953245","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-08-01DOI: 10.1016/j.hlc.2024.06.068
{"title":"Rate of Appropriate and Inappropriate Therapy in Patients with Non-Ischaemic Cardiomyopathy—A Comparison Between Primary and Secondary Prevention Implantable Cardioverter-Defibrillator Patients","authors":"","doi":"10.1016/j.hlc.2024.06.068","DOIUrl":"10.1016/j.hlc.2024.06.068","url":null,"abstract":"","PeriodicalId":13000,"journal":{"name":"Heart, Lung and Circulation","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1443950624007261/pdfft?md5=c2cd070896c13e4274251696e03ae599&pid=1-s2.0-S1443950624007261-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141951956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-08-01DOI: 10.1016/j.hlc.2024.03.007
Troponin is an important diagnostic tool, however, as the assay sensitivity and frequency of testing has increased in the COVID-19 era, a new cohort of patients with persistently elevated troponin has emerged. Interfering antibodies should be considered in patients with persistent and stable troponin elevation, where there is no ongoing cause.
{"title":"Macrotroponin in the COVID-19 Era: An Under-Recognised Cause of Persistent Troponin Elevation","authors":"","doi":"10.1016/j.hlc.2024.03.007","DOIUrl":"10.1016/j.hlc.2024.03.007","url":null,"abstract":"<div><p>Troponin is an important diagnostic tool, however, as the assay sensitivity and frequency of testing has increased in the COVID-19 era, a new cohort of patients with persistently elevated troponin has emerged. Interfering antibodies should be considered in patients with persistent and stable troponin elevation, where there is no ongoing cause.</p></div>","PeriodicalId":13000,"journal":{"name":"Heart, Lung and Circulation","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1443950624001689/pdfft?md5=cd8117d67da2329b682b53525ed08a0a&pid=1-s2.0-S1443950624001689-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140863450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-08-01DOI: 10.1016/j.hlc.2024.02.018
Background
Acute coronary syndrome (ACS) admissions and percutaneous coronary intervention (PCI) volume declined during periods of COVID-19 lockdown internationally in 2020. The effect of lockdown on emergency medical service (EMS) utilisation, and PCI volume during the initial phase of the pandemic in Australia has not been well described.
Method
We analysed data from the Victorian Cardiac Outcomes Registry (VCOR), a state-wide PCI registry, linked with the Ambulance Victoria EMS registry. PCI volume, 30-day major adverse cardiovascular and cerebrovascular events (MACCE; composite of mortality, myocardial infarction, stent thrombosis, unplanned revascularisation, and stroke), and EMS utilisation were compared over four time periods: lockdown (26 Mar 2020–12 May 2020); pre-lockdown (26 Feb 2020–25 Mar 2020); post-lockdown (13 May 2020–10 Jul 2020); and the year prior (26 Mar 2019–12 May 2019). Interrupted time series analysis was performed to assess PCI trends within and between consecutive periods.
Results
The EMS utilisation for ACS during lockdown was higher compared with other periods: lockdown 39.4% vs pre-lockdown 29.7%; vs post-lockdown 33.6%; vs year prior 27.1%; all p<0.01. Median daily PCI cases were similar: 31 (IQR 10, 38) during lockdown; 39 (15, 49) pre-lockdown; 39.5 (11, 44) post-lockdown; and, 42 (10, 49) the year prior; all p>0.05. Median door-to-procedure time for ACS indication during lockdown was shorter at 3 hours (1.2, 20.6) vs pre-lockdown 3.9 (1.7, 21); vs post-lockdown 3.5 (1.5, 21.26); and, the year prior 3.5 (1.5, 23.7); all p<0.05. Lockdown period was associated with lower odds for 30-day MACCE compared to pre-lockdown (odds ratio [OR] 0.55 [0.33–0.93]; p=0.026); post-lockdown (OR 0.66; [0.40–1.06]; p=0.087); and the year prior (OR 0.55 [0.33–0.93]; p=0.026).
Conclusions
Contrary to international trends, EMS utilisation for ACS increased during lockdown but PCI volumes remained similar throughout the initial stages of the pandemic in Victoria, with no observed adverse effect on 30-day MACCE during lockdown. These data suggest that the public health response in Victoria was not associated with poorer quality cardiovascular care in patients receiving PCI.
{"title":"Effect of COVID-19 Pandemic Lockdown on Emergency Medical Service Utilisation, and Percutaneous Coronary Intervention Volume—An Australian Perspective","authors":"","doi":"10.1016/j.hlc.2024.02.018","DOIUrl":"10.1016/j.hlc.2024.02.018","url":null,"abstract":"<div><h3>Background</h3><p>Acute coronary syndrome (ACS) admissions and percutaneous coronary intervention (PCI) volume declined during periods of COVID-19 lockdown internationally in 2020. The effect of lockdown on emergency medical service (EMS) utilisation, and PCI volume during the initial phase of the pandemic in Australia has not been well described.</p></div><div><h3>Method</h3><p>We analysed data from the Victorian Cardiac Outcomes Registry (VCOR), a state-wide PCI registry, linked with the Ambulance Victoria EMS registry. PCI volume, 30-day major adverse cardiovascular and cerebrovascular events (MACCE; composite of mortality, myocardial infarction, stent thrombosis, unplanned revascularisation, and stroke), and EMS utilisation were compared over four time periods: lockdown (26 Mar 2020–12 May 2020); pre-lockdown (26 Feb 2020–25 Mar 2020); post-lockdown (13 May 2020–10 Jul 2020); and the year prior (26 Mar 2019–12 May 2019). Interrupted time series analysis was performed to assess PCI trends within and between consecutive periods.</p></div><div><h3>Results</h3><p>The EMS utilisation for ACS during lockdown was higher compared with other periods: lockdown 39.4% vs pre-lockdown 29.7%; vs post-lockdown 33.6%; vs year prior 27.1%; all p<0.01. Median daily PCI cases were similar: 31 (IQR 10, 38) during lockdown; 39 (15, 49) pre-lockdown; 39.5 (11, 44) post-lockdown; and, 42 (10, 49) the year prior; all p>0.05. Median door-to-procedure time for ACS indication during lockdown was shorter at 3 hours (1.2, 20.6) vs pre-lockdown 3.9 (1.7, 21); vs post-lockdown 3.5 (1.5, 21.26); and, the year prior 3.5 (1.5, 23.7); all p<0.05. Lockdown period was associated with lower odds for 30-day MACCE compared to pre-lockdown (odds ratio [OR] 0.55 [0.33–0.93]; p=0.026); post-lockdown (OR 0.66; [0.40–1.06]; p=0.087); and the year prior (OR 0.55 [0.33–0.93]; p=0.026).</p></div><div><h3>Conclusions</h3><p>Contrary to international trends, EMS utilisation for ACS increased during lockdown but PCI volumes remained similar throughout the initial stages of the pandemic in Victoria, with no observed adverse effect on 30-day MACCE during lockdown. These data suggest that the public health response in Victoria was not associated with poorer quality cardiovascular care in patients receiving PCI.</p></div>","PeriodicalId":13000,"journal":{"name":"Heart, Lung and Circulation","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1443950624001562/pdfft?md5=50294154f5e86b60ec004088c245279a&pid=1-s2.0-S1443950624001562-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141491652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-08-01DOI: 10.1016/j.hlc.2024.06.023
{"title":"Frailty Prevalence and Characteristics in a Transthyretin Amyloid Cardiomyopathy Cohort","authors":"","doi":"10.1016/j.hlc.2024.06.023","DOIUrl":"10.1016/j.hlc.2024.06.023","url":null,"abstract":"","PeriodicalId":13000,"journal":{"name":"Heart, Lung and Circulation","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1443950624006814/pdfft?md5=8496ca4965fd961d1f4b8bf17e08d1bb&pid=1-s2.0-S1443950624006814-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141951743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-08-01DOI: 10.1016/S1443-9506(24)01754-2
{"title":"Cardiac Society of Australia and New Zealand","authors":"","doi":"10.1016/S1443-9506(24)01754-2","DOIUrl":"10.1016/S1443-9506(24)01754-2","url":null,"abstract":"","PeriodicalId":13000,"journal":{"name":"Heart, Lung and Circulation","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1443950624017542/pdfft?md5=1aaf7796b3d61511583bb9b0e33cf3c4&pid=1-s2.0-S1443950624017542-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141959950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-08-01DOI: 10.1016/j.hlc.2024.06.041
{"title":"Cost-Effectiveness and Budget Impact Analysis of an Evidence Based Co-Designed Model of Cardiac Rehabilitation for Patients in Rural and Remote Areas","authors":"","doi":"10.1016/j.hlc.2024.06.041","DOIUrl":"10.1016/j.hlc.2024.06.041","url":null,"abstract":"","PeriodicalId":13000,"journal":{"name":"Heart, Lung and Circulation","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1443950624006991/pdfft?md5=bf01e67cd59dc65adc3f9cd6efc9260c&pid=1-s2.0-S1443950624006991-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141953464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-08-01DOI: 10.1016/j.hlc.2024.06.067
{"title":"Outreach Echocardiography in South-Western Queensland—17 Years of Providing Quality Service to Rural and Remote and Indigenous Communities","authors":"","doi":"10.1016/j.hlc.2024.06.067","DOIUrl":"10.1016/j.hlc.2024.06.067","url":null,"abstract":"","PeriodicalId":13000,"journal":{"name":"Heart, Lung and Circulation","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S144395062400725X/pdfft?md5=8be69057758dd253675e25162644c37f&pid=1-s2.0-S144395062400725X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141960121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}