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JACC. Heart failure最新文献

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BMI in HFpEF HFpEF中的BMI:是敌是友?
IF 11.8 1区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2026-03-01 Epub Date: 2025-12-09 DOI: 10.1016/j.jchf.2025.102826
Jennifer E. Ho MD , Sanjeeb S. Bhattacharya MD
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引用次数: 0
Undetected Heart Failure in Tertiary Care/Cardiology in Switzerland 瑞士三级保健/心脏病学中未被发现的心力衰竭。
IF 11.8 1区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2026-03-01 Epub Date: 2025-10-28 DOI: 10.1016/j.jchf.2025.102733
Klara Rumora MD , Christian Puelacher MD, PhD , Mirjam Pargger MD, PhDc , Desiree Wussler MD , Ivo Strebel PhD , Noemi Glarner MD, PhD , Michael J. Zellweger MD , Danielle M. Gualandro MD, PhD , Otmar Pfister MD , Christian Mueller MD
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引用次数: 0
Assessing Medical Therapy Optimization in Cardiovascular-Kidney-Metabolic Clinical Trials 评估心血管-肾脏-代谢临床试验中药物治疗的优化
IF 11.8 1区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2026-03-01 Epub Date: 2025-10-29 DOI: 10.1016/j.jchf.2025.102727
Ankeet S. Bhatt MD, MBA, ScM , Diana De Oliveira-Gomes MD , Mona Fiuzat PharmD , Muthiah Vaduganathan MD, MPH , Carine E. Hamo MD, MHS , Norman Stockbridge MD, PhD , Javed Butler MD, MPH, MBA , Mitchell Psotka MD, PhD , William T. Abraham MD , Darren K. McGuire MD, MHSc , Trejeeve Martyn MD, MSc , Barry H. Greenberg MD , Christopher M. O’Connor MD , Scott D. Solomon MD
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引用次数: 0
Mechanically Reducing Cardiac Preload With the preCARDIA System in Acutely Decompensated Heart Failure 在急性失代偿性心力衰竭中,用preCARDIA系统机械地降低心脏预负荷
IF 11.8 1区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2026-03-01 Epub Date: 2025-12-13 DOI: 10.1016/j.jchf.2025.102841
Rayan Yousefzai MD , Arvind Bhimaraj MD , Michael S. Kiernan MD, MPH , Jacob Abraham MD , Irakli Gorgoshvili MD , Ryan J. Tedford MD , Shashank Desai MD , Esther E. Vorovich MD , Keith H. Benzuly MD , David Miranda MD , Manreet K. Kanwar MD , Andrew J. Sauer MD , Debbie A. Rinde-Hoffman MD , Ioana Dumitru MD , Jaime Hernandez-Montfort MD , Nima Aghili MD , Farooq H. Sheikh MD , Anupam Basuray MD , Jason Bodnar PhD , Jerry Curran PhD , Navin K. Kapur MD

Background

The preCARDIA device is a novel intervention designed to mechanically reduce cardiac filling pressures in patients with acute decompensated heart failure (ADHF) by regulating flow through the superior vena cava.

Objectives

The VENUS-HF (SVC Occlusion in Subjects With Acute Decompensated Heart Failure; NCT03836079) Early Feasibility Study tested the safety and feasibility of the next-generation preCARDIA system, which includes updates to the sheath, catheter, and console.

Methods

In a multicenter, prospective, single-arm safety and feasibility study, 60 subjects with ADHF received preCARDIA support for up to 24 hours. Primary and secondary endpoints testing the safety and technical feasibility of the device were analyzed.

Results

Freedom from device- or procedure-related major adverse events was observed in 98.3% (n = 59/60), and successful device deployment and removal in all subjects (N = 60). No statistically significant difference in major adverse events was observed between recipients of the original (0%, n = 0/30) and newest (3.3%, n = 1/30) generation preCARDIA devices. In subjects with 24 ± 3 hours of preCARDIA duration (n = 52), paired right atrial and pulmonary capillary wedge pressures decreased by 23% (18 ± 6 vs 11 ± 6 mm Hg, P < 0.0001) and 18% (30 ± 8 vs 24 ± 9 mm Hg, P < 0.0001), respectively, from baseline to end of device use. Compared with 24 hours before device initiation, net urine output increased during the 24-hour period during device use (−1.5 ± 0.9 vs −3.4 ± 2.4 L, P < 0.001).

Conclusions

Use of the preCARDIA system in patients with ADHF was feasible and well tolerated, with early exploratory signals of significantly reduced cardiac filling pressures and increased urine output. These findings provide a foundation for larger, prospective studies, such as the upcoming COR-ADHF (Cardiovascular UnlOading with preCARDIA in Acute Decompensated Heart Failure) trial, to determine clinical efficacy. (SVC Occlusion in Subjects With Acute Decompensated Heart Failure [VENUS-HF]; NCT03836079)
背景:preCARDIA装置是一种新型的干预措施,旨在通过调节上腔静脉的血流来机械地降低急性失代偿性心力衰竭(ADHF)患者的心脏充盈压力。目的:急性失代偿性心力衰竭患者的SVC闭塞(VENUS-HF)早期可行性研究测试了下一代preCARDIA系统的安全性和可行性,该系统包括对护套、导管和控制台的更新。方法在一项多中心、前瞻性、单臂安全性和可行性研究中,60例ADHF患者接受了长达24小时的preCARDIA支持。对试验装置的主要和次要终点进行了安全性和技术可行性分析。结果98.3%的受试者(n = 59/60)没有发生与器械或手术相关的主要不良事件,所有受试者(n = 60)均成功放置和取出器械。原始(0%,n = 0/30)和最新(3.3%,n = 1/30)一代preCARDIA器械受者的主要不良事件无统计学差异。在持续24±3小时的受试者中(n = 52),从基线到器械使用结束,配对右心房和肺毛细血管楔压分别下降了23%(18±6 vs 11±6 mm Hg, P < 0.0001)和18%(30±8 vs 24±9 mm Hg, P < 0.0001)。与装置启动前24小时相比,在使用装置的24小时内,净尿量增加(- 1.5±0.9 L vs - 3.4±2.4 L, P < 0.001)。结论在ADHF患者中应用preCARDIA系统是可行且耐受性良好的,早期探查信号可显著降低心脏充盈压力和增加尿量。这些发现为更大规模的前瞻性研究提供了基础,例如即将进行的COR-ADHF(急性失代偿性心力衰竭中心血管卸载与preCARDIA)试验,以确定临床疗效。急性失代偿性心力衰竭患者的SVC闭塞[VENUS-HF]; NCT03836079)
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引用次数: 0
Pre-LVAD tMCS lvad前tMCS:被忽视的出血负担。
IF 11.8 1区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2026-03-01 Epub Date: 2026-03-02 DOI: 10.1016/j.jchf.2025.102896
Parsa Jahangiri BSc, Yuxiang Luo MD, Kadir Caliskan MD, PhD
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引用次数: 0
Full issue PDF 完整版PDF
IF 11.8 1区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2026-03-01 Epub Date: 2026-03-02 DOI: 10.1016/S2213-1779(26)00055-7
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引用次数: 0
Current Use of Inotropic Support in Cardiogenic Shock 目前在心源性休克中使用的肌力支持:第一道防线的生理目标。
IF 11.8 1区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2026-03-01 Epub Date: 2025-10-28 DOI: 10.1016/j.jchf.2025.102725
Jonathan Grinstein MD , Van-Khue Ton MD, PhD , Sara Kalantari MD , Jennifer A. Cowger MD, MS , Manreet Kanwar MD
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引用次数: 0
Proteome-Wide Genetic Investigation of Kidney Function in Heart Failure With Preserved Ejection Fraction 保留射血分数的心力衰竭患者肾功能的蛋白质组遗传研究
IF 11.8 1区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2026-03-01 Epub Date: 2025-11-20 DOI: 10.1016/j.jchf.2025.102771
Karim Kohansal Vajargah MD , Marie-Joe Dib PhD , Hamed Tavolinejad MD , Payman Zamani MD, MTR , A. Mark Richards MD, PhD , Douglas L. Mann MD , Ernst Rietzschel MD, PhD , Vanessa van Empel MD, PhD , Stephen Burgess PhD , Thomas P. Cappola MD, SM , Julio A. Chirinos MD, PhD
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引用次数: 0
Guideline-Directed Medical Therapy for Patients With a Left Ventricular Assist Device 使用左心室辅助装置的患者的药物治疗指南
IF 11.8 1区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2026-03-01 Epub Date: 2026-01-05 DOI: 10.1016/j.jchf.2025.102853
Palak Shah MD, MS, Shashank S. Sinha MD, MSc
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引用次数: 0
Policy Changes for Progress 政策变化促进进步:将DCD创新转化为更多的心脏移植。
IF 11.8 1区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2026-03-01 Epub Date: 2026-03-02 DOI: 10.1016/j.jchf.2026.102955
Brian Wayda MD , Corbin E. Goerlich MD , Alexander K. Karius MD , Kiran K. Khush MD, MAS
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引用次数: 0
期刊
JACC. Heart failure
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