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Effects of atrial fibrillation ablation on arrhythmia burden and ventricular function in end-stage heart failure: Lessons from CASTLE-HTx 心房颤动消融对终末期心力衰竭患者心律失常负荷和心室功能的影响:CASTLE-HTx 的启示
IF 18.2 1区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2024-10-24 DOI: 10.1002/ejhf.3505
Vanessa Sciacca, Christian Sohns, Harry J.G.M. Crijns, Nassir F. Marrouche, Rene Schramm, Maximilian Moersdorf, Thomas Fink, Leonard Bergau, Gerhard Hindricks, Nikolaos Dagres, Samuel Sossalla, Angelika Costard-Jaeckle, Henrik Fox, Mustapha El Hamriti, Frank Konietschke, Volker Rudolph, Jan Gummert, Jan G.P. Tijssen, Philipp Sommer
The CASTLE-HTx trial showed the benefit of atrial fibrillation (AF) ablation compared to medical therapy in decreasing mortality, need for left ventricular assist device implantation or heart transplantation (HTx) in patients with end-stage heart failure (HF). Herein we describe the effects of catheter ablation on AF burden, arrhythmia recurrences, and ventricular function in end-stage HF.
CASTLE-HTx 试验表明,与药物治疗相比,心房颤动(房颤)消融术可降低终末期心力衰竭(HF)患者的死亡率、左心室辅助装置植入或心脏移植(HTx)的需求。在此,我们描述了导管消融对终末期心力衰竭患者房颤负荷、心律失常复发和心室功能的影响。
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引用次数: 0
Letter regarding the article ‘Predictors of the efficacy of His bundle pacing in patients with a prolonged PR interval: A stratified analysis of the HOPE-HF randomized controlled trial’ 关于文章 "PR 间期延长患者 His 束起搏疗效的预测因素:HOPE-HF随机对照试验的分层分析
IF 18.2 1区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2024-10-24 DOI: 10.1002/ejhf.3490
Anja Zupan Mežnar, Miha Mrak, David Žižek
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引用次数: 0
Exploring the role of hypertonic saline in ambulatory heart failure management: One size does not fit all? 探索高渗盐水在非卧床心力衰竭治疗中的作用:不能一刀切?
IF 18.2 1区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2024-10-24 DOI: 10.1002/ejhf.3500
Nicolas Girerd, Adriaan A. Voors, Jozine Ter Maaten
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引用次数: 0
Timing of veno-arterial extracorporeal membrane oxygenation support in patients with cardiogenic shock 心源性休克患者静脉-动脉体外膜氧合支持的时机选择
IF 18.2 1区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2024-10-24 DOI: 10.1002/ejhf.3498
Jonas Sundermeyer, Caroline Kellner, Benedikt N. Beer, Angela Dettling, Lisa Besch, Stefan Blankenberg, Ingo Eitel, Derk Frank, Norbert Frey, Tobias Graf, Paulus Kirchhof, Jannis Krais, Dirk von Lewinski, Norman Mangner, Sven Möbius-Winkler, Peter Nordbeck, Martin Orban, Matthias Pauschinger, Can Martin Sag, Clemens Scherer, Carsten Skurk, Holger Thiele, Dirk Westermann, Benedikt Schrage
The optimal timing for implementing mechanical circulatory support (MCS) in cardiogenic shock (CS) remains indeterminate. This study aims to evaluate patient characteristics and outcome associated with the time interval between CS onset and veno-arterial extracorporeal membrane oxygenation (VA-ECMO) implementation.
心源性休克(CS)患者实施机械循环支持(MCS)的最佳时机仍未确定。本研究旨在评估从 CS 开始到实施静脉-动脉体外膜氧合(VA-ECMO)之间的时间间隔与患者特征和预后的相关性。
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引用次数: 0
Letter regarding the article ‘Heart failure with improved versus persistently reduced left ventricular ejection fraction: A comparison of the BIOSTAT-CHF (European) study with the ASIAN-HF registry’ 关于文章 "左心室射血分数改善的心力衰竭与左心室射血分数持续降低的心力衰竭:BIOSTAT-CHF(欧洲)研究与ASIAN-HF登记的比较
IF 18.2 1区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2024-10-24 DOI: 10.1002/ejhf.3493
Juan Manuel Salvador-Casabón, Isaac Lacambra-Blasco, Juan Ignacio Pérez-Calvo
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引用次数: 0
Is it possible to establish a threshold to define the inflammatory risk of acute heart failure patients? Letter regarding the article ‘Burst steroid therapy for acute heart failure: the CORTAHF randomized, open-label, pilot trial’ 有可能确定急性心力衰竭患者炎症风险的阈值吗?关于文章 "急性心力衰竭的突发类固醇治疗:CORTAHF 随机、开放标签试验 "的来信
IF 18.2 1区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2024-10-22 DOI: 10.1002/ejhf.3494
Massimiliano Camilli
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引用次数: 0
The global, regional, and national burden of myocarditis in 204 countries and territories, 1990–2021: Results from the Global Burden of Disease Study 2021 1990-2021 年 204 个国家和地区心肌炎的全球、地区和国家负担:2021 年全球疾病负担研究结果
IF 18.2 1区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2024-10-22 DOI: 10.1002/ejhf.3483
Le Li, Ligang Ding, Lingmin Wu, Zhicheng Hu, Limin Liu, Minghao Zhao, Tao Zhang, Lihui Zheng, Yan Yao
To estimate the global burden of myocarditis in the general population from 1990 to 2021.
估算 1990 年至 2021 年全球普通人群中心肌炎的发病率。
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引用次数: 0
Letter regarding the article ‘Are mechanical circulatory supports the forgotten aspect in the implementation of therapies for heart failure?’ 关于文章 "机械循环支持是心力衰竭疗法实施过程中被遗忘的环节吗?
IF 18.2 1区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2024-10-22 DOI: 10.1002/ejhf.3484
Anne-Céline Martin
<p>Baudry and colleagues reported trends in durable mechanical circulatory support (MCS), primarily left ventricular assist devices (LVADs), across Europe from 2018 to 2023.<span><sup>1</sup></span> They highlighted the underutilization of durable MCS, despite heart failure (HF) remaining a leading cause of mortality. Their hypotheses—improvements in medical therapies, referral delays to advanced HF units, the COVID-19 pandemic, and changes in graft allocation—are valid. However, the period from 2018 to 2023 cannot be considered a single therapeutic era, as significant advancements in HF with reduced ejection fraction (HFrEF), including sodium–glucose cotransporter 2 inhibitors and vericiguat (in some countries), were only implemented in 2022.<span><sup>2</sup></span></p><p>We commend the authors for this unprecedent analysis but would like to offer a more optimistic perspective. Since 2022, durable MCS including LVADs and Aeson® total artificial hearts (TAHs) have been gaining traction in Europe. LVAD implantations increased across most countries between 2022 and 2023, from +2% in Austria to +25% in the Czech Republic and Germany, and + 51% in Poland. Though France initially lagged, it is showing strong momentum in 2024 with 118 LVADs (matching 2023's total) and forecasts of 165 LVADs by the end of the year. Additionally, 45 Aeson® TAH devices have been implanted across Europe since the programme resumed in November 2022, primarily in France, Germany, and Italy. Once again, France leads the way with 20 TAHs already implanted and a projection of 30 by the end of the year.</p><p>Awareness is growing that death from HF is no longer inevitable and that durable MCS is an accessible, life-saving therapy. First, clinicians recognize that despite optimal medical management, one in five HFrEF patients progresses to advanced HF and may require durable MCS.<span><sup>3</sup></span> Second, improved communication within the cardiology community has increased acceptance of durable MCS. The rise in advanced HF sessions at congresses and a growing body of scientific publications reflect this trend. As expertise grows in implantation, device optimization, and long-term management, physicians are more confident in highlighting the benefits of durable MCS rather than focusing on its drawbacks.</p><p>More physicians now regard durable MCS as an option for life. The European ELEVATE registry has been instructive, providing real-world data easily translatable to clinical practice showing a 5-year survival rate of 63% with LVAD, alongside significant improvements in functional capacity and quality of life.<span><sup>4</sup></span> In parallel, physicians are gradually recognizing that durable MCS and heart transplant are complementary, not competing. Durable MCS is a valuable bridge to transplant for critically ill INTERMACS 1–2 patients, provides crucial rehabilitation and family time for INTERMACS 3–4 patients at limited access to transplant. It also provides an
Baudry 及其同事报告了 2018 年至 2023 年欧洲耐用机械循环支持(MCS)(主要是左心室辅助装置(LVAD))的发展趋势。1 他们强调,尽管心力衰竭(HF)仍是导致死亡的主要原因,但耐用机械循环支持的使用率却很低。他们的假设--医疗疗法的改进、转诊至高级 HF 病房的延迟、COVID-19 大流行以及移植物分配的变化--都是正确的。然而,不能将 2018 年至 2023 年视为一个单一的治疗时代,因为射血分数降低型心房颤动(HFrEF)的重大进展,包括钠-葡萄糖共转运体 2 抑制剂和维利奎特(在一些国家),直到 2022 年才开始实施。自 2022 年以来,包括 LVAD 和 Aeson® 全人工心脏 (TAH) 在内的耐用型 MCS 在欧洲逐渐受到重视。2022 年至 2023 年期间,大多数国家的 LVAD 植入数量都有所增加,奥地利增加了 2%,捷克共和国和德国增加了 25%,波兰增加了 51%。虽然法国最初落后于其他国家,但在 2024 年也表现出强劲的势头,共植入 118 台 LVAD(与 2023 年的总数持平),预计到今年年底将植入 165 台 LVAD。此外,自该计划于2022年11月恢复以来,欧洲已植入45台Aeson® TAH设备,主要集中在法国、德国和意大利。越来越多的人认识到,心房颤动导致死亡不再是不可避免的,持久的心房颤动控制(MCS)是一种可获得的、挽救生命的疗法。首先,临床医生认识到,尽管进行了最佳的医疗管理,但每五名 HFrEF 患者中就有一人发展为晚期 HF,可能需要持久性 MCS。大会上晚期 HF 会议的增加和科学出版物的不断增加都反映了这一趋势。随着植入、设备优化和长期管理方面专业知识的增长,医生们更有信心强调持久性 MCS 的优点,而不是关注其缺点。欧洲 ELEVATE 登记具有启发性,它提供了易于转化为临床实践的真实数据,显示使用 LVAD 的 5 年存活率为 63%,同时功能能力和生活质量也得到了显著改善。对于 INTERMACS 1-2 级的重症患者来说,持久性 MCS 是通向移植的重要桥梁;对于 INTERMACS 3-4 级的患者来说,持久性 MCS 为他们提供了关键的康复和家庭时间,但他们获得移植的机会有限。它还为那些有年龄、肺动脉高压、肥胖等禁忌症的患者提供了另一种选择。最后,在地方和国家层面开展提高公众意识的活动,对于揭开 MCS 的神秘面纱、消除其污名化和推广持久的 MCS 至关重要。革命正在进行,让我们把它变成我们的革命。
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引用次数: 0
Visit-to-visit changes in heart rate in heart failure: A pooled participant-level analysis of the PARADIGM-HF and PARAGON-HF trials 心力衰竭患者心率的逐次变化:PARADIGM-HF 和 PARAGON-HF 试验的参与者层面汇总分析
IF 18.2 1区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2024-10-22 DOI: 10.1002/ejhf.3487
Henri Lu, Brian L. Claggett, Milton Packer, Marc A. Pfeffer, Karl Swedberg, Jean Rouleau, Michael R. Zile, Martin Lefkowitz, Akshay S. Desai, Pardeep S. Jhund, John J.V. McMurray, Scott D. Solomon, Muthiah Vaduganathan
Resting heart rate (HR) is a strong risk marker in patients with heart failure (HF), but the clinical implications of visit-to-visit changes in HR (ΔHR) are less well established. We aimed to explore the association between ΔHR and subsequent outcomes in a pooled dataset of two well-characterized cohorts of patients with HF across the full range of left ventricular ejection fraction (LVEF).
静息心率(HR)是心力衰竭(HF)患者的一个强有力的风险标志物,但心率的逐次变化(ΔHR)对临床的影响还不太明确。我们的目的是在两个特征明确的心力衰竭患者队列中,在左心室射血分数(LVEF)的全范围内探讨ΔHR与后续预后之间的关系。
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引用次数: 0
Reply to ‘Is it possible to establish a threshold to define the inflammatory risk of acute heart failure patients?’ Letter regarding the article ‘Burst steroid therapy for acute heart failure: The CORTAHF randomized, open-label, pilot trial’ 回复 "是否有可能确定急性心力衰竭患者炎症风险的阈值?关于文章 "急性心力衰竭的突发类固醇治疗:CORTAHF随机、开放标签试点试验
IF 18.2 1区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2024-10-22 DOI: 10.1002/ejhf.3491
Gad Cotter, Beth A. Davison, Yonathan Freund, Alexandre Mebazaa
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引用次数: 0
期刊
European Journal of Heart Failure
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