Pub Date : 2024-02-01DOI: 10.1016/j.recesp.2023.07.015
Manuel Moreno-Caballero, Enrique Moratalla-Aranda, Ana Cristina Villena-García
{"title":"Taquicardia ventricular en perfusión miocárdica con regadenosón","authors":"Manuel Moreno-Caballero, Enrique Moratalla-Aranda, Ana Cristina Villena-García","doi":"10.1016/j.recesp.2023.07.015","DOIUrl":"10.1016/j.recesp.2023.07.015","url":null,"abstract":"","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":null,"pages":null},"PeriodicalIF":5.9,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47202784","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}
Pub Date : 2024-02-01DOI: 10.1016/j.recesp.2023.10.012
{"title":"Inteligencia artificial y lenguaje médico (II)","authors":"","doi":"10.1016/j.recesp.2023.10.012","DOIUrl":"https://doi.org/10.1016/j.recesp.2023.10.012","url":null,"abstract":"","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":null,"pages":null},"PeriodicalIF":5.9,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139653761","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}
Pub Date : 2024-02-01DOI: 10.1016/j.recesp.2023.08.007
Felix Mahfoud, Felix Götzinger, Lucas Lauder
{"title":"Tratamientos por catéter en diversas categorías de riesgo de embolia pulmonar: ¿estándar de atención o último recurso?","authors":"Felix Mahfoud, Felix Götzinger, Lucas Lauder","doi":"10.1016/j.recesp.2023.08.007","DOIUrl":"10.1016/j.recesp.2023.08.007","url":null,"abstract":"","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":null,"pages":null},"PeriodicalIF":5.9,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139294411","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}
Pub Date : 2024-02-01DOI: 10.1016/j.recesp.2023.06.010
Alejandro Berenguel Senén , Alejandro Gadella Fernández , Juan Godoy López , Javier Borrego Rodríguez , Manuel Gallango Brejano , Pedro Cepas Guillén , Carlos de Cabo Porras , Cristina Morante Perea , Esther Gigante Miravalles , Álvaro Serrano Blanco , Íñigo San-Millán Castrillón , Luis Rodríguez Padial
Introduction and objectives
Postacute COVID syndrome (PACS) is common after acute SARS-CoV-2 infection. One of the most frequent and disabling symptoms is exercise intolerance (EI). Recent evidence suggests that EI in PACS has a peripheral (metabolic-neuromuscular) origin, suggesting that exercise training may be an effective treatment. The aim of this study was to assess the role a therapeutic physical exercise program (TPEP) in PACS with EI.
Methods
This single-center, open-label, randomized clinical trial compared an exercise training program (intervention group) with regular physical activity recommendations (control group) in patients with PACS and EI. The intervention group underwent an 8-week TPEP. The primary endpoint was improvement in functional capacity, assessed as the change in peak VO2.
Results
We included 50 participants with PACS (73% women, mean age 47 ± 7.1 years). The intervention group showed a 15% improvement in peak VO2 (peak VO2 pre- and postintervention: 25.5 ± 7.7 mL/kg/min and 29.3 ± 4.7 mL/kg/min; P < .001) and a 13.2% improvement in predicted values (92.1 ± 14.3% and 108.4 ± 13.4%; P < .001). No significant changes in VO2 values were observed in the control group. Unlike the control group, the intervention group also showed improvements in all secondary outcomes: quality of life scales, muscle power, maximum inspiratory power, metabolic flexibility, and body fat percentage.
Conclusions
The program improved functional capacity in patients with PACS and EI.
{"title":"Readaptación funcional basada en ejercicio físico terapéutico en pacientes con COVID persistente (RECOVER)","authors":"Alejandro Berenguel Senén , Alejandro Gadella Fernández , Juan Godoy López , Javier Borrego Rodríguez , Manuel Gallango Brejano , Pedro Cepas Guillén , Carlos de Cabo Porras , Cristina Morante Perea , Esther Gigante Miravalles , Álvaro Serrano Blanco , Íñigo San-Millán Castrillón , Luis Rodríguez Padial","doi":"10.1016/j.recesp.2023.06.010","DOIUrl":"10.1016/j.recesp.2023.06.010","url":null,"abstract":"<div><h3>Introduction and objectives</h3><p>Postacute COVID syndrome (PACS) is common after acute SARS-CoV-2 infection. One of the most frequent and disabling symptoms is exercise intolerance (EI). Recent evidence suggests that EI in PACS has a peripheral (metabolic-neuromuscular) origin, suggesting that exercise training may be an effective treatment. The aim of this study was to assess the role a therapeutic physical exercise program (TPEP) in PACS with EI.</p></div><div><h3>Methods</h3><p>This single-center, open-label, randomized clinical trial compared an exercise training program (intervention group) with regular physical activity recommendations (control group) in patients with PACS and EI. The intervention group underwent an 8-week TPEP. The primary endpoint was improvement in functional capacity, assessed as the change in peak VO<sub>2</sub>.</p></div><div><h3>Results</h3><p>We included 50 participants with PACS (73% women, mean age 47<!--> <!-->±<!--> <!-->7.1 years). The intervention group showed a 15% improvement in peak VO<sub>2</sub> (peak VO<sub>2</sub> pre- and postintervention: 25.5<!--> <!-->±<!--> <!-->7.7<!--> <!-->mL/kg/min and 29.3<!--> <!-->±<!--> <!-->4.7 mL/kg/min; <em>P</em> <<!--> <!-->.001) and a 13.2% improvement in predicted values (92.1<!--> <!-->±<!--> <!-->14.3% and 108.4<!--> <!-->±<!--> <!-->13.4%; <em>P</em> <<!--> <!-->.001). No significant changes in VO<sub>2</sub> values were observed in the control group. Unlike the control group, the intervention group also showed improvements in all secondary outcomes: quality of life scales, muscle power, maximum inspiratory power, metabolic flexibility, and body fat percentage.</p></div><div><h3>Conclusions</h3><p>The program improved functional capacity in patients with PACS and EI.</p></div>","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":null,"pages":null},"PeriodicalIF":5.9,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48134634","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}
Pub Date : 2024-02-01DOI: 10.1016/j.recesp.2023.08.008
Luis Ortega-Paz , Roxana Mehran , Dominick J. Angiolillo
{"title":"Falta de adherencia al tratamiento antiagregante plaquetario doble: viejos problemas sin nuevas soluciones","authors":"Luis Ortega-Paz , Roxana Mehran , Dominick J. Angiolillo","doi":"10.1016/j.recesp.2023.08.008","DOIUrl":"10.1016/j.recesp.2023.08.008","url":null,"abstract":"","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":null,"pages":null},"PeriodicalIF":5.9,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136094472","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}
Pub Date : 2024-02-01DOI: 10.1016/j.recesp.2023.08.002
Jerremy Weerts , Felipe Bisbal , Antoni Bayés-Genís , Victoria Delgado , German Cediel , Albert Teis
{"title":"Evaluación simplificada de la esfericidad de la aurícula izquierda por resonancia magnética cardiaca","authors":"Jerremy Weerts , Felipe Bisbal , Antoni Bayés-Genís , Victoria Delgado , German Cediel , Albert Teis","doi":"10.1016/j.recesp.2023.08.002","DOIUrl":"10.1016/j.recesp.2023.08.002","url":null,"abstract":"","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":null,"pages":null},"PeriodicalIF":5.9,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138616160","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}
Pub Date : 2024-02-01DOI: 10.1016/j.recesp.2023.06.007
Sergio Huertas Nieto , Maite Velázquez Martín , Fernando Sarnago Cebada , Carmen Jiménez López-Guarch , Nicolás Maneiro Melón , Ángela Flox Camacho , Teresa Segura de la Cal , Alejandro Cruz Utrilla , Ricardo Aguilar Colindres , María Jesús López Gude , Carlos Andrés Quezada Loaiza , Yolanda Revilla Ostolaza , Sergio Alonso Charterina , Covadonga Gómez Cuervo , Fernando Arribas Ynsaurriaga , Pilar Escribano Subías
Introduction and objectives
Chronic thromboembolic disease refers to the presence of chronic thrombotic pulmonary vascular thrombosis without pulmonary hypertension (PH) at rest but with exercise limitation after pulmonary embolism (PE). Our aim was to evaluate the hemodynamic response to exercise in these patients and its correlation with the values reached in cardiopulmonary exercise testing.
Methods
We included symptomatic patients with persistent pulmonary thrombosis after PE. We excluded patients with left heart disease or significant PH (mean pulmonary arterial pressure [mPAP] > 25 mmHg, pulmonary vascular resistance > 3 WU, and pulmonary capillary wedge pressure [PCWP] > 15 mmHg). Cardiopulmonary exercise testing and exercise right heart catheterization were performed. Exercise-induced precapillary PH was defined as mPAP/CO slope > 3 and PCWP/CO slope < 2 mmHg/l/min. The hemodynamic response and the values obtained in cardiopulmonary exercise testing were compared between patients with and without exercise-induced precapillary PH.
Results
We studied 36 patients; 4 were excluded due to incomplete hemodynamic data. Out of the 32 patients analyzed; 3 developed a pathological increase in PCWP. Among the remaining 29 patients (mean age, 49.4 ± 13.7 years, 34.5% women), 13 showed exercise-induced PH. Resting mPAP was higher in those who developed exercise-induced PH (23.3 ± 5.4 vs 19.0 ± 3.8 mmHg; P = .012), although CO was similar in the 2 groups. Patients with exercise-induced PH exhibited data of ventilatory inefficiency with reduced values of end-tidal CO2 pressure at the anaerobic threshold (32.8 ± 3.0 vs 36.2 ± 3.3 mmHg; P = .021) and a higher Ve/VCO2 slope (34.2 ± 4.8 vs 30.7 ± 5.0; P = .049).
Conclusions
Exercise limitation and ventilatory inefficiency could be attributable to exercise-induced precapillary PH in a subgroup of patients with persistent pulmonary thrombosis and dyspnea.
{"title":"Impacto del cateterismo derecho de ejercicio en el diagnóstico diferencial de la enfermedad tromboembólica pulmonar crónica","authors":"Sergio Huertas Nieto , Maite Velázquez Martín , Fernando Sarnago Cebada , Carmen Jiménez López-Guarch , Nicolás Maneiro Melón , Ángela Flox Camacho , Teresa Segura de la Cal , Alejandro Cruz Utrilla , Ricardo Aguilar Colindres , María Jesús López Gude , Carlos Andrés Quezada Loaiza , Yolanda Revilla Ostolaza , Sergio Alonso Charterina , Covadonga Gómez Cuervo , Fernando Arribas Ynsaurriaga , Pilar Escribano Subías","doi":"10.1016/j.recesp.2023.06.007","DOIUrl":"10.1016/j.recesp.2023.06.007","url":null,"abstract":"<div><h3>Introduction and objectives</h3><p>Chronic thromboembolic disease refers to the presence of chronic thrombotic pulmonary vascular thrombosis without pulmonary hypertension (PH) at rest but with exercise limitation after pulmonary embolism (PE). Our aim was to evaluate the hemodynamic response to exercise in these patients and its correlation with the values reached in cardiopulmonary exercise testing.</p></div><div><h3>Methods</h3><p>We included symptomatic patients with persistent pulmonary thrombosis after PE. We excluded patients with left heart disease or significant PH (mean pulmonary arterial pressure [mPAP] ><!--> <!-->25<!--> <!-->mmHg, pulmonary vascular resistance ><!--> <!-->3 WU, and pulmonary capillary wedge pressure [PCWP] ><!--> <!-->15<!--> <!-->mmHg). Cardiopulmonary exercise testing and exercise right heart catheterization were performed. Exercise-induced precapillary PH was defined as mPAP/CO slope ><!--> <!-->3 and PCWP/CO slope <<!--> <!-->2<!--> <!-->mmHg/l/min. The hemodynamic response and the values obtained in cardiopulmonary exercise testing were compared between patients with and without exercise-induced precapillary PH.</p></div><div><h3>Results</h3><p>We studied 36 patients; 4 were excluded due to incomplete hemodynamic data. Out of the 32 patients analyzed; 3 developed a pathological increase in PCWP. Among the remaining 29 patients (mean age, 49.4<!--> <!-->±<!--> <!-->13.7 years, 34.5% women), 13 showed exercise-induced PH. Resting mPAP was higher in those who developed exercise-induced PH (23.3<!--> <!-->±<!--> <!-->5.4 vs 19.0<!--> <!-->±<!--> <!-->3.8<!--> <!-->mmHg; <em>P</em> <!-->=<!--> <!-->.012), although CO was similar in the 2 groups. Patients with exercise-induced PH exhibited data of ventilatory inefficiency with reduced values of end-tidal CO<sub>2</sub> pressure at the anaerobic threshold (32.8<!--> <!-->±<!--> <!-->3.0 vs 36.2<!--> <!-->±<!--> <!-->3.3<!--> <!-->mmHg; <em>P</em> <!-->=<!--> <!-->.021) and a higher Ve/VCO<sub>2</sub> slope (34.2<!--> <!-->±<!--> <!-->4.8 vs 30.7<!--> <!-->±<!--> <!-->5.0<em>; P</em> <!-->=<!--> <!-->.049).</p></div><div><h3>Conclusions</h3><p>Exercise limitation and ventilatory inefficiency could be attributable to exercise-induced precapillary PH in a subgroup of patients with persistent pulmonary thrombosis and dyspnea.</p></div>","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":null,"pages":null},"PeriodicalIF":5.9,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48035521","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}
Pub Date : 2024-02-01DOI: 10.1016/j.recesp.2023.08.003
Pedro Cepas-Guillén , Rami Gabani , Marc Giménez-Milà , Laura Sanchis , Xavier Freixa , Ander Regueiro
{"title":"Eficacia y seguridad de la técnica BASILICA en pacientes con alto riesgo de obstrucción coronaria sometidos a TAVI","authors":"Pedro Cepas-Guillén , Rami Gabani , Marc Giménez-Milà , Laura Sanchis , Xavier Freixa , Ander Regueiro","doi":"10.1016/j.recesp.2023.08.003","DOIUrl":"10.1016/j.recesp.2023.08.003","url":null,"abstract":"","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":null,"pages":null},"PeriodicalIF":5.9,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55242864","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}
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