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Current Treatment Options in Cardiovascular Medicine最新文献

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The Digital Revolution in Medicine: Applications in Cardio-Oncology. 医学中的数字革命:在心脏肿瘤学中的应用。
IF 0.8 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2025-12-01 Epub Date: 2024-11-05 DOI: 10.1007/s11936-024-01059-x
Gift Echefu, Ladislav Batalik, Abdulkareem Lukan, Rushabh Shah, Priyanshu Nain, Avirup Guha, Sherry-Ann Brown

Purpose of review: A critical evaluation of contemporary literature regarding the role of big data, artificial intelligence, and digital technologies in precision cardio-oncology care and survivorship, emphasizing innovative and groundbreaking endeavors.

Recent findings: Artificial intelligence (AI) algorithm models can automate the risk assessment process and augment current subjective clinical decision tools. AI, particularly machine learning (ML), can identify medically significant patterns in large data sets. Machine learning in cardio-oncology care has great potential in screening, diagnosis, monitoring, and managing cancer therapy-related cardiovascular complications. To this end, large-scale imaging data and clinical information are being leveraged in training efficient AI algorithms that may lead to effective clinical tools for caring for this vulnerable population. Telemedicine may benefit cardio-oncology patients by enhancing healthcare delivery through lowering costs, improving quality, and personalizing care. Similarly, the utilization of wearable biosensors and mobile health technology for remote monitoring holds the potential to improve cardio-oncology outcomes through early intervention and deeper clinical insight. Investigations are ongoing regarding the application of digital health tools such as telemedicine and remote monitoring devices in enhancing the functional status and recovery of cancer patients, particularly those with limited access to centralized services, by increasing physical activity levels and providing access to rehabilitation services.

Summary: In recent years, advances in cancer survival have increased the prevalence of patients experiencing cancer therapy-related cardiovascular complications. Traditional cardio-oncology risk categorization largely relies on basic clinical features and physician assessment, necessitating advancements in machine learning to create objective prediction models using diverse data sources. Healthcare disparities may be perpetuated through AI algorithms in digital health technologies. In turn, this may have a detrimental effect on minority populations by limiting resource allocation. Several AI-powered innovative health tools could be leveraged to bridge the digital divide and improve access to equitable care.

综述目的:对大数据、人工智能和数字技术在精确心脏肿瘤治疗和生存中的作用的当代文献进行批判性评价,强调创新和开创性的努力。最新发现:人工智能(AI)算法模型可以自动化风险评估过程并增强当前的主观临床决策工具。人工智能,特别是机器学习(ML),可以在大型数据集中识别医学上重要的模式。心脏肿瘤护理中的机器学习在筛查、诊断、监测和管理癌症治疗相关心血管并发症方面具有巨大潜力。为此,正在利用大规模的成像数据和临床信息来训练高效的人工智能算法,这些算法可能会导致有效的临床工具来照顾这一弱势群体。远程医疗可以通过降低成本、提高质量和个性化护理来加强医疗保健服务,从而使心脏肿瘤患者受益。同样,利用可穿戴生物传感器和移动医疗技术进行远程监测,有可能通过早期干预和更深入的临床洞察来改善心脏肿瘤学结果。通过提高身体活动水平和提供康复服务,正在对远程医疗和远程监测设备等数字卫生工具的应用进行调查,以改善癌症患者的功能状况和康复,特别是那些无法获得集中服务的癌症患者。摘要:近年来,癌症生存率的提高增加了癌症治疗相关心血管并发症患者的患病率。传统的心脏肿瘤风险分类很大程度上依赖于基本的临床特征和医生评估,这就需要机器学习的进步来使用不同的数据源创建客观的预测模型。数字医疗技术中的人工智能算法可能会使医疗差距永久化。反过来,这可能通过限制资源分配而对少数民族人口产生不利影响。可利用若干人工智能驱动的创新卫生工具弥合数字鸿沟,改善获得公平医疗的机会。
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引用次数: 0
Advanced Heart Failure Therapies in Neuromuscular Diseases. 神经肌肉疾病的高级心力衰竭治疗。
IF 0.8 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2024-08-01 Epub Date: 2024-06-25 DOI: 10.1007/s11936-024-01046-2
Arianne Clare Agdamag, Phoo Pwint Nandar, W H Wilson Tang

Purpose of review: The main objective of this review article is to discuss the prevalence, utilization, and outcomes associated with advanced heart failure therapies among patients with neuromuscular disorders.

Recent findings: Neuromuscular disorders often have multisystem involvement with a high prevalence of cardiovascular pathology. With the improvement in management of respiratory related complications, heart failure is now the leading cause of mortality in this patient population. Advanced heart failure therapies with durable left ventricular assist devices and heart transplantation have proven to be feasible and safe treatment options in selected patients.

Summary: Management of neuromuscular disease involves multidisciplinary team involvement given the systemic nature of the disease. Early recognition and close monitoring of these patients will allow for timely initiation of advanced heart failure therapies that can lead to successful outcomes.

综述目的:这篇综述文章的主要目的是讨论神经肌肉疾病患者晚期心力衰竭治疗的患病率、利用率和相关结果。近期研究发现:神经肌肉疾病常累及多系统,并伴有高患病率的心血管病理。随着呼吸相关并发症管理的改善,心力衰竭现在是这类患者死亡的主要原因。先进的心力衰竭治疗与持久的左心室辅助装置和心脏移植已被证明是可行和安全的治疗选择在选定的患者。摘要:鉴于神经肌肉疾病的全身性,该疾病的治疗涉及多学科团队的参与。早期识别和密切监测这些患者将允许及时启动先进的心力衰竭治疗,可以导致成功的结果。
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引用次数: 0
Moving Beyond Cardiotoxicity Detection to Prevention: A Pharmacologic Review 从检测心脏毒性到预防心脏毒性:药理学综述
Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2024-01-02 DOI: 10.1007/s11936-023-01030-2
Susan Dent, Ryan K Rader, Olivia White, Brandy Patterson, Heather N. Moore
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引用次数: 0
Racial and Ethnic Disparities in Implantable Cardioverter-Defibrillator Utilization: A Contemporary Review 植入式心律转复除颤器使用中的种族和民族差异:当代回顾
Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-12-20 DOI: 10.1007/s11936-023-01025-z
Tarryn Tertulien, Kelvin Bush, L. R. Jackson, U. Essien, Lauren Eberly
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引用次数: 0
Immunotherapy-Associated Atherosclerosis: A Comprehensive Review of Recent Findings and Implications for Future Research 免疫疗法相关动脉粥样硬化:最新研究结果及对未来研究的影响综述
Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-12-15 DOI: 10.1007/s11936-023-01024-0
Antonia Chan, Stefan Torelli, Evaline Cheng, Ryan Batchelder, S. Waliany, Joel Neal, Ronald M Witteles, Patricia K Nguyen, Paul Cheng, Han Zhu
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引用次数: 0
Who Should Interpret Screening Preparticipation ECGs in Young Athletes? 谁来解释年轻运动员的参赛前心电图筛查?
Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-12-02 DOI: 10.1007/s11936-023-01029-9
Alexander Hutchinson, Nicolas K. Goff, Nicole Cain, Peter N. Dean, Deepak Kamat, Lanier Jackson
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引用次数: 0
Autonomic Modulation Options in Cardiovascular Disease Treatment: Current and Emerging 心血管疾病治疗中的自主神经调节选择:当前和新出现的
Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-11-22 DOI: 10.1007/s11936-023-01023-1
Albert Vien, Poornima Balaji, Pierre C. Qian
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引用次数: 0
Digital Tools for Decision-Making in Coronary Artery Disease 冠状动脉疾病决策数字工具
Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-11-21 DOI: 10.1007/s11936-023-01022-2
Daniel Grubman, Scott Grubman, Claudia See, Thomas Breen, Jiun-Ruey Hu, S. E. Altin
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引用次数: 0
Endovascular Versus Surgical Management of Chronic Limb-Threatening Ischemia 慢性肢体缺血的血管内治疗与手术治疗
Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-11-11 DOI: 10.1007/s11936-023-01018-y
Hai Xu, Mitchell Weinberg
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引用次数: 0
A Clinician’s Guide to the Changing Aortic Stenosis Landscape: Updates in Aortic Stenosis Diagnosis, Surveillance and Management 改变主动脉狭窄的临床医生指南:主动脉狭窄诊断、监测和管理的最新进展
Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-11-09 DOI: 10.1007/s11936-023-01020-4
Thomas Meredith, David Roy, David Muller, Mayooran Namasivayam
Abstract Purpose of review This review aims to update healthcare providers on contemporary diagnostic and treatment information pertaining to aortic stenosis. Recent findings The prevalence of aortic stenosis continues to increase, and so does the burden of treatable disease. This has important implications for healthcare systems and the economy. Accurate classification of aortic stenosis severity and determining optimal treatment timing remains a prime challenge to treating physicians. Furthermore, the drastic uptake of transcatheter aortic valve replacement has generated novel issues pertaining to younger patients whose post-intervention survival now exceeds device durability. Summary The keys to optimizing patient outcomes are delivering accuracy in disease classification, treatment selection and timing and procedural planning.
摘要:本综述旨在更新医疗保健提供者有关主动脉瓣狭窄的当代诊断和治疗信息。主动脉瓣狭窄的发病率持续增加,可治疗疾病的负担也在增加。这对医疗保健系统和经济具有重要影响。主动脉狭窄严重程度的准确分类和确定最佳治疗时机仍然是治疗医生面临的主要挑战。此外,经导管主动脉瓣置换术的大量应用产生了与年轻患者相关的新问题,这些患者的干预后生存率现在超过了设备的耐用性。优化患者预后的关键是提供准确的疾病分类、治疗选择、时机和手术计划。
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引用次数: 0
期刊
Current Treatment Options in Cardiovascular Medicine
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