REC: CardioClinics最新文献

英文中文

Factibilidad y precisión de la impresión 3D a través de ecocardiografía transtorácica 3D en pacientes pediátricos 通过3D胸腔超声心动图对儿科患者进行3D打印的可行性和准确性

Q4 Medicine

REC: CardioClinics

Pub Date : 2025-04-01 DOI: 10.1016/j.rccl.2024.12.002

Luis Antonio Jiménez Salinas , Clara A. Vázquez Antona , Tomás Efraín Sánchez Pérez , Juan Carlos Barrera de la Torre , Ana Laura Trujeque Ruiz

Introduction and objectives

Three-dimensional (3D) printing applied to cardiology has demonstrated its usefulness, supporting the planning of surgical and interventional procedures, especially for congenital heart disease. Although printed models have been documented using transesophageal echocardiography images, this technique has limitations in small pediatric patients. The objective was to determine the feasibility and accuracy of digital and printed 3D models obtained from the acquisition of transthoracic images in pediatric patients with ventricular septal defect.

Methods

Five pediatric patients with different locations of the defect were studied. Echocardiographic data were extracted, images processed, segmentation conducted, designs optimized, and models printed; the morphology, diameters of the defect, and their spatial relationships were analyzed.

Results

The correlation between the measurements obtained from 3D echocardiography and the digital 3D models and printed models was high (correlation coefficients of 0.953 and 0.952, respectively). The mean absolute difference between the values obtained by 3D echocardiography and the digital 3D models was 0.064 mm, while the mean absolute difference between the values obtained by 3D echocardiography and the printed models was 0.644 mm. There were no statistically significant differences between echocardiography and the models.

Conclusions

3D digital and printed models obtained from transthoracic echocardiographic data in pediatric patients are technically feasible and accurately reflect the morphology, spatial relationships, and dimensions of the different types of ventricular septal defect. However, the visualization of the models may vary according to the location of the defect, with muscle defects being easier to represent compared to perimembranous defects.

介绍和目的三维（3D）打印在心脏病学中的应用已经证明了它的实用性，它支持外科和介入手术的规划，特别是对于先天性心脏病。虽然经食管超声心动图图像已证实打印模型，但该技术在小儿科患者中有局限性。目的是确定数字和打印3D模型的可行性和准确性，这些模型是通过获取小儿室间隔缺损患者的经胸图像获得的。方法对5例小儿不同部位的先天性缺陷进行分析。超声心动图数据提取、图像处理、分割、设计优化、模型打印；分析了缺陷的形貌、直径及其空间关系。结果三维超声心动图测量值与数字三维模型和打印模型的相关性较高，相关系数分别为0.953和0.952。三维超声心动图与数字三维模型的平均绝对差为0.064 mm， 3D超声心动图与打印模型的平均绝对差为0.644 mm。超声心动图与模型比较无统计学差异。结论利用小儿经胸超声心动图数据建立三维数字和打印模型在技术上是可行的，能准确反映不同类型室间隔缺损的形态、空间关系和尺寸。然而，模型的可视化可能因缺陷的位置而异，与膜周缺陷相比，肌肉缺陷更容易表示。

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引用次数: 0

Desplazamiento de Holter subcutáneo a la cavidad pleural 皮下Holter移位至胸腔

Q4 Medicine

REC: CardioClinics

Pub Date : 2025-04-01 DOI: 10.1016/j.rccl.2024.10.004

Miguel Cayetano Amores Luque , Cristina Cavestany García-Matres , José Luis Zamorano Gómez , Javier Moreno

引用次数: 0

Recomendaciones para la optimización de la atención a los pacientes tras infarto agudo de miocardio. Proyecto MIMIC 优化急性心肌梗死患者护理的建议。MIMIC项目

Q4 Medicine

REC: CardioClinics

Pub Date : 2025-04-01 DOI: 10.1016/j.rccl.2024.11.003

José M. de la Torre-Hernández , Guillermo Aldama-López , Rut Andrea , Miguel Corbí-Pascual , Alberto Cordero , María Rosa Fernández Olmo , Xavier García-Moll , Antonio García Quintana , Arantxa Matalí , Miriam Sandín Rollán , Xoana Taboada , Ana Viana Tejedor , Sergio Raposeiras-Roubín

In recent years, efforts in the care of acute myocardial infarction (AMI) have focused on ensuring a rapid response during the acute phase. However, follow-up after hospitalization is essential for adequate recovery and the prevention of future complications. Heart failure following an infarction is a common complication that implies a worse prognosis and a high rate of readmission, increasing the risk of death both in its early phase and in the long term. The Myocardial infarction and heart failure model (MIMIC) project analyzed patient care after an AMI in different healthcare models, with the aim of identifying recommendations for improvement and best practices that contribute to generalizing optimal care models after an AMI, to achieve a better prognosis, a higher quality of life, and a reduction in healthcare costs.

近年来，在急性心肌梗死（AMI）的护理努力集中在确保在急性期的快速反应。然而，住院后的随访对于充分恢复和预防未来并发症至关重要。梗死后心力衰竭是一种常见的并发症，意味着预后较差和再入院率高，增加了早期和长期死亡的风险。心肌梗死和心力衰竭模型（MIMIC）项目分析了AMI后不同医疗模式下的患者护理，目的是确定改进建议和最佳实践，有助于推广AMI后最佳护理模式，以实现更好的预后、更高的生活质量和降低医疗成本。

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引用次数: 0

Comunicaciones 通信

Q4 Medicine

REC: CardioClinics

Pub Date : 2025-04-01 DOI: 10.1016/S2605-1532(25)00078-0

引用次数: 0

Índice de autores 作者索引

Q4 Medicine

REC: CardioClinics

Pub Date : 2025-04-01 DOI: 10.1016/S2605-1532(25)00079-2

引用次数: 0

Actualización del posicionamiento sobre obesidad y enfermedad cardiovascular y renal de las Asociaciones de Cardiología Preventiva, Cardiología Clínica e Insuficiencia Cardiaca de la SEC 更新美国证券交易委员会预防心脏病学、临床心脏病学和心力衰竭协会关于肥胖、心血管和肾脏疾病的立场

Q4 Medicine

REC: CardioClinics

Pub Date : 2025-04-01 DOI: 10.1016/j.rccl.2024.11.004

Almudena Castro Conde , Juan José Gorgojo Martínez , Nicolás Manito Lorite

引用次数: 0

CARABELA-HF: new frontiers in the optimization of heart failure clinical management in Spain CARABELA-HF：西班牙心力衰竭临床管理优化的新领域

Q4 Medicine

REC: CardioClinics

Pub Date : 2025-04-01 DOI: 10.1016/j.rccl.2024.09.001

Álvaro González Franco , José Francisco Soto , Inmaculada Mediavilla , Manuel Leal , Manuel Anguita , on behalf of the CARABELA-HF Scientific Committee

引用次数: 0

Influence of COVID-19 on the prevalence of diabetes mellitus and use of health care services in Gran Canaria COVID-19对大加那利岛糖尿病患病率和卫生保健服务使用的影响

Q4 Medicine

REC: CardioClinics

Pub Date : 2025-04-01 DOI: 10.1016/j.rccl.2025.01.008

Roberto Sánchez Medina , Alejandro de Arriba Fernández , Ángela Gutiérrez Pérez , José Luis Alonso Bilbao

Introduction and objectives

The prevalence of diabetes mellitus (DM) has increased faster in low- and middle-income countries. We determined how the COVID-19 pandemic may have affected the relationship between income level and prevalence of DM, disease management, and the use of primary care services.

Methods

Descriptive cross-sectional study. It included diabetic patients over 14 years of age residing in Las Palmas de Gran Canaria as of 31 December 2022. The results were compared with those of a pre-pandemic study in 2019.

Results

The prevalence of DM in 2022 in Las Palmas de Gran Canaria was almost identical to that of 2019, with a slight decrease in the low- and high-income groups, and an increase in the middle-income group. The average age of the population with DM increased. The average number of visits to the doctor increased, while visits to the nursing home decreased. A worsening of glycosylated hemoglobin and low-density lipoproteins was found in high and middle incomes. The trend was the opposite for body weight, with a 1.2% increase in the prevalence of overweight/obesity in low incomes.

Conclusions

Lower incomes were associated with worse outcomes in terms of overweight and obesity. The situation of people with DM with overweight or obesity worsened compared to 2019 for the lower-income population.

前言和目标糖尿病（DM）的患病率在低收入和中等收入国家增长较快。我们确定了COVID-19大流行如何影响收入水平与糖尿病患病率、疾病管理和初级保健服务使用之间的关系。方法描述性横断面研究。它包括截至2022年12月31日居住在大加那利岛拉斯帕尔马斯的14岁以上的糖尿病患者。研究结果与2019年大流行前的一项研究结果进行了比较。结果2022年拉斯帕尔马斯岛的糖尿病患病率与2019年基本相同，低收入和高收入人群略有下降，中等收入人群略有上升。糖尿病患者的平均年龄增加。看医生的平均次数增加了，而去养老院的次数减少了。糖化血红蛋白和低密度脂蛋白在中高收入人群中呈恶化趋势。体重的趋势正好相反，低收入人群超重/肥胖的患病率增加了1.2%。结论在超重和肥胖方面，较低的收入与较差的结果相关。与2019年相比，低收入人群中伴有超重或肥胖的糖尿病患者的情况有所恶化。

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引用次数: 0

Impacto de la obstrucción en la conexión venosa pulmonar anómala total: morbimortalidad quirúgica y supervivencia 阻塞对完全异常的肺静脉连接的影响：手术死亡率和存活率

Q4 Medicine

REC: CardioClinics

Pub Date : 2025-04-01 DOI: 10.1016/j.rccl.2025.01.007

Claudia Flórez Rodríguez , Javier Castro Monsalve , Felipe Rubio Duarte , Silvia Plata , Claudia C. Colmenares-Mejía , Diana Laverde , Diana Fajardo , Sara Mendoza Crespo

Introduction and objectives

Total anomalous pulmonary venous connection is a rare condition with a wide anatomical spectrum and a favorable prognosis, except in the presence of pulmonary venous obstruction. The objective was to identify factors associated with operative mortality in patients undergoing surgical correction.

Methods

A retrospective analysis was conducted on patients operated on between 2013 and 2022. The primary outcome was operative mortality, while the secondary outcome was the presence of major complications. Survival at 1 and 5 years after discharge was also evaluated. Logistic regression was used to identify preoperative and intraoperative risk factors for operative mortality, and Kaplan-Meier survival curves and a Cox model were employed to assess factors associated with 1-year survival.

Results

A total of 74 patients were included (56.8% male, 59.5% with supracardiac drainage). Operative mortality was 16.2% (95%CI, 8.7-26.6), higher in patients with obstruction at diagnosis (36.6% vs 4.5%). Patients with obstruction more frequently had infracardiac drainage, lower age and weight, increased need for mechanical ventilation and vasoactive support, and longer extracorporeal circulation times. The reintervention rate was 21.6%. Overall survival was 88.7% at one year (95%CI, 77.7-94.4) and 85.4% at 5 years (95%CI, 73.9-92.1). Survival was lower in patients with residual obstruction (37.5% at 1 year, 95%CI, 8.7-67.4; 25% at 5 years, 95%CI, 3.7-55.8; HRa, 47.4, 95%CI, 3.77-594.9).

Conclusions

Survival in patients with surgically corrected total anomalous pulmonary venous connection at our institution is comparable to international data, but outcomes are worse in those with obstruction at diagnosis.

前言与目的除肺静脉梗阻外，体位肺静脉异常连接是一种少见的疾病，解剖谱广泛，预后良好。目的是确定与手术矫正患者手术死亡率相关的因素。方法回顾性分析2013 ~ 2022年我院手术患者的临床资料。主要结局是手术死亡率，次要结局是主要并发症的出现。出院后1年和5年的生存率也进行了评估。采用Logistic回归分析术前和术中影响手术死亡率的危险因素，采用Kaplan-Meier生存曲线和Cox模型评估与1年生存率相关的因素。结果共纳入74例患者，其中男性56.8%，心上引流患者59.5%。手术死亡率为16.2% (95%CI, 8.7-26.6)，诊断为梗阻的患者更高（36.6%对4.5%）。梗阻患者发生心下引流的频率更高，年龄和体重更低，机械通气和血管活性支持的需求增加，体外循环时间更长。再干预率为21.6%。1年总生存率为88.7% (95%CI, 77.7-94.4)， 5年总生存率为85.4% （95%CI, 73.9-92.1）。残留梗阻患者的生存率较低(1年时为37.5%,95%CI, 8.7-67.4；5年25%，95%CI, 3.7-55.8；HRa, 47.4, 95%CI, 3.77-594.9)。结论我院手术矫正的全肺静脉异常连接患者的生存率与国际数据相当，但诊断为梗阻的患者预后更差。

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引用次数: 0

Heart and mind: Depressive symptoms in acute myocardial infarction 心与脑急性心肌梗死患者的抑郁症状

Q4 Medicine

REC: CardioClinics

Pub Date : 2025-04-01 DOI: 10.1016/j.rccl.2024.10.003

Edgar Fabián Manrique-Hernández , Alexandra Hurtado-Ortiz , Maricel Licht-Ardila , Diana Ortega , Alejandra Mendoza-Monsalve , Diana Cañon

引用次数: 0

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