Revista española de cardiología (English ed.)最新文献

{"title":"Clinical impact of remote heart failure management using the multiparameter ICD HeartLogic alert","authors":"Javier de Juan Bagudá ,&nbsp;Rocío Cózar León ,&nbsp;Juan J. Gavira Gómez ,&nbsp;Marta Pachón ,&nbsp;Josebe Goirigolzarri Artaza ,&nbsp;Virgilio Martínez Mateo ,&nbsp;Vanessa Escolar Pérez ,&nbsp;Ángel Manuel Iniesta Manjavacas ,&nbsp;Nuria Rivas Gándara ,&nbsp;Jesús Álvarez-García ,&nbsp;Jesús Gabriel Sánchez Ramos ,&nbsp;Cristina Aguilera Agudo ,&nbsp;José Manuel Rubín López ,&nbsp;Alfonso Macías Gallego ,&nbsp;Silvia López Fernández ,&nbsp;Luis González Torres ,&nbsp;Juan Gabriel Martínez ,&nbsp;Natalia Marrero Negrín ,&nbsp;Javier Ramos Maqueda ,&nbsp;Mercedes Cabrera Ramos ,&nbsp;Rafael Salguero Bodes","doi":"10.1016/j.rec.2024.04.006","DOIUrl":"10.1016/j.rec.2024.04.006","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>The multiparametric implantable cardioverter-defibrillator HeartLogic index has proven to be a sensitive and timely predictor of impending heart failure (HF) decompensation. We evaluated the impact of a standardized follow-up protocol implemented by nursing staff and based on remote management of alerts.</div></div><div><h3>Methods</h3><div>The algorithm was activated in HF patients at 19 Spanish centers. Transmitted data were analyzed remotely, and patients were contacted by telephone if alerts were issued. Clinical actions were implemented remotely or through outpatient visits. The primary endpoint consisted of HF hospitalizations or death. Secondary endpoints were HF outpatient visits. We compared the 12-month periods before and after the adoption of the protocol.</div></div><div><h3>Results</h3><div>We analyzed 392 patients (aged 69<!--> <!-->±<!--> <!-->10 years, 76% male, 50% ischemic cardiomyopathy) with implantable cardioverter-defibrillators (20%) or cardiac resynchronization therapy defibrillators (80%). The primary endpoint occurred 151 times in 86 (22%) patients during the 12 months before the adoption of the protocol, and 69 times in 45 (11%) patients (<em>P</em> <!-->&lt;<!--> <!-->.001) during the 12 months after its adoption. The mean number of hospitalizations per patient was 0.39<!--> <!-->±<!--> <!-->0.89 pre- and 0.18<!--> <!-->±<!--> <!-->0.57 postadoption (<em>P</em> <!-->&lt;<!--> <!-->.001). There were 185 outpatient visits for HF in 96 (24%) patients before adoption and 64 in 48 (12%) patients after adoption (<em>P</em> <!-->&lt;<!--> <!-->.001). The mean number of visits per patient was 0.47<!--> <!-->±<!--> <!-->1.11 pre- and 0.16<!--> <!-->±<!--> <!-->0.51 postadoption (<em>P</em> <!-->&lt;<!--> <!-->.001).</div></div><div><h3>Conclusions</h3><div>A standardized follow-up protocol based on remote management of HeartLogic alerts enabled effective remote management of HF patients. After its adoption, we observed a significant reduction in HF hospitalizations and outpatient visits.</div></div>","PeriodicalId":38430,"journal":{"name":"Revista española de cardiología (English ed.)","volume":"77 12","pages":"Pages 1008-1017"},"PeriodicalIF":7.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140872535","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}

{"title":"Importance of sudden cardiac death risk assessment: the wearable cardioverter defibrillator as a bridge to transplant","authors":"Borja Guerrero Cervera ,&nbsp;Raquel López-Vilella ,&nbsp;Víctor Donoso Trenado ,&nbsp;Maite Izquierdo ,&nbsp;Joaquín Osca Asensi ,&nbsp;Luis Almenar-Bonet","doi":"10.1016/j.rec.2024.04.015","DOIUrl":"10.1016/j.rec.2024.04.015","url":null,"abstract":"","PeriodicalId":38430,"journal":{"name":"Revista española de cardiología (English ed.)","volume":"77 12","pages":"Pages 1055-1057"},"PeriodicalIF":7.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141318527","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}

{"title":"Four-dimensional intracardiac echocardiography-guided appendage occlusion","authors":"Karim Jamhour-Chelh ,&nbsp;Xavier Millán Álvarez ,&nbsp;Dabit Arzamendi Aizpurua","doi":"10.1016/j.rec.2024.06.011","DOIUrl":"10.1016/j.rec.2024.06.011","url":null,"abstract":"","PeriodicalId":38430,"journal":{"name":"Revista española de cardiología (English ed.)","volume":"77 12","pages":"Pages 1065-1066"},"PeriodicalIF":7.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142056807","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}

{"title":"Acute pericarditis: when is an exhaustive search of causes needed?","authors":"José Rozado","doi":"10.1016/j.rec.2024.05.016","DOIUrl":"10.1016/j.rec.2024.05.016","url":null,"abstract":"","PeriodicalId":38430,"journal":{"name":"Revista española de cardiología (English ed.)","volume":"77 12","pages":"Pages 1062-1064"},"PeriodicalIF":7.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141735251","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}

{"title":"Intravascular imaging-guided percutaneous coronary intervention in patients with acute myocardial infarction and cardiogenic shock","authors":"Hyun Sung Joh ,&nbsp;Seung Hun Lee ,&nbsp;Jinhwan Jo ,&nbsp;Hyun Kuk Kim ,&nbsp;Woo-Hyun Lim ,&nbsp;Hack-Lyoung Kim ,&nbsp;Jae-Bin Seo ,&nbsp;Woo-Young Chung ,&nbsp;Sang-Hyun Kim ,&nbsp;Joo-Hee Zo ,&nbsp;Myung-A. Kim ,&nbsp;Min Chul Kim ,&nbsp;Ju Han Kim ,&nbsp;Young Joon Hong ,&nbsp;Young Keun Ahn ,&nbsp;Myung Ho Jeong ,&nbsp;Seung Ho Hur ,&nbsp;Doo Il Kim ,&nbsp;Kiyuk Chang ,&nbsp;Hun Sik Park ,&nbsp;Joo Myung Lee","doi":"10.1016/j.rec.2024.03.009","DOIUrl":"10.1016/j.rec.2024.03.009","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>There are no clinical data on the efficacy of intravascular imaging-guided percutaneous coronary intervention (PCI) compared with angiography-guided PCI in patients with acute myocardial infarction (AMI) and cardiogenic shock. The current study sought to evaluate the impact of intravascular imaging-guided PCI in patients with AMI and cardiogenic shock.</div></div><div><h3>Methods</h3><div>Among a total of 28 732 patients from the nationwide pooled registry of KAMIR-NIH (November, 2011 to December, 2015) and KAMIR-V (January, 2016 to June, 2020), we selected a total of 1833 patients (6.4%) with AMI and cardiogenic shock who underwent PCI of the culprit vessel. The primary endpoint was major adverse cardiovascular events (MACE) at 1 year, a composite of cardiac death, myocardial infarction, repeat revascularization, and definite or probable stent thrombosis.</div></div><div><h3>Results</h3><div>Among the study population, 375 patients (20.5%) underwent intravascular imaging-guided PCI and 1458 patients (79.5%) underwent angiography-guided PCI. Intravascular imaging-guided PCI was associated with a significantly lower risk of 1-year MACE than angiography-guided PCI (19.5% vs 28.2%; HR, 0.59; 95%CI, 0.45-0.77; <em>P</em> <!-->&lt;<!--> <!-->.001), mainly driven by a lower risk of cardiac death (13.7% vs 24.0%; adjusted HR, 0.53; 95%CI, 0.39-0.72; <em>P</em> <!-->&lt;<!--> <!-->.001). These results were consistent in propensity score matching (HR, 0.68; 95%CI, 0.46-0.99), inverse probability weighting (HR, 0.61; 95%CI, 0.45-0.83), and Bayesian analysis (Odds ratio, 0.66, 95% credible interval, 0.49-0.88).</div></div><div><h3>Conclusions</h3><div>In AMI patients with cardiogenic shock, intravascular imaging-guided PCI was associated with a lower risk of MACE at 1-year than angiography-guided PCI, mainly driven by the lower risk of cardiac death.</div></div>","PeriodicalId":38430,"journal":{"name":"Revista española de cardiología (English ed.)","volume":"77 12","pages":"Pages 995-1007"},"PeriodicalIF":7.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140761663","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}

{"title":"Description and prevalence of ventricular mitral annular disjunction: variation of normality or pathological variant?","authors":"Agata Krawczyk-Ożóg ,&nbsp;Mateusz K. Hołda ,&nbsp;Jakub Batko ,&nbsp;Kacper Jaśkiewicz ,&nbsp;Artur Dziewierz ,&nbsp;Barbara Zdzierak ,&nbsp;Wojciech Zasada ,&nbsp;Krzysztof Gil ,&nbsp;Jakub Hołda","doi":"10.1016/j.rec.2024.04.003","DOIUrl":"10.1016/j.rec.2024.04.003","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>The aim of this study was to investigate a new variation of the atrial wall-mitral annulus-ventricular wall junction along the mural mitral leaflet and commissures: the ventricular mitral annular disjunction (v-MAD). This new variant is characterized by spatial displacement of the mitral leaflet hinge line by more than 2<!--> <!-->mm toward the left ventricle.</div></div><div><h3>Methods</h3><div>We examined a cohort of autopsied human hearts (n<!--> <!-->=<!--> <!-->224, 21.9% females, 47.9<!--> <!-->±<!--> <!-->17.6 years) from patients without known cardiovascular disease to identify the presence of v-MAD.</div></div><div><h3>Results</h3><div>More than half (57.1%) of the hearts showed no signs of MAD in the mural mitral leaflet or mitral commissures. However, v-MAD was found in 23.6% of cases, located within 20.1% of mural leaflets, 2.2% in superolateral commissures, and 1.3% in inferoseptal commissures. V-MAD was not uniformly distributed along the mitral annulus circumference, with the most frequent site being the P2 scallop (19.6% of hearts). The v-MAD height was significantly greater in mural leaflets than in commissures (4.4 mm<!--> <!-->±<!--> <!-->1.2 mm vs 2.1 mm<!--> <!-->±<!--> <!-->0.1 mm; <em>P</em> <!-->&lt;<!--> <!-->.001). No specific variations in mitral valve morphology or anthropometrical features of donors were associated with the presence or distribution of v-MADs. Microscopic examinations revealed the overlap of the thin layer of atrial myocardium over ventricular myocardium in areas of v-MAD.</div></div><div><h3>Conclusions</h3><div>Our study is the first to present a detailed definition and morphometric description of v-MAD. Further studies should focus on the clinical significance of v-MAD to elucidate whether it represents a benign anatomical variant or a significant clinical anomaly.</div></div>","PeriodicalId":38430,"journal":{"name":"Revista española de cardiología (English ed.)","volume":"77 12","pages":"Pages 987-994"},"PeriodicalIF":7.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140773767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Spanish catheter ablation registry. 23rd official report of the Heart Rhythm Association of the Spanish Society of Cardiology (2023)","authors":"Victor Bazan ,&nbsp;Eduardo Arana ,&nbsp;José Manuel Rubio-Campal ,&nbsp;David Calvo ,&nbsp;on behalf of the collaborators of the Spanish catheter ablation registry ,&nbsp;Luis Álvarez Acosta ,&nbsp;Julio Hernández Afonso ,&nbsp;Pablo Ramos Ardanaz ,&nbsp;Pablo Peñafiel Verdú ,&nbsp;Lucas R. Cano Calabria ,&nbsp;Alberto Barrera Cordero ,&nbsp;Alberto Barrera Cordero ,&nbsp;Alberto Barrera Cordero ,&nbsp;Alberto Barrera Cordero ,&nbsp;Alberto Barrera Cordero ,&nbsp;Ernesto Díaz Infante ,&nbsp;Rocío Cózar León ,&nbsp;Vanesa Cristina Lozano Granero ,&nbsp;José Luis Martínez Sande ,&nbsp;Àngel Moya Mitjans ,&nbsp;Álvaro Marco del Castillo","doi":"10.1016/j.rec.2024.07.014","DOIUrl":"10.1016/j.rec.2024.07.014","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>We report the results of the 2023 Spanish catheter ablation registry.</div></div><div><h3>Methods</h3><div>Procedural data were collected and incorporated into the REDCap platform by all participating centers through a specific form.</div></div><div><h3>Results</h3><div>There were 104 participating centers in 2023 compared with 103 in 2022. In 2023, the total number of ablation procedures was 26 207, indicating a stabilization of the increase observed in 2022 following the pandemic. The increase was mainly due to procedures for atrial fibrillation (AF), with a total of 9942 ablations, representing 38% of all substrates. Notably, pulse-field ablation represented 10.3% of all AF ablation procedures, leading single-shot ablation strategies to outnumber point-by-point AF ablation for the first time in the history of the registry. Cavotricuspid isthmus ablation remained the second most targeted substrate (19% of all substrates, n<!--> <!-->=<!--> <!-->5067). The overall acute success rate remained high (97%), with a downward trend in the complication rate (1.6% vs 1.8% in 2022) and mortality rate (0.03%; n<!--> <!-->=<!--> <!-->7). Compared with 2022, there was a significant increase in procedures performed using electro-anatomical mapping and zero-fluoroscopy techniques for cavotricuspid isthmus ablation (52% vs 26%), AV node re-entrant tachycardia (48% vs 34%), and accessory pathways (62% vs 22%). We registered 466 ablations in pediatric patients.</div></div><div><h3>Conclusions</h3><div>The data indicate a stabilization in the post-pandemic increase in ablation procedures, with an absolute and relative increase in AF as the predominant substrate. Success rates remained stable with a modest reduction in complication and mortality rates.</div></div>","PeriodicalId":38430,"journal":{"name":"Revista española de cardiología (English ed.)","volume":"77 12","pages":"Pages 1026-1036"},"PeriodicalIF":7.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142308720","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}

{"title":"Coronary microvascular dysfunction in patients with cancer experiencing angina with nonobstructive coronary arteries.","authors":"Ilan Merdler, Abhishek Chaturvedi, Brian C Case, Hayder D Hashim, Ron Waksman, Hector M Garcia-Garcia","doi":"10.1016/j.rec.2024.11.005","DOIUrl":"10.1016/j.rec.2024.11.005","url":null,"abstract":"","PeriodicalId":38430,"journal":{"name":"Revista española de cardiología (English ed.)","volume":" ","pages":""},"PeriodicalIF":7.2,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142755377","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}

{"title":"Comments on the 2024 ESC guidelines for the management of atrial fibrillation.","authors":"","doi":"10.1016/j.rec.2024.10.011","DOIUrl":"10.1016/j.rec.2024.10.011","url":null,"abstract":"","PeriodicalId":38430,"journal":{"name":"Revista española de cardiología (English ed.)","volume":" ","pages":""},"PeriodicalIF":7.2,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142751940","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}

{"title":"VE/VCO₂ slope and malignant ventricular arrhythmias in heart failure.","authors":"Néstor Báez-Ferrer, Daniel Hernández-Vaquero, Pablo Avanzas, Alberto Domínguez-Rodríguez","doi":"10.1016/j.rec.2024.10.010","DOIUrl":"10.1016/j.rec.2024.10.010","url":null,"abstract":"","PeriodicalId":38430,"journal":{"name":"Revista española de cardiología (English ed.)","volume":" ","pages":""},"PeriodicalIF":7.2,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740889","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}