Pub Date : 2024-01-30DOI: 10.24875/recice.m23000436
José Antonio Sorolla Romero, Andrea Teira Calderón, J. P. Vílchez Tschischke, Pablo Aguar Carrascosa, F. Ten Morro, Luis Andrés Lalaguna, Luis Martínez Dolz, J. L. Diez Gil, Hector M. Garcia-Garcia, and, J. Sanz Sánchez
{"title":"Plaque modification and impact on the microcirculation territory after drug-coated balloon angioplasty. The PLAMI study design","authors":"José Antonio Sorolla Romero, Andrea Teira Calderón, J. P. Vílchez Tschischke, Pablo Aguar Carrascosa, F. Ten Morro, Luis Andrés Lalaguna, Luis Martínez Dolz, J. L. Diez Gil, Hector M. Garcia-Garcia, and, J. Sanz Sánchez","doi":"10.24875/recice.m23000436","DOIUrl":"https://doi.org/10.24875/recice.m23000436","url":null,"abstract":"","PeriodicalId":509332,"journal":{"name":"REC: interventional cardiology (English Edition)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140481962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-19DOI: 10.24875/recice.m23000420
Carlos Escobar, Josep Gomez Lara, Javier Escaned, Antoni Carol Ruiz, Enrique Gutiérrez Ibañes, Leticia Fernández Friera, S. Raposeiras-Roubin, Joaquín Alonso Martín, Jaume Agüero, José María Gámez, P. Jorge-Pérez, Román Freixa-Pamias, Vivencio Barrios, Ignacio Cruz González, Amparo Martínez Monzonís, and, Ana Viana Tejedor
A substantial number of patients undergoing coronary angiography for angina or ischemia in noninvasive tests have coronary arteries without lesions or with nonsignificant stenosis. Many of these patients have nonobstructive myocardial ischemia (INOCA/ ANOCA), which is an entity with prognostic importance that significantly affects patients’ quality of life. The absence of a proper diagnosis leads to inappropriate medical treatment, repeat diagnostic tests, and greater use of social and health resources. An adequate diagnostic strategy is required for individualized treatment that improves symptoms and quality of life. In this document from the SEC-Clinical Cardiology Association, SEC Interventional Cardiology Association, SEC-Ischemic Heart Disease and Acute Cardiac Care Association, and SEC-Cardiovascular Imaging Association of the Spanish Society of Cardiology, we provide simple and practical algorithms, with the aim of facilitating the early diagnosis and most appropriate treatment for patients with ANOCA.
在无创检查中，因心绞痛或心肌缺血而接受冠状动脉造影术的患者中，有相当一部分人的冠状动脉没有病变或狭窄不明显。这些患者中有许多人患有非梗阻性心肌缺血（INOCA/ ANOCA），这是一种对预后有重要影响的疾病，严重影响患者的生活质量。缺乏正确的诊断会导致不恰当的治疗、重复诊断检测以及更多社会和医疗资源的使用。要改善症状和生活质量，就必须采取适当的诊断策略，进行个性化治疗。在这份由西班牙心脏病学会临床心脏病协会（SEC-Clinical Cardiology Association）、西班牙心脏病学会介入心脏病协会（SEC Interventional Cardiology Association）、西班牙心脏病学会缺血性心脏病和急性心脏病护理协会（SEC-Ischemic Heart Disease and Acute Cardiac Care Association）以及西班牙心脏病学会心血管成像协会（SEC-Cardiovascular Imaging Association）共同编写的文件中，我们提供了简单实用的算法，旨在帮助 ANOCA 患者获得早期诊断和最适当的治疗。
{"title":"Diagnosis and treatment of patients with ANOCA","authors":"Carlos Escobar, Josep Gomez Lara, Javier Escaned, Antoni Carol Ruiz, Enrique Gutiérrez Ibañes, Leticia Fernández Friera, S. Raposeiras-Roubin, Joaquín Alonso Martín, Jaume Agüero, José María Gámez, P. Jorge-Pérez, Román Freixa-Pamias, Vivencio Barrios, Ignacio Cruz González, Amparo Martínez Monzonís, and, Ana Viana Tejedor","doi":"10.24875/recice.m23000420","DOIUrl":"https://doi.org/10.24875/recice.m23000420","url":null,"abstract":"A substantial number of patients undergoing coronary angiography for angina or ischemia in noninvasive tests have coronary arteries without lesions or with nonsignificant stenosis. Many of these patients have nonobstructive myocardial ischemia (INOCA/ ANOCA), which is an entity with prognostic importance that significantly affects patients’ quality of life. The absence of a proper diagnosis leads to inappropriate medical treatment, repeat diagnostic tests, and greater use of social and health resources. An adequate diagnostic strategy is required for individualized treatment that improves symptoms and quality of life. In this document from the SEC-Clinical Cardiology Association, SEC Interventional Cardiology Association, SEC-Ischemic Heart Disease and Acute Cardiac Care Association, and SEC-Cardiovascular Imaging Association of the Spanish Society of Cardiology, we provide simple and practical algorithms, with the aim of facilitating the early diagnosis and most appropriate treatment for patients with ANOCA.","PeriodicalId":509332,"journal":{"name":"REC: interventional cardiology (English Edition)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139613032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-19DOI: 10.24875/recice.m23000433
Thabo Mahendiran and, Bernard De Bruyne
{"title":"Implementing an ANOCA clinic","authors":"Thabo Mahendiran and, Bernard De Bruyne","doi":"10.24875/recice.m23000433","DOIUrl":"https://doi.org/10.24875/recice.m23000433","url":null,"abstract":"","PeriodicalId":509332,"journal":{"name":"REC: interventional cardiology (English Edition)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139611804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-19DOI: 10.24875/recice.m23000424
Pablo Merás Colunga, and, Santiago Jiménez Valero
{"title":"Percutaneous pulmonary valve implantation in native outflow tracts: has the time come?","authors":"Pablo Merás Colunga, and, Santiago Jiménez Valero","doi":"10.24875/recice.m23000424","DOIUrl":"https://doi.org/10.24875/recice.m23000424","url":null,"abstract":"","PeriodicalId":509332,"journal":{"name":"REC: interventional cardiology (English Edition)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139525539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-09DOI: 10.24875/recice.m23000417
J. A. Baz Alonso
{"title":"Debate. Asymptomatic severe aortic stenosis: when should we intervene? The interventional cardiologist�s perspective","authors":"J. A. Baz Alonso","doi":"10.24875/recice.m23000417","DOIUrl":"https://doi.org/10.24875/recice.m23000417","url":null,"abstract":"","PeriodicalId":509332,"journal":{"name":"REC: interventional cardiology (English Edition)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139443906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-09DOI: 10.24875/recice.m23000416
José L. Zamorano
{"title":"Debate. Asymptomatic severe aortic stenosis: when should we intervene? The clinician�s perspective","authors":"José L. Zamorano","doi":"10.24875/recice.m23000416","DOIUrl":"https://doi.org/10.24875/recice.m23000416","url":null,"abstract":"","PeriodicalId":509332,"journal":{"name":"REC: interventional cardiology (English Edition)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139443437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-08DOI: 10.24875/recice.m23000427
Fernando Mané, R. Flores, Rodrigo Silva, I. Conde, Ana Sofia Ferreira, J. Costa, C. Quina-Rodrigues, Carlos Galvão-Braga, and, Jorge Marques
Introduction and objectives: In patients with ST-segment elevation myocardial infarction (STEMI) treatment delay significantly affects outcomes. The effect of admission time in STEMI patients is unknown when percutaneous coronary intervention (PCI) is the preferred reperfusion strategy. This study aimed to determine the association between STEMI outcomes and the timing of admission in a PCI center in south-western Europe. Methods: This retrospective cohort study analyzed the local electronic data from 1222 consecutive STEMI patients treated with PCI. On-hours were defined as admission from Monday to Friday between 8:00 AM and 6:00 PM on non-national holidays. Results: A total of 439 patients (36%) were admitted on-hours and 783 patients (64%) were admitted off-hours. Baseline characteristics were well-balanced between the 2 groups, including the percentage of patients admitted in cardiogenic shock (on-hours 5% vs off-hours 4%; P = .62). The median time from first medical contact to reperfusion did not differ between the 2 groups (on-hours 120 minutes vs off-hours 123 minutes, P = .54) and no association was observed between admission time and in-hospital mortality (on-hours 5% vs off-hours 5%, P = .90) or 1-year mortality (on-hours 10% vs off-hours 10%, P = .97). Survival analysis showed no differences in on-hours PCI vs off-hours PCI (HR, 1.1; 95%CI, 0.74-1.64; P = .64). Conclusions: In a contemporary emergency network, the timing of STEMI patients’ admission to the PCI center was not associated with reperfusion delays or increased mortality.
{"title":"On- vs off-hours primary percutaneous coronary intervention: a single-center 5-year experience","authors":"Fernando Mané, R. Flores, Rodrigo Silva, I. Conde, Ana Sofia Ferreira, J. Costa, C. Quina-Rodrigues, Carlos Galvão-Braga, and, Jorge Marques","doi":"10.24875/recice.m23000427","DOIUrl":"https://doi.org/10.24875/recice.m23000427","url":null,"abstract":"Introduction and objectives: In patients with ST-segment elevation myocardial infarction (STEMI) treatment delay significantly affects outcomes. The effect of admission time in STEMI patients is unknown when percutaneous coronary intervention (PCI) is the preferred reperfusion strategy. This study aimed to determine the association between STEMI outcomes and the timing of admission in a PCI center in south-western Europe. Methods: This retrospective cohort study analyzed the local electronic data from 1222 consecutive STEMI patients treated with PCI. On-hours were defined as admission from Monday to Friday between 8:00 AM and 6:00 PM on non-national holidays. Results: A total of 439 patients (36%) were admitted on-hours and 783 patients (64%) were admitted off-hours. Baseline characteristics were well-balanced between the 2 groups, including the percentage of patients admitted in cardiogenic shock (on-hours 5% vs off-hours 4%; P = .62). The median time from first medical contact to reperfusion did not differ between the 2 groups (on-hours 120 minutes vs off-hours 123 minutes, P = .54) and no association was observed between admission time and in-hospital mortality (on-hours 5% vs off-hours 5%, P = .90) or 1-year mortality (on-hours 10% vs off-hours 10%, P = .97). Survival analysis showed no differences in on-hours PCI vs off-hours PCI (HR, 1.1; 95%CI, 0.74-1.64; P = .64). Conclusions: In a contemporary emergency network, the timing of STEMI patients’ admission to the PCI center was not associated with reperfusion delays or increased mortality.","PeriodicalId":509332,"journal":{"name":"REC: interventional cardiology (English Edition)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139446479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-28DOI: 10.24875/recice.m23000426
V. Arévalos, F. Spione, Paula Vela, F. Iacovelli, L. Sanchís, X. Freixa, Salvatore Brugaletta, T. Tesorio, Omar Abdul-Jawad Altisent, Manel Sabaté, and, A. Regueiro
{"title":"Coronary obstruction following transcatheter aortic valve replacement. Risk evaluation and preventive strategies","authors":"V. Arévalos, F. Spione, Paula Vela, F. Iacovelli, L. Sanchís, X. Freixa, Salvatore Brugaletta, T. Tesorio, Omar Abdul-Jawad Altisent, Manel Sabaté, and, A. Regueiro","doi":"10.24875/recice.m23000426","DOIUrl":"https://doi.org/10.24875/recice.m23000426","url":null,"abstract":"","PeriodicalId":509332,"journal":{"name":"REC: interventional cardiology (English Edition)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139150257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-14DOI: 10.24875/recice.m23000421
Pau Torrella, Maria Vidal, Jordi Riera, Irene Buera, Eduard Argudo, and, José Antonio Barrabés
{"title":"An unusual etiology of shock after ECMO decannulation","authors":"Pau Torrella, Maria Vidal, Jordi Riera, Irene Buera, Eduard Argudo, and, José Antonio Barrabés","doi":"10.24875/recice.m23000421","DOIUrl":"https://doi.org/10.24875/recice.m23000421","url":null,"abstract":"","PeriodicalId":509332,"journal":{"name":"REC: interventional cardiology (English Edition)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139180122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-13DOI: 10.24875/recice.m23000418
Riccardo Rinaldi, F. Spione, Filippo Maria Verardi, Pablo Vidal Calés, V. Arévalos, R. Gabani, Daniel Cánovas, Montserrat Gutiérrez, Montserrat Pardo, Rosa Domínguez, Luis Pintor, Xavier Torres, X. Freixa, A. Regueiro, Omar Abdul-Jawad Altisent, Manel Sabaté, and, Salvatore Brugaletta
Introduction and objectives : A systematic approach to patients with angina with no obstructed coronary arteries (ANOCA) or ischemia with no obstructed coronary arteries (INOCA) patients is not routinely implemented. Methods: All consecutive patients diagnosed with ANOCA/INOCA were referred to a designated outpatient clinic for a screening visit to assess their eligibility for a NOCA program. If eligible, patients underwent scheduled coronary angiograms with coronary function testing and intracoronary acetylcholine provocation testing. Medical therapy was optimized accordingly. All patients were then followed up at 1, 3, 6, and 12 months. Baseline and 3-month follow-up assessments included the Seattle Angina Questionnaire (SAQ) and EuroQol-5D questionnaire. Results: Of 77 patients screened, 23 (29.9%) were excluded and 54 (70.1%) were included (29 [53.7%] with INOCA and 25 [46.3%] with ANOCA). Microvascular angina was diagnosed in 19 (35.2%) patients, vasospastic angina in 12 (22.2%), both microvascular angina and vasospastic angina in 18 (33.3%), and noncoronary chest pain in 5 (9.3%). There was a notable increase in the use of beta-blockers, calcium channel blockers and nitrates. Complications occurred in 3 (5.5%) patients. Compared with baseline, there was no difference in the mean EQ-5D score at the 3-month follow-up, but there was a significant improvement in the SAQ score related to physical limitations, angina stability, and disease perception, with no differences in angina frequency or treatment satisfaction. No events were recorded at the 1-year follow-up. Conclusions: A specific diagnostic and therapeutic protocol can be easily and safely implemented in routine clinical practice, leading to improvement in patients’ quality of life.
{"title":"Angina or ischemia with no obstructed coronary arteries: a specific diagnostic and therapeutic protocol","authors":"Riccardo Rinaldi, F. Spione, Filippo Maria Verardi, Pablo Vidal Calés, V. Arévalos, R. Gabani, Daniel Cánovas, Montserrat Gutiérrez, Montserrat Pardo, Rosa Domínguez, Luis Pintor, Xavier Torres, X. Freixa, A. Regueiro, Omar Abdul-Jawad Altisent, Manel Sabaté, and, Salvatore Brugaletta","doi":"10.24875/recice.m23000418","DOIUrl":"https://doi.org/10.24875/recice.m23000418","url":null,"abstract":"Introduction and objectives : A systematic approach to patients with angina with no obstructed coronary arteries (ANOCA) or ischemia with no obstructed coronary arteries (INOCA) patients is not routinely implemented. Methods: All consecutive patients diagnosed with ANOCA/INOCA were referred to a designated outpatient clinic for a screening visit to assess their eligibility for a NOCA program. If eligible, patients underwent scheduled coronary angiograms with coronary function testing and intracoronary acetylcholine provocation testing. Medical therapy was optimized accordingly. All patients were then followed up at 1, 3, 6, and 12 months. Baseline and 3-month follow-up assessments included the Seattle Angina Questionnaire (SAQ) and EuroQol-5D questionnaire. Results: Of 77 patients screened, 23 (29.9%) were excluded and 54 (70.1%) were included (29 [53.7%] with INOCA and 25 [46.3%] with ANOCA). Microvascular angina was diagnosed in 19 (35.2%) patients, vasospastic angina in 12 (22.2%), both microvascular angina and vasospastic angina in 18 (33.3%), and noncoronary chest pain in 5 (9.3%). There was a notable increase in the use of beta-blockers, calcium channel blockers and nitrates. Complications occurred in 3 (5.5%) patients. Compared with baseline, there was no difference in the mean EQ-5D score at the 3-month follow-up, but there was a significant improvement in the SAQ score related to physical limitations, angina stability, and disease perception, with no differences in angina frequency or treatment satisfaction. No events were recorded at the 1-year follow-up. Conclusions: A specific diagnostic and therapeutic protocol can be easily and safely implemented in routine clinical practice, leading to improvement in patients’ quality of life.","PeriodicalId":509332,"journal":{"name":"REC: interventional cardiology (English Edition)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139181141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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