Annales de cardiologie et d'angeiologie最新文献

{"title":"[Medicine for all, special attention for everyone].","authors":"Orianne Weizman, Mehdi Benamer, Hakim Benamer","doi":"10.1016/j.ancard.2025.101923","DOIUrl":"10.1016/j.ancard.2025.101923","url":null,"abstract":"","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 4","pages":"101923"},"PeriodicalIF":0.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144815594","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}

{"title":"Imagerie intracoronaire : quelle place dans la pathologie cardiovasculaire de la femme ?","authors":"Serigne C.T. Ndao,&nbsp;Nicolas Amabile","doi":"10.1016/j.ancard.2025.101916","DOIUrl":"10.1016/j.ancard.2025.101916","url":null,"abstract":"<div><h3>Background</h3><div>Coronary artery disease remains the leading cause of mortality among women, despite a persistent underestimation of its clinical impact. Intracoronary imaging techniques (ICI), such as intravascular ultrasound (IVUS) and optical coherence tomography (OCT), have emerged as valuable tools to complement angiography, especially in women, whose pathophysiological mechanisms are often atypical.</div></div><div><h3>Aims</h3><div>To analyse current data on the use of ICI in women and highlight its benefits, limitations, and sex-specific considerations.</div></div><div><h3>Methods</h3><div>Narrative review of recent literature, including observational studies, post-hoc analyses of randomized trials, and registries focusing on IVUS and OCT use in women.</div></div><div><h3>Results</h3><div>Women tend to have smaller coronary arteries, less extensive atherosclerotic disease, and distinct plaque composition, with a predominance of erosions over ruptures. These characteristics are poorly assessed by angiography alone, reinforcing the value of ICI, particularly in cases of MINOCA and spontaneous coronary artery dissection (SCAD). Despite demonstrated clinical benefits, ICI remains underused in women, with lower penetration into routine practice and underrepresentation in clinical trials. Complications related to intracoronary imaging are rare and comparable between genders, if precautions specific to female anatomy are observed.</div></div><div><h3>Conclusion</h3><div>ICI represents a significant yet underutilized opportunity to improve cardiovascular outcomes in women. Better integration of this technology into diagnostic and therapeutic strategies, combined with more gender-specific research, is essential to reduce persistent disparities in care.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 4","pages":"Article 101916"},"PeriodicalIF":0.3,"publicationDate":"2025-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144889088","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}

{"title":"Angor réfractaire et place du réducteur de sinus coronaire","authors":"Pierre Bourbon ,&nbsp;Matthieu Périer ,&nbsp;Benamer Hakim","doi":"10.1016/j.ancard.2025.101928","DOIUrl":"10.1016/j.ancard.2025.101928","url":null,"abstract":"<div><div>Refractory angina is characterized by angina-type pain, which remains uncontrolled despite pharmacological optimization, and patients are not eligible or unsuitable for further interventional or surgical revascularisation. This condition may concern 5 to 10 % of coronary artery disease patients. This review gives an overview of the conventional pharmacological and interventional approaches in the field of refractory angina. It considers the variety of emerging non-pharmacological therapeutics and technologies addressing neural pain processing or myocardial perfusion, and offers a special focus on the coronary sinus reducer implantation technique, its physiopathological rationale and its clinical evidence.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 4","pages":"Article 101928"},"PeriodicalIF":0.3,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144864197","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}

{"title":"Faisabilité et sécurité de l’abord radial droit pour l’angiographie des pontages mammaires internes gauches","authors":"Taha Ettachfini ,&nbsp;Karim Badaoui ,&nbsp;Jose Castro Rodriguez","doi":"10.1016/j.ancard.2025.101927","DOIUrl":"10.1016/j.ancard.2025.101927","url":null,"abstract":"<div><h3>Background</h3><div>The right radial approach has become the preferred access route for coronary angiography and percutaneous coronary intervention. However, its use for left internal mammary artery graft (LIMA) angiography in patients with prior coronary artery bypass grafting (CABG) remains controversial. This study aimed to assess the feasibility and safety of the right radial approach compared with the left radial and femoral approaches for LIMA graft angiography.</div></div><div><h3>Methods</h3><div>We compared feasibility criteria (LIMA visualization and selective engagement, procedure duration, contrast volume, and fluoroscopy time) and safety parameters during LIMA graft angiography, across right radial, left radial, and femoral access in 760 post-CABG patients.</div></div><div><h3>Results</h3><div>LIMA visualization was successful in 92% of cases via the right radial access, compared to 96% for both the left radial and femoral access (<em>p</em> = 0.158). Selective LIMA engagement was significantly lower with the right radial access (61%) than with the left radial (86%) and femoral (78%) access (<em>p</em> &lt; 0.0001). No significant differences were observed in procedure duration, fluoroscopy time, or contrast volume. Haemorrhagic complications were significantly less frequent with the right radial approach (0%) compared to the femoral approach (6%, <em>p</em> = 0.0001). The rates of radial artery spasm and occlusion were similar between the two radial access groups.</div></div><div><h3>Conclusion</h3><div>The right radial access is a safe and effective alternative for LIMA graft angiography in post-CABG patients. It represents a valuable option when the left radial artery is unavailable, allowing to avoid the femoral access and its associated complications.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 5","pages":"Article 101927"},"PeriodicalIF":0.3,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144879755","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}

{"title":"Revascularisation du patient ponté : revue de la littérature des stratégies thérapeutiques","authors":"Sara Jourani ,&nbsp;Zakariae Laraichi ,&nbsp;Hakim Benamer","doi":"10.1016/j.ancard.2025.101922","DOIUrl":"10.1016/j.ancard.2025.101922","url":null,"abstract":"<div><div>Myocardial ischemia occurring in patients with history of coronary artery bypass grafting (CABG) presents a significant therapeutic challenge. Vein graft degeneration, particularly of saphenous vein grafts, is a common complication with a time-dependent increase in incidence. Although arterial grafts offer greater long-term durability, they are not exempt from complications and may also require percutaneous interventions, which are often technically complex. Through this literature review, we examine the various revascularization strategies and reassess current guidelines, with the aim of optimizing therapeutic management in this high-risk patient population.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 4","pages":"Article 101922"},"PeriodicalIF":0.3,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144864199","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}

{"title":"TAVI en centres non chirurgicaux : entre pragmatisme clinique et mirage réglementaire","authors":"Radwan Hakim,&nbsp;Franck Albert","doi":"10.1016/j.ancard.2025.101915","DOIUrl":"10.1016/j.ancard.2025.101915","url":null,"abstract":"<div><div>TAVI has emerged as a safe and effective alternative to surgical aortic valve replacement, including in low-risk patients. However, French regulations still require the procedure to be performed exclusively in centers with on-site cardiac surgery. While historically justified, this requirement now appears outdated in light of technical advancements, reduced complication rates, and reassuring registry data. Several countries have already demonstrated the feasibility and safety of TAVI in experienced non-surgical centers. The current restriction generates inequalities in access, longer waiting times, and loss of patient opportunity. A structured evolution of the model, based on experience, quality criteria, and organized collaborations, could broaden access to TAVI without compromising safety. It is time to reconcile safety, pragmatism, and equitable access.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 5","pages":"Article 101915"},"PeriodicalIF":0.3,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144863950","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}

{"title":"Ce que le registre e-MUST dit de l’infarctus de la femme","authors":"Frédéric Lapostolle ,&nbsp;Hakim Benamer ,&nbsp;Aurélie Loyeau ,&nbsp;Hugo Michalak ,&nbsp;Tomislav Petrovic ,&nbsp;Sophie Bataille ,&nbsp;Yves Lambert","doi":"10.1016/j.ancard.2025.101925","DOIUrl":"10.1016/j.ancard.2025.101925","url":null,"abstract":"<div><div>The issue of gender in acute myocardial infarction (AMI) emerged in the literature over 25 years ago. It became evident that, all other factors being equal, women with AMI had higher mortality rates than men. The e-MUST registry, which includes patients with ST-segment elevation myocardial infarction (STEMI) of less than 24 hours’ duration managed by one of the 39 Mobile Emergency and Resuscitation Services (SMUR) in the Île-de-France region, has allowed for numerous gender-focused analyses. Key findings include: [1] higher mortality in women: women experiencing AMI have a higher mortality risk (OR = 1.4; 95% CI: 1.1–1.8) compared to men [2]. Younger age of onset in women: while the average age at AMI onset increased by 2.9 years in men between 2002 and 2021 (from 57.6 to 60.5 years; <em>p</em> &lt; 0.05), it decreased by 3.1 years in women (from 73.7 to 70.6 years; <em>p</em> &lt; 0.0001) [3]. Advanced age in a subset of women: women represented 22% of the total registry population but accounted for over 60% of nonagenarian patients. In this very elderly subgroup, the rate of myocardial reperfusion decisions rose from 50% in the early 2000s to over 90% by the early 2020s. This intervention was associated with a 58% reduction in mortality [4]. Nontraditional risk profiles: women with AMI often presented without traditional cardiovascular risk factors, or with risk factors not routinely screened for [5]. Circadian patterns and delayed calls: AMI in women frequently occurred in the early morning, peaking at 08:00. Call delays to emergency services increased with age and nighttime onset, reaching up to 300 minutes in women over 65 experiencing chest pain at 1 a.m [6]. Prehospital management: except for a slightly lower rate of myocardial reperfusion in women (93% vs. 96% in men; <em>p</em> &lt; 0.0001), prehospital management, including anticoagulant and antiplatelet therapy, was comparable between genders [7]. Gender bias in medical regulation: analysis of SAMU call regulation revealed that both the patient’s and the physician’s gender influenced the decision to dispatch a SMUR unit—ranging from 49% when both regulator and patient were men to just 18% when both were women [8]. Need for targeted approaches: these findings underscore the necessity for increased awareness, dedicated training, and gender-specific emergency care protocols to improve outcomes in women with AMI.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 4","pages":"Article 101925"},"PeriodicalIF":0.3,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144864198","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}

{"title":"Séniors et lésions coronaires calcifiées","authors":"Ikram El marzouki ,&nbsp;Jacques Monsegu","doi":"10.1016/j.ancard.2025.101926","DOIUrl":"10.1016/j.ancard.2025.101926","url":null,"abstract":"<div><div>Coronary artery calcification is highly prevalent in elderly patients and poses significant challenges during percutaneous coronary intervention (PCI).</div><div>We report the case of an 86-year-old man admitted for ST-elevation myocardial infarction. Coronary angiography revealed triple-vessel disease with an acute coronary artery occlusion, a long, heavily calcified proximal-to-mid left anterior descending artery stenosis, and a severely calcified proximal circumflex lesion. PCI revascularization was performed in 3 steps: primary PCI of the right coronary artery initially, then 3 days after, PCI of the circumflex artery using rotational atherectomy, scoring balloon dilation, and intravascular lithotripsy. Then, at Day 15, PCI of the left anterior descending artery with orbital atherectomy finished complete revascularization.</div><div>This case underscores the importance of a comprehensive geriatric assessment—particularly frailty and physiological age—before selecting a revascularization strategy requiring the use of specific tools as advanced plaque-modification techniques and intravascular imaging, without any restriction according to age.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 4","pages":"Article 101926"},"PeriodicalIF":0.3,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144864200","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}

{"title":"La réadaptation cardiaque de la femme coronarienne","authors":"Mohamed Ghannem ,&nbsp;Inès Cazaubiel","doi":"10.1016/j.ancard.2025.101920","DOIUrl":"10.1016/j.ancard.2025.101920","url":null,"abstract":"<div><div>The coronary disease is the leading cause of mortality in women, with 4 to 6 times more deaths than breast cancer. Classically, cardiovascular risk factors show some particularities. Acute coronary syndromes with non-obstructive forms, known as MINOCA (Myocardial Infarction with Non-Obstructive Coronary Arteries), occur more frequently in women than in men, particularly including coronary spasm, microcirculatory ischemia, spontaneous coronary artery dissections (SCAD), and stress cardiomyopathy (takotsubo). The proven benefits of cardiac rehabilitation on hard endpoints, such as morbidity and mortality, do not prevent it from being underutilized, especially in women. The cardiovascular rehabilitation program must be personalized and adapted.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 4","pages":"Article 101920"},"PeriodicalIF":0.3,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144827035","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}

{"title":"Anomalies électrocardiographiques et échocardiographiques au cours du lupus érythémateux systémique : les premières données des patients Camerounais","authors":"Jan René Nkeck ,&nbsp;Valérie Ndobo-Koe ,&nbsp;Stela Valdesse Kamgue Wambo ,&nbsp;Carelle Doen Guedi ,&nbsp;Adeline Pelda ,&nbsp;Gisèle Flora Nandjip ,&nbsp;Baudelaire Fojo ,&nbsp;Caroline Ngoufack-Tientcheu ,&nbsp;Blondelle Ndifon ,&nbsp;Laeticia Yowo ,&nbsp;Liliane Kuate Mfeukeu ,&nbsp;Madeleine Ngandeu Singwé","doi":"10.1016/j.ancard.2025.101905","DOIUrl":"10.1016/j.ancard.2025.101905","url":null,"abstract":"<div><h3>Introduction</h3><div>Limited data are available on cardiac manifestations in systemic lupus erythematosus (SLE) in Cameroon. The aim of this study was to report on electrocardiographic and echocardiographic abnormalities in this population.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted from October 2023 to May 2024 at the Yaoundé Central Hospital, involving patients followed up for SLE satisfying the ACR/EULAR 2019 criteria, paired with healthy subjects. They underwent electrocardiographic and echocardiographic examinations. Frequencies of abnormalities were compared using Fisher's exact test. The significance threshold was 0.05.</div></div><div><h3>Results</h3><div>We included 55 SLE patients (94.5% female) with a mean age of 39 (10) years, and 55 matched control subjects. Clinically, 10 (18.2%) SLE patients presented with functional cardiac signs. Electrocardiographic and echographic abnormalities accounted for 29.1% and 43.6% of patients, respectively, with frequencies significantly higher than those of controls (10.9% and 7.3%, respectively). These included sinus tachycardia (14.5%), ST elevation (14.5%), and T-wave inversion (16.3%) on electrocardiography; pericardial effusion (25.5%), mitral insufficiency (23.6%), aortic insufficiency (20%), and pulmonary hypertension (14.5%) on echocardiography.</div></div><div><h3>Conclusion</h3><div>Electrocardiographic and echocardiographic abnormalities are common, affecting one-third and two-fifths respectively of SLE patients in our sample. They are usually asymptomatic, calling for screening and follow-up, as some can have a long-term prognostic impact.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 6","pages":"Article 101905"},"PeriodicalIF":0.3,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144572393","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}