Pub Date : 2025-09-01Epub Date: 2025-09-04DOI: 10.1016/S0003-3928(25)00085-X
{"title":"Sommaire","authors":"","doi":"10.1016/S0003-3928(25)00085-X","DOIUrl":"10.1016/S0003-3928(25)00085-X","url":null,"abstract":"","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 4","pages":"Article 101946"},"PeriodicalIF":0.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144988107","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 : 2025-09-01Epub Date: 2025-08-08DOI: 10.1016/j.ancard.2025.101918
Mehdi Benamer, Patrick Henry, Jean Guillaume Dillinger, Antoine Lequipar, Théo Pezel, Alexandre Lafont, Emmanuel Gall
Diabetes constitutes a major risk factor for coronary artery disease, with often diffuse, calcified, and complex lesions, making the revascularization strategy particularly challenging. We report two clinical cases illustrating contrasting approaches in diabetic patients presenting with multivessel coronary disease. The first case involves a complex coronary angioplasty in the setting of acute coronary syndrome, guided by intracoronary imaging, highlighting the value of this modality in ostial left main lesions. The second case describes surgical revascularization in a stable patient with extensive coronary artery disease and left ventricular dysfunction, demonstrating the superiority of coronary artery bypass grafting in this context. These observations illustrate the importance of a personalized and multidisciplinary approach, based on current guidelines and the patient's anatomical and clinical characteristics. The advent of modern revascularization techniques and the anticipated results of the ANDAMAN study could soon redefine the standards of care for these high-risk patients.
{"title":"[Coronary revascularization in diabetic patient: which approach to choose?]","authors":"Mehdi Benamer, Patrick Henry, Jean Guillaume Dillinger, Antoine Lequipar, Théo Pezel, Alexandre Lafont, Emmanuel Gall","doi":"10.1016/j.ancard.2025.101918","DOIUrl":"10.1016/j.ancard.2025.101918","url":null,"abstract":"<p><p>Diabetes constitutes a major risk factor for coronary artery disease, with often diffuse, calcified, and complex lesions, making the revascularization strategy particularly challenging. We report two clinical cases illustrating contrasting approaches in diabetic patients presenting with multivessel coronary disease. The first case involves a complex coronary angioplasty in the setting of acute coronary syndrome, guided by intracoronary imaging, highlighting the value of this modality in ostial left main lesions. The second case describes surgical revascularization in a stable patient with extensive coronary artery disease and left ventricular dysfunction, demonstrating the superiority of coronary artery bypass grafting in this context. These observations illustrate the importance of a personalized and multidisciplinary approach, based on current guidelines and the patient's anatomical and clinical characteristics. The advent of modern revascularization techniques and the anticipated results of the ANDAMAN study could soon redefine the standards of care for these high-risk patients.</p>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 4","pages":"101918"},"PeriodicalIF":0.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144811526","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 : 2025-09-01Epub Date: 2025-08-20DOI: 10.1016/j.ancard.2025.101926
Ikram El marzouki , Jacques Monsegu
Coronary artery calcification is highly prevalent in elderly patients and poses significant challenges during percutaneous coronary intervention (PCI).
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.
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.
{"title":"Séniors et lésions coronaires calcifiées","authors":"Ikram El marzouki , 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":"2025-09-01","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}
Pub Date : 2025-09-01Epub Date: 2025-08-09DOI: 10.1016/j.ancard.2025.101923
Orianne Weizman, Mehdi Benamer, Hakim Benamer
{"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}
Pub Date : 2025-06-01Epub Date: 2025-04-11DOI: 10.1016/j.ancard.2025.101894
Ines Kechaou , Mohamed Salah Hamdi , Asma Tekaya , Amira Taouay , Eya Cherif , Lamia Ben Hassine
Introduction
Anticoagulant therapy, often required in the elderly, is not without risk. This study aims to investigate the particularities of the use of anticoagulants in the elderly during hospital stay, along with the factors associated with bleeding and overdose.
Results
There were 55 women and 45 men (sex ratio: 0.81), with a mean age of 75.7 ± 6.9 years. The indications for anticoagulant treatment were venous thromboembolism (VTE) (92%) and atrial fibrillation (AF) (8%).
The average duration of treatment with acenocoumarol was 17.22 days ± 7.9. The dose of acenocoumarol initiation was 1 mg in 85% of patients and 2 mg in 15%.
INR < 2 was observed in 15% of patients. INR in the target area was obtained in 47% of patients with a mean dose of 2.33 mg of acenocoumarol. An overdose of acenocoumarol was noted in 38% of patients: average INR at 4.7. Seven patients had bleeding events. An overdose was reported in 4 of them.
Fever, infection, inflammatory syndrome, hypoalbuminemia, hypoprotidemia, and malnutrition were associated with a greater risk of overdose in our patients. Gastroduodenal ulcer disease, past medical history of gastrointestinal bleeding and renal failure were risk factors for bleeding in our patients.
Conclusion
The use of anticoagulants in the elderly requires a comprehensive assessment, including comorbidities, geriatric settings, and social environment.
{"title":"Management of Acenocoumarol in Tunisian elderly population : Risk factors of overdose and bleeding","authors":"Ines Kechaou , Mohamed Salah Hamdi , Asma Tekaya , Amira Taouay , Eya Cherif , Lamia Ben Hassine","doi":"10.1016/j.ancard.2025.101894","DOIUrl":"10.1016/j.ancard.2025.101894","url":null,"abstract":"<div><h3>Introduction</h3><div>Anticoagulant therapy, often required in the elderly, is not without risk. This study aims to investigate the particularities of the use of anticoagulants in the elderly during hospital stay, along with the factors associated with bleeding and overdose.</div></div><div><h3>Results</h3><div>There were 55 women and 45 men (sex ratio: 0.81), with a mean age of 75.7 ± 6.9 years. The indications for anticoagulant treatment were venous thromboembolism (VTE) (92%) and atrial fibrillation (AF) (8%).</div><div>The average duration of treatment with acenocoumarol was 17.22 days ± 7.9. The dose of acenocoumarol initiation was 1 mg in 85% of patients and 2 mg in 15%.</div><div>INR < 2 was observed in 15% of patients. INR in the target area was obtained in 47% of patients with a mean dose of 2.33 mg of acenocoumarol. An overdose of acenocoumarol was noted in 38% of patients: average INR at 4.7. Seven patients had bleeding events. An overdose was reported in 4 of them.</div><div>Fever, infection, inflammatory syndrome, hypoalbuminemia, hypoprotidemia, and malnutrition were associated with a greater risk of overdose in our patients. Gastroduodenal ulcer disease, past medical history of gastrointestinal bleeding and renal failure were risk factors for bleeding in our patients.</div></div><div><h3>Conclusion</h3><div>The use of anticoagulants in the elderly requires a comprehensive assessment, including comorbidities, geriatric settings, and social environment.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 3","pages":"Article 101894"},"PeriodicalIF":0.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143821408","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 : 2025-06-01Epub Date: 2025-05-29DOI: 10.1016/S0003-3928(25)00049-6
{"title":"Sommaire","authors":"","doi":"10.1016/S0003-3928(25)00049-6","DOIUrl":"10.1016/S0003-3928(25)00049-6","url":null,"abstract":"","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 3","pages":"Article 101910"},"PeriodicalIF":0.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144169230","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 : 2025-06-01Epub Date: 2025-05-08DOI: 10.1016/j.ancard.2025.101900
Yassin El Mourabit , Mohammed Tribak , Hasna Leghlimi , Wafae El Amraoui , Mehdi Laaroussi , Abderahmane El Bakkali , Lahcen Mermade , Said Moughil
<div><h3>Introduction</h3><div>La coronaropathie chez le sujet jeune présente des particularités influençant la prise en charge, faisant du pontage coronarien le traitement de référence, avec un intérêt notable dans ce contexte.</div></div><div><h3>But</h3><div>Le but de notre étude est de caractériser le profil des patients et d'évaluer les résultats à court et à long terme du pontage coronarien chez les sujets de moins de 45 ans.</div></div><div><h3>Méthodes</h3><div>Entre mai 1995 et décembre 2022, 130 patients jeunes ont bénéficié d'un pontage coronarien. Les variables analysées comprenaient la mortalité hospitalière, la morbidité postopératoire, la mortalité globale et cardiovasculaire, ainsi que l'occurrence d'événements cardiovasculaires majeurs. De plus, la qualité de vie des patients et leur adhésion au traitement ont également été démontrées. Le suivi moyen des patients était de 11 ± 2 ans.</div></div><div><h3>Résultats</h3><div>La mortalité hospitalière était de 1,53 %. La morbidité postopératoire était de 24,61 %. La durée moyenne du séjour hospitalier était de 11±8 jours. La survie globale à 1, 5 et 10 ans était respectivement de 98 %, 95 % et 89 %. L'absence d'événements cardiovasculaires majeurs dans notre série était de 95,31 % à 1 an, 86,71 % à 5 ans et 82,03 % à 10 ans. Après un suivi moyen de 11 ± 2 ans (2-28 ans), 75,5 % des patients diabétiques ont un diabète contrôlé et 82,7 % ont arrêté de fumer, alors que la dyspnée d'effort et l'angor persistent respectivement chez 36 % et 18 % des patients.</div></div><div><h3>Conclusion</h3><div>Nos résultats démontrent que le pontage coronaire donne aux patients jeunes une morbi-mortalité hospitalière très admissible et une survie à long terme excellente, avec amélioration de la qualité de vie.</div></div><div><h3>Introduction</h3><div>Coronary artery disease in young patients presents particularities that influence management, making coronary artery bypass grafting (CABG) the treatment of choice, with significant relevance in this context.</div></div><div><h3>Objective</h3><div>The aim of our study is to characterize the profile of patients and evaluate the short- and long-term outcomes of coronary artery bypass grafting in patients under 45 years of age.</div></div><div><h3>Methods</h3><div>Between May 1995 and December 2022, 130 young patients underwent coronary artery bypass grafting. The variables analyzed included hospital mortality, postoperative morbidity, overall and cardiovascular mortality, as well as the occurrence of major cardiovascular events. Additionally, patients' quality of life and treatment adherence were also assessed. The mean follow-up period for patients was 11 ± 2 years.</div></div><div><h3>Results</h3><div>Hospital mortality was 1.53%. Postoperative morbidity was 24.61%. The mean length of hospital stay was 11±8 days. The overall survival at 1, 5, and 10 years was 98%, 95%, and 89%, respectively. The absence of major cardiovascular events in our series was 95
{"title":"Le Pontage Coronarien chez le Sujet de Moins de 45 ans : Profil caractéristique et résultat à long terme","authors":"Yassin El Mourabit , Mohammed Tribak , Hasna Leghlimi , Wafae El Amraoui , Mehdi Laaroussi , Abderahmane El Bakkali , Lahcen Mermade , Said Moughil","doi":"10.1016/j.ancard.2025.101900","DOIUrl":"10.1016/j.ancard.2025.101900","url":null,"abstract":"<div><h3>Introduction</h3><div>La coronaropathie chez le sujet jeune présente des particularités influençant la prise en charge, faisant du pontage coronarien le traitement de référence, avec un intérêt notable dans ce contexte.</div></div><div><h3>But</h3><div>Le but de notre étude est de caractériser le profil des patients et d'évaluer les résultats à court et à long terme du pontage coronarien chez les sujets de moins de 45 ans.</div></div><div><h3>Méthodes</h3><div>Entre mai 1995 et décembre 2022, 130 patients jeunes ont bénéficié d'un pontage coronarien. Les variables analysées comprenaient la mortalité hospitalière, la morbidité postopératoire, la mortalité globale et cardiovasculaire, ainsi que l'occurrence d'événements cardiovasculaires majeurs. De plus, la qualité de vie des patients et leur adhésion au traitement ont également été démontrées. Le suivi moyen des patients était de 11 ± 2 ans.</div></div><div><h3>Résultats</h3><div>La mortalité hospitalière était de 1,53 %. La morbidité postopératoire était de 24,61 %. La durée moyenne du séjour hospitalier était de 11±8 jours. La survie globale à 1, 5 et 10 ans était respectivement de 98 %, 95 % et 89 %. L'absence d'événements cardiovasculaires majeurs dans notre série était de 95,31 % à 1 an, 86,71 % à 5 ans et 82,03 % à 10 ans. Après un suivi moyen de 11 ± 2 ans (2-28 ans), 75,5 % des patients diabétiques ont un diabète contrôlé et 82,7 % ont arrêté de fumer, alors que la dyspnée d'effort et l'angor persistent respectivement chez 36 % et 18 % des patients.</div></div><div><h3>Conclusion</h3><div>Nos résultats démontrent que le pontage coronaire donne aux patients jeunes une morbi-mortalité hospitalière très admissible et une survie à long terme excellente, avec amélioration de la qualité de vie.</div></div><div><h3>Introduction</h3><div>Coronary artery disease in young patients presents particularities that influence management, making coronary artery bypass grafting (CABG) the treatment of choice, with significant relevance in this context.</div></div><div><h3>Objective</h3><div>The aim of our study is to characterize the profile of patients and evaluate the short- and long-term outcomes of coronary artery bypass grafting in patients under 45 years of age.</div></div><div><h3>Methods</h3><div>Between May 1995 and December 2022, 130 young patients underwent coronary artery bypass grafting. The variables analyzed included hospital mortality, postoperative morbidity, overall and cardiovascular mortality, as well as the occurrence of major cardiovascular events. Additionally, patients' quality of life and treatment adherence were also assessed. The mean follow-up period for patients was 11 ± 2 years.</div></div><div><h3>Results</h3><div>Hospital mortality was 1.53%. Postoperative morbidity was 24.61%. The mean length of hospital stay was 11±8 days. The overall survival at 1, 5, and 10 years was 98%, 95%, and 89%, respectively. The absence of major cardiovascular events in our series was 95","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 3","pages":"Article 101900"},"PeriodicalIF":0.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143918051","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}
Unilateral agenesis of the pulmonary artery is a rare congenital malformation. Diagnosis is based on imaging due to the nonspecificity of clinical symptoms. Hemoptysis is among the rare manifestations of this malformation. Standard radiography provides relevant orientation elements; however, CT pulmonary angiography remains the reference examination for positive diagnosis. We report the case of a 47-year-old patient presenting with recurrent episodes of minimal hemoptysis occurring quietly. A CT pulmonary angiography was performed, revealing agenesis of the left pulmonary artery.
{"title":"Hémoptysie révélatrice d'une agénésie de l'artère pulmonaire gauche : à propos d'un cas","authors":"Labied Mohamed, Bouzid Ismail, El Oualladi Feryal, Mountassir Chorouk, Lembarki Ghizlane, Sabiri Mouna, Lezar Samira","doi":"10.1016/j.ancard.2025.101895","DOIUrl":"10.1016/j.ancard.2025.101895","url":null,"abstract":"<div><div>Unilateral agenesis of the pulmonary artery is a rare congenital malformation. Diagnosis is based on imaging due to the nonspecificity of clinical symptoms. Hemoptysis is among the rare manifestations of this malformation. Standard radiography provides relevant orientation elements; however, CT pulmonary angiography remains the reference examination for positive diagnosis. We report the case of a 47-year-old patient presenting with recurrent episodes of minimal hemoptysis occurring quietly. A CT pulmonary angiography was performed, revealing agenesis of the left pulmonary artery.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 3","pages":"Article 101895"},"PeriodicalIF":0.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143815792","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 : 2025-06-01Epub Date: 2025-04-11DOI: 10.1016/j.ancard.2025.101891
Carole Mette , Karine Petit , Laurent Fauchier
The mental health of allied professionals in interventional electrophysiology is an increasingly concerning topic given the emotional and physical demands inherent in their role, which deserves particular attention. This article examines the impact of stress, anxiety, and burnout on these healthcare professionals. To this end, an anonymous survey of allied professionals in interventional electrophysiology was conducted using a questionnaire via a dedicated survey platform over a period from October 17 to December 10, 2024. The data extracted and analyzed with the help of the platform revealed the following difficulties: lack of recognition, unsatisfactory working conditions, high workload, relational difficulties, and a lack of organization. This has resulted in an impact on the feelings of the allied professionals and especially on their work. In conclusion, this study reveals a generalized feeling of malaise among all allied professionals in interventional electrophysiology on a psychological, emotional, and physical level, as well as the importance of investing in the mental health of allied professionals for the improvement of the entire healthcare system.
{"title":"La santé mentale des auxiliaires médicaux en rythmologie interventionnelle","authors":"Carole Mette , Karine Petit , Laurent Fauchier","doi":"10.1016/j.ancard.2025.101891","DOIUrl":"10.1016/j.ancard.2025.101891","url":null,"abstract":"<div><div>The mental health of allied professionals in interventional electrophysiology is an increasingly concerning topic given the emotional and physical demands inherent in their role, which deserves particular attention. This article examines the impact of stress, anxiety, and burnout on these healthcare professionals. To this end, an anonymous survey of allied professionals in interventional electrophysiology was conducted using a questionnaire via a dedicated survey platform over a period from October 17 to December 10, 2024. The data extracted and analyzed with the help of the platform revealed the following difficulties: lack of recognition, unsatisfactory working conditions, high workload, relational difficulties, and a lack of organization. This has resulted in an impact on the feelings of the allied professionals and especially on their work. In conclusion, this study reveals a generalized feeling of malaise among all allied professionals in interventional electrophysiology on a psychological, emotional, and physical level, as well as the importance of investing in the mental health of allied professionals for the improvement of the entire healthcare system.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 3","pages":"Article 101891"},"PeriodicalIF":0.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143815958","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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