Cardiac & Cardiovascular Systems

Article Cardiac & Cardiovascular Systems

Endoscopic Aortic Valve Replacement: Initial Outcomes of Isolated and Concomitant Surgery

Soh Hosoba, Toshiaki Ito, Makoto Mori, Riku Kato, Koh Kajiyama, Shogo Maeda, Yuji Nakai, Yoshihiro Morishita

Summary: This study describes the approach and perioperative outcomes of totally endoscopic isolated and concomitant surgical aortic valve replacement (AVR) using various valve types. The results demonstrate that endoscopic AVR can safely address concomitant valve diseases.

ANNALS OF THORACIC SURGERY (2024)

Article Cardiac & Cardiovascular Systems

Evidence-informed development of women-focused cardiac rehabilitation education

Gabriela Lima de Melo Ghisi, Andree-Anne Hebert, Paul Oh, Tracey Colella, Crystal Aultman, Carolina Carvalho, Rajni Nijhawan, Marie-Kristelle Ross, Sherry L. Grace

Summary: This study aimed to co-design women-focused cardiac rehabilitation (CR) education to meet their specific needs. Through literature review, needs assessment, and content development, the research team created open-access educational resources including videos and slide decks. These resources will be used to support women in reducing their risk of cardiovascular sequelae.

HEART & LUNG (2024)

Article Cardiac & Cardiovascular Systems

Nurse-guided mobile health care program to reduce emotional distress experienced by parents of infants prenatally diagnosed with critical congenital heart disease: A pilot study

Anne Chevalier McKechnie, Kristin M. Elgersma, Matthew B. Ambrose, Aura A. Sanchez Mejia, Kavisha M. Shah, Taylor Iwaszko Wagner, Anna Trebilcock, Carrie Hallock

Summary: This study tested the impact of a nurse-guided mHealth care program on the emotional distress of parents following prenatal diagnosis of critical congenital heart disease. The results showed that this approach is feasible and can significantly reduce parents' symptoms of depression, anxiety, and trauma.

PROGRESS IN PEDIATRIC CARDIOLOGY (2024)

Review Cardiac & Cardiovascular Systems

Complications of Right Heart Catheterization in Patients ≥70 Years of Age With Suspected Pulmonary Hypertension: Experience From a Tertiary Care Center

Guillermo Cueto-Robledo, Leslie-Marisol Gonzalez-Hermosillo, Mateo Porres-Aguilar, Dulce-Iliana Navarro-Vergara, Marisol Garcia-Cesar, Maria-Berenice Torres-Rojas, Alma Daniela Martinez-Carrillo, Hector R. Cajigas

Summary: This study evaluated the indications for performing RHC and the occurrence of adverse events related to the procedure in patients aged >= 70 years in a Mexican Tertiary Care Center. The findings suggest that RHC can be safely performed in patients aged >= 70 years without significant major complications.

CURRENT PROBLEMS IN CARDIOLOGY (2024)

Review Cardiac & Cardiovascular Systems

Rethinking HDL-C: An In-Depth Narrative Review of Its Role in Cardiovascular Health

Prinka Perswani, Syed Muhammad Ismail, Hassan Mumtaz, Naseer Uddin, Muhammad Asfand, Ahmed Bazil Bin Khalil, Aisha Ijlal, Shaheer Ellahi Khan, Muhammad Usman, Hadia Younas, Anushree Rai

Summary: The relationship between HDL-C levels and cardiovascular outcomes is complex and multifactorial. While low HDL-C is recognized as a risk factor for CVD, the genetic determinants of HDL-C levels add complexity to this association. Furthermore, extremely high HDL-C levels may not exhibit the expected protective benefits and may even pose unprecedented cardiovascular risks. A comprehensive understanding of these dynamics is essential for advancing our knowledge.

CURRENT PROBLEMS IN CARDIOLOGY (2024)

Article Cardiac & Cardiovascular Systems

Physiology and Intravascular Imaging Coregistration-Best of all Worlds?

Tobin Joseph, Michael Foley, Rasha Al-Lamee

CARDIOLOGY CLINICS (2024)

Article Cardiac & Cardiovascular Systems

Beyond Coronary Artery Disease Assessing the Microcirculation

Sonal Pruthi, Emaad Siddiqui, Nathaniel R. Smilowitz

CARDIOLOGY CLINICS (2024)

Article Cardiac & Cardiovascular Systems

Targeted Therapies for Microvascular Disease

Adam Bland, Eunice Chuah, William Meere, Thomas J. Ford

Summary: CMD remains a challenging condition to manage due to its heterogeneous pathophysiology, presentation, and response to therapy. Awareness of CMD is improving, but there is a lack of randomized trials for therapy. Invasive assessment of the coronary microcirculation can improve patient-centered outcomes. Beta-blockers are still the cornerstone of therapy for angina due to CMD, while non-pharmacological interventions play a central role in management.

CARDIOLOGY CLINICS (2024)

Review Cardiac & Cardiovascular Systems

Air pollution and cardiovascular health in South Asia: A comprehensive review

Hamza Irfan

Summary: Air pollution in South Asia, particularly with high concentrations of PM2.5, is a critical issue that is significantly associated with cardiovascular diseases. The region has 37 of the world's most polluted cities and 60% of its population exposed to hazardous pollution levels. Mitigating this crisis requires a multifaceted approach, including public awareness, air quality regulation, cleaner energy sources, and measures to reduce crop stubble burning. Further research is crucial for understanding and addressing the complex relationship between air pollution and cardiovascular diseases, potentially saving lives and improving public health.

CURRENT PROBLEMS IN CARDIOLOGY (2024)

Article Cardiac & Cardiovascular Systems

What About All the Recent Negative FFR Trials?

Nils P. Johnson

Summary: From the four recent RCTs on FFR published or presented in 2021, we have learned several important lessons: study design should focus on discordant decisions; composite endpoints for PCI should prioritize vessel-level outcomes over mortality; initial PCI must be considered when calculating the total amount of TVR; ultrahigh rates of FFR<0.8 do not influence treatment decisions based on angiography; and although PCI is a reasonable option, CABG yields better outcomes for patients with severe multivessel disease.

CARDIOLOGY CLINICS (2024)

Article Cardiac & Cardiovascular Systems

Is Coronary Physiology Assessment Valid in Special Circumstances? Aortic Stenosis, Atrial Fibrillation, Left Ventricular Hypertrophy, and Other

David M. Tehrani, Arnold H. Seto

Summary: Accurate interpretation of hemodynamic indices like FFR and NHPRs is crucial with their increasing use. The choice between FFR and NHPRs depends on specific clinical and procedural scenarios, and data on their use in special clinical situations is limited.

CARDIOLOGY CLINICS (2024)

Review Cardiac & Cardiovascular Systems

Cardiovascular diseases crossroads: cGAS-STING signaling and disease progression

Muhammad Shehzad Khan, Shahid Ullah Khan, Safir Ullah Khan, Muhammad Suleman, Rafi u Shan Ahmad, Munir Ullah Khan, Jehad Zuhair Tayyeb, Sergio Crovella, Putri Widyanti Harlina, Sumbul Saeed

Summary: Inflammation plays a crucial role in cardiovascular diseases (CVD) and the cGAS-STING signaling pathways have been increasingly activated in these diseases. Recent studies provide new insights and characterizations of this pathway in the development of CVD.

CURRENT PROBLEMS IN CARDIOLOGY (2024)

Article Cardiac & Cardiovascular Systems

Using Physiology Pullback for Percutaneous Coronary Intervention Guidance Is this the Future?

Sukhjinder Singh Nijjer

CARDIOLOGY CLINICS (2024)

Article Cardiac & Cardiovascular Systems

Understanding the Basis for Hyperemic and Nonhyperemic Coronary Pressure Assessment

Samer Fawaz, Christopher M. Cook

CARDIOLOGY CLINICS (2024)

Review Cardiac & Cardiovascular Systems

Pretreatment identification of 90-day readmission among heart failure patients receiving aquapheresis treatment

Deya Alkhatib, Ibrahim Karabayir, Issa Pour-Ghaz, Sania Khan, Linda Hart, Megan Cease, Rami N. Khouzam, John L. Jefferies, Oguz Akbilgic

Summary: A predictive model using machine learning can be used to anticipate the risk of 90-day HF events in heart failure patients. This model performs better than traditional models in identifying patients who respond well to AQ therapy and predicting 90-day HF events.

CURRENT PROBLEMS IN CARDIOLOGY (2024)

Review Cardiac & Cardiovascular Systems

Association of burnout and harassment among cardiology trainees: Pakistan's perspective

Syed Javaid Iqbal, Muhammad Umer Riaz Gondal, Shahid Mukarram, F. N. U. Sapna, Deepak Kumar, Jahanzeb Malik, Maria Malik, Muhammad Awais

Summary: This study investigates the relationship between sexual harassment and burnout among cardiology trainees, highlighting the prevalence and impact of these experiences in medical practice. The results show a high prevalence of sexual harassment among female physicians, particularly during training. Moderate to large correlations were found between harassment experiences with colleagues, patients, and their families. While sexual harassment was not significantly related to burnout, interventions are suggested to create a safer medical workplace.

CURRENT PROBLEMS IN CARDIOLOGY (2024)

Article Cardiac & Cardiovascular Systems

Physiologic Assessment After Percutaneous Coronary Interventions and Functionally Optimized Revascularization

Doosup Shin, Seung Hun Lee, David Hong, Ki Hong Choi, Joo Myung Lee

Summary: Post-PCI physiologic assessment has significant prognostic value and plays a role in functionally optimized PCI. Investigating the reasons behind suboptimal post-PCI physiologic results using pressure-wire pullback tracings and/or intravascular imaging is important. Functionally optimized PCI should be considered at the beginning of the procedure, and careful PCI planning using pre-PCI physiologic evaluation can increase the probability of achieving it.

CARDIOLOGY CLINICS (2024)

Review Cardiac & Cardiovascular Systems

Computed Tomography- Derived Physiology Assessment: State-of-the-Art Review

Robert D. Safian

CARDIOLOGY CLINICS (2024)

Review Cardiac & Cardiovascular Systems

Optimizing coronary artery opacification and 3D reconstruction from human cadaver hearts in anatomy research

Misbaou Barry, Mesut Gun, Yuthiline Chabry, Faouzi Trojette, Karen Chardon, Paul Padurean, Johann Peltier, Eric Havet, Thierry Caus

Summary: This study aims to find the optimal dilution rate of a radiopaque product for CT imaging in order to accurately reconstruct the normal anatomy of coronary arteries.

CURRENT PROBLEMS IN CARDIOLOGY (2024)

Article Cardiac & Cardiovascular Systems

Can GRACE Risk Score Predict Mortality and the Need for Thrombolytic Treatment in Acute Pulmonary Embolism?

Esra Donmez, Sevgi Ozcan, Irfan Sahin, Murat Ziyrek, Ertugrul Okuyan

Summary: This study aimed to evaluate the predictive value of the GRACE risk score in acute pulmonary embolism (PE) patients for 30-day mortality and the need for thrombolytic treatment. The study found that the GRACE risk score, along with the PESI score, were independent risk factors associated with 30-day mortality and the need for thrombolytic treatment. The GRACE risk score showed high sensitivity and specificity in predicting mortality, and its combination with the PESI score helped define high-risk PE patients and predict poor prognosis.

AMERICAN JOURNAL OF CARDIOLOGY (2024)