How should I treat elderly patients at high bleeding risk with acute coronary syndrome?
No abstract available (Source: Journal of Cardiovascular Medicine)
Source: Journal of Cardiovascular Medicine - April 7, 2020 Category: Cardiology Tags: Letter to the editor Source Type: research

A broken promise: 4-year optical coherence tomography follow-up of a bioresorbable vascular scaffold
No abstract available (Source: Journal of Cardiovascular Medicine)
Source: Journal of Cardiovascular Medicine - April 7, 2020 Category: Cardiology Tags: Images in cardiovascular medicine Source Type: research

The colours of amphetamine-induced cardiomyopathy
No abstract available (Source: Journal of Cardiovascular Medicine)
Source: Journal of Cardiovascular Medicine - April 7, 2020 Category: Cardiology Tags: Images in cardiovascular medicine Source Type: research

Onset of idiopathic recurrent pericarditis during pregnancy: successful management with colchicine and intravenous immunoglobulins
No abstract available (Source: Journal of Cardiovascular Medicine)
Source: Journal of Cardiovascular Medicine - April 7, 2020 Category: Cardiology Tags: Case reports Source Type: research

Sudden cardiac death in a girl with familiar left-dominant arrhythmogenic cardiomyopathy: a multidisciplinary approach
No abstract available (Source: Journal of Cardiovascular Medicine)
Source: Journal of Cardiovascular Medicine - April 7, 2020 Category: Cardiology Tags: Case reports Source Type: research

Higher preoperative left atrial volume index predicts lack of mitral regurgitation improvement after transcatheter aortic valve replacement
Background Moderate-to-severe mitral regurgitation is present in 20–35% of patients undergoing transcatheter aortic valve replacement (TAVR) and the current literature lacks simple echocardiographic parameters, which can predict post-TAVR changes in mitral regurgitation. The aim of this study is to investigate the echocardiographic predictors of improvement or worsening of mitral regurgitation in patients undergoing TAVR with moderate-to-severe mitral regurgitation. Methods This retrospective study included 113 patients who underwent TAVR with preoperative mitral regurgitation grade at least 2. Patients with con...
Source: Journal of Cardiovascular Medicine - April 7, 2020 Category: Cardiology Tags: Research articles: Cardiovascular interventions Source Type: research

Living with stable angina: patients’ pathway and needs in angina
Conclusion Patients’ responses highlighted the need to increase individuals’ awareness on the first signs and symptoms of the disease. The survey also showed that chronic stable angina patients need constant emotional support to overcome stress, anxiety, and depression. Finally, this study suggests the need to offer greater space for dialogue with healthcare professionals to get more comprehensive and ‘patient-friendly’ information. (Source: Journal of Cardiovascular Medicine)
Source: Journal of Cardiovascular Medicine - April 7, 2020 Category: Cardiology Tags: Research articles: Coronary artery disease Source Type: research

Prevalence of atrial arrhythmia in patients with arrhythmogenic right ventricular cardiomyopathy: a systematic review and meta-analysis
Conclusion Atrial arrhythmia is common among patients with ARVC with the pooled prevalence of approximately 18%, which is substantially higher than the reported prevalence of atrial arrhythmia in the general population. (Source: Journal of Cardiovascular Medicine)
Source: Journal of Cardiovascular Medicine - April 7, 2020 Category: Cardiology Tags: Research articles: Arrhythmias Source Type: research

Association between pet ownership and cardiovascular risks and mortality: a systematic review and meta-analysis
The aim of the study was to determine the association between pet ownership and cardiovascular risk factors and mortality. Electronic search was conducted through nine databases including PubMed for relevant publications reporting cardiovascular events and mortality among pet owners. Meta-analysis was used to pool the results. Of a total of 2818 reports screened, 26 studies were included in our systematic review and meta-analysis. Higher survival rate was observed in the pet owners group after pooling nonadjusted and adjusted hazard ratios for cardiovascular mortality at 0.73 [95% confidence interval (CI) 0.62–0.86] ...
Source: Journal of Cardiovascular Medicine - April 7, 2020 Category: Cardiology Tags: Research articles: Prevention Source Type: research

What have we learnt 50 years after the first Fontan procedure?
The Fontan procedure is often the only definitive palliative surgical option for patients with a variety of complex CHD sharing in common, a single, dominant ventricle. In recent decades, imaging and therapeutic improvement have played a crucial role in those patients in whom many complications can hamper their life. After 50 years from the first procedure, heart transplantation remains the only definitive treatment for those with a failing Fontan circulation. (Source: Journal of Cardiovascular Medicine)
Source: Journal of Cardiovascular Medicine - April 7, 2020 Category: Cardiology Tags: Review Source Type: research

Will transcatheter aortic valve implantation represent the choice treatment for all patients who need a biological valve?
No abstract available (Source: Journal of Cardiovascular Medicine)
Source: Journal of Cardiovascular Medicine - April 7, 2020 Category: Cardiology Tags: Viewpoint Source Type: research

Response to letter: ‘Acute heart failure, type 2 diabetes and loop diuretic use: any adjunct role for SGLT-2 inhibitors?’
No abstract available (Source: Journal of Cardiovascular Medicine)
Source: Journal of Cardiovascular Medicine - March 3, 2020 Category: Cardiology Tags: Letters to the editor Source Type: research

Acute heart failure, type 2 diabetes and loop diuretic use: any adjunct role for sodium–glucose cotransporter-2 inhibitors?
No abstract available (Source: Journal of Cardiovascular Medicine)
Source: Journal of Cardiovascular Medicine - March 3, 2020 Category: Cardiology Tags: Letters to the editor Source Type: research

The unfavourable inflammatory response in elderly patients after myocardial infarction: should we talk of ‘dysflammaging’?
No abstract available (Source: Journal of Cardiovascular Medicine)
Source: Journal of Cardiovascular Medicine - March 3, 2020 Category: Cardiology Tags: Research letters Source Type: research

Serum uric acid may modulate the inflammatory response after primary percutaneous coronary intervention in patients with ST-elevation myocardial infarction
No abstract available (Source: Journal of Cardiovascular Medicine)
Source: Journal of Cardiovascular Medicine - March 3, 2020 Category: Cardiology Tags: Research letters Source Type: research

Cardiac sarcoidosis: the complementary role of: 18: F-FDG PET and MRI
No abstract available (Source: Journal of Cardiovascular Medicine)
Source: Journal of Cardiovascular Medicine - March 3, 2020 Category: Cardiology Tags: Images in cardiovascular medicine Source Type: research

Distal embolic protection device transit through a left internal mammary artery for safely treating a saphenous vein graft anastomosed with a Y-configuration
No abstract available (Source: Journal of Cardiovascular Medicine)
Source: Journal of Cardiovascular Medicine - March 3, 2020 Category: Cardiology Tags: Images in cardiovascular medicine Source Type: research

An odd couple: acalculous cholecystitis masking a fulminant myocarditis
No abstract available (Source: Journal of Cardiovascular Medicine)
Source: Journal of Cardiovascular Medicine - March 3, 2020 Category: Cardiology Tags: Case reports Source Type: research

Swelling neck: a potentially fatal complication of radial access treated by covered stent
No abstract available (Source: Journal of Cardiovascular Medicine)
Source: Journal of Cardiovascular Medicine - March 3, 2020 Category: Cardiology Tags: Case reports Source Type: research

Impact of postprocedural thrombocytopenia on mortality after transcatheter aortic valve implantation
Aims We performed a meta-analysis of currently available studies investigating the impact of postprocedural thrombocytopenia on mortality after transcatheter aortic valve implantation (TAVI). Methods All studies researching the impact of postprocedural thrombocytopenia on mortality after TAVI were identified after searching PubMed and Web of Science through July 2019. The outcome of interest was early (in-hospital or 30-day) and overall (1- to 2-year) all-cause mortality after TAVI. From each study, the number of deaths in both patients with major (moderate/severe or higher postprocedural drop platelet counts defined ...
Source: Journal of Cardiovascular Medicine - March 3, 2020 Category: Cardiology Tags: Research articles: Cardiovascular interventions Source Type: research

Implementing structured heart failure outpatient monitoring and care in real life
No abstract available (Source: Journal of Cardiovascular Medicine)
Source: Journal of Cardiovascular Medicine - March 3, 2020 Category: Cardiology Tags: Research articles: Editorial comment Source Type: research

Change in the use of remote monitoring of cardiac implantable electronic devices in Italian clinical practice over a 5-year period: results of two surveys promoted by the AIAC (Italian Association of Arrhythmology and Cardiac Pacing)
Aims The aim of this study was to evaluate the use of remote monitoring in Italian clinical practice and its trend over the last 5 years. Methods In 2012 and 2017, two surveys were conducted. Both were open to all Italian implanting centres and consisted of 25 questions on the characteristics of the centre, their actual use of remote monitoring, applied organizational models and administrative and legal aspects. Results The questionnaires were completed by 132 and 108 centres in 2012 and 2017, respectively (30.6 and 24.7% of all Italian implanting centres). In 2017, significantly fewer centres followed up fewer tha...
Source: Journal of Cardiovascular Medicine - March 3, 2020 Category: Cardiology Tags: Research articles: Heart failure Source Type: research

Right ventricular function assessed by cardiac magnetic resonance predicts the response to resynchronization therapy
Conclusion In our experience, patients with RV dysfunction less likely benefited from CRT. RV assessment, studied with CMR, appears to be a good predictor of the response to biventricular stimulation. (Source: Journal of Cardiovascular Medicine)
Source: Journal of Cardiovascular Medicine - March 3, 2020 Category: Cardiology Tags: Research articles: Heart failure Source Type: research

Zero-fluoroscopy atrial fibrillation ablation in the presence of a patent foramen ovale: a multicentre experience
Conclusion The presence of a PFO may allow a completely fluoroless well tolerated and effective atrial fibrillation ablation. Probing the fossa ovalis looking for the PFO during the procedure is desirable, as it is not time-consuming and can potentially be done in every patient undergoing atrial fibrillation ablation. (Source: Journal of Cardiovascular Medicine)
Source: Journal of Cardiovascular Medicine - March 3, 2020 Category: Cardiology Tags: Research articles: Arrhythmias Source Type: research

Cancer patients in cardiology: how to communicate with patients with special psychological needs and manage their cardiac problems in daily clinical practice
This article examines the psychological aspects of cardio-oncology. It offers practical suggestions on how to best communicate with cancer patients in different phases of oncology care, and discusses when professional psychological help is needed. (Source: Journal of Cardiovascular Medicine)
Source: Journal of Cardiovascular Medicine - March 3, 2020 Category: Cardiology Tags: Reviews Source Type: research

De-escalating dual antiplatelet therapy in patients with acute coronary syndromes: the right strategy to harmonize time-dependent ischemic and bleeding risk in elderly patients?
The European Society of Cardiology guidelines for myocardial revascularization state that de-escalation of P2Y12 inhibitor treatment guided by platelet function testing may be considered for acute coronary syndrome (ACS) patients deemed unsuitable for 12-month potent platelet inhibition. De-escalation strategy aim is to harmonize the time-dependency of thrombotic risk, which is high in the first month after ACS, then decreases exponentially, with bleeding risk, which tends to remain more stable after the procedure-related peak. Harmonizing time-dependency of clinical events may be particularly relevant in those at high ris...
Source: Journal of Cardiovascular Medicine - March 3, 2020 Category: Cardiology Tags: Reviews Source Type: research

Restrictive ventricular septal defect resulting in systemic outflow obstruction in adults with Fontan circulation: challenging diagnosis of a serious and potentially fatal complication
No abstract available (Source: Journal of Cardiovascular Medicine)
Source: Journal of Cardiovascular Medicine - February 3, 2020 Category: Cardiology Tags: Images in cardiovascular medicine Source Type: research

Unexplained recurrent syncopes in a young noncompetitive runner
No abstract available (Source: Journal of Cardiovascular Medicine)
Source: Journal of Cardiovascular Medicine - February 3, 2020 Category: Cardiology Tags: Images in cardiovascular medicine Source Type: research

The lesson of ‘the butler didn’t do it!’. Role of optical coherence tomography for going beyond appearance
No abstract available (Source: Journal of Cardiovascular Medicine)
Source: Journal of Cardiovascular Medicine - February 3, 2020 Category: Cardiology Tags: Images in cardiovascular medicine Source Type: research

Life-saving transcatheter aortic valve implantation for acute severe aortic regurgitation due to rheumatoid arthritis and complicated by cardiogenic shock
No abstract available (Source: Journal of Cardiovascular Medicine)
Source: Journal of Cardiovascular Medicine - February 3, 2020 Category: Cardiology Tags: Case reports Source Type: research

Suspected Takotsubo syndrome recurrence and asymptomatic malignant ventricular arrhythmias: the possible role of wearable cardioverter defibrillators
No abstract available (Source: Journal of Cardiovascular Medicine)
Source: Journal of Cardiovascular Medicine - February 3, 2020 Category: Cardiology Tags: Case reports Source Type: research

A case of recurrent acute myocardial infarction
No abstract available (Source: Journal of Cardiovascular Medicine)
Source: Journal of Cardiovascular Medicine - February 3, 2020 Category: Cardiology Tags: Case reports Source Type: research

Design and rationale of the Impact of MultiPoint pacing in CRT patients with reduced RV-to-LV delay (IMAGE-CRT) study
Conclusion Reducing the nonresponder rate continues to be an important goal for CRT. If an increase in reverse remodelling can be achieved by MPP, this study supports the conduct of larger trials investigating the role of MPP on clinical outcomes in selected patients treated, right now, only with traditional CRT. Trial registration ClinicalTrials.gov, NCT02713308. Registered on 18 March 2016. (Source: Journal of Cardiovascular Medicine)
Source: Journal of Cardiovascular Medicine - February 3, 2020 Category: Cardiology Tags: Study design Source Type: research

Worldwide and European interest in the MitraClip: a Google Trends-based analysis
Aims The use of MitraClip (Abbott Vascular, Santa Clara, California, USA) for the treatment of severe functional mitral valve regurgitation (FMR) has drastically increased over recent years. We analysed the Worldwide and European interest on the MitraClip among Internet users performing a Google Trends-based analysis. Methods We conducted a retrospective analysis extracting the data from the cited Google Trends (https://trends.google.com) to explore both the worldwide and European interest in the MitraClip over recent years. Specifically, Google Trends was queried from 1 January 2008 to 31 September 2019 using the ite...
Source: Journal of Cardiovascular Medicine - February 3, 2020 Category: Cardiology Tags: Research articles: Cardiovascular interventions Source Type: research

Global and regional myocardial function and outcomes after transcatheter aortic valve implantation for aortic stenosis and preserved ejection fraction
Aim To investigate the effects of transcatheter aortic valve implantation (TAVI) on early recovery of global and segmental myocardial function in patients with severe symptomatic aortic stenosis and preserved left ventricular ejection fraction (LVEF) and to determine if parameters of deformation correlate with outcomes. Methods The echocardiographic (strain analysis) and outcome (hospitalizations because of heart failure and mortality) data of 62 consecutive patients with preserved LVEF (64.54 ± 7.97%) who underwent CoreValve prosthesis implantation were examined. Results Early after TAVI (5 ±...
Source: Journal of Cardiovascular Medicine - February 3, 2020 Category: Cardiology Tags: Research articles: Cardiovascular interventions Source Type: research

Structured telephone support programs in chronic heart failure may be affected by a learning curve
This study is aimed to assess the impact of the HeartNetCare telephone support program in chronic heart failure within 18 months of observation and to verify a possible effect of a learning-to-care curve on outcome. Methods We retrospectively compared a cohort of 269 chronic heart failure patients included in HeartNetCare program with 200 patients receiving usual care as a control group. All-cause death and hospitalization for heart failure or implantation of left ventricular assist device were the primary composite outcome. Secondary endpoints were the changes in left ventricular ejection fraction and in New York Heart...
Source: Journal of Cardiovascular Medicine - February 3, 2020 Category: Cardiology Tags: Research articles: Heart failure Source Type: research

Myocardial work improvement after sacubitril–valsartan therapy: a new echocardiographic parameter for a new treatment
Conclusion LCZ696 therapy was associated with signs of reverse remodelling by usual TTE parameters and LV myocardial work at 6 months, including an increase in global constructive work and work efficiency. (Source: Journal of Cardiovascular Medicine)
Source: Journal of Cardiovascular Medicine - February 3, 2020 Category: Cardiology Tags: Research articles: Heart failure Source Type: research

Adherence to guidelines in the management of patients with chronic heart failure follow-up: role of periodic echocardiographic examinations
Conclusion A strict follow-up of CHF patients was associated with a lower number of events and an improvement in the adherence to the guidelines. Periodic echocardiography does not modify these results. (Source: Journal of Cardiovascular Medicine)
Source: Journal of Cardiovascular Medicine - February 3, 2020 Category: Cardiology Tags: Research articles: Heart failure Source Type: research

α-1 Antitrypsin as a potential biomarker in chronic heart failure
Background Heart failure is characterized by a tissue damage that progressively leads to mechanical cardiac dysfunction and remodeling. A recent investigation showed that α-1 antitripsin, an antiprotease, able to inhibit metalloproteinases, provides prognostic information about heart failure and mortality postacute myocardial infarction. Therefore, we conducted a study to establish if α-1 antitrypsin (AAT) could be considered a marker of severity of heart failure. Methods A total of 182 heart failure patients (Group 1) were enrolled and AAT values were compared with controls (Group 2). Results In Group ...
Source: Journal of Cardiovascular Medicine - February 3, 2020 Category: Cardiology Tags: Research articles: Heart failure Source Type: research

CHA2DS2-VASc and SAMe-TT2R2 scores as predictors of recurrence for nonvalvular atrial fibrillation patients on vitamin K antagonists after radiofrequency catheter ablation
Aims Atrial fibrillation is the most common sustained arrhythmia in the general population, and circumferential pulmonary vein isolation has emerged as a cornerstone in the treatment of drug-resistant atrial fibrillation. However, there is a paucity of data regarding the CHA2DS2-VASc and SAMe-TT2R2 scores as predictors of outcomes among patients with nonvalvular atrial fibrillation on vitamin K antagonists after radiofrequency catheter ablation (RFCA). Methods The current prospective observational study enrolled 304 consecutive patients with atrial fibrillation who underwent RFCA. Warfarin was maintained for at least ...
Source: Journal of Cardiovascular Medicine - February 3, 2020 Category: Cardiology Tags: Research articles: Arrhythmias Source Type: research

Bridging the gap between hypertrabeculation phenotype, noncompaction phenotype and left ventricular noncompaction cardiomyopathy
Left ventricular noncompaction (LVNC) is an increasingly recognised cardiomyopathy characterised by excessive trabeculation and deep intertrabecular recesses in direct communication with the left ventricular cavity. In LVNC, hypertrabeculation has been associated with heart failure, ventricular arrhythmia, and systemic thromboembolism. However, hypertrabeculation alone is not sufficient to define a subject as at risk for such complications and thus should not be sufficient to diagnose LVNC. Despite several studies having investigated parameters to predict adverse cardiovascular events, physicians have no effective tools to...
Source: Journal of Cardiovascular Medicine - February 3, 2020 Category: Cardiology Tags: Reviews Source Type: research

Role of computed tomography in transcatheter aortic valve implantation and valve-in-valve implantation: complete review of preprocedural and postprocedural imaging
Since 2002, transcatheter aortic valve implantation (TAVI) has revolutionized the treatment and prognosis of patients with aortic stenosis. A preprocedural assessment of the patient is vital for achieving optimal outcomes from the procedure. Retrospective ECG-gated cardiac computed tomography (CT) today it is the gold-standard imaging technique that provides three-dimensional images of the heart, thus allowing a rapid and complete evaluation of the morphology of the valve, ascending aorta, coronary arteries, peripheral access vessels, and prognostic factors, and also provides preprocedural coplanar fluoroscopic angle predi...
Source: Journal of Cardiovascular Medicine - February 3, 2020 Category: Cardiology Tags: Reviews Source Type: research

Intrahospital organizational model of remote monitoring data sharing, for a global management of patients with cardiac implantable electronic devices: a document of the Italian Association of Arrhythmology and Cardiac Pacing
In recent years, the increasing number of patients with a cardiac implantable electronic device (CIED) has required different approaches in terms of the device's control and surveillance. It is increasingly difficult to keep the traditional in-office protocol device's control: we must think of a different organization dedicated to the activity of remote control and monitoring (RC/RM) of devices and patients. A CIED team structured with nurses, technicians and physicians should be organized inside the hospital, with the aim of CIED patients’ managing and of creating a network between the various departments. Small h...
Source: Journal of Cardiovascular Medicine - February 3, 2020 Category: Cardiology Tags: Position paper Source Type: research

Transcatheter aortic valve replacement versus surgery in low-risk patients: a meta-analysis of randomized studies
No abstract available (Source: Journal of Cardiovascular Medicine)
Source: Journal of Cardiovascular Medicine - January 14, 2020 Category: Cardiology Tags: Research letter Source Type: research

Hypertrophic cardiomyopathy and membranous subaortic stenosis: a rare, but possible association
No abstract available (Source: Journal of Cardiovascular Medicine)
Source: Journal of Cardiovascular Medicine - January 14, 2020 Category: Cardiology Tags: Images in cardiovascular medicine Source Type: research

Hypertrophic cardiomyopathy, long QT interval and coronary perforator disease in the Noonan syndrome
No abstract available (Source: Journal of Cardiovascular Medicine)
Source: Journal of Cardiovascular Medicine - January 14, 2020 Category: Cardiology Tags: Images in cardiovascular medicine Source Type: research

Percutaneous treatment of aortic root rupture after transcatheter aortic valve replacement procedure
No abstract available (Source: Journal of Cardiovascular Medicine)
Source: Journal of Cardiovascular Medicine - January 14, 2020 Category: Cardiology Tags: Images in cardiovascular medicine Source Type: research

An unusual case of iatrogenic Twiddler's syndrome
We present the unique case of a 77-year-old woman who experienced iatrogenic Twiddler's syndrome. (Source: Journal of Cardiovascular Medicine)
Source: Journal of Cardiovascular Medicine - January 14, 2020 Category: Cardiology Tags: Case reports Source Type: research

When the bundle skips a beat…
No abstract available (Source: Journal of Cardiovascular Medicine)
Source: Journal of Cardiovascular Medicine - January 14, 2020 Category: Cardiology Tags: Case reports Source Type: research

A 10-year follow-up of a patient affected by myotonic dystrophy type 1 with implantable cardioverter–defibrillator implanted for secondary prevention
No abstract available (Source: Journal of Cardiovascular Medicine)
Source: Journal of Cardiovascular Medicine - January 14, 2020 Category: Cardiology Tags: Case reports Source Type: research