Cardiology - Science topic

Nanorobotics is revolutionize in medical field. It is a combination of nanotechnology robotics. Nanotechnology refers to the branch of science and engineering devoted to designing, producing, and using structures, devices, and systems by manipulating atoms and molecules at nanoscale, i.e. having one or more dimensions of the order of 100 nanometres...

The intensive short observation (OBI) unit provides rapid diagnostic and therapeutic evaluations for patients in emergency-ur-gent conditions. Due to emergency department (ED) overcrowding, dedicated OBIs have been developed to improve care. As a pilot project, a cardiological OBI was established where specialist physicians manage patients, support...

This paper discusses the current challenges and potential solutions in the field of bioprinting tissues and organs. It highlights that most bioprinted tissues are small, composed of few cell types, lack vascular systems, and have limited functionality. This paper emphasizes the need to develop methods to obtain various functional cell types, crea...

Arrhythmogenic Cardiomyopathy (ACM) is a rare cardiac genetic disease that can lead to severe cardiac structural and electrical abnormalities. Diagnosing ACM includes several ECG biomarkers without sex distinction , and it remains challenging, particularly in cases involving the left ventricle (LV) and biventricular (biV) forms. Our study aims to i...

Purpose The present study assessed the correlation between anxiety and depression in young and middle-aged Chinese patients with coronary artery disease (CAD). Patients and Methods This study included 313 patients diagnosed with premature CAD at the Department of Cardiology between January and July 2023. The Zung Self-Rating Anxiety/Depression Sca...

The Vertebral Heart Score (VHS) is a critical metric used in veterinary medicine to diagnose cardiomegaly in dogs. However, manual VHS calculation is labor-intensive and prone to interobserver variability. In this study, we propose an automated approach for VHS calculation using the EfficientNetB7 deep learning model. Our method predicts six key an...

Background: Artificial intelligence (AI) tools, like ChatGPT, are gaining attention for their potential in supporting clinical decisions. This study evaluates the performance of ChatGPT-4o in acute cardiological cases compared to cardiologists and emergency physicians. Methods: Twenty acute cardiological scenarios were used to compare the responses...

The International Cardiovascular Anatomy, Development, and Regeneration meeting was held from 18–20 September 2024, in Prague, Czech Republic, supported by the European Society of Cardiology’s Working Group on Development, Anatomy, and Pathology. Hosted at the Institute of Anatomy, First Faculty of Medicine, the event began with a hands-on workshop...

Background Septic embolization is a common and potentially life-threatening complication of infective endocarditis (IE), with a prevalence of 22–50%. While acute coronary syndrome secondary to septic embolism is rare, it poses significant risks. Aims This study examines coronary embolism (CE) in left-sided IE, describing clinical characteristics a...

Background: Effective risk communication is crucial for managing cardiovascular disease, the leading cause of global mortality. Clear communication between patients and physicians is essential for informed decision-making, yet gaps in understanding often persist. Objective: This study examines the state of risk communication during hospital admissi...

Citation: Iyngkaran, P.; Smith, D.; McLachlan, C.; Battersby, M.; De Courten, M.; Hanna, F. Validation of Psychometric Properties of Partners in Health Scale for Heart Failure. J. Clin. Med. 2024, 13, 7374. https://doi. Abstract: Background: Congestive heart failure (CHF) is a complex chronic disease, and it is associated with a second comorbid con...

Citation: Iyngkaran, P.; Smith, D.; McLachlan, C.; Battersby, M.; De Courten, M.; Hanna, F. Validation of Psychometric Properties of Partners in Health Scale for Heart Failure. J. Clin. Med. 2024, 13, 7374. https://doi. Abstract: Background: Congestive heart failure (CHF) is a complex chronic disease, and it is associated with a second comorbid con...

Objectives To evaluate the accessibility of multispecialty advice for primary care providers (PCPs) within correctional facilities, catering to the healthcare needs of individuals in federal custody in Ontario, Canada, through the utilization of electronic consultation (eConsult). Design Retrospective, cross-sectional, descriptive analysis. Setti...

Background The debate over homeopathy's efficacy remains contentious, influencing recent decisions by political and medical associations in Europe. Objective An assessment of the current level of evidence supporting homeopathic medicine. Methods We explored three key aspects of evidence-based medicine: Scientific Evidence in Conventional Medicine:...

Background The comorbidity of coronary artery disease (CAD) and type 2 diabetes mellitus (T2DM) presents significant challenges in clinical management, particularly regarding glycemic control. The clinical management of CAD complicated by T2DM requires coordinated glycemic control, as poor management can exacerbate cardiovascular risks and increase...

This study investigates the relationship between scientific validity and fair subject selection in clinical trials, focusing on recruitment practices. By analyzing 200 clinical trials across oncology, cardiology, and neurology, this research identifies key barriers to diversity and assesses the effectiveness of institutional policies in promoting e...

Background The 2017 American College of Cardiology (ACC)/American Heart Association (AHA) guideline lowered the diagnostic threshold for hypertension to a systolic/diastolic blood pressure (SBP/DBP) of 130/80 mmHg. However, the predictive value of DBP for cardiovascular (CV) risk assessment diminishes with aging. The study aimed to explore whether...

a Estudiante de Medicina; b médico internista, infectólogo; c instructor asociado. RESUMEN La endocarditis infecciosa es una patología en la cual existe una inflamación del endocardio debido a la entrada de un patógeno a la circulación que puede incluir bacterias, hongos e incluso virus. Su etiología puede variar entre microorganismos, sin embargo,...

IntroduçãoUm dos princípios da regionalização do Sistema Único de Saúde (SUS) é garantir acesso com equidade ao cuidado em saúde nos diferentes níveis. Os procedimentos de alta complexidade em cardiologia (ACC) são restritos a centros de atenção terciária, distribuídos no território nacional. Nosso objetivo foi analisar a distância entre o municípi...

Background Myocardial sleeves of the caudal vena cava are the predilection site for atrial tachycardia (AT) in horses. Caudal vena cava isolation guided by the ablation index, a lesion quality marker incorporating power, duration and contact force, might improve outcome. Objectives Describe the feasibility and outcome of caudal vena cava isolation...

Background: Electrocardiography (ECG) signals are commonly used to detect cardiac disorders, with 12-lead ECGs being the standard method for acquiring these signals. The primary objective of this research is to propose a new feature engineering model that achieves both high classification accuracy and explainable results using ECG signals. To this...

La Medicina Nuclear en España ha evolucionado significativamente desde sus inicios en los años 40, con avances en tecnología y radiofármacos que han permitido la transición hacia una especialidad médica esencial para el diagnóstico y tratamiento de diversas patologías. Reconocida oficialmente en 1978, la especialidad ha estado marcada por el desarr...

Hypertension or high blood pressure, is a prevalent condition and a leading cause of cardiovascular morbidity and mortality worldwide. This review provides an in-depth analysis of the current epidemiology, diagnosis and management of hypertension, with a focus on integrating guidelines from major health organizations such as the American College of...

Background: Factors that speed up the development of acute heart failure (AHF) after acute coronary syndrome (ACS), are understudied in developing country like Pakistan. Therefore, this study was aimed to determine the risk factor of heart failure (HF) among the post-ACS patients. Methods: This descriptive cross-sectional study was performed at Ben...

The use of antiplatelet therapy (APT) is prevalent among the general population, sometimes without clear indications. We provided updated figures on the incidence and prognosis of first-ever intracerebral hemorrhage occurring on APT (APT-ICH) over 10 years in a population-based stroke registry and investigated the rates of inappropriate APT prescri...

Over the last few years, COVID-19 has attracted medical attention both in terms of healthcare system reorganization and research. Among the different cardiovascular complications of the SARS-CoV-2 infection, cardiac arrhythmias represent an important clinical manifestation requiring proper therapy both in the acute and post-acute phase. The multipa...

Este artigo examina a fibrilação atrial (FA), arritmia comum e crescente entre idosos, que eleva o risco de acidentes vasculares cebrais (AVCs). A terapia com anticoagulantes orais (ACO) é essencial na prevenção de AVCs em pacientes com FA, mas enfrenta dificuldades, como resistência de profissionais em prescrever anticoagulantes orais diretos (DOA...

To investigate the effects of psycho-cardiology combined with fastigial nucleus stimulation (FNS) on patients with stable coronary artery disease (SCAD) complicated with depression, we observed the changes of concentrations of N-terminal pro-B type natriuretic peptide (NT-proBNP), tumor necrosis factor-α(TNF-α), 5-hydroxytryptamine (5-HT), dopamine...

Pneumonia, a common respiratory disease in small animals, causes significant hypoxemia in dogs due to reduced lung capacity and cardiac output. In addition, pneumonia may lead to cardiac complications. With this approach, the evaluation of the alterations in cardiac silhouette and main vessel views in dogs underwent treatment for pneumonia aimed in...

Background. Statins are the main cholesterol-lowering treatments, but often they are stopped because of statin myopathy. Expensive second-line treatments are then prescribed, causing a burden on the health system. Previous research showed that creatine supplementation may be a relatively inexpensive, safe, and effective way to mitigate statin toxic...

Heart failure (HF) is a major global health challenge, particularly among individuals with type 2 diabetes mellitus (T2DM), who are at significantly higher risk of developing HF. Diabetic cardiomyopathy, a unique form of heart disease, often progresses silently until advanced stages. Recent research has focused on sodium-dependent glucose transport...

Introdução: O tromboembolismo venoso (TEV) é uma entidade clínica potencialmente grave, que tem um grande impacto na morbimortalidade da população geral, sendo este a causa de morte evitável mais comum no paciente hospitalizado. A instituição de profilaxia para TEV na presença de situações de risco conhecidas constitui-se em medida de custo efetivo...

Zusammenfassung Die im September 2024 veröffentlichten Leitlinien der European Society of Cardiology (ESC) zur peripheren arteriellen Verschlusskrankheit (pAVK) und zu aortalen Erkrankungen bilden erstmals Empfehlungen für beide Krankheitsbilder in einem gemeinsamen Leitliniendokument ab. Die Zusammenführung von pAVK- und Aortenleitlinien folgt ein...

The number and complexity of percutaneous interventions performed by cardiologists, vascular surgeons and radiologists is constantly growing. These procedures utilize ionising radiation that on some occasions can be significant, causing serious health hazard for medical team members, including physicians, nurses, technicians, and, more frequently,...

Introdução: Os antimicrobianos (ATB) são utilizados para combater uma infecção estabelecida, com o intuito de eliminar o patógeno ou evitar o seu crescimento. A resistência aos ATB é um problema de saúde pública em todo o mundo e o custo de uma falha terapêutica por uma bactéria resistente tem se tornado cada dia maior. O objetivo deste trabalho fo...

Coronary artery disease (CAD) is the leading cause of death globally. While it is usually diagnosed after years of declining health or after a myocardial infarction (MI), we found that patients can be asymptomatic, posing a latent and life-threatening risk. We present the case of a man less than 40 years old, in whom heart disease was incidentally...

Introdução: A hipertensão e o diabetes mellitus são doenças crônicas que requerem o tratamento contínuo. Portanto, o acesso e a utilização dos anti-hipertensivos e antidiabéticos assumem grande importância no controle dessas patologias, além da prevenção de complicações e redução da morbimortalidade. Nesse contexto, é fundamental assegurar o atendi...

The indirect impact of the COVID-19 pandemic on clinical services in peripheral hospitals has not been fully described. We compared the impact of COVID-19 on Cerebral Vascular Accident (CVA) and ST-elevation myocardial infarction (STEMI) management and outcome in an Israeli peripheral hospital. We included 1029 CVA and 495 STEMI patients. Patients...

Univentricular heart is a rare and complex congenital heart defect characterized by the presence of a single functional ventricular chamber. While significant advancements in pediatric surgical interventions have improved the survival of patients with univentricular physiology, a growing number of these individuals are now reaching adulthood. This...

Aim A recent European Heart Rhythm Association (EHRA) practical guide provides guidance on the use of novel digital devices for heart rhythm analysis using either electrocardiogram (ECG) or photoplethysmography (PPG) technology for the diagnosis of atrial fibrillation (AF). This survey assesses physicians' preferences to use digital devices in pati...

Resumen El propósito de este artículo es describir y guiar el manejo de la taquicardia supraventricular, a través de la presentación de un caso clínico en un recién nacido. A pesar de ser una de las patologías cardiacas más comunes, su manejo estáinsuficientemente documentado, y en muchos casos, estos episodios pasan desapercibidos Introducción: La...

This paper presents a novel hybrid approach that integrates computational fluid dynamics (CFD), physics-informed neural networks (PINN), and fluid–structure interaction (FSI) methods to simulate fluid flow in stenotic coronary artery trees and predict fractional flow reserve (FFR) in areas of stenosis. The primary objective is to utilize a 1D PINN...

Purpose The shape and position of the hemoglobin-oxygen dissociation curve (ODC) is of critical importance in medicine, as it determines the uptake of O2 in the lungs and the delivery of O2 to the tissues. Numerous reports have identified affinity-modulating effects of drugs in humans. Such effects may be relevant to conditions such as pulmonary di...

Background/Objectives: Increased lipoprotein(a) [Lp(a)] level is associated with elevated possibility of atherosclerosis progression. SYNTAX score enables to grade the anatomy of coronary arteries. To identify the impact of increased Lp(a) level on SYNTAX score in individuals with acute myocardial infarction (AMI). Methods: In our analysis, we enro...

The advent of the Transformer has significantly altered the course of research in Natural Language Processing (NLP) within the domain of deep learning, making Transformer-based studies the mainstream in subsequent NLP research. There has also been considerable advancement in domain-specific NLP research, including the development of specialized lan...

Resumo Detectar com precisão a congestão pulmonar continua sendo um desafio na cardiologia, apesar dos avanços nos métodos diagnósticos. Abordagens tradicionais, como exame físico e radiografia de tórax, têm limitações na avaliação em tempo real e no monitoramento dinâmico do estado volêmico. A ecografia pulmonar (EP) surge como uma ferramenta prom...

Introduction: we discuss the clinical case of a patient referred to our cardiology unit to evaluate the need for a pericardiectomy due to constrictive pericarditis. Imaging: the echocardiographic assessment confirmed all diagnostic criteria for constrictive pericarditis; however, we conducted a cardiac MRI before referring the patient to the cardia...

Current guidelines recommend closing a patent foramen ovale (PFO) in patients who have experienced a cryptogenic or cardioembolic stroke, have a high-risk PFO, and are aged between 16 and 60 years (class A recommendation, level I evidence). In terms of efficacy, in the CLOSE and RESPECT trials, the number needed-to-treat (NNT) to prevent one stroke...

Aim. In a prospective study to determine whether implantation of a left ventricular lead (LVL) into the zone of late electrical activation of left ventricle (LV) determined by noninvasive electrophysiological mapping before implantation increases the number of responders to cardiac resynchronization therapy (CRT) compared to standard approach. To e...

Guidelines evaluate and summarize available evidence with the aim of as sisting health professionals in proposing the best diagnostic or therapeut ic approach for an individual patient with a given condition. Guidelines are intended for use by health professionals and the European Society of Cardiology (ESC) makes its guidelines freely available.

Background The impact of performing a primary percutaneous coronary intervention (pPCI) off-hours on clinical outcomes is not well established. Objective Compare characteristics and major adverse cardiovascular events (MACE) of pPCI off-hours versus on-hours in a high-volume cardiology center. Methods Prospective cohort of patients who underwent pP...

Introduction: Left atrial (LA) remodeling is a complex anatomical and functional process in response to electrical, mechanical and metabolic disturbances. LA remodeling is usually a consequence of LA volume overload, left ventricular systolic dysfunction and physiological aging process. LA remodeling directly correlates with atrial fibrillation occ...

Introducción: La resonancia magnética cardiovascular está consiguiendo un rol muy importante en cardiología. Tiene las ventajas de su evaluación versátil, exácta y profunda de la función y anatomía cardíaca. La desventaja es la complejidad y el costo de su implementación. Las principales indicaciones contituyen la cardiopatía isquémica, las miocard...

Aim. To study the effect of endovascular closure of patent foramen ovale (PFO) on the severity of symptoms of migraine attacks in patients with migraine with a history of aura. Materials and Methods. We analyzed the data of 74 patients with migraine with a history of aura who underwent endovascular closure of the PFO for the period from 2018 to 202...

Background Cardiovascular diseases (CVD) remain the leading cause of mortality worldwide. Medication adherence is an important issue in managing chronic CVD, directly influencing outcomes and healthcare costs. Objectives This systematic review, supported by the Brazilian Society of Cardiology, evaluates the impact of poor adherence to cardiovascula...

Resumo Fundamento O impacto de se realizar uma intervenção coronária percutânea primária (ICPp) em horário fora do expediente sobre desfechos clínicos não está bem estabelecido. Objetivo Comparar as características e a ocorrência de eventos cardiovasculares adversos maiores (MACE) de ICPp realizada fora do horário de expediente versus ICPp realizad...

Perfusionists are members of an interdisciplinary and multiprofessional team that enables and improves the complex treatment of patients by combining expertise in cardiac surgery, anesthesiology, cardiology, pulmonology, healthcare and nursing. The expertise is particularly focused on the utilization of extracorporeal circulation (ECC). Given the a...

Electrocardiography (ECG) is a vital diagnostic tool for the early identification and management of cardiac conditions. Nurses, as integral members of the healthcare team, require strong ECG interpretation skills to ensure timely and accurate patient care. However, gaps in knowledge, training, and practice remain significant challenges, particularl...

Background The structural abnormality of the heart and its blood vessels at the time of birth is known as congenital heart disease. Every year in Pakistan, sixty thousand children are born with CHD, and 44 in 1000 die before they are a month old. Various studies used different techniques to estimate the risk factors of congenital heart disease, but...

Transcatheter aortic valve replacement (TAVR) has been shown to be a valid alternative to surgical aortic valve replacement (SAVR) in high operative risk patients with severe aortic stenosis (AS). Evidence on the benefits and harms of TAVR in patients at low risk of surgery, however, is still scarce. In this study, we planned to review the literatu...

Introdução: O grupo de trabalho “DIC Mulheres” foi criado para pesquisar e debater o papel das mulheres que trabalham com imagem cardiovascular no Brasil. Objetivos: mapear os desafios encontrados pelas mulheres do Departamento de Imagem Cardiovascular da Sociedade Brasileira de Cardiologia (DIC-SBC) na condução de sua carreira e família. Métodos:...

This study aimed to prospectively investigate the hypothesis that myocardial energy metabolism changes in the early stages of feline hypertrophic cardiomyopathy (HCM) by evaluating the blood carnitine profiles. Fourteen client owned cats with HCM stage B1 and 22 clinically healthy cats were included in this study. Total-carnitine, free-carnitine, a...

Background: Fabry Disease (FD) is an X-linked lysosomal disease, in which, unlike other X-linked disorders, most female carriers manifest signs or symptoms for unknown reasons. Objectives: Herein, we aimed to test the potential role of X-chromosome inactivation (XCI) in leukocytes as a prognostic biomarker of disease in FD female carriers. Moreover...

Iodine-123 metaiodobenzylguanidine (I-123 MIBG) is a crucial radiopharmaceutical widely used in nuclear medicine for its diagnostic capabilities in both cardiology and oncology. This review aims to present a comprehensive evaluation of the clinical applications of I-123 MIBG, focusing on its use in diagnosing and managing various diseases. In cardi...

Introdução: Este estudo discute a relação entre saúde bucal e saúde cardiovascular e chama atenção especial para o risco que a endocardite infecciosa representa para pacientes cardiológicos. Apresenta um caso de reabilitação odontológica em paciente portador de valva cardíaca é a utilização de enxerto ósseo e protocolo de controle de risco de infec...

Introduction: Spectral Doppler echocardiography is used to evaluate diastolic dysfunction of the heart. However, it is difficult to assess diastolic function with this modality in emergency department (ED) settings. Based on the hypothesis that E-point septal separation (EPSS) measured by M-mode in the parasternal long-axis (PSLA) view may facilitat...

Background: The visceral adiposity index (VAI) is a composite marker designed to quantify visceral adiposity and its metabolic implications. It integrates anthropometric (such as waist circumference and BMI) and metabolic parameters (including triglyceride levels and HDL cholesterol), providing a more comprehensive assessment of visceral fat distri...

Long coronavirus disease (COVID), also known as the post-acute sequelae of coronavirus disease 2019 (COVID-19) (PASC), is a significant concern since the end of the COVID-19 pandemic, as it still manifests in individuals with persistent symptoms and complications beyond the acute phase of infection. Defining this disease is challenging, as it manif...

Highlights What are the main findings? Chronic disease self-management (CDSM) programs have proven benefits in the management of many chronic diseases, and this study supports new impetus in CHF; CDSM’s benefits in improving MACE in CHF remain unclear; CDSM can be delivered as generic or disease-specific programs; the former has been tested widely...

Background MicroRNA (miRNA) has previously been used as a biomarker for cardiac disease in humans and dogs, however, studies in horses are not yet available. Objectives To determine if adult horses with moderate or severe mitral valve regurgitation have a different serum miRNA expression profile compared to healthy controls. Study design Retrospe...