Wed.Jun 18, 2025

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Outcomes of Out‐of‐Hospital Cardiac Arrest at Centers With and Without On‐Site Coronary Angiography: A Nationwide Analysis

Journal of the American Heart Association

Journal of the American Heart Association, Ahead of Print. BackgroundThe American Heart Association has advocated for regionalized systems of care for out‐of‐hospital cardiac arrest (OHCA), emphasizing admission to specialized centers with onsite coronary angiography. However, national data evaluating outcomes of OHCA admission to such centers remain limited.MethodsUsing the 2021 National Inpatient Sample, we identified all direct OHCA hospitalizations across US facilities.

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Choosing a Long-Term Antiplatelet Regimen After PCI: A Patient-Level Meta-Analysis

NEJM Journal Watch - Cardiology

Pooled clinical trial data support P2Y12 inhibitors over aspirin as monotherapy after DAPT discontinuation.

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A web-based dynamic nomogram for predicting readmission in patients with heart failure with preserved ejection fraction

Frontiers in Cardiovascular Medicine

BackgroundThe study aims to evaluate the efficacy of a web-based dynamic nomogram predicting the risk of heart failure (HF)-related rehospitalization within 1 year in patients with HF with preserved ejection fraction (HFpEF).MethodsThe data of patients from two centers were categorized into training and test sets. Least absolute shrinkage and selection operator and multivariate logistic regression analysis were conducted on the training set data after selecting risk factors described in previous

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Impact of Transport Method in Patients With ST‐Segment–Elevation Myocardial Infarction on Patient Outcomes: Real‐World Data From the ACSIS Registry

Journal of the American Heart Association

Journal of the American Heart Association, Ahead of Print. BackgroundThe ambulance system is vital for the early management of patients with ST‐segment–elevation myocardial infarction, reducing delays in diagnosis and treatment. This study examined the impact of transport mode on reperfusion therapy and mortality among patients with ST‐segment–elevation myocardial infarction from 2000 to 2021.MethodsData from the ACSIS (Acute Coronary Syndrome Israeli Survey) registry 2000 to 2021 were analyzed.

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Bridging Innovation & Patient Care: The Growing Role of AI

Speaker: Simran Kaur, Co-founder & CEO at Tattva.Health

AI is transforming clinical trials—accelerating drug discovery, optimizing patient recruitment, and improving data analysis. But its impact goes far beyond research. As AI-driven innovation reshapes the clinical trial process, it’s also influencing broader healthcare trends, from personalized medicine to patient outcomes. Join this new webinar featuring Simran Kaur for an insightful discussion on what all of this means for the future of healthcare!

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Cardiomatics Certified Excellence 2025

Cardiomatics

Every day, clinics across Europe rely on ambulatory ECG recorders to detect arrhythmias and support clinical decisions. But with so many devices available, how can we tell which ones consistently deliver clean, usable signals? At Cardiomatics, we analyse ECG data from over 60 different devices, collected from hundreds of clinics. Because our platform is hardware-agnostic and powered by AI, we have a unique perspective on how these devices perform in real life.

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Transcatheter Aortic Valve Durability: Focus on Structural Valve Deterioration

Journal of the American Heart Association

Journal of the American Heart Association, Ahead of Print. Transcatheter aortic valve replacement has emerged as a valuable alternative to surgical aortic valve replacement in patients with severe aortic stenosis. Given the expansion of transcatheter aortic valve replacement to lower‐risk and younger populations with longer life expectancy, the durability of transcatheter heart valves (THVs) has become an important issue that may impact cardiovascular outcomes.

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Phase‐Specific Hemodynamic Criteria and Outcomes in Patients With Cardiogenic Shock Receiving Percutaneous Ventricular Assist Devices

Journal of the American Heart Association

Journal of the American Heart Association, Ahead of Print. BackgroundStandardized protocols with optimal hemodynamic targets for percutaneous ventricular assist device (PVAD) management remain undefined. We aimed to evaluate the proportion of phase‐specific hemodynamic criteria achieved during PVAD support and their association with outcomes in patients with cardiogenic shock.MethodsThis multicenter retrospective study enrolled patients with cardiogenic shock requiring PVAD (Impella).

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Angioplasty And Stenting Of Left Anterior Descending Coronary Artery

All About Cardiovascular System and Disorders

All About Cardiovascular System and Disorders Menu Cardiology Angiography and Interventions Coronary Interventions Peripheral Interventions Structural Heart Disease Interventions Cardiac CT scan Cardiac Magnetic Resonance imaging Cardiac rehabilitation Cardiac Surgery Cardio Oncology Cardiology Basics Cardiology Basics Cardiology MCQ DM / DNB Cardiology Entrance Cardiology X-ray Cardiomyopathy Clinical Trial Review ECG / Electrophysiology ECG Library Echocardiography Echocardiogram Library Gener

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Educational Attainment Level and Risk of Mortality and Cardiopulmonary Outcomes in High‐Risk Patients With Cardiovascular Disease: The INVESTED Trial

Journal of the American Heart Association

Journal of the American Heart Association, Ahead of Print. BackgroundEducational attainment level (EAL) is an indicator of socioeconomic status and has been shown to be inversely related with adverse health outcomes. However, the association between EAL and risk of clinical outcomes in high‐risk patients with cardiovascular disease has not been extensively investigated.MethodsIn the INVESTED (Influenza Vaccine to Effectively Stop Cardio Thoracic Events and Decompensated Heart Failure) trial, pat

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Comparative study of flow rate- and material-dependent human plasma protein adsorption on oxygenator membranes and heat exchanger materials

Frontiers in Cardiovascular Medicine

Artificial lungs support patients with acute or chronic lung diseases. However, complications such as the activation of blood components leading to thrombosis and inflammation limit their long-term applicability. The systematic characterization of protein adhesion events on different material parts of the oxygenators at different flow rates can shed light on the initial reaction of blood to foreign materials.

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Determinants of submaximal exercise intolerance in patients with heart failure and preserved ejection fraction: Insights from the lactate threshold

European Journal of Heart Failure

Determinants of submaximal exercise intolerance in patients with heart failure with preserved ejection fraction (HFpEF). VO 2 , oxygen consumption. Abstract Aims Oxygen consumption at peak exercise is widely used to assess functional impairment in heart failure with preserved ejection fraction (HFpEF), but few patients exercise to this intensity in daily living.

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Chronotropic Incompetence and Cardiovascular Outcomes in Patients With Heart Failure With Preserved Ejection Fraction

Journal of the American Heart Association

Journal of the American Heart Association, Ahead of Print. BackgroundChronotropic incompetence is common in older people and contributes to heart failure with preserved ejection fraction (HFpEF). This prospective study investigated the impact of chronotropic incompetence on cardiovascular outcomes in patients with HFpEF.Methods and ResultsFrom November 2019 to December 2022, 359 subjects undergoing invasive cardiopulmonary exercise testing for heart failure symptoms were enrolled.

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How to facilitate seamless translation from basic concepts to new heart failure drugs. A scientific statement of the Heart Failure Association of the ESC

European Journal of Heart Failure

Seamless translation from basic concepts to new heart failure drugs. ABSTRACT A rift has opened and is widening between basic research (bench) and clinical research and patients (bed) who need their new treatments, diagnostics and preventive strategies. This problem involving the ‘translation’ of basic scientific findings into clinical applications and potential treatments or biomarkers for a condition like heart failure is widely recognized both in academia and industry.

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Preclinical Evaluation of a Growth‐Accommodating Transcatheter Pulmonary Valve System for Young Children

Journal of the American Heart Association

Journal of the American Heart Association, Ahead of Print. BackgroundCongenital heart defects affect approximately 1% of births in the United States and Europe, with >1 million children in the United States living with congenital heart defects. Many experience abnormalities in the right ventricular outflow tract, often necessitating surgical intervention early in life.

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Vascular Assessment Stratifying Preeclampsia Risk in Overweight/Obese Women

Hypertension Journal

Hypertension, Ahead of Print. BACKGROUND:Overweight and obesity greatly increase the risk of preeclampsia. There is a need to better risk-stratify these women in pregnancy and channel resources to those who can benefit most.METHODS:Prospective observational study of 11 962 women with singleton pregnancies attending a routine assessment at 35+0 to 36+6 weeks’ gestation at King’s College Hospital, London, United Kingdom.

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Latent Health Status Trajectories in Individuals With New or Worsening Claudication Symptoms

Journal of the American Heart Association

Journal of the American Heart Association, Ahead of Print. BackgroundWhile peripheral artery disease care for claudication aims to improve health status (symptoms, physical function, and quality of life), health status trajectories remain unclear. We aimed to determine health status trajectories and explore baseline factors associated with treatment nonresponsiveness.MethodsData were derived from the PORTRAIT (Patient‐Centered Outcomes Related to Treatment Practices in Peripheral Arterial Diseas

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STEMI Treatment Delays Persist, Associated With Worse Outcomes

American College of Cardiology

The timely treatment of STEMI varies substantially at the hospital level, for both primary presentation and transfers, and worse outcomes were observed in patients when the first medical contact (FMC)-to-device target was not met or who presented to low-performing hospitals.

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Water and electrolyte homeostasis during decongestion in heart failure

European Journal of Heart Failure

In heart failure, sodium retention generally occurs out of proportion to water retention and may occur disproportionate to chloride retention, requiring excretion of other cations (i.e. potassium, magnesium, and hydrogen). Renal homeostatic mechanisms keep chloride levels in balance, making it the primary regulator of intravascular tonicity. Excess total body sodium stores and potassium depletion increase the vulnerability to dehydration, especially in the intracellular compartment.

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Frailty Status and Increased Risk of Mortality in PCI | NCDR Study

American College of Cardiology

Among patients undergoing PCI in the U.S., frailty is common with higher frailty status associated with increased risk of mortality, according to a brief report published June 16 in JACC. Patients categorized as severely frail were few but exhibited an exceptionally high risk.

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Relationship between body mass index and cardiovascular metabolic multimorbidity: a systematic review and meta-analysis

Frontiers in Cardiovascular Medicine

This study aimed to systematically evaluate the association between body mass index (BMI) and cardiovascular metabolic multimorbidity (CMM). Cochrane Library, CINAHL, EMBASE, Web of Science, and PubMed were searched for observational studies examining the relationship between BMI and CMM, with a search timeframe from database inception to May 16, 2024.

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Efficacy and Safety of Catheter Ablation vs. Antiarrhythmic Drugs For Ventricular Tachycardia (VANISH2)

American College of Cardiology

How does the efficacy and safety of catheter ablation as first-line therapy compare with antiarrhythmic drug (AAD) therapy for ventricular tachycardia (VT) in patients with ischemic cardiomyopathy (ICM) and implantable cardioverter-defibrillators (ICDs)?

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A Systematic Review of “Food Is Medicine” Randomized Controlled Trials for Noncommunicable Disease in the United States: A Scientific Statement From the American Heart Association

Circulation

Circulation, Ahead of Print. Poor diet quality is a leading risk factor for cardiometabolic disease (ie, diabetes and diseases associated with metabolism and inflammation), which is present in about half of American adults. Support has grown for incorporating the provision of healthy food as a complement to or a component of clinical care. Such “Food Is Medicine” programs provide free or subsidized healthy food directly to patients in close coordination with the health care system.

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Determining the Optimal Age Cutoff to Investigate for Cardiac Sarcoidosis in Patients with Complete Heart Block

HeartRhythm

Cardiac sarcoidosis (CS) is a rare condition marked by granulomatous inflammation that can lead to myocardial fibrosis, heart failure, arrhythmias, and conduction defects such as complete heart block (CHB). Although CS affects about 5% of those with sarcoidosis, it often goes undiagnosed, especially in CHB cases.1 Due to the urgency of CHB treatment, patients may receive permanent pacemakers without further evaluation, as current guidelines suggest.2 However, in CS, a level IIA recommendation su

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Prevalence and Prognostic Value of the Novel Consensus Definition of Metabolic Hyperferritinemia in Patients With Heart Failure With Preserved Ejection Fraction Across Different Glucose Metabolism States

Journal of the American Heart Association

Journal of the American Heart Association, Ahead of Print. BackgroundMetabolic hyperferritinemia (MHF) is associated with the occurrence and progression of cardiovascular disease. Our aim is to investigate the prevalence of MHF, as defined by the latest consensus, and validate its association with major adverse cardiovascular events (MACEs) in heart failure with preserved ejection fraction with different glucose metabolism conditions.Methods and ResultsThis retrospective study included 7498 pati

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Sympathetic Overactivation in the Resistant Hypertensive Phenotype: A Meta-Analysis of Published Studies

Hypertension Journal

Hypertension, Ahead of Print. BACKGROUND:Indirect and direct approaches to assess sympathetic cardiovascular drive have shown that patients with essential hypertension responsive to the blood pressure–lowering effects of antihypertensive drugs are characterized by a pronounced adrenergic overactivity. Whether an emerging clinical hypertensive phenotype such as drug-resistant hypertension (RHT) is also characterized by sympathetic activation and whether its magnitude and underlying pathophysiolog

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Natural History of Tricuspid Regurgitation After Transcatheter Aortic Valve Implantation

Journal of the American Heart Association

Journal of the American Heart Association, Ahead of Print. BackgroundTo determine the impact of tricuspid regurgitation (TR) on outcomes after transcatheter aortic valve implantation (TAVI), and to determine the evolution of TR severity after TAVI.MethodsThis was an observational study of TAVIs for aortic stenosis from November 2012 to December 2021.

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New Multisociety Expert Consensus Document Highlights CT Imaging For Prosthetic Heart Valve Assessment

American College of Cardiology

A new multisociety expert consensus document (ECD) published in JACC addresses the evolving use of cardiac CT imaging and how to best use it to assess different types of prosthetic heart valve (PHV) dysfunction.

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Cardiac magnetic resonance comparison of non-dilated and dilated cardiomyopathy: imaging features and prognostic predictors in non-dilated left ventricular cardiomyopathy

Open Heart

Objectives Non-dilated left ventricular cardiomyopathy (NDLVC) is a novel cardiomyopathy characterised by normal LV size and non-ischaemic myocardial scarring or fatty tissue replacement. This study aimed to explore the clinical and cardiac magnetic resonance (CMR) characteristics of NDLVC compared with dilated cardiomyopathy (DCM) and event rates of patients with NDLVC and reduced LV ejection fraction (NDLVC-REF).

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Finerenone Plus Empagliflozin Decrease UACR in CKD Patients With T2D

American College of Cardiology

Among persons with chronic kidney disease (CKD) and type 2 diabetes (T2D), combination therapy with finerenone plus empagliflozin leads to a greater reduction in the urinary albumin-to-creatinine ratio (UACR) than either drug alone.

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N6-methyladenosine RNA landscape in the aged mouse hearts

Frontiers in Cardiovascular Medicine

ObjectiveCardiac aging is a major risk factor for the development of cardiovascular diseases. Although evidence suggests an association between N6-methyladenosine (m6A) modification and numerous cardiovascular diseases, its role in cardiac aging remains unclear. This study was conducted to elucidate the role of m6A modification in cardiac aging and the molecular mechanisms involved.MethodsGlobal methylation levels and the expression of major m6A regulators were compared between young and aged he

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New Insights on Thoracic Aortic Aneurysms in Marfan Syndrome, Ehlers-Danlos, Loeys-Dietz Syndrome

American College of Cardiology

Two studies published in JACC on June 16 provide new insights on arterial events associated with heritable thoracic aortic disease (TAD) and the relative risk in patients with pathogenic variants (PVs) as well as the prevalence, characteristics and clinical outcomes of arterial aneurysms (AAs) in Loeys-Dietz Syndrome (LDS).

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Clinical outcomes in recently diagnosed atrial fibrillation related to mitral stenosis compared to non-valvular atrial fibrillation

Frontiers in Cardiovascular Medicine

BackgroundAtrial fibrillation (AF) is the most common sustained arrhythmia in adults and is associated with significant morbidity and mortality. Mitral stenosis (MS) is common in developing countries, affecting the younger population and posing a risk of atrial fibrillation.ObjectivesThis study aims to delineate the clinical characteristics and poor outcomes in patients who have recent non-valvular AF (NVAF) compared with AF related to MS (MS-AF).

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Need for a permanent pacemaker after transcatheter aortic valve implantation in Spain: a retrospective analysis of the national Minimum Basic Dataset from 2017 to 2022

Open Heart

Background There is no available information on the risk of permanent pacemaker implantation following transcatheter aortic valve implantation (TAVI) in Spain. Our objective was to investigate the incidence, temporal trends, and factors associated with this complication between 2017 and 2022, using data from the Spanish National Hospital Discharge Database (CMBD).

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The burden of atrial fibrillation/atrial flutter in Europe from 1990 to 2021, with a forecast of incidence through 2044

Frontiers in Cardiovascular Medicine

BackgroundThe objective of this analysis was to assess the impact of atrial fibrillation (AF)/atrial flutter (AFL) across various European regions and countries from 1990 to 2021.MethodsUsing the global burden disease 2021 analytical tools, this study evaluated the incidence, prevalence, disability-adjusted life years (DALYs) and death associated with AF/AFL across the European Region, as defined by the World Health Organization, which includes 53 member countries (EU-53), as well as the Europea

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Weight Cycling Increases Risk of MASLD, Other Cardiometabolic Diseases

HCPLive

Findings highlight an increased risk of MASLD, heart failure, type 2 diabetes, and other cardiometabolic diseases following cycles of weight loss and regain.

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Joint Exposure to Ozone, Higher Temperature Increases AMI Risk in Younger Adults

American College of Cardiology

Exposure to both ozone pollution and higher ambient temperature, even when one exposure is moderate, increases the probability of an acute myocardial infarction (AMI) in younger adults, according to a large U.S. study published June 3 in Circulation.