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Placing patients in the queue for coronary surgery: do age and work status alter Canadian specialists' decisions?

OBJECTIVE: To determine the effects of age and work status on whether and where cardiovascular specialists would place hypothetical patients … disabled by angina, faces job loss"; and "75-year-old retiree, angina limits golf." PARTICIPANTS: Cardiologists and cardiac surgeons practicing in five Ontario medical centers (n = 120). RESULTS: There was a 59% response rate (120 usable responses). Large shifts in willingness to intervene occurred in favor of the disabled laborer (p less than 0.0001) and ag …

[False chordae tendineae].

False tendons (FT) are fibrous or fibromuscular structures which cross the ventricular cavity with no connections with valvular leaflets. They were considered for a long time as normal structures but now cardiologists are interested because of the possible association with the so-called innocent murmur, and even more so for the role they can have in eliciting ventricular arrhythmias. Some Authors believe that arrhythmias can arise from the false tendons because they contain not only fibrous tissue but also muscular and conduction tissue. Arrhythmias can be triggered either by stretching of the…

British Heart Foundation surveys (1987 and 1989) of United Kingdom treatment policies for acute myocardial infarction.

Consultant physicians and cardiologists were surveyed early in 1987 and 1989 to document the management policies for the treatment of acute myocardial infarction in United Kingdom hospitals and to assess the influence of major clinical trials on these policies. The response rate to both these surveys was high (84% (1178 physicians) in 1987 and 76% (982 physicians) in 1989). The percentage of physicians that reported using antiplatelet therapy "routinely" in acute myocardial infarction rose from 9% in 1987 to 84% in 1989 while those who reported using it "rarely or never" fell from 42% to 3%. S…

[Exploratory hierarchy and surgical indications for carotid surgery in patients with coronary disease].

The major cause of death from carotid artery surgery (1.2% in 1984 in this series) is still coronary disease and myocardial infarct. A serie … tery shunt surgery at a later stage. Improved exploration of patients and close cooperation between cardiologists, anaesthetists and surgeons should allow patients at high risk to be operated upon under improved conditions of safety.

The long and winding road to diagnosis: diagnostic delays and healthcare utilization in patients with CFT-confirmed INOCA.

BACKGROUND: Patients with Ischemia and No Obstructive Coronary Arteries (INOCA) experience recurrent angina, report reduced quality of life, … isit. A total of 225 referrals to 6 different specialties occurred, with 18% of patients seen by ≥3 cardiologists prior to diagnosis. There were 441 diagnostic tests performed for angina [median 4 (IQR 3-7) per patient], 14% of which were non-cardiac studies [median 0 (IQR 0-1) per patient]. Patients trialed a median of 2 (1-3) medications prior to diagnosis. …

Artificial Intelligence-Assisted Point-of-Care Ultrasound for Evaluating Left Ventricular Ejection Fraction: A Systematic Review of Prospective Observational Studies.

Artificial intelligence (AI) embedded in point-of-care ultrasound (POCUS) could reduce operator dependence in left ventricular ejection fraction (LVEF) assessment and accelerate bedside decision making by non-cardiologists and non-radiologists. Prospective comparative studies evaluating real-time AI-assisted POCUS for LVEF across point-of-care settings were systematically reviewed. The PubMed/MEDLINE, Embase, and Cochrane databases were searched from inception to June 11, 2025. The authors included prospective analytical observational studies in intensive care unit (ICU), emergency department,…

Development of a Predictive Tool in Patients With High Pretest Probability for Transthyretin Amyloid Cardiomyopathy.

BACKGROUND: Transthyretin amyloid cardiomyopathy (ATTR-CM) is an underdiagnosed cause of heart failure, arrhythmias, and valvular disease. OBJECTIVES: The objectives of the study were to develop: 1) screening criteria to identify high-risk patients for ATTR-CM; and 2) a predictive tool for ATTR-CM diagnosis. METHODS: This prospective observational registry (2019-2022) at 2 Vancouver academic sites screened patients aged >60 years presenting to heart failure, atrial fibrillation, transcatheter valve clinics, and cardiologists' offices. Patients meeting high-risk criteria who underwent technet…

Pretreatment Coronary Artery Involvement in an Infant-Enriched Kawasaki Disease Cohort: Timing-Adjusted Analysis and Internal Model Validation.

Coronary artery involvement (CAI) in Kawasaki disease (KD) is time-dependent, yet some published risk models combine pretreatment findings w … nt clinical data, laboratory measurements, and stored echocardiograms were available. Two pediatric cardiologists, blinded to clinical data and coronary classification, remeasured the left main coronary artery (LMCA), proximal left anterior descending artery (LAD), and proximal right coronary artery (RCA). Dallaire Z-scores were calculated, and CAI was defined …

Staffing, Accepted Indications and Dose of Phase II Cardiac Rehabilitation: Country Income Class and Time-Based Comparisons from the International Council of Cardiovascular Prevention and Rehabilitation's (ICCPR) 2025 Audit Update.

AIMS: To characterize global variation in cardiac rehabilitation (CR) staffing, indications, and prescribed dose by country income classific … . CR was delivered by a multidisciplinary team of 7 (median; P25-P75=5-8; nurses, physiotherapists, cardiologists, and dietitians most common); teams were smaller in low-income countries (median=4; p<0.001), and physician specialty varied. Non-low-income programs consistently accepted (≥90%) patients with acute coronary syndrome, with programs in low-income cou …

Clinician Decision Making in Managing Primary Aldosteronism: A Qualitative Study.

RATIONALE & OBJECTIVES: Primary aldosteronism (PA) is underdiagnosed in people living with hypertension, despite its considerable prevalence … SETTING AND PARTICIPANTS: Thirty-eight clinicians were recruited from across Australia, including cardiologists (n = 8), endocrinologists (n = 10), general practitioners (n = 10) and nephrologists (n = 10). Purposive sampling achieved diversity in practice location, setting, and clinical experience. In-depth semistructured interviews were conducted between Ma …

Improving end-of-life care in the cardiac intensive care unit: Navigating the challenge of timing palliative care intervention.

BACKGROUND: Integrating end-of-life (EoL) care in cardiac intensive care units (CICUs) is particularly complex because it requires a shift f … ed compared to other disciplines, such as oncology. In EoL care, multidisciplinary teams, including cardiologists, nurses, PC specialists and social workers, play a crucial role in providing holistic care. Effective communication with patients and their families is essential for aligning treatment with individual values and goals. Ethical dilemmas, such as the …

Performance of large language models and clinical decision support in perioperative management of oral anticoagulants.

BACKGROUND: Perioperative anticoagulant management is critical because of the competing risks of ischemia and bleeding. Large language models (LLMs) and clinical decision support (CDS) have shown substantial advances and are increasingly being applied across various domains of cardiology. However, to date, no studies have specifically evaluated the performance of LLMs combined with CDS in perioperative anticoagulant management. METHODS: Two cardiologists developed 40 guideline-based clinical scenarios involving patients receiving oral anticoagulants scheduled for non-cardiac surgery, includin…

Valvular Heart Disease and Heart Failure in the Post-COVID-19 Era: A Narrative Review of Mechanisms, Diagnosis, Differential Assessment, and Clinical Outcomes.

Background/Objectives: Cardiovascular involvement is among the most consequential sequelae of SARS-CoV-2 infection. Myocardial injury, arrhy … dysfunction and to incident or worsening heart failure, with emphasis on practical implications for cardiologists and internists. Methods: We searched PubMed, Scopus, and Web of Science (January 2020-January 2026) for studies on valvular dysfunction, heart failure, myocardial injury, and endothelial pathology in SARS-CoV-2 infection, and synthesized findings na …

Prevalence and Prognostic Significance of Exercise-Accentuated J-Point Elevation in Brugada Syndrome.

BACKGROUND: The clinical significance of accentuation of precordial J-point elevation during exercise in Brugada syndrome (BrS) remains uncl … cise stress testing (EST) from January 1, 2000, through October 31, 2025 were included. Two blinded cardiologists reviewed all tracings. An exercise-accentuated BrS phenotype was defined as J-point elevation increase ≥1 mm in V1/V2 during exercise. Cardiac events included arrhythmic syncope, cardiac arrest, and appropriate implantable cardioverter-defibrillator …

Advancing Point-of-Care Still's Murmur Identification: Evaluating the Efficacy of ConvNets and Transformers Using the StethAid Multicenter Heart Sound Database.

BACKGROUND: Primary care providers (PCPs) are not successful in accurately identifying Still's murmur with no available clinical tools to ai … sound recordings. The StethAid dataset comprises 527 PCGs with diagnoses from four expert pediatric cardiologists. This dataset was used to train convolution- and pure attention-based models, which are our designed architecture SQ-NET, ResNet18, audio spectrogram transformer (AST), data-efficient transformer (DeiT), shifted windows (Swin) transformer, self-dist …

Expert collaboration for safe perinatal stabilization of neonates with select critical congenital heart defects at non-cardiac centers.

OBJECTIVE: To evaluate mortality and morbidity among neonates with select critical congenital heart defects (cCHD) delivered and initially managed at a Level-III perinatal center without in-house paediatric cardiac surgery, and to determine how many required immediate cardiac interventions versus stabilization prior to transfer. DESIGN: Retrospective single-center cohort study (2018–2022) at a Level-III perinatal center with neonatologists and paediatric cardiologists on-site but no paediatric cardiac intervention unit. Inclusion of all neonates with prenatally or postnatally suspected cCHD de…

Всеобъемлющий мета-анализ сердечно-сосудистых неблагоприятных последствий биконкретной антителной терапии в гематологовых злодеяниях.

Введение: Биотечные антитела (BSAbs) являются перспективным и мощным терапевтическим вмешательством в случае рецидивных или рефрактных (R/R) гематологических магнестов, включая острую лимфоболическую лейкемию (ALL), множественные миеломы (MM) и лимфомы B-клеток. Эти рекомбинантные молекулы предназначены для целей two отдельные антигены или эпитопы. Хотя БСАБ продемонстрировали значительную эффективность в управлении гематологическими паразитами, токсины должны тщательно контролироваться, а их характеристики безопасности требуют дальнейшего изучения. В ходе этого метаанализа изучаются последств

Совпадение в аннотации оригинала
Introduction: Bispecific antibodies (BsAbs) are a promising and potent therapeutic intervention for relapsed or refractory (R/R) hematologic … dies to identify high-risk patients and optimize prevention and management strategies. Oncologists, cardiologists, and pharmacists should establish strategies for early detection and management to optimize patients' outcomes.

Development and evaluation of an artificial intelligence-based electrocardiogram prediction model for emergency chest pain patients.

BACKGROUND/OBJECTIVES: Rapid triage and etiological differentiation are critical for patients with acute chest pain in the emergency departm … and confusion matrices. Additionally, a blinded comparative evaluation was conducted against expert cardiologists. RESULTS: The model demonstrated excellent discriminative capability for ST-elevation myocardial infarction (STEMI) and non-ST-elevation myocardial infarction (NSTEMI), with AUC values of 0.986 and 0.916, respectively. For STEMI, all performance me …

Motivations, experiences and perspectives of physicians in Germany regarding monitoring routines in coronary heart disease and post-stroke patients: A qualitative interview study.

Chronic conditions, like coronary heart disease and post stroke status require lifelong care which negatively impacts upon patients' quality … i-structured interviews with 22 physicians from three different specialties (general practitioners, cardiologists and neurologists) in two German states. Transcripts were analysed with thematic analysis. Physicians considered monitoring generally as beneficial for the patient and the health system, as it helps to detect and in consequence prevent disease progre …

Prognostic Value of MRI-Based Left Ventricular Trabecular Complexity for Sudden Cardiac Death in Hypertrophic Cardiomyopathy.

BACKGROUND: Hypertrophic cardiomyopathy (HCM) is a leading cause of sudden cardiac death (SCD). Early identification of high-risk patients is important for guiding preventive measures. PURPOSE: To validate left ventricular (LV) myocardial trabecular complexity using fractal dimension (FD) for SCD prediction in a larger cohort and investigate its relationship with sarcomere variants. STUDY TYPE: Prospective. POPULATION: 835 HCM patients (506 men; 50.7 ± 14.4 years). FIELD STRENGTH/SEQUENCE: Steady-state free precession (SSFP) cine sequence at 3 T. ASSESSMENT: Two cardiologists, blinded to …