Hellenic Journal of Cardiology

Obesity modifies the association between abnormal glucose metabolism and atrial fibrillation in older adults: a community-based longitudinal and prospective cohort study
Yu X, Wang X, Dun S, Zhang H, Yao Y, Liu Z, Wang J and Liu W
To investigate the modifying role of obesity in the association between abnormal glucose metabolism and atrial fibrillation (AF) risk in older individuals.
Sacubitril/Valsartan Role in Patients with Resistant Hypertension: A Systematic Review
Lim H, Agustian H, Febriana V and Supit AI
Congenital left aortic sinus of valsalva to left ventricle tunnel
Ku L, Guo S and Ma X
In-depth computational analysis reveals the significant dysregulation of key gap junction proteins (GJPs) driving thoracic aortic aneurysm development
Magouliotis DE, Sicouri S, Rad AA, Skoularigis J, Giamouzis G, Xanthopoulos A, Karamolegkou AP, Viviano A, Athanasiou T and Ramlawi B
Thoracic aortic aneurysm (TAA) represents an aortic pathology that is caused by the deranged integrity of the three layers of the aortic wall and is related to severe morbidity and mortality. Consequently, it is crucial to identify the biomarkers implicated in the pathogenesis and biology of TAA. The aim of the current computational study was to assess the differential gene expression profile of the gap junction proteins (GJPs) in patients with TAA to identify novel potential biomarkers for the diagnosis and treatment of this disease.
Elevated eicosapentaenoic acid to arachidonic acid ratio and rapid coronary blood flow restoration in ST-elevation myocardial infarction
Yamada R, Uematsu M, Nakamura T, Kobayashi T, Horikoshi T, Yoshizaki T, Eguchi M, Takei T, Watanabe Y, Nakamura K and Sato A
Sex-Specific Anatomic Differences in Patients Undergoing Transcatheter Aortic Valve Implantation: Insights from the ST-TAVI Registry
Matetic A, Kristić I, Crnčević N, Zanchi J, Domjanović Škopinić T, Baković Kramarić D and Runjić F
Anatomic considerations of transcatheter aortic valve implantation (TAVI) have an important role for the procedure planning, but sex-specific data are lacking.
Why does cardiology have many extreme publishing authors?
Ioannidis JPA
Under diverse contributing factors in different scientific micro-environments, the number of authors who publish extreme numbers of full articles in a single year has increased. Cardiology is the subfield that has the largest share of authors with extreme publishing behavior than any other subfield in science (outside physics). Between 2000 and 2022, 137 authors in the subfield of Cardiovascular System (CVS, Science-Metrix classification) have published over 60 full articles in at least one calendar year and are also highly-cited. The majority (70/137) are from Europe. All 7 countries with the highest prevalence of CVS extreme publishing authors per million population are European countries. Issues of massive authorship of papers by administrative leaders are discussed, including the arguments in favor of sustaining this practice - and a refutation of these arguments. Other major contributors to the phenomenon are publications from clinical trials and epidemiological studies and massive authorship of highly-cited guidelines. Micro-environments are instrumental in creating extreme publishing behavior in both developed and less developed countries. Listing of contributions does not solve the problem since contributions are also gamed; metrics that probe gaming are nevertheless available. Eventually, authorship carries both credit and accountability. Number of publications is a metric that can be heavily gamed. Emphasis should be given to what makes major impact on science and human lives.
Depression and Anxiety in Hypertrophic Cardiomyopathy Patients; a call for action
Michas G, Liatakis I, Niarchou P, Kentroti D, Prappa E and Trikas A
Prognostic value of echocardiographic cardiac chamber longitudinal strains in advanced light chain cardiac amyloidosis
Li X, Liu X, Feng X, Guo T, Liu G, Wu D, Lin X, Fang L and Chen W
Patients with advanced light chain cardiac amyloidosis (AL-CA) have a poor prognosis. We aimed to (1) assess the prognostic significance of all cardiac chamber longitudinal strains and (2) to further determine whether the combination of longitudinal strains with the Mayo staging system could provide additional prognostic value.
Comprehensive analysis of clinical characteristics, management, and prognosis in patients with dilated cardiomyopathy discharged from Spanish hospitals
Esteban-Fernández A, Anguita-Sánchez M, Rosillo N, Bernal Sobrino JL, Del Prado N, Fernández-Pérez C, Rodríguez-Padial L and Elola Somoza FJ
Dilated cardiomyopathy (DCM) is a leading cause of heart failure (HF) characterized by left ventricular dilatation and systolic dysfunction not explained by abnormal loading conditions. Despite its prevalence, DCM's epidemiology and prognosis remain poorly studied in our country.
Role of Life's Essential 8 score in mediating socioeconomic status in the incidence of atrial fibrillation and heart failure: a population-based cohort study
Wang N, Jia X, Fan Z, Yang C, Wang Y, Fan J, Zhao C, Yang Y and Shi X
To assess whether the Life's Essential 8 (LE8) score mediates the association of socioeconomic status (SES) with atrial fibrillation (AF) and heart failure (HF).
Deep learning for cardiac imaging: focus on myocardial diseases, a narrative review
Tsampras T, Karamanidou T, Papanastasiou G and Stavropoulos TG
The integration of computational technologies into cardiology has significantly advanced the diagnosis and management of cardiovascular diseases. Computational cardiology, particularly, through cardiovascular imaging and informatics, enables a precise diagnosis of myocardial diseases utilizing techniques such as echocardiography, cardiac magnetic resonance imaging, and computed tomography. Early-stage disease classification, especially in asymptomatic patients, benefits from these advancements, potentially altering disease progression and improving patient outcomes. Automatic segmentation of myocardial tissue using deep learning (DL) algorithms improves efficiency and consistency in analyzing large patient populations. Radiomic analysis can reveal subtle disease characteristics from medical images and can enhance disease detection, enable patient stratification, and facilitate monitoring of disease progression and treatment response. Radiomic biomarkers have already demonstrated high diagnostic accuracy in distinguishing myocardial pathologies and promise treatment individualization in cardiology, earlier disease detection, and disease monitoring. In this context, this narrative review explores the current state of the art in DL applications in medical imaging (CT, CMR, echocardiography, and SPECT), focusing on automatic segmentation, radiomic feature phenotyping, and prediction of myocardial diseases, while also discussing challenges in integration of DL models in clinical practice.
Discordant Diagnosis of Coronary Microvascular Dysfunction by Microvascular Resistance Reserve: Transthoracic Doppler Echocardiography vs Bolus Thermodilution Method
Hada M, Usui E, Wakasa N, Hoshino M, Kanaji Y, Nagamine T, Nogami K, Ueno H, Setoguchi M, Tahara T, Mineo T, Yonetsu T, Sasano T and Kakuta T
Epicardial stenosis and coronary microvascular dysfunction (CMD) may coexist in patients with chronic coronary syndrome (CCS). Microvascular resistance reserve (MRR) has been demonstrated to be a valid cross-modality metric using continuous saline infusion thermodilution and intracoronary Doppler flow velocity methods. This study aimed to investigate the prevalence and diagnostic concordance of CMD defined by MRR using two methods-stress transthoracic Doppler echocardiography (S-TDE) and the invasive bolus thermodilution method (B-Thermo)-in patients with functionally significant epicardial stenosis.
Vascular complications in TAVI procedures: assessment, management, and outcomes-a retrospective study
Vasileios C, Ilias K, George F, Eutyxia S, Euaggelos L, Antonios M, Athanasios P, Ioannis M, Athanasios S, Anna K, Letsas K, Georgiadou P, Vasileios V, Efremidis M and Ioannis I
Transcatheter Aortic Valve Implantation (TAVI) has emerged as a pivotal therapeutic modality for aortic stenosis, predominantly in the elderly population. Despite its clinical success, the incidence and implications of vascular complications during TAVI remain a subject of critical concern.
Risk factor analysis of microvascular obstruction after percutaneous coronary intervention for ST-segment elevation myocardial infarction
Wang J, Geng T, Li X, Zeng J, Hu C and Xu K
This study aimed to explore the risk factors of microvascular obstruction (MVO) after percutaneous coronary intervention (PCI) in patients with ST-segment elevation myocardial infarction (STEMI).
Impact of right ventricular function on cardiopulmonary exercise capacity in mitral regurgitation patients undergoing transcatheter mitral valve intervention
Gerçek M, Ivannikova M, Gerçek M, Mörsdorf M, Kirchner J, Rudolph F, Goncharov A, Rudolph TK, Rudolph V, Friedrichs KP and Dumitrescu D
Transcatheter mitral valve interventions (TMVI) have been proven to reduce symptom burden and improve outcomes in patients with severe mitral regurgitation (MR). However, the impact of right ventricular function (RVF) on exercise capacity in MR patients is less well understood.
Risk of cardiovascular events in giant cell arteritis: systematic review and meta-analysis
Rathore SS, Srikaram P, Gudena S, Manoj S, Allam SR, Hatamleh MA, Naveen Chodisetti NS, Shaikh SP, Saravanan CR, Woldehana NA and Jeswani BM
Giant cell arteritis (GCA) is a chronic inflammatory condition associated with a significantly increased risk of various cardiovascular and thromboembolic events. Existing studies suggest an increased risk of cardiovascular disease in GCA, but results vary. This meta-analysis aims to quantify the association between GCA and the risk of various cardiovascular outcomes, providing a comprehensive evaluation of the cardiovascular burden in patients with GCA.
Verification of persistent pulmonary vein isolation with electroanatomical mapping 3 months after ablation using a novel PFA platform
Kordalis A, Tsiachris D, Antoniou CK, Doundoulakis I and Tsioufis K
Impact of the COVID-19 pandemic on CTO PCI: analysis from the PROGRESS-CTO registry
Strepkos D, Alexandrou M, Mutlu D, Carvalho PEP, Bahbah A, Choi JW, Gorgulu S, Jaffer FA, Chandwaney R, Alaswad K, Basir MB, Azzalini L, Rangan BV, Mastrodemos OC, Voudris K, Al-Ogaili A, Burke MN, Sandoval Y, Brilakis ES, Ybarra LF and
Association between preoperative uric acid concentration and the occurrence of atrial fibrillation following cardiac surgery: an observational prospective study
de Tymowski C, Boutten A, Thy M, Fournier G, Augustin P, Provenchere S, Montravers P and Longrois D
Uric acid (UA) concentration is associated with increased risk of atrial fibrillation, but few studies have investigated this association after cardiac surgery. This study investigated the statistical association between postoperative atrial fibrillation (POAF) and preoperative UA concentration according to the type of cardiac surgery.
Sports cardiology: not a sprint but a marathon-and, above all, a team sport
Vlachopoulos C and Kasiakogias A