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Hypertension in Chronic Kidney Disease
Author(s): Olivier Phan , Michel Burnier , Grégoire Wuerzner Added: 3 years ago
Chronic kidney disease (CKD) is characterised by progressive nephron loss leading to increased intraglomerular pressure, glomerular permeability, proteinuria and systemic hypertension. The prevalence of CKD defined as estimated glomerular filtration rate (eGFR) of <60 mL/min per 1.73 m2 ranges from 2 to 12 % in Europe and in the US.1,2 CKD is an independent risk factor for the development of… View more

Prevention & Chronic Conditions
Author(s): Otto A Smiseth , Anders Opdahl , Espen Boe , et al Added: 3 years ago
Abstract Heart failure with preserved left ventricular ejection fraction (HF-PEF), sometimes named diastolic heart failure, is a common condition most frequently seen in the elderly and is associated with arterial hypertension and left ventricular (LV) hypertrophy. Symptoms are attributed to a stiff left ventricle with compensatory elevation of filling pressure and reduced ability to increase… View more

Heart Failure
Antithrombotic Therapy After Transcatheter Aortic Valve Implantation
Author(s): Leslie Marisol Lugo , Rafael Romaguera , Joan Antoni Gómez-Hospital , et al Added: 3 years ago
Transcatheter aortic valve implantation (TAVI) is the therapy of choice for patients with symptomatic severe aortic stenosis who are unsuitable for surgical aortic valve replacement and for elderly patients with high operative risk.1,2 It is also considered to be a more than valid and reasonable alternative to surgical aortic valve replacement for patients with moderate to high surgical risk.3,4… View more

Anticoagulation
Neuromodulatory Approaches for Atrial Fibrillation Ablation
Author(s): Moisés Rodríguez-Mañero , Jose Luis Martínez-Sande , Javier García-Seara , et al Added: 2 years ago

Electrophysiology & Arrhythmia
Erectile Dysfunction And Ischaemic Heart Disease
Author(s): Abdalla Ibrahim , Mohamed Ali , Thomas J Kiernan , et al Added: 3 years ago
Erectile dysfunction (ED) is generally defined as the persistent (at least 6 months) inability to achieve and maintain penile erection sufficient to allow satisfactory sexual performance.1 It is a common condition, and recent studies predict a higher prevalence of ED in the future.2 It is estimated that ED has affected more than 150 million men worldwide and this number will reach approximately… View more

MI/ACS
ESC 2021 Discussion: The EMPEROR-Preserved Trial
Author(s): Stefan Anker , Harriette Van Spall Added: 2 years ago
Late-breaker host, Dr Harriette Van Spall (McMaster University, CA)is joined by Principal Investigator, Prof Stefan Anker (Charite Campus Virchow Clinic, DE) for an in-depth discussion on the latest data from the EMPEROR-Preserved trial presented at ESC Congress 2021. EMPagliflozin outcomE tRial in Patients With chrOnic heaRt Failure With Preserved Ejection Fraction evaluated the effects of… View more

Standards & Guidelines

Heart Failure
Cutting Balloon Versus Conventional Balloon Angioplasty for the Treatment of Coronary Artery Disease
Author(s): Remo Albiero Added: 3 years ago
The cutting balloon (CB)1 is a special balloon catheter with three or four atherotomes (microsurgical blades) bonded longitudinally to its surface, suitable for creating discrete longitudinal incisions in the atherosclerotic target coronary segment during balloon inflation. With the cutting balloon, the increase in the vessel lumen diameter is obtained in a more controlled fashion and with a… View more

Prevention & Chronic Conditions
Author(s): Martin H Deininger , Juergen Buttler Added: 3 years ago
The association of electrocardiographic (ECG) abnormalities and intracerebral, particularly aneurysmal, subarachnoid haemorrhage (SAH) is a well-known phenomenon. ECG alterations are observed in 50-100% of patients during the acute stage of SAH.1-3 Frequently, these effects are clinically not important. Some SAH patients, however, have structural cardiac damage with elevation of creatine kinase… View more

Heart Failure
Author(s): Christian Spaulding Added: 3 years ago
Currently, the optimal treatment of acute myocardial infarction (AMI) in patients presenting with ST-segment-elevation MI (STEMI) is to perform a primary percutaneous coronary intervention (PCI) as quickly as possible after onset of symptoms.1,2 While this has become the standard of care for treating AMI, several factors, including limited availability of catheterisation laboratories in a… View more

MI/ACS

Intervention
Author(s): Pedro L Sánchez , Isaac Pascual Calleja , Héctor Bueno , et al Added: 3 years ago
The results of an electrocardiogram (ECG) on admission guide the next level of decision-making for the patient with chest pain suspected of myocardial ischaemia. If an occlusive thrombus forms, patients may develop an acute ST-segment-elevation myocardial infarction (STEMI), and the primary goal is to consider reperfusion therapy as quickly as possible. The benefit obtained by effective and early… View more

MI/ACS