Global longitudinal strain: clinical use and prognostic ... - Heart
### Learning objectives Non-invasive evaluation of left ventricular (LV) systolic function by echocardiography remains one of the most pivotal measures in clinical cardiology. Although conventionally quantified by means of LV ejection fraction (LVEF), it has become evident that this parameter is subject to a number of limitations. LVEF can be normal in the presence of …
About - Heart
Heart is an international peer reviewed journal that keeps cardiologists up to date with important research advances in cardiovascular disease. New scientific developments are highlighted in editorials and put in context with concise review articles. There is one free Editor’s Choice article in each issue, with open access options available to authors for all articles.
Atherosclerotic cardiovascular disease risk prediction: current state ...
### Learning objectives Cardiovascular disease (CVD) is the leading cause of mortality worldwide, resulting in ~18 million deaths annually.1 Atherosclerotic CVD (ASCVD) accounts for four out of every five cardiovascular (CV) deaths, one-third of which are premature.1 From 2010 to 2020, there was a global increase of ~19% in CV deaths.1 The economic burden of CVD on …
What is ‘normal’ left ventricular ejection fraction? | Heart
Left ventricular ejection fraction (LVEF) has been a key variable for the diagnosis and management of heart failure over the last three decades. The British Society of Echocardiography recently updated their normal reference intervals for assessment of cardiac dimensions and function.1 They describe four categories of left ventricular function and a ‘normal’ LVEF is …
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4 天之前 · Each year the Heart editorial team selects the most meritorious research papers to receive the Heart Best Research Paper Award.. We are pleased to announce the winner and finalists for the Heart Best Research Paper Award 2024 in …
Bradyarrhythmias in patients with atrial fibrillation | Heart
The increasing burden of atrial fibrillation (AF) and significant morbidity/mortality associated with this arrhythmia encourage screening it in clinical practice, as recommended in current guidelines. It means opportunistic screening (in patients over 65 years) or systematic screening (in people above 75 years) by using clinical examination, followed by an ECG, 24-hour ECG monitoring …
Management of valve dysfunction in patients with mitral annular
Introduction. Mitral annular calcification (MAC) is a degenerative process of the fibrous base of the mitral valve. Most patients with MAC present with mild or moderate severity of the calcification pattern, whereas severe MAC is rather rare. 1 It increases the risk for mitral valve dysfunction (regurgitation and/or stenosis). 2 Predisposing factors for MAC include advanced age, female …
Angina: contemporary diagnosis and management - Heart
### Learning objectives Ischaemic heart disease (IHD) remains the leading global cause of death and lost life years in adults, notably in younger (<55 years) women.1 Angina pectoris (derived from the Latin verb ‘angere’ to strangle) is chest discomfort of cardiac origin. It is a common clinical manifestation of IHD with an estimated prevalence of 3%–4% in UK adults. There are …
Assessment and management of peripheral arterial disease: what …
### Learning objectives Peripheral artery disease (PAD) typically refers to atherosclerotic narrowing and/or occlusion of all arterial disease other than coronary arteries and the aorta (carotid and vertebral arteries, coeliac and mesenteric arteries, renal arteries and upper and lower limb arteries) (figure 1). As a manifestation of systemic atherosclerosis, PAD is associated with …
Calcium and vitamin D supplement: right or wrong? - Heart
Intuitively, one might think that supplementing vitamins and minerals would be the right thing to do especially in older and comorbid people. Every year, billions of dollars are spent in this belief.1 However, we may all be wrong. A present study in this journal demonstrates a significantly increased cardiovascular (CV) mortality in elderly patients supplementing calcium, be it with or …