Open Heart

OCTOBER 3, 2023

Objective To assess gender, ethnicity, and deprivation-based differences in provision of aortic valve replacement (AVR) in England for adults with aortic stenosis (AS). Methods We retrospectively identified adults with AS from the English Hospital Episode Statistics (HES) between April 2016 and March 2019 and those who subsequently had an AVR. We separately used HES-linked Clinical Practice Research Datalink (CPRD) to identify people with AVR and evaluate the timeliness of their procedure (CPRD-

Aortic valve 52

Aortic valve Aortic Stenosis Public Health 52

Dr. Paddy Barrett

OCTOBER 3, 2023

Even if you live a long life with your physical and cognitive capacities intact, you still have to choose ‘ How ’ to live your life. For me, the only reason I wish to live a long life at a high quality is that I get more time and capacity to do what I believe my life was intended for. This is the domain of soul span: What will you do with the time allotted to you?

Quality of Life 52

Quality of Life Article 52

Open Heart

OCTOBER 3, 2023

Objective To determine the diagnostic yield of a ‘high’ N-terminal pro-brain natriuretic peptide (NT-proBNP) in patients with suspected heart failure (HF) referred from primary to secondary care. Methods In this retrospective study, cardiac diagnoses were quantified in consecutive patients with an NT-proBNP>400 ng/L referred from primary care centres to a specialist HF service.

Heart Failure 52

Heart Failure Atrial Fibrillation 52

Science Daily - Heart Disease

OCTOBER 3, 2023

An individual diagnosed with type 2 diabetes at age 30 years could see their life expectancy fall by as much as 14 years, an international team of researchers has warned. Even people who do not develop the condition until later in life – with a diagnosis at age 50 years – could see their life expectancy fall by up to six years, an analysis of data from 19 high-income countries found.

Diabetes 40

Diabetes Research 40

HeartRhythm

OCTOBER 3, 2023

Pulmonary vein isolation (PVI) remains the cornerstone of atrial fibrillation (AF) ablation. In patients with more advanced AF subtypes, atypical atrial flutter, and extensive atrial myopathy, additional linear ablation is often required; however, durable block of these remains challenging. Gardziejczyk et al ([link] shared a case of a 61-year-old patient with recurrent symptomatic persistent AF despite 2 prior ablation attempts and confirmed PVI and posterior wall isolation.

Atrial Flutter 40

Atrial Flutter Atrial Fibrillation Ablation Pulmonary 40

European Journal of Heart Failure

OCTOBER 3, 2023

Characteristics of heart failure with improved ejection fraction (HFimpEF) patients and outcome comparison with heart failure with persistently reduced ejection fraction (pHFrEF). Arrows indicate a higher number of elements/level in HFimpEF compared to the comparison population (pHFrEF). BNP, B-type natriuretic peptide; CPET, cardiopulmonary exercise test; CV, cardiovascular; ECG, electrocardiogram; EOV, exercise oscillatory ventilation; MECKI, Metabolic Exercise Cardiac Kidney Indexes; LBBB, le

Heart Failure 40

Heart Failure Exercise Laboratory Transplant 40

HeartRhythm

OCTOBER 3, 2023

In this retrospective analysis of sinus rhythm (SR) rates before and during ventricular tachycardia (VT) episodes occurring during ablation procedures in patients with structural heart disease, Pujol-Lopez et al (J Am Coll Cardiol 2023;82:1096) sought to assess whether the failure to increase the SR rate during VT occurred more frequently during hemodynamically nontolerated VT than during tolerated VT.

Tachycardia 40

Tachycardia Ablation Heart Disease 40

HeartRhythm

OCTOBER 3, 2023

Al-Kaisey et al (JAMA 2023;330:925, PMID 37698564) investigated whether atrial fibrillation (AF) catheter ablation is associated with a greater improvement in psychological distress compared with medical therapy in a prospective, randomized, multicenter trial. Participants were randomized to receive AF catheter ablation (n = 52) or medical therapy (n = 48).

Atrial Fibrillation 40

Atrial Fibrillation Ablation Pulmonary Hospital 40