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  1. Article ; Online: Regarding 'Clinical controversy: methodology and indications of cardioneuroablation for reflex syncope'.

    Martínez-Alday, Jesús Daniel / Carazo, Carlos Minguito / Rodríguez-Mañero, Moisés

    Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology

    2023  Volume 25, Issue 7

    MeSH term(s) Humans ; Syncope, Vasovagal/diagnosis ; Syncope, Vasovagal/surgery ; Syncope/diagnosis ; Syncope/etiology ; Reflex
    Language English
    Publishing date 2023-06-26
    Publishing country England
    Document type Editorial ; Comment
    ZDB-ID 1449879-0
    ISSN 1532-2092 ; 1099-5129
    ISSN (online) 1532-2092
    ISSN 1099-5129
    DOI 10.1093/europace/euad179
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    Zs.A 5434: Show issues Location:
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  2. Article ; Online: Evaluating the decentralisation of the Spanish healthcare system: a data envelopment analysis approach.

    Armenteros-Ruiz, Tamara / Ballesteros-Ron, Alejandro / Rodriguez-Mañero, Moisés / Reyes-Santías, Francisco

    BMJ open

    2024  Volume 14, Issue 3, Page(s) e076853

    Abstract: Objectives: The aim of the study was to answer whether the central government has been more efficient than the regional governments or vice versa. Likewise, through the analysis of the data, the aim was to shed light on whether decentralisation has had ... ...

    Abstract Objectives: The aim of the study was to answer whether the central government has been more efficient than the regional governments or vice versa. Likewise, through the analysis of the data, the aim was to shed light on whether decentralisation has had a positive impact on the efficiency of the hospital sector or not.
    Design: In this paper, we have used data envelopment analysis to analyse the evolution of efficiency in the last 10 Autonomous Regions to receive healthcare competences at the end of 2001.
    Participants: For this study, we have taken into account the number of beds and full-time workers as inputs and the calculation of basic care units as outputs to measure the efficiency of the Spanish public sector, private sector and jointly in the years 2002, 2007, 2012 and 2017 for the last Autonomous Regions receiving healthcare competences.
    Results: Of the Autonomous Regions that received the transfers at the end of 2001, the following stand out for their higher efficiency growth: the Balearic Islands (81.44% improvement), the Madrid Autonomous Region, which practically reached absolute efficiency levels (having increased by 63.77%), and La Rioja which, together with the Balearic Islands which started from very low values, improved notably (46.13%).
    Conclusion: In general, it can be observed that the transfer of responsibilities in the health sector has improved efficiency in the National Health Service.
    Jel classification: C14; I18; H21.
    MeSH term(s) Humans ; State Medicine ; Delivery of Health Care ; Public Sector ; Hospitals, Public ; Efficiency, Organizational ; Politics
    Language English
    Publishing date 2024-03-12
    Publishing country England
    Document type Journal Article
    ZDB-ID 2599832-8
    ISSN 2044-6055 ; 2044-6055
    ISSN (online) 2044-6055
    ISSN 2044-6055
    DOI 10.1136/bmjopen-2023-076853
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  3. Article ; Online: Pseudotransposition of the great leads.

    Temtem, Margarida / Shangutov, Oleksandr / Fernández-López, Xésus Alberte / Rodríguez-Mañero, Moisés / García-Seara, Javier / González-Juanatey, José Ramón

    Pacing and clinical electrophysiology : PACE

    2024  Volume 47, Issue 2, Page(s) 233–235

    MeSH term(s) Humans ; Pacemaker, Artificial ; Electrodes, Implanted ; Transposition of Great Vessels
    Language English
    Publishing date 2024-01-30
    Publishing country United States
    Document type Journal Article
    ZDB-ID 424437-0
    ISSN 1540-8159 ; 0147-8389
    ISSN (online) 1540-8159
    ISSN 0147-8389
    DOI 10.1111/pace.14935
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  4. Article ; Online: Reply to the Editor-Electrophysiologic study in women with Brugada Syndrome.

    Rodríguez-Mañero, Moisés / Arbelo, Elena / Brugada, Josep

    Heart rhythm

    2021  Volume 18, Issue 6, Page(s) 1039–1040

    MeSH term(s) Brugada Syndrome/diagnosis ; Electrophysiologic Techniques, Cardiac ; Female ; Humans
    Language English
    Publishing date 2021-03-16
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 2229357-7
    ISSN 1556-3871 ; 1547-5271
    ISSN (online) 1556-3871
    ISSN 1547-5271
    DOI 10.1016/j.hrthm.2021.03.022
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  5. Article ; Online: Influence of body mass index on recurrence of atrial fibrillation after electrical cardioversion.

    Ligero, Carmen / Bazan, Victor / Guerra, José M / Rodríguez-Mañero, Moisés / Viñolas, Xavier / Alegret, Josep M

    PloS one

    2023  Volume 18, Issue 9, Page(s) e0291938

    Abstract: Background: Several studies have shown an independent relationship between body mass index (BMI) and the incidence of atrial fibrillation (AF). However, little is known about the influence of BMI on AF recurrence after electrical cardioversion (ECV).: ...

    Abstract Background: Several studies have shown an independent relationship between body mass index (BMI) and the incidence of atrial fibrillation (AF). However, little is known about the influence of BMI on AF recurrence after electrical cardioversion (ECV).
    Methods: We selected 1121 patients who reverted to sinus rhythm after scheduled ECV and were included in three prospective Spanish registries of ECV in persistent AF. The patients were classified according to baseline BMI into three categories (normal weight, overweight, obesity). We assessed the influence of BMI on the rate of AF recurrence at 3 months.
    Results: We identified 538 patients (48%) who had AF recurrence in the first 3 months after successful ECV. The patients who suffered AF recurrence had a higher BMI than those who remained in sinus rhythm (29.66±4.57 vs. 28.87±4.64 Kg/m2, respectively; p = 0.004). We observed a higher incidence of AF recurrence in the overweight and obese patients (BMI ≥25 kg/m2) than in those classified as normal weight (50.5% vs. 35.6%, respectively; p<0,001). BMI≥25 Kg/m2 was shown to be independently related to of AF recurrence in the multivariate analysis (OR = 1.75, 95% confidence interval = 1.20-2.58; p = 0.004).
    Conclusions: Increased BMI is independently related to AF recurrence after ECV. BMI should also be taken into account when making decisions about the indication for ECV in persistent AF.
    MeSH term(s) Humans ; Atrial Fibrillation/epidemiology ; Atrial Fibrillation/therapy ; Electric Countershock ; Body Mass Index ; Overweight/complications ; Overweight/therapy ; Prospective Studies ; Obesity/complications ; Obesity/therapy
    Language English
    Publishing date 2023-09-22
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2267670-3
    ISSN 1932-6203 ; 1932-6203
    ISSN (online) 1932-6203
    ISSN 1932-6203
    DOI 10.1371/journal.pone.0291938
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  6. Article ; Online: Epiphenomenal Re-Entry and Spurious Focal Activation Detection by Atrial Fibrillation Mapping Algorithms.

    Hemam, Majd E / Dave, Amish S / Rodríguez-Mañero, Moisés / Valderrábano, Miguel

    JACC. Clinical electrophysiology

    2021  Volume 7, Issue 7, Page(s) 923–932

    Abstract: Objectives: The purpose of this study was to validate the ability of mapping algorithms to detect rotational activations (RoA) and focal activations (FoA) during fibrillatory conduction (FC) and atrial fibrillation (AF) and understand their mechanistic ... ...

    Abstract Objectives: The purpose of this study was to validate the ability of mapping algorithms to detect rotational activations (RoA) and focal activations (FoA) during fibrillatory conduction (FC) and atrial fibrillation (AF) and understand their mechanistic relevance.
    Background: Mapping algorithms have been proposed to detect RoA and FoA to guide AF ablation.
    Methods: Rapid left atrial pacing created FC-fibrillatory electrograms-with and without AF induction in dogs (n = 17). Activation maps were constructed using Topera (Abbott, St. Paul, Minnesota) or CARTOFINDER (Biosense Webster, Irvine, California) algorithms. Mapping strategies included: panoramic noncontact mapping with a basket catheter (CARTOFINDER n = 6, Topera n = 5); and sequential contact mapping using 8-spline OctaRay catheter (Biosense Webster) (n = 6). Offline frequency and spectral analysis were also performed. Algorithm-detected RoA was manually verified.
    Results: The right atrium (RA) consistently exhibited fibrillatory signals during FC. FC with and without AF had similar left-to-right frequency gradients. Basket maps were either uninterpretable (847 of 990 Topera, 132 of 148 Cartofinder) or had unverifiable RoA. OctaRay contact mapping showed 4% RoA (n = 30 of 679) and 63% FoA (n = 429 of 679). Verified RoA clustered at consistent sites, was more common in the RA than left atrium (odds ratio: 3.5), and colocalized with sites of frequency breakdown in the crista terminalis and RA appendage. During pacing, spurious FoA sites were identified around the atria, but not at the actual pacing sites. RoA and FoA site distribution was similar during pacing with and without induction, and during induced AF.
    Conclusions: Mapping algorithms were unable to detect pacing sites as true drivers of FC, and detected epiphenomenal RoA and FoA sites unrelated to AF induction or maintenance. Algorithm-detected RoA and FoA did not identify true AF drivers.
    MeSH term(s) Algorithms ; Animals ; Atrial Fibrillation/diagnosis ; Atrial Fibrillation/surgery ; Catheter Ablation ; Dogs ; Electrophysiologic Techniques, Cardiac ; Heart Atria/diagnostic imaging
    Language English
    Publishing date 2021-03-31
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 2846739-5
    ISSN 2405-5018 ; 2405-500X ; 2405-500X
    ISSN (online) 2405-5018 ; 2405-500X
    ISSN 2405-500X
    DOI 10.1016/j.jacep.2020.12.005
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  7. Article ; Online: Clinical and cost-effectiveness results of an on-call program for pacemaker implantations.

    Rodríguez-Mañero, Moisés / Reyes, Francisco / García-Seara, Javier / Martínez-Sande, Jose Luis / Caballer-Tarazona, Vicent / González-Juanatey, José Ramón

    Revista espanola de cardiologia (English ed.)

    2023  Volume 76, Issue 11, Page(s) 936–937

    MeSH term(s) Humans ; Cost-Benefit Analysis ; Pacemaker, Artificial ; Cost-Effectiveness Analysis
    Language Spanish
    Publishing date 2023-07-26
    Publishing country Spain
    Document type Case Reports
    ZDB-ID 2592481-3
    ISSN 1885-5857 ; 1885-5857
    ISSN (online) 1885-5857
    ISSN 1885-5857
    DOI 10.1016/j.rec.2023.04.011
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  8. Article ; Online: Refining the Predictive Potential of the Early Repolarization Pattern in Myocardial Infarction: An Elusive Endeavour.

    Rodríguez-Mañero, Moisés / González-Juanatey, José Ramón

    Cardiology

    2019  Volume 144, Issue 3-4, Page(s) 76–78

    MeSH term(s) Electrocardiography ; Humans ; Myocardial Infarction ; Prognosis ; Tachycardia
    Language English
    Publishing date 2019-10-29
    Publishing country Switzerland
    Document type Editorial ; Comment
    ZDB-ID 80092-2
    ISSN 1421-9751 ; 0008-6312
    ISSN (online) 1421-9751
    ISSN 0008-6312
    DOI 10.1159/000501900
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  9. Article ; Online: Enhancing patient outcomes: Integrating electronic cardiology consultation in primary care for cancer patients.

    Cinza-Sanjurjo, Sergio / Mazón-Ramos, Pilar / Rey-Aldana, Daniel / Garcia-Vega, David / Portela-Romero, Manuel / Rodríguez-Mañero, Moisés / Sestayo-Fernández, Manuela / Lage-Fernández, Ricardo / López-López, Rafael / González-Juanatey, José R

    European journal of clinical investigation

    2024  , Page(s) e14197

    Abstract: Background: The prevalence of cancer patients with concomitant cardiovascular (CV) disease is on the rise due to improved cancer prognoses. The aim of this study is to evaluate the long-term outcomes of cancer patients referred to a cardiology ... ...

    Abstract Background: The prevalence of cancer patients with concomitant cardiovascular (CV) disease is on the rise due to improved cancer prognoses. The aim of this study is to evaluate the long-term outcomes of cancer patients referred to a cardiology department (CD) via primary care using e-consultation.
    Methods: We analysed data from cancer patients with prior referrals to a CD between 2010 and 2021 (n = 6889) and compared two care models: traditional in-person consultations and e-consultations. In e-consultation model, cardiologists reviewed electronic health records (e-consultation) to determine whether the demand could be addressed remotely or necessitated an in-person consultation. We used an interrupted time series regression model to assess outcomes during the two periods: (1) time to cardiology consultation, (2) rates of all-cause and CV related hospital admissions and (3) rates of all-cause and CV-related mortality within the first year after the initial consultation or e-consultation at the CD.
    Results: Introduction of e-consultation for cancer patients referred to cardiology care led to a 51.8% reduction (95%CI: 51.7%-51.9%) in waiting times. Furthermore, we observed decreased 1-year incidence rates, with incidence rate ratios (iRRs) [IC95%] of .75 [.73-.77] for CV-related hospitalizations, .43 [.42-.44] for all-cause hospitalizations, and .87 [.86-.88] for all-cause mortality.
    Conclusions: Compared to traditional in-person consultations, an outpatient care program incorporating e-consultation for cancer patients significantly reduced waiting times for cardiology care and demonstrated safety, associated with lower rates of hospital admissions.
    Language English
    Publishing date 2024-03-22
    Publishing country England
    Document type Journal Article
    ZDB-ID 186196-7
    ISSN 1365-2362 ; 0014-2972 ; 0960-135X
    ISSN (online) 1365-2362
    ISSN 0014-2972 ; 0960-135X
    DOI 10.1111/eci.14197
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  10. Article ; Online: Managing NSTEMI in older patients.

    Cordero, Alberto / Rodríguez-Mañero, Moisés / Bertomeu-González, Vicente / González-Juanatey, Jose R

    Lancet (London, England)

    2021  Volume 397, Issue 10272, Page(s) 370–371

    MeSH term(s) Aged ; Cohort Studies ; Electrocardiography ; Humans ; Myocardial Infarction ; Non-ST Elevated Myocardial Infarction/diagnosis ; Non-ST Elevated Myocardial Infarction/therapy
    Language English
    Publishing date 2021-01-28
    Publishing country England
    Document type Letter ; Research Support, Non-U.S. Gov't ; Comment
    ZDB-ID 3306-6
    ISSN 1474-547X ; 0023-7507 ; 0140-6736
    ISSN (online) 1474-547X
    ISSN 0023-7507 ; 0140-6736
    DOI 10.1016/S0140-6736(20)32386-2
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