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  1. Article: Prognostic Value of a New Right Ventricular-to-Pulmonary Artery Coupling Parameter Using Right Ventricular Longitudinal Shortening Fraction in Patients Undergoing Transcatheter Aortic Valve Replacement: A Prospective Echocardiography Study.

    Beyls, Christophe / Yakoub-Agha, Mathilde / Hermida, Alexis / Martin, Nicolas / Crombet, Maxime / Hanquiez, Thomas / Fournier, Alexandre / Jarry, Geneviève / Malaquin, Dorothée / Michaud, Audrey / Abou-Arab, Osama / Leborgne, Laurent / Mahjoub, Yazine

    Journal of clinical medicine

    2024  Volume 13, Issue 4

    Abstract: ... ...

    Abstract Introduction
    Language English
    Publishing date 2024-02-09
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm13041006
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Left atrial strain analysis and new-onset atrial fibrillation in patients with ST-segment elevation myocardial infarction: A prospective echocardiography study.

    Beyls, Christophe / Hermida, Alexis / Nicolas, Martin / Debrigode, Romain / Vialatte, Alexis / Peschanski, Julia / Bunelle, Camille / Fournier, Alexandre / Jarry, Geneviève / Landemaine, Thomas / Malaquin, Dorothée / Kubala, Maciej / Mahjoub, Yazine / Leborgne, Laurent

    Archives of cardiovascular diseases

    2024  Volume 117, Issue 4, Page(s) 266–274

    Abstract: Background: New-onset atrial fibrillation (NOAF) is a well-known complication of ST-segment elevation myocardial infarction (STEMI), probably due to left atrial (LA) remodelling. LA strain (LAS) can predict NOAF in several cardiovascular diseases.: ... ...

    Abstract Background: New-onset atrial fibrillation (NOAF) is a well-known complication of ST-segment elevation myocardial infarction (STEMI), probably due to left atrial (LA) remodelling. LA strain (LAS) can predict NOAF in several cardiovascular diseases.
    Objective: To assess whether LAS predicts NOAF in sinus rhythm patients with STEMI during hospitalization.
    Methods: Adults with a STEMI and transthoracic echocardiography performed within 48hours of admission were included. LAS analysis, performed by automated software, recorded LAS during the reservoir phase (LASr), the conduit phase (LAScd) and the contraction phase (LASct).
    Results: From May 2021 to November 2022, 175 patients were included, 21 (12%) of whom developed NOAF. NOAF patients were older (median [Q1-Q3]: 67 [59-80] vs 59 [51-67]years; P=0.006) and had a higher Thrombolysis In Myocardial Infarction scores (4 [2-7] vs 3 [1-4]; P=0.005). All LAS parameters were significantly impaired in NOAF patients, especially LASr (13.0% [10.5-28.4] vs 36.6% [29.0-44.9]; P=0.001). An LASr cut-off of 27% had a sensitivity of 81% and a specificity of 80% to identify patients with NOAF. In a multivariable model, LASr was significantly associated with NOAF (odds ratio 1.18, 95% confidence interval 1.09-1.26; P=0.003). The cumulative risk of NOAF during hospital stay was 30% (18-43 with LASr<27% and 4% [1.5-8.5] with LASr≥27% [P<0.0001]).
    Conclusion: NOAF is a frequent complication of STEMI. LASr seems helpful for identifying patients at high risk of NOAF during hospitalization.
    MeSH term(s) Adult ; Humans ; ST Elevation Myocardial Infarction/diagnostic imaging ; ST Elevation Myocardial Infarction/therapy ; ST Elevation Myocardial Infarction/complications ; Prospective Studies ; Atrial Fibrillation/diagnostic imaging ; Atrial Fibrillation/therapy ; Myocardial Infarction/complications ; Echocardiography
    Language English
    Publishing date 2024-02-15
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2408778-6
    ISSN 1875-2128 ; 1875-2136
    ISSN (online) 1875-2128
    ISSN 1875-2136
    DOI 10.1016/j.acvd.2024.01.002
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  3. Article ; Online: Prognostic Value of Right Ventricular Longitudinal Shortening Fraction in Patients With ST-Elevation Myocardial Infarction: A Prospective Echocardiography Study.

    Beyls, Christophe / Hermida, Alexis / Martin, Nicolas / Peschanski, Julia / Debrigode, Romain / Vialatte, Alexis / Hanquiez, Thomas / Fournier, Alexandre / Jarry, Geneviève / Landemaine, Thomas / Malaquin, Dorothée / Abou-Arab, Osama / Mahjoub, Yazine / Leborgne, Laurent

    The American journal of cardiology

    2023  Volume 211, Page(s) 79–88

    Abstract: Right ventricular systolic dysfunction (RVsD) frequently occurs in patients with ST-elevation myocardial infarction (STEMI). However, the diagnosis depends on the echocardiographic parameters to define RVsD. The right ventricle longitudinal shortening ... ...

    Abstract Right ventricular systolic dysfunction (RVsD) frequently occurs in patients with ST-elevation myocardial infarction (STEMI). However, the diagnosis depends on the echocardiographic parameters to define RVsD. The right ventricle longitudinal shortening fraction (RV-LSF) is an accurate and reproducible 2-dimensional speckle-tracking parameter associated with clinical events in various pathologies. This study aimed to evaluate the association between RVsD and major adverse cardiovascular event (MACE) occurrence in a cohort of patients with STEMI. Adult patients with STEMI admitted to Amiens University Hospital's cardiovascular intensive care unit between May 2021 and November 2022 who underwent coronary angiography and transthoracic echocardiography within 48 hours of admission were included. RVsD was defined as RV-LSF <20%. The primary outcome was MACE occurrence, including heart failure, myocardial infarction, stroke, and death within 6 months of admission. A multivariable Cox regression analysis with proportional hazard ratio models assessed the association between RVsD and MACEs. In the 164 included patients, 72 (44%) had RVsD and 92 (56%) did not. The RVsD group had a significantly higher proportion of MACEs during the 6-month follow-up (n = 23 of 72, 33%) than the group without RVsD (n = 8 of 92, 9%, p = 0.001). RVsD showed an independent association with MACEs at 6 months (hazard ratio 3.1, 95% confidence interval [CI] 1.35 to 7.30, p = 0.008). Left ventricular ejection fraction <40% and Thrombolysis in Myocardial Infarction score >4 were independently associated with RVsD (odds ratio 2.80, 95% CI 1.34 to 5.98 and odds ratio 2.15, 95% CI 1.18 to 4.39, respectively, p = 0.015). The cumulative risk of MACEs at 6 months was 33% for RV-LSF <20% and 9% for RV-LSF ≥20% (log-rank test p <0.001). RVsD, defined by RV-LSF <20%, is associated with an increased risk of MACEs after STEMI.
    MeSH term(s) Adult ; Humans ; Prognosis ; ST Elevation Myocardial Infarction/complications ; Stroke Volume ; Heart Ventricles/diagnostic imaging ; Prospective Studies ; Ventricular Function, Left ; Echocardiography/methods ; Myocardial Infarction/complications ; Percutaneous Coronary Intervention/adverse effects
    Language English
    Publishing date 2023-10-26
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80014-4
    ISSN 1879-1913 ; 0002-9149
    ISSN (online) 1879-1913
    ISSN 0002-9149
    DOI 10.1016/j.amjcard.2023.10.049
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Two-year prognosis of acute coronary syndrome during the first wave of the coronavirus disease 2019 pandemic.

    Gabrion, Paul / Beyls, Christophe / Martin, Nicolas / Jarry, Genevieve / Facq, Arthur / Fournier, Alexandre / Malaquin, Dorothée / Mahjoub, Yazine / Dupont, Hervé / Diouf, Momar / Duquenne, Helene / Maizel, Julien / Bohbot, Yohann / Leborgne, Laurent / Hermida, Alexis

    Archives of cardiovascular diseases

    2023  Volume 116, Issue 5, Page(s) 240–248

    Abstract: Background: The first wave of the coronavirus disease 2019 pandemic significantly changed behaviour in terms of access to healthcare.: Aim: To assess the effects of the pandemic and initial lockdown on the incidence of acute coronary syndrome and its ...

    Abstract Background: The first wave of the coronavirus disease 2019 pandemic significantly changed behaviour in terms of access to healthcare.
    Aim: To assess the effects of the pandemic and initial lockdown on the incidence of acute coronary syndrome and its long-term prognosis.
    Methods: Patients admitted for acute coronary syndrome from 17 March to 6 July 2020 and from 17 March to 6 July 2019 were included. The number of admissions for acute coronary syndrome, acute complication rates and 2-year rates of survival free from major adverse cardiovascular events or death from any cause were compared according to the period of hospitalization.
    Results: In total, 289 patients were included. We observed a 30±3% drop in acute coronary syndrome admissions during the first lockdown, which did not recover in the 2months after it was lifted. At 2years, there were no significant differences in the combined endpoint of major adverse cardiovascular events or death from any cause between the different periods (P=0.34). Being hospitalized during lockdown was not predictive of adverse events during follow-up (hazard ratio 0.87, 95% confidence interval 0.45-1.66; P=0.67).
    Conclusions: We did not observe an increased risk of major cardiovascular events or death at 2years from initial hospitalization for patients hospitalized during the first lockdown, adopted in March 2020 in response to the coronavirus disease 2019 pandemic, potentially as a result of the lack of power of the study.
    MeSH term(s) Humans ; COVID-19/epidemiology ; Acute Coronary Syndrome/diagnosis ; Acute Coronary Syndrome/epidemiology ; Acute Coronary Syndrome/therapy ; Pandemics ; Communicable Disease Control ; Prognosis
    Language English
    Publishing date 2023-03-24
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2408778-6
    ISSN 1875-2128 ; 1875-2136
    ISSN (online) 1875-2128
    ISSN 1875-2136
    DOI 10.1016/j.acvd.2023.03.001
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  5. Article ; Online: Impact of the antiplatelet strategy following patent foramen ovale percutaneous closure.

    Guedeney, Paul / Farjat-Pasos, Julio I / Asslo, Gabriel / Roule, Vincent / Beygui, Farzin / Hermida, Alexis / Gabrion, Paul / Leborgne, Laurent / Houde, Christine / Huang, Florent / Lattuca, Benoit / Leclercq, Florence / Mesnier, Jules / Abtan, Jérémie / Rouanet, Stéphanie / Hammoudi, Nadjib / Collet, Jean-Philippe / Zeitouni, Michel / Silvain, Johanne /
    Montalescot, Gilles / Rodés-Cabau, Josep

    European heart journal. Cardiovascular pharmacotherapy

    2023  Volume 9, Issue 7, Page(s) 601–607

    Abstract: Aims: Temporary dual antiplatelet therapy (DAPT) is recommended following patent foramen ovale (PFO) percutaneous closure although its benefit, compared to single antiplatelet therapy (SAPT), has not been demonstrated in this setting. We aimed at ... ...

    Abstract Aims: Temporary dual antiplatelet therapy (DAPT) is recommended following patent foramen ovale (PFO) percutaneous closure although its benefit, compared to single antiplatelet therapy (SAPT), has not been demonstrated in this setting. We aimed at assessing outcomes following PFO closure according to the antiplatelet strategy at discharge.
    Methods and results: The ambispective AIR-FORCE cohort included consecutive patients from seven centres in France and Canada undergoing PFO closure and discharged without anticoagulation. Patients treated in French and Canadian centres were mostly discharged with DAPT and SAPT, respectively. The primary endpoint was the composite of death, stroke, transient ischaemic attack, peripheral embolism, myocardial infarction, or BARC type ≥2 bleeding with up to 5 years of follow-up. The impact of the antiplatelet strategy on outcomes was evaluated with a marginal Cox model (cluster analyses per country) with inverse probability weighting according to propensity score. A total of 1532 patients (42.2% female, median age: 49 [40-57] years) were included from 2001 to 2022, of whom 599 (39.1%) were discharged with SAPT and 933 (60.9%) with DAPT, for ≤3 months in 894/923 (96.9%) cases. After a median follow-up of 2.4 [1.1-4.4] years, a total of 58 events were observed. In the weighted analysis, the rate of the primary endpoint up to 5 years was 7.8% in the SAPT strategy and 7.3% in the DAPT strategy (weighted hazard ratio 1.04, 95% confidence interval 0.59-1.83).
    Conclusion: The antiplatelet strategy following PFO closure did not seem to impact clinical outcomes, thus challenging the current recommendations of temporary DAPT.
    MeSH term(s) Humans ; Female ; Middle Aged ; Male ; Platelet Aggregation Inhibitors/adverse effects ; Foramen Ovale, Patent/drug therapy ; Secondary Prevention/methods ; Canada ; Propensity Score
    Chemical Substances Platelet Aggregation Inhibitors
    Language English
    Publishing date 2023-03-24
    Publishing country England
    Document type Journal Article
    ZDB-ID 2808613-2
    ISSN 2055-6845 ; 2055-6837
    ISSN (online) 2055-6845
    ISSN 2055-6837
    DOI 10.1093/ehjcvp/pvad023
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  6. Article ; Online: Cardiogenic Shock in Idiopathic Dilated Cardiomyopathy Patients: Red Flag for Myocardial Decline.

    Cherbi, Miloud / Gerbaud, Edouard / Lamblin, Nicolas / Bonnefoy, Eric / Bonello, Laurent / Levy, Bruno / Ternacle, Julien / Schneider, Francis / Elbaz, Meyer / Khachab, Hadi / Paternot, Alexis / Seronde, Marie-France / Schurtz, Guillaume / Leborgne, Laurent / Filippi, Emmanuelle / Mansourati, Jacques / Genet, Thibaud / Harbaoui, Brahim / Vanzetto, Gérald /
    Combaret, Nicolas / Marchandot, Benjamin / Lattuca, Benoit / Leurent, Guillaume / Puymirat, Etienne / Roubille, François / Delmas, Clément

    The American journal of cardiology

    2023  Volume 206, Page(s) 89–97

    Abstract: Idiopathic dilated cardiomyopathy (IDCM) is one of the most common forms of nonischemic cardiomyopathy worldwide, possibly leading to cardiogenic shock (CS). Despite this heavy burden, the outcomes of CS in IDCM are poorly reported. Based on a large ... ...

    Abstract Idiopathic dilated cardiomyopathy (IDCM) is one of the most common forms of nonischemic cardiomyopathy worldwide, possibly leading to cardiogenic shock (CS). Despite this heavy burden, the outcomes of CS in IDCM are poorly reported. Based on a large registry of unselected CS, our aim was to shed light on the 1-year outcomes after CS in patients with and without IDCM. FRENSHOCK was a prospective registry including 772 patients with CS from 49 centers. The 1-year outcomes (rehospitalizations, mortality, heart transplantation [HTx], ventricular assist devices [VAD]) were analyzed and adjusted on independent predictive factors. Within 772 CS included, 78 occurred in IDCM (10.1%). Patients with IDCM had more frequent history of chronic kidney failure and implantable cardioverter-defibrillator implantation. No difference was found in 1-month all-cause mortality between groups (28.2 vs 25.8%for IDCM and others, respectively; adjusted hazard ratio 1.14 [0.73 to 1.77], p = 0.57). Patients without IDCM were more frequently treated with noninvasive ventilation and intra-aortic balloon pump. At 1 year, IDCM led to higher rates of death or cardiovascular rehospitalizations (adjusted odds ratio 4.77 [95% confidence interval 1.13 to 20.1], p = 0.03) and higher rates of HTx or VAD for patients aged <65 years (adjusted odds ratio 2.68 [1.21 to 5.91], p = 0.02). In conclusion, CS in IDCM is a very common scenario and is associated with a higher rate of 1-year death or cardiovascular rehospitalizations and a more frequent recourse to HTx or VAD for patients aged <65 years, encouraging the consideration of it as a red flag for myocardial decline and urging for a closer follow-up and earlier evaluation for advanced heart failure therapies.
    Language English
    Publishing date 2023-09-08
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80014-4
    ISSN 1879-1913 ; 0002-9149
    ISSN (online) 1879-1913
    ISSN 0002-9149
    DOI 10.1016/j.amjcard.2023.07.153
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  7. Article ; Online: Aortic root dilatation in PFO-related cryptogenic stroke: A propensity score-matched analysis.

    Beyls, Christophe / Bohbot, Yohann / Marion, Bourgain / Canaple, Sandrine / Guillaumont, Marie-Pierre / Jarry, Geneviève / Fournier, Alexandre / Malaquin, Dorothée / Abou-Arab, Osama / Mahjoub, Yazine / Tribouilloy, Christophe / Leborgne, Laurent

    Echocardiography (Mount Kisco, N.Y.)

    2020  Volume 37, Issue 6, Page(s) 883–890

    Abstract: Background: Dilatation of the ascending aorta has an important role in the anatomical conformation of interatrial septum (IAS) especially when a patent foramen ovale (PFO) is present. The aim of the study was to investigate the relationship between ... ...

    Abstract Background: Dilatation of the ascending aorta has an important role in the anatomical conformation of interatrial septum (IAS) especially when a patent foramen ovale (PFO) is present. The aim of the study was to investigate the relationship between ascending aortic dilation and PFO-related cryptogenic stroke in a cohort of cryptogenic strokes.
    Methods: It is a retrospective, single-center echocardiographic study assessing aortic root dilatation in 315 consecutive patients with cryptogenic stroke between January 2011 and January 2019. Aortic root dilatation was defined by a diameter of the Valsalva sinuses of the proximal aorta >40 mm. Predictive factors of PFO were assessed by a multivariate analysis. Propensity score matching was applied to account for clinical differences.
    Results: Of the 315 patients, 68 (22%) had an aortic root dilatation and 167 (53%) had a PFO. In the aortic root dilation group, PFO was more often diagnosed (n = 47/68 [69%], vs n = 120/247 [49%], P = .004). In the PFO group with aortic dilatation, IAS was more mobile (n = 37/47[79%] vs n = 69/120[57%], P < .012) and smaller (2.3 ± 0.5 vs 2.5 ± 0.5 mm, P < .009). On multivariate analysis, aortic root dilatation (OR: 2.6; 95% CI [1.2-5.6]; P = .001) and IAS hypermobility (OR: 5.2 95% CI [2.7-10]; P = .001) were associated with PFO. After propensity matching, aortic root dilatation remained strongly associated with PFO (n = 34/107 [32%] vs 15/107[14%], P = .002).
    Conclusion: Aortic root dilation and IAS hypermobility were strongly associated with PFO-related cryptogenic stroke.
    MeSH term(s) Dilatation ; Foramen Ovale, Patent/complications ; Foramen Ovale, Patent/diagnostic imaging ; Humans ; Ischemic Stroke ; Propensity Score ; Retrospective Studies ; Risk Factors ; Stroke/complications
    Language English
    Publishing date 2020-05-25
    Publishing country United States
    Document type Journal Article
    ZDB-ID 843645-9
    ISSN 1540-8175 ; 0742-2822
    ISSN (online) 1540-8175
    ISSN 0742-2822
    DOI 10.1111/echo.14711
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  8. Article ; Online: Progressive decrease in amplitude of intracardiac ventricular electrogram and higher left ventricular ejection fraction are associated with conductors' externalization in Riata leads.

    Kubala, Maciej / Traullé, Sarah / Leborgne, Laurent / Hermida, Jean-Sylvain

    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

    2013  Volume 15, Issue 8, Page(s) 1198–1204

    Abstract: Aims: Increased rates of structural abnormalities including externalized conductors have been reported in the Riata family of implantable cardioverter-defibrillator leads (St Jude Medical). Little is known about their reliability and the time lag for ... ...

    Abstract Aims: Increased rates of structural abnormalities including externalized conductors have been reported in the Riata family of implantable cardioverter-defibrillator leads (St Jude Medical). Little is known about their reliability and the time lag for emergence of functional or structural abnormalities.
    Methods and results: Thirty-six patients who received small-caliber leads of the Riata family and who completed face-profile flouroscopies, repeated at every 6 months were included. We assessed the prevalence of conductors' externalization and its relation to abnormal electrical parameters or adverse events. Thirty-six patients, mean age = 64 ± 10 years, with at least 7-month completed fluoroscopy follow-up were included in the analysis. Externalized conductors were identified in 12 (33%) patients after a 53-month (13-114) mean delay. A higher left ventricular ejection fraction (LVEF): 47 ± 13 vs. 33 ± 12%, P = 0.04, and a progressive decrease (≥30% of the initial value) in amplitude of ventricular electrogram 9/12 (75%) vs. 4/24 (17%), P = 0.03 were independently associated with the fluoroscopic failures. Detection of the conductors' externalization was preceded by an electrical lead abnormality in 10 (83%) patients.
    Conclusion: Repeated face-profile fluoroscopies allowed detection of conductors' externalization in 33% of patients implanted with Riata leads. Better LVEF and a progressive decrease in amplitude of intracardiac ventricular electrogram were independently associated with externalized conductors. The structural abnormality was preceded by an electrical lead dysfunction 83% of patients.
    MeSH term(s) Aged ; Defibrillators, Implantable/adverse effects ; Electric Conductivity ; Electric Injuries/diagnosis ; Electric Injuries/etiology ; Electrocardiography, Ambulatory ; Electrodes, Implanted/adverse effects ; Equipment Design ; Equipment Failure ; Equipment Failure Analysis ; Female ; Heart Failure/diagnosis ; Heart Failure/prevention & control ; Humans ; Male ; Stroke Volume ; Treatment Outcome
    Language English
    Publishing date 2013-08
    Publishing country England
    Document type Clinical Trial ; Journal Article
    ZDB-ID 1449879-0
    ISSN 1532-2092 ; 1099-5129
    ISSN (online) 1532-2092
    ISSN 1099-5129
    DOI 10.1093/europace/eut015
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  9. Article ; Online: Cardiogenic shock in adults with congenital heart disease: Insights from the FRENSHOCK registry.

    Karsenty, Clément / Touafchia, Anthony / Ladouceur, Magalie / Roubille, François / Bonnefoy, Eric / Bonello, Laurent / Leurent, Guillaume / Levy, Bruno / Champion, Sébastien / Lim, Pascal / Schneider, Francis / Cariou, Alain / Khachab, Hadi / Bourenne, Jeremy / Seronde, Marie-France / Harbaoui, Brahim / Vanzetto, Gérald / Quentin, Charlotte / Delabranche, Xavier /
    Combaret, Nicolas / Morel, Olivier / Lattuca, Benoit / Leborgne, Laurent / Fillippi, Emmanuelle / Gerbaud, Edouard / Brusq, Clara / Bongard, Vanina / Lamblin, Nicolas / Puymirat, Etienne / Delmas, Clément

    Archives of cardiovascular diseases

    2023  Volume 116, Issue 8-9, Page(s) 390–396

    Abstract: Background: Data on cardiogenic shock in adults with congenital heart disease (ACHD) are scarce.: Aim: We sought to describe cardiogenic shock in ACHD patients in a nationwide cardiogenic shock registry.: Methods: From the multicentric FRENSHOCK ... ...

    Abstract Background: Data on cardiogenic shock in adults with congenital heart disease (ACHD) are scarce.
    Aim: We sought to describe cardiogenic shock in ACHD patients in a nationwide cardiogenic shock registry.
    Methods: From the multicentric FRENSHOCK registry (772 patients with cardiogenic shock from 49 French centres between April and October 2016), ACHD patients were compared with adults without congenital heart disease (non-ACHD). The primary outcome was defined by all-cause mortality, chronic ventricular assist device or heart transplantation at 1year.
    Results: Out of the 772 patients, seven (0.9%) were ACHD, who were younger (median age: 56 vs. 67years), had fewer cardiovascular risk factors, such as hypertension (14.3% vs. 47.5%) and diabetes (14.3% vs. 28.3%), and no previous ischaemic cardiopathy (0 vs. 61.5%). Right heart catheterization (57.1% vs. 15.4%), pacemakers (28.6% vs. 4.6%) and implantable cardioverter-defibrillators (28.6% vs. 4.8%) were indicated more frequently in the management of ACHD patients compared with non-ACHD patients, whereas temporary mechanical circulatory support (0 vs. 18.7%) and invasive mechanical ventilation (14.3% vs. 38.1%) were less likely to be used in ACHD patients. At 1year, the primary outcome occurred in 85.7% (95% confidence interval: 42.1-99.6) ACHD patients and 52.3% (95% confidence interval: 48.7-55.9) non-ACHD patients. Although 1-year mortality was not significantly different between ACHD patients (42.9%) and non-ACHD patients (45.4%), ventricular assist devices and heart transplantation tended to be more frequent in the ACHD group.
    Conclusions: Cardiogenic shock in ACHD patients is rare, accounting for only 0.9% of an unselected cardiogenic shock population. Despite being younger and having fewer co-morbidities, the prognosis of ACHD patients with cardiogenic shock remains severe, and is similar to that of other patients.
    MeSH term(s) Humans ; Adult ; Middle Aged ; Shock, Cardiogenic/diagnosis ; Shock, Cardiogenic/epidemiology ; Shock, Cardiogenic/therapy ; Heart Defects, Congenital/complications ; Heart Defects, Congenital/diagnosis ; Heart Defects, Congenital/epidemiology ; Heart Transplantation/adverse effects ; Heart-Assist Devices/adverse effects ; Registries
    Language English
    Publishing date 2023-08-02
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2408778-6
    ISSN 1875-2128 ; 1875-2136
    ISSN (online) 1875-2128
    ISSN 1875-2136
    DOI 10.1016/j.acvd.2023.06.008
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Sixty-four-slice computed tomography for the detection of multiple intra-thoracic thrombi in Trousseau syndrome.

    Hénon, Pierre / Renard, Cedric / Leborgne, Laurent

    European heart journal

    2009  Volume 30, Issue 24, Page(s) 2968

    MeSH term(s) Atrial Appendage ; Heart Diseases/diagnostic imaging ; Heart Ventricles ; Humans ; Male ; Middle Aged ; Myocardial Infarction/complications ; Paraneoplastic Syndromes/diagnostic imaging ; Tomography, X-Ray Computed/methods ; Venous Thrombosis/diagnostic imaging
    Language English
    Publishing date 2009-12
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 603098-1
    ISSN 1522-9645 ; 0195-668X
    ISSN (online) 1522-9645
    ISSN 0195-668X
    DOI 10.1093/eurheartj/ehp440
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