Understanding and managing psychological distress due to climate change.

Background: Australia has warmed by 1.4°C since pre-industrial times. This is greater than the global average and is predicted to exceed 1.

Implication of the new definition of pulmonary hypertension in patients evaluated for heart transplantation.

Background: The 2018 World Symposium on Pulmonary Hypertension (WSPH) changed the definition of pulmonary hypertension (PH) with a new threshold of mean pulmonary artery pressure (mPAP) above 20 mmHg.

Objective: To evaluate the profile and prognosis of patients with chronic heart failure (HF) considered for heart transplantation with the new definition of PH.

Methods: Patients with chronic HF considered for heart transplantation were classified as mPAP, mPAP , and mPAP.

Beta-blocker prescription and outcomes in uncomplicated acute myocardial infarction: Insight from the ePARIS registry.

Background: Systematic prescription of beta-blockers after myocardial infarction remains an open question in the era of revascularization, especially for patients with uncomplicated myocardial infarction.

Objective: To evaluate in a real-life registry the proportion of patients with uncomplicated myocardial infarction (preserved left ventricular ejection fraction and no cardiovascular event within the first 6 months), and to report their characteristics, outcomes and beta-blocker use.

Methods: We included 1887 consecutive patients with ST-segment elevation myocardial infarction from the prospective ePARIS registry.

Debate: How can child and adolescent mental health professionals show leadership in the face of the ecological and climate crisis?

The authors discuss the failure of political leadership in the face of the climate and ecological crisis, particularly in the Australian context.This failure exacerbates the climate distress of young people. The work of Psychology for a Safe Climate offers clinical leadership with its support model and Climate Aware Practitioner Network.

On- Versus Off-Hours Presentation and Mortality of ST-Segment Elevation Myocardial Infarction Patients Treated With Primary Percutaneous Coronary Intervention.

Objectives: The authors sought to assess the association between admission time with patient's care, procedure characteristics, and clinical outcomes within a contemporary ST-segment elevation myocardial infarction (STEMI) network of patients referred for primary percutaneous coronary intervention (PCI).

Background: The effect of admission time on STEMI patient's outcomes remains controversial when primary PCI is the preferred reperfusion strategy.

Methods: Characteristics and clinical outcomes of 2,167 consecutive STEMI patients admitted in a tertiary PCI-capable center were collected.