Publications by authors named "Cristina Enjuanes-Grau"

. Iron deficiency (ID) is a significant, high-prevalence comorbidity in chronic heart failure (HF) that represents an independent predictor of a worse prognosis. However, a clear-cut diagnosis of ID in HF patients is not assured.

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Cardiovascular disease is a common problem in cancer patients that is becoming more widely recognized. This may be a consequence of prior cardiovascular risk factors but could also be secondary to the anticancer treatments. With the goal of offering a multidisciplinary approach to guaranteeing optimal cancer therapy and the early detection of related cardiac diseases, and in light of the recent ESC Cardio-Oncology Guideline recommendations, we developed a Cardio-Oncology unit devoted to the prevention and management of these specific complications.

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The soluble transferrin receptor (sTfR) is a marker of tissue iron status, which could indicate an increased iron demand at the tissue level. The impact of sTfR levels on functional capacity and quality of life (QoL) in non-anemic heart failure (HF) patients with otherwise normal systemic iron status has not been evaluated. We conducted an observational, prospective, cohort study of 1236 patients with chronic HF.

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Introduction And Objectives: Low socioeconomic status (SES) is associated with poor outcomes in patients with heart failure (HF). We aimed to examine the influence of SES on health outcomes after a quality of care improvement intervention for the management of HF integrating hospital and primary care resources in a health care area of 209 255 inhabitants.

Methods: We conducted a population-based pragmatic evaluation of the implementation of an integrated HF program by conducting a natural experiment using health care data.

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Article Synopsis
  • Iron deficiency in heart failure patients is linked to worse health outcomes and is influenced by biological mechanisms involving iron homeostasis and mitochondrial function.
  • The study examined gene expression in heart failure patients to identify biomarkers related to iron deficiency, finding significant differences in gene expression related to iron levels.
  • Key findings showed that lower mRNA levels of certain genes (like mitochondrial ferritin and sirtuin-7) were associated with increased risks of mortality and hospitalization due to heart failure.
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Previous studies have shown that heart failure is associated with worse health-related quality of life (HRQoL). The existence of differences according to gender remains controversial. We studied 1028 consecutive outpatients with heart failure and reduced ejection fraction (HFrEF) from a multicentre cross-sectional descriptive study across Spain that assessed HRQoL using two questionnaires (KCCQ, Kansas City Cardiomyopathy Questionnaire; and EQ-5D, EuroQoL 5 dimensions).

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Article Synopsis
  • Advanced heart failure leads to high hospitalization and mortality rates; the LION-HEART study tested the safety and efficiency of levosimendan for outpatient treatment.
  • An economic model analyzed hospitalization costs and levosimendan treatment expenses over a 12-month period using both deterministic and probabilistic methods.
  • Results showed that treating patients with levosimendan potentially saves the Spanish health system up to €849.94 per patient, with a 94.8% probability of generating savings compared to no treatment.
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Heart failure is a complex entity, with high morbidity and mortality. The clinical course and outcome are uncertain and difficult to predict. This document, instigated by the Heart Failure and Geriatric Cardiology Working Groups of the Spanish Society of Cardiology, addresses various aspects related to palliative care, where most cardiovascular disease will eventually converge.

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Introduction And Objectives: Treatment with ferric carboxymaltose improves symptoms, functional capacity, and quality of life in patients with chronic heart failure and iron deficiency. The aim of this study was to assess the cost-effectiveness of ferric carboxymaltose treatment vs no treatment in these patients.

Methods: We used an economic model based on the Spanish National Health System, with a time horizon of 24 weeks.

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Aim: To present 18 new cases of human immunodeficiency virus (HIV)-related pulmonary arterial hypertension (PAH) with presenting features, treatment options and follow-up data.

Methods: This is a single-centre, retrospective, observational study that used prospectively collected data, conducted during a 14-year period on HIV-related PAH patients who were referred to a pulmonary hypertension unit. All patients infected with HIV were consecutively admitted for an initial evaluation of PAH during the study period and included in our study.

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Background And Objective: Inflammation and oxidative stress take part in the development of the pathogenesis of acute coronary syndromes (ACS). The aim of this study was to analyze serum concentrations of high sensitivity C-reactive protein (PCR-as) and malondialdehyde (MDA) in cocaine consumer patients and ACS.

Patients And Methods: We carried out a retrospective analysis of 43 patients with ACS and a positive urine test for cocaine, who were compared to a sample of 49 patients with this diagnosis and a negative test.

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Elevated cytokine levels have been reported after ischemia/reperfusion injury and might cause a systemic inflammatory response syndrome (SIRS) after primary percutaneous coronary intervention (PPCI). High myeloperoxidase (MPO) levels are reported to be a risk factor for early cardiac events in patients with acute coronary syndrome. Its role as a predictor of SIRS in patients with ST-segment elevation myocardial infarction treated with PPCI is unclear.

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