Publications by authors named "Juliana Elices-Teja"

: Hyperkalemia is a common electrolyte disorder in patients with heart failure and reduced ejection fraction (HFrEF). Renin-angiotensin-aldosterone system inhibitors (RAASi) have been shown to improve survival and decrease hospitalization rates, although they may increase the serum potassium levels. Hyperkalemia has significant clinical and economic implications, and is associated with increased healthcare resource utilization.

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Background: Left bundle branch area pacing (LBBAP) needs confirmation of left conduction system capture assessed by testing of different electrical parameters. Guidelines recommend the use of an electrophysiology recording system (EP-RS) to guide conduction system pacing procedures. However, some experienced centers perform LBBAP procedures without an EP-RS.

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Article Synopsis
  • Cardioneuroablation (CNA) is a therapy for conditions like vasovagal syncope, atrioventricular block, and sinus node dysfunction, but its effectiveness for patients over 50 is unclear.
  • In a study with 50 patients divided into two age groups (under 50 vs. 50 and above), there was no significant difference in survival rates without syncope or the need for pacemakers between the groups after a median follow-up of 17 months.
  • Older patients had lower heart rate post-procedure compared to younger patients, but both age groups showed similar improvements in quality of life and a decrease in heart rate variability.
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  • Carotid sinus syndrome (CSS) leads to severe vagal responses and often requires pacemaker implantation, but this study explores cardioneuroablation (CNA) as a potential alternative treatment.
  • The study included 13 patients who underwent various tests before and after the CNA procedure, aiming for no cardioinhibitory response post-treatment and analyzing quality of life improvements.
  • Results showed that, after CNA, all but one patient had a negative response to carotid sinus massage, with 84.6% remaining free from syncope and no one needing a pacemaker, indicating CNA may effectively reduce syncopal episodes in CSS patients.
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Introduction And Objectives: We report the results of the 2023 Spanish catheter ablation registry.

Methods: Procedural data were collected and incorporated into the REDCap platform by all participating centers through a specific form.

Results: There were 104 participating centers in 2023 compared with 103 in 2022.

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: Oral anticoagulation (OAC) is pivotal in the clinical management of atrial fibrillation (AF) patients. Vitamin K antagonists (VKAs) and direct oral anticoagulants (DOACs) prevent thromboembolic events, but information about the quality of life (QoL) and patient satisfaction in relation with the anticoagulant treatment is limited. : REGUEIFA is a prospective, observational, and multicentre study that included patients with AF treated by cardiologists.

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(1) Background: Hyperkalemia is a common finding in patients with heart failure and reduced ejection fraction (HFrEF), though its prognostic significance is controversial. There is no consensus on optimal potassium levels in these patients. The primary endpoint of this study was to determine the 5-year incidence of hyperkalemia in a cohort of patients with HFrEF.

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Objective: This study is aimed at investigating the changes in serum CypC levels and their relationship with cardiovascular events at 12 months of follow-up in coronary artery disease (CAD) patients.

Methods: The study included a total of 125 subjects (40 patients with acute CAD, 40 patients with chronic CAD, and 45 control volunteers) and we analyzed plasma CypC levels from baseline to 6 and 12 months for a better understanding of its behavior in atherosclerosis.

Results: Serum CypC levels were shown to be gradually increased in CAD patients (30.

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To analyze the clinical profile and therapeutic strategy in atrial fibrillation (AF) according to gender in a contemporaneous patient cohort a prospective, multicenter observational study was performed on consecutive patients diagnosed with AF and assessed by cardiology units in the region of Galicia (Spain). A total of 1007 patients were included, of which 32.3% were women.

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Article Synopsis
  • The study aimed to validate three multiparametric scores (Delise, Sieira, Shanghai BrS) for risk stratification in patients with Brugada syndrome (BrS) who underwent electrophysiological studies (EPS).
  • A total of 831 patients were studied over an average of 10.2 years, revealing that common risk factors like type 1 ECG and syncope were important predictors of arrhythmic events, with 5.7% experiencing such events during follow-up.
  • Although the multiparametric scores were linked to arrhythmic events, their predictive abilities were modest, particularly for asymptomatic patients, indicating the need for improved risk assessment methods.
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Background: Syncope in a patient with a pacemaker is a serious event requiring urgent action to ascertain its cause. Around 5% of cases are due to a pacemaker system malfunction.

Case Summary: An 82-year-old man underwent dual-chamber permanent pacemaker implantation due to intermittent high-degree atrioventricular block (AVB) in sinus rhythm.

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Introduction And Objectives: The purpose of the present study is to determine the structural and functional cardiac changes that occur in patients at 1-year follow-up after ablation of typical atrial flutter.

Methods: We enrolled 95 consecutive patients referred for cavotricuspid isthmus ablation. Echocardiography was performed at ≤6h post-procedure and 1-year follow-up.

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We evaluated the incidence, clinical predictors, and outcomes of contrast-induced nephropathy (CIN) after coronary angiography in patients with myocardial infarction and normal kidney function. We studied 202 consecutive patients with glomerular filtration rate >60 mL/min/1.73 m(2).

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