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Conduction system pacing in heart failure: Time for a paradigm shift?

Heart Fail Rev

November 2024

First Department of Cardiology, National and Kapodistrian University of Athens, School of Medicine "Hippokration" General Hospital, 114 Vasilissis Sofias avenue, Athens, 11527, Greece.

Article Synopsis
  • Heart failure (HF) is a serious health issue that has high rates of illness and death, with electrical conduction problems being a key factor in its progression.
  • Conduction system pacing (CSP) is a new treatment method that includes techniques like His bundle pacing and left bundle branch area pacing, recommended for certain patients despite mainly being supported by observational studies.
  • There are significant challenges in implementing CSP, such as difficulties with lead implantation and the need for better tools, making future large-scale randomized controlled trials necessary for improving treatment strategies for HF patients.
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  • - The study evaluates the effectiveness and safety of free dermal fat graft (FDFG) reconstruction after parotidectomy by analyzing clinical complications and patient satisfaction.
  • - Researchers conducted a systematic review of 20 studies involving 922 reconstructions and found low rates of complications like hematoma and infection, with most donor site issues being under 1%.
  • - Results show that FDFG is a safe and effective method for correcting facial contour deformities, with high patient satisfaction and low incidence of complications such as Frey's syndrome.
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  • Research suggests that consuming fermented dairy products is linked to a lower risk of developing cardiovascular disease (CVD) over a 20-year period compared to non-fermented products.
  • A study in Greece involving over 3,000 participants showed that those who ate more than two servings of fermented dairy daily had a 1.5 times lower CVD risk.
  • The findings imply that dietary guidelines should encourage the consumption of fermented dairy products while cautioning against increased whole-fat dairy intake.
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Background: Cardio-renal syndrome, characterized by simultaneous cardiac and renal impairment, presents significant challenges in patient prognostication and management. This study aimed to investigate the C-reactive protein-to-albumin ratio (CRP/Albumin ratio) as a prognostic marker in patients with cardiorenal syndrome.

Methods: This observational cohort study included consecutive patients hospitalized for cardiorenal syndrome.

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Article Synopsis
  • This method allows for targeted treatment of heart cells while minimizing harm to nearby nerves and blood vessels.
  • The initial findings from a study reveal that PFA can be effectively used beyond traditional heart areas, including near pacemaker leads, which is important for treating patients with specific cardiac devices.
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Background: Physicians' exercise habits vary across different medical specialties and health service infrastructure. We assessed physicians' exercise performance according to the recommendations of the 2020 European Society of Cardiology Guidelines.

Methods: This cross-sectional study comprised 742 physicians of the Athens Medical Association (AMA), Greece.

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Sex-related differences in the 20-year incidence of CVD and its risk factors: The ATTICA study (2002-2022).

Am J Prev Cardiol

September 2024

Department of Nutrition and Dietetics, School of Health Sciences and Education, Harokopio University, 17671, Athens, Greece.

Objective: The purpose of this study was to examine sex-related differences in the long-term (20-year) incidence of cardiovascular disease (CVD) and its determinants.

Methods: In 2002, 3,042 apparently healthy Greek adults were recruited, and in 2022, the 20-year follow-up was conducted with 2,169 participants, 1,988 of whom had completed CVD assessments. Sex-specific analyses using nested Cox proportional hazards were performed, as well as classification and regression tree (CRT) analysis modeling.

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Background: Behçet's disease (BD) is a multisystemic chronic inflammatory disorder. Cardiac manifestations in BD are extremely rare. There have been no reports of cardiac involvement of BD and especially endomyocardial fibrosis in the left ventricle (LV).

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Editorial commentary: Polygenic risk and coronary artery calcium score: Joining forces in preventive cardiology.

Trends Cardiovasc Med

November 2024

First Department of Cardiology, School of Medicine, National and Kapodistrian University of Athens, Hippokration General Hospital, Athens, Greece. Electronic address:

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Treatment of vulnerable atherosclerotic plaques: the PREVENT trial.

Lancet

November 2024

First Department of Cardiology, School of Medicine, National and Kapodistrian University of Athens, Hippokration General Hospital, Athens 115 27, Greece.

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As the incidence of type 2 diabetes mellitus (T2DM) continues to increase globally, researchers are keen to investigate various interventions to mitigate its impact. Among these, vitamin D supplementation has attracted significant attention due to its influence on insulin secretion from the pancreas and insulin receptors in body cells. A substantial body of evidence indicates that vitamin D supplementation can reduce low-grade inflammation, a critical factor in developing insulin resistance.

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Detailed characterization of B cells in dialysis patients who are candidates for kidney transplant is still lacking, with little information on how dialysis duration and modality impact B cell subsets. Cluster analysis of flow cytometry determined the frequencies and absolute numbers of B-cell subsets and divided the cohort of 78 candidates into two distinct clusters, one with shorter and one with longer dialysis duration. The immune profiles of the clusters differed depending on whether frequencies or absolute counts were considered.

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Transesophageal echocardiography (TEE) is a vital diagnostic tool in clinical practice, particularly in transcatheter interventions where it aids in both pre-operative planning and intra-operative guidance. Traditional TEE probes often require general anesthesia due to patient discomfort. However, the development of miniaturized TEE probes presents a promising alternative, enabling routine examinations and interventions with minimal sedation.

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Aortic valve repair is currently the only effective treatment for calcific aortic valve stenosis (CAVS), as no pharmacological therapies exist to prevent or slow its progression. Recent promising results showed that glucagon-like peptide-1 (GLP-1) attenuates the calcification of aortic valve interstitial cells. Therefore, we conducted a two-sample Mendelian randomization analysis to investigate the effect of GLP-1 receptor agonism (GLP-1Ra) on the risk of CAVS.

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Of 319 children with invasive candidiasis, 67 (21%) transitioned from intravenous to enteral antifungal therapy. Eight (12%) transitioned back to intravenous antifungal therapy, one due to perceived treatment failure defined by clinical progression or worsening. Global treatment response at study completion was successful in 66 participants who transitioned to enteral therapy.

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Lymphangioma, a benign mass of lymphatic origin, primarily affects the head, neck, and oral cavity, with the abdomen being an uncommon location. Clinical presentation is defined by site of origin and size. We present the case of a 10-month-old male infant with no previous medical history, admitted to our department with diffuse abdominal pain and distension.

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Objective: Treating iron deficiency (ID) with ferric carboxymaltose (FCM) in patients with heart failure with reduced ejection fraction (HFrEF) enhances morbidity, quality of life (QoL), and exercise capacity.

Methods: In the presented single-center, prospective follow-up study, symptomatic patients with HFrEF with ID and CIEDs scheduled for IV FCM were followed up for 12-months. Arrhythmic activity was evaluated from CIEDs and non-invasive markers from Holter recordings before and after FCM.

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Effectiveness of N-3 fatty acids supplementation on spondyloarthritis: A systematic review and meta-analysis.

Clin Nutr

December 2024

Laboratory of Hygiene, Social and Preventive Medicine & Medical Statistics, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, University Campus, 54124, Thessaloniki, Makedonia Central, Greece.

Background & Aims: The study aims to systematically review and meta-analyze randomized controlled trials (RCTs) assessing the effects of n-3 fatty acids (FA) supplementation on spondyloarthritis (SpA) disease activity, inflammatory markers, and imaging.

Methods: The study protocol was developed and registered online in advance. The PubMed, SCOPUS, and Cochrane Central Register of Controlled Trials (CENTRAL) electronic databases were systematically searched for RCTs up to April 2024.

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Aims/hypothesis: The diagnosis of type 2 diabetes is increasing in young people worldwide. This study evaluated the frequency and clinical characteristics of young people presenting with type 2 diabetes from the multinational SWEET e.V Registry 2012-2021, including the first years of the COVID-19 pandemic.

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Patients suffering from chronic kidney disease (CKD) have higher ischemic and bleeding risk compared with patients with normal renal function. The aim of our systematic review and meta-analysis is to compare shortened (≤3 months) dual antiplatelet therapy (DAPT) with longer DAPT in patients with CKD undergoing percutaneous coronary interventions. We systematically screened three major databases (Medline, Cochrane Central Register of Controlled Trials, and Scopus) searching for randomized-controlled trials or subanalyses of them, which compared shortened (S-DAPT) to longer (L-DAPT) regimens of DAPT in patients with CKD.

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Immediate or Delayed Statin in Acute Atherosclerotic Ischemia.

JAMA Neurol

January 2025

First Department of Cardiology, School of Medicine, National and Kapodistrian University of Athens, Hippokration General Hospital, Athens, Greece.

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