863 results match your criteria: "Thorax Center[Affiliation]"

Background: The systolic blood pressure/workload (SBP/MET) slope was recently reported to reliably identify an exaggerated blood pressure response (eBPR) in the normal population and in athletes. We investigated whether the aortic root diameter (AoD) also correlates with an eBPR and vascular function in elite athletes.

Methods: We examined 652 healthy male elite athletes (age 25.

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Recreational and Occupational Physical Activity and Risk of Adverse Events in Truncating Founder Variant Carriers.

Circ Genom Precis Med

December 2024

Department of Cardiology (M.J., L.P.B., A.F.S., D.v.d.S., A.S.J.M.t.R.), University Medical Center Utrecht, Utrecht University, the Netherlands.

Background: founder variants cause hypertrophic cardiomyopathy leading to heart failure and malignant ventricular arrhythmias. Exercise is typically regarded as a risk factor for disease expression although evidence is conflicting. Stratifying by type of exercise may discriminate low- from high-risk activities in these patients.

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Photothermal optical coherence microscopy (PT-OCM) combines the high-resolution, label-free morphological imaging of OCM with the ability to discriminate tissue composition through phase-sensitive photothermal imaging. In this study, we perform 2D imaging of human carotid endarterectomies to spectrally determine lipid distribution, with verification via histologically stained samples. The structural information from OCM is combined with the spectral information gained from measuring the resulting sample surface displacement from thermoelastic expansion, following light irradiation.

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Article Synopsis
  • - Gamification involves using game-like elements, such as challenges and rewards, to motivate and engage people in non-gaming situations, and it's gaining traction in chronic disease management over the past decade.
  • - It has shown effectiveness in educating patients and healthcare professionals on important topics like medication adherence and self-care, particularly in the context of chronic diseases like heart failure.
  • - While there is some positive evidence for gamification's benefits for heart failure patients and their caregivers, more detailed research is needed to better understand its implementation challenges and best practices.
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The NLRP3-inflammasome inhibitor MCC950 improves cardiac function in a HFpEF mouse model.

Biomed Pharmacother

December 2024

Department of Cardiology, University Medical Center Groningen, University of Groningen, Groningen 9713 GZ, the Netherlands. Electronic address:

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Long-Term Prognosis of Coronary Aneurysms: Insights of CAAR, an International Registry.

JACC Cardiovasc Interv

November 2024

Interventional Cardiology, Hospital Clínico San Carlos, IdISSC, Madrid, Spain; Faculty of Medicine, Universidad Complutense de Madrid, Madrid, Spain; Cardiology, Hospital Universitario de Torrejón, Madrid, Spain; Faculty of Biomedical and Health Sciences, Universidad Europea de Madrid, Madrid, Spain. Electronic address:

Article Synopsis
  • Researchers studied 1,729 patients with coronary artery aneurysms (CAAs) to understand their clinical characteristics and predict outcomes, using data from an international registry across 9 countries.
  • The majority of patients were male (78.6%) averaging 66 years old, with significant cardiovascular issues such as coronary artery disease (85.8%) and a median of 1 aneurysm per patient, primarily affecting the left anterior descending artery.
  • During a median follow-up of about 45 months, 21.9% of patients died, and 37.1% experienced major adverse cardiovascular events; factors like age, diabetes, and kidney disease were linked to worse outcomes.
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  • A new circular array pulsed field ablation (PFA) catheter (PulseSelect™) was introduced for treating atrial fibrillation (AF), with limited existing data on its use in the real world.
  • A study enrolled 100 patients, primarily with persistent AF, assessing the catheter's feasibility and safety, revealing a 100% success rate in pulmonary vein isolation (PVI) and no major adverse events.
  • Results suggest the system is effective for PVI and additional ablation procedures while fitting into existing treatment workflows, though more extensive research is needed to determine long-term outcomes.
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Background: Immune checkpoint inhibitors (ICIs) are increasingly used in the treatment of cancer. However, immune-related adverse events are prevalent in patients receiving ICI therapy. A serious immune-related adverse event is ICI-myocarditis, which is complex to diagnose given that the significance of early symptoms and biomarker trajectories, such as high-sensitivity troponin T (hs-TnT) are unclear.

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  • Dilated cardiomyopathy (DCM) is a major cause of heart failure, and this study analyzes genetic factors by examining 14,256 DCM cases and 36,203 participants from the UK Biobank for related traits.
  • Researchers discovered 80 genomic risk loci and pinpointed 62 potential effector genes tied to DCM, including some linked to rare variants.
  • The study uses advanced transcriptomics to explore how cellular functions contribute to DCM, showing that polygenic scores can help predict the disease in the general population and emphasize the importance of genetic testing and development of precise treatments.
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  • Maternal cardiovascular changes during pregnancy are crucial for adequate placental blood flow, but hypertensive disorders of pregnancy (HDP) affect around 10% of pregnancies, leading to serious heart issues.
  • Women with HDP face long-term cardiovascular risks, including hypertension and heart disease, shortly after delivery and in the following decades.
  • There is a pressing need for standardized early cardiovascular screening for these women, but current protocols are lacking due to insufficient evidence and variations in risk related to race and health determinants.
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Innovative hypertension treatments: Transitioning from conventional therapies to siRNA-based solutions.

Eur J Pharmacol

December 2024

Department of Internal Medicine, Erasmus MC, Dr. Molewaterplein 40, Rotterdam, 3015, GD, the Netherlands.

Hypertension remains a critical global health issue, despite significant advancements in treatment, management and preventive approaches. Current antihypertensive drugs have limitations, such as low adherence, renin-angiotensin-aldosterone system reactivation, and drug resistance,. Ongoing preclinical and clinical studies for siRNA therapies show promising results, demonstrating significant blood pressure reductions and their potential as effective, durable treatments.

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Loss of quality of life and increased societal costs in patients with hypertrophic cardiomyopathy: the AFFECT-HCM study.

Eur Heart J Qual Care Clin Outcomes

November 2024

Department of Cardiology, Erasmus MC, Cardiovascular Institute, Thorax Center, Rotterdam, The Netherlands.

Article Synopsis
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Article Synopsis
  • - The study evaluated the effectiveness of ultra-high-resolution (UHR) and high-resolution (HR) modes of photon-counting detector CT scans for diagnosing coronary artery disease (CAD) in 60 patients before TAVI procedures, using quantitative coronary angiography (QCA) as a standard reference.
  • - Patients were divided into three groups based on the scanning mode used: HR mode, UHR mode, and an adjusted UHR mode designed for better coronary imaging, which included modifications in tube voltage and image quality.
  • - Results showed that UHR and adjusted UHR modes had improved sensitivity and negative predictive values for detecting CAD, but statistically, there were no significant differences compared to the HR mode in terms of diagnostic performance.
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  • ECMO (Extracorporeal Membrane Oxygenation) has high complication rates, prompting the need for improved management strategies, which led to the development of the REMAP ECMO platform to investigate effective patient management techniques.* -
  • The REMAP ECMO platform allows for multiple adaptive randomized controlled trials, with the first focusing on the effects of early left ventricular unloading via intra-aortic balloon pumping compared to ECMO alone for cardiogenic shock patients in the ICU.* -
  • The primary outcome aims to determine successful weaning from ECMO at 30 days, while secondary outcomes include intervention needs, survival rates, and quality of life, all analyzed using a flexible Bayesian statistical framework.*
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Article Synopsis
  • Phospholamban (PLN) is a protein that plays a crucial role in heart muscle function by regulating calcium levels, and a specific mutation (R14Δ-PLN) leads to severe heart muscle disease that doesn't respond well to standard treatments.
  • Researchers are using a technique called complexome profiling (CP) to analyze how this mutation affects protein complexes in the hearts of mice, but existing methods face challenges because most data is based on cancer cells rather than heart cells.
  • To overcome this, a new analysis approach named PERCOM was developed, which identified 296 proteins with altered behaviors in mutant heart tissue, particularly affecting mitochondrial and intercalated disk supercomplexes.
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MALDI versus DESI mass spectrometry imaging of lipids in atherosclerotic plaque.

Rapid Commun Mass Spectrom

January 2025

Department of Cardiology, Cardiovascular Institute, Thorax Center, Erasmus MC, Rotterdam, The Netherlands.

Mass spectrometry imaging (MSI) is a powerful tool for detecting lipids in tissue sections, with matrix-assisted laser desorption/ionization (MALDI) and desorption electrospray ionization (DESI) as its key ionization techniques. In this study, we examine how MALDI compares with state-of-the-art DESI ionization in identifying lipids in heterogeneous samples, specifically atherosclerotic plaques. Carotid plaques (n = 4) from patients undergoing endarterectomy were snap-frozen, stored at -80°C, and then sectioned for MSI analysis and H&E staining.

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Article Synopsis
  • A recent study investigated the safety and feasibility of using the IntraClude device for minimally invasive coronary artery bypass grafting (CABG) through a left anterior mini-thoracotomy in patients with multivessel disease.
  • In the study conducted from May to December 2023, 20 patients underwent this procedure successfully, with 43 distal grafts performed and no significant surgical complications.
  • The results indicate that this approach reduces the invasiveness of CABG by avoiding manipulation of the ascending aorta, while still effectively treating severe coronary artery disease.
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Article Synopsis
  • Robotic magnetic navigation (RMN)-guided catheter ablation (CA) technology has been effectively used for nearly 20 years in treating heart rhythm disorders, showing benefits like greater catheter stability and safety.
  • This consensus paper aims to compile current knowledge and offer guidelines on utilizing RMN-guided CA for conditions like atrial fibrillation (AF) and ventricular arrhythmias (VA).
  • The expert group reviewed literature and shared experiences to create a structured set of recommendations, addressing practical aspects of RMN use in clinical settings for optimal patient care.
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Article Synopsis
  • * A review analyzed 99 studies, highlighting that only eight were rigorous randomized controlled trials, with most wearables still in the testing phase.
  • * The uncertainty regarding their effectiveness in heart failure management, coupled with limited evidence, poses challenges for their adoption in clinical practice.
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