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Lüscher TF. From a club of friends to an institution: past successes and future challenges for the European Society of Cardiology. Eur Heart J 2024:ehae505. [PMID: 39221816 DOI: 10.1093/eurheartj/ehae505] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/17/2024] [Revised: 06/29/2024] [Accepted: 07/25/2024] [Indexed: 09/04/2024] Open
Affiliation(s)
- Thomas F Lüscher
- Royal Brompton and Harefield Hospitals, Guy's and St. Thomas' NHS Foundation Trust, King's College London, Sydney Street, London SW3 6NP, UK
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Lüscher TF, Fox K, Hamm C, Carter RE, Taddei S, Simoons M, Crea F. Scientific integrity: what a journal can and cannot do. Eur Heart J 2020; 41:4552-4555. [DOI: 10.1093/eurheartj/ehaa963] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- Thomas F Lüscher
- Editorial Office of the European Heart Journal, The Zurich Heart House, Zürich, Switzerland
- Royal Brompton and Harefield Hospitals, London, UK
- National Heart and Lung Institute, Imperial College, London, UK
| | - Kim Fox
- National Heart and Lung Institute, Imperial College, London, UK
- ESC Journal Ethics Committee
| | - Christian Hamm
- ESC Journal Ethics Committee
- Kerckoff Clinic, Cardiology, Bad Nauheim and University Giessen, Germany
| | - Rickey E Carter
- Editorial Office of the European Heart Journal, The Zurich Heart House, Zürich, Switzerland
- Department of Epidemiology and Statistics, Mayo Clinic, Rochester, MN, USA
| | - Stefano Taddei
- Editorial Office of the European Heart Journal, The Zurich Heart House, Zürich, Switzerland
- Department of Internal Medicine, Università di Pisa, Italy
| | - Maarten Simoons
- ESC Journal Ethics Committee
- Erasmus University Rotterdam, The Netherlands
| | - Filippo Crea
- Editorial Office of the European Heart Journal, The Zurich Heart House, Zürich, Switzerland
- Catholic University of the Sacred Heart and Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy
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Lüscher TF. The secret of success of heart failure therapy: A lesson for ACHD? INTERNATIONAL JOURNAL OF CARDIOLOGY CONGENITAL HEART DISEASE 2020. [DOI: 10.1016/j.ijcchd.2020.100003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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Lüscher TF. Understanding cardiovascular disease: macrophage function, LDL-receptor trafficking, and C-type natriuretic peptide. Eur Heart J 2020; 41:975-979. [PMID: 33216884 DOI: 10.1093/eurheartj/ehaa130] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- Thomas F Lüscher
- Professor of Cardiology, Imperial College and Director of Research, Education & Development, Royal Brompton and Harefield Hospitals London, UK.,Professor and Chairman, Center for Molecular Cardiology, University of Zurich, Switzerland.,Editor-in-Chief, EHJ Editorial Office, Zurich Heart House, Hottingerstreet 14, 8032 Zurich, Switzerland
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Rossello X, Lobo-Gonzalez M, Ibanez B. Editor's Choice- Pathophysiology and therapy of myocardial ischaemia/reperfusion syndrome. EUROPEAN HEART JOURNAL-ACUTE CARDIOVASCULAR CARE 2019; 8:443-456. [PMID: 31172789 DOI: 10.1177/2048872619845283] [Citation(s) in RCA: 35] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
There is a need to find interventions able to reduce the extent of injury in reperfused ST-segment elevation myocardial infarction (STEMI) beyond timely reperfusion. In this review, we summarise the clinical impact of STEMI from epidemiological, clinical and biological perspectives. We also revise the pathophysiology underlying the ischaemia/reperfusion syndrome occurring in reperfused STEMI, including the several players involved in this syndrome, such as cardiomyocytes, microcirculation and circulating cells. Interventions aimed to reduce the resultant infarct size, known as cardioprotective therapies, are extensively discussed, putting the focus on both mechanical interventions (i.e. ischaemic conditioning) and promising pharmacological therapies, such as early intravenous metoprolol, exenatide and other glucose modulators, N-acetylcysteine as well as on some other classic therapies which have failed to be translated to the clinical arena. Novel targets for evolving therapeutic interventions to ameliorate ischaemia/reperfusion injury are also discussed. Finally, we highlight the necessity to improve the study design of future randomised clinical trials in the field, as well as to select patients better who can most likely benefit from cardioprotective interventions.
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Affiliation(s)
- Xavier Rossello
- 1 Translational Laboratory for Cardiovascular Imaging and Therapy, Centro Nacional de Investigaciones Cardiovasculares Carlos III (CNIC), Spain.,2 CIBER de enfermedades CardioVasculares (CIBERCV), Spain
| | - Manuel Lobo-Gonzalez
- 1 Translational Laboratory for Cardiovascular Imaging and Therapy, Centro Nacional de Investigaciones Cardiovasculares Carlos III (CNIC), Spain
| | - Borja Ibanez
- 1 Translational Laboratory for Cardiovascular Imaging and Therapy, Centro Nacional de Investigaciones Cardiovasculares Carlos III (CNIC), Spain.,2 CIBER de enfermedades CardioVasculares (CIBERCV), Spain.,3 Cardiology Department, IIS-Fundación Jiménez Díaz University Hospital, Spain
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Redfors B. Admission heart rate in the Takotsubo syndrome - An early marker of the severity of cardiac dysfunction and the risk of in-hospital complications. Int J Cardiol 2018; 273:52-53. [PMID: 30224260 DOI: 10.1016/j.ijcard.2018.09.013] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/02/2018] [Accepted: 09/03/2018] [Indexed: 12/22/2022]
Affiliation(s)
- Bjorn Redfors
- Department of Cardiology, Sahlgrenska University Hospital, Gothenburg, Sweden; Clinical Trials Center, Cardiovascular Research Foundation, NY, New York, United States of America..
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Rossello X, Yellon DM. A critical review on the translational journey of cardioprotective therapies! Int J Cardiol 2016; 220:176-84. [DOI: 10.1016/j.ijcard.2016.06.131] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/05/2016] [Revised: 06/03/2016] [Accepted: 06/23/2016] [Indexed: 01/08/2023]
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Ferrari R, Lüscher TF. Reincarnated medicines: using out-dated drugs for novel indications. Eur Heart J 2016; 37:2571-6. [PMID: 26957422 DOI: 10.1093/eurheartj/ehw051] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/01/2014] [Accepted: 11/26/2015] [Indexed: 12/31/2022] Open
Affiliation(s)
- Roberto Ferrari
- Department of Cardiology and LTTA Centre, University Hospital of Ferrara, Ferrara, Italy Maria Cecilia Hospital, GVM Care&Research, E.S: Health Science Foundation, Cotignola, Italy University Heart Center, Cardiology, University and University Hospital, Zürich, Switzerland
| | - Thomas F Lüscher
- Department of Cardiology and LTTA Centre, University Hospital of Ferrara, Ferrara, Italy Maria Cecilia Hospital, GVM Care&Research, E.S: Health Science Foundation, Cotignola, Italy University Heart Center, Cardiology, University and University Hospital, Zürich, Switzerland
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Lüscher TF. Conflicts of interest and the truth of scientific discovery: an editor's perspective. Eur Heart J 2016; 37:738-40. [DOI: 10.1093/eurheartj/ehw011] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Lüscher TF. Filling a gap in the ESC Journal Family: a warm welcome to the EHJ - Quality of Care and Clinical Outcomes. EUROPEAN HEART JOURNAL. QUALITY OF CARE & CLINICAL OUTCOMES 2015; 1:3-6. [PMID: 29474571 DOI: 10.1093/ehjqcco/qcv008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Affiliation(s)
- Thomas F Lüscher
- Editorial Office, European Heart Journal, Zurich Heart House, Careum Campus and Center for Molecular Cardiology, University of Zurich, Moussonstreet 4, 8091 Zurich, Switzerland
- University Heart Center, Department of Cardiology, University Hospital Zurich, Zurich, Switzerland
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Weintraub WS, Lüscher TF, Pocock S. The perils of surrogate endpoints. Eur Heart J 2015; 36:2212-8. [PMID: 25975658 DOI: 10.1093/eurheartj/ehv164] [Citation(s) in RCA: 54] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/08/2014] [Accepted: 04/21/2015] [Indexed: 12/17/2022] Open
Affiliation(s)
- William S Weintraub
- Cardiology Section, Christiana Care Health System, 4755 Ogletown-Stanton Road, Newark, DE 19317, USA
| | - Thomas F Lüscher
- Department of Cardiology, University Heart Center, University of Zurich, Zurich, Switzerland
| | - Stuart Pocock
- Switzerland and London School of Hygiene and Tropical Medicine, London, UK
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Lüscher TF. Mechanisms of disease: paracine effects of adipose tissue, progenitor cell function, and epigenetics of diabetic vascular disease. Eur Heart J 2015; 36:765-7. [PMID: 25834131 DOI: 10.1093/eurheartj/ehv049] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- Thomas F Lüscher
- Editor-in-Chief, Zurich Heart House, Careum Campus, Moussonstrasse 4, 8091 Zurich, Switzerland
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Luscher TF. Novel prognostic markers and treatment options in heart failure: from palliative to regenerative medicine. Eur Heart J 2015; 36:699-701. [DOI: 10.1093/eurheartj/ehv040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Lüscher TF. EHJ - Cardiovascular Pharmacotherapy: a warm welcome to the new member of the ESC journal family. EUROPEAN HEART JOURNAL. CARDIOVASCULAR PHARMACOTHERAPY 2015; 1:2-6. [PMID: 27533956 DOI: 10.1093/ehjcvp/pvu004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Affiliation(s)
- Thomas F Lüscher
- Editorial Office, European Heart Journal, Zurich Heart House, Careum Campus, Moussonstreet 4, 8091 Zurich, Switzerland Center for Molecular Cardiology, University of Zurich, Zurich, Switzerland Department of Cardiology, University Heart Center, University Hospital Zurich, Zurich, Switzerland
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Davidson KW, Peacock J, Kronish IM, Edmondson D. Personalizing Behavioral Interventions Through Single-Patient (N-of-1) Trials. SOCIAL AND PERSONALITY PSYCHOLOGY COMPASS 2014; 8:408-421. [PMID: 25267928 DOI: 10.1111/spc3.12121] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
Abstract
Behavioral interventions are typically studied with the use of a conventional between-subject randomized controlled trial (RCT) design. In this design, the effect of an intervention on one group of patients is compared with the effect of a control condition on another group of patients, such that a between-subject change is tested. A between-subject design has an underlying assumption that there is a homogenous treatment effect for a behavioral intervention, drug or psychotherapy, and that the way the intervention operates in the study that will tend to operate in the same way in many other patients. We review some of the philosophical and practical problems with the use of this design when a clinician is attempting to decide on a course of behavioral treatment aimed at within-subject change in patients who are likely to have heterogeneous or unique responses to behavioral treatment. We also review the biases inherent in our current clinical practice model, which does not use any empirical data collection or design for testing if a treatment is useful, and also in the conventional between-subject personalized medicine RCT designs. We propose increased use of single-patient (also known as N-of-1) trials that employ within-subject designs, in cases where treatment response is heterogeneous-as is the case for most psychological and behavioral treatments. Limitations of such designs include that they can only be used when the treatment is potentially reversible, the patient can act as their own control, and the outcome can be measured repeatedly. Increased use of within-subject trials may address in many more instances the more clinically relevant question of how a specific patient will respond to a specific treatment, and could introduce a more harmonious scientific approach into the way we treat our patients. We have incorporated a case presentation that illustrates the complexities of applying evidence drawn from these different designs to selecting and evaluating treatments for the behavioral issues commonly faced by clinicians and patients.
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Affiliation(s)
- Karina W Davidson
- Center for Behavioral Cardiovascular Health, Department of Medicine, Columbia University Medical Center, New York
| | - James Peacock
- Center for Behavioral Cardiovascular Health, Department of Medicine, Columbia University Medical Center, New York ; Division of Cardiology, Columbia University Medical Center, New York
| | - Ian M Kronish
- Center for Behavioral Cardiovascular Health, Department of Medicine, Columbia University Medical Center, New York
| | - Donald Edmondson
- Center for Behavioral Cardiovascular Health, Department of Medicine, Columbia University Medical Center, New York
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[Quality and integrity in the production and publication of scientific results: data trimming, manipulation and (self) plagiarism]. Herz 2014; 39:551-7. [PMID: 24962254 DOI: 10.1007/s00059-014-4120-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
The publication of scientific manuscripts is an essential part in the research process and in the attempt to produce novel knowledge: only what is published exists. It is the aim of research to produce reproducible and sustainable knowledge. Reproducible knowledge is based on precise observation, the use of modern methodologies and an appropriate statistical analysis. As a consequence, it must be the intention of any scientist to report the truth and nothing but the truth. This principle requires precision and honesty. Deviation from such a behavior may lead to scientific misconduct: It encompasses the use of inappropriate methods and/or statistics, double publication of data, sloppy data presentation and processing, up to data massaging, manipulation, data theft or fabrication. Famous examples can be found throughout the history of research but it appears that such behavior has recently become more common possibly due to excessive competition, the crucial role of grants for scientific productivity and funding as well as promotion. Accordingly, in the training of researchers it seems essential to emphasize the importance of precise data acquisition and analysis to ascertain reproducible data. Similarly, it must be assured that data sets are only published once, that authors have contributed technically and/or intellectually in an important manner and that the work of other scientists is cited appropriately. Editors and reviewers should carefully assess the quality of submitted manuscripts. In fact, it is the aim of the peer review process to assure as much as possible that the quality of submitted manuscripts meets current methodological as well as ethical standards.
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Luscher TF, Gersh B, Landmesser U, Ruschitzka F. Is the panic about beta-blockers in perioperative care justified? Eur Heart J 2014; 35:2442-4. [DOI: 10.1093/eurheartj/ehu056] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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