1
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Serrano LR, Peters-Clarke TM, Arrey TN, Damoc NE, Robinson ML, Lancaster NM, Shishkova E, Moss C, Pashkova A, Sinitcyn P, Brademan DR, Quarmby ST, Peterson AC, Zeller M, Hermanson D, Stewart H, Hock C, Makarov A, Zabrouskov V, Coon JJ. The one hour human proteome. Mol Cell Proteomics 2024:100760. [PMID: 38579929 DOI: 10.1016/j.mcpro.2024.100760] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2024] [Revised: 03/23/2024] [Accepted: 03/29/2024] [Indexed: 04/07/2024] Open
Abstract
We describe deep analysis of the human proteome in less than one hour. We achieve this expedited proteome characterization by leveraging state-of-the-art sample preparation, chromatographic separations, data analysis tools, and by using the new Orbitrap Astral mass spectrometer equipped with a quadrupole mass filter, a high-field Orbitrap mass analyzer, and an asymmetric track lossless (Astral) mass analyzer. The system offers high MS/MS acquisition speed of 200 Hz and detects hundreds of peptide sequences per second within data independent- or data-dependent acquisition modes of operation. The fast-switching capabilities of the new quadrupole complement the sensitivity and fast ion scanning of the Astral analyzer to enable narrow-bin data-independent analysis (DIA) methods. Over a 30-minute active chromatographic method consuming a total analysis time of 56 minutes, the Q-Orbitrap-Astral hybrid MS collects an average of 4,319 MS1 scans and 438,062 MS/MS scans per run, producing 235,916 peptide sequences (1% false discovery rate (FDR)). On average, each 30-minute analysis achieved detection of 10,411 protein groups (1% FDR). We conclude, with these results and alongside other recent reports, that the one-hour human proteome is within reach.
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Affiliation(s)
- Lia R Serrano
- Department of Chemistry, University of Wisconsin-Madison, Madison, WI, 53706, USA; Department of Biomolecular Chemistry, University of Wisconsin-Madison, Madison, WI, 53706, USA
| | - Trenton M Peters-Clarke
- Department of Chemistry, University of Wisconsin-Madison, Madison, WI, 53706, USA; Department of Biomolecular Chemistry, University of Wisconsin-Madison, Madison, WI, 53706, USA
| | | | | | - Margaret Lea Robinson
- Department of Biomolecular Chemistry, University of Wisconsin-Madison, Madison, WI, 53706, USA
| | - Noah M Lancaster
- Department of Chemistry, University of Wisconsin-Madison, Madison, WI, 53706, USA; Department of Biomolecular Chemistry, University of Wisconsin-Madison, Madison, WI, 53706, USA
| | - Evgenia Shishkova
- Department of Biomolecular Chemistry, University of Wisconsin-Madison, Madison, WI, 53706, USA; National Center for Quantitative Biology of Complex Systems, Madison, WI, 53706, USA
| | - Corinne Moss
- Department of Biomolecular Chemistry, University of Wisconsin-Madison, Madison, WI, 53706, USA
| | | | | | | | - Scott T Quarmby
- Department of Biomolecular Chemistry, University of Wisconsin-Madison, Madison, WI, 53706, USA; National Center for Quantitative Biology of Complex Systems, Madison, WI, 53706, USA
| | | | | | | | | | | | | | | | - Joshua J Coon
- Department of Chemistry, University of Wisconsin-Madison, Madison, WI, 53706, USA; Department of Biomolecular Chemistry, University of Wisconsin-Madison, Madison, WI, 53706, USA; National Center for Quantitative Biology of Complex Systems, Madison, WI, 53706, USA; Morgridge Institute for Research, Madison, WI, 53515.
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2
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Stewart HI, Grinfeld D, Giannakopulos A, Petzoldt J, Shanley T, Garland M, Denisov E, Peterson AC, Damoc E, Zeller M, Arrey TN, Pashkova A, Renuse S, Hakimi A, Kühn A, Biel M, Kreutzmann A, Hagedorn B, Colonius I, Schütz A, Stefes A, Dwivedi A, Mourad D, Hoek M, Reitemeier B, Cochems P, Kholomeev A, Ostermann R, Quiring G, Ochmann M, Möhring S, Wagner A, Petker A, Kanngiesser S, Wiedemeyer M, Balschun W, Hermanson D, Zabrouskov V, Makarov AA, Hock C. Parallelized Acquisition of Orbitrap and Astral Analyzers Enables High-Throughput Quantitative Analysis. Anal Chem 2023; 95:15656-15664. [PMID: 37815927 PMCID: PMC10603608 DOI: 10.1021/acs.analchem.3c02856] [Citation(s) in RCA: 16] [Impact Index Per Article: 16.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2023] [Accepted: 09/25/2023] [Indexed: 10/12/2023]
Abstract
The growing trend toward high-throughput proteomics demands rapid liquid chromatography-mass spectrometry (LC-MS) cycles that limit the available time to gather the large numbers of MS/MS fragmentation spectra required for identification. Orbitrap analyzers scale performance with acquisition time and necessarily sacrifice sensitivity and resolving power to deliver higher acquisition rates. We developed a new mass spectrometer that combines a mass-resolving quadrupole, the Orbitrap, and the novel Asymmetric Track Lossless (Astral) analyzer. The new hybrid instrument enables faster acquisition of high-resolution accurate mass (HRAM) MS/MS spectra compared with state-of-the-art mass spectrometers. Accordingly, new proteomics methods were developed that leverage the strengths of each HRAM analyzer, whereby the Orbitrap analyzer performs full scans with a high dynamic range and resolution, synchronized with the Astral analyzer's acquisition of fast and sensitive HRAM MS/MS scans. Substantial improvements are demonstrated over previous methods using current state-of-the-art mass spectrometers.
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Affiliation(s)
- Hamish I. Stewart
- Thermo
Fisher Scientific, 11 Hannah-Kunath Str., 28199 Bremen, Germany
| | - Dmitry Grinfeld
- Thermo
Fisher Scientific, 11 Hannah-Kunath Str., 28199 Bremen, Germany
| | | | - Johannes Petzoldt
- Thermo
Fisher Scientific, 11 Hannah-Kunath Str., 28199 Bremen, Germany
| | - Toby Shanley
- Thermo
Fisher Scientific, 11 Hannah-Kunath Str., 28199 Bremen, Germany
| | - Matthew Garland
- Thermo
Fisher Scientific, 11 Hannah-Kunath Str., 28199 Bremen, Germany
| | - Eduard Denisov
- Thermo
Fisher Scientific, 11 Hannah-Kunath Str., 28199 Bremen, Germany
| | | | - Eugen Damoc
- Thermo
Fisher Scientific, 11 Hannah-Kunath Str., 28199 Bremen, Germany
| | - Martin Zeller
- Thermo
Fisher Scientific, 11 Hannah-Kunath Str., 28199 Bremen, Germany
| | - Tabiwang N. Arrey
- Thermo
Fisher Scientific, 11 Hannah-Kunath Str., 28199 Bremen, Germany
| | - Anna Pashkova
- Thermo
Fisher Scientific, 11 Hannah-Kunath Str., 28199 Bremen, Germany
| | - Santosh Renuse
- Thermo
Fisher Scientific, 355
River Oaks Pkwy, San Jose, California 95134, United States
| | - Amirmansoor Hakimi
- Thermo
Fisher Scientific, 355
River Oaks Pkwy, San Jose, California 95134, United States
| | - Andreas Kühn
- Thermo
Fisher Scientific, 11 Hannah-Kunath Str., 28199 Bremen, Germany
| | - Matthias Biel
- Thermo
Fisher Scientific, 11 Hannah-Kunath Str., 28199 Bremen, Germany
| | - Arne Kreutzmann
- Thermo
Fisher Scientific, 11 Hannah-Kunath Str., 28199 Bremen, Germany
| | - Bernd Hagedorn
- Thermo
Fisher Scientific, 11 Hannah-Kunath Str., 28199 Bremen, Germany
| | - Immo Colonius
- Thermo
Fisher Scientific, 11 Hannah-Kunath Str., 28199 Bremen, Germany
| | - Adrian Schütz
- Thermo
Fisher Scientific, 11 Hannah-Kunath Str., 28199 Bremen, Germany
| | - Arne Stefes
- Thermo
Fisher Scientific, 11 Hannah-Kunath Str., 28199 Bremen, Germany
| | - Ankit Dwivedi
- Thermo
Fisher Scientific, 11 Hannah-Kunath Str., 28199 Bremen, Germany
| | - Daniel Mourad
- Thermo
Fisher Scientific, 11 Hannah-Kunath Str., 28199 Bremen, Germany
| | - Max Hoek
- Thermo
Fisher Scientific, 11 Hannah-Kunath Str., 28199 Bremen, Germany
| | | | - Philipp Cochems
- Thermo
Fisher Scientific, 11 Hannah-Kunath Str., 28199 Bremen, Germany
- Thermo
Fisher Scientific, 355
River Oaks Pkwy, San Jose, California 95134, United States
| | | | - Robert Ostermann
- Thermo
Fisher Scientific, 11 Hannah-Kunath Str., 28199 Bremen, Germany
| | - Gregor Quiring
- Thermo
Fisher Scientific, 11 Hannah-Kunath Str., 28199 Bremen, Germany
| | | | - Sascha Möhring
- Thermo
Fisher Scientific, 11 Hannah-Kunath Str., 28199 Bremen, Germany
| | - Alexander Wagner
- Thermo
Fisher Scientific, 11 Hannah-Kunath Str., 28199 Bremen, Germany
| | - André Petker
- Thermo
Fisher Scientific, 11 Hannah-Kunath Str., 28199 Bremen, Germany
| | | | | | - Wilko Balschun
- Thermo
Fisher Scientific, 11 Hannah-Kunath Str., 28199 Bremen, Germany
| | - Daniel Hermanson
- Thermo
Fisher Scientific, 355
River Oaks Pkwy, San Jose, California 95134, United States
| | - Vlad Zabrouskov
- Thermo
Fisher Scientific, 355
River Oaks Pkwy, San Jose, California 95134, United States
| | | | - Christian Hock
- Thermo
Fisher Scientific, 11 Hannah-Kunath Str., 28199 Bremen, Germany
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3
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Allagbe I, Zeller M, Thomas D, Limosin F, Chagué F, Le Faou AL. Identification of factors associated with smoking cessation in patients with coronary artery diseases. Findings from a large nationwide cohort of smoking cessation services. Archives of Cardiovascular Diseases Supplements 2023. [DOI: 10.1016/j.acvdsp.2022.10.249] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
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4
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Putot A, Monin A, Belkouche A, Chagué F, Zeller M, Cottin Y. Preexisting atrial fibrillation and myocardial infarction: Only 10% of infarcts directly linked to atrial fibrillation. Archives of Cardiovascular Diseases Supplements 2023. [DOI: 10.1016/j.acvdsp.2022.10.038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
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5
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Monin A, Didier R, Chagué F, Maza M, Bichat F, Zeller M, Cottin Y. Albuminuria and microalbuminuria are associated with coronary lesion complexity in patients with diabetes mellitus hospitalized for an acute myocardial infarction: Data from the French RICO Survey. Archives of Cardiovascular Diseases Supplements 2023. [DOI: 10.1016/j.acvdsp.2022.10.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
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6
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Yao H, Putot A, Chagué F, Maza M, Bichat F, Cottin Y, Zeller M. Prognostic and diagnostic impact of new pathophysiology-based categorization of type 1 and type 2 myocardial infarction: Data from the French RICO survey. Archives of Cardiovascular Diseases Supplements 2023. [DOI: 10.1016/j.acvdsp.2022.10.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
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7
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Roger A, Cottin Y, Bentounes S, Bisson A, Bodin A, Herbert J, Zeller M, Fauchier L. Modeling the impact of the new European Heart Rhythm Association algorithm for atrial fibrillation screening using new digital tools. Archives of Cardiovascular Diseases Supplements 2023. [DOI: 10.1016/j.acvdsp.2022.10.171] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
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8
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Chagué F, Kouamé M, Lhuillier I, Maza M, Bichat F, Philippe B, Mock L, Ravisy J, Laurent G, Zeller M, Cottin Y. Sport-related myocardial infarction: Context of onset, clinical features and one-year follow-up. Results from the IMACS prospective cohort. Archives of Cardiovascular Diseases Supplements 2023. [DOI: 10.1016/j.acvdsp.2022.10.247] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
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9
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Debeaumarché J, Leclercq T, Didier R, Debeaumarché H, Comby PO, Ricolfi F, Zeller M, Cochet A, Cottin Y. Acute myocardial infarction related to coronary artery embolism: A systematic cardiac and cerebral magnetic resonance imaging study. Archives of Cardiovascular Diseases Supplements 2023. [DOI: 10.1016/j.acvdsp.2022.10.129] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
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10
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Allagbe I, Zeller M, Thomas D, Limosin F, Chagué F, Le Faou AL. Sex-specific disparities in predictive factors of smoking cessation among smokers at high cardiovascular risk. Findings from a nationwide smoking cessation services cohort. Archives of Cardiovascular Diseases Supplements 2023. [DOI: 10.1016/j.acvdsp.2022.10.250] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
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11
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Kouamé M, Chagué F, Farnier M, Bichat F, Maza M, Zeller M, Cottin Y. Elevated levels of Lp(a) are associated with coronary lesion complexity in patients hospitalized for an acute myocardial infarction: Data from the French RICO Survey. Archives of Cardiovascular Diseases Supplements 2023. [DOI: 10.1016/j.acvdsp.2022.10.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
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12
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Kouame I, Farnier M, Chague F, Maza M, Bichat F, Zeller M, Cottin Y. Elevated levels of Lp(a) are associated with coronary lesion complexity in patients hospitalized for an acute myocardial infarction: data from the French RICO Survey. Eur Heart J 2022. [DOI: 10.1093/eurheartj/ehac544.2346] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Background
Although patients with elevated Lp(a) are at high risk of acute myocardial infarction (MI), coronary artery disease (CAD) burden associated with Lp(a) remains poorly investigated.
Methods
Single center study including all consecutive patients hospitalized for an acute MI in Coronary Care Unit from the RICO database (2019–2021) who underwent coronary angiography and blood sample for Lp(a) assessment on admission. Coronary lesion complexity was retrospectively assessed by SYNTAX score and pre-specified angiographic criteria. Patients were compared according to their Lp(a) levels: <50 mg/dL (normal), ≥50 mg/dL and ≤100 mg/dL (high) and >100 mg/dL (very high).
Results
921 patients were included, of whom 177 (19.2%) had elevated Lp(a) >50 mg/dL, including 121 (13.1%) with high and 56 (6.1%) with very high Lp(a). Median (IQR) age was similar across the 3 groups (normal: 68 (58–78)y; high: 70 (60–80)y; very high: 69 (61–78)y, p=0.381). When compared with patients with normal Lp(a), patients with high and very high Lp(a) levels had increased prevalence of personal history of CAD (19%, 28% and 29%, respectively, p=0.026) and family history of CAD (19%, 26% and 29%, p=0.032, respectively). The rate of women was more common in very high Lp(a) level than in high and normal groups (46%, 33%, and 29%, respectively, p=0.016). Rate of ST-segment elevation MI was similar for the 3 groups (p=0.961). At coronary angiography, CAD burden, as assessed by SYNTAX score was much higher in elevated Lp(a) groups (11 (6–19), 15 (8–24), 17 (7–25), p=0.001, respectively). Moreover, patients with elevated Lp(a) had more complex coronary lesions (p=0.034), characterized by left main (p=0.021), and calcified lesions (p=0.002) (figure). In-hospital mortality gradually increased across the 3 groups (2.8%, 6.6%, 8.9%, p=0.010, respectively).
Conclusions
This retrospective study in patients with acute MI shows that elevated Lp(a) were common, associated with high risk for in-hospital mortality. Patients with high Lp(a) were characterized by severe CAD burden, with complex anatomy features including left main and calcified lesions. The long-term prognostic impact of Lp(a)-associated CAD burden needs to be explored.
Funding Acknowledgement
Type of funding sources: Public Institution(s). Main funding source(s): ARS Bourgogne Franche ComtéCHU Dijon BourgogneAssociation de Cardiologie de Bourgogne
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Affiliation(s)
- I Kouame
- University Hospital Center Dijon Bourgogne, Cardiology Department , Dijon , France
| | - M Farnier
- University of Bourgogne Franche Comte, Equipe PEC2, EA 7460, UFR Sciences de Santé , Dijon , France
| | - F Chague
- University Hospital Center Dijon Bourgogne, Cardiology Department , Dijon , France
| | - M Maza
- University Hospital Center Dijon Bourgogne, Cardiology Department , Dijon , France
| | - F Bichat
- University Hospital Center Dijon Bourgogne, Cardiology Department , Dijon , France
| | - M Zeller
- University of Bourgogne Franche Comte, Equipe PEC2, EA 7460, UFR Sciences de Santé , Dijon , France
| | - Y Cottin
- University Hospital Center Dijon Bourgogne, Cardiology Department , Dijon , France
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13
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Yao H, Putot A, Chague F, Maza M, Bichat F, Cottin Y, Zeller M. Prognostic and diagnostic impact of new pathophysiology-based categorization of type 1 and type 2 myocardial infarction: data from the French RICO survey. Eur Heart J 2022. [DOI: 10.1093/eurheartj/ehac544.1327] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
A new classification of type 1 and 2 myocardial infarction (MI) derived from the fourth universal definition of MI (UDMI) has been recently proposed, based on pathophysiology of coronary artery disease (CAD),. We assessed the impact of this new MI categorization on epidemiology and outcomes.
Methods
Retrospective study including all consecutive patients hospitalized for an acute MI in a multicenter database (RICO). MI was defined according to current UDMI. Rates and outcomes of T1MI and T2MI were addressed according to the new classification.
Results
Among the 4573 patients included on our study, 3710 patients (81.1%) were initially diagnosed with T1M1 and 863 (18.9%) with T2MI. After reclassification, 96 T2MI patients were moved into the T1MI category. Out of the remaining 767 patients with T2MI, 567 underwent coronary angiography, and were adjudicated as type 2A MI (68.6%) with obstructive CAD, and type 2B MI (31.4%) without obstructive CAD.
When compared with T1MI and T2BMI, T2AMI patients had worse in-hospital outcomes, including heart failure (p<0.001), recurrent infarction (p<0.048) and mechanical complications such as mitral insufficiency (p=0.001). The 3 groups (T1AMI, T2AMI and T2BMI) had similar all-cause and cardiovascular death rates, with a trend for a higher all-cause mortality in T2AMI patients.
Kaplan-Meier one-year survival curves showed higher all-cause and cardiovascular causes mortality in T2AMI patients compared to T1MI and T2BMI (p<0.001). In multivariate Cox regression, type of MI was independent predictor of death.
Conclusion
Our large observational multicenter study shows major disparities in mortality according to type of MI and support the relevance of the new MI classification to improve risk classification. Our findings may will help identifying specific phenotypes and considering personalized diagnostic and management strategies.
Funding Acknowledgement
Type of funding sources: Public Institution(s). Main funding source(s): Agence Régionale de Santé (ARS) de Bourgogne Franche-ComtéRegional Council of Bourgogne Franche-Comté.
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Affiliation(s)
- H Yao
- University Hospital of Dijon, Cardiology , Dijon , France
| | - A Putot
- University of Bourgogne Franche Comte, PEC2, EA 7460 , Dijon , France
| | - F Chague
- University Hospital of Dijon, Cardiology , Dijon , France
| | - M Maza
- University Hospital of Dijon, Cardiology , Dijon , France
| | - F Bichat
- University Hospital of Dijon, Cardiology , Dijon , France
| | - Y Cottin
- University Hospital of Dijon, Cardiology , Dijon , France
| | - M Zeller
- University of Bourgogne Franche Comte, PEC2, EA 7460 , Dijon , France
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14
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Allagbe I, Zeller M, Chague F, Thomas D, Limosin F, Le Faou AL. Sex-specific disparities in predictive factors of smoking cessation among smokers at high cardiovascular risk. Findings from a nationwide smoking cessation services cohort. Eur Heart J 2022. [DOI: 10.1093/eurheartj/ehac544.2658] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Tobacco use is a major risk factor for cardiovascular diseases (CVD), but smoking cessation (SC) reduces or even cancels the risk of CVD for both sex. Using data from the French national “Consultations de Dépendance Tabagique” (CDTnet) cohort, we aimed to determine the predictive factors of SC in men and women smokers at high cardiovascular (CV) risk (i.e. with a CV disease or risk factor).
Material and methods
Retrospective study from the French SC services CDT-net database. Inclusion criteria were age ≥18 years, and ≥1 CV risk factor (BMI ≥25 kg/m2, hypercholesterolemia, diabetes, arterial hypertension) or CVD (history of stroke, myocardial infarction or angina pectoris, peripheral arterial disease (PAD)). Smoking abstinence (≥28 consecutive days) was self-reported and confirmed by exhaled carbon monoxide <10 ppm. Logistic regression assessed the association between SC and sociodemographic factors, medical characteristics and patients' smoking profile.
Results
Among the 246,364 subjects in the database, 15% (36,864) fulfilled the inclusion criteria. One month-abstinence was lower in women (52.6% (n=8,102) vs 55% (n=11,848) in men, p<0.001). For both sex, smokers with the lowest abstinence rates were those with respiratory diseases (47% among women vs. 50% among men respectively), depression history (48% vs. 48%), anxiety or depression symptoms (49% vs 50%) use of anxiolytics/antidepressants, use of opioid substitution treatment, use of cannabis (42% vs 41%) and benefit less than 3 follow-up visits (36% vs 41%). Factors positively associated with SC in both sex were age >65 years, having a degree, being employed, coming by self-initiation or by one's relatives, being overweight, having previous quit attempts, presenting with low nicotine dependence and being confident in achieving abstinence. Factors negatively associated with abstinence only in women but not in men was alcohol disorder. Finally, factors negatively associated with abstinence only in men but not in women were PAD, and tobacco-related cancers.
Conclusion
Our results from a large nationwide database suggest the relevance of differentiated management according to sex in smokers at high CV risk, given the major sex-specific disparities in factors associated with abstinence rates.
Funding Acknowledgement
Type of funding sources: Other. Main funding source(s): This work was supported by IReSP and INCa through a call for doctoral grants launched in 2019.
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Affiliation(s)
- I Allagbe
- University of Bourgogne Franche Comte , Dijon , France
| | - M Zeller
- University of Bourgogne Franche Comte , Dijon , France
| | - F Chague
- University of Bourgogne Franche Comte , Dijon , France
| | - D Thomas
- Sorbonne University , Paris , France
| | - F Limosin
- Corentin Celton Hospital APHP , Issy Les Moulineaux , France
| | - A L Le Faou
- European Hospital Georges Pompidou, Addictology Center , Paris , France
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15
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Cottin Y, Mertz V, Bentounes SA, Pastier Debeaumarche J, Didier R, Herbert J, Zeller M, Lip GYH, Fauchier L. Prognosis of atrial fibrillation with or without comorbidities. Analysis of younger adults from a nationwide database. Eur Heart J 2022. [DOI: 10.1093/eurheartj/ehac544.526] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
“Lone AF” may be defined as AF in younger adults (age <60 years) and lack of obvious associated CV or extra CV conditions. However, current ESC guidelines indicate that the term of “Lone AF” is potentially confusing and should be abandoned because a cause may be present in every patient. In addition, studies on prognosis of “Lone AF” are inconsistent, likely as the result of the heterogeneity in definitions, comorbidities, study population and duration of follow-up. We aimed to assess the prognosis of patients with AF with or without cardiac or extra cardiac concomitant conditions.
Participants and methods
From the French administrative hospital-discharge PMSI database (Programme de Médicalisation des Systèmes d'Information) covering hospital care and representative of the whole French population, all consecutive patients with AF diagnosis hospitalized between 2011 and 2020 were identified. Patients were classified into four groups: 1) >60 yo; 2) with known cardiac disease (KCD group); 3) with extra cardiac comorbidities (ECC); and 4) AF without KCD or ECC (“Lone AF”).
Results
Altogether 2,435,541 patients were identified, from which 2203,702 patients aged >60 years and 231,839 patients aged <60 years [with KCD (55.2%), with ECC (14.7%) and with “Lone AF” (30.1%)]. During follow-up the incidences of all-cause and CV deaths were 13.7%, 5.7%, 6.2% and 2.3%, and 4.2%, 1.7%, 0.8% and 0.3% in the older than 60 yo group, KCD group, ECC group and “Lone AF” AF group, respectively. In the age and sex-adjusted analysis (patients <60 yo), patients with AF and KCD had worse outcomes than patients with “Lone AF” for all major cardiac events (see figures).
Conclusion
There are three distinct prognostic criteria based on the presence or not of HD or extra cardiac concomitant comorbidities. Patients in the so-called “Lone AF” group remain severe in terms of CV events but still with a lower incidence than the patient with associated KCD or ECC. The presences of KCD or ECC make it possible to distinguish a profile in terms of events that are very different from the patients.
Funding Acknowledgement
Type of funding sources: None.
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Affiliation(s)
- Y Cottin
- University Hospital of Dijon, Cardiology , Dijon , France
| | - V Mertz
- University Hospital of Dijon, Cardiology , Dijon , France
| | - S A Bentounes
- Tours Regional University Hospital, Hospital Trousseau , Tours , France
| | | | - R Didier
- University Hospital of Dijon, Cardiology , Dijon , France
| | - J Herbert
- Tours Regional University Hospital, Hospital Trousseau , Tours , France
| | - M Zeller
- University Hospital of Dijon, Cardiology , Dijon , France
| | - G Y H Lip
- Liverpool Heart and Chest Hospital , Liverpool , United Kingdom
| | - L Fauchier
- Tours Regional University Hospital, Hospital Trousseau , Tours , France
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Ghemrani M, Putot A, Zeller M, Cottin Y, Rebibou J. Caractéristiques épidémiologiques et pronostics des infarctus du myocarde de type 1 et 2 chez les patients avec une maladie rénale chronique. Nephrol Ther 2022. [DOI: 10.1016/j.nephro.2022.07.177] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Chague F, Bichat F, Saint Jalmes M, Maza M, Cottin Y, Zeller M. Temporal trends over 20 years of smoking prevalence in patients with acute myocardial infarction. Data from the RICO survey. Eur J Prev Cardiol 2022. [DOI: 10.1093/eurjpc/zwac056.037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
Abstract
Funding Acknowledgements
Type of funding sources: Public Institution(s). Main funding source(s): ARS Bourgogne Franche Comté
Background
Over the last 2 decades, tobacco smoking, a major cardiovascular (CV) risk factor, has decreased in France, but remains among the highest in European countries.
Aim
From a large database of patients with acute myocardial infarction (MI), we aimed to investigate the evolution of smoker’s prevalence and characteristics over a 20-y period.
Methods
From the RICO survey, 18,769 patients hospitalized from 2001 to 2020 for an acute MI in one region of France were included. Current smokers were compared with ex-smokers or non-smokers and according to gender.
Results
Temporal trends showed that smoking rate did not decrease in men and dramatically increased in women by 50% (figure). Rate of smoking was higher in men than in women (34% vs 18%, p<0.001). Median age increased across the year groups whatever the smoking status. When compared with ex or non-smokers, smokers were much younger (54 vs 71 y for men and 56 vs 79 y for women, p<0.001), had more frequent family history of CAD but less modifiable risk factors such as diabetes and hypertension. ST-segment elevation MI was more common in smokers, for both sex. Although in-hospital adjusted mortality was similar for both groups, smokers had more common ventricular arrhythmias (VF/VT).
Conclusions
Over the last 2 decades, tobacco use remains common in patients with acute MI and is associated with a younger age of occurrence and severe acute complications. Our findings also reveal an alarming increasing prevalence of smoking in women. More effective prevention strategies are necessary to reduce tobacco use, in particular in women.
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Affiliation(s)
- F Chague
- University Hospital Center Dijon Bourgogne, Cardiology Department, Dijon, France
| | - F Bichat
- University Hospital Center Dijon Bourgogne, Cardiology Department, Dijon, France
| | - M Saint Jalmes
- University Hospital Center Dijon Bourgogne, Cardiology Department, Dijon, France
| | - M Maza
- University Hospital Center Dijon Bourgogne, Cardiology Department, Dijon, France
| | - Y Cottin
- University Hospital Center Dijon Bourgogne, Cardiology Department, Dijon, France
| | - M Zeller
- University of Bourgogne Franche Comte, Equipe PEC2, EA 7460, UFR Sciences de Santé, Dijon, France
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Chague F, Kouame I, Porot G, Lhuilier I, Maza M, Saint Jalmes M, Bichat F, Laurent G, Zeller M, Cottin Y. High prevalence of complex coronary artery lesions in sport-related myocardial infarction. Contemporary data from the RICO survey. Eur J Prev Cardiol 2022. [PMCID: PMC9384061 DOI: 10.1093/eurjpc/zwac056.273] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
Funding Acknowledgements Type of funding sources: Public Institution(s). Main funding source(s): Agence régionale de santé de Bourgogne Franche-Comté Background Underlying mechanisms for sport-related acute myocardial infarction (SR-AMI) are only poorly understood. Moreover, their coronary artery disease (CAD) characteristics and lesion complexity are poorly described. Purpose To characterize coronary angiographic feature of patients with SR-AMI Methods From the RICO database, a large regional acute MI survey, all consecutive patients hospitalized in our University Hospital from 2010 to 2021 who underwent coronary angiography for SR-MI were retrospectively analysed. SR-MI was defined as MI occurring during sport activity or within the first hour of recovery. Results Among the 174 patients included, most were male (n=157(91%)). Median (IQR) age was 59 y (48-66), and had ST segment elevation MI (STEMI) (n= 112 (64%)). The SR-MI often occurred while cycling (41%), jogging (23%), hiking (9%) or playing soccer (9%). Patients commonly experienced pre-hospital (PH) sudden cardiac arrest (SCA) (17%). Atherothrombotic risk factors were dyslipidaemia (32%), current smoking (31%) or hypertension (28%). A history of CAD was documented in 31 (18%) patients. Most (n=156(91%)) had significant lesions, of whom 140 (81%) were considered as culprit. Culprit lesions were located on left anterior descending (39%), circumflex (14%) and right coronary artery (33%). Median (IQR) Syntax score was 10.5 (6-15). The vast majority of patients (n=152 (87%)) had at least one complex lesion; 114 of them had several characteristics of complex lesion. Lesions were eccentric in 68 (39%) patients; an intraluminal thrombus was documented in 85 patients (49%), in 55% of STEMI and 37% of non-STEMI (p =0.027). However, 18 subjects (10%) had optically normal coronary angiogram or non-significant lesions, suggesting alternative mechanism such as type 2 MI. Treatment of the lesions was mainly achieved by PCI and/or stenting (n=132(77%)) or coronary artery bypass grafting (n=11(6%)). In-hospital death occurred in 11 patients (6%), of whom 10 experienced a PH-SCA and one was admitted with a cardiogenic shock during the Covid-19 pandemics lockdown. Among the 5 patients treated with extracorporeal membrane oxygenator, only one survived. Conclusion In our large retrospective study, SR-MI was commonly associated with complex coronary lesions, often characterized by intraluminal thrombus. Our findings suggest that the mechanisms of these events could be mainly related to type 1 MI patterns Moreover, PH-SCA was frequent, thus justifying mass-education to basic life support and deployment of automated external defibrillators, especially in the sport settings.
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Affiliation(s)
- F Chague
- University Hospital of Dijon, Cardiology department, Dijon, France
| | - I Kouame
- University Hospital of Dijon, Cardiology department, Dijon, France
| | - G Porot
- Hopital Valmy, Cardiology, Dijon, France
| | - I Lhuilier
- University Hospital of Dijon, Cardiology department, Dijon, France
| | - M Maza
- University Hospital of Dijon, Cardiology department, Dijon, France
| | - M Saint Jalmes
- University Hospital of Dijon, Cardiology department, Dijon, France
| | - F Bichat
- University Hospital of Dijon, Cardiology department, Dijon, France
| | - G Laurent
- University Hospital of Dijon, Cardiology department, Dijon, France
| | - M Zeller
- University of Bourgogne Franche-Comté, PEC2, EA 7460, Dijon, France
| | - Y Cottin
- University Hospital of Dijon, Cardiology department, Dijon, France
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Zabawa C, Cottenet J, Zeller M, Béjot Y, Quantin C. Réhospitalisations précoces après un accident vasculaire cérébral en France : étude des parcours de soins ambulatoires et des facteurs associés à partir des données du Système national des données de santé. Rev Epidemiol Sante Publique 2022. [DOI: 10.1016/j.respe.2022.01.109] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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20
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Cottin Y, Boulin M, Doisy C, Mounier M, Caillot D, Chretien M, Bodin A, Herbert J, Bonnotte B, Zeller M, Maynadie M, Fauchier L. Mortality and major cardiovascular events among patients with multiple myeloma: Analysis from a nationwide French medical information database. Archives of Cardiovascular Diseases Supplements 2022. [DOI: 10.1016/j.acvdsp.2021.10.028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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21
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Zeller M, Chagué F, Maza M, Bichat F, Beer J, Masson D, Cottin Y, Farnier M. Characteristics and prognosis of patients with elevated triglycerides in acute myocardial infarction: Observational data from a large database over a 17y period. Archives of Cardiovascular Diseases Supplements 2022. [DOI: 10.1016/j.acvdsp.2021.09.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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22
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Saliman S, Didier R, Blain M, Leclercq T, Maza M, Artus A, Issa R, Zeller M, Cochet A, Cottin Y, Laurent G. No impact of sub-clinical coronary artery disease identified by cardiac CT scan on the recurrence of atrial fibrillation after a single ablation procedure. Archives of Cardiovascular Diseases Supplements 2022. [DOI: 10.1016/j.acvdsp.2021.09.192] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Zeller M, Sales-Wuillemin E, Guinchard S, Chappe J, Chague F, Ayari H, Maza M, Aboa-Eboule C, Truchot D, Lorgis L, Giroud M, Cottin Y, Bejot Y. Psychosocial and behavioral characteristics of still smokers at 6 months after acute cerebro or cardiovascular events: preliminary findings from INEV@L, a prospective pilot study. Eur Heart J 2021. [DOI: 10.1093/eurheartj/ehab724.2595] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Introduction
Considering the benefits of smoking cessation, and evolving new tobacco-product consumption, such as e-cigarettes (e-cig), contemporary behavioral and psychosocial factors (PSF) associated with smoking after acute stroke or myocardial infarction (MI) remain to be investigated.
Methods
From INEV@L, a prospective pilot study in 128 workers hospitalized for MI or stroke (MI/stroke: 199/57) <65 y, between 2016 and 2017 in CHU Dijon. Among them, 67 (52%) current smokers were analyzed. PSF (education level (EL), socioeconomic status (SES), perceived disease severity (PDS), anxiety/depression), and health behavior (adhesion to Mediterranean diet (AMD), BMI, physical activity (PA), smoking) were collected at the acute phase and at 6 Months Follow-Up. Patients who quit smoking were compared with non-quitting patients.
Results
Still smokers at 6-M FU were frequent (30 (45%)) and had similar risk factors including age (51±7 y) than quitters. Rate of overweight/obese patients and AMD were similar (52 vs 65%, p=0.281 and 29±6 vs 26±7, p=0.207). SES and EL were slightly higher in still smokers group. The level of anxiety or depression was as high in the 2 groups (63 vs 68%, and 19 vs 20%, p=0.717 and 0.911). Although similar at the acute phase (p=0.867), PDS at 6-M FU, trended to be lower in non-quitters (57 vs 78%, p=0.057). At FU, only few returned to work (57% for both groups). Overweight/obese who reduced their weight were more common in non-quitters (60 vs 38%, p=0.170). Patients who improved AMD or PA level were similar (62 vs 78%, p=0.166, and 67 vs 92%, p=0.317). The vast majority of non-quitters introduced the use of e-cig (80% vs 0%, p<0.001).
Conclusion
Our pilot study in young workers highlights the low rate of smoking cessation, and generalized dual use of electronic+conventional cigarette at mid-term after acute MI or stroke. Our findings further suggest specific PSF pattern of non-quitters, associated with loss of perceived disease severity.
Funding Acknowledgement
Type of funding sources: Public Institution(s). Main funding source(s): Conseil Régional de Bourgogne Franche Comté et CHU Dijon Bourgogne
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Affiliation(s)
- M Zeller
- University of Bourgogne Franche Comte, PEC2, EA7460, UFR sciences de Santé, Dijon, France
| | - E Sales-Wuillemin
- University of Bourgogne Franche Comte, Laboratoire PSY-DREPI, EA 7458, Dijon, France
| | - S Guinchard
- University Hospital Center Dijon Bourgogne, Cardiology Department, Dijon, France
| | - J Chappe
- University Hospital Center Dijon Bourgogne, Neurology department, Dijon, France
| | - F Chague
- University Hospital Center Dijon Bourgogne, Cardiology Department, Dijon, France
| | - H Ayari
- University Hospital Center Dijon Bourgogne, Cardiology Department, Dijon, France
| | - M Maza
- University Hospital Center Dijon Bourgogne, Cardiology Department, Dijon, France
| | - C Aboa-Eboule
- University Hospital Center Dijon Bourgogne, Neurology department, Dijon, France
| | - D Truchot
- University of Bourgogne Franche Comté, Psychologie, Besancon, France
| | - L Lorgis
- University Hospital Center Dijon Bourgogne, Cardiology Department, Dijon, France
| | - M Giroud
- University Hospital Center Dijon Bourgogne, Neurology department, Dijon, France
| | - Y Cottin
- University Hospital Center Dijon Bourgogne, Cardiology Department, Dijon, France
| | - Y Bejot
- University Hospital Center Dijon Bourgogne, Neurology department, Dijon, France
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Farnier M, Chague F, Maza M, Bichat F, Beer JC, Masson D, Cottin Y, Zeller M. High levels of lipoprotein(a) are associated with the severity of coronary disease in patients with acute myocardial infarction. Data from the RICO survey. Eur Heart J 2021. [DOI: 10.1093/eurheartj/ehab724.1371] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Background
High level of lipoprotein(a), Lp(a), is a well-recognized independent risk factor for atherosclerotic cardiovascular disease (ASCVD) including acute myocardial infarction (MI). However, limited data are available on the relationship between coronary artery disease (CAD) burden and Lp(a) levels in patients with acute MI.
Methods
CAD burden was addressed in 1213 consecutive patients hospitalized for an acute MI in 2019–2020 who underwent coronary angiography from the RICO survey. Patients were compared according to Lp(a) levels (Lp(a) <50 mg/dL (normal), ≥50 mg/dL and ≤100 mg/dL (high) and >100 mg/dL (very high)).
Results
The prevalence of high and very high Lp(a) was elevated (13% and 6%, respectively). Median (IQR) age (normal: 68 (58–79)y; high: 70 (61–80)y; very high: 69 (60–78)y, p=0.502) and rate of diabetes (p=0.448) were similar across the 3 groups. When compared with normal Lp(a), patients with very high Lp(a) had more frequently hypertension, were more often under chronic statin therapy and their corrected LDL-cholesterol was lower. There was a gradual increase in prior ASCVD rates across the 3 Lp(a) groups (p=0.001). When compared with patients with high or normal Lp(a), patients with very high Lp(a) levels had elevated SYNTAX score at coronary angiography, (17 (6–25) vs 12 (6–19) and 10 (5–18), p=0.006, respectively), and had more frequently multivessel disease (74% vs 64% and 56%, p=0.003). By multivariate analysis, very high Lp(a) (OR(95% CI): 1.879 (1.065–3.312)) remained associated with high CAD burden, beyond confounding including age, diabetes and dyslipidemia.
Conclusion
Among real world patients hospitalized for an acute MI, high Lp(a) levels are common (≈20%) and independently associated with a severe CAD burden, beyond traditional risk factors, identifying a subset of patients with features of high ASCVD risk.
Funding Acknowledgement
Type of funding sources: Public hospital(s). Main funding source(s): CHU Dijon Bourgogne ARS Bourgogne Franche Comté
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Affiliation(s)
- M Farnier
- University of Bourgogne Franche Comte, Equipe PEC2, EA 7460, UFR Sciences de Santé, Dijon, France
| | - F Chague
- University Hospital Center Dijon Bourgogne, Cardiology Department, Dijon, France
| | - M Maza
- University Hospital Center Dijon Bourgogne, Cardiology Department, Dijon, France
| | - F Bichat
- University Hospital Center Dijon Bourgogne, Cardiology Department, Dijon, France
| | - J C Beer
- University Hospital Center Dijon Bourgogne, Cardiology Department, Dijon, France
| | - D Masson
- University of Bourgogne Franche Comte, Lipides Nutrition Cancer UMR1231, & LipSTIC LabEx, Dijon, France
| | - Y Cottin
- University Hospital Center Dijon Bourgogne, Cardiology Department, Dijon, France
| | - M Zeller
- University of Bourgogne Franche Comte, Equipe PEC2, EA 7460, UFR Sciences de Santé, Dijon, France
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Allagbe I, Thomas D, Airagnes G, Limosin F, Chague F, Zeller M, Le Faou AL. Specific risk factors profile and abstinence rate of female smokers at high cardiovascular risk from the nationwide smoking cessation services cohort CDT-net. Eur Heart J 2021. [DOI: 10.1093/eurheartj/ehab724.2594] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
In women, smoking is particularly harmful to the cardiovascular (CV) system, and smoking cessation (SC) is a key issue for CV prevention.
Objectives
From a large nationwide database on subjects who visited SC services between 2001 and 2018, we aimed to describe the profile and abstinence rate among female smokers at high CV risk.
Methods
Observational study from the French CS services cohort CDT-net. Inclusion criteria were age ≥18 years, and ≥1 CV risk factor (i.e. body mass index ≥25 kg/m2, hypercholesterolemia, diabetes, hypertension, history of stroke, myocardial infarction or angina pectoris. Abstinence (≥28 consecutive days) was self-reported, and confirmed by measurement of exhaled carbon monoxide <10 ppm.
Results
Among 37,949 smokers, 16,492 (43.5%) were women. Compared to men, women were 3-y younger (48 vs 51 y, p<0.001) and more educated (≥ Bachelor degree: 55 vs 45%, p<0.001). The burden of CV risk factors was high in women and men: hypercholesterolemia (30% vs 33% p<0.001), hypertension (23% vs 26%, p<0.001) and diabetes (10 vs 13%, p<0.001). Compared to men, women suffered more often from obesity (27 vs 20%, p<0.001), respiratory diseases (COPD: 24% vs 21%, p<0.001; asthma: 16 vs 9%, p<0.001) and anxio-depressive symptoms (37.5 vs 26.5%, p<0.001). Although women were less nicotine dependent than men, their abstinence rate was lower (52 vs 55%, p<0.001).
Conclusion
Female smokers who visited SC services not only presented very high CV risk profile, but also elevated rates of lung diseases and anxio-depressive symptoms. Our findings highlight the need to strengthen CV prevention strategies, through comprehensive gender-tailored SC interventions.
Funding Acknowledgement
Type of funding sources: Public Institution(s). Main funding source(s): IReSP and INCa through a call for doctoral grants launched in 2019
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Affiliation(s)
- I Allagbe
- University of Bourgogne Franche Comte, Equipe PEC2, EA 7460, UFR Sciences de Santé, Dijon, France
| | - D Thomas
- Université Paris-VI-Sorbonne, AP-HP, Institut de Cardiologie, Hôpital Pitié-Salpêtrière, Paris, France
| | - G Airagnes
- University of Paris, AP-HP. Center, Outpatient Addictology Center, Paris, France
| | - F Limosin
- AP-HP. Centre-University of Paris, DMU Psychiatry and Addictology, Paris, France
| | - F Chague
- University Hospital Center Dijon Bourgogne, Cardiology Department, Dijon, France
| | - M Zeller
- University of Bourgogne Franche Comte, Equipe PEC2, EA 7460, UFR Sciences de Santé, Dijon, France
| | - A L Le Faou
- AP-HP. Centre-University of Paris, DMU Psychiatry and Addictology, Paris, France
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26
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Putot A, Masson D, Cottin Y, Gauthier T, Tribouillard L, Rerole AL, Maza M, Pais De Barros JP, Deckert V, Farnier M, Lagrost L, Zeller M. Endotoxemia and cardiometabolic biomarkers in patients with acute myocardial infarction. Data from the RICO survey. Eur Heart J 2021. [DOI: 10.1093/eurheartj/ehab724.3274] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Background
The complex interplay between endotoxemia, inflammation and cardiometabolic diseases including acute myocardial infarction is poorly understood.
Aim
Our prospective study aimed to address the determinants of endotoxemia, including blood lipids and metabolic biomarkers, in patients admitted for an acute MI.
Methods
From the RICO survey, patients admitted to the coronary care unit of our University Hospital for type 1 acute MI were prospectively included between 2016 and 2018. Patients with prior coronary artery disease (CAD) or chronic kidney disease were excluded. Blood samples for biomarkers measurement were taken on admission. Endotoxemia was assessed by the LCMSMS measurement of circulating levels of LPS-derived 3-hydroxymyristate (3HM), a component of the lipid A moiety.
Results
Among the 245 patients included, mean age was 62±13 y, most were male (72%), almost half were hypertensive (43%), or current smokers (44%), 38% had hypercholesterolemia, or family history of CAD (31%), median (IQR) BMI was 27 (25–29) kg/m2 and 14% had diabetes. Median LDL-cholesterol was at 132 mg/dL, HDL-cholesterol at 47 mg/dL, total cholesterol at 209 mg/dL and triglycerides (TG) at 116 mg/dL. Median (IQR) 3HM levels were at 106 (83–131) pmol/L. Among biomarkers, TG levels were the most strongly correlated with LPS levels (r=0.201, p=0.002), beyond HbA1c (r=0.197, p=0.002), BMI (r=0.192, p=0.003), cholesterol (r=0.191, p=0.003), blood glucose (r=0.174, p=0.006) and age (r=0.173, p=0.007). Inflammatory biomarkers and cytokines (CRP, IL6, IL8, TNF α) did not significantly relate to 3HM levels. When compared with patients without diabetes, patients with diabetes had ≈40% higher levels of 3HM (140 vs 103 pmol/L, p<0.001). By multivariate regression linear analysis, TG (β(95% CI)=0.288 (7.757–20.357), p<0.001) remained an independent determinant of 3HM levels, beyond age (β(95% CI)=0.184 (0.274–1.374), p=0.003), and HbA1c (β(95% CI)=0.157 (1.764–15.390), p=0.014).
Conclusions
In a former analysis of our prospective study in patients with acute MI, endotoxemia levels related mainly to chronic metabolic disorders including diabetes and hypercholesterolemia. The underlying mechanisms for the LPS-associated TG elevations and its clinical significance at the acute phase of MI remains to be explored.
Funding Acknowledgement
Type of funding sources: Public hospital(s). Main funding source(s): CHU Dijon Bourgogne ARS Bourgogne Franche comté
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Affiliation(s)
- A Putot
- University Hospital of Dijon, Geriatry, Dijon, France
| | - D Masson
- University of Bourgogne Franche Comte, Lipides Nutrition Cancer UMR1231, & LipSTIC LabEx, Dijon, France
| | - Y Cottin
- University Hospital Center Dijon Bourgogne, Cardiology Department, Dijon, France
| | - T Gauthier
- University of Bourgogne Franche Comte, Lipides Nutrition Cancer UMR1231, & LipSTIC LabEx, Dijon, France
| | - L Tribouillard
- University Hospital Center Dijon Bourgogne, Cardiology Department, Dijon, France
| | - A L Rerole
- University of Bourgogne Franche Comte, Lipides Nutrition Cancer UMR1231, & LipSTIC LabEx, Dijon, France
| | - M Maza
- University Hospital Center Dijon Bourgogne, Cardiology Department, Dijon, France
| | - J P Pais De Barros
- University of Bourgogne Franche Comte, Lipides Nutrition Cancer UMR1231, & LipSTIC LabEx, Dijon, France
| | - V Deckert
- University of Bourgogne Franche Comte, Lipides Nutrition Cancer UMR1231, & LipSTIC LabEx, Dijon, France
| | - M Farnier
- University of Bourgogne Franche Comte, Equipe PEC2, EA 7460, UFR Sciences de Santé, Dijon, France
| | - L Lagrost
- University of Bourgogne Franche Comte, Lipides Nutrition Cancer UMR1231, & LipSTIC LabEx, Dijon, France
| | - M Zeller
- University of Bourgogne Franche Comte, Equipe PEC2, EA 7460, UFR Sciences de Santé, Dijon, France
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Cottin Y, Boulin M, Doisy C, Mounier M, Caillot D, Chretien ML, Bodin A, Herbert J, Bonnotte B, Zeller M, Maynadie M, Fauchier L. Mortality and major cardiovascular events among patients with multiple myeloma: analysis from a nationwide French medical information database. Eur Heart J 2021. [DOI: 10.1093/eurheartj/ehab724.1333] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Cardiovascular disease (CVD) in patients with multiple myeloma (MM) may derive from multiple factors unrelated to the disease (age, diabetes, dyslipidemia, obesity, prior CV diseases), related to the disease and/or related to antimyeloma treatment. Based on a nationwide hospitalization database, we aimed to assess the risk of all-cause death, and CV outcomes in MM patients.
Methods
From 1st January 2013 to 31st December 2013, 3,381,472 adults (age ≥18 years) were hospitalized for any reason in French hospitals and then had at least 5 years of complete follow-up (or suffered death earlier). We identified 15,774 patients diagnosed with known MM at baseline. The outcome analysis (all-cause death, cardiovascular [CV] death, myocardial infarction (MI), ischemic stroke or hospitalization for major bleeding) was performed with follow-up starting at the time of last event. For each patient with MM, a propensity score-matched patient with no MM was selected (1:1) using the one-to-one nearest neighbor method.
Findings
The mean follow-up in the propensity-score-matched population was 3.7±2.3 years, median 5.0, IQR 1.3–5.7 years. During follow-up, matched patients with MM (15 774 patients) had a higher risk of all-death (yearly rate 20.02 vs 11.39%/year) than patients without MM. No difference was observed between MM group and no myeloma group for CV death (2.00 vs 2.02%/year). The rate of MI and stroke was markedly lower in the MM group, respectively for incidence rate, 0.86 vs 0.97%/year and 0.85 vs 1.10%/year. In contrast, MM group had a higher rate of rehospitalization for major bleeding with an incidence rate of 3.61 vs 2.24%/yr and a higher risk of intracranial bleeding (1.03 vs 0.84%/yr). Results were similar in sensitivity analysis limited to patients with recent MM (i.e. diagnosed within the 3 previous months).
Interpretation
From a large nationwide database, we show that although patients with MM are not at higher risk of CV death, they had a higher risk of mortality due to major bleeding and intracranial bleeding. Our findings highlight the key issue of anticoagulation treatment management in patients with MM.
Funding Acknowledgement
Type of funding sources: None.
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Affiliation(s)
- Y Cottin
- University Hospital Center Dijon Bourgogne, Cardiology Department, Dijon, France
| | - M Boulin
- University of Bourgogne Franche Comté, Pharmacy departement, EPICAD LNC UMR 1231, Dijon, France
| | - C Doisy
- University of Bourgogne Franche Comté, Pharmacy departement, EPICAD LNC UMR 1231, Dijon, France
| | - M Mounier
- France Registre des Hémopathies Malignes de Côte d'OR, U1231, University Hospital, Dijon, France
| | - D Caillot
- University Hospital, Hematology Department, Dijon, France
| | - M L Chretien
- University Hospital, Hematology Department, Dijon, France
| | - A Bodin
- Trousseau Hospital and University François Rabelais, Cardiology Department, Tours, France
| | - J Herbert
- Trousseau Hospital and University François Rabelais, Cardiology Department, Tours, France
| | - B Bonnotte
- University Hospital of Dijon, Internal medicine, Dijon, France
| | - M Zeller
- University of Bourgogne Franche Comte, Equipe PEC2, EA 7460, UFR Sciences de Santé, Dijon, France
| | - M Maynadie
- France Registre des Hémopathies Malignes de Côte d'OR, U1231, University Hospital, Dijon, France
| | - L Fauchier
- Department of Cardiology, University Teaching Hospital of Trousseau and University François Rabelais, Tours, France
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Cottin Y, Ben Messaoud B, Yao H, Laurent G, Bisson A, Eicher J, Bodin A, Herbert J, Juilliere Y, Zeller M, Fauchier L. Exploring the temporal relationship between atrial fibrillation and heart failure development. Analysis from nationwide database. Eur Heart J 2021. [DOI: 10.1093/eurheartj/ehab724.0430] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Abstract
Background
Atrial fibrillation (AF) and heart failure (HF) often coexist and are closely intertwined, each condition worsening the other. The temporal relationships between these two disorders have not yet been fully explored. We assessed, on a nationwide scale, the prognosis of patients hospitalized with HF and AF, based on the timing of AF and HF development.
Methods
From the administrative database covering hospital care for the whole French population, we identified 1,349,638 patients diagnosed with both AF and HF between 2010 and 2018: 956,086 of these AF patients developed HF first (prevalent HF) and 393,552 developed HF after AF (incident HF). The outcome analysis (all-cause death, cardiovascular [CV] death, ischemic stroke or hospitalization for HF) was performed with follow-up starting at the time of last event between AF or HF in the whole cohort and in 427,848 propensity-score-matched patients (213,924 with incident HF and 213,924 with prevalent HF).
Results
During follow-up (mean follow-up 1.6±1.9 year), matched patients with prevalent HF had a higher risk of all-cause death (21.6 vs 19.2%/year), CV death (7.6 vs 6.5%/year) as well as non-cardiovascular death (13.9 vs 12.7%/year) than those with incident HF. The risk for ischemic stroke was lower in the prevalent HF group (1.2 vs 2.4%/year).
Conclusion
In patients hospitalized with both AF and HF, we identified two distinct clinical entities based on the chronological sequence of the two disorders. Patients in whom HF preceded AF (prevalent HF) had higher mortality and higher risk of rehospitalization for HF.
Funding Acknowledgement
Type of funding sources: None.
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Affiliation(s)
- Y Cottin
- University Hospital Center Dijon Bourgogne, Cardiology Department, Dijon, France
| | - B.M Ben Messaoud
- University Hospital Center Dijon Bourgogne, Cardiology Department, Dijon, France
| | - H Yao
- University Hospital Center Dijon Bourgogne, Cardiology Department, Dijon, France
| | - G Laurent
- University Hospital Center Dijon Bourgogne, Cardiology Department, Dijon, France
| | - A Bisson
- CHU Trousseau and University François Rabelais, Cardiology department, Tours, France
| | - J.C Eicher
- University Hospital Center Dijon Bourgogne, Cardiology Department, Dijon, France
| | - A Bodin
- CHU Trousseau and University François Rabelais, Cardiology department, Tours, France
| | - J Herbert
- CHU Trousseau and University François Rabelais, Cardiology department, Tours, France
| | - Y Juilliere
- CHU Nancy, Cardiology department, Nancy, France
| | - M Zeller
- University of Bourgogne Franche Comte, Equipe PEC2, EA 7460, UFR Sciences de Santé, Dijon, France
| | - L Fauchier
- CHU Trousseau and University François Rabelais, Cardiology department, Tours, France
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Cottin Y, Issa R, Benalia M, Mouhat B, Meloux A, Tribouillard L, Bichat F, Vergely C, Zeller M. Association between serum osteoprotegerin levels and severity of coronary artery disease in patients with acute myocardial infarction. Eur Heart J 2021. [DOI: 10.1093/eurheartj/ehab724.1369] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Osteoprotegerin (OPG), a glycoprotein of the tumor necrosis factor (TNF) superfamily is a main biomarker for vascular calcification.
Aim
We aimed to evaluate the association between serum OPG levels and extent of coronary lesions in patients with acute myocardial infarction (MI).
Methods
Consecutive patients hospitalized for an acute MI who underwent coronary angiography were included. SYNTAX score was calculated to assess the severity of coronary artery disease. The population was analysed in low (5 (3–6)), medium (11 (9–13)) and high (20 (18–23)) tertiles of SYNTAX score.
Results
Among the 378 patients included, there was a gradual increase in age, rate of diabetes, anterior wall location, and a reduction in left ventricular ejection fraction across the SYNTAX tertiles. OPG levels significantly increased across the tertiles (962 (782–1,497), 1,240 (870–1,707), and 1464 (1,011–2,129) pg/ml, respectively (p<0.001)). In multivariate analysis, OPG [OR (CI95%): 2.09 (1.31–3.32) p=0. 002], were associated with the high SYNTAX group, beyond hypercholesterolemia, CV history and creatinine.
Conclusion
We found an association between OPG levels and coronary lesions complexity patients with acute MI. Determining OPG levels in combination with an ischemia test could be used in the clinical setting for the early diagnosis of subclinical atherosclerosis.
Funding Acknowledgement
Type of funding sources: Public hospital(s). Main funding source(s): CHU Dijon BourgogneConseil Régional Bourgogne Franche Comté
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Affiliation(s)
- Y Cottin
- University Hospital Center Dijon Bourgogne, Cardiology Department, Dijon, France
| | - R Issa
- University Hospital Center Dijon Bourgogne, Cardiology Department, Dijon, France
| | - M Benalia
- University Hospital Center Dijon Bourgogne, Cardiology Department, Dijon, France
| | - B Mouhat
- University Hospital Center Dijon Bourgogne, Cardiology Department, Dijon, France
| | - A Meloux
- University of Bourgogne Franche Comte, Equipe PEC2, EA 7460, UFR Sciences de Santé, Dijon, France
| | - L Tribouillard
- University Hospital Center Dijon Bourgogne, Cardiology Department, Dijon, France
| | - F Bichat
- University Hospital Center Dijon Bourgogne, Cardiology Department, Dijon, France
| | - C Vergely
- University of Bourgogne Franche Comte, Equipe PEC2, EA 7460, UFR Sciences de Santé, Dijon, France
| | - M Zeller
- University of Bourgogne Franche Comte, Equipe PEC2, EA 7460, UFR Sciences de Santé, Dijon, France
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Chague F, Cottin Y, Lhuillier I, Guinchard S, Tribouillard L, Bichat F, Maza M, Saint Jalmes M, Massenot J, Laurent G, Zeller M. Sport-related acute myocardial infarction. Contemporary data from IMACS survey. Eur Heart J 2021. [DOI: 10.1093/eurheartj/ehab724.2450] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
Sport-related (SR) acute cardiovascular (CV) events are the main cause of sudden cardiac death in the setting of sport activities. However, data are very scarce regarding onset and follow-up of SR acute myocardial infarction (AMI).
Methods
From the prospective study IMACS (Infarctus du Myocarde et Arret Cardiaque au cours du Sport) patients admitted for a SR-AMI in our university hospital from April 2018 to March 2020 were included. A 12 months follow-up (FU) was achieved through telephone interview to address CV outcomes and sport practice information. Information was obtained from relatives in case of out of hospital sudden cardiac arrest (OH-SCA).
Results
Among the 55 patients included, all were male, with median (IQR) age at 62 (55–69) y. Most common sports were cycling (n=21), fitness (n=7), swimming (n=5) and hiking (n=5). The SR-AMI occurred during effort for 39 subjects and during recovery for 16. Most SR-AMI occurred in public area (n=24), at home (n=16), or in a specific sport location (n=14). An Automated External Defibrillator (AED) was available in the SR-AMI location in only 10, but was missing in 43 (unknown for 2). In 1 subject with OH-SCA, cardiopulmonary resuscitation (CPR), initiated by witnesses, using a public AED, was unsuccessful. The 4 other patients with OH-SCA underwent successful CPR. Among the 55 subjects, 4 were vapers, of whom 1 was a dual user, 17 were current tobacco smokers, 18 were ex-smokers and 2 experienced cannabis and cocaine use. Among the smokers, most smoked (n=10) or consumed cannabis (n=1) <2h before the event. Strikingly, CV history and/or recent symptoms were present in almost half (n=25). Only 10 felt symptoms exclusively during the sport session. Moreover, a medical advice for recent symptoms was found only for 3 subjects. Three patients who experienced prior AMI have neglected symptoms during the index event. Most were ST segment elevated MI (n=35). Only one patient (with OH-SCA) died <3 days after hospital admission. During hospitalization, most underwent revascularization with coronary stenting (n=44) (drug eluting stent in 43 patients), or coronary artery bypass graft (n=6) and no death nor significant CV event occurred. At 1-FU, most attended a rehabilitation program (n=41) and the majority of smokers quitted (14/17), with 3 persistent smokers starting to vape. Almost half patients (n=23) decreased their physical activity, and 21 increased it. A significant rate of patient (n=9) added fitness in their usual activity, and as a main sport for 4 of them.
Conclusions
In this on-going monocentric prospective survey in SR-AMI, a high proportion of subjects had prodromal symptoms, of whom only few led to sport cessation and medical advices, when requested, failed to prevent the AMI. Our findings highlight that public and medical education are urgently warranted for SR-AMI prevention.
Funding Acknowledgement
Type of funding sources: Public hospital(s). Main funding source(s): CHU Dijon Bourgogne Franche Comté et ARS Bourgogne Franche Comté
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Affiliation(s)
- F Chague
- University Hospital Center Dijon Bourgogne, Cardiology Department, Dijon, France
| | - Y Cottin
- University Hospital Center Dijon Bourgogne, Cardiology Department, Dijon, France
| | - I Lhuillier
- University Hospital Center Dijon Bourgogne, Cardiology Department, Dijon, France
| | - S Guinchard
- University Hospital Center Dijon Bourgogne, Cardiology Department, Dijon, France
| | - L Tribouillard
- University Hospital Center Dijon Bourgogne, Cardiology Department, Dijon, France
| | - F Bichat
- University Hospital Center Dijon Bourgogne, Cardiology Department, Dijon, France
| | - M Maza
- University Hospital Center Dijon Bourgogne, Cardiology Department, Dijon, France
| | - M Saint Jalmes
- University Hospital Center Dijon Bourgogne, Cardiology Department, Dijon, France
| | - J Massenot
- University Hospital Center Dijon Bourgogne, Cardiology Department, Dijon, France
| | - G Laurent
- University Hospital Center Dijon Bourgogne, Cardiology Department, Dijon, France
| | - M Zeller
- University of Bourgogne Franche Comte, Equipe PEC2, EA 7460, UFR Sciences de Santé, Dijon, France
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Cottin Y, Boulin M, Doisy C, Mounier M, Caillot D, Chretien ML, Bodin A, Herbert J, Bonnotte B, Zeller M, Maynadie M, Fauchier L. New onset atrial fibrillation and heart failure among patients with multiple myeloma: analysis from a nationwide french medical information database. Eur Heart J 2021. [DOI: 10.1093/eurheartj/ehab724.2853] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Over the last decade, new therapies, screening optimization, and cardiovascular management have changed the cardiovascular prognosis of patients with multiple myeloma (MM). Older studies suggested that MM could be associated with increased risk of heart failure (HF). Based on a nationwide hospitalization database, we aimed to assess the risk of hospitalization for Heart failure (HF) and/or Atrial fibrillation (AF).
Methods
From 1st January 2013 to 31st December 2013, 3,381,472 adults (age ≥18 years) were hospitalized for any reason in French hospitals and then had at least 5 years of complete follow-up (or suffered death earlier). We identified 15,774 patients diagnosed with known MM at baseline. The outcome analysis on hospitalization for new onset HF or AF was performed with follow-up (FU) starting at the time of last event. For each patient with MM, a propensity score-matched patient with no MM was selected (1:1) using the one-to-one nearest neighbor method (n=15774 in each group).
Findings
In the propensity-score-matched population, mean±SD FU was 3.7±2.3 years, median (IQR)5.0 (1.3–5.7) years, mean age was 71±12y, and most were female (55%). When compared with patients without MM, MM patients were more likely to have history of HF (16.8% vs. 10.5%, p<0.0001), pulmonary edema (1.5 vs. 0.8%, p<0.0001), or AF (13.4% vs. 9.6%, p<0.0001). At FU, MM patients had a higher risk of all-death (yearly rate 20.02 vs 11.39%/year). Moreover, yearly rates of new onset HF or AF, which were the common CV causes of re-hospitalisation, were higher in the MM group, i.e. respectively for incidence rate, 7.47 vs 5.42%/year (p<0.0001) and 4.57 vs 3.72%/year (p<0.0001). Multivariate analysis showed that MM remained significantly associated with a higher rate of HF and AF (HR (95% CI): 1.343 (1.276–1.413) and 1.196 (1.128–1.269), respectively). Results were similar in sensitivity analysis limited to patients with recent MM (i.e. diagnosed within the 3 previous months).
Interpretation
From a large nationwide hospitalization database, we show that patients with MM had a higher risk of new onset HF and AF. Our findings highlight the key issue of cardiovascular management in patients with MM.
Funding Acknowledgement
Type of funding sources: None.
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Affiliation(s)
- Y Cottin
- University Hospital Center Dijon Bourgogne, Cardiology Department, Dijon, France
| | - M Boulin
- University of Bourgogne Franche Comte, Pharmacy Departement, EPICAD LNC UMR 1231, Dijon, France
| | - C Doisy
- University of Bourgogne Franche Comte, Pharmacy Departement, EPICAD LNC UMR 1231, Dijon, France
| | - M Mounier
- University Hospital, France Registre des Hémopathies Malignes de Côte d'OR, U1231, Dijon, France
| | - D Caillot
- Hematology Department, University Hospital, Dijon, France
| | - M L Chretien
- Hematology Department, University Hospital, Dijon, France
| | - A Bodin
- Trousseau Hospital and University François Rabelais, Cardiology Department, Tours, France
| | - J Herbert
- Trousseau Hospital and University François Rabelais, Cardiology Department, Tours, France
| | - B Bonnotte
- Dijon University Hospital, Department of Internal Medicine, Dijon, France
| | - M Zeller
- University of Bourgogne Franche Comte, Equipe PEC2, EA 7460, UFR Sciences de Santé, Dijon, France
| | - M Maynadie
- University Hospital, France Registre des Hémopathies Malignes de Côte d'OR, U1231, Dijon, France
| | - L Fauchier
- Department of Cardiology, University Teaching Hospital of Trousseau and University François Rabelais, Cardiology Department, Trousseau Hospital and University François Rabelais, Tours, France
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Chague F, Israel J, Guinoiseau JP, Garet G, Reboursiere E, Ngassa P, Hager JP, Geneste M, Sarda J, Dincher JC, Cottin Y, Zeller M. Tobacco-related risk behaviors among amateur rugby players, coaches and referees: targets for prevention. Eur Heart J 2021. [DOI: 10.1093/eurheartj/ehab724.2597] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
High prevalence of smoking has been documented in France and new patterns of tobacco and nicotine consumption are emerging, especially in some sports. In amateur rugby population, such attitudes could be harmful, but data are scarce as well as their knowledge of the risk.
Purpose
We analyzed tobacco consumption in French amateur players, coaches and referees.
Methods
Each amateur players [>12-y/o], coaches and referees licensed in the French Rugby Federation and participating in the Burgundy amateur championship was invited to answer to an electronic anonymous questionnaire during the 2017–2018 sport season.
Results
683 [sex ratio M/F = 0.9] answers were obtained and fit for analysis. Among them, 559 (81.8%) were players, 167 (24,5%) were coaches and 74 (10.8%) were referees. 176 subjects (25.8%) were current smokers, 126 (18.4%) daily smokers, 54 (37% of usual smokers) smoked more than 10 cigarettes a day and 97 (14.2%) were ex-smokers. Moreover, 24 referees (32.4%) and 47 coaches (28.2%) were current smokers. Most smoked 2 hours before or after a rugby session (86.4% of smokers), including coaches (89.4%) and referees (89%). Although 109 smokers (61.9%) considered quitting, only 27 (24.8%) considered vaping to aid them. Only 28 subjects (4.1%) usually vaped, of whom 15 daily (1.9%); 21 of them (75%) vaped in the 2 hours before or after a rugby session. Number of cigarettes in the 19 dual users was not different compared with non-vaping smokers. Among the 28 vapers, motivation to vape included lower risk than smoking (13), consider to quit (12), cheaper than smoking (8), festive and socializing (6), avoid to smoke (3), respect the performance (2). Other tobacco or nicotine products were infrequent: waterpipe (7), dry snuff (1) and none used snus. The knowledge about risk was incomplete: 35 (5.1%) subjects do not know that smoking is dangerous for their health and 12 (1.8%) think it is not. 246 (36%) and 195 (28.6%) do not know if smoking is more dangerous in the 2 hours before or after sport; 45 (6.6%) and 18 (2.6%) think it is not. Moreover, 27.5% of coaches were unaware on the risk of smoking before a sport session and 19.2% on the risk after. 244 subjects (35.7%) do not know if vaping is less dangerous than smoking; 272 (39.8%) are not informed of the potential risk of nicotine when vaping.
Conclusion
Despite information, prevalence of smoking remains high in the French amateur rugby players, coaches and referees. Smokers usually smoke in the 2 hours before or after the sport session. This is dangerous for them and for their peers. The low knowledge about the CV risk is of great concern, especially when considering the coaches and referees considering both their symbolic position and their educational role. Vaping and other patterns of nicotine exposure are infrequent; none of them use snus. Targeted education programs are urgently needed to reduce acute and chronic risk of tobacco consumption in this population.
Funding Acknowledgement
Type of funding sources: Public grant(s) – EU funding. Main funding source(s): CHU Dijon Bourgogne ARS Bourgogne Franche Comté
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Affiliation(s)
- F Chague
- University Hospital Center Dijon Bourgogne, Cardiology Department, Dijon, France
| | - J Israel
- French Rugby Federation, Marcoussis, France
| | | | - G Garet
- French Rugby Federation, Marcoussis, France
| | | | - P Ngassa
- French Rugby Federation, Marcoussis, France
| | - J P Hager
- French Rugby Federation, Marcoussis, France
| | - M Geneste
- French Rugby Federation, Marcoussis, France
| | - J Sarda
- French Rugby Federation, Marcoussis, France
| | | | - Y Cottin
- University Hospital Center Dijon Bourgogne, Cardiology Department, Dijon, France
| | - M Zeller
- University of Bourgogne Franche Comte, Equipe PEC2, EA 7460, UFR Sciences de Santé, Dijon, France
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Zeller M, Chague F, Maza M, Bichat F, Beer JC, Masson D, Cottin Y, Farnier M. Characteristics and prognosis of patients with elevated triglycerides in acute myocardial infarction: observational data from a large database over a 17 years period. Eur Heart J 2021. [DOI: 10.1093/eurheartj/ehab724.2560] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background and aim
From a large database of a regional registry, we aimed to address the prevalence, characteristics and prognosis of patients with elevated triglycerides (TG) in patients hospitalized for an acute myocardial infarction (MI).
Methods
From the multicenter database (RICO survey), all consecutive patients hospitalized for an acute MI (2001–2017) and alive at discharge were included. Patients with TG >500 mg/dL, lost to follow-up (FU), or under chronic fibrate treatment were excluded. Patients with high TG (>200 mg/dL) on admission were compared to those with TG ≤200 mg/dL. Endpoints were recurrent ischemic events (i.e. recurrent MI, angina, unstable angina, stroke or urgent revascularization (PCI or CABG)) at 1-year FU.
Results
Among the 10667 patients included, 1886 (17.7%) had elevated TG. When compared with patients with TG ≤200 mg/dL, patients with high TG were younger (59 vs 69 y, p<0.001), had a higher BMI (28 vs 26 kg/m2, p<0.001), were more frequently men (77 vs 68%, p<0.001), diabetic (27 vs 21%, p<0.001), and smokers (42 vs 28%, p<0.001). The rate of statin therapy at discharge was similar for the 2 groups (79 vs 77%, p=0.285), as well as SYNTAX score and rate of multivessel disease (p=0.368 and p=0.791). In high TG group, LDL cholesterol was higher (130 vs 120 mg/dL, p<0.001) and HDL-cholesterol was lower (37 vs 46 mg/dL). At 1-Y FU, recurrent ischemic events were more frequent in elevated TG patients (11.2 vs 9.1%, p=0.004). In multivariate logistic regression analysis, high TG (OR (95% CI): 1.356 (1.095–1.679)) remains an independent estimate for recurrent ischemic event, even after adjustment for confounding (GRACE score, diabetes, obesity).
Conclusions
In our large population-based cohort, elevated TG are common in acute MI, and associated with residual risk of recurrent ischemic events, beyond traditional prognostic markers. Our data may help to identify candidates for targeted therapies to reduce recurrent ischemic risk after MI.
Funding Acknowledgement
Type of funding sources: Private company. Main funding source(s): Amarin
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Affiliation(s)
- M Zeller
- University of Bourgogne Franche Comte, Equipe PEC2, EA 7460, UFR Sciences de Santé, Dijon, France
| | - F Chague
- University Hospital Center Dijon Bourgogne, Cardiology Department, Dijon, France
| | - M Maza
- University Hospital Center Dijon Bourgogne, Cardiology Department, Dijon, France
| | - F Bichat
- University Hospital Center Dijon Bourgogne, Cardiology Department, Dijon, France
| | - J C Beer
- University Hospital Center Dijon Bourgogne, Cardiology Department, Dijon, France
| | - D Masson
- University of Bourgogne Franche Comte, Lipides Nutrition Cancer UMR1231, & LipSTIC LabEx, Dijon, France
| | - Y Cottin
- University Hospital Center Dijon Bourgogne, Cardiology Department, Dijon, France
| | - M Farnier
- University of Bourgogne Franche Comte, Equipe PEC2, EA 7460, UFR Sciences de Santé, Dijon, France
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Chague F, Carre F, Gudjoncik A, Richard C, Compagnon F, Ganancia O, Pasquereau V, Zeller M, Cottin Y. Beta-receptor desensitization after a multistage ultralong distance exercise in the desert? Eur Heart J 2021. [DOI: 10.1093/eurheartj/ehab724.2447] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
Although cardiac function has been largely investigated during ultra-endurance exercise, few studies addressed to multi-stage endurance race.
Methods
Serial echocardiographic assessment of cardiac function was performed in male healthy subjects during the 2014 Marathon des Sables before the race (T1), at the second (T2) and fifth (T3) arrival (236 km) then after 48h recovery. Analysis were performed by 2 sonographers blind for the results of the other and the time of measure.
Results
Among the 20 athletes, 18 completed the study (mean age 42.4, median 42). RR intervals and (Left ventricular End Diastolic Volume (Simpson) (LVEDV) changed during the race and were correlated (r2 = 0.539, p<0.001); afterload approched by Left Ventricular Meridional Wall Stress (LVMWS) did not change. LV Global Longitudinal Peak Strain (PS) and subepicardial (Epi) PS did not vary. Subendocardial (Endo) LV.PS was lower at T2 /T1, concomitant to a (non-significant) drop in LVEDV; LV strain rate (SR) was lower at T4. RR and LVEDV were higher at T3 than at T2, and higher at T4 compared to T1 and T2. As preload conditions changed during the race, we studied the response of PS and SR to the change in preload (Starling mechanism). EndoPS/LVEDV, LVPS/LVEDV and SR/LVEDV did not change during the race but were lower after recovery.
Conclusions
48h after a multistage ultralong duration exercise, we observed a drop in heart rate and contractility response to preload. The evolution of these parameters could be explained by a beta-receptors desensitization. These data need to be confirmed by other studies.
Funding Acknowledgement
Type of funding sources: Public hospital(s). Main funding source(s): CHU Dijon Bourgogne ARS Bourgogne Franche Comté Evolution of parameters
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Affiliation(s)
- F Chague
- University Hospital Center Dijon Bourgogne, Cardiology Department, Dijon, France
| | - F Carre
- Hospital Pontchaillou of Rennes, Sport medicine department, Rennes, France
| | - A Gudjoncik
- University Hospital Center Dijon Bourgogne, Cardiology Department, Dijon, France
| | - C Richard
- University Hospital Center Dijon Bourgogne, Cardiology Department, Dijon, France
| | - F Compagnon
- General Hospital, Emergency department, Coulommiers, France
| | - O Ganancia
- Groupe Hospitalier Paris Saint-Joseph, Emergency department, Paris, France
| | - V Pasquereau
- General Hospital, Intensive Care Unit, Mantes La Jolie, France
| | - M Zeller
- University of Bourgogne Franche Comte, Equipe PEC2, EA 7460, UFR Sciences de Santé, Dijon, France
| | - Y Cottin
- University Hospital Center Dijon Bourgogne, Cardiology Department, Dijon, France
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Thiruvalluvar AA, Sridharan M, Rajendra Prasad KJ, Zeller M. Synthesis and crystal structure of 1-hy-droxy-8-methyl-9 H-carbazole-2-carbaldehyde. Acta Crystallogr E Crystallogr Commun 2021; 77:867-870. [PMID: 34584751 PMCID: PMC8423023 DOI: 10.1107/s2056989021007210] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2021] [Accepted: 07/13/2021] [Indexed: 11/17/2022]
Abstract
Two crystallographically independent mol-ecules are present in the asymmetric unit of the title compound, C14H11NO2, with virtually identical geometries. The carbazole units are planar. The hy-droxy group at position 1, carbaldehyde group at position 2, and methyl group at position 8 (with the exception of two H atoms) are coplanar with the attached benzene rings. The dihedral angle between the two benzene rings is 2.20 (9)° in mol-ecule A and 2.01 (9)° in mol-ecule B. The pyrrole ring makes dihedral angles of 0.82 (10) and 1.40 (10)° [0.84 (10) and 1.18 (10)° in mol-ecule B] with the (-CH3)-substituted and (-OH and -CHO) substituted benzene rings, respectively. The mol-ecular structure is stabilized by the intra-molecular O-H⋯O hydrogen bonds, while the crystal structure features N-H⋯O and C-H⋯O hydrogen bonds. A range of π-π contacts further stabilizes the crystal structure.
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Affiliation(s)
- Aravazhi Amalan Thiruvalluvar
- Principal (Retired), Kunthavai Naacchiyaar Government Arts College for Women (Autonomous), Thanjavur 613 007, Tamilnadu, India
| | - M. Sridharan
- Department of Chemistry, RV College of Engineering, Bangalore 560 059, Karnataka, India
| | - K. J. Rajendra Prasad
- Department of Chemistry, Bharathiar University, Coimbatore 641 046, Tamilnadu, India
| | - M. Zeller
- Department of Chemistry, Purdue University, West Lafayette, IN 47907-2084, USA
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Hagihara KM, Bukalo O, Zeller M, Aksoy-Aksel A, Karalis N, Limoges A, Rigg T, Campbell T, Mendez A, Weinholtz C, Mahn M, Zweifel LS, Palmiter RD, Ehrlich I, Lüthi A, Holmes A. Intercalated amygdala clusters orchestrate a switch in fear state. Nature 2021; 594:403-407. [PMID: 34040259 DOI: 10.1038/s41586-021-03593-1] [Citation(s) in RCA: 52] [Impact Index Per Article: 17.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2020] [Accepted: 04/28/2021] [Indexed: 12/14/2022]
Abstract
Adaptive behaviour necessitates the formation of memories for fearful events, but also that these memories can be extinguished. Effective extinction prevents excessive and persistent reactions to perceived threat, as can occur in anxiety and 'trauma- and stressor-related' disorders1. However, although there is evidence that fear learning and extinction are mediated by distinct neural circuits, the nature of the interaction between these circuits remains poorly understood2-6. Here, through a combination of in vivo calcium imaging, functional manipulations, and slice physiology, we show that distinct inhibitory clusters of intercalated neurons (ITCs) in the mouse amygdala exert diametrically opposed roles during the acquisition and retrieval of fear extinction memory. Furthermore, we find that the ITC clusters antagonize one another through mutual synaptic inhibition and differentially access functionally distinct cortical- and midbrain-projecting amygdala output pathways. Our findings show that the balance of activity between ITC clusters represents a unique regulatory motif that orchestrates a distributed neural circuitry, which in turn regulates the switch between high- and low-fear states. These findings suggest that the ITCs have a broader role in a range of amygdala functions and associated brain states that underpins the capacity to adapt to salient environmental demands.
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Affiliation(s)
- Kenta M Hagihara
- Friedrich Miescher Institute for Biomedical Research, Basel, Switzerland.,University of Basel, Basel, Switzerland
| | - Olena Bukalo
- Laboratory of Behavioral and Genomic Neuroscience, National Institute on Alcohol Abuse and Alcoholism, NIH, Bethesda, MD, USA
| | - Martin Zeller
- Hertie Institute for Clinical Brain Research, Tübingen, Germany.,Centre for Integrative Neuroscience, Tübingen, Germany
| | - Ayla Aksoy-Aksel
- Hertie Institute for Clinical Brain Research, Tübingen, Germany.,Centre for Integrative Neuroscience, Tübingen, Germany.,Department of Neurobiology, Institute of Biomaterials and Biomolecular Systems, University of Stuttgart, Stuttgart, Germany
| | - Nikolaos Karalis
- Friedrich Miescher Institute for Biomedical Research, Basel, Switzerland
| | - Aaron Limoges
- Laboratory of Behavioral and Genomic Neuroscience, National Institute on Alcohol Abuse and Alcoholism, NIH, Bethesda, MD, USA
| | - Tanner Rigg
- Laboratory of Behavioral and Genomic Neuroscience, National Institute on Alcohol Abuse and Alcoholism, NIH, Bethesda, MD, USA
| | - Tiffany Campbell
- Laboratory of Behavioral and Genomic Neuroscience, National Institute on Alcohol Abuse and Alcoholism, NIH, Bethesda, MD, USA
| | - Adriana Mendez
- Laboratory of Behavioral and Genomic Neuroscience, National Institute on Alcohol Abuse and Alcoholism, NIH, Bethesda, MD, USA
| | - Chase Weinholtz
- Laboratory of Behavioral and Genomic Neuroscience, National Institute on Alcohol Abuse and Alcoholism, NIH, Bethesda, MD, USA
| | - Mathias Mahn
- Friedrich Miescher Institute for Biomedical Research, Basel, Switzerland
| | - Larry S Zweifel
- Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, USA.,Department of Pharmacology, University of Washington, Seattle, WA, USA
| | - Richard D Palmiter
- Howard Hughes Medical Institute, University of Washington, Seattle, WA, USA.,Department of Biochemistry, University of Washington, Seattle, WA, USA.,Department of Genome Sciences, University of Washington, Seattle, WA, USA
| | - Ingrid Ehrlich
- Hertie Institute for Clinical Brain Research, Tübingen, Germany.,Centre for Integrative Neuroscience, Tübingen, Germany.,Department of Neurobiology, Institute of Biomaterials and Biomolecular Systems, University of Stuttgart, Stuttgart, Germany
| | - Andreas Lüthi
- Friedrich Miescher Institute for Biomedical Research, Basel, Switzerland. .,University of Basel, Basel, Switzerland.
| | - Andrew Holmes
- Laboratory of Behavioral and Genomic Neuroscience, National Institute on Alcohol Abuse and Alcoholism, NIH, Bethesda, MD, USA.
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Chague F, Boulin M, Eicher JC, Bichat F, Saint-Jalmes M, Cransac-Miet A, Trojak B, Soudry A, Danchin N, Laurent G, Cottin Y, Zeller M. Smoking and associated unhealthy lifestyle behaviours in patients with chronic cardiac diseases during COVID-19 related lockdown. Eur J Prev Cardiol 2021. [PMCID: PMC8136031 DOI: 10.1093/eurjpc/zwab061.293] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Funding Acknowledgements Type of funding sources: Public hospital(s). Main funding source(s): Dijon University Hospital France OnBehalf CLEO-CD Background Lockdown can affect tobacco smoking (TS) behaviours. Purpose To evaluate the impact of lockdown on (TS) and associated lifestyle behaviours in patients with Chronic coronary syndrome (CCS) and congestive heart failure (CHF) Methods CCS and CHF patients were invited to answer to a phone-call questionnaire during the 1st COVID-19 lockdown start Results (Table) 343 questionnaires were fit for analysis, 43 (12.5%) were current smokers (CS). CS were younger (p < 0.001), none stopped and 13 increased their consumption (main reasons were stress and boredom). CS felt more often cramped (p = 0.023). CS who increased their TS consumption showed a trend toward a higher rate of unhealthy lifestyle behaviours Conclusions During the lockdown, more than ¼ of CS with CCS or CHF increased their TS consumption and none quitted. Moreover, TS was often associated with other deleterious behaviours increasing their risk for short and long term Main results | Total | Non-Smokers | Smokers | p* |
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N(%) | 344 | 301 | 43 | | Age, years | 67.7 ± 12.8 | 69.2 ± 12.2 | 57.2 ± 12.1 | <0.001 | Men/Women | 229/115 | 197/104 | 32/11 | 0.300 | CCS/CHF | 220/124 | 185/116 | 36/7 | 0.004 | Urban/Rural | 163/181 | 137/164 | 26/17 | 0.073 | Living alone at home | 83(24.3) | 68(22.7) | 15(34.9) | 0.089 | COVID screening (PCR) | 11(3.2) | 7(2.3) | 4(9.3) | 0.037 | Feeling cramped | 19(5.5) | 13(4.4) | 6(14.0) | 0.023 | Feeling less well | 75(21.9) | 65(21.7) | 10(23.8) | 0.842 | K6 ≥ 5 | 81(23.7) | 70(23.5) | 11(25.6) | 0.845 | Physical activity decrease | 146(42.6) | 125(42.1) | 21(48.8) | 0.323 | Screen time increase | 154(45.0) | 130(43.5) | 24(55.8) | 0.100 | Alcohol consumption increase | 14(5.5) | 11(4.9) | 3(7.5) | 0.419 | Sleep change | 83(24.6) | 68(22.5) | 15(39.5) | 0.083 | Weight increase | 77(22.4) | 64(21.3) | 13(30.2) | 0.242 | Smokers (n = 43) | Smoking increase | No smoking increase | p** | Feeling less well | 5(38.5) | 5(17.2) | 0.238 | Screen time increase | 10(76.9) | 14(46.7) | 0.104 | Weight increase | 6(46.2) | 7(23.3) | 0.173 |
n(%) or mean ± SD. *p value: Smokers vs non smokers. **p value: Smoking increase vs no smoking increase
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Affiliation(s)
- F Chague
- University Hospital Center, Cardiology, Dijon, France
| | - M Boulin
- University Hospital Center, Pharmacy, Dijon, France
| | - JC Eicher
- University Hospital Center, Cardiology, Dijon, France
| | - F Bichat
- University Hospital Center, Cardiology, Dijon, France
| | | | | | - B Trojak
- University Hospital Center, Psychiatry, Dijon, France
| | - A Soudry
- University Hospital Center, Clinical Research, Dijon, France
| | - N Danchin
- European Hospital Georges Pompidou, Cardiology, Paris, France
| | - G Laurent
- University Hospital Center, Cardiology, Dijon, France
| | - Y Cottin
- University Hospital Center, Cardiology, Dijon, France
| | - M Zeller
- University of Bourgogne Franche-Comté, PEC2, EA 7460, Dijon, France
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Chague F, Boulin M, Eicher JC, Bichat F, Saint-Jalmes M, Cransac-Miet A, Soudry A, Danchin N, Laurent G, Cottin Y, Zeller M. Impact of lockdown in patients with congestive heart failure during the Covid-19 pandemic. Eur J Prev Cardiol 2021. [PMCID: PMC8136091 DOI: 10.1093/eurjpc/zwab061.031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
Funding Acknowledgements Type of funding sources: Private company. Main funding source(s): Dijon Football Côte d"Or OnBehalf CLEO-CD Background Congestive heart failure (CHF) can be destabilized by Covid-19 (C19) lockdown. Purpose To evaluate the impact of lockdown in CHF patients. Methods 150 out-patients from the HF Clinic of our hospital were invited to answer to a phone-call interview during the 7th week of first C19 lockdown . Results From 124 questionnaires, more than 1/5 felt worse and almost 1/4 declared a psychologic distress. CHF medications were modified in 10%. Decrease in physical activity was observed in 2/5. Almost 1/2 declared increased screen time; smokers often increased consumption. Adherence to dietary counselling was reduced by 1/6, increase in weight and HF symptoms were common. Some patients benefitted from a teleconsultation. Conclusions Our patients exhibited well-being impairment and unhealthy behaviours. Medication adherence was not diminished and the reduction in care access was counterbalanced by a switch toward telehealth. Main results | 124 patients | 75 Male (M) | 49 Female (F) | p value between M and F |
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Age, years | 71.0 ± 14.0 | 68.9 ± 13.7 | 74.3 ± 14.0 | 0.03 | Urban/Rural | 82/42 | 49/26 | 33/16 | 0.84 | HFrEF* | 87 | 62 | 25 | <0.001 | Dilated cardiomyopathy | 50 | 37 | 13 | 0.02 | Ischemic | 23 | 18 | 5 | 0.06 | Other | 51 | 20 | 31 | <0.0001 | Current NYHA class I/II/III/IV | 39/48/28/9 | 29/29/14/3 | 10/19/14/6 | 0.66 | History of NYHA III-IV class | 94 | 62 | 32 | 0.03 | Electronic device/Telemonitoring | 77/28 | 54/18 | 23/10 | <0.001/0.66 | Increase in dyspnea or edema or fatigue | 27 | 13 | 14 | 0.07 | Decrease in well-being | 27 | 12 | 15 | 0.07 | Psychological distress (#) | 23 | 15 (20.0) | 8 | 0.64 | Weight gain > 2 kg | 34 | 22 (29.3) | 12 | 0.68 | Switch for teleconsultation (##) | 16 | 11 (34.4) | 5 | 1 | Teleconsultation (total) | 23 | 14 | 9 | 1 | Decrease in physical activity | 52 | 25 (33.3) | 27 | 0.02 | Increase in screen time | 57 | 31 (41.3) | 26 | 0.27 | Increase in cigarette consumption (9 smokers) | 4 | 3 | 1 | 1 | Decrease in dietary adherence (###) | 22 (17.7) | 15 (20.0) | 7 (14.3) | 0.47 |
*HFrEF; # Kessler-6 score ≥ 5; ## from planned physical examination; ### salt, water, alcohol
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Affiliation(s)
- F Chague
- University Hospital Center, Cardiology, Dijon, France
| | - M Boulin
- University Hospital Center, Pharmacy, Dijon, France
| | - JC Eicher
- University Hospital Center, Cardiology, Dijon, France
| | - F Bichat
- University Hospital Center, Cardiology, Dijon, France
| | | | | | - A Soudry
- University Hospital Center, Clinical Research, Dijon, France
| | - N Danchin
- European Hospital Georges Pompidou, Cardiology, Paris, France
| | - G Laurent
- University Hospital Center, Cardiology, Dijon, France
| | - Y Cottin
- University Hospital Center, Cardiology, Dijon, France
| | - M Zeller
- University of Bourgogne Franche-Comté, PEC2, EA 7460, Dijon, France
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Chague F, Cransac-Miet A, Boulin M, Saint-Jalmes M, Bichat F, Soudry A, Danchin N, Zeller M, Cottin Y. During the Covid-19 lockdown, rural residence is associated to healthier lifestyle behaviours in patients with chronic coronary syndrom. Eur J Prev Cardiol 2021. [PMCID: PMC8136086 DOI: 10.1093/eurjpc/zwab061.064] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/02/2022]
Abstract
Funding Acknowledgements Type of funding sources: Private company. Main funding source(s): Dijon Football Côte d"Or OnBehalf CLEO-CD Background Lifestyle behaviours (LB) are keystones of coronary prevention and might be impacted during Covid-19 (C19) lockdown. Purpose To compare the LB in urban and rural patients suffering from chronic coronary syndrom (CCS) Methods 250 outpatients suffering from CCS were invited during the 6th week of the 1st C19 lockdown to answer to a phone-call questionnaire. Results 220 questionnaires were fit for analysis, of whom about 1/4 declared a psychologic impairment; people staying at home in urban zones trended to be more impacted. Unhealthier behaviours including cigarette smoking, decrease in physical activity and increase in screentime were common, especially in patients from urban zones. Telehealth partially counterbalanced limitation in care access and none declared discontinuation of medications. Conclusion The lockdown impacted wellbeing of CCS patients; living in rural zone was associated with a healthier LB. Main results | TOTAL | URBAN | RURAL | |
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N (%) | 220 | 107 | 113 | p * | Age (years, SD) | 66.4+/-12.0 | 64.5+/-14.0 | 68.2+/-9.5 | 0.02 | Male/Female | 154/66 | 76/31 | 78/35 | 0.77 | Alone at home | 47(21.7) | 28(26.2) | 19(17.3) | 0.13 | Feeling cramped | 16(7.6) | 13(12.5) | 3(2.8) | 0.008 | Feeling less well | 50(22.9) | 29(27.1) | 21(18.9) | 0.19 | Kessler-6 score ≥ 5 | 57(26.8) | 33(32.0) | 24(21.8)) | 0.12 | Sleep impairment | 53(24.5) | 30(28.6) | 23(20.7) | 0.20 | Angina pectorisdestabilization | 13(6.6) | 8(7.9) | 5(5.3) | 0.57 | Cancelled physical examination** | 67(63.8) | 40(65.6) | 27(61.4) | 0.68 | Switched to Telehealth*** | 16(17.0) | 7(17.5) | 9(16.7) | 1 | Coronavirus testing | 7(3.2) | 3(2.8) | 4(3.6) | 1 | Lifestyle behaviours | | | | | Cigarette smoking | 36(16.4) | 26(23.3) | 10(9.3) | 0.006 | Cigarette smoking increase | 11(30.6) | 8(40.0) | 3(18.8) | 0.27 | Decreased physical activity | 96(44.2) | 56(53.3) | 40(35.7) | 0.009 | Screentime increase | 98(45.0) | 59(55.1) | 39(35.1) | 0.004 | Alcohol intake increase | 10(5.2) | 5(5.3) | 5(5.2) | 1 | Weight increase ≥ 2 kg | 52(24.5) | 28(26.9) | 24(22.2) | 0.52 |
* between Urban and Rural **from scheduled physical examination ***from cancelled scheduled physical examination
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Affiliation(s)
- F Chague
- University Hospital Center, Cardiology, Dijon, France
| | | | - M Boulin
- University Hospital Center, Pharmacy, Dijon, France
| | | | - F Bichat
- University Hospital Center, Cardiology, Dijon, France
| | - A Soudry
- University Hospital Center, Clinical Research, Dijon, France
| | - N Danchin
- European Hospital Georges Pompidou, Cardiology, Paris, France
| | - M Zeller
- University of Bourgogne Franche-Comté, PEC2, EA 7460, Dijon, France
| | - Y Cottin
- University Hospital Center, Cardiology, Dijon, France
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Farnier M, Yao C, Hounton N, Maza M, Chagué F, Bichat F, Beer J, Lagrost L, Masson D, Cottin Y, Zeller M. High levels of lipoprotein(a) are associated with the severity of coronary disease in patients with acute myocardial infarction. Data from the RICO survey. Archives of Cardiovascular Diseases Supplements 2021. [DOI: 10.1016/j.acvdsp.2020.10.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Chagué F, Hounton N, Lhuillier I, Guinchard S, Maza M, Massenot J, Bichat F, Saint-Jalmes M, Cottin Y, Zeller M. Sport-related acute myocardial infarction; Context of onset and one-year follow-up. Archives of Cardiovascular Diseases Supplements 2021. [DOI: 10.1016/j.acvdsp.2020.10.240] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Mertz V, Maalem Ben Messaoud B, Laurent G, Bisson A, Eicher JC, Bodin A, Herbert J, Zeller M, Cottin Y, Fauchier L. Atrial fibrillation with our with-out structural abnormalities. Archives of Cardiovascular Diseases Supplements 2021. [DOI: 10.1016/j.acvdsp.2020.10.208] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Pommier T, Lairet C, Leclercq T, Guenancia C, Carré M, Auvens C, Lalande A, Maza M, Zeller M, Cochet A, Bonnotte B, Cottin Y. Antinuclear antibodies in “infarct like” acute myocarditis: Change in prognosis? Archives of Cardiovascular Diseases Supplements 2021. [DOI: 10.1016/j.acvdsp.2020.10.330] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Putot A, Chagué F, Manckoundia P, Brunet D, Beer J, Cottin Y, Zeller M. Post-infectious myocardial Infarction: Does percutaneous coronary intervention improve outcomes? A propensity-score matched analysis. Archives of Cardiovascular Diseases Supplements 2021. [DOI: 10.1016/j.acvdsp.2020.10.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Chagué F, Carré F, Gudjoncik A, Richard C, Compagnon F, Ganansia O, Pasquereau V, Zeller M, Cottin Y. Beta-receptor desensitization evoked by a multistage ultralong distance exercise in the desert? Archives of Cardiovascular Diseases Supplements 2021. [DOI: 10.1016/j.acvdsp.2020.10.244] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Pommier T, Leclerc T, Guenancia C, Tisserand S, Alaa El Din A, Lalande A, Lairet C, Maza M, Zeller M, Cochet A, Cottin Y. More than 50% of non-healing at one year in “infarct-like” acute myocarditis evaluated by cardiac magnetic resonance. Archives of Cardiovascular Diseases Supplements 2021. [DOI: 10.1016/j.acvdsp.2020.10.042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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47
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Pommier T, Leclercq T, Guenancia C, Tisserand S, Carré M, Alaa El Din A, Lairet C, Lalande A, Maza M, Zeller M, Cochet A, Cottin Y. More than 30% of symptomatic patients at one year in “infarct like” acute myocarditis. Archives of Cardiovascular Diseases Supplements 2021. [DOI: 10.1016/j.acvdsp.2020.10.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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48
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Chagué F, Boulin M, Eicher J, Bichat F, Saint-Jalmes M, Cransac A, Trojak B, Soudry A, Danchin N, Cottin Y, Zeller M. Alarming increased rate of smoking and associated lifestyle behaviours in patients with chronic cardiac diseases during COVID-19 pandemic related lockdown. Archives of Cardiovascular Diseases Supplements 2021. [PMCID: PMC8719932 DOI: 10.1016/j.acvdsp.2020.10.265] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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49
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Beltramo G, Cransac A, Favrolt N, Spanjaard M, Zeller M, Cottin Y, Boulin M, Bonniaud P. Impact of the COVID-19 lockdown on patients suffering from idiopathic interstitial pneumonia. Respir Med Res 2020; 79:100808. [PMID: 33422721 PMCID: PMC7833874 DOI: 10.1016/j.resmer.2020.100808] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2020] [Revised: 11/26/2020] [Accepted: 12/01/2020] [Indexed: 12/02/2022]
Affiliation(s)
- G Beltramo
- Department of pulmonary medicine and intensive care unit, Reference Constitutive Center For Rare Pulmonary Diseases, university hospital, Bourgogne-Franche-Comté, 21000 Dijon, France; Inserm LNC - UMR 1231, 21000 Dijon, France; University of Bourgogne-Franche-Comté, 21000 Dijon, France
| | - A Cransac
- Inserm LNC - UMR 1231, 21000 Dijon, France; University of Bourgogne-Franche-Comté, 21000 Dijon, France; Pharmacy department, university hospital, 21000 Dijon, France
| | - N Favrolt
- Department of pulmonary medicine and intensive care unit, Reference Constitutive Center For Rare Pulmonary Diseases, university hospital, Bourgogne-Franche-Comté, 21000 Dijon, France
| | - M Spanjaard
- Department of pulmonary medicine and intensive care unit, Reference Constitutive Center For Rare Pulmonary Diseases, university hospital, Bourgogne-Franche-Comté, 21000 Dijon, France; University of Bourgogne-Franche-Comté, 21000 Dijon, France
| | - M Zeller
- PEC2, EA 7460, 21000 Dijon, France
| | - Y Cottin
- University of Bourgogne-Franche-Comté, 21000 Dijon, France; Cardiology department, university hospital, 21000 Dijon, France
| | - M Boulin
- Inserm LNC - UMR 1231, 21000 Dijon, France; University of Bourgogne-Franche-Comté, 21000 Dijon, France; Pharmacy department, university hospital, 21000 Dijon, France
| | - P Bonniaud
- Department of pulmonary medicine and intensive care unit, Reference Constitutive Center For Rare Pulmonary Diseases, university hospital, Bourgogne-Franche-Comté, 21000 Dijon, France; Inserm LNC - UMR 1231, 21000 Dijon, France; University of Bourgogne-Franche-Comté, 21000 Dijon, France.
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50
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Praliaud R, Hélène G, Samson M, Zeller M, Boulin M, Bielefeld P, Ramon A, Cottin Y, Bonnotte B. Impact du confinement dû au COVID-19 sur la prise en charge et le contrôle de l’artérite à cellules géantes. Rev Med Interne 2020. [DOI: 10.1016/j.revmed.2020.10.036] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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