1
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Pérez-Torre P, López-Sendón JL, Mañanes Barral V, Parees I, Fanjul-Arbós S, Monreal E, Alonso-Canovas A, Martínez Castrillo JC. Concomitant treatment with safinamide and antidepressant drugs: Safety data from real clinical practice. Neurologia 2024; 39:340-344. [PMID: 38616061 DOI: 10.1016/j.nrleng.2021.08.005] [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] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2021] [Accepted: 08/04/2021] [Indexed: 04/16/2024] Open
Abstract
BACKGROUND AND PURPOSE The aim of this study was to assess the possible pharmacological interactions between safinamide and antidepressants, and in particular the appearance of serotonin syndrome with data from real life. METHODS We conducted a retrospective observational study of patients with Parkinson's disease from our Movement Disorders Unit, who were under treatment with any antidepressant drug and safinamide. Specifically, symptoms suggestive of serotonin syndrome were screened for. Also, we collected time of simultaneous use, doses of levodopa and other antiparkinsonian drugs. RESULTS Clinical records were reviewed for the study period of September 2018 to September 2019. Seventy-eight PD patients who were treated with safinamide of which 25 (32.05%) had a concomitant treatment with an antidepressant drug, being sertraline and escitalopram the most frequent. Mean age was 80 years±8.43 and H&Y stage was 3 [2-4]. Mean dose of levodopa used was 703.75mg±233.15. Median duration of concomitant treatment with safinamide and antidepressant drug was 6 months (IQR 20.5), and over eighteen months in 5 cases. No case of serotonin syndrome was recorded, neither was any of its typical manifestations combined or in isolation. CONCLUSIONS Our real clinical practice study suggests that concomitant use of safinamide with antidepressant drugs in PD patients seemed to be safe and well tolerated, even in the long term. However, caution is warranted, individualizing treatment regimens and monitoring the potential appearance of adverse effects.
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Affiliation(s)
- P Pérez-Torre
- Movement Disorders Unit, Neurology Department, Ramón y Cajal Hospital, Madrid, Spain.
| | - J L López-Sendón
- Movement Disorders Unit, Neurology Department, Ramón y Cajal Hospital, Madrid, Spain
| | - V Mañanes Barral
- Neuropsychology, Movement Disorders Unit, Neurology Department, IRYCIS, Hospital Ramón y Cajal, Madrid, Spain
| | - I Parees
- Movement Disorders Unit, Neurology Department, Ramón y Cajal Hospital, Madrid, Spain
| | - S Fanjul-Arbós
- Movement Disorders Unit, Neurology Department, Ramón y Cajal Hospital, Madrid, Spain
| | - E Monreal
- Movement Disorders Unit, Neurology Department, Ramón y Cajal Hospital, Madrid, Spain
| | - A Alonso-Canovas
- Movement Disorders Unit, Neurology Department, Ramón y Cajal Hospital, Madrid, Spain
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2
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Jurado-Román A, Galeote G, Jiménez-Valero S, Ofelia Rosillo S, Moreno R, López-Sendón JL. Perforaci�n del tronco coronario izquierdo tras aterectom�a rotacional. RECIC 2022. [DOI: 10.24875/recic.m20000099] [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: 11/17/2022] Open
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3
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Rodríguez-Jorge F, Beltrán-Corbellini Á, Chico-García JL, Parra-Díaz P, Baena-Álvarez B, Pagonabarraga J, Pérez-Torre P, Pareés I, López-Sendón JL, Martínez-Castrillo JC, Alonso-Cánovas A. Efficacy and safety of high doses of safinamide in advanced Parkinson disease. Parkinsonism Relat Disord 2022; 97:73-74. [PMID: 35344893 DOI: 10.1016/j.parkreldis.2022.03.010] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/11/2022] [Revised: 03/04/2022] [Accepted: 03/13/2022] [Indexed: 10/18/2022]
Affiliation(s)
- Fernando Rodríguez-Jorge
- Movement Disorders Unit. Neurology Department, University Hospital Ramón y Cajal, Madrid, Spain.
| | | | - J L Chico-García
- Movement Disorders Unit. Neurology Department, University Hospital Ramón y Cajal, Madrid, Spain
| | - Paloma Parra-Díaz
- Movement Disorders Unit. Neurology Department, University Hospital Ramón y Cajal, Madrid, Spain
| | - Belén Baena-Álvarez
- Movement Disorders Unit. Neurology Department, University Hospital Ramón y Cajal, Madrid, Spain
| | - Javier Pagonabarraga
- Movement Disorders Unit. Neurology Department, University Hospital Santa Creu i Sant Pau, Barcelona, Spain
| | - Paula Pérez-Torre
- Movement Disorders Unit. Neurology Department, University Hospital Ramón y Cajal, Madrid, Spain
| | - Isabel Pareés
- Movement Disorders Unit. Neurology Department, University Hospital Ramón y Cajal, Madrid, Spain
| | - J L López-Sendón
- Movement Disorders Unit. Neurology Department, University Hospital Ramón y Cajal, Madrid, Spain
| | - J C Martínez-Castrillo
- Movement Disorders Unit. Neurology Department, University Hospital Ramón y Cajal, Madrid, Spain
| | - Araceli Alonso-Cánovas
- Movement Disorders Unit. Neurology Department, University Hospital Ramón y Cajal, Madrid, Spain
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4
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Gonzálvez-García A, Jurado-Román A, Jiménez-Valero S, Galeote G, Moreno y R, López-Sendón JL. Exclusi�n incompleta de aneurisma gigante por acortamiento de stent PK-Papyrus. RECIC 2022. [DOI: 10.24875/recic.m20000180] [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: 11/17/2022] Open
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5
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Picó S, Parras A, Santos-Galindo M, Pose-Utrilla J, Castro M, Fraga E, Hernández IH, Elorza A, Anta H, Wang N, Martí-Sánchez L, Belloc E, Garcia-Esparcia P, Garrido JJ, Ferrer I, Macías-García D, Mir P, Artuch R, Pérez B, Hernández F, Navarro P, López-Sendón JL, Iglesias T, Yang XW, Méndez R, Lucas JJ. CPEB alteration and aberrant transcriptome-polyadenylation lead to a treatable SLC19A3 deficiency in Huntington's disease. Sci Transl Med 2021; 13:eabe7104. [PMID: 34586830 DOI: 10.1126/scitranslmed.abe7104] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
[Figure: see text].
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Affiliation(s)
- Sara Picó
- Center for Molecular Biology "Severo Ochoa" (CBMSO) CSIC/UAM, Madrid, 28049, Spain.,Networking Research Center on Neurodegenerative Diseases (CIBERNED), Instituto de Salud Carlos III, Madrid, 28031, Spain
| | - Alberto Parras
- Center for Molecular Biology "Severo Ochoa" (CBMSO) CSIC/UAM, Madrid, 28049, Spain.,Networking Research Center on Neurodegenerative Diseases (CIBERNED), Instituto de Salud Carlos III, Madrid, 28031, Spain
| | - María Santos-Galindo
- Center for Molecular Biology "Severo Ochoa" (CBMSO) CSIC/UAM, Madrid, 28049, Spain.,Networking Research Center on Neurodegenerative Diseases (CIBERNED), Instituto de Salud Carlos III, Madrid, 28031, Spain
| | - Julia Pose-Utrilla
- Networking Research Center on Neurodegenerative Diseases (CIBERNED), Instituto de Salud Carlos III, Madrid, 28031, Spain.,Instituto de Investigaciones Biomédicas "Alberto Sols," Consejo Superior de Investigaciones Científicas-Universidad Autónoma de Madrid (CSIC-UAM), Madrid 28029, Spain
| | - Margarita Castro
- Center for Molecular Biology "Severo Ochoa" (CBMSO) CSIC/UAM, Madrid, 28049, Spain.,Centro de Diagnóstico de Enfermedades Moleculares (CEDEM), Madrid 28049, Spain.,Centro de Investigación Biomédica en Red de Enfermedades Raras (CIBERER), ISCIII, Madrid,28029, Spain
| | - Enrique Fraga
- Center for Molecular Biology "Severo Ochoa" (CBMSO) CSIC/UAM, Madrid, 28049, Spain.,Networking Research Center on Neurodegenerative Diseases (CIBERNED), Instituto de Salud Carlos III, Madrid, 28031, Spain
| | - Ivó H Hernández
- Center for Molecular Biology "Severo Ochoa" (CBMSO) CSIC/UAM, Madrid, 28049, Spain.,Networking Research Center on Neurodegenerative Diseases (CIBERNED), Instituto de Salud Carlos III, Madrid, 28031, Spain.,Facultad de Ciencias, Departamento de Biología (Unidad Docente Fisiología Animal), Universidad Autónoma de Madrid, Madrid 28049, Spain
| | - Ainara Elorza
- Center for Molecular Biology "Severo Ochoa" (CBMSO) CSIC/UAM, Madrid, 28049, Spain.,Networking Research Center on Neurodegenerative Diseases (CIBERNED), Instituto de Salud Carlos III, Madrid, 28031, Spain
| | - Héctor Anta
- Cancer Research Program, Hospital del Mar Medical Research Institute (IMIM), Unidad Asociada I+D+i IMIM-IIBB (CSIC), Barcelona 08003, Spain.,Institute for Research in Biomedicine (IRB), Barcelona Institute of Science and Technology, Barcelona 08028, Spain
| | - Nan Wang
- Center for Neurobehavioral Genetics, Jane and Terry Semel Institute for Neuroscience and Human Behavior, David Geffen School of Medicine at UCLA, Los Angeles, CA 90095, USA
| | - Laura Martí-Sánchez
- Centro de Investigación Biomédica en Red de Enfermedades Raras (CIBERER), ISCIII, Madrid,28029, Spain.,Department of Clinical Biochemistry, Institut de Recerca Sant Joan de Déu, Barcelona 08950, Spain
| | - Eulàlia Belloc
- Institute for Research in Biomedicine (IRB), Barcelona Institute of Science and Technology, Barcelona 08028, Spain
| | - Paula Garcia-Esparcia
- Networking Research Center on Neurodegenerative Diseases (CIBERNED), Instituto de Salud Carlos III, Madrid, 28031, Spain.,Institute of Neuropathology, IDIBELL-University Hospital Bellvitge, University of Barcelona, Hospitalet de Llobregat, Barcelona 08908, Spain
| | - Juan J Garrido
- Networking Research Center on Neurodegenerative Diseases (CIBERNED), Instituto de Salud Carlos III, Madrid, 28031, Spain.,Department of Molecular, Cellular, and Developmental Neurobiology, Instituto Cajal (CSIC), Madrid 28002, Spain
| | - Isidro Ferrer
- Networking Research Center on Neurodegenerative Diseases (CIBERNED), Instituto de Salud Carlos III, Madrid, 28031, Spain.,Institute of Neuropathology, IDIBELL-University Hospital Bellvitge, University of Barcelona, Hospitalet de Llobregat, Barcelona 08908, Spain
| | - Daniel Macías-García
- Networking Research Center on Neurodegenerative Diseases (CIBERNED), Instituto de Salud Carlos III, Madrid, 28031, Spain.,Unidad de Trastornos del Movimiento, Servicio de Neurología y Neurofisiología Clínica, Instituto de Biomedicina de Sevilla (IBiS), Hospital Universitario Virgen del Rocío/CSIC/Universidad de Sevilla, Sevilla 41013, Spain
| | - Pablo Mir
- Networking Research Center on Neurodegenerative Diseases (CIBERNED), Instituto de Salud Carlos III, Madrid, 28031, Spain.,Unidad de Trastornos del Movimiento, Servicio de Neurología y Neurofisiología Clínica, Instituto de Biomedicina de Sevilla (IBiS), Hospital Universitario Virgen del Rocío/CSIC/Universidad de Sevilla, Sevilla 41013, Spain
| | - Rafael Artuch
- Centro de Investigación Biomédica en Red de Enfermedades Raras (CIBERER), ISCIII, Madrid,28029, Spain.,Department of Clinical Biochemistry, Institut de Recerca Sant Joan de Déu, Barcelona 08950, Spain
| | - Belén Pérez
- Center for Molecular Biology "Severo Ochoa" (CBMSO) CSIC/UAM, Madrid, 28049, Spain.,Centro de Diagnóstico de Enfermedades Moleculares (CEDEM), Madrid 28049, Spain.,Centro de Investigación Biomédica en Red de Enfermedades Raras (CIBERER), ISCIII, Madrid,28029, Spain
| | - Félix Hernández
- Center for Molecular Biology "Severo Ochoa" (CBMSO) CSIC/UAM, Madrid, 28049, Spain.,Networking Research Center on Neurodegenerative Diseases (CIBERNED), Instituto de Salud Carlos III, Madrid, 28031, Spain
| | - Pilar Navarro
- Cancer Research Program, Hospital del Mar Medical Research Institute (IMIM), Unidad Asociada I+D+i IMIM-IIBB (CSIC), Barcelona 08003, Spain.,Institute of Biomedical Research of Barcelona (IIBB-CSIC), Barcelona 08036, Spain.,Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona 08036, Spain
| | - José Luis López-Sendón
- Department of Neurology, Hospital Ramón y Cajal, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid 28034, Spain
| | - Teresa Iglesias
- Networking Research Center on Neurodegenerative Diseases (CIBERNED), Instituto de Salud Carlos III, Madrid, 28031, Spain.,Instituto de Investigaciones Biomédicas "Alberto Sols," Consejo Superior de Investigaciones Científicas-Universidad Autónoma de Madrid (CSIC-UAM), Madrid 28029, Spain
| | - X William Yang
- Center for Neurobehavioral Genetics, Jane and Terry Semel Institute for Neuroscience and Human Behavior, David Geffen School of Medicine at UCLA, Los Angeles, CA 90095, USA
| | - Raúl Méndez
- Institute for Research in Biomedicine (IRB), Barcelona Institute of Science and Technology, Barcelona 08028, Spain.,Institució Catalana de Recerca i Estudis Avançats (ICREA), Barcelona 08010, Spain
| | - José J Lucas
- Center for Molecular Biology "Severo Ochoa" (CBMSO) CSIC/UAM, Madrid, 28049, Spain.,Networking Research Center on Neurodegenerative Diseases (CIBERNED), Instituto de Salud Carlos III, Madrid, 28031, Spain
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6
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Galeote G, Hernández H, Caro Codón J, Moreno R, Pardo A, Guzmán G, Álvarez-Ortega C, Peinado R, López Soberón E, Jiménez Valero S, Sánchez-Recalde Á, Valbuena S, Yangüela y MM, López-Sendón JL. �ndice de calcificaci�n coronaria en la tomograf�a computarizada para predecir la necesidad de aterectom�a rotacional. RECIC 2021. [DOI: 10.24875/recic.m19000063] [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: 11/17/2022] Open
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7
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Pérez-Torre P, López-Sendón JL, Mañanes Barral V, Parees I, Fanjul-Arbós S, Monreal E, Alonso-Canovas A, Martínez Castrillo JC. Concomitant treatment with safinamide and antidepressant drugs: Safety data from real clinical practice. Neurologia 2021:S0213-4853(21)00129-8. [PMID: 34518027 DOI: 10.1016/j.nrl.2021.08.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2021] [Revised: 08/02/2021] [Accepted: 08/04/2021] [Indexed: 12/28/2022] Open
Abstract
BACKGROUND AND PURPOSE The aim of this study was to assess the possible pharmacological interactions between safinamide and antidepressants, and in particular the appearance of serotonin syndrome with data from real life. METHODS We conducted a retrospective observational study of patients with Parkinson's disease from our Movement Disorders Unit, who were under treatment with any antidepressant drug and safinamide. Specifically, symptoms suggestive of serotonin syndrome were screened for. Also, we collected time of simultaneous use, doses of levodopa and other antiparkinsonian drugs. RESULTS Clinical records were reviewed for the study period of September 2018 to September 2019. Seventy-eight PD patients who were treated with safinamide of which 25 (32.05%) had a concomitant treatment with an antidepressant drug, being sertraline and escitalopram the most frequent. Mean age was 80 years±8.43 and H&Y stage was 3 [2-4]. Mean dose of levodopa used was 703.75mg±233.15. Median duration of concomitant treatment with safinamide and antidepressant drug was 6 months (IQR 20.5), and over eighteen months in 5 cases. No case of serotonin syndrome was recorded, neither was any of its typical manifestations combined or in isolation. CONCLUSIONS Our real clinical practice study suggests that concomitant use of safinamide with antidepressant drugs in PD patients seemed to be safe and well tolerated, even in the long term. However, caution is warranted, individualizing treatment regimens and monitoring the potential appearance of adverse effects.
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Affiliation(s)
- P Pérez-Torre
- Movement Disorders Unit, Neurology Department, Ramón y Cajal Hospital, Madrid, Spain.
| | - J L López-Sendón
- Movement Disorders Unit, Neurology Department, Ramón y Cajal Hospital, Madrid, Spain
| | - V Mañanes Barral
- Neuropsychology, Movement Disorders Unit, Neurology Department, IRYCIS, Hospital Ramón y Cajal, Madrid, Spain
| | - I Parees
- Movement Disorders Unit, Neurology Department, Ramón y Cajal Hospital, Madrid, Spain
| | - S Fanjul-Arbós
- Movement Disorders Unit, Neurology Department, Ramón y Cajal Hospital, Madrid, Spain
| | - E Monreal
- Movement Disorders Unit, Neurology Department, Ramón y Cajal Hospital, Madrid, Spain
| | - A Alonso-Canovas
- Movement Disorders Unit, Neurology Department, Ramón y Cajal Hospital, Madrid, Spain
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8
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Gemma D, Moreno R, Larman M, Campante Teles R, Patricio L, Molina E, Gama Ribeiro V, Del Blanco BG, Arana Granado R, Jiménez Valero S, Galeote G, Hernández H, Irazusta Córdoba FJ, Serra y V, López-Sendón JL. Experiencia multicéntrica con prótesis valvular aórtica transcatéter de segunda generación reposicionable y recuperable. RECIC 2021. [DOI: 10.24875/recic.m19000084] [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: 11/17/2022] Open
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9
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Nieto-Marín P, Tinaquero D, Utrilla RG, Cebrián J, González-Guerra A, Crespo-García T, Cámara-Checa A, Rubio-Alarcón M, Dago M, Alfayate S, Filgueiras D, Peinado R, López-Sendón JL, Jalife J, Tamargo J, Bernal JA, Caballero R, Delpón E. Tbx5 variants disrupt Nav1.5 function differently in patients diagnosed with Brugada or Long QT Syndrome. Cardiovasc Res 2021; 118:1046-1060. [PMID: 33576403 DOI: 10.1093/cvr/cvab045] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/06/2020] [Revised: 12/22/2020] [Accepted: 02/04/2021] [Indexed: 12/14/2022] Open
Abstract
AIMS The transcription factor Tbx5 controls cardiogenesis and drives Scn5a expression in mice. We have identified two variants in TBX5 encoding p.D111Y and p.F206L Tbx5, respectively, in two unrelated patients with structurally normal hearts diagnosed with Long QT (LQTS) and Brugada (BrS) Syndrome. Here we characterized the consequences of each variant to unravel the underlying disease mechanisms. METHODS AND RESULTS We combined clinical analysis with in vivo and in vitro electrophysiological and molecular techniques in human induced pluripotent stem cell-derived cardiomyocytes (hiPSC-CMs), HL-1 cells, and cardiomyocytes from mice trans-expressing human wildtype (WT) or mutant proteins. Tbx5 increased transcription of SCN5A encoding cardiac Nav1.5 channels, while repressing CAMK2D and SPTBN4 genes encoding Ca-calmodulin kinase IIδ (CaMKIIδ) and βIV-spectrin, respectively. These effects significantly increased Na current (INa) in hiPSC-CMs and in cardiomyocytes from mice trans-expressing Tbx5. Consequently, action potential (AP) amplitudes increased and QRS interval narrowed in the mouse electrocardiogram. p.F206L Tbx5 bound to the SCN5A promoter failed to transactivate it, thus precluding the pro-transcriptional effect of WT Tbx5. Therefore, p.F206L markedly decreased INa in hiPSC-CM, HL-1 cells, and mouse cardiomyocytes. The INa decrease in p.F206L trans-expressing mice translated into QRS widening and increased flecainide sensitivity. p.D111Y Tbx5 increased SCN5A expression but failed to repress CAMK2D and SPTBN4. The increased CaMKIIδ and βIV-spectrin significantly augmented the late component of INa (INaL) which, in turn, significantly prolonged AP duration in both hiPSC-CMs and mouse cardiomyocytes. Ranolazine, a selective INaL inhibitor, eliminated the QT and QTc intervals prolongation seen in p.D111Y trans-expressing mice. CONCLUSIONS In addition to peak INa, Tbx5 critically regulates INaL and the duration of repolarization in human cardiomyocytes. Our original results suggest that TBX5 variants associate with and modulate the intensity of the electrical phenotype in LQTS and BrS patients.
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Affiliation(s)
- Paloma Nieto-Marín
- Department of Pharmacology and Toxicology. School of Medicine. Universidad Complutense de Madrid. Instituto de Investigación Gregorio Marañón. CIBERCV. 28040-Madrid, Spain
| | - David Tinaquero
- Department of Pharmacology and Toxicology. School of Medicine. Universidad Complutense de Madrid. Instituto de Investigación Gregorio Marañón. CIBERCV. 28040-Madrid, Spain
| | - Raquel G Utrilla
- Department of Pharmacology and Toxicology. School of Medicine. Universidad Complutense de Madrid. Instituto de Investigación Gregorio Marañón. CIBERCV. 28040-Madrid, Spain
| | - Jorge Cebrián
- Department of Pharmacology and Toxicology. School of Medicine. Universidad Complutense de Madrid. Instituto de Investigación Gregorio Marañón. CIBERCV. 28040-Madrid, Spain
| | | | - Teresa Crespo-García
- Department of Pharmacology and Toxicology. School of Medicine. Universidad Complutense de Madrid. Instituto de Investigación Gregorio Marañón. CIBERCV. 28040-Madrid, Spain
| | - Anabel Cámara-Checa
- Department of Pharmacology and Toxicology. School of Medicine. Universidad Complutense de Madrid. Instituto de Investigación Gregorio Marañón. CIBERCV. 28040-Madrid, Spain
| | - Marcos Rubio-Alarcón
- Department of Pharmacology and Toxicology. School of Medicine. Universidad Complutense de Madrid. Instituto de Investigación Gregorio Marañón. CIBERCV. 28040-Madrid, Spain
| | - María Dago
- Department of Pharmacology and Toxicology. School of Medicine. Universidad Complutense de Madrid. Instituto de Investigación Gregorio Marañón. CIBERCV. 28040-Madrid, Spain
| | - Silvia Alfayate
- Department of Pharmacology and Toxicology. School of Medicine. Universidad Complutense de Madrid. Instituto de Investigación Gregorio Marañón. CIBERCV. 28040-Madrid, Spain
| | - David Filgueiras
- Fundación Centro Nacional de Investigaciones Cardiovasculares. 28029-Madrid, Spain
| | - Rafael Peinado
- Department of Cardiology. Hospital Universitario La Paz. Instituto de Investigación Sanitaria la Paz. 28046-Madrid Spain
| | - José Luis López-Sendón
- Department of Cardiology. Hospital Universitario La Paz. Instituto de Investigación Sanitaria la Paz. 28046-Madrid Spain
| | - José Jalife
- Fundación Centro Nacional de Investigaciones Cardiovasculares. 28029-Madrid, Spain.,Departments of Internal Medicine and Molecular & Integrative Physiology, University of Michigan, Ann Arbor, MI, USA
| | - Juan Tamargo
- Department of Pharmacology and Toxicology. School of Medicine. Universidad Complutense de Madrid. Instituto de Investigación Gregorio Marañón. CIBERCV. 28040-Madrid, Spain
| | - Juan Antonio Bernal
- Fundación Centro Nacional de Investigaciones Cardiovasculares. 28029-Madrid, Spain
| | - Ricardo Caballero
- Department of Pharmacology and Toxicology. School of Medicine. Universidad Complutense de Madrid. Instituto de Investigación Gregorio Marañón. CIBERCV. 28040-Madrid, Spain
| | - Eva Delpón
- Department of Pharmacology and Toxicology. School of Medicine. Universidad Complutense de Madrid. Instituto de Investigación Gregorio Marañón. CIBERCV. 28040-Madrid, Spain
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10
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Gaudet D, López-Sendón JL, Averna M, Bigot G, Banach M, Letierce A, Loy M, Samuel R, Manvelian G, Batsu I, Henry P. Safety and efficacy of alirocumab in a real-life setting: the ODYSSEY APPRISE study. Eur J Prev Cardiol 2020; 28:1864-1872. [DOI: 10.1093/eurjpc/zwaa097] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [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] [Received: 05/18/2020] [Revised: 07/07/2020] [Accepted: 09/24/2020] [Indexed: 01/20/2023]
Abstract
Abstract
Aims
To obtain safety and efficacy data of alirocumab, a proprotein convertase subtilisin/kexin type 9 inhibitor, in a real-life setting in high cardiovascular (CV) risk patients with heterozygous familial hypercholesterolaemia (HeFH) or very-high low-density lipoprotein cholesterol (LDL-C) levels despite maximally tolerated dose of statin ± other lipid-lowering therapies (MTD ± LLTs). ODYSSEY APPRISE was a prospective, single-arm, Phase 3b open-label (≥12 weeks to ≤ 30 months) European/Canadian study with alirocumab.
Methods and results
Patients received alirocumab 75 or 150 mg every 2 weeks, with dose adjustment based on physician’s judgment. In total, 994 patients were enrolled and treated. The mean [standard deviation (SD)] duration of alirocumab exposure was 72.4 (42.5) weeks. Patients with HeFH were younger [mean (SD) age of 53.8 (11.6) vs. 61.6 (10.1) years], more likely to be female (41.7% vs. 29.1%) and had higher baseline LDL-C compared with non-familial hypercholesterolaemia (non-FH) patients [mean (SD) of 5.1 (1.7) vs. 4.1 (1.1) mmol/L]. The overall incidence of treatment-emergent adverse events (TEAEs) was 71.6%; common TEAEs included nasopharyngitis (7.8%), myalgia (7.1%), and headache (6.2%). At Week 12, mean (SD) LDL-C was reduced by 54.8 (20.1)% from baseline [2.6 (1.2) mmol/L], maintained for the trial duration. LDL-C was reduced below 1.8 mmol/L and/or by ≥50% reduction from baseline in 69.1% of patients overall, and for 64.7 and 77.4% of the HeFH and non-FH subgroups, respectively.
Conclusion
In a real-life setting in patients with hypercholesterolaemia and high CV risk, alirocumab was generally well tolerated and resulted in clinically significant LDL-C reductions.
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Affiliation(s)
- Daniel Gaudet
- ECOGENE-21 and Clinical Lipidology Unit, Community Gene Medicine Center, Department of Medicine, Université de Montréal, Chicoutimi, QC G7H 7K9, Canada
| | | | - Maurizio Averna
- Department of Health Promotion Sciences, Maternal and Infantile Care, Internal Medicine and Medical Specialties—PROMISE, School of Medicine, University of Palermo, Palermo 90133, Italy
| | - Grégory Bigot
- IviData Life Sciences, Levallois-Perret 92300, France
| | - Maciej Banach
- Department of Hypertension, Medical University of Lodz, Lodz 90-419, Poland
| | | | | | - Rita Samuel
- Regeneron Pharmaceuticals, Inc., Tarrytown, NY 10591, USA
| | | | | | - Patrick Henry
- Hôpital Lariboisière, Service de Cardiologie, Paris 75010, France
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Gonzálvez-García A, Jurado-Román A, Hernández-Matamoros H, Jiménez-Valero S, Galeote G, Moreno R, López-Sendón JL. Iatrogenic Atrial Septal Defect After Percutaneous Mitral Valve Repair With MitraClip: Should We Consider Closing Them Routinely? J Invasive Cardiol 2020; 32:E295-E297. [PMID: 33130596] [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] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Percutaneous MitraClip intervention for treatment of severe mitral regurgitation in high surgical risk patients requires large-diameter transseptal sheaths that can result in iatrogenic atrial septal defect (iASD), and its prevalence is higher compared with non-MitraClip procedures. This iASD is not routinely closed because the possible consequences are still not fully understood. However, we believe it is important to identify patients who may benefit from its closure immediately after the procedure to prevent hemodynamic deterioration and long-term negative clinical outcomes. We describe our experience with 2 patients who required iASD closure after MitraClip procedure due to right-to-left shunt resulting from increase in right heart pressures.
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Sainz-Amo R, Baena-Álvarez B, Pareés I, Sánchez-Díez G, Pérez-Torre P, López-Sendón JL, Fanjul-Arbos S, Monreal E, Corral-Corral I, García-Barragán N, Martínez-Castrillo JC, Fasano A, Alonso-Cánovas A. COVID-19 in Parkinson's disease: what holds the key? J Neurol 2020; 268:2666-2670. [PMID: 33098468 PMCID: PMC7585349 DOI: 10.1007/s00415-020-10272-0] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [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: 09/10/2020] [Revised: 10/04/2020] [Accepted: 10/10/2020] [Indexed: 01/16/2023]
Abstract
Introduction Parkinson’s disease (PD) is more frequent in the elderly and increases the risk of respiratory infections. Previous data on PD and SARS-CoV-2 are scarce, suggesting a poor prognosis in advanced disease and second-line therapies. Methods A retrospective case–control study comparing patients with PD and COVID-19 and patients with PD without COVID-19 was conducted during the pandemic period in Spain (March 1st–July 31st 2020) in a tertiary university hospital. Results Thirty-nine (COVID-19 +) and 172 (COVID-19-) PD patients were included. Fifty-nine percent were males in both groups, with similar age (75.9 ± 9.0 COVID-19 + , 73.9 ± 10.0 COVID-19-), disease duration (8.9 ± 6.2 COVID-19 + , 8.5 ± 5.6 COVID-19-) and PD treatments. COVID-19 was mild in 10 (26%), required admission in 21 (54%) and caused death in 8 (21%) patients. Dementia was the only comorbidity more frequent in COVID-19 + patients (36% vs. 14%, p = 0.0013). However, in a multivariate analysis, institutionalization was the only variable associated with COVID-19 + (OR 17.0, 95% CI 5.0–60.0, p < 0.001). When considering severe COVID-19 (admission or death) vs. mild or absent COVID-19, institutionalization, neoplasm, dementia and a lower frequency of dopamine agonists were associated with severe COVID-19. In multivariate analysis, only institutionalization [OR 5.17, 95% CI 1.57–17, p = 0.004] and neoplasm [OR 8.0, 95%CI 1.27–49.8, p = 0.027] remained significantly associated. Conclusion In our experience, institutionalization and oncologic comorbidity, rather than PD-related variables, increased the risk of developing COVID-19, and impacted on its severity. These findings suggest that epidemiologic factors and frailty are key factors for COVID-19 morbidity/mortality in PD. Appropriate preventive strategies should be implemented in institutionalized patients to prevent infection and improve prognosis.
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Affiliation(s)
- R Sainz-Amo
- Movement Disorders Unit. Neurology Department. Hospital, Universitario Ramón y Cajal, Carretera de Colmenar km 9.100, Madrid, 28034, Spain.
| | - B Baena-Álvarez
- Movement Disorders Unit. Neurology Department. Hospital, Universitario Ramón y Cajal, Carretera de Colmenar km 9.100, Madrid, 28034, Spain
| | - I Pareés
- Movement Disorders Unit. Neurology Department. Hospital, Universitario Ramón y Cajal, Carretera de Colmenar km 9.100, Madrid, 28034, Spain
| | - G Sánchez-Díez
- Movement Disorders Unit. Neurology Department. Hospital, Universitario Ramón y Cajal, Carretera de Colmenar km 9.100, Madrid, 28034, Spain
| | - P Pérez-Torre
- Movement Disorders Unit. Neurology Department. Hospital, Universitario Ramón y Cajal, Carretera de Colmenar km 9.100, Madrid, 28034, Spain
| | - J L López-Sendón
- Movement Disorders Unit. Neurology Department. Hospital, Universitario Ramón y Cajal, Carretera de Colmenar km 9.100, Madrid, 28034, Spain
| | - S Fanjul-Arbos
- Movement Disorders Unit. Neurology Department. Hospital, Universitario Ramón y Cajal, Carretera de Colmenar km 9.100, Madrid, 28034, Spain
| | - E Monreal
- Movement Disorders Unit. Neurology Department. Hospital, Universitario Ramón y Cajal, Carretera de Colmenar km 9.100, Madrid, 28034, Spain
| | - I Corral-Corral
- Movement Disorders Unit. Neurology Department. Hospital, Universitario Ramón y Cajal, Carretera de Colmenar km 9.100, Madrid, 28034, Spain
| | - N García-Barragán
- Movement Disorders Unit. Neurology Department. Hospital, Universitario Ramón y Cajal, Carretera de Colmenar km 9.100, Madrid, 28034, Spain
| | - J C Martínez-Castrillo
- Movement Disorders Unit. Neurology Department. Hospital, Universitario Ramón y Cajal, Carretera de Colmenar km 9.100, Madrid, 28034, Spain
| | - A Fasano
- Division of Neurology, Edmond J. Safra Program in Parkinson's Disease and the Morton and Gloria Shulman Movement Disorders Centre, Toronto Western Hospital, UHN, University of Toronto, Toronto, Canada.,Krembil Brain Institute, Toronto, Ontario, Canada
| | - A Alonso-Cánovas
- Movement Disorders Unit. Neurology Department. Hospital, Universitario Ramón y Cajal, Carretera de Colmenar km 9.100, Madrid, 28034, Spain
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13
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Gonzálvez-García A, Hernández-Matamoros H, Jiménez-Valero S, Jurado-Román A, Galeote G, Moreno R, López-Sendón JL. Coronary Thrombosis From Superficial Calcific Sheet. J Invasive Cardiol 2020; 32:E266. [PMID: 32999102] [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] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
We present a case in which optical coherence tomography was useful to characterize in vivo superficial calcific sheet and exclude other causes of acute coronary syndromes.
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14
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Oyagüez I, Suárez C, López-Sendón JL, González-Juanatey JR, de Andrés-Nogales F, Suárez J, Polanco C, Soto J. Cost-Effectiveness Analysis of Apixaban Versus Edoxaban in Patients with Atrial Fibrillation for Stroke Prevention. Pharmacoecon Open 2020; 4:485-497. [PMID: 31673882 PMCID: PMC7426339 DOI: 10.1007/s41669-019-00186-7] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/07/2023]
Abstract
OBJECTIVE Our objective was to assess the cost effectiveness of apixaban versus edoxaban in the prevention of stroke and systemic embolism (SE) in patients with atrial fibrillation (AF) in Spain. METHODS We customized a Markov model with ten health states to estimate the lifetime economic and clinical outcomes in 6-week cycles. The efficacy (clinical event rates per 100 patient-years) and safety data were derived from a pairwise indirect treatment comparison. The analysis was conducted from both the national health service (NHS) and societal perspectives, and included pharmaceutical costs (retail price plus value-added tax (VAT) and applicable national deductions) according to daily dosages (apixaban 10 mg (5 mg twice daily (bid)) and edoxaban 60 or 30 mg) and complications and disease-management costs, obtained from national databases. Utilities for quality-adjusted life-year (QALY) calculations reflected EuroQoL 5-Dimension scores in patients with AF. An annual discount rate of 3% was applied for costs (€, year 2019 values) and outcomes. RESULTS In a 1000-patient cohort, apixaban 5 mg bid versus edoxaban 60 mg could avoid five strokes, six major bleedings and 29 clinically relevant non-major bleedings (CRNMBs). Compared with edoxaban 30 mg, apixaban could avoid 21 strokes and two SEs. An increase in bleedings was observed with apixaban (seven haemorrhagic strokes, 48 major bleedings and 17 CRNMBs). Apixaban yielded 0.04 additional QALYs compared with edoxaban 60 mg or 30 mg. Incremental costs/QALY were €9639.33 and €354.22 for apixaban versus edoxaban 60 mg and edoxaban 30 mg, respectively, from the NHS perspective and €7756.62 for apixaban versus edoxaban 60 mg from the societal perspective. Apixaban was dominant versus edoxaban 30 mg from the societal perspective. Sensitivity analyses confirmed the robustness of the model. CONCLUSIONS This study suggests that apixaban 5 mg bid is a cost-effective alternative to edoxaban for stroke prevention in the AF population in Spain.
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Affiliation(s)
- Itziar Oyagüez
- Pharmacoeconomics and Outcomes Research Iberia (PORIB), Paseo Joaquín Rodrigo, 4 letra I., Pozuelo de Alarcón, 28224, Madrid, Spain.
| | - Carmen Suárez
- Internal Medicine Department, Hospital La Princesa, Madrid, Spain
| | | | | | - Fernando de Andrés-Nogales
- Pharmacoeconomics and Outcomes Research Iberia (PORIB), Paseo Joaquín Rodrigo, 4 letra I., Pozuelo de Alarcón, 28224, Madrid, Spain
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15
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Jurado-Román A, Rodríguez O, Amat I, Romani SA, García-Touchard A, Cruz-González I, Benito-González T, Fernández-Cisnal A, Córdoba-Soriano JG, Subinas A, Hernández-Antolín R, Bayón J, García-Tejada J, Salinas P, Cortés C, Lozano F, Bastante T, Núñez-Gil IJ, Moreno R, López-Sendón JL. Clinical Outcomes After Implantation of Polyurethane-Covered Cobalt-Chromium Stents: Insights from the Papyrus-Spain Registry. Cardiovasc Revasc Med 2020; 29:22-28. [PMID: 32859538 DOI: 10.1016/j.carrev.2020.08.017] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2020] [Revised: 07/17/2020] [Accepted: 08/10/2020] [Indexed: 01/29/2023]
Abstract
BACKGROUND/PURPOSE The main indication of covered stents (CS) is coronary artery perforation (CAP), but, they have been increasingly used in other scenarios. Data on the long-term follow-up of CS is limited, and no studies have been conducted specifically using new-generation polyurethane-covered cobalt-chromium Papyrus CS. PURPOSE to evaluate the clinical outcomes after hospital discharge of Papyrus CS and to compare their outcome after implantation in CAP or coronary artery aneurysms (CAA). METHODS/MATERIALS We evaluated the baseline clinical characteristics, lesion subsets, procedural features and the outcomes after initial discharge of Papyrus CS implanted in 17 high-PCI-volume centers. RESULTS 127 Papyrus CS were implanted in 108 patients (68 ± 1 years; 82.8% male) admitted for stable coronary disease (32.3%), NSTEMI (42.4%) or STEMI (25.3%). The number of CS per patient was 1.2 ± 0.6 (diameter: 3.5 ± 1.7 mm; length: 18.5 ± 3.7 mm). Angiographic success rate was 96%. CS diameter was larger in CAA (CAP:3.04 ± 0.5 mm vs CAA:4.1 ± 2.7 mm; p = .022). Intracoronary imaging techniques were used more frequently in CAA (p < .0001). After a mean follow-up of 22 ± 16 months, the major cardiovascular adverse events (MACE) rate was 7.1% [cardiac death: 2%, Myocardial infarction: 5%, Target Lesion Revascularization: 5% and Stent Thrombosis (ST): 3%]. MACE rate was similar in CAP (7.7%) and CAA (7.1%) (p = .9). However, CAA showed a higher ST rate (CAP: 0% vs CA: 7.1%; p = .04). CONCLUSION After hospital discharge, clinical outcomes after Papyrus CS implantation are acceptable (considering the clinical scenario and compared with other treatment alternatives) with no significant differences in the MACE rate between those implanted in CAA or in CAP. However, CAA group showed a higher ST rate.
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Affiliation(s)
| | - Oriol Rodríguez
- Cardiology Department, Germans Trias I Pujol Hospital, Badalona, Spain
| | - Ignacio Amat
- Cardiology Department, Hospital Clínico de Valladolid, Spain
| | | | | | | | | | | | | | - Asier Subinas
- Cardiology Department, University Hospital Galdakao, Spain
| | | | - Jeremías Bayón
- Cardiology Department, University Hospital Lucus Augusti, Lugo, Spain
| | | | - Pablo Salinas
- Cardiology Department, University Hospital Clínico San Carlos, Madrid, Spain
| | - Carlos Cortés
- Cardiology Department, Hospital San Pedro de Logroño, Logroño, Spain
| | - Fernando Lozano
- Cardiology Department, University Hospital of Ciudad Real, Ciudad Real, Spain
| | - Teresa Bastante
- Cardiology Department, University Hospital La Princesa, Madrid, Spain
| | - Iván J Núñez-Gil
- Cardiology Department, University Hospital Clínico San Carlos, Madrid, Spain
| | - Raúl Moreno
- Cardiology Department, La Paz University Hospital, Madrid, Spain
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16
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Jaén RI, Val-Blasco A, Prieto P, Gil-Fernández M, Smani T, López-Sendón JL, Delgado C, Boscá L, Fernández-Velasco M. Innate Immune Receptors, Key Actors in Cardiovascular Diseases. JACC Basic Transl Sci 2020; 5:735-749. [PMID: 32760860 PMCID: PMC7393405 DOI: 10.1016/j.jacbts.2020.03.015] [Citation(s) in RCA: 40] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/24/2020] [Revised: 03/19/2020] [Accepted: 03/19/2020] [Indexed: 02/07/2023]
Abstract
Cardiovascular diseases (CVDs) are the leading cause of death in the industrialized world. Most CVDs are associated with increased inflammation that arises mainly from innate immune system activation related to cardiac damage. Sustained activation of the innate immune system frequently results in maladaptive inflammatory responses that promote cardiovascular dysfunction and remodeling. Much research has focused on determining whether some mediators of the innate immune system are potential targets for CVD therapy. The innate immune system has specific receptors-termed pattern recognition receptors (PRRs)-that not only recognize pathogen-associated molecular patterns, but also sense danger-associated molecular signals. Activation of PRRs triggers the inflammatory response in different physiological systems, including the cardiovascular system. The classic PRRs, toll-like receptors (TLRs), and the more recently discovered nucleotide-binding oligomerization domain-like receptors (NLRs), have been recently proposed as key partners in the progression of several CVDs (e.g., atherosclerosis and heart failure). The present review discusses the key findings related to the involvement of TLRs and NLRs in the progression of several vascular and cardiac diseases, with a focus on whether some NLR subtypes (nucleotide-binding oligomerization domain, leucine rich repeat and pyrin domain-containing receptor 3 and nucleotide-binding oligomerization domain-containing protein 1) can be candidates for the development of new therapeutic strategies for several CVDs.
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Key Words
- AMI, acute myocardial infarction
- CARD, caspase activation and recruitment domain
- CVD, cardiovascular disease
- Ca2+, calcium ion
- DAMPs, danger-associated molecular patterns
- DAP, D-glutamyl-meso-diaminopimelic acid
- ER, endoplasmic reticulum
- HF, heart failure
- I/R, ischemia/reperfusion
- IL, interleukin
- MAPK, mitogen-activated protein kinase
- NF-κB, nuclear factor κ-light-chain-enhancer of activated B cells
- NLR, nucleotide-binding oligomerization domain-like receptors
- NLRP, nucleotide-binding oligomerization domain, leucine rich repeat and pyrin domain-containing receptor
- NLRP3
- NOD, Nucleotide-binding oligomerization domain-containing protein
- NOD1
- PAMP, pathogen-associated molecular pattern
- ROS, reactive oxygen species
- SR, sarcoplasmic reticulum
- TLR, toll-like receptor
- cardiovascular disease
- innate immune system
- nucleotide-binding oligomerization domain-like receptors
- toll-like receptors
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Affiliation(s)
- Rafael I. Jaén
- Biomedical Research Institute “Alberto Sols” CSIC-UAM, Madrid, Spain
- CIBER Cardiovascular (CIBER-CV, ISCIII), Madrid, Spain
| | - Almudena Val-Blasco
- Innate Immune Response Group, IdiPAZ, La Paz University Hospital, Madrid, Spain
| | - Patricia Prieto
- Biomedical Research Institute “Alberto Sols” CSIC-UAM, Madrid, Spain
- CIBER Cardiovascular (CIBER-CV, ISCIII), Madrid, Spain
- Pharmacology, Pharmacognosy and Botany department, Faculty of Pharmacy, Complutense University of Madrid, Madrid, Spain
- Dr. Patricia Prieto, Facultad de Farmacia, Universidad Complutense de Madrid, Plaza de Ramón y Cajal s/n, 28040 Madrid, Spain. @IIBmCSICUAM
| | - Marta Gil-Fernández
- CIBER Cardiovascular (CIBER-CV, ISCIII), Madrid, Spain
- Innate Immune Response Group, IdiPAZ, La Paz University Hospital, Madrid, Spain
| | - Tarik Smani
- CIBER Cardiovascular (CIBER-CV, ISCIII), Madrid, Spain
- Department of Medical Physiology and Biophysics, Institute of Biomedicine of Seville, University of Seville, Sevilla, Spain
| | - José Luis López-Sendón
- CIBER Cardiovascular (CIBER-CV, ISCIII), Madrid, Spain
- Servicio de Cardiología, Hospital Universitario La Paz, Madrid, Spain
| | - Carmen Delgado
- Biomedical Research Institute “Alberto Sols” CSIC-UAM, Madrid, Spain
- CIBER Cardiovascular (CIBER-CV, ISCIII), Madrid, Spain
| | - Lisardo Boscá
- Biomedical Research Institute “Alberto Sols” CSIC-UAM, Madrid, Spain
- CIBER Cardiovascular (CIBER-CV, ISCIII), Madrid, Spain
| | - María Fernández-Velasco
- CIBER Cardiovascular (CIBER-CV, ISCIII), Madrid, Spain
- Innate Immune Response Group, IdiPAZ, La Paz University Hospital, Madrid, Spain
- Address for correspondence: Dr. María Fernández-Velasco, Instituto de Investigación Hospital la Paz, IdiPAZ, Paseo de la Castellana 261, 28046 Madrid, Spain. @IdipazScience@CIBER_CV@Mfvlorenzo
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17
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Rey JR, Caro-Codón J, Poveda Pineda D, Merino JL, Iniesta ÁM, López-Sendón JL. [Arterial thrombotic complications in hospitalized patients with COVID-19]. Rev Esp Cardiol 2020; 73:769-771. [PMID: 32834364 PMCID: PMC7303624 DOI: 10.1016/j.recesp.2020.05.013] [Citation(s) in RCA: 30] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Affiliation(s)
- Juan R Rey
- Servicio de Cardiología, Hospital Universitario La Paz, Madrid, España
| | - Juan Caro-Codón
- Servicio de Cardiología, Hospital Universitario La Paz, Madrid, España
| | | | - José Luis Merino
- Servicio de Cardiología, Hospital Universitario La Paz, Madrid, España
| | - Ángel M Iniesta
- Servicio de Cardiología, Hospital Universitario La Paz, Madrid, España
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18
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Rey JR, Jiménez Valero S, Poveda Pinedo D, Merino JL, López-Sendón JL, Caro-Codón J. COVID-19 and simultaneous thrombosis of two coronary arteries. ACTA ACUST UNITED AC 2020; 73:676-677. [PMID: 32591296 PMCID: PMC7287480 DOI: 10.1016/j.rec.2020.05.021] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2020] [Accepted: 05/08/2020] [Indexed: 12/25/2022]
Affiliation(s)
- Juan R Rey
- Servicio de Cardiología, Hospital Universitario La Paz, Grupo investigador CARD-COVID, Madrid, Spain.
| | - Santiago Jiménez Valero
- Servicio de Cardiología, Hospital Universitario La Paz, Grupo investigador CARD-COVID, Madrid, Spain
| | - Dolores Poveda Pinedo
- Servicio de Cardiología, Hospital Universitario La Paz, Grupo investigador CARD-COVID, Madrid, Spain
| | - Jose L Merino
- Servicio de Cardiología, Hospital Universitario La Paz, Grupo investigador CARD-COVID, Madrid, Spain
| | - José Luis López-Sendón
- Servicio de Cardiología, Hospital Universitario La Paz, Grupo investigador CARD-COVID, Madrid, Spain
| | - Juan Caro-Codón
- Servicio de Cardiología, Hospital Universitario La Paz, Grupo investigador CARD-COVID, Madrid, Spain
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Rey JR, Caro-Codón J, Poveda Pineda D, Merino JL, Iniesta ÁM, López-Sendón JL. Arterial thrombotic complications in hospitalized patients with COVID-19. ACTA ACUST UNITED AC 2020; 73:769-771. [PMID: 32499015 PMCID: PMC7245203 DOI: 10.1016/j.rec.2020.05.008] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2020] [Accepted: 05/19/2020] [Indexed: 01/19/2023]
Affiliation(s)
- Juan R Rey
- Servicio de Cardiología, Hospital Universitario La Paz, Madrid, Spain.
| | - Juan Caro-Codón
- Servicio de Cardiología, Hospital Universitario La Paz, Madrid, Spain
| | | | - José Luis Merino
- Servicio de Cardiología, Hospital Universitario La Paz, Madrid, Spain
| | - Ángel M Iniesta
- Servicio de Cardiología, Hospital Universitario La Paz, Madrid, Spain
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20
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Rey JR, Jiménez Valero S, Poveda Pinedo D, Merino JL, López-Sendón JL, Caro-Codón J. [COVID-19 and simultaneous thrombosis of two coronary arteries]. Rev Esp Cardiol 2020; 73:676-678. [PMID: 32405136 PMCID: PMC7218359 DOI: 10.1016/j.recesp.2020.05.004] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Affiliation(s)
- Juan R Rey
- Servicio de Cardiología, Hospital Universitario La Paz, Grupo investigador CARD-COVID, Madrid, España
| | - Santiago Jiménez Valero
- Servicio de Cardiología, Hospital Universitario La Paz, Grupo investigador CARD-COVID, Madrid, España
| | - Dolores Poveda Pinedo
- Servicio de Cardiología, Hospital Universitario La Paz, Grupo investigador CARD-COVID, Madrid, España
| | - Jose L Merino
- Servicio de Cardiología, Hospital Universitario La Paz, Grupo investigador CARD-COVID, Madrid, España
| | - José Luis López-Sendón
- Servicio de Cardiología, Hospital Universitario La Paz, Grupo investigador CARD-COVID, Madrid, España
| | - Juan Caro-Codón
- Servicio de Cardiología, Hospital Universitario La Paz, Grupo investigador CARD-COVID, Madrid, España
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21
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Rey JR, Caro-Codón J, Rodríguez Sotelo L, López-de-Sa E, Rosillo SO, González Fernández Ó, Fernández de Bobadilla J, Iniesta ÁM, Peña Conde L, Antorrena Miranda I, Armada E, Ruiz Cantador J, López-Sendón JL. Long term clinical outcomes in survivors after out-of-hospital cardiac arrest. Eur J Intern Med 2020; 74:49-54. [PMID: 31859025 DOI: 10.1016/j.ejim.2019.11.024] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/18/2019] [Revised: 11/13/2019] [Accepted: 11/30/2019] [Indexed: 11/23/2022]
Abstract
INTRODUCTION AND OBJECTIVES Information regarding long-term outcomes in patients surviving out-of-hospital cardiac arrest (OHCA) is scarce. Our aim was to study the long-term clinical outcomes of a large cohort of OHCA patients surviving until hospital discharge and to identify predictors of mortality and cardiovascular events. METHODS Consecutive OHCA patients admitted in the Acute Cardiac Care Unit who survived at least until hospital discharge between 2007 and 2019 were included. All received therapeutic hypothermia according to the local protocol. Pre- and intra-hospital clinical and analytical variables were analyzed, as well as the clinically relevant events during follow-up. RESULTS A total of 201 patients were included, with a mean age of 57.6 ± 14.2 years, 168 (83.6%) were male. Thirty-six (17.9%) died during a median follow-up of 40.3 months (18.9-69.1), the most frequent causes of death being cardiovascular and neurological, followed by cancer. We calculated a predictive model for mortality during follow-up using Cox regression that included the following variables: poor neurological outcome [HR 3.503 (1.578-7.777)], non-shockable rhythm [HR 2.926 (1.390-6.163)], time to onset of CPR [HR 1.063 (0.997-1.134)], older age [1.036 (1.008-1.064)) and worse ejection fraction at discharge [1.033 (1.009-1.058)]. CONCLUSIONS Even though few patients experience recurrent cardiac arrest events, survivors after OHCA face high morbidity and mortality during long-term follow-up. Therefore, they may benefit from multidisciplinary teams providing an integral management and ensuring continuity of care.
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Affiliation(s)
- Juan R Rey
- Cardiology Department, Hospital Universitario La Paz, C/ Paseo de la Castellana, 261, 28046 Madrid, Spain.
| | - Juan Caro-Codón
- Cardiology Department, Hospital Universitario La Paz, C/ Paseo de la Castellana, 261, 28046 Madrid, Spain
| | - Laura Rodríguez Sotelo
- Cardiology Department, Hospital Universitario La Paz, C/ Paseo de la Castellana, 261, 28046 Madrid, Spain
| | - Esteban López-de-Sa
- Cardiology Department, Hospital Universitario La Paz, C/ Paseo de la Castellana, 261, 28046 Madrid, Spain
| | - Sandra O Rosillo
- Cardiology Department, Hospital Universitario La Paz, C/ Paseo de la Castellana, 261, 28046 Madrid, Spain
| | - Óscar González Fernández
- Cardiology Department, Hospital Universitario La Paz, C/ Paseo de la Castellana, 261, 28046 Madrid, Spain
| | | | - Ángel M Iniesta
- Cardiology Department, Hospital Universitario La Paz, C/ Paseo de la Castellana, 261, 28046 Madrid, Spain
| | - Laura Peña Conde
- Cardiology Department, Hospital Universitario La Paz, C/ Paseo de la Castellana, 261, 28046 Madrid, Spain
| | - Isabel Antorrena Miranda
- Cardiology Department, Hospital Universitario La Paz, C/ Paseo de la Castellana, 261, 28046 Madrid, Spain
| | - Eduardo Armada
- Cardiology Department, Hospital Universitario La Paz, C/ Paseo de la Castellana, 261, 28046 Madrid, Spain
| | - José Ruiz Cantador
- Cardiology Department, Hospital Universitario La Paz, C/ Paseo de la Castellana, 261, 28046 Madrid, Spain
| | - José Luis López-Sendón
- Cardiology Department, Hospital Universitario La Paz, C/ Paseo de la Castellana, 261, 28046 Madrid, Spain
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Gaudet D, López-Sendón JL, Averna M, Bigot G, Banach M, Letierce A, Loy M, Samuel R, Batsu I, Henry P. EFFICACY AND SAFETY OF ALIROCUMAB IN A REAL-LIFE SETTING IN PATIENTS WITH OR WITHOUT FAMILIAL HYPERCHOLESTEROLEMIA: THE ODYSSEY APPRISE STUDY. J Am Coll Cardiol 2020. [DOI: 10.1016/s0735-1097(20)32585-7] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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23
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Jurado-Román A, Jiménez-Valero S, Galeote G, Moreno R, López-Sendón JL. Very long-term outcome of coronary covered stents. Not all covered stents are the same. EUROINTERVENTION 2020; 15:1297. [DOI: 10.4244/eij-d-19-00364l] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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24
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Caro-Codón J, Rey JR, Díaz Cruz J, Martínez Marín LA, García de Veas Marquéz JM, Castrejón S, Martínez Cossiani M, Rodríguez Sotelo L, López-Sendón JL, Merino JL. Precision and reproducibility of non-automatic measurement of the QRS complex in potential candidates for cardiac resynchronization therapy. J Electrocardiol 2019; 57:90-94. [PMID: 31574350 DOI: 10.1016/j.jelectrocard.2019.08.011] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2019] [Revised: 07/26/2019] [Accepted: 08/13/2019] [Indexed: 11/26/2022]
Abstract
BACKGROUND Accurate measurement of QRS complex duration (QRSd) remains crucial for the selection of patients for cardiac resynchronization therapy (CRT). However, assessment of QRSd on conventional surface electrocardiograms (ECG), especially when performed without computer assistance, may be challenging due to the limited accuracy of the human eye to discriminate differences in the range of 10 ms at 25 mm/s. The value and reproducibility of visual assessment of QRSd at 25 mm/s on conventional ECGs was compared to those obtained using an electrophysiology recording system (EPRS) with simultaneous 12 lead traces at 100 mm/s, which was considered the gold standard. METHODS The ECGs of 102 consecutive patients with left ventricular dysfunction undergoing electrophysiological evaluation were collected. Two sets of measurements were obtained: 1) QRSd-25 measured on conventional 12-lead ECGs printed at 25 mm/s with standard amplification (10 mm/mV) by 4 different observers, and 2) QRSd-100 measured on simultaneous 12-lead traces at 100 mm/s and 40 mm/mV by 2 different observers using electronic callipers. RESULTS Significant differences were observed between QRSd-100 and QRSd-25 measurements (19.3 ± 9.9 ms, range 1.0-47.5, p < 0.001). QRSd-25 showed significant inter and intra-observer variability. When categorizing individual ECGs in three QRSd-25 subgroups (<120 ms, 120-149 ms and ≥150 ms), low concordance was observed between both techniques (kappa index 0.25, p < 0.001). The sensitivity and specificity of QRSd-25 to detect QRSd-100 ≥ 150 ms was 36.6% and 100.0% respectively. CONCLUSIONS Visual measurement of QRSd at 25 mm/s often underestimates its magnitude and presents significant inter and intraobserver variability.
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Affiliation(s)
- Juan Caro-Codón
- Servicio de Cardiología, Hospital Universitario La Paz, Madrid, Spain
| | - Juan R Rey
- Servicio de Cardiología, Hospital Universitario La Paz, Madrid, Spain
| | | | | | | | - Sergio Castrejón
- Servicio de Cardiología, Hospital Universitario La Paz, Madrid, Spain
| | | | | | | | - Jose L Merino
- Servicio de Cardiología, Hospital Universitario La Paz, Madrid, Spain.
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25
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López-Fernández T, Martín-García A, Roldán Rabadán I, Mitroi C, Mazón Ramos P, Díez-Villanueva P, Escobar Cervantes C, Alonso Martín C, Alonso Salinas GL, Arenas M, Arrarte Esteban VI, Ayala de La Peña F, Castro Fernández A, García Pardo H, García-Sanz R, González Porras JR, López de Sá E, Lozano T, Marco Vera P, Martínez Marín V, Mesa Rubio D, Montero Á, Oristrell G, Pérez de Prado A, Velasco del Castillo S, Virizuela Echaburu JA, Zatarain-Nicolás E, Anguita Sánchez M, Tamargo Menéndez J, Marín F, López-Sendón JL, Zamorano JL. Abordaje de la fibrilación auricular en pacientes con cáncer activo. Documento de consenso de expertos y recomendaciones. Rev Esp Cardiol 2019. [DOI: 10.1016/j.recesp.2019.03.017] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
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26
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Moreno R, Castro A, López-Sendón JL. Dispositivo reductor del seno coronario en angina refractaria. Rev Esp Cardiol (Engl Ed) 2019. [DOI: 10.1016/j.recesp.2018.04.001] [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: 10/17/2022]
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27
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Caro-Codón J, Rey JR, Lopez-de-Sa E, González Fernández Ó, Rosillo SO, Armada E, Iniesta ÁM, Fernández de Bobadilla J, Ruiz Cantador J, Rodríguez Sotelo L, Irazusta FJ, Rial Bastón V, Merás Colunga P, López-Sendón JL. Dataset regarding baseline and follow-up characteristics of out-of-hospital cardiac arrest patients focused on neurological outcomes. Data Brief 2018; 21:1140-1144. [PMID: 30456227 PMCID: PMC6231031 DOI: 10.1016/j.dib.2018.10.086] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2018] [Revised: 10/16/2018] [Accepted: 10/23/2018] [Indexed: 11/29/2022] Open
Abstract
This data article contains the data related to the research article entitled “Long-term neurological outcomes in out-of-hospital cardiac arrest patients treated with targeted-temperature management” (Caro-Codón et al., 2018). In this dataset, we report details regarding the flow chart of the included patients and the specific exclusion criteria. We also include information on the difference between the patients who attended the structured personal interview (and therefore were finally included in the study) and those who did not attend. Neuropsychiatric and functional data before and after cardiac arrest are also reported. Finally, we list all the “de novo” focal neurological deficits identified after cardiac arrest in the related population.
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Affiliation(s)
- Juan Caro-Codón
- Cardiology Department, Hospital Universitario La Paz, Madrid, Spain
| | - Juan R Rey
- Cardiology Department, Hospital Universitario La Paz, Madrid, Spain
| | | | | | - Sandra O Rosillo
- Cardiology Department, Hospital Universitario La Paz, Madrid, Spain
| | - Eduardo Armada
- Cardiology Department, Hospital Universitario La Paz, Madrid, Spain
| | - Ángel M Iniesta
- Cardiology Department, Hospital Universitario La Paz, Madrid, Spain
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Caro-Codón J, Rey JR, Lopez-de-Sa E, González Fernández Ó, Rosillo SO, Armada E, Iniesta ÁM, Fernández de Bobadilla J, Ruiz Cantador J, Rodríguez Sotelo L, Irazusta FJ, Rial Bastón V, Merás Colunga P, López-Sendón JL. Long-term neurological outcomes in out-of-hospital cardiac arrest patients treated with targeted-temperature management. Resuscitation 2018; 133:33-39. [PMID: 30253227 DOI: 10.1016/j.resuscitation.2018.09.015] [Citation(s) in RCA: 33] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2018] [Revised: 09/13/2018] [Accepted: 09/17/2018] [Indexed: 11/18/2022]
Abstract
BACKGROUND This study aimed to assess long-term cognitive and functional outcomes in out-of-hospital cardiac arrest (OHCA) patients treated with targeted-temperature management, investigate the existence of prognostic factors that could be assessed during initial admission and evaluate the usefulness of classic neurological scales in this clinical scenario. METHODS Patients admitted due to OHCA from August 2007 to November 2015 and surviving at least one year were included. Each patient completed a structured interview focused on the collection of clinical, social and demographic data. All available information in clinical records was reviewed and a battery of neurocognitive and psychometric tests was performed. RESULTS Seventy-nine patients were finally included in the analysis. Forty-three patients (54.4%) scored below the usual cut-off points for the diagnosis of mild cognitive impairment, even though most of these deficits went unnoticed when patients were assessed using CPC and modified Rankin scale. Nineteen (24%) developed certain degree of impairment in their attention capacity and executive functions. A significant proportion developed new memory-related disorders (43%), depressive symptoms (17.7%), aggressive/uninhibited behavior (12.7%) and emotional lability (8.9%). A greater number of weekly hours of intellectual activity and a qualified job were independent protective factors for the development of cognitive impairment. However, being older at the time of the cardiac arrest was identified as a poor prognostic factor. CONCLUSIONS There is a high prevalence of long-term cognitive deficits and functional limitations in OHCA survivors. Most commonly used clinical scales in clinical practice are crude and lack sensitivity to detect most of these deficits.
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Affiliation(s)
- Juan Caro-Codón
- Cardiology Department, Hospital Universitario La Paz, Madrid, Spain.
| | - Juan R Rey
- Cardiology Department, Hospital Universitario La Paz, Madrid, Spain
| | | | | | - Sandra O Rosillo
- Cardiology Department, Hospital Universitario La Paz, Madrid, Spain
| | - Eduardo Armada
- Cardiology Department, Hospital Universitario La Paz, Madrid, Spain
| | - Ángel M Iniesta
- Cardiology Department, Hospital Universitario La Paz, Madrid, Spain
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29
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Moreno R, Castro A, López-Sendón JL. Device to Narrow the Coronary Sinus in Refractory Angina. ACTA ACUST UNITED AC 2018; 72:246. [PMID: 29954719 DOI: 10.1016/j.rec.2018.06.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2017] [Accepted: 04/02/2018] [Indexed: 11/26/2022]
Affiliation(s)
- Raúl Moreno
- Sección de Cardiología Intervencionista, Hospital Universitario La Paz, Madrid, Spain.
| | - Almudena Castro
- Sección de Rehabilitación Cardiaca, Hospital Universitario La Paz, Madrid, Spain
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30
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Vidal-Petiot E, Stebbins A, Chiswell K, Ardissino D, Aylward PE, Cannon CP, Ramos Corrales MA, Held C, López-Sendón JL, Stewart RAH, Wallentin L, White HD, Steg PG. Visit-to-visit variability of blood pressure and cardiovascular outcomes in patients with stable coronary heart disease. Insights from the STABILITY trial. Eur Heart J 2018; 38:2813-2822. [PMID: 28575274 DOI: 10.1093/eurheartj/ehx250] [Citation(s) in RCA: 38] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/08/2016] [Accepted: 04/20/2017] [Indexed: 11/12/2022] Open
Abstract
Aims To study the relation between visit-to-visit variability of blood pressure (BP) and cardiovascular risk in patients with stable coronary heart disease. Methods and results In 15 828 patients from the STABILITY trial (darapladib vs. placebo in patients with established coronary heart disease), BP variability was assessed by the standard deviation (SD) of systolic BP, the SD of diastolic BP, maximum BP, and minimum BP, from 5 measurements (baseline and months 1, 3, 6, and 12) during the first year after randomisation. Mean (SD) average BP during the first year of study was 131.0 (13.7) mmHg over 78.3 (8.3) mmHg. Mean (SD) of the visit-to-visit SD was 9.8 (4.8) mmHg for systolic and 6.3 (3.0) mmHg for diastolic BP. During the subsequent median follow-up of 2.6 years, 1010 patients met the primary endpoint, a composite of time to cardiovascular death, myocardial infarction, or stroke. In Cox regression models adjusted for average BP during first year of study, baseline vascular disease, treatment, renal function and cardiovascular risk factors, the primary endpoint was associated with SD of systolic BP (hazard ratio for highest vs. lowest tertile, 1.30, 95% CI 1.10-1.53, P = 0.007), and with SD of diastolic BP (hazard ratio for highest vs. lowest tertile, 1.38, 95% CI 1.18-1.62, P < 0.001). Peaks and troughs in BP were also independently associated with adverse events. Conclusion In patients with stable coronary heart disease, higher visit-to-visit variabilities of both systolic and diastolic BP are strong predictors of increased risk of cardiovascular events, independently of mean BP.
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Affiliation(s)
- Emmanuelle Vidal-Petiot
- Cardiology and Physiology Departments, Département Hospitalo-Universitaire FIRE, AP-HP, Hôpital Bichat, 46 rue Henri Huchard, 75018 Paris, France.,Paris Diderot University, Sorbonne Paris Cité, Paris, France.,INSERM U1149, Paris, France
| | - Amanda Stebbins
- Duke Clinical Research Institute, Duke University Medical Center, 2400 Pratt Street, Durham, NC 27705, USA
| | - Karen Chiswell
- Duke Clinical Research Institute, Duke University Medical Center, 2400 Pratt Street, Durham, NC 27705, USA
| | - Diego Ardissino
- Azienda Ospedaliero, Universitaria di Parma, Via Gramsci 14, 43126 Parma, Italy
| | - Philip E Aylward
- South Australian Health and Medical Research Institute, Flinders University and Medical Centre, Adelaide, Australia
| | - Christopher P Cannon
- Cardiovascular Division, Brigham and Women's Hospital, 70 Francis street, Boston, MA 02115, USA and former employee at Harvard Clinical Research Institute, Boston, MA, USA
| | - Marco A Ramos Corrales
- San Jose Satelite Hospital, Naucalpan, Circunvalacion Poniente 53, 53100 Naucalpan de Juárez, Mexico
| | - Claes Held
- Department of Medical Sciences, Cardiology and Uppsala Clinical Research Center, Uppsala University, Dag Hammarskjölds väg 14B, SE-752 37 Uppsala, Sweden
| | - José Luis López-Sendón
- Hospital Universitario La Paz, IdiPaz, Paseo de la Castellana 261, Planta 1, 28046 Madrid, Spain
| | - Ralph A H Stewart
- Green Lane Cardiovascular Service, Auckland City Hospital, University of Auckland, Private Bag 92024, Auckland 1030, New Zealand
| | - Lars Wallentin
- Department of Medical Sciences, Cardiology and Uppsala Clinical Research Center, Uppsala University, Dag Hammarskjölds väg 14B, SE-752 37 Uppsala, Sweden
| | - Harvey D White
- Green Lane Cardiovascular Service, Auckland City Hospital, University of Auckland, Private Bag 92024, Auckland 1030, New Zealand
| | - Philippe Gabriel Steg
- Cardiology and Physiology Departments, Département Hospitalo-Universitaire FIRE, AP-HP, Hôpital Bichat, 46 rue Henri Huchard, 75018 Paris, France.,Paris Diderot University, Sorbonne Paris Cité, Paris, France.,NHLI Imperial College, ICMS, Royal Brompton Hospital, London, UK, FACT (French Alliance for Cardiovascular Trials), F-CRIN network, INSERM U1148, Paris, France
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31
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Gemma D, Valero SJ, Gómez RM, Córdoba FJI, Colunga PM, López-Sendón JL. Different patterns of in-stent coverage in drug-eluting stents. Rev Port Cardiol 2017; 36:873-874. [PMID: 29128139 DOI: 10.1016/j.repc.2017.01.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2016] [Revised: 11/24/2016] [Accepted: 01/06/2017] [Indexed: 10/18/2022] Open
Affiliation(s)
- Daniele Gemma
- Intervencional Cardiology, Hospital Universitario La Paz, Madrid, Spain.
| | | | - Raúl Moreno Gómez
- Intervencional Cardiology, Hospital Universitario La Paz, Madrid, Spain
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32
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López-Fernández T, Thavendiranathan P, López-Sendón JL, Plana Gómez JC. Remarks on the Position Paper on Cardio-Onco-Hematology and Remarks on the Review of Cardiac Imaging Modalities for the Detection of Cardiotoxicity. Response. Rev Esp Cardiol (Engl Ed) 2017; 70:1029-1030. [PMID: 28774634 DOI: 10.1016/j.rec.2017.07.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/03/2017] [Accepted: 07/07/2017] [Indexed: 06/07/2023]
Affiliation(s)
- Teresa López-Fernández
- Servicio de Cardiología, Unidad de Imagen Cardiaca, Unidad de Cardio-Oncología, Hospital Universitario La Paz, IdiPAz, Madrid, Spain.
| | - Paaladinesh Thavendiranathan
- Peter Munk Cardiac Center, Ted Rogers Program in Cardiotoxicity Prevention, Toronto General Hospital, University Health Network, University of Toronto, Toronto, Canada
| | - José Luis López-Sendón
- Servicio de Cardiología, Unidad de Imagen Cardiaca, Unidad de Cardio-Oncología, Hospital Universitario La Paz, IdiPAz, Madrid, Spain
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33
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López-Fernández T, Thavendiranathan P, López-Sendón JL, Gómez JCP. Puntualizaciones al documento de consenso en cardio-onco-hematología y a la revisión sobre técnicas de imagen cardiaca en detección de cardiotoxicidad. Respuesta. Rev Esp Cardiol (Engl Ed) 2017. [DOI: 10.1016/j.recesp.2017.07.003] [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]
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34
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Gemma D, Valero SJ, Gómez RM, Córdoba FJI, Colunga PM, López-Sendón JL. Different patterns of in-stent coverage in drug-eluting stents. Revista Portuguesa de Cardiologia (English Edition) 2017. [DOI: 10.1016/j.repce.2017.11.004] [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: 10/18/2022] Open
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35
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Merás P, Caro J, Trigo E, Irazusta J, López-Sendón JL, Refoyo E. Valor diagnóstico del NT-proBNP para la detección precoz de cardiopatía chagásica en áreas no endémicas. Rev Esp Cardiol (Engl Ed) 2017. [DOI: 10.1016/j.recesp.2016.09.049] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [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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36
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Stewart RAH, Hagström E, Held C, Wang TKM, Armstrong PW, Aylward PE, Cannon CP, Koenig W, López-Sendón JL, Mohler ER, Hadziosmanovic N, Krug-Gourley S, Ramos Corrales MA, Siddique S, Steg PG, White HD, Wallentin L. Self-Reported Health and Outcomes in Patients With Stable Coronary Heart Disease. J Am Heart Assoc 2017; 6:JAHA.117.006096. [PMID: 28862971 PMCID: PMC5586450 DOI: 10.1161/jaha.117.006096] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Background The major determinants and prognostic importance of self‐reported health in patients with stable coronary heart disease are uncertain. Methods and Results The STABILITY (Stabilization of Atherosclerotic Plaque by Initiation of Darapladib Therapy) trial randomized 15 828 patients with stable coronary heart disease to treatment with darapladib or placebo. At baseline, 98% of participants completed a questionnaire that included the question, “Overall, how do you feel your general health is now?” Possible responses were excellent, very good, good, average, and poor. Adjudicated major adverse cardiac events, which included cardiovascular death, myocardial infarction, and stroke, were evaluated by Cox regression during 3.7 years of follow‐up for participants who reported excellent or very good health (n=2304), good health (n=6863), and average or poor health (n=6361), before and after adjusting for 38 covariates. Self‐reported health was most strongly associated with geographic region, depressive symptoms, and low physical activity (P<0.0001 for all). Poor/average compared with very good/excellent self‐reported health was independently associated with major adverse cardiac events (hazard ratio [HR]: 2.30 [95% confidence interval (CI), 1.92–2.76]; adjusted HR: 1.83 [95% CI, 1.51–2.22]), cardiovascular mortality (HR: 4.36 [95% CI, 3.09–6.16]; adjusted HR: 2.15 [95% CI, 1.45–3.19]), and myocardial infarction (HR: 1.87 [95% CI, 1.46–2.39]; adjusted HR: 1.68 [95% CI, 1.25–2.27]; P<0.0002 for all). Conclusions Self‐reported health is strongly associated with geographical region, mood, and physical activity. In a global coronary heart disease population, self‐reported health was independently associated with major cardiovascular events and mortality beyond what is measurable by established risk indicators. Clinical Trial Registration URL: http://www.ClinicalTrials.gov. Unique identifier: NCT00799903.
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Affiliation(s)
| | - Emil Hagström
- Department of Medical Sciences Cardiology and Uppsala Clinical Research Center, Uppsala University, Uppsala, Sweden
| | - Claes Held
- Department of Medical Sciences Cardiology and Uppsala Clinical Research Center, Uppsala University, Uppsala, Sweden
| | | | | | - Philip E Aylward
- South Australian Health and Medical Research Institute, Flinders University and Medical Centre, Adelaide, Australia
| | | | - Wolfgang Koenig
- Deutsches Herzzentrum München, Technische Universität München, Munich, Germany.,DZHK (German Centre for Cardiovascular Research) partner site Munich Heart Alliance, Munich, Germany.,Department of Internal Medicine II-Cardiology, University of Ulm Medical Center, Ulm, Germany
| | | | - Emile R Mohler
- Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA
| | - Nermin Hadziosmanovic
- Department of Medical Sciences Cardiology and Uppsala Clinical Research Center, Uppsala University, Uppsala, Sweden
| | - Susan Krug-Gourley
- Metabolic Pathways and Cardiovascular Therapeutic Area, GlaxoSmithKline, King of Prussia, PA
| | | | | | - Philippe Gabriel Steg
- Département Hospitalo-Universitaire FIRE, AP-HP Hôpital Bichat, Paris, France.,Sorbonne Paris Cité Diderot University, Paris, France.,NHLI Imperial College, ICMS, Royal Brompton Hospital, London, United Kingdom.,FACT (French Alliance for Cardiovascular Trials), an F-CRIN Network, INSERM U1148, Paris, France
| | | | - Lars Wallentin
- Department of Medical Sciences Cardiology and Uppsala Clinical Research Center, Uppsala University, Uppsala, Sweden
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Ponz de Antonio I, Ruiz Cantador J, González García AE, Oliver Ruiz JM, Sánchez-Recalde Á, López-Sendón JL. Prevalencia de tumores neuroendocrinos en pacientes con cardiopatías congénitas cianóticas. Rev Esp Cardiol (Engl Ed) 2017. [DOI: 10.1016/j.recesp.2016.09.023] [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: 10/20/2022]
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38
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Ponz de Antonio I, Ruiz Cantador J, González García AE, Oliver Ruiz JM, Sánchez-Recalde Á, López-Sendón JL. Prevalence of Neuroendocrine Tumors in Patients With Cyanotic Congenital Heart Disease. ACTA ACUST UNITED AC 2017; 70:673-675. [DOI: 10.1016/j.rec.2016.09.036] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2016] [Accepted: 09/21/2016] [Indexed: 12/01/2022]
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39
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Lindholm D, Hagström E, James SK, Becker RC, Cannon CP, Himmelmann A, Katus HA, Maurer G, López-Sendón JL, Steg PG, Storey RF, Siegbahn A, Wallentin L. Growth Differentiation Factor 15 at 1 Month After an Acute Coronary Syndrome Is Associated With Increased Risk of Major Bleeding. J Am Heart Assoc 2017; 6:JAHA.117.005580. [PMID: 28411246 PMCID: PMC5533037 DOI: 10.1161/jaha.117.005580] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Background Growth differentiation factor‐15 (GDF‐15) is related to major bleeding when measured at initial presentation in patients with acute coronary syndromes (ACSs) treated with dual antiplatelet therapy. It is unknown whether follow‐up measurements provide additional information. The objective of this study was to investigate whether GDF‐15 measured 1 month after an ACS provides additional information beyond the baseline levels with regard to the risk of major bleeding. Methods and Results GDF‐15 was measured at baseline and at 1 month after an ACS in 4049 patients included in the PLATelet inhibition and patient Outcomes (PLATO) trial. The association between 1‐month GDF‐15 level and non–coronary artery bypass grafting surgery‐related major bleeding was assessed by a multivariable Cox model, adjusting for baseline GDF‐15, age, anemia, impaired renal function, history of gastrointestinal bleeding, and sex. Elevated GDF‐15 (>1800 ng/L) at 1 month was associated with an increased risk of non‐coronary artery bypass grafting‐related major bleeding (3.9% versus 1.2%; hazard ratio, 3.38; 95% CI, 1.89–6.06), independent of baseline GDF‐15. Patients who had elevated GDF‐15 levels at baseline and subsequent nonelevated GDF‐15 at 1 month had a similar risk as patients who had nonelevated levels at both measurements. Conclusions GDF‐15 at 1 month after an ACS is related to the risk of bleeding during DAPT and provides additional information on the bleeding risk beyond baseline GDF‐15 levels. GDF‐15 levels may therefore be useful as part of decision support concerning long‐term antithrombotic treatment in patients post‐ACS. Clinical Trial Registration URL: http://www.clinicaltrials.gov. Unique identifier: NCT00391872.
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Affiliation(s)
- Daniel Lindholm
- Department of Medical Sciences, Cardiology and Uppsala Clinical Research Center, Uppsala University, Uppsala, Sweden
| | - Emil Hagström
- Department of Medical Sciences, Cardiology and Uppsala Clinical Research Center, Uppsala University, Uppsala, Sweden
| | - Stefan K James
- Department of Medical Sciences, Cardiology and Uppsala Clinical Research Center, Uppsala University, Uppsala, Sweden
| | - Richard C Becker
- Division of Cardiovascular Health and Disease, Heart, Lung and Vascular Institute, University of Cincinnati College of Medicine, Cincinnati, OH
| | | | | | - Hugo A Katus
- Medizinische Klinik, Universitätsklinikum Heidelberg, Heidelberg, Germany
| | | | | | - Philippe Gabriel Steg
- Département Hospitalo-Universitaire FIRE, AP-HP, Hôpital Bichat, Paris, France.,Paris Diderot University, Sorbonne Paris Cité, Paris, France.,NHLI Imperial College, ICMS, Royal Brompton Hospital, London, United Kingdom.,FACT (French Alliance for Cardiovascular Trials), an F-CRIN network, INSERM U1148, Paris, France
| | - Robert F Storey
- Department of Infection, Immunity and Cardiovascular Disease, University of Sheffield, United Kingdom
| | - Agneta Siegbahn
- Department of Medical Sciences, Clinical Chemistry and Uppsala Clinical Research Center, Uppsala University, Uppsala, Sweden
| | - Lars Wallentin
- Department of Medical Sciences, Cardiology and Uppsala Clinical Research Center, Uppsala University, Uppsala, Sweden
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Ruiz-Idiago JM, Floriach M, Mareca C, Salvador R, López-Sendón JL, Mañanés V, Cubo E, Mariscal N, Muñoz E, Santacruz P, Noguera MF, Vivancos L, Roy P, Pomarol-Clotet E, Sarró S. Spanish Validation of the Problem Behaviors Assessment-Short (PBA-s) for Huntington's Disease. J Neuropsychiatry Clin Neurosci 2017; 29:31-38. [PMID: 27417071 DOI: 10.1176/appi.neuropsych.16020025] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [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: 11/30/2022]
Abstract
A prospective, observational multicenter study was carried out assessing neuropsychiatric symptoms in a sample of 117 subjects in order to validate the Spanish version of the Problem Behaviors Assessment-Short (PBA-s). The psychometric properties of this version were analyzed. Inter- and intra-rater reliability were good: the mean weighted Cohen's kappa was 0.90 for severity scores and 0.93 for frequency scores. Four factors accounting for 56% of the total variance were identified after an exploratory factor analysis: apathy, irritability, depression, and perseveration. The PBA-s correlates strongly with the Neuropsychiatric Inventory, demonstrating its accuracy for assessing neuropsychiatric symptoms in patients with Huntington's disease.
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Affiliation(s)
- Jesús M Ruiz-Idiago
- From the Huntington Disease Programme, Hospital Mare de Déu de la Mercè, Hermanas Hospitalarias, Barcelona, Spain (JR-I, MF, PR); the FIDMAG Hermanas Hospitalarias Research Foundation, Barcelona, Spain (RS, EP-C, SS); the Programa de Doctorat de Psiquiatria, Universitat Autònoma de Barcelona, Barcelona, Spain (JR-I); the CIBERSAM, Instituto de Salud Carlos III, Madrid, Spain (RS, EP-C, SS); the Neurology Department, Hospital Ramón y Cajal, Madrid, Spain (JL-S, VM); the Instituto Ramón y Cajal de Investigación Sanitaria, Madrid, Spain (JL-S, VM); the CIBERNED, Instituto de Salud Carlos III, Madrid, Spain (JL-S); the Neurology Department, Complejo Asistencial Universitario Burgos, Burgos (EB), Spain; the Neurology Department, Movement Disorders Unit, Fundació Clinic per la Recerca Biomèdica, Barcelona, Spain (EM, PS, LV); and the Dementia Unit, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain (MN)
| | - Misericordia Floriach
- From the Huntington Disease Programme, Hospital Mare de Déu de la Mercè, Hermanas Hospitalarias, Barcelona, Spain (JR-I, MF, PR); the FIDMAG Hermanas Hospitalarias Research Foundation, Barcelona, Spain (RS, EP-C, SS); the Programa de Doctorat de Psiquiatria, Universitat Autònoma de Barcelona, Barcelona, Spain (JR-I); the CIBERSAM, Instituto de Salud Carlos III, Madrid, Spain (RS, EP-C, SS); the Neurology Department, Hospital Ramón y Cajal, Madrid, Spain (JL-S, VM); the Instituto Ramón y Cajal de Investigación Sanitaria, Madrid, Spain (JL-S, VM); the CIBERNED, Instituto de Salud Carlos III, Madrid, Spain (JL-S); the Neurology Department, Complejo Asistencial Universitario Burgos, Burgos (EB), Spain; the Neurology Department, Movement Disorders Unit, Fundació Clinic per la Recerca Biomèdica, Barcelona, Spain (EM, PS, LV); and the Dementia Unit, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain (MN)
| | - Cèlia Mareca
- From the Huntington Disease Programme, Hospital Mare de Déu de la Mercè, Hermanas Hospitalarias, Barcelona, Spain (JR-I, MF, PR); the FIDMAG Hermanas Hospitalarias Research Foundation, Barcelona, Spain (RS, EP-C, SS); the Programa de Doctorat de Psiquiatria, Universitat Autònoma de Barcelona, Barcelona, Spain (JR-I); the CIBERSAM, Instituto de Salud Carlos III, Madrid, Spain (RS, EP-C, SS); the Neurology Department, Hospital Ramón y Cajal, Madrid, Spain (JL-S, VM); the Instituto Ramón y Cajal de Investigación Sanitaria, Madrid, Spain (JL-S, VM); the CIBERNED, Instituto de Salud Carlos III, Madrid, Spain (JL-S); the Neurology Department, Complejo Asistencial Universitario Burgos, Burgos (EB), Spain; the Neurology Department, Movement Disorders Unit, Fundació Clinic per la Recerca Biomèdica, Barcelona, Spain (EM, PS, LV); and the Dementia Unit, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain (MN)
| | - Raymond Salvador
- From the Huntington Disease Programme, Hospital Mare de Déu de la Mercè, Hermanas Hospitalarias, Barcelona, Spain (JR-I, MF, PR); the FIDMAG Hermanas Hospitalarias Research Foundation, Barcelona, Spain (RS, EP-C, SS); the Programa de Doctorat de Psiquiatria, Universitat Autònoma de Barcelona, Barcelona, Spain (JR-I); the CIBERSAM, Instituto de Salud Carlos III, Madrid, Spain (RS, EP-C, SS); the Neurology Department, Hospital Ramón y Cajal, Madrid, Spain (JL-S, VM); the Instituto Ramón y Cajal de Investigación Sanitaria, Madrid, Spain (JL-S, VM); the CIBERNED, Instituto de Salud Carlos III, Madrid, Spain (JL-S); the Neurology Department, Complejo Asistencial Universitario Burgos, Burgos (EB), Spain; the Neurology Department, Movement Disorders Unit, Fundació Clinic per la Recerca Biomèdica, Barcelona, Spain (EM, PS, LV); and the Dementia Unit, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain (MN)
| | - José Luis López-Sendón
- From the Huntington Disease Programme, Hospital Mare de Déu de la Mercè, Hermanas Hospitalarias, Barcelona, Spain (JR-I, MF, PR); the FIDMAG Hermanas Hospitalarias Research Foundation, Barcelona, Spain (RS, EP-C, SS); the Programa de Doctorat de Psiquiatria, Universitat Autònoma de Barcelona, Barcelona, Spain (JR-I); the CIBERSAM, Instituto de Salud Carlos III, Madrid, Spain (RS, EP-C, SS); the Neurology Department, Hospital Ramón y Cajal, Madrid, Spain (JL-S, VM); the Instituto Ramón y Cajal de Investigación Sanitaria, Madrid, Spain (JL-S, VM); the CIBERNED, Instituto de Salud Carlos III, Madrid, Spain (JL-S); the Neurology Department, Complejo Asistencial Universitario Burgos, Burgos (EB), Spain; the Neurology Department, Movement Disorders Unit, Fundació Clinic per la Recerca Biomèdica, Barcelona, Spain (EM, PS, LV); and the Dementia Unit, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain (MN)
| | - Verónica Mañanés
- From the Huntington Disease Programme, Hospital Mare de Déu de la Mercè, Hermanas Hospitalarias, Barcelona, Spain (JR-I, MF, PR); the FIDMAG Hermanas Hospitalarias Research Foundation, Barcelona, Spain (RS, EP-C, SS); the Programa de Doctorat de Psiquiatria, Universitat Autònoma de Barcelona, Barcelona, Spain (JR-I); the CIBERSAM, Instituto de Salud Carlos III, Madrid, Spain (RS, EP-C, SS); the Neurology Department, Hospital Ramón y Cajal, Madrid, Spain (JL-S, VM); the Instituto Ramón y Cajal de Investigación Sanitaria, Madrid, Spain (JL-S, VM); the CIBERNED, Instituto de Salud Carlos III, Madrid, Spain (JL-S); the Neurology Department, Complejo Asistencial Universitario Burgos, Burgos (EB), Spain; the Neurology Department, Movement Disorders Unit, Fundació Clinic per la Recerca Biomèdica, Barcelona, Spain (EM, PS, LV); and the Dementia Unit, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain (MN)
| | - Esther Cubo
- From the Huntington Disease Programme, Hospital Mare de Déu de la Mercè, Hermanas Hospitalarias, Barcelona, Spain (JR-I, MF, PR); the FIDMAG Hermanas Hospitalarias Research Foundation, Barcelona, Spain (RS, EP-C, SS); the Programa de Doctorat de Psiquiatria, Universitat Autònoma de Barcelona, Barcelona, Spain (JR-I); the CIBERSAM, Instituto de Salud Carlos III, Madrid, Spain (RS, EP-C, SS); the Neurology Department, Hospital Ramón y Cajal, Madrid, Spain (JL-S, VM); the Instituto Ramón y Cajal de Investigación Sanitaria, Madrid, Spain (JL-S, VM); the CIBERNED, Instituto de Salud Carlos III, Madrid, Spain (JL-S); the Neurology Department, Complejo Asistencial Universitario Burgos, Burgos (EB), Spain; the Neurology Department, Movement Disorders Unit, Fundació Clinic per la Recerca Biomèdica, Barcelona, Spain (EM, PS, LV); and the Dementia Unit, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain (MN)
| | - Natividad Mariscal
- From the Huntington Disease Programme, Hospital Mare de Déu de la Mercè, Hermanas Hospitalarias, Barcelona, Spain (JR-I, MF, PR); the FIDMAG Hermanas Hospitalarias Research Foundation, Barcelona, Spain (RS, EP-C, SS); the Programa de Doctorat de Psiquiatria, Universitat Autònoma de Barcelona, Barcelona, Spain (JR-I); the CIBERSAM, Instituto de Salud Carlos III, Madrid, Spain (RS, EP-C, SS); the Neurology Department, Hospital Ramón y Cajal, Madrid, Spain (JL-S, VM); the Instituto Ramón y Cajal de Investigación Sanitaria, Madrid, Spain (JL-S, VM); the CIBERNED, Instituto de Salud Carlos III, Madrid, Spain (JL-S); the Neurology Department, Complejo Asistencial Universitario Burgos, Burgos (EB), Spain; the Neurology Department, Movement Disorders Unit, Fundació Clinic per la Recerca Biomèdica, Barcelona, Spain (EM, PS, LV); and the Dementia Unit, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain (MN)
| | - Esteban Muñoz
- From the Huntington Disease Programme, Hospital Mare de Déu de la Mercè, Hermanas Hospitalarias, Barcelona, Spain (JR-I, MF, PR); the FIDMAG Hermanas Hospitalarias Research Foundation, Barcelona, Spain (RS, EP-C, SS); the Programa de Doctorat de Psiquiatria, Universitat Autònoma de Barcelona, Barcelona, Spain (JR-I); the CIBERSAM, Instituto de Salud Carlos III, Madrid, Spain (RS, EP-C, SS); the Neurology Department, Hospital Ramón y Cajal, Madrid, Spain (JL-S, VM); the Instituto Ramón y Cajal de Investigación Sanitaria, Madrid, Spain (JL-S, VM); the CIBERNED, Instituto de Salud Carlos III, Madrid, Spain (JL-S); the Neurology Department, Complejo Asistencial Universitario Burgos, Burgos (EB), Spain; the Neurology Department, Movement Disorders Unit, Fundació Clinic per la Recerca Biomèdica, Barcelona, Spain (EM, PS, LV); and the Dementia Unit, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain (MN)
| | - Pilar Santacruz
- From the Huntington Disease Programme, Hospital Mare de Déu de la Mercè, Hermanas Hospitalarias, Barcelona, Spain (JR-I, MF, PR); the FIDMAG Hermanas Hospitalarias Research Foundation, Barcelona, Spain (RS, EP-C, SS); the Programa de Doctorat de Psiquiatria, Universitat Autònoma de Barcelona, Barcelona, Spain (JR-I); the CIBERSAM, Instituto de Salud Carlos III, Madrid, Spain (RS, EP-C, SS); the Neurology Department, Hospital Ramón y Cajal, Madrid, Spain (JL-S, VM); the Instituto Ramón y Cajal de Investigación Sanitaria, Madrid, Spain (JL-S, VM); the CIBERNED, Instituto de Salud Carlos III, Madrid, Spain (JL-S); the Neurology Department, Complejo Asistencial Universitario Burgos, Burgos (EB), Spain; the Neurology Department, Movement Disorders Unit, Fundació Clinic per la Recerca Biomèdica, Barcelona, Spain (EM, PS, LV); and the Dementia Unit, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain (MN)
| | - María F Noguera
- From the Huntington Disease Programme, Hospital Mare de Déu de la Mercè, Hermanas Hospitalarias, Barcelona, Spain (JR-I, MF, PR); the FIDMAG Hermanas Hospitalarias Research Foundation, Barcelona, Spain (RS, EP-C, SS); the Programa de Doctorat de Psiquiatria, Universitat Autònoma de Barcelona, Barcelona, Spain (JR-I); the CIBERSAM, Instituto de Salud Carlos III, Madrid, Spain (RS, EP-C, SS); the Neurology Department, Hospital Ramón y Cajal, Madrid, Spain (JL-S, VM); the Instituto Ramón y Cajal de Investigación Sanitaria, Madrid, Spain (JL-S, VM); the CIBERNED, Instituto de Salud Carlos III, Madrid, Spain (JL-S); the Neurology Department, Complejo Asistencial Universitario Burgos, Burgos (EB), Spain; the Neurology Department, Movement Disorders Unit, Fundació Clinic per la Recerca Biomèdica, Barcelona, Spain (EM, PS, LV); and the Dementia Unit, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain (MN)
| | - Laura Vivancos
- From the Huntington Disease Programme, Hospital Mare de Déu de la Mercè, Hermanas Hospitalarias, Barcelona, Spain (JR-I, MF, PR); the FIDMAG Hermanas Hospitalarias Research Foundation, Barcelona, Spain (RS, EP-C, SS); the Programa de Doctorat de Psiquiatria, Universitat Autònoma de Barcelona, Barcelona, Spain (JR-I); the CIBERSAM, Instituto de Salud Carlos III, Madrid, Spain (RS, EP-C, SS); the Neurology Department, Hospital Ramón y Cajal, Madrid, Spain (JL-S, VM); the Instituto Ramón y Cajal de Investigación Sanitaria, Madrid, Spain (JL-S, VM); the CIBERNED, Instituto de Salud Carlos III, Madrid, Spain (JL-S); the Neurology Department, Complejo Asistencial Universitario Burgos, Burgos (EB), Spain; the Neurology Department, Movement Disorders Unit, Fundació Clinic per la Recerca Biomèdica, Barcelona, Spain (EM, PS, LV); and the Dementia Unit, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain (MN)
| | - Pedro Roy
- From the Huntington Disease Programme, Hospital Mare de Déu de la Mercè, Hermanas Hospitalarias, Barcelona, Spain (JR-I, MF, PR); the FIDMAG Hermanas Hospitalarias Research Foundation, Barcelona, Spain (RS, EP-C, SS); the Programa de Doctorat de Psiquiatria, Universitat Autònoma de Barcelona, Barcelona, Spain (JR-I); the CIBERSAM, Instituto de Salud Carlos III, Madrid, Spain (RS, EP-C, SS); the Neurology Department, Hospital Ramón y Cajal, Madrid, Spain (JL-S, VM); the Instituto Ramón y Cajal de Investigación Sanitaria, Madrid, Spain (JL-S, VM); the CIBERNED, Instituto de Salud Carlos III, Madrid, Spain (JL-S); the Neurology Department, Complejo Asistencial Universitario Burgos, Burgos (EB), Spain; the Neurology Department, Movement Disorders Unit, Fundació Clinic per la Recerca Biomèdica, Barcelona, Spain (EM, PS, LV); and the Dementia Unit, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain (MN)
| | - Edith Pomarol-Clotet
- From the Huntington Disease Programme, Hospital Mare de Déu de la Mercè, Hermanas Hospitalarias, Barcelona, Spain (JR-I, MF, PR); the FIDMAG Hermanas Hospitalarias Research Foundation, Barcelona, Spain (RS, EP-C, SS); the Programa de Doctorat de Psiquiatria, Universitat Autònoma de Barcelona, Barcelona, Spain (JR-I); the CIBERSAM, Instituto de Salud Carlos III, Madrid, Spain (RS, EP-C, SS); the Neurology Department, Hospital Ramón y Cajal, Madrid, Spain (JL-S, VM); the Instituto Ramón y Cajal de Investigación Sanitaria, Madrid, Spain (JL-S, VM); the CIBERNED, Instituto de Salud Carlos III, Madrid, Spain (JL-S); the Neurology Department, Complejo Asistencial Universitario Burgos, Burgos (EB), Spain; the Neurology Department, Movement Disorders Unit, Fundació Clinic per la Recerca Biomèdica, Barcelona, Spain (EM, PS, LV); and the Dementia Unit, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain (MN)
| | - Salvador Sarró
- From the Huntington Disease Programme, Hospital Mare de Déu de la Mercè, Hermanas Hospitalarias, Barcelona, Spain (JR-I, MF, PR); the FIDMAG Hermanas Hospitalarias Research Foundation, Barcelona, Spain (RS, EP-C, SS); the Programa de Doctorat de Psiquiatria, Universitat Autònoma de Barcelona, Barcelona, Spain (JR-I); the CIBERSAM, Instituto de Salud Carlos III, Madrid, Spain (RS, EP-C, SS); the Neurology Department, Hospital Ramón y Cajal, Madrid, Spain (JL-S, VM); the Instituto Ramón y Cajal de Investigación Sanitaria, Madrid, Spain (JL-S, VM); the CIBERNED, Instituto de Salud Carlos III, Madrid, Spain (JL-S); the Neurology Department, Complejo Asistencial Universitario Burgos, Burgos (EB), Spain; the Neurology Department, Movement Disorders Unit, Fundació Clinic per la Recerca Biomèdica, Barcelona, Spain (EM, PS, LV); and the Dementia Unit, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain (MN)
| | -
- From the Huntington Disease Programme, Hospital Mare de Déu de la Mercè, Hermanas Hospitalarias, Barcelona, Spain (JR-I, MF, PR); the FIDMAG Hermanas Hospitalarias Research Foundation, Barcelona, Spain (RS, EP-C, SS); the Programa de Doctorat de Psiquiatria, Universitat Autònoma de Barcelona, Barcelona, Spain (JR-I); the CIBERSAM, Instituto de Salud Carlos III, Madrid, Spain (RS, EP-C, SS); the Neurology Department, Hospital Ramón y Cajal, Madrid, Spain (JL-S, VM); the Instituto Ramón y Cajal de Investigación Sanitaria, Madrid, Spain (JL-S, VM); the CIBERNED, Instituto de Salud Carlos III, Madrid, Spain (JL-S); the Neurology Department, Complejo Asistencial Universitario Burgos, Burgos (EB), Spain; the Neurology Department, Movement Disorders Unit, Fundació Clinic per la Recerca Biomèdica, Barcelona, Spain (EM, PS, LV); and the Dementia Unit, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain (MN)
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Merás P, Caro J, Trigo E, Irazusta J, López-Sendón JL, Refoyo E. Diagnostic Value of NT-proBNP for Early Identification of Chagas Cardiomyopathy in Non-endemic Areas. ACTA ACUST UNITED AC 2017; 70:783-785. [PMID: 28238648 DOI: 10.1016/j.rec.2016.12.010] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2016] [Accepted: 10/06/2016] [Indexed: 11/17/2022]
Affiliation(s)
- Pablo Merás
- Servicio de Cardiología, Hospital Universitario La Paz, Madrid, Spain
| | - Juan Caro
- Servicio de Cardiología, Hospital Universitario La Paz, Madrid, Spain
| | - Elena Trigo
- Unidad de Enfermedades Tropicales, Servicio de Medicina Interna, Hospital Carlos III-La Paz, Madrid, Spain
| | - Javier Irazusta
- Servicio de Cardiología, Hospital Universitario La Paz, Madrid, Spain
| | | | - Elena Refoyo
- Servicio de Cardiología, Hospital Universitario La Paz, Madrid, Spain.
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Escobar C, Arceluz M, Montes de Oca R, Mori R, López-Sendón JL, Merino JL. Administración simultánea de rivaroxabán y dronedarona en pacientes con fibrilación auricular no valvular. Rev Esp Cardiol 2017. [DOI: 10.1016/j.recesp.2016.06.023] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Escobar C, Arceluz M, Montes de Oca R, Mori R, López-Sendón JL, Merino JL. Concomitant Rivaroxaban and Dronedarone Administration in Patients With Nonvalvular Atrial Fibrillation. Rev Esp Cardiol (Engl Ed) 2017; 70:121-122. [PMID: 27693025 DOI: 10.1016/j.rec.2016.06.018] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/08/2016] [Accepted: 06/06/2016] [Indexed: 06/06/2023]
Affiliation(s)
- Carlos Escobar
- Servicio de Cardiología, Hospital Universitario La Paz, IdiPaz, Madrid, Spain
| | - Martín Arceluz
- Servicio de Cardiología, Hospital Universitario La Paz, IdiPaz, Madrid, Spain
| | - Rosa Montes de Oca
- Servicio de Cardiología, Hospital Universitario La Paz, IdiPaz, Madrid, Spain
| | - Ricardo Mori
- Servicio de Cardiología, Hospital Universitario La Paz, IdiPaz, Madrid, Spain
| | - José Luis López-Sendón
- Unidad de Electrofisiología Robotizada, Hospital Universitario La Paz, IdiPaz, Madrid, Spain
| | - José Luis Merino
- Servicio de Cardiología, Hospital Universitario La Paz, IdiPaz, Madrid, Spain.
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Anguita Sánchez M, Castro Conde A, Cordero Fort A, García-Moll Marimón X, Gómez Doblas JJ, González-Juanatey JR, Lidón Corbi RM, López-Sendón JL, Mostaza Prieto J, Rodríguez Padial L. Necesidades no cubiertas con el tratamiento hipolipemiante oral: documento de posición de la Sociedad Española de Cardiología. Rev Esp Cardiol 2016. [DOI: 10.1016/j.recesp.2016.05.013] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Anguita Sánchez M, Castro Conde A, Cordero Fort A, García-Moll Marimón X, Gómez Doblas JJ, González-Juanatey JR, Lidón Corbi RM, López-Sendón JL, Mostaza Prieto J, Rodríguez Padial L. Challenges in Oral Lipid-lowering Therapy: Position Document of the Spanish Society of Cardiology. ACTA ACUST UNITED AC 2016; 69:1083-1087. [PMID: 27650859 DOI: 10.1016/j.rec.2016.05.033] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2016] [Accepted: 05/31/2016] [Indexed: 11/30/2022]
Abstract
Lipid-lowering therapy is one of the cornerstones of cardiovascular prevention and is one of the most effective strategies in the secondary prevention of ischemic heart disease. Nevertheless, the current treatment of lipid disorders, together with lifestyle changes, fails to achieve the targets recommended in clinical guidelines in a substantial proportion of patients. PCSK9 inhibitors have demonstrated safety and efficacy in the treatment of dyslipidemia. Due to their ability to reduce low-density lipoprotein cholesterol levels, these drugs have recently been approved for clinical use by Spanish regulatory agencies, with the aim of reducing cardiovascular risk in selected patient groups.
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Affiliation(s)
| | | | - Alberto Cordero Fort
- Servicio de Cardiología, Hospital Universitario de San Juan, San Juan de Alicante, Alicante, Spain
| | | | | | - José R González-Juanatey
- Servicio de Cardiología, Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela, A Coruña, Spain.
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Viedma-Guiard E, Agüero P, Crespo-Araico L, Estévez-Fraga C, Sánchez-Díez G, López-Sendón JL, Aviles-Olmos I, García-Ribas G, Palacios Romero ML, Masjuan Vallejo J, Martínez-Castrillo JC, Alonso-Cánovas A. Use of e-mail for Parkinson's disease consultations: Are answers just a clic away? Neurologia 2016; 33:107-111. [PMID: 27474365 DOI: 10.1016/j.nrl.2016.05.020] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2016] [Revised: 05/27/2016] [Accepted: 05/30/2016] [Indexed: 10/21/2022] Open
Abstract
INTRODUCTION The clinical problems of patients with movement disorders (MD) are complex, and the duration and frequency of face-to-face consultations may be insufficient to meet their needs. We analysed the implementation of an e-mail-based query service for our MD unit's patients and their primary care physicians (PCPs). METHODS We retrospectively reviewed all consecutive emails sent and received over a period of 4 months, one year after implementation of the e-mail inquiry system. All patients received the during consultations, and PCPs, during scheduled informative meetings. We recorded and later analysed the profile of the questioner, patients' demographic and clinical data, number of queries, reason for consultation, and actions taken. RESULTS From 1 January 2015 to 30 April 2015, the service received 137 emails from 63 patients (43% male, mean age 71±10.5) diagnosed with Parkinson's disease (76%), atypical parkinsonism (10%), and others (14%); 116 responses were sent. Twenty (32%) emails were written by patients, 38 (60%) by their caregivers, and 5 (8%) by their PCPs. The reasons for consultation were clinical in 50 cases (80%): 16 (32%) described clinical deterioration, 14 (28%) onset of new symptoms, and 20 (40%) side effects or concerns about medications. In 13 cases (20%), the query was bureaucratic: 11 were related to appointments (85%) and 2 were requests for clinical reports (15%). In response, new appointments were scheduled in 9 cases (14%), while the rest of the questions were answered by email. Patients were satisfied overall and the additional care burden on specialists was not excessive. CONCLUSIONS Implementing an e-mail-based consultation system is feasible in MD units. It facilitates both communication between neurologists and patients and continued care in the primary care setting.
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Affiliation(s)
- E Viedma-Guiard
- Unidad de Trastornos del Movimiento, Servicio de Neurología, Hospital Universitario Ramón y Cajal, IRYCIS, Universidad de Alcalá, Madrid, España.
| | - P Agüero
- Unidad de Trastornos del Movimiento, Servicio de Neurología, Hospital Universitario Ramón y Cajal, IRYCIS, Universidad de Alcalá, Madrid, España
| | - L Crespo-Araico
- Unidad de Trastornos del Movimiento, Servicio de Neurología, Hospital Universitario Ramón y Cajal, IRYCIS, Universidad de Alcalá, Madrid, España
| | - C Estévez-Fraga
- Unidad de Trastornos del Movimiento, Servicio de Neurología, Hospital Universitario Ramón y Cajal, IRYCIS, Universidad de Alcalá, Madrid, España
| | - G Sánchez-Díez
- Unidad de Trastornos del Movimiento, Servicio de Neurología, Hospital Universitario Ramón y Cajal, IRYCIS, Universidad de Alcalá, Madrid, España
| | - J L López-Sendón
- Unidad de Trastornos del Movimiento, Servicio de Neurología, Hospital Universitario Ramón y Cajal, IRYCIS, Universidad de Alcalá, Madrid, España
| | - I Aviles-Olmos
- Unidad de Trastornos del Movimiento, Servicio de Neurología, Hospital Universitario Ramón y Cajal, IRYCIS, Universidad de Alcalá, Madrid, España
| | - G García-Ribas
- Unidad de Trastornos del Movimiento, Servicio de Neurología, Hospital Universitario Ramón y Cajal, IRYCIS, Universidad de Alcalá, Madrid, España
| | - M L Palacios Romero
- Dirección de Continuidad Asistencial, Hospital Universitario Ramón y Cajal, IRYCIS, Universidad de Alcalá, Madrid, España
| | - J Masjuan Vallejo
- Unidad de Trastornos del Movimiento, Servicio de Neurología, Hospital Universitario Ramón y Cajal, IRYCIS, Universidad de Alcalá, Madrid, España
| | - J C Martínez-Castrillo
- Unidad de Trastornos del Movimiento, Servicio de Neurología, Hospital Universitario Ramón y Cajal, IRYCIS, Universidad de Alcalá, Madrid, España
| | - A Alonso-Cánovas
- Unidad de Trastornos del Movimiento, Servicio de Neurología, Hospital Universitario Ramón y Cajal, IRYCIS, Universidad de Alcalá, Madrid, España
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Salinas P, Moreno R, Calvo L, Sánchez-Recalde Á, Jiménez-Valero S, Galeote G, López-Fernández T, Ramírez U, Riera L, Plaza I, Moreno I, Mesa JM, López-Sendón JL. Seguimiento a largo plazo tras implante percutáneo de válvula aórtica por estenosis aórtica grave. Rev Esp Cardiol 2016. [DOI: 10.1016/j.recesp.2015.03.024] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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48
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Caro-Codón J, López-Fernández T, Sánchez-Recalde Á, Valbuena-López S, Moreno R, López-Sendón JL. Diagnosis and management of pulmonary embolism in critical situations: A cardiac challenge. Rev Port Cardiol 2015; 34:703-4. [PMID: 26507412 DOI: 10.1016/j.repc.2015.06.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2015] [Revised: 05/30/2015] [Accepted: 06/07/2015] [Indexed: 10/22/2022] Open
Affiliation(s)
- Juan Caro-Codón
- Serviço de Cardiologia, Hospital Universitario La Paz, Madrid, Spain.
| | | | | | | | - Raúl Moreno
- Serviço de Cardiologia, Hospital Universitario La Paz, Madrid, Spain
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49
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Salinas P, Moreno R, Calvo L, Sánchez-Recalde Á, Jiménez-Valero S, Galeote G, López-Fernández T, Ramírez U, Riera L, Plaza I, Moreno I, Mesa JM, López-Sendón JL. Long-term Follow-up After Transcatheter Aortic Valve Implantation for Severe Aortic Stenosis. ACTA ACUST UNITED AC 2015; 69:37-44. [PMID: 26234997 DOI: 10.1016/j.rec.2015.03.017] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2015] [Accepted: 03/23/2015] [Indexed: 11/30/2022]
Abstract
INTRODUCTION AND OBJECTIVES Transcatheter aortic valve implantation is used as an alternative to surgical valve replacement in patients with severe aortic stenosis who are considered high-surgical-risk or inoperable. Two of the main areas of uncertainty in this field are valve durability and long-term survival. METHODS This prospective single-center registry study from a tertiary hospital included all consecutive patients who underwent percutaneous aortic valve implantation between 2008 and 2012. Clinical follow-up lasted a minimum of 2.5 years and a maximum of 6.5 years. Valve Academic Research Consortium-2 definitions were used. RESULTS Seventy-nine patients were included, with an immediate success rate of 94.9%. The median survival was 47.6 months (95% confidence intervals, 37.4-57.9 months), ie, 4 years. One quarter of deaths occurred in the first month, and most were of cardiovascular cause. After the first month, most deaths were due to noncardiovascular causes. The mean values of valve gradients did not increase during follow-up. The cumulative rate of prosthetic valve dysfunction was 15.3%, with no cases of repeat valve replacement. CONCLUSIONS Half of the patients with aortic stenosis who underwent transcatheter aortic valve implantation were alive 4 years after the procedure. There was a 15.3% prosthetic valve dysfunction rate in cumulative follow-up, with no cases of repeat valve replacement.
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Affiliation(s)
- Pablo Salinas
- Servicio de Cardiología, Hospital Universitario La Paz, Madrid, Spain.
| | - Raúl Moreno
- Servicio de Cardiología, Hospital Universitario La Paz, Madrid, Spain
| | - Luis Calvo
- Servicio de Cardiología, Hospital Universitario La Paz, Madrid, Spain
| | | | | | - Guillermo Galeote
- Servicio de Cardiología, Hospital Universitario La Paz, Madrid, Spain
| | | | - Ulises Ramírez
- Servicio de Cirugía Cardiaca, Hospital Universitario La Paz, Madrid, Spain
| | - Luis Riera
- Servicio de Cirugía Vascular, Hospital Universitario La Paz, Madrid, Spain
| | - Ignacio Plaza
- Servicio de Cardiología, Hospital Infanta Sofía, San Sebastián de los Reyes, Madrid, Spain
| | - Isidro Moreno
- Servicio de Anestesia y Reanimación, Hospital Universitario La Paz, Madrid, Spain
| | - José María Mesa
- Servicio de Cirugía Cardiaca, Hospital Universitario La Paz, Madrid, Spain
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50
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Rodríguez-López C, Garlito-Díaz H, Madroñero-Mariscal R, Sánchez-Cervilla PJ, Graciani A, López-Sendón JL, López-de-Sá E. Earlobe crease shapes and cardiovascular events. Am J Cardiol 2015; 116:286-93. [PMID: 25983126 DOI: 10.1016/j.amjcard.2015.04.023] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/06/2015] [Revised: 04/09/2015] [Accepted: 04/09/2015] [Indexed: 10/23/2022]
Abstract
Earlobe crease (ELC) has been linked to coronary artery disease; however, systematic evaluations of the earlobe and its relation to ischemic stroke are lacking. The objectives were to define the ELC using a single-blind approach and to determine through multivariate analysis its association with cardiovascular events (CVEs) comprising coronary, ischemic cerebrovascular, and peripheral vascular diseases. A single-blind cross-sectional study was performed in 2 phases: (1) an initial study (n = 300) to define ELC classification criteria and (2) a confirmation stage (n = 1,000) to analyze ELC association with CVEs. Each of the participants' pinnae were photographed and classified blindly by joint decision according to ELC's inclination, length, depth, and bilateralism. Patients' medical histories were reviewed for age, cardiovascular risk factors, and CVEs. The concordance rate after the classification of all photographs was 89.6%. The first phase did not find any correlation between the different depth degrees or vertical creases and CVEs. The second stage concluded that diagonal bilateral ELC prevalence in patients with CVEs was 43% compared with 29% in the control patients (p <0.001). The multivariate analysis showed an association between ELC and CVEs (odds ratio 1.45, 95% confidence interval [CI] 1.08 to 1.93, p = 0.012), with a sensitivity and specificity of 43% and 70%, respectively. Ischemic stroke alone was also associated with diagonal bilateral ELC (odds ratio 1.67, 95% confidence interval 1.1 to 2.51, p = 0.015). In conclusion, diagonal bilateral ELC is independently associated with CVEs in the hospitalized population. An independent association with ischemic stroke has also been demonstrated for the first time.
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