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Journals European Heart Journal. Qualit...

European Heart Journal. Quality of Care & Clinical Outcomes

https://read.qxmd.com/read/38486357/cost-effectiveness-of-low-dose-colchicine-in-patients-with-chronic-coronary-disease-in-the-netherlands
#1
JOURNAL ARTICLE
Aernoud T L Fiolet, Willem Keusters, Johan Blokzijl, S Mark Nidorf, John E Eikelboom, Charley A Budgeon, Jan G P Tijssen, Tjeerd Römer, Iris Westendorp, Jan Hein Cornel, Peter L Thompson, Geert W J Frederix, Arend Mosterd, G Ardine de Wit
AIMS: Recent trials have shown that low-dose colchicine (0.5 mg once daily) reduces major cardiovascular events in patients with acute and chronic coronary syndromes. We aimed to estimate the cost-effectiveness of low-dose colchicine therapy in patients with chronic coronary disease when added to standard background therapy. METHODS AND RESULTS: This Markov cohort cost-effectiveness model used estimates of therapy effectiveness, transition probabilities, costs and quality of life obtained from the Low-dose Colchicine 2 (LoDoCo2) trial, as well as meta-analyses and public sources...
March 14, 2024: European Heart Journal. Quality of Care & Clinical Outcomes
https://read.qxmd.com/read/38479784/secundum-atrial-septal-defect-closure-in-adults-in-the-uk
#2
JOURNAL ARTICLE
Kate M English, Ferran Espuny-Pujol, Rodney C Franklin, Sonya Crowe, Christina Pagel
AIMS: To examine determinants of access to treatment, outcomes and hospital utilization in patients undergoing secundum atrial septal defect (ASD) closure in adulthood in England and Wales. METHODS AND RESULTS: Large retrospective cohort study of all adult patients undergoing secundum ASD closures in England and Wales between 2000/01 and 2016/17. Data were from population-based official data sets covering congenital heart disease procedures, hospital episodes and death registries...
March 13, 2024: European Heart Journal. Quality of Care & Clinical Outcomes
https://read.qxmd.com/read/38453451/management-and-outcome-in-foreign-born-vs-native-born-patients-with-myocardial-infarction-in-sweden
#3
JOURNAL ARTICLE
Sammy Zwackman, Jenny Häggström, Emil Hagström, Tomas Jernberg, Jan-Erik Karlsson, Sofia Sederholm Lawesson, Margret Leosdottir, Annica Ravn-Fischer, Marie Eriksson, Joakim Alfredsson
BACKGROUND: Previous studies on disparities in healthcare and outcome have shown conflicting results. The aim of this study was to assess differences in baseline characteristics, management, and outcome in myocardial infarction (MI) patients, by country of birth. METHODS: In total, 194 259 MI patients (64% male, 15% foreign-born) from the nationwide SWEDEHEART registry were included and compared by geographic region of birth. The primary outcome was one-year major adverse cardiovascular events (MACE) including all-cause death, MI, and stroke...
March 7, 2024: European Heart Journal. Quality of Care & Clinical Outcomes
https://read.qxmd.com/read/38449345/association-of-cumulative-health-status-with-subsequent-mortality-in-patients-with-acute-heart-failure
#4
JOURNAL ARTICLE
Yue Peng, Guangda He, Wei Wang, Lubi Lei, Jingkuo Li, Boxuan Pu, Xiqian Huo, Yanwu Yu, Lihua Zhang, Jing Li
OBJECTIVE: We aim to examine the association between long-term cumulative health status and subsequent mortality among patients with acute heart failure (HF). METHODS: Based on a national prospective cohort study of patients hospitalized for HF, we measured health status by Kansas City Cardiomyopathy Questionnaire (KCCQ)-12 at 4 time points, i.e. admission, 1-,6- and 12-month after discharge. Cumulative health status was interpreted by cumulative KCCQ-12 score and cumulative times of good health status...
March 6, 2024: European Heart Journal. Quality of Care & Clinical Outcomes
https://read.qxmd.com/read/38449340/the-controversy-between-atrial-fibrillation-subtypes-and-worsening-heart-failure
#5
JOURNAL ARTICLE
Amir Razaghizad, Thao Huynh, Abhinav Sharma
No abstract text is available yet for this article.
March 6, 2024: European Heart Journal. Quality of Care & Clinical Outcomes
https://read.qxmd.com/read/38414273/vaccines-and-myocardial-injury-in-patients-hospitalized-for-covid-19-infection-the-cardiocovid-gemelli-study
#6
JOURNAL ARTICLE
Rocco Antonio Montone, Riccardo Rinaldi, Carlotta Masciocchi, Livia Lilli, Andrea Damiani, Giulia La Vecchia, Giulia Iannaccone, Mattia Basile, Carmine Salzillo, Andrea Caff, Alice Bonanni, Gennaro De Pascale, Domenico Luca Grieco, Eloisa Sofia Tanzarella, Danilo Buonsenso, Rita Murri, Massimo Fantoni, Giovanna Liuzzo, Tommaso Sanna, Luca Richeldi, Maurizio Sanguinetti, Massimo Massetti, Carlo Trani, Yamume Tshomba, Antonio Gasbarrini, Vincenzo Valentini, Massimo Antonelli, Filippo Crea
BACKGROUND: Myocardial injury is prevalent among patients hospitalized for COVID-19. However, the role of COVID-19 vaccines in modifying the risk of myocardial injury is unknown. OBJECTIVES: To assess the role of vaccines in modifying the risk of myocardial injury in COVID-19. METHODS: We enrolled COVID-19 patients admitted from March 2021 to February 2022 with known vaccination status and ≥1 assessment of hs-cTnI within 30 days from the admission...
February 27, 2024: European Heart Journal. Quality of Care & Clinical Outcomes
https://read.qxmd.com/read/38383606/health-care-utilization-and-the-associated-costs-attributable-to-cardiovascular-disease-in-ireland-a-cross-sectional-study
#7
JOURNAL ARTICLE
Danko Stamenic, Anthony P Fitzgerald, Katarzyna A Gajewska, Kate N O'Neill, Margaret Bermingham, Jodi Cronin, Brenda M Lynch, Sarah M O'Brien, Sheena M McHugh, Claire M Buckley, Paul M Kavanagh, Patricia M Kearney, Linda M O'Keeffe
BACKGROUND: Cardiovascular disease (CVD) is the leading cause of mortality and disability globally. We examined healthcare service utilization and costs attributable to CVD in Ireland in the period before the introduction of a major healthcare reform in 2016. METHODS: Secondary analysis of data from 8 113 participants of the first wave of The Irish Longitudinal Study on Ageing. CVD was defined as having a self-reported doctor's diagnosis of myocardial infarction, angina, heart failure, stroke, atrial fibrillation or transient ischaemic attack...
February 21, 2024: European Heart Journal. Quality of Care & Clinical Outcomes
https://read.qxmd.com/read/38366628/the-quality-of-care-and-long-term-mortality-of-out-of-hospital-cardiac-arrest-survivors-after-acute-myocardial-infarction-a-nationwide-cohort-study
#8
JOURNAL ARTICLE
Nicholas Weight, Saadiq Moledina, Tommy Hennessy, Haibo Jia, Maciej Banach, Muhammad Rashid, Jolanta M Siller-Matula, Holger Thiele, Mamas A Mamas
BACKGROUND: The long-terms outcomes of out of hospital cardiac arrest (OHCA) survivors are not well known. METHODS: Using the Myocardial Ischaemia National Audit Project (MINAP) registry, linked to Office for National Statistics (ONS) mortality data, we analysed 661 326 England, Wales and Northern-Ireland AMI patients; 14 127 (2%) suffered OHCA and survived beyond thirty-days of hospitalisation. Patients dying within thirty-days of admission were excluded...
February 15, 2024: European Heart Journal. Quality of Care & Clinical Outcomes
https://read.qxmd.com/read/38341281/sex-differences-in-population-versus-in-hospital-use-of-aortic-valve-replacement-procedures-in-spain
#9
JOURNAL ARTICLE
Nicolás Rosillo, Lourdes Vicent, Guillermo Moreno, Jorge Vélez, Fernando Sarnago, Jose Luís Bernal, Héctor Bueno
BACKGROUND AND AIMS: It is not well known if sex differences in the use and results of aortic valve replacement (AVR) are changing. The aim of the study is to assess the time trends in the differences by sex in the utilisation of AVR procedures in hospitals and in the community. METHODS: Retrospective observational analysis using data from the Spanish National Hospitalizations Administrative Database. All hospitalisations between 2016 and 2021 with a main diagnosis of aortic stenosis (ICD-10 codes: I35...
February 10, 2024: European Heart Journal. Quality of Care & Clinical Outcomes
https://read.qxmd.com/read/38337188/reperfusion-strategies-on-the-clinical-outcomes-of-st-elevation-myocardial-infarction-patients-over-80-years-old-in-china
#10
JOURNAL ARTICLE
Xinkai Qu, Shaofeng Guan, Jiasheng Cai, Qian Gan, Wenzheng Han, Liming Lu, Weiyi Fang, Peng Yin, Hong Shi, Annai Wang, Yuanchao G, Maigeng Zhou, Yong Huo
BACKGROUNDS AND AIMS: This study aims to explore the efficacy of reperfusion strategies on the clinical outcomes of ST-elevation myocardial infarction (STEMI) patients over 80 years old in China. METHODS: A retrospective cohort study was performed on STEMI patients over 80 years old who underwent reperfusion strategies and no reperfusion between January 2014 and December 2021 based on the China Cardiovascular Association (CCA) Database-Chest Pain Center. RESULTS: This study included a total of 42,699 patients (mean age 84...
February 9, 2024: European Heart Journal. Quality of Care & Clinical Outcomes
https://read.qxmd.com/read/38327179/long-term-survival-after-surgical-treatment-for-post-infarction-mechanical-complications-results-from-the-caution-study
#11
JOURNAL ARTICLE
Matteo Matteucci, Daniele Ronco, Mariusz Kowalewski, Giulio Massimi, Michele De Bonis, Francesco Formica, Federica Jiritano, Thierry Folliguet, Nikolaos Bonaros, Sandro Sponga, Piotr Suwalski, Andrea De Martino, Theodor Fischlein, Giovanni Troise, Guglielmo Actis Dato, Filiberto Giuseppe Serraino, Shabir Hussain Shah, Roberto Scrofani, Jurij Matija Kalisnik, Andrea Colli, Claudio Francesco Russo, Marco Ranucci, Matteo Pettinari, Adam Kowalowka, Matthias Thielmann, Bart Meyns, Fareed Khouqeer, Jean-Francois Obadia, Udo Boeken, Caterina Simon, Shiho Naito, Andrea Musazzi, Roberto Lorusso
BACKGROUND AND AIMS: Mechanical complications (MCs) are rare but potentially fatal sequelae of acute myocardial infarction (AMI). Surgery, though challenging, is considered the treatment of choice. The authors sought to study early and long-term results of patients undergoing surgical treatment for post-AMI MCs. METHODS: Patients undergone surgical treatment for post-infarction MCs between 2001 through 2019 in 27 centers worldwide were retrieved from the database of CAUTION study...
February 7, 2024: European Heart Journal. Quality of Care & Clinical Outcomes
https://read.qxmd.com/read/38323383/sex-based-analysis-of-nstemi-processes-of-care-and-outcomes-by-hospital-a-nationwide-cohort-study
#12
JOURNAL ARTICLE
Nicholas Weight, Saadiq Moledina, Evangelos Kontopantelis, Harriette Van Spall, Mohammed Dafaalla, Alaide Chieffo, Mario Iannaccone, Denis Chen, Muhammad Rashid, Josepa Mauri-Ferre, Jacqueline E Tamis-Holland, Mamas A Mamas
BACKGROUND: Contemporary studies demonstrate that non-ST-segment elevation myocardial infarction (NSTEMI) processes of care vary according to sex. Little is known regarding variation in practice between geographical areas and centers. METHODS: We identified 305 014 NSTEMI admissions in the United Kingdom (UK) Myocardial Infarction National Audit Project (MINAP), 2010-2017, including female sex (110 209). Hierarchical, multivariate logistic regression models were fitted assessing for differences in primary outcomes according to sex...
February 6, 2024: European Heart Journal. Quality of Care & Clinical Outcomes
https://read.qxmd.com/read/38305132/long-term-aspirin-adherence-following-myocardial-infarction-and-risk-of-cardiovascular-events
#13
JOURNAL ARTICLE
Anna Meta Dyrvig Kristensen, Manan Pareek, Kristian Hay Kragholm, John William McEvoy, Christian Torp-Pedersen, Eva Bossano Prescott
BACKGROUND AND AIMS: Aspirin is considered mandatory after myocardial infarction (MI). However, its long-term efficacy has been questioned. This study investigated the effectiveness of long-term aspirin after MI. METHODS: Patients ≥ 40 years with MI from 2004-2017 who were adherent to aspirin one year after MI were included from Danish nationwide registries. At 2, 4, 6, and 8 years after MI, continued adherence to aspirin was evaluated. Absolute and relative risks of MI, stroke, or death at 2 years from each timepoint were calculated using multivariable logistic regression analysis with average treatment effect modeling standardized for age, sex, and comorbidities...
February 1, 2024: European Heart Journal. Quality of Care & Clinical Outcomes
https://read.qxmd.com/read/38305126/defining-the-need-for-cardiovascular-event-definitions
#14
JOURNAL ARTICLE
Asad Bhatty, Chris Wilkinson, Matt Sydes, Chris P Gale
No abstract text is available yet for this article.
February 1, 2024: European Heart Journal. Quality of Care & Clinical Outcomes
https://read.qxmd.com/read/38289824/trends-in-atrial-fibrillation-related-mortality-in-europe-2008-2019
#15
JOURNAL ARTICLE
Marco Zuin, Michele Malagù, Francesco Vitali, Cristina Balla, Martina De Raffele, Roberto Ferrari, Giuseppe Boriani, Matteo Bertini
AIMS: Update data regarding the atrial fibrillation (AF)-related mortality trend in Europe remains scant. We assess the age- and sex- specific trends in AF-related mortality in the European states between the years 2008 and 2019. METHODS AND RESULTS: Data on cause-specific deaths and population numbers by sex for European countries were retrieved through the publicly available World Health Organization (WHO) mortality dataset for the years 2008 to 2019. AF-related deaths were ascertained when the ICD-10 code I48 was listed as the underlying cause of death in the medical death certificate...
January 30, 2024: European Heart Journal. Quality of Care & Clinical Outcomes
https://read.qxmd.com/read/38262740/european-society-of-cardiology-quality-indicators-for-the-care-and-outcomes-of-adults-undergoing-transcatheter-aortic-valve-implantation
#16
JOURNAL ARTICLE
Noman Ali, Suleman Aktaa, Tanina Younsi, Ben Beska, Gorav Batra, Daniel J Blackman, Stefan James, Peter Ludman, Mamas A Mamas, Mohamed Abdel-Wahab, Britt Borregaard, Bernard Iung, Michael Joner, Vijay Kunadian, Thomas Modine, Antoinette Neylon, Anna S Petronio, Philippe Pibarot, Bogdan A Popescu, Manel Sabaté, Stefan Stortecky, Rui C Teles, Hendrik Treede, Chris P Gale
BACKGROUND AND AIMS: To develop a suite of quality indicators (QIs) for the evaluation of the care and outcomes for adults undergoing transcatheter aortic valve intervention (TAVI). METHODS: We followed the European Society of Cardiology (ESC) methodology for the development of QIs. Key domains were identified by constructing a conceptual framework for the delivery of TAVI care. A list of candidate QIs were developed by conducting a systematic review of the literature...
January 23, 2024: European Heart Journal. Quality of Care & Clinical Outcomes
https://read.qxmd.com/read/38236708/pre-hospital-rule-out-of-non-st-segment-elevation-acute-coronary-syndrome-by-a-single-troponin-final-one-year-outcomes-of-the-artica-randomised-trial
#17
JOURNAL ARTICLE
Goaris W A Aarts, Cyril Camaro, Eddy M M Adang, Laura Rodwell, Roger van Hout, Gijs Brok, Anouk Hoare, Frank de Pooter, Walter de Wit, Gilbert E Cramer, Roland R J van Kimmenade, Eva Ouwendijk, Martijn H Rutten, Erwin Zegers, Robert-Jan M van Geuns, Marc E R Gomes, Peter Damman, Niels van Royen
BACKGROUND AND AIMS: The healthcare burden of acute chest pain is enormous. In the randomised ARTICA trial we showed that pre-hospital identification of low-risk patients and rule-out of non-ST-segment elevation acute coronary syndrome (NSTE-ACS) with point-of-care (POC) troponin measurement reduces 30-day healthcare costs with low major adverse cardiac events (MACE) incidence. Here we present the final one-year results of the ARTICA trial. METHODS: Low-risk patients with suspected NSTE-ACS were randomised to pre-hospital rule-out with POC troponin measurement or emergency department (ED) transfer...
January 17, 2024: European Heart Journal. Quality of Care & Clinical Outcomes
https://read.qxmd.com/read/38236704/atrial-fibrillation-type-and-long-term-clinical-outcomes-in-hospitalized-patients-with-heart-failure-insight-from-jroadhf
#18
JOURNAL ARTICLE
Yasuhiro Hamatani, Nobuyuki Enzan, Moritake Iguchi, Takashi Yoshizawa, Tetsuma Kawaji, Tomomi Ide, Takeshi Tohyama, Shouji Matsushima, Mitsuru Abe, Hiroyuki Tsutsui, Masaharu Akao
AIMS: Atrial fibrillation (AF) type (paroxysmal, persistent, or permanent) is important in determining therapeutic management; however, clinical outcomes by AF type are largely unknown for hospitalized patients with heart failure (HF). METHODS AND RESULTS: The JROADHF is a retrospective, multicenter, nationwide registry of patients hospitalized for acute HF in Japan. Follow-up data were collected up to 5 years after hospitalization. Patients were divided based on diagnosis and AF type into 3 groups (without AF, paroxysmal AF, and sustained AF [defined as a composite of persistent and permanent AF]), and compared the backgrounds and outcomes between the groups...
January 17, 2024: European Heart Journal. Quality of Care & Clinical Outcomes
https://read.qxmd.com/read/38196142/clinical-and-genetic-diagnosis-of-familial-hypercholesterolaemia-in-patients-undergoing-coronary-angiography-the-ludwigshafen-risk-and-cardiovascular-health-study
#19
JOURNAL ARTICLE
Stefan Molnar, Hubert Scharnagl, Graciela E Delgado, Bernhard K Krämer, Ulrich Laufs, Winfried März, Marcus E Kleber, Julius L Katzmann
AIMS: To investigate the prevalence of familial hypercholesterolaemia (FH) and compare the performance of clinical criteria and genetic testing in patients undergoing coronary angiography. METHODS: The prevalence of FH was determined with the Dutch Lipid Clinical Network (DLCN), US-MEDPED, Simon Broome (SB) criteria, the 'Familial Hypercholesterolaemia Case Ascertainment Tool' (FAMCAT), and a clinical algorithm. Genetic screening was conducted with a custom array from Affymetrix (CARRENAL array) harboring 944 FH mutations...
January 9, 2024: European Heart Journal. Quality of Care & Clinical Outcomes
https://read.qxmd.com/read/38196127/cost-effectiveness-of-catheter-based-radiofrequency-renal-denervation-for-the-treatment-of-uncontrolled-hypertension-an-analysis-for-the-uk-based-on-recent-clinical-evidence
#20
JOURNAL ARTICLE
Andrew S P Sharp, Khoa N Cao, Murray D Esler, David E Kandzari, Melvin D Lobo, Roland E Schmieder, Jan B Pietzsch
AIMS: Catheter-based radiofrequency renal denervation (RF RDN) has recently been approved for clinical use in the European Society of Hypertension guidelines and by the US FDA. This study evaluated the lifetime cost-effectiveness of RF RDN using contemporary evidence. METHODS AND RESULTS: A decision-analytic model based on multivariate risk equations projected clinical events, quality-adjusted life years (QALYs) and costs. The model consisted of seven health states: hypertension alone, myocardial infarction (MI), other symptomatic coronary artery disease, stroke, heart failure (HF), end-stage renal disease, and death...
January 9, 2024: European Heart Journal. Quality of Care & Clinical Outcomes
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