Pub Date : 2025-09-01Epub Date: 2025-08-09DOI: 10.1016/j.ancard.2025.101923
Orianne Weizman, Mehdi Benamer, Hakim Benamer
{"title":"[Medicine for all, special attention for everyone].","authors":"Orianne Weizman, Mehdi Benamer, Hakim Benamer","doi":"10.1016/j.ancard.2025.101923","DOIUrl":"10.1016/j.ancard.2025.101923","url":null,"abstract":"","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 4","pages":"101923"},"PeriodicalIF":0.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144815594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-06-01Epub Date: 2025-04-11DOI: 10.1016/j.ancard.2025.101894
Ines Kechaou , Mohamed Salah Hamdi , Asma Tekaya , Amira Taouay , Eya Cherif , Lamia Ben Hassine
Introduction
Anticoagulant therapy, often required in the elderly, is not without risk. This study aims to investigate the particularities of the use of anticoagulants in the elderly during hospital stay, along with the factors associated with bleeding and overdose.
Results
There were 55 women and 45 men (sex ratio: 0.81), with a mean age of 75.7 ± 6.9 years. The indications for anticoagulant treatment were venous thromboembolism (VTE) (92%) and atrial fibrillation (AF) (8%).
The average duration of treatment with acenocoumarol was 17.22 days ± 7.9. The dose of acenocoumarol initiation was 1 mg in 85% of patients and 2 mg in 15%.
INR < 2 was observed in 15% of patients. INR in the target area was obtained in 47% of patients with a mean dose of 2.33 mg of acenocoumarol. An overdose of acenocoumarol was noted in 38% of patients: average INR at 4.7. Seven patients had bleeding events. An overdose was reported in 4 of them.
Fever, infection, inflammatory syndrome, hypoalbuminemia, hypoprotidemia, and malnutrition were associated with a greater risk of overdose in our patients. Gastroduodenal ulcer disease, past medical history of gastrointestinal bleeding and renal failure were risk factors for bleeding in our patients.
Conclusion
The use of anticoagulants in the elderly requires a comprehensive assessment, including comorbidities, geriatric settings, and social environment.
{"title":"Management of Acenocoumarol in Tunisian elderly population : Risk factors of overdose and bleeding","authors":"Ines Kechaou , Mohamed Salah Hamdi , Asma Tekaya , Amira Taouay , Eya Cherif , Lamia Ben Hassine","doi":"10.1016/j.ancard.2025.101894","DOIUrl":"10.1016/j.ancard.2025.101894","url":null,"abstract":"<div><h3>Introduction</h3><div>Anticoagulant therapy, often required in the elderly, is not without risk. This study aims to investigate the particularities of the use of anticoagulants in the elderly during hospital stay, along with the factors associated with bleeding and overdose.</div></div><div><h3>Results</h3><div>There were 55 women and 45 men (sex ratio: 0.81), with a mean age of 75.7 ± 6.9 years. The indications for anticoagulant treatment were venous thromboembolism (VTE) (92%) and atrial fibrillation (AF) (8%).</div><div>The average duration of treatment with acenocoumarol was 17.22 days ± 7.9. The dose of acenocoumarol initiation was 1 mg in 85% of patients and 2 mg in 15%.</div><div>INR < 2 was observed in 15% of patients. INR in the target area was obtained in 47% of patients with a mean dose of 2.33 mg of acenocoumarol. An overdose of acenocoumarol was noted in 38% of patients: average INR at 4.7. Seven patients had bleeding events. An overdose was reported in 4 of them.</div><div>Fever, infection, inflammatory syndrome, hypoalbuminemia, hypoprotidemia, and malnutrition were associated with a greater risk of overdose in our patients. Gastroduodenal ulcer disease, past medical history of gastrointestinal bleeding and renal failure were risk factors for bleeding in our patients.</div></div><div><h3>Conclusion</h3><div>The use of anticoagulants in the elderly requires a comprehensive assessment, including comorbidities, geriatric settings, and social environment.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 3","pages":"Article 101894"},"PeriodicalIF":0.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143821408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-06-01Epub Date: 2025-05-29DOI: 10.1016/S0003-3928(25)00049-6
{"title":"Sommaire","authors":"","doi":"10.1016/S0003-3928(25)00049-6","DOIUrl":"10.1016/S0003-3928(25)00049-6","url":null,"abstract":"","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 3","pages":"Article 101910"},"PeriodicalIF":0.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144169230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-06-01Epub Date: 2025-05-08DOI: 10.1016/j.ancard.2025.101900
Yassin El Mourabit , Mohammed Tribak , Hasna Leghlimi , Wafae El Amraoui , Mehdi Laaroussi , Abderahmane El Bakkali , Lahcen Mermade , Said Moughil
<div><h3>Introduction</h3><div>La coronaropathie chez le sujet jeune présente des particularités influençant la prise en charge, faisant du pontage coronarien le traitement de référence, avec un intérêt notable dans ce contexte.</div></div><div><h3>But</h3><div>Le but de notre étude est de caractériser le profil des patients et d'évaluer les résultats à court et à long terme du pontage coronarien chez les sujets de moins de 45 ans.</div></div><div><h3>Méthodes</h3><div>Entre mai 1995 et décembre 2022, 130 patients jeunes ont bénéficié d'un pontage coronarien. Les variables analysées comprenaient la mortalité hospitalière, la morbidité postopératoire, la mortalité globale et cardiovasculaire, ainsi que l'occurrence d'événements cardiovasculaires majeurs. De plus, la qualité de vie des patients et leur adhésion au traitement ont également été démontrées. Le suivi moyen des patients était de 11 ± 2 ans.</div></div><div><h3>Résultats</h3><div>La mortalité hospitalière était de 1,53 %. La morbidité postopératoire était de 24,61 %. La durée moyenne du séjour hospitalier était de 11±8 jours. La survie globale à 1, 5 et 10 ans était respectivement de 98 %, 95 % et 89 %. L'absence d'événements cardiovasculaires majeurs dans notre série était de 95,31 % à 1 an, 86,71 % à 5 ans et 82,03 % à 10 ans. Après un suivi moyen de 11 ± 2 ans (2-28 ans), 75,5 % des patients diabétiques ont un diabète contrôlé et 82,7 % ont arrêté de fumer, alors que la dyspnée d'effort et l'angor persistent respectivement chez 36 % et 18 % des patients.</div></div><div><h3>Conclusion</h3><div>Nos résultats démontrent que le pontage coronaire donne aux patients jeunes une morbi-mortalité hospitalière très admissible et une survie à long terme excellente, avec amélioration de la qualité de vie.</div></div><div><h3>Introduction</h3><div>Coronary artery disease in young patients presents particularities that influence management, making coronary artery bypass grafting (CABG) the treatment of choice, with significant relevance in this context.</div></div><div><h3>Objective</h3><div>The aim of our study is to characterize the profile of patients and evaluate the short- and long-term outcomes of coronary artery bypass grafting in patients under 45 years of age.</div></div><div><h3>Methods</h3><div>Between May 1995 and December 2022, 130 young patients underwent coronary artery bypass grafting. The variables analyzed included hospital mortality, postoperative morbidity, overall and cardiovascular mortality, as well as the occurrence of major cardiovascular events. Additionally, patients' quality of life and treatment adherence were also assessed. The mean follow-up period for patients was 11 ± 2 years.</div></div><div><h3>Results</h3><div>Hospital mortality was 1.53%. Postoperative morbidity was 24.61%. The mean length of hospital stay was 11±8 days. The overall survival at 1, 5, and 10 years was 98%, 95%, and 89%, respectively. The absence of major cardiovascular events in our series was 95
{"title":"Le Pontage Coronarien chez le Sujet de Moins de 45 ans : Profil caractéristique et résultat à long terme","authors":"Yassin El Mourabit , Mohammed Tribak , Hasna Leghlimi , Wafae El Amraoui , Mehdi Laaroussi , Abderahmane El Bakkali , Lahcen Mermade , Said Moughil","doi":"10.1016/j.ancard.2025.101900","DOIUrl":"10.1016/j.ancard.2025.101900","url":null,"abstract":"<div><h3>Introduction</h3><div>La coronaropathie chez le sujet jeune présente des particularités influençant la prise en charge, faisant du pontage coronarien le traitement de référence, avec un intérêt notable dans ce contexte.</div></div><div><h3>But</h3><div>Le but de notre étude est de caractériser le profil des patients et d'évaluer les résultats à court et à long terme du pontage coronarien chez les sujets de moins de 45 ans.</div></div><div><h3>Méthodes</h3><div>Entre mai 1995 et décembre 2022, 130 patients jeunes ont bénéficié d'un pontage coronarien. Les variables analysées comprenaient la mortalité hospitalière, la morbidité postopératoire, la mortalité globale et cardiovasculaire, ainsi que l'occurrence d'événements cardiovasculaires majeurs. De plus, la qualité de vie des patients et leur adhésion au traitement ont également été démontrées. Le suivi moyen des patients était de 11 ± 2 ans.</div></div><div><h3>Résultats</h3><div>La mortalité hospitalière était de 1,53 %. La morbidité postopératoire était de 24,61 %. La durée moyenne du séjour hospitalier était de 11±8 jours. La survie globale à 1, 5 et 10 ans était respectivement de 98 %, 95 % et 89 %. L'absence d'événements cardiovasculaires majeurs dans notre série était de 95,31 % à 1 an, 86,71 % à 5 ans et 82,03 % à 10 ans. Après un suivi moyen de 11 ± 2 ans (2-28 ans), 75,5 % des patients diabétiques ont un diabète contrôlé et 82,7 % ont arrêté de fumer, alors que la dyspnée d'effort et l'angor persistent respectivement chez 36 % et 18 % des patients.</div></div><div><h3>Conclusion</h3><div>Nos résultats démontrent que le pontage coronaire donne aux patients jeunes une morbi-mortalité hospitalière très admissible et une survie à long terme excellente, avec amélioration de la qualité de vie.</div></div><div><h3>Introduction</h3><div>Coronary artery disease in young patients presents particularities that influence management, making coronary artery bypass grafting (CABG) the treatment of choice, with significant relevance in this context.</div></div><div><h3>Objective</h3><div>The aim of our study is to characterize the profile of patients and evaluate the short- and long-term outcomes of coronary artery bypass grafting in patients under 45 years of age.</div></div><div><h3>Methods</h3><div>Between May 1995 and December 2022, 130 young patients underwent coronary artery bypass grafting. The variables analyzed included hospital mortality, postoperative morbidity, overall and cardiovascular mortality, as well as the occurrence of major cardiovascular events. Additionally, patients' quality of life and treatment adherence were also assessed. The mean follow-up period for patients was 11 ± 2 years.</div></div><div><h3>Results</h3><div>Hospital mortality was 1.53%. Postoperative morbidity was 24.61%. The mean length of hospital stay was 11±8 days. The overall survival at 1, 5, and 10 years was 98%, 95%, and 89%, respectively. The absence of major cardiovascular events in our series was 95","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 3","pages":"Article 101900"},"PeriodicalIF":0.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143918051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Unilateral agenesis of the pulmonary artery is a rare congenital malformation. Diagnosis is based on imaging due to the nonspecificity of clinical symptoms. Hemoptysis is among the rare manifestations of this malformation. Standard radiography provides relevant orientation elements; however, CT pulmonary angiography remains the reference examination for positive diagnosis. We report the case of a 47-year-old patient presenting with recurrent episodes of minimal hemoptysis occurring quietly. A CT pulmonary angiography was performed, revealing agenesis of the left pulmonary artery.
{"title":"Hémoptysie révélatrice d'une agénésie de l'artère pulmonaire gauche : à propos d'un cas","authors":"Labied Mohamed, Bouzid Ismail, El Oualladi Feryal, Mountassir Chorouk, Lembarki Ghizlane, Sabiri Mouna, Lezar Samira","doi":"10.1016/j.ancard.2025.101895","DOIUrl":"10.1016/j.ancard.2025.101895","url":null,"abstract":"<div><div>Unilateral agenesis of the pulmonary artery is a rare congenital malformation. Diagnosis is based on imaging due to the nonspecificity of clinical symptoms. Hemoptysis is among the rare manifestations of this malformation. Standard radiography provides relevant orientation elements; however, CT pulmonary angiography remains the reference examination for positive diagnosis. We report the case of a 47-year-old patient presenting with recurrent episodes of minimal hemoptysis occurring quietly. A CT pulmonary angiography was performed, revealing agenesis of the left pulmonary artery.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 3","pages":"Article 101895"},"PeriodicalIF":0.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143815792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-06-01Epub Date: 2025-04-11DOI: 10.1016/j.ancard.2025.101891
Carole Mette , Karine Petit , Laurent Fauchier
The mental health of allied professionals in interventional electrophysiology is an increasingly concerning topic given the emotional and physical demands inherent in their role, which deserves particular attention. This article examines the impact of stress, anxiety, and burnout on these healthcare professionals. To this end, an anonymous survey of allied professionals in interventional electrophysiology was conducted using a questionnaire via a dedicated survey platform over a period from October 17 to December 10, 2024. The data extracted and analyzed with the help of the platform revealed the following difficulties: lack of recognition, unsatisfactory working conditions, high workload, relational difficulties, and a lack of organization. This has resulted in an impact on the feelings of the allied professionals and especially on their work. In conclusion, this study reveals a generalized feeling of malaise among all allied professionals in interventional electrophysiology on a psychological, emotional, and physical level, as well as the importance of investing in the mental health of allied professionals for the improvement of the entire healthcare system.
{"title":"La santé mentale des auxiliaires médicaux en rythmologie interventionnelle","authors":"Carole Mette , Karine Petit , Laurent Fauchier","doi":"10.1016/j.ancard.2025.101891","DOIUrl":"10.1016/j.ancard.2025.101891","url":null,"abstract":"<div><div>The mental health of allied professionals in interventional electrophysiology is an increasingly concerning topic given the emotional and physical demands inherent in their role, which deserves particular attention. This article examines the impact of stress, anxiety, and burnout on these healthcare professionals. To this end, an anonymous survey of allied professionals in interventional electrophysiology was conducted using a questionnaire via a dedicated survey platform over a period from October 17 to December 10, 2024. The data extracted and analyzed with the help of the platform revealed the following difficulties: lack of recognition, unsatisfactory working conditions, high workload, relational difficulties, and a lack of organization. This has resulted in an impact on the feelings of the allied professionals and especially on their work. In conclusion, this study reveals a generalized feeling of malaise among all allied professionals in interventional electrophysiology on a psychological, emotional, and physical level, as well as the importance of investing in the mental health of allied professionals for the improvement of the entire healthcare system.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 3","pages":"Article 101891"},"PeriodicalIF":0.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143815958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hypocalcemia, though rare, can lead to heart failure with reduced ejection fraction and dilated cardiomyopathy. It may result from various etiologies, and its manifestations range from mild to life-threatening. Cardiovascular complications of hypocalcemia include QT interval prolongation, ventricular arrhythmias, and heart failure.we report a rare case of reversible hypocalcemic dilated cardiomyopathy.
Case Report
We present the case of a 41-year-old woman with secondary hypoparathyroidism following thyroidectomy in 2018. She was treated with levothyroxine, calcitriol, and calcium and vitamin D supplements. Following a Covid-19 infection in May 2021, her hypoparathyroidism decompensated, leading to severe hypocalcemia, which was inadequately managed. Five months later, she presented with worsening dyspnea, orthopnea, and bilateral lower limb edema. Clinical examination revealed positive Chvostek and Trousseau’s signs, indicating severe hypocalcemia. ECG showed sinus tachycardia with QT prolongation, and echocardiography revealed a dilated left ventricle with an ejection fraction (EF) of 29%. Despite normal coronary angiography, a CT scan showed bilateral pleural effusion and superior vena cava thrombosis. Laboratory findings confirmed hypocalcemia with elevated phosphorus and low parathyroid hormone levels. Intravenous calcium correction and heart failure management led to symptomatic improvement and normalization of serum calcium within one week. Echocardiography showed gradual recovery, with EF improving to 38% at 8 weeks and 57% after 6 months.
Discussion
Calcium plays a critical role in cardiac contractility, and its deficiency can severely impact myocardial function. Hypocalcemia following thyroidectomy is a known complication and can worsen during systemic infections like Covid-19. While hypocalcemia-induced cardiomyopathy is reversible with proper treatment, it requires early recognition and aggressive correction. *
Conclusion
This case highlights the importance of monitoring calcium levels in patients with hypoparathyroidism, especially in the context of systemic infections, to prevent potentially life-threatening complications like hypocalcemic cardiomyopathy. Proper diagnosis and treatment of hypocalcemia can lead to full recovery of cardiac function
{"title":"Cardiomyopathie dilatée hypocalcémique réversible induite par un hypoparathyroïdisme secondaire décompensé après une infection à la Covid-19 : à propos d’un cas","authors":"Samia Ejjebli, Alaa Al Timimi, Yassine Ettagmouti, Ghali Benouna, Salim Arous, Abdenasser Drighil, Rachida Habbal","doi":"10.1016/j.ancard.2025.101899","DOIUrl":"10.1016/j.ancard.2025.101899","url":null,"abstract":"<div><h3>Introduction</h3><div>Hypocalcemia, though rare, can lead to heart failure with reduced ejection fraction and dilated cardiomyopathy. It may result from various etiologies, and its manifestations range from mild to life-threatening. Cardiovascular complications of hypocalcemia include QT interval prolongation, ventricular arrhythmias, and heart failure.we report a rare case of reversible hypocalcemic dilated cardiomyopathy.</div></div><div><h3>Case Report</h3><div>We present the case of a 41-year-old woman with secondary hypoparathyroidism following thyroidectomy in 2018. She was treated with levothyroxine, calcitriol, and calcium and vitamin D supplements. Following a Covid-19 infection in May 2021, her hypoparathyroidism decompensated, leading to severe hypocalcemia, which was inadequately managed. Five months later, she presented with worsening dyspnea, orthopnea, and bilateral lower limb edema. Clinical examination revealed positive Chvostek and Trousseau’s signs, indicating severe hypocalcemia. ECG showed sinus tachycardia with QT prolongation, and echocardiography revealed a dilated left ventricle with an ejection fraction (EF) of 29%. Despite normal coronary angiography, a CT scan showed bilateral pleural effusion and superior vena cava thrombosis. Laboratory findings confirmed hypocalcemia with elevated phosphorus and low parathyroid hormone levels. Intravenous calcium correction and heart failure management led to symptomatic improvement and normalization of serum calcium within one week. Echocardiography showed gradual recovery, with EF improving to 38% at 8 weeks and 57% after 6 months.</div></div><div><h3>Discussion</h3><div>Calcium plays a critical role in cardiac contractility, and its deficiency can severely impact myocardial function. Hypocalcemia following thyroidectomy is a known complication and can worsen during systemic infections like Covid-19. While hypocalcemia-induced cardiomyopathy is reversible with proper treatment, it requires early recognition and aggressive correction. *</div></div><div><h3>Conclusion</h3><div>This case highlights the importance of monitoring calcium levels in patients with hypoparathyroidism, especially in the context of systemic infections, to prevent potentially life-threatening complications like hypocalcemic cardiomyopathy. Proper diagnosis and treatment of hypocalcemia can lead to full recovery of cardiac function</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 3","pages":"Article 101899"},"PeriodicalIF":0.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143918052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-06-01Epub Date: 2025-05-06DOI: 10.1016/j.ancard.2025.101892
Jérôme Costa, Priscillia Durdon, Julie Dangy, Lucie Lombardot, Louise Trousselle, Marine Pierre, Pierre Nazeyrollas, Damien Metz
Background
Heart failure (HF) is a severe condition associated with high rates of hospitalization and mortality. Early outpatient detection of symptoms and weight gain through remote medical monitoring of HF (HF-RM) could improve patient prognosis.
Objectives
To evaluate the effectiveness of HF-RM in managing congestion in HF outpatients and to analyze event rates over 12 months (HF-related hospitalizations and all-cause mortality), as well as associated costs.
Methods
We included patients enrolled in the HF-RM at our hospital from July 2020 to December 2022. For each patient, HF-RM relied on daily transmission of weight and symptoms via a connected scale. Any alerts related to weight gain or the onset of new symptoms were managed within 48 hours by the specialized HF team, including a telephone contact, NT-proBNP testing, and treatment adjustment if necessary. Data on HF-related hospitalizations and vital status were collected over a 12-month period before and after the implementation of HF-RM. Event rates were compared to expected values at the onset of HF-RM, based on patient profiles and data from the ESC-HF-LT registry. Cost analysis included costs associated with HF-RM, the specialized HF nurse, biological tests, and HF hospitalizations.
Results
Among the 147 patients included, the average age was 60 ± 12 years, and 75% were male. The average ejection fraction (EF) was 33 ± 11%, with 76% of patients presenting with reduced EF. During the HF-RM period, 85 alerts (54% of patients) led to a significant reduction in weight and symptoms within 30 days. The hospitalization rate decreased from 44.9% before the initiation of HF-RM to 11.6% afterward (p < 0.0001). The 12-month event rate was 15%, significantly lower than the expected 24.5% (p = 0.0002). The absence of transmitted alerts was strongly correlated with the absence of events (negative predictive value of 95.2%). The number of days spent at home increased, and costs significantly decreased.
Conclusion
HF-RM is associated with improved outpatient congestion control, reduced hospitalizations, and decreased healthcare costs. Further prospective, randomized studies are needed to better assess the impact of HF-RM on the progression of HF and its costs.
{"title":"Intérêt de la télésurveillance non invasive dans le contrôle du poids, des symptômes et la réduction des hospitalisations chez les patients insuffisants cardiaques : analyse d'une cohorte française sur 1 an","authors":"Jérôme Costa, Priscillia Durdon, Julie Dangy, Lucie Lombardot, Louise Trousselle, Marine Pierre, Pierre Nazeyrollas, Damien Metz","doi":"10.1016/j.ancard.2025.101892","DOIUrl":"10.1016/j.ancard.2025.101892","url":null,"abstract":"<div><h3>Background</h3><div>Heart failure (HF) is a severe condition associated with high rates of hospitalization and mortality. Early outpatient detection of symptoms and weight gain through remote medical monitoring of HF (HF-RM) could improve patient prognosis.</div></div><div><h3>Objectives</h3><div>To evaluate the effectiveness of HF-RM in managing congestion in HF outpatients and to analyze event rates over 12 months (HF-related hospitalizations and all-cause mortality), as well as associated costs.</div></div><div><h3>Methods</h3><div>We included patients enrolled in the HF-RM at our hospital from July 2020 to December 2022. For each patient, HF-RM relied on daily transmission of weight and symptoms via a connected scale. Any alerts related to weight gain or the onset of new symptoms were managed within 48 hours by the specialized HF team, including a telephone contact, NT-proBNP testing, and treatment adjustment if necessary. Data on HF-related hospitalizations and vital status were collected over a 12-month period before and after the implementation of HF-RM. Event rates were compared to expected values at the onset of HF-RM, based on patient profiles and data from the ESC-HF-LT registry. Cost analysis included costs associated with HF-RM, the specialized HF nurse, biological tests, and HF hospitalizations.</div></div><div><h3>Results</h3><div>Among the 147 patients included, the average age was 60 ± 12 years, and 75% were male. The average ejection fraction (EF) was 33 ± 11%, with 76% of patients presenting with reduced EF. During the HF-RM period, 85 alerts (54% of patients) led to a significant reduction in weight and symptoms within 30 days. The hospitalization rate decreased from 44.9% before the initiation of HF-RM to 11.6% afterward (p < 0.0001). The 12-month event rate was 15%, significantly lower than the expected 24.5% (p = 0.0002). The absence of transmitted alerts was strongly correlated with the absence of events (negative predictive value of 95.2%). The number of days spent at home increased, and costs significantly decreased.</div></div><div><h3>Conclusion</h3><div>HF-RM is associated with improved outpatient congestion control, reduced hospitalizations, and decreased healthcare costs. Further prospective, randomized studies are needed to better assess the impact of HF-RM on the progression of HF and its costs.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 3","pages":"Article 101892"},"PeriodicalIF":0.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143906775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-06-01Epub Date: 2025-04-11DOI: 10.1016/j.ancard.2025.101893
Loïc Alban Mbosso Tasong , Junette Arlette Metogo Mbengono-Njoki , Chris Nadège Nganou-Gnindjio
Background
Identification of cardiopulmonary arrest and its immediate and effective management are decisive factors in survival.
Objective
To evaluate the knowledge, attitudes, and practices of Cameroonian physicians concerning cardiopulmonary resuscitation
Methods
We conducted a cross-sectional study among doctors in Douala, Bafoussam, Garoua, and Yaoundé in Cameroon over three months from March 2024 to May 2024. We included specialists, residents/interns, and general practitioners practising in these cities who agreed to participate in the study. Were not included physicians who had been in practice for less than six months in Cameroon. Answers were validated by referring to the European Resuscitation Council 2015 recommendations and the American Heart Association 2020. Means were compared using the ANOVA and Kruskal-Wallis test. The association between different variables was assessed using a χ2 test or an exact Fisher test. A p-value < 0.05 was considered significant.
Results
Of the 95 participants recruited, the median age was 31 (IQR 28- 33), with extremes between 25 and 56. Residents/interns represented the largest group in our population, with 66 (69.5%) participants. We had 56 (58.9%) participants who had already attended a cardiopulmonary resuscitation training course. Participants who had never attended a previous cardiopulmonary resuscitation training course had a significantly lower mean than those who had (9.90 ± 1.93 vs. 11.61 ± 2.80, P = 0.002). Participants whose last training was more than a year ago had a significantly lower mean score than participants whose previous training was less than a year ago (11.05 ± 2.97 vs. 12.78 ± 2.02, P = 0.016). There was a significant difference between participants' means according to the city of exercise (P=0.037). The doctors practising in Yaoundé had more inadequate practices than those practising outside of Yaoundé (OR: 7.607; 95% CI 1.897–30.509; p = 0.005).
Conclusion
Most of our participants' knowledge and practices regarding cardiopulmonary resuscitation were incomplete and inadequate. However, our study noted a positive attitude toward physicians. Therefore, it is essential to emphasise the training of health care providers on cardiopulmonary resuscitation.
{"title":"Knowledge, attitudes, and practices of a group of Cameroonian physicians regarding cardiopulmonary resuscitation : a cross-sectional study","authors":"Loïc Alban Mbosso Tasong , Junette Arlette Metogo Mbengono-Njoki , Chris Nadège Nganou-Gnindjio","doi":"10.1016/j.ancard.2025.101893","DOIUrl":"10.1016/j.ancard.2025.101893","url":null,"abstract":"<div><h3>Background</h3><div>Identification of cardiopulmonary arrest and its immediate and effective management are decisive factors in survival.</div></div><div><h3>Objective</h3><div>To evaluate the knowledge, attitudes, and practices of Cameroonian physicians concerning cardiopulmonary resuscitation</div></div><div><h3>Methods</h3><div>We conducted a cross-sectional study among doctors in Douala, Bafoussam, Garoua, and Yaoundé in Cameroon over three months from March 2024 to May 2024. We included specialists, residents/interns, and general practitioners practising in these cities who agreed to participate in the study. Were not included physicians who had been in practice for less than six months in Cameroon. Answers were validated by referring to the European Resuscitation Council 2015 recommendations and the American Heart Association 2020. Means were compared using the ANOVA and Kruskal-Wallis test. The association between different variables was assessed using a χ2 test or an exact Fisher test. A p-value < 0.05 was considered significant.</div></div><div><h3>Results</h3><div>Of the 95 participants recruited, the median age was 31 (IQR 28- 33), with extremes between 25 and 56. Residents/interns represented the largest group in our population, with 66 (69.5%) participants. We had 56 (58.9%) participants who had already attended a cardiopulmonary resuscitation training course. Participants who had never attended a previous cardiopulmonary resuscitation training course had a significantly lower mean than those who had (9.90 ± 1.93 vs. 11.61 ± 2.80, <em>P</em> = 0.002). Participants whose last training was more than a year ago had a significantly lower mean score than participants whose previous training was less than a year ago (11.05 ± 2.97 <em>vs.</em> 12.78 ± 2.02, <em>P</em> = 0.016). There was a significant difference between participants' means according to the city of exercise (P=0.037). The doctors practising in Yaoundé had more inadequate practices than those practising outside of Yaoundé (OR: 7.607; 95% CI 1.897–30.509; <em>p</em> = 0.005).</div></div><div><h3>Conclusion</h3><div>Most of our participants' knowledge and practices regarding cardiopulmonary resuscitation were incomplete and inadequate. However, our study noted a positive attitude toward physicians. Therefore, it is essential to emphasise the training of health care providers on cardiopulmonary resuscitation.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 3","pages":"Article 101893"},"PeriodicalIF":0.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143815790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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