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Journal of Cardiovascular Development and Disease, Volume 12, Issue 5

2025 May - 36 articles

Cover Story: The seed of conduction system pacing (CSP) was first described in 1970 and was followed by the introduction of His bundle pacing (HBP) in 2000. However, the wave of CSP only rapidly gained momentum with the introduction of the left bundle branch area pacing (LBBP) technique by Huang et al. Although CSP was first performed with the Medtronic SelectSecure 3830 lumenless lead, existing conventional stylet driven leads have also been successfully used for implants. We describe our centre’s experience performing LBBP using the various sheaths and leads, highlighting the difference in their characteristics and providing some solutions for overcoming technical difficulties in selected cases. View this paper
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Articles (36)

  • Article
  • Open Access
1,372 Views
12 Pages

Genetic Spectrum of Lithuanian Familial Hypercholesterolemia Patients

  • Urte Aliosaitiene,
  • Rimante Cerkauskiene,
  • Aleksandras Laucevicius,
  • Migle Vilniskyte,
  • Viktoras Sutkus,
  • Antanas Mainelis,
  • Birute Burnyte,
  • Jurate Barysiene and
  • Zaneta Petrulioniene

Background and aims: Although familial hypercholesterolemia (FH) is a common congenital cause of elevated low-density lipoprotein cholesterol (LDL-C), it remains underdiagnosed and undertreated worldwide due to its inherent genetic heterogeneity. Thi...

  • Review
  • Open Access
1 Citations
2,234 Views
21 Pages

Cardiovascular disease (CVD) is one of the largest global disease burdens. Despite guidelines and recommendations and the proven advantages of lipid-lowering therapies (LLTs) in preventing CVD, achieving treatment targets remains disappointing. A key...

  • Review
  • Open Access
2 Citations
2,434 Views
20 Pages

Trading off Iodine and Radiation Dose in Coronary Computed Tomography

  • Guillaume Fahrni,
  • Thomas Saliba,
  • Damien Racine,
  • Marianna Gulizia,
  • Georgios Tzimas,
  • Chiara Pozzessere and
  • David C. Rotzinger

Coronary CT angiography (CCTA) has seen steady progress since its inception, becoming a key player in the non-invasive assessment of coronary artery disease (CAD). Advancements in CT technology, including iterative and deep-learning-based reconstruct...

  • Review
  • Open Access
5 Citations
3,860 Views
19 Pages

Drug-Coated Balloons: Recent Evidence and Upcoming Novelties

  • Zaid Mohammad Fahmi Shahrori,
  • Marco Frazzetto,
  • Shamin Hayat Mahmud,
  • Wasfi Alghwyeen and
  • Bernardo Cortese

Drug-coated balloons (DCBs) have emerged as a compelling alternative to drug-eluting stents in the treatment of coronary artery disease (CAD), offering the advantage of local drug delivery without permanent vascular scaffold implantation. Initially d...

  • Review
  • Open Access
802 Views
10 Pages

Venous Hemodynamic Dysfunction and Recurrent Miscarriage: Case Series and Literature Review

  • Elisa Sabattini,
  • Helena Van Kerrebroeck and
  • Wilfried Gyselaers

(1) Background: Maternal venous hemodynamic dysfunction is an intrinsic part of the pathophysiology of pre-eclampsia and fetal growth restriction. The aim of this study is to evaluate whether venous hemodynamic dysfunction is present in women with a...

  • Review
  • Open Access
4 Citations
3,288 Views
17 Pages

Myocardial Fibrosis: Assessment, Quantification, Prognostic Signification, and Anti-Fibrosis Targets: A State-of-the-Art Review

  • Salvatore Poddi,
  • Cynthia L. Lefter,
  • Daniele Linardi,
  • Andrea Ardigò,
  • Giovanni B. Luciani and
  • Alessio Rungatscher

Myocardial fibrosis (MF) is the excessive deposition of extracellular matrix (ECM) from myofibroblasts and is crucial in patients with heart failure (HF). Much work is still needed to fully understand its features and clinical role. This review aims...

  • Article
  • Open Access
828 Views
9 Pages

Isolated Rapid Deployment Aortic Valve Replacement in Patients with Aortic Stenosis: Single-Center Retrospective Study

  • Ricardo Ferreira,
  • Tiago R. Velho,
  • João Gonçalves,
  • André Sena,
  • Beatriz Draiblate,
  • Ana G. Almeida,
  • Ângelo Nobre and
  • Fausto Pinto

Background: Aortic valve stenosis remains the most prevalent valvular pathology in Western countries. Rapid deployment bioprosthesis (RD) has emerged as a promising alternative to conventional valves for surgical aortic valve replacement (SAVR), part...

  • Article
  • Open Access
1,049 Views
12 Pages

Comparative Insights on Inpatient Outcomes in Diastolic Heart Failure with and Without Amyloidosis: A Nationwide Propensity-Matched Analysis

  • Aravind Dilli Babu,
  • Mirza Faris Ali Baig,
  • David A. Baran,
  • Jerry Estep,
  • David Wolinsky,
  • Nina Thakkar Rivera,
  • Ram Bhutani,
  • Harshit Narula,
  • Prashant Chaulagain and
  • David Snipelisky

Cardiac amyloidosis (CA), an infiltrative restrictive cardiomyopathy, is a frequently underrecognized etiology of diastolic heart failure (HF). This study aimed to evaluate inpatient outcomes among patients hospitalized with decompensated diastolic H...

  • Review
  • Open Access
1,706 Views
20 Pages

Hypertrophic cardiomyopathy (HCM) is the most common genetic cardiomyopathy, caused by either sarcomere protein or other gene mutations. It is a complex and highly heterogeneous disorder, with phenotypes ranging from asymptomatic to severe disease, c...

  • Review
  • Open Access
1,808 Views
32 Pages

Deciphering Acute Coronary Syndromes Pathobiology Through Proteomics

  • Gabriele Nieddu,
  • Marilena Formato and
  • Antonio Junior Lepedda

Acute coronary syndrome (ACS) refers to a spectrum of conditions characterized by a sudden decrease in blood flow to the heart. This includes unstable angina, the mildest form, as well as non-ST- and ST-segment elevation myocardial infarction. The pr...

  • Review
  • Open Access
1 Citations
4,351 Views
29 Pages

The dissection of the V4 vertebral artery (VA) is the most prevalent form of intracranial dissection, which can manifest either as ischemia or as a subarachnoid hemorrhage (SAH). Patient outcomes are significantly affected by their initial presentati...

  • Review
  • Open Access
1,232 Views
10 Pages

The Ross Procedure in Children with Congenital Heart Disease

  • Nabil Dib,
  • Nancy Poirier,
  • Ismail Bouhout and
  • Paul Khairy

Aortic valve disease accounts for approximately 5% of all congenital heart defects in children. Choosing the optimal valve replacement in this population is challenging, as it must ensure durability, accommodate growth, and minimize the need for long...

  • Article
  • Open Access
1 Citations
1,553 Views
13 Pages

In-Hospital Mortality and Costs of Added Morbidity in Heart Failure Patients at a University Hospital: A Retrospective Cross-Sectional Study

  • Lourdes Raya Ortega,
  • Jesús Martínez Tapias,
  • María José Ferreras Fernández,
  • Manuel Jiménez-Navarro,
  • Almudena Ortega-Gómez,
  • Miguel Romero-Cuevas and
  • Juan José Gómez-Doblas

Background: Heart failure (HF) is a leading cause of hospital admissions and in-hospital mortality among the elderly. This study aims to characterize HF patients admitted to Virgen de la Victoria University Hospital (HUVV), identify factors associate...

  • Article
  • Open Access
853 Views
15 Pages

One-Year Outcome of Patients Undergoing Transcatheter Aortic Valve Replacement with Concomitant SignificantTricuspid Regurgitation

  • Enrico Ferrari,
  • Alberto Pozzoli,
  • Catherine Klersy,
  • Elena Caporali,
  • Stefanos Demertzis and
  • Giovanni Pedrazzini

Background: The outcome of patients undergoing transcatheter aortic valve replacement (TAVR) can be affected by coexisting tricuspid regurgitation (TR). The aim of the study is to investigate the clinical results of patients undergoing TAVR with or w...

  • Article
  • Open Access
5 Citations
1,367 Views
11 Pages

Prevalence and Risk Factors of Acute Ischemic Stroke in Patients with Antiphospholipid Syndrome: A Retrospective Monocenter Analysis

  • Paschalis Evangelidis,
  • Nikolaos Kotsiou,
  • Panagiotis Kalmoukos,
  • Zacharo Ntova,
  • Theodosia Papadopoulou,
  • Sofia Chissan,
  • Anastasia Sarvani,
  • Styliani Kokoris,
  • Elisavet Grouzi and
  • Eleni Gavriilaki
  • + 2 authors

(1) Background: Antiphospholipid syndrome (APS) is associated with thrombotic events and the laboratory identification of antiphospholipid antibodies (aPL), in which lupus anticoagulant (LA), anticardiolipin (aCL), and anti-β2 glycoprotein I ant...

  • Article
  • Open Access
1,380 Views
12 Pages

Remote Heart Failure Patients Telemonitoring: Results of the TreC Heart Failure Study

  • Massimiliano Maines,
  • Annachiara Benini,
  • Annalisa Vinci,
  • Anna Manica,
  • Elisa Erbogasto,
  • Giancarlo Tomasi,
  • Luisa Poian,
  • Luigi Martinelli,
  • Lorenzo Gios and
  • Maurizio Del Greco
  • + 3 authors

(1) Aims: In our study, we evaluated the effectiveness of a telemonitoring program based on a nursing clinic, supported by a physician who remotely monitors patients via a dedicated application (TreC Cardiology), in reducing visits and hospitalizatio...

  • Article
  • Open Access
917 Views
14 Pages

Specific Premature Ventricular Complex Characteristics in Women: Insights from a Patient Cohort

  • Ștefan Ailoaei,
  • Laurențiu Șorodoc,
  • Carina Ureche,
  • Nicolae Sîtari,
  • Alexandr Ceasovschih,
  • Mihaela Grecu,
  • Radu Andy Sascău and
  • Cristian Stătescu

Background: Premature ventricular complexes (PVCs) are common arrhythmias that can range from benign to clinically significant. While PVCs have been extensively studied in the general population, gender-specific differences in their characteristics,...

  • Article
  • Open Access
741 Views
14 Pages

Left Ventricular Systolic Function in Asymptomatic Men Aged 65–75 Years, Relation to Insulin Resistance and Pre-Diabetes: A DANCAVAS Cross-Sectional Sub-Study

  • Johanna Larsson,
  • Søren Auscher,
  • Freja Sønder Madsen,
  • Katrine Schultz Overgaard,
  • Gokulan Pararajasingam,
  • Laurits Juhl Heinsen,
  • Thomas Rueskov Andersen,
  • Jes Sanddal Lindholt,
  • Jess Lambrechtsen and
  • Kenneth Egstrup

Aim: Insulin resistance (IR) and hyperglycemia have been associated with increased risk of heart failure (HF) in patients with and without diabetes. Global longitudinel strain (GLS) has been shown to be superior in the detection of left ventricular (...

  • Article
  • Open Access
1,017 Views
12 Pages

Percutaneous Coronary Intervention for Left Main Disease in High Bleeding Risk: Outcomes from a Subanalysis of the Delta 2 Registry

  • Giulia Botti,
  • Francesco Federico,
  • Emanuele Meliga,
  • Joost Daemen,
  • Fabrizio D’Ascenzo,
  • Davide Capodanno,
  • Nicolas Dumonteil,
  • Didier Tchetche,
  • Nicolas M. Van Mieghem and
  • Alaide Chieffo
  • + 8 authors

High bleeding risk (HBR) is a challenge in patients with complex coronary lesions undergoing percutaneous coronary intervention (PCI). This study investigates HBR in a wide and comprehensive cohort of patients undergoing left main (LM) PCI and report...

  • Article
  • Open Access
1 Citations
5,960 Views
10 Pages

Quality of Life in Adults with Tetralogy of Fallot: Physical Limitations and Psychological Well-Being

  • Panagiotis Zachos,
  • Evelina Pappa,
  • Nikias Milaras,
  • Vasileios Nevras,
  • Paschalis Karakasis,
  • Nikolaos Ktenopoulos,
  • Maria Karakosta,
  • Alkistis-Eleni Kalesi,
  • Nearchos Kasinos and
  • Dimitrios Niakas
  • + 3 authors

Background: Advances in medical care of patients with tetralogy of Fallot (ToF) have significantly altered the natural course of the disease by prolonging life. Thus, our focus has now shifted to exploring the health-related quality of life (HRQoL) o...

  • Review
  • Open Access
1 Citations
1,890 Views
18 Pages

Vectorcardiography in CRT: What We Know and What There Is to Learn

  • Muhammet Dural,
  • Frederieke Eerenberg,
  • Karin C. Smits,
  • Uyên Châu Nguyên,
  • Kevin Vernooy and
  • Antonius M. W. van Stipdonk

Vectorcardiography (VCG) is an electrophysiological investigation technique, giving supplementary information about the electrical activation of the heart, compared to traditional 12-lead electrocardiography (ECG). Whereas the 12-lead ECG has found i...

  • Article
  • Open Access
1 Citations
1,922 Views
13 Pages

Sex-Specific Patterns in Blood Pressure and Vascular Parameters: The MUJER-EVA Project

  • Alicia Saz-Lara,
  • Arturo Martínez-Rodrigo,
  • Eva María Galán-Moya,
  • Irene Martínez-García,
  • Iris Otero-Luis,
  • Carla Geovanna Lever-Megina,
  • Nerea Moreno-Herraiz and
  • Iván Cavero-Redondo

Recent evidence suggests that sex-related differences in cardiovascular health extend beyond traditional risk factors, affecting vascular structure and function. This study aimed to examine sex differences in vascular parameters, including central an...

  • Review
  • Open Access
3,980 Views
18 Pages

Leaving Nothing Behind: Expanding the Clinical Frontiers of Drug-Coated Balloon Angioplasty in Coronary Artery Disease

  • Marcello Marchetta,
  • Stefano Sasso,
  • Vincenzo Paragliola,
  • Valerio Maffi,
  • Gaetano Chiricolo,
  • Gianluca Massaro,
  • Giulio Russo,
  • Daniela Benedetto,
  • Saverio Muscoli and
  • Giuseppe Andò
  • + 4 authors

Drug-coated balloons (DCBs) have emerged as a promising alternative therapeutic strategy to traditional drug-eluting stent (DES) implantation in various coronary artery lesion scenarios, aiming to minimize complications associated with permanent meta...

  • Article
  • Open Access
1,410 Views
12 Pages

Vo2peak, Ve/VCO2, and Cardiac Remodeling Correlate with Long-Term Cardiovascular Outcome in Heart Failure Patients

  • Antonio Pagliaro,
  • Luna Cavigli,
  • Roberta Molle,
  • Elisabetta Iardino,
  • Francesca Anselmi,
  • Francesca Righini,
  • Luca Martini,
  • Valerio Zacà,
  • Giulia Elena Mandoli and
  • Serafina Valente
  • + 7 authors

Accurate prognostic stratification in patients with chronic heart failure and reduced ejection fraction (HFrEF) remains a significant clinical challenge. Many different parameters, including left ventricular (LV) and right ventricular (RV) function a...

  • Article
  • Open Access
1,480 Views
13 Pages

Patients with Gastrointestinal Bleeding and Atrial Fibrillation: Potential Ideal Target for Epicardial Appendage Occlusion

  • Stefano Branzoli,
  • Massimiliano Marini,
  • Domenico Catanzariti,
  • Cecilia Pravadelli,
  • Luigi Pannone,
  • Giovanni D’Onghia,
  • Mauro Fantinel,
  • Fabrizio Guarracini,
  • Gaia Franceschini and
  • Mark La Meir
  • + 12 authors

Background: Gastrointestinal bleeding in patients with atrial fibrillation is an indication for left appendage occlusion. All endovascular devices mandate antithrombotic therapies: rebleeding risk remains an issue. To date, there are no reports on ga...

  • Article
  • Open Access
1,131 Views
17 Pages

Subclinical Cardiac Involvement in Asymptomatic ATTR Mutation Carriers: Insights from Cardiac MRI, Myocardial Strain, and Mapping Techniques

  • Luca Conia,
  • Daria Filatova,
  • Giacomo Pambianchi,
  • Livia Marchitelli,
  • Giulia Cundari,
  • Giuseppe Stancanelli,
  • Maria Alfarano,
  • Giulia Marchionni,
  • Cristina Chimenti and
  • Nicola Galea
  • + 1 author

Transthyretin cardiac amyloidosis (ATTR-CA) leads to myocardial infiltration, affecting prognosis and survival. Diagnosing early-stage ATTR-CA remains challenging due to its subtle manifestations. This study investigates subclinical myocardial altera...

  • Review
  • Open Access
6 Citations
6,080 Views
20 Pages

Non-Traditional Cardiovascular Risk Factors: Tailored Assessment and Clinical Implications

  • Francesco Perone,
  • Marco Bernardi,
  • Luigi Spadafora,
  • Matteo Betti,
  • Stefano Cacciatore,
  • Francesco Saia,
  • Federica Fogacci,
  • Vikash Jaiswal,
  • Elad Asher and
  • Pierre Sabouret
  • + 4 authors

Non-traditional cardiovascular risk factors (RFs) are increasingly emerging as important modifiers of cardiovascular risk (CVR), offering insights beyond traditional metrics like hypertension, diabetes, and dyslipidemia. These include novel biomarker...

  • Review
  • Open Access
1,923 Views
16 Pages

Isolated popliteal artery (PA) lesions account for around 1% of lower limb revascularisations. Whatever treatment modality is chosen, the effects on the artery during knee flexion must be considered. The decision between a less invasive endovascular...

  • Review
  • Open Access
4,961 Views
15 Pages

Lipoprotein(a): Assessing the Current Knowledge and Gaps in Screening and Treatment—A Narrative Review

  • Octavian Amaritei,
  • Oana Laura Mierlan,
  • Cristian Gutu and
  • Gabriela Gurau

Atherosclerotic cardiovascular disease (ASCVD) has long been screened using the traditional lipid profile, mainly focusing on LDL cholesterol. However, despite growing evidence supporting lipoprotein(a) [Lp(a)] as an independent risk factor involved...

  • Review
  • Open Access
4 Citations
2,360 Views
14 Pages

Predicting the Outcomes of External Direct Current Cardioversion for Atrial Fibrillation: A Narrative Review of Current Evidence

  • Ibrahim Antoun,
  • Georgia R. Layton,
  • Ahmed Abdelrazik,
  • Mahmoud Eldesouky,
  • Sherif Altoukhy,
  • Mustafa Zakkar,
  • Riyaz Somani and
  • G. André Ng

Atrial fibrillation (AF) is the most common sustained arrhythmia associated with significant morbidity and mortality. External direct current cardioversion (DCCV) is a cornerstone intervention for rhythm control in AF; however, its success is influen...

  • Article
  • Open Access
1,096 Views
9 Pages

Beyond the Echo: Is Comprehensive Vascular Exploration Valuable in Cases of Non-Syndromic Thoracic Aortic Aneurysms or Bicuspid Aortic Valve?

  • Austin Saugstad,
  • Srekar Ravi,
  • George Bcharah,
  • Christine E. Firth,
  • Hend Bcharah,
  • Hussein Abdul Nabi,
  • Hoang Nhat Pham,
  • Ramzi Ibrahim,
  • Sant J. Kumar and
  • Fadi Shamoun
  • + 4 authors

Bicuspid aortic valve (BAV) and thoracic aortic aneurysms and dissections (TAAD) are recognized in syndromic connective tissue diseases (CTD), but most cases occur sporadically. The extent to which non-syndromic BAV or TAAD predisposes to additional...

  • Article
  • Open Access
1 Citations
966 Views
10 Pages

Impact of the Pre-Operative Standardized Nutritional Protocol in Infants with Congenital Heart Disease (CHD)

  • Patrick Zacharias,
  • Jenna Blinci,
  • Ruthie Shenoy,
  • Jesse Lee and
  • Yogen Singh

Neonates with congenital heart disease (CHD) are at increased risk of growth failure and necrotizing enterocolitis (NEC), making nutritional management crucial for their outcomes. This study aimed to evaluate the impact of a standardized feeding prot...

  • Article
  • Open Access
1 Citations
1,656 Views
19 Pages

Early Experience with Acuson AcuNav 4D-ICE to Guide Transcatheter Tricuspid Edge-to-Edge Repair: 4D Intracardiac Echocardiography Compared to Transesophageal Echocardiography

  • Matteo Biroli,
  • Fabio Fazzari,
  • Francesco Cannata,
  • Vincenzo De Peppo,
  • Cristina Ferrari,
  • Carlo Maria Giacari,
  • Marco Gennari,
  • Paolo Olivares,
  • Manuela Muratori and
  • Federico De Marco
  • + 2 authors

Tricuspid regurgitation is a common valvular disease associated with high morbidity and mortality if left untreated. While surgery has been the standard intervention, transcatheter tricuspid edge-to-edge repair (T-TEER) has emerged as an alternative...

  • Article
  • Open Access
1,103 Views
10 Pages

Riding the Highs and Lows of the Conduction System Pacing Wave—Our Experience

  • Hooi Khee Teo,
  • Yi Yi Chua,
  • Julian Cheong Kiat Tay,
  • Xuanming Pung,
  • Jonathan Wei Sheng Ong,
  • Germaine Jie Min Loo,
  • Eric Tien Siang Lim,
  • Kah Leng Ho,
  • Daniel Thuan Tee Chong and
  • Chi Keong Ching

Conduction system pacing started with His bundle pacing (HBP) and then rapidly switched gears into left bundle branch pacing (LBBP). We describe our center’s experience with LBBP using either lumenless leads (LLLs) or stylet-driven leads (SDLs)...

  • Article
  • Open Access
906 Views
14 Pages

Impact of Simulated Vascular Aging and Heart Rate on Myocardial Efficiency: A Tale of Two Paradigms from In Silico Modelling

  • Lawrence J. Mulligan,
  • Julian Thrash,
  • Ludmil Mitrev,
  • Daniel Ewert and
  • Jeffrey C. Hill

Introduction: Vascular aging is associated with a loss of aortic compliance (CA), which results in increased left ventricular pressure–volume area (PVA), stroke work (SW) and myocardial oxygen consumption (MVO2). Myocardial efficiency (MyoEff)...

  • Article
  • Open Access
2 Citations
1,114 Views
12 Pages

Sarcopenia in Patients with Chronic Thromboembolic Pulmonary Hypertension

  • Steven Hopkins,
  • Jillian Hall,
  • Hollie Saunders,
  • Riyaz Bashir,
  • Vladimir Lakhter,
  • Anjali Vaidya,
  • Ahmed Sadek,
  • Paul Forfia and
  • Estefania Oliveros

Background: Sarcopenia, or loss of skeletal muscle mass, has been associated with poor outcomes (e.g., functional decline, increased mortality, and low quality of life), but its role in CTEPH remains unclear. The psoas muscle index (PMI) is a validat...

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J. Cardiovasc. Dev. Dis. - ISSN 2308-3425