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Topic Review
Congenital Heart Defects in Newborns
Congenital heart disease is a group of pathologies characterized by structural malformations of the heart or great vessels. These alterations occur during the embryonic period and are the most frequently observed severe congenital malformations, the main cause of neonatal mortality due to malformation, and the second most frequent congenital malformations overall after malformations of the central nervous system. The severity of different types of congenital heart disease varies depending on the combination of associated anatomical defects. The causes of these malformations are usually considered multifactorial, but genetic variants play a key role. Currently, use of high-throughput genetic technologies allows identification of pathogenic aneuploidies, deletions/duplications of large segments, as well as rare single nucleotide variants. The high incidence of congenital heart disease as well as the associated complications makes it necessary to establish a diagnosis as early as possible to adopt the most appropriate measures in a personalized approach. In this review, we provide an exhaustive update of the genetic bases of the most frequent congenital heart diseases as well as other syndromes associated with congenital heart defects, and how genetic data can be translated to clinical practice in a personalized approach. 
  • 851
  • 28 Jun 2021
Topic Review
Roles of MicroRNAs in Veterinary Cardiology
MicroRNAs are promising novel biomarkers for the diagnosis and prognosis of cardiovascular diseases. These molecules are defined as a class of short-sequence non-coding RNAs that influence the expression of numerous genes. Each miRNA is a short sequence of non-coding RNA that influences countless genes’ expression and, thereby, contributes to several physiological pathways and diseases. It has been demonstrated that miRNAs participate in the development of many cardiovascular diseases (CVDs). The growing understanding of cardiac biology contributed to recognising specific abnormal microRNA expression when diseases are present, which makes them potential biomarkers and therapeutical targets.
  • 850
  • 04 Nov 2022
Topic Review
Therapies for Atrial Fibrillation
Atrial fibrillation (AF) is the most common cardiac arrhythmia in the world, with an estimated prevalence of 2 to 4%. It is defined as supraventricular tachyarrhythmia with uncoordinated atrial electrical activation, which results in chaotic and irregular activation of atrial pacemaker cells and thus ineffective mechanical contraction of the atrial chambers.
  • 849
  • 11 Jan 2023
Topic Review
Drug Coated Balloons Characteristics according to Antiproliferative Drugs
Drug coated balloons (DCBs) are indicated in guidelines as a first choice option in the management of instant restenosis, whereas their use in de novo lesions is still debated. The concerns raised after the contrasting results of the initial trials with DCBs in de novo lesions have been overcome by a larger amount of data confirming their safety and effectiveness as compared to drug-eluting stents (DES), with potentially greater benefits being achieved, especially in particular anatomical settings, as in very small or large vessels and bifurcations, but also in selected subsets of higher-risk patients, where a ‘leave nothing behind’ strategy could offer a reduction of the inflammatory stimulus and thrombotic risk.
  • 848
  • 12 Jun 2023
Topic Review
Epigenetic Modifications, Elderly Cardiovascular Disease
The rate of aging has increased globally during recent decades and has led to a rising burden of age-related diseases such as cardiovascular disease (CVD). At the molecular level, epigenetic modifications have been shown recently to alter gene expression during the life course and impair cellular function. In this regard, several CVD risk factors, such as lifestyle and environmental factors, have emerged as key factors in epigenetic modifications within the cardiovascular system.
  • 847
  • 30 Sep 2021
Topic Review
Ultrasound Assessment in Cardiogenic Shock Weaning
Cardiogenic shock (CS) is associated with a high in-hospital mortality despite the achieved advances in diagnosis and management. Invasive mechanical ventilation and circulatory support constitute the highest step in cardiogenic shock therapy. Once established, taking the decision of weaning from such support is challenging. Intensive care unit (ICU) bedside echocardiography pro- vides noninvasive, immediate, and low-cost monitoring of hemodynamic parameters such as cardiac output, filling pressure, structural disease, congestion status, and device functioning. Supplemented by an ultrasound of the lung and diaphragm, it is able to provide valuable information about signs suggesting a weaning failure. The aim of this article was to review the state of the art taking into account current evidence and knowledge on ICU bedside ultrasound for the evaluation of weaning from mechanical ventilation and circulatory support in cardiogenic shock.
  • 847
  • 03 Nov 2021
Topic Review
Arrhythmogenic Cardiomyopathy
Arrhythmogenic cardiomyopathy (ACM) is a cardiomyopathy characterized by the occurrence of a high risk of life-threatening ventricular arrhythmias and sudden cardiac death even at presentation. 
  • 847
  • 13 May 2022
Topic Review
Cardiac Remodeling and Dysfunction in Primary Aldosteronism
Speckle tracking echocardiography is a novel technique to quantify cardiac function and deformation. It has been applied in a series of cardiovascular diseases for the evaluation of early cardiac impairment. Cardiac damage usually occurs earlier in patients with primary aldosteronism than those with primary hypertension, probably because aldosterone hypersecretion is more commonly observed in the former than the latter patients.
  • 847
  • 02 Mar 2022
Topic Review
Chronic Thoracic Aortic Dissection
Thoracic aortic dissection (AD) is associated with increased morbidity and mortality. Acute aortic syndrome is the first presentation of the disease in most cases. While acute AD management follows concrete guidelines because of its urgent and life-threatening nature, chronic AD is usually overlooked, although it concerns a wide spectrum of patients surviving an acute event. 
  • 846
  • 31 Oct 2022
Topic Review
Cardiac Rehabilitation in COVID-19 Patients
Recent scientific literature has investigated the cardiovascular implications of COVID-19. The mechanisms of cardiovascular damage seem to involve the protein angiotensin-converting enzyme 2 (ACE2), to which severe acute respiratory syndrome (SARS) coronavirus-2 (CoV-2) binds to penetrate cells and other mechanisms, most of which are still under study. Cardiovascular sequelae of COVID-19 include heart failure, cardiomyopathy, acute coronary syndrome, arrhythmias, and venous thromboembolism.
  • 845
  • 24 May 2021
Topic Review
Insulin Receptors and Insulin Action in Heart
Heart failure is an early and severe complication of diabetes mellitus. The endocrine system and the heart are two interrelated entities, as this is proven by the close relationship between insulin and cardiac function. Insulin significantly contributes to cardioprotection via multiple pathways and various subsequent downstream proteins. Even slight malfunction in the participating pathways can lead to myocardial dysfunction, resulting finally in overt heart failure. At this stage, the implantation of an Left ventricular assist devices (LVADs) and its contribution to the regulation of the neuromodulatory effects of insulin on the heart is pivotal and may decelerate, stabilize, or even revert the deleterious cascades that have been activated in end-stage heart failure.
  • 845
  • 27 Apr 2022
Topic Review
Fibrinolysis for Patients with COVID-19
An impaired fibrinolytic process has been demonstrated in patients infected with SARS-CoV-2, including those in severe or critical condition. Disruption of fibrinolysis leads to fibrin deposition, which exacerbates inflammation and fibrosis and damages the pulmonary surfactant. Numerous authors point out the different course of coagulopathy in patients with COVID-19. It is reported that they may have a state of secondary hyperfibrinolysis, which may explain, at least in part, the increased incidence of venous thromboembolism, even among those patients already receiving appropriate anticoagulant treatment. This raises the question of whether current guidelines for the prevention and treatment of embolic–thrombotic complications, among patients with severe COVID-19, are sufficient. Some studies show evidence of clinical improvement in patients who have received fibrinolytic therapy, beyond the current indications for its implementation. 
  • 845
  • 07 Nov 2022
Topic Review
Main Components of Exercise Rehabilitation Training for PAH
Physical activity is one of the most important modifiable factors in our lifestyle and may significantly impact the prevention and treatment of cardiovascular diseases. Exercise may modulate a variety of molecular mechanisms related to proliferation, apoptosis, oxidative stress, inflammation, thrombosis, proteolysis, and vasodilatation. Without a doubt, exercise training (ET) is necessary in order to reverse the physical impairment that accompanies pulmonary arterial hypertension (PAH) and to maximize the benefits of pharmacotherapy without apparent clinical risk.
  • 844
  • 08 Dec 2022
Topic Review
Sphingolipids in Cardiovascular Diseases
Cardiovascular diseases (CVDs) are the leading cause of death and illness in Europe and worldwide, responsible for a staggering 47% of deaths in Europe. There has been increasing evidence pointing to bioactive sphingolipids as drivers of CVDs. Among them, most studies place emphasis on the cardiovascular effect of ceramides and sphingosine-1-phosphate (S1P), reporting correlation between their aberrant expression and CVD risk factors. 
  • 844
  • 16 Jan 2023
Topic Review
NcRNAs in Cardiac Action Potential
microRNAs represent the most studied type of small ncRNAs and it has been demonstrated that miRNAs play essential roles in multiple biological contexts, including normal development and diseases. Cardiac arrhythmias are prevalent among humans across all age ranges, affecting millions of people worldwide. While cardiac arrhythmias vary widely in their clinical presentation, they possess shared complex electrophysiologic properties at cellular level that have not been fully studied. 
  • 843
  • 15 Sep 2021
Topic Review
LCZ696 in Patients with Hypertension
Hypertension is a well-known and modifiable risk factor for cardiovascular disease worldwide. However, the management of hypertension remains suboptimal throughout the world. LCZ696 (Sacubitril/valsartan) was approved for the treatment of heart failure. Several randomized control trials showed that LCZ696 achieved the target blood pressure control without significant adverse fffects. This meta-analysis including randomized control trials to precisely determine the effectiveness and safety of LCZ696 for the treatment of high aterial pressure.  
  • 840
  • 09 Jul 2021
Topic Review
Gender Differences and Cardiometabolic Risk
Metabolic syndrome (Mets) is a clinical condition characterized by a cluster of major risk factors for cardiovascular disease (CVD) and type 2 diabetes: proatherogenic dyslipidemia, elevated blood pressure, dysglycemia, and abdominal obesity. Each risk factor has an independent effect, but, when aggregated, they become synergistic, doubling the risk of developing cardiovascular diseases and causing a 1.5-fold increase in all-cause mortality.
  • 837
  • 27 Feb 2023
Topic Review
Cardiovascular Risk Factors in Women
Cardiovascular diseases (CVD) have a lower prevalence in women than men; although, a higher mortality rate and a poorer prognosis are more common in women. However, there is a misperception of CVD female risk since women have commonly been considered more protected so that the real threat is vastly underestimated. Consequently, female patients are more likely to be treated less aggressively, and a lower rate of diagnostic and interventional procedures is performed in women than in men. In addition, there are substantial sex differences in CVD, so different strategies are needed.
  • 836
  • 07 Mar 2022
Topic Review
Risk Factors between Dementia and Atherosclerotic Cardiovascular Disease
Alzheimer’s disease is the most common form of dementia, and the prodromal phases of Alzheimer’s disease can last for decades. Vascular dementia is the second most common form of dementia and is distinguished from Alzheimer’s disease by evidence of previous stroke or hemorrhage and current cerebrovascular disease. A compiled group of vascular-related dementias (vascular dementia and unspecified dementia) is often referred to as non-Alzheimer dementia.
  • 836
  • 21 Sep 2022
Topic Review
Urocortin and Myocardila Infarction
Ucn is a mammalian peptide member of the corticotropin-releasing factor (CRF) family. Three isoforms of Ucn have been described so far, Ucn1, Ucn2, and Ucn3, which differ in terms of their structure, expression, and affinity to CRF receptors.
  • 835
  • 29 Mar 2022
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