ISSN 1671-5411 CN 11-5329/R
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RESEARCH ARTICLE
Difficulty of falling asleep and non-high-density lipoprotein cholesterol level among Canadian older adults: a cross-sectional analysis of the Canadian Longitudinal Study for Aging baseline data
Jian LIU, Surim Son, Mike Giancaterino, Miya Narushima
2021, 18(8): 597-608.   doi: 10.11909/j.issn.1671-5411.2021.08.003
Abstract(107) FullText HTML(49) PDF (9)
Impact of statin intensity on adverse cardiac and cerebrovascular events in older adult patients with myocardial infarction
In Tae Moon, Si-Hyuck Kang, Wonjae Lee, Youngjin Cho, Jin Joo Park, Yeonyee E. Yoon, Il-Young Oh, Chang-Hwan Yoon, Jung-Won Suh, Tae-Jin Youn, In-Ho Chae, Dong-Ju Choi, Young-Seok Cho
2021, 18(8): 609-622.   doi: 10.11909/j.issn.1671-5411.2021.08.005
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A comparison of carotid atherosclerosis in symptomatic patients between 2002–2005 and 2012–2015 cohorts using multi-contrast magnetic resonance vessel wall imaging
Ming-Ming LU, Peng PENG, Thomas S. Hatsukami, Fei YUAN, Yuan-Yuan CUI, Li-Chen ZHANG, Hui-Yu QIAO, Chun YUAN, Jian-Ming CAI, Xi-Hai ZHAO
2021, 18(8): 623-630.   doi: 10.11909/j.issn.1671-5411.2021.08.006
Abstract(62) FullText HTML(31) PDF (2)
Association between non-culprit healed plaque and plaque progression in acute coronary syndrome patients: an optical coherence tomography study
Wei-Jun YIN, Jing JING, Ying-Qian ZHANG, Feng TIAN, Tao ZHANG, Shan-Shan ZHOU, Yun-Dai CHEN
2021, 18(8): 631-644.   doi: 10.11909/j.issn.1671-5411.2021.08.001
Abstract(258) FullText HTML(127) PDF (24)
Associations of tea consumption with blood pressure progression and hypertension incidence
Xiao-Ge NIU, Can CAI, Fang-Chao LIU, Jian-Xin LI, Ke-Yong HUANG, Xue-Li YANG, Jie CAO, Shu-Feng CHEN, Hong-Fan LI, Chong SHEN, Ying-Xin ZHAO, Dong-Sheng HU, Shu-Jun GU, Jian-Feng HUANG, Xiang-Feng LU, Dong-Feng GU
2021, 18(8): 645-653.   doi: 10.11909/j.issn.1671-5411.2021.08.004
Abstract(121) FullText HTML(59) PDF (1)
Prognostic relevance of normocytic anemia in elderly patients affected by cardiovascular disease
Liana Spazzafumo, Fabiola Olivieri, Jacopo Sabbatinelli, Roberta Galeazzi, Rina Recchioni, Fiorella Marcheselli, Paola Tamburrini, Roberto Antonicelli
2021, 18(8): 654-662.   doi: 10.11909/j.issn.1671-5411.2021.08.008
Abstract(21) FullText HTML(11) PDF (3)
REVIEW
Atypical antipsychotics and oxidative cardiotoxicity: review of literature and future perspectives to prevent sudden cardiac death
Stefano D’Errico, Raffaele La Russa, Aniello Maiese, Alessandro Santurro, Matteo Scopetti, Silvia Romano, Martina Zanon, Paola Frati, Vittorio Fineschi
2021, 18(8): 663-685.   doi: 10.11909/j.issn.1671-5411.2021.08.002
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LETTER TO THE EDITOR
Impact of isolated non-dominant hypoplastic right coronary artery disease on cardiovascular events and mortality rates in the elderly
Gianluca Rigatelli, Marco Zuin, Gianese Filippo
2021, 18(8): 686-688.   doi: 10.11909/j.issn.1671-5411.2021.08.007
Abstract(12) FullText HTML(6) PDF (1)
Shockwave intravascular lithotripsy and drug-coated balloon angioplasty in calcified coronary arteries: preliminary experience in two cases
Hee Hwa Ho, Jin Hyun Lee, Deanna Zhi Lin Khoo, Ko Ko Soe Hpone, Ki Fung Cliff Li
2021, 18(8): 689-691.   doi: 10.11909/j.issn.1671-5411.2021.08.009
Abstract(18) FullText HTML(9) PDF (1)
Short-term observation of direct oral anticoagulant use in an atrial fibrillation patient with high bleeding risk and kidney transplant: a case report
Wei XIANG, Ling-Yun KONG, Jing BAI, Jun-Jie XIE, Fang LIU
2021, 18(8): 692-696.   doi: 10.11909/j.issn.1671-5411.2021.08.010
Abstract(30) FullText HTML(15) PDF (0)
Online First
Ashraf Abugroun, Osama Hallak, Ahmed Taha, Awadalla Sanchez-Nadales, Saria Awadalla, Hussein Daoud, Efehi Igbinomwanhia, Lloyd W Klein
 doi: 10.11909/j.issn.1671-5411.2021.09.005
Abstract(76) FullText HTML(38) PDF (2)
Abstract:
 Objective  To compare the outcomes of transapical transcatheter aortic valve replacement (TA-TAVR) and surgical aortic valve replacement (SAVR) using a large US population sample.  Methods  The U.S. National Inpatient Sample was queried for all patients who underwent TA-TAVR or SAVR during the years 2016−2017. The primary outcome was all-cause in-hospital mortality. Secondary outcomes were in-hospital stroke, pericardiocentesis, pacemaker insertion, mechanical ventilation, vascular complications, major bleeding, acute kidney injury, length of stay, and cost of hospitalization. Outcomes were modeled using multi-variable logistic regression for binary outcomes and generalized linear models for continuous outcomes.  Results  A total of 1560 TA-TAVR and 44,280 SAVR patients were included. Patients who underwent TA-TAVR were older and frailer. Compared to SAVR, TA-TAVR correlated with a higher mortality (4.5% vs. 2.7%, effect size (SMD) = 0.1) and higher periprocedural complications. Following multivariable analysis, both TA-TAVR and SAVR had a similar adjusted risk for in-hospital mortality. TA-TAVR correlated with lower odds of bleeding with (adjusted OR (a-OR) = 0.26; 95% CI: 0.18–0.38; P < 0.001), and a shorter length of stay (adjusted mean ratio (a-MR) = 0.77; 95% CI: 0.69−0.84; P < 0.001), but higher cost (a-MR = 1.18; 95% CI: 1.10−1.28; P < 0.001). No significant differences in other study outcomes. In subgroup analysis, TA-TAVR in patients with chronic lung disease had higher odds for mortality a-OR = 3.11 (95%CI: 1.37−7.08; P = 0.007).  Conclusion  The risk-adjusted analysis showed that TA-TAVR has no advantage over SAVR except for patients with chronic lung disease where TA-TAVR has higher mortality.
Giuseppe Boriani, Anna Maisano, Niccolò Bonini, Alessandro Albini, Jacopo Francesco Imberti, Andrea Venturelli, Matteo Menozzi, Valentina Ziveri, Vernizia Morgante, Giovanni Camaioni, Matteo Passiatore, Gerardo De Mitri, Giulia Nanni, Denise Girolami, Riccardo Fontanesi, Valerio Siena, Daria Sgreccia, Vincenzo Livio Malavasi, Anna Chiara Valenti, Marco Vitolo
 doi: 10.11909/j.issn.1671-5411.2021.09.003
Abstract(18) FullText HTML(9) PDF (0)
Abstract:
 Background  During the COVID-19 pandemic, the implementation of telemedicine has represented a new potential option for outpatient care. The aim of our study was to evaluate digital literacy among cardiology outpatients.  Methods  From March to June 2020, a survey on telehealth among cardiology outpatients was performed. Digital literacy was investigated through six main domains: age; sex; educational level; Internet access; availability of Internet sources; knowledge and use of teleconference software programs.  Results  The study included 1067 patients, median age 70 years, 41.3% females. The majority of the patients (58.0%) had a secondary school degree, but among patients aged ≥ 75 years old the most represented educational level was primary school or none. Overall, for internet access, there was a splitting between “never” (42.1%) and “every day” (41.0%), while only 2.7% answered “at least 1/month” and 14.2% “at least 1/week”. In the total population, the most used devices for Internet access were smartphones (59.0%), and WhatsApp represented the most used app (57.3%). Internet users were younger compared to non-Internet users (63 vs. 78 years old, respectively) and with a higher educational level. Age and educational level were associated with non-use of Internet (age-per 10-year increase odds ratio (OR) = 3.07, 95% CI: 2.54−3.71, secondary school OR = 0.18, 95% CI: 0.12−0.26, university OR = 0.05, 95% CI: 0.02−0.10).  Conclusions  Telemedicine represents an appealing option to implement medical practice, and for its development it is important to address the gaps in patients’ digital skills, with age and educational level being key factors in this setting.
Nadim El Jamal, Bernard Abi-Saleh, Hussain Isma’eel
 doi: 10.11909/j.issn.1671-5411.2021.09.004
Abstract(37) FullText HTML(18) PDF (3)
Abstract:
Telemedicine is the use of information and communication technology to deliver healthcare at a distance. It has been resorted to during the COVID-19 pandemic to lessen the need for in-person patient care decreasing the risk of transmission, and it can be of benefit afterward in the management of cardiac disease. The elderly population has unique challenges concerning the use of telehealth technologies. We thus review the advances in telemedicine technologies in treating elderly cardiac patients including in our discussion only studies with a mean age of participants above 60. Remote monitoring of blood pressure, weight, and symptoms, along with home ECG recording has been found to be superior to usual in-clinic follow up. Combining remote monitoring with video conferencing with physicians, patient education websites, and applications is also of benefit. Remote monitoring of Implantable Cardioverter Defibrillators (ICD) and Cardiac Resynchronization Therapy Defibrillators (CRT-D) is also beneficial but can be at the cost of an increase in both appropriate and inappropriate interventions. Implantable sensing devices compatible with remote monitoring have been developed and have been shown to improve care and cost-effectiveness. New smartphone software can detect arrhythmias using home ECG recordings and can detect atrial fibrillation using smartphone cameras. Remote monitoring of implanted pacemakers has shown non-inferiority to in clinic follow up. On the other hand, small-scale questionnaire-based studies demonstrated the willingness of the elderly cardiac patients to use such technologies, and their satisfaction with their use and ease of use. Large-scale studies should further investigate useability in samples more representative of the general elderly population with more diverse socioeconomic and educational backgrounds. Accordingly, it seems that studying integrating multiple technologies into telehealth programs is of great value. Further efforts should also be put in validating the technologies for specific diseases along with the legal and reimbursement aspects of the use of telehealth.
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We would delightedly report that the 2020 SCI impact factor of Journal of Geriatric Cardiology(JGC,ISSN 1671-5411/ CN 11-5329/R) has increased from 2.491 to 3.327, according to the 2020 Journal Citation Reports (InCites, Clarivate Analytics), ranking 33/53 and 65/142 in the fields of Geriatrics & Gerontology and Cardiac & Cardiovascular Systems, respectively. Show more
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Li-Yuan MA, Wei-Wei CHEN, Run-Lin GAO, Li-Sheng LIU, Man-Lu ZHU, Yong-Jun WANG, Zhao-Su WU, Hui-Jun LI, Dong-Feng GU, Yue-Jin YANG, Zhe ZHENG, Sheng-Shou HU
doi: 10.11909/j.issn.1671-5411.2020.01.001
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