References of "Acta Cardiologica"
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See detailThe clinical challenge of concomitant aortic and mitral valve stenosis.
Unger, Philippe; Lancellotti, Patrizio ULg; de Canniere, Didier

in Acta Cardiologica (2016), 71(1), 3-6

The coexistence of mitral and aortic stenosis is not exceptional. Whereas rheumatic fever is currently plummeting in the Western countries, the incidence of degenerative disease is inversely increasing ... [more ▼]

The coexistence of mitral and aortic stenosis is not exceptional. Whereas rheumatic fever is currently plummeting in the Western countries, the incidence of degenerative disease is inversely increasing. The haemodynamic interactions which may interfere both with the usual echocardiographic parameters and with the invasive assessment may render the diagnosis difficult. The therapeutic challenges raised by this entity should not be underestimated. The increased morbidity and mortality of multivalvular surgery has to be balanced with the risk of a second operation down the line if one valvular involvement, deemed of a lesser importance, is neglected. This complex situation requires the multidisciplinary approach of a heart team involving surgeons, cardiologists, geriatrists if need be and imaging specialists. [less ▲]

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See detailEnvironmental triggers of acute myocardial infarction: results of a nationwide multiple-factorial population study
Claeys, Marc J; Coenen, Sarah; Colpaert, Charlotte et al

in Acta Cardiologica (2015), 70

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See detailCardiovascular outcome in systemic sclerosis.
Voilliot, Damien; Magne, Julien; DULGHERU, Raluca Elena ULg et al

in Acta cardiologica (2015), 70(5), 554-63

OBJECTIVES: Cardiovascular involvement is recognized as a poor prognostic factor in systemic sclerosis (SSc). The aim of this study was to evaluate the usefulness of nailfold video-capillaroscopy (NVC ... [more ▼]

OBJECTIVES: Cardiovascular involvement is recognized as a poor prognostic factor in systemic sclerosis (SSc). The aim of this study was to evaluate the usefulness of nailfold video-capillaroscopy (NVC), brain natriuretic peptide (BNP) blood level and exercise echocardiography to predict the occurrence of cardiovascular events in SSc. METHODS: We prospectively enrolled 65 patients with SSc (age 54+/-14 years, 30% female) followed in CHU Sart-Tilman, Liege, Belgium. All patients underwent graded semi-supine exercise echocardiography. Both baseline resting pulmonary hypertension (PH) and PH during follow-up (FUPH) were defined as systolic pulmonary arterial pressure (sPAP)>35 mmHg, and exercise-induced PH (EIPH) as sPAP>50 mmHg during exercise. RESULTS: EIPH was present in 21 patients. During FU (27+/-18 months), 13 patients developed FUPH and 9 presented cardiovascular complications. Patients with cardiovascular events were significantly older (63+/-14 vs 52+/-13 years; P=0.03), presented more frequently NVC grade>2 (89 vs 43%; P=0.009), had higher resting and exercise sPAP (30+/-6 vs 24+/-6; P=0.007 and 57+/-13 vs 44+/-13 vs mmHg; P=0.01, respectively), and higher BNP blood level (112+/-106 vs 26+/-19 pg/ml; P=0.0001). After adjustment for age and gender, NVC grade>2 (ss=2.4+/-1.1; P=0.03), EIPH (ss=2.30+/-1.13; P=0.04), FUPH (ss=0.24+/-0.09; P=0.01 and ss=3.52+/-1.16; P=0.002, respectively;) and BNP (ss=0.08+/-0.04; P=0.02) were independent predictors of CV events. Beyond age, an incremental value of EIPH, BNP and NVC grade>2 was predictive of cardiovascular events (P<0.001). CONCLUSION: Cardiovascular complications are not rare in SSc (18%). NVC, BNP blood level assessment and exercise echocardiography could be useful tools to identify patients at risk of SSc. [less ▲]

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See detailSummary 2014 ESC guidelines.
Claeys, Marc J.; LEGRAND, Victor ULg; Mairesse, Georges H. et al

in Acta cardiologica (2015), 70(1), 73-9

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See detailThe STIB score: a simple clinical test to predict clopidogrel resistance.
Legrand, Delphine; Barbato, Emanuele; Chenu, Patrick et al

in Acta Cardiologica (2015), 70

STIB HPR score allows identification of patients with a high probability of resistance to clopidogrel based on diabetes, Hb<13.9g/dl and BMI > 28kg/m². This bedside clinical test could be useful for the ... [more ▼]

STIB HPR score allows identification of patients with a high probability of resistance to clopidogrel based on diabetes, Hb<13.9g/dl and BMI > 28kg/m². This bedside clinical test could be useful for the indentification of patients in whom another P2Y12 inhibitor should be recommended before and after PCI. [less ▲]

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See detailSummary of 2012 ESC guidelines
Claeys, M.J.; Evrard, P.; Gurné, O. et al

in Acta Cardiologica (2013), 68

summary of 2012 updated guidelines in cardiology

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See detailPractical recommendations on the use of echocardiography to assess pulmonary arterial hypertension--a Belgian expert consensus endorsed by the Working Group on Non-Invasive Cardiac Imaging.
LANCELLOTTI, Patrizio ULg; Budts, Werner; de Wolf, Daniel et al

in Acta Cardiologica (2013), 68(1), 59-69

Pulmonary hypertension (PH) is defined by a sustained increase in mean pulmonary arterial pressure > 25 mmHg. Due to its widespread availability, echocardiography (ECHO) is used as the first-line imaging ... [more ▼]

Pulmonary hypertension (PH) is defined by a sustained increase in mean pulmonary arterial pressure > 25 mmHg. Due to its widespread availability, echocardiography (ECHO) is used as the first-line imaging modality to detect pulmonary PH and assess right ventricular (RV) function in daily routine. As such, ECHO is the key examination to detect the presence of PH, to provide valuable prognostic information and to give an orientation to therapeutic strategies. In addition to detection and screening, ECHO also provides clues for the differential diagnosis of PH. The present document, based on a consensus of experts, provides practical recommendations for the use of ECHO in the evaluation of PH and of its consequences on the right ventricle. [less ▲]

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See detailThe role of statin treatment in valvular heart disease: is the jury still out?
Antonini-Canterin, Francesco; Mateescu, Anca D.; Nicolosi, Gian Luigi et al

in Acta cardiologica (2013), 68(4), 403-11

Valvular heart disease (VHD) represents a significant burden within the spectrum of cardiovascular diseases. In recent years, there has been a great interest in finding medical treatments able to slow the ... [more ▼]

Valvular heart disease (VHD) represents a significant burden within the spectrum of cardiovascular diseases. In recent years, there has been a great interest in finding medical treatments able to slow the progression ofVHD. The negative results of several large randomized trials failing to demonstrate a benefit of such therapies, has led to a decrease of interest in this field. However, finding a medical treatment capable of preventing VHD progression is still a hot topic, due to the important clinical implications. We believe that the jury is still out on the debate about the role of statin therapy in VHD, considering also recently published studies providing new information with future implications for the treatment of this disease process. This article gives an overview of the published evidence about the role of hydroxymethylglutaryl coenzyme-A reductase inhibitors on delaying progressive valve dysfunction. A preventive therapy, which could influence not only the haemodynamic progression of valve disease, but also the cardiovascular outcome, is warranted. Large, prospective, randomized trials are needed to properly evaluate the role of statins in the early stages of valvular heart disease. [less ▲]

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See detailThe quest for evidence "Beauty is truth, truth beauty"--that is all ye know on earth, and all ye need to know.
Ector, Hugo; LANCELLOTTI, Patrizio ULg

in Acta Cardiologica (2012), 67(1), 1-2

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See detailManagement of patent foramen ovale in cryptogenic stroke.
Budts, Werner; Legrand, Victor ULg; Peeters, Andre et al

in Acta cardiologica (2012), 67(1), 3-9

There is currently no consensus on the optimal management of cryptogenic stroke in the presence of a patent foramen ovale (PFO). Some physicians do not believe in the added value of PFO closure in ... [more ▼]

There is currently no consensus on the optimal management of cryptogenic stroke in the presence of a patent foramen ovale (PFO). Some physicians do not believe in the added value of PFO closure in cryptogenic stroke, whereas, for others, cryptogenic stroke represents a situation where PFO closure would be the best management. Because of a lack of well-designed randomized trials, guidelines do not provide a clear answer. Therefore, the cardiological and neurovascular societies in Belgium decided to write an attempt at an expert opinion paper. [less ▲]

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See detailEndovascular repair of the left subclavian artery after gunshot wound: an alternative to surgical treatment.
Martinez, Christophe; Maazoun, Yamen; Durieux, Rodolphe et al

in Acta cardiologica (2012), 67(5), 609-12

Penetrating injuries of the subclavian artery are associated with a high morbidity and mortality rate. Endovascular treatment with covered stents (stent grafts) has emerged as an effective alternative to ... [more ▼]

Penetrating injuries of the subclavian artery are associated with a high morbidity and mortality rate. Endovascular treatment with covered stents (stent grafts) has emerged as an effective alternative to surgery, but this new technique is not exempt from complications. We report the case of a male gunshot victim, treated by a covered stent for haemorrhagic shock due to partial subclavian rupture. [less ▲]

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See detailThe Belgian Society of Cardiology: a view on its strength, weakness, opportunities and threats.
Legrand, Victor ULg

in Acta cardiologica (2011), 66(2), 139-40

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See detailAortic coarctation treated by extraanatomic aortic bypass.
GARWEG, Christophe ULg; MELON, Pierre ULg; LANCELLOTTI, Patrizio ULg

in Acta Cardiologica (2010), 65(3), 365

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See detailAn alien in the heart: giant infective endocarditis.
Bataille, Yoann ULg; Moonen, Marie ULg; Lancellotti, Patrizio ULg

in Acta Cardiologica (2009), 64(6), 807-9

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See detailBelgian Society of Cardiology position paper on heart centres in Belgium.
Berkenboom, Guy; Budts, Werner; Claeys, Marc et al

in Acta Cardiologica (2009), 64(4), 537-9

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See detailSafety of ultrasound contrast agents: "Primum non nocere"?
Cosyns, Bernard; Pasquet, Agnes; Van Camp, Guy et al

in Acta Cardiologica (2009), 64(4), 547-52

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