Homepage | Heart
Each year the Heart editorial team selects the most meritorious research papers to receive the Heart Best Research Paper Award.. We are pleased to announce the winner and finalists for the Heart Best Research Paper Award 2024 in recognition of high quality and clinical impact.
Bradyarrhythmias in patients with atrial fibrillation | Heart
The increasing burden of atrial fibrillation (AF) and significant morbidity/mortality associated with this arrhythmia encourage screening it in clinical practice, as recommended in current guidelines. It means opportunistic screening (in patients over 65 years) or systematic screening (in people above 75 years) by using clinical examination, followed by an ECG, 24-hour ECG monitoring or ...
Treating patients with ventricular ectopic beats - Heart
Ventricular ectopic beats (VEBs) are commonly seen in daily clinical practice. They are largely asymptomatic but can cause upsetting symptoms in some patients. In normal hearts, their occurrence is usually associated with no clinical significance. However, there are occasions where the presence of VEBs signifies a susceptibility towards more sinister arrhythmias, especially when heart disease ...
Diagnosis and management of resistant hypertension - Heart
Definition of resistant hypertension. Resistant hypertension is generally defined as uncontrolled clinic blood pressure (>140/90 mm Hg) after treatment with three or more antihypertensives. 5 In the UK, National Institute for Health and Care Excellence (NICE) guidelines specify that these three should include optimal doses of an ACE inhibitor (or an angiotensin receptor blocker), a …
Calcium and vitamin D supplement: right or wrong? - Heart
Intuitively, one might think that supplementing vitamins and minerals would be the right thing to do especially in older and comorbid people. Every year, billions of dollars are spent in this belief.1 However, we may all be wrong. A present study in this journal demonstrates a significantly increased cardiovascular (CV) mortality in elderly patients supplementing calcium, be it …
Left ventricular dysfunction: causes, natural history, and ... - Heart
Left ventricular dysfunction (LVD) with subsequent congestive heart failure (CHF) constitutes the final common pathway for a host of cardiac disorders. Coronary artery narrowing or ischaemic heart disease is the dominant cause of heart failure and is often associated with acute or prior myocardial infarction. The remaining aetiologies include cardiomyopathy, hypertension, and a …
Assessment and management of peripheral arterial disease: what …
### Learning objectives Peripheral artery disease (PAD) typically refers to atherosclerotic narrowing and/or occlusion of all arterial disease other than coronary arteries and the aorta (carotid and vertebral arteries, coeliac and mesenteric arteries, renal arteries and upper and lower limb arteries) (figure 1). As a manifestation of systemic atherosclerosis, PAD is …
Global longitudinal strain: clinical use and prognostic ... - Heart
### Learning objectives Non-invasive evaluation of left ventricular (LV) systolic function by echocardiography remains one of the most pivotal measures in clinical cardiology. Although conventionally quantified by means of LV ejection fraction (LVEF), it has become evident that this parameter is subject to a number of limitations. LVEF can …
About - Heart
Heart is an international peer reviewed journal that keeps cardiologists up to date with important research advances in cardiovascular disease. New scientific developments are highlighted in editorials and put in context with concise review articles. There is one free Editor’s Choice article in each issue, with open access options available to authors for all articles.
Management and outcomes of patients with left atrial appendage …
Introduction. Atrial fibrillation is the most common cardiac arrhythmia and a well-established risk factor for thromboembolic complications.1 The presence of left atrial thrombus in patients with non-rheumatic atrial fibrillation is a relatively common finding (17%) during transoesophageal echocardiogram (TEE), cardiac surgery or at autopsy, and the …