Heart

Levosimendan versus dobutamine in acute decompensated heart failure: systematic review and meta-analysis of randomised controlled trials

Background Acute decompensated heart failure (ADHF) with reduced ejection fraction often requires inotropic support. While dobutamine is commonly used, its safety and efficacy remain debated.
Opinion
HeartOpinion

Time is more than myocardium: direct transfer after cardiac arrest with ST-segment elevation

The destination decision after successful resuscitation from out-of-hospital cardiac arrest (OHCA) is made within minutes, yet its consequences may extend for years. For patients with ST-segment ...
Heart

Long-term cortisol exposure and echocardiographic measures of cardiac structure and function

Background Chronic activation of the hypothalamic–pituitary–adrenal axis due to long-term stress, reflected by elevated hair cortisol concentration (HCC), has been associated with increased ...
BMJ

Sex differences in early ventricular fibrillation among patients with fulminant myocarditis in a nationwide registry

Background Fulminant myocarditis is a rare but life-threatening condition frequently complicated by malignant ventricular arrhythmias. Data on sex differences in early ventricular fibrillation (VF) in ...
BMJ

European Infective Endocarditis (EURO-ENDO) score for predicting 30-day mortality in left-sided infective endocarditis

4 Universitat de Barcelona, CIBER-CV, Hospital Vall d'Hebron, Barcelona, Spain Background A major challenge in managing left-sided infective endocarditis (LSIE) is identifying patients who will ...
BMJ

Peer review without the expert: artificial intelligence-assisted reviewing and the cost to science

Correspondence to Shishir Rao; shishir.rao{at}wrh.ox.ac.uk; Dr Kazem Rahimi; kazem.rahimi{at}wrh.ox.ac.uk If you wish to reuse any or all of this article please use ...
BMJ

From natural to unnatural history of aortic valve stenosis: a tribute to Dr Braunwald’s legacy

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be ...
BMJ

Cost-effectiveness of N-terminal pro-B-type natriuretic peptide thresholds for echocardiography referral in primary care heart failure management

Background N-terminal pro-B-type natriuretic peptide (NT-proBNP) is a key test in primary care to inform which people with possible heart failure (HF) are referred for specialist assessment and ...
BMJ

Private versus public hospital care after emergency admission for atrial fibrillation: a call for optimising atrial fibrillation care

Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia worldwide and is associated with substantial morbidity and mortality, imposing a significant burden on patients and healthcare ...
BMJ

Optimal duration of dual antiplatelet therapy in ischaemic heart disease: a systematic review and network meta-analysis of randomised controlled trials

Background Shorter dual antiplatelet therapy (DAPT) regimens may offer a more favourable risk-benefit profile compared with longer treatment. The aim of this study was to determine the optimal ...
BMJ

Premature ventricular contractions burden and long-term ventricular remodelling in patients without structural heart disease

1 Division of Cardiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea (the Republic of) 2 Division of Cardiology, Department of Internal Medicine, Hanyang University ...
BMJ

Effect of renin-angiotensin system inhibition on left ventricular mass regression after transcatheter aortic valve replacement: a randomised controlled trial

Background Residual left ventricular (LV) hypertrophy and incomplete reverse remodelling after transcatheter aortic valve replacement (TAVR) are associated with adverse outcomes. Whether ...