Current Clinical Treatments and Challenges for Cardiovascular Diseases

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Cardiovascular Medicine".

Deadline for manuscript submissions: 30 June 2025 | Viewed by 1327

Special Issue Editors


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Guest Editor
Yale School of Medicine, Yale University, New Heaven, CT 06510, USA
Interests: heart failure; acute myocardial infarction; revascularization; cardiovascular disease; percutaneous coronary intervention; cardiogenic shock; atrial fibrillation; chronic coronary artery disease

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Guest Editor
Clinical Ergospirometry, Exercise & Rehabilitation Laboratory, 1st Critical Care Medicine Department, Evangelismos Hospital, National and Kapodistrian University of Athens, 157 72 Athens, Greece
Interests: heart failure; endothelial progenitor cells; endothelium; myocardial infarction; revascularization; cardiopulmonary resuscitation; myocarditis; cardiopulmonary exercise testing; exercise training; rehabilitation
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Special Issue Information

Dear Colleagues,

Cardiovascular disease (CVD) remains the leading cause of morbidity and mortality worldwide, despite significant advances in diagnosis and treatment over the past decades. With an aging population and the rising prevalence of risk factors such as obesity, hypertension, and diabetes, the global burden of CVD continues to grow.

This Special Issue aims to explore the latest clinical approaches and emerging challenges in the treatment of cardiovascular disease. The scope encompasses a broad range of topics, including pharmacological therapies, surgical interventions, innovative medical devices, and lifestyle-based treatment strategies.

We invite cutting-edge research and review articles addressing novel therapeutic approaches, personalized medicine, and advancements in cardiovascular disease management. Contributions on emerging challenges, such as drug resistance, comorbidities, and the integration of new technologies in treatment strategies, are highly encouraged.

We are seeking original research, comprehensive literature and systematic reviews that push the boundaries of current knowledge and offer innovative solutions to the complex challenges in cardiovascular care.

Dr. Georgios Bouras
Dr. Christos Kourek
Guest Editors

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Keywords

  • heart failure
  • coronary artery disease
  • atrial fibrillation
  • cardiomyopathies
  • hypertension

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Published Papers (2 papers)

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Research

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15 pages, 241 KiB  
Article
Gender-Specific Outcomes in TAVI with Self-Expandable Valves: Insights from a Large Real-World Registry
by Alessandro Sticchi, Dario Grassini, Francesco Gallo, Stefano Benenati, Won-Keun Kim, Arif A. Khokhar, Tobias Zeus, Stefan Toggweiler, Roberto Galea, Federico De Marco, Antonio Mangieri, Damiano Regazzoli, Bernhard Reimers, Luis Nombela-Franco, Marco Barbanti, Ander Regueiro, Tommaso Piva, Josep Rodés-Cabau, Italo Porto, Antonio Colombo and Francesco Gianniniadd Show full author list remove Hide full author list
J. Clin. Med. 2025, 14(9), 3144; https://doi.org/10.3390/jcm14093144 - 1 May 2025
Abstract
Background/Objectives: Aortic stenosis (AS) is the most prevalent valvular heart disease in developed countries and imposes an increasing burden on aging populations. Although transcatheter aortic valve implantation (TAVI) has transformed the treatment of severe AS, current guidelines do not differentiate management based [...] Read more.
Background/Objectives: Aortic stenosis (AS) is the most prevalent valvular heart disease in developed countries and imposes an increasing burden on aging populations. Although transcatheter aortic valve implantation (TAVI) has transformed the treatment of severe AS, current guidelines do not differentiate management based on gender. This study aimed to investigate gender-based differences in procedural complications and one-year clinical outcomes in patients treated with next-generation self-expandable TAVI devices. Methods: This retrospective, multicenter international registry included 3862 consecutive patients who received either the ACURATE neo or Evolut R/Pro valve. Patients were stratified by gender; propensity score matching (PSM) adjusted for baseline differences. The primary endpoint was a composite of all-cause mortality or stroke at one year. Secondary endpoints included major vascular complications, major or life-threatening bleeding and acute kidney injury (AKI). Results: Of 3353 patients included (64.5% female), women were older (82.3 ± 5.6 vs. 81.1 ± 6.2 years, p < 0.001) and had higher STS scores (5.2 ± 3.9 vs. 4.5 ± 3.4%, p < 0.001). In the unmatched population, major vascular complications occurred in 7.7% of females versus 4.1% of males (p < 0.001), life-threatening bleeding in 2.8% vs. 1.4% (p = 0.016) and AKI in 8.5% vs. 5.7% (p = 0.009). After PSM, the primary endpoint was more frequent in females (9.4% vs. 6.0%, p = 0.014), largely driven by stroke (2.8% vs. 1.2%, p = 0.024), while overall mortality was similar (11.3% vs. 9.5%, p = 0.264). Conclusions: Despite comparable long-term survival, female patients undergoing TAVI with self-expandable valves experience higher rates of procedural complications, notably stroke and major vascular events. These findings underscore the need for tailored procedural strategies to improve outcomes in female patients. Full article

Review

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16 pages, 3370 KiB  
Review
Campylobacter jejuni-Related Myocarditis: A Case Report and Review of the Literature
by Virginia Zouganeli, Christos Kourek, Vasiliki Bistola, Maria Mademli, Ioannis Grigoropoulos, Konstantinos Thomas, Sotirios Tsiodras, Gerasimos Filippatos and Dimitrios Farmakis
J. Clin. Med. 2024, 13(24), 7551; https://doi.org/10.3390/jcm13247551 - 11 Dec 2024
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Abstract
Campylobacter jejuni, a common cause of gastroenteritis worldwide, has also been associated with rare extraintestinal infections, including myocarditis. We report a unique case of a 24-year-old male who presented with febrile diarrhea and acute chest pain. Diagnostic investigations revealed elevated cardiac troponin [...] Read more.
Campylobacter jejuni, a common cause of gastroenteritis worldwide, has also been associated with rare extraintestinal infections, including myocarditis. We report a unique case of a 24-year-old male who presented with febrile diarrhea and acute chest pain. Diagnostic investigations revealed elevated cardiac troponin levels, normal electrocardiography findings, and myocardial inflammation on cardiac magnetic resonance imaging, confirming the diagnosis of acute myocarditis. Stool cultures identified Campylobacter jejuni as the causative agent. The patient was managed with supportive care, including hydration and electrolyte replacement, and a three-day course of azithromycin (500 mg daily). He achieved a full recovery and was discharged after eight days, with subsequent follow-up demonstrating the complete resolution of myocardial dysfunction. This case emphasizes the need to consider Campylobacter jejuni-related myocarditis in the differential diagnosis of young patients presenting with chest pain and diarrhea, along with an overview of its diagnostic and therapeutic challenges. Full article
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