European Heart Journal




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New therapeutic targets to reduce inflammation-associated cardiovascular risk: the CCL2–CCR2 axis, LOX-1, and IRF5

Filippo Crea

doi : 10.1093/eurheartj/ehac233

European Heart Journal, Volume 43, Issue 19, 14 May 2022, Pages 1777–1781

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Artificial intelligence in cardiovascular medicine in China

Yaling Han

doi : 10.1093/eurheartj/ehac002

European Heart Journal, Volume 43, Issue 19, 14 May 2022, Pages 1782–1783

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Extreme cardiovascular risk—do we need a new risk category?

Krzysztof Dyrbus, Mariusz Gasior, Peter E Penson, Maciej Banach

doi : 10.1093/eurheartj/ehab771

European Heart Journal, Volume 43, Issue 19, 14 May 2022, Pages 1784–1786

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800 years of research at the University of Padua (1222–2022): contemporary insights into Sports Cardiology

Domenico Corrado, Alessandro Zorzi, Cristina Basso, Gaetano Thiene

doi : 10.1093/eurheartj/ehac043

European Heart Journal, Volume 43, Issue 19, 14 May 2022, Pages 1787–1791

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To repair or not to repair: the dilemma of tricuspid regurgitation associated with left-sided valvular heart disease

Leonarda Galiuto, Massimo Massetti

doi : 10.1093/eurheartj/ehac132

European Heart Journal, Volume 43, Issue 19, 14 May 2022, Pages 1792–1793

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Twitter promotion is associated with higher citation rates of cardiovascular articles: the ESC Journals Randomized Study

Ricardo Ladeiras-Lopes, Rafael Vidal-Perez, Diogo Santos-Ferreira, Michael Alexander, Lavinia Baciu, Sarah Clarke, Filippo Crea, Thomas Felix Lüscher

doi : 10.1093/eurheartj/ehac150

European Heart Journal, Volume 43, Issue 19, 14 May 2022, Pages 1794–1798

The association between the dissemination of scientific articles on Twitter and online visibility (as assessed by the Altmetric Score) is still controversial, and the impact on citation rates has never been rigorously addressed for cardiovascular medicine journals using a randomized design. The ESC Journals Study randomized 695 papers published in the ESC Journal Family (March 2018–May 2019) for promotion on Twitter or to a control arm (with no active tweeting from ESC channels) and aimed to assess whether Twitter promotion was associated with an increase in citation rates (primary endpoint) and of the Altmetric Score. This is the final analysis including 694 articles (one paper excluded due to retraction). After a median follow-up of 994 days (interquartile range: 936–1063 days), Twitter promotion of articles was associated with a 1.12 (95% confidence interval: 1.08–1.15) higher rate of citations, and this effect was independent of the type of article. Altmetric Attention Score and number of users tweeting were positive predictors for the number of citations. A social media strategy of Twitter promotion for cardiovascular medicine papers seems to be associated with increased online visibility and higher numbers of citations.

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Targeting the CCL2–CCR2 axis for atheroprotection

Marios K Georgakis, Jürgen Bernhagen, Laura H Heitman, Christian Weber, Martin Dichgans

doi : 10.1093/eurheartj/ehac094

European Heart Journal, Volume 43, Issue 19, 14 May 2022, Pages 1799–1808

Decades of research have established atherosclerosis as an inflammatory disease. Only recently though, clinical trials provided proof-of-concept evidence for the efficacy of anti-inflammatory strategies with respect to cardiovascular events, thus offering a new paradigm for lowering residual vascular risk. Efforts to target the inflammasome–interleukin-1ك–interleukin-6 pathway have been highly successful, but inter-individual variations in drug response, a lack of reduction in all-cause mortality, and a higher rate of infections also highlight the need for a second generation of anti-inflammatory agents targeting atherosclerosis-specific immune mechanisms while minimizing systemic side effects. CC-motif chemokine ligand 2/monocyte-chemoattractant protein-1 (CCL2/MCP-1) orchestrates inflammatory monocyte trafficking between the bone marrow, circulation, and atherosclerotic plaques by binding to its cognate receptor CCR2. Adding to a strong body of data from experimental atherosclerosis models, a coherent series of recent large-scale genetic and observational epidemiological studies along with data from human atherosclerotic plaques highlight the relevance and therapeutic potential of the CCL2–CCR2 axis in human atherosclerosis. Here, we summarize experimental and human data pinpointing the CCL2–CCR2 pathway as an emerging drug target in cardiovascular disease. Furthermore, we contextualize previous efforts to interfere with this pathway, scrutinize approaches of ligand targeting vs. receptor targeting, and discuss possible pathway-intrinsic opportunities and challenges related to pharmacological targeting of the CCL2–CCR2 axis in human atherosclerotic disease.

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Bone marrow activation in response to metabolic syndrome and early atherosclerosis

Ana Devesa, Manuel Lobo-Gonzلlez, Juan Martيnez-Milla, Belén Oliva, Inés Garcيa-Lunar, Annalaura Mastrangelo, Samuel Espaٌa, Javier Sanz, José M Mendiguren, Hector Bueno, Jose J Fuster, Vicente Andrés, Antonio Fernلndez-Ortiz, David Sancho, Leticia Fernلndez-Friera, Javier Sanchez-Gonzalez, Xavier Rossello, Borja Ibanez, Valentin Fuster

doi : 10.1093/eurheartj/ehac102

European Heart Journal, Volume 43, Issue 19, 14 May 2022, Pages 1809–1828

Experimental studies suggest that increased bone marrow (BM) activity is involved in the association between cardiovascular risk factors and inflammation in atherosclerosis. However, human data to support this association are sparse. The purpose was to study the association between cardiovascular risk factors, BM activation, and subclinical atherosclerosis.

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Mischief in the marrow: a root of cardiovascular evil

Peter Libby, Matthias Nahrendorf, Filip K Swirski

doi : 10.1093/eurheartj/ehac149

European Heart Journal, Volume 43, Issue 19, 14 May 2022, Pages 1829–1831

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Vascular dysfunction and increased cardiovascular risk in hypospadias

Angela K Lucas-Herald, Augusto C Montezano, Rheure Alves-Lopes, Laura Haddow, Malika Alimussina, Stuart O’Toole, Martyn Flett, Boma Lee, S Basith Amjad, Mairi Steven, Katriona Brooksbank, Linsay McCallum, Christian Delles, Sandosh Padmanabhan, S Faisal Ahmed, Rhian M Touyz

doi : 10.1093/eurheartj/ehac112

European Heart Journal, Volume 43, Issue 19, 14 May 2022, Pages 1832–1845

Hypogonadism is associated with cardiovascular disease. However, the cardiovascular impact of hypogonadism during development is unknown. Using hypospadias as a surrogate of hypogonadism, we investigated whether hypospadias is associated with vascular dysfunction and is a risk factor for cardiovascular disease.

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Increased cardiovascular risk in boys born with hypospadias: intriguing observations and remaining questions

Nicolle KrÙ†nkel

doi : 10.1093/eurheartj/ehac152

European Heart Journal, Volume 43, Issue 19, 14 May 2022, Pages 1846–1848

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Soluble lectin-like oxidized low-density lipoprotein receptor-1 predicts premature death in acute coronary syndromes

Simon Kraler, Florian A Wenzl, Georgios Georgiopoulos, Slayman Obeid, Luca Liberale, Arnold von Eckardstein, Olivier Muller, François Mach, Lorenz Rنber, Sylvain Losdat, Martin O Schmiady, Konstantinos Stellos, Kimon Stamatelopoulos, Giovanni G Camici, Annie Srdic, Francesco Paneni, Alexander Akhmedov, Thomas F Lüscher

doi : 10.1093/eurheartj/ehac143

European Heart Journal, Volume 43, Issue 19, 14 May 2022, Pages 1849–1860

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Soluble LOX-1 levels during acute coronary syndrome: a potent and multifaceted warning sign for cardiovascular risk

Andrei C Sposito

doi : 10.1093/eurheartj/ehac173

European Heart Journal, Volume 43, Issue 19, 14 May 2022, Pages 1861–1863

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Interferon regulatory factor-5-dependent CD11c+ macrophages contribute to the formation of rupture–prone atherosclerotic plaques

Andreas Edsfeldt, Maarten Swart, Pratibha Singh, Lea Dib, Jiangming Sun, Jennifer E. Cole, Inhye Park, Dania Al-Sharify, Ana Persson, Mihaela Nitulescu,Patricia Das Neves Borges, Christina Kassiteridi, Michael E. Goddard, Regent Lee, Petr Volkov, Marju Orho-Melander, Lars Maegdefessel, Jan Nilsson, Irina Udalova, Isabel Goncalves, Claudia Monaco

doi : 10.1093/eurheartj/ehab920

European Heart Journal, Volume 43, Issue 19, 14 May 2022, Pages 1864–1877

Inflammation is a key factor in atherosclerosis. The transcription factor interferon regulatory factor-5 (IRF5) drives macrophages towards a pro-inflammatory state. We investigated the role of IRF5 in human atherosclerosis and plaque stability.

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Advancing therapeutic targeting of the vulnerable plaque

Alexandra A C Newman, Yannick Cyr, Kathryn J Moore

doi : 10.1093/eurheartj/ehac060

European Heart Journal, Volume 43, Issue 19, 14 May 2022, Pages 1878–1880

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Is there an increased incidence of subclinical proximal deep vein thrombosis after mild to moderate course of SARS-CoV-2 infection?

Lars Müller, Erika Mendoza, Markus Stücker

doi : 10.1093/eurheartj/ehac162

European Heart Journal, Volume 43, Issue 19, 14 May 2022, Page 1881

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The everlasting challenge to identify deep vein thrombosis in both clinical practice and research

Christian-Alexander Behrendt, Raphael Twerenbold, Stefan Blankenberg

doi : 10.1093/eurheartj/ehac164

European Heart Journal, Volume 43, Issue 19, 14 May 2022, Pages 1882–1883

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Percutaneous closure of left ventricular pseudoaneurysm after direct surgical mitral valve implantation of balloon-expandable transcatheter prosthesis in severe mitral annular calcification

Luca Oechslin, Roberto Corti, Patric Biaggi, Oliver Gaemperli

doi : 10.1093/eurheartj/ehac082

European Heart Journal, Volume 43, Issue 19, 14 May 2022, Page 1884

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Coronary artery fistula bypassed the left main coronary artery blocked by a large cardiogenic thrombus

Jiangyou Wang, Han Chen, Longyan Zhang

doi : 10.1093/eurheartj/ehac107

European Heart Journal, Volume 43, Issue 19, 14 May 2022, Page 1885

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Erratum to: CETP inhibitors revisited

doi : 10.1093/eurheartj/ehac022

European Heart Journal, Volume 43, Issue 19, 14 May 2022, Page 1798

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Erratum to: Leadless pacing: is this the end of the road for transvenous pacemakers?

doi : 10.1093/eurheartj/ehac077

European Heart Journal, Volume 43, Issue 19, 14 May 2022, Page 1848

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