Homepage | Heart
WEBSep 2, 2024 · Heart. is an international journal from BMJ and BCS publishing important research and reviews in cardiovascular disease. Heart is an international peer reviewed journal that keeps cardiologists up to date with important research advances in cardiovascular disease. New scientific developments …
About - Heart
WEBAims and scope. 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 ...
Treating patients with ventricular ectopic beats | Heart
WEBVentricular 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 ...
Right heart catheterisation: indications and interpretation
WEB### Learning objectives Significant improvements in the diagnostic power and availability of non-invasive cardiac imaging techniques, in addition to evidence of potential harm associated with pulmonary artery (PA) catheterisation in patients in critical care, have led to a decline in right heart catheterisation (RHC) over recent years.1 RHC, however, remains an important tool in a cardiologist ...
Management of premature ventricular complexes | Heart
WEBIntroduction. Premature ventricular complexes (PVCs) are the most common arrhythmias in daily practice. At the cellular level, ventricular myocytes spontaneously depolarise to create an extrasystole ‘out of sync’ with the cardiac cycle. 1 The prevalence depends on the characteristics and comorbidities of the population, the method by which the population is studied and the duration of ...
Bradyarrhythmias in patients with atrial fibrillation | Heart
WEBThe 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 ...
What is ‘normal’ left ventricular ejection fraction? | Heart
WEBLeft ventricular ejection fraction (LVEF) has been a key variable for the diagnosis and management of heart failure over the last three decades. The British Society of Echocardiography recently updated their normal reference intervals for assessment of cardiac dimensions and function.1 They describe four categories of left ventricular function and a ‘normal’ LVEF is defined as ≥55%.
Angina: contemporary diagnosis and management - Heart
WEB### Learning objectives Ischaemic heart disease (IHD) remains the leading global cause of death and lost life years in adults, notably in younger (<55 years) women.1 Angina pectoris (derived from the Latin verb ‘angere’ to strangle) is chest discomfort of cardiac origin. It is a common clinical manifestation of IHD with an estimated prevalence of 3%–4% in UK adults. There are over 250 ...
Recent advances in percutaneous coronary intervention - Heart
WEBPercutaneous coronary intervention (PCI) continues to advance at pace with an ever-broadening indication. In this article we will review the recent technological advances in PCI that have enabled more complex coronary disease to be treated. The choice of revascularisation strategy must take into account the evidence—just because we can treat by PCI does not necessarily mean we should. When ...
Introduction: Coronary angiography (CAG) in the 2020s - Heart
WEBThe role of ‘stand-alone’ coronary angiography (CAG) in the management of patients with chronic coronary syndromes is the subject of debate, with arguments for its replacement with CT angiography on the one hand and its confinement to the interventional cardiac catheter laboratory on the other. Nevertheless, it remains the standard of care in most centres. Recently, computational methods ...