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<rss version="2.0"><channel><title>心知 · 每日精选</title><link>https://learn.dryz.info/</link><description>心血管与 AI 医疗每日精选（规则自动精选；AI 速览与机器翻译未经人工核对）</description><language>zh-CN</language><lastBuildDate>Sat, 10 Oct 2026 12:26:07 +0000</lastBuildDate><item><title>棕榈酸通过KDM5A/H3K4me3在心肌细胞中促进肥大记忆 | Palmitic acid promotes hypertrophic memory in cardiomyocytes via KDM5A/H3K4me3.</title><link>https://doi.org/10.1093/eurheartj/ehag761</link><guid isPermaLink="false">xinzhi-pmid-42855844</guid><pubDate>Sat, 10 Oct 2026 08:00:00 +0800</pubDate><description>&lt;p&gt;European Heart Journal · 2026-10-10&lt;/p&gt;&lt;p&gt;Palmitic acid promotes hypertrophic memory in cardiomyocytes via KDM5A/H3K4me3.（中文题名为机器翻译）&lt;/p&gt;&lt;p&gt;AI 速览（未经人工核对）：短期高棕榈酸饮食通过KDM5A降解/H3K4me3上调形成肥大记忆，导致心肌肥大，KDM5A激动剂D18可改善。&lt;/p&gt;&lt;p&gt;为什么读：揭示饱和脂肪酸表观遗传记忆致心衰新机制，提示D18潜在治疗价值。&lt;/p&gt;&lt;p&gt;规则自动精选，非医学审查。&lt;/p&gt;</description></item><item><title>Left Atrial Appendage Occlusion vs Oral Anticoagulation for Stroke Prevention in Atrial Fibrillation: A Meta-Analysis</title><link>https://pubmed.ncbi.nlm.nih.gov/42855979/?utm_source=Other&amp;utm_medium=rss&amp;utm_campaign=None&amp;utm_content=1dmEOdK-P_-QBNYOr2XqjMGyNun1Byr2O_WigY3yw0OwwmCkrS&amp;fc=None&amp;ff=20261010082450&amp;v=2.20.1</link><guid isPermaLink="false">xinzhi-rss-0b6421f88b886334</guid><pubDate>Sat, 10 Oct 2026 08:00:00 +0800</pubDate><description>&lt;p&gt;PubMed: 房颤专病追踪 · 2026-10-10&lt;/p&gt;&lt;p&gt;CONCLUSIONS: LAAO was associated with lower non-procedure-related bleeding, while no statistically significant differences were observed for MACE or stroke. The available efficacy evidence remains inconclusive regarding equivalence or non-inferiority, and larger trials are needed. These findings support individualized consideration of LAAO when the long-term bleeding burden of anticoagulation is c…&lt;/p&gt;&lt;p&gt;规则自动精选，非医学审查。&lt;/p&gt;</description></item><item><title>AI赋能OPM心磁图用于NSTEMI患者造影前估算梗死相关动脉概率：一项双院区前瞻性队列研究 | AI-Enabled OPM-Magnetocardiography for Pre-Angiography Infarct-Related Artery Probability Estimation in NSTEMI: A Two-Campus Prospective Cohort Study</title><link>https://academic.oup.com/ehjdh/advance-article/doi/10.1093/ehjdh/ztag161/8901731?rss=1</link><guid isPermaLink="false">xinzhi-rss-729c7cbbbe63fe93</guid><pubDate>Sat, 10 Oct 2026 08:00:00 +0800</pubDate><description>&lt;p&gt;European Heart Journal - Digital Health · 2026-10-10&lt;/p&gt;&lt;p&gt;AI-Enabled OPM-Magnetocardiography for Pre-Angiography Infarct-Related Artery Probability Estimation in NSTEMI: A Two-Campus Prospective Cohort Study（中文题名为机器翻译）&lt;/p&gt;&lt;p&gt;Abstract

Aims

Identifying the infarct-related artery (IRA) before coronary angiography in non–ST-segment elevation myocardial infarction (NSTEMI) is difficult because current approaches have limited sensitivity. We evaluated whether a noninvasive 90-second optically pumped magnetometer magnetocardiography (OPM-MCG) recording can estimate pre-angiography IRA probabilities in these patients and pr…&lt;/p&gt;&lt;p&gt;规则自动精选，非医学审查。&lt;/p&gt;</description></item><item><title>机械取栓期间的辅助性全身低温治疗（ReCCLAIM II）：一项多中心随机对照试验 | Adjuvant Systemic Hypothermia During Mechanical Thrombectomy (ReCCLAIM II): A Multicenter, Randomized, Controlled Trial.</title><link>https://doi.org/10.1161/STROKEAHA.126.056651</link><guid isPermaLink="false">xinzhi-pmid-42852505</guid><pubDate>Fri, 09 Oct 2026 08:00:00 +0800</pubDate><description>&lt;p&gt;Stroke · 2026-10-09&lt;/p&gt;&lt;p&gt;Adjuvant Systemic Hypothermia During Mechanical Thrombectomy (ReCCLAIM II): A Multicenter, Randomized, Controlled Trial.（中文题名为机器翻译）&lt;/p&gt;&lt;p&gt;BACKGROUND: Hypothermia reduces ischemic injury in preclinical stroke models, yet translation into the clinical setting remains challenging. We aimed to assess the feasibility of inducing adjuvant systemic hypothermia among patients with large-vessel occlusion stroke during mechanical thrombectomy. METHODS: This was a phase II randomized feasibility-controlled trial involving 10 sites in the Unite…&lt;/p&gt;&lt;p&gt;规则自动精选，非医学审查。&lt;/p&gt;</description></item><item><title>Renal Sympathetic Denervation Plus Pulmonary Vein Isolation for Atrial Fibrillation in Patients with Hypertension: A Meta-Analysis of Randomised Controlled Trials</title><link>https://pubmed.ncbi.nlm.nih.gov/42851099/?utm_source=Other&amp;utm_medium=rss&amp;utm_campaign=None&amp;utm_content=1dmEOdK-P_-QBNYOr2XqjMGyNun1Byr2O_WigY3yw0OwwmCkrS&amp;fc=None&amp;ff=20261010082450&amp;v=2.20.1</link><guid isPermaLink="false">xinzhi-rss-b88f8a85af98e760</guid><pubDate>Fri, 09 Oct 2026 08:00:00 +0800</pubDate><description>&lt;p&gt;PubMed: 房颤专病追踪 · 2026-10-09&lt;/p&gt;&lt;p&gt;To assess the efficacy and safety of adding adjuvant renal sympathetic denervation (RSDN) to pulmonary vein isolation (PVI) in patients with atrial fibrillation (AF). A search of multiple electronic databases was conducted using a comprehensive strategy to identify randomised controlled trials (RCTs) evaluating the impact of RSDN combined with PVI compared with PVI alone in patients with AF and hy…&lt;/p&gt;&lt;p&gt;规则自动精选，非医学审查。&lt;/p&gt;</description></item><item><title>核磁共振衍生的脂蛋白谱与导管消融后房性快速性心律失常复发的风险：PREDIMAR试验中的病例队列研究 | Nuclear magnetic resonance-derived lipoprotein profile and risk of atrial tachyarrhythmia recurrence after catheter ablation: a case-cohort design within the PREDIMAR trial.</title><link>https://doi.org/10.1016/j.hrthm.2026.10.002</link><guid isPermaLink="false">xinzhi-pmid-42854881</guid><pubDate>Fri, 09 Oct 2026 08:00:00 +0800</pubDate><description>&lt;p&gt;Heart Rhythm · 2026-10-09&lt;/p&gt;&lt;p&gt;Nuclear magnetic resonance-derived lipoprotein profile and risk of atrial tachyarrhythmia recurrence after catheter ablation: a case-cohort design within the PREDIMAR trial.（中文题名为机器翻译）&lt;/p&gt;&lt;p&gt;BACKGROUND: Lipoproteins could be potential biomarkers of atrial tachyarrhythmia recurrence (TAR) after catheter ablation; however, their association remains inconclusive and based exclusively on routine lipid measurements. Nuclear magnetic resonance (NMR) enables detailed lipoprotein characterization beyond conventional assays. OBJECTIVE: To identify a baseline NMR-derived lipoprotein profile ass…&lt;/p&gt;&lt;p&gt;规则自动精选，非医学审查。&lt;/p&gt;</description></item><item><title>心-肾-代谢综合征患者的临床轨迹与疾病进展：CaReMap观察性研究 | Clinical trajectory and disease progression in patients with cardio-renal-metabolic syndrome: the CaReMap observational study.</title><link>https://doi.org/10.1093/ejhf/xuag308</link><guid isPermaLink="false">xinzhi-pmid-42853981</guid><pubDate>Fri, 09 Oct 2026 08:00:00 +0800</pubDate><description>&lt;p&gt;European Journal of Heart Failure · 2026-10-09&lt;/p&gt;&lt;p&gt;Clinical trajectory and disease progression in patients with cardio-renal-metabolic syndrome: the CaReMap observational study.（中文题名为机器翻译）&lt;/p&gt;&lt;p&gt;BACKGROUND: Cardio-renal-metabolic (CRM) syndrome describes the pathophysiological interconnection among diabetes mellitus (DM), atherosclerotic cardiovascular disease (ASCVD) and heart failure (HF), and chronic kidney disease (CKD). Limited studies simultaneously examine progression trajectories across all three conditions at the population level. We aimed to quantify the coexistence of CRM compo…&lt;/p&gt;&lt;p&gt;规则自动精选，非医学审查。&lt;/p&gt;</description></item><item><title>AI赋能的心力衰竭生理不稳定的检测与管理：随机化LINK-HF2试验结果 | Artificial Intelligence-Enabled Detection and Management of Physiological Instability in Heart Failure: Results of the Randomized LINK-HF2 Trial.</title><link>https://doi.org/10.1016/j.jchf.2026.103422</link><guid isPermaLink="false">xinzhi-pmid-42853165</guid><pubDate>Fri, 09 Oct 2026 08:00:00 +0800</pubDate><description>&lt;p&gt;JACC: Heart Failure · 2026-10-09&lt;/p&gt;&lt;p&gt;Artificial Intelligence-Enabled Detection and Management of Physiological Instability in Heart Failure: Results of the Randomized LINK-HF2 Trial.（中文题名为机器翻译）&lt;/p&gt;&lt;p&gt;BACKGROUND: Artificial intelligence (AI)-enabled wearable monitoring can detect individualized physiological deviations preceding heart failure (HF) decompensation, but whether these signals can be translated into improved outcomes remains uncertain. OBJECTIVES: This study aims to evaluate the feasibility of integrating AI-generated notifications with a structured clinician response algorithm into…&lt;/p&gt;&lt;p&gt;规则自动精选，非医学审查。&lt;/p&gt;</description></item><item><title>Cell Village捕捉舒尼替尼心脏毒性的群体异质性 | Cell Village Captures Populational Heterogeneity of Sunitinib Cardiotoxicity.</title><link>https://doi.org/10.1161/CIRCRESAHA.126.328704</link><guid isPermaLink="false">xinzhi-pmid-42852499</guid><pubDate>Fri, 09 Oct 2026 08:00:00 +0800</pubDate><description>&lt;p&gt;Circulation Research · 2026-10-09&lt;/p&gt;&lt;p&gt;Cell Village Captures Populational Heterogeneity of Sunitinib Cardiotoxicity.（中文题名为机器翻译）&lt;/p&gt;&lt;p&gt;BACKGROUND: TKIs (tyrosine kinase inhibitors) have transformed cancer therapy; however, cardiotoxicity remains a frequent adverse effect with variable susceptibility among patients. For sunitinib, a commonly prescribed TKI, the molecular programs and functional features underlying this variability are not well defined, and clinically actionable predictors of cardiotoxicity risk remain lacking. MET…&lt;/p&gt;&lt;p&gt;规则自动精选，非医学审查。&lt;/p&gt;</description></item><item><title>Rivaroxaban预防无心房颤动且左心房储备应变受损的肥厚型心肌病患者的卒中：LA-HCM随机试验的设计与依据 | Rivaroxaban for Stroke Prevention in Hypertrophic Cardiomyopathy Without Atrial Fibrillation and With Impaired Left Atrial Reservoir Strain: Design and Rationale of the LA-HCM Randomized Trial.</title><link>https://doi.org/10.1093/ehjci/jeag280</link><guid isPermaLink="false">xinzhi-pmid-42844166</guid><pubDate>Thu, 08 Oct 2026 08:00:00 +0800</pubDate><description>&lt;p&gt;European Heart Journal - Cardiovascular Imaging · 2026-10-08&lt;/p&gt;&lt;p&gt;Rivaroxaban for Stroke Prevention in Hypertrophic Cardiomyopathy Without Atrial Fibrillation and With Impaired Left Atrial Reservoir Strain: Design and Rationale of the LA-HCM Randomized Trial.（中文题名为机器翻译）&lt;/p&gt;&lt;p&gt;Current stroke prevention strategies in hypertrophic cardiomyopathy (HCM) rely on the detection of atrial fibrillation (AF), although thromboembolic events may occur before arrhythmia is documented. These observations support atrial cardiomyopathy as the substrate for thrombogenesis and highlight the need for imaging-guided risk stratification. Left atrial reservoir strain (LARS), derived from spe…&lt;/p&gt;&lt;p&gt;规则自动精选，非医学审查。&lt;/p&gt;</description></item><item><title>内皮Piezo1过度激活驱动高血压中的神经血管功能障碍 | Endothelial Piezo1 Hyperactivity Drives Neurovascular Dysfunction in Hypertension.</title><link>https://doi.org/10.1161/CIRCRESAHA.126.328577</link><guid isPermaLink="false">xinzhi-pmid-42845244</guid><pubDate>Thu, 08 Oct 2026 08:00:00 +0800</pubDate><description>&lt;p&gt;Circulation Research · 2026-10-08&lt;/p&gt;&lt;p&gt;Endothelial Piezo1 Hyperactivity Drives Neurovascular Dysfunction in Hypertension.（中文题名为机器翻译）&lt;/p&gt;&lt;p&gt;BACKGROUND: Hypertension is a major driver of neurovascular dysfunction and cognitive decline, yet the molecular mechanisms linking elevated arterial pressure to impaired cerebral blood flow remain poorly defined. Piezo1, a mechanosensitive cation channel enriched in the brain endothelium, is a candidate mediator of cerebral blood flow deficits during hypertension. METHODS: Using 2 distinct mouse …&lt;/p&gt;&lt;p&gt;规则自动精选，非医学审查。&lt;/p&gt;</description></item><item><title>人工智能心电图衍生的心房颤动概率序列监测与脉冲场消融后的复发风险 | Serial Artificial Intelligence ECG-Derived Atrial Fibrillation Probability and Recurrence Risk After Pulsed Field Ablation.</title><link>https://doi.org/10.1161/CIRCEP.126.015183</link><guid isPermaLink="false">xinzhi-pmid-42845233</guid><pubDate>Thu, 08 Oct 2026 08:00:00 +0800</pubDate><description>&lt;p&gt;Circulation: Arrhythmia and Electrophysiology · 2026-10-08&lt;/p&gt;&lt;p&gt;Serial Artificial Intelligence ECG-Derived Atrial Fibrillation Probability and Recurrence Risk After Pulsed Field Ablation.（中文题名为机器翻译）&lt;/p&gt;&lt;p&gt;BACKGROUND: Pulsed field ablation is now widely used for atrial fibrillation (AF) ablation, but atrial tachyarrhythmia recurrence remains common and postablation risk tools are limited. We assessed whether a validated sinus‑rhythm artificial intelligence- enabled ECG AF probability score, and its early postablation change, predicts recurrence after pulsed field ablation. METHODS: We studied consec…&lt;/p&gt;&lt;p&gt;规则自动精选，非医学审查。&lt;/p&gt;</description></item><item><title>A meta-learning method with reduced data requirements for training and updating deep learning models on wearable devices</title><link>https://pubmed.ncbi.nlm.nih.gov/42850332/?utm_source=Other&amp;utm_medium=rss&amp;utm_campaign=None&amp;utm_content=1dmEOdK-P_-QBNYOr2XqjMGyNun1Byr2O_WigY3yw0OwwmCkrS&amp;fc=None&amp;ff=20261010082450&amp;v=2.20.1</link><guid isPermaLink="false">xinzhi-rss-5e5e7570ef93baaa</guid><pubDate>Thu, 08 Oct 2026 08:00:00 +0800</pubDate><description>&lt;p&gt;PubMed: 房颤专病追踪 · 2026-10-08&lt;/p&gt;&lt;p&gt;CONCLUSIONS: Our findings demonstrate that the proposed method effectively overcomes the critical barriers of data scarcity and energy constraints, offering a practical and efficient solution for the lifecycle management of deep learning models on wearable health devices.&lt;/p&gt;&lt;p&gt;规则自动精选，非医学审查。&lt;/p&gt;</description></item><item><title>Prognostic Value of Preoperative 2-Dimensional Left Ventricular, Right Ventricular, and Left Atrial Strain in Patients Undergoing Off-Pump Coronary Artery Bypass Grafting: A Prospective Observational Study</title><link>https://pubmed.ncbi.nlm.nih.gov/42850167/?utm_source=Other&amp;utm_medium=rss&amp;utm_campaign=None&amp;utm_content=1dmEOdK-P_-QBNYOr2XqjMGyNun1Byr2O_WigY3yw0OwwmCkrS&amp;fc=None&amp;ff=20261010082450&amp;v=2.20.1</link><guid isPermaLink="false">xinzhi-rss-7b303dd2845eb364</guid><pubDate>Thu, 08 Oct 2026 08:00:00 +0800</pubDate><description>&lt;p&gt;PubMed: 房颤专病追踪 · 2026-10-08&lt;/p&gt;&lt;p&gt;CONCLUSIONS: Preoperative strain of the left ventricle, right ventricle, and left atrium carries prognostic information for POAF after OPCAB, but only RVFWLS and LA reservoir strain were independent strain predictors after adjustment; these parameters may identify a high-risk subgroup warranting intensified rhythm monitoring and prophylaxis. These associations do not establish causation.&lt;/p&gt;&lt;p&gt;规则自动精选，非医学审查。&lt;/p&gt;</description></item><item><title>有无慢性肾脏病人群的强化降压与标准降压比较：系统综述与荟萃分析 | Intensive vs Standard Blood Pressure Lowering in People With and Without Chronic Kidney Disease: A Systematic Review and Meta-Analysis.</title><link>https://doi.org/10.1001/jamacardio.2026.4445</link><guid isPermaLink="false">xinzhi-pmid-42842238</guid><pubDate>Wed, 07 Oct 2026 08:00:00 +0800</pubDate><description>&lt;p&gt;JAMA Cardiology · 2026-10-07&lt;/p&gt;&lt;p&gt;Intensive vs Standard Blood Pressure Lowering in People With and Without Chronic Kidney Disease: A Systematic Review and Meta-Analysis.（中文题名为机器翻译）&lt;/p&gt;&lt;p&gt;IMPORTANCE: There is uncertainty about the effects of intensive blood pressure (BP) lowering on risks of cardiovascular disease and kidney failure in patients with chronic kidney disease (CKD). OBJECTIVE: To assess the standardized effects of intensive BP lowering on cardiovascular and kidney outcomes overall, and then to assess for effect modification by CKD status. DATA SOURCES: MEDLINE and Emba…&lt;/p&gt;&lt;p&gt;规则自动精选，非医学审查。&lt;/p&gt;</description></item><item><title>主动脉瓣狭窄所致的心源性猝死 | Sudden cardiac death due to aortic stenosis.</title><link>https://doi.org/10.1136/heartjnl-2026-328438</link><guid isPermaLink="false">xinzhi-pmid-42843992</guid><pubDate>Wed, 07 Oct 2026 08:00:00 +0800</pubDate><description>&lt;p&gt;Heart · 2026-10-07&lt;/p&gt;&lt;p&gt;Sudden cardiac death due to aortic stenosis.（中文题名为机器翻译）&lt;/p&gt;&lt;p&gt;BACKGROUND: Characteristics of subjects with sudden cardiac death (SCD) due to aortic stenosis (AS) are not well defined. Aim of this study was to present clinical and autopsy findings of SCD subjects in whom AS was determined to be the cause of death. METHODS: Study population was based on the Finnish Genetic Study of Arrhythmic Events (Fingesture), a large registry which included 5869 consecutiv…&lt;/p&gt;&lt;p&gt;规则自动精选，非医学审查。&lt;/p&gt;</description></item><item><title>长期皮质醇暴露与心脏结构和功能的超声心动图指标。 | Long-term cortisol exposure and echocardiographic measures of cardiac structure and function.</title><link>https://doi.org/10.1136/heartjnl-2026-328566</link><guid isPermaLink="false">xinzhi-pmid-42843991</guid><pubDate>Wed, 07 Oct 2026 08:00:00 +0800</pubDate><description>&lt;p&gt;Heart · 2026-10-07&lt;/p&gt;&lt;p&gt;Long-term cortisol exposure and echocardiographic measures of cardiac structure and function.（中文题名为机器翻译）&lt;/p&gt;&lt;p&gt;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 cardiovascular disease risk. However, whether prolonged cortisol exposure is linked to alterations in cardiac structure and function remains unclear. METHODS: In a population-based cohort of 3005 individuals a…&lt;/p&gt;&lt;p&gt;规则自动精选，非医学审查。&lt;/p&gt;</description></item><item><title>生活方式与危险因素干预门诊在房颤患者中的作用：随机对照试验的系统综述与荟萃分析 | Role of Lifestyle and Risk Factor Modification Clinics in Patients With Atrial Fibrillation: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.</title><link>https://doi.org/10.1161/CIRCEP.126.015055</link><guid isPermaLink="false">xinzhi-pmid-42841215</guid><pubDate>Wed, 07 Oct 2026 08:00:00 +0800</pubDate><description>&lt;p&gt;Circulation: Arrhythmia and Electrophysiology · 2026-10-07&lt;/p&gt;&lt;p&gt;Role of Lifestyle and Risk Factor Modification Clinics in Patients With Atrial Fibrillation: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.（中文题名为机器翻译）&lt;/p&gt;&lt;p&gt;BACKGROUND: Incidence and recurrence of atrial fibrillation (AF) are associated with several lifestyle risk factors. Lifestyle and risk factor modification (LRFM) clinics could have a role in comprehensively addressing AF from a holistic, patient-centered approach to improve clinical outcomes. METHODS: We performed a systematic review and meta-analysis of randomized controlled trials evaluating th…&lt;/p&gt;&lt;p&gt;规则自动精选，非医学审查。&lt;/p&gt;</description></item><item><title>小型随机先导试验中层级结局的分析与解释：以CORTAHF试验为例 | Analysis and Interpretation of a Hierarchical Outcome in a Small Pilot Randomized Trial: An Example in the CORTAHF Trial.</title><link>https://doi.org/10.1093/ehjcvp/pvag089</link><guid isPermaLink="false">xinzhi-pmid-42839766</guid><pubDate>Wed, 07 Oct 2026 08:00:00 +0800</pubDate><description>&lt;p&gt;European Heart Journal - Cardiovascular Pharmacotherapy · 2026-10-07&lt;/p&gt;&lt;p&gt;Analysis and Interpretation of a Hierarchical Outcome in a Small Pilot Randomized Trial: An Example in the CORTAHF Trial.（中文题名为机器翻译）&lt;/p&gt;&lt;p&gt;AIMS: Hierarchical composite endpoints (HCE) analyzed using generalized pairwise comparisons (GPC) have been increasingly adopted in cardiovascular trials. Stratified, but not covariate-adjusted, win statistics have been frequently presented. We apply methods to a post hoc HCE for the randomized 100-patient CORTAHF pilot trial of short-term corticosteroid therapy in acute heart failure (AHF). METH…&lt;/p&gt;&lt;p&gt;规则自动精选，非医学审查。&lt;/p&gt;</description></item><item><title>Intravascular imaging guidance in complex PCI: a meta-analysis of randomized trials across complex lesion subsets</title><link>https://www.internationaljournalofcardiology.com/article/S0167-5273(26)00821-1/fulltext?rss=yes</link><guid isPermaLink="false">xinzhi-rss-394d042e6fc035c3</guid><pubDate>Wed, 07 Oct 2026 08:00:00 +0800</pubDate><description>&lt;p&gt;International Journal of Cardiology · 2026-10-07&lt;/p&gt;&lt;p&gt;Recent randomized trials have reported conflicting results regarding the clinical benefit of intravascular imaging (IVI) in complex percutaneous coronary intervention (PCI). The aim of this research was to evaluate whether IVI guidance reduces target vessel failure (TVF) in complex PCI.&lt;/p&gt;&lt;p&gt;规则自动精选，非医学审查。&lt;/p&gt;</description></item><item><title>房颤合并心力衰竭患者房室结消融后的双心室起搏与传导系统起搏比较：CONDUCT-AF试验 | Biventricular vs conduction system pacing after atrioventricular node ablation for heart failure with atrial fibrillation: the CONDUCT-AF trial.</title><link>https://doi.org/10.1093/eurheartj/ehag699</link><guid isPermaLink="false">xinzhi-pmid-42834810</guid><pubDate>Tue, 06 Oct 2026 08:00:00 +0800</pubDate><description>&lt;p&gt;European Heart Journal · 2026-10-06&lt;/p&gt;&lt;p&gt;Biventricular vs conduction system pacing after atrioventricular node ablation for heart failure with atrial fibrillation: the CONDUCT-AF trial.（中文题名为机器翻译）&lt;/p&gt;&lt;p&gt;BACKGROUND AND AIMS: Randomized evidence comparing conduction system pacing (CSP) and biventricular pacing (BVP) following atrioventricular node ablation in patients with refractory atrial fibrillation (AF) and heart failure (HF) remains limited. This study evaluated whether CSP with left bundle branch area pacing is non-inferior to BVP in patients undergoing atrioventricular node ablation. METHOD…&lt;/p&gt;&lt;p&gt;规则自动精选，非医学审查。&lt;/p&gt;</description></item><item><title>中国院内心脏骤停的发生率、诊疗过程和结局：多中心前瞻性登记研究 | Incidence, Process of Care, and Outcomes of In-Hospital Cardiac Arrest in China: A Multicenter Prospective Registry Study.</title><link>https://doi.org/10.1161/CIRCULATIONAHA.126.080404</link><guid isPermaLink="false">xinzhi-pmid-42836281</guid><pubDate>Tue, 06 Oct 2026 08:00:00 +0800</pubDate><description>&lt;p&gt;Circulation · 2026-10-06&lt;/p&gt;&lt;p&gt;Incidence, Process of Care, and Outcomes of In-Hospital Cardiac Arrest in China: A Multicenter Prospective Registry Study.（中文题名为机器翻译）&lt;/p&gt;&lt;p&gt;BACKGROUND: In-hospital cardiac arrest (IHCA) is an acute event associated with high mortality. Although survival has improved in high-income countries, contemporary multicenter data from low- and middle-income countries remain scarce, limiting global benchmarking and the identification of system-level opportunities for improvement. METHODS: This cohort study used data from the BASIC-IHCA (Baselin…&lt;/p&gt;&lt;p&gt;规则自动精选，非医学审查。&lt;/p&gt;</description></item><item><title>微创与胸骨正中切开在二次二尖瓣手术中的比较：短期和长期结局的meta回归与时间至事件分析。 | Minimally Invasive Versus Sternotomy in Redo Mitral Valve Surgery: Short- and Long-Term Outcomes with Meta-Regression and Time-to-Event Analysis.</title><link>https://doi.org/10.1161/JAHA.126.050284</link><guid isPermaLink="false">xinzhi-pmid-42844757</guid><pubDate>Tue, 06 Oct 2026 08:00:00 +0800</pubDate><description>&lt;p&gt;Journal of the American Heart Association · 2026-10-06&lt;/p&gt;&lt;p&gt;Minimally Invasive Versus Sternotomy in Redo Mitral Valve Surgery: Short- and Long-Term Outcomes with Meta-Regression and Time-to-Event Analysis.（中文题名为机器翻译）&lt;/p&gt;&lt;p&gt;BACKGROUND: Redo mitral valve surgery carries substantial risk, and the relative benefits of minimally invasive (MI-MVS) versus sternotomy MVS, particularly regarding long-term survival, remain uncertain. METHODS: Electronic databases were searched for studies comparing MI-MVS with sternotomy MVS in adult redo MVS. Kaplan-Meier curves were digitized to reconstruct individual patient data for time-…&lt;/p&gt;&lt;p&gt;规则自动精选，非医学审查。&lt;/p&gt;</description></item><item><title>无残余缺血证据的冠状动脉疾病患者中，氟卡尼与胺碘酮用于阵发性房颤复律的疗效与安全性：FLECA-ED随机临床试验 | Efficacy and Safety of Flecainide Versus Amiodarone for the Cardioversion of paroxysmal Atrial Fibrillation in Patients with Coronary Artery Disease without evidence of residual ischemia: The FLECA-ED Randomized Clinical Trial.</title><link>https://doi.org/10.1016/j.hrthm.2026.09.051</link><guid isPermaLink="false">xinzhi-pmid-42838320</guid><pubDate>Tue, 06 Oct 2026 08:00:00 +0800</pubDate><description>&lt;p&gt;Heart Rhythm · 2026-10-06&lt;/p&gt;&lt;p&gt;Efficacy and Safety of Flecainide Versus Amiodarone for the Cardioversion of paroxysmal Atrial Fibrillation in Patients with Coronary Artery Disease without evidence of residual ischemia: The FLECA-ED Randomized Clinical Trial.（中文题名为机器翻译）&lt;/p&gt;&lt;p&gt;BACKGROUND: Flecainide has been contraindicated in patients with coronary artery disease (CAD) since the Cardiac Arrhythmia Suppression Trial. OBJECTIVE: We compared intravenous flecainide with intravenous amiodarone for cardioversion of recent-onset paroxysmal atrial fibrillation (AF) in patients with documented CAD without residual or active ischemia presenting to the emergency department. METHO…&lt;/p&gt;&lt;p&gt;规则自动精选，非医学审查。&lt;/p&gt;</description></item><item><title>心律学会与心律倡导者立场声明：心脏电生理领域的预先授权——证据、政策与改革 | Heart Rhythm Society and Heart Rhythm Advocates position statement: Prior authorization in cardiac electrophysiology: Evidence, policy, and reform.</title><link>https://doi.org/10.1016/j.hrthm.2026.08.046</link><guid isPermaLink="false">xinzhi-pmid-42754239</guid><pubDate>Tue, 06 Oct 2026 08:00:00 +0800</pubDate><description>&lt;p&gt;Heart Rhythm · 2026-10-06&lt;/p&gt;&lt;p&gt;Heart Rhythm Society and Heart Rhythm Advocates position statement: Prior authorization in cardiac electrophysiology: Evidence, policy, and reform.（中文题名为机器翻译）&lt;/p&gt;&lt;p&gt;AI 速览（未经人工核对）：预先授权已成为心脏电生理规范诊疗的系统性障碍，造成患者伤害、行政负担与医疗不平等。&lt;/p&gt;&lt;p&gt;为什么读：揭示AI算法参与保险拒付的机制与危害，为临床申诉与政策倡导提供依据。&lt;/p&gt;&lt;p&gt;规则自动精选，非医学审查。&lt;/p&gt;</description></item><item><title>优化持续性心房颤动消融：Marshall静脉乙醇灌注在个体化策略中的附加价值。 | Enhancing Persistent Atrial Fibrillation Ablation: The Added Value of Vein of Marshall Ethanol Infusion in a Tailored Strategy.</title><link>https://doi.org/10.1111/jce.70522</link><guid isPermaLink="false">xinzhi-pmid-42836744</guid><pubDate>Tue, 06 Oct 2026 08:00:00 +0800</pubDate><description>&lt;p&gt;Journal of Cardiovascular Electrophysiology · 2026-10-06&lt;/p&gt;&lt;p&gt;Enhancing Persistent Atrial Fibrillation Ablation: The Added Value of Vein of Marshall Ethanol Infusion in a Tailored Strategy.（中文题名为机器翻译）&lt;/p&gt;&lt;p&gt;BACKGROUND: Outcomes following catheter ablation for persistent atrial fibrillation (AF) remain suboptimal. Low-voltage areas (LVA), as a surrogate for atrial fibrosis, have been targeted due to their association with arrhythmia recurrence. Ethanol infusion in the vein of Marshall (VoM) has emerged as an adjunctive strategy that may enhance ablation efficacy. We evaluated the effectiveness of a ta…&lt;/p&gt;&lt;p&gt;规则自动精选，非医学审查。&lt;/p&gt;</description></item><item><title>疗养院居住者合并房颤与ADL功能障碍的抗凝治疗结局 | Anticoagulation Outcomes in Nursing Home Residents With Atrial Fibrillation and ADL Disability.</title><link>https://doi.org/10.1001/jamanetworkopen.2026.37533</link><guid isPermaLink="false">xinzhi-pmid-42832198</guid><pubDate>Mon, 05 Oct 2026 08:00:00 +0800</pubDate><description>&lt;p&gt;JAMA Network Open · 2026-10-05&lt;/p&gt;&lt;p&gt;Anticoagulation Outcomes in Nursing Home Residents With Atrial Fibrillation and ADL Disability.（中文题名为机器翻译）&lt;/p&gt;&lt;p&gt;IMPORTANCE: Long-term nursing home residents with atrial fibrillation (AF) and activities of daily living (ADL) disability are at high risk of bleeding and death, making the net benefit of anticoagulation uncertain. OBJECTIVE: To compare the association of oral anticoagulant (OAC) use vs nonuse with ischemic stroke and major bleeding in long-term nursing home residents with AF and ADL disability. …&lt;/p&gt;&lt;p&gt;规则自动精选，非医学审查。&lt;/p&gt;</description></item><item><title>中高危肺栓塞：机械取栓对比单纯抗凝的90天功能结局改善（STORM-PE随机对照试验） | Mechanical Thrombectomy Versus Anticoagulation Alone in Intermediate-High Risk PE: Improved Functional 90-Day Outcomes in STORM-PE RCT.</title><link>https://doi.org/10.1016/j.jcin.2026.07.042</link><guid isPermaLink="false">xinzhi-pmid-42836810</guid><pubDate>Mon, 05 Oct 2026 08:00:00 +0800</pubDate><description>&lt;p&gt;JACC: Cardiovascular Interventions · 2026-10-05&lt;/p&gt;&lt;p&gt;Mechanical Thrombectomy Versus Anticoagulation Alone in Intermediate-High Risk PE: Improved Functional 90-Day Outcomes in STORM-PE RCT.（中文题名为机器翻译）&lt;/p&gt;&lt;p&gt;AI 速览（未经人工核对）：机械取栓联合抗凝较单纯抗凝改善90天运动功能与NYHA分级，安全性相当。&lt;/p&gt;&lt;p&gt;为什么读：首个以患者为中心结局评价机械取栓治疗中高危肺栓塞的RCT，指导再灌注策略选择&lt;/p&gt;&lt;p&gt;规则自动精选，非医学审查。&lt;/p&gt;</description></item><item><title>经皮冠状动脉介入治疗后替格瑞洛单药治疗或阿司匹林联合普拉格雷：网状Meta分析 | Ticagrelor Monotherapy or Aspirin Plus Prasugrel After Percutaneous Coronary Intervention: A Network Meta-Analysis.</title><link>https://doi.org/10.1016/j.jacadv.2026.103298</link><guid isPermaLink="false">xinzhi-pmid-42832923</guid><pubDate>Mon, 05 Oct 2026 08:00:00 +0800</pubDate><description>&lt;p&gt;JACC: Advances · 2026-10-05&lt;/p&gt;&lt;p&gt;Ticagrelor Monotherapy or Aspirin Plus Prasugrel After Percutaneous Coronary Intervention: A Network Meta-Analysis.（中文题名为机器翻译）&lt;/p&gt;&lt;p&gt;BACKGROUND: The 2025 American College of Cardiology/American Heart Association guidelines endorse de-escalation to ticagrelor monotherapy after percutaneous coronary intervention (PCI) for acute coronary syndromes (ACSs), whereas the 2023 European Society of Cardiology guidelines recommend 12-month dual antiplatelet therapy (DAPT) with aspirin plus prasugrel as the default strategy. OBJECTIVES: Th…&lt;/p&gt;&lt;p&gt;规则自动精选，非医学审查。&lt;/p&gt;</description></item><item><title>难治性或未控制高血压各治疗方案疗效的比较：随机试验网状Meta分析 | Comparative Efficacy of Treatments for Resistant or Uncontrolled Hypertension: A Network Meta-Analysis of Randomized Trials.</title><link>https://doi.org/10.1016/j.jacadv.2026.103306</link><guid isPermaLink="false">xinzhi-pmid-42832922</guid><pubDate>Mon, 05 Oct 2026 08:00:00 +0800</pubDate><description>&lt;p&gt;JACC: Advances · 2026-10-05&lt;/p&gt;&lt;p&gt;Comparative Efficacy of Treatments for Resistant or Uncontrolled Hypertension: A Network Meta-Analysis of Randomized Trials.（中文题名为机器翻译）&lt;/p&gt;&lt;p&gt;BACKGROUND: Many patients with hypertension fail to achieve recommended blood pressure targets despite treatment with 2 or more antihypertensive drugs. OBJECTIVES: We aimed to compare the efficacy of add-on treatments for the management of resistant or uncontrolled hypertension. METHODS: We searched Embase and MEDLINE through November 2025. We included randomized trials comparing add-on treatments…&lt;/p&gt;&lt;p&gt;规则自动精选，非医学审查。&lt;/p&gt;</description></item><item><title>远程医疗在中低收入国家先天性心脏病诊疗模式中的作用：美国心脏协会科学声明。 | Role of Telemedicine in Congenital Heart Disease Care Models in Low- and Middle-Income Countries: A Scientific Statement From the American Heart Association.</title><link>https://doi.org/10.1161/JAHA.126.054084</link><guid isPermaLink="false">xinzhi-pmid-42831398</guid><pubDate>Mon, 05 Oct 2026 08:00:00 +0800</pubDate><description>&lt;p&gt;Journal of the American Heart Association · 2026-10-05&lt;/p&gt;&lt;p&gt;Role of Telemedicine in Congenital Heart Disease Care Models in Low- and Middle-Income Countries: A Scientific Statement From the American Heart Association.（中文题名为机器翻译）&lt;/p&gt;&lt;p&gt;Telemedicine is increasingly recognized as a transformative strategy to address critical challenges in low- and middle-income countries, which comprise 63% of all nations, 84% of the global population, and 90% of children &amp;lt;15 years of age. These regions experience multiple barriers, including geographic remoteness, economic constraints, limited healthcare infrastructure, and a shortage of trained …&lt;/p&gt;&lt;p&gt;规则自动精选，非医学审查。&lt;/p&gt;</description></item><item><title>抗肿瘤药物与肿瘤相关血栓形成 | Anticancer Drugs and Cancer-Associated Thrombosis.</title><link>https://doi.org/10.1161/CIRCULATIONAHA.125.079141</link><guid isPermaLink="false">xinzhi-pmid-42832625</guid><pubDate>Mon, 05 Oct 2026 08:00:00 +0800</pubDate><description>&lt;p&gt;Circulation · 2026-10-05&lt;/p&gt;&lt;p&gt;Anticancer Drugs and Cancer-Associated Thrombosis.（中文题名为机器翻译）&lt;/p&gt;&lt;p&gt;AI 速览（未经人工核对）：综述抗肿瘤药物相关的静脉血栓栓塞风险、机制及防治指南推荐。&lt;/p&gt;&lt;p&gt;为什么读：了解抗肿瘤药物相关血栓风险、机制及现有防治指南推荐。&lt;/p&gt;&lt;p&gt;规则自动精选，非医学审查。&lt;/p&gt;</description></item></channel></rss>
