CARDIOLOGY CLINICS心脏病学临床
CARDIOLOGY CLINICS(英文缩写 CARDIOL CLIN),ISSN 0733-8651,eISSN 1558-2264,中文译名:心脏病学临床 是一本学术期刊。本页汇总该期刊的最新影响因子、分区信息以及最新收录于 PubMed 的文献,帮助您快速了解期刊全貌。
发文量统计区间：2025-09-27 至 2026-09-27，按本站收录文献的发表日期统计。
期刊介绍
历年影响因子趋势
| JCR 数据年份 | 影响因子 | JCR 分区 |
|---|---|---|
| 2021 | 2.410 | Q3 |
| 2022 | 2.400 | Q3 |
| 2023 | 2.600 | Q2 |
| 2024 | 1.600 | Q3 |
| 2025 | 1.400 | Q3 |
CARDIOLOGY CLINICS 最新收录文献
-
1. At the Edge of the Possible: A New Standard for Cardiovascular Critical Care.
PMID:日期:2026-08-01该文献暂无摘要。
-
2. End-of-Life Care in the Cardiovascular Intensive Care Unit.
PMID:日期:2026-08-01The cardiovascular intensive care unit (CVICU) presents unique opportunities and challenges for integrating palliative care. A growing population of patients living longer with advanced cardiac disease, persistent symptoms, and functional limitations may benefit from early palliative involvement. With increasing use of advanced therapies such as mechanical circulatory support, many patients die in the CVICU, while survivors often experience long-term physical and psychosocial burdens. Despite evidence that early palliative care improves quality of life and reduces nonbeneficial interventions, it remains underutilized because of prognostic uncertainty and inconsistent referral guidance. This review explores therapies, palliative roles, and end-of-life practices in the CVICU.
-
3. Strategies to Reduce Failure to Rescue after Cardiac Surgery.
PMID:日期:2026-08-01Failure to rescue (FTR), defined as mortality after a postoperative complication, is now a central quality metric in cardiac surgery, where high-acuity patients and resource-intensive care increase vulnerability to deterioration. Although complications are common, survival depends on timely recognition, effective escalation, and coordinated multidisciplinary management. This article synthesizes current evidence on the epidemiology, mechanisms, and system-level drivers of FTR, highlighting how patient, provider, and institutional factors influence rescue success. We outline practical, evidence-based strategies to reduce FTR in cardiac surgery after prolonged ventilation, renal failure, stroke, and reoperation, by emphasizing protocolized care, staffing models, team communication, and rapid response infrastructure.
-
4. Embracing Enhanced Recovery After Cardiac Surgery Program.
PMID:日期:2026-08-01Enhanced recovery after cardiac surgery (ERAS) advocates for consistent and standardized delivery of evidenced-based perioperative care. Multidisciplinary teams deliver integrated patient care elements across all phases of care. Elements include risk-screening, prehabilitation, nutritional support, organ protection, patient blood management, early mobilization, optimal analgesia, and prevention of complications. Implementation of an ERAS program has been shown to improve patient recovery and reduce complications, length of stay, and resource utilization. However, the evidence is inconsistent and often low grade. Ongoing research, education, and institutional commitment remain essential for continued quantification of ERAS and its role in caring for cardiac surgical patients.
-
5. Post-Heart Transplantation Intensive Care Unit Recovery: A Phase-Based Approach.
PMID:日期:2026-08-01Heart transplantation is the definitive treatment for end-stage heart failure. Post-transplant care is dynamic and complex, requiring a thoughtful multidisciplinary approach. Invasive hemodynamic monitoring is central to guiding inotrope and vasopressor titration to optimize allograft function and end-organ perfusion. Vigilant assessment for primary graft dysfunction is essential and informs escalation to mechanical circulatory support when needed. As hemodynamics and graft function stabilize, patients are liberated from mechanical ventilation, volume status is optimized, nutrition and mobility are prioritized, and pharmacologic and mechanical supports are weaned. Concurrently, immunosuppression is titrated and patients are monitored closely for infection.
-
6. A Practical Guide to Intensive Care Unit Management after Left Ventricular Assist Device Implantation.
PMID:日期:2026-08-01Durable left ventricular assist devices (LVADs) have transformed the management of advanced heart failure, but early post-operative management remains a time of heightened vulnerability with disproportionate impact on short-term and long-term outcomes. This article provides a practical, physiology-driven framework for intensive care unit (ICU) management following LVAD implantation, emphasizing early hemostasis and anticoagulation strategies, systematic hemodynamic assessment, and optimization of right ventricular function. Additional sections address respiratory management, dysrhythmia control, nutrition, and early mobilization as essential components of recovery. By synthesizing contemporary evidence with bedside decision-making, this guide aims to support multidisciplinary ICU teams in standardizing care.
-
7. Point-of-care Ultrasound after Cardiac Surgery: Understanding the Congestion Cascade.
PMID:日期:2026-08-01Point-of-care ultrasound (POCUS) is an essential tool in perioperative and cardiac critical care, providing rapid, bedside evaluation of cardiac function, pulmonary pathology, and volume status. This article introduces a protocolized, whole-body POCUS approach centered on the sonographic congestion cascade, conceptualizing the cardiopulmonary venous system as a continuous physiologic unit. By integrating cardiac, lung, and multisite venous Doppler findings, clinicians can identify shock etiologies, characterize congestion phenotypes, and guide individualized, physiology-driven management in patients with undifferentiated shock and respiratory failure.
-
8. Management of Shock After Cardiac Surgery.
8. 心脏手术后休克的管理PMID:日期:2026-08-01Postcardiotomy shock (PCS) is a complex, high-mortality complication following cardiac surgery, driven by cardiopulmonary bypass-related inflammation, vasoplegia, myocardial dysfunction, and pulmonary hypertension. Conventional shock definitions are poorly applicable to this population; a vasoactive inotropic score greater than 20 to 25 with evidence of hypoperfusion is proposed as a practical operational definition. Overlapping PCS phenotypes (cardiogenic, vasoplegic, obstructive, arrhythmic, mixed) necessitate multimodal hemodynamic profiling incorporating pulmonary artery catheter data, echocardiography, and dynamic perfusion indices. Management focuses on judicious fluid and blood product administration, phenotype-directed inotropes and vasopressors, lung-protective ventilation, and early initiation of temporary mechanical circulatory support.
-
9. Perioperative Extracardiac Management in Low-flow States.
PMID:日期:2026-08-01Patients admitted to contemporary cardiac intensive care units (ICUs) increasingly present with complex low-flow states and multisystem organ dysfunction, particularly in the perioperative cardiac surgery setting. This article outlines a systematic, organ-based approach to optimizing extracardiac organ function in patients with shock, emphasizing respiratory, renal, vascular, neurologic, hematologic, gastrointestinal, and endocrine management. Key principles include understanding cardiopulmonary interactions, minimizing secondary organ injury, tailoring supportive therapies to physiologic profiles, and applying ICU best practices. Coordinated, multidisciplinary optimization of noncardiac organ systems is essential to improve surgical candidacy, reduce complications, and enhance outcomes in this high-risk population.
-
10. Perioperative Medical Management of Aortic Dissection.
PMID:日期:2026-08-01Surgical or endovascular repair is the cornerstone of interventional management for acute ascending aortic dissection and complicated descending aortic dissection. However, perioperative medical therapy plays a decisive role in stabilizing patients, preventing propagation of dissection and mitigating end-organ injury. Perioperative clinicians must navigate competing priorities: reducing aortic shear stress while maintaining adequate perfusion, managing severe pain and sympathetic activation, addressing malperfusion syndromes, and preparing patients for urgent or emergent intervention. This article outlines a practical framework for perioperative medical management across the continuum of care.