Julián Pérez-Villacastín

A meta-analysis concludes that the use of beta-blockers is not necessary in patients who have suffered a heart attack but have normal cardiac function. The research, coordinated in Spain by the CNIC, brings together data from five clinical trials and 17,801 patients. One of these trials, REBOOT, already showed that patients who did not have reduced cardiac function after a heart attack did not benefit from treatment with beta blockers. According to this recent meta-analysis, published in the New England Journal of Medicine and presented at the American Heart Association Congress in New Orleans (USA), the use of these drugs does not reduce mortality, reinfarction or heart failure in this group of patients.

An international team has created a tiny temporary pacemaker, smaller than a grain of rice (1.8 mm × 3.5 mm × 1 mm). The device is resorbable by the body, achieves effective pacing in human and various animal cardiac models, and could be implanted less invasively than existing pacemakers, according to a study published in Nature.

In a group of people at high cardiovascular risk, low to moderate wine consumption was associated with fewer cardiovascular events (cardiovascular death, myocardial infarction, stroke or heart failure), according to a study. The analysis uses urinary concentrations of tartaric acid, a substance found in grapes and grape derivatives, as a biomarker of wine consumption. It finds that consuming between three and 35 glasses per month was associated with fewer cardiovascular events than in people who consumed fewer than three or more than 35 glasses. The study, published in the European Heart Journal, included more than 1,200 participants from Spain's PREDIMED study with an average age of 68 years.

Drinking alcohol and sleeping in hypobaric conditions - such as those of an aircraft cabin - could be a risk to cardiovascular health, a study warns. Researchers compared a group of 23 people sleeping in a laboratory with another group of 17 people sleeping in a high-altitude chamber, replicating conditions at about 2,400 metres above sea level. The combination of alcohol consumption and hypobaric hypoxia during the simulation "reduced sleep quality, challenged the cardiovascular system and led to extended duration of hypoxaemia," the authors state in the journal Thorax.

A study in South Korea followed more than 160,000 women for more than eight years and concluded that infection with different strains of human papillomavirus is associated with a fourfold increase in the relative risk of dying from cardiovascular causes. According to the authors, "it could be that the virus causes inflammation in the blood vessels, contributing to blockage and damage to the arteries". The findings are published in the European Heart Journal.

The functioning of the heart can be studied by the percentage of blood it pumps with each beat, deduced by imaging techniques. Based on analyses by cardiologists, a US clinical trial concludes that an artificial intelligence model outperforms examinations initially performed by imaging technicians in terms of accuracy. According to the authors, the tool could "save physicians time and minimise the most tedious parts of the process".