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Journal of Cardiovascular Medicine

Pierluigi Merella, Giovanni Lorenzoni, Nicola Marziliano, Paola Berne, Graziana Viola, Paolo Pischedda, Gavino Casu
: Atrial fibrillation is the most common cardiac arrhythmia and its prevalence is constantly increasing. The main complications related to atrial fibrillation are death and major stroke. Oral anticoagulant therapy is the cornerstone of management of atrial fibrillation patients at increased stroke risk. Unfortunately, a significant proportion of patients do not receive adequate anticoagulant therapy due to increased or prohibitive hemorrhagic risk. The observation that most thrombi are generated in the left atrial appendage (LAA) had led to the consideration of surgical or percutaneous occlusion as an alternative...
November 13, 2018: Journal of Cardiovascular Medicine
Andrea Buono, Alessandro Maloberti, Irene M Bossi, Emanuela Piccaluga, Giacomo Piccalò, Jacopo A Oreglia, Antonella Moreo, Claudio F Russo, Fabrizio Oliva, Cristina Giannattasio
: Mycotic coronary aneurysm is a rare infective disease of arterial vessel walls. Their development could be linked to the presence of an infective endocarditis or could represent a primary infection at the site of an implanted intracoronary stent. Bacterial agents, particularly Staphylococcus aureus, are the most common etiological agents. Due to an aspecific clinical presentation and examination, diagnosis could be challenging. Multiple imaging techniques (both invasive and noninvasive) are often required to reach the final diagnosis...
November 9, 2018: Journal of Cardiovascular Medicine
Patrícia Lourenço, Joana Pereira, Ana Ribeiro, João Ferreira-Coimbra, Isaac Barroso, João-Tiago Guimarães, Adelino Leite-Moreira, Paulo Bettencourt
AIMS: The prognostic role of high-sensitivity C-reactive protein (hsCRP) in acute heart failure is less well established than for chronic heart failure and the impact of its variation is unknown. We studied the impact of hsCRP variation in acute heart failure and whether it differed according to left ventricular function. METHODS: We analyzed patients prospectively included in an acute heart failure registry. Admission and discharge hsCRP were evaluated as part of the registry's protocol and its relative variation (ΔhsCRP) was assessed...
November 6, 2018: Journal of Cardiovascular Medicine
Giovanni Morani, Gianluca Borio, Bruna Bolzan, Flavio L Ribichini
AIMS: Electrical cardioversion is still the preferred method to restore sinus rhythm in patients with atrial fibrillation. The main disadvantage is that electrical cardioversion requires deep sedation, generally administered by anaesthesiologists, for safety concern. An exclusively cardiologic management of deep sedation should have the advantage to reduce resources and time consumed. METHODS: All consecutive patients admitted to our division with persistent atrial fibrillation or atrial flutter to undergo elective electrical cardioversion from June 2002 to December 2016 were included...
November 1, 2018: Journal of Cardiovascular Medicine
Maria S Padula, Gaetano G D'Ambrosio, Marina Tocci, Roberto D'Amico, Federico Banchelli, Letizia Angeli, Marina Scarpa, Oreste Capelli, Claudio Cricelli, Giuseppe Boriani
AIM: To assess the feasibility and effectiveness of a low-complexity, low-cost model of caregiver education in primary care, targeted to reduce hospitalizations of heart failure patients. METHODS: A cluster-randomized, controlled, open trial was proposed to general practitioners, who were invited to identify patients with heart failure, exclusively managed at home and continuously attended by a caregiver. Participating general practitioners were then randomized to: usual treatment; caregiver education (educational session for recognizing early symptoms/signs of heart failure, with recording in a diary of a series of patient parameters, including body weight, blood pressure, heart rate)...
November 1, 2018: Journal of Cardiovascular Medicine
Renato De Vecchis, Carmelina Ariano
No abstract text is available yet for this article.
October 12, 2018: Journal of Cardiovascular Medicine
Maurizio Cusmà-Piccione, Luca Longobardo, Alessandra Oteri, Roberta Manganaro, Gianluca Di Bella, Scipione Carerj, Bijoy K Khandheria, Concetta Zito
: Takotsubo cardiomyopathy (TTS), also known as left ventricular apical ballooning syndrome, is an acute, usually reversible heart failure syndrome that most often affects postmenopausal women experiencing an emotionally stressful event. It is characterized by sudden left ventricular dysfunction and wall motion abnormalities involving the apical and mid segments. TTS has been increasingly recognized in recent years, and more and more information about the pathophysiology, diagnosis, and treatment of these patients has been reported...
September 17, 2018: Journal of Cardiovascular Medicine
Anna Balducci, Tammam Hasan, Andrea Donti, Gabriele Egidy Assenza, Luigi Lovato, Marianna Fabi, Valentina Gesuete, Daniela Prandstraller, Roberto Formigari, Luca Ragni, Emanuela Angeli, Gaetano D Gargiulo, Fernando M Picchio, Marco Bonvicini
BACKGROUND: Proper integration of multiple imaging modalities in the routine follow-up of patients with repaired tetralogy of Fallout (TOF) is poorly supported by data. We report our single center comparative study between cardiac magnetic resonance (CMR) and echocardiography to assess equipoise in the clinical utility of these two imaging methods in an unselected consecutive cohort of TOF patients referred to our outpatient clinic. MATERIAL AND METHODS: In this cross-sectional study, repaired TOF patients who underwent CMR and echocardiography within a 4-week period between 2010 and 2011 at our Center were included...
September 17, 2018: Journal of Cardiovascular Medicine
Marco Pocar, Flavio Airoldi, Davide Tavano
CONTEXT: Associations between cocaine use and coronary heart disease are widely reported. Their impact on the progression of atherosclerotic lesions is poorly defined. CLINICAL CASE: A previously asymptomatic 41-year-old man with no cardiovascular risk factor presented with acute non-ST elevation myocardial infarction evolving into cardiogenic shock. Angiography revealed diffuse coronary lesions and triple-vessel chronic total occlusions with wide collaterals. Revascularization was accomplished with multiple interventions and extracorporeal membrane oxygenation was necessary for circulatory support...
September 17, 2018: Journal of Cardiovascular Medicine
Marco Ferlini, Roberto Dore, Gianmarco Iannopollo, Gaetano M De Ferrari, Luigi Oltrona Visconti
: A 54-year-old woman with a history of stage IV nonsmall-cell lung cancer, on treatment with chemiotherapy was hospitalized for acute coronary syndrome. Coronary angiography showed a tight stenosis of ostial left main coronary artery (LMCA) probably caused by external compression. Computed tomography scan confirmed LMCA compression and entrapment between a neoplastic mass and the root of the aorta, with vessel collapsing during diastole but patency and narrowing in systole. A drug-eluting stent was then successfully implanted at LMCA ostium without further episodes of angina...
September 17, 2018: Journal of Cardiovascular Medicine
Anna Vittoria Mattioli, Francesca Coppi, Mario Migaldi, Alberto Farinetti
: Physical activity is considered very useful in the prevention of cardiovascular disease. The present study aims to evaluate the role of physical activity in women with high adherence to a Mediterranean diet and its correlation with asymptomatic atherosclerosis. A group of 425 premenopausal women (mean age 48 ± 9 years) was evaluated. They completed the International Physical Activity Questionnaire (IPAQ) developed by the World Health Organization, validated for the Italian population, to assess the degree of physical activity participation...
September 14, 2018: Journal of Cardiovascular Medicine
Qian Liu, Yuanyuan Wang, Xiucui Cheng
OBJECTIVE: To investigate the effect of different doses of atorvastatin on patients with acute ST segment elevation myocardial infarction (MI) after emergency percutaneous coronary intervention (PCI). METHODS: A total of 265 patients with acute ST segment elevation MI who underwent emergency PCI were enrolled, 133 in high-dose atorvastatin administration (40 mg/day) and 132 in moderate-dose atorvastatin administration (20 mg/day). All the patients continued treatment for 1 year...
September 14, 2018: Journal of Cardiovascular Medicine
Pierluigi Omedè, Maurizio Bertaina, Enrico Cerrato, Lolo Rubio, Ivan Nuñez-Gil, Sebastiano Gili, Salma Taha, Carlos Macaya, Javier Escaned, Fabrizio D'Ascenzo
BACKGROUND: Safety and efficacy of radial and femoral access for coronary angiography performed by cardiology fellows remain to be evaluated. METHODS: In this multicenter prospective study, cardiology fellows selected the access site (among femoral, right and left radial artery) for coronary angiography. All bleeding events related to the access site and all complications (a composite of all bleedings and artery occlusion) were the co-primary safety end points. Success for each access site, procedural and radiological times and single components of primary outcome were the secondary ones...
September 14, 2018: Journal of Cardiovascular Medicine
Francesca Cortese, Marco Fabio Costantino, Marco Matteo Ciccone, Giacinto Calculli
No abstract text is available yet for this article.
December 2018: Journal of Cardiovascular Medicine
Alfonso Galati, Mara Piccoli, Nidal Tourkmani, Luca Sgorbini, Antonella Rossetti, Lucia Cugusi, Fabio Bellotto, Giuseppe Mercuro, Ana Abreu, Flavio D'Ascenzi
: Cardiac rehabilitation is able to reduce cardiovascular mortality, and improves functional capacity and quality of life. However, cardiac rehabilitation participation rates are low and the current evidence has demonstrated sex differences for the access to cardiac rehabilitation programs. In this review, we discuss the benefits of cardiac rehabilitation in women with a specific focus on ischemic heart disease, heart failure, cardiac rehabilitation after cardiac surgery and after transcatheter aortic valve implantation, and peripheral artery disease...
December 2018: Journal of Cardiovascular Medicine
Maria C Todaro, Antonio Solazzo, Gaetano Senatore, Concetta Zito, Gianluca Di Bella, Maria L Carerj, Giuseppe Oreto, Scipione Carerj
: Atrial fibrillation is the most widely represented sustained arrhythmia in the world. Thromboembolic risk assessment represents the main clinical challenge associated with this condition, requiring enormous medical, social and economical efforts. Several pieces of evidence in literature highlight how clinical risk factors are not enough for a correct thromboembolic risk stratification of patients with atrial fibrillation, since thromboembolic events have been proven to occur even in patients with low clinical risk scores...
December 2018: Journal of Cardiovascular Medicine
Gianluigi Rellini, Rita Piazza, Elvira Loiudice, Matteo Cassin, Guglielmo Bernardi, Daniela Pavan, Eugenio Cervesato, Gian L Nicolosi
AIM: The aim of this study is to report the heterogeneity of clinical presentation in Tako-Tsubo syndrome (TTS), including a significant prevalence of normal ECG and echocardiographic patterns in a series of consecutive patients from a single center. METHODS AND RESULTS: From our database we selected a total of 168 cases of TTS. A total of 140 of these (Group A); 14 men (10%), mean age 60.3 years, range 39-87; 126 women (90%), mean age 66.1 years, range 43-93; matched the following reported criteria: typical stenocardic pain immediately following an emotional acute stress, or acute medical or surgical event within the preceding 12 h; acute rise and fall of troponin release; absence of significant coronary disease at coronary angiography...
December 2018: Journal of Cardiovascular Medicine
Susanna Maltoni, Antonella Negro, Maria D Camerlingo, Valentina Pecoraro, Biagio Sassone, Mauro Biffi, Giuseppe Boriani
AIMS: To perform an updated meta-analysis to assess efficacy, safety and technical performance of pulmonary vein isolation using cryoballoon or radiofrequency catheter ablation in patients with paroxysmal or persistent atrial fibrillation. METHODS: In June 2017, databases and websites were systematically searched for systematic reviews, randomized controlled trials and observational studies reporting data on efficacy, safety and technical performance outcomes at follow-up at least 12 months...
December 2018: Journal of Cardiovascular Medicine
Massimiliano Carrozzini, Jonida Bejko, Antonio Gambino, Vincenzo Tarzia, Corrado Lanera, Dario Gregori, Gino Gerosa, Tomaso Bottio
AIMS: We analysed the outcomes with the use of a new-generation continuous-flow left ventricular assist device (CF-LVAD) as a bridge-to-transplant (BTT). MATERIALS AND METHODS: We included all patients implanted with an intrapericardial CF-LVAD as BTT, between January 2012 and December 2016. Primary outcomes were overall survival, survival on waiting list and postheart transplant (HTx) survival. The outcomes after HTx were compared with those of a contemporary cohort of patients transplanted without previous CF-LVAD (No-LVAD group, n = 73)...
December 2018: Journal of Cardiovascular Medicine
Giangiuseppe Cappabianca, Domenico Paparella, Augusto D'Onofrio, Luca Caprili, Giuseppe Minniti, Massimiliano Lanzafame, Alessandro Parolari, Francesco Musumeci, Cesare Beghi
AIMS: A global outbreak of Mycobacterium chimaera infections following cardiac surgery and linked to contaminated heater-cooler units (HCUs) is currently ongoing. Neither the status of this outbreak in Italy nor the mitigation strategies adopted by adult cardiac surgery units (ACSUs) are currently known. In 2017, the Italian Society of Cardiac Surgery launched a national survey among the Italian ACSU to shed some light on this issue. METHODS: In Italy, there are 90 ACSUs across 20 regions...
December 2018: Journal of Cardiovascular Medicine
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