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Journal of Cardiovascular Medicine

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https://www.readbyqxmd.com/read/28614214/a-rare-case-of-multiple-thrombi-in-a-giant-left-atrium
#1
Alfredo Intorcia, Marco A Perrone, Riccardo Morgagni, Domenico Sergi, Massimo Marchei, Mauro Borzi, Francesco Romeo
: Giant left atrium is frequently associated with rheumatic mitral valve disease. The incidence of left atrial thrombus among patients with mitral stenosis and atrial fibrillation varies from 7 to 38%. Anticoagulation therapy achieves a high rate of resolution of left atrial appendage (LAA) and left atrial cavity thrombi, but in selected patients surgical therapy must be considered. An 81-year-old woman presented to our emergency department with repeated episodes of transient ischemic attack. She had a history of carotid artery stenosis, chronic lymphocytic leukemia, rheumatic heart disease, and paroxysmal atrial fibrillation...
June 12, 2017: Journal of Cardiovascular Medicine
https://www.readbyqxmd.com/read/28604505/prognostic-value-of-clinical-echocardiographic-and-angiographic-indicators-in-patients-with-large-anterior-st-segment-elevation-myocardial-infarction-as-a-first-acute-coronary-event
#2
Cesare Baldi, Maria V Polito, Rodolfo Citro, Rosario Farina, Tiziana Attisano, Marco Mirra, Paolo Chiodini, Michele R Di Muro, Marco Di Maio, Francesco Vigorito, Renato De Vecchis, Eduardo Bossone, Federico Piscione, Pietro Giudice, Gennaro Galasso
BACKGROUND: The risk of death in patients affected by ST-elevation segment myocardial infarction (STEMI) is well known, but more data are required to define the in-hospital mortality in special subsets. We sought to assess the prognostic value of indicators in patients with large anterior STEMI as a first acute coronary event, undergoing percutaneous coronary intervention (PCI) and intra-aortic balloon pump (IABP). METHODS AND RESULTS: We evaluated 48 consecutive large anterior STEMI patients admitted as first acute coronary event, undergoing in acute phase both PCI and IABP...
June 9, 2017: Journal of Cardiovascular Medicine
https://www.readbyqxmd.com/read/28604504/appropriateness-of-use-criteria-in-echocardiography-an-italian-experience
#3
Doralisa Morrone, Luca Villanova, Alda Huqi, Giacinta Guarini, Mario Marzilli
AIM: Appropriateness of use criteria (AUC) for transthoracic echocardiography (TTE) provide a simple and practical approach to avoid unneeded testing. METHODS: We collected and analyzed consecutive requests and corresponding reports for TTE in an Italian University Hospital. RESULTS: 500 echocardiographic request and related reports were collected. The mean age was 56 years old with 305 (61%) males. 19% of patients had TTE due to shortness of breath...
June 9, 2017: Journal of Cardiovascular Medicine
https://www.readbyqxmd.com/read/28594654/rationale-study-design-and-pilot-phase-of-the-management-of-antithrombotic-therapy-in-patients-undergoing-electrophysiological-device-surgery-italian-national-multicenter-observational-registry
#4
Valerio Zacà, Marco Breschi, Alberto Mandorli, Luca Panchetti, Giuseppe Ricciardi, Stefano Viani, Pasquale Notarstefano
AIMS: To investigate the different strategies adopted for the management of antithrombotic therapy and the related hemorrhagic and infective complication rates in patients undergoing cardiac implantable electronic devices (CIEDs) surgery in a real-world setting. METHODS: THE Management of AntiThrOMbotic therApy in patients undergoing electrophysiological device surgery: Italian NatiOnal Multicenter Observational REgistry (HEMATOMA NO MORE) is an observational, prospective, multicenter, national cohort study (with a retrospective, multicenter, regional pilot phase) designed to enroll patients with standard indications to CIED implantations/replacements receiving concomitant antithrombotic therapy...
June 7, 2017: Journal of Cardiovascular Medicine
https://www.readbyqxmd.com/read/28590305/management-of-diabetic-patients-hospitalized-for-acute-coronary-syndromes-a-prospective-multicenter-registry
#5
Marco Ferlini, Giuseppe Musumeci, Andrea Demarchi, Niccolò Grieco, Antonio Mafrici, Stefano De Servi, Roberta Rossini, Carlo Sponzilli, Paola Bognetti, Antonino Cardile, Silvia Frattini, Alfonso Ielasi, Alessandra Russo, Claudia Vecchiato, Corrado Lettieri, Luigi O Visconti
BACKGROUND: Patients with diabetes mellitus and acute coronary syndrome (ACS) present an increased risk of adverse cardiovascular events. An Italian Consensus Document indicated 'three specific must' to obtain in this subgroup of patients: optimal oral antiplatelet therapy, early invasive approach and a tailored strategy of revascularization for unstable angina/non-ST-elevation-myocardial infarction (UA/NSTEMI); furthermore, glycemia at admission should be managed with dedicated protocols...
June 5, 2017: Journal of Cardiovascular Medicine
https://www.readbyqxmd.com/read/28562421/ventricular-fibrillation-and-long-qt-syndrome-due-to-panhypopituitarism
#6
Milena Aste, Cesare Capellini, Elisabetta Schiappacasse, Gianluigi Devoto, Michele Brignole
: A 68-year-old man presented with ventricular fibrillation and acquired long QT due to panhypopituitarism that disappeared completely within 48 h from replacement hormonal therapy. Panhypopituitarism is not well recognized as a reversible cause of ventricular fibrillation and long-QT syndrome in medical literature. In the present case, pituitary apoplexy exhausted an already chronically hypofunctioning pituitary gland, causing QT prolongation, torsades de pointes and several cardiac arrests due to ventricular fibrillation...
May 29, 2017: Journal of Cardiovascular Medicine
https://www.readbyqxmd.com/read/28549016/liberal-bilateral-internal-thoracic-artery-use-in-people-with-diabetes-neutralizes-the-negative-impact-of-insulin-requiring-status
#7
Giuseppe Gatti, Bernardo Benussi, Marina Bollini, Gabriella Forti, Angela Poletti, Elisabetta Rauber, Marco Gabrielli, Ariella De Monte, Gianfranco Sinagra, Aniello Pappalardo
AIMS: Bilateral internal thoracic artery (BITA) grafts are underused in insulin-dependent diabetic patients because of increased risk of postoperative complications. The impact of the insulin-requiring status on outcomes after routine BITA grafting was investigated in this retrospective study. METHODS: Skeletonized BITA grafts were used in 3228 (71.6%) of 4508 consecutive patients having multivessel coronary disease who underwent isolated coronary bypass surgery at the authors' institution from January 1999 to August 2015...
May 25, 2017: Journal of Cardiovascular Medicine
https://www.readbyqxmd.com/read/28509760/global-longitudinal-strain-predicts-outcome-after-mitraclip-implantation-for-secondary-mitral-regurgitation
#8
Rodolfo Citro, Cesare Baldi, Patrizio Lancellotti, Angelo Silverio, Gennaro Provenza, Michele Bellino, Michele R Di Muro, Generoso Mastrogiovanni, Roberta De Rosa, Gennaro Galasso, Eduardo Bossone, Pietro Giudice, Federico Piscione
AIM: The aim of this study was to assess preoperative determinants, prevalence, and prognostic impact of left ventricular (LV) reverse remodeling (LVRR) in patients with secondary mitral regurgitation (SMR), undergoing MitraClip implantation (MCi). METHODS: From March 2012 to January 2015, a total of 41 consecutive patients with moderate-to-severe SMR treated successfully with MCi were enrolled. All patients underwent clinical and echocardiographic follow-up after MCi...
May 13, 2017: Journal of Cardiovascular Medicine
https://www.readbyqxmd.com/read/28504982/characteristics-in-hospital-management-and-outcome-of-late-acute-st-elevation-myocardial-infarction-presenters
#9
Enrico Cerrato, Davide Forno, Silvia Ferro, Alessandra Chinaglia
BACKGROUND: Patients with delayed presentation of acute myocardial infarction with ST-segment elevation (STEMI) frequently have a poor prognosis but literature about acute complications in intensive cardiac care unit (ICCU) and in-hospital outcome are still limited. METHODS: All STEMI patients admitted to our institution between June 2007 and December 2013 were divided into patients presenting more than 12 h after symptom onset (lateSTEMI) and within 12 h (STEMI)...
May 12, 2017: Journal of Cardiovascular Medicine
https://www.readbyqxmd.com/read/28368881/patent-foramen-ovale-closure-through-inferior-vena-cava-filter-in-a-patient-with-deep-venous-thrombosis-and-recurrent-ischemic-events
#10
Damiano Regazzoli, Marco B Ancona, Antonio Mangieri, Akihito Tanaka, Vittorio Romano, Pier P Leone, Moreno Tresoldi, Giuseppe Lanzillo, Eustachio Agricola, Azeem Latib, Antonio Colombo, Matteo Montorfano
Here reported a case of successful patent foramen ovale (PFO) occlusion from femoral vein access passing through a caval filter. Vena cava filters are broadly implanted and this case suggests that procedures that require large delivery systems to be passed through filters are safe and feasible.
March 31, 2017: Journal of Cardiovascular Medicine
https://www.readbyqxmd.com/read/28514791/impact-of-targeting-adenosine-induced-transient-venous-reconnection-in-patients-undergoing-pulmonary-vein-isolation-for-atrial-fibrillation-a-meta-analysis-of-3524-patients
#11
Alessandro Blandino, Giuseppe Biondi-Zoccai, Alberto Battaglia, Stefano Grossi, Francesca Bianchi, Maria Rosa Conte, Francesco Rametta, Fiorenzo Gaita
AIMS: Atrial fibrillation recurrences after pulmonary vein isolation (PVI) are not uncommon and are frequently related to pulmonary vein reconnection. Adenosine/ATP can reveal dormant pulmonary vein conduction after PVI. Previous studies revealed that adenosine-guided Additional ablation could improve arrhythmia-free survival. We performed a meta-analysis to assess the impact of additional ablation to eliminate adenosine-induced transient pulmonary vein reconnection in terms of atrial fibrillation recurrence at follow-up...
July 2017: Journal of Cardiovascular Medicine
https://www.readbyqxmd.com/read/28509761/dabigatran-in-nonvalvular-atrial-fibrillation-from-clinical-trials-to-real-life-experience
#12
Nicola Mumoli, Daniela Mastroiacovo, Eleonora Tamborini-Permunian, Josè Vitale, Matteo Giorgi-Pierfranceschi, Marco Cei, Francesco Dentali
: Atrial fibrillation is the most common arrhythmia in over-midlife patients. In addition to systolic heart failure, cerebral thromboembolism represents the most dramatic complication of this rhythm disorder, contributing to morbidity and mortality. Traditionally, anticoagulation has been considered the main strategy in preventing stroke and systemic embolism in atrial fibrillation patients and vitamin K-dependent antagonists have been widely used in clinical practice. Recently, the development of direct oral anticoagulants has certainly improved the management of this disease, providing, for the first time, the opportunity to go beyond vitamin K-dependent antagonists limits...
July 2017: Journal of Cardiovascular Medicine
https://www.readbyqxmd.com/read/28368882/ranolazine-therapy-in-drug-refractory-ventricular-arrhythmias
#13
Antonio Curnis, Francesca Salghetti, Manuel Cerini, Enrico Vizzardi, Edoardo Sciatti, Francesca Vassanelli, Clara Villa, Lorenza Inama, Abdallah Raweh, Daniele Giacopelli, Luca Bontempi
AIMS: Ranolazine is an antiischemic and antianginal agent, but experimental and preclinical data provided evidence of additional antiarrhythmic properties. The aim of this study was to evaluate the safety and efficacy of ranolazine in reducing episodes of ventricular arrhythmias in patients with recurrent antiarrhythmic drug-refractory ventricular arrhythmias or with chronic angina. METHODS: Seventeen implantable cardioverter defibrillator (ICD) recipients, who had experienced a worsening of their ventricular arrhythmia burden, and 12 ICD recipients with angina were enrolled...
July 2017: Journal of Cardiovascular Medicine
https://www.readbyqxmd.com/read/28306695/lung-ultrasonography-a-practical-guide-for-cardiologists
#14
Francesco Bianco, Valentina Bucciarelli, Fabrizio Ricci, Raffaele De Caterina, Sabina Gallina
: Lung ultrasonography is a well established, user-friendly and easy-to-use technique that can be used in the evaluation of several pathological conditions affecting the lung. Adding lung ultrasonography to traditional echocardiography provides an integrated cardiopulmonary ultrasound analysis. The simultaneous collection of information about the heart and the lungs can help physicians to investigate acute and chronic cardio-pulmonary conditions within a noninvasive, single-probe and all-in-one examination, not exposing the patient to the danger of ionizing radiation...
July 2017: Journal of Cardiovascular Medicine
https://www.readbyqxmd.com/read/28009640/learning-curve-using-the-second-generation-cryoballoon-ablation
#15
Vedran Velagić, Carlo de Asmundis, Giacomo Mugnai, Burak Hünük, Ebru Hacioğlu, Erwin Ströker, Darragh Moran, Diego Ruggiero, Jan Poelaert, Christian Verborgh, Vincent Umbrain, Gaetano Paparella, Stefan Beckers, Pedro Brugada, Gian-Battista Chierchia
AIMS: To study the learning curve with the second-generation cryoballoon technology focusing on safety, efficacy and procedural characteristics. METHODS: We included 300 patients (men 64.6%, mean age 58.3 ± 12.4 years), 240 of whom were treated by four operators without prior experience in atrial fibrillation ablation and compared them with 60 consecutive patients treated by senior operator. To study the learning curves, we divided the study period into two trimesters and analyzed procedure duration, fluoroscopy times, complications, characteristics of the freeze-thaw cycles and midterm outcomes...
July 2017: Journal of Cardiovascular Medicine
https://www.readbyqxmd.com/read/27828828/anatomic-relationship-between-left-coronary-artery-and-left-atrium-in-patients-undergoing-atrial-fibrillation-ablation
#16
Matteo Anselmino, Federica Torri, Federico Ferraris, Leonardo Calò, Davide Castagno, Sebastiano Gili, Chiara Rovera, Carla Giustetto, Fiorenzo Gaita
BACKGROUND: Atrial fibrillation transcatheter ablation (TCA) is, within available atrial fibrillation rhythm control strategies, one of the most effective. To potentially improve ablation outcome in case of recurrent atrial fibrillation after a first procedure or in presence of structural myocardial disease, isolation of the pulmonary veins may be associated with extensive lesions within the left atrium. To avoid rare, but potentially life-threatening, complications, thorough knowledge and assessment of left atrium anatomy and its relation to structures in close proximity are, therefore, mandatory...
July 2017: Journal of Cardiovascular Medicine
https://www.readbyqxmd.com/read/27635938/prevalence-and-predictors-of-long-corrected-qt-interval-in-hiv-positive-patients-a-multicenter-study
#17
Sebastiano Gili, Massimo Mancone, Flavia Ballocca, Walter Grosso Marra, Andrea Calcagno, Gabriella D'Ettorre, Margherita Cannillo, Fabrizio D'Ascenzo, Giancarlo Orofino, Laura Marruncheddu, Enrica Lonni, Alessandra Cinque, Francesco Vullo, Giancarlo Ceccarelli, Ilaria Vilardi, Gennaro Sardella, Vincenzo Vullo, Claudio Moretti, Francesco Fedele, Stefano Bonora, Fiorenzo Gaita
AIMS: HIV and highly active antiretroviral therapy (HAART) may affect cardiac conduction, and a higher incidence of sudden death has been recognized in HIV-positive patients. Nevertheless, predictors of prolonged corrected QT interval (cQT) have been poorly described. The aim of the study was to investigate the prevalence and predictors of long cQT in a cohort of HIV-positive patients. METHODS: Consecutive HIV-positive patients followed in a primary prevention clinic at two Italian institutions were retrospectively enrolled...
July 2017: Journal of Cardiovascular Medicine
https://www.readbyqxmd.com/read/27341195/femoral-venous-pressure-waveform-as-indicator-of-phrenic-nerve-injury-in-the-setting-of-second-generation-cryoballoon-ablation
#18
Giacomo Mugnai, Carlo de Asmundis, Erwin Ströker, Burak Hünük, Darragh Moran, Diego Ruggiero, Valentina De Regibus, Hugo Enrique Coutino-Moreno, Ken Takarada, Rajin Choudhury, Jan Poelaert, Christian Verborgh, Pedro Brugada, Gian-Battista Chierchia
AIMS: Femoral venous pressure waveform (VPW) analysis has been recently described as a novel method to assess phrenic nerve function during atrial fibrillation ablation procedures by means of the cryoballoon technique. In this study, we sought to evaluate the feasibility and effectiveness of this technique, with respect to the incidence of phrenic nerve injury (PNI), in comparison with the traditional abdominal palpation technique alone. METHODS: Consecutive patients undergoing second-generation cryoballoon ablation (CB-A) from June 2014 to June 2015 were retrospectively analyzed...
July 2017: Journal of Cardiovascular Medicine
https://www.readbyqxmd.com/read/27322402/reveal-linqtm-experience-out-of-the-electrophysiology-lab
#19
Luca A F Di Odoardo, Francesco Ambrosini, Alessandra Giavarini, Marco Vicenzi, Francesca Venturini, Federico Lombardi
No abstract text is available yet for this article.
July 2017: Journal of Cardiovascular Medicine
https://www.readbyqxmd.com/read/27136703/an-individualized-left-ventricular-lead-targeting-strategy-improves-long-term-survival-of-cardiac-resynchronization-therapy-patients-and-influences-the-benefit-of-the-implantable-cardioverter-defibrillator-a-long-term-follow-up-of-the-target-study
#20
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