A5015105390- Mechanical Circulatory Support Devices
- Cardiac Structural Anomalies and Repair
- Heart Failure Treatment and Management
- Cardiac Arrest and Resuscitation
- Cardiac pacing and defibrillation studies
- Cardiac Health and Mental Health
- Cardiovascular Function and Risk Factors
- Cardiovascular and exercise physiology
- Obstructive Sleep Apnea Research
- Cardiac Imaging and Diagnostics
- Infective Endocarditis Diagnosis and Management
- Intensive Care Unit Cognitive Disorders
- Cardiac Valve Diseases and Treatments
- Transplantation: Methods and Outcomes
- Cardiac, Anesthesia and Surgical Outcomes
- Heart Rate Variability and Autonomic Control
- Family and Patient Care in Intensive Care Units
- Cardiovascular Effects of Exercise
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Cardiovascular and Diving-Related Complications
- Neuroscience of respiration and sleep
- Stroke Rehabilitation and Recovery
- Sleep and related disorders
- Cardiovascular Syncope and Autonomic Disorders
- Cardiac Arrhythmias and Treatments
Istituti Clinici Scientifici Maugeri
2014-2025
Institute of Cardiology
2022
Fondazione Salvatore Maugeri
2006-2016
Istituti di Ricovero e Cura a Carattere Scientifico
2002-2016
University of Parma
2016
Ospedale generale di zona San Camillo Treviso
2016
Hôpital du Sacré-Cœur de Montréal
2005
University of Turin
1999-2002
Objectives. Patients implanted with a Left Ventricular Assist Device (LVAD) constitute new population of chronic heart failure (HF) patients requiring continuous medical support and representing heavy costs - both direct indirect for the healthcare system. If there is consensus about increased survival, psychosocial outcomes, in terms psychological wellbeing, behavioral social functioning caregivers, are still unclear. Overall, it not clear if local health services equipped to them their...
Sleep and exertional periodic breathing are proverbial in chronic heart failure (CHF), each alone indicates poor prognosis. Whether these conditions associated whether excess risk may be attributed to respiratory disorders general, rather than specifically during sleep or exercise, is unknown.We studied 133 CHF patients with left ventricular ejection fraction (LVEF) < =40%. During 1170+/-631 days of follow-up, 31 (23%) died. Nonsurvivors had higher New York Heart Association class,...
The study aims were to validate the cardiopulmonary exercise testing (CPET) parameters recommended by European Society of Cardiology 2008 Guidelines for risk assessment in heart failure (HF) (ESC-predictors) and verify predictive role 11 supplementary CPET (S-predictors) parameters.We followed 749 HF patients cardiovascular death urgent transplantation 3 years: 139 (19%) had cardiac events. ESC-predictors - peak oxygen consumption (VO(2)), slope minute ventilation vs carbon dioxide...
Abstract Background After the rehabilitation program, patients with left ventricular assist device (LVAD) are discharged home, but adaption to daily life implant is challenging, both practical and psychological consequences. Literature lacking detailed information about quality of LVAD caregivers after discharge home. Objective This study aimed at evaluating post‐discharge outcomes their in terms life, affectivity, health. Methods In this observational follow‐up study, dyads home from 1 year...
ABSTRACT Background Left Ventricular Assist Device (LVAD) implantation is an important treatment option for patients with advanced CHF. Referral to early, intensive cardiac rehabilitation (CR) program in these seems still underused. This observational descriptive study aimed evaluate the feasibility and efficacy of early CR LVAD recipients, also comparing results a matched group HFrEF patients. Methods The involved due who were admitted our post‐acute from several surgery wards 2009 2023....
Introduction The treatment of patients with cardiogenic shock (CS) has been focused historically on single interventions (medical treatments, percutaneous and surgical and, more recently, various temporary mechanical circulatory supports). However, none these significantly changed the short-term prognosis CS. Moreover, considerable interest in applied acute setting not matched comprehensive assessment patients’ long-term follow-up, only for survival rehospitalisation but also quality life...
Over the years left ventricular assist devices (VADs) have become more durable and reliable, smaller, simpler, easier to implant comfortable. The extensive experience now acquired shows successful hospital discharge with VAD use. We are entering an era in which long-term mechanical circulatory support will play increasing role approach end-stage heart failure (HF); at same time, extension of VADs into destination therapy has revealed limitations our understanding these populations. This...
In the present context of an aging population, limited donor heart availability, improved reliability mechanical cardiac support and patient outcomes, ventricular assist device (VAD) options to end-stage failure patients are rapidly expanding. addition, both smaller size lighter weight pumps now produced early evidence that these third generation devices may be associated with lower risk infection right will probably lead greater physician acceptability. This is first a two-part review on...
BACKGROUND: Despite cardiac rehabilitation for elder people already showed its usefulness, to date it is still not clear the impact of gender and psychological constructs in influencing outcomes.AIM: This study aimed at exploring differences great elders (over 75 years old) rehabilitation, with particular attention physical conditions, as depressive symptoms, on long-term post-discharge outcomes.DESIGN: A cohort design was used a secondary analysis conducted.SETTING: Cardiac unit postacute...
In continuous-flow left ventricular assist device (LVAD) recipients, little is known about the relative pump- and ventricle-generated blood flow (PBF LVBF, respectively) contribution to peak systemic perfusion during incremental exercise how PBF/LVBF interplay capacity may be affected by pump speed increase. Twenty-two LVAD recipients underwent ramp cardiopulmonary tests at fixed increasing (+ 1.5% of baseline speed/10 W workload increase), echocardiography NT-proBNP dosage. Peak was...
Elderlies in cardiac rehabilitation show a particular frailty due to specific aging issues, thus professional psychophysical care is required.This study aimed at evaluating the effect of program enhanced with psychological support on health elderly subjects aged ≥75. Moreover, association conditions long-term post-discharge course medical events was examined.This retrospective cohort conducted patients ≥75 admitted from 2015 2019 including support.The ward and psychology unit post-acute...
The hemodynamic definitions of pulmonary hypertension (PH) in left heart disease have recently been refined to better match the characteristics required reflect presence vascular disease. Accordingly, we tested hypothesis that abnormalities stiffness circulation would persist after transplantation patients with combined post-capillary and pre-capillary PH (Cpc-PH) contrast those isolated (Ipc-PH).We retrospectively analyzed right hemodynamics a cohort 295 consecutive failure advanced...
Left ventricular assist devices (LVADs) have progressively evolved, particularly in the last 10 years, to serve patients affected by severe heart failure as a bridge transplant or destination therapy. The survival rate and quality of life pre- postimplant patients, well caregivers' perceptions distress, are under investigation scientific community. But what caregivers think feel after loss their loved one has not so far been examined. We contacted 16 principal deceased LVAD telephone. They...
Exercise ventilation/perfusion matching in continuous-flow left ventricular assist device recipients (LVAD) has not been studied systematically. Twenty-five LVAD and two groups of 15 reduced ejection fraction chronic heart failure (HFrEF) patients with peak VO2 matched to that (HFrEF-matched) ≥14 ml/kg/min (HFrEF≥14), respectively, underwent cardiopulmonary exercise testing arterial blood gas analysis, echocardiogram venous sampling for renal function evaluation. Arterial-end-tidal PCO2...
BackgroundScant data exist on factors that may identify outcome in patients with severe left ventricular (LV) dysfunction early after coronary artery bypass graft surgery (CABG).
Few studies evaluated the effect of cardiac rehabilitation programs on perceived emotional and health status left ventricular assist device (LVAD) patients, none explored their caregivers' strain. We enrolled 119 adult LVAD together with caregivers (n = 91), in two Rehabilitation Institutes that provided inpatient multidisciplinary activities. At admittance prior to discharge they completed questionnaires evaluating patient state subjective perception status, caregiver strain, VAD. Six...
Background Exercise oscillatory ventilation is an ominous outcome sign in heart failure due to reduced left ventricular ejection fraction; currently, the prevalence of exercise unknown assist device recipients. Methods We studied cardiopulmonary testing fraction or patients and was defined according Kremser's criteria. Results The occurrence similar either (192 patients, 8%) (85 recipients, 10%), even though mean peak oxygen consumption elevated ventilatory response slope lower higher...
The indication for cardiopulmonary exercise testing (CPET) in predictive evaluation has been extended beyond chronic heart failure (HF) patients to include asymptomatic left ventricular dysfunction (ALVD) patients, but its prognostic value is still unclear. We aimed verify if CPET can predict outcome ALVD and identify which of the parameters HF are also effective patients.We screened (LVEF ≤ 40% without symptoms) cardiac death, compared peak oxygen consumption (pVO2), exertional oscillatory...
Few data have assessed the incidence, site and predictors of infections following cardiac surgery after discharge, particularly during an early rehabilitation phase.To assess epidemiology occurring surgery.Data prospectively recorded from 5464 patients, consecutively included in a residential programme surgery, were retrospectively analysed. Major arbitrarily defined as (1) demonstration bacterial growth sample collected to rule out clinical suspected infection (2) requiring intravenous...