A5085681460- Cardiovascular Function and Risk Factors
- Heart Failure Treatment and Management
- Frailty in Older Adults
- Cardiac pacing and defibrillation studies
- Cardiac Valve Diseases and Treatments
- Cardiomyopathy and Myosin Studies
- Cardiac Imaging and Diagnostics
- Infective Endocarditis Diagnosis and Management
- Cardiac Structural Anomalies and Repair
- Coronary Interventions and Diagnostics
- Cardiovascular and exercise physiology
- Health Systems, Economic Evaluations, Quality of Life
- Cardiac Health and Mental Health
- Aortic Disease and Treatment Approaches
- Antiplatelet Therapy and Cardiovascular Diseases
- Cardiac electrophysiology and arrhythmias
- Mechanical Circulatory Support Devices
- Nutrition and Health in Aging
- Vascular Anomalies and Treatments
- Cardiac tumors and thrombi
- Takotsubo Cardiomyopathy and Associated Phenomena
- Vasculitis and related conditions
- Sarcoidosis and Beryllium Toxicity Research
- Erythropoietin and Anemia Treatment
- Intensive Care Unit Cognitive Disorders
IRCCS San Camillo Hospital
2014-2025
Associazione Nazionale Medici Cardiologi Ospedalieri
2024-2025
Carlo Forlanini Hospital
2015-2020
Azienda Ospedaliera San Camillo-Forlanini
2019
Sapienza University of Rome
2010-2015
Policlinico Umberto I
2015
May Institute
2014
Casa di Cura Villa Bianca
2014
Disease management programs (DMP) improve outcomes in patients with heart failure. Because older failure represent a heterogeneous population, the aim of this study was to determine which benefit mostly from DMP, by means their frailty profile.Heart outpatient clinic.Consecutive (n = 173) aged more than 70 years were randomized multidisciplinary DMP 86) or usual care 87). A modified score (range 1-6) used as an index global functional impairment.Mild moderate (frailty 2-3) associated...
Cognitive impairment, anaemia and chronic kidney disease (CKD) are associated with mortality disability in heart failure patients. We hypothesized that CKD independent predictors of cognitive impairment older patients failure.One hundred ninety community-living elderly aged at least 70 years, treated optimized therapy for stable clinical conditions, were prospectively studied. They underwent multidimensional assessment. status was assessed by the Mini Mental State Examination. defined as...
Aim of the study was to prospectively assess relation between atrial fibrillation, cognitive impairment, frailty and disability in older patients with chronic heart failure .Three hundred thirty-one ambulatory community-living aged 70 years (mean 78 ± 6; range 70-93; 43% women) stable conditions optimized therapy were enrolled seven cardiology clinics. Cognitive impairment defined by a corrected Mini Mental State Examination score less than 24. Gait speed used as marker measured on 4 m...
Left ventricular noncompaction (LVNC) is characterized by left (LV) hypertrabeculations and associated with heart failure, arrhythmias embolism. We report the case of a 67-year-old LVNC patient, under oral anticoagulation (OAC) therapy for apical thrombosis. After she discontinued OAC, thrombus involved almost whole ventricle; in few months her condition worsened, requiring hospitalization, despite heparin infusion experienced myocardial infarction (MI), caused embolic occlusion anterior...
Cognitive impairment (CI) frequently complicates Heart failure (HF) and is associated with increased mortality morbidity. Previous studies reported that nurse-lead home-based multidisciplinary program (MP) may not improve the prognosis of this high-risk group. In present study, we analysed relative effectiveness an integrated hospital-based MP in patients cognitive impairment.Consecutive (n = 173) community-living outpatients aged > 70 years (mean 77 +/- 6, 48% women) randomized to a 86) or...
Lambl’s excrescences are thin filiform mobile processes with attachment at valvular closure lines. In this case report we describe the transesophageal views of excrescences; our is meant to serve as a classic example com- monly misinterpreted lesion.
Pulmonary hypertension (PH) is a common complication of diseases affecting the left heart, mostly found in patients suffering from heart failure. Left atrial initial driver post-capillary PH. However, several mechanisms may lead subset to structural changes pulmonary vessels with development pre-capillary component. The right ventricle be frequently affected, leading ventricular failure and worse outcome. differential diagnosis PH associated disease vs arterial (PAH) challenging...
The Italian Network on Congestive Heart Failure (IN-CHF) project, later known as IN-HF Online, was launched in 1995 to provide the cardiology community with a digital tool, standardized across country, for managing outpatients heart failure (HF), that enabled creation of database clinical, educational and scientific purposes. During its almost three decades activity, this observational research program has achieved highly positive results. Indeed, fostered professional relationships among...
Intraoperative pulmonary artery (PA) bleeding is common during thoracic surgery. We investigated the efficacy of gelatin matrix-thrombin solution FloSeal (Baxter International, Deerfield, IL, USA) for control major PA bleeding.Retrospective data were collected on all intraoperative injuries open or minimally invasive lobectomy pneumonectomy between January 2000 and 2014. Patients received either 4/0 prolene sutures (Standard) solution, plus as needed (Matrix), with at least 6-month...
Cardiac magnetic resonance (CMR) imaging has progressively become part of the methods recommended in patients with heart failure. CMR represents gold standard for assessing volumes, function, biventricular kinetics and providing tissue characterization through scans without contrast medium. In failure reduced ejection fraction (HFrEF) ischemic dilated cardiomyopathy, allows to search viability, accurately estimate volumes fraction. It can assess scar extent predicting response cardiac...
Heart failure with improved ejection fraction (HFimpEF) represents a nosological entity that has recently been recognized and little evidence from the literature. Available data indicate an increasing incidence of this patient group, consistent progressive improvement implementation medical therapy heart reduced (HFrEF). Furthermore, it is important to underline itself should not be suspended after recovery, avoid recurrence worse systolic dysfunction outcomes. Only randomized clinical study...
In the setting of an acute coronary syndrome, differential diagnosis between a thrombus and myxoma may be cumbersome. We describe case patient presenting with syndrome associated aneurysmatic apical left ventricular myxoma.
A 65-year-old Caucasian male was referred to our Emergency Department complaining of sudden onset chest pain toward the neck. He had a smoking habit and medical history hypertension treated with angiotensin converting enzyme-inhibitors. His unremarkable. computed tomography promptly performed showing an aortic dissection involving both ascending aorta, arch, descending aorta (type according Stanford classification); moreover, thin sessile mass noticed extending from thrombosed wall false...