- Atrial Fibrillation Management and Outcomes
- Cardiovascular Function and Risk Factors
- Cardiac Arrhythmias and Treatments
- Cardiac Imaging and Diagnostics
- Cardiac pacing and defibrillation studies
- Cardiac Valve Diseases and Treatments
- Cardiac Structural Anomalies and Repair
- Heart Failure Treatment and Management
- Infective Endocarditis Diagnosis and Management
- Coronary Interventions and Diagnostics
- Biomedical and Engineering Education
- Mechanical Circulatory Support Devices
- Quality and Safety in Healthcare
- Anesthesia and Neurotoxicity Research
- Cardiac Arrest and Resuscitation
- Radiation Therapy and Dosimetry
- Neurological disorders and treatments
- Antiplatelet Therapy and Cardiovascular Diseases
- Blood Pressure and Hypertension Studies
- Cardiovascular Effects of Exercise
- Cardiovascular and exercise physiology
- Acute Myocardial Infarction Research
Onze Lieve Vrouwziekenhuis Hospital
2018-2023
Damascus University
2022
University of Naples Federico II
2018-2020
Federico II University Hospital
2019-2020
Two methods are currently available for left atrial (LA) strain measurement by speckle tracking echocardiography, with two different reference timings starting the analysis: QRS (QRS-LASr) and P wave (P-LASr). The aim of MASCOT HIT study was to define which more reproducible, feasible, less time consuming. In 26 expert centers, LA analyzed echocardiographers (young vs senior) in a blinded fashion. population included: healthy subjects, patients arterial hypertension or aortic stenosis (LA...
The European Society of Cardiology (ESC) develops clinical practice guidelines for a number cardiovascular diseases including heart failure (HF) to provide evidence-based, up-to-date recommendations designed be applicable in daily practice.1, 2 These serve as vital tool healthcare professionals, offering guidance on patient management based clinically reviewed contemporary evidence. However, observational studies highlight gap and geographic variations the implementation guideline...
Fractional flow reserve (FFR) has never been investigated in patients with reduced ejection fraction and associated coronary artery disease (CAD). We evaluated the impact of FFR on management strategies these related outcomes.From 2002 to 2010, all consecutive left ventricular (LVEF) ≤50% undergoing angiography ≥1 intermediate stenosis [diameter (DS)% 50-70%] treated based (Angiography-guided group) or according (FFR-guided were screened for inclusion. In FFR-guided group, 433 matched 866...
Our objective was to describe the long-term effects of endoscopic mitral valve (MV) repair on outcome in patients with heart failure preserved ejection fraction (HFpEF) and atrial functional regurgitation (AFMR). In HFpEF, even mild AFMR has been associated poor outcome. The study population consisted consecutive HFpEF (left ventricular (LVEF) ≥ 50%, H2FPEF score 5) AFMR, who underwent isolated, minimally invasive MV (MVRepair group) (n = 131) or remained standard care (StanCare 139)....
we sought to test the inter-center reproducibility of 16 echo laboratories involved in EACVI-Afib Echo Europe.This was done on a dedicated setting 10 patients with sinus rhythm (SR) and persistent atrial fibrillation (AF), collected by Principal Investigator. Images loops echo-exams were stored made available for labs. The tested measurements included main echo-Doppler parameters, global longitudinal strain (GLS) peak (PALS).Single measures interclass correlation coefficients (ICCs) left...
specialist ACHD centre.As soon as all requirements are fulfilled, the training should be concluded with a formal exam, that ideally organized and performed jointly by national societies of cardiology paediatric cardiology.Whereas variation between units countries significant in delivery interventional organization programs, it is primary importance to further develop high standards care this growing patient population.As European speciality vertical model unique provide high-quality...
Lower socio-economic status may delay and even prevent the application of guideline-directed heart failure (HF) therapy for most patients. This study aims to evaluate feasibility possible difficulties facing this treatment during current Syrian conflict.A questionnaire on HF management recommended was addressed physicians practising cardiology in Syria. The consisted 30 questions focused quality awareness drug device among A total 228 participated survey. Awareness medical very high...
The greatest challenge in our opinion', continued Prof. Sabatier, 'is to overcome psychological barriers and medico-legal aspects.For example, as is already done some countries, arterial catheterization could rely on nurse skills coronary angiograms be performed by noninterventional cardiologists.A multidisciplinary team approach will the goal for success of such organization'.The next step move toward Europe's first-in-man remote study completion R-EVOLUTION study.The world's firstin-man...
Abstract Background Atrial structural and functional changes may develop as a result of catheter ablation (CA) in patients with paroxysmal persistent atrial fibrillation (AF). However, the relation between AF recurrence performance following CA is still under debate. Our aim to describe long-term effects on LA remodeling its correlates maintenance sinus rhythm (SR). Methods We prospectively enrolled 178 consecutive (age: 63±9 years, 35% females) undergoing first-CA (67%) or redo-CA (22%), 20...
Abstract Background Diagnosis of heart failure with preserved ejection fraction (HFpEF) in patients dyspnea and paroxysmal atrial fibrillation (AF) is challenging. Speckle tracking-derived left strain (LAS) provides an accurate estimate ventricular filling pressures phasic function. However, data on clinical utility LAS AF are scarce. Objective To assess relationship between probability HFpEF AF. Methods The study included 205 consecutive (62±10 years, 58% males) limiting (NYHA ≥ II), LVEF...
Introduction: Patients (pts) with paroxysmal atrial fibrillation are at risk for developing heart failure preserved ejection fraction(HFpEF) and often have an impaired exercise capacity. Since left (LA) pressure plays a major role in the intolerance, we aimed to characterize contribution of resting LA mechanical properties, assessed by two-dimensional speckle tracking echocardiography upon
Abstract Funding Acknowledgements Type of funding sources: None. Background The early AF treatment by radio-frequency catheter ablation is very important for improving clinical outcome in patients with history atrial fibrillation (AF) and heart failure preserved ejection fraction (HFpEF). Left (LA) strain showed to be a useful index monitor function HFpEF states. However, the accuracy LA predict long-term maintenance sinus rhythm (SR) paroxysmal undergoing still under debate. Aims To define...
Abstract Funding Acknowledgements Type of funding sources: None. Background Exercise capacity and ventilatory efficiency are often impaired in heart failure patients with preserved ejection fraction (HFpEF). Since left atrial (LA) pressure, particularly during exercise plays a major role the intolerance observed these patients, we aimed to characterize contribution resting LA mechanical properties, assessed by two-dimensional speckle tracking echocardiography upon capacity. Objective To...
Abstract Introduction Patients (pts) with paroxysmal atrial fibrillation are at risk for developing heart failure preserved ejection fraction (HFpEF) and often have an impaired exercise capacity. Since left (LA) pressure plays a major role in the intolerance, we aimed to characterize contribution of resting LA mechanical properties, assessed by two dimensional speckle tracking echocardiography upon Purpose To evaluate relationship between mechanics, measured strain (LAS) parameters capacity...
Abstract Background The early AF treatment by radio-frequency catheter ablation (CA) is very important for improving clinical outcome in patients with history of atrial fibrillation (AF) and heart failure preserved ejection fraction (HFpEF). Left (LA) strain showed to be a useful index monitor function HFpEF states. However, the accuracy LA predict long-term maintenance sinus rhythm (SR) paroxysmal undergoing CA still under debate. Aims To define best echocardiography derived parameters SR...
Echocardiography arrhythmias / others 1371In Echocardiographic data, LA volume was no significantly change in both groups, but LA-EF of 6-month after cryoballoon ablation improved comparison with RF ablation.LA-Sa 1 month lower than before.LA-Sa after. Conclusions:The elevation CK level might be reflected early damage atrial muscle and the increasing HANP secretion could influenced recovery process left atrium.
Abstract Background Both atrial fibrillation (AF) and catheter ablation (CA) may be associated with changes in left (LA) structure function. However, the data describing acute short-term effects of CA on LA contractile function different sub-types AF are scarce. Purpose First, to describe patterns structural functional remodeling patients paroxysmal (PAF) or long-standing persistent (LSPAF) undergoing first redo CA. Second, assess clinical feasibility strain rate (SR) monitor effect Methods...
Abstract Background Hypertension and metabolic risk factors are associated with increased of atrial fibrillation (AF) heart failure. Previous studies assessing the efficacy catheter ablation in patients syndrome have shown conflicting data. Purpose We thought to assess impact hypertension other on left (LA) phasic function paroxysmal AF undergoing first ablation. Methods prospectively enrolled 112 consecutive (age: 63±21 years; 32% female) symptomatic preserved ventricular ejection fraction...