- Cardiac pacing and defibrillation studies
- Cardiac Arrhythmias and Treatments
- Neurological disorders and treatments
- Cardiac electrophysiology and arrhythmias
- Heart Rate Variability and Autonomic Control
- Cardiac Imaging and Diagnostics
- Cardiovascular and exercise physiology
- Cardiac Structural Anomalies and Repair
- ECG Monitoring and Analysis
- Cardiovascular Syncope and Autonomic Disorders
- COVID-19 Clinical Research Studies
- Atrial Fibrillation Management and Outcomes
- Takotsubo Cardiomyopathy and Associated Phenomena
- Congenital Heart Disease Studies
- Cardiomyopathy and Myosin Studies
- Cardiovascular Effects of Exercise
- Telemedicine and Telehealth Implementation
- Diverse Musicological Studies
- Infective Endocarditis Diagnosis and Management
- Cardiac Ischemia and Reperfusion
- Wireless Body Area Networks
ASST Fatebenefratelli Sacco
2021-2025
Presidio Ospedaliero
2019-2020
Università Cattolica del Sacro Cuore
2007-2013
University of the Sacred Heart
2013
Abstract Aims In patients with prolonged atrioventricular (AV) conduction and pacemaker (PM) indication due to sinus node disease (SND) or intermittent AV-block who do not need continuous ventricular pacing (VP), it may be difficult determine which strategy adopt. Currently, the standard of care is minimize unnecessary VP by specific avoidance (VPA) algorithms. The superiority this over DDD rate-responsive (DDD/DDDR) in improving clinical outcomes controversial, probably owing prolongation...
In patients with decreased left ventricular ejection fraction (LVEF) and the need of cardiac pacing for an advanced AV block, bundle branch area (LBBAP) has emerged as effective tool to promote physiological conduction system in order prevent detrimental effects a permanent right pacing. Although coronary vein fistulas seem be rare harmless, literature is sparse about this complication. The first two cases describe occurrence fistulas; last case, we show simple method which can helpful avoid...
An enlarged right atrium (RA) is a challenging anatomy that can limit the successful use of His bundle pacing (HBP). It unknown whether new implantation tools could help overcome these challenges.Consecutive patients with RA volume index >25 mL/m2 in men and >21 women underwent permanent HBP. We used stylet-driven lead (SDL) an extendable helix delivered via dedicated delivery sheath (Selectra 3D, Biotronik) as first attempt. In case failure, second attempt was performed same but different...
This case describes the feasibility of permanent His bundle pacing (HBP) with a standard bipolar lead positioned through cephalic access without dedicated delivery sheath. The use stylet pre-shaped on an echocardiographic reference allowed successful procedure specific technical difficulties. "simplified" approach may provide some advantages respect to only commercially available system.
Hydroxychloroquine (HCQ) is a widely used drug to treat patients with coronavirus disease 19 (COVID-19). Although evidence of its efficacy and safety remains limited controversial, both cardiac non-cardiac adverse events are known be associated use. To our knowledge, electrical storm in COVID-19, or any case treated HCQ, has not been reported. We report the 78-year-old male an implantable resynchronization defibrillator (CRT-D) non-severe form COVID-19. After few days home therapy was...
Histological studies reported that the His bundle (HB) is partitioned into narrow cords by collagen running in its long axis, providing anatomical setting necessary for longitudinal dissociation. Further confirmations came from demonstration direct HB pacing normalizes QRS axis and duration subjects with proximal lesions causing branch block. However, there no evidence of possibility selective partitions destined to composition branches fascicles.We describe a case intra-Hisian left block...
The data that support the findings of this study are available on request from corresponding author. Please note: publisher is not responsible for content or functionality any supporting information supplied by authors. Any queries (other than missing content) should be directed to author article.
Abstract Background Remote control/monitoring (RC/M) of cardiac implantable electronic devices (CIEDs) is still underutilized, with a significant heterogeneity use across and within countries. Not all models are equivalent in terms effectiveness efficiency. Purpose This cost comparative study aimed to analyse different following patients CIEDs three districts (four implanting facilities) merged into the same administrative area, assess impact RC/M on expenditure, propose common practice...
Objectives: To get insight in the mechanism of exercise‐induced ST‐segment elevation (STE) patients with Q/QS waves at electrocardiogram (ECG). Methods: We performed exercise stress test 13 anterior acute myocardial infarction treated by successful primary percutaneous coronary intervention (PCI). Results: Compared to rest, an additional STE > 1 mm one or more precordial ECG leads during occurred nine (69%), absence symptoms. Conclusions: In (MI) patients, PCI and showing optimal blood...
Abstract Background The interatrial conduction time (IACT) is relevant for atrioventricular delay optimization in cardiac resynchronization therapy (CRT) devices. However, this information cannot be easily used as it requires invasive measurements. We tested whether electrical activation of left atrium (LA) could detected CRT devices with ventricular (LV) sensing and to estimate IACT. Methods presence LA on LV channel was evaluated consecutive patients implanted quadripolar leads whose...
Abstract Aims His bundle pacing (HBP) is becoming an increasing widespread approach for physiological pacing. However, successful HBP procedure could be hampered by limited implantation tools especially in challenging anatomies. We aimed to report our experience with technique using a novel stylet-driven lead system patients right atriomegaly. Methods and results Consecutive atrium (RA) volume >25 ml/m2 men >21 women who underwent permanent standard indications were enrolled...