A5105458635- Cardiovascular Syncope and Autonomic Disorders
- Cardiac Arrhythmias and Treatments
- Cardiac pacing and defibrillation studies
- Heart Rate Variability and Autonomic Control
- Takotsubo Cardiomyopathy and Associated Phenomena
- Neurology and Historical Studies
- Archaeological and Historical Studies
- Archaeological and Geological Studies
- Atrial Fibrillation Management and Outcomes
- Psychosomatic Disorders and Their Treatments
- Medieval Architecture and Archaeology
- Botulinum Toxin and Related Neurological Disorders
- Middle East and Rwanda Conflicts
- Hallucinations in medical conditions
- Cardiac electrophysiology and arrhythmias
- Obstructive Sleep Apnea Research
- Neurological disorders and treatments
- Respiratory and Cough-Related Research
- Archaeology and Historical Studies
- Blood Pressure and Hypertension Studies
- Global Maritime and Colonial Histories
- Archaeology and ancient environmental studies
- Hemodynamic Monitoring and Therapy
- Electroconvulsive Therapy Studies
- Pleistocene-Era Hominins and Archaeology
Presidio Ospedaliero
2007-2024
University of Amsterdam
2014
Policlinico Casilino
2007
St. Eugenio Hospital
2007
Azienda Ospedaliera S.Maria
2006
National Archaeological Museum
1994
To develop, in patients referred for syncope to an emergency department (ED), a diagnostic score identify those likely have cardiac cause.Prospective cohort study.ED of 14 general hospitals.516 consecutive with unexplained syncope.Subjects underwent evaluation on adherence Guidelines the European Society Cardiology. The clinical features were analysed using standard 52-item form. In validation 260 predictive value symptoms/signs was evaluated, point developed and then validated 256 other...
Aims The guidelines of the European Society Cardiology (ESC) define current standard for management syncope, but are still incompletely applied in clinical setting.
We tested the hypothesis that atrioventricular (AV) junction ablation in conjunction biventricular pacing [cardiac resynchronization (CRT)] is superior to pharmacological rate-control therapy reducing heart failure (HF) and hospitalization patients with permanent atrial fibrillation (AF) narrow QRS. randomly assigned 102 (mean age 72 ± 10 years) severely symptomatic AF (>6 months), QRS (≤110 ms), at least one for HF previous year AV CRT (plus defibrillator according guidelines) or...
Systolic blood pressure (SBP) drops recorded by 24-h ambulatory (BP) monitoring (ABPM) identify patients with susceptibility to reflex syncope and orthostatic intolerance. We tested the hypothesis that treatments aimed increase BP (reassurance, education, lifestyle measures plus pharmacological strategies) can reduce SBP drops.
We correlated the finding of cardioinhibitory carotid sinus hypersensitivity (CSH) with that observed during a spontaneous syncopal relapse by means an implantable loop recorder (ILR).We included 18 consecutive patients suspected recurrent neurally mediated syncope and positive response massage (max pause 5.5 +/- 1.6 s) who had subsequent documentation ILR. They were compared 2:1 age- sex-matched group 36 clinical diagnosis negative to massage, tilt testing ATP test. Asystole >3 s was at...
In the literature, average diagnostic yield of implantable loop recorder (ILR) is reported to be 35% over an observation period generally less than 18 months. The aim this study was evaluate value ILR during very prolonged observation.Consecutive patients who had received one or more (in case battery exhaustion before diagnosis) (Reveal/plus/DX, Medtronic Inc.) from 2001 2010 were included. ECG classified according ISSUE classification. We analyzed 157 (87 males, 69 ± 14 years): 70 these...
AimsRecently, the remote transmission of data detected by implantable loop recorders (ILRs) has become available. The aim this study was to evaluate effectiveness and acceptance monitoring in clinical management syncope palpitations patients with ILR.
AimsAlthough syncope is the main reason for cardiac pacing in ∼40% of patients affected by atrioventricular block (AVB), very few data are available on benefit preventing syncopal recurrences.
According to the ACC/AHA/HRS guidelines, cardiac pacing is reasonable in patients with bifascicular block (BF-B) and syncope when other causes have been excluded. The purpose of this study was assess long-term outcome BF-B unexplained following pacing.Between 2009 2015, we identified 43 consecutive (mean age 78 ± 12 years, 64% males) who presented had received a pacemaker (PM). During mean follow-up period 31 21 months, recurred seven (16%): 7% (95% standard error [SE] 3%) at 1 year 18% SE...
We thought to evaluate feasibility of continuous non-invasive blood pressure monitoring during procedures interventional electrophysiology. evaluated finger (BP) by means the Nexfin device in 22 patients (mean age 70 ± 24 years), undergoing electrophysiology, critical situations hypotension caused tachyarrhythmias or intermittent incremental ventricular temporary pacing till maximum tolerated systolic BP fall 61 14 mmHg per patient at a rate 195 37 bpm). In all patients, was able detect...
Assessment of the vasodepressor reflex in carotid sinus syndrome is influenced by method execution massage and coexistence cardioinhibitory reflex.Carotid reproduced spontaneous symptoms 164 patients presence hypotension or bradycardia (method symptoms). When an asystolic pause was induced, reassessed after suppression means 0.02 mg/kg IV atropine. An isolated form found 32 (20%) patients, who had lowest systolic blood pressure (SBP) 65±15 mm Hg. Of these, only 21 (66%) SBP fall ≥50 Hg,...
Abstract Background and Aims Identifying the haemodynamic mechanism of autonomic syncope is essential pre-requisite for effective personalized therapy aimed at preventing recurrences. The present study assessed diagnostic efficacy a two-step assessment. Methods Multicentre prospective, cross-sectional, observational study. Patients affected by severe underwent assessment including 24-h ambulatory blood pressure monitoring short cardiovascular function (SCAFA). SCAFA consisted carotid sinus...
An implantable loop recorder (ILR) is indicated in patients with unexplained syncope after complete conventional work-up. Data from the literature imply that, clinical practice, ILR underused. The aim of study was to verify if there any discrepancy between use ILRs practice and potential indications based on most potentially appropriate guideline indications. We compared prevalence actually implanted Syncope Unit Project (SUP) one using standard given by guidelines. In SUP study, 28 (18%)...
Pollen-stratigraphic data and radiocarbon dates are presented for a full Holocene series of sediment cores obtained from high-level site in the Appennino Parmense, northern Italy. Three 'marker' horizons identified on basis changes pollen stratigraphy, extent to which they indicate episodes significant human interference local vegetation is discussed. The earliest (M1) dated around 6300 BP. From evidence, some form impact regional at this time suspected, but there no convincing...
Abstract Aims Indications, methodology, and diagnostic criteria for carotid sinus massage (CSM) tilt testing (TT) have been standardized by the 2018 Guidelines on Syncope of European Society Cardiology. Aim this study was to assess their effectiveness in a large cohort which reflects performance under ‘real-world’ conditions. Methods results We analysed all patients who had undergone CSM TT years 2003–2019 suspected reflex syncope. Carotid performed according ‘Method Symptoms’. Tilt ‘Italian...
This paper reviews the interdisciplinary projects carried out during last 25 years in eastern Liguria (NW Italy). These have brought together archaeologists, geographers, palaeobotanists and historians a series of research exercises based upon many different types evidence: archaeological excavation survey, ecological analysis existing landscapes, geoarchaeological, anthracological palynological analyses. Taken together, results this provide rich source material for developing an...
The prerequisite and the rationale for benefit of cardiac resynchronization therapy (CRT) is that it able to resynchronize left ventricular (LV) walls have a delayed activation. In 69 consecutive patients who underwent biventricular (BIV) pacemaker implantation, we assessed magnitude intraventricular achieved by means simultaneous (BIV 0) sequential BIV pacing (with an individually optimized VV interval value among +80 ms −80 ms) using pulsed-wave tissue Doppler imaging techniques in...
Left atrial ablation fails to prevent symptomatic recurrences of fibrillation (AF) in 20-30% patients up 3 years follow-up despite multiple procedures. Data are lacking on the long-term clinical outcome those for whom decision was taken renounce performing further procedures.In this multicentre study, 218 (34%) 631 consecutive patients, who had undergone AF catheter 2001-11 drug-refractory AF, after 1.5 ± 0.6 Their assessed March 2012 (minimum 1 year). At a mean 5.1 2.6 since their last...
Background Radiofrequency catheter ablation is considered to be a curative therapy for patients with atrioventricular nodal re-entrant tachycardia (AVNRT). Nevertheless, there little information available respect long-term results and the consequences of ablation. The present study aimed assess (a minimum 5 years) clinical events. Patients Methods recurrence rate AVNRT, development late block presence other arrhythmias (atrial flutter fibrillation) were assessed in 131 consecutive who...
The aim of this study was to assess long-term results after single and multiple procedures catheter ablation ventricular tachycardia (VT). While it is generally accepted that are sometimes necessary in order achieve clinical success, the literature on issue displays wide variability.We assessed outcome 160 consecutive patients who underwent 214 period 2008 May 2015: 93 had overt structural heart disease (SHD) (previous myocardial infarction 74 cases) 67 no SHD.After first procedure, 1-year...