- Cardiac Arrhythmias and Treatments
- Cardiac pacing and defibrillation studies
- Atrial Fibrillation Management and Outcomes
- Cardiac electrophysiology and arrhythmias
- Central Venous Catheters and Hemodialysis
- Cardiovascular Function and Risk Factors
- Cardiovascular Effects of Exercise
- Vascular Procedures and Complications
- Advanced MRI Techniques and Applications
- Cardiomyopathy and Myosin Studies
- Telemedicine and Telehealth Implementation
- Cardiovascular Syncope and Autonomic Disorders
- Sympathectomy and Hyperhidrosis Treatments
- Hemodynamic Monitoring and Therapy
- Cardiac Imaging and Diagnostics
- ECG Monitoring and Analysis
- Healthcare Technology and Patient Monitoring
- Growth Hormone and Insulin-like Growth Factors
- Ultrasonics and Acoustic Wave Propagation
- Cardiac tumors and thrombi
- Mechanical Circulatory Support Devices
- Cardiovascular Disease and Adiposity
- Parathyroid Disorders and Treatments
- Italy: Economic History and Contemporary Issues
- Innovation Policy and R&D
Ospedale Misericordia - Grosseto
2014-2024
Azienda Ospedaliera Universitaria Pisana
2019
AimsPrevalence of left appendage thrombosis ranges from 6 to 18% in persistent atrial fibrillation (AF). Few and low sample size studies have assessed right flutter (AFL) a wide variety frequencies, 1 21%, has been reported. The aim this study was evaluate the prevalence large population patients undergoing transoesophageal echocardiography (TEE)-guided cardioversion (CV) for recent AFL onset compare it with AF.
Based upon the results of a previous small pilot study, we present prospective single-center randomized study comparing performance implantable loop recorder (ILR) at two implanting sites.A group patients whose ILRs were implanted via left axillary approach compared with who received an ILR in traditional site chest. Follow-up (FU) was scheduled every 6 months or when symptoms occurred. All enrolled had complete FU from implantation to explantation. R- and P-wave amplitudes measured during...
During the SARS-CoV-2 COVID-19 pandemic, global health system needed to review important processes involved in daily routines such as outpatient activities within hospital, including follow-up visits of implantable cardiac electronic devices (CIEDs) carried out office. The aim this study is describe our 3.5 years real-world experience a full remote CIED follow-up, evaluate success rate transmissions, and verify adopted organizational model.
Background: We compared the clinical course of 10 patients who received an implantable loop recorder (ILR) at a traditional site with 11 whose ILRs were implanted via subpectoral left axillary approach without complications. Methods and Results: R-wave amplitude was determined implantation during follow-up. Each patient followed after 7 days to optimize device setting then 1 3 months. The obtained new technique significantly higher more stable than that standard procedure. Our preliminary...
Background There are no international guidelines indicating how long a patient should stay strictly in bed after pacemaker implantation. In the present study, we tested new protocol concerning mobilization of patients 3 h receiving single or dual-chamber pacemaker. Methods Consecutive who underwent implantation were randomized to 24 immobilization protocol. Only bipolar passive fixation leads computed. After implant, an elastic bandage was put on homolateral shoulder all for h. A complete...
Thoracic impedance (TI) drops measured by implantable cardioverter-defibrillators (ICDs) have been reported to correlate with ventricular tachycardia/fibrillation (VT/VF). The aim of our study was assess the temporal association decreasing TI trends VT/VF episodes through a longitudinal analysis daily remote monitoring data from ICDs and cardiac resynchronization therapy defibrillators (CRT-Ds).Retrospective 2384 patients were randomized 1:1 into derivation or validation cohort. decrease...
A 62-year-old man admitted for presyncope presented two symptomatic sustained ventricular tachycardia with right bundle branch morphology and inferior axis suggesting a pathology of the left lateral wall, site where Cardiac Magnetic Resonance demonstrated thinned, hypokinetic segment fibro-fatty subepicardial infiltration. very localized Left Dominant Arrhythmogenic Cardiomyopathy was diagnosed an ICD implanted.
There are conflicting data on the benefit of cardiac resynchronization therapy (CRT) in heart failure (HF) patients with permanent atrial fibrillation (AF). We aimed to compare patient outcomes according presence or absence AF at device implantation.We retrospectively analysed remote monitoring from 1141 CRT defibrillators. Propensity score inverse-probability weighting method was used balance and sinus rhythm (SR) groups. Analysis endpoints included total mortality, appropriate...
The historical restriction of magnetic resonance imaging (MRI) for patients with cardiac implantable electronic devices (CIEDs) has been lifted by certified MRI-conditional systems in recent years. Mixed-brand CIED consisting a generator from one manufacturer and at least lead another are not MRI. We evaluated the temporal trend prevalence mixed-brand era systems. Data were analyzed on 5853 CIEDs implanted de novo between 2012 2022 81 Italian centers linked to nationwide Home Monitoring...
Purpose: Paravalvular leak (PVL) is not an uncommon complication of valve surgery.PVL severity, size, shape and morphology are important factors in determining subsequent clinical presentation the severity heart failure.Symptoms may be due to hemolytic anemia as a result hemolysis.RT-3D TEE superior over 2D it provides additional information about complex 3D anatomy.Methods: The study was comprised 108 patients with severe mitral PVLs.The PVLs were visualized using two dimensional...
cavo-tricuspidal isthmus (CTI) block assessment using right ventricular (RV) pacing in pts with ventriculo-atrial conduction. submitted to CTI ablation for typical atrial flutter were studied a quadruple catheter RV, decapolar the coronary sinus (CS), an eicosapolar around tricuspidal annulus and 8 mm ablator. Circumannular activation (CA) was analysed during CS RV spontaneous rhythm or cardioverted ablation. Pts without conduction excluded. The linear lesion performed pacing, looking at...