Giornale italiano di cardiologia最新文献

[Diagnostic-therapeutic care pathways for patients with cardiac amyloidosis - SIC/ANMCO Consensus document. Edited by the Italian Cardiac Amyloidosis Network (RIAC)]. [心脏淀粉样变性患者的诊断治疗路径 - SIC/ANMCO 共识文件。由意大利心脏淀粉样变性网络（RIAC）编辑]。

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Giornale italiano di cardiologia Pub Date : 2024-12-01 DOI: 10.1714/4372.43703

Aldostefano Porcari, Cristina Chimenti, Marco Merlo, Francesco Musca, Giuseppe Vergaro, Massimo Iacoviello, Alberto Aimo, Andrea Di Lenarda, Marco Canepa, Francesco Cappelli, Alberto Cipriani, Gianluca Di Bella, Cinzia Forleo, Massimo Imazio, Giuseppe Limongelli, Simone Longhi, Beatrice Musumeci, Laura Obici, Federico Perfetto, Stefano Perlini, Matteo Serenelli, Daniela Tomasoni, Fabio Vagnarelli, Giampaolo Merlini, Giovanni Palladini, Marco Metra, Furio Colivicchi, Ciro Indolfi, Massimo Grimaldi, Pasquale Perrone Filardi, Michele Emdin, Gianfranco Sinagra, Fabrizio Oliva

{"title":"[Diagnostic-therapeutic care pathways for patients with cardiac amyloidosis - SIC/ANMCO Consensus document. Edited by the Italian Cardiac Amyloidosis Network (RIAC)].","authors":"Aldostefano Porcari, Cristina Chimenti, Marco Merlo, Francesco Musca, Giuseppe Vergaro, Massimo Iacoviello, Alberto Aimo, Andrea Di Lenarda, Marco Canepa, Francesco Cappelli, Alberto Cipriani, Gianluca Di Bella, Cinzia Forleo, Massimo Imazio, Giuseppe Limongelli, Simone Longhi, Beatrice Musumeci, Laura Obici, Federico Perfetto, Stefano Perlini, Matteo Serenelli, Daniela Tomasoni, Fabio Vagnarelli, Giampaolo Merlini, Giovanni Palladini, Marco Metra, Furio Colivicchi, Ciro Indolfi, Massimo Grimaldi, Pasquale Perrone Filardi, Michele Emdin, Gianfranco Sinagra, Fabrizio Oliva","doi":"10.1714/4372.43703","DOIUrl":"10.1714/4372.43703","url":null,"abstract":"The perspective on cardiac amyloidosis has deeply changed over the last 10 years following major advances in diagnosis and treatment options. This heterogeneous disease requires the interaction among experts of different specialties and subspecialties. Suspicion of disease, timely recognition and confirmation of final diagnosis, prognostic stratification, overall management and therapeutic strategies represent ongoing challenges in the clinical setting. Missing or delayed diagnosis may have significant impact on patient outcome, especially in light-chain amyloidosis. The present inter-society consensus document aims to provide a standardized approach to the diagnosis of cardiac amyloidosis in Italy, and to discuss the challenging clinical scenarios encountered in routine activity for cardiologists and physicians of different specialties dealing with patients with suspected or established cardiac amyloidosis. This document may be adapted to the setting of each specific region.","PeriodicalId":12510,"journal":{"name":"Giornale italiano di cardiologia","volume":"25 12","pages":"900-920"},"PeriodicalIF":0.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142715902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[2024 ESC Guidelines for the management of chronic coronary syndromes].

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Giornale italiano di cardiologia Pub Date : 2024-12-01 DOI: 10.1714/4375.43725

Christiaan Vrints, Felicita Andreotti, Konstantinos C Koskinas, Xavier Rossello, Marianna Adamo, James Ainslie, Adrian Paul Banning, Andrzej Budaj, Ronny R Buechel, Giovanni Alfonso Chiariello, Alaide Chieffo, Ruxandra Maria Christodorescu, Christi Deaton, Torsten Doenst, Hywel W Jones, Vijay Kunadian, Julinda Mehilli, Milan Milojevic, Jan J Piek, Francesca Pugliese, Andrea Rubboli, Anne Grete Semb, Roxy Senior, Jurrien M Ten Berg, Eric Van Belle, Emeline M Van Craenenbroeck, Rafael Vidal-Perez, Simon Winther

引用次数: 0

[Intermediate-high risk pulmonary embolism: time matters. The case of a young breastfeeding woman]. [中高危肺栓塞：时间很重要。一名年轻哺乳期妇女的病例]。

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Giornale italiano di cardiologia Pub Date : 2024-12-01 DOI: 10.1714/4372.43701

Marco Giovanni Mennuni, Leonardo Grisafi, Martina Solli, Domenico D'Amario, Francesco De Crescenzo, Vincenzo Galiffa, Roberta Rosso, Giuseppe Patti

引用次数: 0

[Left atrial appendage closure guided with intracardiac echocardiographic probe via transesophageal route]. [经食道途径使用心内超声心动图探头引导左房阑尾闭合术]。

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Giornale italiano di cardiologia Pub Date : 2024-11-01 DOI: 10.1714/4371.43685

Giorgio Sacchetta, Giulia Laterra, Giombattista Barrano, Claudia Artale, Marco Contarini

{"title":"[Left atrial appendage closure guided with intracardiac echocardiographic probe via transesophageal route].","authors":"Giorgio Sacchetta, Giulia Laterra, Giombattista Barrano, Claudia Artale, Marco Contarini","doi":"10.1714/4371.43685","DOIUrl":"10.1714/4371.43685","url":null,"abstract":"Atrial fibrillation is the most common cardiac arrhythmia in adults and increases the risk of stroke 5-fold. In patients with non-valvular atrial fibrillation, left atrial appendage is the most common site for cardiac thrombus. For this reason, left atrial appendage closure (LAAC) represents an effective alternative to oral anticoagulants in patients who have relative or absolute contraindications to oral anticoagulation. Transesophageal echocardiography (TEE) is considered the gold standard imaging modality to guide LAAC. However, general anesthesia and tracheal intubation are often required with the TEE approach, increasing risks in elderly patients. There is an unmet need to overcome these limitations identifying an ideal \"minimalist approach\" to guide LAAC. Intracardiac echocardiography (ICE) represents a minimalist approach but it suffers from the lack of standardization and it may result in an suboptimal image quality compared with TEE. Another innovative approach is represented by the use of ICE via the transesophageal route (ICE-TEE), which has been already validated to identify the presence of left atrial appendage thrombi and to perform other procedures. In this paper, we suggest that ICE-TEE could be a good alternative imaging technique to guide the LAAC procedure without general anesthesia. A trial is ongoing to demonstrate its safety and effectiveness as ultrasound modality to guide LAAC.","PeriodicalId":12510,"journal":{"name":"Giornale italiano di cardiologia","volume":"25 11","pages":"29S-33S"},"PeriodicalIF":0.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142715738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[ST-elevation myocardial infarction caused by stent fracture: a case report]. [支架断裂导致 ST 段抬高型心肌梗死：病例报告]。

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Giornale italiano di cardiologia Pub Date : 2024-11-01 DOI: 10.1714/4371.43687

Marta Mazzotta, Roberta Rosati, Ferdinando Cosentini, Valentina Regazzoni, Paolo Pedroni, Alfredo Spotti, Marco Loffi, Gian Battista Danzi

引用次数: 0

[The ETNA-AF Europe registry: 4-year data of edoxaban use in atrial fibrillation in the Italian real world compared to the European cohort]. [欧洲 ETNA-AF 登记：意大利心房颤动患者使用埃多沙班的 4 年数据与欧洲队列对比]。

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Giornale italiano di cardiologia Pub Date : 2024-11-01 DOI: 10.1714/0000.43289

Letizia Riva, Giuseppe Andò, Maurizio Anselmi, Roberto Cemin, Daniele Nassiacos, Giovanni Fionda, Raffaele De Caterina

{"title":"[The ETNA-AF Europe registry: 4-year data of edoxaban use in atrial fibrillation in the Italian real world compared to the European cohort].","authors":"Letizia Riva, Giuseppe Andò, Maurizio Anselmi, Roberto Cemin, Daniele Nassiacos, Giovanni Fionda, Raffaele De Caterina","doi":"10.1714/0000.43289","DOIUrl":"10.1714/0000.43289","url":null,"abstract":"Background: The prospective, single-arm, observational, phase 4 ETNA-AF Europe study collected real-world data about safety, effectiveness and therapeutic adherence in European patients with non-valvular atrial fibrillation newly prescribed with edoxaban and followed up for 4 years.Methods: Overall, 13 164 patients were included in the full-analysis set, which means that they had at least one documentation after baseline at 4 years. The current paper reports about the 3329 Italian patients out of the whole European population.Results: In the Italian cohort, median age was 76.0 (69.0-82.0) years, with 57.4% of the patients being ≥75 years old. The CHA2DS2-VASc score was >4 in 586 (18.1%) patients. At baseline, 670 (20.8%) patients were classified as frail by the investigators. Edoxaban 30 mg/day was prescribed to 1013 (31.8%) patients: these were older, with more comorbidities and a lower estimated creatinine clearance compared with those receiving 60 mg/day. All-cause mortality was 4.1%/year and there were very low yearly rates of bleeding and thromboembolic events: major bleeding, 0.9%; intracranial hemorrhage, 0.2%; ischemic stroke, 0.3%; systemic embolism, <0.1%. These events were more frequent in patients ≥75 years or in patients with renal impairment or treated with edoxaban 30 mg/day. Advancing age was not associated with an increased incidence of intracranial bleeding.Conclusions: These findings confirm the favorable long-term safety and effectiveness profile of edoxaban in non-valvular atrial fibrillation patients treated in routine clinical care in Italy.","PeriodicalId":12510,"journal":{"name":"Giornale italiano di cardiologia","volume":"25 11","pages":"819-832"},"PeriodicalIF":0.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142498438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[2024 ESC Guidelines for the management of elevated blood pressure and hypertension]. [2024年ESC血压升高和高血压管理指南]。

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Giornale italiano di cardiologia Pub Date : 2024-11-01 DOI: 10.1714/4361.43518

John William McEvoy, Cian P McCarthy, Rosa Maria Bruno, Sofie Brouwers, Michelle D Canavan, Claudio Ceconi, Ruxandra Maria Christodorescu, Stella S Daskalopoulou, Charles J Ferro, Eva Gerdts, Henner Hanssen, Julie Harris, Lucas Lauder, Richard J McManus, Gerard J Molloy, Kazem Rahimi, Vera Regitz-Zagrosek, Gian Paolo Rossi, Else Charlotte Sandset, Bart Scheenaerts, Jan A Staessen, Izabella Uchmanowicz, Maurizio Volterrani, Rhian M Touyz

引用次数: 0

[Anomalous origin of left circumflex artery from the right sinus of Valsalva and left anterior descending artery with double intramyocardial tract: a rare case of angina]. [左侧环状动脉异常起源于右侧瓦尔萨尔瓦窦和左前降支动脉，伴有双心内膜束：一例罕见的心绞痛病例]。

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Giornale italiano di cardiologia Pub Date : 2024-11-01 DOI: 10.1714/4371.43688

Gerardo Musuraca, Cristiana Giovanelli, Clotilde Terraneo, Carlo Angheben, Nicola Osti, Emiliano Boldi, Nicola Martinelli

引用次数: 0

[Towards a standardized and minimalist future in interventional cardiology]. [实现介入心脏病学标准化和简约化的未来]。

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Giornale italiano di cardiologia Pub Date : 2024-11-01 DOI: 10.1714/4371.43682

Giulio Stefanini, Mauro Gitto

引用次数: 0

[The modified hugging balloon technique]. [改良拥抱气球技术]。

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Giornale italiano di cardiologia Pub Date : 2024-11-01 DOI: 10.1714/4371.43686

Claudio Moretti, Riccardo Mangione, Giacomo Giovanni Boccuzzi, Mario Iannaccone

{"title":"[The modified hugging balloon technique].","authors":"Claudio Moretti, Riccardo Mangione, Giacomo Giovanni Boccuzzi, Mario Iannaccone","doi":"10.1714/4371.43686","DOIUrl":"10.1714/4371.43686","url":null,"abstract":"Percutaneous coronary intervention has revolutionized the management of coronary artery disease, yet in-stent restenosis (ISR) remains a clinical challenge, especially when complicated by calcification. Various techniques are available for the modification of calcified ISR, including super-high-pressure balloon dilation, in-stent rotational atherectomy, excimer laser coronary atherectomy and intravascular lithotripsy (IVL). This case report presents a challenging scenario of very late calcified ISR in a large coronary artery, highlighting diagnostic and interventional considerations. A patient with a history of multiple cardiovascular risk factors presented with infero-lateral ST-elevation myocardial infarction. Coronary angiography revealed severe very late ISR in the distal right coronary artery. Despite initial interventions, severe stent under-expansion persisted due to extensive calcification. The operator employed shockwave lithotripsy alongside a non-compliant balloon to achieve the vessel diameter and an optimal stent expansion. While the evidence for some interventions is limited, case series and registries suggest promising outcomes with IVL, particularly in refractory cases. Our proposed approach addresses the limitations posed by vessel diameter, demonstrating potential efficacy in this challenging case. This case report emphasizes the need for tailored therapeutic strategies and the integration of innovative techniques in managing calcified ISR, with IVL emerging as a promising option in selected cases.","PeriodicalId":12510,"journal":{"name":"Giornale italiano di cardiologia","volume":"25 11","pages":"34S-36S"},"PeriodicalIF":0.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142715796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0