Maria Vittoria Matassini, Paolo Manca, Raul Limonta, Marco Marini, Francesco Orso, Samuela Carigi, Concetta Di Nora, Luisa De Gennaro, Maria Denitza Tinti, Matteo Bianco, Vittoria Rizzello, Vittorio Palmieri, Renata De Maria, Attilio Iacovoni, Furio Colivicchi, Massimo Grimaldi, Fabrizio Oliva, Mauro Gori
{"title":"[Worsening heart failure: definition, management and treatment].","authors":"Maria Vittoria Matassini, Paolo Manca, Raul Limonta, Marco Marini, Francesco Orso, Samuela Carigi, Concetta Di Nora, Luisa De Gennaro, Maria Denitza Tinti, Matteo Bianco, Vittoria Rizzello, Vittorio Palmieri, Renata De Maria, Attilio Iacovoni, Furio Colivicchi, Massimo Grimaldi, Fabrizio Oliva, Mauro Gori","doi":"10.1714/4454.44486","DOIUrl":"10.1714/4454.44486","url":null,"abstract":"<p><p>Heart failure (HF) is a clinical syndrome with high morbidity and mortality, characterized by periods of relative clinical stability and exacerbations of HF, known as worsening heart failure (WHF). WHF is currently defined as a deterioration of HF signs and symptoms, necessitating an intensification of medical therapy, often identified by an increase in diuretic therapy. Episodes of WHF, whether they result in patient hospitalization or outpatient management, suggest clinical progression of HF with significant worsening of the prognosis. Although the prognostic impact of WHF is well documented in the literature, its current definition has limitations, and its management remains suboptimal and non-standardized, particularly in outpatient settings. Additionally, early detection of WHF episodes, preventing possible patient hospitalization, is crucial for improving prognosis and is still underemphasized in major HF clinical trials. This review aims to report the prevalence of WHF and the limitations of its current definition, and to provide suggestions for the appropriate management of WHF episodes, with a special focus on early and outpatient recognition.</p>","PeriodicalId":12510,"journal":{"name":"Giornale italiano di cardiologia","volume":"26 3","pages":"173-184"},"PeriodicalIF":0.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143491634","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}
{"title":"In questo numero.","authors":"","doi":"10.1714/4418.44135","DOIUrl":"https://doi.org/10.1714/4418.44135","url":null,"abstract":"","PeriodicalId":12510,"journal":{"name":"Giornale italiano di cardiologia","volume":"26 2","pages":"0"},"PeriodicalIF":0.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143079254","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}
Isabelle C. Van Gelder, Michiel Rienstra, Karina V. Bunting, Ruben Casado-Arroyo, Valeria Caso, Harry J.G.M. Crijns, Tom J.R. De Potter, Jeremy Dwight, Luigina Guasti, Thorsten Hanke, Tiny Jaarsma, Maddalena Lettino, Maja-Lisa Løchen, R. Thomas Lumbers, Bart Maesen, Inge Mølgaard, Giuseppe M.C. Rosano, Prashanthan Sanders, Renate B. Schnabel, Piotr Suwalski, Emma Svennberg, Juan Tamargo, Otilia Tica, Vassil Traykov, Stylianos Tzeis, Dipak Kotecha
{"title":"[2024 ESC Guidelines for the management of atrial fibrillation].","authors":"Isabelle C. Van Gelder, Michiel Rienstra, Karina V. Bunting, Ruben Casado-Arroyo, Valeria Caso, Harry J.G.M. Crijns, Tom J.R. De Potter, Jeremy Dwight, Luigina Guasti, Thorsten Hanke, Tiny Jaarsma, Maddalena Lettino, Maja-Lisa Løchen, R. Thomas Lumbers, Bart Maesen, Inge Mølgaard, Giuseppe M.C. Rosano, Prashanthan Sanders, Renate B. Schnabel, Piotr Suwalski, Emma Svennberg, Juan Tamargo, Otilia Tica, Vassil Traykov, Stylianos Tzeis, Dipak Kotecha","doi":"10.1714/4419.44150","DOIUrl":"10.1714/4419.44150","url":null,"abstract":"","PeriodicalId":12510,"journal":{"name":"Giornale italiano di cardiologia","volume":"26 2","pages":"e1-e104"},"PeriodicalIF":0.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143079118","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}
Pasquale Guarini, Francesco Saia, Carlo Tedeschi, Alessandra Scatteia, Edoardo Conte, Giancarlo Casolo, Salvatore De Rosa, Dario Catapano, Raffaele Piccolo, Daniela Trabattoni, Giuseppe Russo, Santo Dellegrottaglie, Mattia Silvestre, Francesco Varchetta, Tiziana Attisano, Claudio Bilato, Francesco Caiazza, Pasquale Campana, Furio Colivicchi, Leonardo De Luca, Francesco De Stefano, Giovanna Geraci, Salvatore Giordano, Massimo Grimaldi, Alfredo Marchese, Alberto Menozzi, Massimo Milli, Carmine Musto, Alessandro Navazio, Roberto Franco Enrico Pedretti, Simona Pierini, Andrea Tuccillo, Damiano Regazzoli, Angelo Silverio, Giovanni Esposito, Laura Adelaide Dalla Vecchia, Fabrizio Oliva
{"title":"[ANMCO/GISE/SICOA Consensus document: Role of coronary computed tomography angiography in chronic coronary syndromes].","authors":"Pasquale Guarini, Francesco Saia, Carlo Tedeschi, Alessandra Scatteia, Edoardo Conte, Giancarlo Casolo, Salvatore De Rosa, Dario Catapano, Raffaele Piccolo, Daniela Trabattoni, Giuseppe Russo, Santo Dellegrottaglie, Mattia Silvestre, Francesco Varchetta, Tiziana Attisano, Claudio Bilato, Francesco Caiazza, Pasquale Campana, Furio Colivicchi, Leonardo De Luca, Francesco De Stefano, Giovanna Geraci, Salvatore Giordano, Massimo Grimaldi, Alfredo Marchese, Alberto Menozzi, Massimo Milli, Carmine Musto, Alessandro Navazio, Roberto Franco Enrico Pedretti, Simona Pierini, Andrea Tuccillo, Damiano Regazzoli, Angelo Silverio, Giovanni Esposito, Laura Adelaide Dalla Vecchia, Fabrizio Oliva","doi":"10.1714/4418.44145","DOIUrl":"10.1714/4418.44145","url":null,"abstract":"<p><p>Chronic coronary syndromes (CCS) are the most common clinical manifestation of coronary atherosclerosis. Coronary computed tomography angiography (CCTA) is a recent innovation in non-invasive cardiac imaging. It is the only anatomical imaging method that allows direct visualization of the coronary lumen, vessel walls, and atherosclerotic plaques, offering high sensitivity and a strong negative predictive value. CCTA is particularly useful in identifying or ruling out coronary atherosclerosis in the context of CCS and serves as an excellent filter for invasive coronary angiography. Compared to other non-invasive functional imaging tests (stress echocardiography, single photon emission computed tomography, magnetic resonance imaging, positron emission tomography), CCTA provides detailed characterization of both obstructive and non-obstructive plaques, enabling accurate risk stratification and guiding therapy. Recent advances in computed tomography technology and imaging techniques further extend the use of CCTA beyond plaque and stenosis evaluation, offering also functional lesion information. This consensus document aims to detail the technical aspects of CCTA and illustrate its role in optimizing CCS diagnostic and therapeutic management, enhancing precision medicine and personalized patient care.</p>","PeriodicalId":12510,"journal":{"name":"Giornale italiano di cardiologia","volume":"26 2","pages":"133-144"},"PeriodicalIF":0.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143079120","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}
Serafina Valente, Paolo Trambaiolo, Gianni Casella, Alice Sacco, Carlotta Sorini Dini, Andrea Farina, Leonardo De Luca, Giovanna Geraci, Emanuele Tizzani, Maddalena Lettino, Fortunato Scotto di Uccio, Roberta Rossini, Gaetano Maria De Ferrari, Alberto Genovesi Ebert, Marco Marini, Rita Camporotondo, Michela Barisone, Claudio Bilato, Marco Corda, Massimo Di Marco, Attilio Iacovoni, Massimo Milli, Alessandro Navazio, Vittorio Pascale, Carmine Riccio, Pietro Scicchitano, Michele Massimo Gulizia, Federico Nardi, Domenico Gabrielli, Furio Colivicchi, Massimo Grimaldi, Fabrizio Oliva
{"title":"[ANMCO Position paper: Functional reorganization of cardiac intensive care units (CICUs) in Italy].","authors":"Serafina Valente, Paolo Trambaiolo, Gianni Casella, Alice Sacco, Carlotta Sorini Dini, Andrea Farina, Leonardo De Luca, Giovanna Geraci, Emanuele Tizzani, Maddalena Lettino, Fortunato Scotto di Uccio, Roberta Rossini, Gaetano Maria De Ferrari, Alberto Genovesi Ebert, Marco Marini, Rita Camporotondo, Michela Barisone, Claudio Bilato, Marco Corda, Massimo Di Marco, Attilio Iacovoni, Massimo Milli, Alessandro Navazio, Vittorio Pascale, Carmine Riccio, Pietro Scicchitano, Michele Massimo Gulizia, Federico Nardi, Domenico Gabrielli, Furio Colivicchi, Massimo Grimaldi, Fabrizio Oliva","doi":"10.1714/4418.44144","DOIUrl":"https://doi.org/10.1714/4418.44144","url":null,"abstract":"<p><p>Recently, cardiac intensive care units (CICUs) have undergone a significant transformation related to the evolution in management of acute coronary syndrome and influenced by other factors such as the epidemiological transition, the increasing complexity of clinical cases, the technological advancement, and the growth of clinical and scientific expertise of cardiologists. In the context of this evolution, a functional reorganization of CICUs in Italy has to be implemented in order to meet the changing needs of the population with cardiovascular disease requiring critical care. Therefore, the Italian Association of Hospital Cardiologists (ANMCO) proposes this position paper for the reorganization of CICUs into three levels with increasing functional complexity, based on the hospital characteristics, the available technology, and clinical cases treated. The system would be functionally integrated into a regional CICU organization modeled on a time-dependent care network. This proposed network aims to standardize diagnostic and therapeutic protocols and establish unified data collection registries to facilitate self-assessment and support clinical research. The document delineates specific requirements for each CICU level, including the management of clinical cases, the expertise of intensive care cardiologists, the technological facilities, and the medical and nursing staff needed to ensure optimal care delivery.</p>","PeriodicalId":12510,"journal":{"name":"Giornale italiano di cardiologia","volume":"26 2","pages":"123-132"},"PeriodicalIF":0.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143079119","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}
{"title":"[RESHAPE-HF2: new evidence and clinical implications].","authors":"Elisa Pezzola, Marianna Adamo, Marco Metra","doi":"10.1714/4418.44136","DOIUrl":"https://doi.org/10.1714/4418.44136","url":null,"abstract":"","PeriodicalId":12510,"journal":{"name":"Giornale italiano di cardiologia","volume":"26 2","pages":"77-79"},"PeriodicalIF":0.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143079096","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}
Pier Luigi Temporelli, Giuseppe Di Pasquale, Raffaele De Caterina
{"title":"[Is there still a role today for ECG stress testing in ischemic heart disease? Beyond ST-segment depression].","authors":"Pier Luigi Temporelli, Giuseppe Di Pasquale, Raffaele De Caterina","doi":"10.1714/4418.44139","DOIUrl":"https://doi.org/10.1714/4418.44139","url":null,"abstract":"","PeriodicalId":12510,"journal":{"name":"Giornale italiano di cardiologia","volume":"26 2","pages":"85-89"},"PeriodicalIF":0.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143079124","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}
Chiara Bernelli, Stefania Angela Di Fusco, Nunzia Borrelli, Martina Nesti, Francesca Menichetti, Gianmarco Iannopollo, Fabiana Lucà, Maria Teresa Manes, Giovanna Geraci, Massimo Grimaldi, Fabrizio Oliva, Furio Colivicchi
{"title":"[Occupational radioexposure in women in cardiology].","authors":"Chiara Bernelli, Stefania Angela Di Fusco, Nunzia Borrelli, Martina Nesti, Francesca Menichetti, Gianmarco Iannopollo, Fabiana Lucà, Maria Teresa Manes, Giovanna Geraci, Massimo Grimaldi, Fabrizio Oliva, Furio Colivicchi","doi":"10.1714/4418.44142","DOIUrl":"https://doi.org/10.1714/4418.44142","url":null,"abstract":"<p><p>The growing number and complexity of procedures performed in interventional cardiology laboratories increases the risk of biological damage to personnel working in these settings. Given the radio sensitivity of the gonads and the product of conception, women have a risk related to radio exposure that has an impact on their private and working life. This review discusses the available evidence regarding the impact of ionizing radiation on fertility and pregnancy. Furthermore, the different preventive strategies and containment maneuvers of radio exposure in catheterization and electrophysiology/pacing laboratories are examined. Finally, the areas of uncertainty that require targeted research aimed at better defining risks and prevention possibilities are highlighted. Globally, greater information and a safe and inclusive work environment will ensure equal opportunities and fair professional growth in the cardiology field.</p>","PeriodicalId":12510,"journal":{"name":"Giornale italiano di cardiologia","volume":"26 2","pages":"106-119"},"PeriodicalIF":0.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143079126","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}
Francesca Cortese, Nicoletta Eletto, Marco Fabio Costantino
{"title":"[When the ECG is diagnostic].","authors":"Francesca Cortese, Nicoletta Eletto, Marco Fabio Costantino","doi":"10.1714/4418.44138","DOIUrl":"https://doi.org/10.1714/4418.44138","url":null,"abstract":"","PeriodicalId":12510,"journal":{"name":"Giornale italiano di cardiologia","volume":"26 2","pages":"84"},"PeriodicalIF":0.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143079222","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}
{"title":"[Drugs in cardiology intensive care unit].","authors":"Maddalena Lettino","doi":"10.1714/4418.44146","DOIUrl":"https://doi.org/10.1714/4418.44146","url":null,"abstract":"","PeriodicalId":12510,"journal":{"name":"Giornale italiano di cardiologia","volume":"26 2","pages":"145"},"PeriodicalIF":0.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143079123","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}
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