Giornale italiano di cardiologia最新文献_第2页

[Primary cardiac angiosarcoma: an unexpected presentation]. [原发性心脏血管肉瘤：意想不到的表现]。

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Giornale italiano di cardiologia Pub Date : 2024-10-01 DOI: 10.1714/4336.43218

Marco Martinelli, Georgette Khoury, Massimo Principi, Elettra Tinella, Fabio Loreti, Stefano Ascani, Camilla Cresta, Elisa Rossi

{"title":"[Primary cardiac angiosarcoma: an unexpected presentation].","authors":"Marco Martinelli, Georgette Khoury, Massimo Principi, Elettra Tinella, Fabio Loreti, Stefano Ascani, Camilla Cresta, Elisa Rossi","doi":"10.1714/4336.43218","DOIUrl":"https://doi.org/10.1714/4336.43218","url":null,"abstract":"Among cardiac tumors, angiosarcoma is the most common primary malignancy, with a relatively higher prevalence in young male adults and a weak dominance in the right atrium as a primary site of growth. It is characterized by rapid infiltration of cardiac structures and possible metastasis to mediastinal and distant organs. The patient may be asymptomatic until advanced phases. It therefore has a poor prognosis. Diagnosis requires the use of multimodality imaging, including echocardiography, computed tomography (CT), cardiac magnetic resonance and positron emission tomography. The definitive diagnosis is based on histological examination. We report the case of a young male adult who was referred to the cardiology department for a syncopal event 5 h after cocaine assumption. During the diagnostic work-up, a chest X-ray was performed, showing multiple pulmonary lesions, which were evaluated with a chest CT highlighting the presence of a cardiac mass in the right atrium and ventricle. For this reason, a complete cardiological evaluation was performed. The clinical and instrumental suspicion of a malignant cardiac tumor was confirmed by multimodality imaging and finally by histological examination.","PeriodicalId":12510,"journal":{"name":"Giornale italiano di cardiologia","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142344798","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

[Artificial intelligence and scientific publishing]. [人工智能与科学出版]。

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Giornale italiano di cardiologia Pub Date : 2024-10-01 DOI: 10.1714/4336.43210

Giuseppe Di Pasquale

引用次数: 0

[Hypercholesterolemia and laboratory reports: joint document from the Italian Society of Cardiology (SIC) and the Italian Society of Clinical Biochemistry and Clinical Molecular Biology - Lab Medicine (SIBioC)]. [高胆固醇血症和实验室报告：意大利心脏病学会（SIC）和意大利临床生物化学和临床分子生物学-实验室医学学会（SIBioC）联合文件]。

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Giornale italiano di cardiologia Pub Date : 2024-10-01 DOI: 10.1714/4336.43219

Stefania Paolillo, Maria Stella Graziani, Ciro Indolfi, Martina Zaninotto, Paolo Calabrò, Ferruccio Ceriotti, Francesco Barillà, Aldo Clerico, Marco Matteo Ciccone, Tommaso Trenti, Italo Porto, Marcello Ciaccio, Arturo Cesaro, Sara Fontanarosa, Mario Plebani, Pasquale Perrone Filardi

{"title":"[Hypercholesterolemia and laboratory reports: joint document from the Italian Society of Cardiology (SIC) and the Italian Society of Clinical Biochemistry and Clinical Molecular Biology - Lab Medicine (SIBioC)].","authors":"Stefania Paolillo, Maria Stella Graziani, Ciro Indolfi, Martina Zaninotto, Paolo Calabrò, Ferruccio Ceriotti, Francesco Barillà, Aldo Clerico, Marco Matteo Ciccone, Tommaso Trenti, Italo Porto, Marcello Ciaccio, Arturo Cesaro, Sara Fontanarosa, Mario Plebani, Pasquale Perrone Filardi","doi":"10.1714/4336.43219","DOIUrl":"https://doi.org/10.1714/4336.43219","url":null,"abstract":"Dyslipidemia is one of the most important risk factors for the development of atherosclerotic disease and its control, through well-proven therapies, allows an optimal risk management over time. LDL-cholesterol targets are well defined by international guidelines and based on individual cardiovascular risk. As guidelines evolve, also laboratory reports need to do the same, including lipid reference values by cardiovascular risk classes, to avoid misunderstandings and inappropriate lipid-lowering therapy withdrawal. The aim of the present joint document from the Italian Society of Cardiology (SIC) and the Italian Society of Clinical Biochemistry and Clinical Molecular Biology - Lab Medicine (SIBioC) is to analyze the importance of cardiovascular risk estimation, therapeutical targets, and crucial elements about dyslipidemia in laboratory tests, as well as to suggest a shared proposal for the report of lipid profile parameters to be applied to all clinical scenarios of our daily practice.","PeriodicalId":12510,"journal":{"name":"Giornale italiano di cardiologia","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142344796","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

[Reply to "Shortage of specialists in cardiology and interaction between hospitals: some considerations"]. [答复 "心脏病学专家短缺与医院之间的互动：一些考虑因素"]。

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Giornale italiano di cardiologia Pub Date : 2024-10-01 DOI: 10.1714/4336.43221

Marco Zuin, Stefania Angela Di Fusco, Filippo Zilio, Claudio Bilato, Fabrizio Oliva

引用次数: 0

[The pulmonary artery catheter in the intensive cardiac care unit]. [心脏重症监护室中的肺动脉导管]。

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Giornale italiano di cardiologia Pub Date : 2024-09-01 DOI: 10.1714/4318.43037

Luca Baldetti, Piero Gentile, Mauro Gori, Anna Mara Scandroglio, Nicola Gasparetto, Paolo Trambaiolo, Serafina Valente, Marco Marini

引用次数: 0

[Low and very low cholesterol levels: what we need to know]. [低胆固醇和极低胆固醇水平：我们需要知道什么]。

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Giornale italiano di cardiologia Pub Date : 2024-09-01 DOI: 10.1714/4318.43039

Stefania Angela Di Fusco, Massimo Leggio, Vered Gil Ad, Simona Giubilato, Stefano Aquilani, Federico Nardi, Massimo Grimaldi, Domenico Gabrielli, Fabrizio Oliva, Giuseppe Imperoli, Furio Colivicchi

{"title":"[Low and very low cholesterol levels: what we need to know].","authors":"Stefania Angela Di Fusco, Massimo Leggio, Vered Gil Ad, Simona Giubilato, Stefano Aquilani, Federico Nardi, Massimo Grimaldi, Domenico Gabrielli, Fabrizio Oliva, Giuseppe Imperoli, Furio Colivicchi","doi":"10.1714/4318.43039","DOIUrl":"10.1714/4318.43039","url":null,"abstract":"Due to the growing evidence of clinical benefits conferred by the reduction of low-density lipoprotein cholesterol (LDL-C) levels, the availability of multiple effective lipid-lowering agents, and guideline recommendations, clinicians not infrequently have to manage patients with low or very low LDL-C levels. In clinical practice it is essential to consider that, when LDL-C plasma concentrations are low, the Friedewald formula commonly used for LDL-C level calculation is less accurate, hence risk assessment should be integrated by using different methods for LDL-C level quantification and other parameters, such as non-high-density lipoprotein cholesterol and, where possible, apolipoprotein B, should be measured. As regards the clinical impact of low LDL-C levels, genetically determined hypocholesterolemia forms provide reassuring data on the effects of this condition in the long term, except for the forms with extremely low or undetectable LDL-C levels. Evidence from clinical studies that used highly effective lipid-lowering drugs, such as proprotein convertase subtilisin/kexin type 9 inhibitors, goes in the same direction. In these studies, the incidence of non-cardiovascular adverse events in patients who reached very low LDL-C levels was similar to that in the placebo arm. Overall, the fear of adverse effects should not deter intensive lipid-lowering treatment when indicated to reduce the risk of cardiovascular events.","PeriodicalId":12510,"journal":{"name":"Giornale italiano di cardiologia","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142139859","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

[Secondary hypertension: diagnosis and treatment]. [继发性高血压：诊断与治疗]。

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Giornale italiano di cardiologia Pub Date : 2024-09-01 DOI: 10.1714/4318.43040

Paolo Verdecchia, Gianpaolo Reboldi, Giovanni Mazzotta, Martina Zappa, Fabio Angeli

{"title":"[Secondary hypertension: diagnosis and treatment].","authors":"Paolo Verdecchia, Gianpaolo Reboldi, Giovanni Mazzotta, Martina Zappa, Fabio Angeli","doi":"10.1714/4318.43040","DOIUrl":"10.1714/4318.43040","url":null,"abstract":"Hypertension does not recognize obvious pathogenic causes in the majority of patients (essential hypertension). However, a secondary underlying cause of hypertension can be recognized in 5-10% of unselected hypertensive patients, and this prevalence may increase to more than 20% in patients with hypertension that is difficult to control or frankly resistant to treatment. In children, secondary hypertension is most often due to aortic coarctation, distal thoracic or abdominal aortic stenosis, or specific gene mutations. In adults or elderly individuals, secondary hypertension is most often due to atherosclerotic renal artery stenosis, primary hyperaldosteronism, and Cushing's disease or syndrome. Parenchymal nephropathy and hyperparathyroidism can cause hypertension at all ages, while pheochromocytoma and paraganglioma tend to occur more often in adolescents or young adults. In general, secondary hypertension should be suspected in subjects with: (a) onset of hypertension under 30 years of age especially if in the absence of hypertensive family history or other risk factors for hypertension; (b) treatment-resistant hypertension; c) severe hypertension (>180/110 mmHg), malignancy, or hypertensive emergencies; d) rapid rise in blood pressure values in previously well controlled patients. Any clinical signs suspicious or suggestive of hypertension from endocrine causes, a \"reverse dipping\" or \"non-dipping'\" profile at 24 h ambulatory blood pressure monitoring not justified by other factors, signs of obvious organ damage may be helpful clues for diagnosis. Finally, patients snoring or with clear sleep apnea should also be considered for possible secondary hypertension.","PeriodicalId":12510,"journal":{"name":"Giornale italiano di cardiologia","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142139861","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

[Ventricular tachycardia: the cause you do not think about]. [室性心动过速：你想不到的原因]。

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Giornale italiano di cardiologia Pub Date : 2024-09-01 DOI: 10.1714/4318.43046

Beatrice Dal Passo, Elisabetta Tonet

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[Sudden cardiac arrest in children and adolescents: diagnosis, clinical presentation and peculiarities]. [儿童和青少年心脏骤停：诊断、临床表现和特殊性]。

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Giornale italiano di cardiologia Pub Date : 2024-09-01 DOI: 10.1714/4318.43038

Elisabetta Mariucci, Gabriele Bronzetti, Andrea Donti

引用次数: 0

[A pathognomonic case of isolated right ventricular infarction]. [一个孤立性右心室梗死的病例]。

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Giornale italiano di cardiologia Pub Date : 2024-09-01 DOI: 10.1714/4318.43045

Francesca Cortese, Michele Clemente, Serena Di Marino, Marco Fabio Costantino, Giampaolo Luzi

引用次数: 0