Giornale italiano di cardiologia最新文献_第3页

[Minimally invasive thoracic aortic surgery: our experience]. 【微创胸主动脉手术：我们的经验】。

IF 0.7

Giornale italiano di cardiologia Pub Date : 2025-03-01 DOI: 10.1714/4454.44489

Olimpia Bifulco, Paolo Berretta, Simone D'Alessio, Martina Giusti, Filippo Capestro, Alessandro D'Alfonso, Pietro Giorgio Malvindi, Marco Di Eusanio

{"title":"[Minimally invasive thoracic aortic surgery: our experience].","authors":"Olimpia Bifulco, Paolo Berretta, Simone D'Alessio, Martina Giusti, Filippo Capestro, Alessandro D'Alfonso, Pietro Giorgio Malvindi, Marco Di Eusanio","doi":"10.1714/4454.44489","DOIUrl":"10.1714/4454.44489","url":null,"abstract":"Background: The growing experience in minimally invasive techniques, supported by outstanding outcomes and excellent surgical exposure of the entire proximal thoracic aorta via ministernotomy, has motivated surgeons to apply this approach to more challenging procedures such as aortic root and arch treatment.Methods: From September 2016 to April 2024, 243 consecutive patients underwent proximal aortic surgical treatment through the ministernotomy approach at the Cardiac Surgery Unit of the Lancisi Cardiovascular Center of Ancona - Polytechnic University of Marche, Italy. In all cases, a preoperative computed tomography scan was performed.Results: The mean age of the population was 65 ± 12 years, and 176 patients (72%) were male. Aortic valve disease occurred in 66.9% of cases (n=85) with significant aortic valve regurgitation or stenosis in 127 (52%) and 44 (18%) patients, respectively. Bicuspid aortic valve was found in 29% of patients (n=70). Surgical procedures included aortic root operations (n=88) using Bentall (n=64) or David (n=24) technique, isolated replacement of the ascending aorta (n=73), and combined treatment: replacement of the ascending aorta and the aortic valve (n=82). The 30-day mortality and stroke rate was 0.4%. In 132 patients (54%), extubation occurred within the first 6 h after surgical treatment. The median hospital stay was 7 days with 48% (n=107) of patients discharged home without need for any cardiac rehabilitation.Conclusions: Minimally invasive thoracic aortic surgery can be performed successfully at specialized cardiac surgery centers. Preoperative careful and accurate analysis of patient's computed tomography scan is essential to promote patient-tailored planning and promote optimal surgical exposure.","PeriodicalId":12510,"journal":{"name":"Giornale italiano di cardiologia","volume":"26 3","pages":"205-210"},"PeriodicalIF":0.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143491607","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

[Worsening heart failure: definition, management and treatment]. 加重心力衰竭：定义、管理和治疗。

IF 0.7

Giornale italiano di cardiologia Pub Date : 2025-03-01 DOI: 10.1714/4454.44486

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":"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.","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}

引用次数: 0

[Lombardia CARe: the first 10 years of the out-of-hospital cardiac arrest registry of the Lombardy Region. Measuring to improve]. 伦巴第护理：伦巴第地区院外心脏骤停登记的前10年。衡量以改进]。

IF 0.7

Giornale italiano di cardiologia Pub Date : 2025-03-01 DOI: 10.1714/4454.44484

Enrico Baldi, Roberto Primi, Alessia Currao, Sara Bendotti, Sara Compagnoni, Silvia Miette Pontremoli, Clara Lopiano, Bianca Citterio, Alessandro Fasolino, Enrico Contri, Alessandra Palo, Gianluca Marconi, Luigi Oltrona Visconti, Leonardo De Luca, Simone Savastano

{"title":"[Lombardia CARe: the first 10 years of the out-of-hospital cardiac arrest registry of the Lombardy Region. Measuring to improve].","authors":"Enrico Baldi, Roberto Primi, Alessia Currao, Sara Bendotti, Sara Compagnoni, Silvia Miette Pontremoli, Clara Lopiano, Bianca Citterio, Alessandro Fasolino, Enrico Contri, Alessandra Palo, Gianluca Marconi, Luigi Oltrona Visconti, Leonardo De Luca, Simone Savastano","doi":"10.1714/4454.44484","DOIUrl":"10.1714/4454.44484","url":null,"abstract":"Out-of-hospital cardiac arrest is one of the leading causes of death in developed countries and is a real challenge because survival rates are still very low, often less than 10%. Cardiac arrest registries have proven to be an essential tool in improving the survival of cardiac arrest victims, as they allow us to measure the phenomenon and consequently improve treatment. Ten years ago, we have started collecting data in the province of Pavia, then extended to the provinces of Brescia, Como, Cremona, Lodi, Mantua and Varese, with the aim of achieving regional coverage. The systematic and automatic collection of data has allowed us to monitor numerically and geographically many aspects of cardiac arrest, thus answering many questions and providing evidence that can lead to improvements in the system and care. The purpose of this review is to share the potential of a regional registry to bring the cardiology community closer to this topic, so that other registries can be created and grow in the hope of merging them into a national registry in the future.","PeriodicalId":12510,"journal":{"name":"Giornale italiano di cardiologia","volume":"26 3","pages":"160-170"},"PeriodicalIF":0.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143491600","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

[An atypical ECG for a typical Takotsubo syndrome]. 【典型Takotsubo综合征的非典型心电图】。

IF 0.7

Giornale italiano di cardiologia Pub Date : 2025-03-01 DOI: 10.1714/4454.44490

Alessandro Lupi, Manuel Freschini, Alessandro Aimi, Claudia Castellani, Rocco Sclafani

引用次数: 0

[2024 ESC Guidelines for the management of atrial fibrillation]. [2024 ESC房颤治疗指南]。

IF 0.7

Giornale italiano di cardiologia Pub Date : 2025-02-01 DOI: 10.1714/4419.44150

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

引用次数: 0

In questo numero. 在这个数字中。

IF 0.7

Giornale italiano di cardiologia Pub Date : 2025-02-01 DOI: 10.1714/4418.44135

引用次数: 0

[ANMCO/GISE/SICOA Consensus document: Role of coronary computed tomography angiography in chronic coronary syndromes]. [ANMCO/GISE/SICOA 共识文件：冠状动脉计算机断层扫描血管造影在慢性冠状动脉综合征中的作用]。

IF 0.7

Giornale italiano di cardiologia Pub Date : 2025-02-01 DOI: 10.1714/4418.44145

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":"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.","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}

引用次数: 0

[ANMCO Position paper: Functional reorganization of cardiac intensive care units (CICUs) in Italy]. [ANMCO立场文件：意大利心脏重症监护病房（CICUs）的功能重组]。

IF 0.7

Giornale italiano di cardiologia Pub Date : 2025-02-01 DOI: 10.1714/4418.44144

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":"10.1714/4418.44144","url":null,"abstract":"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.","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}

引用次数: 0

[RESHAPE-HF2: new evidence and clinical implications]. [shape - hf2：新的证据和临床意义]。

IF 0.7

Giornale italiano di cardiologia Pub Date : 2025-02-01 DOI: 10.1714/4418.44136

Elisa Pezzola, Marianna Adamo, Marco Metra

引用次数: 0

[Is there still a role today for ECG stress testing in ischemic heart disease? Beyond ST-segment depression]. 今天ECG应激测试在缺血性心脏病中还有作用吗？st段凹陷以外]。

IF 0.7

Giornale italiano di cardiologia Pub Date : 2025-02-01 DOI: 10.1714/4418.44139

Pier Luigi Temporelli, Giuseppe Di Pasquale, Raffaele De Caterina

引用次数: 0