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[Ten questions about cardiopulmonary exercise testing: all that the cardiologist dares or dares not to ask]. [关于心肺运动测试的十个问题：心脏病医生敢问或不敢问的所有问题]。
IF 0.5
Giornale italiano di cardiologia Pub Date : 2024-06-01 DOI: 10.1714/4269.42464
Ailia Giubertoni, Luca Cumitini, Simone Fodra, Andrea Giordano, Davide Avenoso, Giuseppe Patti
{"title":"[Ten questions about cardiopulmonary exercise testing: all that the cardiologist dares or dares not to ask].","authors":"Ailia Giubertoni, Luca Cumitini, Simone Fodra, Andrea Giordano, Davide Avenoso, Giuseppe Patti","doi":"10.1714/4269.42464","DOIUrl":"10.1714/4269.42464","url":null,"abstract":"<p><p>In patients with cardiovascular, pulmonary, muscular and neurological diseases, cardiopulmonary exercise testing (CPET) is a valuable tool providing clinically-relevant diagnostic and prognostic information by evaluation of exercise response. CPET requires to be performed in dedicated centers able to correctly carry out the examination and to carefully evaluate the results. CPET analyzes functional capacity revealing both symptomatic and asymptomatic intolerance to exercise. One of the most important advantages for clinicians derived by the use of CPET, beyond standard exercise electrocardiography testing, is the capability not only to grade the severity of the disease, but also to distinguish between different causes of dyspnea and exercise impairment. Indications for CPET use in clinical practice are increasing in the last decades, evolving beyond the routine use as a training tool in athletes. In fact, CPET represents an important step in the management of patients with heart failure or pulmonary hypertension, as suggested by international guidelines. CPET role in helping for the selection of patients candidate to heart transplantation is also well known. Beyond its clinical usefulness, scientific interest in CPET is constantly expanding, mainly due to the safety of the exam and to the huge size of the pathophysiological information that it offers. The aim of this paper is to simply explain everyday applications and potential further purposes of CPET in clinical practice. Our review is intended both for physicians approaching CPET for the first time and for clinicians with an interest in expanding their knowledge in this field.</p>","PeriodicalId":12510,"journal":{"name":"Giornale italiano di cardiologia","volume":"25 6","pages":"399-409"},"PeriodicalIF":0.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141161206","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
[The Italian law 219/2017: informed consent and advance directives. When the patient-doctor communication time is law, but it is forgotten]. [意大利第 219/2017 号法律：知情同意和预先指示。当医患沟通时间成为法律，却被遗忘]。
IF 0.5
Giornale italiano di cardiologia Pub Date : 2024-06-01 DOI: 10.1714/4269.42461
Massimo Romanò
{"title":"[The Italian law 219/2017: informed consent and advance directives. When the patient-doctor communication time is law, but it is forgotten].","authors":"Massimo Romanò","doi":"10.1714/4269.42461","DOIUrl":"10.1714/4269.42461","url":null,"abstract":"<p><p>The Italian law 217/2019 on \"Informed consent and advance directives\" is an important step forward in the redefinition of patient-doctor relationships. The law points out the principles of the decisional autonomy and freedom of the patient to choose the treatment options. However, it is underestimated and largely unapplied by the Italian cardiologists. The main elements of patient-doctor communication are present in the law. The most important is the time devoted to the patient-doctor relationship, necessary to ease the disease awareness. This time is clearly emphasized in the law, but the healthcare institutions did not arrange for the appropriate organizational procedures. Through the advance directives (ADs) the patients may express their own wishes about healthcare treatments, as well as their consent or refusal regarding the diagnostic or therapeutical doctors' suggestions, allowing their respect in case they become incompetent. This right is supported by the patients' designation of a healthcare proxy, who can interact for them with the healthcare team. However, after 6 years since the law enactment, only 0.4% of the Italian citizens signed ADs, due to insufficient information and organization by the healthcare authorities. In the Law, the advance care planning is closely related to ADs. In this process, the adults can understand and share their personal values, life goals and preferences, in order to define the potential future medical care and to discuss all the issues with family and physicians. These processes can be integrated in a broader shared decision-making, a strong tool of the patient-doctor alliance.</p>","PeriodicalId":12510,"journal":{"name":"Giornale italiano di cardiologia","volume":"25 6","pages":"383-389"},"PeriodicalIF":0.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141161237","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
[Advances in the treatment of complex atherosclerotic disease: cracking the calcium and beyond]. [治疗复杂性动脉粥样硬化疾病的进展：破解钙和超越]。
IF 0.7
Giornale italiano di cardiologia Pub Date : 2024-06-01 DOI: 10.1714/4287.42686
Giulio Stefanini, Angelo Oliva
{"title":"[Advances in the treatment of complex atherosclerotic disease: cracking the calcium and beyond].","authors":"Giulio Stefanini, Angelo Oliva","doi":"10.1714/4287.42686","DOIUrl":"10.1714/4287.42686","url":null,"abstract":"","PeriodicalId":12510,"journal":{"name":"Giornale italiano di cardiologia","volume":"25 6","pages":"3S-4S"},"PeriodicalIF":0.7,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141442447","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
[Stroke and stroke prevention in cardiac and thoracic aortic surgery]. [心脏和胸主动脉手术中的中风和中风预防]。
IF 0.5
Giornale italiano di cardiologia Pub Date : 2024-06-01 DOI: 10.1714/4269.42466
Luca Di Marco, Silvia Snaidero, Alessandro Leone, Davide Pacini
{"title":"[Stroke and stroke prevention in cardiac and thoracic aortic surgery].","authors":"Luca Di Marco, Silvia Snaidero, Alessandro Leone, Davide Pacini","doi":"10.1714/4269.42466","DOIUrl":"10.1714/4269.42466","url":null,"abstract":"<p><p>Perioperative stroke and neurological injuries in general are complications that can occur during and after cardiac surgery, particularly in aortic surgery that involves the aortic arch. The overall incidence of early and delayed stroke is about 1% according to recent meta-analyses. This incidence depends on interindividual risk factor profile and type of surgery. In order to reduce cerebrovascular complications during cardiac surgery, a number of preventative measures can be taken, including the evaluation of atherosclerotic plaques, the site of cannulation and neuroprotection strategies. During aortic arch surgery, main strategies for cerebral protection are represented by deep hypothermic circulatory arrest, retrograde and antegrade cerebral perfusion.</p>","PeriodicalId":12510,"journal":{"name":"Giornale italiano di cardiologia","volume":"25 6","pages":"424-432"},"PeriodicalIF":0.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141161200","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
[Endovascular devices for severely calcified peripheral lesion preparation: state of the art]. [用于严重钙化外周病变准备工作的血管内设备：最新技术]。
IF 0.7
Giornale italiano di cardiologia Pub Date : 2024-06-01 DOI: 10.1714/4287.42700
Attilio Leone, Nicola Verde, Luigi Salemme, Grigore Popusoi, Armando Pucciarelli, Michele Franzese, Giuseppe Di Gioia, Marco Ferrone, Francesco Spione, Sebastiano Verdoliva, Raffaele Moscato, Giovanni Esposito, Tullio Tesorio, Angelo Cioppa
{"title":"[Endovascular devices for severely calcified peripheral lesion preparation: state of the art].","authors":"Attilio Leone, Nicola Verde, Luigi Salemme, Grigore Popusoi, Armando Pucciarelli, Michele Franzese, Giuseppe Di Gioia, Marco Ferrone, Francesco Spione, Sebastiano Verdoliva, Raffaele Moscato, Giovanni Esposito, Tullio Tesorio, Angelo Cioppa","doi":"10.1714/4287.42700","DOIUrl":"10.1714/4287.42700","url":null,"abstract":"<p><p>Over the last few decades, endovascular revascularization techniques have revolutionized the treatment of peripheral artery disease, offering a less invasive alternative to surgery. However, the successful treatment of heavily calcified lesions is often compromised by various vascular complications, including recoils, dissections, and the need for target vessel reinterventions. This has prompted the development of several tools for lesion preparation, with the aim of achieving better procedural outcomes. This review aims to summarize the main characteristics and current evidence related to the available devices for preparing severely calcified peripheral lesions.</p>","PeriodicalId":12510,"journal":{"name":"Giornale italiano di cardiologia","volume":"25 6","pages":"16S-22S"},"PeriodicalIF":0.7,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141442449","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
[The technical-nursing contribution in the treatment of patients with complex coronary artery disease]. [护理技术在治疗复杂冠状动脉疾病患者中的贡献]。
IF 0.7
Giornale italiano di cardiologia Pub Date : 2024-06-01 DOI: 10.1714/4287.42687
Francesco Germinal, Fabio Negrello, Matteo Migliorini, Nicola Leonardo Galizia, Matteo Longoni
{"title":"[The technical-nursing contribution in the treatment of patients with complex coronary artery disease].","authors":"Francesco Germinal, Fabio Negrello, Matteo Migliorini, Nicola Leonardo Galizia, Matteo Longoni","doi":"10.1714/4287.42687","DOIUrl":"10.1714/4287.42687","url":null,"abstract":"","PeriodicalId":12510,"journal":{"name":"Giornale italiano di cardiologia","volume":"25 6","pages":"5S-7S"},"PeriodicalIF":0.7,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141442424","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
[Optical coherence tomography-guided versus angiography-guided coronary angioplasty: results of the ILUMIEN IV randomized clinical trial]. [光学相干断层扫描引导的冠状动脉血管成形术与血管造影术引导的冠状动脉血管成形术：ILUMIEN IV 随机临床试验结果]。
IF 0.7
Giornale italiano di cardiologia Pub Date : 2024-06-01 DOI: 10.1714/4287.42693
Evelina Toscano, Andrea Marrone, Giulia Botti, Arif Khokhar, Jonathan Curio, Federica Serino, Erik Rafflenbeul, Emanuele Barbato, Giulia Masiero
{"title":"[Optical coherence tomography-guided versus angiography-guided coronary angioplasty: results of the ILUMIEN IV randomized clinical trial].","authors":"Evelina Toscano, Andrea Marrone, Giulia Botti, Arif Khokhar, Jonathan Curio, Federica Serino, Erik Rafflenbeul, Emanuele Barbato, Giulia Masiero","doi":"10.1714/4287.42693","DOIUrl":"10.1714/4287.42693","url":null,"abstract":"","PeriodicalId":12510,"journal":{"name":"Giornale italiano di cardiologia","volume":"25 6","pages":"43S-44S"},"PeriodicalIF":0.7,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141442451","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
[Italian Society of Pediatric Cardiology (SICP) position paper on the prevention, diagnosis, treatment and follow-up of cardiotoxicity in pediatric patients with cancer]. [意大利儿科心脏病学会（SICP）关于儿科癌症患者心脏毒性的预防、诊断、治疗和随访的立场文件]。
IF 0.7
Giornale italiano di cardiologia Pub Date : 2024-06-01 DOI: 10.1714/4269.42470
Elena Bennati, Biagio Castaldi, Maria Elena Derchi, Sabrina Spoto, Marcello Chinali, Nicoletta Bertorello, Calogero Comparato, Ugo Vairo, Gabriele Rinelli, Silvia Favilli
{"title":"[Italian Society of Pediatric Cardiology (SICP) position paper on the prevention, diagnosis, treatment and follow-up of cardiotoxicity in pediatric patients with cancer].","authors":"Elena Bennati, Biagio Castaldi, Maria Elena Derchi, Sabrina Spoto, Marcello Chinali, Nicoletta Bertorello, Calogero Comparato, Ugo Vairo, Gabriele Rinelli, Silvia Favilli","doi":"10.1714/4269.42470","DOIUrl":"10.1714/4269.42470","url":null,"abstract":"<p><p>The survival of pediatric cancer patients has significantly increased thanks to the improvement of oncological treatments. Therefore, it is of utmost importance to manage short- and long-term cardiovascular complications. In pediatric cardio-oncology, there are no recognized guidelines as in adults. Several recommendations and many indications have been derived from the data obtained in the adult cancer population, resulting in greater discrepancies in the clinical management of patients. The aim of this position paper of the Italian Society of Pediatric Cardiology (SICP) is to collect the main evidence regarding the diagnosis, prevention, treatment and follow-up of cardiotoxicity in children, to provide useful indications for clinical practice, and to promote a network between pediatric centers.</p>","PeriodicalId":12510,"journal":{"name":"Giornale italiano di cardiologia","volume":"25 6","pages":"453-463"},"PeriodicalIF":0.7,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141161171","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
[Venoarterial extracorporeal membrane oxygenation: from evidence to clinical practice]. [静脉体外膜肺氧合：从证据到临床实践]。
IF 0.5
Giornale italiano di cardiologia Pub Date : 2024-06-01 DOI: 10.1714/4269.42465
Luigi Oltrona Visconti, Rita Camporotondo, Marco Ferlini, Simone Savastano, Ginevra Annoni, Alessandro Fasolino
{"title":"[Venoarterial extracorporeal membrane oxygenation: from evidence to clinical practice].","authors":"Luigi Oltrona Visconti, Rita Camporotondo, Marco Ferlini, Simone Savastano, Ginevra Annoni, Alessandro Fasolino","doi":"10.1714/4269.42465","DOIUrl":"10.1714/4269.42465","url":null,"abstract":"<p><p>Mortality for cardiogenic shock is still high despite optimal pharmacological therapy. Therefore, active mechanical circulatory support devices are increasingly used; venoarterial extracorporeal membrane oxygenation (VA-ECMO) enables full circulatory and respiratory support. However, recent data show that in patients with infarct-related shock unselected early use of VA-ECMO does not improve survival and is associated with major bleeding and peripheral ischemic complications. Nowadays, waiting for the results of definitive randomized controlled trials, the main indication for ECMO utilization is in selected patients with cardiac arrest, in those with shock for advanced heart failure refractory to conventional therapy, in those with fulminant myocarditis, in patients candidate for heart transplant or ventricular assistance, especially in presence of respiratory insufficiency and severe biventricular dysfunction. An important recommendation is its utilization in specialized, high-volume centers in the setting of hub and spoke hospitals.</p>","PeriodicalId":12510,"journal":{"name":"Giornale italiano di cardiologia","volume":"25 6","pages":"410-423"},"PeriodicalIF":0.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141161243","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
[Giant coronary aneurysm incidentally detected on transthoracic echocardiography in a patient with previous Bentall procedure]. [曾接受过 Bentall 手术的患者在经胸超声心动图检查中意外发现巨大冠状动脉瘤]。
IF 0.7
Giornale italiano di cardiologia Pub Date : 2024-06-01 DOI: 10.1714/4269.42469
Francesco Briani, Alberto Dotto, Antonio Mugnolo
{"title":"[Giant coronary aneurysm incidentally detected on transthoracic echocardiography in a patient with previous Bentall procedure].","authors":"Francesco Briani, Alberto Dotto, Antonio Mugnolo","doi":"10.1714/4269.42469","DOIUrl":"10.1714/4269.42469","url":null,"abstract":"<p><p>Coronary artery aneurysms represent a rare pathology (0.2-4.9% of patients undergoing coronary angiography) that may reach considerable size. The clinical presentation is various, manifesting as acute coronary syndrome or, conversely, remaining silent lifelong. We here report the case of an incidental finding by transthoracic echocardiography of a paracardiac mass of considerable size in a patient with vasculopathy that underwent a Bentall procedure for acute aortic dissection 18 years earlier. On thoracic computed tomography angiography, a 62 mm-sized giant aneurysm located in the proximal right coronary artery was evidenced. The optimal treatment of patients affected by coronary artery aneurysms remains debated; therefore, the therapeutic strategy should be individualized considering the etiology, clinical presentation, anatomical characteristics and concomitant presence of obstructive coronary artery disease.</p>","PeriodicalId":12510,"journal":{"name":"Giornale italiano di cardiologia","volume":"25 6","pages":"450-452"},"PeriodicalIF":0.7,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141161169","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
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