Giornale italiano di cardiologia最新文献_第6页

[Ticagrelor monotherapy in patients with acute coronary syndrome receiving new generation drug-eluting stents: results of the T-PASS randomized clinical trial]. [接受新一代药物洗脱支架治疗的急性冠状动脉综合征患者的替卡格雷单药治疗：T-PASS 随机临床试验结果]。

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Giornale italiano di cardiologia Pub Date : 2024-06-01 DOI: 10.1714/4287.42692

Rossella Ruggiero, Alessandro Beneduce, Pierluigi Demola, Graziella Pompei, Alberto Barioli, Nicola Ryan, Emanuele Barbato, Marco Toselli

引用次数: 0

[Surgical treatment of coronary artery to pulmonary artery fistula with a saccular aneurysm]. [伴有囊状动脉瘤的冠状动脉至肺动脉瘘的手术治疗]。

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Giornale italiano di cardiologia Pub Date : 2024-06-01 DOI: 10.1714/4287.42691

Gerardo Musuraca, Cristiana Giovanelli, Clotilde Terraneo, Nicola Osti, Alessandro Motta, Carlo Angheben, Remo Albiero

{"title":"[Surgical treatment of coronary artery to pulmonary artery fistula with a saccular aneurysm].","authors":"Gerardo Musuraca, Cristiana Giovanelli, Clotilde Terraneo, Nicola Osti, Alessandro Motta, Carlo Angheben, Remo Albiero","doi":"10.1714/4287.42691","DOIUrl":"10.1714/4287.42691","url":null,"abstract":"A 60-year-old man with hypercholesterolemia and hypertension presented with acute coronary syndrome (SCA). The ECG showed lateral ischemia (T-wave inversion in V4-V6, D1 and aVL) and echocardiography showed normal left ventricular wall motion. Coronary angiography showed critical atherosclerotic lesions in the distal part of the left circumflex artery (LCx, culprit lesion), chronic total occlusion of the right coronary artery (RCA), significant but not critical stenosis in the middle part of left anterior descending artery (LAD), and a coronary artery to pulmonary artery (PA) fistula originating from the proximal part of the LAD and emptying into the PA via a coronary saccular aneurysm (12 x 12 x 10 mm). A multidetector row computed tomography angiography (CTA) confirmed the coronary artery fistula, which was treated with surgical approach. The patient underwent aneurysmorrhaphy with CAF closure and coronary artery bypass grafting on the RCA and LCx. The postoperative course was uneventful and the patient was discharged on postoperative day 14. CTA was useful for understanding the spatial relation of the CAF and the connection with the PA.","PeriodicalId":12510,"journal":{"name":"Giornale italiano di cardiologia","volume":"25 6","pages":"38S-40S"},"PeriodicalIF":0.7,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141442423","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

[Medical negligence in cardiology: enter the lawyers and the experts and, then, the judge]. [心脏病学中的医疗过失：进入律师和专家，然后是法官]。

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Giornale italiano di cardiologia Pub Date : 2024-06-01 DOI: 10.1714/4269.42462

Peter J Schwartz, Francesca Lia

{"title":"[Medical negligence in cardiology: enter the lawyers and the experts and, then, the judge].","authors":"Peter J Schwartz, Francesca Lia","doi":"10.1714/4269.42462","DOIUrl":"10.1714/4269.42462","url":null,"abstract":"Legal proceedings for medical negligence usually origin from painful events and their management is often complex, also at an emotional level, both for the families involved and for the physicians assumed to carry responsibility. Many of these aspects are unfamiliar and unclear to the doctors themselves who then need to interact, together with their lawyers, with judges who must take serious decisions on technical facts not easy to be fully comprehended by non-medical persons.On the basis of our different and highly specific personal experience, we have tried to clarify some of the fundamental issues concerning medico-legal cases. Accordingly, we have discussed the different types of guilt, made the distinction between civil and penal cases, with special focus on one issue which is particularly critical, namely that of the importance of guidelines. We have presented some examples of clinical cases and highlighted some glaring differences existing in the management of medico-legal cases between Italy and the United States. Despite obvious complexities, these differences might suggest some approaches toward the simplification of these proceedings and the shortening of the time involved to reach a conclusion.","PeriodicalId":12510,"journal":{"name":"Giornale italiano di cardiologia","volume":"25 6","pages":"390-397"},"PeriodicalIF":0.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141161116","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

[Recommendations for competitive sports eligibility: what's new in the 2023 COCIS protocols]. [竞技体育资格建议：2023 年 COCIS 协议的新内容]。

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Giornale italiano di cardiologia Pub Date : 2024-06-01 DOI: 10.1714/4269.42467

Giampiero Patrizi, Lucia Tardini

{"title":"[Recommendations for competitive sports eligibility: what's new in the 2023 COCIS protocols].","authors":"Giampiero Patrizi, Lucia Tardini","doi":"10.1714/4269.42467","DOIUrl":"10.1714/4269.42467","url":null,"abstract":"The benefit of physical exercise is well established, but, at the same time, it is now well known that an intense sports activity can trigger adverse cardiac events and increase sport-related death. Since 1982, Italy has a State law which obliges athletes to undergo a pre-participation evaluation, based on history, physical examination, ECG and stress test. From its introduction, a significant reduction in cardiac sport-related adverse events has been shown. During the pre-participation screening, some cardiological issues or suspects can arise and the sports medicine doctor should deal with them before releasing the certification for participation in competitive sport. In order to give precious advices to these colleagues and help athletes to securely practice sport, the Italian Society of Sports Cardiology, the Italian Federation of Sports Medicine and the other cardiological scientific societies gathered in the COCIS Committee, periodically produce and publish a booklet named \"Cardiological Protocols for Competitive Sports Eligibility\". The object of this review is to underline the recent 2023 version innovations when compared to previous editions.","PeriodicalId":12510,"journal":{"name":"Giornale italiano di cardiologia","volume":"25 6","pages":"433-440"},"PeriodicalIF":0.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141161124","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

["Extreme sports" in patients with heart disease: an informative approach to patient counseling]. [心脏病患者的 "极限运动"：为患者提供信息咨询的方法]。

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Giornale italiano di cardiologia Pub Date : 2024-06-01 DOI: 10.1714/4269.42468

Francesco Feletti, Stefano Savonitto

{"title":"[\"Extreme sports\" in patients with heart disease: an informative approach to patient counseling].","authors":"Francesco Feletti, Stefano Savonitto","doi":"10.1714/4269.42468","DOIUrl":"10.1714/4269.42468","url":null,"abstract":"The term \"extreme sports\" includes a range of sporting activities, predominantly individual, practised outdoors in a wild and non-competitive environment, which have in common the critical role of environmental variables, the importance of qualitative parameters in evaluating performance, the centrality of technological elements and the high perceived risk which, together with the spectacularity, attracts the attention of the media, favoring its popularity. Despite their diversity, these disciplines share specific risks and physiological and pathophysiological aspects. The average age of participants is generally higher than that of traditional and competitive sports, and the prevalence of male subjects implies a higher likelihood of cardiological evaluation whose path has yet to be codified like that of traditional sports. The risk of severe injuries in these sports is not higher than that of traditional sports and non-sporting activities. In contrast, the risk of cardiovascular events is documented only for some sports practised in the mountains, such as mountaineering, skiing and mountain biking, and it does not appear to be higher than that of equivalent physical activities performed at low altitudes. The diagnostic and prognostic criteria for cardiological counseling of enthusiasts are not defined. Environmental exposure to extremes of temperature, altitude, wind and humidity, and dehydration are typical characteristics of these activities, which should be addressed with adequate experience, preparation and equipment to minimize the potential impact on health. Finally, many of these activities are often conducted in \"remote areas\" compared to the possibility of emergency response, which should be considered in the risk assessment of an acute cardiovascular event. The definition of cardiovascular risk constitutes an open area of research to allow the practice of these sports to an increasing number of participants.","PeriodicalId":12510,"journal":{"name":"Giornale italiano di cardiologia","volume":"25 6","pages":"441-449"},"PeriodicalIF":0.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141161146","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

[Drug-eluting stents in contemporary interventional practice: the STENT PANORAMA project (Part I)]. [当代介入治疗中的药物洗脱支架：STENT PANORAMA 项目（第一部分）]。

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Giornale italiano di cardiologia Pub Date : 2024-06-01 DOI: 10.1714/4287.42690

Giulia Masiero, Alberto Barioli, Marco Borghesi, Luca Donazzan, Enrico Fabris, Tommaso Fabris, Chiara Fraccaro, Andrea Gratta, Daniele Giacoppo, Davide Lanzellotti, Mattia Lunardi, Concetta Mammone, Giuseppe Marchese, Marco Mojoli, Luca Nai Fovino, Andrea Pascotto, Filippo Zilio, Gabriele Pesarini

{"title":"[Drug-eluting stents in contemporary interventional practice: the STENT PANORAMA project (Part I)].","authors":"Giulia Masiero, Alberto Barioli, Marco Borghesi, Luca Donazzan, Enrico Fabris, Tommaso Fabris, Chiara Fraccaro, Andrea Gratta, Daniele Giacoppo, Davide Lanzellotti, Mattia Lunardi, Concetta Mammone, Giuseppe Marchese, Marco Mojoli, Luca Nai Fovino, Andrea Pascotto, Filippo Zilio, Gabriele Pesarini","doi":"10.1714/4287.42690","DOIUrl":"10.1714/4287.42690","url":null,"abstract":"STENT PANORAMA is a project carried out by the Young Interventional Cardiologists of Triveneto coordinated by the Italian Society of Interventional Cardiology (GISE) Veneto delegation. The project includes two parts: the first, here reported, is aimed at describing in a standardized and easily usable way the main technological characteristics of the latest generation of the drug eluting stents (DES) that are most widely used in the Italian cath-labs. The second, to follow, will aim to summarize the main scientific evidence regarding the performance of individual devices with particular reference to subgroups of clinical interest. The ambitious goal of the STENT PANORAMA working group is to provide the interventional cardiologist with a thorough, practical, and functional knowledge of the DES currently available in the modern therapeutic armamentarium to promote a therapeutic strategy tailored to the patient.","PeriodicalId":12510,"journal":{"name":"Giornale italiano di cardiologia","volume":"25 6","pages":"23S-37S"},"PeriodicalIF":0.7,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141442448","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 imaging for the evaluation and treatment of calcified coronary artery disease]. [用于评估和治疗钙化冠状动脉疾病的光学相干断层成像]。

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Giornale italiano di cardiologia Pub Date : 2024-06-01 DOI: 10.1714/4287.42688

Marco Busco, Alfredo Ricchiuto, Francesco Bianchini, Gianluca Anastasia, Fabio Pescetelli, Matteo Vercellino, Enrico Romagnoli, Francesco Burzotta, Carlo Trani, Italo Porto, Cristina Aurigemma, Rocco Vergallo

{"title":"[Optical coherence tomography imaging for the evaluation and treatment of calcified coronary artery disease].","authors":"Marco Busco, Alfredo Ricchiuto, Francesco Bianchini, Gianluca Anastasia, Fabio Pescetelli, Matteo Vercellino, Enrico Romagnoli, Francesco Burzotta, Carlo Trani, Italo Porto, Cristina Aurigemma, Rocco Vergallo","doi":"10.1714/4287.42688","DOIUrl":"10.1714/4287.42688","url":null,"abstract":"Coronary calcific disease represents one of the main challenges for the interventional cardiologist, for whom optimal lesion preparation and percutaneous coronary intervention optimization are paramount for correct management. In this perspective, intravascular imaging using optical coherence tomography (OCT) is becoming an increasingly indispensable tool. This work aims to provide a detailed overview of the complexity of calcified lesions, first analyzing their various morphologies and their clinical impact: spotty calcium seems to be more present in plaques at higher risk of destabilization, while diffuse calcification is typical of stable coronary stenosis; the eruptive calcific nodule is one of the three culprit lesion phenotypes responsible for acute coronary syndromes.In the second part of this review, the available technologies for the treatment of calcified lesions are described, with the aid of illustrative OCT images. Intravascular lithotripsy causes fractures at various levels of the calcified plaque, both circumferentially and longitudinally, with an improvement in vessel compliance; atherectomy acts by modifying the composition of the plaque with selective action on the hard calcific component. OCT, providing a comprehensive overview of lesion characteristics, can guide in the selection of the most appropriate therapeutic strategy, while also offering important information on the effectiveness of the chosen treatment.","PeriodicalId":12510,"journal":{"name":"Giornale italiano di cardiologia","volume":"25 6","pages":"8S-15S"},"PeriodicalIF":0.7,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141442450","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

In questo numero. 本期内容

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Giornale italiano di cardiologia Pub Date : 2024-05-01 DOI: 10.1714/4252.42290

引用次数: 0

[Management of patent foramen ovale in non-cardiac surgery]. [非心脏手术中卵圆孔未闭的处理]。

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Giornale italiano di cardiologia Pub Date : 2024-05-01 DOI: 10.1714/4252.42291

Marco B Ancona, Domitilla Gentile, Luca A Ferri, Fabrizio Monaco, Filippo Russo, Barbara Bellini, Ciro Vella, Giulia Ghizzoni, Greca Zanda, Eustachio Agricola, Giulio Truci, Luigi Beretta, Stefano Turi, Giovanni Landoni, Matteo Montorfano

{"title":"[Management of patent foramen ovale in non-cardiac surgery].","authors":"Marco B Ancona, Domitilla Gentile, Luca A Ferri, Fabrizio Monaco, Filippo Russo, Barbara Bellini, Ciro Vella, Giulia Ghizzoni, Greca Zanda, Eustachio Agricola, Giulio Truci, Luigi Beretta, Stefano Turi, Giovanni Landoni, Matteo Montorfano","doi":"10.1714/4252.42291","DOIUrl":"10.1714/4252.42291","url":null,"abstract":"Patent foramen ovale (PFO) is a remnant of normal fetal anatomy which may persist into adulthood, mostly asymptomatic. In some adults, PFO may result in a potential for shunting venous thromboembolism to the arterial circulation; less frequently it can cause interatrial, right-to-left shunting of deoxygenated blood. The pathogenesis of several medical conditions is related to the presence of PFO. Some randomized clinical trials have shown evidence of benefit for device closure as compared with medical therapy in patients with cryptogenic stroke. The literature reported several cases of carbon dioxide embolism during general laparoscopic surgery and sometimes stroke after laparoscopic or neurosurgery but there are neither prospective studies addressing these issues, nor randomized clinical trials assessing the effectiveness of pharmacotherapy or interventional procedures at decreasing risk. The European position paper suggests routine monitoring in non-cardiac surgery of patients with a PFO and no actual indications for closure. This article aims to further stratify the risk of periprocedural stroke and paradoxical embolism in this category of patients.","PeriodicalId":12510,"journal":{"name":"Giornale italiano di cardiologia","volume":"25 5","pages":"295-299"},"PeriodicalIF":0.7,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140848584","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 IN-HF Registry: the history and the scientific production for the Italian cardiology community]. [IN-HF 登记：意大利心脏病学界的历史和科研成果]。

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Giornale italiano di cardiologia Pub Date : 2024-05-01 DOI: 10.1714/4252.42293

Vittoria Rizzello, Maria Denitza Tinti, Mauro Gori, Marco Marini, Vittorio Palmieri, Luisa De Gennaro, Paolo Manca, Maria Vittoria Matassini, Concetta Di Nora, Matteo Bianco, Samuela Carigi, Piero Gentile, Giuseppe Leonardi, Francesco Orso, Marco Gorini, Lucio Gonzini, Donata Lucci, Aldo Pietro Maggioni, Renata De Maria, Luigi Tavazzi

{"title":"[The IN-HF Registry: the history and the scientific production for the Italian cardiology community].","authors":"Vittoria Rizzello, Maria Denitza Tinti, Mauro Gori, Marco Marini, Vittorio Palmieri, Luisa De Gennaro, Paolo Manca, Maria Vittoria Matassini, Concetta Di Nora, Matteo Bianco, Samuela Carigi, Piero Gentile, Giuseppe Leonardi, Francesco Orso, Marco Gorini, Lucio Gonzini, Donata Lucci, Aldo Pietro Maggioni, Renata De Maria, Luigi Tavazzi","doi":"10.1714/4252.42293","DOIUrl":"https://doi.org/10.1714/4252.42293","url":null,"abstract":"The Italian Network on Congestive Heart Failure (IN-CHF) project, later known as IN-HF Online, was launched in 1995 to provide the Italian cardiology community with a digital tool, standardized across the country, for managing outpatients with heart failure (HF), that enabled the creation of a database for clinical, educational and scientific purposes. During its almost three decades of activity, this observational research program has achieved highly positive scientific results. Indeed, IN-HF fostered professional relationships among individuals working in different centers, established a cultural network for the care of HF patients, periodically updated on the scientific advances, and allowed the assessment of several clinical, epidemiological, and prognostic features. These findings have been published in numerous national and international journals, as summarized in the present overview.","PeriodicalId":12510,"journal":{"name":"Giornale italiano di cardiologia","volume":"25 5","pages":"301-308"},"PeriodicalIF":0.5,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140851021","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