Italian heart journal : official journal of the Italian Federation of Cardiology最新文献_第7页

Off-pump versus on-pump coronary artery bypass: does number of grafts performed represent a selection bias in comparative studies? Results from a matched cohort comparison. 非体外循环与体外循环冠状动脉搭桥术:在比较研究中，移植物的数量是否代表了一种选择偏差?来自匹配队列比较的结果。

Italian heart journal : official journal of the Italian Federation of Cardiology Pub Date : 2005-09-01

Antonino Roscitano, Umberto Benedetto, Fabio Capuano, Caterina Simon, Euclide Tonelli, Giovanni Ruvolo, Riccardo Sinatra

{"title":"Off-pump versus on-pump coronary artery bypass: does number of grafts performed represent a selection bias in comparative studies? Results from a matched cohort comparison.","authors":"Antonino Roscitano, Umberto Benedetto, Fabio Capuano, Caterina Simon, Euclide Tonelli, Giovanni Ruvolo, Riccardo Sinatra","doi":"","DOIUrl":"","url":null,"abstract":"Background: Several retrospective studies comparing off-pump and on-pump coronary surgery and the largest randomized studies published to date showed a lower number of grafts performed in patients submitted to off-pump coronary artery bypass surgery (OPCAB). These findings bring about the question of the general applicability of the results. We eliminated the selection bias correlated with the number of grafts per patient by comparing the short-term outcomes of patients undergoing OPCAB and standard coronary artery bypass grafting (CABG) matched for number of grafts.Methods: Eighty-seven consecutive patients undergoing OPCAB (group A) were selected from the database of our Institution during a 2-year period. Matching was performed by iterative selection prioritizing, in the following sequence: number of grafts, EuroSCORE, and age. A total of 87 patients operated upon with the on-pump technique represented the control group (group B).Results: There were no significant differences in preoperative characteristics between the two groups. The number of grafts per patient was 2.2 +/- 0.5 in group A and 2.2 +/- 0.5 in group B. Early mortality did not differ between the two groups and it was 2.2% (2 patients) in group A and 3.4% (3 patients) in group B (p = NS). The incidence of myocardial infarction did not differ between the two groups. No patient in either group had stroke or coma. Five (5.7%) patients in group A and 7 (8.0%) patients in group B had atrial fibrillation (p = NS).Conclusions: We were unable to demonstrate any significant differences in short-term mortality or morbidity outcome between OPCAB and standard CABG patients Our findings suggest that excellent results can be obtained with both surgical approaches.","PeriodicalId":80289,"journal":{"name":"Italian heart journal : official journal of the Italian Federation of Cardiology","volume":"6 9","pages":"740-4"},"PeriodicalIF":0.0,"publicationDate":"2005-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25624617","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

Initial energy for biphasic external electrical cardioversion of atrial fibrillation. 心房颤动双相外电复律的初始能量。

Italian heart journal : official journal of the Italian Federation of Cardiology Pub Date : 2005-09-01

Gennaro Miracapillo, Alessandro Costoli, Luigi Addonisio, Silva Severi

{"title":"Initial energy for biphasic external electrical cardioversion of atrial fibrillation.","authors":"Gennaro Miracapillo, Alessandro Costoli, Luigi Addonisio, Silva Severi","doi":"","DOIUrl":"","url":null,"abstract":"Background: No international guidelines indicate the initial energy in biphasic external electrical cardioversion of atrial fibrillation (AF) actually. The aim of this study was to determine this value in order to find a reasonable compromise between the necessity of limiting tissue damage and of quickly restoring sinus rhythm as well.Methods: Fifty-six consecutive patients with AF candidate to external electrical cardioversion were treated using adhesive anterior-posterior paddles and biphasic wave defibrillator Lifepack 12, with steps of 50 J. After 6 hours troponin I levels were measured.Results: Thirty-four patients were cardioverted by 50 J (group A), 18 by 100 J (group B) and 3 by 150 J (group C). One patient was not cardioverted (success rate 98%). No significant differences were noted between groups A and B with regard to age, sex, weight, height, thoracic circumference, body mass index, body surface area, impedance, NYHA class, left ventricular ejection fraction, left atrial diameter, causes of heart disease, antiarrhythmic medications, and duration of current AF episode. No increase of troponin I levels occurred.Conclusions: An initial shock of 100 J in the biphasic external elective cardioversion of AF is a valid and highly effective option. An initial shock of 50 J was effective in 61% of our population, and it is probably appropriated in patients with a lower weight and body mass index.","PeriodicalId":80289,"journal":{"name":"Italian heart journal : official journal of the Italian Federation of Cardiology","volume":"6 9","pages":"757-60"},"PeriodicalIF":0.0,"publicationDate":"2005-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25626751","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

Current perspective. Diabetic vascular disease: from endothelial dysfunction to atherosclerosis. 当前视角。糖尿病血管疾病:从内皮功能障碍到动脉粥样硬化。

Italian heart journal : official journal of the Italian Federation of Cardiology Pub Date : 2005-09-01

Riccardo Candido, Michela Zanetti

引用次数: 0

Two unusual cases of coincident atrioventricular nodal reentrant tachycardia and ventricular tachycardia. 房室结折返性心动过速合并室性心动过速2例。

Italian heart journal : official journal of the Italian Federation of Cardiology Pub Date : 2005-09-01

Nicola Bottoni, Paolo Donateo, Fabio Quartieri, Michele Brignole, Carlo Menozzi

引用次数: 0

DDD versus VVIR versus VVI mode in patients with indication to dual-chamber stimulation: a prospective, randomized, controlled, single-blind study. 双腔刺激指征患者的DDD、VVIR和VVI模式:一项前瞻性、随机、对照、单盲研究

Italian heart journal : official journal of the Italian Federation of Cardiology Pub Date : 2005-09-01

Eugenio Moro, Francesco Caprioglio, Giuseppe Berton, Carlo Marcon, Umberto Riva, Giorgio Corbucci, Pietro Delise

{"title":"DDD versus VVIR versus VVI mode in patients with indication to dual-chamber stimulation: a prospective, randomized, controlled, single-blind study.","authors":"Eugenio Moro, Francesco Caprioglio, Giuseppe Berton, Carlo Marcon, Umberto Riva, Giorgio Corbucci, Pietro Delise","doi":"","DOIUrl":"","url":null,"abstract":"Background: The aim of this study was to compare VVI, VVIR and DDD modes in patients with indication to dual-chamber stimulation, depending on left ventricular function.Methods: Two groups of patients were implanted with a DDD pacemaker: Group I with ejection fraction > 40% and Group II with ejection fraction < 40%. Patients with a history of atrial arrhythmia or retrograde conduction were excluded. At follow-up (1 month each) quality of life (QoL), patient preference and echo parameters were collected. At hospital discharge all patients were programmed in DDD for 1 month and then randomized to VVI or VVIR mode. At the end of the period in VVI or VVIR mode each patient underwent a control period in DDD and then was programmed in VVIR or VVI mode.Results: Seventeen patients out of 23 preferred DDD mode and 6 did not perceive any subjective difference among DDD, VVI and VVIR modes (4/9 in Group I and 2/14 in Group II, p = 0.0017). QoL was significantly different between the two groups and at each follow-up showed the best values in DDD. The correlation between QoL and Tei index was 0.62 in Group I (p < 0.001) and 0.35 in Group II (p = 0.001). Neither ejection fraction nor fractional shortening showed any significant difference during the three phases of the study.Conclusions: Most patients preferred the DDD mode. The Tei index showed a good correlation with QoL and both QoL and Tei index significantly improved with DDD mode as compared to VVI and VVIR.","PeriodicalId":80289,"journal":{"name":"Italian heart journal : official journal of the Italian Federation of Cardiology","volume":"6 9","pages":"728-33"},"PeriodicalIF":0.0,"publicationDate":"2005-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25624614","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

Percutaneous treatment of the left main coronary artery ostial obstruction following aortic valve replacement. 主动脉瓣置换术后左主干冠状动脉口梗阻的经皮治疗。

Italian heart journal : official journal of the Italian Federation of Cardiology Pub Date : 2005-09-01

Angelo Placci, Marco Balducelli, Roberto Casanova, Aleardo Maresta

引用次数: 0

Congestive heart failure secondary to right ventricular metastasis of colon cancer. A case report and review of the literature. 结肠癌右心室转移继发充血性心力衰竭。病例报告及文献回顾。

Italian heart journal : official journal of the Italian Federation of Cardiology Pub Date : 2005-09-01

Carlo Oneglia, Alberto Negri, Daniele Bonora-Ottoni, Marco Gambarotti, Gianluigi Bisleri, Cesare Rusconi, Claudio Muneretto

引用次数: 0

Italian heart journal : official journal of the Italian Federation of Cardiology Pub Date : 2005-08-01

Roberto Crepaz, Roberto Cemin, Cristina Pedron, Lino Gentili, Diego Trevisan, Walter Pitscheider

{"title":"Age-related variations of left ventricular endocardial and midwall function in healthy infants, children, and adolescents.","authors":"Roberto Crepaz, Roberto Cemin, Cristina Pedron, Lino Gentili, Diego Trevisan, Walter Pitscheider","doi":"","DOIUrl":"","url":null,"abstract":"Background: In pediatric age echocardiographic evaluation of left ventricular systolic function is usually based on indexes obtained by measurements at the endocardial level. In the presence of ventricular hypertrophy this may lead to an overestimation of systolic function. The aim of this study was to assess the developmental changes of left ventricular systolic mechanics measured at the endocardial and midwall levels.Methods: In 239 normal subjects divided into six age groups we measured left ventricular end-diastolic volume, mass and mass/volume ratio, fractional shortening, and rate-corrected mean velocity of circumferential shortening at the endocardial and midwall levels. Endocardial meridional end-systolic stress and midwall circumferential end-systolic stress were considered as indexes of afterload. Relations of extent and velocity of fiber shortening to afterload at the endocardial and midwall levels were used to assess left ventricular contractility.Results: Blood pressure, left ventricular afterload, volume and mass increased, whereas the mass/volume ratio remained stable during growth. Fractional shortening and mean velocity of circumferential shortening at the endocardial level decreased and showed an inverse relation to afterload. Midwall fractional shortening and rate-corrected mean velocity of circumferential shortening were lower during the first months and did not change during the first year of life.Conclusions: Left ventricular volume and mass increase with age, mass/volume ratio remains almost constant while afterload increases. Endocardial systolic function indexes are higher in the first period of life, due to low afterload and increased mass/volume ratio. In the first months of life the left ventricular myocardium shows a greater sensitivity to changes in afterload and a reduced contractility measured at the midwall level.","PeriodicalId":80289,"journal":{"name":"Italian heart journal : official journal of the Italian Federation of Cardiology","volume":"6 8","pages":"634-9"},"PeriodicalIF":0.0,"publicationDate":"2005-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25299837","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

Rupture of an aortic dissection into the right atrium in a patient with a previous aortic valve replacement: a case report. 先前主动脉瓣置换术患者主动脉夹层破裂进入右心房:一例报告。

Italian heart journal : official journal of the Italian Federation of Cardiology Pub Date : 2005-08-01

Gaetano Panzarella, Gabriella Carlino, Kahlil Fattouch, Giovanni Ruvolo, Luigi Messina, Enrico Hoffmann, Egle Incalcaterra, Salvatore Novo

{"title":"Rupture of an aortic dissection into the right atrium in a patient with a previous aortic valve replacement: a case report.","authors":"Gaetano Panzarella, Gabriella Carlino, Kahlil Fattouch, Giovanni Ruvolo, Luigi Messina, Enrico Hoffmann, Egle Incalcaterra, Salvatore Novo","doi":"","DOIUrl":"","url":null,"abstract":"We report the case of a 73-year-old man with a history of previous aortic valve replacement in 1990 and rupture of an aortic dissection into the right atrium. The patient was admitted to the emergency room because of chest pain, stopped not long after. The electrocardiogram did not show any signs of ischemia and myocardial enzymes were not increased. Transthoracic echocardiography revealed aortic root dilation (maximum diameter 60 mm) extended to the aortic arch, and the presence of a flow from the ascending aorta to the right atrium (evocative of a fistula between the two chambers). The aortic valvular prosthesis function was good. Transesophageal echocardiography confirmed an aorta-right atrium fistula. Cardiac catheterization did not show any luminal obstructions in the coronary arteries; there was a small shunt from the aorta to the right atrium. The ascending aorta and the aortic root were replaced with a Dacron graft. Right and left sinuses were reimplanted to the graft. The fistula was repaired with 4-0 pledgeted Prolene sutures. The surgeon's diagnosis was \"type A aortic dissection in a patient with an ascending aorta aneurysm and an old ascending aorta-right atrium fistula\".","PeriodicalId":80289,"journal":{"name":"Italian heart journal : official journal of the Italian Federation of Cardiology","volume":"6 8","pages":"658-60"},"PeriodicalIF":0.0,"publicationDate":"2005-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25299841","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

Delayed profound thrombocytopenia after abciximab administration for coronary stenting in acute coronary syndrome. Case reports and review of the literature. 急性冠脉综合征冠脉支架置入术中阿昔单抗治疗后的迟发性深度血小板减少。病例报告和文献回顾。

Italian heart journal : official journal of the Italian Federation of Cardiology Pub Date : 2005-08-01

Gaia Trapolin, Stefano Savonitto, Piera Angelica Merlini, Maria Teresa Caimi, Silvio Klugmann

引用次数: 0