Associazione Nazionale Medici Cardiologi Ospedalieri

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UNMASKING THE IMPACT OF SEVERE LVOT OBSTRUCTION IN HYPERTROPHIC CARDIOMYOPATHY BY COMBINED STRESS ECHOCARDIOGRAPHY AND CARDIOPULMONARY EXERCISE TESTING
Anno:
2026
Background: Hypertrophic cardiomyopathy (HCM) is a complex disease in which left ventricular outflow tract (LVOT) obstruction influences both functional capacity and clinical outcomes. However, the clinical relevance of varying obstruction severity remains debated. Objectives: To evaluate the relationship between LVOT gradient severity and both exercise performance and long-term prognosis…
ARRHYTHOGENIC MITRAL PROLAPSE: A CASE OF OUT-OF-HOSPITAL CARDIAC ARREST, FROM DIAGNOSIS TO ICD IMPLANTATION
Anno:
2026
A 42-year-old woman experienced an out-of-hospital cardiac arrest (OHCA) at her home, presenting with ventricular fibrillation (VF). She was successfully resuscitated with three DC shocks and transported to our hospital in return of spontaneous circulation (ROSC). The patient had no notable medical history, cardiovascular risk factors, or family history,…
EFFICACY AND TOLERABILITY OF SACUBITRIL/VALSARTAN IN DUCHENNE DYSTROPHIC CARDIOMYOPATHY: A REAL-WORLD EXPERIENCE
Anno:
2026
Background Duchenne muscular dystrophy (DMD) is an X-linked hereditary neuromuscular disorder characterized by progressive muscular weakness and the development of a dystrophic cardiomyopathy. Despite standard therapy with ACE-inhibitors (ACEi), betablockers (BB) and mineralocorticoids receptor antagonists (MRA), the progression of left ventricular dysfunction remains one of the main causes of…
MECHANICAL THROMBECTOMY UNDER CONTINUOUS TRANSESOPHAGEAL ECHOCARDIOGRAPHY GUIDANCE FOR THE MANAGEMENT OF A RIGHT ATRIAL FLOATING THROMBUS IN THE CONTEXT OF MASSIVE PULMONARY EMBOLISM
Anno:
2026
A 75-year-old male presented to the emergency department with acute, progressively worsening dyspnea associated with syncopal episode. Initial presentation included a BP 125/65 mmHg, a HR <110 bpm, and SO2 97%. Arterial blood gas analysis revealed normal pH, mild hypocapnia, and elevated plasma lactate levels. Troponin Hs 53 ng/L,…
MULTIDISCIPLINARY APPROACH TO PREGNANCY IN WOMEN WITH MARFAN SYNDROME: A CASE SERIES
Anno:
2026
Background: Pregnancy in women with Marfan syndrome (MFS) carries a high risk of cardiovascular complications, particularly aortic dissection, due to hemodynamic and hormonal changes. Multidisciplinary management of pregnancy and delivery and continue risk reassessment are essential to minimize maternal and fetal complications. Case Series: We report three cases of…
STANDALONE THORACOSCOPIC EPICARDIAL LEFT ATRIAL APPENDAGE EXCLUSION WITHOUT ANY ANTITHROMBOTIC THERAPY IN A MULTIDISCIPLINARY PRACTICE: LONG TERM CLINICAL OUTCOMES
Anno:
2026
Introduction: According to 2024 ESC AF Guidelines with Doacs having similar bleeding risk of aspirin the role of endovascular left atrial appendage occlusion with the mandatory post procedure antithrombotic therapy for stroke prevention is defined “unclear”. Thoracoscopic epicardial closure does not require any post procedure antiplatelet therapy due to…
HERITABLE THORACIC AORTIC DISEASE: TRANSLATING SURGICAL EVIDENCE INTO CLINICAL PRACTICE. A SYSTEMATIC REVIEW
Anno:
2026
Background: Heritable thoracic aortic diseases (HTADs), including Marfan syndrome, Loeys–Dietz syndrome, vascular Ehlers–Danlos syndrome, and familial aortopathies, manifest genotype-specific patterns of aortic involvement, tissue fragility, and progression. These molecular determinants influence surgical risk, durability of repair, and likelihood of distal disease evolution. Consequently, surgical management has progressively moved from…
ENVIRONMENTAL DETERMINANTS OF CORONARY PLAQUE VULNERABILITY AN OPTICAL COHERENCE TOMOGRAPHY STUDY
Anno:
2026
Background : Environmental exposures may trigger acute coronary events, but links with in vivo plaque microstructure remain unclear. We examined associations between air pollution/meteorological variables and optical coherence tomography (OCT) plaque vulnerability, and explored long-term outcomes. Methods : We retrospectively analyzed a registry of 508 patients undergoing coronary OCT…
TELEMONITORING FOR HEART FAILURE CARE: FEASIBILITY AND EARLY CLINICAL IMPACT OF “TELECUORE” PROGRAM
Anno:
2026
Background Telemedicine may improve heart failure (HF) management by enabling early detection of clinical instability and therapy optimization. The TeleCuore program was implemented at the Cardiology Unit of “Guglielmo da Saliceto” Hospital (Piacenza, Italy) to assess feasibility, clinical impact, and patient experience. Methods Patients discharged with de novo HF…
MINICRUSH VS T-STENTING AND MINIMAL PROTRUSION FOR TREATMENT OF COMPLEX CORONARY BIFURCATION LESIONS: THE TREX REGISTRY STUDY
Anno:
2026
Background: Optimal percutaneous coronary intervention (PCI) techniques for complex bifurcation lesions remain a subject of debate. Intentional two-stent strategies are widely employed, but comparative clinical effectiveness between different methods requires further investigation. This study aimed to compare the clinical efficacy of two prevalent two-stent techniques: the Minicrush and the…