Associazione Nazionale Medici Cardiologi Ospedalieri

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LEFT BUNDLE BRANCH PACING IN A SPECIAL POPULATION: EIGHT CASES OF PEDIATRIC AND GUCH PATIENTS WHO EXPERIENCED PHYSIOLOGICAL PACING
Anno:
2026
Background : Left Bundle Branch Area Pacing (LBBAP) has become over the last years a promising pacing strategy by avoiding the desynchronization of the left ventricle. Many data confirm the safety and the clinical performance of this technique in adult patients with indication for pacing. On the contrary, only…
SEX AND GENDER-RELATED DIFFERENCES IN POST–MYOCARDIAL INFARCTION NARRATIVES: INTERIM RESULTS FROM THE NARGEN STUDY
Anno:
2026
Background: Narrative Medicine captures the lived experience of acute myocardial infarction (AMI) and may reveal sex- and gender-related patterns that shape symptom interpretation, emergency activation, adherence and rehabilitation. NARGEN maps post-AMI narratives to generate actionable targets for personalized secondary prevention. Methods: NARGEN is an observational, single-centre narrative-medicine study at…
HEART IN RHYTHM: THE IMPACT OF TARGETED TRAINING ON ARRHYTHMIA MANAGEMENT AND ALARM FATIGUE REDUCTION IN CARDIO-THORACIC-VASCULAR INTENSIVE CARE UNITS
Anno:
2026
Arrhythmias represent one of the most frequent and clinically significant challenges in Cardio-Thoracic-Vascular Intensive Care Units (CTV-ICUs), where timely recognition and appropriate management of rhythm disturbances are crucial for patient safety and clinical outcomes. Despite technological advances, recent studies have shown that more than 80% of arrhythmia alarms in…
DEXTROCARDIA AND SODIUM CHANNEL BLOCKADE: AN ECG TRAP
Anno:
2026
A 78-year-old patient with arterial hypertension, paroxysmal atrial fibrillation, prior ischemic stroke with post-ischemic epilepsy, active smoking, and Kartagener syndrome presented to the Emergency Department for repeated vomiting and fever; the home medication history was initially unavailable. On arrival, blood pressure was 90/60 mmHg and oxygen saturation 95%. Arterial…
CARDIOVASCULAR IMMUNE-RELATED TOXICITY OF IMMUNE CHECKPOINT INHIBITORS: INSIGHTS FROM THREE CLINICAL CASES OF MYOCARDITIS
Anno:
2026
Over the past decade, immune checkpoint inhibitors (ICIs) have dramatically transformed the treatment of several solid and hematologic malignancies. Despite their proven clinical benefit, ICIs are associated with immune-related adverse events (irAEs), among which cardiovascular toxicities are increasingly recognized as rare but potentially life-threatening complications. In particular, ICI-associated myocarditis…
EOSINOPHILIC MYOCARDITIS: A DIAGNOSIS THAT CANNOT WAIT
Anno:
2026
A 31-year-old man presented to the emergency department at night with chest pain at rest radiating to the left shoulder, associated with fever and abdominal pain. Symptoms had begun earlier the same day, were oppressive and constant, and partially relieved by analgesics. One month earlier, he had been diagnosed…
TRANSIENT JUXTADUCTAL OBSTRUCTION: DIFFERENTIATING RESTRICTIVE DUCTUS ARTERIOSUS FROM TRUE COARCTATION
Anno:
2026
Background: Aortic coarctation is a critical congenital heart disease that may present in the neonatal period, often requiring urgent intervention. However, transitional cardiovascular changes after birth, particularly involving the ductus arteriosus, may mimic its echocardiographic features. Clinical case: A male neonate was born at 39+2 weeks of gestation via…
USE OF DRUG COATING BALLOONS FOR THE MANAGEMENT OF CORONARY BIFURCATION
Anno:
2026
Introduction Management of multivessel coronary artery disease (MVD) in patients with recurrent acute coronary syndromes (ACS) remains challenging, particularly in the presence of several cardiovascular (CV) risk factors and previous percutaneous coronary interventions (PCI). Coronary bifurcation lesions further increase procedural complexity and are associated with higher risk of adverse…
PREDICTORS OF MORTALITY IN PATIENTS WITH ACUTE DECOMPENSATED HEART FAILURE TREATED WITH AN EARLY AND ACCELERATED MANAGEMENT STRATEGY (INSIGHTS FROM FIL-AHF STUDY)
Anno:
2026
Introduction Acute decompensated heart failure (ADHF) remains a leading cause of hospitalization and mortality worldwide despite therapeutic advances. Early identification of patients at increased risk of adverse outcomes is crucial to improve clinical decision-making and optimize management strategies. Although early and accelerated treatment approaches may enhance hemodynamic stabilization, their…
RETURN TO WORK AFTER MITRAL VALVE SURGERY
Anno:
2026
Degenerative mitral valve disease is a widespread significant disorder, defined by a spectrum of different lesions. Surgical repair is the gold standard treatment, achieving outstanding results and improving long-term outcomes. Advances in surgical techniques have led to reduce recovery times and postoperative morbidity in mitral valve surgery. Nevertheless, despite…