Associazione Nazionale Medici Cardiologi Ospedalieri

CONGRESS ABSTRACT

CONGRESS ABSTRACT

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Identifying Cardiogenic Shock Sub-Phenotypes with Machine Learning: A Multicenter Study Combining Clinical and Echocardiographic Data
Anno:
2025
Background: sub-phenotyping patients with cardiogenic shock (CS) through a non-traditional clustering method may represent a significant step forward in precision medicine, enhancing clinical outcomes in this heterogeneous and high-mortality condition. We aimed to apply an unsupervised machine learning approach integrating clinical and imaging data (including advanced echocardiography) to identify…
A CASE OF FULMINANT MYOCARDITIS: THE IMPORTANCE OF EVERY DETAIL FOR EARLY TREATMENT. THE ECG AS A KEY TOOL IN EARLY DIAGNOSIS AND PROGNOSTIC STRATIFICATION
Anno:
2025
We report the case of a 67-year-old male who presented to a spoke emergency department with marked asthenia and dyspnea following an episode of acute gastroenteritis. Upon triage, the patient was assigned a red code due to hypotension and signs of hypoperfusion. Initial arterial blood gas analysis revealed metabolic…
DISCHARGE MEDICAL TREATMENT IMPLEMENTATION IN PATIENTS ADMITTED FOR AHF: PRELIMINARY DATA FROM THE BRING-UP3 HF STUDY
Anno:
2025
Background: Recent ESC guidelines introduced a new treatment paradigm for HFrEF, with a novel four pillar therapeutic approach comprising ACE-I/ARBs/ARNIs, Beta-blockers, MRAs, and SGLT2i. Furthermore, these guidelines for the first time give a Class IA recommendation for Empagliflozin and Dapagliflozin in HFmrEF and HFpEF. Evaluation of transferability of RCTs…
Relationship between diuretic therapy, sodium intake, urine sodium levels, and plasmatic levels of Renin, Aldosterone, Copeptin and NT-proBNP in patients in NYHA III-IV class.
Anno:
2025
Hyponatremia, the activation of the Renin- Angiotensin- Aldosterone System (RAAS) and the Ariginine-Vasopressin (AVP) are negative prognostic factors in patients with Heart Failure (HF). Data on the relationship between these variables and Neurohormonal activation are limited, in particular for what concerns the AVP. We studied the sodium balance, the changes…
Clinical Outcomes of Axillary-Implanted Impella 5.0/5.5 for Ischemic Cardiogenic Shock: A Retrospective Single-Center Cohort Preliminary Analysis
Anno:
2025
Background: cardiogenic shock (CS) remains a major complication of acute myocardial infarction (AMI), contributing significantly to morbidity and mortality. Temporary mechanical circulatory support (t-MCS) has gained prominence in CS management, also serving as a bridge during high-risk percutaneous coronary interventions (PCI). While the DanGer Shock Trial demonstrated the superiority of…
Wide-QRS Tachycardia Driven by Acidosis and Cocaine: Analyzing Details When Shock Fails
Anno:
2025
The differential diagnosis of wide-QRS tachycardia is among the most complex challenges in cardiology, particularly in emergency settings. The diagnostic difficulty is magnified in critical situations where immediate stabilization of hemodynamically unstable patients is paramount, often precluding comprehensive diagnostic evaluation. A 21-year-old male with no prior medical history was…
WHEN MITOCHONDRIAL DISEASE MIMICS FULMINANT MYOCARDITIS: UNUSUAL ONSET OF CARNITINE PALMITYL TRANSFERASE II DEFICIENCY
Anno:
2025
We report the case of a 16-year-old patient, admitted at Bambino Gesù Hospital for cardiogenic shock. He was a competitive athlete with history of sporadic episodes of myalgias and elevated CPK. One week before he had an episode of headache and prolonged fasting during which he performed intense workout….
QUALITY OF CARE IN PATIENTS HOSPITALIZED FOR ACUTE HEART FAILURE: RESULTS OF THE FIRST YEAR OF THE ‘QUALITY IN CARDIOLOGY (QiC) PROJECT’
Anno:
2025
Background: Assessing the quality of care is the first step for improving the management of patients with acute heart failure (AHF). The European Society of Cardiology (ESC) recently defined a set of quality indicators (QIs) of care for AHF. Aim: To assess the trend over time of quality of…
PERIPHERAL DECONGESTION WITH FUROSEMIDE IN PATIENTS WITH ACUTE HEART FAILURE IS ASSOCIATED TO REDUCTION IN HIGH-SENSITIVE C-REACTIVE PROTEIN
Anno:
2025
BACKGROUND the relationship between congestion and inflammation in heart failure is still challenging. Despite the literature, there is no definite data on the complex relationship between the two entities. AIMS We evaluated the relationship between peripheral and systemic inflammation before and after diuretic decongestion in patients with acute heart…
THE PROGNOSTIC VALUE OF NON-INVASIVE VENTILATION IN PATIENTS WITH ACUTE HEART FAILURE HOSPITALIZED IN CARDIAC INTENSIVE CARE UNIT
Anno:
2025
AIMS: An increasing number of patients with acute heart failure (AHF) are initially treated with non-invasive ventilation (NIV). The impact of NIV on their prognosis is still a matter of debate. The aim of this study was to evaluate the exact role of NIV on the prognosis of patients…