Associazione Nazionale Medici Cardiologi Ospedalieri

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FEASEBILITY AND LIMITATIONS OF EARLY AND ACCELERATED THERAPY WITH THE FOUR PILLARS FOLLOWING ACUTE DECOMPENSATED HEART FAILURE
Anno:
2025
Introduction Growing evidences suggest that an early and accelerated use of the four pillars for the treatment of acute decompensated heart failure (ADHF) may be recommended to reduce cardiovascular morbidity and mortality accross the entire spectrum of ejection fraction (EF). The aim of our study is to establish safety…
MEDICAL AND NURSING CLINICS FOR THE FOLLOW-UP OF PATIENTS AFTER HOSPITALIZATION FOR ACUTE HEART FAILURE: RESULTS OF THE PILOT PHASE OF THE ‘DIMISSIONI ACCOMPAGNATE (DIMACC)’ PROJECT
Anno:
2025
Background: the first year after an admission for an Acute Heart Failure (AHF) is the most critical time with the highest incidence of deaths and hospital readmissions. To improve the first-year follow-up after discharge of patients admitted to our ICCU (Intensive Cardiac Care Unit) and Cardiology ward for AHF…
CLINICAL CHARACTERISTICS AND PREDICTORS OF SUCCESSFUL DECONGESTION IN PATIENTS WITH ACUTE HEART FAILURE: DATA FROM THE NATIONWIDE BRING-UP3 HF STUDY
Anno:
2025
Introduction: Acute heart failure (AHF) is a critical condition requiring prompt intervention to alleviate fluid overload to reduce morbidity and mortality. However, there is still limited evidence on predictors of a successful decongestion at discharge. Purpose: To identify predictors of successful decongestion at discharge in patients hospitalized with AHF….
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….