Associazione Nazionale Medici Cardiologi Ospedalieri

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EFFICACY AND SAFETY OF PERCUTANEOUS STELLATE GANGLION BLOCK IN PATIENTS WITH ARRHYTHMIC STORM IN RELATION TO EJECTION FRACTION VALUES: DATA FROM A MULTICENTER COHORT.
Anno:
2025
Introduction Percutaneous stellate ganglion block (PSGB) modulates sympathetic nervous system activity and has proved to be both effective and safe in the treatment of ventricular arrhythmic storms. While observational studies on large cohorts have highlighted its efficacy, it remains unclear whether its effect and safety are influenced by the degree of left…
Remote monitoring of heart failure parameters after atrial fibrillation ablation with pulsed-filed energy: an exploratory analysis
Anno:
2025
Background Catheter ablation (CA) of atrial fibrillation (AF) is recognised as an important strategy to improve systolic disfunction and to reduce mortality in selected patients with heart failure (HF). Nowadays, pulsed-field-ablation (PFA) represents a revolutionary energy source mostly used to perform fast and effective CA of AF. Remote monitoring…
AN UNUSUAL TRIGGER FOR TAKOTSUBO SYNDROME
Anno:
2025
INTRODUCTION Takotsubo Syndrome (TTS) is a form of acute cardiomyopathy characterized by a transient left ventricular (LV) dysfunction that pops out with clinical and electrocardiographic(ECG) features resembling myocardial infarction. While the exact mechanism remains unknown, it is hypothesized that TTS is caused by an excessive release of cardiac neuronal and systemic catecholamines in individuals exposed to physical or emotional stress. CASE REPORT A…
LIFE-SAVING INTERVENTIONS: A RARE CASE OF IATROGENIC LEFT INTERNAL MAMMARY ARTERY PERFORATION AND SUCCESSFUL RESCUE PTA
Anno:
2025
Introduction: Nowadays, pacemaker (PM) therapy remains associated with considerable peri- and post-procedural complications. Blind puncture of the subclavian vein for PM lead insertion is a routine procedure, but it carries the risk of potentially life-threatening complications, including pneumothorax, arteriovenous fistula, and injury or perforation of the subclavian artery, vein, or…
Multimodality Approach in the Treatment of an Arrhythmic Storm
Anno:
2025
A 74-year-old woman with a history of hypertension, diabetes, and ischemic heart disease was admitted to the hospital following the acute onset of palpitations and dizziness. She had an ICD implanted 5 years earlier for primary prevention of sudden cardiac death due to ischemic cardiomyopathy with reduced left ventricular…
Ethanol ablation of left ventricular summit in a patient with repaired congenital heart disease: when the going gets though
Anno:
2025
A 22 years old young man with transposition of the great arteries, ventricular septal defect and pulmonary stenosis, repaired by previous Rastelli-type operation, showed up to our emergency department (ED) because of arrhythmic storm. Then, s-ICD had been implanted for secondary prevention, reaching clinical stability after two ablations and the addition…
ANTICOAGULATION IN HYPERTROPHIC CARDIOMYOPATHY AND ATRIAL FIBRILLATION: A SINGLE-CENTRE EXPERIENCE.
Anno:
2025
Rationale and aim Based on latest European guidelines, all patients with hypertrophic cardiomyopathy (HCM) and atrial fibrillation (AF) should receive anticoagulant therapy irrespective of their thrombotic risk measured by CHA2DS2-VA score (CHA2DS2-VASc score before 2024 guidelines). The aim of our study was to assess the implementation and type of…
BRADYARRHYTHMIAS IN PATIENTS WITH CRYPTOGENETIC STROKE IMPLANTED WITH LOOP RECORDER
Anno:
2025
Implantable loop recorder (ILR) can be used to detect subclinical atrial fibrillation (AF) in patients with embolic stroke of undetermined origin (ESUS). In literature the incidence of AF is about 18% with a risk of recurrence of stroke in antiplatelet therapy of 4.5%. ESUS is a severely disabling stroke with high mortality rate.To improve the…
HEALTH LITERACY AND ITS IMPACT ON OUTCOMES IN PATIENTS WITH ATRIAL FIBRILLATION: A PROSPECTIVE COHORT STUDY
Anno:
2025
Background: Health literacy (HL) is a risk factor for clinical outcomes in patients with cardiovascular diseases. This study explored HL levels and their impact, alongside clinical and nursing factors, on mortality, hospital readmissions, and emergency department (ED) visits in patients with atrial fibrillation. Methods: A prospective cohort study was…
CARDIAC IMPLANTABLE DEVICES IN A PEDIATRIC POPULATION WITH LEFT VENTRICULAR HYPERTRABECULATION: A SINGLE CENTRE EXPERIENCE
Anno:
2025
Left Ventricular Hypertrabeculation (LVHT) is a myocardial disorder characterized by abnormal trabeculations in the left ventricular lumen and deep intertrabecular recesses; this phenotypic trait can occur either in isolation or in association with other conditions, such as left ventricular hypertrophy, dilation, systolic/diastolic dysfunction or congenital heart defects. In recent…