Associazione Nazionale Medici Cardiologi Ospedalieri

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THE ROLE AND RESULTS OF THE PREGNANCY HEART TEAM: 2025 DATA FROM MASSA INTEGRATED BIRTH CENTER
Anno:
2026
Introduction Cardiovascular risk in pregnancy is rising, driven by a higher average maternal age at first conception and an increasing number of women with congenital heart defects (CHD) who are successfully completing pregnancies. Furthermore, for a fetus with a prenatal diagnosis of CHD, giving birth in a center with…
IMPACT OF SPECIALIZED MONITORING ON THE RISK OF MAJOR CARDIAC EVENTS IN PREGNANT WOMEN WITH TETRALOGY OF FALLOT
Anno:
2026
Introduction Repaired Tetralogy of Fallot (ToF) exposes pregnant women to significant cardiovascular risks, including Major Adverse Cardiac Events (MACE: clinically relevant arrhythmia or heart failure), often due to residual lesions such as pulmonary regurgitation. This study evaluates maternal and perinatal outcomes in a high-risk ToF cohort, analyzing the impact…
SUBCUTANEOUS IMPLANTABLE CARDIOVERTER DEFIBRILLATOR (S-ICD) IMPLANTATION IN A PATIENT WITH SITUS INVERSUS: A CASE REPORT
Anno:
2026
Abstract The subcutaneous implantable cardioverter-defibrillator (S-ICD) represents an effective alternative to transvenous systems for the prevention of sudden cardiac death, particularly in patients with challenging vascular access or anatomical anomalies. We report the successful implantation of an S-ICD in a patient with situs inversus totalis, a condition with unique…
UNREPAIRED DOUBLE-INLET LEFT VENTRICLE WITH SEVERE PULMONARY ARTERIAL HYPERTENSION IN THE SIXTH DECADE: HEMODYNAMICS, TRIPLE PAH THERAPY, AND ARRHYTHMIC RISK
Anno:
2026
We report a 61-year-old man with unrepaired single-ventricle physiology (double inlet left ventricle, mesocardia, malposed great vessels) and stable chronic cyanosis (baseline SpO2 80–85%). In the absence of a “protective” pulmonary stenosis, lifelong high pulmonary flow and pressure led to pulmonary vascular remodeling and increased resistance, resulting in severe…
CONGENITAL ABSENCE OF THE LEFT MAIN CORONARY ARTERY IN A PATIENT WITH DILATED CARDIOMYOPATHY
Anno:
2026
Background: Congenital absence (agenesis) of the left main coronary artery (LMCA) is an exceptionally rare coronary anomaly. Its coexistence with dilated cardiomyopathy (DCM) is scarcely reported, and the pathophysiological relationship between these conditions remains uncertain. Case presentation: A hypertensive female patient with multiple cardiovascular risk factors presented with exertional…
PREGNANCY AND HEART DISEASE: A SINGLE-CENTRE STUDY
Anno:
2026
Background. Pregnancy is a crucial moment in women’s life, characterized by changes in the cardiovascular system, that may translate into risks for patients with congenital or acquired heart disease. Methods. In this retrospective observational study, we evaluated the clinical-instrumental trends of heart disease patients referred to a single Centre…
LONG MYOCARDIAL BRIDGING IN THE LEFT ANTERIOR DESCENDING ARTERY :A CASE REPORT
Anno:
2026
Background: Myocardial bridge (MB) is a tunneled segment of an epicardial coronary artery, running deep and for varying lengths in the context of the myocardial muscle. The clinical picture of MB ranges from the asymptomatic presentation to an acute coronary syndrome and sudden cardiac death. Case report : We…
FONTAN REGISTRY: A SINGLE-CENTER RETROSPECTIVE STUDY ON LONG-TERM FOLLOW-UP IN FONTAN PATIENTS
Anno:
2026
Background: The Fontan procedure is a palliative surgical strategy for patients with single-ventricle congenital heart disease. Although surgical advances have improved survival, Fontan patients remain exposed to multiple late complications, including arrhythmias, thromboembolic events (TE), protein-losing enteropathy (PLE), and liver disease. Purpose: To evaluate long-term clinical outcomes in adult…
EXERCISE STRESS ECHOCARDIOGRAPY IN CONGENITAL HEART DISEASE
Anno:
2026
Exercise stress echocardiography (ESE) has proven to be a valuable diagnostic tool in various clinical settings, recently, evidence has shown that this technique can also be useful in evaluating patients with congenital heart disease (CHD). We present our personal experience with the use of this method in a cohort…
ECHOCARDIOGRAPHIC STRAIN AND NT-PROBNP IN THE SYSTEMIC RIGHT VENTRICLE: COMPLEMENTARY INDICATORS OF HEMODYNAMIC SEVERITY
Anno:
2026
Background: The systemic right ventricle (sRV), present in patients with d-TGA after atrial switch and in congenitally corrected TGA (ccTGA), is chronically pressure-loaded, leading to ventricular remodeling and progressive dysfunction. In this setting, markers of myocardial mechanics and wall stress integrating imaging and biomarkers are useful. Aim: To evaluate…