0000000000804488
AUTHOR
Giulia Zambelli
Electrocardiographic abnormalities, preclinical carotid atherosclerosis and cardiovascular risk in an apparently healthy real-world population. Data from the "No Stroke, No Infarction" project of the Rotary International - district 2110 (Sicily and Malta)
Background: Cardiovascular diseases (CVDs) represent important causes of morbidity and mortality. Our study aimed to evaluate cardiovascular risk using the EuroSCORE, ECG and carotid ultrasound for prevention purpose in a population of companions aged 50-70 years, asymptomatic and without CVD. Methods: History of CVD, risk factors (RF), ECG and carotid ultrasound were evaluated. Intima-media thickness (IMT) was defined as wall thickness >0.9 mm, while focal thickening ≥1.5 mm protruding into the lumen as asymptomatic carotid plaque (ACP). Results: Totally, 1860 subjects were screened. 393 (21.1%) had no RF, 780 (42%) hypertension, 571 (30.7%) hypercholesterolemia, 557 (29.9%) diabetes, 4…
Drug-Coated Balloon Versus Drug-Eluting Stent for Small Coronary Vessel Disease
Abstract Objectives This study sought to compare the performance of a novel drug-coated balloon (DCB) (Elutax SV, Aachen Resonance, Germany), with an everolimus-eluting stent (EES) (Abbott Vascular...
Renal haemodynamics and coronary atherosclerotic burden are associated in patients with hypertension and mild coronary artery disease
Intrarenal hemodynamic alterations are independent predictors of cardiovascular events in different populations. It has been hypothesized that there is an association between renal hemodynamics and coronary atherosclerotic burden in patients with hypertension. Therefore, the present study examined the associations between renal hemodynamics, coronary atherosclerotic burden and carotid atherosclerotic disease. A total of 130 patients with hypertension aged between 30-80 years who had been referred for an elective coronary angiography were enrolled in the present study. A duplex ultrasound of the intrarenal vasculature was performed to evaluate the resistive index (RI), pulsatility index (PI)…
Nuove linee guida in tema di aterosclerosi periferica: tra progressi, lacune e falsi miti
Le nuove linee guida per la diagnosi e il trattamento delle arteriopatie periferiche nascono per la prima volta dalla stretta collaborazione tra la Società Europea di Cardiologia (ESC) e la Società Europea di Chirurgia Vascolare (ESVS) con il sostegno della European Stroke Organization (ESO)1. Questa comunità di intenti suggerisce la necessità di un approccio multidisciplinare a tali patologie. Elaborate nel corso degli ultimi 2 anni, le nuove indicazioni contengono una trattazione sistematica della patologia arteriosa di tutti i distretti corporei ad eccezione di quelli intracranico, coronarico ed aortico. Rispetto al 2011, sulla base dei più recenti studi clinici, il numero di raccomandaz…
Cardiac surgery outcomes in patients with coronavirus disease 2019 (COVID-19): A case-series report
Abstract Objective The impact of coronavirus disease 2019 (COVID-19) on the postoperative course of patients after cardiac surgery is unknown. We experienced a major severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) outbreak in our cardiac surgery unit, with several patients who tested positive early after surgery. Here we describe the characteristics, postoperative course, and laboratory findings of these patients, along with the fate of the health care workers. We also discuss how we reorganize and reallocate hospital resources to resume the surgical activity without further positive patients. Methods After diagnosis of the first symptomatic patient, surgery was suspended. Naso…