The multifaceted aspects of sports cardiology and exercise.
Authors: Cavarretta E PMID: 32107899 [PubMed - as supplied by publisher] (Source: Minerva Cardioangiologica)
Source: Minerva Cardioangiologica - March 1, 2020 Category: Cardiology Tags: Minerva Cardioangiol Source Type: research

Left main coronary artery disease: when and how to perform PCI?
Authors: Chiarito M, Mehilli J Abstract Left main coronary artery (LMCA) disease has been reported in up to 10% of all patients with coronary artery disease (CAD) and in the majority of cases are associated with severe three-vessel CAD. Among patients with chronic coronary syndrome revascularization of significant LMCA disease improves prognosis, while there is a debate about which revascularization strategy, CABG surgery or percutaneous coronary interventions to use. We do a review of the available evidence about the impact of LMCA lesions on patient prognosis according to CAD extension and clinical prese...
Source: Minerva Cardioangiologica - March 1, 2020 Category: Cardiology Tags: Minerva Cardioangiol Source Type: research

Hot topics in percutaneous coronary intervention.
Authors: Presbitero P, Milone F PMID: 32107901 [PubMed - as supplied by publisher] (Source: Minerva Cardioangiologica)
Source: Minerva Cardioangiologica - March 1, 2020 Category: Cardiology Tags: Minerva Cardioangiol Source Type: research

Efficacy of different doses of omega-3 fatty acids on cardiovascular outcomes: rationale and design of a network meta-analysis.
CONCLUSIONS: The present network meta-analysis results will aid physicians in the decision to prescribe O3FA in patients with or at risk of cardiovascular events. In particular, it will be able to solve controversies emerged from previous randomized clinical trials and meta-analyses regarding the benefit of different doses of O3FA supplementation in the cardiovascular prevention. PMID: 32107906 [PubMed - in process] (Source: Minerva Cardioangiologica)
Source: Minerva Cardioangiologica - March 1, 2020 Category: Cardiology Tags: Minerva Cardioangiol Source Type: research

The attitude towards disease management programs in austrian heart failure patients. A pilot study comparing rural and urban patients.
CONCLUSIONS: Structures of the health care system and patients' attitudes must be considered when planning DMPs. Development of DMPs which are accepted by urban patients will be relevant for the future. PMID: 32100981 [PubMed - as supplied by publisher] (Source: Minerva Cardioangiologica)
Source: Minerva Cardioangiologica - February 27, 2020 Category: Cardiology Tags: Minerva Cardioangiol Source Type: research

Heart rate reserve during dipyridamole stress test applied to potential heart donors in brain death.
CONCLUSIONS: HRR is almost abolished and unrelated to LVCR in brain-dead patients during DSE. The modulation of neural input to the heart is essential to determine HRR, and plays no significant role in determining the inotropic response during DSE. PMID: 32100982 [PubMed - as supplied by publisher] (Source: Minerva Cardioangiologica)
Source: Minerva Cardioangiologica - February 27, 2020 Category: Cardiology Tags: Minerva Cardioangiol Source Type: research

Predictors of procedural and clinical outcome in rotational atherectomy: analysis of a single centre registry.
CONCLUSIONS: RA is a feasible and safe procedure. Females and elderly patients must be carefully selected in order to balance the risk/benefit ratio in these high-risk populations. PMID: 32100983 [PubMed - as supplied by publisher] (Source: Minerva Cardioangiologica)
Source: Minerva Cardioangiologica - February 27, 2020 Category: Cardiology Tags: Minerva Cardioangiol Source Type: research

Rotational atherectomy-based percutaneous coronary intervention and the risk of contrast-induced nephropathy.
CONCLUSIONS: Despite being performed in patients with a higher burden of comorbidities and with larger volumes of contrast, RA PCI is not associated with higher risk of CIN, compared with PCI in non-RA patients. PMID: 32100984 [PubMed - as supplied by publisher] (Source: Minerva Cardioangiologica)
Source: Minerva Cardioangiologica - February 27, 2020 Category: Cardiology Tags: Minerva Cardioangiol Source Type: research

Echocardiographic assessment of aortic pulse wave velocity as a diagnostic and prognostic parameter for left ventricular diastolic dysfunction.
CONCLUSIONS: Echocardiographic assessment of aortic PWV appears not only to be a sensitive and reliable for LVDD detection but also has a promising prognostic value in patients with LVDD. PMID: 32100985 [PubMed - as supplied by publisher] (Source: Minerva Cardioangiologica)
Source: Minerva Cardioangiologica - February 27, 2020 Category: Cardiology Tags: Minerva Cardioangiol Source Type: research

Renal dysfunction is associated with lower incidence of positive fractional flow reserve values in patients with severe hypertension.
CONCLUSIONS: In the current study renal dysfunction was independently associated with a significantly higher incidence of negative FFR results in patients with intermediate severity coronary artery lesions only in the presence of severe arterial hypertension. This observation should be confirmed by large-scale prospective clinical trials. PMID: 32100986 [PubMed - as supplied by publisher] (Source: Minerva Cardioangiologica)
Source: Minerva Cardioangiologica - February 27, 2020 Category: Cardiology Tags: Minerva Cardioangiol Source Type: research

Effect of anemia on the frontal QRS-T angle.
CONCLUSIONS: The hemoglobin level was found to be an independent predictor of the frontal QRS-T angle. PMID: 32100987 [PubMed - as supplied by publisher] (Source: Minerva Cardioangiologica)
Source: Minerva Cardioangiologica - February 27, 2020 Category: Cardiology Tags: Minerva Cardioangiol Source Type: research

Long-term ischemic mitral regurgitation. Which parameters predict decrease or increase in the degree after 5-years?
CONCLUSIONS: The assessment of mitral apparatus in acute phase of MI can be most useful to determine the change of the degree of MR long-term post MI. Although LV remodelling itself contributes to IMR, this influence is directly dependent on alterations in mitral geometry. PMID: 32083424 [PubMed - as supplied by publisher] (Source: Minerva Cardioangiologica)
Source: Minerva Cardioangiologica - February 23, 2020 Category: Cardiology Tags: Minerva Cardioangiol Source Type: research

Interventional procedures versus medical therapy alone: outcome of cardiac patient management. A systematic review.
CONCLUSIONS: Not all interventional procedures result in a mortality benefit. Medical therapy alone increases survival in many cardiac diseases. PMID: 32083425 [PubMed - as supplied by publisher] (Source: Minerva Cardioangiologica)
Source: Minerva Cardioangiologica - February 23, 2020 Category: Cardiology Tags: Minerva Cardioangiol Source Type: research

Coronary microvascular dysfunction: an overview.
Authors: Sucato V, Novo G, Saladino A, Evola S, Galassi AR Abstract Patients with coronary microvascular dysfunction (CMVD) represent a widespread population and despite the good prognosis, many of them have a poor quality of life with strong limitations in their daily activities because of the angina symptoms. This work summarizes the most frequent clinical presentation pictures like stable and unstable microvascular angina. Main risk factors are discussed, followed by the last updates on the subject about different pathogenic hypotheses, diagnosis and treatment. Not very well understood microvascular alt...
Source: Minerva Cardioangiologica - February 23, 2020 Category: Cardiology Tags: Minerva Cardioangiol Source Type: research

Effects of a restricted water intake on various clinical and laboratory outcomes in patients with heart failure: a meta-analysis of randomized controlled trials.
CONCLUSIONS: In patients with heart failure, liberal fluid consumption does not seem to exert an unfavorable impact on heart failure rehospitalizations or all-cause mortality. Considering the heterogeneity of the included studies and their quite exiguous sample sizes, larger randomized controlled trials would be warranted in the future in order to achieve definitive confirmation of the present findings. These findings substantially disavow any useful role of water intake restriction as a non-pharmacological measure to be adopted in heart failure management. PMID: 32083427 [PubMed - as supplied by publisher] (Source...
Source: Minerva Cardioangiologica - February 23, 2020 Category: Cardiology Tags: Minerva Cardioangiol Source Type: research