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Sterpetti AV, Campagnol M, Sapienza P, Marzo LD, Gabriele R. Decreasing levels of atmospheric pollution and simultaneous reduced number of cardiovascular hospital admissions and operations with improved results. Analysis of the Italian National Registries. Curr Probl Cardiol 2024; 49:102774. [PMID: 39089408 DOI: 10.1016/j.cpcardiol.2024.102774] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2024] [Accepted: 07/29/2024] [Indexed: 08/04/2024]
Abstract
BACKGROUND The aim of our study was to determine a correlation between decrease of levels of atmospheric pollution (as determined by air levels of Particulate Matters with a diameter equal or less to 2.5 microns) and reduced number of hospital admissions and operations for patients with common cardiovascular diseases in Italy. METHODS We correlated number of hospital admissions and cardiovascular operations and atmospheric levels of PM.2.5 from 2015 to 2019 in Italy. This time interval was chosen because the possibility to analyze data about other established cardiovascular risk factors as reported by the European Union Eurostat. RESULTS A statistically significant decrease of hospital admissions for cardiovascular and pulmonary emergencies was registered in Italy from 2015 to 2019 (p<0.01). The number also of cardiovascular operations showed a trend towards reduction with improved 30-days results, without reaching a statistically significant correlation (p =0.10). In the period 2015-2019, there was a steady decrease of atmospheric levels of pM2.5, either in urban or rural areas (p<0.01). The decrease of atmospheric levels of PMs2.5 started in 2010 and continued with a steady trend until the year 2019. In the period 2015-2019 exposure of the Italian population to established risk factors for cardiovascular diseases showed a small increase. The number of admissions and operations for non- cardiovascular and non-pulmonary diseases remained unchanged in the period 2015-2019. CONCLUSIONS The findings of our study underline the possibility that decrease of atmospheric pollution may determine almost immediate decrease of cardiovascular and pulmonary diseases.
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Affiliation(s)
| | | | | | - Luca Di Marzo
- Department of Surgery, Sapienza University, Rome, Italy
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Sterpetti AV, Gabriele R, Iannone I, Sapienza P, D'Ermo G, Dimarzo L, Borrelli V. Reduced adherence to cervical cancer screening. The importance of information and education for women with low education and low-income. Int J Cancer 2024; 155:776-777. [PMID: 38446981 DOI: 10.1002/ijc.34907] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2024] [Revised: 02/21/2024] [Accepted: 02/22/2024] [Indexed: 03/08/2024]
Affiliation(s)
| | | | | | - Paolo Sapienza
- Department of Surgery, University of Rome Sapienza, Rome, Italy
| | - Giuseppe D'Ermo
- Department of Surgery, University of Rome Sapienza, Rome, Italy
| | - Luca Dimarzo
- Department of Surgery, University of Rome Sapienza, Rome, Italy
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Sterpetti AV, Gabriele R, Dimarzo L. Asymptomatic Carotid Stenosis. Ann Vasc Surg 2024; 104:255-257. [PMID: 38599482 DOI: 10.1016/j.avsg.2024.02.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2024] [Accepted: 02/28/2024] [Indexed: 04/12/2024]
Affiliation(s)
| | | | - Luca Dimarzo
- Department of Vascular Surgery, Sapienza University; Rome, Italy
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Gabriele R, Campagnol M, Iannone I, Borrelli V, Sterpetti AV. Education and information to improve rates for attendance to colorectal cancer screening programs. Surg Open Sci 2024; 19:105-107. [PMID: 38617096 PMCID: PMC11015520 DOI: 10.1016/j.sopen.2024.03.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2024] [Accepted: 03/25/2024] [Indexed: 04/16/2024] Open
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Sterpetti AV, Gabriele R, Di Marzo L. Sex disparities for clinical outcomes after percutaneous coronary intervention for acute coronary syndrome. Int J Cardiol 2024; 404:131937. [PMID: 38437951 DOI: 10.1016/j.ijcard.2024.131937] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/20/2024] [Accepted: 03/01/2024] [Indexed: 03/06/2024]
Affiliation(s)
- Antonio V Sterpetti
- Department of Surgery and Vascular-Endovascular Surgery Sapienza University Rome, Italy.
| | - Raimondo Gabriele
- Department of Surgery and Vascular-Endovascular Surgery Sapienza University Rome, Italy
| | - Luca Di Marzo
- Department of Surgery and Vascular-Endovascular Surgery Sapienza University Rome, Italy
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Sterpetti AV, Gabriele R, Borrelli V, Campagnol M, Iannone I, Costi U, Sapienza P, Dimarzo L. Clinical outcomes for patients with cardiovascular diseases before, during, and after the COVID19 pandemic. A pooled analysis of 600.000 patients. Curr Probl Cardiol 2024; 49:102540. [PMID: 38521287 DOI: 10.1016/j.cpcardiol.2024.102540] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2024] [Accepted: 03/20/2024] [Indexed: 03/25/2024]
Abstract
BACKGROUND The unexpected virulence of the COVID19 pandemic brought to significant changes of generally accepted therapeutic approaches. The consequences of these changes were difficult to define during the pandemic period. METHODS We analyzed the National Registries including 97% of hospital admissions in Italy, regarding data describing number of operations for aortic valve implantation or repair, carotid and coronary revascularization, AAA repair, and lower limb arterial reconstruction performed in the period 2015 to 2019 and in the pandemic years 2020, 2021, and 2022. Primary outcomes were number and type of surgical procedures, 30-days operative mortality. RESULTS During the three years of the pandemic there was a statistically significant increase of the number of all-causes deaths in comparison with the mean of the previous five years (2015-2019). In Italy there was a total increase of all causes-deaths of 251.911 (+105900 in 2020; +66929 in 2021; and +79082 in 2022), and 73% of the excess of deaths was related with COVID19 infection and 27% occurred in COVID 19 negative patients. During the first year of the pandemic, worse clinical outcomes for hospitalized patients with CVD were registered. The medical system responded adequately and in the following two pandemic years clinical outcomes for hospitalized patients were similar with those of the pre-pandemic period. CONCLUSIONS The unexpected virulence of COVID19 pandemic determined worse clinical outcomes for patients with CVD during the first year. The adopted preventive measures allowed in the following two pandemic years improved clinical outcomes, similar with those of the pre-pandemic period.
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Affiliation(s)
| | | | | | | | | | | | | | - Luca Dimarzo
- Department of vascular endovascular surgery, Sapienza university Rome, Italy
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Gabriele R, Iannone I, Sapienza P, Marzo LD, Sterpetti AV. Letter to Editor Regarding "Comparison of Perioperative Safety of Carotid Artery Stenting and Endarterectomy in the Treatment of Carotid Artery Stenosis: A Meta-Analysis of Randomized Controlled Trials". World Neurosurg 2024; 185:450-451. [PMID: 38741297 DOI: 10.1016/j.wneu.2024.01.123] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2024] [Accepted: 01/22/2024] [Indexed: 05/16/2024]
Affiliation(s)
| | | | - Paolo Sapienza
- Department of Surgery, University of Rome Sapienza, Rome, Italy
| | - Luca Di Marzo
- Department of Vascular Endovascular Surgery, University of Rome Sapienza, Rome, Italy
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Sterpetti AV, Gabriele R, Iannone I, Campagnol M, Borrelli V, Sapienza P, Dimarzo L. Trends towards increase of Cardiovascular diseases mortality in USA: A comparison with Europe and the importance of preventive care. Curr Probl Cardiol 2024; 49:102459. [PMID: 38346607 DOI: 10.1016/j.cpcardiol.2024.102459] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2024] [Accepted: 02/08/2024] [Indexed: 02/16/2024]
Abstract
BACKGROUND the aim of our study was to analyze exposure of the general population to established risk factors for cardiovascular disease (CVD), which might have determined the trend towards increased mortality rates related with CVD from 2015 to 2019 in USA. MATERIAL AND METHODS We Analyzed epidemiological of data from the US National Health and Nutrition Examination Survey and from the European Health Interview Survey to determine trends for exposure to several established risk factors for CVD from 2000 to 2018-2019. Trends of prevalence of obesity, arterial hypertension, cigarettes smoking, high cholesterol level, diabetes in the period 2000 to 2018-2019 in USA were correlated with age adjusted mortality and burden related with CVD. We correlated these trends also with educational attainment, family income and national expenditure for preventive care. RESULTS Cardiovascular Diseases Related Mortality And Burden Decreased Significantly In Usa In The Period 2000-2015; In The Period 2015-2019 there was a trend towards increasing mortality rates. The trend in the period 2015-2019 was associated with increased exposure to several established risk factors for CVD: obesity, diabetes, cigarettes smoking and arterial hypertension. Level of education attainment and family income, and national health expenditure for information, education and counseling were statistically correlated with reduced exposure to established risk factors. Similar trends were present in Western European countries. CONCLUSIONS Attention is required to improve education and communication, health access and care for people with poor economic conditions, homeless, minorities, to reduce CVD related mortality and burden.
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Affiliation(s)
| | | | | | | | | | | | - Luca Dimarzo
- Department Of Vascular Surgery, Sapienza University Rome Italy
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Sterpetti AV, Gabriele R, Iannone I, DiMarzo L. Lower exposure to risk factors for stroke in green spaces in comparison with metropolitan areas. The importance of education and information to reduce the difference. J Neurol Sci 2024; 458:122933. [PMID: 38368179 DOI: 10.1016/j.jns.2024.122933] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2024] [Accepted: 02/12/2024] [Indexed: 02/19/2024]
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Gabriele R, Iannone I, Sapienza P, DI Marzo L, Sterpetti AV. Reduced levels of atmospheric levels of PM 2.5 and simultaneous decrease of hospital admissions for cardiovascular emergencies in Italy. INTERNATIONAL JOURNAL OF CARDIOLOGY. CARDIOVASCULAR RISK AND PREVENTION 2024; 20:200241. [PMID: 38357686 PMCID: PMC10865014 DOI: 10.1016/j.ijcrp.2024.200241] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 01/22/2024] [Accepted: 01/31/2024] [Indexed: 02/16/2024]
Affiliation(s)
| | | | | | - Luca DI Marzo
- Department of Vascular Endovascular Surgery, University of Rome Sapienza Rome Italy
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Sterpetti AV, Gabriele R, Iannone I, Sapienza P, Marzo LD. The role of education and information to prevent trends towards increase of cardiovascular mortality rates in Europe from 2015 TO 2019. Curr Probl Cardiol 2024; 49:102415. [PMID: 38253115 DOI: 10.1016/j.cpcardiol.2024.102415] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2024] [Accepted: 01/18/2024] [Indexed: 01/24/2024]
Abstract
BACKGROUND In Europe Cardio Vascular Disease (CVD) mortality rates decreased significantly in the last 25 years, with less decline in the last 5 years. The aim of our study was to analyze trends of risk factors which may explain plateauing of CVD mortality rates in the period 2015-2019 in Europe. METHODS We analyzed data from the Global Burden Disease and EUROSTAT concerning trends of CVD mortality rates for 25 European countries and simultaneous changes of exposure to risk factors of the population RESULTS: CVD related mortality decreased significantly in the analyzed countries in the period 2000-2015; in the period 2015-2019 there was a trend towards plateauing of CVD related mortality rates, which was associated with an increased exposure to several established risk factors including cigarette smoking, obesity and arterial hypertension. A decrease in expenditure for information, education and counseling programs was documented in most countries in the same period. Level of exposure to risk factors was correlated with educational attainment . Exposure to risk factors in the interval 2014-2019 increased for people with lower education, whereas decreased in people with higher education (p<0.001). CONCLUSIONS Organized information about risk factors for CVD have the potential to reduce mortality and burden, with diminished total health expenses. Education and information in this setting should consider the cultural and social level of the public.
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Affiliation(s)
- Antonio V Sterpetti
- Department of Surgery, Sapienza University, Policlinico Umberto I, Viale del Policlinico 00167, Rome, Italy.
| | - Raimondo Gabriele
- Department of Surgery, Sapienza University, Policlinico Umberto I, Viale del Policlinico 00167, Rome, Italy
| | - Immacolata Iannone
- Department of Surgery, Sapienza University, Policlinico Umberto I, Viale del Policlinico 00167, Rome, Italy
| | - Paolo Sapienza
- Department of Surgery, Sapienza University, Policlinico Umberto I, Viale del Policlinico 00167, Rome, Italy
| | - Luca Di Marzo
- Department of Vascular Surgery, Sapienza University, Rome, Italy
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Sterpetti AV, Gabriele R, Sapienza P, Marzo LD, Borrelli V. Mortality and burden related with aortic aneurysms and dissections. The importance of information and education. Curr Probl Cardiol 2024; 49:102384. [PMID: 38184128 DOI: 10.1016/j.cpcardiol.2024.102384] [Citation(s) in RCA: 13] [Impact Index Per Article: 13.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2023] [Accepted: 01/04/2024] [Indexed: 01/08/2024]
Abstract
BACKGROUND In this study we correlated changes of risk factors for cardiovascular diseases with trends of age standardized mortality rates and burden for aortic aneurysms and dissections. METHODS We analyzed data from the Global Burden of Diseases and EUROSTAT. FINDINGS There was a significant increase of expenditure for health from 1980 and 2019. In the period 1980-2000, despite higher health spending, age standardized mortality rates increased in almost all European countries. During the period 2000-2019, in Western European Countries and in Poland, Estonia, Latvia, Slovenia there was a correlation between higher health expenditure and decrease of ASMR. The most important changes between the period 1980-2000 and the period 2000-2019 was the proportion of health expenditure devoted to preventive care and to the increased use of aspirin and statins. INTERPRETATION Information about risk factors for cardiovascular diseases have leads to decreased aortic aneurysm related mortality and burden.
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Affiliation(s)
- Antonio V Sterpetti
- Sapienza University Rome, Policlinico Umberto I- Viale del Policlinico 00167 Rome, Italy.
| | - Raimondo Gabriele
- Sapienza University Rome, Policlinico Umberto I- Viale del Policlinico 00167 Rome, Italy
| | - Paolo Sapienza
- Sapienza University Rome, Policlinico Umberto I- Viale del Policlinico 00167 Rome, Italy
| | - Luca Di Marzo
- Sapienza University Rome, Policlinico Umberto I- Viale del Policlinico 00167 Rome, Italy
| | - Valeria Borrelli
- Sapienza University Rome, Policlinico Umberto I- Viale del Policlinico 00167 Rome, Italy
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