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Burattini M, Lo Muzio FP, Hu M, Bonalumi F, Rossi S, Pagiatakis C, Salvarani N, Fassina L, Luciani GB, Miragoli M. Unlocking cardiac motion: assessing software and machine learning for single-cell and cardioid kinematic insights. Sci Rep 2024; 14:1782. [PMID: 38245558 PMCID: PMC10799933 DOI: 10.1038/s41598-024-52081-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2023] [Accepted: 01/12/2024] [Indexed: 01/22/2024] Open
Abstract
The heart coordinates its functional parameters for optimal beat-to-beat mechanical activity. Reliable detection and quantification of these parameters still represent a hot topic in cardiovascular research. Nowadays, computer vision allows the development of open-source algorithms to measure cellular kinematics. However, the analysis software can vary based on analyzed specimens. In this study, we compared different software performances in in-silico model, in-vitro mouse adult ventricular cardiomyocytes and cardioids. We acquired in-vitro high-resolution videos during suprathreshold stimulation at 0.5-1-2 Hz, adapting the protocol for the cardioids. Moreover, we exposed the samples to inotropic and depolarizing substances. We analyzed in-silico and in-vitro videos by (i) MUSCLEMOTION, the gold standard among open-source software; (ii) CONTRACTIONWAVE, a recently developed tracking software; and (iii) ViKiE, an in-house customized video kinematic evaluation software. We enriched the study with three machine-learning algorithms to test the robustness of the motion-tracking approaches. Our results revealed that all software produced comparable estimations of cardiac mechanical parameters. For instance, in cardioids, beat duration measurements at 0.5 Hz were 1053.58 ms (MUSCLEMOTION), 1043.59 ms (CONTRACTIONWAVE), and 937.11 ms (ViKiE). ViKiE exhibited higher sensitivity in exposed samples due to its localized kinematic analysis, while MUSCLEMOTION and CONTRACTIONWAVE offered temporal correlation, combining global assessment with time-efficient analysis. Finally, machine learning reveals greater accuracy when trained with MUSCLEMOTION dataset in comparison with the other software (accuracy > 83%). In conclusion, our findings provide valuable insights for the accurate selection and integration of software tools into the kinematic analysis pipeline, tailored to the experimental protocol.
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Affiliation(s)
- Margherita Burattini
- Department of Surgery, Dentistry and Maternity, University of Verona, Verona, Italy
- Department of Medicine and Surgery, University of Parma, Parma, Italy
| | - Francesco Paolo Lo Muzio
- Department of Medicine and Surgery, University of Parma, Parma, Italy
- Deutsches Herzzentrum Der Charité, Department of Cardiology, Angiology and Intensive Care Medicine, Berlin, Germany
| | - Mirko Hu
- Department of Medicine and Surgery, University of Parma, Parma, Italy
| | - Flavia Bonalumi
- Department of Medicine and Surgery, University of Parma, Parma, Italy
| | - Stefano Rossi
- Department of Medicine and Surgery, University of Parma, Parma, Italy
| | - Christina Pagiatakis
- Humanitas Research Hospital, IRCCS, Rozzano (Milan), Italy
- Department of Biotechnology and Life Sciences, University of Insubria, Varese, Italy
| | - Nicolò Salvarani
- Humanitas Research Hospital, IRCCS, Rozzano (Milan), Italy
- Institute of Genetic and Biomedical Research (IRGB), UOS of Milan, National Research Council of Italy, Milan, Italy
| | - Lorenzo Fassina
- Department of Electrical, Computer and Biomedical Engineering, University of Pavia, Pavia, Italy
| | | | - Michele Miragoli
- Department of Medicine and Surgery, University of Parma, Parma, Italy.
- Humanitas Research Hospital, IRCCS, Rozzano (Milan), Italy.
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2
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Alogna A, Berboth L, Faragli A, Ötvös J, Lo Muzio FP, di Mauro V, Modica J, Quarta E, Semmler L, Deißler PM, Berger YW, Tran KL, de Marchi B, Longinotti-Buitoni G, Degli Esposti L, Guillot E, Bazile D, Iafisco M, Dotti A, Bang ML, de Luca C, Brandenberger C, Benazzi L, di Silvestre D, de Palma A, Primeßnig U, Hohendanner F, Perna S, Buttini F, Colombo P, Mühlfeld C, Steendijk P, Mauri P, Tschöpe C, Borlaug B, Pieske BM, Attanasio P, Post H, Heinzel FR, Catalucci D. Lung-to-Heart Nano-in-Micro Peptide Promotes Cardiac Recovery in a Pig Model of Chronic Heart Failure. J Am Coll Cardiol 2024; 83:47-59. [PMID: 38171710 DOI: 10.1016/j.jacc.2023.10.029] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/23/2023] [Revised: 10/11/2023] [Accepted: 10/13/2023] [Indexed: 01/05/2024]
Abstract
BACKGROUND The lack of disease-modifying drugs is one of the major unmet needs in patients with heart failure (HF). Peptides are highly selective molecules with the potential to act directly on cardiomyocytes. However, a strategy for effective delivery of therapeutics to the heart is lacking. OBJECTIVES In this study, the authors sought to assess tolerability and efficacy of an inhalable lung-to-heart nano-in-micro technology (LungToHeartNIM) for cardiac-specific targeting of a mimetic peptide (MP), a first-in-class for modulating impaired L-type calcium channel (LTCC) trafficking, in a clinically relevant porcine model of HF. METHODS Heart failure with reduced ejection fraction (HFrEF) was induced in Göttingen minipigs by means of tachypacing over 6 weeks. In a setting of overt HFrEF (left ventricular ejection fraction [LVEF] 30% ± 8%), animals were randomized and treatment was started after 4 weeks of tachypacing. HFrEF animals inhaled either a dry powder composed of mannitol-based microparticles embedding biocompatible MP-loaded calcium phosphate nanoparticles (dpCaP-MP) or the LungToHeartNIM only (dpCaP without MP). Efficacy was evaluated with the use of echocardiography, invasive hemodynamics, and biomarker assessment. RESULTS DpCaP-MP inhalation restored systolic function, as shown by an absolute LVEF increase over the treatment period of 17% ± 6%, while reversing cardiac remodeling and reducing pulmonary congestion. The effect was recapitulated ex vivo in cardiac myofibrils from treated HF animals. The treatment was well tolerated, and no adverse events occurred. CONCLUSIONS The overall tolerability of LungToHeartNIM along with the beneficial effects of the LTCC modulator point toward a game-changing treatment for HFrEF patients, also demonstrating the effective delivery of a therapeutic peptide to the diseased heart.
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Affiliation(s)
- Alessio Alogna
- Deutsches Herzzentrum der Charité, Department of Cardiology, Angiology and Intensive Care Medicine, Campus Virchow-Klinikum, Berlin, Germany; Berlin Institute of Health at Charité-Universitätsmedizin Berlin, Berlin, Germany; German Centre for Cardiovascular Research, Berlin, Germany.
| | - Leonhard Berboth
- Deutsches Herzzentrum der Charité, Department of Cardiology, Angiology and Intensive Care Medicine, Campus Virchow-Klinikum, Berlin, Germany
| | - Alessandro Faragli
- Deutsches Herzzentrum der Charité, Department of Cardiology, Angiology and Intensive Care Medicine, Campus Virchow-Klinikum, Berlin, Germany
| | - Jens Ötvös
- Deutsches Herzzentrum der Charité, Department of Cardiology, Angiology and Intensive Care Medicine, Campus Virchow-Klinikum, Berlin, Germany
| | - Francesco Paolo Lo Muzio
- Deutsches Herzzentrum der Charité, Department of Cardiology, Angiology and Intensive Care Medicine, Campus Virchow-Klinikum, Berlin, Germany
| | - Vittoria di Mauro
- Institute of Genetic and Biomedical Research, National Research Council of Italy, Milan Unit, Milan, Italy; Humanitas Cardio Center, IRCCS Humanitas Research Hospital, Rozzano (Milan), Italy
| | - Jessica Modica
- Institute of Genetic and Biomedical Research, National Research Council of Italy, Milan Unit, Milan, Italy; Humanitas Cardio Center, IRCCS Humanitas Research Hospital, Rozzano (Milan), Italy
| | - Eride Quarta
- Department of Food and Drugs, University of Parma, Parma, Italy; PlumeStars, Parma, Italy
| | - Lukas Semmler
- Deutsches Herzzentrum der Charité, Department of Cardiology, Angiology and Intensive Care Medicine, Campus Virchow-Klinikum, Berlin, Germany
| | - Peter Maximilian Deißler
- Deutsches Herzzentrum der Charité, Department of Cardiology, Angiology and Intensive Care Medicine, Campus Virchow-Klinikum, Berlin, Germany
| | - Yannic Wanja Berger
- Deutsches Herzzentrum der Charité, Department of Cardiology, Angiology and Intensive Care Medicine, Campus Virchow-Klinikum, Berlin, Germany
| | - Khai Liem Tran
- Deutsches Herzzentrum der Charité, Department of Cardiology, Angiology and Intensive Care Medicine, Campus Virchow-Klinikum, Berlin, Germany
| | | | | | - Lorenzo Degli Esposti
- Institute of Science, Technology and Sustainability for Ceramics (ISSMC), National Research Council, Faenza, Italy
| | | | | | - Michele Iafisco
- Institute of Science, Technology and Sustainability for Ceramics (ISSMC), National Research Council, Faenza, Italy
| | | | - Marie-Louise Bang
- Institute of Genetic and Biomedical Research, National Research Council of Italy, Milan Unit, Milan, Italy; Humanitas Cardio Center, IRCCS Humanitas Research Hospital, Rozzano (Milan), Italy
| | | | - Christina Brandenberger
- Institute of Functional and Applied Anatomy, Hannover Medical School, Hannover, Germany; Charité-Universitätsmedizin Berlin, Institute of Functional Anatomy, Campus Charité Mitte, Berlin, Germany
| | - Louise Benazzi
- Proteomics and Metabolomic Lab, Institute for Biomedical Technologies, National Research Council, Segrate (Milan), Italy
| | - Dario di Silvestre
- Proteomics and Metabolomic Lab, Institute for Biomedical Technologies, National Research Council, Segrate (Milan), Italy
| | - Antonella de Palma
- Proteomics and Metabolomic Lab, Institute for Biomedical Technologies, National Research Council, Segrate (Milan), Italy
| | - Uwe Primeßnig
- Deutsches Herzzentrum der Charité, Department of Cardiology, Angiology and Intensive Care Medicine, Campus Virchow-Klinikum, Berlin, Germany; Berlin Institute of Health at Charité-Universitätsmedizin Berlin, Berlin, Germany; German Centre for Cardiovascular Research, Berlin, Germany
| | - Felix Hohendanner
- Deutsches Herzzentrum der Charité, Department of Cardiology, Angiology and Intensive Care Medicine, Campus Virchow-Klinikum, Berlin, Germany; Berlin Institute of Health at Charité-Universitätsmedizin Berlin, Berlin, Germany; German Centre for Cardiovascular Research, Berlin, Germany
| | - Simone Perna
- Department of Biology, College of Science, Sakhir Campus, University of Bahrain, Zallaq, Bahrain
| | | | - Paolo Colombo
- Department of Food and Drugs, University of Parma, Parma, Italy; PlumeStars, Parma, Italy
| | - Christian Mühlfeld
- Institute of Functional and Applied Anatomy, Hannover Medical School, Hannover, Germany; Biomedical Research in Endstage and Obstructive Lung Disease Hannover, Member of the German Center for Lung Research, Hannover, Germany
| | - Paul Steendijk
- Department of Cardiology, Leiden University Medical Center, Leiden, the Netherlands
| | - Pierluigi Mauri
- Proteomics and Metabolomic Lab, Institute for Biomedical Technologies, National Research Council, Segrate (Milan), Italy
| | - Carsten Tschöpe
- Deutsches Herzzentrum der Charité, Department of Cardiology, Angiology and Intensive Care Medicine, Campus Virchow-Klinikum, Berlin, Germany
| | - Barry Borlaug
- Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA
| | - Burkert M Pieske
- Deutsches Herzzentrum der Charité, Department of Cardiology, Angiology and Intensive Care Medicine, Campus Virchow-Klinikum, Berlin, Germany; Berlin Institute of Health at Charité-Universitätsmedizin Berlin, Berlin, Germany; German Centre for Cardiovascular Research, Berlin, Germany
| | - Philipp Attanasio
- Department of Cardiology, Campus Benjamin Franklin, Charité-Universitätsmedizin, Berlin, Germany
| | - Heiner Post
- Deutsches Herzzentrum der Charité, Department of Cardiology, Angiology and Intensive Care Medicine, Campus Virchow-Klinikum, Berlin, Germany
| | - Frank R Heinzel
- Deutsches Herzzentrum der Charité, Department of Cardiology, Angiology and Intensive Care Medicine, Campus Virchow-Klinikum, Berlin, Germany; German Centre for Cardiovascular Research, Berlin, Germany
| | - Daniele Catalucci
- Institute of Genetic and Biomedical Research, National Research Council of Italy, Milan Unit, Milan, Italy; Humanitas Cardio Center, IRCCS Humanitas Research Hospital, Rozzano (Milan), Italy. https://twitter.com/CNRsocial_
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3
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Rossi S, Statello R, Pelà G, Leonardi F, Cabassi A, Foresti R, Rozzi G, Lo Muzio FP, Carnevali L, Sgoifo A, Magnani L, Callegari S, Pastori P, Tafuni A, Corradi D, Miragoli M, Macchi E. Age-related increases in cardiac excitability, refractoriness and impulse conduction favor arrhythmogenesis in male rats. Pflugers Arch 2023; 475:731-745. [PMID: 37022463 DOI: 10.1007/s00424-023-02812-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2022] [Revised: 02/17/2023] [Accepted: 04/02/2023] [Indexed: 04/07/2023]
Abstract
The effects of excitability, refractoriness, and impulse conduction have been independently related to enhanced arrhythmias in the aged myocardium in experimental and clinical studies. However, their combined arrhythmic effects in the elderly are not yet completely understood. Hence, the aim of the present work is to relate relevant cardiac electrophysiological parameters to enhanced arrhythmia vulnerability in the in vivo senescent heart. We used multiple-lead epicardial potential mapping in control (9-month-old) and aged (24-month-old) rat hearts. Cardiac excitability and refractoriness were evaluated at numerous epicardial test sites by means of the strength-duration curve and effective refractory period, respectively. During sinus rhythm, durations of electrogram intervals and waves were prolonged in the senescent heart, compared with control, demonstrating a latency in tissue activation and recovery. During ventricular pacing, cardiac excitability, effective refractory period, and dispersion of refractoriness increased in the aged animal. This scenario was accompanied by impairment of impulse propagation. Moreover, both spontaneous and induced arrhythmias were increased in senescent cardiac tissue. Histopathological evaluation of aged heart specimens revealed connective tissue deposition and perinuclear myocytolysis in the atria, while scattered microfoci of interstitial fibrosis were mostly present in the ventricular subendocardium. This work suggests that enhanced arrhythmogenesis in the elderly is a multifactorial process due to the joint increase in excitability and dispersion of refractoriness in association with enhanced conduction inhomogeneity. The knowledge of these electrophysiological changes will possibly contribute to improved prevention of the age-associated increase in cardiac arrhythmias.
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Affiliation(s)
- Stefano Rossi
- Department of Medicine and Surgery, University of Parma, Via Gramsci 14, 43125, Parma, Italy.
- Centro Di Eccellenza Per La Ricerca Tossicologica, CERT, University of Parma, Parma, Italy.
| | - Rosario Statello
- Department of Chemistry, Life Sciences and Environmental Sustainability, University of Parma, Parma, Italy
- Department of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy
| | - Giovanna Pelà
- Department of Medicine and Surgery, University of Parma, Via Gramsci 14, 43125, Parma, Italy
| | - Fabio Leonardi
- Department of Veterinary Science, University of Parma, Parma, Italy
| | - Aderville Cabassi
- Department of Medicine and Surgery, University of Parma, Via Gramsci 14, 43125, Parma, Italy
| | - Ruben Foresti
- Department of Medicine and Surgery, University of Parma, Via Gramsci 14, 43125, Parma, Italy
| | - Giacomo Rozzi
- Department of Medicine and Surgery, University of Parma, Via Gramsci 14, 43125, Parma, Italy
- Humanitas Clinical and Research Center, IRCCS, Rozzano, Milan, Italy
- International Centre for Genetic Engineering and Biotechnology, Trieste, Italy
| | | | - Luca Carnevali
- Department of Chemistry, Life Sciences and Environmental Sustainability, University of Parma, Parma, Italy
| | - Andrea Sgoifo
- Department of Chemistry, Life Sciences and Environmental Sustainability, University of Parma, Parma, Italy
| | - Luca Magnani
- Department of Chemistry, Life Sciences and Environmental Sustainability, University of Parma, Parma, Italy
| | - Sergio Callegari
- Centro Di Eccellenza Per La Ricerca Tossicologica, CERT, University of Parma, Parma, Italy
| | - Paolo Pastori
- Division of Cardiology, Ospedale Di Fidenza, Fidenza, Italy
| | - Alessandro Tafuni
- Department of Medicine and Surgery, University of Parma, Via Gramsci 14, 43125, Parma, Italy
| | - Domenico Corradi
- Department of Medicine and Surgery, University of Parma, Via Gramsci 14, 43125, Parma, Italy
- Centro Di Eccellenza Per La Ricerca Tossicologica, CERT, University of Parma, Parma, Italy
| | - Michele Miragoli
- Department of Medicine and Surgery, University of Parma, Via Gramsci 14, 43125, Parma, Italy
- Centro Di Eccellenza Per La Ricerca Tossicologica, CERT, University of Parma, Parma, Italy
- Humanitas Clinical and Research Center, IRCCS, Rozzano, Milan, Italy
| | - Emilio Macchi
- Centro Di Eccellenza Per La Ricerca Tossicologica, CERT, University of Parma, Parma, Italy
- Department of Chemistry, Life Sciences and Environmental Sustainability, University of Parma, Parma, Italy
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4
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Fassina L, Muzio FPL. A random shuffle method to expand a narrow dataset: A heart failure cohort example. Vascul Pharmacol 2022. [DOI: 10.1016/j.vph.2022.107041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
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5
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Muzio FPL, Rozzi G, Rossi S, Luciani GB, Foresti R, Cabassi A, Fassina L, Miragoli M. Supervised machine learning classifiers and cardiac kinematics support decision-making during open-chest surgery of Tetralogy of Fallot patients. Vascul Pharmacol 2022. [DOI: 10.1016/j.vph.2022.107053] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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6
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Statello R, Rossi S, Muzio FPL, Cocco P, Miragoli M. Nocturnal heart rate variability indices as markers of obstructive sleep- disordered breathing. Vascul Pharmacol 2022. [DOI: 10.1016/j.vph.2022.107083] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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7
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Lagonegro P, Rossi S, Salvarani N, Lo Muzio FP, Rozzi G, Modica J, Bigi F, Quaretti M, Salviati G, Pinelli S, Alinovi R, Catalucci D, D'Autilia F, Gazza F, Condorelli G, Rossi F, Miragoli M. Synthetic recovery of impulse propagation in myocardial infarction via silicon carbide semiconductive nanowires. Nat Commun 2022; 13:6. [PMID: 35013167 PMCID: PMC8748722 DOI: 10.1038/s41467-021-27637-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2021] [Accepted: 12/02/2021] [Indexed: 01/30/2023] Open
Abstract
Myocardial infarction causes 7.3 million deaths worldwide, mostly for fibrillation that electrically originates from the damaged areas of the left ventricle. Conventional cardiac bypass graft and percutaneous coronary interventions allow reperfusion of the downstream tissue but do not counteract the bioelectrical alteration originated from the infarct area. Genetic, cellular, and tissue engineering therapies are promising avenues but require days/months for permitting proper functional tissue regeneration. Here we engineered biocompatible silicon carbide semiconductive nanowires that synthetically couple, via membrane nanobridge formations, isolated beating cardiomyocytes over distance, restoring physiological cell-cell conductance, thereby permitting the synchronization of bioelectrical activity in otherwise uncoupled cells. Local in-situ multiple injections of nanowires in the left ventricular infarcted regions allow rapid reinstatement of impulse propagation across damaged areas and recover electrogram parameters and conduction velocity. Here we propose this nanomedical intervention as a strategy for reducing ventricular arrhythmia after acute myocardial infarction. Silicon-based materials have the ability to support bioelectrical activity. Here the authors show how injectable silicon carbide nanowires reduce arrhythmias and rapidly restore conduction in a myocardial infarction model.
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Affiliation(s)
- Paola Lagonegro
- Istituto dei Materiali per l'Elettronica e il Magnetismo (IMEM), National Research Council CNR, Parco Area delle Scienze 37/A, 43124, Parma, IT, Italy.,Istituto di Scienze e Tecnologie Chimiche "Giulio Natta", Consiglio Nazionale delle Ricerche (SCITEC-CNR), Via A. Corti 12, 20133, Milan, IT, Italy
| | - Stefano Rossi
- CERT, Centro di Eccellenza per la Ricerca Tossicologica, Dipartimento di Medicina e Chirurgia Università di Parma, Via Gramsci 14, 43124, Parma, IT, Italy
| | - Nicolò Salvarani
- Humanitas Research Hospital - IRCCS, Via Manzoni 56, 20089, Rozzano (Milan), IT, Italy.,Istituto di Ricerca Genetica Biomedica (IRGB), National Research Council CNR, UOS Milan Via Fantoli 16/15, 20138, Milan, IT, Italy
| | - Francesco Paolo Lo Muzio
- CERT, Centro di Eccellenza per la Ricerca Tossicologica, Dipartimento di Medicina e Chirurgia Università di Parma, Via Gramsci 14, 43124, Parma, IT, Italy.,Dipartimento di Scienze Chirurgiche Odontostomatologiche e Materno-Infantili, Università di Verona, Policlinico G.B. Rossi, - P.le L.A. Scuro 10, 37134, Verona, IT, Italy
| | - Giacomo Rozzi
- CERT, Centro di Eccellenza per la Ricerca Tossicologica, Dipartimento di Medicina e Chirurgia Università di Parma, Via Gramsci 14, 43124, Parma, IT, Italy.,Humanitas Research Hospital - IRCCS, Via Manzoni 56, 20089, Rozzano (Milan), IT, Italy
| | - Jessica Modica
- Humanitas Research Hospital - IRCCS, Via Manzoni 56, 20089, Rozzano (Milan), IT, Italy.,Istituto di Ricerca Genetica Biomedica (IRGB), National Research Council CNR, UOS Milan Via Fantoli 16/15, 20138, Milan, IT, Italy
| | - Franca Bigi
- Istituto dei Materiali per l'Elettronica e il Magnetismo (IMEM), National Research Council CNR, Parco Area delle Scienze 37/A, 43124, Parma, IT, Italy.,Dipartimento di Scienze Chimiche, della Vita e della Sostenibilità Ambientale, Università di Parma, Parco Area delle Scienze, 11/a - 43124, Parma, IT, Italy
| | - Martina Quaretti
- Istituto dei Materiali per l'Elettronica e il Magnetismo (IMEM), National Research Council CNR, Parco Area delle Scienze 37/A, 43124, Parma, IT, Italy.,Dipartimento di Scienze Chimiche, della Vita e della Sostenibilità Ambientale, Università di Parma, Parco Area delle Scienze, 11/a - 43124, Parma, IT, Italy
| | - Giancarlo Salviati
- Istituto dei Materiali per l'Elettronica e il Magnetismo (IMEM), National Research Council CNR, Parco Area delle Scienze 37/A, 43124, Parma, IT, Italy
| | - Silvana Pinelli
- CERT, Centro di Eccellenza per la Ricerca Tossicologica, Dipartimento di Medicina e Chirurgia Università di Parma, Via Gramsci 14, 43124, Parma, IT, Italy
| | - Rossella Alinovi
- CERT, Centro di Eccellenza per la Ricerca Tossicologica, Dipartimento di Medicina e Chirurgia Università di Parma, Via Gramsci 14, 43124, Parma, IT, Italy
| | - Daniele Catalucci
- Humanitas Research Hospital - IRCCS, Via Manzoni 56, 20089, Rozzano (Milan), IT, Italy.,Istituto di Ricerca Genetica Biomedica (IRGB), National Research Council CNR, UOS Milan Via Fantoli 16/15, 20138, Milan, IT, Italy
| | - Francesca D'Autilia
- Humanitas Research Hospital - IRCCS, Via Manzoni 56, 20089, Rozzano (Milan), IT, Italy
| | - Ferdinando Gazza
- Dipartimento di Scienze Medico-Veterinarie, Università di Parma, via del Taglio 10, 43126, Parma, IT, Italy
| | - Gianluigi Condorelli
- Humanitas Research Hospital - IRCCS, Via Manzoni 56, 20089, Rozzano (Milan), IT, Italy.,Department of Biomedical Sciences Humanitas University, Via Rita Levi Montalcini 4, 20090, Pieve Emanuele Milan, IT, Italy
| | - Francesca Rossi
- Istituto dei Materiali per l'Elettronica e il Magnetismo (IMEM), National Research Council CNR, Parco Area delle Scienze 37/A, 43124, Parma, IT, Italy
| | - Michele Miragoli
- CERT, Centro di Eccellenza per la Ricerca Tossicologica, Dipartimento di Medicina e Chirurgia Università di Parma, Via Gramsci 14, 43124, Parma, IT, Italy. .,Humanitas Research Hospital - IRCCS, Via Manzoni 56, 20089, Rozzano (Milan), IT, Italy.
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8
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Faragli A, Tano GD, Carlini CD, Nassiacos D, Gori M, Confortola G, Lo Muzio FP, Rapis K, Abawi D, Post H, Kelle S, Pieske B, Alogna A, Campana C. In-hospital Heart Rate Reduction With Beta Blockers and Ivabradine Early After Recovery in Patients With Acute Decompensated Heart Failure Reduces Short-Term Mortality and Rehospitalization. Front Cardiovasc Med 2021; 8:665202. [PMID: 34395550 PMCID: PMC8363305 DOI: 10.3389/fcvm.2021.665202] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2021] [Accepted: 05/31/2021] [Indexed: 11/21/2022] Open
Abstract
Objective: In the past years, heart rate (HR) has emerged as a highly relevant modifiable risk factor for heart failure (HF) patients. However, most of the clinical trials so far evaluated the role of HR in stable chronic HF cohorts. The aim of this multi-center, prospective observational study was to assess the association between HR and therapy with HR modulators (beta blockers, ivabradine, or a combination of ivabradine and beta blockers) at hospital discharge with patients' cardiovascular mortality and re-hospitalization at 6 months in acutely decompensated HF patients. Materials and Methods: We recruited 289 HF patients discharged alive after admission for HF decompensation from 10 centers in northern Italy over 9 months (from April 2017 to January 2018). The primary endpoint was the combination of cardiovascular mortality or re-hospitalizations for HF at 6 months. Results: At 6 months after discharge, 64 patients were readmitted (32%), and 39 patients died (16%). Multivariate analysis showed that HR at discharge ≥ 90 bpm (OR = 8.47; p = 0.016) independently predicted cardiovascular mortality, while therapy with beta blockers at discharge was found to reduce the risk of the composite endpoint. In patients receiving HR modulators the event rates for the composite endpoint, all-cause mortality, and cardiovascular mortality were lower than in patients not receiving HR modulators. Conclusions: Heart rate at discharge ≥90 bpm predicts cardiovascular mortality, while therapy with beta blockers is negatively associated with the composite endpoint of cardiovascular mortality and hospitalization at 6 months in acutely decompensated HF patients. Patients receiving a HR modulation therapy at hospital discharge showed the lowest rate of cardiovascular mortality and re-hospitalization.
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Affiliation(s)
- Alessandro Faragli
- Department of Internal Medicine and Cardiology, Campus Virchow-Klinikum, Charité - Universitätsmedizin Berlin, Berlin, Germany.,Berlin Institute of Health, Berlin, Germany.,DZHK (German Centre for Cardiovascular Research), Partner Site Berlin, Berlin, Germany.,Department of Internal Medicine/Cardiology, Deutsches Herzzentrum Berlin, Berlin, Germany
| | - Giuseppe Di Tano
- Department of Cardiology Ospedale Maggiore, ASST Cremona, Cremona, Italy
| | | | - Daniel Nassiacos
- Department of Cardiology, Ospedale di Circolo, ASST Valle Olona, Saronno VA, Italy
| | - Mauro Gori
- Department of Cardiology, ASST Ospedale Papa Giovanni XXXIII, Bergamo, Italy
| | - Giada Confortola
- Department of Internal Medicine and Cardiology, Campus Virchow-Klinikum, Charité - Universitätsmedizin Berlin, Berlin, Germany
| | - Francesco Paolo Lo Muzio
- Department of Surgery, Dentistry, Paediatrics and Gynaecology, University of Verona, Verona, Italy.,Department of Medicine and Surgery, University of Parma, Parma, Italy
| | - Konstantinos Rapis
- Department of Internal Medicine and Cardiology, Campus Virchow-Klinikum, Charité - Universitätsmedizin Berlin, Berlin, Germany
| | - Dawud Abawi
- Department of Internal Medicine and Cardiology, Campus Virchow-Klinikum, Charité - Universitätsmedizin Berlin, Berlin, Germany
| | - Heiner Post
- Department of Internal Medicine and Cardiology, Campus Virchow-Klinikum, Charité - Universitätsmedizin Berlin, Berlin, Germany.,Berlin Institute of Health, Berlin, Germany.,DZHK (German Centre for Cardiovascular Research), Partner Site Berlin, Berlin, Germany.,Department of Cardiology, Contilia Heart and Vessel Centre, St. Marien-Hospital Mülheim, Mülheim, Germany
| | - Sebastian Kelle
- Department of Internal Medicine and Cardiology, Campus Virchow-Klinikum, Charité - Universitätsmedizin Berlin, Berlin, Germany.,DZHK (German Centre for Cardiovascular Research), Partner Site Berlin, Berlin, Germany.,Department of Internal Medicine/Cardiology, Deutsches Herzzentrum Berlin, Berlin, Germany
| | - Burkert Pieske
- Department of Internal Medicine and Cardiology, Campus Virchow-Klinikum, Charité - Universitätsmedizin Berlin, Berlin, Germany.,Berlin Institute of Health, Berlin, Germany.,DZHK (German Centre for Cardiovascular Research), Partner Site Berlin, Berlin, Germany.,Department of Internal Medicine/Cardiology, Deutsches Herzzentrum Berlin, Berlin, Germany
| | - Alessio Alogna
- Department of Internal Medicine and Cardiology, Campus Virchow-Klinikum, Charité - Universitätsmedizin Berlin, Berlin, Germany.,Berlin Institute of Health, Berlin, Germany.,DZHK (German Centre for Cardiovascular Research), Partner Site Berlin, Berlin, Germany
| | - Carlo Campana
- Department of Cardiology Sant'Anna Hospital, ASST-Lariana, Como, Italy
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9
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Faragli A, Alogna A, Lee CB, Zhu M, Ghorbani N, Lo Muzio FP, Schnackenburg B, Stehning C, Kuehne T, Post H, Goubergrits L, Nagel E, Pieske B, Kelle S, Kelm M. Non-invasive CMR-Based Quantification of Myocardial Power and Efficiency Under Stress and Ischemic Conditions in Landrace Pigs. Front Cardiovasc Med 2021; 8:689255. [PMID: 34381823 PMCID: PMC8352437 DOI: 10.3389/fcvm.2021.689255] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2021] [Accepted: 06/18/2021] [Indexed: 11/13/2022] Open
Abstract
Background: Myocardial efficiency should be maintained stable under light-to-moderate stress conditions, but ischemia puts the myocardium at risk for impaired functionality. Additionally, the measurement of such efficiency typically requires invasive heart catheterization and exposure to ionizing radiation. In this work, we aimed to non-invasively assess myocardial power and the resulting efficiency during pharmacological stress testing and ischemia induction. Methods: In a cohort of n = 10 healthy Landrace pigs, dobutamine stress testing was performed, followed by verapamil-induced ischemia alongside cardiac magnetic resonance (CMR) imaging. External myocardial power, internal myocardial power, and myocardial efficiency were assessed non-invasively using geometrical and functional parameters from CMR volumetric as well as blood flow and pressure measurements. Results: External myocardial power significantly increased under dobutamine stress [2.3 (1.6-3.1) W/m2 vs. 1.3 (1.1-1.6) W/m2, p = 0.005] and significantly decreased under verapamil-induced ischemia [0.8 (0.5-0.9) W/m2, p = 0.005]. Internal myocardial power [baseline: 5.9 (4.6-8.5) W/m2] was not affected by dobutamine [7.5 (6.9-9.0) W/m2, p = 0.241] nor verapamil [5.8 (4.7-8.8) W/m2, p = 0.878]. Myocardial efficiency did not change from baseline to dobutamine [21% (15-27) vs. 31% (20-44), p = 0.059] but decreased significantly during verapamil-induced ischemia [10% (8-13), p = 0.005]. Conclusion: In healthy Landrace pigs, dobutamine stress increased external myocardial power, whereas myocardial efficiency was maintained stable. On the contrary, verapamil-induced ischemia substantially decreased external myocardial power and myocardial efficiency. Non-invasive CMR was able to quantify these efficiency losses and might be useful for future clinical studies evaluating the effects of therapeutic interventions on myocardial energetics.
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Affiliation(s)
- Alessandro Faragli
- Department of Internal Medicine and Cardiology, Deutsches Herzzentrum Berlin, Berlin, Germany.,Charité - Universitätsmedizin Berlin, Department of Internal Medicine and Cardiology, Campus Virchow-Klinikum, Berlin, Germany.,Berlin Institute of Health, Berlin, Germany.,DZHK (German Centre for Cardiovascular Research), Partner Site Berlin, Berlin, Germany
| | - Alessio Alogna
- Charité - Universitätsmedizin Berlin, Department of Internal Medicine and Cardiology, Campus Virchow-Klinikum, Berlin, Germany.,Berlin Institute of Health, Berlin, Germany.,DZHK (German Centre for Cardiovascular Research), Partner Site Berlin, Berlin, Germany
| | - Chong Bin Lee
- Department of Internal Medicine and Cardiology, Deutsches Herzzentrum Berlin, Berlin, Germany.,DZHK (German Centre for Cardiovascular Research), Partner Site Berlin, Berlin, Germany.,Institute for Computational and Imaging Science in Cardiovascular Medicine, Charité - Universitätsmedizin Berlin, Berlin, Germany
| | - Miry Zhu
- Institute for Computational and Imaging Science in Cardiovascular Medicine, Charité - Universitätsmedizin Berlin, Berlin, Germany
| | - Niky Ghorbani
- DZHK (German Centre for Cardiovascular Research), Partner Site Berlin, Berlin, Germany.,Institute for Computational and Imaging Science in Cardiovascular Medicine, Charité - Universitätsmedizin Berlin, Berlin, Germany
| | - Francesco Paolo Lo Muzio
- Department of Surgery, Dentistry, Paediatrics and Gynaecology, University of Verona, Verona, Italy.,Department of Medicine and Surgery, University of Parma, Parma, Italy
| | | | | | - Titus Kuehne
- DZHK (German Centre for Cardiovascular Research), Partner Site Berlin, Berlin, Germany.,Institute for Computational and Imaging Science in Cardiovascular Medicine, Charité - Universitätsmedizin Berlin, Berlin, Germany.,Department of Congenital Heart Disease, Deutsches Herzzentrum Berlin, Berlin, Germany
| | - Heiner Post
- Charité - Universitätsmedizin Berlin, Department of Internal Medicine and Cardiology, Campus Virchow-Klinikum, Berlin, Germany.,Berlin Institute of Health, Berlin, Germany.,DZHK (German Centre for Cardiovascular Research), Partner Site Berlin, Berlin, Germany.,Department of Cardiology, Contilia Heart and Vessel Centre, St. Marien-Hospital Mülheim, Mülheim, Germany
| | - Leonid Goubergrits
- Institute for Computational and Imaging Science in Cardiovascular Medicine, Charité - Universitätsmedizin Berlin, Berlin, Germany.,Einstein Center Digital Future, Berlin, Germany
| | - Eike Nagel
- Institute of Experimental and Translational Cardiac Imaging, DZHK Centre for Cardiovascular Imaging, Goethe University Hospital Frankfurt, Frankfurt, Germany
| | - Burkert Pieske
- Department of Internal Medicine and Cardiology, Deutsches Herzzentrum Berlin, Berlin, Germany.,Charité - Universitätsmedizin Berlin, Department of Internal Medicine and Cardiology, Campus Virchow-Klinikum, Berlin, Germany.,Berlin Institute of Health, Berlin, Germany.,DZHK (German Centre for Cardiovascular Research), Partner Site Berlin, Berlin, Germany
| | - Sebastian Kelle
- Department of Internal Medicine and Cardiology, Deutsches Herzzentrum Berlin, Berlin, Germany.,Charité - Universitätsmedizin Berlin, Department of Internal Medicine and Cardiology, Campus Virchow-Klinikum, Berlin, Germany.,DZHK (German Centre for Cardiovascular Research), Partner Site Berlin, Berlin, Germany
| | - Marcus Kelm
- Berlin Institute of Health, Berlin, Germany.,Institute for Computational and Imaging Science in Cardiovascular Medicine, Charité - Universitätsmedizin Berlin, Berlin, Germany.,Department of Congenital Heart Disease, Deutsches Herzzentrum Berlin, Berlin, Germany
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10
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Rozzi G, Lo Muzio FP, Fassina L, Rossi S, Statello R, Sandrini C, Laricchiuta M, Faggian G, Miragoli M, Luciani GB. Right ventricular functional recovery depends on timing of pulmonary valve replacement in tetralogy of Fallot: a video kinematic study. Eur J Cardiothorac Surg 2021; 59:1329-1336. [PMID: 33547473 DOI: 10.1093/ejcts/ezab026] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/31/2020] [Revised: 11/19/2020] [Accepted: 12/07/2020] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVES Indications for and timing of pulmonary valve replacement (PVR) after tetralogy of Fallot repair are controversial. Among magnetic resonance imaging indices proposed to time valve replacement, a right ventricular (RV) end-diastolic volume index greater than 160 ml/m2 is often used. Recent evidence suggests that this value may still identify patients with irreversible RV dysfunction, thus hindering recovery. Our goal was to define, using intraoperative video kinematic evaluation, whether a relationship exists between timing of PVR and early functional recovery after surgery. METHODS Between November 2016 and November 2018, a total of 12 consecutive patients aged 27.1 ± 19.1 years underwent PVR on average 22.2 ± 13.3 years after tetralogy of Fallot repair. Mean RV end-diastolic volume evident on the magnetic resonance images was 136.9 ± 35.7 ml/m2. Intraoperative cardiac kinematics were assessed by video kinematic evaluation via a high-speed camera acquiring videos at 200 fps before and after valve replacement. RESULTS Patients presenting with RV end-diastolic volume <147 ml/m2 were significantly younger (11.2 ± 5.0 vs 38.4 ± 17.0; P = 0.005) and had a shorter time interval to valve replacement (11.0 ± 5.2 vs 30.1 ± 11.3; P = 0.03). The entire population showed a moderate correlation among energy expenditure, cardiac fatigue, perimeter of contraction and preoperative RV end-diastolic volume index. Both groups showed a reduction in all kinematic parameters after PVR, but those with end-diastolic volume >147 ml/m2 showed an unpredictable outcome. CONCLUSIONS Video kinematic evaluation provides insight into intraoperative RV recovery in patients with tetralogy of Fallot undergoing PVR. Accordingly, functional recovery can be expected in patients with preoperative end-diastolic volume <147 ml/m2.
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Affiliation(s)
- Giacomo Rozzi
- Department of Surgery, Dentistry, Pediatrics and Gynecology, University of Verona, Verona, Italy.,Department of Medicine and Surgery, University of Parma, Parma, Italy.,Departement of Molecular Cardiology, Humanitas Clinical and Research Center, IRCCS, Rozzano, Italy
| | - Francesco Paolo Lo Muzio
- Department of Surgery, Dentistry, Pediatrics and Gynecology, University of Verona, Verona, Italy.,Department of Medicine and Surgery, University of Parma, Parma, Italy
| | - Lorenzo Fassina
- Department of Electrical, Computer and Biomedical Engineering, University of Pavia, Pavia, Italy
| | - Stefano Rossi
- Department of Medicine and Surgery, University of Parma, Parma, Italy
| | - Rosario Statello
- Department of Medicine and Surgery, University of Parma, Parma, Italy.,Department of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy
| | | | - Maira Laricchiuta
- Department of Surgery, Dentistry, Pediatrics and Gynecology, University of Verona, Verona, Italy
| | - Giuseppe Faggian
- Department of Surgery, Dentistry, Pediatrics and Gynecology, University of Verona, Verona, Italy
| | - Michele Miragoli
- Department of Medicine and Surgery, University of Parma, Parma, Italy.,Departement of Molecular Cardiology, Humanitas Clinical and Research Center, IRCCS, Rozzano, Italy
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11
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Fassina L, Faragli A, Lo Muzio FP, Kelle S, Campana C, Pieske B, Edelmann F, Alogna A. A Random Shuffle Method to Expand a Narrow Dataset and Overcome the Associated Challenges in a Clinical Study: A Heart Failure Cohort Example. Front Cardiovasc Med 2020; 7:599923. [PMID: 33330661 PMCID: PMC7714902 DOI: 10.3389/fcvm.2020.599923] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2020] [Accepted: 10/19/2020] [Indexed: 11/13/2022] Open
Abstract
Heart failure (HF) affects at least 26 million people worldwide, so predicting adverse events in HF patients represents a major target of clinical data science. However, achieving large sample sizes sometimes represents a challenge due to difficulties in patient recruiting and long follow-up times, increasing the problem of missing data. To overcome the issue of a narrow dataset cardinality (in a clinical dataset, the cardinality is the number of patients in that dataset), population-enhancing algorithms are therefore crucial. The aim of this study was to design a random shuffle method to enhance the cardinality of an HF dataset while it is statistically legitimate, without the need of specific hypotheses and regression models. The cardinality enhancement was validated against an established random repeated-measures method with regard to the correctness in predicting clinical conditions and endpoints. In particular, machine learning and regression models were employed to highlight the benefits of the enhanced datasets. The proposed random shuffle method was able to enhance the HF dataset cardinality (711 patients before dataset preprocessing) circa 10 times and circa 21 times when followed by a random repeated-measures approach. We believe that the random shuffle method could be used in the cardiovascular field and in other data science problems when missing data and the narrow dataset cardinality represent an issue.
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Affiliation(s)
- Lorenzo Fassina
- Department of Electrical, Computer and Biomedical Engineering, University of Pavia, Pavia, Italy
| | - Alessandro Faragli
- Department of Internal Medicine and Cardiology, Deutsches Herzzentrum Berlin, Berlin, Germany.,Department of Internal Medicine and Cardiology, Charité - Universitätsmedizin Berlin, Berlin, Germany.,Berlin Institute of Health (BIH), Berlin, Germany.,DZHK (German Centre for Cardiovascular Research), Partner Site Berlin, Berlin, Germany
| | - Francesco Paolo Lo Muzio
- Department of Surgery, Dentistry, Paediatrics and Gynaecology, University of Verona, Verona, Italy.,Department of Medicine and Surgery, University of Parma, Parma, Italy
| | - Sebastian Kelle
- Department of Internal Medicine and Cardiology, Deutsches Herzzentrum Berlin, Berlin, Germany.,Department of Internal Medicine and Cardiology, Charité - Universitätsmedizin Berlin, Berlin, Germany.,Berlin Institute of Health (BIH), Berlin, Germany.,DZHK (German Centre for Cardiovascular Research), Partner Site Berlin, Berlin, Germany
| | - Carlo Campana
- Department of Cardiology, Sant'Anna Hospital, ASST-Lariana, Como, Italy
| | - Burkert Pieske
- Department of Internal Medicine and Cardiology, Deutsches Herzzentrum Berlin, Berlin, Germany.,Department of Internal Medicine and Cardiology, Charité - Universitätsmedizin Berlin, Berlin, Germany.,Berlin Institute of Health (BIH), Berlin, Germany.,DZHK (German Centre for Cardiovascular Research), Partner Site Berlin, Berlin, Germany
| | - Frank Edelmann
- Department of Internal Medicine and Cardiology, Charité - Universitätsmedizin Berlin, Berlin, Germany.,Berlin Institute of Health (BIH), Berlin, Germany.,DZHK (German Centre for Cardiovascular Research), Partner Site Berlin, Berlin, Germany
| | - Alessio Alogna
- Department of Internal Medicine and Cardiology, Charité - Universitätsmedizin Berlin, Berlin, Germany.,Berlin Institute of Health (BIH), Berlin, Germany.,DZHK (German Centre for Cardiovascular Research), Partner Site Berlin, Berlin, Germany
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12
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Lo Muzio FP, Rozzi G, Rossi S, Gerbolés AG, Fassina L, Pelà G, Luciani GB, Miragoli M. In-situ optical assessment of rat epicardial kinematic parameters reveals frequency-dependent mechanic heterogeneity related to gender. Prog Biophys Mol Biol 2019; 154:94-101. [PMID: 31126627 DOI: 10.1016/j.pbiomolbio.2019.05.003] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/11/2019] [Revised: 05/06/2019] [Accepted: 05/08/2019] [Indexed: 12/29/2022]
Abstract
BACKGROUND Gender-related cardiac mechanics following the electrical activity has been investigated from basic to clinical research, but results are still controversial. The aim of this work is to study the gender related cardiac mechanics and to focus on its heart rate dependency. METHODS We employed 12 Sprague Dawley rats (5 males and 7 females) of the same age and, through a novel high resolution artificial vision contactless approach, we evaluated in-situ cardiac kinematic. The hearts were paced on the right atria appendage via cathodal stimuli at rising frequency. RESULTS Kinematic data obtained at rising pacing rates are different between male and female rat hearts: male tended to maintain the same level of cardiac force, energy and contractility, while female responded with an increment of such parameters at increasing heart rate. Female hearts preserved their pattern of contraction and epicardial torsion (vorticity) at rising pacing rates compared to male. Furthermore, we observed a difference in the mechanical restitution: systolic time vs. diastolic time, as an index of cardiac performance, reached higher value in male compared to female hearts. CONCLUSION Our innovative technology was capable to evaluate in-situ rat epicardial kinematic at high stimulation frequency, revealing that male preserved kinematic parameters but varying the pattern of contraction/relaxation. On the contrary, female preserved the pattern of contraction/relaxation increasing kinematic parameters.
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Affiliation(s)
- Francesco Paolo Lo Muzio
- Department of Surgery, Dentistry, Paediatrics and Gynaecology, University of Verona Via S. Francesco 22, 37129, Verona, Italy; Department of Medicine and Surgery, University di Parma, via Gramsci 14, 43126, Parma, Italy
| | - Giacomo Rozzi
- Department of Surgery, Dentistry, Paediatrics and Gynaecology, University of Verona Via S. Francesco 22, 37129, Verona, Italy; Department of Medicine and Surgery, University di Parma, via Gramsci 14, 43126, Parma, Italy
| | - Stefano Rossi
- Department of Medicine and Surgery, University di Parma, via Gramsci 14, 43126, Parma, Italy
| | | | - Lorenzo Fassina
- Department of Industrial Engineering and Informatics, University of Pavia, Via Ferrata 1, 27100, Pavia, Italy
| | - Giovanna Pelà
- Department of Medicine and Surgery, University di Parma, via Gramsci 14, 43126, Parma, Italy
| | - Giovanni Battista Luciani
- Department of Surgery, Dentistry, Paediatrics and Gynaecology, University of Verona Via S. Francesco 22, 37129, Verona, Italy
| | - Michele Miragoli
- Department of Medicine and Surgery, University di Parma, via Gramsci 14, 43126, Parma, Italy; Humanitas Clinical and Research Center, Via Manzoni 56, 20089, Rozzano, Italy.
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13
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Fassina L, Rozzi G, Rossi S, Scacchi S, Galetti M, Lo Muzio FP, Del Bianco F, Colli Franzone P, Petrilli G, Faggian G, Miragoli M. Cardiac kinematic parameters computed from video of in situ beating heart. Sci Rep 2017; 7:46143. [PMID: 28397830 PMCID: PMC5387404 DOI: 10.1038/srep46143,10.1038/srep46143] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2016] [Accepted: 03/13/2017] [Indexed: 04/01/2024] Open
Abstract
Mechanical function of the heart during open-chest cardiac surgery is exclusively monitored by echocardiographic techniques. However, little is known about local kinematics, particularly for the reperfused regions after ischemic events. We report a novel imaging modality, which extracts local and global kinematic parameters from videos of in situ beating hearts, displaying live video cardiograms of the contraction events. A custom algorithm tracked the movement of a video marker positioned ad hoc onto a selected area and analyzed, during the entire recording, the contraction trajectory, displacement, velocity, acceleration, kinetic energy and force. Moreover, global epicardial velocity and vorticity were analyzed by means of Particle Image Velocimetry tool. We validated our new technique by i) computational modeling of cardiac ischemia, ii) video recordings of ischemic/reperfused rat hearts, iii) videos of beating human hearts before and after coronary artery bypass graft, and iv) local Frank-Starling effect. In rats, we observed a decrement of kinematic parameters during acute ischemia and a significant increment in the same region after reperfusion. We detected similar behavior in operated patients. This modality adds important functional values on cardiac outcomes and supports the intervention in a contact-free and non-invasive mode. Moreover, it does not require particular operator-dependent skills.
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Affiliation(s)
- Lorenzo Fassina
- Dipartimento di Ingegneria Industriale e dell’Informazione, Università degli Studi di Pavia, Via Ferrata 1, 27100 Pavia, Italy
- Centre for Health Technologies (C.H.T.), Università degli Studi di Pavia, Via Ferrata 1, 27100 Pavia, Italy
| | - Giacomo Rozzi
- Dipartimento di Medicina e Chirurgia, Università degli Studi di Parma, Via Gramsci 14, 43124 Parma, Italy
- Dipartimento di Cardiochirurgia, Università degli Studi di Verona, Ospedale Borgo Trento, P.le Stefani 1, 37126 Verona, Italy
| | - Stefano Rossi
- Dipartimento di Medicina e Chirurgia, Università degli Studi di Parma, Via Gramsci 14, 43124 Parma, Italy
- CERT, Centro di Eccellenza per la Ricerca Tossicologica, INAIL-exISPESL, Università degli Studi di Parma, Via Gramsci 14, 43124 Parma, Italy
| | - Simone Scacchi
- Dipartimento di Matematica, Università degli Studi di Milano, Via Saldini 50, 20133 Milano, Italy
| | - Maricla Galetti
- CERT, Centro di Eccellenza per la Ricerca Tossicologica, INAIL-exISPESL, Università degli Studi di Parma, Via Gramsci 14, 43124 Parma, Italy
| | - Francesco Paolo Lo Muzio
- Dipartimento di Medicina e Chirurgia, Università degli Studi di Parma, Via Gramsci 14, 43124 Parma, Italy
| | - Fabrizio Del Bianco
- Dipartimento di Ingegneria Industriale e dell’Informazione, Università degli Studi di Pavia, Via Ferrata 1, 27100 Pavia, Italy
- Centre for Health Technologies (C.H.T.), Università degli Studi di Pavia, Via Ferrata 1, 27100 Pavia, Italy
| | - Piero Colli Franzone
- Dipartimento di Matematica, Università degli Studi di Pavia, Via Ferrata 1, 27100 Pavia, Italy
| | - Giuseppe Petrilli
- Dipartimento di Cardiochirurgia, Università degli Studi di Verona, Ospedale Borgo Trento, P.le Stefani 1, 37126 Verona, Italy
| | - Giuseppe Faggian
- Dipartimento di Cardiochirurgia, Università degli Studi di Verona, Ospedale Borgo Trento, P.le Stefani 1, 37126 Verona, Italy
| | - Michele Miragoli
- Dipartimento di Medicina e Chirurgia, Università degli Studi di Parma, Via Gramsci 14, 43124 Parma, Italy
- CERT, Centro di Eccellenza per la Ricerca Tossicologica, INAIL-exISPESL, Università degli Studi di Parma, Via Gramsci 14, 43124 Parma, Italy
- Humanitas Clinical and Research Center, Via Manzoni 56, 20090 Rozzano, Italy
- Institute of Genetic and Biomedical Research, National Research Council, Via Manzoni 56, 20090 Rozzano, Italy
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14
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Fassina L, Rozzi G, Rossi S, Scacchi S, Galetti M, Lo Muzio FP, Del Bianco F, Colli Franzone P, Petrilli G, Faggian G, Miragoli M. Cardiac kinematic parameters computed from video of in situ beating heart. Sci Rep 2017; 7:46143. [PMID: 28397830 PMCID: PMC5387404 DOI: 10.1038/srep46143] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2016] [Accepted: 03/13/2017] [Indexed: 12/21/2022] Open
Abstract
Mechanical function of the heart during open-chest cardiac surgery is exclusively monitored by echocardiographic techniques. However, little is known about local kinematics, particularly for the reperfused regions after ischemic events. We report a novel imaging modality, which extracts local and global kinematic parameters from videos of in situ beating hearts, displaying live video cardiograms of the contraction events. A custom algorithm tracked the movement of a video marker positioned ad hoc onto a selected area and analyzed, during the entire recording, the contraction trajectory, displacement, velocity, acceleration, kinetic energy and force. Moreover, global epicardial velocity and vorticity were analyzed by means of Particle Image Velocimetry tool. We validated our new technique by i) computational modeling of cardiac ischemia, ii) video recordings of ischemic/reperfused rat hearts, iii) videos of beating human hearts before and after coronary artery bypass graft, and iv) local Frank-Starling effect. In rats, we observed a decrement of kinematic parameters during acute ischemia and a significant increment in the same region after reperfusion. We detected similar behavior in operated patients. This modality adds important functional values on cardiac outcomes and supports the intervention in a contact-free and non-invasive mode. Moreover, it does not require particular operator-dependent skills.
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Affiliation(s)
- Lorenzo Fassina
- Dipartimento di Ingegneria Industriale e dell'Informazione, Università degli Studi di Pavia, Via Ferrata 1, 27100 Pavia, Italy.,Centre for Health Technologies (C.H.T.), Università degli Studi di Pavia, Via Ferrata 1, 27100 Pavia, Italy
| | - Giacomo Rozzi
- Dipartimento di Medicina e Chirurgia, Università degli Studi di Parma, Via Gramsci 14, 43124 Parma, Italy.,Dipartimento di Cardiochirurgia, Università degli Studi di Verona, Ospedale Borgo Trento, P.le Stefani 1, 37126 Verona, Italy
| | - Stefano Rossi
- Dipartimento di Medicina e Chirurgia, Università degli Studi di Parma, Via Gramsci 14, 43124 Parma, Italy.,CERT, Centro di Eccellenza per la Ricerca Tossicologica, INAIL-exISPESL, Università degli Studi di Parma, Via Gramsci 14, 43124 Parma, Italy
| | - Simone Scacchi
- Dipartimento di Matematica, Università degli Studi di Milano, Via Saldini 50, 20133 Milano, Italy
| | - Maricla Galetti
- CERT, Centro di Eccellenza per la Ricerca Tossicologica, INAIL-exISPESL, Università degli Studi di Parma, Via Gramsci 14, 43124 Parma, Italy
| | - Francesco Paolo Lo Muzio
- Dipartimento di Medicina e Chirurgia, Università degli Studi di Parma, Via Gramsci 14, 43124 Parma, Italy
| | - Fabrizio Del Bianco
- Dipartimento di Ingegneria Industriale e dell'Informazione, Università degli Studi di Pavia, Via Ferrata 1, 27100 Pavia, Italy.,Centre for Health Technologies (C.H.T.), Università degli Studi di Pavia, Via Ferrata 1, 27100 Pavia, Italy
| | - Piero Colli Franzone
- Dipartimento di Matematica, Università degli Studi di Pavia, Via Ferrata 1, 27100 Pavia, Italy
| | - Giuseppe Petrilli
- Dipartimento di Cardiochirurgia, Università degli Studi di Verona, Ospedale Borgo Trento, P.le Stefani 1, 37126 Verona, Italy
| | - Giuseppe Faggian
- Dipartimento di Cardiochirurgia, Università degli Studi di Verona, Ospedale Borgo Trento, P.le Stefani 1, 37126 Verona, Italy
| | - Michele Miragoli
- Dipartimento di Medicina e Chirurgia, Università degli Studi di Parma, Via Gramsci 14, 43124 Parma, Italy.,CERT, Centro di Eccellenza per la Ricerca Tossicologica, INAIL-exISPESL, Università degli Studi di Parma, Via Gramsci 14, 43124 Parma, Italy.,Humanitas Clinical and Research Center, Via Manzoni 56, 20090 Rozzano, Italy.,Institute of Genetic and Biomedical Research, National Research Council, Via Manzoni 56, 20090 Rozzano, Italy
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