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Polito MV, D'Auria F, Vitulano G, Cogliani FM, Conti V, Ciccarelli M, Esposito I, Punzi L, Manzo V, Bonadies D, Filippelli A, Piscione F, Galasso G. P2795The role of SIRT1 activity in patients with chronic heart failure. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy565.p2795] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- M V Polito
- University of Salerno. Department of Medicine and Surgery, Salerno, Italy
| | - F D'Auria
- University of Salerno. Department of Medicine and Surgery, Salerno, Italy
| | - G Vitulano
- University of Salerno. Department of Medicine and Surgery, Salerno, Italy
| | - F M Cogliani
- University of Salerno. Department of Medicine and Surgery, Salerno, Italy
| | - V Conti
- University of Salerno. Department of Medicine and Surgery, Salerno, Italy
| | - M Ciccarelli
- University of Salerno. Department of Medicine and Surgery, Salerno, Italy
| | - I Esposito
- University of Salerno. Department of Medicine and Surgery, Salerno, Italy
| | - L Punzi
- University of Salerno. Department of Medicine and Surgery, Salerno, Italy
| | - V Manzo
- University of Salerno. Department of Medicine and Surgery, Salerno, Italy
| | - D Bonadies
- Department of Cardiology, A.O.U. “San Giovanni di Dio e Ruggi D'Aragona”, Salerno, Italy
| | - A Filippelli
- University of Salerno. Department of Medicine and Surgery, Salerno, Italy
| | - F Piscione
- University of Salerno. Department of Medicine and Surgery, Salerno, Italy
| | - G Galasso
- University of Salerno. Department of Medicine and Surgery, Salerno, Italy
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D'Auria F, Vitulano G, Polito M, Cogliani F, Bonadies D, Citro R, Gigantino A, Piscione F, Iaccarino G, Ciccarelli M. P2794The increased level of GRK2 correlates with preserved exercise capacity in patients with HF. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy565.p2794] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- F D'Auria
- University of Salerno, Salerno, Italy
| | | | - M Polito
- University of Salerno, Salerno, Italy
| | | | | | - R Citro
- AOU S. Giovanni e Ruggi, Salerno, Italy
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Mirra M, Vitulano G, Virtuoso N, Tufano N, D’Auria F, De Angelis S, Giudice R, Lambiase A, Gigantino A, Piscione F. Heart Failure in a Dedicated Outpatient Clinic: Results after 58 Month Follow-Up. Can it be Enough? Transl Med UniSa 2014; 11:59-62. [PMID: 25674552 PMCID: PMC4309658] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
Abstract
Incidence of chronic heart failure (HF) is rapidly increasing, approaching a 10 per 1000 rate after 65 years of age. In the last decades, despite pharmacological, interventional and supportive innovations, HF prognosis remained poor, with about 30% of death within one year from the diagnosis. Current guidelines recommend for these patients management programs providing follow-up through dedicated outpatient clinic. Limits of these programs are represented by great difficulties in getting patients adherence, being still too elevated the rate of abandonments. In this paper, we analyzed the impact of 58 months of activity in our dedicated to heart failure outpatient clinic on mortality, hospitalization and abandonment rate. 477 HF patients (346 M, 72.5%, mean age 69.6 years) were enrolled. Mean follow-up and visit were 18.2 and 2.6 months respectively. Total mortality rate was 11.5%, 4% of patients per year. Total hospitalizations for acute HF were 212 and, among all patients left in follow-up, the number of hospitalizations for acute de-compensation significantly decreased from 0.49/patient/year before enrollment to 0.29/patient/year during follow-up (p=0.015). Patients who abandoned outpatient clinic were 94 (19%, 1 abandonment every 23 days), mostly observed over the first months of activity. In conclusion, our patients experienced a major decrease in rates of acute de-compensation and need of in-hospital admissions.
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Affiliation(s)
- M Mirra
- Department of Medicine and Surgery, University of Salerno, Salerno, Italy
| | - G Vitulano
- Department of Medicine and Surgery, University of Salerno, Salerno, Italy
| | - N Virtuoso
- Department of Medicine and Surgery, University of Salerno, Salerno, Italy
| | - N Tufano
- Department of Emergency, University Hospital of Salerno, Salerno, Italy
| | - F D’Auria
- Department of Medicine and Surgery, University of Salerno, Salerno, Italy
| | - S De Angelis
- Department of Emergency, University Hospital of Salerno, Salerno, Italy
| | - R Giudice
- Department of Medicine and Surgery, University of Salerno, Salerno, Italy
| | - A Lambiase
- Department of Medical and Surgical Cardiology, University Hospital of Salerno, Salerno, Italy. ()
| | - A Gigantino
- Department of Medical and Surgical Cardiology, University Hospital of Salerno, Salerno, Italy. ()
| | - F Piscione
- Department of Medicine and Surgery, University of Salerno, Salerno, Italy
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Mirra M, Di Maio M, Vitulano G, Prota C, Polito MV, Poto S, Pierro L, Piscione F. Management of atrial fibrillation in patients undergoing percutaneous coronary intervention. Transl Med UniSa 2014; 9:33-7. [PMID: 24809033 PMCID: PMC4012373] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2014] [Accepted: 03/24/2014] [Indexed: 11/18/2022] Open
Abstract
Atrial fibrillation (AF) is the most common cardiac arrhythmia, occurring in 1-2% of overall population, involving more than 6 millions of European people. It is associated to a reduced quality of life and an increased morbidity and mortality. The Framingham study showed the link between angina and AF. The same risk factors, such as hypertension, diabetes and obesity promote both AF and coronary artery disease (CAD). About 1/4 of AF patients develop a CAD and, in this setting, about 1/5 undergoes a percutaneous coronary intervention (PCI). In patients with both AF and CAD, the optimal medical strategy is challenging and it is still debated in cardiological community, since patients treated by dual (two antiplatelets drugs ore one antiplatelets drug and an oral anticoagulant drug) or triple therapy (two antiplatelets drugs and an oral anticoagulant drug) are exposed to divergent risk of bleeding or thromboembolic and ischemic complications. Aim of this paper is to focus the attention on the different problems arising from the presence of AF in patients undergoing PCI, such as the risk of stroke, bleeding and stent thrombosis.
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Affiliation(s)
- M Mirra
- Deparment of Medicine and Surgery, University of Salerno, Salerno, Italy
| | - M Di Maio
- Deparment of Medicine and Surgery, University of Salerno, Salerno, Italy
| | - G Vitulano
- Deparment of Medicine and Surgery, University of Salerno, Salerno, Italy
| | - C Prota
- Deparment of Medicine and Surgery, University of Salerno, Salerno, Italy
| | - MV Polito
- Deparment of Medicine and Surgery, University of Salerno, Salerno, Italy
| | - S Poto
- Deparment of Medicine and Surgery, University of Salerno, Salerno, Italy
| | - L Pierro
- Deparment of Medicine and Surgery, University of Salerno, Salerno, Italy
| | - F Piscione
- Deparment of Medicine and Surgery, University of Salerno, Salerno, Italy
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De Marco M, Falco A, Basile A, Rosati A, Festa M, d'Avenia M, Pascale M, Dal Piaz F, Bisogni R, Barcaroli D, Coppola G, Piscione F, Gigantino A, Citro R, De Rosa R, Vitulano G, Virtuoso N, Manganelli F, Palermo E, Siano F, Rosato G, Hahne M, Tiberti C, De Laurenzi V, Turco MC. Detection of soluble BAG3 and anti-BAG3 antibodies in patients with chronic heart failure. Cell Death Dis 2013; 4:e495. [PMID: 23412388 PMCID: PMC3734839 DOI: 10.1038/cddis.2013.8] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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