1
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Alfonso F, Zelveian P, Monsuez JJ, Aschermann M, Böhm M, Hernandez AB, Wang TD, Cohen A, Izetbegovic S, Doubell A, Echeverri D, Enç N, Ferreira-González I, Undas A, Fortmüller U, Gatzov P, Ginghina C, Goncalves L, Addad F, Hassanein M, Heusch G, Huber K, Hatala R, Ivanusa M, Lau CP, Marinskis G, Cas LD, Rochitte CE, Nikus K, Fleck E, Pierard L, Obradović S, Del Pilar Aguilar Passano M, Jang Y, Rødevand O, Sander M, Shlyakhto E, Erol Ç, Tousoulis D, Ural D, Piek JJ, Varga A, Flammer AJ, Mach F, Dibra A, Guliyev F, Mrochek A, Rogava M, Guzman Melgar I, Di Pasquale G, Kabdrakhmanov K, Haddour L, Fras Z, Held C, Shumakov V. Authorship: from credit to accountability. Reflections from the Editors' Network. Clin Res Cardiol 2019; 108:723-729. [PMID: 31041501 DOI: 10.1007/s00392-019-01436-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [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: 02/06/2019] [Accepted: 02/06/2019] [Indexed: 11/26/2022]
Abstract
The Editors' Network of the European Society of Cardiology provides a dynamic forum for editorial discussions and endorses the recommendations of the International Committee of Medical Journal Editors (ICMJE) to improve the scientific quality of biomedical journals. Authorship confers credit and important academic rewards. Recently, however, the ICMJE emphasized that authorship also requires responsibility and accountability. These issues are now covered by the new (fourth) criterion for authorship. Authors should agree to be accountable and ensure that questions regarding the accuracy and integrity of the entire work will be appropriately addressed. This review discusses the implications of this paradigm shift on authorship requirements with the aim of increasing awareness on good scientific and editorial practices.
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Affiliation(s)
- Fernando Alfonso
- Cardiology Department, Hospital Universitario de La Princesa, Instituto de Investigación Sanitaria IIS-IP, Universidad Autónoma de Madrid, C/Diego de León 62, 28006, Madrid, Spain.
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2
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Alfonso F, Zelveian P, Monsuez JJ, Aschermann M, Boehm M, Hernandez AB, Wang TD, Cohen A, Izetbegovic S, Doubell A, Echeverri D, Enç N, Ferreira-González I, Undas A, Fortmüller U, Gatzov P, Ginghina C, Goncalves L, Addad F, Hassanein M, Heusch G, Huber K, Hatala R, Ivanusa M, Lau CP, Marinskis G, Cas LD, Rochitte CE, Nikus K, Fleck E, Pierard L, Obradović S, Passano MDPA, Jang Y, Rødevand O, Sander M, Shlyakhto E, Erol Ç, Tousoulis D, Ural D, Piek J, Varga A, Mach AJF, Dibra A, Guliyev F, Mrochek A, Rogava M, Melgar IG, Di Pasquale G, Kabdrakhmanov K, Haddour L, Fras Z, Held C, Shumakov V. Authorship: From Credit to Accountability. Reflections From the Editors Network. Revista Colombiana de Cardiología 2019. [DOI: 10.1016/j.rccar.2019.02.002] [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: 11/27/2022] Open
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3
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Alfonso F, Zelveian P, Monsuez JJ, Aschermann M, Boehm M, Hernandez AB, Wang TD, Cohen A, Izetbegovic S, Doubell A, Echeverri D, Enç N, Ferreira-González I, Undas A, Fortmüller U, Gatzov P, Ginghina C, Goncalves L, Faouzi A, Hassanein M, Heusch G, Huber K, Hatala R, Ivanusa M, Lau CP, Marinskis G, Cas LD, Rochitte CE, Nikus K, Fleck E, Pierard L, Obradović S, Del Pilar Aguilar Passano M, Jang Y, Rødevand O, Sander M, Shlyakhto E, Erol Ç, Tousoulis D, Ural D, Piek JJ, Varga A, Flammer AJ, Mach F, Dibra A, Guliyev F, Mrochek A, Rogava M, Melgar IG, Di Pasquale G, Kabdrakhmanov K, Haddour L, Fras Z, Held C, Shumakov V. Authorship: From Credit to Accountability Reflections From the Editors´ Network. Anatol J Cardiol 2019; 21:281-286. [PMID: 31062751 PMCID: PMC6528517 DOI: 10.14744/anatoljcardiol.2019.18124] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
The Editors´ Network of the European Society of Cardiology (ESC) provides a dynamic forum for editorial discussions and endorses the recommendations of the International Committee of Medical Journal Editors (ICMJE) to improve the scientific quality of biomedical journals. Authorship confers credit and important academic rewards. Recently, however, the ICMJE emphasized that authorship also requires responsibility and accountability. These issues are now covered by the new (fourth) criterion for authorship. Authors should agree to be accountable and ensure that questions regarding the accuracy and integrity of the entire work will be appropriately addressed. This review discusses the implications of this paradigm shift on authorship requirements with the aim of increasing awareness on good scientific and editorial practices.
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Affiliation(s)
| | | | | | | | | | | | | | - Ariel Cohen
- Editor in Chief Archives of Cardiovascular Diseases
| | | | | | | | - Nuray Enç
- Editor in Chief Kardiyovaskuler Hemsirelik Dergisi
| | | | | | | | | | | | | | | | | | - Gerd Heusch
- Editor in Chief Basic Research in Cardiology
| | - Kurt Huber
- Editor in Chief Austrian Journal fo Cardiology
| | | | | | - Chu Pak Lau
- Editor in Chief Journal of the Hong Kong Colleage of Cardiology
| | | | | | | | | | | | | | | | | | | | | | | | | | - Çetin Erol
- Editor in Chief Anatolian Journal of Cardiology
| | | | - Dilek Ural
- Editor in Chief Archives of the Turkish Society of Cardiology
| | - Jan J Piek
- Editor in Chief Netherlands Heart Journal
| | | | | | | | - Alban Dibra
- Editor in Chief Revista Shqiptare e Kardiologjisë
| | - Faiq Guliyev
- Editor in Chief Azerbaijan Journal of Cardiology
| | | | - Mamanti Rogava
- Editor in Chief Cardiology and Internal Medicine (Georgian International Society of Cardiomyopathy)
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4
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Muneretto C, Bisleri G, Negri A, Piccoli P, Nodari S, Dei Cas L. Improved Graft Patency Rates and Mid-Term Outcome of Diabetic Patients Undergoing Total Arterial Myocardial Revascularization. Heart Int 2018. [DOI: 10.1177/1826186806002003-402] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Affiliation(s)
- Claudio Muneretto
- Division of Cardiac Surgery, University of Brescia Medical School, Brescia - Italy
| | - Gianluigi Bisleri
- Division of Cardiac Surgery, University of Brescia Medical School, Brescia - Italy
| | - Alberto Negri
- Division of Cardiac Surgery, University of Brescia Medical School, Brescia - Italy
| | - Paolo Piccoli
- Division of Cardiac Surgery, University of Brescia Medical School, Brescia - Italy
| | - Savina Nodari
- Division of Cardiac Surgery, University of Brescia Medical School, Brescia - Italy
| | - Livio Dei Cas
- Division of Cardiology, University of Brescia Medical School, Brescia - Italy
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5
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Metra M, Nodari S, Bordonali T, Bugatti S, Fontanella B, Lombardi C, Saporetti A, Verzura G, Danesi R, Dei Cas L. Anemia and Heart Failure: A Cause of Progression or Only a Consequence? Heart Int 2018. [DOI: 10.1177/1826186807003001-201] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Affiliation(s)
- Marco Metra
- Section of Cardiovascular Diseases Department of Experimental and Applied Medicine, University of Brescia - Spedali Civili, Brescia - Italy
| | - Savina Nodari
- Section of Cardiovascular Diseases Department of Experimental and Applied Medicine, University of Brescia - Spedali Civili, Brescia - Italy
| | - Tania Bordonali
- Section of Cardiovascular Diseases Department of Experimental and Applied Medicine, University of Brescia - Spedali Civili, Brescia - Italy
| | - Silvia Bugatti
- Section of Cardiovascular Diseases Department of Experimental and Applied Medicine, University of Brescia - Spedali Civili, Brescia - Italy
| | - Benedetta Fontanella
- Section of Cardiovascular Diseases Department of Experimental and Applied Medicine, University of Brescia - Spedali Civili, Brescia - Italy
| | - Carlo Lombardi
- Section of Cardiovascular Diseases Department of Experimental and Applied Medicine, University of Brescia - Spedali Civili, Brescia - Italy
| | - Alberto Saporetti
- Section of Cardiovascular Diseases Department of Experimental and Applied Medicine, University of Brescia - Spedali Civili, Brescia - Italy
| | - Giulia Verzura
- Section of Cardiovascular Diseases Department of Experimental and Applied Medicine, University of Brescia - Spedali Civili, Brescia - Italy
| | - Rossella Danesi
- Section of Cardiovascular Diseases Department of Experimental and Applied Medicine, University of Brescia - Spedali Civili, Brescia - Italy
| | - Livio Dei Cas
- Section of Cardiovascular Diseases Department of Experimental and Applied Medicine, University of Brescia - Spedali Civili, Brescia - Italy
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6
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Affiliation(s)
- Riccardo Raddino
- Section of Cardiovascular Disease Department of Applied Experimental Medicine, University of Brescia, Brescia - Italy
| | - Giorgio Caretta
- Section of Cardiovascular Disease Department of Applied Experimental Medicine, University of Brescia, Brescia - Italy
| | - Melissa Teli
- Section of Cardiovascular Disease Department of Applied Experimental Medicine, University of Brescia, Brescia - Italy
| | - Ivano Bonadei
- Section of Cardiovascular Disease Department of Applied Experimental Medicine, University of Brescia, Brescia - Italy
| | - Debora Robba
- Section of Cardiovascular Disease Department of Applied Experimental Medicine, University of Brescia, Brescia - Italy
| | - Gregoriana Zanini
- Section of Cardiovascular Disease Department of Applied Experimental Medicine, University of Brescia, Brescia - Italy
| | - Alberto Madureri
- Section of Cardiovascular Disease Department of Applied Experimental Medicine, University of Brescia, Brescia - Italy
| | - Savina Nodari
- Section of Cardiovascular Disease Department of Applied Experimental Medicine, University of Brescia, Brescia - Italy
| | - Livio Dei Cas
- Section of Cardiovascular Disease Department of Applied Experimental Medicine, University of Brescia, Brescia - Italy
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7
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Faggiano P, Vizzardi E, Pulcini E, Maffeo D, Fracassi F, Nodari S, Dei Cas L. The Study of Left Ventricular Diastolic Function by Doppler Echocardiography: The Essential for the Clinician. Heart Int 2018. [DOI: 10.1177/1826186807003001-206] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Affiliation(s)
| | | | | | - Diego Maffeo
- Cardiology, University of Brescia, Brescia - Italy
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8
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Nodari S, Rocca P, Saporetti A, Bettari L, Foresti AL, Tanghetti E, Metra M, Dei Cas L. The Combination of Ezetimibe and Statin: A New Treatment for Hypercholesterolemia. Heart Int 2018. [DOI: 10.1177/1826186807003001-202] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
Affiliation(s)
- Savina Nodari
- Section on Cardiovascular Diseases, Department of Experimental and Applied Medicine, University of Brescia - Italy
| | - Patrizia Rocca
- Section on Cardiovascular Diseases, Department of Experimental and Applied Medicine, University of Brescia - Italy
| | - Alberto Saporetti
- Section on Cardiovascular Diseases, Department of Experimental and Applied Medicine, University of Brescia - Italy
| | - Luca Bettari
- Section on Cardiovascular Diseases, Department of Experimental and Applied Medicine, University of Brescia - Italy
| | - Anna Lucia Foresti
- Section on Cardiovascular Diseases, Department of Experimental and Applied Medicine, University of Brescia - Italy
| | - Elena Tanghetti
- Section on Cardiovascular Diseases, Department of Experimental and Applied Medicine, University of Brescia - Italy
| | - Marco Metra
- Section on Cardiovascular Diseases, Department of Experimental and Applied Medicine, University of Brescia - Italy
| | - Livio Dei Cas
- Section on Cardiovascular Diseases, Department of Experimental and Applied Medicine, University of Brescia - Italy
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9
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De Maria E, Curnis A, Garyfallidis P, Mascioli G, Santangelo L, Calabrò R, Dei Cas L. QT Dispersion on ECG Holter Monitoring and Risk of Ventricular Arrhythmias in Patients with Dilated Cardiomyopathy. Heart Int 2018. [DOI: 10.1177/182618680600200106] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Affiliation(s)
- Elia De Maria
- Polycardiography Service, Spedali Civili, Brescia - Italy
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10
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Alfonso F, Adamyan K, Artigou JY, Aschermann M, Boehm M, Buendia A, Chu PH, Cohen A, Cas LD, Dilic M, Doubell A, Echeverri D, Enç N, Ferreira-González I, Filipiak KJ, Flammer A, Fleck E, Gatzov P, Ginghina C, Goncalves L, Haouala H, Hassanein M, Heusch G, Huber K, Hulín I, Ivanusa M, Krittayaphong R, Lau CP, Marinskis G, Mach F, Moreira LF, Nieminen T, Oukerraj L, Perings S, Pierard L, Potpara T, Reyes-Caorsi W, Rim SJ, Rødevand O, Saade G, Sander M, Shlyakhto E, Timuralp B, Tousoulis D, Ural D, Piek JJ, Varga A, Lüscher TF. Data Sharing: A New Editorial Initiative of the International Committee of Medical Journal Editors. Implications for the Editors´ Network. Turk Kardiyol Dern Ars 2017; 45:377-384. [PMID: 28595212 DOI: 10.5543/tkda.2017.92725] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
The International Committee of Medical Journal Editors (ICMJE) provides recommendations to improve the editorial standards and scientific quality of biomedical journals. These recommendations range from uniform technical requirements to more complex and elusive editorial issues including ethical aspects of the scientific process. Recently, registration of clinical trials, conflicts of interest disclosure, and new criteria for authorship -emphasizing the importance of responsibility and accountability-, have been proposed. Last year, a new editorial initiative to foster sharing of clinical trial data was launched. This review discusses this novel initiative with the aim of increasing awareness among readers, investigators, authors and editors belonging to the Editors´ Network of the European Society of Cardiology.
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11
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Alfonso F, Adamyan K, Artigou JY, Aschermann M, Boehm M, Buendia A, Chu PH, Cohen A, Dei Cas L, Dilic M, Doubell A, Echeverri D, Enç N, Ferreira-González I, Filipiak KJ, Flammer A, Fleck E, Gatzov P, Ginghina C, Goncalves L, Haouala H, Hassanein M, Heusch G, Huber K, Hulín I, Ivanusa M, Krittayaphong R, Lau CP, Marinskis G, Mach F, Felipe Moreira L, Nieminen T, Oukerraj L, Perings S, Pierard L, Potpara T, Reyes-Caorsi W, Rim SJ, Rødevand O, Saade G, Sander M, Shlyakhto E, Timuralp B, Tousoulis D, Ural D, Piek J, Varga A, Lüscher TF. Data sharing: A new editorial initiative of the International Committee of Medical Journal Editors. Implications for the editors' network. Egypt Heart J 2017; 69:89-94. [PMID: 29622961 PMCID: PMC5839351 DOI: 10.1016/j.ehj.2017.05.001] [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] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
The International Committee of Medical Journal Editors (ICMJE) provides recommendations to improve the editorial standards and scientific quality of biomedical journals. These recommendations range from uniform technical requirements to more complex and elusive editorial issues including ethical aspects of the scientific process. Recently, registration of clinical trials, conflicts of interest disclosure, and new criteria for authorship -emphasizing the importance of responsibility and accountability-, have been proposed. Last year, a new editorial initiative to foster sharing of clinical trial data was launched. This review discusses this novel initiative with the aim of increasing awareness among readers, investigators, authors and editors belonging to the Editors' Network of the European Society of Cardiology.
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Affiliation(s)
| | | | - Jean-Yves Artigou
- Editor in Chief Archives des maladies du cœur et des vaisseaux Pratique
| | | | | | | | | | - Ariel Cohen
- Editor in Chief Archives of Cardiovascular Diseases
| | | | | | | | | | - Nuray Enç
- Editor in Chief Kardiyovaskuler Hemsirelik Dergisi
| | | | | | | | | | | | | | | | | | | | - Gerd Heusch
- Editor in Chief Basic Research in Cardiology
| | - Kurt Huber
- Editor in Chief Austrain Journal of Cardiology
| | | | | | | | - Chu-Pak Lau
- Editor in Chief Journal of the Hong Kong Colleage of Cardiology
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Dilek Ural
- Editor in Chief Archives of the Turkish Society of Cardiology
| | - J.J. Piek
- Editor in Chief Netherlands Heart Journal
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12
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Alfonso F, Adamyan K, Artigou JY, Aschermann M, Boehm M, Buendia A, Chu PH, Cohen A, Dei Cas L, Dilic M, Doubell A, Echeverri D, Enç N, Ferreira-González I, Filipiak KJ, Flammer A, Fleck E, Gatzov P, Ginghina C, Goncalves L, Haouala H, Hassanein M, Heusch G, Huber K, Hulín I, Ivanusa M, Krittayaphong R, Lau CP, Marinskis G, Mach F, Moreira LF, Nieminen T, Oukerraj L, Perings S, Pierard L, Potpara T, Reyes-Caorsi W, Rim SJ, Rødevand O, Saade G, Sander M, Shlyakhto E, Timuralp B, Tousoulis D, Ural D, Piek JJ, Varga A, Lüscher TF. Data Sharing: A New Editorial Initiative of the International Committee of Medical Journal Editors. Implications for the Editors' Network. Kardiol Pol 2017; 75:512-517. [PMID: 28530030 DOI: 10.5603/kp.2017.0086] [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] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2017] [Accepted: 04/05/2017] [Indexed: 11/25/2022]
Abstract
The International Committee of Medical Journal Editors (ICMJE) provides recommendations to improve the editorial standards and scientific quality of biomedical journals. These recommendations range from uniform technical requirements to more complex and elusive editorial issues including ethical aspects of the scientific process. Recently, registration of clinical trials, conflicts of interest disclosure, and new criteria for authorship - emphasizing the importance of responsibility and accountability - have been proposed. Last year, a new editorial initiative to foster sharing of clinical trial data was launched. This review discusses this novel initiative with the aim of increasing awareness among readers, investigators, authors and editors belonging to the Editors' Network of the European Society of Cardiology.
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Affiliation(s)
- Fernando Alfonso
- Department of Cardiology, Hospital Universitario de La Princesa, Instituto de Investigación sanitaria IIS-IP, Universidad Autónoma de Madrid, Madrid, Spain.
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13
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Alfonso F, Adamyan K, Artigou JY, Aschermann M, Boehm M, Buendia A, Chu PH, Cohen A, Dei Cas L, Dilic M, Doubell A, Echeverri D, Enç N, Ferreira-González I, Filipiak KJ, Flammer A, Fleck E, Gatzov P, Ginghina C, Goncalves L, Haouala H, Hassanein M, Heusch G, Huber K, Hulín I, Ivanusa M, Krittayaphong R, Lau CP, Marinskis G, Mach F, Moreira LF, Nieminen T, Oukerraj L, Perings S, Pierard L, Potpara T, Reyes-Caorsi W, Rim SJ, Rødevand O, Saade G, Sander M, Shlyakhto E, Timuralp B, Tousoulis D, Ural D, Piek JJ, Varga A, Lüscher TF. Data Sharing: A New Editorial Initiative of the International Committee of Medical Journal Editors. Implications for the Editors' Network. Rev Port Cardiol 2017; 36:397-403. [PMID: 28477978 DOI: 10.1016/j.repc.2017.02.001] [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] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Abstract
The International Committee of Medical Journal Editors (ICMJE) provides recommendations to improve the editorial standards and scientific quality of biomedical journals. These recommendations range from uniform technical requirements to more complex and elusive editorial issues including ethical aspects of the scientific process. Recently, registration of clinical trials, conflicts of interest disclosure, and new criteria for authorship -emphasizing the importance of responsibility and accountability-, have been proposed. Last year, a new editorial initiative to foster sharing of clinical trial data was launched. This review discusses this novel initiative with the aim of increasing awareness among readers, investigators, authors and editors belonging to the Editors' Network of the European Society of Cardiology.
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Affiliation(s)
| | | | - Jean-Yves Artigou
- Editor in Chief Archives des maladies du cœur et des vaisseaux Pratique
| | | | | | | | | | - Ariel Cohen
- Editor in Chief Archives of Cardiovascular Diseases
| | | | | | | | | | - Nuray Enç
- Editor in Chief Kardiyovaskuler Hemsirelik Dergisi
| | | | | | | | | | | | | | | | | | | | - Gerd Heusch
- Editor in Chief Basic Research in Cardiology
| | - Kurt Huber
- Editor in Chief Austrain Journal fo Cardiology
| | | | | | | | - Chu-Pak Lau
- Editor in Chief Journal of the Hong Kong Colleage of Cardiology
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Dilek Ural
- Editor in Chief Archives of the Turkish Society of Cardiology
| | - J J Piek
- Editor in Chief Netherlands Heart Journal
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14
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Adamyan K, Artigou JY, Aschermann M, Boehm M, Buendia A, Chu PH, Cohen A, Dei Cas L, Dilic M, Doubell A, Echeverri D, Enç N, Ferreira-González I, Filipiak KJ, Flammer A, Fleck E, Gatzov P, Ginghina C, Goncalves L, Haouala H, Hassanein M, Heusch G, Huber K, Hulín I, Ivanusa M, Krittayaphong R, Lau CP, Marinskis G, Mach F, Felipe Moreira L, Nieminen T, Oukerraj L, Perings S, Pierard L, Potpara T, Reyes-Caorsi W, Rim SJ, Rødevand O, Saade G, Sander M, Shlyakhto E, Timuralp B, Tousoulis D, Ural D, Piek JJ, Varga A, Lüscher TF, Alfonso F. Data Sharing. Eur Heart J 2017; 38:1361-1363. [DOI: 10.1093/eurheartj/ehx206] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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15
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Alfonso F, Adamyan K, Artigou JY, Aschermann M, Boehm M, Buendia A, Chu PH, Cohen A, Cas LD, Dilic M, Doubell A, Echeverri D, Enç N, Ferreira-González I, Filipiak KJ, Flammer A, Fleck E, Gatzov P, Ginghina C, Goncalves L, Haouala H, Hassanein M, Heusch G, Huber K, Hulín I, Ivanusa M, Krittayaphong R, Lau CP, Marinskis G, Mach F, Moreira LF, Nieminen T, Oukerraj L, Perings S, Pierard L, Potpara T, Reyes-Caorsi W, Rim SJ, Rødevand O, Saade G, Sander M, Shlyakhto E, Timuralp B, Tousoulis D, Ural D, Piek JJ, Varga A, Lüscher TF. Data Sharing: A New Editorial Initiative of the International Committee of Medical Journal Editors. Implications for the Editors' Network. Arch Cardiol Mex 2017; 87:101-107. [PMID: 28473184 DOI: 10.1016/j.acmx.2017.03.005] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2016] [Accepted: 03/14/2017] [Indexed: 10/19/2022] Open
Abstract
The International Committee of Medical Journal Editors (ICMJE) provides recommendations to improve the editorial standards and scientific quality of biomedical journals. These recommendations range from uniform technical requirements to more complex and elusive editorial issues including ethical aspects of the scientific process. Recently, registration of clinical trials, conflicts of interest disclosure, and new criteria for authorship - emphasizing the importance of responsibility and accountability -, have been proposed. Last year, a new editorial initiative to foster sharing of clinical trial data was launched. This review discusses this novel initiative with the aim of increasing awareness among readers, investigators, authors and editors belonging to the Editors' Network of the European Society of Cardiology.
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Affiliation(s)
| | | | - Jean-Yves Artigou
- Archives des maladies du cœur et des vaisseaux Pratique, Bobigny, France
| | | | | | | | | | - Ariel Cohen
- Archives of Cardiovascular Diseases, Paris, France
| | | | - Mirza Dilic
- Medicinski Zurnal, Sarajevo, Bosnia and Herzegovina
| | | | | | - Nuray Enç
- Kardiyovaskuler Hemsirelik Dergisi, Istanbul, Turkey
| | | | | | | | | | | | | | | | | | | | - Gerd Heusch
- Basic Research in Cardiology, Essen, Germany
| | - Kurt Huber
- Austrain Journal of Cardiology, Vienna, Austria
| | - Ivan Hulín
- Cardiology Letters, Bratislava, Slovak Republic
| | | | | | - Chu-Pak Lau
- Journal of the Hong Kong College of Cardiology, Hong Kong, China
| | | | | | | | | | | | | | | | | | | | - Se-Joong Rim
- Korean Circulation Journal, Seoul, Republic of Korea
| | | | | | | | - Evgeny Shlyakhto
- Russian Journal of Cardiology, St. Petersburg, Russian Federation
| | | | | | - Dilek Ural
- Archives of the Turkish Society of Cardiology, Istanbul, Turkey
| | - J J Piek
- Netherlands Heart Journal, Amsterdam, Netherlands
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16
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Alfonso F, Adamyan K, Artigou JY, Aschermann M, Boehm M, Buendia A, Chu PH, Cohen A, Dei Cas L, Dilic M, Doubell A, Echeverri D, Enç N, Ferreira-González I, Filipiak KJ, Flammer A, Fleck E, Gatzov P, Ginghina C, Goncalves L, Haouala H, Hassanein M, Heusch G, Huber K, Hulín I, Ivanusa M, Krittayaphong R, Lau CP, Marinskis G, Mach F, Moreira LF, Nieminen T, Oukerraj L, Perings S, Pierard L, Potpara T, Reyes-Caorsi W, Rim SJ, Rødevand O, Saade G, Sander M, Shlyakhto E, Timuralp B, Tousoulis D, Ural D, Piek J, Varga A, Lüscher TF. Data Sharing: A New Editorial Initiative of the International Committee of Medical Journal Editors. Implications for the Editors’ Network. Revista Portuguesa de Cardiologia (English Edition) 2017. [DOI: 10.1016/j.repce.2017.05.006] [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: 10/19/2022] Open
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17
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Alfonso F, Adamyan K, Artigou JY, Aschermann M, Boehm M, Buendia A, Chu PH, Cohen A, Cas LD, Dilic M, Doubell A, Echeverri D, Enç N, Ferreira-González I, Filipiak KJ, Flammer A, Fleck E, Gatzov P, Ginghina C, Goncalves L, Haouala H, Hassanein M, Heusch G, Huber K, Hulín I, Ivanusa M, Krittayaphong R, Lau CP, Marinskis G, Mach F, Moreira LF, Nieminen T, Oukerraj L, Perings S, Pierard L, Potpara T, Reyes-Caorsi W, Rim SJ, Rødevand O, Saade G, Sander M, Shlyakhto E, Timuralp B, Tousoulis D, Ural D, Piek JJ, Varga A, Lüscher TF. Data Sharing: A New Editorial Initiative of the International Committee of Medical Journal Editors. Implications for the Editors´ Network. Arq Bras Cardiol 2017; 108:390-395. [PMID: 28591318 PMCID: PMC5444884 DOI: 10.5935/abc.20170054] [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] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
The International Committee of Medical Journal Editors (ICMJE) provides recommendations to improve the editorial standards and scientific quality of biomedical journals. These recommendations range from uniform technical requirements to more complex and elusive editorial issues including ethical aspects of the scientific process. Recently, registration of clinical trials, conflicts of interest disclosure, and new criteria for authorship - emphasizing the importance of responsibility and accountability-, have been proposed. Last year, a new editorial initiative to foster sharing of clinical trial data was launched. This review discusses this novel initiative with the aim of increasing awareness among readers, investigators, authors and editors belonging to the Editors´ Network of the European Society of Cardiology. Resumo O Comitê Internacional de Editores de Revistas Médicas (ICMJE) fornece recomendações para aprimorar o padrão editorial e a qualidade científica das revistas biomédicas. Tais recomendações variam desde requisitos técnicos de uniformização até assuntos editoriais mais complexos e elusivos, como os aspectos éticos do processo científico. Recentemente, foram propostos registro de ensaios clínicos, divulgação de conflitos de interesse e novos critérios de autoria, enfatizando a importância da responsabilidade e da responsabilização. No último ano, lançou-se uma nova iniciativa editorial para fomentar o compartilhamento dos dados de ensaios clínicos. Esta revisão discute essa nova iniciativa visando a aumentar a conscientização de leitores, investigadores, autores e editores filiados à Rede de Editores da Sociedade Europeia de Cardiologia.
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Affiliation(s)
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Chu-Pak Lau
- Journal of the Hong Kong Colleage of Cardiology
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- Archives of the Turkish Society of Cardiology
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18
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Alfonso F, Adamyan K, Artigou JY, Aschermann M, Boehm M, Buendia A, Chu PH, Cohen A, Dei Cas L, Dilic M, Doubell A, Echeverri D, Enç N, Ferreira-González I, Filipiak KJ, Flammer A, Fleck E, Gatzov P, Ginghina C, Goncalves L, Haouala H, Hassanein M, Heusch G, Huber K, Hulín I, Ivanusa M, Krittayaphong R, Lau CP, Marinskis G, Mach F, Moreira LF, Nieminen T, Oukerraj L, Perings S, Pierard L, Potpara T, Reyes-Caorsi W, Rim SJ, Rødevand O, Saade G, Sander M, Shlyakhto E, Timuralp B, Tousoulis D, Ural D, Piek J, Varga A, Lüscher TF. Data Sharing: A New Editorial Initiative of the International Committee of Medical Journal Editors. Implications for the Editors’ Network. Revista Colombiana de Cardiología 2017. [DOI: 10.1016/j.rccar.2017.06.001] [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: 10/19/2022] Open
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19
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Barillà F, Pelliccia F, Borzi M, Camici P, Cas LD, Di Biase M, Indolfi C, Mercuro G, Montemurro V, Padeletti L, Filardi PP, Vizza CD, Romeo F. Optimal duration of dual anti-platelet therapy after percutaneous coronary intervention: 2016 consensus position of the Italian Society of Cardiology. J Cardiovasc Med (Hagerstown) 2017; 18:1-9. [PMID: 27635937 DOI: 10.2459/jcm.0000000000000434] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Definition of the optimal duration of dual anti-platelet therapy (DAPT) is an important clinical issue, given the large number of patients having percutaneous coronary intervention (PCI), the costs and risks of pharmacologic therapy, the consequences of stent thrombosis, and the potential benefits of DAPT in preventing ischaemic outcomes beyond stent thrombosis. Nowadays, the rationale for a prolonged duration of DAPT should be not only the prevention of stent thrombosis, but also the prevention of ischaemic events unrelated to the coronary stenosis treated with index PCI. A higher predisposition to athero-thrombosis may persist for years after an acute myocardial infarction, and even stable patients with a history of prior myocardial infarction are at high risk for major adverse cardiovascular events. Recently, results of pre-specified post-hoc analyses of randomized clinical trials, including the PEGASUS-TIMI 54 trial, have shed light on strategies of DAPT in various clinical situations, and should impact the next rounds of international guidelines, and also routine practice. Accordingly, the 2015 to 2016 the Board of the Italian Society of Cardiology addressed newer recommendations on duration of DAPT based on most recent scientific information. The document states that physicians should decide duration of DAPT on an individual basis, taking into account ischaemic and bleeding risks of any given patient. Indeed, current controversy surrounding optimal duration of DAPT clearly reflects the fact that, nowadays, a one size fits all strategy cannot be reliably applied to patients treated with PCI. Indeed, patients usually have factors for both increased ischaemic and bleeding risks that must be carefully evaluated to assess the benefit/risk ratio of prolonged DAPT. Personalized management of DAPT must be seen as a dynamic prescription with regular re-evaluations of the risk/benefit to the patient according to changes in his/her clinical profile. Also, in order to derive more benefit than harm from new treatments, a multi-parametric approach using several risk scores of the ischaemic and bleeding risks might improve the process of risk factor characterization. In patients with high ischaemic risk, particularly those with a history of myocardial infarction, the benefits of extended DAPT (particularly with ticagrelor up to 3 years) are likely to outweigh the risks.
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Affiliation(s)
- Francesco Barillà
- aDepartment of Cardiovascular Sciences, Sapienza University bDepartment of Cardiovascular Disease, Tor Vergata University of Rome, Rome cCardiothoracic and Vascular Department, Vita-Salute University, Milan dDepartment of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, Brescia eDepartment of Medical & Surgical Sciences, University of Foggia, Foggia fDivision of Cardiology, Department of Medical and Surgical Sciences, 'Magna Graecia' University, Catanzaro gDepartment of Medical Sciences 'Mario Aresu', University of Cagliari, Cagliari hHeart and Vessels Department, University of Florence, Florence iDepartment of Advanced Biomedical Sciences, Federico II University, Naples, Italy
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D'Aloia A, Vizzardi E, Faggiano P, Fiorina C, Cas LD. Intracranial bleeding mimicking an extensive acute myocardial infarction with reversible apical ballooning and systolic left ventricular dysfunction. A case report. Monaldi Arch Chest Dis 2016; 68:44-7. [PMID: 17564292 DOI: 10.4081/monaldi.2007.468] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
A novel syndrome with transient asynergy of the apical segments of the left ventricle, also known as tako-tsubo cardiomyopathy, has been recently described and presents characteristics and effects similar to acute myocardial infarction. We report the case of a 69-year-old woman presenting with chest pain typical of myocardial ischemia, electrocardiographic abnormalities typical of antero-lateral transmural myocardial infarction, and unstable clinical and hemodynamic condition. Trans-thoracic echocardiography showed a left ventricular dysfunction with a markedly decreased ejection fraction. The patient received heparin and abciximab bolus but coronary angiography demonstrated the absence of coronary stenoses, thrombi, and coronary spasm. Due to impaired neurological conditions the patient underwent brain tomography that showed subarachnoid haemorrhage secondary to a right vertebral artery aneurysm rupture. The possible occurrence of a reversible cardiomyopathy mimicking an acute coronary syndrome in presence of intracranial bleeding should be always considered.
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Affiliation(s)
- Antonio D'Aloia
- Unità Operativa di Cardiologia, Spedali Civili, Brescia, Italy
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21
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Vizzardi E, Faggiano P, Chiari E, Maffeo D, Frattini S, Bellandi F, Nodari S, Dei Cas L. The study of left ventricular diastolic function by Doppler echocardiography: the essential for the clinician. Monaldi Arch Chest Dis 2016; 72:23-8. [DOI: 10.4081/monaldi.2009.339] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
The study of diastolic function by Doppler-echocardiography is complex and demanding. The cardiologist/echocardiographist must have a systematic approach to the study of left ventricular diastolic function, not only based on the Doppler index, but integrating Doppler patterns with other echo-parameters (chamber dimensions, wall thicknesses, systolic function, valve function and morphology) and clinical information. A rational interpretation of clinical and instrumental data can allow a correct diagnosis, which is essential for clinical decision-making.
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22
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Vizzardi E, Cavazzana I, Bazzani C, Pezzali N, Ceribelli A, Bonadei I, Franceschini F, D’Aloia A, Metra M, Tincani A, Cas LD. Echocardiographic Evaluation of Asymptomatic Patients Affected by Rheumatoid Arthritis. J Investig Med 2015; 60:1204-8. [DOI: 10.2310/jim.0b013e3182746a83] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
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23
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Vizzardi E, Curnis A, Latini MG, Salghetti F, Rocco E, Lupi L, Rovetta R, Quinzani F, Bonadei I, Bontempi L, D'Aloia A, Dei Cas L. Risk factors for atrial fibrillation recurrence: a literature review. J Cardiovasc Med (Hagerstown) 2014; 15:235-53. [PMID: 23114271 DOI: 10.2459/jcm.0b013e328358554b] [Citation(s) in RCA: 56] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
Atrial fibrillation is the most common arrhythmia managed in clinical practice and it is associated with an increased risk of mortality, stroke and peripheral embolism. Unfortunately, the incidence of atrial fibrillation recurrence ranges from 40 to 50%, despite the attempts of electrical cardioversion and the administration of antiarrhythmic drugs. In this review, the literature data about predictors of atrial fibrillation recurrence are highlighted, with special regard to clinical, therapeutic, biochemical, ECG and echocardiographic parameters after electrical cardioversion and ablation. Identifying predictors of success in maintaining sinus rhythm after cardioversion or ablation may allow a better selection of patients to undergo these procedures. The aim is to reduce healthcare costs and avoid exposing patients to unnecessary procedures and related complications. Recurrent atrial fibrillation depends on a combination of several parameters and each patient should be individually assessed for such a risk of recurrence.
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Affiliation(s)
- Enrico Vizzardi
- Department of Experimental and Applied Medicine, University of Brescia, Brescia, Italy
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24
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D'Aloia A, Vizzardi E, Bugatti S, Rovetta R, Bonadei I, Del Magro F, Curnis A, Dei Cas L. Effect of short-term infusive dobutamine therapy on thyroid hormone profile and hemodynamic parameters in patients with acute worsening heart failure and low-triiodothyronine syndrome. J Investig Med 2013; 60:907-10. [PMID: 22722568 DOI: 10.2310/jim.0b013e31825cec9c] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
OBJECTIVES Low-triiodothyronine syndrome (LT3S) is a condition characterized by decreased total serum T3 and free T3 (fT3) with normal levels of thyroxine (fT4) and thyrotropin (TSH). Experimental studies have shown that altered thyroid hormones (THs) metabolism modifies cardiovascular homeostasis. The aim of the study was to evaluate prospectively the reversibility and pathophysiological implications of sick euthyroid syndrome in patients with moderate-to-severe chronic heart failure. This study should demonstrate the role of short-term acute dobutamine heart failure (HF) treatment in improving thyroid hormone, neuroendocrine profile, and ventricular performance in patients with worsening HF and LT3S. METHODS During hospitalization for worsening heart failure, fT3, fT4, and TSH levels; brain natriuretic peptide; and echocardiographic and right hemodynamic parameters were recorded on admission, after HF treatment and after dobutamine infusion in patients with LT3S. RESULTS We evaluated 60 patients hospitalized for severe acute decompensated HF. Fourteen patients (23%) of the population presented an LT3S. Dobutamine infusion in LT3S patient group evoked a statistically significant cardiac index increase, pulmonary capillary arterial wedge pressure, and right atrial pressure decrease with left ventricle diastolic dysfunction recovery; the hemodynamic and clinical improvement were associated with brain natriuretic peptide reduction and increased fT3 levels. Free T3 levels increased in all of them and normalized in 6 patients (42%). Free T4 and TSH values remained unchanged. CONCLUSIONS These data suggest that LT3S in patients with acute decompensated HF can be useful in assessing the status and clinical course for this disease. These preliminary results indicate that LT3S reversibility by dobutamine is associated with short-term hemodynamic and neurohormonal improvement in patients with persistent severe heart failure.
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Affiliation(s)
- Antonio D'Aloia
- Department of Experimental and Applied Medicine, University of Brescia, Italy
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25
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Agostoni P, Corrà U, Cattadori G, Veglia F, La Gioia R, Scardovi AB, Emdin M, Metra M, Sinagra G, Limongelli G, Raimondo R, Re F, Guazzi M, Belardinelli R, Parati G, Magrì D, Fiorentini C, Mezzani A, Salvioni E, Scrutinio D, Ricci R, Bettari L, Di Lenarda A, Pastormerlo LE, Pacileo G, Vaninetti R, Apostolo A, Iorio A, Paolillo S, Palermo P, Contini M, Confalonieri M, Giannuzzi P, Passantino A, Cas LD, Piepoli MF, Passino C. Metabolic exercise test data combined with cardiac and kidney indexes, the MECKI score: A multiparametric approach to heart failure prognosis. Int J Cardiol 2013; 167:2710-8. [DOI: 10.1016/j.ijcard.2012.06.113] [Citation(s) in RCA: 114] [Impact Index Per Article: 10.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/13/2012] [Revised: 05/30/2012] [Accepted: 06/24/2012] [Indexed: 10/28/2022]
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Lombardi C, Castrini AI, Metra M, Carubelli V, Lazzarini V, Inama L, Dei Cas L. [Efficacy of ACE-inhibitors in patients with recent myocardial infarction. Studies with zofenopril]. G Ital Cardiol (Rome) 2013; 13:55S-58S. [PMID: 23096377 DOI: 10.1714/1167.12922] [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] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Several large-scale trials have demonstrated improved survival with the administration of ACE-inhibitors to patients with a recent myocardial infarction. Many ACE-inhibitors with different pharmacological properties have been shown to be safe and effective. More recently the data provided by the Survival of Myocardial Infarction Long-term Evaluation (SMILE) program indicate that zofenopril may favorably affect the prognosis of patients with a recent myocardial infarction and, according to the results of the SMILE-4 study, it may be superior to ramipril with respect to some variables (cardiovascular hospitalizations) when both these ACE-inhibitors are administered combined with acetylsalicylic acid.
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Abstract
Renal dysfunction is often present and/or worsens in patients with heart failure and this is associated with increased costs of care, complications and mortality. The cardiorenal syndrome can be defined as the presence or development of renal dysfunction in patients with heart failure. Its mechanisms are likely related to low cardiac output, increased venous congestion and renal venous pressure, neurohormonal and inflammatory activation and local changes, such as adenosine release. Many drugs, including loop diuretics, may contribute to worsening renal function through the activation of some of these mechanisms. Renal damage is conventionally defined by the increase in creatinine and blood urea nitrogen blood levels. However, these changes may be not related with renal injury or prognosis. New biomarkers of renal injury seem promising but still need to be validated. Thus, despite the epidemiological evidence, we are still lacking of satisfactory tools to assess renal injury and function and its prognostic significance.
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Affiliation(s)
- Valentina Carubelli
- Cardiology, c/o Spedali Civili di Brescia, University of Brescia, Piazzale Spedali Civili 1, 25123 Brescia, Italy.
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Nodari S, Triggiani M, Campia U, Dei Cas L. Omega-3 Polyunsaturated Fatty Acid Supplementation: Mechanism and Current Evidence in Atrial Fibrillation. J Atr Fibrillation 2012; 5:718. [PMID: 28496797 DOI: 10.4022/jafib.718] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2012] [Revised: 04/21/2012] [Accepted: 06/18/2012] [Indexed: 11/10/2022]
Abstract
Atrial fibrillation (AF) is the most prevalent arrhythmia and is associated with considerable morbidity and mortality. Available pharmacologic antiarrhythmic therapies are often ineffective in preventing the recurrence of AF, possibly because these drugs target a single pathophysiological mechanism. Given their beneficial effects on ventricular arrhythmias, omega-3 polyunsaturated fatty acids (n-3 PUFAs) have recently been investigated as possible candidates in the treatment of supraventricular arrhythmias. In this review, we explore the current understanding of the antiarrhythmic effects attributed to n-3 PUFAs including direct modulation of ionic channels, improvement of membrane fluidity, anti-inflammatory and antifibrotic effects, and modulation of sympatho-vagal balance. We will then focus on the results of epidemiologic studies exploring the associations between nutritional intake of n3 PUFAs and the incidence of AF, and will review the findings of the clinical trials investigating the effects of n-3 PUFAs supplementation in the prophylaxis of AF and in the prevention of its recurrences.
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Affiliation(s)
- Savina Nodari
- Department of Experimental and Applied Medicine-Section of Cardiovascular Diseases, University of Brescia, Brescia, Italy
| | - Marco Triggiani
- Department of Experimental and Applied Medicine-Section of Cardiovascular Diseases, University of Brescia, Brescia, Italy
| | - Umberto Campia
- Northwestern University Feinberg School of Medicine, Chicago (IL), US
| | - Livio Dei Cas
- Department of Experimental and Applied Medicine-Section of Cardiovascular Diseases, University of Brescia, Brescia, Italy
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Raddino R, Della Pina P, Gorga E, Brambilla G, Regazzoni V, Gavazzoni M, Dei Cas L. [New pharmacological approaches to ischemic heart disease]. G Ital Cardiol (Rome) 2012; 13:50S-54S. [PMID: 23096376 DOI: 10.1714/1167.12921] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Major steps have been made in the treatment of ischemic heart disease from the discovery of nitrates as antianginal medication to the techniques of percutaneous angioplasty. This incredible therapeutic progress has resulted in a reduced incidence of ischemic heart disease and related mortality and morbidity. However, statistical and epidemiological data indicate that in ischemic heart disease, despite the achievement of great success, there is a necessity for a further step toward treatment, considering the fact that the characteristics of this population are changing (increased prevalence of subendocardial infarction compared with classic transmural infarction, especially in the elderly population). Furthermore, the need for alternative therapeutic approaches to traditional ones is recognized. Ranolazine is a selective inhibitor of Na channels that prevents pathological extension of late Na current developing in the ischemic myocardial cell. This current is responsible for calcium overload, with consequent impairment of diastolic relaxation. Ranolazine reduces Na overload induced by calcium and improves diastolic relaxation and coronary subendocardial flow, without affecting hemodynamic parameters such as blood pressure, heart rate, or inotropic state of the heart, avoiding undesirable side effects. Efficacy of ranolazine has been evaluated in several trials, using clinical and instrumental endpoints (MARISA and CARISA) or, more recently, using endpoints such as mortality and reinfarction (ERICA and MERLIN-TIMI 36). Ivabradine acts through the inhibition of late Na current (also known as If), which controls the spontaneous diastolic depolarization of sinus node cells. The partial inhibition of these channels reduces the frequency of sinus node action potential initiation, resulting in decreased heart rate without effects on contractility, atrio-ventricular conduction, or repolarization. The BEAUTIFUL trial has tested whether the effect of ivabradine in lowering heart rate is able to reduce mortality and cardiovascular morbidity in patients with coronary artery disease and left ventricular systolic dysfunction. The most significant results were obtained in the subgroup of patients with life-limiting exertional angina. In this group, ivabradine significantly reduced the primary endpoint, a composite of cardiovascular death, hospitalization for fatal and nonfatal acute myocardial infarction (AMI) or heart failure, by 24%, and hospitalizations for AMI by 42%. In the subgroup of patients with baseline heart rate >70 bpm, hospitalizations for AMI and revascularization were reduced by 73% and 59%, respectively.
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Affiliation(s)
- Riccardo Raddino
- Dipartimento di Medicina Sperimentale ed Applicata, Universita degli Studi e Spedali Civili, Brescia.
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Nodari S, Triggiani M, Manerba A, Lupi L, Dei Cas L. [Chronic heart failure therapy: where we are and where we are going to]. G Ital Cardiol (Rome) 2012; 13:145S-151S. [PMID: 23096394 DOI: 10.1714/1167.12939] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Despite significant advances in pharmacological and non-pharmacological therapy, epidemiological data from European and US hospitals show that the prevalence of heart failure (HF) hospitalization, especially for patients >65 years, continues to rise. Hospitalization for worsening HF is one of the most important predictors of short- and long-term outcomes in patients with chronic HF. There is therefore a clear need for new therapies that can work synergistically with standard medications to reverse the progression of the disease and improve myocardial efficiency. In the last years, researches in chronic HF focused on drugs that can exert a greater attenuation of neurohormonal activation and that can improve cardiac energy and substrate utilization.
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Affiliation(s)
- Savina Nodari
- Dipartimento di Medicina Sperimentale ed Applicata, Università degli Studi e Spedali Civili, Brescia .
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Vizzardi E, D’Aloia A, Fiorina C, Bugatti S, Parrinello G, De Carlo M, Giannini C, Di Bello V, Petronio AS, Curello S, Ettori F, Dei Cas L. Early Regression of Left Ventricular Mass Associated with Diastolic Improvement after Transcatheter Aortic Valve Implantation. J Am Soc Echocardiogr 2012; 25:1091-8. [DOI: 10.1016/j.echo.2012.06.010] [Citation(s) in RCA: 39] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/11/2012] [Indexed: 01/29/2023]
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Carubelli V, Quinzani F, Guidetti F, Adamo M, Inama L, Rovetta R, Lazzarini V, Lombardi C, Metra M, Dei Cas L. [Role of nutrition in heart failure patients]. G Ital Cardiol (Rome) 2012; 13:70S-76S. [PMID: 23096380 DOI: 10.1714/1167.12925] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
Heart failure is the leading cause of death and hospitalization in industrialized countries and a major cause of healthcare costs. It is associated with severe symptoms and its prognosis remains poor. Further improvement is needed beyond the results of pharmacological treatment and devices. The role of nutrition has therefore been studied both in the early stages of heart failure, as a tool for the reduction of cardiovascular risk factors and in symptomatic heart failure, for the prevention and treatment of congestion and fluid overload. In addition, dietary supplements, such as n-3 polyunsaturated fatty acids and amino acids, may contribute to the improvement of prognosis and cardiac function, respectively. Finally, in advanced heart failure, nutrition may counteract the effects of muscle wasting and cardiac cachexia through an increase in caloric and protein intake and amino acid supplementation.
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Ettori F, Fiorina C, Lipartiti F, Maffeo D, Curello S, Chizzola G, Curnis A, Chiari E, Dei Cas L. [Percutaneous treatment of valvular heart diseases]. G Ital Cardiol (Rome) 2012; 13:92S-95S. [PMID: 23096383 DOI: 10.1714/1167.12928] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
Surgical valve replacement represents the treatment of choice for symptomatic and severe valvular heart disease. However, the operative risk is increased in presence of advanced age and comorbidities, therefore such patients are often not deemed suitable for surgical treatment. Recently, percutaneous valve replacement has emerged as an optional treatment for such patients, particularly for treating severe aortic stenosis and severe mitral regurgitation.
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Affiliation(s)
- Federica Ettori
- U.O. Cardiologia, Dipartimento Cardiotoracico, Spedali Civili, Brescia
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35
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Raddino R, Caretta G, Gorga E, Della Pina P, Rambaldini M, Chiari E, Dei Cas L. A pinball game in the left atrium. Int J Cardiol 2012; 159:e47-8. [PMID: 22209571 DOI: 10.1016/j.ijcard.2011.12.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/27/2011] [Accepted: 12/02/2011] [Indexed: 10/14/2022]
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36
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Abstract
Renal dysfunction is common in patients with heart failure and is associated with high morbidity and mortality. Cardiac and renal dysfunction may worsen each other through multiple mechanisms such as fluid overload and increased venous pressure, hypo-perfusion, neurohormonal and inflammatory activation, and concomitant treatment. The interaction between cardiac and renal dysfunction may be critical for disease progression and prognosis. Renal dysfunction is conventionally defined by a reduced glomerular filtration rate, calculated from serum creatinine levels. This definition has limitations as serum creatinine is dependent on age, gender, muscle mass, volume status, and renal haemodynamics. Changes in serum creatinine related to treatment with diuretics or angiotensin-converting enzyme inhibitors are not necessarily associated with worse outcomes. New biomarkers might be of additional value to detect an early deterioration in renal function and to improve the prognostic assessment, but they need further validation. Thus, the evaluation of renal function in patients with heart failure is important as it may reflect their haemodynamic status and provide a better prognostic assessment. The prevention of renal dysfunction with new therapies might also improve outcomes although strong evidence is still lacking.
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Affiliation(s)
- Marco Metra
- Institute of Cardiology, University of Brescia, c/o Spedali Civili di Brescia, Piazzale Spedali Civili 1, Brescia, Italy.
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37
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Faggiano P, Frattini S, Zilioli V, Rossi A, Nistri S, Dini FL, Lorusso R, Tomasi C, Cas LD. Prevalence of comorbidities and associated cardiac diseases in patients with valve aortic stenosis. Potential implications for the decision-making process. Int J Cardiol 2012; 159:94-9. [DOI: 10.1016/j.ijcard.2011.02.026] [Citation(s) in RCA: 67] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/25/2010] [Revised: 01/07/2011] [Accepted: 02/07/2011] [Indexed: 12/11/2022]
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38
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Vizzardi E, Corda L, Pezzali N, Roca E, Pini L, D'Aloia A, Metra M, Cas LD, Tantucci C. Elastic properties of the ascending aorta in patients with α1-antitrypsin deficiency (Z homozygotes). Heart 2012; 98:1354-8. [DOI: 10.1136/heartjnl-2012-302144] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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39
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Metra M, Bettari L, Lazzarini V, Piovanelli B, Carubelli V, Bugatti S, Lombardi C, Cas LD, Davison B, Sun H, Edwards C, Cotter G. Response to Letter Regarding Article, “Is Worsening Renal Function an Ominous Prognostic Sign in Patients With Acute Heart Failure? The Role of Congestion and Its Interaction With Renal Function”. Circ Heart Fail 2012. [DOI: 10.1161/circheartfailure.112.969014] [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: 11/16/2022]
Affiliation(s)
- Marco Metra
- Cardiology, Department of Experimental and Applied Medicine, University of Brescia
| | - Luca Bettari
- Cardiology, Department of Experimental and Applied Medicine, University of Brescia
| | - Valentina Lazzarini
- Cardiology, Department of Experimental and Applied Medicine, University of Brescia
| | - Barbara Piovanelli
- Cardiology, Department of Experimental and Applied Medicine, University of Brescia
| | - Valentina Carubelli
- Cardiology, Department of Experimental and Applied Medicine, University of Brescia
| | - Silvia Bugatti
- Cardiology, Department of Experimental and Applied Medicine, University of Brescia
| | - Carlo Lombardi
- Cardiology, Department of Experimental and Applied Medicine, University of Brescia
| | - Livio Dei Cas
- Cardiology, Department of Experimental and Applied Medicine, University of Brescia
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40
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Della Pina P, Vizzardi E, Raddino R, Gavazzoni M, Caretta G, Gorga E, Dei Cas L. Biological Drugs: Classic Adverse Effects and New Clinical Evidences. Cardiovasc Toxicol 2012; 12:285-97. [DOI: 10.1007/s12012-012-9173-z] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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41
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Caretta G, Vizzardi E, Rovetta R, Evaristi L, Quinzani F, Raddino R, Dei Cas L. The link between intracranial haemorrhage and cardiogenic shock: a case of Takotsubo cardiomyopathy. Acta Cardiol 2012; 67:363-5. [PMID: 22870749 DOI: 10.1080/ac.67.2.2160730] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
Myocardial dysfunction occurs frequently during subarachnoid haemorrhage (SAH) and it is often referred to as neurogenic stunned myocardium (NSM). Takotsubo cardiomyopathy (TTC), which can lead to life-threatening acute heart failure, has been considered a possible complication of SAH. Actually, NSM and TTC are believed to share the same pathophysiological mechanisms and are likely a manifestation of the same disease. We report a case of a 64-year-old woman with SAH and cardiogenic shock due to acute left ventricular dysfunction. Echocardiography and ventriculography showed the typical pattern of TTC. Angiography excluded coronary artery disease or coronary spasm. Short-term inotropic support was necessary. Rapid recovery of left ventricular function was observed after 8 days. Acute myocardial dysfunction due to TTC in the setting of SAH may lead to cardiogenic shock which is difficult to treat. Patients with SAH and haemodynamic instability warrant a careful assessment of ventricular function on admission to rule out TTC
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Affiliation(s)
- Giorgio Caretta
- Section of Cardiovascular Diseases, Department of Experimental and Applied Medicine, University of Brescia, Brescia, Italy
| | - Enrico Vizzardi
- Section of Cardiovascular Diseases, Department of Experimental and Applied Medicine, University of Brescia, Brescia, Italy
| | - Riccardo Rovetta
- Section of Cardiovascular Diseases, Department of Experimental and Applied Medicine, University of Brescia, Brescia, Italy
| | - Laura Evaristi
- Section of Radiology, Department of Clinical Sciences, University of Parma, Parma, Italy
| | - Filippo Quinzani
- Section of Cardiovascular Diseases, Department of Experimental and Applied Medicine, University of Brescia, Brescia, Italy
| | - Riccardo Raddino
- Section of Cardiovascular Diseases, Department of Experimental and Applied Medicine, University of Brescia, Brescia, Italy
| | - Livio Dei Cas
- Section of Cardiovascular Diseases, Department of Experimental and Applied Medicine, University of Brescia, Brescia, Italy
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42
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Vizzardi E, Cavazzana I, Pezzali N, Ceribelli A, Bazzani C, Tincani A, Metra M, Franceschini F, Cas LD. Elastic properties of the ascending aorta in patients with rheumatoid arthritis. Int J Cardiol 2012; 150:368-9. [PMID: 21640410 DOI: 10.1016/j.ijcard.2011.05.087] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/30/2011] [Accepted: 05/14/2011] [Indexed: 11/19/2022]
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43
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Bordonali T, Saporetti A, Vizzardi E, D'Aloia A, Chiari E, Dei Cas L. Non-obstructive membranes of the left atrial appendage. Cardiovasc J Afr 2012; 23:e1-2. [DOI: 10.5830/cvja-2011-020] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2010] [Accepted: 05/31/2011] [Indexed: 11/06/2022] Open
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Vizzardi E, D’Aloia A, Bordonali T, Bugatti S, Piovanelli B, Bonadei I, Quinzani F, Rovetta R, Vaccari A, Curnis A, Dei Cas L. Long-Term Prognostic Value of the Right Ventricular Myocardial Performance Index Compared to Other Indexes of Right Ventricular Function in Patients with Moderate Chronic Heart Failure. Echocardiography 2012; 29:773-8. [DOI: 10.1111/j.1540-8175.2012.01703.x] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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Abstract
Ranolazine is an antianginal drug that inhibits a number of ion currents that are important for the genesis of transmembrane cardiac action potential. It was initially developed as an antianginal agent but was found to additionally exert antiarrhythmic actions, due to its multichannel-blocking properties. In recent years, several studies about the antiarrhythmic properties of ranolazine were conducted, demonstrating the beneficial effects of this drug in both atrial and ventricular arrhythmias, such as atrial fibrillation, ventricular premature beats, ventricular tachycardia, torsades de pointes, and ventricular fibrillation. Our aim is to briefly review the main points of these studies, most more experimental than clinical.
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Affiliation(s)
- Enrico Vizzardi
- Department of Applied and Experimental Medicine, Chair of Cardiology University of Brescia, Brescia, Italy.
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46
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D'Aloia A, Vizzardi E, Bugatti S, Magatelli M, Bonadei I, Rovetta R, Quinzani F, Curnis A, Cas LD. A Type A Aortic Dissection Mimicking an Acute Myocardial Infarction. Cardiol Res 2012; 3:94-96. [PMID: 28348678 PMCID: PMC5358147 DOI: 10.4021/cr151w] [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] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/13/2012] [Indexed: 11/11/2022] Open
Abstract
We describe a case of a 54 years old man in whom an initial diagnosis of acute coronary syndrome (ACS) revealed to be finally an acute aortic dissection. This case report stresses the importance to maintain a high grade of suspicion of aortic dissection as a possible alternative in presence of eletrocardiographic myocardial ischemic signs. In many medical centers where thrombolitic therapy, antiplatelets receptor blockers, heparin or percutaneous coronary angioplasty is the first line therapy for ACS the outcome may be catastrophic in situation such as aortic dissection.
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Affiliation(s)
- Antonio D'Aloia
- Section of Cardiovascular and Cardiosurgery Disease, Department of Applied Experimental Medicine,Brescia Study University, Italy
| | - Enrico Vizzardi
- Section of Cardiovascular and Cardiosurgery Disease, Department of Applied Experimental Medicine,Brescia Study University, Italy
| | - Silvia Bugatti
- Section of Cardiovascular and Cardiosurgery Disease, Department of Applied Experimental Medicine,Brescia Study University, Italy
| | - Marco Magatelli
- Section of Cardiovascular and Cardiosurgery Disease, Department of Applied Experimental Medicine,Brescia Study University, Italy
| | - Ivano Bonadei
- Section of Cardiovascular and Cardiosurgery Disease, Department of Applied Experimental Medicine,Brescia Study University, Italy
| | - Riccardo Rovetta
- Section of Cardiovascular and Cardiosurgery Disease, Department of Applied Experimental Medicine,Brescia Study University, Italy
| | - Filippo Quinzani
- Section of Cardiovascular and Cardiosurgery Disease, Department of Applied Experimental Medicine,Brescia Study University, Italy
| | - Antonio Curnis
- Section of Cardiovascular and Cardiosurgery Disease, Department of Applied Experimental Medicine,Brescia Study University, Italy
| | - Livio Dei Cas
- Section of Cardiovascular and Cardiosurgery Disease, Department of Applied Experimental Medicine,Brescia Study University, Italy
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47
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Faggiano P, Frattini S, Piovesana P, Lorusso R, Chiari E, Scolari F, Padovani A, Cas LD. Low cerebrovascular event rate in subjects with patent foramen ovale and different clinical presentations. Int J Cardiol 2012; 156:47-52. [DOI: 10.1016/j.ijcard.2010.10.032] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/23/2010] [Revised: 08/22/2010] [Accepted: 10/23/2010] [Indexed: 11/25/2022]
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48
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Nistri S, Faggiano P, Olivotto I, Papesso B, Bordonali T, Vescovo G, Dei Cas L, Cecchi F, Bonow RO. Hemodynamic progression and outcome of asymptomatic aortic stenosis in primary care. Am J Cardiol 2012; 109:718-23. [PMID: 22154322 DOI: 10.1016/j.amjcard.2011.10.035] [Citation(s) in RCA: 38] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/03/2011] [Revised: 10/13/2011] [Accepted: 10/13/2011] [Indexed: 11/27/2022]
Abstract
The prognostic relevance of a rapid rate of hemodynamic progression of aortic stenosis (AS) has been predominantly investigated in tertiary centers. We reviewed the clinical and echocardiographic data from 153 asymptomatic patients with AS (age 77 ± 9 years; 65% men), with normal left ventricular function and paired echocardiograms ≥4 months apart (mean 2.9 ± 2.1 years), evaluated in a nonreferral echocardiographic laboratory. The severity of AS was graded by the peak aortic velocity (Vmax) and progression was classified as slow or fast according to a cutoff value of 0.3 m/s increase annually. The end points were all-cause mortality and a composite of all-cause mortality and aortic valve replacement (AVR). At baseline, 135 patients (88%) had mild-to-moderate and 18 (12%) severe AS. Of the 153 patients, 49 (32%) showed fast progression (0.61 ± 0.32 m/s/yr) and 104 (68%) had slow progression (0.10 ± 0.16 m/s/yr). Among the 144 patients (94%) with clinical follow-up data, 40 died and 48 underwent AVR. The mortality rate was greater than that of the general population (p <0.001). On multivariate analysis, the independent predictors of mortality were the yearly change in Vmax (hazard ratio [HR] 13.352 per m/s increase, 95% confidence interval [CI] 5.136 to 34.713, p <0.001) and age (HR 1.122 per year, 95% CI 1.0728 to 1.735, p <0.001). The predictors of the composite end point of death and AVR were the yearly change in Vmax (HR 12.307, 95% CI 6.024 to 25.140, p <0.001) and Vmax on the initial echocardiogram (HR 2.684, 95% CI 1.921 to 3.750, p <0.001). In conclusion, primary care patients with asymptomatic AS are usually elderly and frequently develop rapid hemodynamic progression, which independently predicts, not only AVR, but also overall mortality.
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49
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Vizzardi E, D'Aloia A, Rocco E, Lupi L, Rovetta R, Quinzani F, Bontempi L, Curnis Md A, Dei Cas L. How should we measure left atrium size and function? J Clin Ultrasound 2012; 40:155-166. [PMID: 22271659 DOI: 10.1002/jcu.21871] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/18/2011] [Accepted: 11/14/2011] [Indexed: 05/31/2023]
Abstract
Echocardiographic assessment of left atrial size from M-mode or 2D echocardiography measurements has been used in clinical and research studies for years, but its accuracy is now questioned. New techniques, such as 3D and tissue Doppler imaging, assessing velocities, strain and strain rate, provide improved prognostic value in a wide range of diseases. 2D strain imaging using speckle tracking on B-mode images may yield even better, angle-independent, results than tissue Doppler imaging-derived strain echocardiography. Finally, velocity vector imaging is a novel image analysis technique that may be used to quantify left atrial volume.
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Affiliation(s)
- Enrico Vizzardi
- Applied and Experimental Medicine Department, Chair of Cardiology University of Brescia, Brescia, Italy
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50
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Vizzardi E, Bonadei I, Del Magro F, Bugatti S, D’Aloia A, Curnis A, Cas LD. When Oral Anticoagulation Therapy is Needed in Patients With Cardiomyopathies: A Review of Literature. Heart Lung Circ 2012; 21:63-9. [DOI: 10.1016/j.hlc.2011.10.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2011] [Revised: 10/11/2011] [Accepted: 10/13/2011] [Indexed: 11/15/2022]
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