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Russo V, Pafundi PC, Rapacciuolo A, de Divitiis M, Volpicelli M, Ruocco A, Rago A, Uran C, Nappi F, Attena E, Chianese R, Esposito F, Del Giorno G, D'Andrea A, Ducceschi V, Russo G, Ammendola E, Carbone A, Covino G, Manzo G, Montella GM, Nigro G, D'Onofrio A. Cardiac pacing procedures during coronavirus disease 2019 lockdown in Southern Italy: insights from Campania Region. J Cardiovasc Med (Hagerstown) 2021; 22:857-859. [PMID: 33399343 DOI: 10.2459/jcm.0000000000001156] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Affiliation(s)
- Vincenzo Russo
- Chair of Cardiology, Department of Medical Translational Sciences, University of Campania 'Luigi Vanvitelli' - Monaldi Hospital, Naples
| | - Pia Clara Pafundi
- Department of Advanced Medical and Surgical Sciences, University of Campania 'Luigi Vanvitelli'
| | - Antonio Rapacciuolo
- Division of Cardiology, Department of Advanced Biomedical Sciences, University of Naples Federico II
| | | | - Mario Volpicelli
- Division of Cardiology, San Giovanni Bosco Hospital, Health Authority Naples
| | - Antonio Ruocco
- Interventional Cardiology and Cardiological Care Unit, Cardarelli Hospital
| | - Anna Rago
- Cardiology Unit, AORN dei Colli, Naples
| | - Carlo Uran
- Cardiology Unit, San Giuseppe and Melorio Hospital, Santa Maria Capua Vetere, Caserta
| | - Felice Nappi
- Division of Cardiology, Moscati Hospital, Avellino
| | - Emilio Attena
- Division of Cardiology, San Giuliano Hospital, Giugliano in Campania, Health Authority Naples 2 North
| | - Raffaele Chianese
- Division of Cardiology, San Leonardo Hospital, Castellammare di Stabia, Health Authority Naples 3 South, Naples
| | - Francesca Esposito
- Division of Cardiology, San Giovanni di Dio e Ruggi d'Aragona, Salerno, Italy
| | | | | | | | - Giovanni Russo
- Division of Cardiology, San Leonardo Hospital, Castellammare di Stabia, Health Authority Naples 3 South, Naples
| | | | | | - Gregorio Covino
- Division of Cardiology, San Giovanni Bosco Hospital, Health Authority Naples
| | | | | | - Gerardo Nigro
- Chair of Cardiology, Department of Medical Translational Sciences, University of Campania 'Luigi Vanvitelli' - Monaldi Hospital, Naples
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Russo V, Rapacciuolo A, Pafundi PC, de Divitiis M, Volpicelli M, Ruocco A, Rago A, Uran C, Nappi F, Attena E, Chianese R, Esposito F, Del Giorno G, D’Andrea A, Ducceschi V, Russo G, Ammendola E, Carbone A, Covino G, Manzo G, Montella GM, D’Onofrio A, Nigro G. Cardiac implantable electronic devices replacements in patients followed by remote monitoring during COVID-19 lockdown. European Heart Journal - Digital Health 2021; 2:171-174. [PMID: 37155653 PMCID: PMC7928967 DOI: 10.1093/ehjdh/ztaa018] [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] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/05/2020] [Revised: 12/02/2020] [Accepted: 12/30/2020] [Indexed: 01/25/2023]
Abstract
Aims Following coronavirus disease (COVID-19) outbreak, the Italian government adopted strict rules of lockdown and social distancing. The aim of our study was to assess the admission rate for cardiac implantable electronic devices (CIEDs) replacement procedures in Campania, the 3rd-most-populous region of Italy, during COVID-19 lockdown. Methods and results Data were sourced from 16 referral hospitals in Campania from 10 March to 4 May 2020 (lockdown period) and during the same period in 2019. We retrospectively evaluated consecutive patients hospitalized for CIEDs replacement procedures during the two observational periods. The number and type of CIEDs replacement procedures among patients followed by remote monitoring (RM), the admission rate, and the type of hospital admission between the two observational periods were compared. In total, 270 consecutive patients were hospitalized for CIEDs replacement procedures over the two observation periods. Overall CIEDs replacement procedures showed a reduction rate of 41.2% during COVID-19 lockdown. Patients were equally distributed for sex (P = 0.581), and both age [median 76 years (IQR: 68–83) vs. 79 years (IQR: 68–83); P = 0.497]. Cardiac implantable electronic devices replacement procedures in patients followed by RM significantly increased (IR: +211%; P < 0.001), mainly driven by the remarkable increase rate trend of both PM (IR: +475%; P < 0.001) and implantable cardiac defibrillator replacement procedures (IR: +67%, P = 0.01), during COVID-19 lockdown compared with 2019 timeframe. Conclusions We showed a significant increase trend rate of replacement procedures among CIEDs patients followed by RM, suggesting the hypothesis of its increased use to closely monitoring and to optimize the hospital admission time during COVID-19 lockdown.
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Affiliation(s)
- Vincenzo Russo
- Division of Cardiology, Department of Medical Translational Sciences, University of Campania “Luigi Vanvitelli”, Via L. Bianchi, 80131, Naples, Italy
| | - Antonio Rapacciuolo
- Division of Cardiology, Department of Advanced Biomedical Sciences, University of Naples Federico II, Via S. Pansini, 80131, Naples, Italy
| | - Pia Clara Pafundi
- Department of Advanced Medical and Surgical Sciences, University of Campania “Luigi Vanvitelli”, Piazza L. Miraglia, 80138, Naples, Italy
| | - Marcello de Divitiis
- Division of Cardiology, Pellegrini Hospital, Health Authority Naples 1, Via Portamedina, 80134, Naples, Italy
| | - Mario Volpicelli
- Division of Cardiology, San Giovanni Bosco Hospital, Health Authority Naples 1, Via F.M. Briganti, 80144, Naples, Italy
| | - Antonio Ruocco
- Interventional Cardiology and Cardiological Care Unit, Cardarelli Hospital, Via A. Cardarelli, 80131, Naples, Italy
| | - Anna Rago
- Cardiology Unit, AORN dei Colli, Via L. Bianchi, 80131, Naples, Italy
| | - Carlo Uran
- Cardiology Unit, San Giuseppe and Melorio Hospital, Santa Maria Capua Vetere, Via Melorio, 81055, Caserta, Italy
| | - Felice Nappi
- Division of Cardiology, Moscati Hospital, Contrada Amoretta, 83100, Avellino, Italy
| | - Emilio Attena
- Division of Cardiology, San Giuliano Hospital, Giugliano in Campania, Health Authority Naples 2 North, Via. G. Basile, 80014, Naples, Italy
| | - Raffaele Chianese
- Division of Cardiolgy, San Leonardo Hospital, Castellammare di Stabia, Health Authority Naples 3 South, Viale Europa, 80053, Naples, Italy
| | - Francesca Esposito
- Division of Cardiology, San Giovanni di Dio e Ruggi d'Aragona, Via San Leonardo, 84131 13, Salerno, Italy
| | | | - Antonello D’Andrea
- Cardiology Unit, Umberto I Hospital, Via A. de Nicola, 84014, Nocera Inferiore, Italy
| | - Valentino Ducceschi
- Division of Cardiology, Pellegrini Hospital, Health Authority Naples 1, Via Portamedina, 80134, Naples, Italy
| | - Giovanni Russo
- Division of Cardiolgy, San Leonardo Hospital, Castellammare di Stabia, Health Authority Naples 3 South, Viale Europa, 80053, Naples, Italy
| | - Ernesto Ammendola
- Cardiology Unit, AORN dei Colli, Via L. Bianchi, 80131, Naples, Italy
| | - Angelo Carbone
- Cardiology Unit, Maria SS Addolorata, Via M. Pagano, 84025, Eboli, Italy
| | - Gregorio Covino
- Division of Cardiology, San Giovanni Bosco Hospital, Health Authority Naples 1, Via F.M. Briganti, 80144, Naples, Italy
| | - Gianluca Manzo
- Cardiology Unit, Umberto I Hospital, Via A. de Nicola, 84014, Nocera Inferiore, Italy
| | | | - Antonio D’Onofrio
- Division of Cardiology, Monaldi Hospital, Via L. Bianchi, 80131, Naples, Italy
| | - Gerardo Nigro
- Division of Cardiology, Department of Medical Translational Sciences, University of Campania “Luigi Vanvitelli”, Via L. Bianchi, 80131, Naples, Italy
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Galderisi M, de Simone G, Cicala S, Parisi M, D'Errico A, Innelli P, de Divitiis M, Mondillo S, de Divitiis O. Coronary flow reserve in hypertensive patients with hypercholesterolemia and without coronary heart disease. Am J Hypertens 2007; 20:177-83. [PMID: 17261464 DOI: 10.1016/j.amjhyper.2006.06.017] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2006] [Revised: 06/23/2006] [Accepted: 06/24/2006] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND Coronary flow reserve (CFR) may be reduced both in arterial hypertension and in hypercholesterolemia. The aim of the study was to assess an association between CFR and levels of plasma total cholesterol (TC) in untreated arterial hypertension. METHODS We studied 54 consecutive, untreated hypertensive outpatients free of coronary heart disease. Twenty of them had normal TC and 34 high TC (>/=200 mg/dL). Standard echocardiograms and transthoracic Doppler interrogation of the distal left anterior descending artery were obtained. Coronary diastolic peak velocities were measured both at rest and after low-dose dipyridamole. The CFR was calculated as dipyridamole/resting velocities ratio. RESULTS The two groups had similar age, body mass index, heart rate, and diastolic blood pressure (BP). Patients with high TC had higher systolic BP (P < .05), triglycerides (P < .02), LDL-cholesterol, and TC/HDL-cholesterol ratio (both P < .0001) than controls. Left ventricular (LV) mass index, relative wall thickness, and fractional shortening did not differ between the two groups. Coronary diastolic peak velocities were similar at rest but lower after dipyridamole in patients with high TC (P < .02). As a consequence, CFR was reduced (P < .002). In multiple linear regression analyses, adjusting for age, heart rate, systolic BP, smoking, and relative wall thickness, TC (beta = -0.338) or high LDL-cholesterol (beta = -0.301) (both P < .001) were predictors of lower CFR independently of the concomitant effect of potential confounders. CONCLUSIONS In hypertensive patients free of coronary artery disease, the degree of impairment in coronary vasodilator capacity is independently associated with plasma cholesterol and LDL-cholesterol.
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Affiliation(s)
- Maurizio Galderisi
- Department of Clinical and Experimental Medicine, Federico II University Hospital, Naples, Italy.
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de Divitiis M, Pilla C, Kattenhorn M, Donald A, Zadinello M, Wallace S, Redington A, Deanfield J. Ambulatory blood pressure, left ventricular mass, and conduit artery function late after successful repair of coarctation of the aorta. J Am Coll Cardiol 2003; 41:2259-65. [PMID: 12821257 DOI: 10.1016/s0735-1097(03)00480-7] [Citation(s) in RCA: 136] [Impact Index Per Article: 6.5] [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] [Indexed: 11/30/2022]
Abstract
OBJECTIVES We sought to evaluate the determinants of hypertension during daily life and left ventricular (LV) hypertrophy in patients with successfully repaired coarctation of the aorta (CoA), as well as their relationship to abnormalities of arterial function. BACKGROUND Arterial hypertension may recur late after repair of CoA, which is related to a more adverse outcome. Furthermore, patients with normal resting blood pressure (BP) may have hypertension during daily life and LV hypertrophy. The determinants of these two adverse prognostic factors have not been investigated. METHODS We studied 72 patients (9 to 58 years of age) who underwent coarctation repair at age 0.1 to 480 months (42 [60%] at <1 year) and had been followed up for 155 +/- 76 months. They underwent ambulatory BP monitoring, echocardiography for LV mass, studies of brachial artery responses to flow (i.e., flow-mediated dilation [FMD]) and glyceryl trinitrate (GTN), and determination of pulse wave velocity (PWV) and measures of arterial reactivity and stiffness. Findings were compared with those of 53 healthy volunteers. RESULTS Patients had higher 24-h systolic BP and LV mass than controls. Both endothelium-dependent FMD and the response to the smooth muscle dilator GTN were reduced, and PWV was increased. There was a negative independent correlation between GTN response and 24-h systolic BP in both patients and control subjects. Systolic BP at 24 h was an independent predictor of LV mass, having an accentuated impact in coarctation subjects as compared with controls. CONCLUSIONS In patients with repaired coarctation, reduced vascular reactivity is associated with hypertension during daily life and with increased LV mass, both of which are important predictors for late morbidity and mortality.
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Affiliation(s)
- Marcello de Divitiis
- Vascular Physiology Unit, Great Ormond Street Hospital for Children NHS Trust and the Institute of Child Health, London, United Kingdom
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