P257 THE IMPORTANCE OF ADMINISTERING A PHYSICAL EXERCISE PROGRAM WITH A NUTRITIONAL INFORMATION SHEET TO PATIENTS SUFFERING FROM CONGESTIVE HEART FAILURE INCLUDED IN A FOLLOW–UP PROGRAM WITHIN A DEDICATED CLINIC

Background

With this work we wanted to draw attention on the importance of administering a physical exercise path sheet and nutritional information sheet to patients with congestive heart failure (HF) in a FUP path. Materials and methods 164 patients were included in the FUP course dedicated to the HF at the dedicated outpatient clinic of the “Card.G. Panico” hospital in Tricase (Lecce, IT) in collaboration with the “Cardiomed Center” in Maglie (Lecce, IT). During the evaluation of insertion in the FBD, patients were divided according to the risk of events: low, medium and high. To improve adherence, both the patient and his caregiver obtained adequate and detailed information about the importance of the project and its aims. Patients with greater clinical stability, at medium and low risk (102) were divided into two groups. The FUP path was ideal for both, but only in the first (58 Group A) had a sheet with a personalized physical exercise path (PEP) and a sheet with nutritional information (SNI), identifying it as a real additional pharmacological therapy. The aim of the work was to highlight how an education and invitation to carry out physical exercise and an adequate nutritional path can bring benefit by evaluating medium–short term parameters that are weight, Borg scale, BNP, clinical alerts.

Results

The following differences were observed in the group of patients followed in the follow–up of Group A to whom the PEP and SNI sheets were administered compared to group B. – Alert in group A: 10 (7 diuretic therapy correction for OS, 1 access to the ER, 2 coomorbidity corrections) — Alert in group B: 18 (9 correction of diuretic therapy, 4 accesses to the ER, 1 hospitalization, 4 coomorbidity correction) P < 0.05 — BNP group A Δ –122 / group B Δ –188 P n.s. — Borg scale (0/10) Group A Δ + 1.9 / Group B Δ –0.2 P < 0.05 – Weight (kg) Group A –9% / Group B + 1% P < 0.05

Conclusions

Our experience in the clinic dedicated to heart failure has demonstrated the improtance and usefulness of administering a personalized physical exercise sheet to an adequate nutritional path, highlighting the improvement of various parameters such as weight, the perception of effort and the reduction of clinical alerts in the medium–short term.

P121 ECHOCARDIOGRAPHIC EXAMINATION ON AGONIST ATHLETES WITH RECENT PAUCISYMPTOMATIC SARS COV 2 INFECTION, FOR THE RENEWAL OF AGONIST SPORT ACTIVITY ELIGIBILITY: PLAUSIBLE ROLE AND UTILITY OF GLS ANALYSIS THROUGH SPECKLE TRACKING

Background

The aim of this work is to highlight whether or not the methodical echocardiography done through the analysis of global and segmental longitudinal deformation (GLS–SLS) can be useful to identify subclinical myocardial lesions in paucisymptomatic young agonist athletes with recent SarsCov2 infection before they return to agonist practice.

Material and Methods

From 12/2020 to 12/2021 84 agonist athletes with previous SarsCov2 infection have been examined at “Cardiomed Center” Maglie (Lecce, IT), as part of screening for their return to sport practice; all of them under standard echocardiographic analysis associated to GLS analysis, Holter–ECG analysis with 24h on 12 derivations.

Results

The base echocardiographic examination didn’t show any myocardial cynesis anomalies in any patient. In 5 patients there was a presence of a light pericardial effusion, how it was supposed to be as an outcome of a previous inflammatory ingjury The GLS analysis, that resulted in reliability considering the optimal acoustic window, showed a slightly lower medium value compared to the values cited in the literature (19.4 ± 2.9) and particularly 4 patients show considerable deficit reductions of segmentary strain. In these patients Holter analysis showed the presence of a moderate non–complex extrasystolic arrhythmia. These elements–that are a reduced GLS with marked regional anomaly, coupled with the presence of ventricular arrhythmia even in absence of segmentary dissinergyes– led to cardiac RMN evaluation. In 2 out of 4 patients there have been flaws that were compatible to modest myocardial lesions, in one case it was observed a marked flaw in medium–apical–lateral region that was correlated to the described areas at the specle tracking.

Conclusion

Our experience at the Cardiology and Sports integrated clinic, although it relied on a meager population of patients, it still demonstrated how echocardiographic analysis through GLS evaluation and the highlighting of sectorial alterations even in absence of cynesis anomalies can be used as a parameter to suppose the presence of miocarditic lesions that might be sent to the next RMN examination for confirmation, in young athletes with recent paucisymptomatic Covid–19 infection.

General cooperative effects of single atom ligands on a metal: a195Pt NMR chemical shift as a function of coordinated halido ligands’ ionic radii overall sum

An inverse linear relationship between the experimentally observed¹⁹⁵Pt NMR signals and the overall sum of coordinated halido X ligands’ ionic radii was discovered in Pt(ii) and Pt(iv) complexes.

Cyanolipid-rich seed oils from Allophylus natalensis and A. dregeanus

As a continuation of our study on plants of the Sapindaceae, the chemical composition of the oil extracted from seeds of Allophylus natalensis (Sonder) De Winter and of A. dregeanus (Sonder) De Winter has been investigated. The oil from both species contained approximately equal amounts of TAG and type I cyanolipids (CL), 1-cyano-2-hydroxymethylprop-2-en-1-ol-diesters, with minor amounts of type III CL, 1-cyano-2-hydroxymethylprop-1-en-3-ol-diesters. Structural investigation of the oil components was accomplished by chemical, chromatographic (TLC, CC, GC, and GC-MS), and spectroscopic (IR, NMR) means. GC and GC-MS analysis showed that C20 FA were dominant in the CL components of the oil from the two species (44-80% vs. 21-26% in TAG), with cis-11-eicosenoic acid (36-46%) and cis 13-eicosenoic acid (paullinic acid, 23-37%) as the major esterified fatty acyl chains in A. natalensis and A. dregeanus, respectively. cis-Vaccenic acid was particularly abundant (11-31%) in the CL from A. dregeanus, whereas eicosanoic acid (10-22%) was also a major component of CL in both species.