Publications by authors named "Alfonsina Candiello"
The treatment of ST-segment elevation myocardial infarction has barriers depending on the geographic region. Primary coronary angioplasty is the treatment of choice, if it is performed on time and by experienced operators. However, when it is not available, the administration of fibrinolysis and referral for rescue angioplasty, in case of negative reperfusion, is the best strategy.
View Article and Find Full Text PDFCardiogenic shock(CS) after ST-segment elevation myocardial infarction(STEMI) has an in-hospital mortality of 50%. The ORBI score identifies patients at risk of CS after primary angioplasty. We aim to validate the score in an Argentinian cohort.
View Article and Find Full Text PDFArticle Synopsis
- The study aimed to evaluate how the COVID-19 pandemic affected patient admissions for acute coronary syndromes (ACS) and primary percutaneous coronary intervention (PPCI) in countries involved in the Stent-Save a Life (SSL) initiative.
- Data was collected from 17 out of 32 participating countries during March and April 2020 and compared to the same period in 2019, revealing a 27.5% reduction in ACS admissions, a 20% decrease in STEMI cases, and a 26.7% drop in PPCI procedures.
- The findings indicate that the pandemic significantly impacted hospital admissions for heart-related conditions due to both patient-related hesitations and healthcare system challenges.
Clinical guidelines recommend the development of ST-elevation myocardial infarction (STEMI) networks at community, regional and/or national level to ideally offer primary coronary angioplasty, or at least the best available STEMI care to all patients. However, there is a discrepancy between this clinical recommendation and daily practice, with no coordinated care for STEMI patients in many regions of the world. While this can be a consequence of lack of resources, in reality it is more frequently a lack of organisational power.
View Article and Find Full Text PDFBackground And Objectives: During the coronavirus disease 2019 (COVID-19) pandemic, virtual visits (VVs) were recommended as an innovative and necessary alternative for patients with heart failure (HF). To assess the feasibility and acceptability of VVs in patients with HF, pulmonary hypertension (PH), and heart transplant (HT).
Methods: We designed a single-centre cohort study.
Background: Nonagenarians are mostly denied from different therapeutic strategies due to high preoperative risk. We present the results of nonagenarians with severe aortic stenosis (AS) undergoing transcatheter aortic valve replacement (TAVR).
Methods: Our retrospective analysis include baseline and procedural data along with clinical outcome.
Percutaneous coronary interventions in diabetics: The never-ending challenge.
Catheter Cardiovasc Interv
June 2017
Diabetes mellitus (DM) is a multisystem disorder and a recognized risk factor for coronary artery disease (CAD) and DM patient are particularly challenging for revascularization. In this "real world" retrospective study post-PCI DM patients showed a high risk profile compared to the non-DM group, given by the higher prevalence of cardiovascular risk factors, multiple vessel disease, and renal dysfunction, with the highest rates seen in the ITDM. Only ITDM patients present higher 30-day mortality compared to non-DM patients in the urgent and primary PCI setting.
View Article and Find Full Text PDFIntroduction: Inadequate stent implantation is associated with stent thrombosis and restenosis. StentBoost can enhance stent visualization and evaluate stent expansion. Currently, there are limited comparison studies between StentBoost and intravascular ultrasound (IVUS).
View Article and Find Full Text PDFBackground: The relationship of the ischemic time to primary angioplasty and the quality of myocardial reperfusion according to infarcted territory among patients with ST-segment elevation myocardial infarction (STEMI) is unclear.
Methods: This study consisted of 140 patients with STEMI within 12 h from the symptom onset and undergoing a primary angioplasty from the Protection of Distal Embolization in High-Risk Patients with Acute ST-Segment Elevation Myocardial Infarction Trial. ST-segment resolution (STR) at 60 min was analyzed by an independent corelab using continuous ST monitoring.
Letter by Albertal et al regarding article "Interventional therapy of bifurcation lesions: a TIMI flow-guided concept to treat side branches in bifurcation lesions--a prospective randomized clinical study (Thueringer bifurcation study, THUEBIS study as pilot trial)".
Circ Cardiovasc Interv
April 2010
Background: Several methods are available for the assessment of coronary endothelial function, but there are no reports to date regarding the usefulness of cold pressor stress echocardiography (CPSE).
Objective: To assess regional systolic and diastolic left ventricular function using CPSE in patients with endothelial dysfunction.
Methods: We studied 24 patients, of whom 10 were men, aged 27 to 68 years, who had coronary risk factors and a normal exercise MP-SPECT test.