Publications by authors named "Anna C Valenti"

Background: The prevalence of acute cardiovascular diseases (CVDs) in cancer patients is steadily increasing and represents a significant reason for admission to the emergency department (ED).

Methods: We conducted a prospective observational study, enrolling consecutive patients with cancer presenting to a tertiary oncological ED and consequently admitted to the oncology ward. Two groups of patients were identified based on main symptoms that lead to ED presentation: symptoms potentially related to CVD vs.

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Background: The aim of this study was to determine the impact of transcatheter edge-to-edge repair (TEER) on left and right ventricular (LV, RV) and left and right atrial (LA, RA) remodeling according to the mechanism of mitral regurgitation (MR) and history of atrial fibrillation (AF).

Methods: Twenty-four patients (mean age 78.54 years ± 7.

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  • Cardiac surgery in Jehovah's Witness patients poses unique challenges due to their refusal of blood transfusions, requiring specialized strategies to ensure safety.
  • A study compared 113 JW patients undergoing cardiac surgery with 113 matched controls, focusing on in-hospital mortality and long-term survival rates.
  • Results showed no significant differences in in-hospital mortality or long-term outcomes between JW patients and controls, but highlighted high mortality in JW patients with post-operative hemoglobin levels below 8 g/dL, emphasizing the importance of careful management in these cases.
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  • Body size, specifically Body Surface Area (BSA), is the strongest predictor of radiation dose received during percutaneous coronary interventions (PCI), with other factors like height and female sex also influencing dose outcomes.
  • A study analyzed 6,623 PCIs, finding that an increase in BSA significantly raises the fluoroscopy dose rate and total radiation dose, while patients with higher height and female sex received less dose.
  • Understanding these relationships can help clinicians better adjust X-ray usage based on individual patient characteristics, particularly in light of growing complexities in PCI and rising obesity rates.
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Atrial fibrillation (AF) is the most common arrhythmia in the setting of critically ill patients. Pneumonia, and in particular community-acquired pneumonia, is one of the most common causes of illness and hospital admission worldwide. This article aims to review the association between AF and acute diseases, with specific attention to pneumonia, from the pathophysiology to its clinical significance.

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Cardiolaminopathies are a heterogeneous group of disorders which are due to mutations in the genes encoding for nuclear lamins or their binding proteins. The whole spectrum of cardiac manifestations encompasses atrial arrhythmias, conduction disturbances, progressive systolic dysfunction, and malignant ventricular arrhythmias. Despite the prognostic significance of cardiac involvement in this setting, the current recommendations lack strong evidence.

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Background: This paper aims to evaluate the concordance between the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) formula and alternative equations and to assess their predictive power for all-cause mortality in unselected patients discharged alive from a cardiology ward.

Methods: We retrospectively included patients admitted to our Cardiology Division independently of their diagnosis. The total population was classified according to Kidney Disease: Improving Global Outcomes (KDIGO) categories, as follows: G1 (estimated glomerular filtration rate (eGFR) ≥90 mL/min/1.

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Introduction: Remote monitoring (RM) of cardiac implantable electronic devices (CIED) allows rapid detection of clinical and electrical events. Recently, several smartphone applications have been developed with the aim of improving patient compliance and better interpreting and integrating data deriving from remote control for the management of heart failure (HF).

Areas Covered: Studies investigating the role of CIEDs' RM in HF patients to predict and early treat acute decompensation.

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  • * An analysis of 700 patients revealed that higher RDW levels were linked to an increased risk of all-cause death (more than double) and a composite endpoint of other serious health issues after about 3.78 years of follow-up.
  • * The findings suggest that RDW can be a useful prognostic marker for predicting adverse outcomes in patients with cardiovascular diseases.
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Background: During the COVID-19 pandemic, the implementation of telemedicine has represented a new potential option for outpatient care. The aim of our study was to evaluate digital literacy among cardiology outpatients.

Methods: From March to June 2020, a survey on telehealth among cardiology outpatients was performed.

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Introduction: Infections are complications of Cardiac Implantable Electronic Device (CIED) procedures, associated with high mortality (20-25% at 1 year), long hospitalizations (23-30 days), and high costs for health-care systems (often higher than 30.000 €). The incidence rates are around 1-4%.

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  • * A systematic review included 10 studies with over 81,000 patients, revealing no significant differences in all-cause and cardiovascular death, as well as stroke risks between symptomatic and asymptomatic individuals.
  • * The findings suggest that clinical management strategies for AF should not rely solely on whether patients exhibit symptoms, as their symptomatic status does not correlate with health outcomes.
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Underweight or overweight patients with cardiovascular diseases are associated with different outcomes. However, the data on the relation between body mass index (BMI) and outcomes after transcatheter aortic valve implantation (TAVI) are not homogeneous. The aim of this study was to assess the role of low BMI on short and long-term mortality in real-world patients undergoing TAVI.

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Background: Atrial High Rate Episodes (AHRE) are asymptomatic atrial tachy-arrhythmias detected through continuous monitoring with a cardiac implantable electronic device. The risks of stroke/Thromboembolic (TE) events and incident clinical Atrial Fibrillation (AF) associated with AHRE varies markedly.

Objectives: To assess the relationship between AHRE and TE events, and between AHRE and incident clinical AF.

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Atrial fibrillation (AF) has heterogeneous patterns of presentation concerning symptoms, duration of episodes, AF burden, and the tendency to progress towards the terminal step of permanent AF. AF is associated with a risk of stroke/thromboembolism traditionally considered dependent on patient-level risk factors rather than AF type, AF burden, or other characterizations. However, the time spent in AF appears related to an incremental risk of stroke, as suggested by the higher risk of stroke in patients with clinical AF vs.

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  • Elevated red cell distribution width (RDW) is identified as a prognostic factor linked to higher long-term mortality and adverse events in patients undergoing transcatheter aortic valve implantation (TAVI).
  • A study analyzing 424 high-risk patients found those in the highest RDW category had a 73% greater risk of death compared to those with lower RDW levels and an 11% increased risk for each point increase in RDW.
  • Incorporating RDW as a routine biomarker could enhance pre-operative evaluations and management plans for TAVI candidates, offering better risk assessment.
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Our aim was to assess the prevalence of unknown atrial fibrillation (AF) among adults during single-time point rhythm screening performed during meetings or social recreational activities organized by patient groups or volunteers. A total of 2814 subjects (median age 68 years) underwent AF screening by a handheld single-lead ECG device (MyDiagnostick). Overall, 56 subjects (2.

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Red blood cell distribution width (RDW) is an inexpensive marker of anisocytosis easily available in the standard complete blood cell count. Besides its traditional use in the differential diagnosis of anemias, RDW values reflect abnormalities in erythropoiesis and red blood cell metabolism related to aging, sex, ethnicity, systemic inflammatory state, and oxidative stress. Thus, higher RDW values are common findings in several acute clinical conditions and chronic diseases.

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Red cells distribution width (RDW) is a measure of red cell size variability, but little is known about the relation between RDW and outcomes in atrial fibrillation (AF).The aims of our study were to evaluate the association between RDW values, AF patients' profile and outcomes. Consecutive patients with ECG-confirmed AF were divided in 3 groups according to tertiles of RDW values (≤13.

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