Publications by authors named "Donatella Manca"

Background: The purpose of this study was to use hypnosis in patients with congenital heart disease undergoing transesophageal echocardiography (TEE).

Methods: From January 2016 to July 2017, 50 adult patients undergoing TEE were randomly assigned to two groups: TEE in hypnosis (n = 23), TEE in sedation (n = 27). Vital parameters (heart rate [HR], blood pressure [BP], oxygen saturation [SO2] before, during and after the procedure) and drug administration were recorded.

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Reflex vagal hypertonia (RVH) has been identified as a possible cause of sudden unexpected death in infants during the first year of life. Homatropine methylbromide (HM) is an anticholinergic drug known to inhibit muscarinic acetylcholine receptors, thus affecting the parasympathetic nervous system. The aim of the present study was to investigate the effects of HM on 24-h Holter electrocardiographic signs of RVH (pre-HM treatment vs post-HM treatment; post-HM treatment vs a control group of healthy infants).

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Article Synopsis
  • Supraventricular tachycardia (SVT) is the most common tachyarrhythmia needing treatment in infants without heart disease, primarily caused by atrioventricular re-entry.
  • Acute treatment for a single SVT episode usually has a great prognosis, but ongoing prophylactic medication is often advised during the first year of life to prevent recurrences.
  • Despite the availability of effective antiarrhythmic drugs, choosing the right medication requires a careful analysis of the risks and benefits for each individual case.
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