Publications by authors named "E E Diviggiano"

Article Synopsis
  • The study aimed to establish normal reference ranges for myocardial work (MW) in adult heart transplant (HTx) patients, as there was previously no defined data for this group.
  • Researchers analyzed 82 HTx patients at the University Hospital of Siena, Italy, excluding those with transplant-related complications, and measured key MW indices such as global work efficiency (GWE) and global wasted work (GWW).
  • Findings revealed significant differences in MW indices between HTx patients and those from the European Association of Cardiovascular Imaging (EACVI) normal study, indicating that HTx patients had lower work efficiency and higher wasted work values.
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Aims: Speckle tracking echocardiography increasingly supports left atrial (LA) strain (LAS) analysis for diagnosis and prognosis of various clinical conditions. Prior limitations, such as the absence of dedicated software, have been overcome by validated ventricular-based software. A newly automated real-time and offline LA-specific software have now become available on echocardiographs and dedicated workstations.

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Background: Sodium-glucose cotransporter 2 inhibitors were shown to reduce morbidity and mortality in patients with heart failure.

Objectives: This study aims to assess potential effects of dapagliflozin in nondiabetic patients with heart failure with reduced ejection fraction (HFrEF) and heart failure with mildly reduced ejection fraction (HFmrEF) on cardiac function assessed by speckle tracking echocardiography (STE).

Methods: This randomized, prospective, single-center, open-label trial compared consecutive nondiabetic outpatients with HFrEF or HFmrEF receiving dapagliflozin with patients treated with optimal medical therapy (OMT) except sodium-glucose cotransporter type 2 inhibitors.

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Background: An increasing proportion of heart failure (HF) patients progress to the advanced stage (AdHF) with high event rates and limited treatment options. Echocardiography, particularly Speckle Tracking-derived myocardial work (MW), is useful for HF diagnosis and prognosis. We aimed to assess MW's feasibility in the prognostic stratification of AdHF.

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Article Synopsis
  • Reverse septal movement (RSM) is a condition that can occur after coronary artery bypass surgery (CABG), characterized by abnormal movement of the interventricular septum during heartbeats.
  • A study analyzed 138 CABG patients to identify factors influencing RSM, excluding those with prior heart surgery or certain medical conditions.
  • The findings showed RSM occurred in approximately 71.9% of off-pump and 62.3% of on-pump surgeries, with longer cardiopulmonary bypass times linked to increased RSM incidence, indicating that while RSM is common, it does not compromise overall heart function post-surgery.
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