Publications by authors named "Elisa Capretti"
Background: In patients complaining common symptoms such as chest/abdominal/back pain or syncope, acute aortic syndromes (AAS) are rare underlying causes. AAS diagnosis requires urgent advanced aortic imaging (AAI), mostly computed tomography angiography. However, patient selection for AAI poses conflicting risks of misdiagnosis and overtesting.
View Article and Find Full Text PDF. Acute aortic syndromes (AASs) are emergencies burdened by high morbidity and mortality. Guideline-recommended diagnostic workup is based on pre-test probability assessment (PPA) and d-dimer testing.
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- This study investigated how echocardiographic findings related to heart function and Troponin levels impact mortality in septic patients, focusing on those not on mechanical ventilation.
- Out of 325 enrolled patients, those with severe sepsis and abnormal Troponin levels (Group 3) showed worse heart function and higher mortality rates compared to those with normal Troponin levels (Group 1).
- Ultimately, while abnormal Troponin levels were linked to heart dysfunction, the presence of sepsis-induced myocardial dysfunction (SIMD) was the stronger predictor of mortality, overshadowing the role of Troponin levels.
Article Synopsis
- The study examined the prevalence and impact of left and right ventricular systolic dysfunction in patients with sepsis, some experiencing shock.
- It involved 354 patients, categorized based on shock presence and lactate levels measured within 24 hours of admission.
- Results showed that both left (LV) and right (RV) ventricular dysfunction were linked to higher mortality rates after 28 days, especially in patients without shock or with lower lactate levels.
We evaluated the role of vertebral artery extracranial color-coded duplex sonography (VAECCS) in predicting vertebrobasilar stroke in consecutive patients presenting to the emergency department with vertigo of suspected ischemic origin. The final diagnosis was established by a panel of experts consisting of an emergency physician, a neurologist, and an otoneurologist. Vertebrobasilar stroke was diagnosed when an acute brain ischemic lesion congruent with symptoms was detected by neuroimaging during the index visit or a stroke was diagnosed within a 3-mo period after emergency department presentation.
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