Publications by authors named "Enrico Emilio Diviggiano"
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.
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.
View Article and Find Full Text PDFArticle 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.
Aims: Myocardial work (MW) estimation by pressure-strain loops using speckle tracking echocardiography (STE) has shown to evaluate left ventricular (LV) contraction overcoming the load-dependency limit of LV global longitudinal strain (GLS). This has proved useful in hemodynamic variation settings e.g.
View Article and Find Full Text PDFBackground: In chronic heart failure, high intracardiac pressures induce a progressive remodeling of small pulmonary arteries up to pulmonary hypertension. At the end of left atrial conduit function, pulmonary and left heart end-systolic pressures equalization might affect left atrial systole. In this single-center prospective study, we aimed to investigate whether peak atrial contraction strain (PACS), measured by speckle tracking echocardiography, was independently associated with prognosis in heart failure with reduced ejection fraction (HFrEF).
View Article and Find Full Text PDF