Publications by authors named "G Dell'Era"
Background And Objective: Left bundle branch area pacing (LBBAP) is increasingly used for treating bradycardia and heart failure. However, real-world data are limited. The Conduction-System Pacing Italian Network Group (C-SING) collected prospective data on LBBAP procedures in a nationwide context.
View Article and Find Full Text PDFBackground: Data on the predictors of percutaneous stellate ganglion block (PSGB) efficacy in electrical storm are scanty.
Objective: We aimed to assess whether PSGB efficacy is influenced by the arrhythmia type and cycle length before the procedure.
Methods: This is a subanalysis of the multicenter STAR study.
Efficacy of early use of percutaneous stellate ganglion block for electrical storms.
Eur Heart J Acute Cardiovasc Care
December 2024
Article Synopsis
- Electrical Storm (ES) is a critical condition that can be managed effectively using a technique called Percutaneous Stellate Ganglion Block (PSGB), which has shown positive results when used alongside standard therapy.
- In a study analyzing 180 patients, those who received PSGB early experienced a significant reduction in arrhythmic events within the hour following the block compared to the hour before, although the overall effectiveness was similar to those who received PSGB later.
- The findings suggest that early use of PSGB could help reduce the frequency of defibrillations and potentially lessen the risk of a more severe, refractory ES, demonstrating its effectiveness in early treatment settings.
Article Synopsis
- The study investigates the effectiveness of wearable cardioverter defibrillators (WCD) versus early implantable cardioverter defibrillators (ICD) for preventing sudden cardiac death in patients with reduced ejection fraction.
- Out of 41 patients, results showed similar rates of arrhythmias and heart function recovery between the WCD and early ICD groups during the waiting period.
- The use of WCD was found to be more cost-effective, saving about 19.9% per patient in the short term and projected even greater savings over ten years while effectively selecting candidates for ICD implantation.
Determinants of invasive left atrial pressure in patients with atrial fibrillation.
Andrea Bonelli Anna Degiovanni Angelica Cersosimo Enrico Guido Spinoni Manuel Bosco Gabriele Dell'Era
Eur Heart J Cardiovasc Imaging
October 2024
Article Synopsis
- - This study aims to determine how cardiac structure and function relate to mean left atrial pressure (LAP) in patients with atrial fibrillation (AF), as estimating left ventricular filling pressures can be difficult in these cases.
- - Researchers included 101 patients undergoing transcatheter ablation, measuring invasive LAP during the procedure and echocardiography beforehand; they found that those with increased LAP had lower global longitudinal strain and poorer right ventricular function.
- - Key predictors for elevated LAP included higher E/e' ratio and lower peak atrial longitudinal strain, with the minimum left atrial volume index being the best indicator; these findings offer insight into assessing cardiac filling pressures in AF patients.