Publications by authors named "M Beltrami"
Pulmonary congestion is a critical factor influencing the clinical presentation, therapeutic decisions, and outcomes of heart failure (HF) patients. Lung ultrasound (LUS) offers a simple, rapid, and accurate method for assessing pulmonary congestion, surpassing the diagnostic capabilities of traditional clinical evaluation and chest radiography. Due to the wide availability of ultrasound equipment, congestion can be evaluated in multiple settings, ranging from emergency departments to intensive care units, including outpatient settings.
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- People with HIV (PWH) are more susceptible to atherosclerotic cardiovascular disease (ASCVD), making the management of low-density lipoprotein cholesterol (LDL-C) crucial for prevention.
- A study assessed 1,404 PWH aged 40 and over to determine how well their high LDL-C levels were managed according to European Society of Cardiology guidelines, revealing that a significant number were at high risk for ASCVD.
- Results showed that although many participants were at very high or high risk, LDL-C levels were poorly controlled, and only 37% were receiving appropriate lipid-lowering treatment.
Background: Cardiovascular diseases (CVDs) and chronic kidney disease (CKD) are common causes of morbidity and mortality. However, the impact of changes in lifestyle and rehabilitation programs on the progression of cardiovascular, renal, and metabolic (CRM) conditions, remains unclear.
Methods: In a retrospective manner, we analyzed charts of 200 patients admitted for cardiorespiratory rehabilitation at our facility in 2023.
Article Synopsis
- The HF syndrome involves an imbalance in the autonomic nervous system, leading to an increase in sympathetic activity and various cardiac changes that result in chronotropic incompetence (CI), or the inability to raise heart rate with activity.
- CI is linked to decreased exercise capacity and poorer health outcomes, and the definition of CI can vary, complicating its assessment.
- While β-blockers can lower peak heart rate, they improve prognosis in heart failure, and strategies like rate-adapting pacing are being explored to address the reduced heart rate response during exercise.
Lung ultrasound (LUS) is a simple, fast and non-invasive tool for pulmonary congestion assessment with higher accuracy for the detection of acute heart failure (HF) compared to clinical examination and chest radiography. The integrated assessment with other ultrasound and echocardiographic parameters can lead to a better systemic and pulmonary congestion characterization. Additionally, the combination of echocardiographic and pulmonary features can identify patients at higher risk for adverse outcomes, potentially facilitating both acute and chronic HF management and prognostic stratification.
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