Publications by authors named "Matteo Ruzzolini"

The patient with obesity is at risk of developing cardiovascular disease and risk factors. Obesity negatively impacts prognosis and increases cardiovascular morbidity and mortality. Therefore, a comprehensive risk assessment is needed to define the cardiovascular risk of the patient and, thus, a tailored management and treatment.

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The Italian Association for Cardiovascular Rehabilitation and Prevention (ITACARE-P) and the Italian Federation of Associations of Hospital Doctors on Internal Medicine (FADOI) released a joint position paper to guide referrals of cardiovascular patients discharged from Internal Medicine (IM) wards to Cardiac Rehabilitation (CR) facilities. The document provides rationale and operative recommendations for appropriateness (i.e.

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Patients with diabetes, regardless of their cardiovascular disease and their index event, are more and more often referred to Cardiac Rehabilitation Units. These patients usually show high or very high cardiovascular risk, marked disability and poor quality of life. Furthermore, those with older age, frailty, and female sex have even more rehabilitative needs, thus requiring fine individualized approaches.

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Background: The prognosis for heart failure (HF) patients remains poor, with a high mortality rate, and a marked reduction in quality of life (QOL) and functional status. This study aims to explore the ongoing needs of HF management and the epidemiology of patients followed by Italian HF clinics, with a specific focus on cardiac contractility modulation (CCM).

Research Design And Methods: Data from patients admitted to 14 HF outpatients clinics over 4 weeks were collected and compared to the results of a survey open to physicians involved in HF management operating in Italian centers.

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The cardiopulmonary exercise test (CPET) is the gold standard for the diagnostic evaluation of exercise intolerance, as for individualized prescription of structured physical training. Exercise is a core component of cardiovascular prevention and rehabilitation activites, but unfortunately the limited availability of CPET-derived informations often leads to unpowered program's prescription in real life. The Italian Alliance for Cardiovascular Rehabilitation and Prevention (ITACARE-P) has developed a CPET reporting form specifically oriented to exercise prescription, in order to facilitate interventions on lifestyle and during phase II/phase III cardiac rehabilitation programmes.

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Article Synopsis
  • Chronic thromboembolic pulmonary hypertension (CTEPH) can occur after an acute pulmonary embolism (PE) and is primarily seen within two years of the initial event; however, it's often missed or misdiagnosed.
  • A multicenter study is underway to evaluate patients with a history of PE, using echocardiograms and right heart catheterizations to pinpoint cases of CTEPH and potentially develop a risk score based on their data.
  • With 841 patients already enrolled, this study aims to create a scoring tool for early detection of CTEPH, paving the way for improved screening and management of patients following a PE.*
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Article Synopsis
  • The COVID-19 pandemic is significantly affecting cardiac rehabilitation (CR) services, both in hospitals and outpatient settings, across different regions in Italy.
  • Hospitals are adapting by closing some wards or converting CR units into COVID-19 units to respond to the crisis.
  • This document outlines the current state of CR during the pandemic and discusses potential future developments for managing cardiac rehabilitation programs post-COVID-19.
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Primary lymphoma often involve the heart, especially the right side. Prompt diagnosis is necessary to start the right therapy and decrease symptoms and death risk rate. Transthoracic echocardiogram is the first line exam to perform when symptoms are suspicious of mediastinal mass.

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Background: Out-of-hospital cardiac arrest occurs at home in 65-80% of cases and is often witnessed. We designed a study to explore the feasibility of a home defibrillation program (a) evaluating the retention of cardiopulmonary resuscitation and automated external defibrillators (AED) use skills (BLSD) (b) assessing the impact on anxiety, depression, and quality of life and (c) recording the critical issues emerging from program implementation.

Methods: Thirty-three post-myocardial infarction patients and their 56 relatives received BLSD training and an AED.

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