Publications by authors named "R Di Sciacca"
Article Synopsis
- Transthyretin cardiac amyloidosis (ATTR-CA) leads to a higher incidence of arrhythmias, prompting a study to monitor patients for 2 weeks.
- The study included 38 ATTR-CA patients and an age-matched control group, finding that 26.3% had atrial fibrillation/atrial flutter (AF/AFL) and a significant 81.6% had nonsustained ventricular tachycardia (NSVT).
- Although ATTR-CA patients showed increased rates of these arrhythmias, there was no link between their presence and negative clinical outcomes over a median follow-up of 45 weeks, suggesting noninvasive monitoring may help in assessing arrhythmia risk.
Article Synopsis
- - The study evaluated the AF-HEART intervention, which uses mobile and telehealth technologies, to enhance patient management of atrial fibrillation (AF) through remote tracking and professional guidance on lifestyle factors.
- - Over 6 months, 20 patients demonstrated significant outcomes, including a median of 181 heart rhythm recordings, an average weight loss of 3.5 kilograms, and improved quality-of-life scores.
- - The findings suggest the AF-HEART intervention is feasible for continuous monitoring and improving patient outcomes, indicating potential for a larger randomized trial.
Background: Respiratory failure due to COVID-19 pneumonia is associated with high mortality and may overwhelm health care systems, due to the surge of patients requiring advanced respiratory support. Shortage of intensive care unit (ICU) beds required many patients to be treated outside the ICU despite severe gas exchange impairment. Helmet is an effective interface to provide continuous positive airway pressure (CPAP) noninvasively.
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- A study analyzed intracardiac electrograms (EGMs) in 54 patients with atrial fibrillation (AF) to see how factors like BMI, age, and left atrial (LA) size affect EGM morphology.
- The results indicated that higher BMI was linked to increased dominant frequency (DF) and mean spectral profile (MP), while older age and larger LA size were associated with decreased mean amplitude and width of the EGM.
- These findings highlight how atrial remodeling due to these risk factors can lead to alterations in atrial activation patterns, potentially impacting the management and treatment of AF.
Article Synopsis
- * The ACTION study aimed to evaluate the feasibility of a mobile health intervention to enhance cardiac health management through nurse-led support, encouraging patients to set and track personal cardiac health goals.
- * In a six-month pilot with 53 participants, mostly overweight and with common health issues, the program was well-received, with nearly all (98%) appreciating regular support from a dedicated nurse through an online platform.