Publications by authors named "Riccardo Molinari"

Despite great progress in treating atrial fibrillation (AF), especially with the development of increasingly effective invasive techniques for AF ablation, many unanswered questions remain regarding the pathogenic mechanism of the arrhythmia and its prevention methods. The development of AF is based on anatomical and functional alterations in the cardiomyocyte resulting from altered ionic fluxes and cardiomyocyte electrophysiology. Electric instability and electrical remodeling underlying the arrhythmia may result from oxidative stress, also caused by possible mitochondrial dysfunction.

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Article Synopsis
  • Heart failure (HF) and atrial fibrillation (AF) are common and serious heart-related conditions that lead to increased health issues, hospital visits, and healthcare costs.
  • These two diseases often occur together and influence each other, especially through the damaging effects of oxidative stress caused by reactive oxygen species (ROS), which can worsen heart structure and function.
  • New medications for heart failure also help manage atrial fibrillation by reducing oxidative stress, and this review focuses on how these treatments can prevent and improve AF in patients with HF.
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  • Left ventricular arrhythmogenic cardiomyopathy (ALVC) is a rare heart condition that has been reclassified as a type of non-dilated cardiomyopathy, and the review highlights its background, diagnosis, and risks of sudden cardiac death.
  • There is limited data on ALVC, but it is recognized as a specific disease affecting the left ventricle, necessitating updated management strategies and understanding of associated risks.
  • Diagnosis involves a comprehensive approach using cardiac magnetic resonance imaging and genetic testing, which are crucial for assessing the risk of sudden cardiac death and improving patient management, with more research needed to enhance knowledge about the condition.
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In the last few years, a tremendous advancement has been made in the therapeutical management of several diseases with an increasing need for parental drug administration. To avoid repeated venous insertions and the patient's anxiety related to these procedures, it is now common practice to insert a catheter to leave it in place for a longer time. However, these procedures may generate some complications, such as failure of insertion, embolization, and infection.

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Article Synopsis
  • Advances in pharmacogenomics are enabling personalized medicine, especially in treating cardiovascular diseases, which are the leading cause of death globally.
  • Research shows that tailoring antiplatelet therapy based on a patient's genotype can enhance treatment effectiveness, especially for those with coronary heart disease.
  • Understanding genetic variations can lead to better adherence to medications like statins and improve patient outcomes, ultimately reducing healthcare costs and mortality rates.
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Cardiovascular diseases (CVDs), such as arterial hypertension, myocardial infarction, stroke, heart failure, atrial fibrillation, etc., still represent the main cause of morbidity and mortality worldwide. They significantly modify the patients' quality of life with a tremendous economic impact.

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Sudden cardiac death (SCD) is one of the leading causes of cardiovascular death in general population. SCD primary prevention requires the correct selection of patients at increased risk who may benefit from implantable cardioverter-defibrillator (ICD). Despite several non-invasive arrhythmic risk indexes are available, their ability to stratify the SCD risk among asymptomatic patients with cardiac disease at increased arrhythmic risk is debated.

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The abdominal aortic aneurysm (AAA) is a potentially fatal asymptomatic disease. It progresses silently with clinical complications that, when they occur, constitute a very serious event, frequently resulting in the patient's exitus. As a result, early detection and treatment are critical because the right therapeutic strategy can halt the disease's natural progression.

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Thanks to an unusual reversible cause of reflex syncope, a young physician avoided pacemaker implantation. We present the treatment of a bizarre case of gastro-cardiac syndrome, an often-overlooked clinical entity.

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This paper shows the application of machine learning techniques to predict hematic parameters using blood visible spectra during ex-vivo treatments. A spectroscopic setup was prepared for acquisition of blood absorbance spectrum and tested in an operational environment. This setup is non invasive and can be applied during dialysis sessions.

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