Publications by authors named "X Rovani"

Article Synopsis
  • Cardiac amyloidosis (CA) is often underdiagnosed and linked to a worse prognosis compared to other heart failure causes, prompting a study to assess death and hospital readmission rates in such patients within 90 days post-discharge.
  • The study included 27 patients with cardiac amyloidosis and matched them with 135 control patients without CA, revealing that CA patients had higher heart rates and poorer metrics on discharge but worse outcomes after leaving the hospital.
  • Results indicated that patients with CA faced a three-fold increase in death risk and two-fold increase in hospital readmissions compared to those without CA, highlighting the need for better management of this patient group.
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Article Synopsis
  • A study was conducted to profile elderly patients hospitalized for Acute Heart Failure (AHF) in cardiogeriatrics and cardiology departments in Val-de-Marne, Paris, focusing on their characteristics and 90-day rehospitalization rates.
  • It found that patients in cardiogeriatrics were generally older, less independent, more depressed, and often had major neurocognitive disorders compared to those in cardiology, but experienced similar outcomes in terms of rehospitalization rates.
  • The primary causes for AHF worsening leading to rehospitalization were identified as arrhythmia and infection, highlighting the importance of managing these factors in both patient groups.
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Hand ischemic steal syndrome due to a forearm arteriovenous fistula is a rare occurrence. However, its frequency is increasing with the rise in numbers of elderly and diabetic patients. This complication, which is more common for proximal than for distal accesses, can be very severe and may cause loss of hand function, damage to fingers, and even amputation of fingers or the hand.

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The authors report a case of Double Mitral Orifice (DMO), existing in isolation and type 3 by the Floch Prigent classification. This rare anomaly is often associated with another congenital malformation, dominated by intra-atrio-ventricular defect. Two-dimensional echocardiography is the essential diagnostic factor.

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Sixty-four thrombosed hemodialysis fistulas in 55 patients were treated by local low-dose infusion of urokinase, percutaneous angioplasty, and thromboaspiration. Lysis was initially successful in 38 cases (59%) without any negative side effects. At 1 year, 59% of these fistulas were still functional.

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