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Your search keyword '"Raffaella Motta"' showing total 3 results
Start Over Author "Raffaella Motta" Journal international journal of cardiology
3 results on '"Raffaella Motta"'

2. Prognostic value of left ventricular blood stasis in patients with acute myocardial infarction: A cardiac magnetic resonance study

Author

Mauro Massussi, Alberto Cipriani, Samuele Meneghin, Nicola De la Cruz, Annagrazia Cecere, Gianpiero D'Amico, Luisa Cacciavillani, Giorgio De Conti, Raffaella Motta, Giuseppe Tarantini, Alessandro Zorzi, Sabino Iliceto, Manuel De Lazzari, and Martina Perazzolo Marra

Subjects
Male, History, Ischemic stroke, Magnetic Resonance Spectroscopy, Polymers and Plastics, Cardiac magnetic resonance, Blood stasis, Left, Myocardial Infarction, Magnetic Resonance Imaging, Cine, Stroke Volume, Middle Aged, Prognosis, Magnetic Resonance Imaging, Industrial and Manufacturing Engineering, Ventricular Function, Left, Cine, Predictive Value of Tests, Humans, Ventricular Function, Aged, Retrospective Studies, Business and International Management, Cardiology and Cardiovascular Medicine
Abstract

Cerebrovascular accidents (CVAs) can complicate the follow-up of patients with acute myocardial infarction (AMI). Intracavitary blood stasis evaluation can be useful to stratify cardioembolic risk and optimize medical therapy. Cardiac magnetic resonance (CMR) imaging is increasingly used in AMI patients for prognostic purposes. Slow-flow artefact is common on T2-weighted images in presence of left ventricular (LV) blood stasis.In this observational retrospective study, all patients with AMI undergoing CMR in our hospital were included. T2-weighted images were used to assess the presence of LV blood stasis. Among the 209 patients enrolled (males 72%, mean age 61 ± 12 years), LV blood stasis was detected in 48 (23%) and was significantly more prevalent in patients with extensive anterior or antero-apical AMI, lower LV ejection fraction, greater infarct size and microvascular obstruction. During follow-up (54 months, IQR 41-70), 8 CVAs and 6 cardiovascular deaths occurred. LV blood stasis emerged as a significant risk factor for both endpoints (logRank p 0.001 and p = 0.008, respectively) and remained independent predictor of CVAs (HR 9.819, 95% CI 1.733-55.617, p = 0.010).LV blood stasis identified with CMR predicts the occurrence of CVAs in patients with AMI. These results may be helpful to personalize antithrombotic therapy for prevention strategies.

Published
2022

3. Anomalous aortic origin of coronary arteries: Early results on clinical management from an international multicenter study

Author

Raffaella Motta, Thierry Carrel, Régine Roussin, Giovanna Boccuzzo, Massimo A. Padalino, Altin Veshti, Nicola Franchetti, Domenico Corrado, Eleftherios M Protopapas, Anastasios C. Polimenakos, Giovanni Stellin, Mark G. Hazekamp, Federica Caldaroni, Jukka T. Salminen, Roberto Tumbarello, Álvaro González Rocafort, Jürgen Hörer, Luca Vedovelli, Vladimir Sojak, Bart Meyns, George E. Sarris, Assunta Merola, Alessandro Frigiola, Nosal M, Katrien François, Helena Telles, Cristina Basso, Cinzia Pegoraro, José Fragata, Julie Cleuziou, Mauro Lo Rito, HUS Children and Adolescents, Children's Hospital, and Lastenkirurgian yksikkö

Subjects
Anomalous coronary arteries, Clinical management, Congenital, Outcomes, Surgery, Cardiology and Cardiovascular Medicine, Male, Cardiac & Cardiovascular Systems, Internationality, Heart disease, Coronary Vessel Anomalies, CHILDREN, Coronary Vessel Anomalies / therapy, 030204 cardiovascular system & hematology, Sudden cardiac death, 0302 clinical medicine, QUALITY-OF-LIFE, Medicine and Health Sciences, Longitudinal Studies, 030212 general & internal medicine, EXERCISE PERFORMANCE, Child, POPULATION, education.field_of_study, STATEMENT, Disease Management, Middle Aged, 3. Good health, medicine.anatomical_structure, Female, Life Sciences & Biomedicine, Adult, medicine.medical_specialty, Adolescent, Population, 610 Medicine & health, HSM CCT, Sudden death, Young Adult, 03 medical and health sciences, Coronary Vessel Anomalies / diagnosis, SUDDEN-DEATH, Median follow-up, medicine, Humans, education, Retrospective Studies, Surgical repair, Science & Technology, business.industry, Retrospective cohort study, SURGICAL REPAIR, 3126 Surgery, anesthesiology, intensive care, radiology, medicine.disease, Coronary arteries, Cardiovascular System & Cardiology, OPPOSITE SINUS, business, Follow-Up Studies
Abstract

BACKGROUND: Anomalous aortic origin of coronary arteries (AAOCA) is a rare abnormality, whose optimal management is still undefined. We describe early outcomes in patients treated with different management strategies. METHODS: This is a retrospective clinical multicenter study including patients with AAOCA, undergoing or not surgical treatment. Patients with isolated high coronary take off and associated major congenital heart disease were excluded. Preoperative, intraoperative, anatomical and postoperative data were retrieved from a common database. RESULTS: Among 217 patients, 156 underwent Surgical repair (median age 39 years, IQR: 15-53), while 61 were Medical (median age 15 years, IQR: 8-52), in whom AAOCA was incidentally diagnosed during screening or clinical evaluations. Surgical patients were more often symptomatic when compared to medical ones (87.2% vs 44.3%, p

Published
2019

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