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Start Over Author "T. Sinanis" Topic cardiology and cardiovascular medicine
3 results on '"T. Sinanis"'

1. Epidemiology, reperfusion management, and outcomes of patients with myocardial infarction in Greece: The ILIAKTIS study

Author

Ioannis Kanakakis, Panagiotis Stafylas, Grigorios Tsigkas, Dimitris Nikas, Andreas Synetos, Dimitrios Avramidis, Ioannis Tsiafoutis, Anna Dagre, Stergios Tzikas, Giorgos Latsios, Nikos Patsourakos, Ilias Sanidas, Emmanouil Skalidis, Athanasios Pipilis, Panagiotis Bamidis, Periklis Davlouros, I. Kanakakis, M.E. Tselegkidi, E. Sertedaki, I. Mamarelis, E. Fraggos, E. Mantzouranis, C. Karvounis, A.J. Manolis, G. Chatzilymperis, I. Chiotelis, D. Gryllis, L.E. Poulimenos, A. Triantafyllis, D. Alexopoulos, C. Varlamos, G. Almpanis, A. Aggeli, A. Sakkas, A. Trikas, S. Tsiamis, K. Triantafylloy, D. Mpenia, D. Oikonomou, E. Papadopoulou, D. Avramidis, M. Kousta, E. Moulianitaki, G. Poulianitis, G. Mavrou, G. Latsios, A. Synetos, D. Tousoulis, N. Kafkas, S. Godwin, G. Mertzanos, M. Koytouzis, I. Tsiafoutis, A. Papadopoulos, A. Tsoumeleas, I. Barbetseas, I. Sanidas, A. Athanasiou, I. Paizis, A. Kakkavas, T. Papafanis, I. Mantas, G. Neroutsos, A. Gkoliopoulou, V. Tafrali, G. Diakakis, K. Grammatikopoulos, T. Sinanis, A. Kartalis, D. Afendoulis, P. Voutas, C. Kardamis, A. Doulis, N. Kalantzis, K. Vergis, C. Chasikidis, G. Armatas, A. Damelou, M. Ntogka, I. Serafetinidis, K. Zagkas, T. Tselempis, P. Makridis, I. Karantoumanis, E. Karapatsoudi, K. Oikonomou, E. Foukarakis, P. Kafarakis, M. Pitarokoilis, E. Rogdakis, S. Stavrakis, G. Koudounis, V. Karampetsos, N. Lionakis, C. Panotopoulos, D. Svoronos, I. Tsorlalis, K. Tsatiris, E. Beneki, N. Papadopoulos, A. Sawafta, D. Kozatsani, G. Spyromitros, I. Bostanitis, G. Dimitriadis, N. Nikoloulis, N. Kampouridis, V. Giampatzis, S. Patsilinakos, E. Andrikou, N. Katsiadas, G. Papanagnou, A. Kotsakis, E. Ioannidis, N. Platogiannis, S. Psychari, E. Pissimissis, G. Gavrielatos, D. Maritsa, N. Papakonstantinou, N. Patsourakos, G. Oikonomou, K. Katsanou, E. Lazaris, N. Moschos, T. Giakoumakis, N. Papagiannis, C. Goudis, S. Daios, K. Devliotis, F. Dimitriadis, M. Giannadaki, M. Savvidis, G. Tsinopoulos, I. Zarifis, T. Askalidou, I. Vasileiadis, P. Kleitsiotou, S. Sidiropoulos, A. Tsaousidis, S. Tzikas, V. Vassilikos, C. Papadopoulos, Ε. Zarvalis, C. Gogos, V. Moschovidis, I. Styliadis, V. Laschos, K. Spathoulas, I. Vogiatzis, C. Kasmeridis, S. Pittas, E. Sdogkos, A. Dagre, P. Mpounas, I. Rodis, A. Pipilis, S. Konstantinidis, S. Makrygiannis, A. Masdrakis, A. Magginas, G. Sevastos, G. Katsimagklis, E. Skalidis, S. Petousis, P. Davlouros, G. Tsigkas, G. Hahalis, E. Koufou, D. Tziakas, G. Chalikias, A. Thomaidi, D. Stakos, A. Chotidis, D. Nikas, X. Sakellariou, I. Skoularigkis, A. Dimos, N. Iakovis, A. Mpourazana, A. Zagouras, G. Lygkouri, P. Bamidis, P. Lagakis, D. Spachos, P. Stafylas, C.V. Chalitsios, M. Karaiskou, and C. Tychala

Subjects
Adult, Male, Time Factors, Greece, Myocardial Infarction, Middle Aged, Percutaneous Coronary Intervention, Reperfusion, Humans, ST Elevation Myocardial Infarction, Female, Prospective Studies, Registries, Non-ST Elevated Myocardial Infarction, Cardiology and Cardiovascular Medicine, Aged
Abstract

Acute myocardial infarction (AMI) is one of the leading causes of death; however, updated data regarding clinical presentation and current management are missing in Greece. This study aimed to prospectively record the demographic and clinical characteristics of a representative sample of patients suffering from AMI, their management, and short-term outcomes.ILIAKTIS is a national, prospective, multicenter, noninterventional study conducted under the auspices of Hellenic Society of Cardiology (HCS) and the European Initiative Stent - Save a Life. From 1In total, 1862 patients (mean age: 64.2 ± 13.2 yrs.; 77.2% males) with AMI were enrolled. More patients presented with NSTEMI (56.8%) than with STEMI (43.2%). Primary PCI (pPCI) was the preferable treatment option for STEMI patients in PCI-hospitals (76.9% vs. 39.9% for non-PCI, p .001) and thrombolysis in non-PCI-hospitals (47.3% vs. 17.9% for PCI-hospitals, p .001). The mean length of hospital stay was 5.6 days. In-hospital mortality was less likely in NSTEMI compared to that in STEMI patients (aOR = 0.30; 95% CI 0.18 to 0.49). Patients initially admitted in non-PCI-hospitals showed increased risk for in-hospital (aOR = 2.29; 95% CI 1.20 to 4.42) and 30-day mortality (aOR = 1.88; 95% CI 1.20 to 2.96).This study shows that the proportion of STEMI and NSTEMI patients managed interventionally has significantly increased, resulting in better clinical outcomes compared to previous Greek surveys.

Published
2022
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2. The isovolumetric contraction as marker of ventricular performance in patients with afterload mismatch

Author

T Sinanis, E Markidis, S Mavroudeas, E Sideras, and E Vittorakis

Subjects
Cardiology and Cardiovascular Medicine
Abstract

Introduction The gold standard for the evaluation of ventricular function is currently the echocardiographic measured ejection fraction (EF). However, the use of this parameter has limitations, which are more important in populations with afterload mismatch and especially when this mismatch is severe. On the other hand, the assessment of a pump function in fluid dynamics is done using the head pressure, which is product of pressure when the flow is zero. During the cardiac cycle, this situation occurs during the isovolumetric contraction. Purpose The aim of this study is to assess the clinical and pathophysiological importance of the isovolumentric contraction in the evaluation of the ventricular performance. Method 110 patients with severe aortic stenosis and pulmonary arterial hypertension were investigated. The area under the curve (AUC) of the isovolumetric contraction was measured using the pressure curves of the right ventricle-pulmonary artery and left ventricle-aorta ascendens. This AUC was then correlated with the echocardiographic measured ejection fraction (EF), the stroke volume (SV) and the total ventricular work, defined as the product of pressure and flow. Results The AUC of the isovolumetric contraction correlates statistically significant with the ejection fraction of the corresponding ventricle (p 0.0001). Both AUC of the isovolumetric contraction and the ejection fraction showed a statistic significance with the total work of the ventricle (AUC with R2 0.49, p 0.0001, EF R2 0.51, p 0.0001). Stroke volume was significant only in the correlation with the ejection fraction. A statistic significant one sample t test could be found for the EF (decreased, p 0.001) and for the AUC of the isovolumetric contraction (increased, p 0.001) but not for the total work of the ventricle. Conclusion The AUC of the isovolumetric contraction correlates statistically significant with the ejection fraction and the total ventricular work but not the stroke volume in patients with afterload mismatch. Especially in these populations it demonstrates a significant increase when compared with normal values. Funding Acknowledgement Type of funding sources: None.

Published
2022
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3. Electronic medical registry of acute coronary syndromes in Greece. (ILIAKTIS study): Rationale and study design

Author

Ioannis Kanakakis, Panagiotis Stafylas, Dimitrios Avramidis, Anna Dagre, George Latsios, Dimitris Nikas, Nikos Patsourakos, Athanasios Pipilis, Ilias Sanidas, Emmanouil Skalidis, Andreas Synetos, Dimitrios Tziakas, Stergios Tzikas, Ioannis Tsiafoutis, Grigoris Tsigkas, Panagiotis Bamidis, I. Kanakakis, M.E. Tselegkidi, E. Sertedaki, I. marelis, E. Fragkos, E. Mantzouranis, C. Karvounis, S. Zafeiropoulos, A.J. Manolis, G. Chatzilymperis, I. Chiotelis, D. Gryllis, L.E. Poulimenos, A. Triantafyllis, D. Alexopoulos, C. Varlamos, G. Almpanis, A. Aggeli, A. Sakkas, A. Trikas, S. Tsiamis, K. Triantafylloy, D. Mpenia, D. Oikonomou, E. Papadopoulou, D. Avramidis, M. Kousta, E. Moulianitaki, G. Poulianitis, G. Mavrou, G. Latsios, A. Synetos, D. Tousoulis, N. Kafkas, S. Godwin, G. Mertzanos, M. Koytouzis, I. Tsiafoutis, A. Papadopoulos, A. Tsoumeleas, I. Barbetseas, I. Sanidas, A. Athanasiou, I. Paizis, A. Kakkavas, T. Papafanis, I. Mantas, G. Neroutsos, A. Gkoliopoulou, V. Tafrali, N. Florou, G. Diakakis, K. Grammatikopoulos, T. Sinanis, A. Kartalis, D. Afendoulis, P. Voutas, C. Kardamis, A. Doulis, N. Kalantzis, K. Vergis, C. Chasikidis, G. Armatas, A. Damelou, M. Ntogka, I. Serafetinidis, K. Zagkas, T. Tselempis, P. Makridis, I. Karantoumanis, E. Karapatsoudi, K. Oikonomou, E. Foukarakis, P. Kafarakis, M. Pitarokoilis, E. Rogdakis, S. Stavrakis, G. Koudounis, V. Karampetsos, N. Lionakis, C. Panotopoulos, D. Svoronos, I. Tsorlalis, K. Tsatiris, E. Beneki, N. Papadopoulos, A. Sawafta, D. Kozatsani, G. Spyromitros, I. Bostanitis, G. Dimitriadis, N. Nikoloulis, N. Kampouridis, V. Giampatzis, S. Patsilinakos, E. Andrikou, N. Katsiadas, G. Papanagnou, A. Kotsakis, E. Ioannidis, N. Platogiannis, S. Psychari, E. Pissimissis, N. Patsourakos, G. Gavrielatos, D. Maritsa, N. Papakonstantinou, G. Oikonomou, K. Katsanou, E. Lazaris, N. Moschos, T. Giakoumakis, N. Papagiannis, C. Goudis, S. Daios, K. Devliotis, F. Dimitriadis, M. Giannadaki, M. Savvidis, G. Tsinopoulos, I. Zarifis, T. Askalidou, I. Vasileiadis, P. Kleitsiotou, S. Sidiropoulos, A. Tsaousidis, S. Tzikas, V. Vassilikos, C. Papadopoulos, E. Zarvalis, C. Gogos, V. Moschovidis, I. Styliadis, V. Laschos, K. Spathoulas, I. Vogiatzis, C. Kasmeridis, S. Pittas, E. Sdogkos, A. Dagre, P. Mpounas, I. Rodis, A. Pipilis, S. Konstantinidis, S. Makrygiannis, A. Masdrakis, A. Magginas, G. Sevastos, G. Katsimagklis, A. Mastrokostopoulos, S. Papaioannou, E. Skalidis, S. Petousis, P. Davlouros, G. Tsigkas, G. Hahalis, E. Koufou, D. Tziakas, G. Chalikias, A. Thomaidi, D. Stakos, A. Chotidis, D. Nikas, X. Sakellariou, I. Skoularigkis, A. Dimos, N. Iakovis, A. Mpourazana, A. Zagouras, I. Ntalas, S. Theodoridou, G. Papagoras, C. Tsoumis, E. Pappa, A. Kotsia, E. Toli, S. Mantzoukis, E. Revi, P. Stafylas, M. Karaiskou, P. Bamidis, P. Lagakis, D. Spachos, and G. Lygkouri

Subjects
medicine.medical_specialty, Greece, business.industry, MEDLINE, Research Design, RC666-701, Humans, Diseases of the circulatory (Cardiovascular) system, Medicine, Registries, Acute Coronary Syndrome, Electronics, Cardiology and Cardiovascular Medicine, business, Intensive care medicine
Published
2021
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