4 results on '"INDOVINA G"'
Search Results
2. Anticoagulant drugs in noncompaction: a mandatory therapy?
- Author
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Fazio G, Corrado G, Zachara E, Rapezzi C, Sulafa AK, Sutera L, Stollberger C, Sormani L, Finsterer J, Benatar A, Di Gesaro G, Visconti C, D'angelo L, Novo G, Mongiovi M, Cavusoglu Y, Baumhakel M, Drago F, Indovina G, Ferrara F, Carerj S, Pipitone S, and Novo S
- Subjects
- Administration, Oral, Adult, Anticoagulants administration & dosage, Cardiomyopathies complications, Cardiomyopathies congenital, Female, Heart Defects, Congenital complications, Heart Ventricles abnormalities, Humans, Infant, Male, Middle Aged, Registries, Risk Factors, Stroke etiology, Thromboembolism etiology, Time Factors, Anticoagulants therapeutic use, Cardiomyopathies drug therapy, Heart Defects, Congenital drug therapy, Heart Ventricles drug effects, Stroke prevention & control, Thromboembolism prevention & control
- Abstract
Background: Noncompaction of left ventricular myocardium is a rare congenital cardiomyopathy resulting from an incomplete myocardial morphogenesis that leads to the persistence of the embryonic myocardium. This condition is characterized by a thin compacted epicardial and an extremely thickened endocardial layer with prominent trabeculations and deep intertrabecular recesses. It is not clear, in noncompaction of myocardium, whether intertrabecular recesses could be responsible for thrombi formation and thromboembolic complications., Methods: The prevalence of stroke and echocardiographic finding of thrombus was evaluated in a continuous series of 229 patients (men and women) affected by noncompaction of the left ventricular myocardium, who were included in the SIEC registry. We excluded patients affected by atrial fibrillation., Results: The mean age of the patients was 49.5 years. Fifty percent of the patients were affected by a ventricular systolic dysfunction. The mean period of follow-up was 7.3 years. Only four patients had a history of ischemic stroke. A large thrombus into the left ventricular chamber was observed in a 1-year-old child affected by Behcet's disease (high risk of thrombi formation)., Conclusion: Noncompaction of the left ventricular myocardium, by itself, does not seem to be a risk factor for stroke or embolic results, so there is no indication for oral anticoagulant therapy.
- Published
- 2008
- Full Text
- View/download PDF
3. Arrhythmogenic right ventricular dysplasia: MR features.
- Author
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Midiri M, Finazzo M, Brancato M, Hoffmann E, Indovina G, Maria MD, and Lagalla R
- Subjects
- Adipose Tissue pathology, Adolescent, Adult, Aged, Cardiomyopathies complications, Cardiomyopathies pathology, Female, Humans, Male, Middle Aged, Myocardium pathology, Ventricular Dysfunction, Right complications, Ventricular Dysfunction, Right pathology, Arrhythmias, Cardiac etiology, Cardiomyopathies diagnosis, Heart Ventricles pathology, Magnetic Resonance Imaging
- Abstract
Arrhythmogenic right ventricular dysplasia (ARVD) is a heart disease characterized by a total or partial fat replacement of the myocardium. A total of 30 patients were studied with a suspected diagnosis of ARVD. Clinical criteria used for evaluation of ARVD were: (a) ventricular origin arrhythmias with a left bundle branch block configuration, (b) T-wave inversion in the anterior precordial leads, (c) ventricular kinetic alterations observed using echocardiography and angiography and (d) cardiac failure when there are no pathologies attributable to other heart diseases. All patients had serial EKG and echocardiography tests. One third of patients underwent angiocardiography; 7 of 30 had Holter; 7 of 30 had exercise test just to evaluate the effectiveness of the anti-arrhythmic therapy. All patients underwent MRI examination. The following MRI criteria were used: (a) high-intensity areas indicating the fatty substitution of the myocardium, (b) ectasia of the right ventricular outflow tract, (c) dyskinetic bulges, (d) dilation of the right ventricle and (e) enlargement of the right atrium. The diagnosis of ARVD was classified as highly probable for patients manifesting at least three positive criteria, probable with two positive criteria, dubious with one and negative in the absence of all criteria. Highly probable diagnosis of ARVD was made in 8 patients, probable in 4, dubious in 7 and negative in 11. The MRI technique is very effective in the assessment of ARVD. The MRI criteria may be helpful in the diagnosis of this condition.
- Published
- 1997
- Full Text
- View/download PDF
4. Anticoagulant drugs in noncompaction: A mandatory therapy?
- Author
-
Loredana Sutera, Luciana D'Angelo, Gabriele Di Gesaro, Magnus Baumhakel, Luca Sormani, Elisabetta Zachara, Filippo Ferrara, Fabrizio Drago, Claudia Visconti, Giovanni Corrado, Salvatore Novo, Giovanni Fazio, Indovina G, Claudio Rapezzi, Abraham Benatar, Yuksel Cavusoglu, Giuseppina Novo, Maurizio Mongiovì, Claudia Stöllberger, Ali K. Sulafa, Salvatore Pipitone, Scipione Carerj, Joseph Finsterer, Fazio, Giovanni, Corrado, Giovanni, Zachara, Elisabetta, Rapezzi, Claudio, Sulafa, Ali K, Sutera, Loredana, Stollberger, Claudia, Sormani, Luca, Finsterer, Joseph, Benatar, Abraham, Di Gesaro, Gabriele, Visconti, Claudia, Dangelo, Luciana, Novo, Giuseppina, Mongiovi, Maurizio, Cavusoglu, Yuksel, Baumhakel, Magnu, Drago, Fabrizio, Indovina, Giuseppe, Ferrara, Filippo, Carerj, Scipione, Pipitone, Salvatore, Novo, Salvatore, FAZIO G, CORRADO G, ZACHARA E, RAPEZZI C, SULAFA AK, SUTERA L, STOLLBERGER C, SORMANI L, FINSTERER J, BENATAR A, DI GESARO G, VISCONTI C, D'ANGELO L, NOVO G, MONGIOVI M, CAVOSOGLU Y, BAUMHAKEL M, DRAGO F, INDOVINA G, FERRARA F, CARERJ S, PIPITONE S, NOVO S, and CAVUSOGLU Y
- Subjects
Male ,Registrie ,Time Factors ,Embolism ,Administration, Oral ,Heart Ventricle ,Risk Factors ,Registries ,Stroke ,Ischemic stroke ,Anticoagulant ,Congenital cardiomyopathy ,General Medicine ,Middle Aged ,Anticoagulant drugs ,Cardiology ,cardiovascular system ,Female ,Anticoagulant drugs, noncompaction ,Cardiomyopathies ,Cardiology and Cardiovascular Medicine ,Human ,Adult ,Heart Defects, Congenital ,medicine.medical_specialty ,Stroke etiology ,Time Factor ,medicine.drug_class ,Isolated left ventricular noncompaction ,Heart Ventricles ,anticoagulant ,embolism ,ischemic stroke ,Internal medicine ,Thromboembolism ,medicine ,Humans ,cardiovascular diseases ,Thrombus ,Noncompaction ,Cardiomyopathie ,business.industry ,Risk Factor ,Anticoagulants ,Infant ,medicine.disease ,Settore MED/11 - Malattie Dell'Apparato Cardiovascolare ,Thrombu ,Left ventricular myocardium ,business - Abstract
BACKGROUND: Noncompaction of left ventricular myocardium is a rare congenital cardiomyopathy resulting from an incomplete myocardial morphogenesis that leads to the persistence of the embryonic myocardium. This condition is characterized by a thin compacted epicardial and an extremely thickened endocardial layer with prominent trabeculations and deep intertrabecular recesses. It is not clear, in noncompaction of myocardium, whether intertrabecular recesses could be responsible for thrombi formation and thromboembolic complications. METHODS: The prevalence of stroke and echocardiographic finding of thrombus was evaluated in a continuous series of 229 patients (men and women) affected by noncompaction of the left ventricular myocardium, who were included in the SIEC registry. We excluded patients affected by atrial fibrillation. RESULTS: The mean age of the patients was 49.5 years. Fifty percent of the patients were affected by a ventricular systolic dysfunction. The mean period of follow-up was 7.3 years. Only four patients had a history of ischemic stroke. A large thrombus into the left ventricular chamber was observed in a 1-year-old child affected by Behcet's disease (high risk of thrombi formation). CONCLUSION: Noncompaction of the left ventricular myocardium, by itself, does not seem to be a risk factor for stroke or embolic results, so there is no indication for oral anticoagulant therapy. © 2008 Italian Federation of Cardiology.
- Published
- 2008
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