Search

Your search keyword '"Gasparetto N"' showing total 6 results
Start Over Author "Gasparetto N" Topic ventricular fibrillation
6 results on '"Gasparetto N"'

1. Life-threatening ventricular tachyarrhythmias in the cardiology department: Implications for appropriate prescription of telemetry monitoring.

Author

Zorzi A, Peruzza F, Stella F, Del Monte A, Migliore F, Gasparetto N, Badano L, Iliceto S, and Corrado D

Subjects
Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged, Tachycardia, Ventricular epidemiology, Ventricular Fibrillation epidemiology, Emergency Treatment, Monitoring, Physiologic, Tachycardia, Ventricular therapy, Telemetry, Ventricular Fibrillation therapy
Abstract

Background: in-hospital life-threatening ventricular arrhythmias (LT-VA) may complicate the course of cardiovascular patients. We aimed to assess the incidence, circumstances, determinants, and outcome of in-hospital LT-VA in order to help clinicians in prescribing appropriate levels of monitoring., Methods: the study population consisted of all 10,741 consecutive patients (65 ± 15 years, 67.7% males) admitted to a cardiology department in 2009-2014. Terminally ill patients and those with primary arrhythmia diagnosis were excluded. The composite end-point included sudden arrhythmic death, ventricular fibrillation, unstable ventricular tachycardia and appropriate ICD shock unrelated to invasive interventions., Results: the incidence of LT-VA was 0.6%, with no differences regarding age, gender and primary diagnosis of coronary artery disease between patients with and without LT-VA. The incidence of LT-VA was significantly higher (1.2% versus 0.1%, p<0.001) among urgent compared with elective admissions and among patients with left ventricular ejection fraction (LV-EF) <45% (1.7% versus 0.2%, p<0.001). At multivariable analysis, urgent admission and LV-EF <45%, but not primary diagnosis of coronary artery disease, remained independent predictors of LT-VA. At the time of the event, 97.1% fulfilled either class I or class II indications for telemetry monitoring according to the American Heart Association guidelines. Survival to discharge with good neurological status was 70.6%., Conclusions: acutely ill patients with heart failure and LV systolic dysfunction showed the highest rate of LT-VAs, regardless of the underlying cardiac disease (ischemic or non-ischemic). Current guidelines demonstrated high sensitivity in identifying patients at risk. These findings may favor proper utilization of telemetry monitoring resources., (Copyright © 2016. Published by Elsevier Ireland Ltd.)

Published
2016
Full Text
View/download PDF

3. Mechanical pacing and induction of ventricular fibrillation by chest compressions: an unexpected phenomenon with possible implications for resuscitation algorithms.

Author

Stella F, Zorzi A, Gasparetto N, Paoli A, Bortoluzzi A, and Cacciavillani L

Subjects
Algorithms, Capnography, Electrocardiography, Heart Arrest physiopathology, Humans, Pulse, Cardiac Pacing, Artificial, Cardiopulmonary Resuscitation methods, Heart Arrest therapy, Heart Massage, Ventricular Fibrillation etiology
Published
2014
Full Text
View/download PDF

4. Atypical (mid-ventricular) Takotsubo syndrome in a survival of out-of-hospital ventricular fibrillation: cause or consequence?

Author

Gasparetto N, Zorzi A, Perazzolo Marra M, Migliore F, Napodano M, Corrado D, Iliceto S, and Cacciavillani L

Subjects
Coronary Angiography, Electrocardiography, Female, Humans, Magnetic Resonance Imaging, Middle Aged, Out-of-Hospital Cardiac Arrest diagnosis, Survivors, Ventricular Fibrillation diagnosis, Out-of-Hospital Cardiac Arrest etiology, Takotsubo Cardiomyopathy complications, Ventricular Fibrillation etiology
Published
2014
Full Text
View/download PDF

5. At-admission risk stratification for in-hospital life-threatening ventricular arrhythmias and death in non-ST elevation myocardial infarction patients

Author

Zorzi, Alessandro, Turri, R, Zilio, F, Spadotto, V, Baritussio, A, Peruzza, F, Gasparetto, N, PERAZZOLO MARRA, Martina, Cacciavillani, L, Marzari, A, Tarantini, Giuseppe, Iliceto, Sabino, Corrado, Domenico, and Baritussio, Anna

Subjects
Male, medicine.medical_specialty, Myocardial Infarction, Critical Care and Intensive Care Medicine, Risk Assessment, Electrocardiography, Patient Admission, St elevation myocardial infarction, Internal medicine, medicine, ST segment, Humans, cardiovascular diseases, Myocardial infarction, Hospital Mortality, Prospective Studies, Aged, Ejection fraction, business.industry, Surrogate endpoint, Arrhythmias, Cardiac, Stroke Volume, General Medicine, Middle Aged, medicine.disease, Prognosis, Death, Sudden, Cardiac, Early Diagnosis, Echocardiography, Heart failure, Ventricular fibrillation, Risk stratification, Cardiology, Female, Cardiology and Cardiovascular Medicine, business
Abstract

Identification of patients with non-ST elevation acute myocardial infarction (NSTEMI) at higher risk of in-hospital life-threatening ventricular arrhythmias (LT-VA) and death is crucial for determining appropriate levels of care/monitoring during hospitalisation. We assessed predictors of in-hospital LT-VA and all-cause mortality in a consecutive series of NSTEMI patients.We prospectively studied 1325 consecutive patients (69.7% males, median age 70 (61-79) years) presenting with NSTEMI and undergoing continuous electrocardiographic monitoring. The primary study end-point was the occurrence of spontaneous (unrelated to coronary interventions) in-hospital LT-VA, including sustained ventricular tachycardia and ventricular fibrillation; the secondary end-point was in-hospital mortality from all causes. Of 1325 patients, 21 (1.5%) experienced LT-VA and 62 (4.7%) died from either arrhythmias (n=1) or other causes (n=61). Seven of the 20 patients who survived LT-VA subsequently died of heart failure. Independent predictors of in-hospital LT-VA were the Global Registry of Acute Coronary Events (GRACE) score140 (odds ratio (OR)=7.5; 95% confidence interval (CI) 1.7-33.3; p=0.008) and left ventricular ejection fraction (LV-EF)35% (OR=4.1; 95% CI 1.7-10.3; p=0.002). GRACE score140 (OR=14.6; 95% CI 3.4-62) and LV-EF35% (OR=4.4; 95% CI 1.9-10) also predicted in-hospital all-cause death. The cumulative probability of in-hospital LT-VA and death was respectively 9.2% and 23% in the 98 (7.4%) patients with GRACE score140 and LV-EF35%, while it was respectively 0.2% and 0% among the 627 (47.3%) with GRACE score ≤140 and LV-EF ≥35%.Simple risk stratification at admission based on GRACE score and echocardiographic LV-EF allows early identification of NSTEMI patients at higher risk of both in-hospital LT-VA and all-cause mortality.

Published
2014

6. Life-threatening ventricular tachyarrhythmias in the cardiology department: Implications for appropriate prescription of telemetry monitoring

Author

Francesco Peruzza, Domenico Corrado, Nicola Gasparetto, Luigi P. Badano, Alessandro Zorzi, Alvise Del Monte, Sabino Iliceto, Federico Migliore, Federica Stella, Zorzi, A, Peruzza, F, Stella, F, Del Monte, A, Migliore, F, Gasparetto, N, Badano, L, Iliceto, S, and Corrado, D

Subjects
Male, medicine.medical_specialty, Monitoring, Defibrillation, medicine.medical_treatment, Disease, 030204 cardiovascular system & hematology, Emergency Nursing, Ventricular tachycardia, Coronary artery disease, 03 medical and health sciences, 0302 clinical medicine, Tachycardia, Internal medicine, 80 and over, medicine, Humans, Telemetry, Cardiopulmonary resuscitation, Ventricular fibrillation, Physiologic, Emergency Treatment, Aged, Monitoring, Physiologic, Aged, 80 and over, business.industry, Incidence (epidemiology), Ventricular, 030208 emergency & critical care medicine, MED/11 - MALATTIE DELL'APPARATO CARDIOVASCOLARE, Middle Aged, medicine.disease, Arrhythmia, In-hospital cardiac arrest, Female, Tachycardia, Ventricular, Ventricular Fibrillation, Cardiology and Cardiovascular Medicine, Emergency Medicine, Heart failure, Cardiology, business
Abstract

Background: in-hospital life-threatening ventricular arrhythmias (LT-VA) may complicate the course of cardiovascular patients. We aimed to assess the incidence, circumstances, determinants, and outcome of in-hospital LT-VA in order to help clinicians in prescribing appropriate levels of monitoring. Methods: the study population consisted of all 10,741 consecutive patients (65 ± 15 years, 67.7% males) admitted to a cardiology department in 2009-2014. Terminally ill patients and those with primary arrhythmia diagnosis were excluded. The composite end-point included sudden arrhythmic death, ventricular fibrillation, unstable ventricular tachycardia and appropriate ICD shock unrelated to invasive interventions. Results: the incidence of LT-VA was 0.6%, with no differences regarding age, gender and primary diagnosis of coronary artery disease between patients with and without LT-VA. The incidence of LT-VA was significantly higher (1.2% versus 0.1%, p < 0.001) among urgent compared with elective admissions and among patients with left ventricular ejection fraction (LV-EF)

Published
2016

Catalog

Books, media, physical & digital resources
See catalog results