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52. Tight Versus Standard Blood Pressure Control in Patients With Hypertension With and Without Cardiovascular Disease

Author

Reboldi, G, Angeli, F, de Simone, G, Staessen, Ja, Verdecchia, P, Cardio Sis Investigators, Porcellati, C, Fornari, G, Sclavo, Mg, Scherillo, M, Raucci, D, Faggiano, P, Porcu, M, Pistis, L, Vancheri, F, Curcio, M, Ieva, M, Muscella, A, Guerrieri, M, Dembech, C, Gulizia, Mm, Francese, Gm, Perticone, F, Iemma, G, Zanolini, G, Pierdomenico, Sd, Mezzetti, A, Benemio, G, Gattobigio, R, Sacchi, N, Cocchieri, M, Prosciutti, L, Garognoli, O, Pirelli, S, Emanuelli, C, Galeazzi, G, Abrignani, Mg, Lombardo, R, Braschi, Gb, Leoncini, G, Igidbashian, D, Marini, R, Mandorla, S, Buccolieri, M, Picchi, L, Casolo, G, Pardini, M, Galletti, F, Barbato, A, Cavallini, C, Borgioni, C, Sardone, Mg, Cipollini, F, Seghieri, G, Arcangeli, E, Boddi, W, Palermo, C, Lembo, G, Malatino, L, Leonardis, D, Gentile, C, Boccanelli, A, Mureddu, Gf, Colivicchi, F, Uguccioni, M, Zanata, G, Martin, G, Mos, L, Martina, S, Dialti, V, Pede, S, Pede, Sa, Ganau, A, Farina, G, Tripodi, E, Miserrafiti, B, Stornello, M, Valvo, Ev, Proietti, G, Bernardinangeli, M, Poddighe, G, Marras, Ma, Biscottini, B, Panciarola, R, Veglio, Franco, Mulatero, Paolo, Caserta, Ma, Chiatto, M, Cioffi, G, Bonazza, G, Achilli, A, Achilli, P., Reboldi, G, Angeli, F, DE SIMONE, Giovanni, Staessen, Ja, Verdecchia, P., Galletti, Ferruccio, Epidemiologie, RS: CARIM - R3 - Vascular biology, and Health Services Research

Subjects
Male, systolic blood pressure, Time Factors, Blood Pressure, Disease, law.invention, Electrocardiography, Randomized controlled trial, cardiovascular disease, law, Prospective Studies, Myocardial infarction, Stroke, Incidence, clinical trial, stroke, 3. Good health, Survival Rate, PROGNOSTIC VALUE, left ventricular geometry, myocardial infarction, CARDIO-SIS, Italy, Cardiology, Female, Hypertrophy, Left Ventricular, hypertrophy, medicine.medical_specialty, hypertension, Randomization, LEFT-VENTRICULAR HYPERTROPHY, Internal medicine, Internal Medicine, medicine, Humans, In patient, LVH, Antihypertensive Agents, Aged, randomized controlled trial, left ventricular, prognosis, J-CURVE PHENOMENON, Proportional hazards model, business.industry, Blood Pressure Determination, medicine.disease, RANDOMIZED-TRIAL, Blood pressure, ARTERIAL-HYPERTENSION, business, Follow-Up Studies
Abstract

An excessive blood pressure (BP) reduction might be dangerous in high-risk patients with cardiovascular disease. In the Studio Italiano Sugli Effetti CARDIOvascolari del Controllo della Pressione Arteriosa SIStolica (Cardio-Sis), 1111 nondiabetic patients with systolic BP ≥150 mm Hg were randomly assigned to a systolic BP target P for interaction=0.82). The main secondary end point, a composite of cardiovascular events and all-cause death, occurred less frequently in the tight than in the standard control group both in patients without (1.47 versus 3.68 patient-years; P =0.016) and with (7.87 versus 11.22 patient-years; P =0.049) previous cardiovascular disease. In a multivariable Cox model, allocation to tight BP control reduced the risk of cardiovascular events to a similar extent in patients with or without overt cardiovascular disease at randomization ( P for interaction=0.43). In conclusion, an intensive treatment aimed to lower systolic BP

Published
2014

54. Identification of individuals with high coronary risk in the Italian population:indications of the Epidemiologic Cardiovascular Observatory

Author

Giampaoli S, Palmieri L, Magrini N, Ferrario M, Pede S, Vanuzzo D, Gruppo di Ricerca dell'Osservatorio Epidemiologico C.a.r.d.i.o.v.a.s.c.o.l.a.r.e., PANICO, SALVATORE, Giampaoli, S, Panico, Salvatore, Palmieri, L, Magrini, N, Ferrario, M, Pede, S, Vanuzzo, D, and Gruppo di Ricerca dell'Osservatorio Epidemiologico, C. a. r. d. i. o. v. a. s. c. o. l. a. r. e.

Published
2001

56. Age-dependent prognostic significance of atrial fibrillation in outpatients with chronic heart failure: data from the Italian Network on Congestive Heart Failure Registry

Author

Baldasseroni, S, Orso, F, Fabbri, G, De Bernardi, A, Cirrincione, V, Gonzini, L, Fumagalli, S, Marchionni, N, Midi, P, Maggioni, Ap, Mezzani, A, Bielli, M, Milanese, U, Ugliengo, G, Pozzi, R, Rabajoli, F, Bosimini, E, Begliuomini, G, Ferrari, A, Barzizza, F, Valsecchi, Mg, Dadda, F, Faggiano, P, Castiglioni, G, Gibelli, G, Turelli, Al, Belluschi, R, Bianchi, C, Emanuelli, C, Gramenzi, S, Foti, G, Agnelli, D, Mascioli, G, Cazzani, E, Zanelli, E, Domenighini, D, Castelli, C, Moroni, E, Gara, E, Guzzetti, S, Muzzupappa, S, Turiel, M, Cappiello, E, Sandrone, G, Recalcati, F, Valenti, D, Achilli, F, Vincenzi, A, Rusconi, F, Palvarini, M, Ghio, S, Fontana, A, Giusti, A, Scelsi, L, Sebastiani, R, Ceresa, M, Nassiacos, D, Meloni, S, Nicoli, T, Bandini, P, Pedretti, R, Paolucci, M, Amati, L, Ravetta, M, Morandi, F, Provasoli, S, Bertolini, A, Imperiale, D, Agen, W, Planca, E, Quorso, P, Ferro, A, Pedrolli, C, Russo, P, Tarantini, L, Candelpergher, G, Cannarozzo, Pp, De Cian, F, Agnoli, A, Stefanini, Mg, Cacciavillani, L, Boffa, Gm, Mario, L, Renosto, G, Stritoni, P, Varotto, L, Penzo, M, Perini, G, Giuliano, G, Barducci, E, Piazza, R, Albanese, Mc, Fresco, C, Picco, F, Venturini, P, Camerini, A, Griffo, R, Derchi, G, Delfino, L, Pizzorno, L, Mazzantini, S, Torre, F, Orlandi, S, Bertoli, D, Gentile, A, Naccarella, F, Gatti, M, Coluccini, M, Morgagni, G, Alfano, G, Reggianini, L, Sansoni, S, Serra, W, Passerini, F, Del Corso, P, Rusconi, L, Marzaloni, M, Mezzetti, M, Gambarati, Gp, Mariani, Pr, Volterrani, C, Venturi, F, Zambaldi, G, Casolo, G, Moschi, G, Geri Brandinelli, A, Miracapillo, G, Boni, A, Italiani, G, Vergoni, W, Paci, Am, Lattanzi, F, Reisenhofer, B, Severini, D, Taddei, T, Dalle Luche, A, Comella, A, Gasperini, U, Cocchieri, M, Alunni, G, Bosi, E, Panciarola, R, Maragoni, G, Bardelli, G, Testarmata, P, Pasetti, L, Budini, A, Gabrilelli, D, Coderoni, B, Romaniello, C, Del Sindaco, D, Leggio, F, Terranova, A, Pulignano, G, Pozzar, F, Ansalone, G, Magris, B, Giannantoni, P, Cacciatore, G, Bottero, G, Scaffidi, G, Valtorta, C, Salustri, A, Amaddeo, F, Barbato, G, Aspromonte, N, Baldo, V, Baldo, E, Frattaroli, C, Mariani, A, Di Marco, G, Levantesi, G, Potena, Ap, Colonna, N, Montano, A, Sensale, P, Maiolica, P, Somelli, A, Napolitano, F, Provvisiero, P, Bottiglieri, P, Ciriello, N, Angelini, E, Andriulo, C, De Santis, F, Cocco, F, Zecca, A, Pennetta, A, Mariello, F, Magliari, F, De Giorgi, A, Callerame, M, Santoro, V, Pede, S, Renna, A, De Donno, O, De Lorenzi, E, Polimeni, G, Russo, Va, Mangia, R, Truncellito, L, Cariello, Fp, Affinita, M, Perticone, F, Cloro, C, Borelli, D, Matta, M, Lopresti, D, Misuraca, G, Caporale, R, Chiappetta, P, Tripodi, E, Tassone, F, Salituri, S, Errigo, C, Meringolo, G, Donnangelo, L, Canonico, G, Coco, R, Franco, M, Coglitore, A, Donato, A, Di Tano, G, Cento, D, DE GREGORIO, Cesare, Mongiovì, M, Schillaci, Am, Mirto, U, Clemenza, F, Ingrillì, F, Cavallaro, A, Aloisi, B, Ledda, G, Rizzo, C, Porcu, M, Salis, S, Pistis, L, Pili, G, Piras, S, Maoddi, I, and Uras, F.

Subjects
Male, medicine.medical_specialty, Adrenergic beta-Antagonists, Age dependent, Angiotensin-Converting Enzyme Inhibitors, VENTRICULAR SYSTOLIC DYSFUNCTION, POPULATION-BASED COHORT, Age Distribution, Older patients, Internal medicine, Atrial Fibrillation, Outpatients, medicine, Humans, Pharmacology (medical), Registries, Aged, Heart Failure, business.industry, Network on, Anticoagulants, Atrial fibrillation, Middle Aged, medicine.disease, Prognosis, Death, Sudden, Cardiac, Italy, Heart failure, Cardiology, Female, Cardiology and Cardiovascular Medicine, business, Anti-Arrhythmia Agents
Abstract

Objectives: The role of atrial fibrillation (AF) in older patients with heart failure (HF) is controversial because many variables seem to influence their outcome. We investigated the predictivity of AF in 3 age groups of outpatients with HF. Methods: We analyzed 8,178 outpatients enrolled in the Italian Network on Congestive Heart Failure Registry with HF diagnosed according to the European Society of Cardiology criteria. A trained cardiologist established the diagnosis of AF and HF at the entry visit at each center. We stratified the population into 3 age groups, as follows: group A, ≤65 years; group B, 66–75 years, and group C, >75 years. Results: Group A was composed of 4,261 patients, 683 with AF (16.0%); in group B there were 2,651 patients, 638 with AF (24.1%), and group C was composed of 1,266 patients, 412 with AF (32.5%). The 1-year mortality rate was higher in AF patients in all groups. In a multivariate model, AF remained an independent risk factor for death in groups A and B, but not in group C [group A: hazard ratio (HR) 1.42, 95% confidence interval (CI) 1.10–1.81; group B: HR 1.29, 95% CI 1.00–1.67; group C: HR 1.05, 95% CI 0.78–1.43]. Conclusion: The prevalence of AF increased with age and was associated with a higher mortality rate. However, AF independently predicted all-cause mortality only in patients aged ≤75 years.

Published
2010

57. Usual versus tight control of systolic blood pressure in non-diabetic patients with hypertension

Author

Pede, S., Maggioni, Ap, Simone, G., Mureddi, G., Verdecchia, P., Lucci, D., Reboldi, G., Achilli, A., Angeli, F., Ganau, A., and Staessen, Jan A.

Abstract

BACKGROUND: The level to which systolic blood pressure should be controlled in hypertensive patients without diabetes remains unknown. We tested the hypothesis that tight control compared with usual control of systolic blood pressure would be beneficial in such patients. METHODS: In this randomised open-label trial undertaken in 44 centres in Italy, 1111 non-diabetic patients with systolic blood pressure 150 mm Hg or greater were randomly assigned to a target systolic blood pressure of less than 140 mm Hg (usual control; n=553) or less than 130 mm Hg (tight control; n=558). After stratification by centre, we used a computerised random function to allocate patients to either group. Observers who were unaware of randomisation read electrocardiograms and adjudicated events. Open-label agents were used to reach the randomised targets. The primary endpoint was the rate of electrocardiographic left ventricular hypertrophy 2 years after randomisation. Analysis was by intention to treat. This study is registered with ClinicalTrials.gov, number NCT00421863. RESULTS: Over a median follow-up of 2.0 years (IQR 1.93-2.03), systolic and diastolic blood pressure were reduced by a mean of 23.5/8.9 mm Hg (SD 10.6/7.0) in the usual-control group and by 27.3/10.4 mm Hg (11.0/7.5) in the tight-control group (between-group difference 3.8 mm Hg systolic [95% CI 2.4-5.2], p

Published
2009

58. Usual versus tight control of systolic blood pressure in non-diabetic patients with hypertension (Cardio-Sis): an open-label randomised trial

Author

Verdecchia, P, Staessen, Ja, Angeli, F, de Simone, G, Achilli, A, Ganau, A, Mureddu, G, Pede, S, Maggioni, Ap, Lucci, D, Reboldi, G, Porcellati, C, Fornari, G, Ceseri, M, Lorimer, A, Repaci, S, Castellani, C, Mazzotta, G, Berioli, S, Jaspers, C, Cucchiara, G, Panzano, C, Sclavo, Mg, Scherillo, M, Raucci, D, Faggiano, P, Porcu, M, Pistis, L, Vancheri, F, Curcio, M, Ieva, M, Muscella, A, Guerrieri, M, Dembech, C, Gulizia, Mm, Francese, Gm, Perticone, F, Iemma, G, Zanolini, G, Pierdomenico, Sd, Mezzetti, A, Benemio, G, Gattobigio, R, Sacchi, N, Cocchieri, M, Prosciutti, L, Garognoli, O, Pirelli, S, Emanuelli, C, Galeazzi, G, Abrignani, Mg, Lombardo, R, Braschi, Gb, Leoncini, G, Igidbashian, D, Marini, R, Mandorla, S, Buccolieri, M, Picchi, L, Casolo, G, Pardini, M, Galletti, F, Barbato, A, Cavallini, C, Borgioni, C, Sardone, Mg, Cipollini, F, Seghieri, G, Arcangeli, E, Boddi, W, Palermo, C, Lembo, G, Malatino, L, Leonardis, D, Gentile, C, Boccanelli, A, Colivicchi, F, Uguccioni, M, Zanata, G, Martin, G, Mos, L, Martina, S, Dialti, V, Pede, Sa, Farina, G, Tripodi, E, Miserrafiti, B, Stornello, M, Valvo, Ev, Proietti, G, Bernardinangeli, M, Poddighe, G, Marras, Ma, Biscottini, B, Panciarola, R, Veglio, Franco, Mulatero, Paolo, Caserta, Ma, Chiatto, M, Cioffi, G, Bonazza, G, and Achilli, P.

Subjects
Male, systolic blood pressure, Hemodynamics, Kaplan-Meier Estimate, 030204 cardiovascular system & hematology, Left ventricular hypertrophy, ipertensione, trial clinico, ipertrofia cardiaca, law.invention, Electrocardiography, 0302 clinical medicine, Randomized controlled trial, law, Cause of Death, Prevalence, Clinical endpoint, Medicine, 030212 general & internal medicine, Incidence, General Medicine, Aged, Antihypertensive Agents, Cardiovascular Diseases, Drug Therapy, Hypertension, Treatment Outcome, Left Ventricular Hypertrophy, Randomised Controlled Trial, 3. Good health, Italy, anti-hypertensive therapy, Cardiology, Drug Therapy, Combination, Female, Hypertrophy, Left Ventricular, medicine.medical_specialty, Systole, Prehypertension, 03 medical and health sciences, Internal medicine, Diabetes mellitus, Humans, blood pressure control, systoli hypertension, Proportional Hazards Models, Intention-to-treat analysis, business.industry, medicine.disease, Surgery, Logistic Models, Blood pressure, Linear Models, business, Risk Reduction Behavior, Follow-Up Studies
Abstract

The level to which systolic blood pressure should be controlled in hypertensive patients without diabetes remains unknown. We tested the hypothesis that tight control compared with usual control of systolic blood pressure would be beneficial in such patients.In this randomised open-label trial undertaken in 44 centres in Italy, 1111 non-diabetic patients with systolic blood pressure 150 mm Hg or greater were randomly assigned to a target systolic blood pressure of less than 140 mm Hg (usual control; n=553) or less than 130 mm Hg (tight control; n=558). After stratification by centre, we used a computerised random function to allocate patients to either group. Observers who were unaware of randomisation read electrocardiograms and adjudicated events. Open-label agents were used to reach the randomised targets. The primary endpoint was the rate of electrocardiographic left ventricular hypertrophy 2 years after randomisation. Analysis was by intention to treat. This study is registered with ClinicalTrials.gov, number NCT00421863.Over a median follow-up of 2.0 years (IQR 1.93-2.03), systolic and diastolic blood pressure were reduced by a mean of 23.5/8.9 mm Hg (SD 10.6/7.0) in the usual-control group and by 27.3/10.4 mm Hg (11.0/7.5) in the tight-control group (between-group difference 3.8 mm Hg systolic [95% CI 2.4-5.2], p0.0001; and 1.5 mm Hg diastolic [0.6-2.4]; p=0.041). The primary endpoint occurred in 82 of 483 patients (17.0%) in the usual-control group and in 55 of 484 patients (11.4%) of the tight-control group (odds ratio 0.63; 95% CI 0.43-0.91; p=0.013). A composite cardiovascular endpoint occurred in 52 (9.4%) patients in the usual-control group and in 27 (4.8%) in the tight-control group (hazard ratio 0.50, 95% CI 0.31-0.79; p=0.003). Side-effects were rare and did not differ significantly between the two groups.Our findings lend support to a lower blood pressure goal than is recommended at present in non-diabetic patients with hypertension.Boehringer-Ingelheim, Sanofi-Aventis, Pfizer.

Published
2009

59. Randomized study of traditional versus aggressive systolic blood pressure control (Cardio-Sis): rationale, design and characteristics of the study population

Author

VERDECCHIA P, CARDIO SIS STUDY G. R. O. U. P., Staessen, Ja, Achilli, A, DE SIMONE, G, Ganau, A, Mureddu, G, Pede, S, Porcellati, C, Fornari, G, Repaci, S, Castellani, C, Achilli, P, Jaspers, C, Cucchiara, G, Panzano, C, Angeli, F, Aillon, C, Sclavo, Mg, Scherillo, M, Raucci, D, DI DONATO, M, Cas, Ld, Faggiano, P, Porcu, M, Calamida, R, Pistia, L, Vancheri, F, Alletto, M, Curcio, M, Pettinati, G, Ieva, M, Muscella, A, Guerrieri, M, Denbek, C, Gulizia, M, Francese, Gm, Perticone, F, Iemma, G, Fariello, R, Sala, N, Mezzetti, A, Pierdomenico, Sd, Bucci, M, Benemio, G, Gattobigio, R, Sacchi, N, Cocchieri, M, Prosciutti, L, Battocchi, P, Garognoli, O, Arcelli, G, Pirelli, S, Emanuelli, C, Braschi, Gb, Abrignani, M, DE FERRARI, G, Ponremoli, R, Igidbashian, D, Marini, R, Scarpino, L, Mandorla, S, Buccolieri, M, Picchi, L, Casolo, G, Pardini, M, Marracci, G, Strazzullo, P, Galletti, F, Barbato, A, Cavallini, C, Borgioni, C, Seghieri, G, Cipollini, F, Arcangeli, E, Boddi, W, Palermo, C, Savelli, F, Lembo, G, Vecchione, C, Malatino, Lorenzo, Belluardo, P, Zoccali, C, Leonerdis, D, Mallamaci, F, Lacchè, A, Gentile, C, Boccanelli, A, Mureddu, Gf, Santini, M, Colivicchi, F, Ficili, S, Uguccioni, M, Nardozi, C, Tedeschi, A, Martin, G, Zanata, G, Mos, L, Dialti, V, Martina, S, Renna, A, Farina, G, Tripodi, E, Miserrafiti, B, Scali, R, Stornello, M, Valvo, E, Bernardinangeli, M, Proietti, G, Poddighe, G, Biscottini, B, Panciarola, R, Boccali, A, Veglio, F, Rabbia, F, Caserta, M, Chiatto, M, Stefenelli, C, Cioffi, G, Bonazza, G, Scabbia, Ev, and Bottoni, D.

Published
2008

60. Randomized study of traditional versus aggressive systolic blood pressure control (Cardio-Sis): rationale, design and characteristics of the study population

Author

Cardio Sis Study Group, Verdecchia, P, Staessen, Ja, Achilli, A, de Simone, G, Ganau, A, Mureddu, G, Pede, S, Porcellati, C, Fornari, G, Repaci, S, Castellani, C, Achilli, P, Jaspers, C, Cucchiara, G, Panzano, C, Angeli, F, Aillon, C, Sclavo, Mg, Scherillo, M, Raucci, D, Di Donato, M, DEI CAS, Livio, Faggiano, P, Porcu, M, Calamida, R, Pistia, L, Vancheri, F, Alletto, M, Curcio, M, Pettinati, G, Ieva, M, Muscella, A, Guerrieri, M, Denbek, C, Gulizia, M, Francese, Gm, Perticone, F, Iemma, G, Fariello, R, Sala, N, Mezzetti, A, Pierdomenico, Sd, Bucci, M, Benemio, G, Gattobigio, R, Sacchi, N, Cocchieri, M, Prosciutti, L, Battocchi, P, Garognoli, O, Arcelli, G, Pirelli, S, Emanuelli, C, Braschi, Gb, Abrignani, M, De Ferrari, G, Ponremoli, R, Igidbashian, D, Marini, R, Scarpino, L, Mandorla, S, Buccolieri, M, Picchi, L, Casolo, G, Pardini, M, Marracci, G, Strazzullo, P, Galletti, F, Barbato, A, Cavallini, C, Borgioni, C, Seghieri, G, Cipollini, F, Arcangeli, E, Boddi, W, Palermo, C, Savelli, F, Lembo, G, Vecchione, C, Malatino, L, Belluardo, P, Zoccali, C, Leonardis, D, Mallamaci, F, Lacchè, A, Gentile, C, Boccanelli, A, Mureddu, Gf, Santini, M, Colivicchi, F, Ficili, S, Uguccioni, M, Nardozi, C, Tedeschi, A, Martin, G, Zanata, G, Mos, L, Dialti, V, Martina, S, Renna, A, Farina, G, Tripodi, E, Miserrafiti, B, Scali, R, Stornello, M, Valvo, E, Bernardinangeli, M, Proietti, G, Poddighe, G, Biscottini, B, Panciarola, R, Boccali, A, Veglio, F, Rabbia, F, Caserta, M, Chiatto, M, Stefenelli, C, Cioffi, G, Bonazza, G, Scabbia, Ev, and Bottoni, D.

Published
2008

61. Lexicon di Prevenzione Cardiovascolare

Author

Abrignani, Mg, Angeli, F, Berlinghieri, N, Castello, C, Colivicchi, F, Faggiano, P, Ficili, S, Gattone, M, Gentile, G, Gualeni, A, Labanti, G, Miceli, D, Mureddu, G, Pede, S, Pozzati, A, Reboldi, G, Riccio, C, Sclavo, M, Scolari, F, Sommaruga, M, Tarantini, L, Uguccioni, M, Urbinati, S, and Verdecchia, P

Published
2007

62. Hypertrophy at ECG and its regression during treatment survey (HEART survey). Rationale, design and baseline characteristics of patients

Author

Verdecchia P, Sleight P, Fausto Avanzini, de Simone G, Pede S, Perticone F, Schillaci G, Vanuzzo D, Angeli F, Gp, Reboldi, and Ap, Maggioni

Subjects
Male, Statistics as Topic, Electrocardiography, Hypertension, Left ventricular hypertrophy, Prognosis, Predictive Value of Tests, 80 and over, Humans, Aged, Aged, 80 and over, Electrocardiography, Female, Follow-Up Studies, Humans, Hypertrophy, Left Ventricular, diagnosis/surgery, Intraoperative Care, Intraoperative Complications, diagnosis/surgery, Italy, epidemiology, Male, Middle Aged, Multivariate Analysis, Predictive Value of Tests, Prognosis, Prospective Studies, Research Design, Statistics as Topic, Treatment Outcome, Prospective Studies, Intraoperative Complications, Aged, Aged, 80 and over, diagnosis/surgery, Intraoperative Care, Hypertrophy, Middle Aged, Treatment Outcome, Italy, Research Design, Multivariate Analysis, Hypertrophy, Left Ventricular, Female, epidemiology, Follow-Up Studies
Abstract

Left ventricular hypertrophy (LVH) detected at electrocardiography (ECG) is a predictor of an increased cardiovascular risk in essential hypertension. However, uncertainty remains concerning the reproducibility of ECG LVH and the prognostic relevance of its regression over time in hypertension. The aim of this study was to determine the prognostic value of baseline ECG LVH and its serial changes in a large cohort of hypertensive patients.The Hypertrophy at ECG and its Regression during Treatment Survey (HEART Survey) is a prospective observational study conducted in 66 Italian centers. Inclusion criteria are essential hypertension with ECG LVH defined by the Perugia score (Cornell voltage criteria and/or a typical left ventricular "strain" pattern and/or a Romhilt-Estes scoreor = 5 points) in subjects aged 45-84 years. The treatment of hypertension and other risk factors accords with current guidelines and is individually tailored. ECG is recorded twice at entry and periodically repeated over a 4-year follow-up period. Expert readers (unaware of the clinical findings) classify ECG. The incidence of major cardiovascular events in relation to baseline ECG and its changes over time are assessed, together with the reproducibility in the two baseline recordings. Overall, 708 patients aged 64 +/- 9 years have been enrolled in centers from northern (27%), central (32%) and southern (41%) Italy. Their baseline characteristics are presented. Follow-up is ongoing.The HEART Survey will examine the prognostic value of baseline ECG LVH and of its regression over time in a wide population of hypertensive patients.

Published
2003

63. Porotocolli cardiologici per il giudizio di idoneità allo sport agonistico 2003

Author

Alboni, P, Gallo, P, Assanelli, Deodato, Garavoglia, P, Attinà, D, Lunati, M, Ballardini, E, Marconi, P, Berrettini, U, Menozzi, C, Biffi Lucio Mos, A, Brignole, M, Naccarella, F, Calabrò, R, Palatini, P, Calzolari, A, Pantaleoni, M, Colonna Sergio, P. L., Pede, S, Corrado, D, Picchio, F, Dal Monte, A, Priori, S, D’Este, D, Raviele, A, Di Cesare, E, Sanna, N, Faina, M, Salerno, J, Fiorella, P. L., Sarubbi, B, Furlanello, F, Vignati, G, and Galanti, G.

Published
2003

81. Free adrenaline and noradrenaline excretion related to occupational stress.

Author

Timio, M, Gentili, S, and Pede, S

Abstract

Urinary levels of free adrenaline and noradrenaline were measured in two groups of healthy male industrial workers exposed to alternate four-day periods of working conditions with and without time stress, to test the hypothesis that the sympathetic nervous system is overactivated by occupational stress. Thirty confectionary workers alternated piece-work (payment by results) and work with a fixed daily wage while 30 metal workers alternated work on an assembly line with work off it. Under time stress urinary free adrenaline was 450 per cent and noradrenaline 230 per cent of the levels for similar work without time stress but involving equal oxygen consumption. These differences were statistically highly significant and they persisted on retesting after six months of alternating work regimens. They support the concept that occupational stress in industrial workers influences the adrenosympathetic system and they indicate a possible method for assessing the effects of high levels of sympathetic activity on the aetiology of ischaemic heart disease. [ABSTRACT FROM PUBLISHER]

Published
1979
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82. Free adrenaline and noradrenaline excretion related to occupational stress

Author

Gentili S, Pede S, and Timio M

Subjects
Adult, Male, medicine.medical_specialty, Sympathetic nervous system, Sympathetic Nervous System, Epinephrine, Urinary system, Physiology, Excretion, Norepinephrine, Urinary levels, medicine, Humans, business.industry, Surgery, Occupational Diseases, medicine.anatomical_structure, Occupational stress, Cardiology and Cardiovascular Medicine, business, Assembly line, Stress, Psychological, Research Article, medicine.drug
Abstract

Urinary levels of free adrenaline and noradrenaline were measured in two groups of healthy male industrial workers exposed to alternate four-day periods of working conditions with and without time stress, to test the hypothesis that the sympathetic nervous system is overactivated by occupational stress. Thirty confectionary workers alternated piece-work (payment by results) and work with a fixed daily wage while 30 metal workers alternated work on an assembly line with work off it. Under time stress urinary free adrenaline was 450 per cent and noradrenaline 230 per cent of the levels for similar work without time stress but involving equal oxygen consumption. These differences were statistically highly significant and they persisted on retesting after six months of alternating work regimens. They support the concept that occupational stress in industrial workers influences the adrenosympathetic system and they indicate a possible method for assessing the effects of high levels of sympathetic activity on the aetiology of ischaemic heart disease.

Published
1979
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84. Low-energy Calibration of XENON1T with an Internal $^{37}$Ar Source

Author

Aprile, E., Abe, K., Agostini, F., Maouloud, S. Ahmed, Alfonsi, M., Althueser, L., Andrieu, B., Angelino, E., Angevaare, J. R., Antochi, V. C., Martin, D. Anton, Arneodo, F., Baudis, L., Baxter, A. L., Bellagamba, L., Biondi, R., Bismark, A., Adam Brown, Bruenner, S., Bruno, G., Budnik, R., Bui, T. K., Cai, C., Capelli, C., Cardoso, J. M. R., Cichon, D., Colijn, A. P., Conrad, J., Cuenca-García, J. J., Cussonneau, J. P., D Andrea, V., Decowski, M. P., Di Gangi, P., Di Pede, S., Diglio, S., Eitel, K., Elykov, A., Farrell, S., Ferella, A. D., Ferrari, C., Fischer, H., Fulgione, W., Gaemers, P., Gaior, R., Gallo Rosso, A., Galloway, M., Gao, F., Glade-Beucke, R., Grandi, L., Grigat, J., Guida, M., Hammann, R., Higuera, A., Hils, C., Hoetzsch, L., Howlett, J., Iacovacci, M., Itow, Y., Jakob, J., Joerg, F., Joy, A., Kato, N., Kara, M., Kavrigin, P., Kazama, S., Kobayashi, M., Koltman, G., Kopec, A., Kuger, F., Landsman, H., Lang, R. F., Levinson, L., Li, I., Li, S., Liang, S., Lindemann, S., Lindner, M., Liu, K., Loizeau, J., Lombardi, F., Long, J., Lopes, J. A. M., Ma, Y., Macolino, C., Mahlstedt, J., Mancuso, A., Manenti, L., Marignetti, F., Marrodan Undagoitia, T., Martens, K., Masbou, J., Masson, D., Masson, E., Mastroianni, S., Messina, M., Miuchi, K., Mizukoshi, K., Molinario, A., Moriyama, S., Mora, K., Mosbacher, Y., Murra, M., Muller, J., Ni, K., Oberlack, U., Paetsch, B., Palacio, J., Peres, R., Peters, C., Pienaar, J., Pierre, M., Pizzella, V., Plante, G., Qi, J., Qin, J., García, D. Ramírez, Reichard, S., Rocchetti, A., Rupp, N., Sanchez, L., Sanchez-Lucas, P., Dos Santos, J. M. F., Sarnoff, I., Sartorelli, G., Schreiner, J., Schulte, D., Schulte, P., Eißing, H. Schulze, Schumann, M., Scotto Lavina, L., Selvi, M., Semeria, F., Shagin, P., Shi, S., Shockley, E., Silva, M., Simgen, H., Takeda, A., Tan, P. -L, Terliuk, A., Thers, D., Toschi, F., Trinchero, G., Tunnell, C., Tonnies, F., Valerius, K., Volta, G., Weinheimer, C., Weiss, M., Wenz, D., Wittweg, C., Wolf, T., Xu, D., Xu, Z., Yamashita, M., Yang, L., Ye, J., Yuan, L., Zavattini, G., Zerbo, S., Zhong, M., Zhu, T., Geppert, C., and Riemer, J.

Subjects
High Energy Physics - Experiment (hep-ex), Physics - Instrumentation and Detectors, FOS: Physical sciences, Instrumentation and Detectors (physics.ins-det), High Energy Physics - Experiment
Abstract

A low-energy electronic recoil calibration of XENON1T, a dual-phase xenon time projection chamber, with an internal $^{37}$Ar source was performed. This calibration source features a 35-day half-life and provides two mono-energetic lines at 2.82 keV and 0.27 keV. The photon yield and electron yield at 2.82 keV are measured to be (32.3$\pm$0.3) photons/keV and (40.6$\pm$0.5) electrons/keV, respectively, in agreement with other measurements and with NEST predictions. The electron yield at 0.27 keV is also measured and it is (68.0$^{+6.3}_{-3.7}$) electrons/keV. The $^{37}$Ar calibration confirms that the detector is well-understood in the energy region close to the detection threshold, with the 2.82 keV line reconstructed at (2.83$\pm$0.02) keV, which further validates the model used to interpret the low-energy electronic recoil excess previously reported by XENON1T. The ability to efficiently remove argon with cryogenic distillation after the calibration proves that $^{37}$Ar can be considered as a regular calibration source for multi-tonne xenon detectors.

85. Multicenter APULIA HF study: Efficacy of a shared management protocol between hospital and territory of patients hospitalized for acute heart failure,Studio multicentrico APULIA HF: Efficacia di un protocollo di gestione condiviso fra ospedale e territorio dei pazienti ospedalizzati per scompenso cardiaco acuto

Author

Iacoviello, M., Pede, S., Aspromonte, N., Bux, F., Panunzio, M., Donadeo, V., Castro, A., Antoncecchi, E., D Amato, N., Squiccimarro, E., Silvestri, B., Malerba, L., Gennaro, L., Modugno, G., Serafini, E., Curci, B., Grande, D., Furio Colivicchi, Luca, G., Ignone, G., D Agostino, C., and Caldarola, P.

86. Occupational and leisure time physical activity: Trend in the Italian population,Attività fisica lavorativa e nel tempo libero: Come si è modificata nella popolazione italiana?

Author

Trojani, M., Palmieri, L., Vanuzzo, D., Donfrancesco, C., Panico, S., Pilotto, L., Dima, F., Lo Noce, C., Sanctis Caiola, P., Giannuzzi, P., Giampaoli, S., Valagussa, F., Pede, S., Uguccioni, M., Riccio, C., Di Pasquale, G., Verdecchia, P., Mureddu, G. F., Boccanelli, A., Maggioni, A., Colivicchi, F., Martinelli, V., Pelizza, R., Vona, M., Savio, M. A., Biorci, M. L., Gullace, G., Villa, M., Tettamanti, F., Bernasconi, D., Avanzini, F., Salvagnin, L., Mazzoleni, D., Colombi, A., Pastine, I., Mori, M. N., Pizzuti, A., Testa, M. A., Cucchi, G., Baldini, B., Sclavo, M. G., Ferraris, E., Pedretti, R., Belbusti, S., Soffiantino, F., Castelletta, M., Girardini, D., Rudari, G., Pozzati, A., Bovinelli, S., Boni, S., Carrirolo, R., Candelpergher, G., Tamai, R. P., Cremaschi, E., Massari, M., Goldoni, C. A., Barbolini, M., Cioppi, F., Marchini, C., Roncon, L., Tramarin, M., Zanata, G., Miotto, E., Siega, M., Spolaore, P., Rizzato, C., Quattrini, L., Budini, A., Rodeghiero, F., Schillaci, G., Roscini, A. R., Bragetti, N., Burin, M. P., Siepi, D., Cecchi, F., Martelli, M., Pagnotta, C., Stroppa, M., Mantini, L., Di Paolo, A., Micoli, G., Graziani, R., Iacopetti, L., Corrias, F., Melinelli, S., Poce, A., Greco, G., Krakowska, B., Staniscia, D., Dattoli, M. A., Robiglio, L., Capizzano, G., chiara donfrancesco, Comparone, R., Mascolo, A. R., Piccolo, D., and Storelli, A.

87. Improving practice patters in heart failure through a national cardiological network: The case of ACE-inhibitors

Author

Porcu, M., Opasich, C., Scherillo, M., Lucci, D., Maria, R., Di Tano, G., Maggioni, A. P., Scaffidi, G., Valtorta, C., Salustri, A., Amaddeo, F., Barbato, G., Aspromonte, N., Renzi, M., Mantini, L., Frattaroli, C., Mariani, A., Di Marco, G., Levantesi, G., Colonna, N., Montano, A., Di Maggio, O., Toscano, G., Capuano, V., Sensale, P., Maiolica, O., Nicola Maurea, Miceli, D., Somelli, A., Napolitano, F., Provvisiero, P., Di Muro, M. R., Bottiglieri, P., Rufolo, F., Ciriello, N., Angelini, E., Andriulo, C., Santis, F., Cocco, F., Zecca, A., Pennetta, A., Mariello, F., Magliari, F., Giorgi, A., Santoro, V., Pede, S., Renna, A., Donno, O., Lorenzi, E., Polimeni, G., Russo, V. A., Mangia, R., Cariello, F. P., Affinita, M., Perticone, F., Cloro, C., Misuraca, G., Caporale, R., Chiappetta, P., Tripodi, E., Tassone, F., Salituri, S., Errigo, C., Meringolo, G., Donnangelo, L., Canonico, G., Coco, R., Franco, M., Coglitore, A., Donato, A., Cento, D., Gregorio, C., Mongiovì, M., Schillaci, A. M., Mirto, U., Clemenza, F., Ingrillì, F., Aloisi, B., Dadea, M., Pistis, L., Pili, G., Piras, S., and Maoddi, I.

88. Randomized study of traditional versus aggressive systolic blood pressure control (Cardio-Sis): rationale, design and characteristics of the study population

Author

Ceseri, M., Angeli, F., Achilli, A., Achilli, P., Panzano, C., Lucci, D., Porcellati, C., Lorimer, A., Maggioni, Ap, Castellani, C., Cucchiari, G., Staessen, Jan A., Mureddu, G., Repaci, S., Jaspers, C., Fornari, G., Simone, G., Pede, S., the Cardio-Sis Study Group, Verdecchia, P., Ganau, A., Cardio Sis Study, Group, and Strazzullo, Pasquale

Subjects
Male, medicine.medical_specialty, hypertension, electrocardiography, ipertrofia cardiaca, left ventricular hypertrophy, pressione arteriosa, prognosi, prognosis, systolic blood pressure, Systole, population, Blood Pressure, 030204 cardiovascular system & hematology, Severity of Illness Index, Prehypertension, law.invention, Electrocardiography, 03 medical and health sciences, 0302 clinical medicine, Randomized controlled trial, law, Internal medicine, Internal Medicine, medicine, Humans, Prospective Studies, 030212 general & internal medicine, cardiovascular diseases, Antihypertensive Agents, Aged, business.industry, Blood Pressure Determination, Prognosis, 3. Good health, Pulse pressure, Blood pressure, Aortic pressure, Cardiology, Population study, Female, Hypertrophy, Left Ventricular, business, Follow-Up Studies
Abstract

The hypothesis that a therapeutic strategy aimed at lowering systolic blood pressure (SBP) below 130 mm Hg is superior to a conventional strategy targeted at below 140 mm Hg in hypertensive subjects has never been tested in randomized intervention studies. The Studio Italiano Sugli Effetti Cardiovascolari del Controllo della Pressione Arteriosa Sistolica (Cardio-Sis) is a multi-centre study in non-diabetic, treated hypertensive subjects aged >55 years with uncontrolled SBP (>or=150 mm Hg) and at least one additional cardiovascular risk factor (ClinicalTrials.gov identifier: NCT00421863). Subjects are randomized to an SBP goal

89. The Triggerless Data Acquisition System of the XENONnT Experiment

Author

Aprile, E., Aalbers, J., Abe, K., Agostini, F., Maouloud, S. Ahmed, Althueser, L., Andrieu, B., Angelino, E., Angevaare, J. R., Antochi, V. C., Martin, D. Antón, Arneodo, F., Baudis, L., Baxter, A. L., Bellagamba, L., Biondi, R., Bismark, A., Brookes, E. J., Brown, A., Bruenner, S., Bruno, G., Budnik, R., Bui, T. K., Cai, C., Cardoso, J. M. R., Cichon, D., Chavez, A. P. Cimental, Coderre, D., Colijn, A. P., Conrad, J., Cuenca-García, J. J., Cussonneau, J. P., D Andrea, V., Decowski, M. P., Di Gangi, P., Di Pede, S., Diglio, S., Eitel, K., Elykov, A., Farrell, S., Ferella, A. D., Ferrari, C., Fischer, H., Flierman, M., Fulgione, W., Fuselli, C., Gaemers, P., Gaior, R., Gallo Rosso, A., Galloway, M., Gao, F., Glade-Beucke, R., Grandi, L., Grigat, J., Matteo Guida, Hammann, R., Higuera, A., Hils, C., Hoetzsch, L., Hood, N. F., Howlett, J., Iacovacci, M., Itow, Y., Jakob, J., Joerg, F., Joy, A., Kato, N., Kara, M., Kavrigin, P., Kazama, S., Kobayashi, M., Koltman, G., Kopec, A., Kuger, F., Landsman, H., Lang, R. F., Levinson, L., Li, I., Li, S., Liang, S., Lindemann, S., Lindner, M., Liu, K., Loizeau, J., Lombardi, F., Long, J., Lopes, J. A. M., Ma, Y., Macolino, C., Mahlstedt, J., Mancuso, A., Manenti, L., Marignetti, F., Marrodán Undagoitia, T., Martens, K., Masbou, J., Masson, D., Masson, E., Mastroianni, S., Messina, M., Miuchi, K., Mizukoshi, K., Molinario, A., Moriyama, S., Morå, K., Mosbacher, Y., Murra, M., Müller, J., Ni, K., Oberlack, U., Paetsch, B., Palacio, J., Peres, R., Peters, C., Pienaar, J., Pierre, M., Pizzella, V., Plante, G., Qi, J., Qin, J., García, D. Ramírez, Rocchetti, A., Sanchez, L., Sanchez-Lucas, P., Dos Santos, J. M. F., Sarnoff, I., Sartorelli, G., Schreiner, J., Schulte, D., Schulte, P., Eißing, H. Schulze, Schumann, M., Scotto Lavina, L., Selvi, M., Semeria, F., Shagin, P., Shi, S., Shockley, E., Silva, M., Simgen, H., Takeda, A., Tan, P. -L, Terliuk, A., Thers, D., Toschi, F., Trinchero, G., Tunnell, C., Tönnies, F., Valerius, K., Volta, G., Weinheimer, C., Weiss, M., Wenz, D., Wittweg, C., Wolf, T., Xu, D., Xu, Z., Yamashita, M., Yang, L., Ye, J., Yuan, L., Zavattini, G., Zerbo, S., Zhong, M., Zhu, T., and HEP, INSPIRE

Subjects
photomultiplier, Physics - Instrumentation and Detectors, [PHYS.HEXP] Physics [physics]/High Energy Physics - Experiment [hep-ex], data acquisition, WIMP, tube, FOS: Physical sciences, Instrumentation and Detectors (physics.ins-det), calibration, programming, time projection chamber, High Energy Physics - Experiment, monitoring, XENON, High Energy Physics - Experiment (hep-ex), quality, [PHYS.PHYS.PHYS-INS-DET] Physics [physics]/Physics [physics]/Instrumentation and Detectors [physics.ins-det], muon, hardware, readout, liquid, constituent, on-line
Abstract

The XENONnT detector uses the latest and largest liquid xenon-based timeprojection chamber (TPC) operated by the XENON Collaboration, aimed atdetecting Weakly Interacting Massive Particles and conducting other rare eventsearches. The XENONnT data acquisition (DAQ) system constitutes an upgraded andexpanded version of the XENON1T DAQ system. For its operation, it reliespredominantly on commercially available hardware accompanied by open-source andcustom-developed software. The three constituent subsystems of the XENONnTdetector, the TPC (main detector), muon veto, and the newly introduced neutronveto, are integrated into a single DAQ, and can be operated both independentlyand as a unified system. In total, the DAQ digitizes the signals of 698photomultiplier tubes (PMTs), of which 253 from the top PMT array of the TPCare digitized twice, at $\times10$ and $\times0.5$ gain. The DAQ for the mostpart is a triggerless system, reading out and storing every signal that exceedsthe digitization thresholds. Custom-developed software is used to process theacquired data, making it available within $\mathcal{O}\left(10\text{ s}\right)$for live data quality monitoring and online analyses. The entire system withall the three subsystems was successfully commissioned and has been operatingcontinuously, comfortably withstanding readout rates that exceed $\sim500$ MB/sduring calibration. Livetime during normal operation exceeds $99\%$ and is$\sim90\%$ during most high-rate calibrations. The combined DAQ system hascollected more than 2 PB of both calibration and science data during thecommissioning of XENONnT and the first science run.

90. Search for New Physics in Electronic Recoil Data from XENONnT

Author

Aprile, E., Abe, K., Agostini, F., Ahmed Maouloud, S., Althueser, L., Andrieu, B., Angelino, E., Angevaare, J. R., Antochi, V. C., Martin, D. Antón, Arneodo, F., Baudis, L., Baxter, A. L., Bellagamba, L., Biondi, R., Bismark, A., Brown, A., Bruenner, S., Bruno, G., Budnik, R., Bui, T. K., Cai, C., Capelli, C., Cardoso, J. M. R., Cichon, D., Clark, M., Colijn, A. P., Conrad, J., Cuenca-García, J. J., Cussonneau, J. P., D Andrea, V., Decowski, M. P., Di Gangi, P., Di Pede, S., Di Giovanni, A., Di Stefano, R., Diglio, S., Eitel, K., Elykov, A., Farrell, S., Ferella, A. D., Ferrari, C., Fischer, H., Fulgione, W., Gaemers, P., Gaior, R., Andrea Gallo Rosso, Galloway, M., Gao, F., and Gardner, R.

91. Assestment of the absolute global cardiovascular risk: Comparison betweeen the risk chart and the individual score of the CUORE Project,La valutazione del rischio cardiovascolare globale assoluto: Confronto tra carta e punteggio del Progetto CUORE

Author

Giampaoli, S., Palmieri, L., chiara donfrancesco, Panico, S., Pilotto, L., Addis, A., Boccanelli, A., Di Pasquale, G., Brignoli, O., Filippi, A., Vanuzzo, D., Dima, F., Lo Noce, C., Trojam, M., Valagussa, F., Pede, S., Uguccioni, M., Riccio, C., Verdecchia, P., Mureddu, G. F., Maggioni, A., Colivicchi, F., Mocarelli, P., Bertona, M., Brambilla, P., Signorini, S., Martinelli, V., Pelizza, R., Rovazzi, P. A., Vona, M., Savio, M. A., Marchi, M., Biorci, M. L., Griffo, R., Gullace, G., Villa, M., Tettamanti, F., Bernasconi, D., Ferrari, G., Avanzini, F., Salvagnin, L., Martini, M. M., Mazzoleni, D., Colombi, A., Casari, A., Pastine, I., Mori, M. N., Gigli, G., Pizzuti, A., Testa, M. A., Di Leo, M., Cucchi, G., Baldini, B., Giustiniani, S., Sclavo, M. G., Fertaris, E., Commodo, E., Pedretti, R., Belbusti, S., Soffiantino, F., Castelletta, M., Giannuzzi, P., Girardini, D., Rudari, G., Vergara, G., Pozzati, A., Bovinelli, S., Boni, S., Carrirolo, R., Biagio, S., Rigatelli, G., Candelpergher, G., Tamai, R. P., Celegon, L., Cremaschi, E., Massari, M., Bruno, G., Goldoni, C. A., Barbolini, M., Cioppi, F., Marchini, C., Piovaccari, G., Roncon, L., Tramarin, M., Zonzin, P., Zanata, G., Miotto, E., Siega, M., Nicolosi, G. L., Spolaore, P., Rizzato, C., Fontanelli, A., Quattrini, L., and Budini, A.

92. Effective Field Theory and Inelastic Dark Matter Results from XENON1T

Author

Aprile, E., Abe, K., Agostini, F., Ahmed Maoloud, S., Alfonsi, M., Althueser, L., Andrieu, B., Angelino, E., Angevaare, J. R., Antochi, Vasile C., Antón Martin, D., Arneodo, F., Baudis, Laura, Baxter, A. L., Bellagamba, L., Biondi, R., Bismark, A., Brown, A., Bruenner, S., Bruno, G., Budnik, R., Capelli, C, Cardoso, J. M. R., Cichon, D., Cimmino, B., Clark, M., Colijn, A. P., Conrad, Jan, Cuenca-García, J. J., Cussonneau, J. P., D'Andrea, V., Decowski, M. P., Di Giangi, P., Di Pede, S., Di Giovanni, A., Di Stefano, R., Diglio, S., Elykov, A., Farrell, S., Ferella, Alfredo D., Fischer, H., Fulgione, W., Gaemers, P., Gaior, R., Galloway, M., Gao, F., Glade-Beuke, R., Grandi, L., Grigat, J., Higuera, A., Hils, C., Hoetzsch, L., Hawlett, J., Iacovacci, M., Itow, Y., Jakob, J., Joerg, F., Joy, A., Kato, N., Kavrigin, P., Kazama, S., Kobayashi, M., Koltman, G., Kopec, A., Landsman, H., Lang, R. F., Levinson, L., Li, I., Li, S., Liang, S., Lindemann, S., Linder, M., Liu, K., Lombardi, F., Long, J., Lopes, J. A. M., Ma, Y., Macolino, C., Mahlstedt, Jörn, Mancuso, A., Manenti, L., Manfredini, A., Marignetti, F., Marrodán Undagoitia, T., Martens, K., Masbou, J., Masson, D., Masson, E., Mastroianni, S., Messina, M., Miuchi, K., Mizukoshi, K., Molinario, A., Moriyama, A., Morå, Knut Dundas, Mosbacher, Y., Murra, M., Müller, J., Ni, K., Oberlack, U., Paetsch, B., Palacio, J., Peres, R., Pienaar, J., Pierre, M., Pizzella, V., Plante, G., Qi, J., Qin, J., Ramírez García, D., Reichard, S., Rocchetti, A., Rupp, N., Sanchez, L., dos Santos, J. M. F., Sartorelli, G., Schreiner, J., Schulte, D., Schulte, P., Shulze Eissing, H., Schumann, M., Scotto Lavina, L., Selvi, M., Semeria, F., Shagin, P., Shi, S., Shockley, E., Silva, M., Simigen, H., Takeda, A., Tan, Pueh-Leng, Terliuk, A., Thers, D., Toschi, F., Trinchero, G., Tunnell, C., Tönnies, F., Valerius, K., Volta, G., Wei, Y., Weinheimer, C., Weiss, M., Wenz, D., Wittweg, C., Wolf, T., Xu, Z., Yamashita, M., Yang, L., Ye, J., Yuan, L., Zavattini, G., Zhang, Y., Zhong, M., Zhu, T., Aprile, E., Abe, K., Agostini, F., Ahmed Maoloud, S., Alfonsi, M., Althueser, L., Andrieu, B., Angelino, E., Angevaare, J. R., Antochi, Vasile C., Antón Martin, D., Arneodo, F., Baudis, Laura, Baxter, A. L., Bellagamba, L., Biondi, R., Bismark, A., Brown, A., Bruenner, S., Bruno, G., Budnik, R., Capelli, C, Cardoso, J. M. R., Cichon, D., Cimmino, B., Clark, M., Colijn, A. P., Conrad, Jan, Cuenca-García, J. J., Cussonneau, J. P., D'Andrea, V., Decowski, M. P., Di Giangi, P., Di Pede, S., Di Giovanni, A., Di Stefano, R., Diglio, S., Elykov, A., Farrell, S., Ferella, Alfredo D., Fischer, H., Fulgione, W., Gaemers, P., Gaior, R., Galloway, M., Gao, F., Glade-Beuke, R., Grandi, L., Grigat, J., Higuera, A., Hils, C., Hoetzsch, L., Hawlett, J., Iacovacci, M., Itow, Y., Jakob, J., Joerg, F., Joy, A., Kato, N., Kavrigin, P., Kazama, S., Kobayashi, M., Koltman, G., Kopec, A., Landsman, H., Lang, R. F., Levinson, L., Li, I., Li, S., Liang, S., Lindemann, S., Linder, M., Liu, K., Lombardi, F., Long, J., Lopes, J. A. M., Ma, Y., Macolino, C., Mahlstedt, Jörn, Mancuso, A., Manenti, L., Manfredini, A., Marignetti, F., Marrodán Undagoitia, T., Martens, K., Masbou, J., Masson, D., Masson, E., Mastroianni, S., Messina, M., Miuchi, K., Mizukoshi, K., Molinario, A., Moriyama, A., Morå, Knut Dundas, Mosbacher, Y., Murra, M., Müller, J., Ni, K., Oberlack, U., Paetsch, B., Palacio, J., Peres, R., Pienaar, J., Pierre, M., Pizzella, V., Plante, G., Qi, J., Qin, J., Ramírez García, D., Reichard, S., Rocchetti, A., Rupp, N., Sanchez, L., dos Santos, J. M. F., Sartorelli, G., Schreiner, J., Schulte, D., Schulte, P., Shulze Eissing, H., Schumann, M., Scotto Lavina, L., Selvi, M., Semeria, F., Shagin, P., Shi, S., Shockley, E., Silva, M., Simigen, H., Takeda, A., Tan, Pueh-Leng, Terliuk, A., Thers, D., Toschi, F., Trinchero, G., Tunnell, C., Tönnies, F., Valerius, K., Volta, G., Wei, Y., Weinheimer, C., Weiss, M., Wenz, D., Wittweg, C., Wolf, T., Xu, Z., Yamashita, M., Yang, L., Ye, J., Yuan, L., Zavattini, G., Zhang, Y., Zhong, M., and Zhu, T.

Abstract

In this work we expand on the XENON1T nuclear recoil searches and study the individual signals of Dark Matter interactions from operators up to dimension-eight in a Chiral Effective Field Theory (ChEFT) as well as a model of inelastic Dark Matter using data from the two science runs of the detector totalling 1 tonne*year exposure. For these analyses we extended the region of interest from [4.9, 40.9]keVnr to [4.9, 54.4]keVnr to enhance our sensitivity for signals that peak at nonzero energies. We show that the data is consistent with a background only hypothesis, with small excesses in the models which peak between 20 and 50keVnr, obtaining a maximum local discovery significance of 1.7 for the VVs ChEFT model for a WIMP mass of 70GeV/c2, and 1.8 for an iDM particle of 50GeV/c2 with a mass splitting of 100keV/c2. For each model we report 90% confidence level upper limits. We also report limits on three benchmark models of WIMP interaction using ChEFT for which we investigate the effect of isospin breaking interactions, reporting up to 6 orders of magnitude weaker limits with respect to the isospin conserving case driven by cancellations in the expected rate.

94. A low pulse pressure is an independent predictor of mortality in heart failure: Data from a large nationwide cardiology database (IN-CHF registry)

Author

Schillaci, Giuseppe, Di Luzio, Silvia, Coluccini, Mario, Gonzini, Lucio, Porcu, Maurizio, Pozzar, Francesco, Maggioni, Aldo P, Investigators, Mezzani, A, Bielli, M, Milanese, U, Ugliengo, G, Pozzi, R, Rabajoli, F, Bosimini, E, Begliuomini, G, Ferrari, A, Barzizza, F, Valsecchi, Mg, Dadda, F, Faggiano, P, Castiglioni, G, Gibelli, G, Turelli, Al, Belluschi, R, Bianchi, C, Emanuelli, C, Gramenzi, S, Foti, G, Agnelli, D, Mascioli, G, Cazzani, E, Zanelli, E, Domenighini, D, Castelli, C, Moroni, E, Gara, S, Guzzetti, S, Muzzupappa, S, Turiel, M, Cappiello, E, Sandrone, G, Recalcati, F, Valenti, D, Achilli, F, Vincenzi, A, Rusconi, F, Palvarini, M, Ghio, S, Fontana, A, Giusti, A, Scelsi, L, Sebastiani, R, Ceresa, M, Nassiacos, D, Meloni, S, Nicoli, T, Bandini, P, Pedretti, R, Paolucci, M, Amati, L, Ravetta, M, Morandi, F, Provasoli, S, Bertolini, A, Imperiale, D, Agen, W, Planca, E, Quorso, P, Ferro, A, Pedrolli, C, Russo, P, Tarantini, L, Candelpergher, G, Cannarozzo, Pp, De Cian, F, Agnoli, A, Stefanini, Mg, Cacciavillani, L, Boffa, Gm, Mario, L, Renosto, G, Stritoni, P, Varotto, L, Penzo, M, Perini, G, Giuliano, G, Barducci, E, Piazza, R, Albanese, Mc, Fresco, C, Picco, F, Venturini, P, Camerini, A, Griffo, R, Derchi, G, Delfino, L, Pizzorno, L, Mazzantini, S, Torre, F, Orlandi, S, Bertoli, D, Gentile, A, Naccarella, F, Gatti, M, Coluccini, M, Morgagni, G, Alfano, G, Reggianini, L, Sansoni, S, Serra, W, Passerini, F, Del Corso, P, Rusconi, L, Marzaloni, M, Mezzetti, M, Gambarati, Gp, Mariani, Pr, Volterrani, C, Venturi, F, Zambaldi, G, Casolo, G, Moschi, G, Geri Brandinelli, G, Miracapillo, G, Boni, A, Italiani, G, Vergoni, W, Paci, Ap, Lattanzi, F, Reisenhofer, B, Severini, D, Taddei, T, Dalle Luche, A, Comella, A, Gasperini, U, Cocchieri, M, Alunni, G, Bosi, E, Panciarola, R, Maragoni, G, Bardelli, G, Testarmata, P, Pasetti, L, Budini, A, Gabrielli, D, Coderoni, B, Midi, P, Romaniello, C, Del Sindaco, D, Leggio, F, Terranova, A, Pulignano, G, Pozzar, P, Ansalone, G, Magris, B, Giannantoni, P, Cacciatore, G, Bottero, G, Scaffidi, G, Valtorta, C, Salustri, A, Amaddeo, F, Barbato, G, Aspromonte, N, Baldo, V, Baldo, E, Frattaroli, C, Mariani, A, Di Marco, G, Levantesi, G, Potena, Ap, Colonna, N, Montano, A, Sensale, P, Maiolica, O, Somelli, A, Napolitano, F, Provvisiero, P, Bottiglieri, P, Ciriello, N, Angelini, E, Andriulo, C, De Santis, F, Cocco, F, Pennetta, A, Mariello, F, Magliari, F, De Giorgi, A, Callerame, M, Santoro, V, Pede, S, Renna, A, De Donno, O, De Lorenzi, E, Polimeni, V, Russo, Va, Mangia, R, Truncellito, L, Cariello, Fp, Affinita, M, Perticone, F, Cloro, C, Borelli, D, Matta, M, Lopresti, D, Misuraca, A, Caporale, R, Chiappetta, P, Tripodi, E, Tassone, F, Salituri, S, Errigo, C, Meringolo, G, Donnangelo, L, Canonico, G, Coco, R, Franco, M, Coglitore, A, Donato, A, Di Tano, G, Cento, D, DE GREGORIO, Cesare, Mongiovì, M, Schillaci, Am, Mirto, U, Clemenza, F, Ingrillì, F, Cavallaro, A, Aloisi, B, Ledda, G, Rizzo, C, Porcu, M, Salis, S, Pistis, L, Pili, G, Piras, S, Maoddi, I, and Uras, F.

Subjects
Adult, Male, medicine.medical_specialty, Blood Pressure, Independent predictor, Low pulse pressure, Predictive Value of Tests, Internal medicine, Humans, Medicine, Aged, Female, Follow-Up Studies, Heart Failure, Italy, Middle Aged, Pulse, Registries, Stroke Volume, business.industry, medicine.disease, Heart failure, Cardiology, Cardiology and Cardiovascular Medicine, business
Abstract

A high pulse pressure (PP) predicts cardiovascular mortality in hypertension and in the elderly. We analyzed the data from the Italian Network of Congestive Heart Failure Registry to test the prognostic role of PP in patients with heart failure.A total of 8660 patients with heart failure (mean age 64 +/- 12 years, 73% male) were divided into four groups according to their PP (40, 40-49, 50-59, andor = 60 mmHg), and followed prospectively.After 1 year, 995 patients (11.5%) died. Both the mean arterial pressure and systolic blood pressure were found to be inversely associated with mortality at univariate and multivariate analyses. An inverse univariate relation was observed between PP and all-cause mortality. An excess mortality risk in the lowest PP group (odds ratio 1.40, 95% confidence interval 1.09-1.79 vs the highest PP group) was confirmed in a multivariate analysis which took into account the effect of several other variables, including mean arterial pressure. Similar findings were obtained for cardiovascular mortality. When we replaced systolic blood pressure with mean arterial pressure in the model, PP did not retain its independent prognostic role, possibly because of the high co-linearity between these two variables (r = 0.87).For any given level of mean arterial pressure, a low PP is an independent predictor of all-cause and cardiovascular death in patients with heart failure. The association may be partly related to the strong influence of low systolic blood pressure on mortality. Different pathophysiological mechanisms may underlie the opposite prognostic significance of PP in hypertension and heart failure.

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95. 5PSQ-032 Monitoring of indicator for the correct prevention of hospital infections and planning for improving interventions at a surgical hospital

Author

Fantini, L, Polidori, C, Trombetta, L, Maio, L Di, Iovino, P, Melfi, MA, Luppi, M, Lucidi, C, Pede, S Di, and Sassoli, V

Abstract

BackgroundAntibiotic preventive care in a surgical hospital is very important: the main cause of surgical infections is the endogenous bacteria flora of patients. For this reason, in 2009, a multidisciplinary team defined the new guideline (LG) providing: one single shot of cefazolina 2 g, replaced by clindamicyn 600 mg in allergic patients; and the administration of prophylaxis from 30 to 60 min before the incision. The team also identified indicators to monitor the correct prevention of hospital infections: comply with LG, timing respect , and use of hydroalcoholic solution for hand-washing, defined correctly by OMS between 10 to 20 litres for 1,000 days of hospitalisation.PurposeIndicators were monitored to verify the accuracy of prevention measures and on the basis of obtained results, a programme was possible for improving interventions.Material and methodsIn order to verify LG adherence of prophylaxis, antibiotics prescription has been controlled in a sample of 189 medical records. Timing administration registered by the operating theatre programme had been verified and the consumption of hydroalcoholic solution for hand-washing has been controlled according to the pharmacy management programme for 2016.ResultsMedical records indicate an adherence of nearly 100% to LG: in 189 medical records only two resulted in not complying with prophylaxis continuation up to patient discharge. Timing administration was respected only in 65% of cases: 5% received cefazolina after 60 min and the other 30% received it before 30 min. Gel consumption for handwashing was 23 litres gel/100 hospitalisation days.ConclusionAdherence to prophylaxis has been achieved, therefore only periodic monitoring is to be continued. The use of hydroalcoholic solution for hand-washing is slightly higher than the OMS guideline and to make sure that hand-washing is carried out in the correct way, dedicated timers will be mounted on faucets. Timing administration, on the contrary, is still poor, so that is why there will be a meeting with anaesthesiologists in order to decide future strategy.No conflict of interest

Published
2018
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97. Double-weak decays of and in the XENON1T and XENONnT experiments

Author

E. Aprile, K. Abe, F. Agostini, S. Ahmed Maouloud, M. Alfonsi, L. Althueser, B. Andrieu, E. Angelino, J. R. Angevaare, V. C. Antochi, D. Ant??n Martin, F. Arneodo, L. Baudis, A. L. Baxter, L. Bellagamba, R. Biondi, A. Bismark, A. Brown, S. Bruenner, G. Bruno, R. Budnik, C. Cai, C. Capelli, J. M. R. Cardoso, D. Cichon, M. Clark, A. P. Colijn, J. Conrad, J. J. Cuenca-Garc??a, J. P. Cussonneau, V. D'Andrea, M. P. Decowski, P. Di Gangi, S. Di Pede, A. Di Giovanni, R. Di Stefano, S. Diglio, K. Eitel, A. Elykov, S. Farrell, A. D. Ferella, H. Fischer, W. Fulgione, P. Gaemers, R. Gaior, A. Gallo Rosso, M. Galloway, F. Gao, R. Glade-Beucke, L. Grandi, J. Grigat, M. Guida, A. Higuera, C. Hils, L. Hoetzsch, J. Howlett, M. Iacovacci, Y. Itow, J. Jakob, F. Joerg, A. Joy, N. Kato, M. Kara, P. Kavrigin, S. Kazama, M. Kobayashi, G. Koltman, A. Kopec, H. Landsman, R. F. Lang, L. Levinson, I. Li, S. Li, S. Liang, S. Lindemann, M. Lindner, K. Liu, J. Loizeau, F. Lombardi, J. Long, J. A. M. Lopes, Y. Ma, C. Macolino, J. Mahlstedt, A. Mancuso, L. Manenti, A. Manfredini, F. Marignetti, T. Marrod??n Undagoitia, K. Martens, J. Masbou, D. Masson, E. Masson, S. Mastroianni, M. Messina, K. Miuchi, K. Mizukoshi, A. Molinario, S. Moriyama, K. Mor??, Y. Mosbacher, M. Murra, J. M??ller, K. Ni, U. Oberlack, B. Paetsch, J. Palacio, R. Peres, J. Pienaar, M. Pierre, V. Pizzella, G. Plante, J. Qi, J. Qin, D. Ram??rez Garc??a, S. Reichard, A. Rocchetti, N. Rupp, L. Sanchez, J. M. F. dos Santos, I. Sarnoff, G. Sartorelli, J. Schreiner, D. Schulte, P. Schulte, H. Schulze Ei??ing, M. Schumann, L. Scotto Lavina, M. Selvi, F. Semeria, P. Shagin, S. Shi, E. Shockley, M. Silva, H. Simgen, A. Takeda, P. -L. Tan, A. Terliuk, D. Thers, F. Toschi, G. Trinchero, C. Tunnell, F. T??nnies, K. Valerius, G. Volta, Y. Wei, C. Weinheimer, M. Weiss, D. Wenz, C. Wittweg, T. Wolf, Z. Xu, M. Yamashita, L. Yang, J. Ye, L. Yuan, G. Zavattini, S. Zerbo, M. Zhong, T. Zhu, Aprile, E., Abe, K., Agostini, F., Ahmed Maouloud, S., Alfonsi, M., Althueser, L., Andrieu, B., Angelino, E., Angevaare, J. R., Antochi, V. C., Ant??n Martin, D., Arneodo, F., Baudis, L., Baxter, A. L., Bellagamba, L., Biondi, R., Bismark, A., Brown, A., Bruenner, S., Bruno, G., Budnik, R., Cai, C., Capelli, C., Cardoso, J. M. R., Cichon, D., Clark, M., Colijn, A. P., Conrad, J., Cuenca-Garc??a, J. J., Cussonneau, J. P., D'Andrea, V., Decowski, M. P., Di Gangi, P., Di Pede, S., Di Giovanni, A., Di Stefano, R., Diglio, S., Eitel, K., Elykov, A., Farrell, S., Ferella, A. D., Fischer, H., Fulgione, W., Gaemers, P., Gaior, R., Gallo Rosso, A., Galloway, M., Gao, F., Glade-Beucke, R., Grandi, L., Grigat, J., Guida, M., Higuera, A., Hils, C., Hoetzsch, L., Howlett, J., Iacovacci, M., Itow, Y., Jakob, J., Joerg, F., Joy, A., Kato, N., Kara, M., Kavrigin, P., Kazama, S., Kobayashi, M., Koltman, G., Kopec, A., Landsman, H., Lang, R. F., Levinson, L., Li, I., Li, S., Liang, S., Lindemann, S., Lindner, M., Liu, K., Loizeau, J., Lombardi, F., Long, J., Lopes, J. A. M., Ma, Y., Macolino, C., Mahlstedt, J., Mancuso, A., Manenti, L., Manfredini, A., Marignetti, F., Marrod??n Undagoitia, T., Martens, K., Masbou, J., Masson, D., Masson, E., Mastroianni, S., Messina, M., Miuchi, K., Mizukoshi, K., Molinario, A., Moriyama, S., Mor??, K., Mosbacher, Y., Murra, M., M??ller, J., Ni, K., Oberlack, U., Paetsch, B., Palacio, J., Peres, R., Pienaar, J., Pierre, M., Pizzella, V., Plante, G., Qi, J., Qin, J., Ram??rez Garc??a, D., Reichard, S., Rocchetti, A., Rupp, N., Sanchez, L., dos Santos, J. M. F., Sarnoff, I., Sartorelli, G., Schreiner, J., Schulte, D., Schulte, P., Schulze Ei??ing, H., Schumann, M., Scotto Lavina, L., Selvi, M., Semeria, F., Shagin, P., Shi, S., Shockley, E., Silva, M., Simgen, H., Takeda, A., Tan, P. -L., Terliuk, A., Thers, D., Toschi, F., Trinchero, G., Tunnell, C., T??nnies, F., Valerius, K., Volta, G., Wei, Y., Weinheimer, C., Weiss, M., Wenz, D., Wittweg, C., Wolf, T., Xu, Z., Yamashita, M., Yang, L., Ye, J., Yuan, L., Zavattini, G., Zerbo, S., Zhong, M., and Zhu, T.

Subjects
Double beta decay
Abstract

We present results on the search for two-neutrino double-electron capture (2νECEC) of 124Xe and neutrinoless double-β decay (0νββ) of 136Xe in XENON1T. We consider captures from the K shell up to the N shell in the 2νECEC signal model and measure a total half-life of T2νECEC1/2=(1.1±0.2stat±0.1sys)×1022yr with a 0.87kgyr isotope exposure. The statistical significance of the signal is 7.0σ. We use XENON1T data with 36.16kgyr of 136Xe exposure to search for 0νββ. We find no evidence of a signal and set a lower limit on the half-life of T0νββ1/2>1.2×1024yrat90%CL. This is the best result from a dark matter detector without an enriched target to date. We also report projections on the sensitivity of XENONnT to 0νββ. Assuming a 275kgyr 136Xe exposure, the expected sensitivity is T0νββ1/2>2.1×1025yrat90%CL, corresponding to an effective Majorana mass range of ⟨mββ⟩

Published
2022

98. Risk of cardiovascular disease in relation to achieved office and ambulatory blood pressure control in treated hypertensive subjects.

Author

Verdecchia P, Reboldi G, Porcellati C, Schillaci G, Pede S, Bentivoglio M, Angeli F, Norgiolini S, Ambrosio G, Verdecchia, Paolo, Reboldi, Gianpaolo, Porcellati, Carlo, Schillaci, Giuseppe, Pede, Sergio, Bentivoglio, Maurizio, Angeli, Fabio, Norgiolini, Silvia, and Ambrosio, Giuseppe

Abstract

Objective: We investigated the prognostic impact of 24-h blood pressure control in treated hypertensive subjects.Background: There is growing evidence that ambulatory blood pressure improves risk stratification in untreated subjects with essential hypertension. Surprisingly, little is known on the prognostic value of this procedure in treated subjects.Methods: Diagnostic procedures including 24-h noninvasive ambulatory blood pressure monitoring were undertaken in 790 subjects with essential hypertension (mean age 48 years) before therapy and after an average follow-up of 3.7 years (2,891 patient-years).Results: At the follow-up visit, 26.6% of subjects achieved adequate office blood pressure control (<140/90 mm Hg), and 37.3% of subjects achieved adequate ambulatory blood pressure control (daytime blood pressure <135/85 mm Hg). Months or years after the follow-up visit, 58 patients suffered a first cardiovascular event. Event rate was lower (0.71 events/100 person-years) among the subjects with adequate ambulatory blood pressure control than among those with higher blood pressure levels (1.87 events/100 person-years) (p = 0.0026). Ambulatory blood pressure control predicted a lesser risk for subsequent cardiovascular disease independently of other individual risk factors (RR 0.36; 95% confidence intervals: 0.18 to 0.70; p = 0.003), including age, diabetes and left ventricular hypertrophy. Office blood pressure control was associated with a nonsignificant lesser risk of subsequent events (RR 0.63; 95% confidence intervals: 0.31 to 1.31; p = NS). In-treatment ambulatory blood pressure was more potent than pre-treatment blood pressure for prediction of subsequent cardiovascular disease.Conclusions: Ambulatory blood pressure control is superior to office blood pressure control for prediction of individual cardiovascular risk in treated hypertensive subjects. [ABSTRACT FROM AUTHOR]

Published
2002
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99. Prognostic value of midwall shortening fraction and its relation with left ventricular mass in systemic hypertension.

Author

Verdecchia, Paolo, Schillaci, Giuseppe, Reboldi, Gianpaolo, Ambrosio, Giuseppe, Pede, Sergio, Porcellati, Carlo, Verdecchia, P, Schillaci, G, Reboldi, G, Ambrosio, G, Pede, S, and Porcellati, C

Subjects
*LEFT heart ventricle, *HYPERTENSION, *PROGNOSIS
Abstract

We followed 1,778 subjects (up to 12 years) with essential hypertension who underwent echocardiography at the time of their initial diagnostic workup. There were 166 major cardiovascular events during follow-up and the prognostic value of the midwall shortening fraction did not remain significant after controlling for left ventricular mass. [ABSTRACT FROM AUTHOR]

Published
2001
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100. Subclinical left ventricular dysfunction in systemic hypertension and the role of 24-hour blood pressure.

Author

Schillaci, Giuseppe, Verdecchia, Paolo, Schillaci, G, Verdecchia, P, Reboldi, G, Pede, S, and Porcellati, C

Subjects
*HYPERTENSION, *LEFT heart ventricle, *HEART physiology, *BLOOD pressure
Abstract

The relation between blood pressure (BP) and left ventricular (LV) systolic function in systemic hypertension is controversial. We assessed the relation of LV midwall fractional shortening (FS) to 24-hour BP in 1,702 never-treated hypertensive subjects (age 48 +/- 12 years), who underwent 24-hour BP monitoring and echocardiography. Stress-corrected endocardial and midwall FS (the latter calculated taking into account the epicardial migration of midwall during systole) were predicted in hypertensives on the basis of the values observed in 130 healthy normotensives (age 43 +/- 13 years, office BP 126/78 mm Hg). Subjects below the fifth percentile of observed-to-predicted FS had depressed LV function. The use of midwall FS resulted in an increase from 3.5% to 17.5% in the proportion of patients with depressed chamber function. Compared with the group with normal function, subjects with low midwall LV function had similar office systolic BP (155 +/- 21 vs 154 +/- 17 mm Hg), but increased 24-hour systolic BP (140 +/- 17 vs 133 +/- 12 mm Hg, p <0.001). Midwall FS had a closer negative relation to 24-hour systolic BP than to office systolic BP (r = -0.27 vs -0.08, p <0.001), whereas this difference was not apparent for diastolic BP (r = -0.23 vs -0.20). Compared with endocardial FS, midwall FS had a stronger inverse association to LV mass (r = -0.45 vs -0.16, p <0.001). Thus, an increased 24-hour BP load may chronically lead to depressed myocardial function in systemic hypertension in the absence of clinically overt heart disease. [ABSTRACT FROM AUTHOR]

Published
2000
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