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3 results on '"Valeria Crescio"'

1. MitraClip procedure as ‘bridge to list’, the ultimate therapeutic option for end-stage heart failure patients not eligible for heart transplantation due to severe pulmonary hypertension

Author

Gabriele Crimi, Valeria Gritti, Stefano Ghio, Valeria Crescio, Giulia Magrini, Laura Scelsi, Annalisa Turco, Fabrizio Gazzoli, Maurizio Ferrario, Claudia Raineri, and Luigi Oltrona Visconti

Subjects
Diseases of the circulatory (Cardiovascular) system, RC666-701, Diseases of the respiratory system, RC705-779
Abstract

Patients with end-stage heart failure (HF), pulmonary hypertension and elevated pulmonary vascular resistance (PVR) despite medical therapy are not eligible for heart transplantation (HTx). In this ‘proof of concept’ case series, we demonstrate the feasibility and efficacy of the MitraClip procedure as ‘bridge to list’ in end-stage HF patients not eligible for HTx. In fact, in the three patients reported, who were initially excluded from the HTx list because of elevated PVR, the MitraClip procedure was followed by a sustained improvement of PVR, allowing the patients’ risk to be reclassified, and they were then considered eligible for HTx.

Published
2018
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2. Improving Selection of Mitraclip Candidates in Advanced Chronic Heart Failure: Look Right to Predict Right

Author

Maurizio D'Amico, Giulia Magrini, Maurizio Ferrario, Claudia Raineri, Fabrizio D'Ascenzo, Mauro Rinaldi, Oliver Gaemperli, Frank Ruschitzka, Valeria Crescio, Fabrizio Gazzoli, Luigi Oltrona Visconti, Michele Torre, Valeria Gritti, Gabriele Crimi, Francesca Giordana, Sara Rettegno, Simone Frea, Stefano Pidello, Antonio Montefusco, Paolo Boretto, Alessandra Rabajoli, University of Zurich, and Pidello, Stefano

Subjects
Male, Cardiac Catheterization, medicine.medical_specialty, 610 Medicine & health, Prosthesis Design, 2705 Cardiology and Cardiovascular Medicine, medicine, Humans, Prosthesis design, Intensive care medicine, Selection (genetic algorithm), Retrospective Studies, Heart Failure, Heart Valve Prosthesis Implantation, Ventricular function, business.industry, Patient Selection, MitraClip, Follow up studies, Mitral Valve Insufficiency, Stroke Volume, Middle Aged, medicine.disease, Multicenter study, Heart failure, 10209 Clinic for Cardiology, Ventricular Function, Right, Mitral Valve, Female, Cardiology and Cardiovascular Medicine, business, Mitral valve surgery, Follow-Up Studies
Published
2019
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3. Changes in surface electrocardiogram in patients with chronic thromboembolic pulmonary hypertension undergoing pulmonary endarterectomy. Correlations with hemodynamic and echocardiographic improvements after surgery

Author

Valentina Grazioli, Claudia Raineri, Valeria Crescio, Antonio Sciortino, Arianna Viscardi, Stefano Ghio, Annalisa Turco, Andrea Maria D'Armini, Luigi Oltrona Visconti, Laura Scelsi, and Catherine Klersy

Subjects
Male, medicine.medical_specialty, Hypertension, Pulmonary, Ventricular Dysfunction, Right, Statistics as Topic, Hemodynamics, Endarterectomy, 030204 cardiovascular system & hematology, Pulmonary Artery, Sensitivity and Specificity, Pulmonary endarterectomy, Muscle hypertrophy, 03 medical and health sciences, Electrocardiography, 0302 clinical medicine, Internal medicine, medicine, Humans, In patient, business.industry, Reproducibility of Results, Middle Aged, medicine.disease, Pulmonary hypertension, Surgery, Surface electrocardiogram, medicine.anatomical_structure, Treatment Outcome, 030228 respiratory system, Ventricle, Echocardiography, Anesthesia, Chronic Disease, Cardiology, Chronic thromboembolic pulmonary hypertension, Female, Cardiology and Cardiovascular Medicine, business, Pulmonary Embolism
Abstract

Background The aim of the present study was to evaluate the changes of electrocardiographic (ECG) markers of right ventricular (RV) hypertrophy/overload in patients with chronic thromboembolic pulmonary hypertension (CTEPH) undergoing pulmonary endarterectomy (PEA). Methods and results We evaluated 99 CTEPH patients who underwent PEA. P wave amplitude in DII, R wave amplitude in V1 and the number of patients with negative T wave in V1–V3 decreased significantly at 1 month after surgery with no further change at 1 year, in parallel with the rapid improvement in right heart hemodynamics. S wave amplitude in V1, R:S wave ratio in lead V6 and prevalence of SIQIII pattern improved significantly at 1 year, in parallel with the progressive reverse remodeling of the right ventricle at echocardiography. Conclusions The study shows that some of the ECG markers of RV hypertrophy/overload better reflect RV hemodynamic overload while others better reflect the pathologic remodeling of the right ventricle.

Published
2015

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