Search

Your search keyword '"Canali, Cristina"' showing total 20 results
Start Over Author "Canali, Cristina"
20 results on '"Canali, Cristina"'

5. Interactive action of the white-coat effect and the blood pressure levels on cardiovascular complications in hypertension

Author

Palatini, Paolo, Penzo, Michelangelo, Canali, Cristina, Dorigatti, Francesca, and Pessina, Achille C.

Subjects
Hypertension -- Complications, Heart enlargement -- Risk factors, Health, Health care industry
Abstract

PURPOSE: This study was undertaken to investigate whether there is a relationship between the white-coat effect and the cardiovascular complications of hypertension. PATIENTS AND METHODS: In 1,013 consecutive borderline to severe hypertensive outpatients (889 men) with a mean age ([+ or -] SE) of 33.6 [+ or -] 0.5 years and a mean office blood pressure of 152.3 [+ or-] 0.6/95.5 [+ or -] 0.4 mm Hg, blood pressure was measured by noninvasive 24-hour ambulatory monitoring. Target organ damage was assessed by electrocardiogram, chest X-ray, echocardiography, and ophthalmoscopy. The degree of target organ damage and of left ventricular hypertrophy was assessed in the subjects divided according to the levels of their daytime blood pressure and the extent of their white-coat effect. RESULTS: The subjects with a high white-coat effect showed a greater degree of hypertensive complications than those with intermediate or a low white-coat effect. The significant association between the white-coat phenomenon and the hypertensive complications was confirmed by the results of stepwise regression analyses, where sex, age, duration of hypertension, and ambulatory blood pressure were added to the model. A two-way ANOVA showed that both ambulatory blood pressure and the white-coat effect were related to the degree of target organ damage and to left ventricular hypertrophy. Moreover, daytime blood pressure and the white-coat effect showed an interactive effect on hypertensive complications, as the influence of the white-coat effect on end organs increased with increasing levels of ambulatory blood pressure. CONCLUSIONS: The present results show that the white-coat effect is related to the degree of hypertensive complications and that this association is stronger in the subject with more severe hypertension. Am J Med. 1997; 103:208-216. [C] 1997 by Excerpta Medica, Inc.

Published
1997

6. Minor-injury care by nurse practitioners or junior doctors

Author

Cooper, Mark A, Kinn, Sue, Kernick, D P, Vaidya, Jayant S, Wardrope, J, Valle, Roberto, Canali, Cristina, Barro, Sabrina, Milani, Loredano, and Simmons, David

Subjects
Nurse practitioners -- Evaluation, Interns (Medicine) -- Evaluation, Emergency medicine -- Care and treatment
Published
2000

7. Prognostic Value of Plasma Brain Natriuretic Peptide, Urea Nitrogen, and Creatinine in Outpatients >70 Years of Age With Heart Failure

Author

Feola, Mauro, primary, Aspromonte, Nadia, additional, Canali, Cristina, additional, Ceci, Vincenzo, additional, Giovinazzo, Prospero, additional, Milani, Loredano, additional, Quarta, Giovanni, additional, Ricci, Roberto, additional, Scardovi, Angela Beatrice, additional, Uslenghi, Eugenio, additional, and Valle, Roberto, additional

Published
2005
Full Text
View/download PDF

13. Relationship between albumin excretion rate, ambulatory blood pressure and left ventricular hypertrophy in mild hypertension

Author

Palatini, Paolo, primary, Graniero, Gian Rocco, additional, Canali, Cristina, additional, Santonastaso, Massimo, additional, Mos, Lucio, additional, Piccolo, Diana, additional, D??Este, Daniele, additional, Berton, Giuseppe, additional, Zanata, Giuseppe, additional, Venuto, Giuseppe De, additional, Cozzutti, Enrico, additional, Ferrarese, Emanuela, additional, Milani, Loredano, additional, Toni, Renzo De, additional, Nicolosi, Luigi, additional, and Visentin, Pieralberto, additional

Published
1995
Full Text
View/download PDF

14. Structural Abnormalities and Not Diastolic Dysfunction Are the Earliest Left Ventricular Changes in Hypertension.

Author

Palatini, Paolo, Visentin, Pieralberto, Mormino, Paolo, Mos, Lucio, Canali, Cristina, Dorigatti, Francesca, Berton, Giuseppe, Santonastaso, Massimo, Dal Follo, Marta, Cozzutti, Enrico, Garavelli, Guido, Pegoraro, Fabrizio, D'Este, Daniele, Maraglino, Giuseppe, Zanata, Giuseppe, Biasion, Tiziano, Bortolazzi, Alessandra, Graniero, Francesco, Milani, Loredano, and Pessina, Achille C.

Published
1998
Full Text
View/download PDF

20. [Is early discharge possible in patients with uncomplicated heart failure? Cost-efficacy analysis].

Author

Valle R, Canali C, Giovinazzo P, D'Atri M, and Milani L

Subjects
Aged, Clinical Protocols, Cost-Benefit Analysis, Female, Humans, Male, Time Factors, Heart Failure economics, Heart Failure therapy, Patient Discharge economics
Abstract

Background: Heart failure is a common indication for admission to the hospital among old adults. The hospital stay for uncomplicated heart failure is often too long. We hypothesized that a rapid optimization of care and a guideline-based approach would allow an early discharge of patients, still maintaining a greater quality and efficiency of care., Methods: We conducted a randomized trial of the effect of a guideline-based intervention on rates of readmission within 90 days of hospital discharge and costs of care for patients who were hospitalized for heart failure and discharged after 4 days of stay. The intervention consisted of early echocardiography, aggressive diuretic therapy, comprehensive education of the patient and family, a prescribed diet, and intensive application of the guidelines' recommendations on pharmacological therapy. Fifty early-discharged patients were compared to 50 concurrent normally-discharged patients., Results: Average length of stays during baseline admissions was shorter for early-discharged patients respect to controls (3.9 +/- 0.8 vs 7.0 +/- 1.9 days, p < 0.001). At discharge, when compared with control patients, early-discharged patients were similarly prescribed and/or were taking similar dosages of ACE-inhibitors (84 vs 80% and 17 vs 15 mg/die, p = NS), beta-blockers (64 vs 56% and 14 vs 16 mg/die, p = NS), spironolactone (86 vs 70% and 36 vs 32 mg/die, p = NS), digoxin (74 vs 70% and 0.18 vs 0.15 mg/die, p = NS), and losartan (8 vs 6% and 50 mg/die for both groups, p = NS). Hospital readmission rates and days of stay were similar between groups (6 vs 8% and 18 vs 26 days, respectively for study and control patients), whilst the overall costs of care were lower for early-discharged patients (289 vs 449 [symbol: see text] per patient per month), due to the shorter length of stay at baseline. Survival for 90 days was achieved in 47 patients both in the study and control groups (p = NS)., Conclusions: Our study showed that patients admitted for heart failure may be safely discharged 4 days after admission. An in-hospital guideline-based management of patients allows relevant cost savings, reducing hospital readmission for heart failure.

Published
2003

Catalog

Books, media, physical & digital resources
See catalog results