20 results on '"Daros, Clarissa Borguezan"'
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2. Protocolo ABCDE no Ecocardiograma de Estresse
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Pretto, José Luis de Castro e Silva, primary and Daros, Clarissa Borguezan, additional
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- 2023
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3. ABCDE Protocol in Stress Echocardiography
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Pretto, José Luis de Castro e Silva, primary and Daros, Clarissa Borguezan, additional
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- 2023
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4. Quality control of regional wall motion analysis in stress Echo 2020
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Ciampi, Quirino, Picano, Eugenio, Paterni, Marco, Daros, Clarissa Borguezan, Simova, Iana, de Castro e Silva Pretto, José Luis, Scali, Maria Chiara, Gaibazzi, Nicola, Severino, Sergio, Djordjevic-Dikic, Ana, Kasprzak, Jaroslaw D., Zagatina, Angela, Varga, Albert, Lowenstein, Jorge, Merlo, Pablo Martin, Amor, Miguel, Celutkiene, Jelena, Perez, Julio E., Di Salvo, Giovanni, Galderisi, Maurizio, Mori, Fabio, Costantino, Marco Fabio, Massa, Laura, Dekleva, Milica, Chaves, Daniel Quesada, Trambaiolo, Paolo, Citro, Rodolfo, Colonna, Paolo, Rigo, Fausto, Torres, Marco A.R., Monte, Ines, Stankovic, Ivan, Neskovic, Aleksander, Cortigiani, Lauro, Re, Federica, Dodi, Claudio, D'Andrea, Antonello, Villari, Bruno, Arystan, Ayana, De Nes, Michele, and Carpeggiani, Clara
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- 2017
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5. B-lines with Lung Ultrasound: The Optimal Scan Technique at Rest and During Stress
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Picano, Eugenio, Ciampi, Quirino, Citro, Rodolfo, D'Andrea, Antonello, Scali, Maria Chiara, Cortigiani, Lauro, Olivotto, Iacopo, Mori, Fabio, Galderisi, Maurizio, Costantino, Marco Fabio, Pratali, Lorenza, di Salvo, Giovanni, Bossone, Eduardo, Ferrara, Francesco, Kasprszak, Jaroslaw D., Rigo, Fausto, Gaibazzi, Nicola, Limongelli, Giuseppe, Pacileo, Giuseppe, Severino, Sergio, Pinamonti, Bruno, Massa, Laura, Torres, Marco A.R., Miglioranza, Marcelo H., Daros, Clarissa Borguezan, Luis de Castro e Silva Pretto, José, Djordjevic-Dikic, Ana, Dekleva, Milica, Varga, Albert, Agoston, Gergely, Palinkas, Attila, Zagatina, Angela, Simova, Iana, Amor, Miguel, Lowenstein, Jorge, Merlo, Pablo, Celutkiene, Jelena, Perez, Julio E., Trambaiolo, Paolo, Gregori, Dario, Colonna, Paolo, Andreassi, Maria Grazia, De Nes, Michele, Arystan, Ayana, Paterni, Marco, Carpeggiani, Clara, Zhuravskaya, Nadezhda, and Marzilli, Mario
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- 2017
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6. Kiosk 4R-FC-05 - Pre-transplantation Right Ventricular Volumes Are Associated with All-cause Mortality After Lung Transplantation
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Miaris, Nikolaos, Sarri, Georgia, McDermott, Anne, McCurry, Mandy, Sef, Alessandra Verzelloni, Daros, Clarissa Borguezan, Dunning, John, Stock, Ulrich, Chua, Felix, Usman, Muhammad, Bucciarelli-Ducci, Chiara, Dave, Kavita, Gerovasili, Vicky, Marczin, Nandor, Carby, Martin, Reed, Anna, and Wong, Joyce
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- 2024
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7. Stress echo in Italy
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Ciampi, Quirino, Citro, Rodolfo, Severino, Sergio, Labanti, Graziana, Cortigiani, Lauro, Sicari, Rosa, Gaibazzi, Nicola, Galderisi, Maurizio, Bossone, Eduardo, Colonna, Paolo, Picano, Eugenio, D'Andrea, Antonello, Scali, Maria Chiara, Olivotto, Iacopo, Mori, Fabio, Costantino, Marco Fabio, Pratali, Lorenza, Di Salvo, Giovanni, Ferrara, Francesco, Gargani, Luna, Rigo, Fausto, Limongelli, Giuseppe, Pacileo, Giuseppe, Andreassi, Maria Grazia, Pinamonti, Bruno, Massa, Laura, Torres, Marco A. R., Miglioranza, Marcelo H., Daros, Clarissa Borguezan, De Castro E Silva Pretto, José Luis, Beleslin, Branko, Djordjevic-DIkic, Ana, Varga, Albert, Palinkas, Attila, Agoston, Gergely, Gregori, Dario, Trambaiolo, Paolo, Arystan, Ayana, Paterni, Marco, Carpeggiani, Clara, Ciampi, Quirino, Citro, Rodolfo, Severino, Sergio, Labanti, Graziana, Cortigiani, Lauro, Sicari, Rosa, Gaibazzi, Nicola, Galderisi, Maurizio, Bossone, Eduardo, Colonna, Paolo, Picano, Eugenio, D'Andrea, Antonello, Scali, Maria Chiara, Olivotto, Iacopo, Mori, Fabio, Costantino, Marco Fabio, Pratali, Lorenza, Di Salvo, Giovanni, Ferrara, Francesco, Gargani, Luna, Rigo, Fausto, Limongelli, Giuseppe, Pacileo, Giuseppe, Andreassi, Maria Grazia, Pinamonti, Bruno, Massa, Laura, Torres, Marco A. R., Miglioranza, Marcelo H., Daros, Clarissa Borguezan, De Castro E Silva Pretto, José Lui, Beleslin, Branko, Djordjevic-DIkic, Ana, Varga, Albert, Palinkas, Attila, Agoston, Gergely, Gregori, Dario, Trambaiolo, Paolo, Arystan, Ayana, Paterni, Marco, and Carpeggiani, Clara
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medicine.medical_specialty ,business.industry ,Myocardial Ischemia ,MEDLINE ,General Medicine ,030204 cardiovascular system & hematology ,Stress ,Echocardiography, Stress ,Humans ,Italy ,Practice Guidelines as Topic ,Societies, Medical ,Cardiology and Cardiovascular Medicine ,03 medical and health sciences ,0302 clinical medicine ,Physical medicine and rehabilitation ,Echocardiography ,Stress Echo ,Medical ,Medicine ,030212 general & internal medicine ,State (computer science) ,Societies ,business - Published
- 2017
8. Lung Ultrasound and Pulmonary Congestion During Stress Echocardiography
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Scali, Maria Chiara, primary, Zagatina, Angela, additional, Ciampi, Quirino, additional, Cortigiani, Lauro, additional, D'Andrea, Antonello, additional, Daros, Clarissa Borguezan, additional, Zhuravskaya, Nadezhda, additional, Kasprzak, Jaroslaw D., additional, Wierzbowska-Drabik, Karina, additional, Luis de Castro e Silva Pretto, José, additional, Djordjevic-Dikic, Ana, additional, Beleslin, Branko, additional, Petrovic, Marija, additional, Boskovic, Nikola, additional, Tesic, Milorad, additional, Monte, Ines, additional, Simova, Iana, additional, Vladova, Martina, additional, Boshchenko, Alla, additional, Vrublevsky, Alexander, additional, Citro, Rodolfo, additional, Amor, Miguel, additional, Vargas Mieles, Paul E., additional, Arbucci, Rosina, additional, Merlo, Pablo Martin, additional, Lowenstein Haber, Diego M., additional, Dodi, Claudio, additional, Rigo, Fausto, additional, Gligorova, Suzana, additional, Dekleva, Milica, additional, Severino, Sergio, additional, Lattanzi, Fabio, additional, Morrone, Doralisa, additional, Galderisi, Maurizio, additional, Torres, Marco A.R., additional, Salustri, Alessandro, additional, Rodrìguez-Zanella, Hugo, additional, Costantino, Fabio Marco, additional, Varga, Albert, additional, Agoston, Gergely, additional, Bossone, Eduardo, additional, Ferrara, Francesco, additional, Gaibazzi, Nicola, additional, Celutkiene, Jelena, additional, Haberka, Maciej, additional, Mori, Fabio, additional, D'Alfonso, Maria Grazia, additional, Reisenhofer, Barbara, additional, Camarozano, Ana Cristina, additional, Miglioranza, Marcelo Haertel, additional, Szymczyk, Ewa, additional, Wejner-Mik, Paulina, additional, Wdowiak-Okrojek, Katarzyna, additional, Preradovic-Kovacevic, Tamara, additional, Bombardini, Tonino, additional, Ostojic, Miodrag, additional, Nikolic, Aleksandra, additional, Re, Federica, additional, Barbieri, Andrea, additional, Di Salvo, Giovanni, additional, Merli, Elisa, additional, Colonna, Paolo, additional, Lorenzoni, Valentina, additional, De Nes, Michele, additional, Paterni, Marco, additional, Carpeggiani, Clara, additional, Lowenstein, Jorge, additional, and Picano, Eugenio, additional
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- 2020
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9. Stress echo 2020 : the international stress echo study in ischemic and non-ischemic heart disease
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Picano, Eugenio, Ciampi, Quirino, Citro, Rodolfo, D'Andrea, Antonello, Scali, Maria Chiara, Cortigiani, Lauro, Olivotto, Iacopo, Mori, Fabio, Galderisi, Maurizio, Costantino, Marco Fabio, Pratali, Lorenza, Salvo, Giovanni di, Bossone, Eduardo, Ferrara, Francesco, Gargani, Luna, Rigo, Fausto, Gaibazzi, Nicola, Limongelli, Giuseppe, Pacileo, Giuseppe, Andreassi, Maria Grazia, Pinamonti, Bruno, Massa, Laura, Torres, Marco Antonio Rodrigues, Miglioranza, Marcelo H., Daros, Clarissa Borguezan, Pretto, José Luis de Castro e Silva, Beleslin, Branko, Djordjevic-Dikic, Ana, Varga, Albert, Palinkas, Attila, Agoston, Gergely, Gregori, Dario, Trambaiolo, Paolo, Severino, Sergio, Arystan, Ayana, Paterni, Marco, Carpeggiani, Clara, and Colonna, Paolo
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Ecocardiografia sob estresse ,Stress echocardiography ,Prognóstico ,Efetividade ,Diagnóstico por imagem ,Effectiveness ,Prognosis ,Imaging - Abstract
Background: Stress echocardiography (SE) has an established role in evidence-based guidelines, but recently its breadth and variety of applications have extended well beyond coronary artery disease (CAD). We lack a prospective research study of SE applications, in and beyond CAD, also considering a variety of signs in addition to regional wall motion abnormalities. Methods: In a prospective, multicenter, international, observational study design, > 100 certified high-volume SE labs (initially from Italy, Brazil, Hungary, and Serbia) will be networked with an organized system of clinical, laboratory and imaging data collection at the time of physical or pharmacological SE, with structured follow-up information. The study is endorsed by the Italian Society of Cardiovascular Echography and organized in 10 subprojects focusing on: contractile reserve for prediction of cardiac resynchronization or medical therapy response; stress B-lines in heart failure; hypertrophic cardiomyopathy; heart failure with preserved ejection fraction; mitral regurgitation after either transcatheter or surgical aortic valve replacement; outdoor SE in extreme physiology; right ventricular contractile reserve in repaired Tetralogy of Fallot; suspected or initial pulmonary arterial hypertension; coronary flow velocity, left ventricular elastance reserve and B-lines in known or suspected CAD; identification of subclinical familial disease in genotype-positive, phenotype- negative healthy relatives of inherited disease (such as hypertrophic cardiomyopathy). Results: We expect to recruit about 10,000 patients over a 5-year period (2016-2020), with sample sizes ranging from 5,000 for coronary flow velocity/ left ventricular elastance/ B-lines in CAD to around 250 for hypertrophic cardiomyopathy or repaired Tetralogy of Fallot. This data-base will allow to investigate technical questions such as feasibility and reproducibility of various SE parameters and to assess their prognostic value in different clinical scenarios. Conclusions: The study will create the cultural, informatic and scientific infrastructure connecting high-volume, accredited SE labs, sharing common criteria of indication, execution, reporting and image storage of SE to obtain original safety, feasibility, and outcome data in evidence-poor diagnostic fields, also outside the established core application of SE in CAD based on regional wall motion abnormalities. The study will standardize procedures, validate emerging signs, and integrate the new information with established knowledge, helping to build a next-generation SE lab without inner walls.
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- 2017
10. Pre-transplantation Right Ventricular Volumes Are Associated with All-cause Mortality After Lung Transplantation
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Miaris, Nikolaos, Sarri, Georgia, McDermott, Anne, McCurry, Mandy, Sef, Alessandra Verzelloni, Daros, Clarissa Borguezan, Dunning, John, Stock, Ulrich, Chua, Felix, Usman, Muhammad, Bucciarelli-Ducci, Chiara, Dave, Kavita, Gerovasili, Vicky, Marczin, Nandor, Carby, Martin, Reed, Anna, and Wong, Joyce
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- 2024
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11. B-lines with Lung Ultrasound: The Optimal Scan Technique at Rest and During Stress
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Scali, Maria Chiara, primary, Zagatina, Angela, additional, Simova, Iana, additional, Zhuravskaya, Nadezhda, additional, Ciampi, Quirino, additional, Paterni, Marco, additional, Marzilli, Mario, additional, Carpeggiani, Clara, additional, Picano, Eugenio, additional, Citro, Rodolfo, additional, D'Andrea, Antonello, additional, Scali, Maria Chiara, additional, Cortigiani, Lauro, additional, Olivotto, Iacopo, additional, Mori, Fabio, additional, Galderisi, Maurizio, additional, Costantino, Marco Fabio, additional, Pratali, Lorenza, additional, di Salvo, Giovanni, additional, Bossone, Eduardo, additional, Ferrara, Francesco, additional, Kasprszak, Jaroslaw D., additional, Rigo, Fausto, additional, Gaibazzi, Nicola, additional, Limongelli, Giuseppe, additional, Pacileo, Giuseppe, additional, Severino, Sergio, additional, Pinamonti, Bruno, additional, Massa, Laura, additional, Torres, Marco A.R., additional, Miglioranza, Marcelo H., additional, Daros, Clarissa Borguezan, additional, Luis de Castro e Silva Pretto, José, additional, Djordjevic-Dikic, Ana, additional, Dekleva, Milica, additional, Varga, Albert, additional, Agoston, Gergely, additional, Palinkas, Attila, additional, Amor, Miguel, additional, Lowenstein, Jorge, additional, Merlo, Pablo, additional, Celutkiene, Jelena, additional, Perez, Julio E., additional, Trambaiolo, Paolo, additional, Gregori, Dario, additional, Colonna, Paolo, additional, Andreassi, Maria Grazia, additional, De Nes, Michele, additional, and Arystan, Ayana, additional
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- 2017
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12. Stress echo 2020: the international stress echo study in ischemic and non-ischemic heart disease
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Picano, Eugenio, primary, Ciampi, Quirino, additional, Citro, Rodolfo, additional, D’Andrea, Antonello, additional, Scali, Maria Chiara, additional, Cortigiani, Lauro, additional, Olivotto, Iacopo, additional, Mori, Fabio, additional, Galderisi, Maurizio, additional, Costantino, Marco Fabio, additional, Pratali, Lorenza, additional, Di Salvo, Giovanni, additional, Bossone, Eduardo, additional, Ferrara, Francesco, additional, Gargani, Luna, additional, Rigo, Fausto, additional, Gaibazzi, Nicola, additional, Limongelli, Giuseppe, additional, Pacileo, Giuseppe, additional, Andreassi, Maria Grazia, additional, Pinamonti, Bruno, additional, Massa, Laura, additional, Torres, Marco A. R., additional, Miglioranza, Marcelo H., additional, Daros, Clarissa Borguezan, additional, de Castro e Silva Pretto, José Luis, additional, Beleslin, Branko, additional, Djordjevic-Dikic, Ana, additional, Varga, Albert, additional, Palinkas, Attila, additional, Agoston, Gergely, additional, Gregori, Dario, additional, Trambaiolo, Paolo, additional, Severino, Sergio, additional, Arystan, Ayana, additional, Paterni, Marco, additional, Carpeggiani, Clara, additional, and Colonna, Paolo, additional
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- 2017
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13. Anomalous Origin of the Circumflex Coronary Artery in the Pulmonary Artery in Young Adult
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Pretto, José Luis de Castro e Silva, primary, Daros, Clarissa Borguezan, additional, Medeiros, Cintia da Silva, additional, and Roman, Raquel Melchior, additional
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- 2014
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14. Efeitos da aplicação da EPAP (Expiratory Positive Airway Pressure) sobre a tolerância ao esforço em pacientes portadores de insuficiência cardíaca
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Thofehrn, Claudia, primary, Coutinho, Mario Sérgio Soares de Azeredo, additional, Daros, Clarissa Borguezan, additional, Assis, Amberson Vieira de, additional, Lima, Renata Moraes de, additional, Bonin, Christiani Decker Batista, additional, and Benetti, Magnus, additional
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- 2013
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15. Coronary Flow, Left Ventricular Contractile and Heart Rate Reserve in Non-Ischemic Heart Failure.
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Daros, Clarissa Borguezan, Ciampi, Quirino, Cortigiani, Lauro, Gaibazzi, Nicola, Rigo, Fausto, Wierzbowska-Drabik, Karina, Kasprzak, Jaroslaw D., Dodi, Claudio, Villari, Bruno, Antonini-Canterin, Francesco, Lorenzoni, Valentina, Nes, Michele De, Carpeggiani, Clara, and Picano, Eugenio
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HEART beat , *CORONARY artery disease , *STRESS echocardiography , *HEART failure , *MYOCARDIAL infarction - Abstract
Background: Left ventricular contractile reserve (LVCR), coronary flow velocity reserve (CFVR), and heart rate reserve (HRR) affect outcome in heart failure (HF). They can be simultaneously measured during dipyridamole stress echocardiography (DSE). Aim: To assess the value of comprehensive DSE in patients with non-ischemic HF. Methods: We evaluated 610 patients with HF, no history of coronary artery disease, and no inducible regional wall motion abnormalities: 270 patients with preserved ejection fraction (≥50%), 146 patients with mid-range ejection fraction (40–49%), and 194 patients with reduced ejection fraction (<40%). All underwent DSE (0.84 mg/kg in 6′) in 7 accredited laboratories. We measured LVCR (abnormal value ≤ 1.1), CFVR in left anterior descending artery (abnormal value: ≤2.0), and HRR (peak/rest heart rate; abnormal value: ≤1.22). All patients were followed up. Results: Abnormal CFVR, LVCR, and HRR occurred in 29%, 45%, and 47% of patients, respectively (p < 0.001). After a median follow-up time of 20 months (interquartile range: 12–32 months), 113 hard events occurred in 105 patients with 41 deaths, 8 myocardial infarctions, 61 admissions for acute HF, and 3 strokes. The annual mortality rates were 0.8% in 200 patients with none abnormal criteria, 1.8% in 184 patients with 1 abnormal criterion, 7.1% in 130 patients with 2 abnormal criteria, 7.5% in 96 patients with 3 abnormal criteria. Conclusions: Abnormal LVCR, CFVR, and HRR were frequent during DSE in non-ischemic HF patients. They target different pathophysiological vulnerabilities (myocardial function, coronary microcirculation, and cardiac autonomic balance) and are useful for outcome prediction. [ABSTRACT FROM AUTHOR]
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- 2021
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16. Hemodynamic Heterogeneity of Reduced Cardiac Reserve Unmasked by Volumetric Exercise Echocardiography.
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Bombardini, Tonino, Zagatina, Angela, Ciampi, Quirino, Arbucci, Rosina, Merlo, Pablo Martin, Haber, Diego M. Lowenstein, Morrone, Doralisa, D'Andrea, Antonello, Djordjevic-Dikic, Ana, Beleslin, Branko, Tesic, Milorad, Boskovic, Nikola, Giga, Vojislav, de Castro e Silva Pretto, José Luis, Daros, Clarissa Borguezan, Amor, Miguel, Mosto, Hugo, Salamè, Michael, Monte, Ines, and Citro, Rodolfo
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CORONARY artery disease ,STRESS echocardiography ,HEMODYNAMICS ,ECHOCARDIOGRAPHY ,SYSTOLIC blood pressure - Abstract
Background: Two-dimensional volumetric exercise stress echocardiography (ESE) provides an integrated view of left ventricular (LV) preload reserve through end-diastolic volume (EDV) and LV contractile reserve (LVCR) through end-systolic volume (ESV) changes. Purpose: To assess the dependence of cardiac reserve upon LVCR, EDV, and heart rate (HR) during ESE. Methods: We prospectively performed semi-supine bicycle or treadmill ESE in 1344 patients (age 59.8 ± 11.4 years; ejection fraction = 63 ± 8%) referred for known or suspected coronary artery disease. All patients had negative ESE by wall motion criteria. EDV and ESV were measured by biplane Simpson rule with 2-dimensional echocardiography. Cardiac index reserve was identified by peak-rest value. LVCR was the stress-rest ratio of force (systolic blood pressure by cuff sphygmomanometer/ESV, abnormal values ≤2.0). Preload reserve was defined by an increase in EDV. Cardiac index was calculated as stroke volume index * HR (by EKG). HR reserve (stress/rest ratio) <1.85 identified chronotropic incompetence. Results: Of the 1344 patients, 448 were in the lowest tertile of cardiac index reserve with stress. Of them, 303 (67.6%) achieved HR reserve <1.85; 252 (56.3%) had an abnormal LVCR and 341 (76.1%) a reduction of preload reserve, with 446 patients (99.6%) showing ≥1 abnormality. At binary logistic regression analysis, reduced preload reserve (odds ratio [OR]: 5.610; 95% confidence intervals [CI]: 4.025 to 7.821), chronotropic incompetence (OR: 3.923, 95% CI: 2.915 to 5.279), and abnormal LVCR (OR: 1.579; 95% CI: 1.105 to 2.259) were independently associated with lowest tertile of cardiac index reserve at peak stress. Conclusions: Heart rate assessment and volumetric echocardiography during ESE identify the heterogeneity of hemodynamic phenotypes of impaired chronotropic, preload or LVCR underlying a reduced cardiac reserve. [ABSTRACT FROM AUTHOR]
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- 2021
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17. B-lines with Lung Ultrasound: The Optimal Scan Technique at Rest and During Stress
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Maria Chiara Scali, Angela Zagatina, Iana Simova, Nadezhda Zhuravskaya, Quirino Ciampi, Marco Paterni, Mario Marzilli, Clara Carpeggiani, Eugenio Picano, Rodolfo Citro, Antonello D'Andrea, Lauro Cortigiani, Iacopo Olivotto, Fabio Mori, Maurizio Galderisi, Marco Fabio Costantino, Lorenza Pratali, Giovanni di Salvo, Eduardo Bossone, Francesco Ferrara, Jaroslaw D. Kasprszak, Fausto Rigo, Nicola Gaibazzi, Giuseppe Limongelli, Giuseppe Pacileo, Sergio Severino, Bruno Pinamonti, Laura Massa, Marco A.R. Torres, Marcelo H. Miglioranza, Clarissa Borguezan Daros, José Luis de Castro e Silva Pretto, Ana Djordjevic-Dikic, Milica Dekleva, Albert Varga, Gergely Agoston, Attila Palinkas, Miguel Amor, Jorge Lowenstein, Pablo Merlo, Jelena Celutkiene, Julio E. Perez, Paolo Trambaiolo, Dario Gregori, Paolo Colonna, Maria Grazia Andreassi, Michele De Nes, Ayana Arystan, Scali, Maria Chiara, Zagatina, Angela, Simova, Iana, Zhuravskaya, Nadezhda, Ciampi, Quirino, Paterni, Marco, Marzilli, Mario, Carpeggiani, Clara, Picano, Eugenio, Citro, Rodolfo, D'Andrea, Antonello, Cortigiani, Lauro, Olivotto, Iacopo, Mori, Fabio, Galderisi, Maurizio, Costantino, Marco Fabio, Pratali, Lorenza, di Salvo, Giovanni, Bossone, Eduardo, Ferrara, Francesco, Kasprszak, Jaroslaw D., Rigo, Fausto, Gaibazzi, Nicola, Limongelli, Giuseppe, Pacileo, Giuseppe, Severino, Sergio, Pinamonti, Bruno, Massa, Laura, Torres, Marco A. R., Miglioranza, Marcelo H., Daros, Clarissa Borguezan, Luis de Castro e Silva Pretto, José, Djordjevic-Dikic, Ana, Dekleva, Milica, Varga, Albert, Agoston, Gergely, Palinkas, Attila, Amor, Miguel, Lowenstein, Jorge, Merlo, Pablo, Celutkiene, Jelena, Perez, Julio E., Trambaiolo, Paolo, Gregori, Dario, Colonna, Paolo, Andreassi, Maria Grazia, De Nes, Michele, and Arystan, Ayana
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Male ,medicine.medical_specialty ,Acoustics and Ultrasonics ,Stre ,Rest ,Physiological ,Biophysics ,030204 cardiovascular system & hematology ,Stress ,Coronary artery disease ,03 medical and health sciences ,0302 clinical medicine ,Stress, Physiological ,medicine ,Humans ,Radiology, Nuclear Medicine and imaging ,Prospective Studies ,030212 general & internal medicine ,Exercise ,Lung ,Rest (music) ,Ultrasonography ,Water ,Extravascular Lung Water ,Female ,Middle Aged ,Exercise Test ,Radiological and Ultrasound Technology ,business.industry ,Ultrasound ,Exercise stress ,medicine.disease ,Lung ultrasound ,Surgery ,medicine.anatomical_structure ,Lung water ,Biophysic ,Parasternal line ,business ,Nuclear medicine - Abstract
Various lung ultrasound (LUS) scanning modalities have been proposed for the detection of B-lines, also referred to as ultrasound lung comets , which are an important indication of extravascular lung water at rest and after exercise stress echo (ESE). The aim of our study was to assess the lung water spatial distribution ( comet map ) at rest and after ESE. We performed LUS at rest and immediately after semi-supine ESE in 135 patients (45 women, 90 men; age 62 ± 12 y, resting left ventricular ejection fraction = 41 ± 13%) with known or suspected heart failure or coronary artery disease. B-lines were measured by scanning 28 intercostal spaces (ISs) on the antero-lateral chest, 2nd–5th IS, along with the midaxillary (MA), anterior axillary (AA), mid-clavicular (MC) and parasternal (PS) lines. Complete 28-region, 16-region (3rd and 4th IS), 8-region (3rd IS), 4-region (3rd IS, only AA and MA) and 1-region (left 3rd IS, MA) scans were analyzed. In each space, the B-lines were counted from 0 = black lung to 10 = white lung. Interpretable images were obtained in all spaces (feasibility = 100 %). B-lines (>0 in at least 1 space) were present at ESE in 93 patients (69%) and absent in 42. More B-lines were found in the 3rd IS and along AA and MA lines. The B-line cumulative distribution was symmetric at rest (right/left = 1.10) and asymmetric with left lung predominance during stress (right/left = 0.67). The correlation of per-patient B-line number between 28-S and 16-S (R 2 = 0.9478), 8-S (R 2 = 0.9478) and 4-S scan (R 2 = 0.9146) was excellent, but only good with 1-S (R 2 = 0.8101). The average imaging and online analysis time were 5 s per space. In conclusion, during ESE, the comet map of lung water accumulation follows a predictable spatial pattern with wet spots preferentially aligned with the third IS and along the AA and MA lines. The time-saving 4-region scan is especially convenient during stress, simply dismissing dry regions and focusing on wet regions alone.
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- 2017
18. Quality control of B-lines analysis in stress Echo 2020
- Author
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Scali, M. C., Ciampi, Q., Picano, E., Bossone, E., Ferrara, F., Citro, R., Colonna, P., Costantino, M. F., Cortigiani, L., Andrea, A. D., Severino, S., Dodi, C., Gaibazzi, N., Galderisi, M., Barbieri, A., Monte, I., Mori, F., Reisenhofer, B., Re, F., Rigo, F., Trambaiolo, P., Amor, M., Lowenstein, J., Merlo, P. M., Daros, C. B., De Castro E Silva Pretto, J. L., Miglioranza, M. H., Torres, M. A. R., De Azevedo Bellagamba, C. C., Chaves, D. Q., Simova, I., Varga, A., Celutkiene, J., Kasprzak, J. D., Wierzbowska-Drabik, K., Lipiec, P., Weiner-Mik, P., Szymczyk, E., Wdowiak-Okrojek, K., Djordjevic-Dikic, A., Dekleva, M., Stankovic, I., Neskovic, A. N., Zagatina, A., Di Salvo, G., Perez, J. E., Camarozano, A. C., Corciu, A. I., Boshchenko, A., Lattanzi, F., Cotrim, C., Fazendas, P., Haberka, M., Sobkowic, B., Kosmala, W., Witkowski, T., Gosciniak, P., Salustri, A., Rodriguez-Zanella, H., Leal, L. I. M., Nikolic, A., Gligorova, S., Urluescu, M. -L., Fiorino, M., Novo, G., Preradovic-Kovacevic, T., Ostojic, M., Beleslin, B., Villari, B., De Nes, M., Paterni, M., Carpeggiani, C., Andreassi, M. G., Scali, Maria Chiara, Ciampi, Quirino, Picano, Eugenio, Bossone, Eduardo, Ferrara, Francesco, Citro, Rodolfo, Colonna, Paolo, Costantino, Marco Fabio, Cortigiani, Lauro, Andrea, Antonello D'., Severino, Sergio, Dodi, Claudio, Gaibazzi, Nicola, Galderisi, Maurizio, Barbieri, Andrea, Monte, Ine, Mori, Fabio, Reisenhofer, Barbara, Re, Federica, Rigo, Fausto, Trambaiolo, Paolo, Amor, Miguel, Lowenstein, Jorge, Merlo, Pablo Martin, Daros, Clarissa Borguezan, De Castro E Silva Pretto, José Lui, Miglioranza, Marcelo Haertel, Torres, Marco A. R., De Azevedo Bellagamba, Clarissa Carmona, Chaves, Daniel Quesada, Simova, Iana, Varga, Albert, Čelutkiene, Jelena, Kasprzak, Jaroslaw D., Wierzbowska-Drabik, Karina, Lipiec, Piotr, Weiner-Mik, Paulina, Szymczyk, Eva, Wdowiak-Okrojek, Katarzyna, Djordjevic-Dikic, Ana, Dekleva, Milica, Stankovic, Ivan, Neskovic, Aleksandar N., Zagatina, Angela, Di Salvo, Giovanni, Perez, Julio E., Camarozano, Ana Cristina, Corciu, Anca Irina, Boshchenko, Alla, Lattanzi, Fabio, Cotrim, Carlo, Fazendas, Paula, Haberka, Maciej, Sobkowic, Bozena, Kosmala, Wojciech, Witkowski, Tomasz, Gosciniak, Piotr, Salustri, Alessandro, Rodriguez-Zanella, Hugo, Leal, Luis Ignacio Martin, Nikolic, Alexandra, Gligorova, Suzana, Urluescu, Madalina-Loredana, Fiorino, Maria, Novo, Giuseppina, Preradovic-Kovacevic, Tamara, Ostojic, Miodrag, Beleslin, Branko, Villari, Bruno, De Nes, Michele, Paterni, Marco, Carpeggiani, Clara, Andreassi, Maria Grazia, Scali, Mc, Ciampi, Q, Picano, E, Bossone, E, Ferrara, F, Citro, R, Colonna, P, Costantino, Mf, Cortigiani, L, D'Andrea, A, Severino, S, Dodi, C, Gaibazzi, N, Galderisi, M, Barbieri, A, Monte, I, Mori, F, Reisenhofer, B, Re, F, Rigo, F, Trambaiolo, P, Amor, M, Lowenstein, J, Merlo, Pm, Daros, Cb, Pretto, Jlde, Miglioranza, Mh, Torres, Mar, Bellagamba, Ccd, Chaves, Dq, Simova, I, Varga, A, Celutkiene, J, Kasprzak, Jd, Wierzbowska-Drabik, K, Lipiec, P, Weiner-Mik, P, Szymczyk, E, Wdowiak-Okrojek, K, Djordjevic-Dikic, A, Dekleva, M, Stankovic, I, Neskovic, An, Zagatina, A, Di Salvo, G, Perez, Je, Camarozano, Ac, Corciu, Ai, Boshchenko, A, Lattanzi, F, Cotrim, C, Fazendas, P, Haberka, M, Sobkowic, B, Kosmala, W, Witkowski, T, Gosciniak, P, Salustri, A, Rodriguez-Zanella, H, Leal, Lim, Nikolic, A, Gligorova, S, Urluescu, Ml, Fiorino, M, Novo, G, Preradovic-Kovacevic, T, Ostojic, M, Beleslin, B, Villari, B, De Nes, M, Paterni, M, and Carpeggiani, C
- Subjects
Male ,lcsh:Diseases of the circulatory (Cardiovascular) system ,Diagnostic accuracy ,030204 cardiovascular system & hematology ,0302 clinical medicine ,Nuclear Medicine and Imaging ,Reading (process) ,Medicine ,Lung ,media_common ,Controle de qualidade ,certification ,lung comets ,quality control ,stress echocardiography ,wall motion ,General Medicine ,Middle Aged ,Echocardiography ,Female ,Radiology ,Cardiology and Cardiovascular Medicine ,Human ,Echocardiography, Stress ,Quality Control ,Certification ,Lung comets ,Quality control ,Stress echocardiography ,Wall motion ,Humans ,Internet ,Pulmonary Edema ,Radiology, Nuclear Medicine and Imaging ,medicine.medical_specialty ,Correlation coefficient ,media_common.quotation_subject ,Stress ,Lung comet ,Ecocardiografia sob estresse ,03 medical and health sciences ,Echocardiography, Stre ,Internal medicine ,Radiology, Nuclear Medicine and imaging ,Quality (business) ,Doenças cardiovasculares ,business.industry ,030208 emergency & critical care medicine ,Gold standard (test) ,Lung ultrasound ,lcsh:RC666-701 ,Stress Echo ,Nuclear medicine ,business ,Certificação - Abstract
Background The effectiveness trial “Stress echo (SE) 2020” evaluates novel applications of SE in and beyond coronary artery disease. The core protocol also includes 4-site simplified scan of B-lines by lung ultrasound, useful to assess pulmonary congestion. Purpose To provide web-based upstream quality control and harmonization of B-lines reading criteria. Methods 60 readers (all previously accredited for regional wall motion, 53 B-lines naive) from 52 centers of 16 countries of SE 2020 network read a set of 20 lung ultrasound video-clips selected by the Pisa lab serving as reference standard, after taking an obligatory web-based learning 2-h module ( http://se2020.altervista.org ). Each test clip was scored for B-lines from 0 (black lung, A-lines, no B-lines) to 10 (white lung, coalescing B-lines). The diagnostic gold standard was the concordant assessment of two experienced readers of the Pisa lab. The answer of the reader was considered correct if concordant with reference standard reading ±1 (for instance, reference standard reading of 5 B-lines; correct answer 4, 5, or 6). The a priori determined pass threshold was 18/20 (≥ 90%) with R value (intra-class correlation coefficient) between reference standard and recruiting center) > 0.90. Inter-observer agreement was assessed with intra-class correlation coefficient statistics. Results All 60 readers were successfully accredited: 26 (43%) on first, 24 (40%) on second, and 10 (17%) on third attempt. The average diagnostic accuracy of the 60 accredited readers was 95%, with R value of 0.95 compared to reference standard reading. The 53 B-lines naive scored similarly to the 7 B-lines expert on first attempt (90 versus 95%, p = NS). Compared to the step-1 of quality control for regional wall motion abnormalities, the mean reading time per attempt was shorter (17 ± 3 vs 29 ± 12 min, p
- Published
- 2018
19. Quality control of regional wall motion analysis in stress Echo 2020
- Author
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Ivan Stankovic, Bruno Villari, Jorge Lowenstein, Antonello D'Andrea, Angela Zagatina, Marco Fabio Costantino, Sergio Severino, Fausto Rigo, Maria Chiara Scali, Ayana Arystan, Marco Paterni, Clara Carpeggiani, Iana Simova, Jelena Celutkiene, Maurizio Galderisi, Albert Varga, Rodolfo Citro, Marco Antonio Rodrigues Torres, Lauro Cortigiani, Nicola Gaibazzi, Paolo Colonna, Jarosław D. Kasprzak, Eugenio Picano, Ana Djordjevic-Dikic, Giovanni Di Salvo, Daniel Quesada Chaves, Ines Monte, Quirino Ciampi, Pablo Merlo, Fabio Mori, Clarissa Borguezan Daros, Federica Re, Paolo Trambaiolo, Julio E. Pérez, Claudio Dodi, Michele De Nes, Milica Dekleva, Aleksander Neskovic, Laura Massa, Miguel Amor, José Luis de Castro e Silva Pretto, Ciampi, Quirino, Picano, Eugenio, Paterni, Marco, Daros, Clarissa Borguezan, Simova, Iana, Josã© Luis, De Castro E. Silva Pretto, Scali, Maria Chiara, Gaibazzi, Nicola, Severino, Sergio, Djordjevic dikic, Ana, Kasprzak, Jaroslaw D., Zagatina, Angela, Varga, Albert, Lowenstein, Jorge, Merlo, Pablo Martin, Amor, Miguel, Celutkiene, Jelena, Perez, Julio E., DI SALVO, Giovanni, Galderisi, Maurizio, Mori, Fabio, Costantino, Marco Fabio, Massa, Laura, Dekleva, Milica, Chaves, Daniel Quesada, Trambaiolo, Paolo, Citro, Rodolfo, Colonna, Paolo, Rigo, Fausto, Torres, Marco A. R., Monte, Ine, Stankovic, Ivan, Neskovic, Aleksander, Cortigiani, Lauro, Re, Federica, Dodi, Claudio, D'Andrea, Antonello, Villari, Bruno, Arystan, Ayana, De Nes, Michele, Carpeggiani, Clara, de Castro e Silva Pretto, José Lui, Djordjevic-Dikic, Ana, and Di Salvo, Giovanni
- Subjects
Quality Control ,medicine.medical_specialty ,Certification ,Internationality ,media_common.quotation_subject ,Control (management) ,Coronary Disease ,Quality control ,Stress echocardiography ,Wall motion ,Cardiologists ,Clinical Competence ,Echocardiography, Stress ,Humans ,Reproducibility of Results ,Audit ,030204 cardiovascular system & hematology ,Stress ,Credentialing ,Session (web analytics) ,03 medical and health sciences ,0302 clinical medicine ,Reading (process) ,medicine ,Quality (business) ,Medical physics ,030212 general & internal medicine ,Set (psychology) ,media_common ,business.industry ,Cardiology and Cardiovascular Medicine ,Gold standard ,Echocardiography ,Radiology ,business - Abstract
Background: The trial "Stress Echo (SE) 2020" evaluates novel applications of SE beyond coronary artery disease. The aim of the study was control quality and harmonize reading criteria.Methods: One reader from 78 centers of the SE 2020 network asked for credentials to read a set of 20 SE videoclips selected by the core lab. All aspiring centers met the pre-requisite of high-volume and the years of experience in SE ranged from 5 to 31 years (mean value 18 years). The diagnostic gold standard was a reading by the core lab. The a priori determined pass threshold was 18/20 (>= 90%).Results: Of the initial 78 who started, 57 completed the first attempt: individual readers' score on first attempt ranged from 07/20 to 20/20 (accuracy from 35% to 100%, mean 78.7 +/- 13%) and 44 readers passed it. There was a very poor correlation between years of experience and the reader's score on first attempt (r = -0.161, p = 0.231). Of the 13 readers who failed the first attempt, 12 took it again after the web-based session and their accuracy improved (74% vs. 96%, p < 0.001). The kappa inter-observer agreement before and after web-based training was 0.59 on first attempt and rose to 0.91 on the last attempt.Conclusions: In SE reading, the volume of activity or years of experience is not synonymous with diagnostic quality. Qualitative analysis and operator-dependence can become a limiting weakness in clinical practice, in the absence of strict pathways of learning, credentialing and audit. (C) 2017 Elsevier B.V. All rights reserved.
- Published
- 2017
20. Feasibility and functional correlates of left atrial volume changes during stress echocardiography in chronic coronary syndromes.
- Author
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Morrone D, Arbucci R, Wierzbowska-Drabik K, Ciampi Q, Peteiro J, Agoston G, Varga A, Camarozano AC, Boshchenko A, Ryabova T, Dekleva M, Simova I, Lowenstein Haber DM, Tesic M, Boskovic N, Djordjevic-Dikic A, Beleslin B, D'Alfonso MG, Mori F, Rodrìguez-Zanella H, Kasprzak JD, Cortigiani L, Lattanzi F, Scali MC, Torres MAR, Daros CB, de Castro E Silva Pretto JL, Gaibazzi N, Zagatina A, Zhuravskaya N, Amor M, Mieles PEV, Merlo PM, Monte I, D'Andrea A, Re F, Di Salvo G, Merli E, Lorenzoni V, De Nes M, Paterni M, Limongelli G, Prota C, Citro R, Colonna P, Villari B, Antonini-Canterin F, Carpeggiani C, Lowenstein J, and Picano E
- Subjects
- Adrenergic beta-1 Receptor Agonists administration & dosage, Aged, Aged, 80 and over, Argentina, Brazil, Chronic Disease, Coronary Artery Disease physiopathology, Europe, Exercise, Feasibility Studies, Female, Heart Atria physiopathology, Humans, Italy, Male, Middle Aged, Predictive Value of Tests, Prospective Studies, Syndrome, Vasodilator Agents administration & dosage, Atrial Function, Left, Atrial Pressure, Coronary Artery Disease diagnostic imaging, Echocardiography, Doppler, Pulsed, Echocardiography, Stress, Heart Atria diagnostic imaging
- Abstract
An enlarged left atrial volume index (LAVI) at rest mirrors increased LA pressure and/or impairment of LA function. A cardiovascular stress may acutely modify left atrial volume (LAV) within minutes. Aim of this study was to assess the feasibility and functional correlates of LAV-stress echocardiography (SE) Out of 514 subjects referred to 10 quality-controlled labs, LAV-SE was completed in 490 (359 male, age 67 ± 12 years) with suspected or known chronic coronary syndromes (n = 462) or asymptomatic controls (n = 28). The utilized stress was exercise in 177, vasodilator in 167, dobutamine in 146. LAV was measured with the biplane disk summation method. SE was performed with the ABCDE protocol. The intra-observer and inter-observer LAV variability were 5% and 8%, respectively. ∆-LAVI changes (stress-rest) were negatively correlated with resting LAVI (r = - 0.271, p < 0.001) and heart rate reserve (r = -.239, p < 0.001). LAV-dilators were defined as those with stress-rest increase ≥ 6.8 ml/m
2 , a cutoff derived from a calculated reference change value above the biological, analytical and observer variability of LAVI. LAV dilation occurred in 56 patients (11%), more frequently with exercise (16%) and dipyridamole (13%) compared to dobutamine (4%, p < 0.01). At multivariable logistic regression analysis, B-lines ≥ 2 (OR: 2.586, 95% CI = 1.1293-5.169, p = 0.007) and abnormal contractile reserve (OR: 2.207, 95% CI = 1.111-4.386, p = 0.024) were associated with LAV dilation. In conclusion, LAV-SE is feasible with high success rate and low variability in patients with chronic coronary syndromes. LAV dilation is more likely with reduced left ventricular contractile reserve and pulmonary congestion.- Published
- 2021
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