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9. The Italian SurveY on carDiac rEhabilitation - 2008 (ISYDE-2008): a snapshot of current cardiac rehabilitation programmes and provides in Italy Part 2: ISYDE-2008 investigators and directory of italian cardiac rehabilitation centers

Author

Tramarin R., De Feo S., Ambrosetti M., Griffo R., Maslowsky F., Vaghi P., Riccio C., Carlon R., Castello A., Ferratini M., Schweiger C., Chieffo C., Diaco T., Ciglia C., Lapolla A., Pietropaolo F., Furgi G., Martin G., Semprini P., Avallone A., Bertoli D., Belardinelli R., Soffiantino F., Scrutinio D., Maxia P., Coco R., Giustarini C., Anniboletti P., Favretto G., Calisi P., Chiavetta C., Guarracini L., Marcellini G., Iannopollo M., Borrello G., Matta M., Peccerillo N., Boncompagni F., Amici A., Feraco E., Pulitano G., Tripodi E., Capomolla S., Golino P., Parrilli G., Di Patria A., Di Gioia C., Miceli D., Perrotta S., Rubino A., Aulitto V., Riccio G., Codec L., Coruzzi P., Violi E., Nardini M., Urbinati S., Dcruz S., Piepoli M., Fucili A., Cerulli M., Roberto B., Balestra G., Tuniz D., Gori P., Marini R., Morgera T., Di Mario F., Volterrani M., Galati A., Salustri A., Jesi A.P., Lacch A., Loperfido F., Corsiglia L., Pantaleo P., Gigli G., Marchesi D., Febo O., Cobelli F., Malinverni C., Jones N., Anzà C., Frizzelli R., Gei P., Acquistapace F., Carugo S., Malfatto G., Meloni C., Giordano A., Schizzarotto A., Zanettini R., Bosco R., Aglieri S., Caprioli G., Cuocina N., Salvetti S., Savonelli C., Corda G., Meinecke C., Castiglioni, Pierfranco R., Giani P., Robustelli F., Gullace G., Passoni F., Barelli M.V., Richichi I., Rossi A., Politi, Persico M., Alessandrini F., Giannuzzi P., Mazzucco G., Bosimini E., Riva G., Massobrio N., Gondoni L., Aina F., Ingignoli B., Cal M.V., Carpagnano A., Costante A., Villella M., La Rosa C., Sannia L., Barbanto P., Rametta R., Albanese D., Circo A., Raciti R., Scarnato L., Dispensa F., La Spina L., Stuto A., Vasco C., Gibiino S., Gabriele M., Dispensieri C., Carini V., Provvidenza M., Scalzini A., Macchi C., Vannucci M., Iacopetti L., Cordoni M., Gabriele F., Pitscheider W., Bettini R., Girardini D., Mandorla S., Anniboletti F., Patriarchi F., Baroni P.L., Bordin F., Biondi P., Bellotto F., Zanocco A., Ponchia A., Mantovani E., Li Greci E., Celegon L., Baracchi S., Pizzolato G., Peroni L., Apolloni E., Guarniero M., Roncon L., VIGORITO, CARLO, Tramarin, R., De Feo, S., Ambrosetti, M., Griffo, R., Maslowsky, F., Vaghi, P., Riccio, C., Carlon, R., Castello, A., Ferratini, M., Schweiger, C., Chieffo, C., Vigorito, Carlo, Diaco, T., Ciglia, C., Lapolla, A., Pietropaolo, F., Furgi, G., Martin, G., Semprini, P., Avallone, A., Bertoli, D., Belardinelli, R., Soffiantino, F., Scrutinio, D., Maxia, P., Coco, R., Giustarini, C., Anniboletti, P., Favretto, G., Calisi, P., Chiavetta, C., Guarracini, L., Marcellini, G., Iannopollo, M., Borrello, G., Matta, M., Peccerillo, N., Boncompagni, F., Amici, A., Feraco, E., Pulitano, G., Tripodi, E., Capomolla, S., Golino, P., Parrilli, G., Di Patria, A., Di Gioia, C., Miceli, D., Perrotta, S., Rubino, A., Aulitto, V., Riccio, G., Codec, L., Coruzzi, P., Violi, E., Nardini, M., Urbinati, S., Dcruz, S., Piepoli, M., Fucili, A., Cerulli, M., Roberto, B., Balestra, G., Tuniz, D., Gori, P., Marini, R., Morgera, T., Di Mario, F., Volterrani, M., Galati, A., Salustri, A., Jesi, A. P., Lacch, A., Loperfido, F., Corsiglia, L., Pantaleo, P., Gigli, G., Marchesi, D., Febo, O., Cobelli, F., Malinverni, C., Jones, N., Anzà, C., Frizzelli, R., Gei, P., Acquistapace, F., Carugo, S., Malfatto, G., Meloni, C., Giordano, A., Schizzarotto, A., Zanettini, R., Bosco, R., Aglieri, S., Caprioli, G., Cuocina, N., Salvetti, S., Savonelli, C., Corda, G., Meinecke, C., Castiglioni, Pierfranco, R., Giani, P., Robustelli, F., Gullace, G., Passoni, F., Barelli, M. V., Richichi, I., Rossi, A., Politi, Persico, M., Alessandrini, F., Giannuzzi, P., Mazzucco, G., Bosimini, E., Riva, G., Massobrio, N., Gondoni, L., Aina, F., Ingignoli, B., Cal, M. V., Carpagnano, A., Costante, A., Villella, M., La Rosa, C., Sannia, L., Barbanto, P., Rametta, R., Albanese, D., Circo, A., Raciti, R., Scarnato, L., Dispensa, F., La Spina, L., Stuto, A., Vasco, C., Gibiino, S., Gabriele, M., Dispensieri, C., Carini, V., Provvidenza, M., Scalzini, A., Macchi, C., Vannucci, M., Iacopetti, L., Cordoni, M., Gabriele, F., Pitscheider, W., Bettini, R., Girardini, D., Mandorla, S., Anniboletti, F., Patriarchi, F., Baroni, P. L., Bordin, F., Biondi, P., Bellotto, F., Zanocco, A., Ponchia, A., Mantovani, E., Li Greci, E., Celegon, L., Baracchi, S., Pizzolato, G., Peroni, L., Apolloni, E., Guarniero, M., and Roncon, L.

Subjects
Pulmonary and Respiratory Medicine, Studio ISYDE, medicine.medical_specialty, Time Factors, Cardiologia Riabilitativa, medicine.medical_treatment, lcsh:Medicine, Directory, Rehabilitation Centers, Risk profile, medicine, Directories as Topic, Internet, Cardiac Rehabilitation, Rehabilitation, business.industry, Core component, Prevenzione Secondaria, lcsh:R, Health Surveys, Government Programs, Italy, Cardiovascular Diseases, Physical therapy, Snapshot (computer storage), Cardiology and Cardiovascular Medicine, business
Abstract

From January 28th to February 10th, 2008 the Italian Society of Cardiac Rehabilitation and Prevention (GICR) conducted a national web-based survey aimed to provide specific and updated information on organization and core components of cardiac rehabilitation (CR) in Italy, and to describe, both in residential and out-patient settings, indications for CR, clinical characteristics of referred patients, risk profile, performed diagnostic procedures, exercise and educational programme, treatments and arrangements for the follow-up [1, 2]. The ISYDE-2008 is a multicenter, longitudinal, prospective observation study whose design was previously described [1, 2].

Published
2016

13. Quality of work experience after angioplasty or heart surgery: a monocentric cohort study

Author

Miglioretti, M, Gragnano, A, Baiardo, G, Savioli, G, Corsiglia, L, Griffo, R, Miglioretti, M, Gragnano, A, Baiardo, G, Savioli, G, Corsiglia, L, and Griffo, R

Abstract

Purpose: The study evaluated work experience changes and its determinants after return to work (RTW) in angioplasty or heart surgery patients. Methods: During a 1-year period (2014) in a Rehabilitation Hospital in northwestern Italy, we approached 253 patients (19.3% of inpatients). 199 patients consented to complete a survey on job characteristics, job satisfaction, job involvement, illness perception, depression, anxiety, adherence to therapy, and sociodemographic characteristics. The data were analysed with paired sample t tests and random intercept regression models. Results: 156 patients completed both the baseline and the 6-month follow-up assessments. After 6 months, 137 (88%) patients return to work (86% male, M age = 51.9 ± 8.1). The patients predominantly underwent angioplasty/bypass (46%) or valve replacement/repair (38%). Work hours (WO), job satisfaction (JS), and job involvement (JI) significantly decreased after RTW (WO: t(132)= 2.07, p < 0.05; JS: t(134)= 2.56, p < 0.05; JI: t(129)= 4.14, p < 0.001). The decrease in work hours over time was associated with a within-subjects decrease in psychological job demands (Î2 = 5.107, t(112.1) = 2.21, p < 0.05) and job satisfaction (Î2 = 2.498, t(112.92)= 2.265, p < 0.05) and an increase in physical job demands (Î2 = − 1.314, t(112.07)= − 2.416, p < 0.05). The decrease in job satisfaction over time was related to a within-subjects decrease in decision latitude (Î2 = 0.505, t(116.43)= 2.825, p < 0.01) and an increase in psychological job demand (Î2 = − 0.586, t(116.78)= − 3.141, p < 0.01). The decrease in job involvement over time was associated with a decrease in physical job demands (Î2 = 0.063, t(117.19) = 2.157, p < 0.05) within-subjects. Conclusions: The study showed that many patients who RTW after angioplasty or heart surgery have poorer work experiences relative to changes in psychological and physical demands and more passive roles.

Published
2018

14. ICAROS (Italian survey on CardiAc RehabilitatiOn and Secondary prevention after cardiac revascularization): temporary report of the first prospective, longitudinal registry of the cardiac rehabilitation network GICR/IACPR

Author

Griffo R, Temporelli PL, Fattirolli F, Ambrosetti M, Tramarin R, Vestri AR, De Feo S, Tavazzi L, ICAROS, VIGORITO, CARLO, Griffo, R, Temporelli, Pl, Fattirolli, F, Ambrosetti, M, Tramarin, R, Vestri, Ar, De Feo, S, Tavazzi, L, Vigorito, Carlo, and Icaros

Subjects
Pulmonary and Respiratory Medicine, medicine.medical_specialty, Heart Diseases, medicine.medical_treatment, Health Behavior, MEDLINE, lcsh:Medicine, Revascularization, recommended lifestyle targets, Percutaneous Coronary Intervention, Risk Factors, Secondary Prevention, Humans, Medicine, Registries, Coronary Artery Bypass, Medical prescription, Risk factor, Life Style, Secondary prevention, Rehabilitation, drug prescription, business.industry, lcsh:R, Percutaneous coronary intervention, lifestyle intervention, Cardiovascular Prevention and Rehabilitation, treatment adherence, cardiac rehabilitation, Italy, Cardiovascular Diseases, Emergency medicine, Conventional PCI, Physical therapy, Patient Compliance, revascularization, Cardiology and Cardiovascular Medicine, business
Abstract

The Italian survey on CardiAc RehabilitatiOn and Secondary prevention after cardiac revascularization (ICAROS) was a multicenter, prospective, longitudinal survey carried out by the Italian Association on Cardiovascular Prevention and Rehabilitation (GICR/IACPR) in patients on completion of a CR program after coronary artery by pass grafting (CABG) and percutaneous coronary intervention (PCI). The aim was to evaluate in the short and medium term: i) the cardioprotective drug prescription, modification and adherence; ii) the achievement and maintenance of recommended lifestyle targets and risk factor control and their association with cardiovascular events; iii) the predictors of non-adherence to therapy and lifestyle recommendations. The ICAROS results offers a portrait of the “real world” of clinical practice concerning patients after CABG and PCI, and stresses the need to improve secondary prevention care after the index event: many patients after revascularization leave the acute wards without an optimal prescription of preventive medication but the prescription of cardiopreventive drugs and risk factors control is excellent after completion of a CR program. Following CR, the maintenance of evidence-based drugs and lifestyle adherence at one year is fairly good as far as the target goals of secondary prevention are concerned, but to investigate the influence of CR on long term outcome longer term studies are required. Last, but not least, ICAROS shows that some characteristics (PCI as index event, living alone, poor eating habits or smoking in young age, and old age, in particular with comorbidities) may identify patients with poor behavioral modification in the medium term follow-up and in these patients further support may be warranted. In conclusion, participation in CR results in excellent treatment after revascularization, as well as a good lifestyle and medication adherence at 1 year and provides further confirmation of the the benefit of secondary prevention.

Published
2015

15. Cinipide del castagno, cresce il controllo biologico in Campania

Author

Bernardo U., Nugnes F., Gualtieri L., Scarpato S., Gargiulo G., and Griffo R.

Subjects
no key words
Abstract

I campionamenti effettuati nel 2016 e 2017 evidenziano un buon insediamento del parassitoide T. sinensis nelle diverse province campane. Tale risultato fa ben sperare per un prossimo contenimento del cinipide al di sotto della soglia di danno

Published
2017

16. Italian Survey on Prevalence and Disease Management of Chronic Heart Failure and Chronic Obstructive Pulmonary Disease comorbidity in ambulatory patients. SUSPIRIUM study rationale and design

Author

Griffo, R., Spanevello, A., Temporelli, P.l., Faggiano, P., Carones, M., Magni, G., Ambrosino, N., Tavazzi, L, Giannuzzi, P., Balbi, B., Caporotondi, A., Fracchia, C., Pedretti, R.f., Del Corso, L., Scrabogna, P., Passantino, A., Carone, M., Chieffo, C., de Blasio, F., Bertoli, D., Bancalari, L., Fattirolli, F., Pistoiesi, M., Carlon, R., Idotta, G., VIGORITO, CARLO, MORMILE, MAURO, Griffo, R., Spanevello, A., Temporelli, P. l., Faggiano, P., Carones, M., Magni, G., Ambrosino, N., Tavazzi, L, Giannuzzi, P., Balbi, B., Caporotondi, A., Fracchia, C., Pedretti, R. f., Del Corso, L., Scrabogna, P., Passantino, A., Carone, M., Chieffo, C., de Blasio, F., Bertoli, D., Bancalari, L., Fattirolli, F., Pistoiesi, M., Carlon, R., Idotta, G., Vigorito, Carlo, and Mormile, Mauro

Subjects
Heart Failure, Pulmonary Disease, Chronic Obstructive, Italy, Health Care Survey, Patient Selection, Chronic Disease, Peptide, Prevalence, Comorbidity, Human
Abstract

Chronic heart failure (CHF) and chronic obstructive pulmonary disease (COPD) are leading causes of morbidity and mortality worldwide. Through shared risk factors and pathophysiological mechanisms, CHF and COPD frequently coexist. The concurrent disease has important therapeutic implications and independently predicts worsened mortality, impaired functional status, and health service use. However, assessment of the comorbidity varies widely according to the population studied, diagnostic criteria and measurement tools applied. Both syndromes have been studied extensively but largely separately, mostly in the domain of the pulmonologist for COPD and in the domain of the cardiologist for CHF.

Published
2014

18. Prognostic significance of serum uric acid in outpatients with chronic heart failure is complex and related to body mass index: Data from the IN-CHF Registry

Author

Baldasseroni, S, Urso, R, Maggioni, Ap, Orso, F, Fabbri, G, Marchionni, N, Tavazzi, L, the IN CHF Investigators: Mezzani, A, Bielli, M, Milanese, G, Ugliengo, G, Pozzi, R, Rabajoli, F, Bosimini, E, Begliuomini, G, Ferrari, A, Barzizza, F, Valsecchi, F, Dadda, F, Faggiano, P, Castiglioni, G, Gibelli, G, Turelli, Al, Belluschi, R, Bianchi, C, Emanuelli, C, Gramenzi, S, Foti, S, 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, Zambald, 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, Midi, P, 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, Amadeo, 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, 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, Domenico, DE GREGORIO, Cesare, Mongiovı, M, Schillaci, Am, Mirto, Ij, Clemenza, F, Ingrillı, 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, Endocrinology, Diabetes and Metabolism, Medicine (miscellaneous), Hyperuricemia, Models, Biological, Severity of Illness Index, Body Mass Index, chemistry.chemical_compound, Thinness, Internal medicine, Severity of illness, Ambulatory Care, Humans, Medicine, Registries, Mortality, Survival analysis, Aged, Retrospective Studies, Aged, 80 and over, Heart Failure, Nutrition and Dietetics, business.industry, Hazard ratio, Middle Aged, Prognosis, medicine.disease, Survival Analysis, Confidence interval, Uric Acid, Surgery, Italy, chemistry, Heart failure, Cardiology, Uric acid, Female, Cardiology and Cardiovascular Medicine, business, Body mass index
Abstract

In the field of cardiovascular diseases, elevated levels of serum uric acid (UA) reflect a marked activation of the xanthine oxidase pathway with increase in free radicals production; it is often associated with an inflammatory state, oxygen consumption and endothelial dysfunction. All these associations have been also confirmed in heart failure (HF) but the pathophysiological role of UA in this setting is not well understood. The aim of this study was to evaluate the prognostic role of UA in outpatients enrolled in the Italian Registry of Congestive Heart Failure (IN-CHF).All patients met the European Society of Cardiology (ESC) criteria for diagnosis of HF. We considered patients with complete clinical data and UA level available at the baseline and at 1-year follow-up. The study population was composed of 877 patients aged 63 ± 12 years. One-year mortality was 10.8% and dead patients had a higher level of UA than survivors (7.1 mg dl⁻¹ vs 6.6 mg dl⁻¹, p0.0207). In multivariable full model of analysis, UA did not result in an independent predictor of death in overall population, but only in patients with low body mass index (BMI) (≤22 kg m⁻²) (hazard ratio (HR): 2.38, 95% confidence interval (CI) 1.36-4.18). In this subgroup, a statistically significant gradual relationship between UA and survival was detected starting from values higher than 8 mg dl⁻¹.Elevated level of UA is not an independent predictor of mortality in chronic HF, but it markedly worsens outcome if associated with low level of BMI. This association is likely an indicator of chronic inflammatory and catabolic state.

Published
2012

19. Italian guidelines on cardiac rehabilitation and secondary prevention of cardiovascular disease: Executive summary

Author

Griffo R., Urbinati S., Giannuzzi P., Jesi A. P., Sommaruga M., Sagliocca L., Bianco E., Tassoni G., Iannucci M., Sanges D., Baldi C., Rociola R., Carbonelli M. G., Familiari M. G., Cristinziani G. R., Amari C., Richichi I., Alessandrini F., Mordenti F., Mauro B., Mozzetta S., Miglioretti M., Buchberger R., Cammarano R., Sampaolo L., Pellegrini L., Rusticali B., Mele A., Ceci V., Chieffo C., Bolognese L., Schweiger C., Michielin P., Baglio G., Nobile A., Scrutinio D., VIGORITO, CARLO, Griffo, R, Urbinati, S, Giannuzzi, P, Jesi, A, Sommaruga, M, Sagliocca, L, Bianco, E, Tassoni, G, Iannucci, M, Sanges, D, Baldi, C, Rociola, R, Carbonelli, M, Familiari, M, Cristinziani, G, Amari, C, Richichi, I, Alessandrini, F, Mordenti, F, Mauro, B, Mozzetta, S, Miglioretti, M, Buchberger, R, Cammarano, R, Sampaolo, L, Pellegrini, L, Rusticali, B, Mele, A, Ceci, V, Chieffo, C, Bolognese, L, Schweiger, C, Michielin, P, Baglio, G, Nobile, A, Scrutinio, D, Vigorito, C, Griffo, R., Urbinati, S., Giannuzzi, P., Jesi, A. P., Sommaruga, M., Sagliocca, L., Bianco, E., Tassoni, G., Iannucci, M., Sanges, D., Baldi, C., Rociola, R., Carbonelli, M. G., Familiari, M. G., Cristinziani, G. R., Amari, C., Richichi, I., Alessandrini, F., Mordenti, F., Mauro, B., Mozzetta, S., Miglioretti, M., Buchberger, R., Cammarano, R., Sampaolo, L., Pellegrini, L., Rusticali, B., Mele, A., Ceci, V., Chieffo, C., Bolognese, L., Schweiger, C., Michielin, P., Baglio, G., Nobile, A., Scrutinio, D., and Vigorito, Carlo

Subjects
Adult, Male, Heart Diseases, Cardiologia Riabilitativa, Myocardial Infarction, Guideline, Cardiovacular Disease, World Health Organization, Meta-Analysis as Topic, Risk Factors, Surveys and Questionnaires, Secondary Prevention, Humans, Exercise, Life Style, Aged, Randomized Controlled Trials as Topic, Cardiac Rehabilitation, Primary Health Care, Prevenzione Secondaria, cardiac rehabilitation, cardiovascular disease, Psychotherapy, Italy, Cardiovascular Diseases, Patient Satisfaction, Practice Guidelines as Topic, Quality of Life, Prevenzione Cardiovascolare, Female, Follow-Up Studies
Published
2008

20. Effective secondary prevention through cardiac rehabilitation after coronary revascularization and predictors of poor adherence to lifestyle modification and medication. Results of the ICAROS Survey

Author

Griffo R, Ambrosetti M, Tramarin R, Fattirolli F, Temporelli PL, Vestri AR, De Feo S, Tavazzi L, ICAROS investigators, VIGORITO, CARLO, Griffo, R, Ambrosetti, M, Tramarin, R, Fattirolli, F, Temporelli, Pl, Vestri, Ar, De Feo, S, Tavazzi, L, Vigorito, Carlo, and Icaros, Investigators

Subjects
Male, Lifestyle intervention, medicine.medical_specialty, medicine.medical_treatment, Cardiac rehabilitation, Logistic regression, Revascularization, Coronary artery bypass surgery, Percutaneous coronary intervention, Treatment adherence, Predictive Value of Tests, Internal medicine, medicine, Secondary Prevention, Humans, cardiovascular diseases, Longitudinal Studies, Prospective Studies, Registries, Aged, Secondary prevention, Rehabilitation, business.industry, Cardiovascular Agents, Middle Aged, Coronary revascularization, Cross-Sectional Studies, Treatment Outcome, Italy, Cardiovascular Diseases, Conventional PCI, Physical therapy, Patient Compliance, Female, Cardiology and Cardiovascular Medicine, business, Risk Reduction Behavior, Follow-Up Studies
Abstract

Background and aim: Secondary prevention is a priority after coronary revascularization. We investigate the impact of a cardiac rehabilitation (CR) program on lifestyle, risk factors and medication modifications and analyze predictors of poor behavioral changes and events in patients after coronary artery bypass grafting (CABG) or percutaneous coronary intervention (PCI). Methods: Multicenter (n = 62), prospective, longitudinal survey in post-CABG or -PCI consecutive patients after a comprehensive CR program. Cardiac risk factors, lifestyle habits, medication and 1 year cardiovascular events were collected. Logistic regression analyzed the association between risk factors, events and predictors of non-adherence to treatment and lifestyle. Results: At 1 year, of the 1262 patients (66 ± 10 years, CABG 69%, PCI 31%), 94% were taking antiplatelet agents (vs. 91.8% at CR admission and 91.7% at CR discharge, p = ns), 87% statins (vs. 67.5%, p

Published
2013

23. Microwave heating: a promising and eco-compatible solution to fight the spread of red palm weevil.

Author

Massa, R., Panariello, G., Migliore, M. D., Pinchera, D., Schettino, F., Griffo, R., Martano, M., Power, K., Maiolino, P., and Caprio, E.

Subjects
DATE palm, MICROWAVE heating, ORNAMENTAL plants, CURCULIONIDAE, TEMPERATURE control, PEST control, PALMS
Abstract

Copyright of Arab Journal of Plant Protection is the property of Arab Society for Plant Protection and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Published
2019
Full Text
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24. Transient heart failure occurring in the acute and/or rehabilitative phase after coronary revascularization as a determinant of 1-year prognosis

Author

Ambrosetti M, Griffo R, Fattirolli F, Tramarin R, De Feo S, Vestri A, Temporelli PL, GIALLAURIA, FRANCESCO, VIGORITO, CARLO, Ambrosetti, M, Griffo, R, Fattirolli, F, Tramarin, R, De Feo, S, Vestri, A, Giallauria, Francesco, Vigorito, Carlo, and Temporelli, Pl

Subjects
coronary revascularization, Transient heart failure, rehabilitative
Abstract

Transient heart failure (THF) after cardiac events is associated to worse cardiovascular prognosis, however little is known about THF occurring in the acute and rehabilitative phase following coronary artery bypass grafting and percutaneous coronary intervention interventions. To address this issue, patients in the Italian survey on cardiac rehabilitation and secondary prevention after cardiac revascularization (ICAROS) were analysed for time of onset, associated factors, and outcome of THF. ICAROS was a prospective, multicentre registry involving 1,262 patients discharged from 62 cardiac rehabilitation (CR) facilities nationwide, comprehensive of risk factors, lifestyle habits, drug treatments, and major cardiovascular events (MACE) assessment during a 1-year follow-up. THF was defined either as signs and symptoms consistent with decompensation or patients presenting with either cardiogenic shock or pulmonary oedema. Overall, 96 (7.6%) patients developed THF after coronary revascularization, with 69.8% of cases in acute wards, 22.9% during CR, and 7.3% in both settings. THF affected more frequently patients with chronic heart failure or long history of coronary artery disease (42.7% versus 30.6% in patients without chronic cardiac condition, p < 0.005). Age 75 years (33.3%), chronic obstructive pulmonary disease (19.8%), and chronic renal failure (17.7%) were also significantly more represented in the THF group. At the end of CR, THF patients were prescribed more diuretics (78.9% non-potassium sparing, 36.8% potassium sparing) insulin (17.9%), and anticoagulants (32.3%). During follow-up, THF patients maintained similar rates of ongoing cardioprotective drugs as compared to controls, with less prescription of statins (64.6% versus 82.2%, p < 0.001). The case crossover comparison between the end of CR and after one year showed good persistence of reninangiotensin- aldosterone system modulators (90.6%) and beta-blockers (83.3%). Mortality (8.3% versus 1.6%, p < 0.001) and MACEs (21.9% versus 8.1%, p < 0.001) occurred more frequently among THF patients; further episodes of decompensated heart failure (10.4 versus 2.4%, p < 0.001) were the most represented events. THF independently predicted adverse outcome with a OR for recurrent events of 2.451 (CI 1.403-4.282), as compared to patients without THF. THF is a major determinant of prognosis after coronary revascularization, with a good predictive value also for episodes occurring during the CR program.

Published
2012

25. Transient heart failure occurring in the acute and/or rehabilitative phase after coronaryrevascularization as a determinant of 1-year prognosis

Author

Ambrosetti M, Griffo R, Fattirolli F, Tramarin R, De Feo S, Vestri A, Temporelli P., GIALLAURIA, FRANCESCO, VIGORITO, CARLO, Ambrosetti, M, Griffo, R, Fattirolli, F, Tramarin, R, De Feo, S, Vestri, A, Giallauria, Francesco, Vigorito, Carlo, and Temporelli, P.

Abstract

Transient heart failure (THF) after cardiac events is associated to worse cardiovascular prognosis, however little is known about THF occurring in the acute and rehabilitative phase following coronary artery bypass grafting and percutaneous coronary intervention interventions. To address this issue, patients in the Italian survey on cardiac rehabilitation and secondary prevention after cardiac revascularization (ICAROS) were analysed for time of onset, associated factors, and outcome of THF. ICAROS was a prospective, multicentre registry involving 1,262 patients discharged from 62 cardiac rehabilitation (CR) facilities nationwide, comprehensive of risk factors, lifestyle habits, drug treatments, and major cardiovascular events (MACE) assessment during a 1-year follow-up. THF was defined either as signs and symptoms consistent with decompensation or patients presenting with either cardiogenic shock or pulmonary oedema. Overall, 96 (7.6%) patients developed THF after coronary revascularization, with 69.8% of cases in acute wards, 22.9% during CR, and 7.3% in both settings. THF affected more frequently patients with chronic heart failure or long history of coronary artery disease (42.7% versus 30.6% in patients without chronic cardiac condition, p < 0.005). Age 75 years (33.3%), chronic obstructive pulmonary disease (19.8%), and chronic renal failure (17.7%) were also significantly more represented in the THF group. At the end of CR, THF patients were prescribed more diuretics (78.9% non-potassium sparing, 36.8% potassium sparing) insulin (17.9%), and anticoagulants (32.3%). During follow-up, THF patients maintained similar rates of ongoing cardioprotective drugs as compared to controls, with less prescription of statins (64.6% versus 82.2%, p < 0.001). The case crossover comparison between the end of CR and after one year showed good persistence of reninangiotensin- aldosterone system modulators (90.6%) and beta-blockers (83.3%). Mortality (8.3% versus 1.6%, p < 0.001) and MACEs (21.9% versus 8.1%, p < 0.001) occurred more frequently among THF patients; further episodes of decompensated heart failure (10.4 versus 2.4%, p < 0.001) were the most represented events. THF independently predicted adverse outcome with a OR for recurrent events of 2.451 (CI 1.403-4.282), as compared to patients without THF. THF is a major determinant of prognosis after coronary revascularization, with a good predictive value also for episodes occurring during the CR program.

Published
2012

26. Clinical characteristics and course of patients entering cardiac rehabilitation withchronic kidney disease: data from the Italian Survey on Cardiac Rehabilitation(ISYDE)

Author

GIALLAURIA, FRANCESCO, VIGORITO, CARLO, Fattirolli F, Tramarin R, Griffo R, Ambrosetti M, Riccio C, Temporelli PL, Giallauria, Francesco, Fattirolli, F, Tramarin, R, Griffo, R, Ambrosetti, M, Riccio, C, Temporelli, Pl, and Vigorito, Carlo

Subjects
cardiac rehabilitation, chronic kidney disease, ISYDE
Abstract

Purpose: Data from the Italian SurveY on carDiac rEhabilitation (ISYDE-2008) provide insight into the characteristics and clinical course of patients with chronic kidney disease (CKD) admitted to Cardiac Rehabilitation (CR) programs. Methods: Data from 165 CR units were collected online from January 28th to February 10th, 2008. Results: The study cohort consisted of 2281 patients (66.911.8 yrs); 200 (71.312.2 yrs, 66% male) CKD patients and 2081 (66.311.6 yrs, 74% male) non-CKD patients. Compared to non-CKD, CKD patients were older and their admission diagnosis of acute myocardial infarction, myocardial revascularization or heart failure was more frequent. They also showed more cardiac and non cardiac comorbidities, mostly diabetes, chronic obstructive lung disease and cognitive impairment. During the course of CR, CKD patients had reduced access to exercise functional evaluation, more complications (particularly atrial fibrillation, worsening of chronic kidney disease and anaemia) requiring more intense medical treatment, and longer length of in-hospital stay. CKD patients were less likely discharged at home (88% versus 91%, p¼0.05), were more likely transferred to the intensive care units (8% versus 4%, p¼0.005), and had higher death rate during CR programs (2.0% versus 0.5%, p¼0.02). After adjusting for age, ejection fraction, comorbidities (acute myocardial infarction, percutaneous coronary intervention, cardiac surgery, carotid artery critical lesions, peripheral artery disease, respiratory insufficiency, heart failure, diabetes, stroke and cognitive impairment), and complications during CR program (atrial fibrillation and severe ventricular arrhythmias), multivariate logistic analysis showed that heart failure (OR 1.6, 95% CI, 1.1 to 2.4, p¼0.04), respiratory insufficiency (OR 2.4, 95% CI, 1.4 to 4.0, p¼0.0007), and cognitive impairment (OR 4.5, 95% CI, 2.5 to 8.1, p < 0.0001) were significant predictors of death during the CR program in CKD patients. Conclusions: This subanalysis of the ISYDE-2008 survey provided a detailed snapshot of the clinical characteristics, complexity and more severe clinical course of patients admitted to CR presenting with CKD.

Published
2012

27. Cardiac rehabilitation in chronic heart failure patients: data from the italian survey on cardiac rehabilitation (ISYDE)

Author

GIALLAURIA, FRANCESCO, VIGORITO, CARLO, Fattirolli F, Tramarin R, Ambrosetti M, Griffo R, Riccio C, Temporelli PL, Giallauria, Francesco, Fattirolli, F, Tramarin, R, Ambrosetti, M, Griffo, R, Riccio, C, Temporelli, Pl, and Vigorito, Carlo

Subjects
chronic heart failure patient, Cardiac rehabilitation, ISYDE
Abstract

Background: Data from the Italian SurveY on carDiac rEhabilitation (ISYDE-2008) provide insight into the level of implementation of Cardiac Rehabilitation (CR) in patients with chronic heart failure (CHF). Methods: Data from 165 CR units were collected online from January 28th to February 10th, 2008. Results: The study cohort consisted of 2281 patients (66.911.8 yrs); 285 (71.312.2 yrs, 66% male) CHF patients and 1996 (66.311.6 yrs, 74% male) non-CHF patients. Compared to non-CHF, CHF patients were older, showed more comorbidity, and had a lower left ventricular ejection fraction (EF). During the course of CR, CHF patients had reduced access to functional evaluation, underwent more complications, and had less secondary prevention information and a longer length of in-hospital stay. CHF patients were also more likely transferred to intensive care units (9% versus 3%, p < 0.0001), and less likely discharged at home (85% versus 92%, p < 0.0001), respectively, compared to non-CHF patients. Discharge medications were significantly different in CHF as compared to non-CHF patients. Finally, CHF patients had higher death rate during CR programs (1.7% versus 0.5%, p¼0.01). After adjusting for age, ejection fraction, comorbidity and complications during CR program, multivariate logistic analysis showed that respiratory insufficiency (OR 2.3, 95% CI, 1.3-4.1, p¼0.002), acute kidney insufficiency or worsening chronic kidney disease (OR 2.9, 95% CI, 1.5-5.6, p¼0.001) and cognitive impairment (OR 3.7, 95% CI, 2.0-6.7, p < 0.001) were significant predictors of death in CHF patients. Conclusions: The ISYDE-2008 survey provided a detailed snapshot of CR in CHF patients, and confirmed the complexity and the differences in clinical presentation and course of CHF patients entering CR programs.

Published
2012

28. Cardiac Rehabilitation in very old patients: data from the Italian Survey on Cardiac Rehabilitation - 2008 (ISYDE 2008) - Official Report of the Italian Association for Cardiovascular Prevention, Rehabilitation and Epidemiology (GICR-IACPR)

Author

GIALLAURIA, FRANCESCO, VIGORITO, CARLO, Tramarin R, Fattirolli F, Ambrosetti M, De Feo S, Griffo R, Riccio C., Giallauria, F, Vigorito, Carlo, Tramarin, R, Fattirolli, F, Ambrosetti, M, De Feo, S, Griffo, F, Riccio, C., Giallauria, Francesco, and Griffo, R

Subjects
Cardiac Rehabilitation, ISYDE 2008, very old patient
Published
2011

29. Idrofite aliene in Campania (Sud Italia)

Author

STINCA, ADRIANO, D’AURIA G., BONANOMI, GIULIANO, MIGLIOZZI A., GRIFFO R., MOTTI, RICCARDO, Stinca, Adriano, D’Auria, G., Bonanomi, Giuliano, Migliozzi, A., Griffo, R., and Motti, Riccardo

Published
2011

32. Cardiac rehabilitation in very old patients: data from the Italian Survey onCardiac Rehabilitation-2008 (ISYDE-2008)--official report of the ItalianAssociation for Cardiovascular Prevention, Rehabilitation, and Epidemiology

Author

GIALLAURIA, FRANCESCO, VIGORITO, CARLO, Tramarin R, Fattirolli F, Ambrosetti M, De Feo S, Griffo R, Riccio C, Piepoli M, Guarracini L, Ciglia C, Marcellini G, Iannopollo M, Borrello G, Matta M, Peccerillo N, Boncompagni F, Amici A, Pietropaolo F, Feraco E, Pulitano G, Tripodi E, Furgi G, Chieffo C, Capomolla S, Golino P, Parrilli G, Di Patria A, Di Gioia C, Micieli D, Vigorito C, Perrotta S, Rubino A, Aulitto V, Riccio G, Codec L, Coruzzi P, Violi E, Nardini M, Urbinati S, Dcruz S, Semprini P, Fucili A, Cerulli M, Roberto B, Balestra G, Tuniz D, Martin G, Gori P, Marini R, Morgera T, Di Mario F, Volterrani M, Galati A, Salustri A, Jesi AP, Lacch A, Loperfido F, Corsiglia L, Pantaleo P, Gigli G, Bertoli D, Marchesi D, Febo O, Cobelli F, Malinverni C, Ferratini M, Jones N, Anzà C, Frizzelli R, Gei P, Acquistapace F, Pedretti R, Carugo S, Malfatto G, Diaco T, Meloni C, Giordano A, Schizzarotto A, Zanettini R, Bosco R, Aglieri S, Caprioli G, Cuocina N, Lazzaroni L, Lorenzi A, Savonelli C, Veniani M, Corda G, Meinecke C, Castiglioni G, Pierfranco R, Giani P, Robustelli della Cuna F, Gullace G, Passoni F, Barelli MV, Richichi I, Rossi A, Politi A, Belardinelli R, Persico M, Giannuzzi P, Mazzucco G, Bosimini E, Riva G, Soffiantino F, Massobrio N, Gondoni L, Aina F, Ingignoli B, Cal MV, Costante A, Scrutinio D, Villella M, La Rosa C, Sannia L, Barbanto P, Castello A, Coco R, Rametta R, Albanese D, Circo A, Raciti R, Scarnato L, Dispensa F, La Spina L, Stuto A, Vasco C, Gibiino S, Gabriele M, Dispensieri C, Carini V, Provvidenza M, Scalzini A, Giustarini C, Macchi C, Vannucci M, Iacopetti L, Cordoni M, Gabriele F, Santoni R, Pitscheider W, Bettini R, Girardini D, Mandorla S, Anniboletti F, Patriarchi F, Favretto G, Baroni PL, Bordin F, Biondi P, Bellotto F, Zanocco A, Ponchia A, Mantovani E, Li Greci E, Carlon R, Celegon L, Baracchi S, Pizzolato G, Peroni L, Apolloni E, Mosele G, Guarnerio M., Giallauria, Francesco, Vigorito, Carlo, Tramarin, R, Fattirolli, F, Ambrosetti, M, De Feo, S, Griffo, R, Riccio, C, Piepoli, M, Guarracini, L, Ciglia, C, Marcellini, G, Iannopollo, M, Borrello, G, Matta, M, Peccerillo, N, Boncompagni, F, Amici, A, Pietropaolo, F, Feraco, E, Pulitano, G, Tripodi, E, Furgi, G, Chieffo, C, Capomolla, S, Golino, P, Parrilli, G, Di Patria, A, Di Gioia, C, Micieli, D, Vigorito, C, Perrotta, S, Rubino, A, Aulitto, V, Riccio, G, Codec, L, Coruzzi, P, Violi, E, Nardini, M, Urbinati, S, Dcruz, S, Semprini, P, Fucili, A, Cerulli, M, Roberto, B, Balestra, G, Tuniz, D, Martin, G, Gori, P, Marini, R, Morgera, T, Di Mario, F, Volterrani, M, Galati, A, Salustri, A, Jesi, Ap, Lacch, A, Loperfido, F, Corsiglia, L, Pantaleo, P, Gigli, G, Bertoli, D, Marchesi, D, Febo, O, Cobelli, F, Malinverni, C, Ferratini, M, Jones, N, Anzà, C, Frizzelli, R, Gei, P, Acquistapace, F, Pedretti, R, Carugo, S, Malfatto, G, Diaco, T, Meloni, C, Giordano, A, Schizzarotto, A, Zanettini, R, Bosco, R, Aglieri, S, Caprioli, G, Cuocina, N, Lazzaroni, L, Lorenzi, A, Savonelli, C, Veniani, M, Corda, G, Meinecke, C, Castiglioni, G, Pierfranco, R, Giani, P, Robustelli della Cuna, F, Gullace, G, Passoni, F, Barelli, Mv, Richichi, I, Rossi, A, Politi, A, Belardinelli, R, Persico, M, Giannuzzi, P, Mazzucco, G, Bosimini, E, Riva, G, Soffiantino, F, Massobrio, N, Gondoni, L, Aina, F, Ingignoli, B, Cal, Mv, Costante, A, Scrutinio, D, Villella, M, La Rosa, C, Sannia, L, Barbanto, P, Castello, A, Coco, R, Rametta, R, Albanese, D, Circo, A, Raciti, R, Scarnato, L, Dispensa, F, La Spina, L, Stuto, A, Vasco, C, Gibiino, S, Gabriele, M, Dispensieri, C, Carini, V, Provvidenza, M, Scalzini, A, Giustarini, C, Macchi, C, Vannucci, M, Iacopetti, L, Cordoni, M, Gabriele, F, Santoni, R, Pitscheider, W, Bettini, R, Girardini, D, Mandorla, S, Anniboletti, F, Patriarchi, F, Favretto, G, Baroni, Pl, Bordin, F, Biondi, P, Bellotto, F, Zanocco, A, Ponchia, A, Mantovani, E, Li Greci, E, Carlon, R, Celegon, L, Baracchi, S, Pizzolato, G, Peroni, L, Apolloni, E, Mosele, G, and Guarnerio, M.

Subjects
cardiac rehabilitation, trial, ISYDE
Abstract

BACKGROUND: Using data from the Italian SurveY on carDiac rEhabilitation-2008 (ISYDE-2008), this study provides insight into the level of implementation of cardiac rehabilitation (CR) in very old cardiac patients. METHODS: Data from 165 CR units were collected online from January 28 to February 10, 2008. RESULTS: The study cohort consisted of 2,281 patients (66.9 ± 11.8 years): 1,714 (62.4 ± 9.6 years, 78% male) aged

Published
2010

36. Precipitating factors and decision-making processes of short-term worsening heart failure despite 'optimal' treatment (from the IN-CHF Registry)

Author

Opasich, C., Rapezzi, C., Lucci, D., Gorini, M., Pozzar, F., Zanelli, E., Tavazzi, L., Mezzani, Maggioni A. P. AND THE IN CHF Investigators: A., Bielli, M., Milanese, U., Ugliengo, G., Pozzi, R., Rabajoli, F., Bosimini, E., Valsecchi, M. G., Dadda, F., Faggiano, P., Castiglioni, G., Gibelli, G., Turelli, A. L., Belluschi, R., Bianchi, C., Emanuelli, C., Gramenzi, S., Foti, G., Agnelli, D., Volterrani, M., Moroni, E., Gara, E., Turiel, A., Recalcati, F., Valenti, D., Rusconi, F., Palvarini, M., Giusti, A., Inserra, C., Nassiacos, D., Meloni, S., Nicoli, T., Bandini, P., Moizi, M., Pedretti, R., Paolucci, M., Amati, L., Ravetta, M., Morandi, F., Provasoli, S., Planca, E., Quorso, P., Ferro, A., Pedrolli, C., Riggi, L., Tarantini, L., Candelpergher, G., Berton, G., Stefanini, M. G., Cacciavillani, L., Boffa, G. M., Mario, L., Renosto, G., Stritoni, P., Perini, G., Bonadiman, C., Varotto, L., Penzo, M., Giuliano, G., Marini, R., Barducci), E., Humar, F., Albanese, M. C., Fresco, C., Camerini, A., Griffo, R., Derchi, G., Vengo, P., Fazzini, L., Pizzorno, L., Bertoli, D., Morgagni, G., Bruno, G., Iori, E., Melandri, F., Cionini, F., Reggianini, L., Passerini, F., Del Corso, P., Rusconi, L., Marzaloni, M., Mezzetti, M., Gambarati, G. P., Mariani, P. R., Volterrani, C., Venturi, F., Zambaldi, G., Geri Brandinelli, A., Taddei, T., Dalle Luche, A., Arcuri, G., Giannini, R., Gasperini, U., Alunni, G., Bosi, E., Cocchieri, M., Severini, D., Maragoni, G., C. Ferroni, G. Saccomanno, Pasetti, L., Budini, A., Manfrin, M., Coderoni, B., Mori, A., Midi, P., D. Del Sindaco, F. Leggio, Terranova, A., Pulignano, G., Cacciatore, G., Menichelli, M., Ansalone, G., Magris, B., 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., Scherillo, M., Sensale, P., Rullo, V., Maurea, N., Miceli, D., Somelli, A., Napolitano, F., Provvisiero, P., Di Muro, M. R., Bottiglieri, P., Rufolo, F., Ciriello, N., Angelini, E., Andriulo, C., De Santis, F., Cocco, F., Zecca, A., Pennetta, A., Mariello, F., Magliari, F., De Giorgi, A., Santoro, V., Pede, S., Renna, A., De Donno, O., De 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., Di Tano, G., Cento, D., DE GREGORIO, Cesare, Mongiovì, M., Schillaci, A. M., Mirto, U., Clemenza, F., Ingrillì, F., Aloisi, B., Porcu, M., Pili, G., and Piras, S.

Subjects
Male, medicine.medical_specialty, Heart disease, Decision Making, Risk Factors, Internal medicine, Heart rate, Humans, Medicine, Decompensation, Prospective Studies, Registries, Practice Patterns, Physicians', Intensive care medicine, Prospective cohort study, Aged, Heart Failure, business.industry, Atrial fibrillation, Middle Aged, Prognosis, medicine.disease, Blood pressure, Heart failure, Multivariate Analysis, Emergency medicine, Ambulatory, Cardiology, Female, Cardiology and Cardiovascular Medicine, business
Abstract

This study sought to prospectively assess which factors were related to short-term worsening heart failure (HF) leading to or not to hospital admission, in long-term outpatients followed by cardiologists. The subsequent decision-making process was also analyzed. The study population consisted of 2,701 outpatients enrolled in the registry of the Italian Network on Congestive Heart Failure (IN-CHF) and followed by 133 cardiology centers (19% of all existing Italian cardiology centers). Clinical and follow-up data were collected by local trained clinicians; 215 patients (8%) had short-term decompensation (on average 2 months after the index outpatient visit). Multivariate analysis showed that previous hospitalization, long duration of symptoms, ischemic etiology, atrial fibrillation, higher functional class (New York Heart Association classification III to IV), higher heart rate, and low systolic blood pressure were independently associated with HF destabilization. Poor compliance (21%) and infection (12%) were the most frequent precipitating factors, but a precipitating factor was not identified in 40% of the patients. Poor compliance was more common in women, but no other clinical characteristics emerged as being related with a specific precipitating factor. Fifty-seven percent of the patients with a short-term recurrence of worsening HF required hospital admission; infusion treatment with inotropes and/or vasodilators was necessary in 19% of them. Long-term therapy was changed in 48% of the patients. Thus, in ambulatory HF patients, short-term worsening HF can be predicted according to the clinical characteristics on an outpatient basis. Nearly 1/3 of precipitating factors can be prevented. Patient education and avoidance of inappropriate treatment may reduce the number of relapses.

Published
2001

37. The Italian SurveY on carDiac rEhabilitation 2008 (ISYDE 2008): study presentation

Author

Tramarin R., Ambrosetti M., De Feo S., Griffo R., Maslowsky F., Diaco T., Riccio C., Carlon R., Castello A., Ferratini M., Schweiger C., Chieffo C., Ciglia C., Lapolla A., Pietropaolo F., Furgi G., Martin G., Semprini P., Avallone A., Bertoli D., Belardinelli R., Soffiantino F., Scrutinio D., Maxia P., Coco R., Giustarini C., Anniboletti P., Favretto G., Vaghi P., Calisi P., Chiavetta C., Guarracini L., Marcellini G., Iannopollo M., Borello G., Matta M., Peccerillo N., Boncompagni . F, Amici A., Feraco E., Pulitanò G., Tripodi E., Capomolla S., Golino P., Parrilli G., Di Patria A., Di Gioia C., Micieli D., Perrotta S., Rubino A., Aulitto V., Riccio G., Codec L., Coruzzi P., Violi E., Nardini M., Urbinati S., Dcruz S., Piepoli M., Fucili A., Cerulli M., Roberto B., Balestra G., Tuniz D., Gori P., Marini R., Morgera T., Di Mario F., Volterrani M., Galati A., Salustri A., Jesi A.P., Lacch A., Loperfido F., Corsiglia L., Pantaleo P., Gigli G., Marchesi D., Febo O., Cobelli F., Malinverni C., Jones N., Anzà C., Frizelli R., Gei P., Acquistapace F., Pedretti R., Carugo S., Malfatto G., Meloni C., Giordano A., Schizzarotto A., Zanettini R., Bosco R., Occhi G., Aglieri S., Caprioli G., Cuocina N., Lazzaroni L., Laurenzi A., Savonelli C., Veniani M., Corda G., Meinecke C., Castiglioni G., Ravizza P., Giani P., Robustelli F., Gullace G., Passoni F., Barelli M.V., Richichi I., Rossi A., Politi A., Persico M., Giannuzzi P., Mazzucco G., Bosimini E., Riva G., Massobrio N., Gondoni L., Aina F., Ingignoli B., Cal M.V., Costante A., Villella M., La Rosa C., Sannia L., Barbanto P., Rametta R., Albanese D., Circo A., Raciti R., Scarnato L., Dispensa F., La Spina L., Stuto A., Vasco C., Gibiino S., Gabriele M., Dispensieri C., Carini V., Provvidenza M., Scalzini A., Macchi C., Fattirolli F., Vannucci M., Iacopetti L., Cordoni M., Gabriele F., Santoni R., Pitscheider W., Bettini R., Mandorla S., Anniboletti F., Patriarchi F., Baroni P.L., Bordin F., Biondi P., Bellotto F., Zanocco A., Ponchia A., Mantovani E., Li Greci E., Celegon L., Baracchi S., Pizzolato G., Peroni L., Apolloni E., Mosele G., Guarniero M., Roncon L., VIGORITO, CARLO, Tramarin, R., Ambrosetti, M., De Feo, S., Griffo, R., Maslowsky, F., Diaco, T., Riccio, C., Carlon, R., Castello, A., Ferratini, M., Schweiger, C., Chieffo, C., Vigorito, Carlo, Ciglia, C., Lapolla, A., Pietropaolo, F., Furgi, G., Martin, G., Semprini, P., Avallone, A., Bertoli, D., Belardinelli, R., Soffiantino, F., Scrutinio, D., Maxia, P., Coco, R., Giustarini, C., Anniboletti, P., Favretto, G., Vaghi, P., Calisi, P., Chiavetta, C., Guarracini, L., Marcellini, G., Iannopollo, M., Borello, G., Matta, M., Peccerillo, N., Boncompagni., F, Amici, A., Feraco, E., Pulitanò, G., Tripodi, E., Capomolla, S., Golino, P., Parrilli, G., Di Patria, A., Di Gioia, C., Micieli, D., Perrotta, S., Rubino, A., Aulitto, V., Riccio, G., Codec, L., Coruzzi, P., Violi, E., Nardini, M., Urbinati, S., Dcruz, S., Piepoli, M., Fucili, A., Cerulli, M., Roberto, B., Balestra, G., Tuniz, D., Gori, P., Marini, R., Morgera, T., Di Mario, F., Volterrani, M., Galati, A., Salustri, A., Jesi, A. P., Lacch, A., Loperfido, F., Corsiglia, L., Pantaleo, P., Gigli, G., Marchesi, D., Febo, O., Cobelli, F., Malinverni, C., Jones, N., Anzà, C., Frizelli, R., Gei, P., Acquistapace, F., Pedretti, R., Carugo, S., Malfatto, G., Meloni, C., Giordano, A., Schizzarotto, A., Zanettini, R., Bosco, R., Occhi, G., Aglieri, S., Caprioli, G., Cuocina, N., Lazzaroni, L., Laurenzi, A., Savonelli, C., Veniani, M., Corda, G., Meinecke, C., Castiglioni, G., Ravizza, P., Giani, P., Robustelli, F., Gullace, G., Passoni, F., Barelli, M. V., Richichi, I., Rossi, A., Politi, A., Persico, M., Giannuzzi, P., Mazzucco, G., Bosimini, E., Riva, G., Massobrio, N., Gondoni, L., Aina, F., Ingignoli, B., Cal, M. V., Costante, A., Villella, M., La Rosa, C., Sannia, L., Barbanto, P., Rametta, R., Albanese, D., Circo, A., Raciti, R., Scarnato, L., Dispensa, F., La Spina, L., Stuto, A., Vasco, C., Gibiino, S., Gabriele, M., Dispensieri, C., Carini, V., Provvidenza, M., Scalzini, A., Macchi, C., Fattirolli, F., Vannucci, M., Iacopetti, L., Cordoni, M., Gabriele, F., Santoni, R., Pitscheider, W., Bettini, R., Mandorla, S., Anniboletti, F., Patriarchi, F., Baroni, P. L., Bordin, F., Biondi, P., Bellotto, F., Zanocco, A., Ponchia, A., Mantovani, E., Li Greci, E., Celegon, L., Baracchi, S., Pizzolato, G., Peroni, L., Apolloni, E., Mosele, G., Guarniero, M., and Roncon, L.

Subjects
Heart Failure, Male, Internet, Time Factors, Heart Diseases, Cardiologia Riabilitativa, Data Collection, Myocardial Infarction, Rehabilitation Centers, Factor IX, Prevenzione secondaria, Italy, Risk Factors, Health Care Surveys, Practice Guidelines as Topic, Humans, Female, Longitudinal Studies, Public Health, ISYDE 2008, Coronary Artery Bypass, Follow-Up Studies
Abstract

In this paper, the Italian Society of Cardiac Rehabilitation and Prevention (GICR) presents the third survey on the status of cardiac rehabilitation (CR) in Italy. The Italian SurveY on carDiac rEhabilitation 2008 (ISYDE 2008) is a multicenter, observational study aimed at identifying the number and characteristics of Italian CR facilities, both in terms of health operators and interventions. Clinical records of all patients consecutively discharged within the whole network--composed of up to 200 CR units--from January 28 to February 10, 2008 will also be reviewed for diagnosis of admission, comorbidities, rehabilitation programs, and drug therapy, in order to obtain a snapshot of current implementation strategies in daily clinical practice. The survey will adopt a web-based methodology for data provision and transmission. Preliminary results of the survey are expected in the late summer 2008.

Published
2008

38. Specialty-related differences in the epidemiology, clinical profile, management and outcome of patients hospitalized for heart failure

Author

Bellotti, P, Badano, L, Acquarone, N, Griffo, R, Lo Pinto, G, Maggioni, A, Mattiauda, C, Menardo, G, Mombelloni, P, Bellotti P., Badano L., Acquarone N., Griffo R., Lo Pinto G., Maggioni A. P., Mattiauda C., Menardo G., Mombelloni P., Bellotti, P, Badano, L, Acquarone, N, Griffo, R, Lo Pinto, G, Maggioni, A, Mattiauda, C, Menardo, G, Mombelloni, P, Bellotti P., Badano L., Acquarone N., Griffo R., Lo Pinto G., Maggioni A. P., Mattiauda C., Menardo G., and Mombelloni P.

Abstract

Aims: This study was designed to identify potential specialty-related differences in the epidemiology, clinical profile, management and outcome of patients hospitalized for congestive heart failure in departments of cardiology or internal medicine. Methods and Results: From 1 July to 31 December 1998, we prospectively recorded epidemiological and clinical data from patients with congestive heart failure consecutively admitted to 11 departments of cardiology and 12 departments of internal medicine in Liguria, a northern area of Italy. The overall study population included 749 patients; 22% were treated by cardiologists and 78% by internists (P<0.0001). Patients managed by cardiologists were more likely to undergo echocardiography (92% vs 37%), Holter monitoring (25% vs 3%) and exercise stress testing (20% vs 0.5%) than those managed by internists (P=0.001). At discharge, patients treated by cardiologists were more likely to be prescribed beta-blockers (41% to 4%) and ACE inhibitors (100% to 74%) than those treated by internists (P<0.0001), and the latter medication at higher dosages by cardiologists than internists. In addition, patients followed by cardiologists were younger (70±9 to 79±1 years; P<0.0001), more likely to be male (61% to 50%; P=0.011) and to have coronary artery disease (57% to 45%; P<0.006) than those followed by internists. Conversely, patients followed by internists were more likely to have diabetes, chronic obstructive pulmonary disease, atrial fibrillation and renal failure (P<0.03). In the overall study population, 53 patients (7%) died during hospitalization. Patients treated by cardiologists had a mortality not significantly different from that of patients treated by internists (10% and 6%, respectively; P=0.067), although congestive heart failure was more severe on admission in patients treated by cardiologists. Conclusion: Cardiologists follow published guidelines for congestive heart failure more strictly than internists, bu

Published
2001

39. Global secondary prevention strategies to limit event recurrence after myocardial infarction: the GOSPEL study. A trial from the Italian Cardiac Rehabilitation Network: rationale and design

Author

Giannuzzi P, Temporelli PL, Maggioni AP, Ceci V, Chieffo C, Gattone M, Griffo R, Marchioli R, Schweiger C, Tavazzi L, Urbinati S, Valagussa F, Vanuzzo D, VIGORITO, CARLO, Giannuzzi, P, Temporelli, Pl, Maggioni, Ap, Ceci, V, Chieffo, C, Gattone, M, Griffo, R, Marchioli, R, Schweiger, C, Tavazzi, L, Urbinati, S, Valagussa, F, Vanuzzo, D, and Vigorito, Carlo

Subjects
GOSPEL study, CAD, secondary prevention
Abstract

Background Cardiac rehabilitation programmes are a proven treatment for individuals with recent myocardial infarction, resulting in reduced morbidity and mortality compared to usual care. Unfortunately, following completion of a cardiac rehabilitation programme, risk factors and lifestyle behaviours may deteriorate. The GlObal Secondary Prevention strategiEs to Limit event recurrence after myocardial infarction (GOSPEL) study investigates the benefits of a programme of continued educational and behavioural interventions to achieve optimal long-term secondary prevention goals. Design This will be a multicentre, randomized, controlled study carried out in 78 Italian cardiac rehabilitation centres. Methods After completion of an initial cardiac rehabilitation programme, patients with recent (

Published
2005

42. Specialty-related differences in the epidemiology, clinical profile, management and outcome of patients hospitalized for heart failure

Author

Bellotti P., Badano L., Acquarone N., Griffo R., Lo Pinto G., Maggioni A. P., Mattiauda C., Menardo G., Mombelloni P., Bellotti, P, Badano, L, Acquarone, N, Griffo, R, Lo Pinto, G, Maggioni, A, Mattiauda, C, Menardo, G, and Mombelloni, P

Subjects
Adult, Aged, 80 and over, Heart Failure, Male, Cardiology, Adrenergic beta-Antagonist, Angiotensin-Converting Enzyme Inhibitor, Cardiologist, MED/11 - MALATTIE DELL'APPARATO CARDIOVASCOLARE, Middle Aged, Internist, Prospective Studie, Treatment Outcome, Echocardiography, Electrocardiography, Ambulatory, Internal Medicine, Age Factor, Female, Practice Patterns, Physicians', Aged, Human, Quality of Health Care
Abstract

Aims: This study was designed to identify potential specialty-related differences in the epidemiology, clinical profile, management and outcome of patients hospitalized for congestive heart failure in departments of cardiology or internal medicine. Methods and Results: From 1 July to 31 December 1998, we prospectively recorded epidemiological and clinical data from patients with congestive heart failure consecutively admitted to 11 departments of cardiology and 12 departments of internal medicine in Liguria, a northern area of Italy. The overall study population included 749 patients; 22% were treated by cardiologists and 78% by internists (P

Published
2001

44. Il viroide del tubero fusiforme della patata individuato in Cestrum nocturnum in Campania

Author

Parrella G., Cennamo G., Spigno P., and Griffo R.

Subjects
molecular diagnosis, food and beverages, PSTVd, ornamental solanaceous, quarantine organisms
Abstract

During the summer 2010, an asymptomatic plant of Cestrum nocturnum, grown in a nursery of Anacapri municipality (province of Naples, Campania region), was found infected by potato spindle tuber viroid (PSTVd). This further occurrence of PSTVd in Cestrum nocturnum confirms that the plants belonging to the Cestrum genus could represent a potential reservoir of PSTVd. Consequently, to contain the disease, the sanitary inspections must necessarily be extended to the species belonging to this genus. Some epidemiological aspects, as well as the main actions to be taken to prevent the spread of the disease caused by PSTVd, are also discussed. A brief reference of the current legislation in the European Community concerning the quarantine organisms concludes this note.

Published
2011

45. 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

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