Author: "Torlasco, C." - Searchworks@Jio Institute Digital Library Search Results

Your search keyword '"Torlasco, C."' showing total 219 results

Start Over Author "Torlasco, C."

219 results on '"Torlasco, C."'

1. Arrhythmic risk stratification in patients with left ventricular ring-like scar

Author: Parisi, V, primary, Graziosi, M, additional, Lopes, R L, additional, Pasquale, F, additional, De Luca, A, additional, Targetti, M, additional, Tini, G, additional, Torlasco, C, additional, Ditaranto, R, additional, Chiti, C, additional, Crotti, L, additional, Olivotto, I, additional, Merlo, M, additional, Elliott, P, additional, and Biagini, E, additional
Published: 2023
Full Text: View/download PDF

2. Rationale and design of the CV-PREVITAL study: an Italian multiple cohort randomised controlled trial investigating innovative digital strategies in primary cardiovascular prevention

Author: Baldassarre, D, Iacoviello, L, Baetta, R, Roncaglioni, M, Condorelli, G, Remuzzi, G, Gensini, G, Frati, L, Ricciardi, W, Conaldi, P, Uccelli, A, Blandini, F, Bosari, S, Scambia, G, Fini, M, Di Malta, A, Amato, M, Veglia, F, Bonomi, A, Klersy, C, Colazzo, F, Pengo, M, Gorini, F, Auteri, L, Ferrante, G, Baviera, M, Ambrosio, G, Catapano, A, Gialluisi, A, Malavazos, A, Castelvecchio, S, Corsi-Romanelli, M, Cardani, R, La Rovere, M, Agnese, V, Pane, B, Prati, D, Spinardi, L, Liuzzo, G, Arbustini, E, Volterrani, M, Visconti, M, Werba, J, Genovese, S, Bilo, G, Invitti, C, Di Blasio, A, Lombardi, C, Faini, A, Rosa, D, Ojeda-Fernandez, L, Foresta, A, De Curtis, A, Di Castelnuovo, A, Scalvini, S, Pierobon, A, Gorini, A, Valenti, L, Luzi, L, Racca, A, Bandi, M, Tremoli, E, Menicanti, L, Parati, G, Pompilio, G, Colombo, G, Vavassori, C, Biondi, M, Frigerio, B, Ravani, A, Sansaro, D, Coggi, D, Romandini, A, Giroli, M, Giuliani, M, Bonmi, A, Rondinelli, M, Trudu, C, Cinieri, C, Monturano, M, Colazo, F, Inviti, C, Di Blasi, A, Torlasco, C, Gilardini, L, Soranna, D, Zambon, A, Perger, E, Zanotti, L, Badano, L, Cova, L, Gentilini, D, Grappiolo, L, Condoreli, G, Ferante, G, Papa, L, Savevski, V, Ieva, F, Romano, I, Remzzi, G, Ojeda, L, Clerici, F, Palumbo, A, Genini, G, Catpano, A, Mattioli, R, Longhi, E, Mantovani, L, Madotto, F, Bonaccio, M, Gianfagna, F, Ghulam, A, Magnacca, S, Noro, F, Costanzo, S, Esposito, S, Orlandi, S, Persichillo, M, Bracone, F, Panzera, T, Ruggiero, E, Parisi, R, Franciosa, S, Morelli, M, De Rita, F, Cerletti, C, de Gaetano, G, Donati, M, Mencanti, L, Romanelli, M, Cerri, A, Dubini, C, Trevisan, M, Renna, L, Milani, V, Boveri, S, Giubbilini, P, Ramputi, L, Baroni, I, De Angeli, G, Riciardi, W, Olmetti, F, Bussotti, M, Gaetano, C, Baiardi, P, Bachetti, T, Balbi, M, Comini, L, Lorenzoni, M, Olivares, A, Traversi, E, Garre, C, Sideri, R, Clemenza, F, Gentile, G, Caruana, G, Cuscino, N, Di Gesaro, G, Greco, A, Loddo, I, Tuzzolino, F, Ucelli, A, Palombo, D, Spinella, G, Mozzetta, G, Ameri, P, Zoppoli, G, Finotello, A, Porto, I, Pratesi, G, Bladini, F, Spnardi, L, Clerici, M, Pelusi, S, Bianco, C, Carpani, R, Periti, G, Margarita, S, Lanza, G, Severino, A, Pedicino, D, D'Amario, D, D'Aiello, A, Vinci, R, Bonanni, A, Brecciaroli, M, Filomia, S, Pastorino, R, Boccia, S, Urbani, A, Sanguinetti, M, Santoliquido, A, Proto, L, Tarquini, D, Grimaldi, M, Leonardi, S, Elia, A, Currao, A, Urtis, M, Di Toro, A, Giuliani, L, Caminiti, G, Marcolongo, F, Sposato, B, Guadagni, F, Morsella, V, Marziale, A, Protti, G, Baldassarre D., Iacoviello L., Baetta R., Roncaglioni M. C., Condorelli G., Remuzzi G., Gensini G., Frati L., Ricciardi W., Conaldi P. G., Uccelli A., Blandini F., Bosari S., Scambia G., Fini M., Di Malta A., Amato M., Veglia F., Bonomi A., Klersy C., Colazzo F., Pengo M., Gorini F., Auteri L., Ferrante G., Baviera M., Ambrosio G., Catapano A., Gialluisi A., Malavazos A. E., Castelvecchio S., Corsi-Romanelli M. M., Cardani R., La Rovere M. T., Agnese V., Pane B., Prati D., Spinardi L., Liuzzo G., Arbustini E., Volterrani M., Visconti M., Werba J. P., Genovese S., Bilo G., Invitti C., Di Blasio A., Lombardi C., Faini A., Rosa D., Ojeda-Fernandez L., Foresta A., De Curtis A., Di Castelnuovo A., Scalvini S., Pierobon A., Gorini A., Valenti L., Luzi L., Racca A., Bandi M., Tremoli E., Menicanti L., Parati G., Pompilio G., Colombo G., Vavassori C., Biondi M. L., Frigerio B., Ravani A., Sansaro D., Coggi D., Romandini A., Giroli M., Giuliani M., Bonmi A., Rondinelli M., Trudu C., Cinieri C., Monturano M., Colazo F., Inviti C., Di Blasi A., Torlasco C., Gilardini L., Soranna D., Zambon A., Perger E., Zanotti L., Badano L., Cova L., Gentilini D., Grappiolo L., Condoreli G., Ferante G., Papa L., Savevski V., Ieva F., Romano I., Remzzi G., Ojeda L., Clerici F., Palumbo A., Genini G. F., Catpano A., Mattioli R., Longhi E., Mantovani L. G., Madotto F., Bonaccio M., Gianfagna F., Ghulam A., Magnacca S., Noro F., Costanzo S., Esposito S., Orlandi S., Persichillo M., Bracone F., Panzera T., Ruggiero E., Parisi R., Franciosa S., Morelli M., De Rita F., Cerletti C., de Gaetano G., Donati M. B., Mencanti L., Romanelli M. M. C., Cerri A., Dubini C., Trevisan M. B., Renna L. V., Milani V., Boveri S., Giubbilini P., Ramputi L., Baroni I., De Angeli G., Riciardi W., Olmetti F., Bussotti M., Gaetano C., Baiardi P., Bachetti T., Balbi M., Comini L., Lorenzoni M., Olivares A., Traversi E., Garre C., Sideri R., Clemenza F., Gentile G., Caruana G., Cuscino N., Di Gesaro G., Greco A., Loddo I., Tuzzolino F., Ucelli A., Palombo D., Spinella G., Mozzetta G., Ameri P., Zoppoli G., Finotello A., Porto I., Pratesi G., Bladini F., Spnardi L., Clerici M., Pelusi S., Bianco C., Carpani R., Periti G., Margarita S., Lanza G. A., Severino A., Pedicino D., D'Amario D., D'Aiello A., Vinci R., Bonanni A., Brecciaroli M., Filomia S., Pastorino R., Boccia S., Urbani A., Sanguinetti M., Santoliquido A., Proto L., Tarquini D., Grimaldi M. C., Leonardi S., Elia A., Currao A., Urtis M., Di Toro A., Giuliani L., Caminiti G., Marcolongo F., Sposato B., Guadagni F., Morsella V., Marziale A., Protti G., Baldassarre, D, Iacoviello, L, Baetta, R, Roncaglioni, M, Condorelli, G, Remuzzi, G, Gensini, G, Frati, L, Ricciardi, W, Conaldi, P, Uccelli, A, Blandini, F, Bosari, S, Scambia, G, Fini, M, Di Malta, A, Amato, M, Veglia, F, Bonomi, A, Klersy, C, Colazzo, F, Pengo, M, Gorini, F, Auteri, L, Ferrante, G, Baviera, M, Ambrosio, G, Catapano, A, Gialluisi, A, Malavazos, A, Castelvecchio, S, Corsi-Romanelli, M, Cardani, R, La Rovere, M, Agnese, V, Pane, B, Prati, D, Spinardi, L, Liuzzo, G, Arbustini, E, Volterrani, M, Visconti, M, Werba, J, Genovese, S, Bilo, G, Invitti, C, Di Blasio, A, Lombardi, C, Faini, A, Rosa, D, Ojeda-Fernandez, L, Foresta, A, De Curtis, A, Di Castelnuovo, A, Scalvini, S, Pierobon, A, Gorini, A, Valenti, L, Luzi, L, Racca, A, Bandi, M, Tremoli, E, Menicanti, L, Parati, G, Pompilio, G, Colombo, G, Vavassori, C, Biondi, M, Frigerio, B, Ravani, A, Sansaro, D, Coggi, D, Romandini, A, Giroli, M, Giuliani, M, Bonmi, A, Rondinelli, M, Trudu, C, Cinieri, C, Monturano, M, Colazo, F, Inviti, C, Di Blasi, A, Torlasco, C, Gilardini, L, Soranna, D, Zambon, A, Perger, E, Zanotti, L, Badano, L, Cova, L, Gentilini, D, Grappiolo, L, Condoreli, G, Ferante, G, Papa, L, Savevski, V, Ieva, F, Romano, I, Remzzi, G, Ojeda, L, Clerici, F, Palumbo, A, Genini, G, Catpano, A, Mattioli, R, Longhi, E, Mantovani, L, Madotto, F, Bonaccio, M, Gianfagna, F, Ghulam, A, Magnacca, S, Noro, F, Costanzo, S, Esposito, S, Orlandi, S, Persichillo, M, Bracone, F, Panzera, T, Ruggiero, E, Parisi, R, Franciosa, S, Morelli, M, De Rita, F, Cerletti, C, de Gaetano, G, Donati, M, Mencanti, L, Romanelli, M, Cerri, A, Dubini, C, Trevisan, M, Renna, L, Milani, V, Boveri, S, Giubbilini, P, Ramputi, L, Baroni, I, De Angeli, G, Riciardi, W, Olmetti, F, Bussotti, M, Gaetano, C, Baiardi, P, Bachetti, T, Balbi, M, Comini, L, Lorenzoni, M, Olivares, A, Traversi, E, Garre, C, Sideri, R, Clemenza, F, Gentile, G, Caruana, G, Cuscino, N, Di Gesaro, G, Greco, A, Loddo, I, Tuzzolino, F, Ucelli, A, Palombo, D, Spinella, G, Mozzetta, G, Ameri, P, Zoppoli, G, Finotello, A, Porto, I, Pratesi, G, Bladini, F, Spnardi, L, Clerici, M, Pelusi, S, Bianco, C, Carpani, R, Periti, G, Margarita, S, Lanza, G, Severino, A, Pedicino, D, D'Amario, D, D'Aiello, A, Vinci, R, Bonanni, A, Brecciaroli, M, Filomia, S, Pastorino, R, Boccia, S, Urbani, A, Sanguinetti, M, Santoliquido, A, Proto, L, Tarquini, D, Grimaldi, M, Leonardi, S, Elia, A, Currao, A, Urtis, M, Di Toro, A, Giuliani, L, Caminiti, G, Marcolongo, F, Sposato, B, Guadagni, F, Morsella, V, Marziale, A, Protti, G, Baldassarre D., Iacoviello L., Baetta R., Roncaglioni M. C., Condorelli G., Remuzzi G., Gensini G., Frati L., Ricciardi W., Conaldi P. G., Uccelli A., Blandini F., Bosari S., Scambia G., Fini M., Di Malta A., Amato M., Veglia F., Bonomi A., Klersy C., Colazzo F., Pengo M., Gorini F., Auteri L., Ferrante G., Baviera M., Ambrosio G., Catapano A., Gialluisi A., Malavazos A. E., Castelvecchio S., Corsi-Romanelli M. M., Cardani R., La Rovere M. T., Agnese V., Pane B., Prati D., Spinardi L., Liuzzo G., Arbustini E., Volterrani M., Visconti M., Werba J. P., Genovese S., Bilo G., Invitti C., Di Blasio A., Lombardi C., Faini A., Rosa D., Ojeda-Fernandez L., Foresta A., De Curtis A., Di Castelnuovo A., Scalvini S., Pierobon A., Gorini A., Valenti L., Luzi L., Racca A., Bandi M., Tremoli E., Menicanti L., Parati G., Pompilio G., Colombo G., Vavassori C., Biondi M. L., Frigerio B., Ravani A., Sansaro D., Coggi D., Romandini A., Giroli M., Giuliani M., Bonmi A., Rondinelli M., Trudu C., Cinieri C., Monturano M., Colazo F., Inviti C., Di Blasi A., Torlasco C., Gilardini L., Soranna D., Zambon A., Perger E., Zanotti L., Badano L., Cova L., Gentilini D., Grappiolo L., Condoreli G., Ferante G., Papa L., Savevski V., Ieva F., Romano I., Remzzi G., Ojeda L., Clerici F., Palumbo A., Genini G. F., Catpano A., Mattioli R., Longhi E., Mantovani L. G., Madotto F., Bonaccio M., Gianfagna F., Ghulam A., Magnacca S., Noro F., Costanzo S., Esposito S., Orlandi S., Persichillo M., Bracone F., Panzera T., Ruggiero E., Parisi R., Franciosa S., Morelli M., De Rita F., Cerletti C., de Gaetano G., Donati M. B., Mencanti L., Romanelli M. M. C., Cerri A., Dubini C., Trevisan M. B., Renna L. V., Milani V., Boveri S., Giubbilini P., Ramputi L., Baroni I., De Angeli G., Riciardi W., Olmetti F., Bussotti M., Gaetano C., Baiardi P., Bachetti T., Balbi M., Comini L., Lorenzoni M., Olivares A., Traversi E., Garre C., Sideri R., Clemenza F., Gentile G., Caruana G., Cuscino N., Di Gesaro G., Greco A., Loddo I., Tuzzolino F., Ucelli A., Palombo D., Spinella G., Mozzetta G., Ameri P., Zoppoli G., Finotello A., Porto I., Pratesi G., Bladini F., Spnardi L., Clerici M., Pelusi S., Bianco C., Carpani R., Periti G., Margarita S., Lanza G. A., Severino A., Pedicino D., D'Amario D., D'Aiello A., Vinci R., Bonanni A., Brecciaroli M., Filomia S., Pastorino R., Boccia S., Urbani A., Sanguinetti M., Santoliquido A., Proto L., Tarquini D., Grimaldi M. C., Leonardi S., Elia A., Currao A., Urtis M., Di Toro A., Giuliani L., Caminiti G., Marcolongo F., Sposato B., Guadagni F., Morsella V., Marziale A., and Protti G.
Abstract: Introduction Prevention of cardiovascular disease (CVD) is of key importance in reducing morbidity, disability and mortality worldwide. Observational studies suggest that digital health interventions can be an effective strategy to reduce cardiovascular (CV) risk. However, evidence from large randomised clinical trials is lacking. Methods and analysis The CV-PREVITAL study is a multicentre, prospective, randomised, controlled, open-label interventional trial designed to compare the effectiveness of an educational and motivational mobile health (mHealth) intervention versus usual care in reducing CV risk. The intervention aims at improving diet, physical activity, sleep quality, psycho-behavioural aspects, as well as promoting smoking cessation and adherence to pharmacological treatment for CV risk factors. The trial aims to enrol approximately 80 000 subjects without overt CVDs referring to general practitioners' offices, community pharmacies or clinics of Scientific Institute for Research, Hospitalization and Health Care (Italian acronym IRCCS) affiliated with the Italian Cardiology Network. All participants are evaluated at baseline and after 12 months to assess the effectiveness of the intervention on short-term endpoints, namely improvement in CV risk score and reduction of major CV risk factors. Beyond the funded life of the study, a long-term (7 years) follow-up is also planned to assess the effectiveness of the intervention on the incidence of major adverse CV events. A series of ancillary studies designed to evaluate the effect of the mHealth intervention on additional risk biomarkers are also performed. Ethics and dissemination This study received ethics approval from the ethics committee of the coordinating centre (Monzino Cardiology Center; R1256/20-CCM 1319) and from all other relevant IRBs and ethics committees. Findings are disseminated through scientific meetings and peer-reviewed journals and via social media. Partners are informed about the study's
Published: 2023

3. Blood pressure variability: methodological aspects, clinical relevance and practical indications for management - a European Society of Hypertension position paper ∗

Author: Parati, G, Bilo, G, Kollias, A, Pengo, M, Ochoa, J, Castiglioni, P, Stergiou, G, Mancia, G, Asayama, K, Asmar, R, Avolio, A, Caiani, E, De La Sierra, A, Dolan, E, Grillo, A, Guzik, P, Hoshide, S, Head, G, Imai, Y, Juhanoja, E, Kahan, T, Kario, K, Kotsis, V, Kreutz, R, Kyriakoulis, K, Li, Y, Manios, E, Mihailidou, A, Modesti, P, Omboni, S, Palatini, P, Persu, A, Protogerou, A, Saladini, F, Salvi, P, Sarafidis, P, Torlasco, C, Veglio, F, Vlachopoulos, C, Zhang, Y, Parati G., Bilo G., Kollias A., Pengo M., Ochoa J. E., Castiglioni P., Stergiou G. S., Mancia G., Asayama K., Asmar R., Avolio A., Caiani E. G., De La Sierra A., Dolan E., Grillo A., Guzik P., Hoshide S., Head G. A., Imai Y., Juhanoja E., Kahan T., Kario K., Kotsis V., Kreutz R., Kyriakoulis K. G., Li Y., Manios E., Mihailidou A. S., Modesti P. A., Omboni S., Palatini P., Persu A., Protogerou A. D., Saladini F., Salvi P., Sarafidis P., Torlasco C., Veglio F., Vlachopoulos C., Zhang Y., Parati, G, Bilo, G, Kollias, A, Pengo, M, Ochoa, J, Castiglioni, P, Stergiou, G, Mancia, G, Asayama, K, Asmar, R, Avolio, A, Caiani, E, De La Sierra, A, Dolan, E, Grillo, A, Guzik, P, Hoshide, S, Head, G, Imai, Y, Juhanoja, E, Kahan, T, Kario, K, Kotsis, V, Kreutz, R, Kyriakoulis, K, Li, Y, Manios, E, Mihailidou, A, Modesti, P, Omboni, S, Palatini, P, Persu, A, Protogerou, A, Saladini, F, Salvi, P, Sarafidis, P, Torlasco, C, Veglio, F, Vlachopoulos, C, Zhang, Y, Parati G., Bilo G., Kollias A., Pengo M., Ochoa J. E., Castiglioni P., Stergiou G. S., Mancia G., Asayama K., Asmar R., Avolio A., Caiani E. G., De La Sierra A., Dolan E., Grillo A., Guzik P., Hoshide S., Head G. A., Imai Y., Juhanoja E., Kahan T., Kario K., Kotsis V., Kreutz R., Kyriakoulis K. G., Li Y., Manios E., Mihailidou A. S., Modesti P. A., Omboni S., Palatini P., Persu A., Protogerou A. D., Saladini F., Salvi P., Sarafidis P., Torlasco C., Veglio F., Vlachopoulos C., and Zhang Y.
Abstract: Blood pressure is not a static parameter, but rather undergoes continuous fluctuations over time, as a result of the interaction between environmental and behavioural factors on one side and intrinsic cardiovascular regulatory mechanisms on the other side. Increased blood pressure variability (BPV) may indicate an impaired cardiovascular regulation and may represent a cardiovascular risk factor itself, having been associated with increased all-cause and cardiovascular mortality, stroke, coronary artery disease, heart failure, end-stage renal disease, and dementia incidence. Nonetheless, BPV was considered only a research issue in previous hypertension management guidelines, because the available evidence on its clinical relevance presents several gaps and is based on heterogeneous studies with limited standardization of methods for BPV assessment.The aim of this position paper, with contributions from members of the European Society of Hypertension Working Group on Blood Pressure Monitoring and Cardiovascular Variability and from a number of international experts, is to summarize the available evidence in the field of BPV assessment methodology and clinical applications and to provide practical indications on how to measure and interpret BPV in research and clinical settings based on currently available data. Pending issues and clinical and methodological recommendations supported by available evidence are also reported. The information provided by this paper should contribute to a better standardization of future studies on BPV, but should also provide clinicians with some indications on how BPV can be managed based on currently available data.
Published: 2023

4. Comparison of RA Volumes Obtained Using the Standard Apical 4-Chamber and the RV-Focused Views

Author: Ciampi, P, Badano, L, Florescu, D, Villella, F, Tomaselli, M, Torlasco, C, Gavazzoni, M, Parati, G, Muraru, D, Ciampi P., Badano L., Florescu D. R., Villella F., Tomaselli M., Torlasco C., Gavazzoni M., Parati G., Muraru D., Ciampi, P, Badano, L, Florescu, D, Villella, F, Tomaselli, M, Torlasco, C, Gavazzoni, M, Parati, G, Muraru, D, Ciampi P., Badano L., Florescu D. R., Villella F., Tomaselli M., Torlasco C., Gavazzoni M., Parati G., and Muraru D.
Published: 2023

5. Method for Determining an Optimal Inversion Time for an 'Inversion Recovery' Radio Frequency Pulse Sequence of a Magnetic Resonance for Acquiring Late Images After Administering a Paramagnetic Contrast Medium

Author: Papetti, D, Torlasco, C, Nobile, M, Besozzi, D, Papetti DM, Torlasco C, Nobile MS, Besozzi D, Papetti, D, Torlasco, C, Nobile, M, Besozzi, D, Papetti DM, Torlasco C, Nobile MS, and Besozzi D
Published: 2023

6. May Measurement Month 2017: an analysis of blood pressure screening results worldwide

Author: Napiza-Granada, C, Sevilla, Ma. RC, Atilano, AA, Ona, DID, More, A, Jose, AP, Maheshwari, A, Kondal, D, Yu, W, Li, W, Xu, S, Yu, J, Zhang, H, Widyantoro, B, Turana, Y, Situmorang, TD, Sofiatin, Y, Barack, R, Lin, H-J, Wang, T-D, Chen, W-J, Sirenko, Y, Evstigneeva, O, Negresku, E, Yousif, ME, Medani, SA, Beheiry, HM, Ali, IA, Zilberman, JM, Marin, MJ, Rodriguez, PD, Garcia-Vasquez, F, Kramoh, KE, Ekoua, D, Lopez-Jaramillo, P, Otero, J, Sanchez, G, Narvaez, C, Accini, JL, Hernandez-Hernandez, R, Octavio, JA, Morr, I, Lopez-Rivera, J, Ojji, D, Arije, A, Babatunte, A, Wahab, KW, Fernandes, M, Pereira, SV, Valentim, M, Dzudie, A, Kingue, S, Djomou Ngongang, DA, Ogola, EN, Barasa, FA, Gitura, B, Malik, F-T-N, Choudhury, SR, Al Mamun, MA, Minh, VH, Viet, NL, Cao Truong, S, Ferri, C, Parati, G, Torlasco, C, Borghi, C, Goma, FM, Syatalimi, C, Zelveian, PH, Barbosa, E, Sebba Barroso, W, Penaherrera, E, Jarrin, E, Yusufali, A, Bazargani, N, Tsinamdzgvrishvili, B, Trapaidze, D, Neupane, D, Mishra, SR, Jozwiak, J, Malyszko, J, Konradi, A, Chazova, I, Ishaq, M, Memon, F, Heagerty, AM, Keitley, J, Brady, AJB, Cockcroft, JR, McDonnell, BJ, Lanas, F, Chia, Y-C, Ndhlovu, H, Kiss, I, Ruilope, LM, Ellenga Mbolla, BF, Milhailidou, AS, Woodiwiss, AJ, Perl, S, Dolan, E, Azevedo, V, Garre, L, Boggia, JG, Lee, VWY, Kowlessur, S, Miglinas, M, Sukackiene, D, Wainford, RD, Habonimana, D, Masupe, T, Ortellado, J, Wuerzner, G, Alcocer, L, Burazeri, G, Sanchez Delgado, E, Lovic, D, Mondo, CK, Mostafa, A, Nadar, SK, Valdez Tiburcio, O, Leiba, A, Dorobantu, M, De Backer, T, Chifamba, J, Stergiou, G, Nwokocha, CR, Sokolovic, S, Toure, AI, Connell, KL, Khan, NA, Burger, D, De Carvalho Rodrigues, M, Kramer, BK, Schmieder, RE, Unger, T, Wyss, FS, Yameogo, NV, Beistline, H, Kenerson, JG, Alfonso, B, Olsen, MH, Soares, M, Beaney, Thomas, Schutte, Aletta E, Tomaszewski, Maciej, Ariti, Cono, Burrell, Louise M, Castillo, Rafael R, Charchar, Fadi J, Damasceno, Albertino, Kruger, Ruan, Lackland, Daniel T, Nilsson, Peter M, Prabhakaran, Dorairaj, Ramirez, Agustin J, Schlaich, Markus P, Wang, Jiguang, Weber, Michael A, and Poulter, Neil R
Published: 2018
Full Text: View/download PDF

7. Use of artificial intelligence to automatically predict the optimal patient-specific inversion time for late gadolinium enhancement imaging. Tool development and clinical validation

Author: Torlasco, C, primary, Papetti, D M, additional, Castelletti, S, additional, Sabatini, M, additional, Muscogiuri, G, additional, Badano, L P, additional, Parati, G, additional, Kellman, P, additional, Besozzi, D, additional, and Nobile, M S, additional
Published: 2023
Full Text: View/download PDF

8. Use of artificial intelligence to automatically predict the optimal patient-specific inversion time for late gadolinium enhancement imaging. Tool development and clinical validation

Author: Torlasco, C, Papetti, D, Castelletti, S, Sabatini, M, Muscogiuri, G, Badano, L, Parati, G, Kellman, P, Besozzi, D, Nobile, M, Papetti, D M, Badano, L P, Nobile, M S, Torlasco, C, Papetti, D, Castelletti, S, Sabatini, M, Muscogiuri, G, Badano, L, Parati, G, Kellman, P, Besozzi, D, Nobile, M, Papetti, D M, Badano, L P, and Nobile, M S
Published: 2023

9. An accurate and time-efficient deep learning-based system for automated segmentation and reporting of cardiac magnetic resonance-detected ischemic scar

Author: Papetti, D, Van Abeelen, K, Davies, R, Menè, R, Heilbron, F, Perelli, F, Artico, J, Seraphim, A, Moon, J, Parati, G, Xue, H, Kellman, P, Badano, L, Besozzi, D, Nobile, M, Torlasco, C, Papetti, Daniele M, Van Abeelen, Kirsten, Davies, Rhodri, Menè, Roberto, Heilbron, Francesca, Perelli, Francesco P, Artico, Jessica, Seraphim, Andreas, Moon, James C, Parati, Gianfranco, Xue, Hui, Kellman, Peter, Badano, Luigi, Besozzi, Daniela, Nobile, Marco S, Torlasco, Camilla, Papetti, D, Van Abeelen, K, Davies, R, Menè, R, Heilbron, F, Perelli, F, Artico, J, Seraphim, A, Moon, J, Parati, G, Xue, H, Kellman, P, Badano, L, Besozzi, D, Nobile, M, Torlasco, C, Papetti, Daniele M, Van Abeelen, Kirsten, Davies, Rhodri, Menè, Roberto, Heilbron, Francesca, Perelli, Francesco P, Artico, Jessica, Seraphim, Andreas, Moon, James C, Parati, Gianfranco, Xue, Hui, Kellman, Peter, Badano, Luigi, Besozzi, Daniela, Nobile, Marco S, and Torlasco, Camilla
Abstract: Background and objectives: Myocardial infarction scar (MIS) assessment by cardiac magnetic resonance provides prognostic information and guides patients’ clinical management. However, MIS segmentation is time-consuming and not performed routinely. This study presents a deep-learning-based computational workflow for the segmentation of left ventricular (LV) MIS, for the first time performed on state-of-the-art dark-blood late gadolinium enhancement (DB-LGE) images, and the computation of MIS transmurality and extent. Methods: DB-LGE short-axis images of consecutive patients with myocardial infarction were acquired at 1.5T in two centres between Jan 1, 2019, and June 1, 2021. Two convolutional neural network (CNN) models based on the U-Net architecture were trained to sequentially segment the LV and MIS, by processing an incoming series of DB-LGE images. A 5-fold cross-validation was performed to assess the performance of the models. Model outputs were compared respectively with manual (LV endo- and epicardial border) and semi-automated (MIS, 4-Standard Deviation technique) ground truth to assess the accuracy of the segmentation. An automated post-processing and reporting tool was developed, computing MIS extent (expressed as relative infarcted mass) and transmurality. Results: The dataset included 1355 DB-LGE short-axis images from 144 patients (MIS in 942 images). High performance (> 0.85) as measured by the Intersection over Union metric was obtained for both the LV and MIS segmentations on the training sets. The performance for both LV and MIS segmentations was 0.83 on the test sets. Compared to the 4-Standard Deviation segmentation technique, our system was five times quicker (<1 min versus 7 ± 3 min), and required minimal user interaction. Conclusions: Our solution successfully addresses different issues related to automatic MIS segmentation, including accuracy, time-effectiveness, and the automatic generation of a clinical report.
Published: 2023

10. Myocardial Fibrosis at Cardiac MRI Helps Predict Adverse Clinical Outcome in Patients with Mitral Valve Prolapse

Author: Figliozzi, S, Georgiopoulos, G, Lopes, P, Bauer, K, Moura-Ferreira, S, Tondi, L, Mushtaq, S, Censi, S, Pavon, A, Bassi, I, Servato, M, Teske, A, Biondi, F, Filomena, D, Pica, S, Torlasco, C, Muraru, D, Monney, P, Quattrocchi, G, Maestrini, V, Agati, L, Monti, L, Pedrotti, P, Vandenberk, B, Squeri, A, Lombardi, M, Ferreira, A, Schwitter, J, Aquaro, G, Chiribiri, A, Rodríguez Palomares, J, Yilmaz, A, Andreini, D, Florian, A, Leiner, T, Abecasis, J, Badano, L, Bogaert, J, Masci, P, Figliozzi, Stefano, Georgiopoulos, Georgios, Lopes, Pedro M, Bauer, Klemens B, Moura-Ferreira, Sara, Tondi, Lara, Mushtaq, Saima, Censi, Stefano, Pavon, Anna Giulia, Bassi, Ilaria, Servato, Maria Luz, Teske, Arco J, Biondi, Federico, Filomena, Domenico, Pica, Silvia, Torlasco, Camilla, Muraru, Denisa, Monney, Pierre, Quattrocchi, Giuseppina, Maestrini, Viviana, Agati, Luciano, Monti, Lorenzo, Pedrotti, Patrizia, Vandenberk, Bert, Squeri, Angelo, Lombardi, Massimo, Ferreira, António M, Schwitter, Juerg, Aquaro, Giovanni Donato, Chiribiri, Amedeo, Rodríguez Palomares, José F, Yilmaz, Ali, Andreini, Daniele, Florian, Anca, Leiner, Tim, Abecasis, João, Badano, Luigi, Bogaert, Jan, Masci, Pier-Giorgio, Figliozzi, S, Georgiopoulos, G, Lopes, P, Bauer, K, Moura-Ferreira, S, Tondi, L, Mushtaq, S, Censi, S, Pavon, A, Bassi, I, Servato, M, Teske, A, Biondi, F, Filomena, D, Pica, S, Torlasco, C, Muraru, D, Monney, P, Quattrocchi, G, Maestrini, V, Agati, L, Monti, L, Pedrotti, P, Vandenberk, B, Squeri, A, Lombardi, M, Ferreira, A, Schwitter, J, Aquaro, G, Chiribiri, A, Rodríguez Palomares, J, Yilmaz, A, Andreini, D, Florian, A, Leiner, T, Abecasis, J, Badano, L, Bogaert, J, Masci, P, Figliozzi, Stefano, Georgiopoulos, Georgios, Lopes, Pedro M, Bauer, Klemens B, Moura-Ferreira, Sara, Tondi, Lara, Mushtaq, Saima, Censi, Stefano, Pavon, Anna Giulia, Bassi, Ilaria, Servato, Maria Luz, Teske, Arco J, Biondi, Federico, Filomena, Domenico, Pica, Silvia, Torlasco, Camilla, Muraru, Denisa, Monney, Pierre, Quattrocchi, Giuseppina, Maestrini, Viviana, Agati, Luciano, Monti, Lorenzo, Pedrotti, Patrizia, Vandenberk, Bert, Squeri, Angelo, Lombardi, Massimo, Ferreira, António M, Schwitter, Juerg, Aquaro, Giovanni Donato, Chiribiri, Amedeo, Rodríguez Palomares, José F, Yilmaz, Ali, Andreini, Daniele, Florian, Anca, Leiner, Tim, Abecasis, João, Badano, Luigi, Bogaert, Jan, and Masci, Pier-Giorgio
Abstract: Background: Patients with mitral valve prolapse (MVP) may develop adverse outcomes even in the absence of mitral regurgitation or left ventricular (LV) dysfunction. Purpose: To investigate the prognostic value of mitral annulus disjunction (MAD) and myocardial fibrosis at late gadolinium enhancement (LGE) cardiac MRI in patients with MVP without moderate-to-severe mitral regurgitation or LV dysfunction. Materials and Methods: In this longitudinal retrospective study, 118 144 cardiac MRI studies were evaluated between October 2007 and June 2020 at 15 European tertiary medical centers. Follow-up was from the date of cardiac MRI examination to June 2020; the minimum and maximum follow-up intervals were 6 months and 156 months, respectively. Patients were excluded if at least one of the following conditions was present: cardiomyopathy, LV ejection fraction less than 40%, ischemic heart disease, congenital heart disease, inflammatory heart disease, moderate or worse mitral regurgitation, participation in competitive sport, or electrocardiogram suggestive of channelopathies. In the remainder, cardiac MRI studies were reanalyzed, and patients were included if they were aged 18 years or older, MVP was diagnosed at cardiac MRI, and clinical information and electrocardiogram monitoring were available within 3 months from cardiac MRI examination. The end point was a composite of adverse outcomes: sustained ventricular tachycardia (VT), sudden cardiac death (SCD), or unexplained syncope. Multivariable Cox regression analysis was performed. Results: A total of 474 patients (mean age, 47 years ± 16 [SD]; 244 women) were included. Over a median follow-up of 3.3 years, 18 patients (4%) reached the study end point. LGE presence (hazard ratio, 4.2 [95% CI: 1.5, 11.9]; P = .006) and extent (hazard ratio, 1.2 per 1% increase [95% CI: 1.1, 1.4]; P = .006), but not MAD presence (P = .89), were associated with clinical outcome. LGE presence had incremental prognostic value over MVP severi
Published: 2023

11. Intravenous iron therapy improves the hypercapnic ventilatory response and sleep disordered breathing in chronic heart failure

Author: Caravita, S., Faini, A., Vignati, C., Pelucchi, S., Salvioni, E., Cattadori, G., Baratto, C., Torlasco, C., Contini, M., Villani, A., Malfatto, G., Perger, E., Lombardi, C., Piperno, A., Agostoni, P., Parati, G., Caravita, S, Faini, A, Vignati, C, Pelucchi, S, Salvioni, E, Cattadori, G, Baratto, C, Torlasco, C, Contini, M, Villani, A, Malfatto, G, Perger, E, Lombardi, C, Piperno, A, Agostoni, P, and Parati, G
Subjects: Male, Anemia, Iron-Deficiency, Iron, Chemoreflex, Stroke Volume, Anaemia, Heart failure, Settore MED/11 - Malattie dell'Apparato Cardiovascolare, Iron Deficiencies, Exercise, Sleep, Ferric Compounds, Ventricular Function, Left, Oxygen, Hemoglobins, Sleep Apnea Syndromes, Chronic Disease, Humans, Female, Maltose, Cardiology and Cardiovascular Medicine
Abstract: Aims: Intravenous iron therapy can improve symptoms in patients with heart failure, anaemia and iron deficiency. The mechanisms underlying such an improvement might involve chemoreflex sensing and nocturnal breathing patterns. Methods and results: Patients with heart failure, reduced left ventricular ejection fraction, anaemia (haemoglobin
Published: 2022
Full Text: View/download PDF

12. Metodo per determinare un tempo di inversione ottimale per una sequenza 'Inversion Recovery' di risonanza magnetica utilizzabile per l’acquisizione di immagini tardive dopo somministrazione di un mezzo di contrasto paramagnetico

Author: Besozzi, D, Papetti, D, Torlasco, C, Nobile, M, Besozzi, D, Papetti, D, Torlasco, C, and Nobile, M
Subjects: Risonanza magnetica cardiaca, tempo di inversione, INF/01 - INFORMATICA, MED/11 - MALATTIE DELL'APPARATO CARDIOVASCOLARE, intelligenza artificiale
Published: 2022

13. Exercise induced coronary inflammation in masters athletes

Author: Papatheodorou, E, primary, Kissel, C, additional, Merghani, A, additional, Hughes, R, additional, Torlasco, C, additional, Bakalakos, A, additional, Downs, E, additional, Parry-Williams, G, additional, Finocchiaro, G, additional, Malhotra, A, additional, Moon, J C, additional, Papadakis, M, additional, Al Fakih, K, additional, Dey, D, additional, and Sharma, S, additional
Published: 2022
Full Text: View/download PDF

14. Cardiac magnetic resonance feature-tracking analysis of left atrial volumes and function in standard vs left-atrial focused images

Author: Tondi, L, primary, Figliozzi, S, additional, Badano, L P, additional, Torlasco, C, additional, Disabato, G, additional, Pica, S, additional, Camporeale, A, additional, Muraru, D, additional, and Lombardi, M, additional
Published: 2022
Full Text: View/download PDF

15. Age matters: differences in exercise-induced cardiovascular remodelling in young and middle aged healthy sedentary individuals

Author: Torlasco, C, D'Silva, A, Bhuva, A, Faini, A, Augusto, J, Knott, K, Benedetti, G, Jones, S, Zalen, J, Scully, P, Lobascio, I, Parati, G, Lloyd, G, Hughes, A, Manisty, C, Sharma, S, Moon, J, Torlasco C., D'Silva A., Bhuva A. N., Faini A., Augusto J. B., Knott K. D., Benedetti G., Jones S., Zalen J. V., Scully P., Lobascio I., Parati G., Lloyd G., Hughes A. D., Manisty C. H., Sharma S., Moon J. C., Torlasco, C, D'Silva, A, Bhuva, A, Faini, A, Augusto, J, Knott, K, Benedetti, G, Jones, S, Zalen, J, Scully, P, Lobascio, I, Parati, G, Lloyd, G, Hughes, A, Manisty, C, Sharma, S, Moon, J, Torlasco C., D'Silva A., Bhuva A. N., Faini A., Augusto J. B., Knott K. D., Benedetti G., Jones S., Zalen J. V., Scully P., Lobascio I., Parati G., Lloyd G., Hughes A. D., Manisty C. H., Sharma S., and Moon J. C.
Abstract: Aims: Remodelling of the cardiovascular system (including heart and vasculature) is a dynamic process influenced by multiple physiological and pathological factors. We sought to understand whether remodelling in response to a stimulus, exercise training, altered with healthy ageing. Methods: A total of 237 untrained healthy male and female subjects volunteering for their first time marathon were recruited. At baseline and after 6 months of unsupervised training, race completers underwent tests including 1.5T cardiac magnetic resonance, brachial and non-invasive central blood pressure assessment. For analysis, runners were divided by age into under or over 35 years (U35, O35). Results: Injury and completion rates were similar among the groups; 138 runners (U35: n = 71, women 49%; O35: n = 67, women 51%) completed the race. On average, U35 were faster by 37 minutes (12%). Training induced a small increase in left ventricular mass in both groups (3 g/m2, P < 0.001), but U35 also increased ventricular cavity sizes (left ventricular end-diastolic volume (EDV)i +3%; left ventricular end-systolic volume (ESV)i +8%; right ventricular end-diastolic volume (EDV)i +4%; right ventricular end-systolic volume (ESV)i +5%; P < 0.01 for all). Systemic aortic compliance fell in the whole sample by 7% (P = 0.020) and, especially in O35, also systemic vascular resistance (–4% in the whole sample, P = 0.04) and blood pressure (systolic/diastolic, whole sample: brachial –4/–3 mmHg, central –4/–2 mmHg, all P < 0.001; O35: brachial –6/–3 mmHg, central –6/–4 mmHg, all P < 0.001). Conclusion: Medium-term, unsupervised physical training in healthy sedentary individuals induces measurable remodelling of both heart and vasculature. This amount is age dependent, with predominant cardiac remodelling when younger and predominantly vascular remodelling when older.
Published: 2021

16. May Measurement Month 2019: An analysis of blood pressure screening results from Italy

Author: Torlasco, C, Faini, A, Pengo, M, Borghi, C, Grassi, G, Ferri, C, Muiesan, M, Salvetti, M, Sechi, L, Minuz, P, Mulatero, P, Pucci, G, Volpe, M, Carugo, S, Sarzani, R, Mule, G, Beaney, T, Poulter, N, Xia, X, Parati, G, Torlasco C., Faini A., Pengo M., Borghi C., Grassi G., Ferri C., Muiesan M. L., Salvetti M., Sechi L., Minuz P., Mulatero P., Pucci G., Volpe M., Carugo S., Sarzani R., Mule G., Beaney T., Poulter N. R., Xia X., Parati G., Torlasco, C, Faini, A, Pengo, M, Borghi, C, Grassi, G, Ferri, C, Muiesan, M, Salvetti, M, Sechi, L, Minuz, P, Mulatero, P, Pucci, G, Volpe, M, Carugo, S, Sarzani, R, Mule, G, Beaney, T, Poulter, N, Xia, X, Parati, G, Torlasco C., Faini A., Pengo M., Borghi C., Grassi G., Ferri C., Muiesan M. L., Salvetti M., Sechi L., Minuz P., Mulatero P., Pucci G., Volpe M., Carugo S., Sarzani R., Mule G., Beaney T., Poulter N. R., Xia X., and Parati G.
Abstract: Cardiovascular (CV) diseases are burdened by high mortality and morbidity, being responsible for half of the deaths in Europe. Although hypertension is recognized as the most important CV risk factor, hypertension awareness, and blood pressure (BP) control are still unsatisfactory. In 2017 and 2018, respectively >10 000 and >5000 individuals took part in the May Measurement Month (MMM) campaign in Italy, of whom 30.6% and 26.3% were found to have high BP, respectively. To raise public awareness on the importance of hypertension and to collect BP data on a nation-wide scale in Italy. In the frame of the MMM campaign, an opportunistic cross-sectional survey of volunteers aged ≥18 years was carried out in May 2019. BP measurement, the definition of hypertension, and statistical analysis followed the standard MMM protocol. Screening was conducted in multiple sites by health personnel. Among the 10 182 people screened (females: 52.3%, mean age 58 ± 16years) mean BP was 127/78 mmHg, and 3171 (31.1%) participants had arterial hypertension, of whom 62.1% were aware of being hypertensive. Diabetes, body mass index >25 kg/m2 were associated with higher BP and previous myocardial infarction with lower BP. For the third consecutive year we collected a nation-wide snapshot of BP control in a large sample of individuals. The high participation, with some yearly fluctuations likely due to the limitations of the sampling technique, confirms the power of this kind of health campaign in reaching a significant number of people to raise awareness on health topics.
Published: 2021

17. Recent advances in multimodality imaging of the tricuspid valve

Author: Caravita, S, Figliozzi, S, Florescu, D, Volpato, V, Oliverio, G, Tomaselli, M, Torlasco, C, Muscogiuri, G, Cernigliaro, F, Parati, G, Badano, L, Muraru, D, Caravita S., Figliozzi S., Florescu D. -R., Volpato V., Oliverio G., Tomaselli M., Torlasco C., Muscogiuri G., Cernigliaro F., Parati G., Badano L., Muraru D., Caravita, S, Figliozzi, S, Florescu, D, Volpato, V, Oliverio, G, Tomaselli, M, Torlasco, C, Muscogiuri, G, Cernigliaro, F, Parati, G, Badano, L, Muraru, D, Caravita S., Figliozzi S., Florescu D. -R., Volpato V., Oliverio G., Tomaselli M., Torlasco C., Muscogiuri G., Cernigliaro F., Parati G., Badano L., and Muraru D.
Abstract: Introduction: The tricuspid valve (TV) and the right heart chambers are complex three-dimensional structures that are difficult to assess using tomographic imaging techniques. The progressive aging of the general population and the advancements in treating left-sided heart diseases by transcatheter procedures have contributed to the tricuspid regurgitation (TR) becoming a major public health problem associated with progression to refractory heart failure and poor outcome. Recent advances in multimodality cardiac imaging allow a better understanding of the pathophysiology of TR that may translate in better management of patients. Areas covered: Three-dimensional echocardiography, cardiac magnetic resonance, and computed tomography provide complementary information to i. assess the TV complex; ii. identify the etiology and the mechanisms of TR; iii. evaluate its severity and hemodynamic consequences; iv. explore the remodeling of the right heart chambers; and v. properly plan, guide, and monitor the transcatheter interventions aimed to reduce the severity of TR. Expert opinion: We need thorough understanding of both the TV and the right heart chamber geometry and function to understand the pathophysiology of TR. The integrated use of multimodality cardiac imaging is pivotal to assess patients with TR and to identify tailored and timely treatment of TR in properly selected patients.
Published: 2021

18. P296 HIDDEN PERICARDIAL CONSTRICTION IN A PATIENT WITH CHRONIC PERICARDIAL EFFUSION AND “UNEXPLAINED” DYSPNEA

Author: Caravita, S, primary, Baratto, C, additional, Ghiso, P, additional, Torlasco, C, additional, Senni, M, additional, Sganzerla, P, additional, Perego, G, additional, Badano, L, additional, and Parati, G, additional
Published: 2022
Full Text: View/download PDF

19. Training for a First-Time Marathon Reverses Age-Related Aortic Stiffening

Author: Bhuva, A, D'Silva, A, Torlasco, C, Jones, S, Nadarajan, N, Van Zalen, J, Chaturvedi, N, Lloyd, G, Sharma, S, Moon, J, Hughes, A, Manisty, C, Bhuva A. N., D'Silva A., Torlasco C., Jones S., Nadarajan N., Van Zalen J., Chaturvedi N., Lloyd G., Sharma S., Moon J. C., Hughes A. D., Manisty C. H., Bhuva, A, D'Silva, A, Torlasco, C, Jones, S, Nadarajan, N, Van Zalen, J, Chaturvedi, N, Lloyd, G, Sharma, S, Moon, J, Hughes, A, Manisty, C, Bhuva A. N., D'Silva A., Torlasco C., Jones S., Nadarajan N., Van Zalen J., Chaturvedi N., Lloyd G., Sharma S., Moon J. C., Hughes A. D., and Manisty C. H.
Abstract: Background: Aging increases aortic stiffness, contributing to cardiovascular risk even in healthy individuals. Aortic stiffness is reduced through supervised training programs, but these are not easily generalizable. Objectives: The purpose of this study was to determine whether real-world exercise training for a first-time marathon can reverse age-related aortic stiffening. Methods: Untrained healthy individuals underwent 6 months of training for the London Marathon. Assessment pre-training and 2 weeks post-marathon included central (aortic) blood pressure and aortic stiffness using cardiovascular magnetic resonance distensibility. Biological “aortic age” was calculated from the baseline chronological age-stiffness relationship. Change in stiffness was assessed at the ascending (Ao-A) and descending aorta at the pulmonary artery bifurcation (Ao-P) and diaphragm (Ao-D). Data are mean changes (95% confidence intervals [CIs]). Results: A total of 138 first-time marathon completers (age 21 to 69 years, 49% male) were assessed, with an estimated training schedule of 6 to 13 miles/week. At baseline, a decade of chronological aging correlated with a decrease in Ao-A, Ao-P, and Ao-D distensibility by 2.3, 1.9, and 3.1 × 10−3 mm Hg−1, respectively (p < 0.05 for all). Training decreased systolic and diastolic central (aortic) blood pressure by 4 mm Hg (95% CI: 2.8 to 5.5 mm Hg) and 3 mm Hg (95% CI: 1.6 to 3.5 mm Hg). Descending aortic distensibility increased (Ao-P: 9%; p = 0.009; Ao-D: 16%; p = 0.002), while remaining unchanged in the Ao-A. These translated to a reduction in “aortic age” by 3.9 years (95% CI: 1.1 to 7.6 years) and 4.0 years (95% CI: 1.7 to 8.0 years) (Ao-P and Ao-D, respectively). Benefit was greater in older, male participants with slower running times (p < 0.05 for all). Conclusions: Training for and completing a marathon even at relatively low exercise intensity reduces central blood pressure and aortic stiffness—equivalent to a ∼4-year reduction i
Published: 2020

20. Advanced imaging of right ventricular anatomy and function

Author: Badano, L, Addetia, K, Pontone, G, Torlasco, C, Lang, R, Parati, G, Muraru, D, Badano L., Addetia K., Pontone G., Torlasco C., Lang R. M., Parati G., Muraru D., Badano, L, Addetia, K, Pontone, G, Torlasco, C, Lang, R, Parati, G, Muraru, D, Badano L., Addetia K., Pontone G., Torlasco C., Lang R. M., Parati G., and Muraru D.
Abstract: Right ventricular (RV) size and function are important predictors of cardiovascular morbidity and mortality in patients with various conditions. However, non-invasive assessment of the RV is a challenging task due to its complex anatomy and location in the chest. Although conventional echocardiography is widely used, its limitations in RV assessment are well recognised. New techniques such as three-dimensional and speckle tracking echocardiography have overcome the limitations of conventional echocardiography allowing a comprehensive, quantitative assessment of RV geometry and function without geometric assumptions. Cardiac magnetic resonance (CMR) and CT provide accurate assessment of RV geometry and function, too. In addition, tissue characterisation imaging for myocardial scar and fat using CMR and CT provides important information regarding the RV that has clinical applications for diagnosis and prognosis in a broad range of cardiac conditions. Limitations also exist for these two advanced modalities including availability and patient suitability for CMR and need for contrast and radiation exposure for CT. Hybrid imaging, which is able to integrate anatomical information (usually obtained by CT or CMR) with physiological and molecular data (usually obtained with positron emission tomography), can provide optimal in vivo evaluation of Rv functional impairment. This review summarises the clinically useful applications of advanced echocardiography techniques, CMR and CT for comprehensive assessment of RV size, function and mechanics.
Published: 2020

21. Artificial Intelligence and Cardiovascular Imaging. A win-win Combination

Author: Badano, L, Keller, D, Torlasco, C, Muraru, D, Parati, G, Badano L, Keller D. M, Torlasco C, Muraru D, Parati G, Badano, L, Keller, D, Torlasco, C, Muraru, D, Parati, G, Badano L, Keller D. M, Torlasco C, Muraru D, and Parati G
Abstract: Rapid development of artificial intelligence (AI) is gaining grounds in medicine. Its huge impact and inevitable necessity are also reflected in cardiovascular imaging. Although AI would probably never replace doctors, it can significantly support and improve their productivity and diagnostic performance. Many algorithms have already proven useful at all stages of the cardiac imaging chain. Their crucial practical applications include classification, automatic quantification, notification, diagnosis, and risk prediction. Consequently, more reproducible and repeatable studies are obtained, and personalized reports may be available to any patient. Utilization of AI also increases patient safety and decreases healthcare costs. Furthermore, AI is particularly useful for beginners in the field of cardiac imaging as it provides anatomic guidance and interpretation of complex imaging results. In contrast, lack of interpretability and explainability in AI carries a risk of harmful recommendations. This review was aimed at summarizing AI principles, essential execution requirements, and challenges as well as its recent applications in cardiovascular imaging.
Published: 2020

22. Cardiovascular Remodeling Experienced by Real-World, Unsupervised, Young Novice Marathon Runners

Author: D'Silva, A, Bhuva, A, van Zalen, J, Bastiaenen, R, Abdel-Gadir, A, Jones, S, Nadarajan, N, Menacho Medina, K, Ye, Y, Augusto, J, Treibel, T, Rosmini, S, Ramlall, M, Scully, P, Torlasco, C, Willis, J, Finocchiaro, G, Papatheodorou, E, Dhutia, H, Cole, D, Chis Ster, I, Hughes, A, Sharma, R, Manisty, C, Lloyd, G, Moon, J, Sharma, S, D'Silva A., Bhuva A. N., van Zalen J., Bastiaenen R., Abdel-Gadir A., Jones S., Nadarajan N., Menacho Medina K. D., Ye Y., Augusto J., Treibel T. A., Rosmini S., Ramlall M., Scully P. R., Torlasco C., Willis J., Finocchiaro G., Papatheodorou E., Dhutia H., Cole D., Chis Ster I., Hughes A. D., Sharma R., Manisty C., Lloyd G., Moon J. C., Sharma S., D'Silva, A, Bhuva, A, van Zalen, J, Bastiaenen, R, Abdel-Gadir, A, Jones, S, Nadarajan, N, Menacho Medina, K, Ye, Y, Augusto, J, Treibel, T, Rosmini, S, Ramlall, M, Scully, P, Torlasco, C, Willis, J, Finocchiaro, G, Papatheodorou, E, Dhutia, H, Cole, D, Chis Ster, I, Hughes, A, Sharma, R, Manisty, C, Lloyd, G, Moon, J, Sharma, S, D'Silva A., Bhuva A. N., van Zalen J., Bastiaenen R., Abdel-Gadir A., Jones S., Nadarajan N., Menacho Medina K. D., Ye Y., Augusto J., Treibel T. A., Rosmini S., Ramlall M., Scully P. R., Torlasco C., Willis J., Finocchiaro G., Papatheodorou E., Dhutia H., Cole D., Chis Ster I., Hughes A. D., Sharma R., Manisty C., Lloyd G., Moon J. C., and Sharma S.
Abstract: Aims: Marathon running is a popular ambition in modern societies inclusive of non-athletes. Previous studies have highlighted concerning transient myocardial dysfunction and biomarker release immediately after the race. Whether this method of increasing physical activity is beneficial or harmful remains a matter of debate. We examine in detail the real-world cardiovascular remodeling response following competition in a first marathon. Methods: Sixty-eight novice marathon runners (36 men and 32 women) aged 30 ± 3 years were investigated 6 months before and 2 weeks after the 2016 London Marathon race in a prospective observational study. Evaluation included electrocardiography, cardiopulmonary exercise testing, echocardiography, and cardiovascular magnetic resonance imaging. Results: After 17 weeks unsupervised marathon training, runners revealed a symmetrical, eccentric remodeling response with 3–5% increases in left and right ventricular cavity sizes, respectively. Blood pressure (BP) fell by 4/2 mmHg (P < 0.01) with reduction in arterial stiffness, despite only 11% demonstrating a clinically meaningful improvement in peak oxygen consumption with an overall non-significant 0.4 ml/min/kg increase in peak oxygen consumption (P = 0.14). Conclusion: In the absence of supervised training, exercise-induced cardiovascular remodeling in real-world novice marathon runners is more modest than previously described and occurs even without improvement in cardiorespiratory fitness. The responses are similar in men and women, who experience a beneficial BP reduction and no evidence of myocardial fibrosis or persistent edema, when achieving average finishing times.
Published: 2020

23. T 1 mapping performance and measurement repeatability: Results from the multi-national T 1 mapping standardization phantom program (T1MES)

Author: Captur, G, Bhandari, A, Bruhl, R, Ittermann, B, Keenan, K, Yang, Y, Eames, R, Benedetti, G, Torlasco, C, Ricketts, L, Boubertakh, R, Fatih, N, Greenwood, J, Paulis, L, Lawton, C, Bucciarelli-Ducci, C, Lamb, H, Steeds, R, Leung, S, Berry, C, Valentin, S, Flett, A, De Lange, C, Decobelli, F, Viallon, M, Croisille, P, Higgins, D, Greiser, A, Pang, W, Hamilton-Craig, C, Strugnell, W, Dresselaers, T, Barison, A, Dawson, D, Taylor, A, Mongeon, F, Plein, S, Messroghli, D, Al-Mallah, M, Grieve, S, Lombardi, M, Jang, J, Salerno, M, Chaturvedi, N, Kellman, P, Bluemke, D, Nezafat, R, Gatehouse, P, Moon, J, Captur G., Bhandari A., Bruhl R., Ittermann B., Keenan K. E., Yang Y., Eames R. J., Benedetti G., Torlasco C., Ricketts L., Boubertakh R., Fatih N., Greenwood J. P., Paulis L. E. M., Lawton C. B., Bucciarelli-Ducci C., Lamb H. J., Steeds R., Leung S. W., Berry C., Valentin S., Flett A., De Lange C., Decobelli F., Viallon M., Croisille P., Higgins D. M., Greiser A., Pang W., Hamilton-Craig C., Strugnell W. E., Dresselaers T., Barison A., Dawson D., Taylor A. J., Mongeon F. -P., Plein S., Messroghli D., Al-Mallah M., Grieve S. M., Lombardi M., Jang J., Salerno M., Chaturvedi N., Kellman P., Bluemke D. A., Nezafat R., Gatehouse P., Moon J. C., Captur, G, Bhandari, A, Bruhl, R, Ittermann, B, Keenan, K, Yang, Y, Eames, R, Benedetti, G, Torlasco, C, Ricketts, L, Boubertakh, R, Fatih, N, Greenwood, J, Paulis, L, Lawton, C, Bucciarelli-Ducci, C, Lamb, H, Steeds, R, Leung, S, Berry, C, Valentin, S, Flett, A, De Lange, C, Decobelli, F, Viallon, M, Croisille, P, Higgins, D, Greiser, A, Pang, W, Hamilton-Craig, C, Strugnell, W, Dresselaers, T, Barison, A, Dawson, D, Taylor, A, Mongeon, F, Plein, S, Messroghli, D, Al-Mallah, M, Grieve, S, Lombardi, M, Jang, J, Salerno, M, Chaturvedi, N, Kellman, P, Bluemke, D, Nezafat, R, Gatehouse, P, Moon, J, Captur G., Bhandari A., Bruhl R., Ittermann B., Keenan K. E., Yang Y., Eames R. J., Benedetti G., Torlasco C., Ricketts L., Boubertakh R., Fatih N., Greenwood J. P., Paulis L. E. M., Lawton C. B., Bucciarelli-Ducci C., Lamb H. J., Steeds R., Leung S. W., Berry C., Valentin S., Flett A., De Lange C., Decobelli F., Viallon M., Croisille P., Higgins D. M., Greiser A., Pang W., Hamilton-Craig C., Strugnell W. E., Dresselaers T., Barison A., Dawson D., Taylor A. J., Mongeon F. -P., Plein S., Messroghli D., Al-Mallah M., Grieve S. M., Lombardi M., Jang J., Salerno M., Chaturvedi N., Kellman P., Bluemke D. A., Nezafat R., Gatehouse P., and Moon J. C.
Abstract: Background: The T 1 Mapping and Extracellular volume (ECV) Standardization (T1MES) program explored T 1 mapping quality assurance using a purpose-developed phantom with Food and Drug Administration (FDA) and Conformité Européenne (CE) regulatory clearance. We report T 1 measurement repeatability across centers describing sequence, magnet, and vendor performance. Methods: Phantoms batch-manufactured in August 2015 underwent 2 years of structural imaging, B 0 and B 1, and "reference" slow T 1 testing. Temperature dependency was evaluated by the United States National Institute of Standards and Technology and by the German Physikalisch-Technische Bundesanstalt. Center-specific T 1 mapping repeatability (maximum one scan per week to minimum one per quarter year) was assessed over mean 358 (maximum 1161) days on 34 1.5 T and 22 3 T magnets using multiple T 1 mapping sequences. Image and temperature data were analyzed semi-automatically. Repeatability of serial T 1 was evaluated in terms of coefficient of variation (CoV), and linear mixed models were constructed to study the interplay of some of the known sources of T 1 variation. Results: Over 2 years, phantom gel integrity remained intact (no rips/tears), B 0 and B 1 homogenous, and "reference" T 1 stable compared to baseline (% change at 1.5 T, 1.95 ± 1.39%; 3 T, 2.22 ± 1.44%). Per degrees Celsius, 1.5 T, T 1 (MOLLI 5s(3s)3s) increased by 11.4 ms in long native blood tubes and decreased by 1.2 ms in short post-contrast myocardium tubes. Agreement of estimated T 1 times with "reference" T 1 was similar across Siemens and Philips CMR systems at both field strengths (adjusted R 2 ranges for both field strengths, 0.99-1.00). Over 1 year, many 1.5 T and 3 T sequences/magnets were repeatable with mean CoVs < 1 and 2% respectively. Repeatability was narrower for 1.5 T over 3 T. Within T1MES repeatability for native T 1 was narrow for several sequences, for example, at 1.5 T, Siemens MOLLI 5s(3s)3s prototype number 448B (
Published: 2020

24. Cardiovascular Magnetic Resonance and Sport Cardiology: a Growing Role in Clinical Dilemmas

Author: Maestrini, V, Torlasco, C, Hughes, R, Moon, J, Maestrini V., Torlasco C., Hughes R., Moon J. C., Maestrini, V, Torlasco, C, Hughes, R, Moon, J, Maestrini V., Torlasco C., Hughes R., and Moon J. C.
Abstract: Exercise training induces morphological and functional cardiovascular adaptation known as the “athlete’s heart” with changes including dilatation, hypertrophy, and increased stroke volume. These changes may overlap with pathological appearances. Distinguishing athletic cardiac remodelling from cardiomyopathy is important and is a frequent medical dilemma. Cardiac magnetic resonance (CMR) has a role in clinical care as it can refine discrimination of health from a disease where ECG and echocardiography alone have left or generated uncertainty. CMR can more precisely assess cardiac structure and function as well as characterise the myocardium detecting key changes including myocardial scar and diffuse fibrosis. In this review, we will review the role of CMR in sports cardiology.
Published: 2020

25. Is the immediate effect of marathon running on novice runners’ knee joints sustained within 6 months after the run? A follow-up 3.0 T MRI study

Author: Horga, L, Henckel, J, Fotiadou, A, Hirschmann, A, Di Laura, A, Torlasco, C, D'Silva, A, Sharma, S, Moon, J, Hart, A, Horga L. M., Henckel J., Fotiadou A., Hirschmann A. C., Di Laura A., Torlasco C., D'Silva A., Sharma S., Moon J. C., Hart A. J., Horga, L, Henckel, J, Fotiadou, A, Hirschmann, A, Di Laura, A, Torlasco, C, D'Silva, A, Sharma, S, Moon, J, Hart, A, Horga L. M., Henckel J., Fotiadou A., Hirschmann A. C., Di Laura A., Torlasco C., D'Silva A., Sharma S., Moon J. C., and Hart A. J.
Abstract: Objective: To evaluate changes in the knee joints of asymptomatic first-time marathon runners, using 3.0 T MRI, 6 months after finishing marathon training and run. Materials and methods: Six months after their participation in a baseline study regarding their knee joints, 44 asymptomatic novice marathoners (17 males, 27 females, mean age 46 years old) agreed to participate in a repeat MRI investigation: 37 completed both a standardized 4-month-long training programme and the marathon (marathon runners); and 7 dropped out during training (pre-race dropouts). The participants already underwent bilateral 3.0 T MRIs: 6 months before and 2 weeks after their first marathon, the London Marathon 2017. This study was a follow-up assessment of their knee joints. Each knee structure was assessed using validated scoring/grading systems at all time points. Results: Two weeks after the marathon, 3 pre-marathon bone marrow lesions and 2 cartilage lesions showed decrease in radiological score on MRI, and the improvement was sustained at the 6-month follow-up. New improvements were observed on MRI at follow-up: 5 pre-existing bone marrow lesions and 3 cartilage lesions that remained unchanged immediately after the marathon reduced in their extent 6 months later. No further lesions appeared at follow-up, and the 2-week post-marathon lesions showed signs of reversibility: 10 of 18 bone marrow oedema-like signals and 3 of 21 cartilage lesions decreased on MRI. Conclusion: The knees of novice runners achieved sustained improvement, for at least 6 months post-marathon, in the condition of their bone marrow and articular cartilage.
Published: 2020

26. Comorbidities, cardiovascular therapies, and COVID-19 mortality: A nationwide, italian observational study (ItaliCO)

Author: Polverino, F, Stern, D, Ruocco, G, Balestro, E, Bassetti, M, Candelli, M, Cirillo, B, Contoli, M, Corsico, A, D'Amico, F, D'Elia, E, Falco, G, Gasparini, S, Guerra, S, Harari, S, Kraft, M, Mennella, L, Papi, A, Parrella, R, Pelosi, P, Poletti, V, Polverino, M, Tana, C, Terribile, R, Woods, J, Di Marco, F, Martinez, F, Zhang, S, Geelhoed, B, Sinning, C, Agarossi, A, Agati, S, Agosteo, E, Ando', F, Andreoni, M, Angelillo, I, Arcoleo, G, Arena, C, Baiamonte, P, Ball, L, Banfi, P, Bartoletti, G, Bartolotta, R, Battaglini, D, Bellan, M, Benzoni, I, Bertolini, R, Bevilacqua, M, Bezzi, M, Bianco, A, Bisbano, A, Bobbio, F, Bocchialini, G, Bonetti, F, Boni, F, Bonifazi, M, Borgonovo, G, Borre', S, Bosio, M, Brachini, G, Brunetti, I, Calagna, L, Calo, F, Capuozzo, A, Carr, T, Castellani, A, Catalano, F, Catania, G, Catena, E, Cattaneo, M, Cattelan, A, Ceruti, V, Chiumiento, F, Cicchitto, G, Confalonieri, M, Confalonieri, P, Coppola, N, Cosentina, R, Costantino, R, Crimi, C, Curra, A, D'Abbraccio, M, Dalbeni, A, Daleffe, F, Davide, R, Del Donno, M, Di Pastena, F, Di Perna, F, Di Rosa, Z, Di Sabatino, A, Elesbani, O, Elia, D, Esposito, V, Fabiani, L, Falo, G, Fanelli, C, Fantin, A, Ferrigno, F, Fiorentino, G, Franceschi, F, Fronza, M, Gardenghi, G, Giacobbe, D, Giannotti, C, Giannotti, G, Gidari, A, Giovanardi, F, Gnerre, P, Gonnelli, F, Graziano, M, Greco, S, Grosso, A, Guarino, S, Iannarelli, A, Imitazione, P, Inglese, F, Iodice, V, Izzo, A, La Greca, C, Lax, A, Legittimo, F, Leo, A, Leone, S, Lepidini, V, Leto, M, Licata, F, Locati, F, Lorini, L, Lucchetti, B, Maida, I, Macera, M, Manzillo, E, March, A, Mascheroni, D, Mastroianni, A, Mauro, I, Mazzitelli, M, Mazzuca, E, Micheletto, C, Mingoli, A, Minuz, P, Moioli, M, Monti, L, Morgagni, R, Mucci, L, Muselli, M, Negri, S, Nobile, C, Oldani, S, Olivieri, C, Parati, G, Parodi, L, Pastorelli, E, Patruno, V, Pellegrino, F, Pengo, M, Pepe, D, Perotti, A, Petrino, R, Petrucci, M, Piane, R, Pignataro, G, Pino, M, Pirisi, M, Porru, F, Pugliese, F, Punzi, R, Ramaroli, D, Robba, C, Rostagno, R, Sabatini, U, Sainaghi, P, Salton, F, Salzano, C, Sanduzzi, A, Zamparelli, S, Sangiovanni, V, Santopuoli, D, Sapienza, P, Sarmati, L, Schiaroli, E, Scienza, F, Senni, M, Serchisu, L, Sgherzi, S, Soddu, D, Soranna, D, Sorino, C, Spadaro, S, Stirpe, E, Tardivo, S, Tartaglia, S, Teopompi, E, Tomchaney, M, Torelli, E, Torlasco, C, Torti, C, Tupputi, E, Ugolinelli, C, Vatrella, A, Versace, A, Villani, M, Vincenzo, L, Volta, C, Voraphani, N, Zekaj, E, Zoppellari, R, Polverino F., Stern D. A., Ruocco G., Balestro E., Bassetti M., Candelli M., Cirillo B., Contoli M., Corsico A., D'Amico F., D'Elia E., Falco G., Gasparini S., Guerra S., Harari S., Kraft M., Mennella L., Papi A., Parrella R., Pelosi P., Poletti V., Polverino M., Tana C., Terribile R., Woods J. C., Di Marco F., Martinez F. D., Zhang S., Geelhoed B., Sinning C., Agarossi A., Agati S., Agosteo E., Ando' F., Andreoni M., Angelillo I. F., Arcoleo G., Arena C., Baiamonte P., Ball L., Banfi P., Bartoletti G., Bartolotta R., Battaglini D., Bellan M., Benzoni I., Bertolini R., Bevilacqua M., Bezzi M., Bianco A., Bisbano A., Bobbio F., Bocchialini G., Bonetti F., Boni F., Bonifazi M., Borgonovo G., Borre' S., Bosio M., Brachini G., Brunetti I., Calagna L., Calo F., Capuozzo A., Carr T., Castellani A., Catalano F., Catania G., Catena E., Cattaneo M., Cattelan A., Ceruti V., Chiumiento F., Cicchitto G., Confalonieri M., Confalonieri P., Coppola N., Cosentina R., Costantino R., Crimi C., Curra A., D'Abbraccio M., Dalbeni A., Daleffe F., Davide R., Del Donno M., Di Pastena F., Di Perna F., Di Rosa Z., Di Sabatino A., Elesbani O., Elia D., Esposito V., Fabiani L., Falo G., Fanelli C., Fantin A., Ferrigno F., Fiorentino G., Franceschi F., Fronza M., Gardenghi G. G., Giacobbe D. R., Giannotti C., Giannotti G., Gidari A., Giovanardi F., Gnerre P., Gonnelli F., Graziano M., Greco S., Grosso A., Guarino S., Iannarelli A., Imitazione P., Inglese F., Iodice V., Izzo A., La Greca C., Lax A., Legittimo F., Leo A., Leone S., Lepidini V., Leto M., Licata F., Locati F., Lorini L., Lucchetti B., Maida I., Macera M., Manzillo E., March A., Mascheroni D., Mastroianni A., Mauro I., Mazzitelli M., Mazzuca E., Micheletto C., Mingoli A., Minuz P., Moioli M., Monti L., Morgagni R., Mucci L., Muselli M., Negri S., Nobile C. G. A., Oldani S., Olivieri C., Parati G., Parodi L., Pastorelli E., Patruno V., Pellegrino F., Pengo M. F., Pepe D., Perotti A., Petrino R., Petrucci M., Piane R. M., Pignataro G., Pino M., Pirisi M., Porru F., Pugliese F., Punzi R., Ramaroli D. A., Robba C., Rostagno R., Sabatini U., Sainaghi P. P., Salton F., Salzano C., Sanduzzi A., Zamparelli S. S., Sangiovanni V., Santopuoli D., Sapienza P., Sarmati L., Schiaroli E., Scienza F., Senni M., Serchisu L., Sgherzi S., Soddu D., Soranna D., Sorino C., Spadaro S., Stirpe E., Tardivo S., Tartaglia S., Teopompi E., Tomchaney M., Torelli E., Torlasco C., Torti C., Tupputi E., Ugolinelli C., Vatrella A., Versace A. G., Villani M., Vincenzo L., Volta C. A., Voraphani N., Zekaj E., Zoppellari R., Polverino, F, Stern, D, Ruocco, G, Balestro, E, Bassetti, M, Candelli, M, Cirillo, B, Contoli, M, Corsico, A, D'Amico, F, D'Elia, E, Falco, G, Gasparini, S, Guerra, S, Harari, S, Kraft, M, Mennella, L, Papi, A, Parrella, R, Pelosi, P, Poletti, V, Polverino, M, Tana, C, Terribile, R, Woods, J, Di Marco, F, Martinez, F, Zhang, S, Geelhoed, B, Sinning, C, Agarossi, A, Agati, S, Agosteo, E, Ando', F, Andreoni, M, Angelillo, I, Arcoleo, G, Arena, C, Baiamonte, P, Ball, L, Banfi, P, Bartoletti, G, Bartolotta, R, Battaglini, D, Bellan, M, Benzoni, I, Bertolini, R, Bevilacqua, M, Bezzi, M, Bianco, A, Bisbano, A, Bobbio, F, Bocchialini, G, Bonetti, F, Boni, F, Bonifazi, M, Borgonovo, G, Borre', S, Bosio, M, Brachini, G, Brunetti, I, Calagna, L, Calo, F, Capuozzo, A, Carr, T, Castellani, A, Catalano, F, Catania, G, Catena, E, Cattaneo, M, Cattelan, A, Ceruti, V, Chiumiento, F, Cicchitto, G, Confalonieri, M, Confalonieri, P, Coppola, N, Cosentina, R, Costantino, R, Crimi, C, Curra, A, D'Abbraccio, M, Dalbeni, A, Daleffe, F, Davide, R, Del Donno, M, Di Pastena, F, Di Perna, F, Di Rosa, Z, Di Sabatino, A, Elesbani, O, Elia, D, Esposito, V, Fabiani, L, Falo, G, Fanelli, C, Fantin, A, Ferrigno, F, Fiorentino, G, Franceschi, F, Fronza, M, Gardenghi, G, Giacobbe, D, Giannotti, C, Giannotti, G, Gidari, A, Giovanardi, F, Gnerre, P, Gonnelli, F, Graziano, M, Greco, S, Grosso, A, Guarino, S, Iannarelli, A, Imitazione, P, Inglese, F, Iodice, V, Izzo, A, La Greca, C, Lax, A, Legittimo, F, Leo, A, Leone, S, Lepidini, V, Leto, M, Licata, F, Locati, F, Lorini, L, Lucchetti, B, Maida, I, Macera, M, Manzillo, E, March, A, Mascheroni, D, Mastroianni, A, Mauro, I, Mazzitelli, M, Mazzuca, E, Micheletto, C, Mingoli, A, Minuz, P, Moioli, M, Monti, L, Morgagni, R, Mucci, L, Muselli, M, Negri, S, Nobile, C, Oldani, S, Olivieri, C, Parati, G, Parodi, L, Pastorelli, E, Patruno, V, Pellegrino, F, Pengo, M, Pepe, D, Perotti, A, Petrino, R, Petrucci, M, Piane, R, Pignataro, G, Pino, M, Pirisi, M, Porru, F, Pugliese, F, Punzi, R, Ramaroli, D, Robba, C, Rostagno, R, Sabatini, U, Sainaghi, P, Salton, F, Salzano, C, Sanduzzi, A, Zamparelli, S, Sangiovanni, V, Santopuoli, D, Sapienza, P, Sarmati, L, Schiaroli, E, Scienza, F, Senni, M, Serchisu, L, Sgherzi, S, Soddu, D, Soranna, D, Sorino, C, Spadaro, S, Stirpe, E, Tardivo, S, Tartaglia, S, Teopompi, E, Tomchaney, M, Torelli, E, Torlasco, C, Torti, C, Tupputi, E, Ugolinelli, C, Vatrella, A, Versace, A, Villani, M, Vincenzo, L, Volta, C, Voraphani, N, Zekaj, E, Zoppellari, R, Polverino F., Stern D. A., Ruocco G., Balestro E., Bassetti M., Candelli M., Cirillo B., Contoli M., Corsico A., D'Amico F., D'Elia E., Falco G., Gasparini S., Guerra S., Harari S., Kraft M., Mennella L., Papi A., Parrella R., Pelosi P., Poletti V., Polverino M., Tana C., Terribile R., Woods J. C., Di Marco F., Martinez F. D., Zhang S., Geelhoed B., Sinning C., Agarossi A., Agati S., Agosteo E., Ando' F., Andreoni M., Angelillo I. F., Arcoleo G., Arena C., Baiamonte P., Ball L., Banfi P., Bartoletti G., Bartolotta R., Battaglini D., Bellan M., Benzoni I., Bertolini R., Bevilacqua M., Bezzi M., Bianco A., Bisbano A., Bobbio F., Bocchialini G., Bonetti F., Boni F., Bonifazi M., Borgonovo G., Borre' S., Bosio M., Brachini G., Brunetti I., Calagna L., Calo F., Capuozzo A., Carr T., Castellani A., Catalano F., Catania G., Catena E., Cattaneo M., Cattelan A., Ceruti V., Chiumiento F., Cicchitto G., Confalonieri M., Confalonieri P., Coppola N., Cosentina R., Costantino R., Crimi C., Curra A., D'Abbraccio M., Dalbeni A., Daleffe F., Davide R., Del Donno M., Di Pastena F., Di Perna F., Di Rosa Z., Di Sabatino A., Elesbani O., Elia D., Esposito V., Fabiani L., Falo G., Fanelli C., Fantin A., Ferrigno F., Fiorentino G., Franceschi F., Fronza M., Gardenghi G. G., Giacobbe D. R., Giannotti C., Giannotti G., Gidari A., Giovanardi F., Gnerre P., Gonnelli F., Graziano M., Greco S., Grosso A., Guarino S., Iannarelli A., Imitazione P., Inglese F., Iodice V., Izzo A., La Greca C., Lax A., Legittimo F., Leo A., Leone S., Lepidini V., Leto M., Licata F., Locati F., Lorini L., Lucchetti B., Maida I., Macera M., Manzillo E., March A., Mascheroni D., Mastroianni A., Mauro I., Mazzitelli M., Mazzuca E., Micheletto C., Mingoli A., Minuz P., Moioli M., Monti L., Morgagni R., Mucci L., Muselli M., Negri S., Nobile C. G. A., Oldani S., Olivieri C., Parati G., Parodi L., Pastorelli E., Patruno V., Pellegrino F., Pengo M. F., Pepe D., Perotti A., Petrino R., Petrucci M., Piane R. M., Pignataro G., Pino M., Pirisi M., Porru F., Pugliese F., Punzi R., Ramaroli D. A., Robba C., Rostagno R., Sabatini U., Sainaghi P. P., Salton F., Salzano C., Sanduzzi A., Zamparelli S. S., Sangiovanni V., Santopuoli D., Sapienza P., Sarmati L., Schiaroli E., Scienza F., Senni M., Serchisu L., Sgherzi S., Soddu D., Soranna D., Sorino C., Spadaro S., Stirpe E., Tardivo S., Tartaglia S., Teopompi E., Tomchaney M., Torelli E., Torlasco C., Torti C., Tupputi E., Ugolinelli C., Vatrella A., Versace A. G., Villani M., Vincenzo L., Volta C. A., Voraphani N., Zekaj E., and Zoppellari R.
Abstract: Background: Italy has one of the world’s oldest populations, and suffered one the highest death tolls from Coronavirus disease 2019 (COVID-19) worldwide. Older people with cardiovascular diseases (CVDs), and in particular hypertension, are at higher risk of hospitalization and death for COVID-19. Whether hypertensionmedicationsmay increase the risk for death in older COVID 19 inpatients at the highest risk for the disease is currently unknown. Methods: Data from 5,625 COVID-19 inpatients were manually extracted from medical charts from 61 hospitals across Italy. From the initial 5,625 patients, 3,179 were included in the study as they were either discharged or deceased at the time of the data analysis. Primary outcome was inpatient death or recovery. Mixed effects logistic regression models were adjusted for sex, age, and number of comorbidities, with a random effect for site. Results: A large proportion of participating inpatients were ≥65 years old (58%), male (68%), non-smokers (93%) with comorbidities (66%). Each additional comorbidity increased the risk of death by 35% [adjOR = 1.35 (1.2, 1.5) p < 0.001]. Use of ACE inhibitors, ARBs, beta-blockers or Ca-antagonists was not associated with significantly increased risk of death. There was a marginal negative association between ARB use and death, and a marginal positive association between diuretic use and death. Conclusions: This Italian nationwide observational study of COVID-19 inpatients, the majority of which ≥65 years old, indicates that there is a linear direct relationship between the number of comorbidities and the risk of death. Among CVDs, hypertension and pre-existing cardiomyopathy were significantly associated with risk of death. The use of hypertension medications reported to be safe in younger cohorts, do not contribute significantly to increased COVID-19 related deaths in an older population that suffered one of the highest death tolls worldwide.
Published: 2020

27. Comorbidities, cardiovascular therapies, and COVID-19 mortality: A nationwide, italian observational study (ItaliCO)

Author: Polverino, F., Phd, Md, Stern, D., Polverino, M., D'Amico, F., D'Elia, E., Agarossi, A., Agati, S., Agosteo, E., Ando', F., Andreoni, M., Angelillo, If., Dds, Mph, Arcoleo, G., Arena, C., Baiamonte, P., Balestro, E., Ball, L., Banfi, P., Bartoletti, G., Bartolotta, R., Bassetti, M., Battaglini, D., Bellan, M., Benzoni, I., Bertolini, R., Bevilacqua, M., Bezzi, M., Bianco, A., Bisbano, A., Bobbio, F., Bocchialini, G., Bonetti, F., Boni, F., Bonifazi, M., Borgonovo, G., Borre', S., Bosio, M., Brachini, G., Brunetti, I., Calagna, L., Calò, F., Candelli, M., Capuozzo, A., Carr, T., Castellani, A., Catalano, F., Catania, G., Catena, E., Cattaneo, M., Cattelan, A., Ceruti, V., Chiumiento, F., Cicchitto, G., Cirillo, B., Confalonieri, M., Confalonieri, P., Contoli, M., Coppola, N., Corsico, A., Cosentina, R., Costantino, R., Crimi, C., Currà, A., D'Abbraccio, M., Dalbeni, A., Daleffe, F., Davide, R., Del Donno, M., Di Marco, F., Di Pastena, F., Di Perna, F., Di Rosa, Z., Di Sabatino, A., Elesbani, O., Elia, D., Esposito, V., Fabiani, L., Falco, G., Falo, G., Fanelli, C., Fantin, A., Ferrigno, F., Fiorentino, G., Franceschi, F., Fronza, M., Gardini Gardenghi, G., Gasparini, S., Giacobbe, D. R., Giannotti, C., Giannotti, G., Gidari, A., Giovanardi, F., Gnerre, P., Gonnelli, F., Graziano, M., Greco, S., Grosso, A., Phd, Guarino, S., Guerra, S., Harari, S., Iannarelli, A., Imitazione, P., Inglese, F., Iodice, V., Izzo, A., La Greca, C., Kraft, M., Lax, A., Legittimo, F., Leo, A., Leone, S., Lepidini, V., Leto, M., Licata, F., Locati, F., Lorini, L., Lucchetti, B., Maida, I., Macera, M., Manzillo, E., March, A., Mascheroni, D., Mastroianni, A., Mauro, I., Mazzitelli, M., Mazzuca, E., Mennella, L., Micheletto, C., Mingoli, A., Minuz, P., Moioli, M., Monti, L., Morgagni, R., Mucci, L., Muselli, M., Negri, S., Nobile, C. G. A., Oldani, S., Olivieri, C., Papi, A., Parati, G., Parodi, L., Parrella, R., Pastorelli, E., Patruno, V., Pellegrino, F., Pelosi, P., Fers, Md, Pengo, M. F., Pepe, D., Perotti, A., Petrino, R., Petrucci, M., Piane, R. M., Pignataro, G., Pino, M., Pirisi, M., Poletti, V., Porru, F., Pugliese, F., Punzi, R., Ramaroli, D. A., Robba, C., Rostagno, R., Ruocco, G., Sabatini, U., Sainaghi, P. P., Salton, F., Salzano, C., Sanduzzi, A., Sanduzzi Zamparelli, S., Sangiovanni, V., Santopuoli, D., Sapienza, P., Sarmati, L., Schiaroli, E., Scienza, F., Senni, M., Serchisu, L., Sgherzi, S., Soddu, D., Soranna, D., Sorino, C., Spadaro, S., Stirpe, E., Tana, C., Tardivo, S., Tartaglia, S., Teopompi, E., Terribile, R., Tomchaney, M., Torelli, E., Torlasco, C., Torti, C., Tupputi, E., Ugolinelli, C., Vatrella, A., Versace, A. G., Villani, M., Vincenzo, L., Volta, C. A., Voraphani, N., Woods, J. C., Zekaj, E., Zoppellari, R., Martinez, and F. D., Polverino, Francesca, Stern, Debra A, Ruocco, Gaetano, Balestro, Elisabetta, Bassetti, Matteo, Candelli, Marcello, Cirillo, Bruno, Contoli, Marco, Corsico, Angelo, D'Amico, Filippo, D'Elia, Emilia, Falco, Giuseppe, Gasparini, Stefano, Guerra, Stefano, Harari, Sergio, Kraft, Monica, Mennella, Luigi, Papi, Alberto, Parrella, Roberto, Pelosi, Paolo, Poletti, Venerino, Polverino, Mario, Tana, Claudio, Terribile, Roberta, Woods, Jason C, Di Marco, Fabiano, Martinez, Fernando D, Angelillo, Italo Francesco, Stern, Debra A., C Woods, Jason, Martinez, Fernando D., Polverino, F., Stern, D., Polverino, M., D'Amico, F., D'Elia, E., Agarossi, A., Agati, S., Agosteo, E., Ando', F., Andreoni, M., Angelillo, If., Arcoleo, G., Arena, C., Baiamonte, P., Balestro, E., Ball, L., Banfi, P., Bartoletti, G., Bartolotta, R., Bassetti, M., Battaglini, D., Bellan, M., Benzoni, I., Bertolini, R., Bevilacqua, M., Bezzi, M., Bianco, A., Bisbano, A., Bobbio, F., Bocchialini, G., Bonetti, F., Boni, F., Bonifazi, M., Borgonovo, G., Borre', S., Bosio, M., Brachini, G., Brunetti, I., Calagna, L., Calò, F., Candelli, M., Capuozzo, A., Carr, T., Castellani, A., Catalano, F., Catania, G., Catena, E., Cattaneo, M., Cattelan, A., Ceruti, V., Chiumiento, F., Cicchitto, G., Cirillo, B., Confalonieri, M., Confalonieri, P., Contoli, M., Coppola, N., Corsico, A., Cosentina, R., Costantino, R., Crimi, C., Currà, A., D'Abbraccio, M., Dalbeni, A., Daleffe, F., Davide, R., Del Donno, M., Di Marco, F., Di Pastena, F., Di Perna, F., Di Rosa, Z., Di Sabatino, A., Elesbani, O., Elia, D., Esposito, V., Fabiani, L., Falco, G., Falo, G., Fanelli, C., Fantin, A., Ferrigno, F., Fiorentino, G., Franceschi, F., Fronza, M., Gardini Gardenghi, G., Gasparini, S., Giacobbe, D. R., Giannotti, C., Giannotti, G., Gidari, A., Giovanardi, F., Gnerre, P., Gonnelli, F., Graziano, M., Greco, S., Grosso, A., Guarino, S., Guerra, S., Harari, S., Iannarelli, A., Imitazione, P., Inglese, F., Iodice, V., Izzo, A., La Greca, C., Kraft, M., Lax, A., Legittimo, F., Leo, A., Leone, S., Lepidini, V., Leto, M., Licata, F., Locati, F., Lorini, L., Lucchetti, B., Maida, I., Macera, M., Manzillo, E., March, A., Mascheroni, D., Mastroianni, A., Mauro, I., Mazzitelli, M., Mazzuca, E., Mennella, L., Micheletto, C., Mingoli, A., Minuz, P., Moioli, M., Monti, L., Morgagni, R., Mucci, L., Muselli, M., Negri, S., Nobile, C. G. A., Oldani, S., Olivieri, C., Papi, A., Parati, G., Parodi, L., Parrella, R., Pastorelli, E., Patruno, V., Pellegrino, F., Pelosi, P., Pengo, M. F., Pepe, D., Perotti, A., Petrino, R., Petrucci, M., Piane, R. M., Pignataro, G., Pino, M., Pirisi, M., Poletti, V., Porru, F., Pugliese, F., Punzi, R., Ramaroli, D. A., Robba, C., Rostagno, R., Ruocco, G., Sabatini, U., Sainaghi, P. P., Salton, F., Salzano, C., Sanduzzi, A., Sanduzzi Zamparelli, S., Sangiovanni, V., Santopuoli, D., Sapienza, P., Sarmati, L., Schiaroli, E., Scienza, F., Senni, M., Serchisu, L., Sgherzi, S., Soddu, D., Soranna, D., Sorino, C., Spadaro, S., Stirpe, E., Tana, C., Tardivo, S., Tartaglia, S., Teopompi, E., Terribile, R., Tomchaney, M., Torelli, E., Torlasco, C., Torti, C., Tupputi, E., Ugolinelli, C., Vatrella, A., Versace, A. G., Villani, M., Vincenzo, L., Volta, C. A., Voraphani, N., Woods, J. C., Zekaj, E., Zoppellari, R., Martinez, F. D., Public Health, Polverino, F, Stern, D, Ruocco, G, Balestro, E, Bassetti, M, Candelli, M, Cirillo, B, Contoli, M, Corsico, A, D'Amico, F, D'Elia, E, Falco, G, Gasparini, S, Guerra, S, Harari, S, Kraft, M, Mennella, L, Papi, A, Parrella, R, Pelosi, P, Poletti, V, Polverino, M, Tana, C, Terribile, R, Woods, J, Di Marco, F, Martinez, F, Zhang, S, Geelhoed, B, Sinning, C, Agarossi, A, Agati, S, Agosteo, E, Ando', F, Andreoni, M, Angelillo, I, Arcoleo, G, Arena, C, Baiamonte, P, Ball, L, Banfi, P, Bartoletti, G, Bartolotta, R, Battaglini, D, Bellan, M, Benzoni, I, Bertolini, R, Bevilacqua, M, Bezzi, M, Bianco, A, Bisbano, A, Bobbio, F, Bocchialini, G, Bonetti, F, Boni, F, Bonifazi, M, Borgonovo, G, Borre', S, Bosio, M, Brachini, G, Brunetti, I, Calagna, L, Calo, F, Capuozzo, A, Carr, T, Castellani, A, Catalano, F, Catania, G, Catena, E, Cattaneo, M, Cattelan, A, Ceruti, V, Chiumiento, F, Cicchitto, G, Confalonieri, M, Confalonieri, P, Coppola, N, Cosentina, R, Costantino, R, Crimi, C, Curra, A, D'Abbraccio, M, Dalbeni, A, Daleffe, F, Davide, R, Del Donno, M, Di Pastena, F, Di Perna, F, Di Rosa, Z, Di Sabatino, A, Elesbani, O, Elia, D, Esposito, V, Fabiani, L, Falo, G, Fanelli, C, Fantin, A, Ferrigno, F, Fiorentino, G, Franceschi, F, Fronza, M, Gardenghi, G, Giacobbe, D, Giannotti, C, Giannotti, G, Gidari, A, Giovanardi, F, Gnerre, P, Gonnelli, F, Graziano, M, Greco, S, Grosso, A, Guarino, S, Iannarelli, A, Imitazione, P, Inglese, F, Iodice, V, Izzo, A, La Greca, C, Lax, A, Legittimo, F, Leo, A, Leone, S, Lepidini, V, Leto, M, Licata, F, Locati, F, Lorini, L, Lucchetti, B, Maida, I, Macera, M, Manzillo, E, March, A, Mascheroni, D, Mastroianni, A, Mauro, I, Mazzitelli, M, Mazzuca, E, Micheletto, C, Mingoli, A, Minuz, P, Moioli, M, Monti, L, Morgagni, R, Mucci, L, Muselli, M, Negri, S, Nobile, C, Oldani, S, Olivieri, C, Parati, G, Parodi, L, Pastorelli, E, Patruno, V, Pellegrino, F, Pengo, M, Pepe, D, Perotti, A, Petrino, R, Petrucci, M, Piane, R, Pignataro, G, Pino, M, Pirisi, M, Porru, F, Pugliese, F, Punzi, R, Ramaroli, D, Robba, C, Rostagno, R, Sabatini, U, Sainaghi, P, Salton, F, Salzano, C, Sanduzzi, A, Zamparelli, S, Sangiovanni, V, Santopuoli, D, Sapienza, P, Sarmati, L, Schiaroli, E, Scienza, F, Senni, M, Serchisu, L, Sgherzi, S, Soddu, D, Soranna, D, Sorino, C, Spadaro, S, Stirpe, E, Tardivo, S, Tartaglia, S, Teopompi, E, Tomchaney, M, Torelli, E, Torlasco, C, Torti, C, Tupputi, E, Ugolinelli, C, Vatrella, A, Versace, A, Villani, M, Vincenzo, L, Volta, C, Voraphani, N, Zekaj, E, and Zoppellari, R
Subjects: 0301 basic medicine, COVID-19, comorbidities, ACE inhibitors, mortality, cohort study, medicine.medical_specialty, comorbiditie, lcsh:Diseases of the circulatory (Cardiovascular) system, ACE inhibitors, Coronavirus disease 2019 (COVID-19), COVID-19, cohort study, comorbidities, mortality, Cardiomyopathy, Socio-culturale, Disease, 030204 cardiovascular system & hematology, Cardiovascular Medicine, Logistic regression, Older population, Comorbidities, 03 medical and health sciences, 0302 clinical medicine, SDG 3 - Good Health and Well-being, Internal medicine, ACE inhibitor, medicine, Mortality, Original Research, business.industry, Cohort study, medicine.disease, Comorbidity, 030104 developmental biology, lcsh:RC666-701, Observational study, Erratum, Cardiology and Cardiovascular Medicine, business
Abstract: Background: Italy has one of the world’s oldest populations, and suffered one the highest death tolls from Coronavirus disease 2019 (COVID-19) worldwide. Older people with cardiovascular diseases (CVDs), and in particular hypertension, are at higher risk of hospitalization and death for COVID-19. Whether hypertensionmedicationsmay increase the risk for death in older COVID 19 inpatients at the highest risk for the disease is currently unknown. Methods: Data from 5,625 COVID-19 inpatients were manually extracted from medical charts from 61 hospitals across Italy. From the initial 5,625 patients, 3,179 were included in the study as they were either discharged or deceased at the time of the data analysis. Primary outcome was inpatient death or recovery. Mixed effects logistic regression models were adjusted for sex, age, and number of comorbidities, with a random effect for site. Results: A large proportion of participating inpatients were ≥65 years old (58%), male (68%), non-smokers (93%) with comorbidities (66%). Each additional comorbidity increased the risk of death by 35% [adjOR = 1.35 (1.2, 1.5) p < 0.001]. Use of ACE inhibitors, ARBs, beta-blockers or Ca-antagonists was not associated with significantly increased risk of death. There was a marginal negative association between ARB use and death, and a marginal positive association between diuretic use and death. Conclusions: This Italian nationwide observational study of COVID-19 inpatients, the majority of which ≥65 years old, indicates that there is a linear direct relationship between the number of comorbidities and the risk of death. Among CVDs, hypertension and pre-existing cardiomyopathy were significantly associated with risk of death. The use of hypertension medications reported to be safe in younger cohorts, do not contribute significantly to increased COVID-19 related deaths in an older population that suffered one of the highest death tolls worldwide.
Published: 2020

28. Effective Study: Development and Application of a Question-Driven, Time-Effective Cardiac Magnetic Resonance Scanning Protocol

Author: Torlasco, C, Castelletti, S, Soranna, D, Volpato, V, Figliozzi, S, Menacho, K, Cernigliaro, F, Zambon, A, Kellman, P, Moon, J, Badano, L, Parati, G, Torlasco, Camilla, Castelletti, Silvia, Soranna, Davide, Volpato, Valentina, Figliozzi, Stefano, Menacho, Katia, Cernigliaro, Franco, Zambon, Antonella, Kellman, Peter, Moon, James C, Badano, Luigi, Parati, Gianfranco, Torlasco, C, Castelletti, S, Soranna, D, Volpato, V, Figliozzi, S, Menacho, K, Cernigliaro, F, Zambon, A, Kellman, P, Moon, J, Badano, L, Parati, G, Torlasco, Camilla, Castelletti, Silvia, Soranna, Davide, Volpato, Valentina, Figliozzi, Stefano, Menacho, Katia, Cernigliaro, Franco, Zambon, Antonella, Kellman, Peter, Moon, James C, Badano, Luigi, and Parati, Gianfranco
Abstract: BACKGROUND: Long scanning times impede cardiac magnetic resonance (CMR) clinical uptake. A “one-size-fits-all” shortened, focused protocol (eg, only function and late-gadolinium enhancement) reduces scanning time and costs, but provides less information. We developed 2 question-driven CMR and stress-CMR protocols, including tailored advanced tissue characterization, and tested their effectiveness in reducing scanning time while retaining the diagnostic performances of standard protocols. METHODS AND RESULTS: Eighty three consecutive patients with cardiomyopathy or ischemic heart disease underwent the tailored CMR. Each scan consisted of standard cines, late-gadolinium enhancement imaging, native T1-mapping, and extracellular volume. Fat/edema modules, right ventricle cine, and in-line quantitative perfusion mapping were performed as clinically required. Workflow was optimized to avoid gaps. Time target was <30 minutes for a CMR and [removed]30% (CMR: from 42±8 to 28±6 minutes; stress-CMR: from 50±10 to 34±6 minutes, both P[removed]45% of cases. Quality grading was similar between the 2 protocols. Tailored protocols did not require additional staff. CONCLUSIONS: Tailored CMR and stress-CMR protocols including advanced tissue characterization are accurate and timeeffective for cardiomyopathies and ischemic heart disease.
Published: 2022

29. Automated left atrial volume measurement by two-dimensional speckle-tracking echocardiography: Feasibility, accuracy, and reproducibility

Author: Florescu, D, Badano, L, Tomaselli, M, Torlasco, C, Tartea, G, Balseanu, T, Volpato, V, Parati, G, Muraru, D, Florescu, DR, Tartea, GC, Balseanu, TA, Florescu, D, Badano, L, Tomaselli, M, Torlasco, C, Tartea, G, Balseanu, T, Volpato, V, Parati, G, Muraru, D, Florescu, DR, Tartea, GC, and Balseanu, TA
Abstract: Aims: A byproduct of left atrial (LA) strain analysis is the automated measurement of LA maximal volume (LAVmax), which may decrease the time of echocardiography reporting, and increase the reproducibility of the LAVmax measurement. However, the automated measurement of LAVmax by two-dimensional speckle-tracking analysis (2DSTE) has never been validated. Accordingly, we sought to (i) assess the feasibility of automated LAVmax measurement by 2DSTE; (ii) compare the automated LAVmax by 2DSTE with conventional two-dimensional (2DE) biplane and three-dimensional echocardiography (3DE) measurements; and (iii) evaluate the accuracy and reproducibility of the three echocardiography techniques. Methods and results: LAVmax (34-197 mL) were obtained from 198/210 (feasibility 94%) consecutive patients (median age 67 years, 126 men) by 2DSTE, 2DE, and 3DE. 2DE and 2DSTE measurements resulted in similar LAVmax values [bias = 1.5 mL, limits of agreement (LOA) ± 7.5 mL], and slightly underestimated 3DE LAVmax (biases = -5 mL, LOA ± 17mL and -6 mL, LOA± 16 mL, respectively). LAVmax by 2DSTE and 2DE were strongly correlated to those obtained by cardiac magnetic resonance (CMR) (r = 0.946 and r = 0.935, respectively; P < 0.001). However, LAVmax obtained by 2DSTE (bias = -9.5 mL, LOA ± 16 mL) and 2DE (bias = -8 mL, LOA± 17 mL) were significantly smaller than those measured by CMR. Conversely, 3DE LAVmax were similar to CMR (bias = -2 mL, LOA± 10 mL). Excellent intraand inter-observer intraclass correlations were found for 3DE (0.995 and 0.995), 2DE (0.990 and 0.988), and 2DSTE (0.990 and 0.989). Conclusion: Automated LAVmax measurement by 2DSTE is highly feasible, highly reproducible, and provided similar values to conventional 2DE calculations in consecutive patients with a wide range of LAVmax.
Published: 2022

30. Automated left atrial volume measurement by two-dimensional speckle-tracking echocardiography: feasibility, accuracy and reproducibility

Author: Florescu, D, primary, Badano, LP, additional, Tomaselli, M, additional, Torlasco, C, additional, Florescu, C, additional, Tartea, GC, additional, Balseanu, TA, additional, Volpato, V, additional, Parati, G, additional, and Muraru, D, additional
Published: 2022
Full Text: View/download PDF

31. The use of dedicated long-axis views focused on the left atrium improves the accuracy of left atrial volumes and function measured by cardiovascular magnetic resonance

Author: Mene, R, Tondi, L, Badano, L, Torlasco, C, Florescu, DR, Volpato, V, Parati, G, Giannattasio, C, Lombardi, M, Muraru, D, Mene, R, Tondi, L, Badano, L, Torlasco, C, Florescu, D, Volpato, V, Parati, G, Giannattasio, C, Lombardi, M, and Muraru, D
Subjects: left atrium, echocardiography
Published: 2021

32. Anaemia and the cardiorespiratory adaptation to exercise in chronic heart failure: P950

Author: Viganoʼ, E, Bonino, C, Guida, V, Torlasco, C, Faini, A, Caravita, S, Villani, A, Malfatto, G, and Parati, G
Published: 2016

33. Spontaneous Left Anterior Descending Coronary Artery Dissection in a Teenager

Author: Torlasco, C, Blengino, S, Musmeci, M, Fratianni, G, Malfatto, G, Parati, G, Torlasco C., Blengino S., Musmeci M., Fratianni G., Malfatto G., Parati G., Torlasco, C, Blengino, S, Musmeci, M, Fratianni, G, Malfatto, G, Parati, G, Torlasco C., Blengino S., Musmeci M., Fratianni G., Malfatto G., and Parati G.
Published: 2019

34. Can marathon running improve knee damage of middle-aged adults? A prospective cohort study

Author: Horga, L, Henckel, J, Fotiadou, A, Hirschmann, A, Torlasco, C, Di Laura, A, D'Silva, A, Sharma, S, Moon, J, Hart, A, Horga L. M., Henckel J., Fotiadou A., Hirschmann A., Torlasco C., Di Laura A., D'Silva A., Sharma S., Moon J., Hart A., Horga, L, Henckel, J, Fotiadou, A, Hirschmann, A, Torlasco, C, Di Laura, A, D'Silva, A, Sharma, S, Moon, J, Hart, A, Horga L. M., Henckel J., Fotiadou A., Hirschmann A., Torlasco C., Di Laura A., D'Silva A., Sharma S., Moon J., and Hart A.
Abstract: To evaluate the short-term impact of long-distance running on knee joints using MRI. Methods 82 healthy adults participating in their first marathon underwent 3T (Tesla) MRI of both knees 6 months before and half a month after the marathon: 71 completed both the 4 month-long standardised training programme and the marathon; and 11 dropped-out during training and did not run the marathon. Two senior musculoskeletal radiologists graded the internal knee structures using validated scoring systems. Participants completed Knee Injury and Osteoarthritis Outcome Score questionnaires at each visit for self-reporting knee function. Results Premarathon and pretraining MRI showed signs of damage, without symptoms, to several knee structures in the majority of the 82 middle-aged volunteers. However, after the marathon, MRI showed a reduction in the radiological score of damage in: subchondral bone marrow oedema in the condyles of the tibia (p=0.011) and femur (p=0.082). MRI did also show an increase in radiological scores to the following structures: cartilage of the lateral patella (p=0.0005); semimembranosus tendon (p=0.016); iliotibial band (p<0.0001) and the prepatellar bursa (p=0.016). Conclusion Improvement to damaged subchondral bone of the tibial and femoral condyles was found following the marathon in novice runners, as well as worsening of the patella cartilage although asymptomatic. This is the most robust evidence to link marathon running with knee joint health and provides important information for those seeking to understand the link between long distance running and osteoarthritis of the main weight-bearing areas of the knee.
Published: 2019

35. How Digital Health Can Be Applied for Preventing and Managing Hypertension

Author: Parati, G, Pellegrini, D, Torlasco, C, Parati G., Pellegrini D., Torlasco C., Parati, G, Pellegrini, D, Torlasco, C, Parati G., Pellegrini D., and Torlasco C.
Abstract: Purpose of Review: To summarize available data on digital health strategies for the prevention and management of hypertension, discussing the state-of-the-art, current limitations, and future perspective of this approach. Recent Findings: Technology is developing at a fast pace and is providing a number of novel solutions for cardiovascular patients, in particular in the field of digital health. Even if the benefit of these approaches is intuitive, the methodological heterogeneity of the available studies and their small sample size have made it difficult to provide robust evidence regarding the usefulness and cost-effectiveness of digital health technologies. Recently, studies with larger sample sizes and some meta-analyses have provided more convincing data on the favorable impact of such strategies. Summary: Digital health solutions may offer a chance to improve primary prevention and for timely diagnosis and effective management of hypertension. Results from small studies are promising, but there is a strong need for larger, long-term, and well-designed clinical trials to make these novel solutions really applicable in real-life patients’ care.
Published: 2019

36. Blood pressure at high altitude: Physiology and clinical implications

Author: Bilo, G, Caravita, S, Torlasco, C, Parati, G, Bilo G., Caravita S., Torlasco C., Parati G., Bilo, G, Caravita, S, Torlasco, C, Parati, G, Bilo G., Caravita S., Torlasco C., and Parati G.
Abstract: High altitude is a fascinating model of hypoxia effects on the human body, but it is also an extreme environment that directly influences millions of people who either travel to high altitude locations or live there permanently. A significant progress has been made over the past decades in the understanding of physiological background of responses to altitude, and recently, a number of studies regarding clinical aspects of high-altitude exposure have been published. In particular, more is known about the changes in systemic blood pressure (BP) in individuals exposed to high altitude as well as on the effects of antihypertensive drugs in this setting. The present article provides an overview of principal physiological and clinical aspects related to systemic BP control and its changes at high altitude, mainly during the acute exposure. The evidence on BP changes at rest and during exercise is discussed, as well as the underlying mechanisms and possible clinical implications.
Published: 2019

37. Dark blood ischemic LGE segmentation using a deep learning approach

Author: Torlasco, C, primary, Papetti, D, additional, Mene, R, additional, Artico, J, additional, Seraphim, A, additional, Badano, LP, additional, Moon, JC, additional, Parati, G, additional, Xue, H, additional, Kellman, P, additional, and Nobile, M, additional
Published: 2021
Full Text: View/download PDF

38. Epicardial adipose tissue is associated with extent of pneumonia and adverse outcomes in patients with COVID-19.

Author: Grodecki K., Lin A., Razipour A., Cadet S., McElhinney P.A., Chan C., Pressman B.D., Julien P., Maurovich-Horvat P., Gaibazzi N., Thakur U., Mancini E., Agalbato C., Mene R., Parati G., Cernigliaro F., Nerlekar N., Torlasco C., Pontone G., Slomka P.J., Dey D., Grodecki K., Lin A., Razipour A., Cadet S., McElhinney P.A., Chan C., Pressman B.D., Julien P., Maurovich-Horvat P., Gaibazzi N., Thakur U., Mancini E., Agalbato C., Mene R., Parati G., Cernigliaro F., Nerlekar N., Torlasco C., Pontone G., Slomka P.J., and Dey D.
Abstract: Aim: We sought to examine the association of epicardial adipose tissue (EAT) quantified on chest computed tomography (CT) with the extent of pneumonia and adverse outcomes in patients with coronavirus disease 2019 (COVID-19). Method(s): We performed a post-hoc analysis of a prospective international registry comprising 109 consecutive patients (age 64 +/- 16 years; 62% male) with laboratory-confirmed COVID-19 and noncontrast chest CT imaging. Using semi-automated software, we quantified the burden (%) of lung abnormalities associated with COVID-19 pneumonia. EAT volume (mL) and attenuation (Hounsfield units) were measured using deep learning software. The primary outcome was clinical deterioration (intensive care unit admission, invasive mechanical ventilation, or vasopressor therapy) or in-hospital death. Result(s): In multivariable linear regression analysis adjusted for patient comorbidities, the total burden of COVID-19 pneumonia was associated with EAT volume (beta = 10.6, p = 0.005) and EAT attenuation (beta = 5.2, p = 0.004). EAT volume correlated with serum levels of lactate dehydrogenase (r = 0.361, p = 0.001) and C-reactive protein (r = 0.450, p < 0.001). Clinical deterioration or death occurred in 23 (21.1%) patients at a median of 3 days (IQR 1-13 days) following the chest CT. In multivariable logistic regression analysis, EAT volume (OR 5.1 [95% CI 1.8-14.1] per doubling p = 0.011) and EAT attenuation (OR 3.4 [95% CI 1.5-7.5] per 5 Hounsfield unit increase, p = 0.003) were independent predictors of clinical deterioration or death, as was total pneumonia burden (OR 2.5, 95% CI 1.4-4.6, p = 0.002), chronic lung disease (OR 1.3 [95% CI 1.1-1.7], p = 0.011), and history of heart failure (OR 3.5 [95% 1.1-8.2], p = 0.037). Conclusion(s): EAT measures quantified from chest CT are independently associated with extent of pneumonia and adverse outcomes in patients with COVID-19, lending support to their use in clinical risk stratification.Copyright © 2020 Elsevie
Published: 2021

39. EFFECTS OF MEDIUM-TERM, UNSUPERVISED, MILD INTENSITY PHYSICAL TRAINING ON CARDIOVASCULAR REMODELLING AND KNEE JOINT DAMAGE IN YOUNG AND MIDDLE-AGED HEALTHY SEDENTARY INDIVIDUALS.

Author: Torlasco, C, PARATI, GIANFRANCO, TORLASCO, CAMILLA, Torlasco, C, PARATI, GIANFRANCO, and TORLASCO, CAMILLA
Abstract: Introduzione. Col progredire dell’età, la capacità dell’organismo di modificare struttura e funzione di organi e apparati in risposta agli stimoli si modifica. Scopo di questo progetto è indagare l’effetto dell’età sul rimodellamento cardiovascolare in risposta all’allenamento aerobico e valutare gli effetti della corsa sulla patologia del ginocchio. Metodi. 237 volontari sani, sedentari, sono stati valutati al basale e dopo 6 mesi di allenamento non supervisionato e il completamento della loro prima maratona, con: 1) risonanza magnetica cardiaca a 1.5T; 2) misurazione non invasiva della pressione arteriosa (PA) centrale e brachiale; 3) risonanza magnetica (MRI) bilaterale del ginocchio a 3.0T. La “età aortica biologica” è stata calcolata al basale dalla relazione tra l’età anagrafica e la rigidità arteriosa. Modificazioni nella rigidità arteriosa sono state valutate a livello dell’aorta ascendente (Ao-A), discendente (Ao-D), della biforcazione polmonare (Ao-P) e del passaggio diaframmatico (Ao-D).Per l’analisi, i soggetti sono stati divisi in due gruppi in base all’età (≥35 anni: O35; 34 anni: U35). Risultati. Le percentuali di infortunio e completamento della corsa sono state simili nei due gruppi. 138 corridori (U35: n =71, femmine =49%; O35: n =67, femmine =51%) hanno completato la corsa. In media, gli U35 sono stati 37 minuti più veloci (12%). L’allenamento si è associato a un piccolo incremento nella massa del ventricolo sinistro (LV) in entrambi i gruppi (3g/m2, p <0.001), ma negli U35 si è osservato anche un aumento del volume biventricolare (volume telediastolico LV [EDV]i +3%; volume telesistolico LV [ESV]i +8%; EDVi del ventricolo destro [RV] +4%, RVESVi +5%; p<0.01 per tutti). La compliance sistemica aortica si è ridotta nell’intero campione del 7% (p=0.020) e, in particolare negli O35, anche le resistenze vascolari sistemiche (-4% nell’intero campione, p=0.04) e la PA (sistolica/diastolica, intero campione: brachiale -4/-3 mmHg, centrale, Background. Healthy ageing is associated with changes in human’s body ability to modify organs and systems structure and function in response to stimuli. With this project we sought to understand whether remodelling in response to a stimulus, exercise training, altered with healthy ageing and to deepen the knowledge about running effects on the knee joint. Methods. 237 untrained healthy male and female subjects volunteering for their first-time marathon were recruited. At baseline and after 6 months of unsupervised training, race completers underwent tests including 1.5T cardiac magnetic resonance, brachial and non-invasive central blood pressure (BP) assessment and a 3.0T bilateral knee magnetic resonance. Biological “aortic age” was calculated from the baseline chronological age-stiffness relationship. Change in stiffness was assessed at the ascending (Ao-A) and descending aorta at the pulmonary artery bifurcation (Ao-P) and diaphragm (Ao-D). For analysis, runners were divided by age (O35: ≥35y.o.; U35:  34y.o.) Results. Injury and completion rates were similar among groups. 138 runners (under 35 [U35]: n=71, females=49%; over 35 [O35]: n=67, females=51%) completed the race. On average, U35 were faster by 37 minutes (12%). Training induced a small increase in left ventricle (LV) mass in both groups (3g/m2, p<0.001), but U35 also increased ventricular cavity sizes (LV end-diastolic volume [EDV]i +3%; LV end-systolic volume [ESV]i +8%; right ventricle [RV] EDVi +4%, RVESVi +5%; p<0.01 for all). Systemic aortic compliance fell in the whole sample by 7% (p=0.020) and, especially in O35, also systemic vascular resistance (-4% in the whole sample, p=0.04) and blood pressure (systolic/diastolic, whole sample: brachial -4/-3 mmHg, central -4/-2 mmHg, all p <0.001; O35: brachial -6/-3 mmHg, central -6/-4 mmHg, all p<0.001). At baseline, a decade of chronological ageing correlated with a decrease in Ao-A, Ao-P, and Ao-D distensibility by 2.3, 1.9, and 3.1 x 10-3 mm Hg-1, r
Published: 2021

40. Home blood pressure monitoring: methodology, clinical relevance and practical application: a 2021 position paper by the Working Group on Blood Pressure Monitoring and Cardiovascular Variability of the European Society of Hypertension

Author: Parati, G, Stergiou, G, Bilo, G, Kollias, A, Pengo, M, Ochoa, J, Agarwal, R, Asayama, K, Asmar, R, Burnier, M, De La Sierra, A, Giannattasio, C, Gosse, P, Head, G, Hoshide, S, Imai, Y, Kario, K, Li, Y, Manios, E, Mant, J, Mcmanus, R, Mengden, T, Mihailidou, A, Muntner, P, Myers, M, Niiranen, T, Ntineri, A, O'Brien, E, Octavio, J, Ohkubo, T, Omboni, S, Padfield, P, Palatini, P, Pellegrini, D, Postel-Vinay, N, Ramirez, A, Sharman, J, Shennan, A, Silva, E, Topouchian, J, Torlasco, C, Wang, J, Weber, M, Whelton, P, White, W, Mancia, G, Parati, Gianfranco, Stergiou, George S, Bilo, Grzegorz, Kollias, Anastasios, Pengo, Martino, Ochoa, Juan Eugenio, Agarwal, Rajiv, Asayama, Kei, Asmar, Roland, Burnier, Michel, De La Sierra, Alejandro, Giannattasio, Cristina, Gosse, Philippe, Head, Geoffrey, Hoshide, Satoshi, Imai, Yutaka, Kario, Kazuomi, Li, Yan, Manios, Efstathios, Mant, Jonathan, McManus, Richard J, Mengden, Thomas, Mihailidou, Anastasia S, Muntner, Paul, Myers, Martin, Niiranen, Teemu, Ntineri, Angeliki, O'Brien, Eoin, Octavio, José Andres, Ohkubo, Takayoshi, Omboni, Stefano, Padfield, Paul, Palatini, Paolo, Pellegrini, Dario, Postel-Vinay, Nicolas, Ramirez, Agustin J, Sharman, James E, Shennan, Andrew, Silva, Egle, Topouchian, Jirar, Torlasco, Camilla, Wang, Ji Guang, Weber, Michael A, Whelton, Paul K, White, William B, Mancia, Giuseppe, Parati, G, Stergiou, G, Bilo, G, Kollias, A, Pengo, M, Ochoa, J, Agarwal, R, Asayama, K, Asmar, R, Burnier, M, De La Sierra, A, Giannattasio, C, Gosse, P, Head, G, Hoshide, S, Imai, Y, Kario, K, Li, Y, Manios, E, Mant, J, Mcmanus, R, Mengden, T, Mihailidou, A, Muntner, P, Myers, M, Niiranen, T, Ntineri, A, O'Brien, E, Octavio, J, Ohkubo, T, Omboni, S, Padfield, P, Palatini, P, Pellegrini, D, Postel-Vinay, N, Ramirez, A, Sharman, J, Shennan, A, Silva, E, Topouchian, J, Torlasco, C, Wang, J, Weber, M, Whelton, P, White, W, Mancia, G, Parati, Gianfranco, Stergiou, George S, Bilo, Grzegorz, Kollias, Anastasios, Pengo, Martino, Ochoa, Juan Eugenio, Agarwal, Rajiv, Asayama, Kei, Asmar, Roland, Burnier, Michel, De La Sierra, Alejandro, Giannattasio, Cristina, Gosse, Philippe, Head, Geoffrey, Hoshide, Satoshi, Imai, Yutaka, Kario, Kazuomi, Li, Yan, Manios, Efstathios, Mant, Jonathan, McManus, Richard J, Mengden, Thomas, Mihailidou, Anastasia S, Muntner, Paul, Myers, Martin, Niiranen, Teemu, Ntineri, Angeliki, O'Brien, Eoin, Octavio, José Andres, Ohkubo, Takayoshi, Omboni, Stefano, Padfield, Paul, Palatini, Paolo, Pellegrini, Dario, Postel-Vinay, Nicolas, Ramirez, Agustin J, Sharman, James E, Shennan, Andrew, Silva, Egle, Topouchian, Jirar, Torlasco, Camilla, Wang, Ji Guang, Weber, Michael A, Whelton, Paul K, White, William B, and Mancia, Giuseppe
Abstract: The present paper provides an update of previous recommendations on Home Blood Pressure Monitoring from the European Society of Hypertension (ESH) Working Group on Blood Pressure Monitoring and Cardiovascular Variability sequentially published in years 2000, 2008 and 2010. This update has taken into account new evidence in this field, including a recent statement by the American Heart association, as well as technological developments, which have occurred over the past 20 years. The present document has been developed by the same ESH Working Group with inputs from an international team of experts, and has been endorsed by the ESH.
Published: 2021

41. Dark blood ischemic LGE segmentation using a deep learning approach

Author: Torlasco, C, Papetti, D, Mene, R, Artico, J, Seraphim, A, Badano, L, Moon, J, Parati, G, Xue, H, Kellman, P, Nobile, M, Badano, LP, Moon, JC, Torlasco, C, Papetti, D, Mene, R, Artico, J, Seraphim, A, Badano, L, Moon, J, Parati, G, Xue, H, Kellman, P, Nobile, M, Badano, LP, and Moon, JC
Published: 2021

42. IN-HOSPITAL DIURETIC USE IS ASSOCIATED WITH WORSE OUTCOME IN PATIENTS WITH COVID-19

Author: Pengo, M., primary, Stefanini, G, additional, Pivato, C, additional, Soranna, D, additional, Zambra, G, additional, Zambon, A, additional, Torlasco, C, additional, Bilo, G, additional, Condorelli, G, additional, and Parati, G, additional
Published: 2021
Full Text: View/download PDF

43. May Measurement Month 2017: an analysis of blood pressure screening results worldwide

Author: Beaney, T, Schutte, A, Tomaszewski, M, Ariti, C, Burrell, L, Castillo, R, Charchar, F, Damasceno, A, Kruger, R, Lackland, D, Nilsson, P, Prabhakaran, D, Ramirez, A, Schlaich, M, Wang, J, Weber, M, Poulter, N, Napiza-Granada, C, Sevilla, M, Atilano, A, Ona, D, More, A, Jose, A, Maheshwari, A, Kondal, D, Yu, W, Li, W, Xu, S, Yu, J, Zhang, H, Widyantoro, B, Turana, Y, Situmorang, T, Sofiatin, Y, Barack, R, Lin, H, Wang, T, Chen, W, Sirenko, Y, Evstigneeva, O, Negresku, E, Yousif, M, Medani, S, Beheiry, H, Ali, I, Zilberman, J, Marin, M, Rodriguez, P, Garcia-Vasquez, F, Kramoh, K, Ekoua, D, Lopez-Jaramillo, P, Otero, J, Sanchez, G, Narvaez, C, Accini, J, Hernandez-Hernandez, R, Octavio, J, Morr, I, Lopez-Rivera, J, Ojji, D, Arije, A, Babatunte, A, Wahab, K, REIS FERNANDES, M, Pereira, S, Valentim, M, Dzudie, A, Kingue, S, Djomou Ngongang, D, Ogola, E, Barasa, F, Gitura, B, Malik, F, Choudhury, S, Al Mamun, M, Minh, V, Viet, N, Cao Truong, S, Ferri, C, Parati, G, Torlasco, C, Borghi, C, Goma, F, Syatalimi, C, Zelveian, P, Barbosa, E, Sebba Barroso, W, Penaherrera, E, Jarrin, E, Yusufali, A, Bazargani, N, Tsinamdzgvrishvili, B, Trapaidze, D, Neupane, D, Mishra, S, Jozwiak, J, Malyszko, J, Konradi, A, Chazova, I, Ishaq, M, Memon, F, Heagerty, A, Keitley, J, Brady, A, Cockcroft, J, Mcdonnell, B, Lanas, F, Chia, Y, Ndhlovu, H, Kiss, I, Ruilope, L, Ellenga Mbolla, B, Milhailidou, A, Woodiwiss, A, Perl, S, Dolan, E, Azevedo, V, Garre, L, Boggia, J, Lee, V, Kowlessur, S, Miglinas, M, Sukackiene, D, Wainford, R, Habonimana, D, Masupe, T, Ortellado, J, Wuerzner, G, Alcocer, L, Burazeri, G, Sanchez Delgado, E, Lovic, D, Mondo, C, Mostafa, A, Nadar, S, Valdez Tiburcio, O, Leiba, A, Dorobantu, M, De Backer, T, Chifamba, J, Stergiou, G, Nwokocha, C, Sokolovic, S, Toure, A, Connell, K, Khan, N, Burger, D, De Carvalho Rodrigues, M, Kramer, B, Schmieder, R, Unger, T, Wyss, F, Yameogo, N, Beistline, H, Kenerson, J, Alfonso, B, Olsen, M, Soares, M, Beaney, Thomas, Schutte, Aletta E, Tomaszewski, Maciej, Ariti, Cono, Burrell, Louise M, Castillo, Rafael R, Charchar, Fadi J, Damasceno, Albertino, Kruger, Ruan, Lackland, Daniel T, Nilsson, Peter M, Prabhakaran, Dorairaj, Ramirez, Agustin J, Schlaich, Markus P, Wang, Jiguang, Weber, Michael A, Poulter, Neil R, Napiza-Granada, C., Sevilla, Ma. RC, Atilano, A. A., Ona, D. I. D., More, A., Jose, A. P., Maheshwari, A., Kondal, D., Yu, W., Li, W., Xu, S., Yu, J., Zhang, H., Widyantoro, B., Turana, Y., Situmorang, T. D., Sofiatin, Y., Barack, R., Lin, H. -J., Wang, T. -D., Chen, W. -J., Sirenko, Y., Evstigneeva, O., Negresku, E., Yousif, M. E., Medani, S. A., Beheiry, H. M., Ali, I. A., Zilberman, J. M., Marin, M. J., Rodriguez, P. D., Garcia-Vasquez, F., Kramoh, K. E., Ekoua, D., Lopez-Jaramillo, P., Otero, J., Sanchez, G., Narvaez, C., Accini, J. L., Hernandez-Hernandez, R., Octavio, J. A., Morr, I., Lopez-Rivera, J., Ojji, D., Arije, A., Babatunte, A., Wahab, K. W., REIS FERNANDES, MARCOS ANTONIO, Pereira, S. V., Valentim, M., Dzudie, A., Kingue, S., Djomou Ngongang, D. A., Ogola, E. N., Barasa, F. A., Gitura, B., Malik, F-T-N, Choudhury, S. R., Al Mamun, M. A., Minh, V. H., Viet, N. L., Cao Truong, S., Ferri, C., Parati, G., Torlasco, C., Borghi, C., Goma, F. M., Syatalimi, C., Zelveian, P. H., Barbosa, E., Sebba Barroso, W., Penaherrera, E., Jarrin, E., Yusufali, A., Bazargani, N., Tsinamdzgvrishvili, B., Trapaidze, D., Neupane, D., Mishra, S. R., Jozwiak, J., Malyszko, J., Konradi, A., Chazova, I., Ishaq, M., Memon, F., Heagerty, A. M., Keitley, J., Brady, A. J. B., Cockcroft, J. R., McDonnell, B. J., Lanas, F., Chia, Y. -C., Ndhlovu, H., Kiss, I., Ruilope, L. M., Ellenga Mbolla, B. F., Milhailidou, A. S., Woodiwiss, A. J., Perl, S., Dolan, E., Azevedo, V., Garre, L., Boggia, J. G., Lee, V. W. Y., Kowlessur, S., Miglinas, M., Sukackiene, D., Wainford, R. D., Habonimana, D., Masupe, T., Ortellado, J., Wuerzner, G., Alcocer, L., Burazeri, G., Sanchez Delgado, E., Lovic, D., Mondo, C. K., Mostafa, A., Nadar, S. K., Valdez Tiburcio, O., Leiba, A., Dorobantu, M., De Backer, T., Chifamba, J., Stergiou, G., Nwokocha, C. R., Sokolovic, S., Toure, A. I., Connell, K. L., Khan, N. A., Burger, D., De Carvalho Rodrigues, M., Kramer, B. K., Schmieder, R. E., Unger, T., Wyss, F. S., Yameogo, N. V., Beistline, H., Kenerson, J. G., Alfonso, B., Olsen, M. H., Soares, M., Beaney, T, Schutte, A, Tomaszewski, M, Ariti, C, Burrell, L, Castillo, R, Charchar, F, Damasceno, A, Kruger, R, Lackland, D, Nilsson, P, Prabhakaran, D, Ramirez, A, Schlaich, M, Wang, J, Weber, M, Poulter, N, Napiza-Granada, C, Sevilla, M, Atilano, A, Ona, D, More, A, Jose, A, Maheshwari, A, Kondal, D, Yu, W, Li, W, Xu, S, Yu, J, Zhang, H, Widyantoro, B, Turana, Y, Situmorang, T, Sofiatin, Y, Barack, R, Lin, H, Wang, T, Chen, W, Sirenko, Y, Evstigneeva, O, Negresku, E, Yousif, M, Medani, S, Beheiry, H, Ali, I, Zilberman, J, Marin, M, Rodriguez, P, Garcia-Vasquez, F, Kramoh, K, Ekoua, D, Lopez-Jaramillo, P, Otero, J, Sanchez, G, Narvaez, C, Accini, J, Hernandez-Hernandez, R, Octavio, J, Morr, I, Lopez-Rivera, J, Ojji, D, Arije, A, Babatunte, A, Wahab, K, REIS FERNANDES, M, Pereira, S, Valentim, M, Dzudie, A, Kingue, S, Djomou Ngongang, D, Ogola, E, Barasa, F, Gitura, B, Malik, F, Choudhury, S, Al Mamun, M, Minh, V, Viet, N, Cao Truong, S, Ferri, C, Parati, G, Torlasco, C, Borghi, C, Goma, F, Syatalimi, C, Zelveian, P, Barbosa, E, Sebba Barroso, W, Penaherrera, E, Jarrin, E, Yusufali, A, Bazargani, N, Tsinamdzgvrishvili, B, Trapaidze, D, Neupane, D, Mishra, S, Jozwiak, J, Malyszko, J, Konradi, A, Chazova, I, Ishaq, M, Memon, F, Heagerty, A, Keitley, J, Brady, A, Cockcroft, J, Mcdonnell, B, Lanas, F, Chia, Y, Ndhlovu, H, Kiss, I, Ruilope, L, Ellenga Mbolla, B, Milhailidou, A, Woodiwiss, A, Perl, S, Dolan, E, Azevedo, V, Garre, L, Boggia, J, Lee, V, Kowlessur, S, Miglinas, M, Sukackiene, D, Wainford, R, Habonimana, D, Masupe, T, Ortellado, J, Wuerzner, G, Alcocer, L, Burazeri, G, Sanchez Delgado, E, Lovic, D, Mondo, C, Mostafa, A, Nadar, S, Valdez Tiburcio, O, Leiba, A, Dorobantu, M, De Backer, T, Chifamba, J, Stergiou, G, Nwokocha, C, Sokolovic, S, Toure, A, Connell, K, Khan, N, Burger, D, De Carvalho Rodrigues, M, Kramer, B, Schmieder, R, Unger, T, Wyss, F, Yameogo, N, Beistline, H, Kenerson, J, Alfonso, B, Olsen, M, Soares, M, Beaney, Thomas, Schutte, Aletta E, Tomaszewski, Maciej, Ariti, Cono, Burrell, Louise M, Castillo, Rafael R, Charchar, Fadi J, Damasceno, Albertino, Kruger, Ruan, Lackland, Daniel T, Nilsson, Peter M, Prabhakaran, Dorairaj, Ramirez, Agustin J, Schlaich, Markus P, Wang, Jiguang, Weber, Michael A, Poulter, Neil R, Napiza-Granada, C., Sevilla, Ma. RC, Atilano, A. A., Ona, D. I. D., More, A., Jose, A. P., Maheshwari, A., Kondal, D., Yu, W., Li, W., Xu, S., Yu, J., Zhang, H., Widyantoro, B., Turana, Y., Situmorang, T. D., Sofiatin, Y., Barack, R., Lin, H. -J., Wang, T. -D., Chen, W. -J., Sirenko, Y., Evstigneeva, O., Negresku, E., Yousif, M. E., Medani, S. A., Beheiry, H. M., Ali, I. A., Zilberman, J. M., Marin, M. J., Rodriguez, P. D., Garcia-Vasquez, F., Kramoh, K. E., Ekoua, D., Lopez-Jaramillo, P., Otero, J., Sanchez, G., Narvaez, C., Accini, J. L., Hernandez-Hernandez, R., Octavio, J. A., Morr, I., Lopez-Rivera, J., Ojji, D., Arije, A., Babatunte, A., Wahab, K. W., REIS FERNANDES, MARCOS ANTONIO, Pereira, S. V., Valentim, M., Dzudie, A., Kingue, S., Djomou Ngongang, D. A., Ogola, E. N., Barasa, F. A., Gitura, B., Malik, F-T-N, Choudhury, S. R., Al Mamun, M. A., Minh, V. H., Viet, N. L., Cao Truong, S., Ferri, C., Parati, G., Torlasco, C., Borghi, C., Goma, F. M., Syatalimi, C., Zelveian, P. H., Barbosa, E., Sebba Barroso, W., Penaherrera, E., Jarrin, E., Yusufali, A., Bazargani, N., Tsinamdzgvrishvili, B., Trapaidze, D., Neupane, D., Mishra, S. R., Jozwiak, J., Malyszko, J., Konradi, A., Chazova, I., Ishaq, M., Memon, F., Heagerty, A. M., Keitley, J., Brady, A. J. B., Cockcroft, J. R., McDonnell, B. J., Lanas, F., Chia, Y. -C., Ndhlovu, H., Kiss, I., Ruilope, L. M., Ellenga Mbolla, B. F., Milhailidou, A. S., Woodiwiss, A. J., Perl, S., Dolan, E., Azevedo, V., Garre, L., Boggia, J. G., Lee, V. W. Y., Kowlessur, S., Miglinas, M., Sukackiene, D., Wainford, R. D., Habonimana, D., Masupe, T., Ortellado, J., Wuerzner, G., Alcocer, L., Burazeri, G., Sanchez Delgado, E., Lovic, D., Mondo, C. K., Mostafa, A., Nadar, S. K., Valdez Tiburcio, O., Leiba, A., Dorobantu, M., De Backer, T., Chifamba, J., Stergiou, G., Nwokocha, C. R., Sokolovic, S., Toure, A. I., Connell, K. L., Khan, N. A., Burger, D., De Carvalho Rodrigues, M., Kramer, B. K., Schmieder, R. E., Unger, T., Wyss, F. S., Yameogo, N. V., Beistline, H., Kenerson, J. G., Alfonso, B., Olsen, M. H., and Soares, M.
Abstract: Background: Increased blood pressure is the biggest contributor to the global burden of disease and mortality. Data suggest that less than half of the population with hypertension is aware of it. May Measurement Month was initiated to raise awareness of the importance of blood pressure and as a pragmatic interim solution to the shortfall in screening programmes. Methods: This cross-sectional survey included volunteer adults (≥18 years) who ideally had not had their blood pressures measured in the past year. Each participant had their blood pressure measured three times and received a a questionnaire about demographic, lifestyle, and environmental factors. The primary objective was to raise awareness of blood pressure, measured by number of countries involved, number of people screened, and number of people who have untreated or inadequately treated hypertension (defined as systolic blood pressure ≥140 mm Hg or diastolic blood pressure ≥90 mm Hg, or both, or on the basis of receiving antihypertensive medication). Multiple imputation was used to estimate the mean of the second and third blood pressure readings if these were not recorded. Measures of association were analysed using linear mixed models. Findings: Data were collected from 1 201 570 individuals in 80 countries. After imputation, of the 1 128 635 individuals for whom a mean of the second and third readings was available, 393 924 (34·9%) individuals had hypertension. 153 905 (17·3%) of 888 616 individuals who were not receiving antihypertensive treatment were hypertensive, and 105 456 (46·3%) of the 227 721 individuals receiving treatment did not have controlled blood pressure. Significant differences in adjusted blood pressures and hypertension prevalence were apparent between regions. Adjusted blood pressure was higher in association with antihypertensive medication, diabetes, cerebrovascular disease, smoking, and alcohol consumption. Blood pressure was higher when measured on the right arm than on the le
Published: 2018

44. Blood pressure variability: its relevance for cardiovascular homeostasis and cardiovascular diseases

Author: Parati, G, Torlasco, C, Pengo, M, Bilo, G, Ochoa, J, Parati, Gianfranco, Torlasco, Camilla, Pengo, Martino, Bilo, Grzegorz, Ochoa, Juan Eugenio, Parati, G, Torlasco, C, Pengo, M, Bilo, G, Ochoa, J, Parati, Gianfranco, Torlasco, Camilla, Pengo, Martino, Bilo, Grzegorz, and Ochoa, Juan Eugenio
Abstract: Blood pressure (BP) is one of the most dynamic physiologic variables that is routinely measured in clinical practice and is characterized by continuous and significant changes beat-to-beat, over 24 h, day-to-day, and visit-to-visit. Under physiological conditions, these BP variations largely represent a response to environmental stimulations and challenges of daily life aimed at maintaining so-called cardiovascular “homeostasis”. However, sustained increases in blood pressure variability (BPV) may also reflect alterations in cardiovascular regulatory mechanisms or underlying pathological conditions and may represent a source of damage to the cardiovascular system. The clinical significance and prognostic implications of these BP variations have been demonstrated by a series of clinical and population studies conducted in recent years, in which increasing BPV has been associated with a higher risk of subclinical organ damage, cardiovascular events, and cardiovascular and all-cause mortality, independent of elevated average BP values. This paper will review the available evidence on the current definitions, classification, and mechanisms responsible for different types of BPV by focusing on their relevance to cardiovascular homeostasis and cardiovascular disease.
Published: 2020

45. May Measurement Month 2018: an analysis of blood pressure screening results from Italy

Author: Torlasco, C, Faini, A, Ferri, C, Grassi, G, Salvetti, M, Destro, M, Cicero, A, Galletti, F, Ghiadoni, L, Carugo, S, Sarzani, R, Minuz, P, Morganti, A, Mulatero, P, Mulè, G, Savoia, C, Volpe, M, Borghi, C, Beaney, T, Ster, A, Poulter, N, Xia, X, Parati, G, Torlasco, Camilla, Faini, Andrea, Ferri, Claudio, Grassi, Guido, Salvetti, Massimo, Destro, Maurizio, Cicero, Arrigo F G, Galletti, Ferruccio, Ghiadoni, Lorenzo, Carugo, Stefano, Sarzani, Riccardo, Minuz, Pietro, Morganti, Alberto, Mulatero, Paolo, Mulè, Giuseppe, Savoia, Carmine, Volpe, Massimo, Borghi, Claudio, Beaney, Thomas, Ster, Anca Chis, Poulter, Neil R, Xia, Xin, Parati, Gianfranco, Torlasco, C, Faini, A, Ferri, C, Grassi, G, Salvetti, M, Destro, M, Cicero, A, Galletti, F, Ghiadoni, L, Carugo, S, Sarzani, R, Minuz, P, Morganti, A, Mulatero, P, Mulè, G, Savoia, C, Volpe, M, Borghi, C, Beaney, T, Ster, A, Poulter, N, Xia, X, Parati, G, Torlasco, Camilla, Faini, Andrea, Ferri, Claudio, Grassi, Guido, Salvetti, Massimo, Destro, Maurizio, Cicero, Arrigo F G, Galletti, Ferruccio, Ghiadoni, Lorenzo, Carugo, Stefano, Sarzani, Riccardo, Minuz, Pietro, Morganti, Alberto, Mulatero, Paolo, Mulè, Giuseppe, Savoia, Carmine, Volpe, Massimo, Borghi, Claudio, Beaney, Thomas, Ster, Anca Chis, Poulter, Neil R, Xia, Xin, and Parati, Gianfranco
Abstract: Cardiovascular (CV) diseases are burdened by high mortality and morbidity, being responsible for half of the deaths in Europe. Although hypertension is recognized as the most important CV risk factor, hypertension awareness and blood pressure (BP) control are still unsatisfactory. In 2017, 30.6% of a >10 000 individual sample who took part in the May Measurement Month (MMM) campaign in Italy was found to have high BP. To raise awareness on the hypertension issue and to report BP data on a nation-wide scale in Italy. In the frame of the MMM campaign, an opportunistic cross-sectional survey of volunteers aged ≥18 was carried out in May 2018. Blood pressure measurement, the definition of hypertension and statistical analysis followed the standard MMM protocol. Screenings were conducted in multiple sites by health care personnel. Among the 5554 people screened (females: 48.3%, mean age 58 ± 17 years) mean BP was 127/77 mmHg, and after imputations, 1462 (26.3%) participants were found to have high BP levels. Body mass index >25 was associated with higher systolic BP and diastolic BP (DBP), while diabetes was associated with high DBP only. Our data provide a nation-wide snapshot of BP control in a sample of individuals participating in a national health care campaign, and confirm the power of this kind of healthcare-related activities in reaching a significant number of people to raise awareness on health topics. The apparent positive trend in BP control compared to available data from other similar campaigns carried out during the past years needs to be confirmed with more methodologically robust studies.
Published: 2020

46. Prevalence of abnormal findings in 230 knees of asymptomatic adults using 3.0 T MRI

Author: Horga, L, Hirschmann, A, Henckel, J, Fotiadou, A, Di Laura, A, Torlasco, C, D'Silva, A, Sharma, S, Moon, J, Hart, A, Horga, Laura M, Hirschmann, Anna C, Henckel, Johann, Fotiadou, Anastasia, Di Laura, Anna, Torlasco, Camilla, D'Silva, Andrew, Sharma, Sanjay, Moon, James C, Hart, Alister J, Horga, L, Hirschmann, A, Henckel, J, Fotiadou, A, Di Laura, A, Torlasco, C, D'Silva, A, Sharma, S, Moon, J, Hart, A, Horga, Laura M, Hirschmann, Anna C, Henckel, Johann, Fotiadou, Anastasia, Di Laura, Anna, Torlasco, Camilla, D'Silva, Andrew, Sharma, Sanjay, Moon, James C, and Hart, Alister J
Abstract: Objective: To identify abnormalities in asymptomatic sedentary individuals using 3.0 Tesla high-resolution MRI. Materials and methods: The cohort comprised of 230 knees of 115 uninjured sedentary adults (51 males, 64 females; median age: 44 years). All participants had bilateral knee 3.0 T MRIs. Two senior musculoskeletal radiologists graded all intraarticular knee structures using validated scoring systems. Participants completed Knee Injury and Osteoarthritis Outcome Score questionnaires at the time of the MRI scan. Results: MRI showed abnormalities in the majority (97%) of knees. Thirty percent knees had meniscal tears: horizontal (23%), complex (3%), vertical (2%), radial (2%) and bucket handle (1%). Cartilage and bone marrow abnormalities were prevalent at the patellofemoral joint (57% knees and 48% knees, respectively). Moderate and severe cartilage lesions were common, in 19% and 31% knees, respectively, while moderate and severe bone marrow oedema in 19% and 31% knees, respectively. Moderate-intensity lesion in tendons was found in 21% knees and high-grade tendonitis in 6% knees-the patellar (11% and 2%, respectively) and quadriceps (7% and 2%, respectively) tendons being most affected. Three percent partial ligamentous ruptures were found, especially of the anterior cruciate ligament (2%). Conclusion: Nearly all knees of asymptomatic adults showed abnormalities in at least one knee structure on MRI. Meniscal tears, cartilage and bone marrow lesions of the patellofemoral joint were the most common pathological findings. Bucket handle and complex meniscal tears were reported for the first time in asymptomatic knees.
Published: 2020

47. Effects of acute exposure to moderate altitude on blood pressure and sleep breathing patterns

Author: Torlasco, C, Bilo, G, Giuliano, A, Soranna, D, Ravaro, S, Oliviero, G, Faini, A, Zambon, A, Lombardi, C, Parati, G, Torlasco, Camilla, Bilo, Grzegorz, Giuliano, Andrea, Soranna, Davide, Ravaro, Silvia, Oliviero, Giorgio, Faini, Andrea, Zambon, Antonella, Lombardi, Carolina, Parati, Gianfranco, Torlasco, C, Bilo, G, Giuliano, A, Soranna, D, Ravaro, S, Oliviero, G, Faini, A, Zambon, A, Lombardi, C, Parati, G, Torlasco, Camilla, Bilo, Grzegorz, Giuliano, Andrea, Soranna, Davide, Ravaro, Silvia, Oliviero, Giorgio, Faini, Andrea, Zambon, Antonella, Lombardi, Carolina, and Parati, Gianfranco
Abstract: Background: Acute exposure to high altitude (>2500 m) is known to induce a rise in blood pressure (BP) and the appearance of sleep related breathing alterations, in particular central sleep apneas and periodic breathing. Little information is available on whether this is the case in humans also for acute exposure to moderate altitude (between 1500 and 2500 m). Aim of this study was to evaluate the effects of acute exposure of healthy volunteers to moderate altitude on conventional and ambulatory BP as well as on the frequency and severity of breathing alterations during sleep. Methods: Forty-four healthy lowlanders underwent 24-hour ambulatory BP monitoring and nocturnal cardio-respiratory sleep study at sea level and during acute (1–2 days after arrival) exposure to moderate altitude (2035 m, Sestriere, Italy). The key variables investigated included average systolic and diastolic BP and heart rate over daytime, night-time and 24 h, the frequency of obstructive and central apneas/hypopnoeas and the behaviour of oxygen saturation during sleep. Results: Compared to sea level, during moderate altitude exposure mean systolic/diastolic BP increased significantly during daytime (respectively from 125.6 ± 10.9 to 130.6 ± 12.3, p = 0.0032 and from 78.8 ± 6.7 to 81.8 ± 7.7 mmHg, p = 0.0048) and during night-time (respectively from 102.4 ± 12.4 to 107.4 ± 12.7, p = 0.0028, and from 62.0 ± 8.2 to 65.8 ± 8.2 mmHg, p = 0.0014), with no change in nocturnal BP dipping. BP increase was more evident in participants aged over 40 years. Apnea-hypopnea index (AHI) increased from 1.60 (0.40–2.90) to 5.4 (2.90–10.60), p < 0.0001), mainly because of increasing frequency of hypopneas and central apneas, in particular in males aged over 40 years. No association was found between size of BP changes and AHI. Conclusion: Our results indicate that in healthy subjects even exposure to moderate altitude may induce significant, although mild, changes in ambulatory BP and in respiratory patt
Published: 2020

48. Non-invasive assessment of ventriculo-arterial coupling using aortic wave intensity analysis combining central blood pressure and phase-contrast cardiovascular magnetic resonance

Author: Bhuva, A, D'Silva, A, Torlasco, C, Nadarajan, N, Jones, S, Boubertakh, R, Van Zalen, J, Scully, P, Knott, K, Benedetti, G, Augusto, J, Bastiaenen, R, Lloyd, G, Sharma, S, Moon, J, Parker, K, Manisty, C, Hughes, A, Bhuva, Anish N, Augusto, J B, Bastiaenen, Rachel, Moon, J C, Parker, K H, Manisty, C H, Hughes, Alun D, Bhuva, A, D'Silva, A, Torlasco, C, Nadarajan, N, Jones, S, Boubertakh, R, Van Zalen, J, Scully, P, Knott, K, Benedetti, G, Augusto, J, Bastiaenen, R, Lloyd, G, Sharma, S, Moon, J, Parker, K, Manisty, C, Hughes, A, Bhuva, Anish N, Augusto, J B, Bastiaenen, Rachel, Moon, J C, Parker, K H, Manisty, C H, and Hughes, Alun D
Abstract: BACKGROUND: Wave intensity analysis (WIA) in the aorta offers important clinical and mechanistic insight into ventriculo-arterial coupling, but is difficult to measure non-invasively. We performed WIA by combining standard cardiovascular magnetic resonance (CMR) flow-velocity and non-invasive central blood pressure (cBP) waveforms. METHODS AND RESULTS: Two hundred and six healthy volunteers (age range 21-73 years, 47% male) underwent sequential phase contrast CMR (Siemens Aera 1.5 T, 1.97 × 1.77 mm2, 9.2 ms temporal resolution) and supra-systolic oscillometric cBP measurement (200 Hz). Velocity (U) and central pressure (P) waveforms were aligned using the waveform foot, and local wave speed was calculated both from the PU-loop (c) and the sum of squares method (cSS). These were compared with CMR transit time derived aortic arch pulse wave velocity (PWVtt). Associations were examined using multivariable regression. The peak intensity of the initial compression wave, backward compression wave, and forward decompression wave were 69.5 ± 28, -6.6 ± 4.2, and 6.2 ± 2.5 × 104 W/m2/cycle2, respectively; reflection index was 0.10 ± 0.06. PWVtt correlated with c or cSS (r = 0.60 and 0.68, respectively, P < 0.01 for both). Increasing age decade and female sex were independently associated with decreased forward compression wave (-8.6 and -20.7 W/m2/cycle2, respectively, P < 0.01) and greater wave reflection index (0.02 and 0.03, respectively, P < 0.001). CONCLUSION: This novel non-invasive technique permits straightforward measurement of wave intensity at scale. Local wave speed showed good agreement with PWVtt, and correlation was stronger using the cSS than the PU-loop. Ageing and female sex were associated with poorer ventriculo-arterial coupling in healthy individuals.
Published: 2020

49. Pulsatile and resistive systolic loads as determinants of left ventricular remodelling after physical training

Author: Torlasco, C, primary, D"silva, A, additional, Bhuva, AN, additional, Faini, A, additional, Augusto, JB, additional, Knott, KD, additional, Benedetti, G, additional, Scully, P, additional, Parati, G, additional, Lloyd, G, additional, Hughes, A, additional, Sharma, S, additional, Manisty, C, additional, Osculati, G, additional, and Moon, JC, additional
Published: 2021
Full Text: View/download PDF

50. Left ventricular remodelling in masters athletes

Author: Papatheodorou, E, primary, Merghani, A, additional, Bakalakos, A, additional, Hughes, R, additional, Torlasco, C, additional, Downs, E, additional, D"silva, A, additional, Finocchiaro, G, additional, Malhotra, A, additional, Tome, M, additional, Moon, JC, additional, Al Fakih, K, additional, Papadakis, M, additional, and Sharma, S, additional
Published: 2021
Full Text: View/download PDF

Catalog

Books, media, physical & digital resources

See catalog results

Searchworks

Select search scope, currently: Articles Catalog books, media & more in Jio Institute collections Articles journal articles & other e-resources

Search

Search Constraints

Refine your results

Search Limiters

Topic

Publication Year Range

Language

Publication Type

Journal

Region

Database

Publisher

219 results on '"Torlasco, C."'

Search Results

Catalog

Select search scope, currently: Articles

Catalog

books, media & more in Jio Institute collections

Articles

journal articles & other e-resources