Article
Surgery
Oleg Pisarenko, Irina Studneva
Summary: Cardiac surgery can cause endothelial dysfunction and reduce myocardial pump function, with NO deficiency playing a crucial role. Current drugs are inadequate in protecting heart cells from ischemia-reperfusion injury, prompting the search for NO-releasing compounds. However, challenges remain in translating these compounds into clinical applications. Strategies targeting endothelial function through NO-mediated mechanisms show therapeutic potential for cardiovascular interventions.
JOURNAL OF SURGICAL RESEARCH
(2021)
Article
Cardiac & Cardiovascular Systems
Pedro Caravaca Perez, Jose R. Gonzalez-Juanatey, Jorge Nuche, Laura Moran Fernandez, David Lora Pablos, Jesus Alvarez-Garcia, Ramon Bascompte Claret, Manuel Martinez Selles, Rafael Vazquez Garcia, Luis Martinez Dolz, Marta Cobo-Marcos, Domingo Pascual Figal, Maria G. Crespo-Leiro, Julio Nunez Villota, Juan Cinca Cuscullola, Juan F. Delgado
Summary: Alterations in potassium levels are common in patients with acute heart failure (AHF) and exhibit a dynamic behavior during hospitalization. Hyperkalemia on admission is associated with higher in-hospital mortality, while persistent hypokalemia and transient hyperkalemia on admission are predictors of reduced 12-month mortality.
CLINICAL RESEARCH IN CARDIOLOGY
(2022)
Review
Cardiac & Cardiovascular Systems
Pedro E. P. Carvalho, Thiago M. A. Veiga, Henrique Lacerda, Matheus R. Tofanelli, Douglas M. Gewehr, Maria C. P. Nunes, Ana C. Simoes e C. Silva
Summary: This study found that the use of new potassium binders (Patiromer or SZC) can improve medication optimization and reduce the risk of hyperkalemia in patients with heart failure. However, it also increases the prevalence of hypokalemia.
CLINICAL RESEARCH IN CARDIOLOGY
(2023)
Article
Physiology
Jose M. Ferrero, Ana Gonzalez-Ascaso, Jose F. Rodriguez Matas
Summary: Acute myocardial ischemia causes hyperkalemia, which leads to lethal arrhythmias. The mechanisms behind hyperkalemia are still partially unknown. A computational model of acute myocardial ischemia was developed to investigate these mechanisms. The model successfully reproduces the changes in extracellular potassium concentration during ischemia and identifies novel mechanisms contributing to hyperkalemia.
FRONTIERS IN PHYSIOLOGY
(2023)
Article
Cardiac & Cardiovascular Systems
Jessica Garcia-Suarez, Javier Garcia-Fernandez, Daniel Martinez Lopez, Leticia Reques, Sergio Sanz, Daniel Carballo, Carlos Esteban Martin, Victor Manuel Ospina, Susana Villar, Ana Martin, Maria Casado, Ana Villafranca, Ana Isabel Gonzalez, Santiago Serrano, Alberto Forteza
Summary: The study compared the benefits of del Nido cardioplegia with cold blood cardioplegia solution in adult cardiac surgery. The results showed that the del Nido group had better recovery of sinus rhythm and fewer defibrillation attempts. Blood glucose levels and insulin requirements were also lower in the del Nido group, and there was a lower incidence of postoperative stroke.
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2023)
Article
Nutrition & Dietetics
Silvio Borrelli, Luca De Nicola, Roberto Minutolo, Giuseppe Conte, Paolo Chiodini, Adamasco Cupisti, Domenico Santoro, Vincenzo Calabrese, Domenico Giannese, Carlo Garofalo, Michele Provenzano, Vincenzo Bellizzi, Luca Apicella, Giorgina Barbara Piccoli, Massimo Torreggiani, Biagio Raffaele Di Iorio
Summary: This observational study reveals that one-third of ND-CKD patients under nephrology care remain with or develop hyperkalemia during a 12-month period despite low potassium intake and increased use of potassium-lowering drugs.
Article
Cardiac & Cardiovascular Systems
Immanuel I. Turner, Mark Ruzmetov, Jianli Niu, Steven Bibevski, Frank G. Scholl
Summary: In pediatric cardiac surgery patients, scavenging right atrial effluent during delivery can significantly reduce fluctuations in serum sodium levels during surgery and decrease the incidence of postoperative seizures.
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2021)
Article
Cardiac & Cardiovascular Systems
Christina Tsai, Hiren Patel, Piotr Horbal, Sierra Dickey, Yuanzun Peng, Eugene Nwankwo, Hunter Hicks, Guanhua Chen, Ahmed Hussein, Rakesh Gopinathannair, Philip L. Mar
Summary: This study compared and correlated electrocardiogram (ECG) metrics in severe hyperkalemia (HK) to baseline normokalemic ECGs and serum potassium levels. Various ECG metrics, such as P wave amplitude, QRS duration, T wave slope, and ratios of T wave: QRS amplitudes, were found to be significantly different between normokalemic and HK ECGs. Additionally, these differences correlated with increasing degrees of serum potassium. The ability to distinguish HK versus normokalemia on ECG improved significantly when incorporating these metrics into a logistic regression model. These findings are important for the development of an ECG acquisition system that can accurately identify severe HK.
INTERNATIONAL JOURNAL OF CARDIOLOGY
(2023)
Article
Cardiac & Cardiovascular Systems
Dimitrios Sfairopoulos, Angelos Arseniou, Panagiotis Korantzopoulos
Summary: The article discusses the impact of hypo- and hyperkalemia in patients with heart failure, suggesting that low potassium and low-normal potassium levels may be associated with adverse clinical outcomes, while a cause-and-effect relationship between hyperkalemia and adverse clinical outcomes is less likely. The study recommends maintaining serum potassium levels within the range of 4.0-5.0 mmol/L in HF.
HEART FAILURE REVIEWS
(2021)
Article
Transplantation
Andras T. Deak, Katarina Belic, Anna-Maria Meissl, Katharina Artinger, Kathrin Eller, Bernd Rechberger, Tobias Niedrist, Wolfgang F. Graier, Roland Malli, Helmut Bischof, Sandra Burgstaller, Sandra Blass, Alexander Avian, Alexander R. Rosenkranz, Alexander H. Kirsch
Summary: This study assessed the performance of genetically encoded potassium-ion indicators (GEPIIs) in measuring salivary potassium concentration and found that salivary potassium levels exhibited similar kinetics to plasma potassium levels. However, further research is needed to determine if saliva could be a suitable sample type for monitoring plasma potassium levels.
NEPHROLOGY DIALYSIS TRANSPLANTATION
(2023)
Review
Medicine, General & Internal
Jovana Bradic, Marijana Andjic, Jovana Novakovic, Nevena Jeremic, Vladimir Jakovljevic
Summary: Cardioplegia is essential for heart protection in pediatric patients, with blood cardioplegia showing more benefits compared to crystalloid cardioplegia. However, standardized protocols have not been established yet.
JOURNAL OF CLINICAL MEDICINE
(2023)
Review
Cell Biology
Bogusz Kulawiak, Piotr Bednarczyk, Adam Szewczyk
Summary: Mitochondria play a vital role in the energy metabolism of cardiac cells, and their dysfunction is implicated in cardiac ischemia/reperfusion injury. Understanding mitochondrial K+ channels can provide insights into the mechanisms of cardioprotection.
Article
Medicine, General & Internal
Teruhiko Imamura, Nikhil Narang, Koichiro Kinugawa
Summary: The study found that stopping SZC after improvement in hyperkalemia led to a significantly higher recurrence rate of hyperkalemia and suboptimal medical therapy optimization.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Medicine, General & Internal
Teruhiko Imamura, Akira Oshima, Nikhil Narang, Koichiro Kinugawa
Summary: The study investigated the effects of a 3-month sodium zirconium cyclosilicate (SZC) therapy in patients with heart failure and hyperkalemia. Results suggest that SZC may be a promising therapeutic option to improve hyperkalemia and facilitate reverse remodeling in patients with heart failure.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Cardiac & Cardiovascular Systems
Bo-Ping Huang, Lang Zhao, Xue-Mei Zhao, Mei Zhai, Yan Huang, Qiong Zhou, Peng-Chao Tian, Lin Liang, Li-Yan Huang, Jia-Yu Feng, Yu-Hui Zhang, Jian Zhang
Summary: This study assessed the link between serum potassium levels and all-cause mortality in hospitalized heart failure patients. The results showed a J-shaped association between serum potassium levels and mortality, with both hypokalemia and hyperkalemia associated with increased short-term and long-term mortality in heart failure patients.
REVIEWS IN CARDIOVASCULAR MEDICINE
(2023)
Article
Medicine, General & Internal
Alessandra Francica, Filippo Tonelli, Alberto Saran, Gabriele Pesarini, Igor Vendramin, Rocco Tabbi, Cecilia Rossetti, Giovanni Battista Luciani, Flavio L. Ribichini, Francesco Onorati
Summary: This study reports the short- and mid-term outcomes of TA-TAVR performed by an expert Heart-Team at a third-level center. The results demonstrate that TA-TAVR is a safe and effective alternative approach for patients who are unsuitable for TF-TAVR, particularly when performed by a proficient team.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Cardiac & Cardiovascular Systems
Francesca Rubino, Roberto Scarsini, Anna Piccoli, Livio San Biagio, Ilaria Tropea, Michele Pighi, Daniele Prati, Domenico Tavella, Gabriele Pesarini, Giovanni Benfari, Francesco Onorati, Leonardo Gottin, Giuseppe Faggian, Flavio Luciano Ribichini
Summary: Right ventricular pulsatile afterload (RVPA) has a strong impact on the survival of patients with advanced heart failure. Pulmonary artery compliance (PAC) and pulmonary artery elastance (PAE) are superior prognostic parameters, while pulmonary artery pulsatile index (PAPi) is not associated with the outcome.
AMERICAN JOURNAL OF CARDIOLOGY
(2022)
Article
Medicine, General & Internal
Fausto Biancari, Antonio Salsano, Francesco Santini, Marisa De Feo, Magnus Dalen, Qiyao Zhang, Giuseppe Gatti, Enzo Mazzaro, Ilaria Franzese, Ciro Bancone, Marco Zanobini, Tuomas Tauriainen, Timo Makikallio, Matteo Saccocci, Alessandra Francica, Stefano Rosato, Zein El-Dean, Francesco Onorati, Giovanni Mariscalco
Summary: This study evaluated the risk of late mortality and major adverse cardiovascular and cerebral events in patients with prior percutaneous coronary intervention (PCI) who underwent coronary artery bypass grafting (CABG). The results showed that multiple prior PCIs increased the risk of myocardial infarction and repeat revascularization, but not mortality.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Cardiac & Cardiovascular Systems
Shiho Naito, Till J. Demal, Bjoern Sill, Hermann Reichenspurner, Francesco Onorati, Giuseppe Gatti, Giovanni Mariscalco, Giuseppe Faggian, Antonio Salsano, Francesco Santini, Giuseppe Santarpino, Marco Zanobini, Francesco Musumeci, Antonino S. Rubino, Ciro Bancone, Marisa De Feo, Francesco Nicolini, Magnus Dalen, Giuseppe Speziale, Karl Bounader, Timo Maekikallio, Tuomas Tauriainen, Vito G. Ruggieri, Andrea Perrotti, Fausto Biancari
Summary: The aim of this study was to assess the impact of surgeon experience and centre volume on early operative outcomes in patients undergoing off-pump coronary artery bypass (OPCAB) surgery. The results showed that experienced surgeons and high volume centres had better outcomes, including shorter procedure times, lower rate of conversion to cardiopulmonary bypass, lower rate of complications, lower rate of percutaneous coronary interventions, and lower 30-day mortality.
HEART LUNG AND CIRCULATION
(2023)
Article
Cardiac & Cardiovascular Systems
Fausto Biancari, Magnus Dalen, Tuomas Tauriainen, Giuseppe Gatti, Antonio Salsano, Francesco Santini, Marisa De Feo, Qiyao Zhang, Enzo Mazzaro, Ilaria Franzese, Ciro Bancone, Marco Zanobini, Timo Makikallio, Matteo Saccocci, Alessandra Francica, Francesco Onorati, Zein El-Dean, Giovanni Mariscalco
Summary: This study aimed to evaluate the need for revascularization of the occluded right coronary artery (RCA) during isolated coronary artery bypass grafting (CABG). A prospective multicenter registry was used to adjust for preoperative variables with propensity score matching analysis. Late outcomes were assessed using Kaplan-Meier's method and competing risk analysis.
THORACIC AND CARDIOVASCULAR SURGEON
(2023)
Article
Medicine, General & Internal
Fausto Biancari, Matteo Pettinari, Giovanni Mariscalco, Caius Mustonen, Francesco Nappi, Joscha Buech, Christian Hagl, Antonio Fiore, Joseph Touma, Angelo M. Dell'Aquila, Konrad Wisniewski, Andreas Rukosujew, Andrea Perrotti, Amelie Herve, Till Demal, Lenard Conradi, Marek Pol, Petr Kacer, Francesco Onorati, Cecilia Rossetti, Igor Vendramin, Daniela Piani, Mauro Rinaldi, Luisa Ferrante, Eduard Quintana, Robert Pruna-Guillen, Javier Rodriguez Lega, Angel G. Pinto, Timo Makikallio, Metesh Acharya, Zein El-Dean, Mark Field, Amer Harky, Sebastien Gerelli, Dario Di Perna, Mikko Jormalainen, Giuseppe Gatti, Enzo Mazzaro, Tatu Juvonen, Sven Peterss
Summary: This study found that iatrogenic acute Stanford type A aortic dissection (TAAD), although uncommon, carries a significantly higher risk of in-hospital mortality compared to spontaneous TAAD. The 5-year mortality is comparable between different subgroups of iatrogenic TAAD.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Infectious Diseases
Maddalena Giannella, Manuel Huth, Elda Righi, Jan Hasenauer, Lorenzo Marconi, Angelina Konnova, Akshita Gupta, An Hotterbeekx, Matilda Berkell, Zaira R. Palacios-Baena, Maria Cristina Morelli, Mariarosa Tame, Marco Busutti, Luciano Potena, Elena Salvaterra, Giuseppe Feltrin, Gino Gerosa, Lucrezia Furian, Patrizia Burra, Salvatore Piano, Umberto Cillo, Mara Cananzi, Monica Loy, Gianluigi Zaza, Francesco Onorati, Amedeo Carraro, Fiorella Gastaldon, Maurizio Nordio, Samir Kumar-Singh, Jesus Rodriguez Bano, Tiziana Lazzarotto, Pierluigi Viale, Evelina Tacconelli
Summary: This study aimed to assess the predictors of negative antibody response in solid organ transplant recipients after the first booster of SARS-CoV-2 vaccination. Machine learning models and clinical data were used to identify age, type of transplant, time between transplant and vaccination, immunosuppressive drugs, type of vaccine, and graft function as significant predictors of negative antibody response. This study is of significant importance for improving vaccination strategies in solid organ transplant recipients.
CLINICAL MICROBIOLOGY AND INFECTION
(2023)
Article
Emergency Medicine
Fausto Biancari, Angelo M. Dell'Aquila, Giuseppe Gatti, Andrea Perrotti, Amelie Herve, Joseph Touma, Matteo Pettinari, Sven Peterss, Joscha Buech, Konrad Wisniewski, Tatu Juvonen, Mikko Jormalainen, Caius Mustonen, Andreas Rukosujew, Till Demal, Lenard Conradi, Marek Pol, Petr Kacer, Francesco Onorati, Cecilia Rossetti, Igor Vendramin, Daniela Piani, Mauro Rinaldi, Luisa Ferrante, Eduard Quintana, Robert Pruna-Guillen, Javier Rodriguez Lega, Angel G. Pinto, Metesh Acharya, Zein El-Dean, Mark Field, Amer Harky, Manoj Kuduvalli, Francesco Nappi, Sebastien Gerelli, Dario Di Perna, Enzo Mazzaro, Stefano Rosato, Antonio Fiore, Giovanni Mariscalco
Summary: This study aimed to evaluate the impact of individual institutions on the outcome of surgery for Stanford type A aortic dissection. The results showed that certain hospitals had a higher risk of in-hospital mortality, while others had a lower risk. Hospitals with lower in-hospital mortality rates also had a decreased rate of stroke and/or global brain ischemia. The study concluded that hospital volume may be a determinant of poor outcome in surgery for aortic dissection.
EUROPEAN JOURNAL OF TRAUMA AND EMERGENCY SURGERY
(2023)
Article
Medicine, General & Internal
Alessandra Francica, Filippo Tonelli, Cecilia Rossetti, Antonella Galeone, Fabiola Perrone, Giovanni Battista Luciani, Francesco Onorati
Summary: This study compared the hemodynamic performance of two different types of artificial heart valves in patients under 70 years old. The results showed that these two valves had similar hemodynamic performance at 1 to 3 years postoperatively, with no statistical differences. Therefore, the newly developed IR valve has the same safety and efficacy as the PME valve during mid-term follow-up.
JOURNAL OF CLINICAL MEDICINE
(2023)
Review
Biochemistry & Molecular Biology
Giacomina Brunetti, Barbara Barile, Grazia Paola Nicchia, Francesco Onorati, Giovanni Battista Luciani, Antonella Galeone
Summary: ST2 is a member of the interleukin 1 receptor family and has soluble sST2 and transmembrane ST2L isoforms. The ligand of ST2 is IL-33, which activates intracytoplasmic mediators through binding with ST2L and IL-1RAcP, leading to nuclear signal and cardiovascular effects. Conversely, sST2 is released in the blood and acts as a decoy receptor, binding IL-33 and blocking IL-33/ST2L interaction. sST2 is mainly involved in maintaining homeostasis and/or tissue alterations, as the balance/activation of the IL-33/ST2L axis plays a role in fibrosis, tissue damage, inflammation, and remodeling.
Article
Cardiac & Cardiovascular Systems
Fabio Barili, Francesco Onorati, Paola D'Errigo, Stefano Rosato, Fausto Biancari, Giovanni Baglio, Gabriella Badoni, Alessandro Parolari, Fulvia Seccareccia
Summary: This observational cohort study aimed to evaluate the 10-year follow-up outcome of bilateral internal thoracic arteries (BITA) versus single internal thoracic artery. The study showed that the use of BITA was associated with lower incidence of major adverse cardiac and cerebrovascular events at 10 years, but higher incidence of surgical site complications or infections.
ANNALS OF THORACIC SURGERY
(2023)
Article
Biochemistry & Molecular Biology
Elena Zoico, Anna Giani, Tanaz Saatchi, Vanni Rizzatti, Gloria Mazzali, Francesco Fantin, Giovanni Benfari, Francesco Onorati, Silvia Urbani, Mauro Zamboni
Summary: This study demonstrates that fibrosis and myocardial steatosis contribute to ventricular dysfunction in severe AS patients. The association of myostatin and fibrosis with systolic dysfunction, as well as between myocardial steatosis and diastolic dysfunction, highlights potential therapeutic targets.
INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES
(2023)
Article
Surgery
Tatu Juvonen, Mikko Jormalainen, Caius Mustonen, Till Demal, Antonio Fiore, Andrea Perrotti, Amelie Herve, Enzo Mazzaro, Giuseppe Gatti, Matteo Pettinari, Sven Peterss, Joscha Buech, Francesco Nappi, Lenard Conradi, Angel G. Pinto, Javier Rodriguez Lega, Marek Pol, Petr Kacer, Angelo M. Dell'Aquila, Andreas Rukosujew, Konrad Wisniewski, Igor Vendramin, Daniela Piani, Luisa Ferrante, Mauro Rinaldi, Eduard Quintana, Robert Pruna-Guillen, Sebastien Gerelli, Dario Di Perna, Thierry Folliguet, Metesh Acharya, Mark Field, Manoj Kuduvalli, Francesco Onorati, Cecilia Rossetti, Timo Makikallio, Peter Raivio, Giovanni Mariscalco, Fausto Biancari
Summary: This study evaluated the impact of direct aortic cannulation versus innominate/subclavian/axillary artery cannulation on the outcome after surgery for type A aortic dissection. The results showed that direct aortic cannulation is associated with a significant reduction in in-hospital mortality and decreased postoperative complications compared to supra-aortic arterial cannulation.
WORLD JOURNAL OF SURGERY
(2023)
Article
Medicine, General & Internal
Matteo Taiana, Irene Tomasella, Alessandro Russo, Annalisa Lerose, Marcello Ceola Graziadei, Luisa Corubolo, Jacopo Rama, Vittorio Schweiger, Alessandro Vignola, Enrico Polati, Giovanni Battista Luciani, Francesco Onorati, Katia Donadello, Leonardo Gottin
Summary: This study aimed to evaluate the relationship between serum lactate concentrations, ScVO2, and oxygen extraction ratio (ERO2) at rest and the development of low cardiac output syndrome (LCOS) in pediatric patients with congenital heart disease. The results showed a significant association between the most commonly used markers in adult patients (serum lactate concentration, ScVO2, and ERO2) measured preoperatively and the incidence of LCOS, especially in patients with hemodynamic instability before surgery.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Medicine, General & Internal
Antonella Galeone, Jacopo Gardellini, Venanzio Di Nicola, Fabiola Perrone, Vincenzo Boschetti, Renato Di Gaetano, Francesco Onorati, Giovanni Battista Luciani
Summary: This study evaluated the early and long-term surgical outcomes of isolated mitral native and prosthetic valve infective endocarditis. The results showed that mitral native valve endocarditis had a higher survival rate, and mitral valve repair improved patient survival. Age over 60 years was an independent risk factor for surgical mortality. Mitral valve repair should be the preferred treatment option for suitable patients.
MEDICINA-LITHUANIA
(2023)