Armando Gardini

IRCCS Policlinico San Donato

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G Benedini

Universidade do Estado da Bahia

C Rusconi

University of Brescia

Giuseppe Ghizzoni

IRCCS Ospedale San Raffaele

Pompilio Faggiano

Fondazione Poliambulanza Istituto Ospedaliero

Antonio D’Aloia

RMIT University

Emanuela Zanelli

Istituti Clinici Scientifici Maugeri

C Oneglia

Azienda Ospedaliera Fatebenefratelli e Oftalmico

F. Bianchetti

Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia

A. Marchini

University of Padua

Alberico Sorgato

Fondazione Poliambulanza Istituto Ospedaliero

Cooperative Institutions

University of Brescia

Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia

Istituti di Ricovero e Cura a Carattere Scientifico

Ospedale Sant'Orsola di Brescia

Kansai Medical University

University of Milan

Brescia University

Azienda Ospedaliera Fatebenefratelli e Oftalmico

IRCCS Policlinico San Donato

Fondazione Salvatore Maugeri

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Extrusion of a regularly stimulating pacemaker

International Journal of Cardiology (2006)

C Oneglia Armando Gardini G Benedini C Rusconi

Lead (geology)

10.1016/j.ijcard.2005.11.095

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Citations (6)

8.1 ECHO-Doppler study of interatrial conduction times with interatrial septum pacing

EP Europace (2003)

Armando Gardini C Oneglia G Benedini Giuseppe Ghizzoni C Rusconi

Background: atrial fibrillation (AF) is the most common arrhythmia in clinical practice.Drug therapy has only a limited effect on suppression of AF.Preventive Pacing Algorithms and Antitachy Pacing strategies (ATP) are increasingly used in patients with sinus node disease and paroxysmal atrial arrhythmias.Methods: in 40 patients with sick sinus syndrome and a class I/II indication for pacemaker implantation and documented paroxysmal or persistent atrial arrhythmias a Medtronic AT-500 pacemaker was implanted.Patients at stable antiarrhythmic medication and with documented AF/AT in the pacemaker memory 6-8 weeks after hospital discharge were eligible for the study.Pacemakers were programmed in DDDR-mode with all preventive algorithms and ATP off.After 3 months all preventive algorithms and ATP-therapies were activated for another 3 months period.Results: activating the preventive pacing algorithms resulted in a decrease of the median AF-burden by 33%.ATP was successful in 53% of 12776 treated episodes.Conclusion: AF-burden can be reduced by preventive pacing algorithms in patients with sick sinus syndrome and paroxysmal atrial arrhythmias.ATP therapies are effective in terminating atrial tachyarrhythmias.

Interatrial septum

10.1016/eupace/4.supplement_1.a13-b

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[Cardiomyopathy induced by tachycardia: description of a typical clinical case].

PubMed (1997)

Armando Gardini Antonio D’Aloia P Faggiano G Benedini

Different chronic tachyarrhythmias may cause a form of reversible myocardial dysfunction and left ventricular enlargement known as tachycardia-induced cardiomyopathy. Many authors in recent years observed that the control of heart rate or interruption of the arrhythmia were frequently associated with a significant improvement in ventricular function and a reduction of cardiac dimensions. We report a case of tachycardia-induced cardiomyopathy secondary to atrial fibrillation of unknown duration which occurred in a young patient with structurally normal heart. The regression of left ventricular enlargement and the recovery of left ventricular systolic function were complete few months after the restoration of sinus rhythm.

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Announcement

Cardiology (1995)

Pompilio Faggiano C. Rusconi Tony Sabatini Giuseppe Ghizzoni Alberico Sorgato

10.1159/000176866

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Worsening of head-up tilt test response during chronic beta-blocker therapy in patients treated for neurally mediated syncope.

PubMed (1998)

Armando Gardini G Benedini Claudia Proto

The prognosis of patients with neurally mediated syncope and asystolic response at tilt test is controversial and there is no consensus regarding their management. Many patients seem to benefit from beta-blockers and their effectiveness has been assessed with repeated tilt tests in asystolic patients as well. However, little is known about the long-term effects of beta-blockers. Preliminary data and isolated reports suggest that in some cases, these agents may actually worsen the clinical outcome or the tilt test response. Three patients are described who experienced worsening of tilt test response with prolonged asystole (19.9, 9 and 5.5 sec respectively) during chronic treatment with beta-blockers in the absence of spontaneous symptoms. At discharge, one patient received a dual-chamber pace-maker combined with metoprolol, another one continued to take metoprolol and enalapril. The third patient refused any further medication. During follow-up (8, 11, 13 months respectively), they were symptom-free. The clinical and prognostic significance of this response is not clear and needs further investigation.

Asystole

Tilt table test

Beta blocker

BETA (programming language)

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Cardiac arrest in patients admitted to the hospital for advanced heart failure: Differences in clinical picture according to the arrhythmia observed at the time of terminal event

Journal of Cardiac Failure (1999)

Pompilio Faggiano Antonio D’Aloia Armando Gardini Anna Gualeni Luca Bontempi

10.1016/s1071-9164(99)91622-6

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Regression of warfarin-resistant left atrial appendage thrombus after ablation of atrial fibrillation and permanent pacing

Journal of Cardiovascular Medicine (2006)

C Oneglia Armando Gardini G Benedini Riccardo Cappato C Rusconi

Atrial fibrillation is the most common rhythm disturbance and can also occur in absence of true cardiac disease. However, also in these cases, it can generate left atrial appendage thrombi with systemic embolic potential. A regular and well conducted anticoagulant therapy with dicoumarol derivatives, as indicated in these patients, is not always successful. We report the case of a patient with lone atrial fibrillation and a left atrial appendage thrombus resistant to anticoagulant therapy with warfarin, which disappeared after catheter ablation of atrial fibrillation by electrical disconnection of the pulmonary veins, restoration of sinus rhythm and dual-chamber pacemaker implantation.

Atrial Appendage

Appendage

10.2459/01.jcm.0000237912.18753.95

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Diagnostic capabilities of devices for cardiac resynchronization therapy

Journal of Cardiovascular Medicine (2010)

Armando Gardini Pierpaolo Lupo Emanuela Zanelli Silvia Bisetti Riccardo Cappato

Atrial fibrillation and chronic heart failure often coexist. Asymptomatic atrial fibrillation is common in patients with known atrial fibrillation but also in patients with no history of previous atrial fibrillation. The enhanced diagnostic capabilities of modern implantable devices for cardiac resynchronization therapy allow collecting of data on the clinical status of the patient in addition to information on device performance and cardiac rhythm. We present a paradigmatic case of newly diagnosed atrial fibrillation with hemodynamic consequences detected by the diagnostics of a biventricular implantable cardioverter-defibrillator. We discuss the clinical utility of device-based monitoring and the potential advantages of wireless remote-control systems of implantable devices in the management of heart failure patients.

Heart Rhythm

10.2459/jcm.0b013e3283303036

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Citations (5)

Mechanisms and immediate outcome of in-hospital cardiac arrest in patients with advanced heart failure secondary to ischemic or idiopathic dilated cardiomyopathy

The American Journal of Cardiology (2001)

Pompilio Faggiano Antonio D’Aloia Anna Gualeni Armando Gardini Amerigo Giordano

10.1016/s0002-9149(00)01450-8

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Citations (36)

Clinical usefulness of stored electrograms in the diagnosis of tachyarrhythmias in patients with implantable cardioverter defibrillators

Armando Gardini G Benedini A. Marchini F. Bianchetti A. Cumis

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