ABSTRACT
The functional echocardiography is a useful tool to evaluate the hemodynamic status of preterm infants, often needing a respiratory support during the first critical days of life. In NICU it can be helpful either for the clinical monitoring or the therapeutic management and the use of this technique can potentially improve short-term outcome of preterm infants.
Subject(s)
Hemodynamics/physiology , Respiratory Distress Syndrome, Newborn/diagnostic imaging , Respiratory Distress Syndrome, Newborn/physiopathology , Echocardiography , Humans , Infant, Newborn , Infant, Premature , Respiratory Distress Syndrome, Newborn/complicationsSubject(s)
Adaptor Proteins, Signal Transducing/genetics , Cardiomyopathy, Dilated/genetics , Amino Acid Substitution , Bundle-Branch Block/complications , Bundle-Branch Block/genetics , Cardiomyopathy, Dilated/complications , Exons , Humans , LIM Domain Proteins , Male , Middle Aged , Mutation, Missense , Ventricular Dysfunction, Left/complications , Ventricular Dysfunction, Left/geneticsSubject(s)
Adaptor Proteins, Signal Transducing/genetics , Cardiomyopathy, Dilated/genetics , Ventricular Dysfunction, Left/genetics , Amino Acid Substitution , Bundle-Branch Block/complications , Bundle-Branch Block/genetics , Cardiomyopathy, Dilated/complications , Humans , LIM Domain Proteins , Male , Middle Aged , Mutation, Missense , Ventricular Dysfunction, Left/complicationsSubject(s)
Cardiomyopathy, Dilated/genetics , Lamin Type A/genetics , Adult , Female , Humans , Male , Point Mutation , RNA Splicing/geneticsSubject(s)
Cardiomyopathy, Dilated/genetics , Lamin Type A/genetics , Adult , Amino Acid Substitution , Bundle-Branch Block/complications , Bundle-Branch Block/genetics , Cardiomyopathy, Dilated/complications , Case-Control Studies , Codon, Nonsense , Female , Heart Block/complications , Heart Block/genetics , Humans , Male , Middle Aged , Mutation, MissenseSubject(s)
KCNQ1 Potassium Channel/genetics , Long QT Syndrome/genetics , Adolescent , Female , Humans , Male , Middle Aged , Point Mutation , RNA Splice Sites/geneticsSubject(s)
Myocardial Infarction/pathology , Thrombolytic Therapy/methods , Arrhythmias, Cardiac/etiology , Coronary Vessels/pathology , Heart Aneurysm/etiology , Heart Rupture, Post-Infarction/etiology , Hemorrhage/etiology , Humans , Lung Diseases/etiology , Mitral Valve Insufficiency/etiology , Myocardial Infarction/complications , Myocardial Infarction/therapy , Pericarditis/etiology , Pulmonary Edema/etiology , Shock, Cardiogenic/etiologySubject(s)
Cardiomyopathy, Dilated/genetics , Codon/genetics , Lamins/genetics , Mutation , Adult , Female , Humans , Lamin Type A , Male , Mutagenesis, InsertionalSubject(s)
Bundle-Branch Block/genetics , Muscle Proteins/genetics , Mutation, Missense , Sodium Channels/genetics , Adult , Amino Acid Substitution , Codon, Nonsense , DNA Mutational Analysis , Echocardiography , Electrocardiography , Female , Humans , NAV1.5 Voltage-Gated Sodium Channel , SyndromeABSTRACT
This is a proposal for collecting the family history throughout a guided form to be given to the patient when awaiting for ambulatory examination or hospital admission, before meeting the cardiologist. In this form, the patient is asked to make an effort in order to focus on his family history (diseases, signs, symptoms, medications, etc.) at least for parents, sibs, and off-springs. A nurse should be committed to give the form to the patient, making him sure that the incomplete filling does not limit the quality of the diagnostic and therapeutic work-up. Thanks to the guided form, the patient concentrates the attention on his family history, eventually consulting the relatives before being examined. The form opens stating that all data are potentially helpful, but none is essential for diagnosis and treatment. This new approach to the family history could support clinicians in having helpful news, only deepening information that seems to be more relevant for the diagnosis.
Subject(s)
Family Health , Heart Diseases/genetics , Medical History Taking , Surveys and Questionnaires , Cardiology/methods , HumansABSTRACT
OBJECTIVE: To evaluate the effects of a westward transmeridian flight over six time zones (from Milan to New York) on ambulatory blood pressure monitoring (ABPM) in normotensive individuals. METHODS: Eighteen normotensive subjects (blood pressure < 140/90 mmHg), 11 men and seven women, of mean age 38.3 years, were studied. On the day of travel they underwent 26 h noninvasive ABPM (started at 1100 h); the take-off time was 1200 h and the landing time was 8 h later, at 1400 h New York time (2000 h Italian time). Subjects were requested not to sleep until 2300 h and to get up at 0700 h the following morning. The results were compared with those of a 26 h ABPM performed in Italy the week before during which they slept from 2300 h to 0700 h. RESULTS: During the flight blood pressure and heart rate did not change compared with values during the corresponding time interval of the control day. After the landing, during the New York afternoon and evening (corresponding to the Italian sleeping time), blood pressure and heart rate remained unchanged, whereas during the night they decreased significantly, although their drop was less pronounced than that during the control day. CONCLUSION: The results of this study indicate that the decrease in blood pressure during sleep is the result of sleep itself rather than of the actual time of day.