Monaldi Archives for Chest Disease https://monaldi-archives.org/index.php/macd <p><strong>Monaldi Archives for Chest Disease</strong> is an international scientific journal of the <em>Istituti Clinici Scientifici Maugeri</em>, Pavia, Italy, dedicated to the advancement of knowledge in all fields of cardiopulmonary medicine and rehabilitation. <!--It is published in two series: the “Cardiac Rehabilitation and Prevention Series” (volume, even numbers) which, since 2002, is the official journal of the Italian Association for Cardiovascular Prevention, Rehabilitation and Epidemiology (GICR-IACPR); and the “Pulmonary Medicine and Rehabilitation Series” (volume, odd numbers).--></p> <p><strong>Monaldi Archives for Chest Disease</strong> publishes original articles, new methodological approaches, reviews, opinions, editorials, position papers on all aspects of cardiac and pulmonary medicine and rehabilitation, and, in addition, provides a forum for the inter-exchange of information, experiences and views on all issues of the cardiology profession, including education. Accordingly, original contributions on nursing, exercise treatment, health psychology, occupational medicine, care of the elderly, health economics and other fields related to the treatment, management, rehabilitation and prevention of cardiac and respiratory disease are welcome.</p> <p><strong>Monaldi Archives for Chest Disease</strong> promotes excellence in the profession of cardiology and pneumology through its commitment to the publication of research, support to continuous education, and encouragement and dissemination of ‘best practice’.</p> <p>This journal does not apply charge for publication to Authors as it is supported by institutional funds.</p> en-US <p><strong>PAGEPress</strong> has chosen to apply the&nbsp;<a href="http://creativecommons.org/licenses/by-nc/4.0/" target="_blank" rel="noopener"><strong>Creative Commons Attribution NonCommercial 4.0 International License</strong></a>&nbsp;(CC BY-NC 4.0) to all manuscripts to be published.<br><br> An Open Access Publication is one that meets the following two conditions:</p> <ol> <li>the author(s) and copyright holder(s) grant(s) to all users a free, irrevocable, worldwide, perpetual right of access to, and a license to copy, use, distribute, transmit and display the work publicly and to make and distribute derivative works, in any digital medium for any responsible purpose, subject to proper attribution of authorship, as well as the right to make small numbers of printed copies for their personal use.</li> <li>a complete version of the work and all supplemental materials, including a copy of the permission as stated above, in a suitable standard electronic format is deposited immediately upon initial publication in at least one online repository that is supported by an academic institution, scholarly society, government agency, or other well-established organization that seeks to enable open access, unrestricted distribution, interoperability, and long-term archiving.</li> </ol> <p>Authors who publish with this journal agree to the following terms:</p> <ol> <li>Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.</li> <li>Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.</li> <li>Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.</li> </ol> nadia.moscato@pagepress.org (Nadia Moscato) tiziano.taccini@pagepress.org (Tiziano Taccini) Mon, 20 May 2019 15:21:50 +0200 OJS 3.1.1.4 http://blogs.law.harvard.edu/tech/rss 60 Aortic root and valve proportions: an example of the golden ratio? https://monaldi-archives.org/index.php/macd/article/view/monaldi.2019.1022 <p>Calcific aortic stenosis is the most common lesion requiring valve replacement. Transcutaneous procedures (TAVR) are rapidly increasing yet detailed information on aortic valve and root anatomy are sparse.&nbsp; This study examined gated cardiac CT scans to make observations regarding the size and proportions of the valve leaflets, sinuses of Valsalva, and sinotubular junction. One hundred and fifty gated cardiac CT scans were performed for a variety of clinical indications. Area of each cusp (short axis plane) was measured along with sinus height (from leaflet base to sinotubular junction), sinus width (from central coaptation point to outer sinus edge), annular perimeter, perimeter at mid-sinus level, and perimeter at the sinotubular junction. The right coronary cusp was largest, the left cusp smallest, and the non-coronary cusp intermediate in size. Each cusp was larger in men than women, even after indexing for body surface area.&nbsp; By contrast, indexed sinus width and height did not differ between genders. No significant differences were noted between races. Annular perimeter did not vary by age while the mid-sinus perimeter and sinotubular junction perimeter increased with age (p=0.01, r<sup>2</sup> =0.05 and p=0.002, r<sup>2</sup> =0.07).&nbsp; Interestingly, the ratio of sinus height (average): annular radius was 1.69±0.18, very close to the “golden ratio” of 1.62 found throughout the natural world.&nbsp; This might be important for proper vortex formation in the sinuses.</p> Nikoloz Koshkelashvili, Mauricio Jalife Bucay, Igor Goykhman, Gregg S. Pressman ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 https://monaldi-archives.org/index.php/macd/article/view/monaldi.2019.1022 Mon, 15 Jul 2019 08:34:32 +0200 Splenic artery aneurysm in Sjögren’s syndrome https://monaldi-archives.org/index.php/macd/article/view/1082 <p>A 40-year-old female presented with cough, exertional dyspnea, abdominal pain with distention, fatigue, dry eyes and dry mouth. Past history revealed asthma. Physical examination was normal except for tachypnea. We found leukocytosis, azygos fissure on chest X-ray along with normal pulmonary function tests and arterial blood gases. &nbsp;Thorax computed tomography (CT) revealed bronchiectasis and ground glass opacities in both lungs. Abdominal CT demonstrated thrombosed proximal splenic artery aneurysm. Further diagnostic procedures were done and according to the positive Schirmer test and compatible histopathologic findings of the salivary gland, diagnosis of primary Sjögren’s syndrome was established. Splenic artery aneurysm is rare occurring in less than 1% of the population that usually appears as an incidental finding. This is the first case in literature that introduces Sjögren’s syndrome as a risk factor for splenic artery aneurysm. The silent presentation of the splenic artery aneurysm should previse the clinicians that such an occurrence may cause a significant diagnostic dilemma.</p> Cuneyt Tetikkurt, Zeynep Ferhan Ozseker, Fatma Gülsüm Karakaş ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 https://monaldi-archives.org/index.php/macd/article/view/1082 Mon, 08 Jul 2019 09:36:02 +0200 Extended dual antiplatelet therapy after acute myocardial infarction. Current evidence and future perspectives https://monaldi-archives.org/index.php/macd/article/view/1046 <p>Patients with acute myocardial infarction (AMI) are at increased risk of recurrent ischemic events after hospital discharge, despite optimal medical therapy. Current practice guidelines strongly encourage the early assessment of the residual ischemic risk in post-AMI patients, in order to identify those who may benefit from a prolonged dual antiplatelet therapy. To this end, some scoring systems have been proposed. However, most scores were developed for patients with stable coronary artery disease undergoing percutaneous coronary intervention. Moreover, nearly all failed to be implemented in everyday clinical practice, probably because of the perceived complexity due to the large number of incorporated variables. Therefore, the identification of the ideal AMI patient who can benefit from a prolonged (beyond 1 year after the index event) dual antiplatelet therapy remains to be clarified, especially when the bleeding risk associated with such therapy is considered. In this review, we summarize the current evidence on the prolonged use of dual antiplatelet therapy after AMI, with a special focus on recent advances regarding the identification of high-risk patients who may derive a favorable net clinical benefit from such a therapeutic strategy.</p> Nicola Cosentino, Jeness Campodonico, Valentina Milazzo, Katia Celentano, Marco Moltrasio, Pompilio Faggiano, Giancarlo Marenzi ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 https://monaldi-archives.org/index.php/macd/article/view/1046 Thu, 04 Jul 2019 13:20:48 +0200 Monaldi Archives for Chest Disease - Cardiology Area: An essential instrument for the Italian Association of Cardiac Prevention and Rehabilitation (GICR-IACPR) https://monaldi-archives.org/index.php/macd/article/view/1111 <p>At the beginning of the triennium 2019-2022, as Editors of the Monaldi Archives for Chest Disease - Cardiology Area, we&nbsp; would like to share with all cardiologists and allied health &nbsp;professionals working in cardiovascular prevention and &nbsp;rehabilitation the status of our Journal, which is the official Journal of the Italian Association of Cardiac Prevention and Rehabilitation (GICR-IACPR), and has contributed in these past years, thanks to effort and dedication of all Editors who have preceded us, to the advancement of our profession, and to an enrichment and dissemination of its scientific contents.</p> The Editors - Cardiology Area ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 https://monaldi-archives.org/index.php/macd/article/view/1111 Thu, 20 Jun 2019 11:21:12 +0200