20-year follow-up of rheumatic mitral stenosis patients after percutaneous mitral commissurotomy: invasive transmitral gradient differential as a predictor of events
Monaldi Arch Chest Dis. 2024 Mar 11. doi: 10.4081/monaldi.2024.2941. Online ahead of print.ABSTRACTPercutaneous mitral valve commissurotomy (PMC) is a viable alternative to mitral valve (MV) surgery in the treatment of patients with rheumatic mitral stenosis (RMS). In this single-center retrospective study of consecutive patients with RMS submitted to PMC from 1991 to 2008, we analyzed clinical, echocardiographic, and hemodynamic data and events during follow-up (FUP) until December 2021. Major adverse cardiovascular events (MACE) were a combined endpoint of all-cause death, cardiovascular hospitalization, and MV re-interv...
Source: Monaldi Archives for Chest Disease - March 12, 2024 Category: Respiratory Medicine Authors: Ana Filipa Amador Catarina Costa Ricardo Pinto Miguel Carvalho T ânia Proença Jo ão Calvão Sandra Amorim Mariana Paiva Jo ão Carlos Silva Rui Rodrigues Source Type: research

First-degree atrioventricular block in hypertrophic cardiomyopathy patients: an easy and worthy prognostic marker?
Monaldi Arch Chest Dis. 2024 Mar 6. doi: 10.4081/monaldi.2024.2860. Online ahead of print.ABSTRACTHypertrophic cardiomyopathy (HCM) is the most common inherited cardiac disease. Recently, a connection has been observed between the presence of first-degree atrioventricular block (FDAVB) and cardiovascular outcomes, although the pathophysiology of this association remains poorly understood. Considering the period 2000-2023, we retrospectively included HCM patients at sinus rhythm at the first appointment and sought possible interactions of FDAVB (defined as PR interval >200 ms) with different clinical and imaging variable...
Source: Monaldi Archives for Chest Disease - March 7, 2024 Category: Respiratory Medicine Authors: Ana Filipa Amador Catarina Martins da Costa Jo ão Da Silva Santos Cl áudia Camila Dias Elisabete Martins Source Type: research

A study to assess the relationship between vitamin D3 levels and the risk of acute exacerbation in patients with chronic obstructive pulmonary disease
Monaldi Arch Chest Dis. 2024 Mar 1. doi: 10.4081/monaldi.2024.2885. Online ahead of print.ABSTRACTChronic obstructive pulmonary disease (COPD) is one of the top three causes of mortality worldwide. Vitamin D deficiency in COPD has been associated with poor lung function and decreased muscle power, which further increases the risk of exacerbations. The role of vitamin D in preventing acute exacerbations of COPD has conflicting results in the literature. Hence, we planned this study to assess the relationship between vitamin D3 levels and the risk of acute exacerbations among COPD patients in a tertiary care center in north ...
Source: Monaldi Archives for Chest Disease - March 4, 2024 Category: Respiratory Medicine Authors: Ankit Lakra Balbir Singh Ashok Kumar Janmeja Vanita Sharma Arjun Kumar Source Type: research

Diagnostic accuracy of daytime polysomnography: a reappraisal during the COVID-19 era
This study evaluated the role of daytime PSG as an alternative diagnostic tool. A prospective cohort study was undertaken with consecutive patients with suspected OSA at a tertiary care sleep center. The primary objective was to evaluate the sensitivity and diagnostic accuracy of daytime PSG for diagnosing OSA. The secondary objective was to find out the factors associated with a falsely negative daytime PSG result. All individuals were subjected to level I daytime PSG, done in the sleep lab in the presence of an experienced sleep technician during the daytime from 12 PM to 4 PM. Out of 162 patients, 105 underwent daytime ...
Source: Monaldi Archives for Chest Disease - March 4, 2024 Category: Respiratory Medicine Authors: Mahismita Patro Nipun Malhotra Dipti Gothi Rahul Kumar Ganjam Yasasvini Source Type: research

A study to assess the relationship between vitamin D3 levels and the risk of acute exacerbation in patients with chronic obstructive pulmonary disease
Monaldi Arch Chest Dis. 2024 Mar 1. doi: 10.4081/monaldi.2024.2885. Online ahead of print.ABSTRACTChronic obstructive pulmonary disease (COPD) is one of the top three causes of mortality worldwide. Vitamin D deficiency in COPD has been associated with poor lung function and decreased muscle power, which further increases the risk of exacerbations. The role of vitamin D in preventing acute exacerbations of COPD has conflicting results in the literature. Hence, we planned this study to assess the relationship between vitamin D3 levels and the risk of acute exacerbations among COPD patients in a tertiary care center in north ...
Source: Monaldi Archives for Chest Disease - March 4, 2024 Category: Respiratory Medicine Authors: Ankit Lakra Balbir Singh Ashok Kumar Janmeja Vanita Sharma Arjun Kumar Source Type: research

Diagnostic accuracy of daytime polysomnography: a reappraisal during the COVID-19 era
This study evaluated the role of daytime PSG as an alternative diagnostic tool. A prospective cohort study was undertaken with consecutive patients with suspected OSA at a tertiary care sleep center. The primary objective was to evaluate the sensitivity and diagnostic accuracy of daytime PSG for diagnosing OSA. The secondary objective was to find out the factors associated with a falsely negative daytime PSG result. All individuals were subjected to level I daytime PSG, done in the sleep lab in the presence of an experienced sleep technician during the daytime from 12 PM to 4 PM. Out of 162 patients, 105 underwent daytime ...
Source: Monaldi Archives for Chest Disease - March 4, 2024 Category: Respiratory Medicine Authors: Mahismita Patro Nipun Malhotra Dipti Gothi Rahul Kumar Ganjam Yasasvini Source Type: research

A study to assess the relationship between vitamin D3 levels and the risk of acute exacerbation in patients with chronic obstructive pulmonary disease
Monaldi Arch Chest Dis. 2024 Mar 1. doi: 10.4081/monaldi.2024.2885. Online ahead of print.ABSTRACTChronic obstructive pulmonary disease (COPD) is one of the top three causes of mortality worldwide. Vitamin D deficiency in COPD has been associated with poor lung function and decreased muscle power, which further increases the risk of exacerbations. The role of vitamin D in preventing acute exacerbations of COPD has conflicting results in the literature. Hence, we planned this study to assess the relationship between vitamin D3 levels and the risk of acute exacerbations among COPD patients in a tertiary care center in north ...
Source: Monaldi Archives for Chest Disease - March 4, 2024 Category: Respiratory Medicine Authors: Ankit Lakra Balbir Singh Ashok Kumar Janmeja Vanita Sharma Arjun Kumar Source Type: research

Diagnostic accuracy of daytime polysomnography: a reappraisal during the COVID-19 era
This study evaluated the role of daytime PSG as an alternative diagnostic tool. A prospective cohort study was undertaken with consecutive patients with suspected OSA at a tertiary care sleep center. The primary objective was to evaluate the sensitivity and diagnostic accuracy of daytime PSG for diagnosing OSA. The secondary objective was to find out the factors associated with a falsely negative daytime PSG result. All individuals were subjected to level I daytime PSG, done in the sleep lab in the presence of an experienced sleep technician during the daytime from 12 PM to 4 PM. Out of 162 patients, 105 underwent daytime ...
Source: Monaldi Archives for Chest Disease - March 4, 2024 Category: Respiratory Medicine Authors: Mahismita Patro Nipun Malhotra Dipti Gothi Rahul Kumar Ganjam Yasasvini Source Type: research

Role of detailed psychological evaluation and treatment in pulmonary rehabilitation programs for patients with chronic obstructive pulmonary disease
This study aimed to determine the role of detailed psychological evaluation and treatment in the comprehensive management of COPD. COPD patients after screening with the general health questionnaire-12 (GHQ-12) for psychological co-morbidity were divided into three groups (26 patients each): i) group A [GHQ-12 score<3, received pulmonary rehabilitation (PR) and standard medical management]; ii and iii) group B and C (GHQ-12 score>3, in addition, received management by a psychiatrist and counseling by a pulmonologist, respectively). At baseline and 8 weeks of follow-up, all participants were evaluated for respiratory ...
Source: Monaldi Archives for Chest Disease - February 27, 2024 Category: Respiratory Medicine Authors: Anna Jacob Kranti Garg Kashish Dutta Varinder Saini Deepak Aggarwal Ajeet Sidana Source Type: research