Antonio Di Monaco
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View article: Multimodality Imaging in Apical Hypertrophic Cardiomyopathy: Can Echocardiography Learn from Cardiac Magnetic Resonance?
Multimodality Imaging in Apical Hypertrophic Cardiomyopathy: Can Echocardiography Learn from Cardiac Magnetic Resonance? Open
Apical hypertrophic cardiomyopathy is a distinctive and often under-recognized variant of hypertrophic cardiomyopathy, characterized by predominant thickening of the apical segments of the left ventricle. Echocardiography and cardiac magne…
View article: Impact of pulsed field vs. radiofrequency on atrial fibrillation ablation workflow and organization: a single high-volume centre experience
Impact of pulsed field vs. radiofrequency on atrial fibrillation ablation workflow and organization: a single high-volume centre experience Open
Graphical Abstract
View article: AI-Assisted 3D Intracardiac Echocardiography for Pulsed Field Ablation of Atrial Fibrillation Using a Novel Variable Loop Circular Catheter: A Multicenter Evaluation
AI-Assisted 3D Intracardiac Echocardiography for Pulsed Field Ablation of Atrial Fibrillation Using a Novel Variable Loop Circular Catheter: A Multicenter Evaluation Open
Background: The VARIPULSE platform is an advanced Pulsed Field Ablation (PFA) system fully integrated with electro-anatomical mapping system, employing a variable loop circular catheter (VLCC) for atrial fibrillation (AF) ablation. The obj…
View article: Colchicine and Atherosclerotic Coronary Artery Disease: An Updated Review
Colchicine and Atherosclerotic Coronary Artery Disease: An Updated Review Open
Atherosclerotic coronary artery disease remains a leading cause of morbidity and mortality worldwide, despite advances in lipid-lowering and antithrombotic therapies. Increasing evidence highlights the pivotal role of inflammation in all s…
View article: Effects of Novel Nutraceutical Combination on Lipid Pattern of Subjects with Sub-Optimal Blood Cholesterol Levels
Effects of Novel Nutraceutical Combination on Lipid Pattern of Subjects with Sub-Optimal Blood Cholesterol Levels Open
Background/Objectives: High concentration of plasma low-density lipoprotein cholesterol (LDL-C) is the predominant cause of atherosclerotic cardiovascular disease progression and coronary heart disease. Nutraceutical combination together w…
View article: Subclinical myocardial edema and arrhythmic burden in mitral valve prolapse: Insights from T2 mapping
Subclinical myocardial edema and arrhythmic burden in mitral valve prolapse: Insights from T2 mapping Open
Mitral valve prolapse is a common condition often considered benign; however, its association with arrhythmogenic risks is well established, particularly when linked with mitral annular disjunction and myocardial fibrosis. Edema often prec…
View article: Before and Beyond Tissue Characterization: Cardiac Magnetic Resonance Imaging in the Morphological, Volumetric, and Functional Evaluation of the Right Ventricle in Arrhythmogenic Right Ventricular Cardiomyopathy, a Narrative Review
Before and Beyond Tissue Characterization: Cardiac Magnetic Resonance Imaging in the Morphological, Volumetric, and Functional Evaluation of the Right Ventricle in Arrhythmogenic Right Ventricular Cardiomyopathy, a Narrative Review Open
Arrhythmogenic right ventricular cardiomyopathy is a condition characterized by fibro‐fatty replacement, primarily affecting the right ventricle (RV), with variable involvement of the left ventricle, characterized by an increased risk of v…
View article: Non-Anticoagulation Strategies Aimed at Primary Stroke Prevention in Nascent Atrial Fibrillation
Non-Anticoagulation Strategies Aimed at Primary Stroke Prevention in Nascent Atrial Fibrillation Open
At its earliest appearance, atrial fibrillation (AF) is often unnoticed, asymptomatic, and/or merely device-detected. Widespread use of heart-rate monitoring technologies has facilitated such “nascent atrial fibrillation (nAF)” recognition…
View article: Cardioneuroablation for reflex syncope or functional bradyarrhytmias: new insight from a single center experience
Cardioneuroablation for reflex syncope or functional bradyarrhytmias: new insight from a single center experience Open
Background Cardioneuroablation (CNA) is a new approach to treat reflex syncope and functional bradyarrhytmias caused by autonomic imbalance. We report our experience using CNA. Method From September 2022 to July 2023, we took care of 21 pa…
View article: High density mapping accuracy and efficiency in atrial fibrillation: real-world outcomes from the SECURE registry
High density mapping accuracy and efficiency in atrial fibrillation: real-world outcomes from the SECURE registry Open
Background/Introduction A high-density (HD) mapping catheter is valuable for validating pulmonary vein isolation (PVI) and analysing arrhythmic substrates of the left atrium (LA) during atrial fibrillation (AF) ablation. Multiple HD mappin…
View article: Takotsubo Syndrome and Gender Differences: Exploring Pathophysiological Mechanisms and Clinical Differences for a Personalized Approach in Patient Management
Takotsubo Syndrome and Gender Differences: Exploring Pathophysiological Mechanisms and Clinical Differences for a Personalized Approach in Patient Management Open
Takotsubo syndrome (TTS), also known as the broken-heart syndrome, is a reversible condition typically observed in female patients presenting for acute coronary syndromes (ACS). Despite its increasing incidence, TTS often remains undiagnos…
View article: Noninvasive Mapping System for the Stereotactic Radioablation Treatment of Ventricular Tachycardia: A Case Description
Noninvasive Mapping System for the Stereotactic Radioablation Treatment of Ventricular Tachycardia: A Case Description Open
Objectives: Sustained monomorphic ventricular tachycardia (SMVT) is a life-threatening condition that is often observed in patients with structural heart disease. Catheter ablation (CA) ablation is an effective and well-established treatme…
View article: Aspirin in Primary Prevention: Looking for Those Who Enjoy It
Aspirin in Primary Prevention: Looking for Those Who Enjoy It Open
Based on a wealth of evidence, aspirin is one of the cornerstones of secondary prevention of cardiovascular disease. However, despite several studies showing efficacy also in primary prevention, an unopposed excess risk of bleeding leading…
View article: Editorial: Cardiopulmonary support during catheter ablation of ventricular arrhythmias with hemodynamic instability
Editorial: Cardiopulmonary support during catheter ablation of ventricular arrhythmias with hemodynamic instability Open
Editorial: Cardiopulmonary support during catheter ablation of ventricular arrhythmias with hemodynamic instability
View article: Response to the letter by Blank <i>et al</i>. regarding the article: ‘LINAC-Based STereotactic Arrhythmia Radioablation (STAR) for paroxysmal atrial fibrillation in elderly: a prospective phase II trial’
Response to the letter by Blank <i>et al</i>. regarding the article: ‘LINAC-Based STereotactic Arrhythmia Radioablation (STAR) for paroxysmal atrial fibrillation in elderly: a prospective phase II trial’ Open
experimental study 1 and agree with all considerations 2 ; however, some points deserve further discussion.
View article: Aspirin in Primary Prevention: Looking for Who Enjoys It!
Aspirin in Primary Prevention: Looking for Who Enjoys It! Open
Based on a wealth of evidence, aspirin is one of the cornerstones of secondary prevention of cardiovascular disease. However, despite several studies showing efficacy also in primary prevention, an unopposed excess risk of bleeding leading…
View article: Zero-Fluoroscopy Catheter Ablation of Right Appendage Focal Atrial Tachycardia in a Pregnant Woman
Zero-Fluoroscopy Catheter Ablation of Right Appendage Focal Atrial Tachycardia in a Pregnant Woman Open
Background: Arrhythmias in pregnancy are complex to manage due to the teratogenic effects of many antiarrhythmic drugs and the common use of ionizing radiation during catheter ablation procedures. Furthermore, pregnant women are extremely …
View article: LINAC-Based STereotactic Arrhythmia Radioablation (STAR) for paroxysmal atrial fibrillation in elderly: a prospective phase II trial
LINAC-Based STereotactic Arrhythmia Radioablation (STAR) for paroxysmal atrial fibrillation in elderly: a prospective phase II trial Open
Background and aims Stereotactic arrhythmia radioablation (STAR) is a novel therapeutic approach for cardiac arrhythmias. The aim of this trial is to investigate the feasibility of STAR for the treatment of paroxysmal atrial fibrillation (…
View article: A case report of cardiac neuromodulation in a young patient with a third-degree atrioventricular block
A case report of cardiac neuromodulation in a young patient with a third-degree atrioventricular block Open
Background There are some functional bradyarrhythmias that are caused by a dysregulation of the autonomic nervous system, for which a therapeutic strategy of cardioneuroablation (CNA) is conceivable. Case summary In this study, we report t…
View article: LINAC–BASED STEREOTACTIC ARRHYTHMIA RADIOABLATION (STAR) FOR PAROXYSMAL ATRIAL FIBRILLATION IN ELDERLY: A PROSPECTIVE PHASE II TRIAL
LINAC–BASED STEREOTACTIC ARRHYTHMIA RADIOABLATION (STAR) FOR PAROXYSMAL ATRIAL FIBRILLATION IN ELDERLY: A PROSPECTIVE PHASE II TRIAL Open
Background and Aims The aim of this trial is to investigate the feasibility of radiotherapy for the treatment of paroxysmal atrial fibrillation (AF) in elderly patients. Method inclusion criteria were: age > 70 years, symptomatic AF, an…
View article: A VENTRICULAR TACHYCARDIA CASE NOT TREATABLE WITH TRANSCATHETER ABLATION DUE TO APICAL THROMBOSIS OF THE LEFT VENTRICLE RESOLVED WITH RADIOTHERAPY BASED ON THE NON–INVASIVE MAPPING SYSTE
A VENTRICULAR TACHYCARDIA CASE NOT TREATABLE WITH TRANSCATHETER ABLATION DUE TO APICAL THROMBOSIS OF THE LEFT VENTRICLE RESOLVED WITH RADIOTHERAPY BASED ON THE NON–INVASIVE MAPPING SYSTE Open
The clinical case focuses on a 52–year–old man smoker, heavy alcohol consumer. In 2017 he began with sustained ventricular tachycardia (VT) effectively treated with DC–shock. The following ECG showed signs of anterior necrosis. Severe left…
View article: CARDIONEUROABLATION: CASE SERIES
CARDIONEUROABLATION: CASE SERIES Open
The aim of our prospective Non–randomized study was to evaluate the efficacy and safety of Cardioneuroablation (CNA) in patients with recurrent cardioinhibitory vaso–vagal syncope (VVS) or functional bradyarrhythmias. From September 2022 t…
View article: CARDIONEUROABLATION IN A YOUNG PATIENT WITH A THIRD–DEGREE ATRIO–VENTRICULAR BLOCK
CARDIONEUROABLATION IN A YOUNG PATIENT WITH A THIRD–DEGREE ATRIO–VENTRICULAR BLOCK Open
Clinical Case The clinical case focuses on a 19–year–old women with a non–congenital third degree atrio–ventricular block (AVB), symptomatic for dyspnoea for mild efforts, with structurally normal heart, no other comorbidities and no medic…
View article: CARDIOPULMONARY SUPPORT WITH EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO) DURING CATHETER ABLATION OF VENTRICULAR FIBRILLATION: A CASE REPORT
CARDIOPULMONARY SUPPORT WITH EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO) DURING CATHETER ABLATION OF VENTRICULAR FIBRILLATION: A CASE REPORT Open
The clinical case deals with a 46–year–old man, severely obese and suffering from type II diabetes mellitus and arterial hypertension, a smoker. He was admitted to our department for iterative ventricular fibrillation (VF) following a rece…
View article: Linear accelerator–based stereotactic arrhythmia radioablation for paroxysmal atrial fibrillation in elderly: a prospective phase II trial
Linear accelerator–based stereotactic arrhythmia radioablation for paroxysmal atrial fibrillation in elderly: a prospective phase II trial Open
Aims Stereotactic arrhythmia radioablation (STAR) is a novel therapeutic approach for cardiac arrhythmias. The aim of this trial is to investigate the feasibility of STAR for the treatment of paroxysmal atrial fibrillation (AF) in elderly …
View article: Deep sedation protocol during atrial fibrillation ablation using a novel variable-loop biphasic pulsed field ablation catheter
Deep sedation protocol during atrial fibrillation ablation using a novel variable-loop biphasic pulsed field ablation catheter Open
Background Pulsed field ablation (PFA) is a novel, largely nonthermal ablative modality that, by virtue of its putative preferential action on myocardial tissue through the process of irreversible electroporation (IRE), may replace convent…
View article: New generation of LCPM and left atrial strain: a promising predictor of atrio-ventricular synchrony in leadless pacemaker pacing
New generation of LCPM and left atrial strain: a promising predictor of atrio-ventricular synchrony in leadless pacemaker pacing Open
Funding Acknowledgements Type of funding sources: None. Introduction Leadless cardiac pacemakers (LCPMs) are a new alternative to traditional transvenous pacemaker. They recently have evolved from a single chamber VVI-R pacemaker to device…
View article: P418 WHEN THE GAME IS HARD…. IT‘S BETTER TO COOPERATE! THE INTEGRATED MANAGEMENT OF THE ELECTROPHYSIOLOGIST AND HEMODYNAMIST WHO RESOLVES THE COMPLICATION
P418 WHEN THE GAME IS HARD…. IT‘S BETTER TO COOPERATE! THE INTEGRATED MANAGEMENT OF THE ELECTROPHYSIOLOGIST AND HEMODYNAMIST WHO RESOLVES THE COMPLICATION Open
A 66–year–old woman came to our attention to undergo ablation of monomorphic, frequent and repetitive premature ventricular complex, symptomatic and refractory antiarrhythmic therapy. Mapping of the arrhythmia showed precocity both on the …