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  1. Article: Matrix Metalloproteinases and Hypertension-Mediated Organ Damage: Current Insights.

    Bisogni, Valeria / Cerasari, Alberto / Pucci, Giacomo / Vaudo, Gaetano

    Integrated blood pressure control

    2020  Volume 13, Page(s) 157–169

    Abstract: Matrix metalloproteinases (MMPs) are important extracellular enzymes involved in many physiological and pathological processes. Changes in the activity and concentration of specific MMPs, as well as the unbalance with their inhibitors (tissue inhibitors ... ...

    Abstract Matrix metalloproteinases (MMPs) are important extracellular enzymes involved in many physiological and pathological processes. Changes in the activity and concentration of specific MMPs, as well as the unbalance with their inhibitors (tissue inhibitors of metalloproteinases - TIMPs), have been described as a part of the pathogenic cascade promoted by arterial hypertension. MMPs are able to degrade various protein substrates in the extracellular matrix, to influence endothelial cells function, vascular smooth muscle cells migration, proliferation and contraction, and to stimulate cardiomyocytes changes. All these processes can be activated by chronically elevated blood pressure values. Animal and human studies demonstrated the key function of MMPs in the pathogenesis of hypertension-mediated vascular, cardiac, and renal damage, besides age and blood pressure values. Thus, the role of MMPs as biomarkers of hypertension-mediated organ damage and potential pharmacological treatment targets to prevent further cardiovascular and renal complications in hypertensive population is increasingly supported. In this review, we aimed to describe the main scientific evidence about the behavior of MMPs in the development of vascular, cardiac, and renal damage in hypertensive patients.
    Language English
    Publishing date 2020-11-02
    Publishing country New Zealand
    Document type Journal Article ; Review
    ZDB-ID 2520711-8
    ISSN 1178-7104
    ISSN 1178-7104
    DOI 10.2147/IBPC.S223341
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: A TGF-beta2 enriched formula as an oral nutritional supplement for hospitalized COVID-19 patients.

    Grandone, Ilenia / Cavallo, Massimiliano / Barana, Luisa / Cerasari, Alberto / Luca, Giovanni / Vaudo, Gaetano

    Minerva gastroenterology

    2021  Volume 69, Issue 3, Page(s) 435–436

    MeSH term(s) Humans ; Transforming Growth Factor beta2 ; COVID-19 ; Food, Formulated ; Dietary Supplements
    Chemical Substances Transforming Growth Factor beta2
    Language English
    Publishing date 2021-04-15
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 3062713-8
    ISSN 2724-5365
    ISSN (online) 2724-5365
    DOI 10.23736/S2724-5985.21.02820-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Acute blood pressure elevation associated with biological therapies for cancer: a focus on VEGF signaling pathway inhibitors.

    Pucci, Giacomo / Milan, Alberto / Paini, Anna / Salvetti, Massimo / Cerasari, Alberto / Vaudo, Gaetano

    Expert opinion on biological therapy

    2019  Volume 19, Issue 5, Page(s) 433–442

    Abstract: Introduction: Treatment with biological agents interfering with mechanisms of angiogenesis, such as vascular endothelial growth factor (VEGF) signaling pathway (VSP) inhibitors, was associated with an enhanced risk of acute and severe blood pressure (BP) ...

    Abstract Introduction: Treatment with biological agents interfering with mechanisms of angiogenesis, such as vascular endothelial growth factor (VEGF) signaling pathway (VSP) inhibitors, was associated with an enhanced risk of acute and severe blood pressure (BP) increase and development of hypertensive emergencies. Areas covered: The present article will review the scientific literature reporting hypertensive emergencies as a complication of biological treatment with VSP inhibitors. Hypertensive emergency is a life-threatening condition characterized by very high BP values (>180/110 mmHg) associated with acute organ damage. The exact mechanism of action is still incompletely clarified. Endothelial dysfunction following reduced bioavailability of nitric oxide has been hypothesized to play an important role in promoting hypertension and the occurrence of acute organ damage. Expert opinion: Prevention, prompt recognition and treatment of hypertensive emergencies associated with treatment with VSP-inhibitors are essential to reduce the risk of adverse events. Not infrequently, the occurrence of hypertensive emergency led to VSP treatment discontinuation, with potential negative consequences on patient overall survival. The present review aims at providing detailed knowledge for the clinician regarding this specific issue, which could be of high impact in usual clinical practice, given the increasing burden of indications to treatment with biological agents targeted to the VEGF pathway.
    MeSH term(s) Antibodies, Monoclonal/adverse effects ; Antibodies, Monoclonal/pharmacology ; Antibodies, Monoclonal/therapeutic use ; Blood Pressure ; Humans ; Hypertension/etiology ; Hypertensive Encephalopathy/etiology ; Neoplasms/complications ; Neoplasms/drug therapy ; Neoplasms/pathology ; Protein Kinase Inhibitors/adverse effects ; Protein Kinase Inhibitors/pharmacology ; Protein Kinase Inhibitors/therapeutic use ; Signal Transduction/drug effects ; Vascular Endothelial Growth Factor A/antagonists & inhibitors ; Vascular Endothelial Growth Factor A/immunology ; Vascular Endothelial Growth Factor A/metabolism
    Chemical Substances Antibodies, Monoclonal ; Protein Kinase Inhibitors ; Vascular Endothelial Growth Factor A
    Language English
    Publishing date 2019-04-08
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2052501-1
    ISSN 1744-7682 ; 1471-2598
    ISSN (online) 1744-7682
    ISSN 1471-2598
    DOI 10.1080/14712598.2019.1594770
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Relationship between echocardiographic and functional parameters in patients with heart failure undergoing cardiopulmonary exercise test.

    Pucci, Giacomo / Alessio, Sara / Russo, Antonio / Cerasari, Alberto / Dominioni, Irene / Sanesi, Leandro / Filippucci, Lucia / Vaudo, Gaetano

    Minerva cardioangiologica

    2020  Volume 68, Issue 2, Page(s) 72–80

    Abstract: Background: HF patients typically show effort intolerance due to a reduction in peak exercise oxygen (peak VO2) consumption, which is related to inability to adapt systolic function to increased demand. Left ventricular ejection fraction (EF) is a ... ...

    Abstract Background: HF patients typically show effort intolerance due to a reduction in peak exercise oxygen (peak VO2) consumption, which is related to inability to adapt systolic function to increased demand. Left ventricular ejection fraction (EF) is a surrogate marker of cardiac contractility and a powerful predictor of adverse prognosis in chronic heart failure (HF). The aim of the study was to explore the relationship between EF and other echocardiographic findings with peak VO2 in a population of HF individuals undergoing cardiopulmonary exercise testing (CPX).
    Methods: We evaluated 101 patients (61% hypertensives, 74% with documented coronary artery disease) undergoing both resting echocardiography and symptom-limited CPX.
    Results: Mean age was 58±13 years, 83% were males. Mean EF was 55±12%; 20% of the patients showed EF<40%. Mean test duration was 9.4±2.2 min. Average peak VO2 was 21±6 mL/kg/min. Peak VO2 showed a robust positive correlation with EF (R=0.42, P<0.001). Other independent predictors of peak VO2 were age, male sex, height and tricuspidal anular plane systolic excursion (TAPSE), this latter reflecting right ventricular dysfunction. When subjects were dichotomized according to predicted peak VO2values, those with higher-than-predicted peak VO2 showed significantly lower VE/VCO2 slope, and higher values of both oxygen pulse and VO2/WR slope.
    Conclusions: EF and TAPSE are associated with peak VO2 in HF patients independently from age, sex and height. The evaluation of potentially relevant mechanisms affecting exercise capacity in HF patients requires further investigation.
    MeSH term(s) Adult ; Age Factors ; Aged ; Aged, 80 and over ; Echocardiography ; Exercise Test/methods ; Female ; Heart Failure/diagnosis ; Heart Failure/physiopathology ; Humans ; Male ; Middle Aged ; Oxygen Consumption/physiology ; Retrospective Studies ; Sex Factors ; Stroke Volume/physiology ; Ventricular Dysfunction, Right/physiopathology ; Ventricular Function, Left/physiology
    Language English
    Publishing date 2020-05-12
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 123583-7
    ISSN 1827-1618 ; 0026-4725
    ISSN (online) 1827-1618
    ISSN 0026-4725
    DOI 10.23736/S0026-4725.20.05179-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Screening for atrial fibrillation during automated blood pressure measurement among patients admitted to internal medicine ward.

    Pucci, Giacomo / Santoni, Edoardo / Bisogni, Valeria / Calandri, Camilla / Cerasari, Alberto / Dominioni, Irene / Sanesi, Leandro / D'Abbondanza, Marco / Veca, Vito / Vaudo, Gaetano

    Internal and emergency medicine

    2021  Volume 16, Issue 6, Page(s) 1605–1611

    Abstract: Atrial fibrillation (AF), the commonest sustained cardiac arrhythmia affecting the adult population, is often casually discovered among hospitalized people. AF onset is indeed triggered by several clinical conditions such as acute inflammatory states, ... ...

    Abstract Atrial fibrillation (AF), the commonest sustained cardiac arrhythmia affecting the adult population, is often casually discovered among hospitalized people. AF onset is indeed triggered by several clinical conditions such as acute inflammatory states, infections, and electrolyte disturbance, frequently occurring during the hospitalization. We aimed to evaluate whether systematic AF screening, performed through an automated oscillometric blood pressure (BP) device (Microlife WatchBP Office AFIB, Microlife AG, Switzerland), is effective for detecting AF episodes in subjects admitted to an Internal Medicine ward. 163 patients consecutively hospitalized at the Unit of Internal Medicine of the "Santa Maria" Terni University Hospital between November 2019 and January 2020 (mean age ± standard deviation: 77 ± 14 years, men proportion: 40%) were examined. Simultaneously with BP measurement and AF screening, a standard 12-lead electrocardiogram (ECG) was performed in all subjects. AF was diagnosed by ECG in 29 patients (18%). AF screening showed overall 86% sensitivity and 96% specificity. False negatives (n = 4) had RR-interval coefficient of variation lower than true positives (n = 25, p < 0.01), suggesting a regular ventricular rhythm during AF. The repeated evaluation substantially confirmed the same level of agreement. AF screening was positive in all patients with new-onset AF (n = 6, 100%). Systematic AF screening in patients admitted to Internal Medicine wards, performed using the Microlife WatchBP Office AFIB, is feasible and effective. The opportunity to implement such technology in daily routine clinical practice to prevent undiagnosed AF episodes in hospitalized patients should be the subject of further research.
    MeSH term(s) Aged ; Aged, 80 and over ; Atrial Fibrillation/diagnosis ; Atrial Fibrillation/epidemiology ; Atrial Fibrillation/physiopathology ; Blood Pressure/physiology ; Blood Pressure Determination/methods ; Blood Pressure Determination/statistics & numerical data ; Electrocardiography/methods ; Female ; Humans ; Internal Medicine/instrumentation ; Internal Medicine/methods ; Italy/epidemiology ; Male ; Mass Screening/methods ; Mass Screening/statistics & numerical data ; Middle Aged ; Patients' Rooms/organization & administration ; Patients' Rooms/statistics & numerical data ; Statistics, Nonparametric ; Universities/organization & administration ; Universities/statistics & numerical data
    Language English
    Publishing date 2021-03-20
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 2454173-4
    ISSN 1970-9366 ; 1828-0447
    ISSN (online) 1970-9366
    ISSN 1828-0447
    DOI 10.1007/s11739-021-02691-2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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