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Author Agostino Piro

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Impact of COVID-19 Pandemic on Cardiac Electronic Device Management and Role of Remote Monitoring

Michele Magnocavallo, Giampaolo Vetta, Alessia Bernardini, Agostino Piro, Maria Chiara Mei, Martina Di Iorio, Marco Valerio Mariani, Domenico G. Della Rocca, Paolo Severino, Raffaele Quaglione, Giuseppe Giunta, Cristina Chimenti, Fabio Miraldi, Carmine Dario Vizza, Francesco Fedele, Carlo Lavalle,

Synopsis During the Coronavirus Disease 2019 (COVID-19) worldwide pandemic, patients with cardiac implantable electronic device (CIED) refused scheduled follow-up visits due to the risk of infection. In this scenario, different telemedicine strategies have been implemented to ensure continuity of care to CIED patients. Patients can be monitored through dedicated apps, ... Read more >>

Card Electrophysiol Clin (Cardiac electrophysiology clinics)
[2021, :]

Cited: 0 times

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Reply to the Editor-High subthreshold pacing impedance from device-lead connection issues.

Carlo Pignalberi, Marco Valerio Mariani, Antonello Castro, Agostino Piro, Barbara Magris, Bruno Albano, Stefano Aquilani, Michele Magnocavallo, Furio Colivicchi, Francesco Fedele, Carlo Lavalle,

Heart Rhythm (Heart rhythm)
[2021, 18(12):2225-2226]

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Subcutaneous implantable cardioverter-defibrillator and defibrillation testing: A propensity-matched pilot study.

Giovanni B Forleo, Alessio Gasperetti, Alexander Breitenstein, Mikael Laredo, Marco Schiavone, Matteo Ziacchi, Julia Vogler, Danilo Ricciardi, Pietro Palmisano, Agostino Piro, Paolo Compagnucci, Xavier Waintraub, Gianfranco Mitacchione, Gianmarco Carrassa, Giulia Russo, Silvana De Bonis, Andrea Angeletti, Antonio Bisignani, Francesco Picarelli, Michela Casella, Edoardo Bressi, Giovanni Rovaris, Leonardo Calò, Luca Santini, Carlo Pignalberi, Carlo Lavalle, Maurizio Viecca, Ennio Pisanò, Iacopo Olivotto, Antonio Curnis, Antonio Dello Russo, Claudio Tondo, Charles J Love, Luigi Di Biase, Jan Steffel, Roland Tilz, Nicolas Badenco, Mauro Biffi,

<h4>Background</h4>To date, only a few comparisons between subcutaneous implantable cardioverter-defibrillator (S-ICD) patients undergoing and those not undergoing defibrillation testing (DT) at implantation (DT+ vs DT-) have been reported.<h4>Objective</h4>The purpose of this study was to compare long-term clinical outcomes of 2 propensity-matched cohorts of DT+ and DT- patients.<h4>Methods</h4>Among consecutive S-ICD patients ... Read more >>

Heart Rhythm (Heart rhythm)
[2021, 18(12):2072-2079]

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Home delivery of the communicator for remote monitoring of cardiac implantable devices: A multicenter experience during the covid-19 lockdown.

Michele Magnocavallo, Alessia Bernardini, Marco Valerio Mariani, Agostino Piro, Massimiliano Marini, Antonino Nicosia, Carmen Adduci, Antonio Rapacciuolo, Davide Saporito, Stefano Grossi, Giuseppe Santarpia, Paola Vaccaro, Roberto Rordorf, Francesco Pentimalli, Giuseppe Giunta, Monica Campari, Sergio Valsecchi, Carlo Lavalle,

<h4>Background</h4>During the COVID-19 pandemic in-person visits for patients with cardiac implantable electronic devices should be replaced by remote monitoring (RM), in order to prevent viral transmission. A direct home-delivery service of the RM communicator has been implemented at 49 Italian arrhythmia centers.<h4>Methods</h4>According to individual patient preference or the organizational decision ... Read more >>

Pacing Clin Electrophysiol (Pacing and clinical electrophysiology : PACE)
[2021, 44(6):995-1003]

Cited: 3 times

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Electrocardiographic Criteria for Differentiating Left from Right Idiopathic Outflow Tract Ventricular Arrhythmias.

Marco V Mariani, Agostino Piro, Domenico G Della Rocca, Giovanni B Forleo, Naga Venkata Pothineni, Jorge Romero, Luigi Di Biase, Francesco Fedele, Carlo Lavalle,

Idiopathic ventricular arrhythmias are ventricular tachycardias or premature ventricular contractions presumably not related to myocardial scar or disorders of ion channels. Of the ventricular arrhythmias (VAs) without underlying structural heart disease, those arising from the ventricular outflow tracts (OTs) are the most common. The right ventricular outflow tract (RVOT) is ... Read more >>

Arrhythm Electrophysiol Rev (Arrhythmia & electrophysiology review)
[2021, 10(1):10-16]

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Minimal fluoroscopy approach for right-sided supraventricular tachycardia ablation with a novel ablation technology: Insights from the multicenter CHARISMA clinical registry.

Filippo M Cauti, Pietro Rossi, Carmelo La Greca, Agostino Piro, Natale Di Belardino, Alberto Battaglia, Federico Ferraris, Domenico Pecora, Carlo Lavalle, Antonio Scalone, Luca Rossi, Andrea Di Cori, Francesco Solimene, Roberto Mantovan, Stefano Pedretti, Luigi Iaia, Stefano Bianchi, Matteo Anselmino,

<h4>Background</h4>No data exist on the ability of the novel Rhythmia 3-D mapping system to minimize fluoroscopy exposure during transcatheter ablation of arrhythmias. We report data on the feasibility and safety of a minimal fluoroscopic approach using this system in supraventricular tachycardia (SVT) procedures.<h4>Methods</h4>Consecutive patients were enrolled in the CHARISMA registry ... Read more >>

J Cardiovasc Electrophysiol (Journal of cardiovascular electrophysiology)
[2021, 32(5):1296-1304]

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Sporadic high pacing and shock impedance on remote monitoring in hybrid implantable cardioverter-defibrillator systems: Clinical impact and management.

Carlo Pignalberi, Marco Valerio Mariani, Antonello Castro, Agostino Piro, Barbara Magris, Bruno Albano, Stefano Aquilani, Michele Magnocavallo, Furio Colivicchi, Francesco Fedele, Carlo Lavalle,

<h4>Background</h4>Sporadic high impedance values without other anomalies detected by remote monitoring of hybrid cardiac implantable electronic device systems have been described recently. The clinical significance and related hazard of this phenomenon are not fully understood.<h4>Objective</h4>The purpose of this study was to describe the prevalence, management, and outcomes associated with hybrid ... Read more >>

Heart Rhythm (Heart rhythm)
[2021, 18(8):1292-1300]

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Clinical impact of defibrillation testing in a real-world S-ICD population: Data from the ELISIR registry.

Danilo Ricciardi, Matteo Ziacchi, Alessio Gasperetti, Marco Schiavone, Francesco Picarelli, Igor Diemberger, Luca Bontempi, Natale Di Belardino, Giovanni Bisignani, Silvia De Bonis, Gianfranco Mitacchione, Vito Calabrese, Carlo Lavalle, Agostino Piro, Carlo Pignalberi, Luca Santini, Francesco Grigioni, Claudio Tondo, Mauro Biffi, Giovanni Battista Forleo,

<h4>Background</h4>Current guidelines recommend defibrillation testing (DT) performance in patients with a subcutaneous implantable cardioverter defibrillator (S-ICD), theoretically to reduce the amount of ineffective shocks. DT, however, has been proven unnecessary in transvenous ICD and real-world data show a growing trend in avoidance of DT after S-ICD implantation.<h4>Methods</h4>All patients undergoing S-ICD ... Read more >>

J Cardiovasc Electrophysiol (Journal of cardiovascular electrophysiology)
[2021, 32(2):468-476]

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Management of cardiac implantable electronic device follow-up in COVID-19 pandemic: Lessons learned during Italian lockdown.

Agostino Piro, Michele Magnocavallo, Domenico Giovanni Della Rocca, Matteo Neccia, Giovanna Manzi, Marco Valerio Mariani, Martina Straito, Alessia Bernardini, Paolo Severino, Gino Iannucci, Giuseppe Giunta, Cristina Chimenti, Andrea Natale, Francesco Fedele, Carlo Lavalle,

<h4>Introduction</h4>Remote monitoring (RM) has significantly transformed the standard of care for patients with cardiac electronic implantable devices. It provides easy access to valuable information, such as arrhythmic events, acute decompensation manifestations and device-related issues, without the need of in-person visits.<h4>Methods</h4>Starting March 1st, 332 patients were introduced to an RM program ... Read more >>

J Cardiovasc Electrophysiol (Journal of cardiovascular electrophysiology)
[2020, 31(11):2814-2823]

Cited: 7 times

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Direct oral anticoagulants versus vitamin K antagonists in patients with atrial fibrillation and cancer a meta-analysis.

Marco Valerio Mariani, Michele Magnocavallo, Martina Straito, Agostino Piro, Paolo Severino, Gino Iannucci, Cristina Chimenti, Massimo Mancone, Domenico Giovanni Della Rocca, Giovanni Battista Forleo, Francesco Fedele, Carlo Lavalle,

<h4>Background</h4>Direct oral anticoagulants (DOACs) are recommended as first-line anticoagulants in patients with atrial fibrillation (AF). However, in patients with cancer and AF the efficacy and safety of DOACs are not well established.<h4>Objective</h4>We performed a meta-analysis comparing available data regarding the efficacy and safety of DOACs vs vitamin K antagonists (VKAs) ... Read more >>

J Thromb Thrombolysis (Journal of thrombosis and thrombolysis)
[2021, 51(2):419-429]

Cited: 4 times

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High-density mapping of Koch's triangle during sinus rhythm and typical AV nodal reentrant tachycardia: new insight.

Claudio Pandozi, Carlo Lavalle, Maria Grazia Bongiorni, Angelo Catalano, Gemma Pelargonio, Maurizio Russo, Agostino Piro, Angelo Carbone, Maria Lucia Narducci, Marco Galeazzi, Sabina Ficili, Francesco Piccolo, Francesco Maddaluno, Maurizio Malacrida, Furio Colivicchi, Luca Segreti,

<h4>Background</h4>Atrial activation during typical atrioventricular nodal reentrant tachycardia (AVNRT) exhibits anatomic variability and spatially heterogeneous propagation inside the Koch's triangle (KT). The mechanism of the reentrant circuit has not been elucidated yet. Aim of this study is to describe the distribution of Jackman and Haïssaguerre potentials within the KT and ... Read more >>

J Interv Card Electrophysiol (Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing)
[2021, 61(3):487-497]

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Adverse Drug Reactions during Real-Life Use of Direct Oral Anticoagulants in Italy: An Update Based on Data from the Italian National Pharmacovigilance Network.

Carlo Lavalle, Luca Di Lullo, Antonio Bellasi, Claudio Ronco, Stefano Radicchia, Vincenzo Barbera, Gioacchino Galardo, Agostino Piro, Michele Magnocavallo, Martina Straito, Massimo Uguccioni,

<h4>Background</h4>The availability of direct oral anticoagulants (DOAC) in clinical practice has transformed the health care provided to patients for the prevention and treatment of thromboembolism. Safety and efficacy data guide clinicians in the choice of the drug used. To date, no evidence is available from head-to-head trials comparing different DOAC ... Read more >>

Cardiorenal Med (Cardiorenal medicine)
[2020, 10(4):266-276]

Cited: 2 times

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Clinical and economic impact of multipoint left ventricular pacing: A comparative analysis from the Italian registry on multipoint pacing in cardiac resynchronization therapy (IRON-MPP).

Giovanni B Forleo, Luca Santini, Leonardo Calò, Danilo Ricciardi, Antonio Curnis, Carlo Pignalberi, Vittorio Calzolari, Massimo Giammaria, Giovanni Morani, Emanuele Bertaglia, Valentina Ribatti, Mauro Biffi, Domenico Potenza, Agostino Piro, Gregorio Covino, Veronica Natale, Alessio Gasperetti, Pasquale Notarstefano, Carlo Lavalle, Yelena Nabutovsky, Claudio Tondo, Francesco Zanon,

<h4>Introduction</h4>Early evidence suggests that multipoint left ventricular pacing (MPP) may improve response to cardiac resynchronization therapy (CRT). It is unknown whether this benefit is sustained and cost-effective. We used real-world data to evaluate long-term impact of MPP-ON clinical status, heart failure hospitalizations (HFH) and costs.<h4>Methods</h4>The Italian registry on multipoint left ... Read more >>

J Cardiovasc Electrophysiol (Journal of cardiovascular electrophysiology)
[2020, 31(5):1166-1174]

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Toward a Uniform Ablation Protocol for Paroxysmal, Persistent, and Permanent Atrial Fibrillation.

Domenico Giovanni Della Rocca, Carlo Lavalle, Carola Gianni, Marco Valerio Mariani, Sanghamitra Mohanty, Chintan Trivedi, Ugur Canpolat, Bryan MacDonald, Huseyin Ayhan, Agostino Piro, Mohamed Bassiouny, Amin Al-Ahmad, John David Burkhardt, Joseph G Gallinghouse, Rodney P Horton, Javier Sanchez, Nicola Tarantino, Luigi Di Biase, Andrea Natale,

Atrial fibrillation catheter ablation has emerged as the most effective strategy to restore and maintain sinus rhythm. The cornerstone of atrial fibrillation ablation is elimination of triggers from the pulmonary veins by pulmonary vein isolation. Nevertheless, some patients may experience atrial tachyarrhythmia recurrences even with permanent pulmonary vein antral isolation. ... Read more >>

Card Electrophysiol Clin (Cardiac electrophysiology clinics)
[2019, 11(4):731-738]

Cited: 0 times

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Electrocardiographic features, mapping and ablation of idiopathic outflow tract ventricular arrhythmias.

Carlo Lavalle, Marco V Mariani, Agostino Piro, Martina Straito, Paolo Severino, Domenico G Della Rocca, Giovanni B Forleo, Jorge Romero, Luigi Di Biase, Francesco Fedele,

<h4>Purpose</h4>Idiopathic outflow tract ventricular arrhythmias are ventricular tachycardias or premature ventricular contractions presumably not related to myocardial scar or disorders of ion channels. These arrhythmias have focal origin and display characteristic electrocardiographic features. The purpose of this article is to review the state of the art of diagnosis and treatment ... Read more >>

J Interv Card Electrophysiol (Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing)
[2020, 57(2):207-218]

Cited: 8 times

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2D/3D Echocardiographic features of patients with reverse remodeling after cardiac resynchronization therapy.

Sara Cimino, Viviana Maestrini, Donatella Cantisani, Valentina Petronilli, Domenico Filomena, Maria C Gatto, Lucia I Birtolo, Agostino Piro, Carlo Lavalle, Luciano Agati,

PURPOSE:To describe clinical and echocardiographic characteristics associated with reverse left ventricular (LV) remodeling after 6 months of cardiac resynchronization therapy (CRT) in patients with nonischemic dilated cardiomyopathy. METHODS:Twenty-four consecutive patients underwent 2D and 3D echocardiography before and after 6 months of CRT implant. Several echocardiographic parameters including global longitudinal strain (GLS) and ... Read more >>

Echocardiography (Echocardiography (Mount Kisco, N.Y.))
[2019, 36(8):1475-1481]

Cited: 2 times

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Rivaroxaban in atrial fibrillation cardioversion: an update.

Carlo Lavalle, Martina Straito, Annalisa Caroli, Agostino Piro, Giuseppe Giunta, Marco Valerio Mariani, Francesco Fedele,

Currently, atrial fibrillation (AF) is the most common sustained cardiac arrhythmia, with a prevalence of about 2-3% in the general population, representing a powerful risk factor for stroke and systemic thromboembolism and increased mortality and morbidity. Restoration of sinus rhythm is an important treatment option in AF and has a ... Read more >>

Ther Clin Risk Manag (Therapeutics and clinical risk management)
[2019, 15:613-626]

Cited: 0 times

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Triggers for Atrial Fibrillation: The Role of Anxiety.

Paolo Severino, Marco Valerio Mariani, Annalisa Maraone, Agostino Piro, Andrea Ceccacci, Lorenzo Tarsitani, Viviana Maestrini, Massimo Mancone, Carlo Lavalle, Massimo Pasquini, Francesco Fedele,

Atrial fibrillation (AF) is the most widely recognized arrhythmia. Systemic arterial hypertension, diabetes, obesity, heart failure, and valvular heart diseases are major risk factors for the onset and progression of AF. Various studies have emphasized the augmented anxiety rate among AF patients due to the poor quality of life; however, ... Read more >>

Cardiol Res Pract (Cardiology research and practice)
[2019, 2019:1208505]

Cited: 19 times

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[Leadless pacing: present and future of cardiac stimulation].

Agostino Piro, Carlo Lavalle, Domenico G Della Rocca, Paola Scarparo, Massimo Mancone, Viviana Maestrini, Luigi Di Biase, Andrea Natale, Francesco Fedele,

Leadless pacemaker therapy now represents a reality in the field of cardiac pacing. It was developed with the aim of reducing post-procedural complications due to endocavitary leads and with the intention to propose itself as a valid alternative in patients who have contraindications to conventional pacing. Leadless pacemakers to date ... Read more >>

G Ital Cardiol (Rome) (Giornale italiano di cardiologia (2006))
[2019, 20(1):32-40]

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Delayed efficacy of radiofrequency catheter ablation on arrhythmias originating in the interventricular basal septum.

Marco V Mariani, Maria C Gatto, Agostino Piro, Francesco Fedele, Carlo Lavalle,

Delayed efficacy of radiofrequency energy can suppress ventricular arrhythmias after a failed ablation procedure. The implant of cardiac defibrillator for arrhythmia-induced cardiomyopathy should be procrastinated after a period of follow-up. Waiting for delayed efficacy is a reasonable choice to reduce the risk of complications associated with aggressive ablative approaches. ... Read more >>

Clin Case Rep (Clinical case reports)
[2019, 7(2):322-327]

Cited: 1 time

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Use and outcomes of subcutaneous implantable cardioverter-defibrillator (ICD) after transvenous ICD extraction: An analysis of current clinical practice and a comparison with transvenous ICD reimplantation.

Stefano Viani, Federico Migliore, Gianfranco Tola, Ennio C L Pisanò, Antonio Dello Russo, Giovanni Luzzi, Paolo Sartori, Agostino Piro, Roberto Rordorf, Giovanni Battista Forleo, Anna Rago, Luca Segreti, Emanuele Bertaglia, Mauro Biffi, Mariolina Lovecchio, Sergio Valsecchi, Igor Diemberger, Maria Grazia Bongiorni,

<h4>Background</h4>The subcutaneous implantable cardioverter-defibrillator (S-ICD) does not require the insertion of any leads into the cardiovascular system.<h4>Objective</h4>The aims of the study were to describe current practice and to measure outcomes associated with S-ICD or standard single-chamber transvenous ICD (TV-ICD) use after TV-ICD explantation.<h4>Methods</h4>We analyzed all consecutive patients who underwent transvenous ... Read more >>

Heart Rhythm (Heart rhythm)
[2019, 16(4):564-571]

Cited: 9 times

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