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Negli Ospedali N° 212 - 213 Crivista Dell’Associazione Nazionale Medici Cardiologi Ospedalieri – ANMCO

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Negli Ospedali N° 212 - 213 Crivista Dell’Associazione Nazionale Medici Cardiologi Ospedalieri – ANMCO ardiologia luglio/agosto • settembre/ottobre 2016 negli Ospedali N° 212 - 213 cRivista dell’Associazione Nazionale Medici Cardiologi Ospedalieri – ANMCO Papa Francesco va incontro ai Cardiologi «Voi vi occupate della cura del cuore... Trovandovi di fronte a questo libro della vita, che porta in sé ancora tante pagine da scoprire, voi vi accostate con trepidazione e senso di timore». Cuori allo Specchio Intervista al Prof. Vittorio Sgarbi EDITORIALE IL Punto SuGLI STuDI CLINICI DEL Lettera dall’Editor p. 4 CENTRO STuDI ANMCO p. 35 di Guerrino Zuin Verranno tempi nuovi, verranno p. 6 DAL CENTRO STuDI genti nuove Il ruolo centrale del paziente p. 37 nella ricerca clinica di Maurizio Giuseppe Abrignani di Beatrice Mariottoni, Tina Frolo, Moira Bennati, Monia Morganti, Maria Licia DAL PRESIDENTE In copertina: The Floating Piers, Polenzani, Simona D’Orazio, Franco Christo, 2016 A fianco delle Istituzioni... p. 10 Cosmi N. 212 - 213 luglio/agosto verso grandi risultati settembre/ottobre 2016 di Andrea Di Lenarda DALLE AREE Rivista ufficiale dell’Associazione Nazionale Medici Cardiologi Ospedalieri DAL PRESIDENTE DEL 47° AREA ARITMIE Dalla CCu al AID p. 42 Editor CONGRESSO NAZIONALE ANMCO Guerrino Zuin Il Congresso 2016 un evento di Achille Giardina Co - Editor internazionale p. 14 Giovanna Geraci AREA SCOMPENSO CARDIACO Comitato di Redazione di Michele Massimo Gulizia Ada Cutolo La rete per l’assistenza p. 47 Stefania Angela Di Fusco del paziente con scompenso cardiaco ESC WINDOW p. 23 Calogero Geraci di Massimo Iacoviello, Ilaria Battistoni, Daniele Grosseto Giulia Russo Alessandro Navazio, Daniela Pini, Fortunato Scotto di Uccio Andrea Mortara, Nadia Aspromonte Consulente per l’attività editoriale Chiara Dino Redazione DALLE TASK FORCE Simonetta Ricci Luana Di Fabrizio TASK FORCE CARDIOGERIATRIA [email protected] Valutazione dell’anziano con p. 49 ANMCO stenosi aortica Via A. La Marmora, 36 di Giovanni Pulignano 50121 Firenze Tel. 055 51011 - Fax 055 5101350 [email protected] TASK FORCE CARDIOLOGIA DELLO www.anmco.it SPORT Intervista a Michele Massimo Gulizia Organizzazione con Sistema di Sport ed Esercizio Fisico nei p. 52 Gestione Certificato da di Guerrino Zuin KIWA CERMET secondo soggetti con S - ICD la norma UNI EN ISO 9001:2008 Lettera del Ministro della Salute p. 28 di Franco Giada e Michele Massimo Beatrice Lorenzin al Gulizia Direttore Responsabile Dott. Michele Massimo Gulizia Mario Chiatto Discorso del Santo Padre p. 30 Aut. Trib. di Firenze n. 2381 Francesco ai partecipanti al Congresso del 27/11/74 Centro Servizi ANMCO srl mondiale di Cardiologia “ESC Congress 2016” Stampa Tipografia Il Bandino L’Europa a Roma. Reportage p. 32 Firenze dalla ESC Progetto grafico e di Ada Cutolo e Daniele Grosseto impaginazione Studio Mirannalti Fiesole I NDICE DALLE REGIONI STORIA E CuRIOSITÀ DELLA CuORI DI CHINA CARDIOLOGIA Viaggio nel cuore p. 81 CAMPANIA «Auscultare il cuore»: p. 75 del Fumetto. I puntata “BAV for Life” p. 57 lo Stetoscopio di Andrea Mazzotta di Fortunato Scotto di Uccio di Andrea Vesprini e Fabiola Zurlini PuGLIA una ferita al cuore della Puglia p. 60 di Maria Cuonzo e Massimo Grimaldi TOSCANA Ma il tuo cuore batte pari? p. 62 di Maria Grazia Bongiorni, Luca Segreti, Ezio Soldati, Francesca Menichetti, Toni Badia, Francesco Bellini, Nazario Carrabba, Francesco De Sensi, Gabriele Giuliani, Alessio Lilli, Silvia Maffei I giovani Cardiologi p. 65 FLASHBACK della Toscana si incontrano Cinema e Medicina p. 78 del Consiglio Direttivo Regionale ANMCO di Franco Plàstina TOSCANA uMBRIA Progetto di rete aritmologica p. 68 di Gianluca Zingarini CuORI ALLO SPECCHIO VIAGGIO INTORNO AL CuORE “Sono ancora qui. Capre” p. 70 Guida pratica all’esame p. 85 di Mario Chiatto cardiologico. L’arte e la scienza di Maurizio Giuseppe Abrignani IN MEMORIA DI… In memoria di Pantaleo p. 87 Giannuzzi di Luigi Tavazzi FORuM SINDACALE E ORGANIZZATIVO Atto di indirizzo della dirigenza p. 73 medica 2016 - 2018: cosa dire? di Domenico Gabrielli 3 E ditoriale DI GUERRINO ZUIN Lettera dall’Editor ari Amici, quella "mission dell'ANMCO" e delle rivista accattivante. Penso sento questo incarico cioè di mantenere vivo il rapporto all’intervista, alla presentazione Ccome una dimostrazione di tra gli organismi dell'Associazione di casi clinici, ad un allargamento stima nei miei confronti, ma sento e tutti gli associati. Sarà difficile degli sconfinamenti che la rivista anche una grande responsabilità fare meglio, ma è una sfida già opera con la sezione “Viaggio nel condurre una rivista che è un che vogliamo raccogliere con intorno al cuore” in campi non importante punto di riferimento l’aiuto di tutti voi. Confido nella abituali per i Cardiologi, ma dove per i Cardiologi ospedalieri in un disponibilità di tutti e non solo il rapporto con il cuore è sempre momento in cui la Cardiologia di quelli che istituzionalmente stato molto intenso: la fotografia, ospedaliera si trova a confrontarsi vengono chiamati a scrivere, a con la rubrica che si chiamerà “Uno con le istituzioni e la società civile portare il loro contributo. Sarà una sguardo sul mondo” nella quale su temi non solo sanitari, ma grande vittoria per la Redazione saranno pubblicati contributi dei anche organizzativi (Ospedali per se tutti si sentiranno attori del lettori sotto forma di “portfolio” intensità di cure, riorganizzazione giornale. Con Giovanna Geraci, personale o a tema; l’arte, con della Aziende Sanitarie), ed mio Co-Editor abbiamo pensato una rubrica dedicata ai film più economici (spending review, di far interagire gli strumenti di rappresentativi della storia del piani di rientro). “Cardiologia comunicazione dell’Associazione: cinema dal titolo “Flashback”. Un negli Ospedali” è la finestra della la Rivista e il Sito Web. L’obiettivo viaggio a ritroso nel tempo scandito nostra Associazione verso il mondo è generare comunicazione, dal ricordo di frames, colonne cardiologico ospedaliero, è l’area camminando affiancati, con sonore, dialoghi che più ci hanno in cui si presentano i programmi e modelli diversi ma attenti a emozionato facendoci a volte il loro avanzamento a livello degli raggiungere tutti i Cardiologi battere il cuore all’inverosimile. Il organi istituzionali (Consiglio ospedalieri promuovendo cultura e cinema, la Settima Arte che sempre Direttivo, Consiglio Nazionale, partecipazione associativa. ci ha riproposto quell’eterno Regioni, Aree, Task Force) ma Per questa attività spesso siamo conflitto che ci unisce; ragione e anche le esperienze di tutti i costretti a rinunciare a fine sentimento in accordo/disaccordo Cardiologi e non che vogliono settimana in famiglia, al nostro costante. Il cinema fulcro di contribuire alla crescita della nostra tempo libero e se non ci fosse il emozioni e poco importa se queste Associazione. divertimento per questo lavoro, risiedono nel cuore o nel cervello, Ereditiamo una linea che ha sarebbe difficile arrivare in l’importante è averle, provarle, permesso alla rivista di essere fondo. Vorrei che lavorare nella viverle. La poesia, la letteratura, ma rilanciata, apprezzata per i rivista sia in primo luogo un anche giochi, enigmistica e fumetti. contenuti, per il formato grafico e divertimento. Con Mario abbiamo Il fumetto, la Nona Arte, fenomeno di diventare quindi un riferimento raccolto diverse idee in questi poliedrico, dinamico ma soprattutto per tutti i colleghi Cardiologi giorni e penso che alcune vadano coevo alla società, specchio del che in essa hanno potuto trovare nel senso di rendere la lettura reale e dei tempi che lo generano, 4 | Cardiologia negli Ospedali | duecentododici-duecentotredici E ditoriale come lo è sempre stato, fin da cambiamento, anni di rilancio, parte riconfermare (Stefania quando l’uomo ha imparato ad anni di grandi novità a partire Angela Di Fusco, Daniele Grosseto esprimersi attraverso il linguaggio dalla esperienza dei Documenti e Giulia Russo) per l’ottimo lavoro dell’immagine. Questo universo, Scientifici approvati agli Stati svolto in questi anni e in parte spesso sconosciuto, rinnovare con l’innesto spesso sottovalutato, di nuove energie che sarà quello in cui mi auguro continui “Cuori di china” compirà il proprio con la linea tracciata viaggio. Altre sezioni (Ada Cutolo, Calogero che meriteranno una Geraci, Fortunato attenta valutazione sono Scotto di Uccio). Al le rubriche: Lettere Comitato di Redazione all’Editor, Osservatorio abbiamo affiancato di Diritto Sanitario. una giornalista esterna Mario Chiatto sarà (Chiara Dino), che sarà al mio fianco come punto di riferimento Direttore Responsabile, per alcuni aspetti al quale ho chiesto redazionali ed editoriali di essermi vicino con i suoi consigli che più ostici per chi come vengono ormai da una me e tutti gli altri decennale esperienza colleghi siamo abituati come Editor prima e al lavoro di corsia Direttore poi.Vorrei sul malato più che a ringraziare tutti quelli occhielli, sottotitoli, che hanno creduto al capolettera etc. mio contributo come Infine a Simonetta Editor della rivista: Ricci, a Luana Di il Presidente Andrea Fabrizio presenti e vicine con Di Lenarda e l’attuale Consiglio Generali di Gubbio 2015. Direttivo, il Past President Michele Grazie a Maurizio per i il loro prezioso aiuto di grande Massimo Gulizia e il Consiglio suggerimenti che sono stati professionalità, esperienza e Direttivo dell’ultimo biennio, con estremamente utili. Mi hanno disponibilità un ringraziamento cui ho lavorato e mi sono formato permesso di formare un Comitato in anticipo per questo biennio a negli ultimi due anni, anni di di Redazione, che ho
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