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Lampsas S, Oikonomou E, Souvaliotis N, Goliopoulou A, Papamikroulis GA, Anastasiou A, Theofilis P, Zakynthinos G, Gialamas I, Pantelidis P, Gounaridi MA, Tsatsaragkou A, Siasos G, Tousoulis D, Vavuranakis M. Impaired heart rate variability one and six months post acute COVID-19. Eur Heart J 2022. [PMCID: PMC9619568 DOI: 10.1093/eurheartj/ehac544.402] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Background Long COVID-19 syndrome is an increasingly recognized problem. Post-infectious cardiac autonomic dysfunction is commonly reported. This study aims to evaluate autonomic dysfunction by means of Heart rate variability (HRV) on post-COVID-19 patients. Methods Hospitalized patients for COVID-19 (either at the medical ward or Intensive Care Unit (ICU)) were followed up at 1 and 6 months after hospital discharge. Medical history and clinical information were collected. HRV was assessed by 24-hour ambulatory electrocardiography Holter, with the measure of the standard deviation of normal RR intervals in 24 h, ms (SDNN). The comparison was conducted with age and sex-matched non-COVID-19 controls. Results Thirty-four patients hospitalized with COVID-19 (20.6% admitted in ICU) were examined 1-month and 6-months post-hospital discharge. SDNN was significantly (p<0.001) reduced in the COVID-19 group (111±23 ms) compared to the control subjects (152±24 ms) 1-month after discharge. Subgroup analysis between COVID-19 group revealed that ICU subjects presented significantly (p<0.001) reduced SDNN compared to the medical ward, respectively (83±20 ms vs. 118±17 ms). At 6-months, an improvement was noted at SDNN 24h (6-month: 133±24 vs. control: 151±24 ms, p=0.004; 1-month: 111±23 ms vs. 6-month: 133±24 ms, p<0.001). Also at 6-months, ICU subjects noted significantly (p=0.003) reduced SDNN 24h compared to medical ward subjects (107±17 ms vs. 140±20 ms). On the 6-months follow-up, 32% of the subjects had “long-COVID-19” symptoms. Subjects with long COVID-19 symptoms had low SDNN values (“long-COVID-19”: 112±17 ms vs. non-“long-COVID-19”: 142±20 ms, p=0.001) Conclusion Patients hospitalized for COVID-19 have reduced SDNN, at one month post-hospital discharge which is improved at the six months follow-up. These findings emphasize the increased sympathetic drive activity in the post-acute COVID-19 phase and imply a link between autonomic dysfunction and long COVID-19. Funding Acknowledgement Type of funding sources: None.
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Affiliation(s)
- S Lampsas
- National & Kapodistrian University of Athens Medical School, 3rd Department of Cardiology, Sotiria Chest Disease Hospital , Athens , Greece
| | - E Oikonomou
- National & Kapodistrian University of Athens Medical School, 3rd Department of Cardiology, Sotiria Chest Disease Hospital , Athens , Greece
| | - N Souvaliotis
- National & Kapodistrian University of Athens Medical School, 3rd Department of Cardiology, Sotiria Chest Disease Hospital , Athens , Greece
| | - A Goliopoulou
- National & Kapodistrian University of Athens Medical School, 3rd Department of Cardiology, Sotiria Chest Disease Hospital , Athens , Greece
| | - G A Papamikroulis
- National & Kapodistrian University of Athens Medical School, 3rd Department of Cardiology, Sotiria Chest Disease Hospital , Athens , Greece
| | - A Anastasiou
- National & Kapodistrian University of Athens Medical School, 3rd Department of Cardiology, Sotiria Chest Disease Hospital , Athens , Greece
| | - P Theofilis
- National & Kapodistrian University of Athens Medical School, 1st Department of Cardiology, Hippokration General Hospital , Athens , Greece
| | - G Zakynthinos
- National & Kapodistrian University of Athens Medical School, 3rd Department of Cardiology, Sotiria Chest Disease Hospital , Athens , Greece
| | - I Gialamas
- National & Kapodistrian University of Athens Medical School, 3rd Department of Cardiology, Sotiria Chest Disease Hospital , Athens , Greece
| | - P Pantelidis
- National & Kapodistrian University of Athens Medical School, 3rd Department of Cardiology, Sotiria Chest Disease Hospital , Athens , Greece
| | - M A Gounaridi
- National & Kapodistrian University of Athens Medical School, 3rd Department of Cardiology, Sotiria Chest Disease Hospital , Athens , Greece
| | - A Tsatsaragkou
- National & Kapodistrian University of Athens Medical School, 3rd Department of Cardiology, Sotiria Chest Disease Hospital , Athens , Greece
| | - G Siasos
- National & Kapodistrian University of Athens Medical School, 3rd Department of Cardiology, Sotiria Chest Disease Hospital , Athens , Greece
| | - D Tousoulis
- National & Kapodistrian University of Athens Medical School, 1st Department of Cardiology, Hippokration General Hospital , Athens , Greece
| | - M Vavuranakis
- National & Kapodistrian University of Athens Medical School, 3rd Department of Cardiology, Sotiria Chest Disease Hospital , Athens , Greece
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Fountoulakis P, Oikonomou E, Papaioannou T, Psaltopoulou T, Tsalamandris S, Papamikroulis GA, Kalampogias A, Pallantza Z, Pavlou E, Milliou A, Asimakopoulou MN, Barbaresos N, Giannarakis I, Siamata P, Tousoulis D. 405Acute and short-term effects of diesel exhaust fumes exposure on arterial wall properties, inflammatory process and fibrosis-fibrinolysis status. Eur Heart J 2019. [DOI: 10.1093/eurheartj/ehz747.0101] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Introduction
Exhaust fumes from diesel engines are a complex mixture of toxic compounds with a wide variety of harmful effects. The acute effects of diesel exhaust fumes on the cardiovascular system are well-known. However, their short-term impact has not been thoroughly studied.
Purpose
To study the acute and short-term (24 h) effects of diesel exhaust particles (DEPs) on endothelial function, arterial wall properties, inflammatory process and fibrosis-fibrinolysis status.
Methods
In this blind cross over study, 40 healthy volunteers (median age 40 years old) have been exposed to diesel exhaust particles (DEPs) and then to filtered air (FA) over a 2-hour session with a wash out period of 4 weeks. Exposure to DEPs was calibrated based on the mass of microparticles less than 2,5 microns in diameter (PM 2,5). Flow-mediated-dilation (FMD) was used to estimate endothelial function. Pulse wave velocity (PWV) and augmentation index (AIx) assessed central aortic stiffness and arterial reflected waves respectively. C reactive protein (CRP) was measured to determine the inflammatory status, as well as fibrinogen and protein C levels to evaluate the impact on the coagulation cascade. All measurements were performed before each session (T0), at the end of the 2 hours exposure session (T2) and 24 hours after completion of each session (T24). Variables with normal distribution are presented as mean±SD otherwise as median±SEM.
Results
At T0 of DEP and FA exposure there was no significant difference in FMD, PWV, AIX, CRP, protein C and fibrinogen levels. Exposure to DEP decreased significantly FMD (T0: 11.97±4.61% vs T2: 7.71±3.36% vs. T24: 6.17±3.19%, p<0.001) and increased PWV (T0: 6.09±1.03m/sec vs T2: 7.22±1.31m/sec vs. T24: 6.90±1.03m/sec, p<0.001), AIx (T0: 8.17±3.19% vs T2: 12.71±3.36% vs. T24: 13.17±4.61%, p<0.001), CRP (T0: 1.41±0.18 mg/L vs T2: 1.99±0.21mg/L vs. T24: 2.08±0.24mg/L, p=0.04) and fibrinogen levels (T0: 269±44 mg/dL vs T2: 331±75 mg/dL vs. T24: 307±51 mg/dL, p=0.002). Protein C was significantly reduced (T0: 121±26% vs T2: 104±21% vs. T24: 105±20%, p=0.003). Exposure to FA had no significant impact on the study parameters.
Graph of results
Conclusion
Exposure to diesel exhaust fumes may have significant adverse effects on the cardiovascular system with impairment of endothelial function, arterial wall properties, inflammatory status and fibrosis-fibrinolysis parameters not only during the exposure period but as far as 24 hours after exposure.
Acknowledgement/Funding
None
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Affiliation(s)
| | - E Oikonomou
- Hippokration General Hospital, Athens, Greece
| | | | | | | | | | | | - Z Pallantza
- Hippokration General Hospital, Athens, Greece
| | - E Pavlou
- Hippokration General Hospital, Athens, Greece
| | - A Milliou
- Hippokration General Hospital, Athens, Greece
| | - M N Asimakopoulou
- National and Kapodistrian University of Athens, Physics, Athens, Greece
| | - N Barbaresos
- National and Kapodistrian University of Athens, Physics, Athens, Greece
| | - I Giannarakis
- National and Kapodistrian University of Athens, Physics, Athens, Greece
| | - P Siamata
- National and Kapodistrian University of Athens, Physics, Athens, Greece
| | - D Tousoulis
- Hippokration General Hospital, Athens, Greece
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3
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Oikonomou E, Tsalamandris S, Vogiatzi G, Lazaros G, Christoforatou E, Chasikidis C, Mistakidi CV, Galiatsatos N, Asimakopoulou M, Papamikroulis GA, Zacharia E, Anastasiou M, Mavrantzas T, Papakonstantinou M, Tousoulis D. P5312Sleep duration and carotid atheromatic burden. Insights from the Corinthia study. Eur Heart J 2019. [DOI: 10.1093/eurheartj/ehz746.0283] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Sleep is an essential physiological process and disturbance of sleeping pattern may be associated with cardiovascular risk profile and atheromatosis. Short but also long sleep duration (LSD) may be adversely affect cardiovascular parameters.
Purpose
To study how sleep duration is associated with cardiovascular risk profile and carotid atherosclerotic burden.
Methods
Corinthia study is a cross sectional epidemiological study based on 2043 inhabitants (age 40–99 years) of Corinthia region in Greece. Ultrasonography was used to measure intima media thickness (IMT) in the left and right common carotid artery, carotid bulb and internal carotid artery. The mean IMT (meanIMT) were determined as representative values of carotid atherosclerosis burden. Thickness of IMT>1.5 mm or protrusion >50% compared to adjacent segments was considered as atherosclerotic plaque. Based on questionnaires of Corinthia study, total sleeping time per day was recorded. A sleep duration of 7 to 8 h was consider normal (NSD), sleep duration <6 h was consider very short (VSSD), 6–7 h sleep duration was considered short (SSD) and participants with >8 h sleep duration was categorized as LSD.
Results
Concerning gender more men than women were categorized in the NSD (26% vs. 21%, p<0.001). Subjects in the NSD were also younger compared to subjects categorized in other sleeping patterns (VSSD: 66±12 y vs. SSD: 63±12 y vs. NSD: 62±12 y vs. LSD: 66±12 y, p<0.001), have less prevalence of diabetes mellitus (p<0.05). There was no difference according to sleeping pattern in body mass index, prevalence of hypertension, cardiovascular disease, hyperlipidemia and on current smoking habits according to sleeping patterns. Interestingly, meanIMT (VSSD: 1.08±0.51 mm vs. SSD: 0.97±0.42 mm vs. NSD: 0.97±0.41 mm vs. LSD: 1.14±1.64 mm, p=0.04) and carotid atherosclerotic plaque (VSSD: 35% vs. SSD: 25% vs. NSD: 20% vs. LSD: 30%, p=0.006) was decreased in NSD subjects. Importantly, even after adjustment for the confounders logistic regression analysis revealed that subjects in the NSD group have 50% less odds of carotid atheromatic plaque than subjects in the VSSD (Odds ratio: 0.5, 95% CI 0.28–0.90, p=0.02) (Figure).
Conclusion
A balanced sleeping pattern with 8h of sleep daily can act as an additive cardioprotective factor in the modern western type societies. Short especially less than 6 hours and long (>8 hours) sleeping duration may act as a cardiovascular risk factor.
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Affiliation(s)
- E Oikonomou
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - S Tsalamandris
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - G Vogiatzi
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - G Lazaros
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - E Christoforatou
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - C Chasikidis
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - C V Mistakidi
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - N Galiatsatos
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - M Asimakopoulou
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - G A Papamikroulis
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - E Zacharia
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - M Anastasiou
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - T Mavrantzas
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - M Papakonstantinou
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - D Tousoulis
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
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4
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Tsalamandris S, Oikonomou E, Lazaros G, Christoforatou E, Vogiatzi G, Zacharia E, Chasikidis C, Goliopoulou A, Santouri A, Papamikroulis GA, Ververeli CH, Anastasopoulou P, Anastasiou M, Galiatsatos N, Tousoulis D. P5403The Relationship between depressive symptom, emotional status, carotid atherosclerotic burden in Corinthia Study. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy566.p5403] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- S Tsalamandris
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - E Oikonomou
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - G Lazaros
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - E Christoforatou
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - G Vogiatzi
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - E Zacharia
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - C Chasikidis
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - A Goliopoulou
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - A Santouri
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - G A Papamikroulis
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - C H Ververeli
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - P Anastasopoulou
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - M Anastasiou
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - N Galiatsatos
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - D Tousoulis
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
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5
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Vogiatzi G, Oikonomou E, Lazaros G, Papamikroulis GA, Chasikidis C, Christoforatou E, Tsalamandris S, Mpourouki E, Papakonstantinou M, Fountoulakis P, Kalampogias A, Tousouli M, Mourouzis C, Anastasiou M, Tousoulis D. P6278Effects of habitual coffee consumption on vascular function: the corinthia study. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy566.p6278] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- G Vogiatzi
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - E Oikonomou
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - G Lazaros
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - G A Papamikroulis
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - C Chasikidis
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - E Christoforatou
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - S Tsalamandris
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - E Mpourouki
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - M Papakonstantinou
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - P Fountoulakis
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - A Kalampogias
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - M Tousouli
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - C Mourouzis
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - M Anastasiou
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - D Tousoulis
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
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6
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Oikonomou E, Vavuranaki G, Vogiatzi G, Lazaros G, Chasikidis C, Christoforatou E, Tsalamandris S, Papamikroulis GA, Mourouzis C, Mystakidou V, Papakonstantinou M, Mazaris S, Anastasopoulou P, Galiatsatos N, Tousoulis D. P6277Breakfast Consumption: association with arterial stiffness and atherosclerotic burden. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy566.p6277] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- E Oikonomou
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - G Vavuranaki
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - G Vogiatzi
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - G Lazaros
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - C Chasikidis
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - E Christoforatou
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - S Tsalamandris
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - G A Papamikroulis
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - C Mourouzis
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - V Mystakidou
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - M Papakonstantinou
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - S Mazaris
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - P Anastasopoulou
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - N Galiatsatos
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - D Tousoulis
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
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7
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Oikonomou E, Lazaros G, Christoforatou E, Chasikidis C, Stofa E, Papamikroulis GA, Vogiatzi G, Tsalamandris S, Bourouki E, Zacharia E, Anastasiou M, Mavrantzas T, Papakonstantinou M, Anastasopoulou P, Tousoulis D. P722Association of alcohol consumption with aortic root dilatation: Corinthia study. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy564.p722] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- E Oikonomou
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - G Lazaros
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - E Christoforatou
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - C Chasikidis
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - E Stofa
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - G A Papamikroulis
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - G Vogiatzi
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - S Tsalamandris
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - E Bourouki
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - E Zacharia
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - M Anastasiou
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - T Mavrantzas
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - M Papakonstantinou
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - P Anastasopoulou
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - D Tousoulis
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
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8
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Oikonomou E, Dimitropoulos E, Siasos G, Miliou A, Kalampogias A, Giannaki A, Mourouzis K, Tsigkou V, Antonopoulos A, Vogiatzi G, Mpourouki E, Tsalamandris S, Papamikroulis GA, Tousoulis D. P3757Association of adrenomedulin and atrial natriuretic peptide with endothelial function and peripheral vascular resistance in heart failure subjects. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy563.p3757] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- E Oikonomou
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - E Dimitropoulos
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - G Siasos
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - A Miliou
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - A Kalampogias
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - A Giannaki
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - K Mourouzis
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - V Tsigkou
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - A Antonopoulos
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - G Vogiatzi
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - E Mpourouki
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - S Tsalamandris
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - G A Papamikroulis
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - D Tousoulis
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
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9
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Oikonomou E, Lazaros G, Christoforatou E, Chasikidis C, Vogiatzi G, Mourouzis C, Tsalamandris S, Papamikroulis GA, Mavrantzas T, Stofa E, Goliopoulou A, Papakonstantinou M, Anastasiou M, Galiatsatos N, Tousoulis D. P238Sedentary lifestyle patterns and their impact on carotid arterial atherosclerotic burden: insights from the Corinthia study. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy564.p238] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- E Oikonomou
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - G Lazaros
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - E Christoforatou
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - C Chasikidis
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - G Vogiatzi
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - C Mourouzis
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - S Tsalamandris
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - G A Papamikroulis
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - T Mavrantzas
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - E Stofa
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - A Goliopoulou
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - M Papakonstantinou
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - M Anastasiou
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - N Galiatsatos
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - D Tousoulis
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
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