Air: do not consume fuels of “fossil” origin (coal, oil, gas). Whenever possible, use renewable energy (solar, photovoltaic, wind, geothermal, energy-saving buildings) and reduce the use of private vehicles in the city by encouraging the use of: bicycles, public transport, shared private vehicles, pedestrian mobility. Limit travel by plane as much as possible by favoring the use of the train, not necessarily at High Speed. Try to oppose against the fashion of cruise tourism.
Air pollution is the basis of many respiratory (bronchial asthma, COPD) cardio-circulatory (heart attack, thrombosis, stroke) and neoplastic (lung cancer) diseases. The main causes of air pollution are industrial activity, domestic heating and unsustainable ways of...
Avoid routine use of Infective endocarditis profilaxis in mild to moderate native valve disease
Despite of high frequency of bacteremia associated to dental procedures, the related risk for infective endocarditis (IE) is very low, both in general population and in cardiac patients. Extensive use of profilaxis is not supported by evidence. Profilaxis should be...
Don’t routinely prescribe proton pump inhibitors (PPI) for gastrointestinal bleeding profilaxis in patient with single drug antiplatelet therapy in absence of additional risk factors
Gastrointestinal (GI) bleeding risk is increased in presence of double antiplatelet treatment. Risk factors for GI bleeding are: previous GI bleeding, peptic ulcer, advanced age, NSAIDs or steroid drugs use, oral anticoagulant therapy. In absence of risk factors, PPI...
Don’t perfom Holter electrocardiographic monitoring in patients suffering from syncope, near syncope o dizziness, in whom a non arrhytmic origin has been documented
Holter monitoring is indicated if the likelyhood of arrhytmia causing a syncope is elevated. Monitoring devices should be choosen according to syncope frequency: Holter for daily symptoms, external loop recorder for weekly, and subcutaneous implantable device for...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
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