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Ioannis Terrovitis, Short CV NAME Terrovitis, Ioannis ADDRESS 20 Pentelis str, 15343, Athens, Greece CURRENT POSITION Assistant Professor, University of Athens, Greece Tel: +30-210-6083280 (home), +30-210-8236877 (work) email: [email protected] [email protected] EDUCATION/TRAINING INSTITUTION AND LOCATION National University of Athens, School of Medicine, Athens, Greece National University of Athens, School of Medicine DEGREE YEAR(s) FIELD OF STUDY MD 1993 Medicine Doctoral Thesis 2002 Medicine-cardiology Positions 1997-1999 1999-2003 2004-2005 2005-2008 2008-2009 01/200905/2009 05/2009present Resident in Internal Medicine, ‘Patission Hospital’, Athens, Greece Fellow in Cardiology, University of Athens, Dept. of Clinical Therapeutics, ‘Alexandra’ Hospital, Athens Academic Visitor, Imperial College, London-Supervisor: Prof. Sir Magdi H. Yacoub Postdoctoral research fellow, Johns Hopkins University-Supervisor: Prof. Eduardo Marbán Postdoctoral research fellow, Cedars Sinai Medical Center-Supervisor: Prof. Eduardo Marbán Lecturer, University of Athens, Greece Assistant Professor, University of Athens, Greece, School of Medicine, 3rd Department of Cardiology (Outpatient Heart Failure Clinic, LVAD program, head of the Basic Research Laboratory of the Department) Licenses and certification 1994 1995 2003 2005 2008 Greek Medical Board License ECFMG Certification Greek Board of Cardiology Certificate of Training in Cardiovascular Magnetic Resonance (level II Accreditation according to the Society of Cardiovascular Magnetic Resonance) Certificate of Training in CT Angiography Professional Membership 1994 2005 2005 2006 2006 2007 2010-present Member, Hellenic Medical Association Hellenic Cardiologic Society European Society of Cardiology American Heart Association AHA Council of Basic Cardiovascular Research Hellenic Heart Failure Society President of the Working Group of Basic and Translational Research of the Hellenic Cardiologic Society (for the term of 2012-2104) Scholarships 2004-2005 2005-2008 Scholarship from the Hellenic Cardiologic Society for Basic Research in Cardiology Scholarship from the National Foundation of Scholarships for Basic Reearch in Cardiology Honors/Awards 1987-1991 2007 2008 2008 Awards from the Greek National Scholarship Foundation, for excellent performance during medical studies Melvin Judkins Young Investigator Award in Cardiovascular Radiology, American Heart Association Scientific Sessions Stanley L. Blumenthal, M.D. Cardiology Research Awards, Johns Hopkins University American Heart Association Scientific Sessions- Melvin Judkins Young Investigator Award, Finalist, AHA Council of Cardiovascular Imaging International invited lectures 2008 2009 2011 2011 American Heart Association Scientific Sessions -Moderator of the session: Basic Research in Nuclear Medicine , November 2008 Multimodality imaging for studying cardiac stem cell engraftment (from mouse to man)University La Sapienza, October 2009 Molecular imaging approaches to assess stem cell effects in vivo: best guide to determine cell dose, type, and mode of administration - Heart Failure Association (European Society of Cardiology) Cardiac Stem Cell Workshop-Brussels May 2011 Heart-derived cells for post-MI ventricular dysfunction – 8th International Symposium on Stem Cell Therapies- Madrid, June 2011 ii) Research achievements 2002 Completion of doctoral thesis. This project involved the use of an innovative Left Ventricular Assist Device (Paraaortic Counterpulsation Pump) during cardiogenic shock, in a large animal (pig) experimental model. At the same time, I started experimental research protocols in the University of Athens using bone marrow derived stem cells for amelioration of ventricular remodeling. 2004-2005 Research and training in stem cells and tissue engineering, in Imperial College London. I was involved in the development of a tissue engineered cardiac valve using biomaterial scaffolds and mesenchymal stem cells. 2005-2009 Basic and translational research using cardiosphere-derived stem cells for myocardial regeneration in Johns Hopkins University and Cedars Sinai Medical Center. I was involved in the development of imaging methods, both for small and large animal models, aiming at cell tracking after delivery in the heart. Our purpose was to investigate the efficiency of the delivery methods and study short term cell retention and long term engraftment. With the help and support of scientists from basic research disciplines such as molecular biology and physics, I applied every available modality (bioluminescence imaging, Single Photon Emission Tomography and Positron Emission Tomography, Magnetic Resonance Imaging) in our research and defined the exact retention and survival rates of CDCs in the myocardium. I developed protocols for direct radiolabeling of CDCs that allowed cell tracking using the relevant modalities. In addition, we used reporter gene technology for bioluminescence, SPECT and PET imaging. We were the first to provide compelling evidence that a human gene (sodium-iodide-symporter) can be used as a reporter gene for tracking genetically labeled cells by SPECT and PET imaging (Young Investigator Award in the 2007 American Heart Association Sessions). This is an important development considering the clinical translatability of this method. Using the same modalities, we were able to apply simple techniques to improve cell retention and in parallel the functional benefit of CDC therapy. These studies were financed by NIH grants, as well as by other distinguished funding agencies (Reynolds foundation and WW Smith foundation). 2009-present I returned to Greece with an appointment in the University of Athens, School of Medicine, in 2009. I established a new, basic research laboratory, as an addition to the pre-existing laboratory for experimental research in large animals, in the 3rd Department of Cardiology. The new laboratory has tissue culture, molecular biology and small animal surgery capabilities. Currently, three MDs with experience in basic research are performing experiments in this lab. In addition, three medical graduates are conducting research in this lab, as a part of their doctoral thesis (with myself as the supervisor). Several experimental studies involving the use of cardiosphere-derived stem cells (both autologous and allogeneic) are being conducted, currently in this lab. In addition, I designed a randomized clinical study using peripheral blood mononuclear cells (after stimulation with growth factors) for prevention of left ventricular remodeling, in patients with large anterior myocardial infarcts. The trial was conducted in the Dept. of Therapeutics of the University of Athens and preliminary results were presented in American Heart Association Scientific Sessions (oral presentation-November 2011, Orlando, USA). Final results are available and a manuscript is under preparation. At the same time I continued my collaboration with Cedars Sinai Medical Center. Among other projects, I was the primary author of the protocol for a clinical trial (ALLSTAR- NCT01458405), where allogeneic cardiosphere-derived stem cells will be administered to patients, by intracoronary delivery, in the setting of chronic MI (1month to 1 year post MI). This trial has recently started enrolling patients. Additional research projects 2009-present Reverse left ventricular remodeling by prolonged mechanical support of the circulation using a novel counterpulsation pump PI: Prof John Nanas 2010-present Pathophysiologic mechanisms of anemia in patients with heart failure PI: Prof John Nanas 2010-present Ultrafiltration for the management of patients with advanced heart failure PI: Prof John Nanas 2010-present Pathophysiologic mechanisms of osteoporosis in patients with heart failure PI: Ass. Prof John Terrovitis 2010-present Amelioration of reperfusion injury by stabilization of mitochondrial inner membrane, using 4-chlorodiazepam PI: Ass. Prof John Terrovitis 2012-present Investigation of the potentially detrimental role of high diuretic doses on left ventricular remodeling, in a small animal model of chronic myocardial infarction PI: Ass. Prof John Terrovitis iii) Grants 1999 Grant from the General Secretariat for Research and Technology for research in cardiogenic shock (Comparison of the performance of two counterpulsation devicesNo. 25303/9.7.99-PI: Prof. J. Nanas). The experiments were completed successfully and the results were the main topic of my doctoral thesis. 2005 Supported by funds of the LeDuc Fondation, as a co-investigator in cardiac stem cell research (PI: Prof. Eduardo Marbán). 2005-2008 Supported by funds of the SCCT (Specialized Centers for Cell-Based Therapy) National Heart Lung and Blood Institute (NIH) grant (RFA-HL-04-017) as a coinvestigator in cardiac stem cell research (PI: Prof Eduardo Marbán). 2005-2008 Supported by a grant of the Donald Reynolds foundation as a co-investigator in cardiac stem cell research (PI: Prof. Eduardo Marbán) 2008 Supported by the WW Smith foundation (Multimodality Stem Cell Imaging-PI: Assist. Professor MR Abraham) iv) Peer-reviewed publications 1: Agapitou V, Dimopoulos S, Kapelios C, Karatzanos E, Manetos C, Georgantas A, Ntalianis A, Terrovitis J, Karga H, Nanas S. Hormonal imbalance in relation to exercise intolerance and ventilatory inefficiency in chronic heart failure. J Heart Lung Transplant. 2013 : S1053-2498(12)01480-5. 2: Terrovitis JV, Kapelios CJ, Sainis G, Ntalianis A, Kaldara E, Sousonis V, Vakrou S, Michelinakis N, Anagnostou D, Margari Z, Nanas JN. Elevated left ventricular filling pressures can be estimated with accuracy by a new mathematical model. J Heart Lung Transplant. 2013 : S1053-2498(13)01023-1. 3: Karvounis EC, Tsipouras MG, Tzallas AT, Goletsis Y, Fotiadis DI, Terrovitis J, Trivella MG. Knowledge editor and execution engine development for optimal ventricular assist device weaning. Conf Proc IEEE Eng Med Biol Soc. 2012 ;:1262-5. 4: Tseliou E, Pollan S, Malliaras K, Terrovitis J, Sun B, Galang G, Marbán L, Luthringer D, Marbán E. Allogeneic Cardiospheres Safely Boost Cardiac Function and Attenuate Adverse Remodeling After Myocardial Infarction in Immunologically Mismatched Rat Strains. J Am Coll Cardiol. 2013: S0735-1097(12)05980-3. 5: Chang C, Chan A, Lin X, Higuchi T, Terrovitis J, Afzal JM, Rittenbach A, Sun D, Vakrou S, Woldemichael K, O'Rourke B, Wahl R, Pomper M, Tsui B, Abraham MR. Cellular bioenergetics is an important determinant of the molecular imaging signal derived from luciferase and the sodium-iodide symporter. Circ Res. 2013 ;112(3):441-50. 6: Barth AS, Zhang Y, Li T, Smith RR, Chimenti I, Terrovitis I, Davis DR, Kizana E, Ho AS, O'Rourke B, Wolff AC, Gerstenblith G, Marbán E. Functional impairment of human resident cardiac stem cells by the cardiotoxic antineoplastic agent trastuzumab. Stem Cells Transl Med. 2012 ;1(4):289-97. 7: Terrovitis JV, Kaldara E, Ntalianis A, Sventzouri S, Kapelios C, Barbarousi D, Matsouka C, Nanas JN. Intravenous iron alone is equally effective with the combination of iron and erythropoietin for the treatment of iron-deficiencyanemia in advanced heart failure. J Am Coll Cardiol. 2012 ;60(21):2255-6. 8: Pierrakos CN, Tsolakis EJ, Pozios IA, Diakos N, Charitos E, Malliaras K, Bonios MJ, Lazaris N, Papazoglou P, Venetsanakos J, Papalois A, Terrovitis JV, Nanas JN. Effects of l-NAME on coronary blood flow, infarct size and the extentof the no-reflow phenomenon. Int J Cardiol. 2012 : S0167-5273(12)01101-1. 9: Drakos SG, Kfoury AG, Stehlik J, Selzman CH, Reid BB, Terrovitis JV, Nanas JN, Li DY. Bridge to recovery: understanding the disconnect between clinical and biological outcomes. Circulation. 2012;126(2):23041. 10: Li TS, Cheng K, Malliaras K, Smith RR, Zhang Y, Sun B, Matsushita N, Blusztajn A, Terrovitis J, Kusuoka H, Marbán L, Marbán E. Direct comparison of different stem cell types and subpopulations reveals superior paracrine potency and myocardial repair efficacy with cardiosphere-derived cells. J Am Coll Cardiol. 2012 ;59(10):942-53. 11: Terrovitis J, Zotos P, Kaldara E, Diakos N, Tseliou E, Vakrou S, Kapelios C, Chalazonitis A, Nanas S, Toumanidis S, Kontoyannis D, Karga E, Nanas J. Bone mass loss in chronic heart failure is associated with secondary hyperparathyroidism and has prognostic significance. Eur J Heart Fail. 2012 Mar;14(3):326-32. 12: Wever-Pinzon O, Stehlik J, Kfoury AG, Terrovitis JV, Diakos NA, Charitos C, Li DY, Drakos SG. Ventricular assist devices: pharmacological aspects of a mechanical therapy. Pharmacol Ther. 2012 May;134(2):189-99. 13: Mavrogeni S, Bratis K, Terrovitis J, Tsagalou E, Nanas J. Fulminant myocarditis. Can cardiac magnetic resonance predict evolution to heart failure? Int J Cardiol. 2012 Aug 23;159(2):e37-8. 14: Malliaras K, Li TS, Luthringer D, Terrovitis J, Cheng K, Chakravarty T, Galang G, Zhang Y, Schoenhoff F, Van Eyk J, Marbán L, Marbán E. Safety and efficacy of allogeneic cell therapy in infarcted rats transplanted with mismatched cardiosphere-derived cells. Circulation. 2012 ;125(1):100-12. 15: Manetos C, Dimopoulos S, Tzanis G, Vakrou S, Tasoulis A, Kapelios C, Agapitou V, Ntalianis A, Terrovitis J, Nanas S. Skeletal muscle microcirculatory abnormalities are associated with exercise intolerance, ventilatory inefficiency, and impaired autonomic control in heart failure. J Heart Lung Transplant. 2011 ;30(12):1403-8. 16: Dimopoulos S, Diakos N, Tseliou E, Tasoulis A, Mpouchla A, Manetos C, Katsaros L, Drakos S, Terrovitis J, Nanas S. Chronotropic incompetence and abnormal heart rate recovery early after left ventricular assist device implantation. Pacing Clin Electrophysiol. 2011;34(12):1607-14. 17: Bonios MJ, Terrovitis JV, Kaldara E, Ntalianis A, Nanas JN. The challenge of treating congestion in advanced heart failure. Expert Rev Cardiovasc Ther. 2011 ;9(9):1181-91. 18: Pierrakos CN, Bonios MJ, Drakos SG, Charitos EI, Tsolakis EJ, Ntalianis A, Nanas SN, Charitos CE, Nanas JN, Terrovitis JV. Mechanical assistance by intra-aortic balloon pump counterpulsation during reperfusion increases coronary blood flow and mitigates the no-reflow phenomenon: an experimental study. Artif Organs. 2011 ;35(9):867-74. 19: Lautamäki R, Terrovitis J, Bonios M, Yu J, Tsui BM, Abraham MR, Bengel FM. Perfusion defect size predicts engraftment but not early retention of intra-myocardially injected cardiosphere-derived cells after acute myocardial infarction. Basic Res Cardiol. 2011 ;106(6):1379-86. 20: Bonios M, Chang CY, Terrovitis J, Pinheiro A, Barth A, Dong P, Santaularia M, Foster DB, Raman V, Abraham TP, Abraham MR. Constitutive HIF-1α expression blunts the beneficial effects of cardiospherederived cell therapy in the heart by altering paracrine factor balance. J Cardiovasc Transl Res. 2011 ;4(3):36372. 21: Bonios M, Chang CY, Pinheiro A, Dimaano VL, Higuchi T, Melexopoulou C, Bengel F, Terrovitis J, Abraham TP, Abraham MR. Cardiac resynchronization by cardiosphere-derived stem cell transplantation in an experimental model of myocardial infarction. J Am Soc Echocardiogr. 2011 ;24(7):808-14. 22: Bonios MJ, Terrovitis JV, Drakos SG, Katsaros F, Pantsios C, Nanas SN, Kanakakis J, Alexopoulos G, Toumanidis S, Anastasiou-Nana M, Nanas JN. Comparison of three different regimens of intermittent inotrope infusions for end stage heart failure. Int J Cardiol. 2012 ;159(3):225-9. 23: Bonios M, Terrovitis J, Chang CY, Engles JM, Higuchi T, Lautamäki R, Yu J, Fox J, Pomper M, Wahl RL, Tsui BM, O'Rourke B, Bengel FM, Marbán E, Abraham MR. Myocardial substrate and route of administration determine acute cardiac retention and lung bio-distribution of cardiosphere-derived cells. J Nucl Cardiol. 2011 ;18(3):443-50. 24: Drakos SG, Terrovitis JV, Nanas JN, Charitos EI, Ntalianis AS, Malliaras KG, Diakos N, Koudoumas D, Theodoropoulos S, Yacoub MH, Anastasiou-Nana MI. Reverse electrophysiologic remodeling after cardiac mechanical unloading for end-stage nonischemic cardiomyopathy. Ann Thorac Surg. 2011 ;91(3):764-9. 25: Lee ST, White AJ, Matsushita S, Malliaras K, Steenbergen C, Zhang Y, Li TS, Terrovitis J, Yee K, Simsir S, Makkar R, Marbán E. Intramyocardial injection of autologous cardiospheres or cardiosphere-derived cells preserves function and minimizes adverse ventricular remodeling in pigs with heart failure post-myocardial infarction. J Am Coll Cardiol. 2011 ;57(4):455-65. 26: Stavrakis S, Terrovitis J, Tsolakis E, Drakos S, Dalianis A, Bonios M, Koudoumas D, Malliaras K, Nanas J. Relationship between retrograde coronary blood flow and the extent of no-reflow and infarct size in a porcine ischemia-reperfusion model. J Cardiovasc Transl Res. 2011 ;4(1):99-105. 27: Agapitou V, Dimopoulos S, Mpouchla A, Samartzis L, Tseliou E, Kaldara E, Terrovitis J, Tasoulis A, Karga E, Nanas S. Serum intact parathyroid hormone levels independently predict exercise capacity in stable heart failure patients. Int J Cardiol. 2011 ;146(3):462-4 28: Kaldara-Papatheodorou EE, Terrovitis JV, Nanas JN. Anemia in heart failure: should we supplement iron in patients with chronic heart failure? Pol Arch Med Wewn. 2010 ;120(9):354-60. Review. 29: Maggioni AP, Dahlström U, Filippatos G, Chioncel O, Leiro MC, Drozdz J, Fruhwald F, Gullestad L, Logeart D, Metra M, Parissis J, Persson H, Ponikowski P, Rauchhaus M, Voors A, Nielsen OW, Zannad F, Tavazzi L; Heart Failure Association of ESC (HFA). EURObservational Research Programme: the Heart Failure Pilot Survey (ESC-HF Pilot). Eur J Heart Fail. 2010 Oct;12(10):1076-84 (co-PI in the appendix). 30: Bouchla A, Karatzanos E, Dimopoulos S, Tasoulis A, Agapitou V, Diakos N, Tseliou E, Terrovitis J, Nanas S. The addition of strength training to aerobic interval training: effects on muscle strength and body composition in CHF patients. J Cardiopulm Rehabil Prev. 2011 ;31(1):47-51. 31: Dimopoulos SK, Drakos SG, Terrovitis JV, Tzanis GS, Nanas SN. Improvement in respiratory muscle dysfunction with continuous-flow left ventricular assist devices. J Heart Lung Transplant. 2010 ;29(8):906-8. 32: Davis DR, Kizana E, Terrovitis J, Barth AS, Zhang Y, Smith RR, Miake J, Marbán E. Isolation and expansion of functionally-competent cardiac progenitor cells directly from heart biopsies. J Mol Cell Cardiol. 2010 Aug;49(2):312-21. 33: Terrovitis JV, Smith RR, Marbán E. Assessment and optimization of cell engraftment after transplantation into the heart. Circ Res. 2010 ;106(3):479-94. Review. 34: Drakos SG, Athanasoulis T, Malliaras KG, Terrovitis JV, Diakos N, Koudoumas D, Ntalianis AS, Theodoropoulos SP, Yacoub MH, Nanas JN. Myocardial sympathetic innervation and long-term left ventricular mechanical unloading. JACC Cardiovasc Imaging. 2010 ;3(1):64-70. 35: Terrovitis J, Lautamäki R, Bonios M, Fox J, Engles JM, Yu J, Leppo MK, Pomper MG, Wahl RL, Seidel J, Tsui BM, Bengel FM, Abraham MR, Marbán E. Noninvasive quantification and optimization of acute cell retention by in vivo positron emission tomography after intramyocardial cardiac-derived stem cell delivery. J Am Coll Cardiol. 2009 ;54(17):1619-26. 36: Davis DR, Zhang Y, Smith RR, Cheng K, Terrovitis J, Malliaras K, Li TS, White A, Makkar R, Marbán E. Validation of the cardiosphere method to culture cardiac progenitor cells from myocardial tissue. PLoS One. 2009 ;4(9):e7195. 37: Tsagalou EP, Gounopoulos P, Terrovitis JV, Drakos SG, Katsaros FT, Kaldara EE, Alexopoulos GP, Anastasiou-Nana MI. Amiodarone attenuates the proarrhythmic effects of dobutamine in patients with advanced congestive heart failure. Hellenic J Cardiol. 2009 ;50(3):193-8. 38: Drakos SG, Bonios MJ, Anastasiou-Nana MI, Tsagalou EP, Terrovitis JV, Kaldara E, Maroulidis G, Nanas SN, Kanakakis J, Nanas JN. Long-term survival and outcomes after hospitalization for acute myocardial infarction complicated by cardiogenic shock. Clin Cardiol. 2009 ;32(8):E4-8. 39: Terrovitis JV, Anastasiou-Nana M, Kaldara E, Drakos SG, Nanas SN, Nanas JN. Anemia in heart failure: pathophysiologic insights and treatment options. Future Cardiol. 2009 ;5(1):71-81. 40: Malliaras KG, Terrovitis JV, Drakos SG, Nanas JN. Reverse cardiac remodeling enabled by mechanical unloading of the left ventricle. J Cardiovasc Transl Res. 2009 ;2(1):114-25. Review. 41: Ntalianis AS, Drakos SG, Charitos C, Dolou P, Pierrakos CN, Terrovitis JV, Papaioannou T, Charitos E, Nanas JN. Effects of intra-aortic balloon pump versus centrifugal pump on myocardial energetics and systemic circulation in a porcine model of rapidly worsening acute heart failure. ASAIO J. 2008 ;54(6):600-5. 42: Terrovitis J, Kwok KF, Lautamäki R, Engles JM, Barth AS, Kizana E, Miake J, Leppo MK, Fox J, Seidel J, Pomper M, Wahl RL, Tsui B, Bengel F, Marbán E, Abraham MR. Ectopic expression of the sodium-iodide symporter enables imaging of transplanted cardiac stem cells in vivo by single-photon emission computed tomography or positron emission tomography. J Am Coll Cardiol. 2008 11;52(20):1652-60. 43: Tsagalou EP, Anastasiou-Nana M, Agapitos E, Gika A, Drakos SG, Terrovitis JV, Ntalianis A, Nanas JN. Depressed coronary flow reserve is associated with decreased myocardial capillary density in patients with heart failure due to idiopathic dilated cardiomyopathy. J Am Coll Cardiol. 2008 Oct 21;52(17):1391-8. 44: Drakos SG, Anastasiou-Nana MI, Terrovitis JV, Tsagalou EP, Kanakakis J, Ntalianis A, Lazaris N, Maroulidis G, Venetsanakos J, Bonios M, Nanas JN. Intra-aortic balloon counterpulsation and delayed revascularization for myocardial infarction and shock in the absence of primary angioplasty: a treatment strategy with or without thrombolysis? Coron Artery Dis. 2008 ;19(7):521-6. 45: Bonios MJ, Pierrakos CN, Argiriou M, Dalianis A, Terrovitis JV, Dolou P, Drakos SG, Koudoumas D, Charitos CE, Anastasiou-Nana MI. Increase in coronary blood flow by intra-aortic balloon counterpulsation in a porcine model of myocardial reperfusion. Int J Cardiol. 2010 ;138(3):253-60. 46: Bonios MJ, Terrovitis JV, Abraham MR. Stem cell: "KANT" you see it? J Cardiovasc Transl Res. 2008 ;1(2):103-5. 47: Barth AS, Kizana E, Smith RR, Terrovitis J, Dong P, Leppo MK, Zhang Y, Miake J, Olson EN, Schneider JW, Abraham MR, Marbán E. Lentiviral vectors bearing the cardiac promoter of the Na+-Ca2+ exchanger report cardiogenic differentiation in stem cells. Mol Ther. 2008 ;16(5):957-64. 48: Terrovitis J, Stuber M, Youssef A, Preece S, Leppo M, Kizana E, Schär M, Gerstenblith G, Weiss RG, Marbán E, Abraham MR. Magnetic resonance imaging overestimates ferumoxide-labeled stem cell survival after transplantation in the heart. Circulation. 2008 ;117(12):1555-62. 49: Drakos SG, Terrovitis JV, Anastasiou-Nana MI, Nanas JN. Reverse remodeling during long-term mechanical unloading of the left ventricle. J Mol Cell Cardiol. 2007 ;43(3):231-42. 50: Terrovitis JV, Bulte JW, Sarvananthan S, Crowe LA, Sarathchandra P, Batten P, Sachlos E, Chester AH, Czernuszka JT, Firmin DN, Taylor PM, Yacoub MH. Magnetic resonance imaging of ferumoxide-labeled mesenchymal stem cells seeded on collagen scaffolds-relevance to tissue engineering. Tissue Eng. 2006 ;12(10):2765-75. 51: Terrovitis JV, Anastasiou-Nana MI, Alexopoulos GP, Tsolakis EJ, Margari ZJ, Drakos SG, Tsagalou EP, Papazoglou P, Efentakis S, Nanas JN. Prevalence and prognostic significance of anemia in patients with congestive heart failure treated with standard vs high doses of enalapril. J Heart Lung Transplant. 2006 ;25(3):333-8. 52: Nanas JN, Tsagalou EP, Nanas SN, Terrovitis JV, Tsolakis EJ, Toumanidis S, Papazoglou PD, Alexopoulos GP, Kanakakis J, Anastasiou-Nana MI. Reverse left ventricular remodeling by intermittent dobutamine infusions and amiodarone in end-stage heart failure due to idiopathic dilated cardiomyopathy. Int J Cardiol. 2006 ;108(2):237-43. 53: Terrovitis JV, Anastasiou-Nana MI, Nanas JN. Out-patient management of chronic heart failure. Expert Opin Pharmacother. 2005 ;6(11):1857-81. Review. 54: Anastasiou-Nana MI, Terrovitis JV, Athanasoulis T, Karaloizos L, Geramoutsos A, Pappa L, Tsagalou EP, Efentakis S, Nanas JN. Prognostic value of iodine-123-metaiodobenzylguanidine myocardial uptake and heart rate variability in chronic congestive heart failure secondary to ischemic or idiopathic dilated cardiomyopathy. Am J Cardiol. 2005 ;96(3):427-31. 55: Tsagalou EP, Anastasiou-Nana MI, Terrovitis JV, Nanas SN, Alexopoulos GP, Kanakakis J, Nanas JN. The long-term survival benefit conferred by intermittent dobutamine infusions and oral amiodarone is greater in patients with idiopathic dilated cardiomyopathy than with ischemic heart disease. Int J Cardiol. 2006 ;108(2):244-50. 56: Terrovitis JV, Kanakakis J, Nanas JN. Spontaneous coronary artery dissection as a cause of acute myocardial infarction in the postpartum period. Cardiol Rev. 2005 ;13(4):211-3. 57: Nanas JN, Papazoglou P, Tsagalou EP, Ntalianis A, Tsolakis E, Terrovitis JV, Kanakakis J, Nanas SN, Alexopoulos GP, Anastasiou-Nana MI. Efficacy and safety of intermittent, long-term, concomitant dobutamine and levosimendan infusions in severe heart failure refractory to dobutamine alone. Am J Cardiol. 2005;95(6):768-71. 58: Drakos SG, Charitos CE, Ntalianis A, Terrovitis JV, Siafakas KX, Dolou P, Pierrakos C, Charitos E, Karelas J, Nanas JN. Comparison of pulsatile with nonpulsatile mechanical support in a porcine model of profound cardiogenic shock. ASAIO J. 2005 ;51(1):26-9. 59: Anastasiou-Nana MI, Tsagalou EP, Mavrikakis EM, Siafakas KX, Tsolakis EJ, Drakos SG, Dalianis A, Karelas J, Terrovitis JV, Nanas JN. Myocardial ischaemic preconditioning in the pig has no effect on the ventricular fibrillation and defibrillation thresholds. Resuscitation. 2005;64(3):373-6. 60: Anastasiou-Nana MI, Tsagalou EP, Charitos C, Siafakas KX, Drakos S, Terrovitis JV, Ntalianis A, Doufas A, Mavrikakis J, Nanas JN. Effects of transient myocardial ischemia on the ventricular defibrillation threshold. Pacing Clin Electrophysiol. 2005;28(2):97-101. 61: Terrovitis JV, Matsouka C, Anagnostopoulos A, Anastasiou-Nana MI, Dimopoulos AM. Hemophagocytic lymphohistiocytosis after chemotherapy for multiple myeloma. Clin Lymphoma. 2004 ;5(3):194-6. 62: Nanas JN, Papazoglou PP, Terrovitis JV, Kanakakis J, Dalianis A, Tsolakis E, Tsagalou EP, Agrios N, Christodoulou K, Anastasiou-Nana MI. Hemodynamic effects of levosimendan added to dobutamine in patients with decompensated advanced heart failure refractory to dobutamine alone. Am J Cardiol. 2004 ;94(10):132932. 63: Nanas SN, Terrovitis JV, Charitos C, Papazachou O, Margari Z, Tsagalou EP, Kassiotis C, Tsolakis E, Toumanidis S, Nanas JN. Ventilatory response to exercise and kinetics of oxygen recovery are similar in cardiac transplant recipients and patients with mild chronic heart failure. J Heart Lung Transplant. 2004 ;23(10):1154-9. 64: Grapsa E, Alexopoulos GP, Margari Z, Terrovitis JV, Kontoyannis DA, Nanas JN. Ultrafiltration in the treatment of severe congestive heart failure. Int Urol Nephrol. 2004;36(2):269-72. 65: Terrovitis J, Charitos C, Dolou P, Papalois A, Eleftheriou A, Tsolakis E, Charitos E, Mponios M, Karanastasis G, Koudoumas D, Agapitos E, Nanas JN. No effect of stem cell mobilization with GM-CSF on infarct size and left ventricular function in experimental acute myocardial infarction. Basic Res Cardiol. 2004 ;99(4):241-6. 66: Tsagalou EP, Anastasiou-Nana MI, Charitos CE, Siafakas CX, Drakos SG, Ntalianis A, Terrovitis JV, Mavrikakis EM, Doufas A, Nanas JN. Time course of fibrillation and defibrillation thresholds after an intravenous bolus of amiodarone--an experimental study. Resuscitation. 2004 ;61(1):83-9. 67: Nanas JN, Tsolakis E, Terrovitis JV, Eleftheriou A, Drakos SG, Dalianis A, Charitos CE. Moderate systemic hypotension during reperfusion reduces the coronary blood flow and increases the size of myocardial infarction in pigs. Chest. 2004 ;125(4):1492-9. 68: Nanas JN, Tsagalou EP, Kanakakis J, Nanas SN, Terrovitis JV, Moon T, Anastasiou-Nana MI. Long-term intermittent dobutamine infusion, combined with oral amiodarone for end-stage heart failure: a randomized double-blind study. Chest. 2004 ;125(4):1198-204. 69: Alexopoulos GP, Anastasiou-Nana MI, Rapti ACh, Margari ZJ, Terrovitis JV, Mitsibounas D, Makri S, Nanas JN. Lowering of furosemide dosage after clinical stabilization in patients with congestive heart failure. Acta Cardiol. 2003 ;58(6):513-7. 70: Terrovitis JV, Charitos CE, Tsolakis EJ, Dolou P, Pierrakos CN, Siafakas KX, Nanas JN. Superior performance of a paraaortic counterpulsation device compared to the intraaortic balloon pump. World J Surg. 2003 ;27(12):1311-6. 71: Margari ZJ, Anastasiou-Nana MI, Terrovitis J, Toumanidis S, Agapitos EV, Lekakis JP, Nanas JN. Indium111 monoclonal antimyosin cardiac scintigraphy in suspected acute myocarditis: evolution and diagnostic impact. Int J Cardiol. 2003 ;90(2-3):239-45. 72: Terrovitis JV, Athanasoulis T, Nanas JN. Delayed complete recovery of graft dysfunction after cardiac transplantation. J Card Surg. 2003 ;18(1):29-31. 73: Papaioannou TG, Terrovitis J, Kanakakis J, Stamatelopoulos KS, Protogerou AD, Lekakis JP, Nanas JN, Stamatelopoulos SF. Heart rate effect on hemodynamics during mechanical assistance by the intra-aortic balloon pump. Int J Artif Organs. 2002 ;25(12):1160-5. 74: Anastasiou-Nana MI, Margari ZJ, Terrovitis JV, Rapti AC, Alexopoulos GP, Nanas JN. Effectiveness of amiodarone therapy in patients with severe congestive heart failure and intolerance to metoprolol. Am J Cardiol. 2002 ;90(9):1017-9. 75: Nanas S, Nanas J, Kassiotis C, Nikolaou C, Tsagalou E, Sakellariou D, Terovitis I, Papazachou O, Drakos S, Papamichalopoulos A, Roussos C. Early recovery of oxygen kinetics after submaximal exercise test predicts functional capacity in patients with chronic heart failure. Eur J Heart Fail. 2001 ;3(6):685-92. 76: Papaioannou TG, Lekakis JP, Dagre AG, Stamatelopoulos KS, Terrovitis J, Gialafos EJ, Kanakakis J, Nanas J, Stamatelopoulos SF, Moulopoulos S. Arterial compliance is an independent factor predicting acute hemodynamic performance of intra-aortic balloon counterpulsation. Int J Artif Organs. 2001 ;24(7):478-83. 77: Nanas JN, Nanas SN, Kontoyannis DA, Moussoutzani KS, Rapti AC, Charitos CE, Terrovitis JV, Stamatelopoulos SF, Moulopoulos SD. Limitation of infarct size by fixed coronary arterial stenosis maintained during reperfusion. J Cardiovasc Surg (Torino). 2001 ;42(1):27-35. 78: Terrovitis IV, Nanas SN, Rombos AK, Tolis G, Nanas JN. Reversible symmetric polyneuropathy with paraplegia after heart transplantation. Transplantation. 1998 ;65(10):1394-5.