CENTRO MEDICO POLISPECIALISTICO PORTA A TERRA - Via Giotto Ciardi, 8 -57121 Livorno (LI) - Italy VAT Reg No . 01621650496 | Tel. +39 0586 260496 - Cell. +39 329 5730153 | Fax. +39 0586 405443 | centroac@hotmail.it |
Paediatric cardiology
Professor Dr. Isabella Spadoni provides consultations at the Centre: Centro Medico Porta a Terra. Specialised in paediatric and adult congenital cardiology, she focuses on clinical and instrumental diagnosis of congenital heart diseases in neonates, children, and adults, echocardiography, treatment of congenital and acquired heart diseases in paediatric age, treatment of adults with congenital heart disease, haemodynamics and interventional cardiology.
Academic Background
Degree in Medicine and Surgery, University of Pisa 1980;
Specialisation in Cardiovascular Medicine, University of Pisa 1984;
Specialisation in Gerontology and Geriatrics, University of Florence 1989.
National and International Training Experiences
1980-1986: Medical Trainee, Cardiovascular Medicine Division, Pisa Hospital;
1988-1990: Medical Assistant in Training, Paediatric Cardiology, Division of Cardiothoracic Surgery, "S. Cristoforo" Hospital in Massa.
Stages
Guy's Hospital, London;
Birmingham Children's Hospital, Birmingham (UK);
Great Ormond Street Hospital for Children, London (UK);
Evelina Children's Hospital, London (UK).
Professional Experience
1986-1988: Medical Assistant, Cardiology and UTIC Massa Carrara;
1990-2018: Medical Director, Paediatric Cardiology, Department of Cardiology and Paediatric Cardiothoracic Surgery, Apuan Paediatric Hospital - "G. Monasterio" Foundation, Massa.
Roles
2006-2018: Head of the Paediatric Haemodynamics and Interventional Cardiology Laboratory for Paediatric and Adult Congenital Heart Diseases;
2012-2016: Director of the Complex Operating Unit Paediatric Cardiology and Adult Congenital Heart Disease (2 years and 4 months).

Scientific Societies
SICP Italian Society of Paediatric Cardiology and Congenital Heart Diseases;Regional Delegate from 2004 to 2008;
Member of the Board of Directors from 2011 to 2015;
AEPC Association for European Paediatric Cardiologists;
SIECVI Italian Society of Paediatric Echocardiography and Cardiovascular Imaging;Tutor for Training Courses in Echocardiography of Congenital Heart Diseases;
ANMCO National Association of Hospital Cardiologists.
Heart and cardiovascular diseases, from prevention to treatment
In these times of hectic lives and bad habits,
cardiovascular diseases affect people of all ages and social levels.
In the field of cardiology, medicine has made remarkable progress, to the extent that many interventions, once considered invasive and debilitating, are now defined as routine.
Thanks to new technologies, the effectiveness of interventions and recovery times are certain.
At Centro Medico Polispecialistico Porta a Terra srl, experienced cardiologists not only teach patients the basics of prevention but also provide their expertise in every phase of the specific problem, relying on technologically advanced tools.
Among other therapies, they perform Colour Doppler cardiac and vascular echography, baseline electrocardiogram, dynamic 24-hour Holter ECG, 24-hour blood pressure Holter, and cardiovascular stress tests on the cycle ergometer.
Specialists
- Dr Mario Giannotti Santoro - Curriculum Vitae
Mario Giannotti Santoro, Cardiologist and Arrhythmologist, deals with all branches of Cardiology, with a particular interest in arrhythmias.
He specializes in the diagnosis and treatment of rhythm disorders, such as atrial fibrillation, paroxysmal tachycardia, atrial flutter, atrial tachycardia, ventricular tachycardia, ventricular extrasystole, atrioventricular blocks, bradyarrhythmias, and syncope. He performs all cardiovascular diagnostics (ECG, colour Doppler echocardiography, stress ECG, Holter ECG), and in the field of intervention, he performs pacemaker implants, defibrillators, electrophysiological studies, and ablation of the mentioned arrhythmias.
He graduated from the Catholic University of the Sacred Heart and specialized at the University of Pisa with top marks. Currently, he is a Medical Director Cardiologist at the Cardiology of the Hospitals in Livorno.
He is also the author of numerous scientific publications in national and international journals, particularly in the field of pacing and atrial fibrillation, and participates as a speaker in national and international cardiology and arrhythmology conferences.
He has obtained the European Heart Rhythm Association (EHRA) Certification in Cardiac Pacing Level 1.
With extensive experience in the cardiology field, his basic training covers various activities in this specialization, both in clinical and interventional fields (electrostimulation and haemodynamics). His particular interest is focused on the diagnosis and treatment of chronic heart failure and arrhythmology.
Academic Background
10/2002: University of Parma: Specialization in Cardiology;
6/1988: University of Siena: Specialization in Sports Medicine;
11/1981: University of Palermo: Degree with honors in Medicine and Surgery.

Professional Experience
From 4/1998 to date: Tuscany Northwest Local Health Authority (formerly USL 1 Massa Carrara): First-level medical director in Cardiology at the New Apuan Hospitals (MS). Clinical activity in subintensive therapy and cardiac care. Cardiology consultant for the second-level outpatient clinic for the diagnosis and treatment of heart failure within the hospital-territory care integration project. Member of the interventional cardiology medical team: in particular, the operator of cardiac electrostimulation procedures (implants of mono-bi and tricameral pacemakers and mono and bicameral defibrillators and CRT-D); outpatient control of implanted devices and remote monitoring activities.
From 6/1989 to 4/1998: ASL 76 Casale Monferrato - Medical Assistant in the discipline of Cardiology at the Casale Monferrato Hospital. Diagnosis and treatment activities in the Coronary Care Unit and post-intensive care, specialist and outpatient consultancy with services in echocardiography, ergometry, and electrophysiology outpatient clinics. Also, interventional cardiology activities both in electrostimulation and haemodynamics. From '92 to '98, he carried out the coronary angiography diagnostic activity of patients admitted to the Division, with about 150 annual cases of ischemic and valvular pathology.
From 8/1988 to 6/1989: ASL 76 Casale Monferrato Medical Assistant in the discipline of Organization of basic health services.
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