• Laurea “con Lode” in Medicina e Chirurgia, Università degli Studi di Firenze (1987)
• Specializzazione in Cardiologia, Università degli Studi di Firenze (1995)
• Dottorato di Ricerca in “Biologia e Fisiopatologia dell’Invecchiamento” (Curriculum: “Intensività in Geriatria”), Università degli Studi di Modena (1995)  
• Medico nell’Unità di Cura Intensiva Geriatrica dell’Università degli Studi di Firenze e dell’Azienda Ospedaliero-Universitaria Careggi (dal 1994 ad oggi); inoltre, Responsabile del Day-Hospital indirizzato al trattamento della fibrillazione atriale nei pazienti anziani e consulente cardiologo dell’Unità di Ortogeriatria dell’Università degli Studi di Firenze e dell’Azienda Ospedaliero-Universitaria Careggi
• Abilitazione Scientifica Nazionale a Professore Universitario di Seconda Fascia per il Settore Scientifico Disciplinare “Medicina Interna” (MEDS-05/A; 2016)
• Professore Associato di Medicina Interna – Geriatria dell’Università degli Studi di Firenze (dal 2018 ad oggi)
• Abilitazione Scientifica Nazionale a Professore Universitario di Prima Fascia per il Settore Scientifico Disciplinare “Medicina Interna” (MEDS-05/A; 2022)
• Presidente del Consiglio Direttivo della Sezione Regionale Toscana della Società Italiana di Gerontologia e Geriatria (SIGG; 2022-2024)
• Presidente del Corso di Laurea Magistrale in Scienze Riabilitative delle Professioni Sanitarie dell’Università degli Studi di Firenze (dal 2022 ad oggi)
• Membro del Consiglio Direttivo Nazionale della Società Italiana di Cardiologia Geriatrica (SICGe)
• Fellow della Società Europea di Aritmologia (FEHRA); Fellow della Società Europea di Cardiologia (FESC); Fellow della Associazione Italiana di Aritmologia e Cardiostimolazione (FAIAC)

Attività di ricerca: 1) Trattamento del paziente anziano con cardiopatia ischemica acuta e scompenso cardiaco grave, con particolare riguardo alla contropulsazione intra-aortica e alla terapia sostitutiva renale; 2) Terapia farmacologica nel paziente anziano, con particolare riguardo all’uso dei nitro-derivati, della dopamina e dei nutraceutici; 3) Assistenza ai pazienti in Unità di Cura Intensiva: l’importanza della presenza dei familiari; 4) La riabilitazione cardiologica nel post-infarto; 5) Fibrillazione atriale: epidemiologia, fisiopatologia e modalità di trattamento nei pazienti di età avanzata – terapia elettrica, farmaci antiaritmici e anticoagulanti ; 6) Stratificazione del rischio aritmico nei pazienti con infarto miocardico recente; 7) Trattamento dello scompenso cardiaco congestizio nel paziente anziano con terapia di resincronizzazione cardiaca e defibrillatore impiantabile; 8) Invecchiamento dei grandi vasi, infiammazione cronica e fibrillazione atriale.

Maturata esperienza nella conduzione di studi clinici in GCP

• Degree “cum Laude" in Medicine, University of Florence, Italy (1987)
• Postgraduate School of Cardiology, University of Florence, Italy (1995)
• PhD in “Biology and Physiopathology of Aging” (Curriculum: “Intensive Care in Elderly Patients”) at the University of Modena, Italy (1995)  
• MD in the Geriatric Intensive Care Unit of the University of Florence and of Careggi General Hospital (from 1994 to present); also, Responsible of the Day-Hospital dedicated to the treatment of atrial fibrillation, and Consultant Cardiologist for the Orthogeriatric Unit of Careggi General Hospital
• National Scientific Qualification as Associate Professor in the Italian Higher Education System for the Disciplinary Field “Internal Medicine” (2016)
• Associate Professor of Internal Medicine – Geriatrics at the University of Florence, Italy (from 2018 to present)
• National Scientific Qualification as Full Professor in the Italian Higher Education System for the Disciplinary Field “Internal Medicine” (2022)
• President of the Directive Council of Tuscany Region of the Italian Society of Gerontology and Geriatric Medicine, SIGG (2022-2024)
• President of the School of Rehabilitation Sciences of the University of Florence, Italy (from 2022 to present)
• Member of the National Directive Council of the Italian Society of Geriatric Cardiology (SICGe)
• Fellow of the European Heart Rhythm Association (FEHRA); Fellow of the European Society of Cardiology (FESC); Fellow of the Italian Heart Rhythm Association (FAIAC)

Stefano Fumagalli, MD, PhD, FEHRA, FESC, FAIAC 

Department of Experimental and Clinical Medicine, Geriatric Intensive Care Unit and Geriatric Arrhythmia Unit, University of Florence and Careggi General Hospital 

Largo Brambilla, 3 – 50134 Florence, Italy 

stefano.fumagalli@unifi.it

WORK EXPERIENCE - From October 1^st 2018 – to present

Associate Professor of Internal Medicine – Geriatrics, University of Florence, Italy

• Hospital activity: Geriatric Intensive Care Unit of the University of Florence and of Careggi General Hospital; Responsible of the Day-Hospital dedicated to the treatment of atrial fibrillation; Consultant Cardiologist for the Orthogeriatric Unit of Careggi General Hospital 
• Teaching courses at the University of Florence:  Member of the College of the Professors of the Doctoral Course in Clinical Sciences; Member of the College of the Professors of the National Interest Doctoral Course in Life Course Research; Postgraduate Course of Cardiology; Postgraduate Course of Geriatric Medicine; Postgraduate Course of Internal Medicine; Postgraduate Course of Pharmacology and Clinical Toxicology; Postgraduate Course of Neurology; Semeiotics in the School of Medicine; Geriatrics in the School of Medicine; Geriatrics in the School of Nursing; Internal Medicine in the School for Physical Therapists; Medical Statistics and Informatics in the School for Physical Therapists and Rehabilitation.
• President of the School of Rehabilitation Sciences of the University of Florence, Italy (from November 1^st, 2022)

EDUCATION AND TRAINING

• Graduate “cum Laude” in Medicine at the University of Florence, Italy 
• Postgraduate School of Cardiology at the University of Florence, Italy 
• PhD in “Biology and Physiopathology of Aging” (Curriculum: “Intensive Care in Elderly Patients”) at the University of Modena, Italy 
• National Scientific Qualification as Associate Professor in the Italian Higher Education System for the Disciplinary Field “Internal Medicine” (2016)
• National Scientific Qualification as Full Professorin the Italian Higher Education System for the Disciplinary FieldSystem for the Disciplinary Field “Internal Medicine” (February 7^th, 2022)

PERSONAL SKILLS

Certified instructor of Basic Life Support and Defibrillation (BLSD)

Expertise in Biostatistics and in database management

PRESENT RESEARCH ACTIVITY

Atrial fibrillation in elderly patients, with special interest in:

1) epidemiology of the arrhythmia and its association with other comorbid conditions;

2) the optimization of medical therapy at advanced age;

3) the specific effects of rate- and rhythm-control strategies in elderly individuals, focusing on prevention of disability and frailty, and improvement of health-related quality of life;

4) atrial fibrillation as a marker of a frail condition;

5) patients reported outcomes in atrial fibrillation;

6) the effects of nutritional supplements for frailty prevention in atrial fibrillation and heart failure patients;

7) COVID-19 and atrial fibrillation in older subjects.

Other arrhythmia-related topics:

8) the effects of ICD and CRT therapy at advanced ages, focusing on the possible action of the devices to slow the progression leading from disease to disability and death.

Principal Investigator for the Geriatric Intensive Care Unit of the University of Florence for the following studies:

Euro-Heart Survey on Atrial Fibrillation; EORP Atrial Fibrillation General Pilot; EORP Atrial Fibrillation Long-Term Registry; EORP AF III; STEEER-AF; RAFFAELLO (Ranolazine in Atrial Fibrillation Following An ELectricaL CardiOversion) study; GLORIA-AF registry; EMANATE (Eliquis evaluated in acute cardioversion coMpared to usuAl treatmeNts for AnticoagulaTion in subjEcts with atrial fibrillation) trial; ETNA-AF registry; APULEIO study (patients reported outcomes in an apixaban treated population); PRESBUS study; GeroCovid registry.

Member of the steering committee of the APULEIO study and of the GeroCovid registry. Member of the steering committee and responsible of patients’ enrolment for the international AMBROSIA (Microbiota-Inflammation-Brain axis in heart failure: new food, biomarkerS and AI Approach for the prevention of undeRnutrition in Older) Study (European project coordinated by the University of Florence in the ERA-HDHL- “Development of targeted nutrition for prevention of undernutrition for older adults - PREVNUT” program). The project aims at preventing undernutrition and frailty in older subjects with atrial fibrillation and/or heart failure.

Study promoter and coordinator of the Research Project of Relevant National Interest (PRIN) of the Italian Ministry of the University and Research “Atrial Fibrillation and frailty development in older patients. Do therapeutic options exert a protective effect? From physical function, mood and cognition to metabolic pathways and ‘inflammageing’. The CAFFE (Cardioversion of Atrial Fibrillation and Frailty in the Elderly) Study”.

FELLOWSHIPS and MEMBERSHIPS

Fellow of the European Heart Rhythm Association (EHRA); Fellow of the European Society of Cardiology (ESC); Fellow of the Italian Heart Rhythm Association (AIAC); Member of the College of the University Professors of Internal Medicine; Past-President of the Directive Council of Tuscany Region of the Italian Society of Gerontology and Geriatric Medicine; Member of the National Directive Council of the Italian Society of Geriatric Cardiology; Member of the Board of the European Geriatric Medicine Society (EuGMS) Special Interest Group on Cardiovascular Medicine; International Member of the American College of Cardiology (ACC) – Geriatric Cardiology Section; Member of the Italian Society of Cardiology; Member of the Italian Society of Internal Medicine.

EUROPEAN HEART RHYTHM ASSOCIATION (EHRA) ACTIVITIES

• Member of the EHRA Scientific Initiatives Committee from 2015 to 2018;
• Member of the EHRA Certification Committee from 2018 to 2020;
• Co-chair of the EHRA Consensus Document on Frailty;
• Author representing EHRA of the article: Richter D, Guasti L, Walker D, et al. Frailty in cardiology: definition, assessment and clinical implications for general cardiology. Eur J Prev Cardiol. 2022; 29:216-227.

EDITORIAL ACTIVITIES

Author of 154 articles cited in PubMed, Scopus, Web of Science (h-index: 33; 15.279 citations by 12.046 documents). Editorial Consultant for Clinical Gerontology and Geriatric Assessment for “Aging Clinical and Experimental Research” (ISSN: 1720-8319; IF: 3.4 - 2023). 

Reviewer for: Aging Clinical and Experimental Research; American Journal of Cardiology; EP Europace; European Journal of Internal Medicine; Journal of Gerontology; Journal of the American College of Cardiology; Plos One; Circulation Arrhythmia and Electrophysiology.