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Kardiologia Polska

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https://www.readbyqxmd.com/read/29633234/lead-related-complications-after-ddd-pacemaker-implantation
#1
Maciej Dębski, Mateusz Ulman, Andrzej Ząbek, Krzysztof Boczar, Kazimierz Haberka, Marcin Kuniewicz, Jacek Lelakowski, Barbara Małecka
BACKGROUND: Pacing leads remain the weakest link in pacemaker systems despite advances in manufacturing technology. AIM: To assess the long-term pacing lead performance in an unselected real-life cohort following primary DDD pacing system implantation. METHODS: A single-centre retrospective analysis of patients who underwent DDD pacing system implantation between October 1984 and December 2014 and were followed up until August 2016 was conducted...
April 10, 2018: Kardiologia Polska
https://www.readbyqxmd.com/read/29633233/prognostic-value-of-selected-risk-scales-in-patients-with-end-stage-heart-failure
#2
Wioletta Szczurek, Bożena Szyguła-Jurkiewicz, Michał Wojciech Zakliczyński, Bogumiła Król, Mariusz Gąsior, Marian Zembala
BACKGROUND: Due to the increasing number of patients placed on waiting lists for orthotopic heart transplantation (OHT), the selection of patients with the highest risk of death becomes paramount. AIM: This study sought to evaluate the predictive value of the MELD-XI (Model for End-Stage Liver Disease excluding INR) and MAGGIC (Meta-Analysis Global Group in Chronic Heart Failure) scales in ambulatory patients awaiting OHT and compare them to the HFSS (Heart Failure Survival Score)...
April 10, 2018: Kardiologia Polska
https://www.readbyqxmd.com/read/29633232/the-usefulness-of-c-reactive-protein-for-the-prediction-of-post-infarct-left-ventricular-systolic-dysfunction-and-heart-failure
#3
Iwona Swiatkiewicz, Pam R Taub
Acute myocardial infarction (MI) provokes a systemic inflammatory response that may contribute to the development of left ventricular systolic dysfunction (LVSD) and heart failure (HF). Patients with post-infarct HF with concomitant LVSD have the most unfavourable long-term prognosis. Measurement of C-reactive protein (CRP) concentration reflecting an involvement of inflammatory pathways in post-infarct myocardial damage offers an attractive strategy to improve risk stratification and clinical decision-making for early management of high-risk patients...
April 10, 2018: Kardiologia Polska
https://www.readbyqxmd.com/read/29633231/reperfusion-treatment-in-acute-myocardial-infarction-in-elderly-patients
#4
Frans Van de Werf
In this paper our current knowledge of reperfusion therapy in elderly patients with an ST-segment elevation acute myocardial infarction (STEMI) is summarised. Placebo-controlled trials of fibrinolytic agents, direct comparative trials of fibrinolytic agents and antithrombotic co-therapies, and randomised trials of primary percutaneous coronary intervention (PCI) versus fibrinolytic therapy as well as registries are briefly reviewed, focusing on the impact of age. The benefit and risk of a combined pharmacological and mechanical approach is presented...
April 10, 2018: Kardiologia Polska
https://www.readbyqxmd.com/read/29589379/results-and-factors-associated-with-adverse-outcome-after-tricuspid-valve-replacement
#5
Paweł Litwiński, Piotr Kołsut, Tadeusz Sitko, Tomasz Zieliński, Piotr Hoffman, Tomasz Hryniewiecki, Jacek Różański, Mariusz Kuśmierczyk
BACKGROUND: This retrospective analysis of patients with severe tricuspid valve disease, who underwent tricuspid valve replacement (TVR) for either tricuspid regurgitation or stenosis, represents an attempt to determine the factors that predict poor hospital and long-term survival. METHODS: The study population consisted of 86 patients, 65 female and 21 male, who underwent TVR with or without concomitant surgical procedures between 2000 and 2010 at our institution...
March 28, 2018: Kardiologia Polska
https://www.readbyqxmd.com/read/29589370/percutaneous-mitral-balloon-valvuloplasty-beyond-classical-indications
#6
Paweł Tyczyński, Zbigniew Chmielak, Witold Rużyłło, Marcin Demkow, Marek Dąbrowski, Marek Konka, Janusz Gajda, Patrycjusz Stokłosa, Adam Witkowski
BACKGROUNDIn patients with mitral stenosis (MS) percutaneous mitral balloon valvuloplasty (PMBV) aims to improve both the symptoms and prognosis. Although there is some evidence of potential long-term benefits from PMBV in asymptomatic patients with mitral valve area (MVA) 1.0-1.5cm2, nonetheless there is lack of follow-up data of symptomatic MS-patients with MVA >1.5cm2, who underwent PMBV.METHODSWe retrospectively determined peri-procedural results of symptomatic patients who underwent PMBV for MS with MVA >1...
March 28, 2018: Kardiologia Polska
https://www.readbyqxmd.com/read/29537483/oxidative-stress-and-cardiovascular-disease-new-insights
#7
Pasquale Pignatelli, Danilo Menichelli, Daniele Pastori, Francesco Violi
The role of oxidative stress in the onset and progression of atherosclerosis and its impact on the development of cardiovascular events has been widely described. Thus, an increased oxidative stress has been described in several atherosclerotic risk factors, such as hypertension, dyslipidaemia, peripheral artery disease, metabolic syndrome, diabetes and obesity. Among others, specific oxidative pathways involving both pro-oxidant and antioxidant enzymes seem to play a major role in the production of reactive oxidant species (ROS), such as NADPH oxidase, myeloperoxidase, superoxide dismutase, glutathione peroxidase...
March 14, 2018: Kardiologia Polska
https://www.readbyqxmd.com/read/29537482/ablation-of-atrial-tachyarrhythmias-late-after-surgical-correction-of-tetralogy-of-fallot-long-term-follow-up
#8
Michał Orczykowski, Karolina Borowiec, Elzbieta Biernacka, Robert Bodalski, Piotr Urbanek, Pawel Derejko, Katarzyna Kodziszewska, Olgierd Wozniak, Aneta Fronczak, Kamil Marcinkiewicz, Krystyna Guzek, Agnieszka Fil, Grzegorz Warminski, Piotr Hoffman, Maria Bilinska, Lukasz Szumowski
BACKGROUND: After the surgical correction of Tetralogy of Fallot (TOF), surgical scars and natural obstacles form pathways capable of supporting an atrial tachyarrhythmia (AT). Radiofrequency ablation is effective, although the few studies to date on this topic had relatively short follow-up periods. AIM: The aims of the study were to evaluate the acute and long-term effects of RF ablation of AT and examine the characteristics of arrhythmia recurrence. METHODS: Tetralogy of Fallot patients (N 16, age 44...
March 14, 2018: Kardiologia Polska
https://www.readbyqxmd.com/read/29528483/differences-in-knowledge-among-patients-with-atrial-fibrillation-receiving-noacs-and-vitamin-k-antagonists
#9
Małgorzata Konieczyńska, Ewa Sobieraj, Agata Hanna Bryk, Maciej Dębski, Maciej Polak, Piotr Podolec, Barbara Małecka, Andrzej Pająk, Lien Desteghe, Hein Heidbuchel, Anetta Undas
BACKGROUND: Non-vitamin K antagonist oral anticoagulants (NOACs) are increasingly used for stroke prevention in patients with atrial fibrillation (AF) worldwide. Few articles have compared current understanding of AF patients about the disease and anticoagulant therapy in relation to the medications used. AIM: The aim of this study was to compare the knowledge of AF and anticoagulation between AF patients treated with NOACs and those on vitamin K antagonists (VKA)...
March 12, 2018: Kardiologia Polska
https://www.readbyqxmd.com/read/29528482/cryoballoon-ablation-of-atrial-fibrillation-in-patients-with-advanced-systolic-heart-failure-and-cardiac-implantable-electronic-devices
#10
Patrycja Pruszkowska, Radosław Lenarczyk, Jakub Gumprecht, Ewa Jedrzejczyk-Patej, Michał Mazurek, Oskar Kowalski, Adam Sokal, Tomasz Podolecki, Stanisław Morawski, Witold Streb, Katarzyna Mitręga, Zbigniew Kalarus
BACKGROUND: Pulmonary vein isolation with cryobaloon catheter ablation (CCB) is an effective method oftreatment in patients with atrial fibrillation (AF) but in patients with heart failure (HF) therole of CCB remains unknown. AIMS: To assess feasibility, effectiveness and safety of CCB in patients with HF and cardiac electronic devices (CIED), the impact of the procedure on symptoms and echocardiographic parameters. METHODS: Thirty consecutive HF patients with left ventricular ejection fraction (EF)≤40% and CIED, referred for CCB of AF were included...
March 12, 2018: Kardiologia Polska
https://www.readbyqxmd.com/read/29476617/digoxin-is-associated-with-increased-risk-of-death-in-heart-failure-patients-treated-with-beta-blockers-results-from-polish-part-of-esc-hf-long-term-registry
#11
Jacek Migaj, Marta Kałużna-Oleksy, Jadwiga Nessler, Grzegorz Opolski, Marisa Crespo-Leiro, Aldo P Maggioni, Stefan Grajek, Piotr Ponikowski, Jarosław Drożdż, Ewa Straburzyńska-Migaj
BACKGROUND: Digoxin is used in treatment of atrial fibrillation and heart failure (HF). It was reported to increase the risk of death in HF. Studies of digoxin base mainly on patients treated some years ago, before the era of common beta-blocker use. AIM: This study aims to show the influence of digoxin in a modern cohort of HF patients on top of the contemporary guideline-directed treatment. METHODS: This study analyzes retrospectively the Polish portion of the ESC HF Long-Term Registry...
February 24, 2018: Kardiologia Polska
https://www.readbyqxmd.com/read/29441513/evaluation-of-indications-for-reduced-dose-noacs-in-hospitalized-atrial-fibrillation-patients
#12
Olga Jelonek, Iwona Gorczyca, Michał Bączek, Paweł Kośmider, Beata Wożakowska-Kapłon
BACKGROUND: Prevention of thromboembolic complications is a priority in patients with atrial fibrillation (AF). The use of non-vitamin K antagonist oral anticoagulants (novel oral anticoagulants, NOAC) is more common, and some patients have indications for a reduced dose of NOAC. AIM: The aim of the study was to evaluate the frequency of NOACs being prescribed to AF patients and to compare the groups of AF patients receiving standard and reduced doses of NOACs. METHODS: The study was conducted in a population of 1,327 patients diagnosed with AF and hospitalized at an institution of the highest referral level in cardiology in years 2015-2016...
February 14, 2018: Kardiologia Polska
https://www.readbyqxmd.com/read/29441512/left-atrial-appendage-occlusion-consensus-document-of-association-of-cardiovascular-interventions-and-heart-rhythm-section-of-polish-cardiac-society
#13
Marek Grygier, Wojtek Wojakowski, Grzegorz Smolka, Marcin Demkow, Wojtek Wąsek, Danuta Sorysz, Paweł Kralisz, Krzysztof Bartuś, Adam Sukiennik, Radosław Pracoń, Adam Witkowski, Oskar Kowalski, Jacek Legutko
Left atrial appendage (LAA) occlusion devices have the potential to influence the clinical approach to stroke prevention in patients with atrial fibrillation. A number of percutaneous techniques have been proposed, including various intracardiac plugs and also external ligation. Several devices have been already used in Poland. One of them has been evaluated in randomised controlled trials compared with the current standard of care. Others are less well studied but quite commonly used in Europe. It is anticipated that the use of LAA occlusion technologies in clinical practice will expand...
February 14, 2018: Kardiologia Polska
https://www.readbyqxmd.com/read/29441511/-cardiology-telemedicine-solutions-opinion-of-the-committee-of-informatics-and-telemedicine-of-polish-society-of-cardiology-section-of-non-invasive-electrocardiology-and-telemedicine-of-polish-society-of-cardiology-and-clinical-sciences-committee-of-the
#14
Ryszard Piotrowicz, Paweł Krzesiński, Paweł Balsam, Maciej Kempa, Renata Główczyńska, Marcin Grabowski, Łukasz Kołtowski, Ewa Lewicka, Michał Peller, Ewa Piotrowicz, Jakub Podolec, Adam Stańczyk, Justyna Zajdel, Grzegorz Opolski
For several years, we have observed the dynamic development of technologies that allow patients to access medical care from the comfort of their homes, without direct contact with the doctor. Innovative solutions based on telemedicine improve care coordination and communication among clinicians, patients, and their families, as well as increases patients' security and gives them greater independence, thus eliminating health care inequalities. The rapidly growth of telemedicine and the adoption of new technologies in clinical practice is also observed in Poland...
February 14, 2018: Kardiologia Polska
https://www.readbyqxmd.com/read/29399763/significant-mitral-regurgitation-predicts-the-long-term-prognosis-in-patients-receiving-cardiac-resynchronization-therapy
#15
Han Jin, Shengwen Yang, Wei Hua, Min Gu, Hongxia Niu, Ligang Ding, Jing Wang, Cong Xue, Shu Zhang
BACKGROUND: Cardiac resynchronization therapy (CRT) has been shown to reduce Functional mitral regurgitation (FMR), although the relationship between significant mitral regurgitation (SMR) and the clinical prognosis of CRT remains uncertain. AIM: To investigate the association of baseline of SMR with long-term outcomes in patients undergoing CRT. METHODS: A total of 296 consecutive patients undergoing CRT were enrolled. SMR was quantified by color Doppler in all the patients at baseline and defined as grading scale ≥ 3...
February 5, 2018: Kardiologia Polska
https://www.readbyqxmd.com/read/29399762/the-effects-of-supraphysiological-estrogen-levels-on-ventricular-repolarization-parameters
#16
Omer Yiginer, Mehmet Dogan, Ismet Gun, Huseyin Tayfun Kutlu, Gokhan Degirmencioglu, İlkin Guliyev, Alptug Tokatli, Fethi Kilicaslan
BACKGROUND: The frequency of arrhythmic death developing without a structural cardiac disease is higher in women. Also female gender is an independent risk factor regarding developing Torsades des Pointes. Several studies have been conducted on the effects of physiological and therapeutic sex hormones on cardiac conduction system. AIM: In this study we aim to examine the effect of hormonal changes occurring during in vitro fertilization treatment and especially supraphysiological E2 levels on ventricular repolarization parameters...
February 5, 2018: Kardiologia Polska
https://www.readbyqxmd.com/read/29399761/kinetics-of-common-inflammatory-biomarkers-in-postoperative-course-after-congenital-heart-defects-procedures-with-extracorporeal-circulation-in-children
#17
Ireneusz Haponiuk, Radosław Jaworski, Konrad Paczkowski, Maciej Chojnicki, Mariusz Steffens, Aneta Szofer-Sendrowska, Katarzyna Gierat-Haponiuk, Ewelina Kwaśniak, Marta Paśko-Majewska, Katarzyna Leszczyńska, Jacek Zieliński, Wiktor Szymanowicz
BACKGROUND: The extracorporeal circulation is associated with systemic inflammatory response syndrome. Therefore, the diagnosis of infection should be differenced from typical postoperative course. AIM: Evaluation of kinetics of inflammatory biomarkers in children in the first days after cardiac surgery with extracorporeal circulation. METHODS: Prospective data collection from 51 consecutive children referred for surgical treatment [the Institution], between February 2015 and August 2015...
February 5, 2018: Kardiologia Polska
https://www.readbyqxmd.com/read/29399760/the-impact-of-previous-percutaneous-coronary-interventions-on-the-course-and-clinical-outcomes-of-coronary-artery-bypass-grafting
#18
Paweł Bugajski, Krzysztof Greberski, Michał Kuzemczak, Ryszard Kalawski, Radosław Jarząbek, Tomasz Siminiak
BACKGROUND: Despite increasing number of patients after percutaneous coronary interventions requiring coronary artery bypass grafting, studies on the impact of these procedures on surgical revascularization outcomes are sparse. Furthermore, advances in cardiology require reassessment of their potential prognostic significance. AIM: We sought to assess the influence of previous percutaneous coronary interventions on coronary artery bypass grafting outcomes. METHODS: 211 consecutive patients scheduled for coronary artery bypass grafting were enrolled into this prospective study...
February 5, 2018: Kardiologia Polska
https://www.readbyqxmd.com/read/29399759/mir-130a-inhibition-protects-rat-cardiac-myocytes-from-hypoxia-triggered-apoptosis-by-targeting-smad4
#19
Yuanshi Li, Yingrong Du, Junxian Cao, Qianping Gao, Hongjuan Li, Yangjun Chen, Nihong Lu
BACKGROUND: Cardiomyocyte death facilitates the pathological process underlying ischemic heart diseases, such as myocardial infarction. Emerging evidence suggests that microRNAs play a critical role in the pathological process underlying myocardial infarction by regulating cardiomyocyte apoptosis. However, the relevance of miR-130a in regulating cardiomyocyte apoptosis and the mechanism of regulation is still uncertain. AIM: This study aimed to explore the regulatory effect of miR-130a on hypoxic cardiomyocyte apoptosis...
February 5, 2018: Kardiologia Polska
https://www.readbyqxmd.com/read/29399758/prevalence-diagnosis-and-treatment-of-familial-hypercholesterolaemia-in-outpatient-practice-in-poland
#20
Krzysztof Chlebus, Barbara Cybulska, Marcin Gruchała, Anna Smaga, Katarzyna Wróbel, Bogdan Wojtyniak, Marcin Pajkowski, Piotr Jankowski, Tomasz Zdrojewski
BACKGROUND: Familial hypercholesterolaemia (FH) is the most common genetic disease leading to premature atherosclerosis. AIM: The aim of the study was to evaluate the prevalence, diagnosis, and treatment of FH in outpatient practice in Poland. METHODS: The study included a representative sample of 147 primary care physicians, cardiologists, and diabetologists caring for 2812 adult patients with hypercholesterolaemia and low-density lipoprotein cholesterol (LDL-C) level >1...
February 5, 2018: Kardiologia Polska
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