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Kardiologia Polska

Ewa Jędrzejczyk-Patej, Serge Boveda, Zbigniew Kalarus, Michał Mazurek, Kinga Gościńska-Bis, Marek Kiliszek, Andrzej Przybylski, Tatjana S Potpara, Roland Tilz, Stefano Fumagalli, Nikolaos Dagres, Radosław Lenarczyk
BACKGROUND: Subcutaneous implantable cardioverter-defibrillator (S-ICD) may be alternative to transvenous ICD (TV-ICD). AIM: The aim of the study was to evaluate factors which determine the use of S- versus TV-ICD in Polish patients in comparison with other European countries. METHODS: All consecutive patients who underwent TV- or S-ICD implantation in centres, participating in European Heart Rhythm Association (EHRA) prospective snapshot survey, were included...
August 9, 2018: Kardiologia Polska
Ewa Jędrzejczyk-Patej, Michał Mazurek, Oskar Kowalski, Adam Sokal, Karolina Adamczyk, Stanisław Morawski, Mariola Szulik, Tomasz Podolecki, Magdalena Sawicka, Zbigniew Kalarus, Radosław Lenarczyk
BACKGROUND: Cardiac device-related infective endocarditis (CDRIE) is one of the most serious complications of cardiac resynchronization therapy (CRT). AIM: The aim of the study was to assess clinical outcomes and their determinants in CRT patients with CDRIE. METHODS: Tertiary cardiology centre database was screened to identify all CDRIE cases, based on modified Duke criteria, amongst 765 consecutive CRT implantations between 2002 and 2015 (70...
August 9, 2018: Kardiologia Polska
Ewa Żylińska, Dariusz A Kosior
BACKGROUND: Improving knowledge of hypertension and other cardiovascular risk factors continues to be a major challenge of blood pressure (BP) control and effective prevention of cardiovascular disease. AIMS: This prospective, single-center, open-label randomized study was designed to evaluate the impact of education on cardiovascular risk and BP target value in hypertensive pts. during the outpatients care. METHODS: We study 201 consecutive hypertensive outpatients participated in the first outpatient visit, 101 of them were included to group in the form of active education (Group E1), with extra workshops additional to the standard visits, and next 100 pts...
August 9, 2018: Kardiologia Polska
Nicholas Cauwenberghs, Tatiana Kuznetsova
The overall prevalence of symptomatic heart failure (HF) is similar in men and women and constitutes about a quarter of the first manifestation of cardiovascular disease in both sexes. However, there is an important difference between the sexes in the type of HF. Whereas men more frequently develop HF with reduced ejection fraction, HF with preserved ejection fraction is especially frequent in women. The major risk factors for symptomatic HF are high blood pressure and arterial stiffness, which evoke a complex network of functional and structural changes in the heart in both men and women...
August 9, 2018: Kardiologia Polska
Udaya Tantry, Eliano Navarese, Kevin Bliden, Paul Gurbel
No abstract text is available yet for this article.
August 9, 2018: Kardiologia Polska
Annamaria Kosztin, Andras Mihaly Boros, Laszlo Geller, Bela Merkely
Cardiac resynchronization therapy has been shown to reduce all-cause mortality, heart failure events and symptoms while improving exercise capacity and quality of life. Despite a large number of multicenter randomized trials and clear evidence, there is still a higher number of patients who fail to develop reverse remodeling. In order to select the optimal patient population, the current ESC guidelines recommend the evaluation of QRS morphology and width together. However, the QRS width itself is a less accurate parameter in the prediction of the outcome based on recent data, as compared to QRS morphology...
August 9, 2018: Kardiologia Polska
Tomasz Mroczek, Julita Sacharczuk, Rafał Żurek, Aleksandra Morka, Aleksandr Szypulski, Jerzy Jarosz, Maciej Śniechowski, Janusz H Skalski
BACKGROUND: The introduction of the right ventricle to pulmonary artery conduit (RVPAc) during the Norwood procedure (NP) for hypoplastic left heart syndrome (HLHS) resulted in a higher survival rate, but also in an increased number of unintended pulmonary and shunt interventions. AIM: We analyse how several modifications employed in RVPAc for NP may influence the interstage course, surgical or catheter-based unintended interventions and pulmonary arteries development in HLHS cohort of patients...
August 9, 2018: Kardiologia Polska
Janusz Gajda, Witold Śmigielski, Janusz Śmigielski, Elżbieta Pakos, Wojciech Drygas
BACKGROUND: Despite the wide popularity of football, there is a paucity of scientific evidence explaining the relationship between being a competitive footballer and life expectancy AIM: The study analyses and compares cause-specific mortality between Polish elite footballers (men) and the general male population. METHODS: A retrospective method of analysis is employed to study a sample of 455 elite footballers who died between 1990 and 2015. The cause of death was established based on the official statistics of Polish Central Statistical Office...
August 9, 2018: Kardiologia Polska
Ewa Podolecka, Grzegorz Wystrychowski, Władysław Grzeszczak, Ewa Żukowska-Szczechowska
BACKGROUND: LDL-cholesterol is a risk factor for the development of cardiovascular diseases. Atherosclerosis is a chronic inflammatory process, initiated by the damage of the vascular endothelium, which leads to remodelling the artery wall. AIM: The aim of the study was to evaluate the correlation between LDL-cholesterol and arterial wall elasticity indices. METHODS: The study group comprised of 315 men and women at mean age of 55.84 ± 9...
August 9, 2018: Kardiologia Polska
Barbara Cybulska, Longina Kłosiewicz-Latoszek
There is no doubt nowadays that statins exert a diabetogenic action. The evidence comes from observational studies, randomised trials and meta-analyses. The relationship between statin use and new-onset diabetes type 2 is associated with statin potency and dose. It seems also to be stronger if lowering effect is higher and LDL cholesterol level achieved is lower. The mechanisms of diabetes development in statin-treated patients are not completely understood. Generally, the increased insulin resistance and decrease insulin secretion are taken into account...
August 1, 2018: Kardiologia Polska
Maria Lelakowska, Monika Komar, Paweł T Matusik, Jadwiga Nessler, Piotr Podolec, Maria Olszowska
BACKGROUND: Atrial septal communications (ASC) include atrial septal defects (ASD) and patent foramen ovale (PFO). AIMS: The purpose of this study was to assess P-wave dispersion (PWD) and arrhythmia, in patients before and after ASC closure. METHODS: We took clinical history and performed 12-lead electrocardiograms, echocardiograms and 24-hour Holter electrocardiograms in patients with ASC, before and 6 months after ASC closure. RESULTS: We included patients with ASD (n=56) and PFO (n=73)...
August 1, 2018: Kardiologia Polska
Jakub Stępniewski, Grzegorz Kopeć, Wojciech Magoń, Piotr Podolec
BACKGROUND: Left ventricular (LV) dyssynchrony is common in patients with heart failure with reduced ejection fraction (HFREF). However, various conditions including exercise may alter its presence. LV dyssynchrony at exercise (ExDYS) has been associated with lower cardiac performance and exercise capacity but with higher cardiac resynchronization therapy (CRT) response. Therefore, understanding mechanisms underlying ExDYS may improve patient selection for CRT. AIMS: To investigate for predictors of ExDYS among patients with HFREF and prolonged QRS duration...
August 1, 2018: Kardiologia Polska
Łukasz Rzeszutko, Michał Węgiel, Paweł Kleczyński, Wojciech Zasada, Rafał Depukat, Tomasz Rakowski, Jacek Legutko, Andrzej Surdacki, Dariusz Dudek, Stanisław Bartuś
BACKGROUND: Direct stent implantation is a preferred technique for primary percutaneous coronary intervention (PCI). For bioresorbable vascular scaffold (BVS) deployment current guidelines recommend aggressive predilatation. Data about direct BVS implantation in acute coronary syndrome (ACS) patients are scarce. AIMS: The aim of the study was to assess procedural characteristics and immediate outcomes of direct Absorb BVS implantation in ACS patients. METHODS: Ninety-one patients with acute myocardial infarction and requiring urgent coronary revascularization were enrolled...
August 1, 2018: Kardiologia Polska
Jacek Hawiger
Sepsis is one of the ten leading causes of death in developed and developing countries. In the United States, sepsis mortality approaches that of acute myocardial infarction and exceeds deaths from stroke. Neonates and the elderly are the most vulnerable patients, with these groups suffering from the highest sepsis mortality. In both groups, many survivors respectively display serious developmental disabilities and cognitive decline. The National Institute of Health National Heart Lung and Blood Institute Panel redefined sepsis as a "severe endothelial dysfunction syndrome in response to intravascular and extravascular infections causing reversible or irreversible injury to the microcirculation responsible for multiple organ failure...
July 12, 2018: Kardiologia Polska
Piotr Kübler, Wojciech Zimoch, Michał Kosowski, Brunon Tomasiewicz, Oscar Rakotoarison, Artur Telichowski, Krzysztof Reczuch
BACKGROUND: Rotational atherectomy (RA) is indicated for fibrocalcified lesions when traditional percutaneous coronary intervention (PCI) could not be successfully performed. Some of the patients constitute a high-risk population and the procedure of RA is the last resort of successful revascularization. Such patients are among others those, in whom coronary artery bypass grafting (CABG) is not feasible. AIMS: The aim of the study was to assess in-hospital and 1-year results of PCI with RA in high-risk patients without other revascularization options (RA-only group), in comparison to remaining lower risk RA patients...
July 5, 2018: Kardiologia Polska
Maria Kordybach-Prokopiuk, Piotr Dobrowolski, Mirosław Kowalski, Piotr Hoffman
BACKGROUND: Restrictive physiology of right ventricle (RRVP) is a common finding in adult patients after tetralogy of Fallot (TOF) repair. In spite of many attempts to relate this phenomenon to various factors, the myocardial pathologies and clinical importance are still enigmatic. AIMS: To evaluate regional diastolic right ventricular function in patients after TOF repair with and without RRVP. METHODS: A group of 112 consecutive patients with repaired TOF underwent transthorasic echocardiography (TTE) with tissue Doppler analysis, cardiopulmonary exercise test (CPX), cardiac magnetic resonance (CMR) and laboratory test evaluation...
July 5, 2018: Kardiologia Polska
Szymon J Domagała, Michał Domagała, Jakub Chyła, Celina Wojciechowska, Marianna Janion, Anna Polewczyk
BACKGROUND: An increased implantations of cardiac implantable electronic devices (CIED) is associated with a higher frequency of electrotherapy complications. AIM: The aim of the study to determine risk factors for late electrotherapy complications, evaluation of the effectiveness of transvenous lead extraction (TLE) and survival after TLE. METHODS: We analyzed the clinical data of 225 patients with electrotherapy complications qualified for TLE in single center in the years 2006-2015...
June 26, 2018: Kardiologia Polska
Maciej T Wybraniec, Joanna Wieczorek, Iwona Woźniak-Skowerska, Andrzej Hoffmann, Seweryn Nowak, Małgorzata Cichoń, Krzysztof Szydło, Anna Wnuk-Wojnar, Jerzy Chudek, Andrzej Więcek, Katarzyna Mizia-Stec
BACKGROUND: Renalase is a catecholamine-metabolising enzyme, but its possible association with atrial fibrillation remains unknown. AIMS: The study aimed to evaluate plasma renalase concentration in patients with atrial fibrillation (AF) undergoing pulmonary vein isolation (PVI) with respect to AF clinical characteristics, left atrial (LA) remodeling and PVI efficacy. METHODS: This case-control study covered 69 patients (median age of 58 years) with either paroxysmal (89%) or persistent AF (11%), subject to PVI and control group consisting of 15 equally matched patients without AF...
June 26, 2018: Kardiologia Polska
Mateusz T Knop, Jacek Białkowski, Małgorzata Szkutnik, Roland Fiszer, Sebastian Smerdziński, Michał Gałeczka, Linda Litwin
BACKGROUND: Atrial septal defect type II (ASD), according to current standards, is closed percutaneously usually after the child has reached the age of 4-5 years. There are limited data regarding such treatment in smaller infants. AIMS: To evaluate feasibility, safety and efficacy of percutaneous ASD closure in children under 3 years of age. METHODS: Overall group of 149 children < 3 years with hemodynamically significant ASD, who underwent effective transcatheter ASD closure in one tertiary center between 1999 and 2014 were included...
June 4, 2018: Kardiologia Polska
Qiming Wang, Jian Zhang, Yafei Li, Haojie Shi, Hao Wang, Bingrui Chen, Fang Wang, Zemu Wang, Zhijian Yang, Liansheng Wang
BACKGROUND: Epigallocatechin-3-gallate (EGCG), which is the principal component of green tea, has been shown to prevent the formation of atherosclerosis. However, the effect of EGCG on atherosclerotic plaque stability remains unknown. AIM: This study aimed to assess whether EGCG can enhance atherosclerotic plaque stability and to investigate the underlying mechanisms. METHODS: Apolipoprotein E-deficient mice fed a high-fat diet were injected intraperitoneally with EGCG (10 mg/kg ) for 16 weeks...
June 4, 2018: Kardiologia Polska
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