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Kardiologia Polska

Sebastian Smerdziński, Jacek Białkowski, Małgorzata Szkutnik, Mateusz Knop, Michał Gałeczka, Roland Fiszer
No abstract text is available yet for this article.
November 14, 2018: Kardiologia Polska
Jerzy Piwoński, Aleksandra Piwońska, Piotr Jędrusik, Jakub Stokwiszewski, Marcin Rutkowski, Piotr Bandosz, Wojciech Drygas, Tomasz Zdrojewski
BACKGROUND: Poland is a country of high cardiovascular risk. Because the depression was found to be a predictor of coronary artery disease and the prevalence of depressive symptoms raised worldwide, so the monitoring of depressive symptoms in a population is desirable. AIM: to evaluate the prevalence of depressive symptoms (DS) in relation to the socio-demographic status, and selected types of cardiovascular diseases in the adult Polish population. METHODS: A country representative random sample of 2413 subjects, aged 18-79, was examined in 2011...
November 8, 2018: Kardiologia Polska
Małgorzata Kloch, Katarzyna Stolarz-Skrzypek, Agnieszka Olszanecka, Wiktoria Wojciechowska, Adam Bednarski, Justyna Stefaniak, Danuta Czarnecka
BACKGROUND: Heart failure affects patients with normal left ventricular systolic function (heart failure with preserved ejection fraction, HFPEF) and those with reduced ejection fraction (HFREF). The treatment of HFPEF remains an unresolved issue. AIM: The purpose of this study was to determinate the relationship between inflammatory markers and left ventricular diastolic dysfunction (LVDD) in a family-based population study. METHODS: In 303 participants from the general population (55% women, median age 49 years and 45% men, median age 40 years) we assessed echocardiography examination and measured inflammatory markers in serum: C-reactive protein (CRP), myeloperoxidase (MPO) and interleukin 6 (IL-6)...
November 8, 2018: Kardiologia Polska
Damian Łasocha, Maciej Sterliński, Mateusz Tajstra, Krystian Josiak, Dariusz Zając, Sławomir Tłuczek, Adam Sokal, Łukasz J Januszkiewicz, Bogdan Galar, Rafał Sznajder, Jarosław Kaźmierczak, Łukasz Szumowski, Camilla Normand, Cecilia Linde, Kenneth Dickstein
BACKGROUND: Multiple randomized clinical trials have proved that cardiac resynchronization therapy (CRT) reduces morbidity and mortality in appropriately selected patients with congestive heart failure and is recommended for such patients as per the European Society of Cardiology (ESC) guidelines. AIMS: In this paper we compare indications and demographics in cardiac resynchronization recipients in Poland and other European countries. METHODS: In 2015 and 2016, physicians from 42 European countries participated in the second edition of the European Cardiac Resynchronization Therapy Survey...
November 8, 2018: Kardiologia Polska
Gerhard Hindricks, Alireza Sepehri Shamloo, Radosław Lenarczyk, Zbigniew Kalarus, Arash Arya, Simon Kircher, Angeliki Darma, Nikolaos Dagres
Atrial fibrillation (AF) is the most common human arrhythmia. Interventional treatment with catheter ablation is meanwhile an established technique that is increasingly applied and has become one of the main treatment modalities in patients with AF. Ablation results in significant improvement of symptoms and quality of life. There is up to now no clear evidence of an impact of the procedure on hard clinical endpoints except in patients with heart failure who seem to benefit significantly from ablation. Cornerstone of the procedure is achievement of pulmonary vein isolation...
November 8, 2018: Kardiologia Polska
Ewa Podolecka, Władysław Grzeszczak, Ewa Żukowska-Szczechowska
BACKGROUND: Elevated serum LDL-cholesterol is a risk factor of atherosclerosis, which involves remodeling of the arterial walls with their subsequent stiffening. AIM: The aim of the study was to evaluate the relationships between serum lipids and arterial wall elastic properties. METHODS: The study group comprised 315 men and women aged 55.84±9.44 years. Serum glucose and lipid concentrations were estimated. All subjects underwent blood pressure measurement, transthoracic echocardiography and assessment of vascular compliance of large (C1) and small arteries (C2) using an HDI/Pulse Wave™ CR-2000 Research Cardiovascular Profiling Instrument...
October 24, 2018: Kardiologia Polska
Magdalena Bryndza, Radosław Litwinowicz, Bogusław Kapelak, Grzegorz Filip, Jacek Piątek, Janusz Konstanty-Kalandyk, Anna Kędziora, Krzysztof Bartuś
No abstract text is available yet for this article.
October 19, 2018: Kardiologia Polska
Aleksandra Puch-Walczak, Piotr Hoffman, Maria Dudziak, Katarzyna Kunicka, Łukasz Wierucki, Ewa Puzio, Krzysztof Kuziemski, Magdalena Lipczyńska, Lucyna Konieczna, Tomasz Bączek, Wojciech Drygas, Tomasz Zdrojewski
No abstract text is available yet for this article.
October 19, 2018: Kardiologia Polska
Roman Piotrowski, Jakub Baran, Piotr Kułakowski
No abstract text is available yet for this article.
October 19, 2018: Kardiologia Polska
Ryszard Gryglewski
The aim of the paper was to present achievements of Polish physicians in the field of heart diseases in the times when cardiology was still not established as a separate branch of medical specialization, that is in the last decades of 19th and the opening decades of 20th centuries. The article is based on results previously delivered in historical works of other researchers and on the original texts coming from the era which is the subject of present discussion. The narration is focused on the main topics of scientific exploration related to heart diseases - the subject of interest for physicians who were depicted in following paper...
October 19, 2018: Kardiologia Polska
Gerd Hasenfuß
Prevention strategies for cardiac events depend of the risk for such an event. A very high risk is defined by a risk >10% over 10 years. For example, a patient with known coronary artery disease has such a very high risk to die. However a patient with diabetes and severe hypertension without known coronary artery disease carries the same risk. Here, secondary prevention and primary prevention overlap. Prevention guidelines include a number of general recommendations such as changes in behavior, smoking intervention strategies, nutrition, body weight, and physical activity...
October 19, 2018: Kardiologia Polska
Mark Crowther, Adam Cuker
The direct oral anticoagulants (DOACs), or non-vitamin K antagonist oral anticoagulants (NOACs), including dabigatran, which inhibits thrombin, and rivaroxaban, apixaban, edoxaban, and betrixaban, which inhibit coagulation factor Xa, are associated with similar or lower risk of bleeding compared with warfarin. The need for reversal of their anticoagulant effect may occur in patients with life-threatening bleeding or those requiring urgent surgery. Currently, the only specific reversal agent for dabigatran, idarucizumab is widely available, while andexanet alfa, which reverses factor Xa inhibitors, was approved in the US in May 2018...
October 19, 2018: Kardiologia Polska
Paweł Kaczmarczyk, Marek Krzanowski, Ewelina Szybiak, Mikołaj Maga, Agnieszka Wachsmann, Katarzyna Tyrak, Rafał Januszek, Andrzej Belowski, Łukasz Partyka, Paweł Maga
BACKGROUND: Patients with advanced lower limb ischemia are at present, mainly treated using revascularization. AIM: The aim of the study was to investigate whether the dynamics of blood flow in below-the-knee (BTK) arteries assessed at angiogram completion correlate with clinical outcomes after a 12-month follow-up period among patients with severe leg ischemia treated percutaneously. METHODS: The current study enrolled 287 consecutive patients who underwent 302 endovascular procedures on the infra-inguinal arteries...
October 19, 2018: Kardiologia Polska
Congyin Wu, Yan Li, Juan Chen
BACKGROUND: The common drawbacks of standard cardiac rehabilitation (CR) models include low participation rate, high cost, and dependence on the on-site exercise sessions. Therefore, hybrid CR protocols have been developed. AIM: In this study, we aimed to test whether hybrid CR models are superior or equivalent to the traditional CR models in patients after myocardial infarction, heart failure, and cardiac surgery using a meta-analysis framework. METHODS: We searched Medline, Scopus, Cochrane Central, and Web of Science for relevant original studies...
September 25, 2018: Kardiologia Polska
Piotr Desperak, Michał Hawranek, Tomasz Hrapkowicz, Michał O Zembala, Mariusz Gąsior
BACKGROUND: There is a lack of clinical trials comparing Multivessel Percutaneous Coronary Intervention (MV PCI) with Coronary Artery Bypass Grafting (CABG) in non-ST-segment elevation acute coronary syndromes (NSTE-ACS) population AIMS: We sought to compare long-term outcomes of MV PCI with CABG in patients with severe coronary artery disease presenting with NSTE-ACS. METHODS: 3,166 consecutive patients with NSTE-ACS hospitalised between 2006-2014 were analysed...
September 25, 2018: Kardiologia Polska
Roksana Kisiel, Kamil Fijorek, Tomasz Sondej, Christopher Pavlinec, Piotr Kukla, Danuta Czarnecka, Marek Jastrzębski
BACKGROUND: Mortality and morbidity in patients with cardiac resynchronisation therapy (CRT) remain very high. Prognostic evaluation of CRT candidates might be useful for the assessment of CRT indications, directing further therapy, counseling, etc. AIM: Our goal was to investigate the prognostic value of various parameters in order to construct a risk score that could predict long-term mortality and morbidity during the initial assessment of CRT candidates. METHODS: This was a retrospective, single center, large cohort study including consecutive heart failure patients who underwent CRT device implantation...
September 25, 2018: Kardiologia Polska
Karolina Golińska-Grzybała, Marcin Wiecheć, Bogdan Goliński, Paweł Rostoff, Anna Furman-Niedziejko, Andrzej Gackowski, Jadwiga Nessler, Grzegorz Gajos, Ewa Konduracka
BACKGROUND: During pregnancy the cardiovascular system undergoes complex alterations; however, there have been few studies concerning pulmonary artery behaviour during gestation. AIM: The aim of this study was to evaluate changes in pulmonary artery diameter (PAd) during gestation, with respect to left ventricular (LV) load and remodelling, as well as to systemic vascular resistance (SVR). METHODS: It was a prospective cohort study, which included 69 consecutive healthy outpatient women with a singleton pregnancy...
September 25, 2018: Kardiologia Polska
Aleksandra Piwońska, Walerian Piotrowski, Magdalena Kozela, Andrzej Pająk, Paweł Nadrowski, Krystyna Kozakiewicz, Andrzej Tykarski, Wojciech Bielecki, Aleksandra Puch-Walczak, Tomasz Zdrojewski, Wojciech Drygas
BACKGROUND: Cardiovascular diseases are the main cause of morbidity, the important cause of disability and premature deaths in European countries. Prevention guidelines recommend the prevention delivery by physicians during medical consultations. AIM: To evaluate the prevention support and its determinants by physicians in Poland in 2013-2014 compared to 2003-2005. METHODS: The data came from two population surveys: WOBASZ (6392 men and 7153 women, aged 20-74, screened in 2003-2005) and WOBASZ II (2751 men and 3418 women, aged 20+, screened in 2013-2014)...
September 25, 2018: Kardiologia Polska
Agnieszka Zienciuk-Krajka, Maciej Sterliński, Artur Filipecki, Radosław Owczuk, Jacek Bednarek, Maciej Kempa, Sławomir Sielski, Marcin Dziduszko, Przemysław Mitkowski, Jarosław Kaźmierczak, Jacek Kuśnierz, Dariusz Michałkiewicz, Sebastian M Stec, Marcin Gułaj, Ryszard Majcherek, Andrzej Lubiński, Grzegorz Raczak
BACKGROUND: Implantable cardioverter-defibrillator (ICD) therapy has been proven effective in prevention of sudden cardiac death (SCD), but data on outcomes for ICD therapy in the young and otherwise healthy Long QT Syndrome (LQTS) population are limited. AIMS: To collect data on appropriate and inappropriate ICD discharges, risk factors, and ICD-related complications. METHODS: All LQTS patients implanted with an ICD in 14 centres were investigated, and demographical, clinical and data on ICD therapy were collected...
September 25, 2018: Kardiologia Polska
Stanisław Tubek, Piotr Niewiński, Bartłomiej Paleczny, Anna Langner, Waldemar Banasiak, Piotr Ponikowski
From the physiological point of view carotid bodies are mainly responsible for the ventilatory response to hypoxia; however, they also take part in the regulation of sympathetic tone. According to pre-clinical data these structures likely contribute to the development and progression of sympathetically mediated diseases. Moreover, carotid bodies deactivation in animal models, apart from the reduction in sympathetic activity, improved blood pressure control in hypertension and reduced mortality in heart failure...
September 25, 2018: Kardiologia Polska
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