Kardiologia polska最新文献

{"title":"Guidelines for the management of hypertension in Poland 2024 - the position paper of the Polish Society of Hypertension and Polish Cardiac Society experts.","authors":"Aleksander Prejbisz, Piotr Dobrowolski, Adrian Doroszko, Agnieszka Olszanecka, Agnieszka Tycińska, Andrzej Tykarski, Marcin Adamczak, Beata Begier-Krasińska, Marzena Chrostowska, Grzegorz Dzida, Krzysztof J Filipiak, Zbigniew Gaciong, Dariusz Gąsecki, Marek Gierlotka, Marcin Grabowski, Tomasz Grodzicki, Piotr Jankowski, Karol Kamiński, Agnieszka Kapłon-Cieślicka, Aneta Klotzka, Dariusz Kozłowski, Przemysław Leszek, Jacek Lewandowski, Mieczysław Litwin, Łukasz Obrycki, Artur Mamcarz, Przemysław Mitkowski, Beata Naumnik, Marek Rajzer, Janina Stępińska, Katarzyna Stolarz-Skrzypek, Anna Szyndler, Anna Tomaszuk-Kazberuk, Izabella Uchmanowicz, Marcin Wełnicki, Barbara Wizner, Beata Wożakowska-Kapłon, Tomasz Zdrojewski, Waldemar Banasiak, Andrzej Januszewicz, Agnieszka Mastalerz-Migas, Krzysztof Narkiewicz, Andrzej Więcek, Adam Witkowski, Robert Gil, Jacek Wolf","doi":"10.33963/v.phj.105628","DOIUrl":"https://doi.org/10.33963/v.phj.105628","url":null,"abstract":"","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":"83 3","pages":"370-411"},"PeriodicalIF":3.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143772624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"New year 2025 in Polish Heart Journal.","authors":"Anetta Undas","doi":"10.33963/v.phj.104617","DOIUrl":"https://doi.org/10.33963/v.phj.104617","url":null,"abstract":"","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":"83 1","pages":"1-2"},"PeriodicalIF":3.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143080293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"In-stent restenosis risk factors following carotid artery stenting. Authors' reply.","authors":"Ahmet Karaduman, Cemalettin Yılmaz, Muhammet Mucahit Tiryaki, Ismail Balaban, Elnur Alizade, Regayip Zehir","doi":"10.33963/v.phj.103460","DOIUrl":"10.33963/v.phj.103460","url":null,"abstract":"","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":" ","pages":"103-104"},"PeriodicalIF":3.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142623165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Application of machine learning in predicting postoperative arrhythmia following transcatheter closure of perimembranous ventricular septal defects.","authors":"Lintao Yan, Yuan Meng, Hongjie Sun, Xinlei Liu, Bo Han","doi":"10.33963/v.phj.103535","DOIUrl":"10.33963/v.phj.103535","url":null,"abstract":"<p><strong>Background: </strong>Arrhythmia is a frequent complication following transcatheter device closure of perimembranous ventricular septal defects (pmVSD). However, there is currently a lack of a convenient tool for predicting postoperative arrhythmia.</p><p><strong>Aims: </strong>This research aimed to use machine learning algorithms to predict the risk of postoperative arrhythmia in pmVSD patients.</p><p><strong>Material and methods: </strong>A retrospective study was conducted on 1384 children with pmVSD who underwent successful transcatheter device closure at a single-center hospital from March 2002 to March 2024. Subjects were assigned to a training set (n = 970) and a validation set (n = 414) in a 7:3 ratio. Four machine learning methods - SVM, LR, RF, and XGBoost - were used to develop models for predicting postoperative arrhythmia based on preoperative and intraoperative baseline information with clinical significance, as well as relevant content mentioned in previously published journals. The models' performance was evaluated using the area under the receiver operating characteristic curve (AUC), sensitivity, specificity, accuracy, negative predictive value, and positive predictive value. The optimal model was used to create a nomogram and further calibrated with calibration curves.</p><p><strong>Results: </strong>In the prediction of postoperative arrhythmias, the LR model outperformed the XGBoost, SVM, and RF models, achieving an AUC of 0.863 (95% CI, 0.827-0.900). Consequently, we utilized the LR model to construct a nomogram based on 5 variables: weight, procedure time, defect diameter, pre-interventional arrhythmia, and the difference in the diameter between the occluder and defect exceeding 2 mm. The calibration curves illustrated a strong agreement between the actual and predicted outcomes.</p><p><strong>Conclusions: </strong>The machine learning model accurately predicts postoperative arrhythmias, aiding in risk stratification of pmVSD patients and guiding clinical decisions.</p>","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":" ","pages":"295-304"},"PeriodicalIF":3.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142915056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How to assess sudden cardiac death risk in hypertrophic cardiomyopathy? Current challenges and future directions.","authors":"Gabrielle Norrish, Małgorzata Niemiec, Juan P Kaski, Katarzyna Mizia-Stec","doi":"10.33963/v.phj.104052","DOIUrl":"10.33963/v.phj.104052","url":null,"abstract":"<p><p>Over the past decade, knowledge about the risk of sudden cardiac death (SCD) in patients with hypertrophic cardiomyopathy (HCM) has advanced significantly. A standard well-recognized approach to risk stratification is based on the fundamental risk factors and SCD risk models that should be incorporated into the shared decision-making process. More detailed analysis including additional indicators, such as reduced left ventricular systolic function, the presence of late gadolinium enhancement, or in some cases genetic variants, may provide valuable insights for intermediate-risk patients, enabling more personalized diagnosis and treatment. Risk stratification remains challenging in specific groups, such as patients who have undergone septal reduction therapy, those taking mavacamten, or those with phenocopies of HCM. The advancement of modern methodologies, including multifactorial approaches supported by artificial intelligence algorithms, offers hope for more precise and individualized SCD risk assessment in HCM patients.</p>","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":" ","pages":"8-17"},"PeriodicalIF":3.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142915127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Role of echocardiographic indicators of right ventricular dysfunction in predicting 30-day mortality in non-high- -risk patients with acute pulmonary embolism in different variants of the Bova score.","authors":"Jerzy Wiliński, Ositadima Chukwu, Anna Skwarek, Radosław Borek, Michał Medygrał, Julia Chukwu, Katarzyna Stolarz-Skrzypek, Marek Rajzer","doi":"10.33963/v.phj.103453","DOIUrl":"10.33963/v.phj.103453","url":null,"abstract":"<p><strong>Background: </strong>The Bova score is a validated tool for short-term mortality risk stratification in normotensive patients with acute pulmonary embolism (PE). The prognostic value of echocardiographic parameters in this group of patients remains controversial.</p><p><strong>Aims: </strong>We aimed to assess the role of echocardiographic indicators of right ventricular dysfunction in different variants of the Bova score.</p><p><strong>Methods: </strong>Patients with PE confirmed by computed tomography pulmonary angiography had a transthoracic echocardiogram performed during the first day of hospitalization and 30-day follow-up.</p><p><strong>Results: </strong>One hundred eleven consecutive subjects with non-high-risk PE entered the analysis - 55 men (49.6%), at a median age of 69 (58-79) years; 12 patients died during the 30-day follow-up. Among 3 Bova score variants with different echocardiographic criteria used in practice, the original one AD 2014 had the best but, objectively, poor predictive strength - the area under the curve (AUC) of 0.679. The Bova score with the right-to-left ventricle ratio >1 and tricuspid annular plane systolic excursion <16 mm was an even worse indicator (AUC 0.652), whereas the Bova score with free wall longitudinal strain >-19% and Bova 60/60 sign had fair predictability (AUC 0.701 and 0.731, respectively). Still, they were inferior to the simplified Pulmonary Embolism Severity Index (sPESI, AUC - 0.815). The subjects with Bova score variants with points >4 had a higher risk of death (hazard risk of 1.43-1.59) and with an sPESI ≥1 point had a hazard risk of 2.02.</p><p><strong>Conclusions: </strong>Various echocardiographic markers of right ventricular dysfunction within divergent variants of the Bova score yield different prediction strengths but are all inferior to the sPESI score.</p>","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":" ","pages":"171-179"},"PeriodicalIF":3.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142915272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Percutaneous coronary intervention and coronary artery bypass grafting in myocardial infarction complicated by cardiogenic shock.","authors":"Mariusz Gąsior, Mateusz Tajstra, Marek Deja, Robert Gil, Jerzy Pacholewicz, Stanisław Bartuś, Marek Jasiński, Marek Gierlotka, Romuald Cichoń, Adam Witkowski, Jan Rogowski, Dariusz Dudek, Zdzisław Tobota, Wojciech Wojakowski, Kazimierz Widenka, Krzysztof Milewski, Bohdan Maruszewski, Janina Stępińska, Grzegorz Hirnle, Jacek Legutko, Piotr Suwalski, Przemysław Trzeciak, Piotr Przybyłowski, Tomasz Hrapkowicz","doi":"10.33963/v.phj.104782","DOIUrl":"10.33963/v.phj.104782","url":null,"abstract":"<p><strong>Background: </strong>Cardiogenic shock (CS) remains the leading cause of poor prognosis in patients with acute myocardial infarction (AMI), sustaining a high mortality rate of 40 to 50% within 30 days.</p><p><strong>Aims: </strong>In this unique analysis of two national all-comers, real-life registries including patients with AMI complicated by CS, for whom early revascularization was planned, we aimed to compare the effect of percutaneous coronary revascularization (PCI) and coronary artery bypass grafting (CABG) on 30-day and 1-year all-cause mortality.</p><p><strong>Methods: </strong>The study included consecutive patients with AMI complicated by CS included in the Polish Registry of Acute Coronary Syndromes (PL-ACS) and the Polish National Registry of Cardiac Surgical Procedures (KROK), treated with PCI and CABG, respectively. A layered analysis and Kaplan-Meier curves were used in the propensity score matched (PSM) groups.</p><p><strong>Results: </strong>Between 2006 and 2022, a total of 1970 patients with AMI complicated by CS, with known coronary anatomy were included in PL-ACS and KROK registries. 1376 (69.8%) had PCI and 594 (30.2%) had CABG. Following a 1:1 PSM, a total of 822 patients were finally included in the analysis. The mortality rates were 48.2% in the PCI group compared with 38.6% in the CABG group at 30 days (P <0.001) and 53.5% compared with 41.1%, respectively, at 1 year (P <0.001).</p><p><strong>Conclusions: </strong>Among patients with AMI affected by CS, those qualified to be treated with CABG had a higher survival rate at 30 days and one year as compared to those treated with PCI.</p>","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":" ","pages":"305-312"},"PeriodicalIF":3.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143458575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Long road to success. Endocardial radiofrequency ablation of septal hypertrophy using three-dimensional electroanatomic mapping guided by echocardiography in a patient with hypertrophic obstructive cardiomyopathy and severe aortic stenosis.","authors":"Dorota Żmudzińska, Krzysztof Ściborski, Paweł Szymkiewicz, Marek Mak, Artur Telichowski, Dorota Kustrzycka-Kratochwil, Adrian Doroszko, Waldemar Banasiak, Krystian Josiak","doi":"10.33963/v.phj.104190","DOIUrl":"10.33963/v.phj.104190","url":null,"abstract":"","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":" ","pages":"350-352"},"PeriodicalIF":3.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142950780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Many faces of Fabry disease: Variable clinical course with typical non-cardiac symptoms and unexpected heart involvement.","authors":"Wojciech Wróbel, Zbigniew Olczak, Ewelina Szymańska, Katarzyna Mizia-Stec","doi":"10.33963/v.phj.102932","DOIUrl":"10.33963/v.phj.102932","url":null,"abstract":"","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":" ","pages":"207-209"},"PeriodicalIF":3.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142391583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patent foramen ovale closure for stroke prevention.","authors":"Bartosz Czarniak, Krzysztof Kaczmarek, Piotr Jakubowski, Jarosław Drożdż","doi":"10.33963/v.phj.102564","DOIUrl":"10.33963/v.phj.102564","url":null,"abstract":"","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":" ","pages":"191-193"},"PeriodicalIF":3.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142391584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}