Jacek Białkowski, Roland Fiszer, Tomasz Hrapkowicz, Szymon Pawlak, Alina Zdrzałek-Skiba, Jerzy Nożyński, Rafał Skowronek, Małgorzata Szkutnik
{"title":"Ultra-long term histopathological workup of an Amplatzer Muscular Septal Defect Occluders after surgical removal of the heart due to heart transplantation.","authors":"Jacek Białkowski, Roland Fiszer, Tomasz Hrapkowicz, Szymon Pawlak, Alina Zdrzałek-Skiba, Jerzy Nożyński, Rafał Skowronek, Małgorzata Szkutnik","doi":"10.33963/v.phj.102782","DOIUrl":"https://doi.org/10.33963/v.phj.102782","url":null,"abstract":"","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":null,"pages":null},"PeriodicalIF":3.7,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142391595","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}
Michał Peller, Julia Dźwinacka, Bartosz Krzowski, Michał Marchel, Cezary Maciejewski, Karolina Mitrzak, Grzegorz Opolski, Marcin Grabowski, Paweł Balsam, Piotr Lodziński
{"title":"Effectiveness of first-pass pulmonary vein isolation with ablation index-guided ablation compared with very-high-power, short-duration ablation: A retrospective, single-center study.","authors":"Michał Peller, Julia Dźwinacka, Bartosz Krzowski, Michał Marchel, Cezary Maciejewski, Karolina Mitrzak, Grzegorz Opolski, Marcin Grabowski, Paweł Balsam, Piotr Lodziński","doi":"10.33963/v.phj.102553","DOIUrl":"https://doi.org/10.33963/v.phj.102553","url":null,"abstract":"","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":null,"pages":null},"PeriodicalIF":3.7,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142391578","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}
Mengjin Hu, Chuangshi Wang, Jingang Yang, Xiaojin Gao, Yuejin Yang
{"title":"Reevaluate the effect of ACEI/ARB therapy at discharge on patients with STEMI in the contemporary reperfusion era.","authors":"Mengjin Hu, Chuangshi Wang, Jingang Yang, Xiaojin Gao, Yuejin Yang","doi":"10.33963/v.phj.102772","DOIUrl":"https://doi.org/10.33963/v.phj.102772","url":null,"abstract":"<p><strong>Background: </strong>Angiotensin-converting enzyme inhibitors (ACEI) and angiotensin receptor blockers (ARB) had beneficial effects on clinical outcomes in patients with ST-segment elevation myocardial infarction (STEMI) in the pre-reperfusion or thrombolytic era. It is unknown if the benefits persist in the contemporary reperfusion era.</p><p><strong>Objectives: </strong>We sought to determine if ACEI/ARB improves clinical outcomes of patients with STEMI in the contemporary reperfusion era according to the reperfusion strategy.</p><p><strong>Methods: </strong>12596 patients were analyzed from the prospective, nationwide, multicenter China Acute Myocardial Infarction (CAMI) Registry. These patients were classified into the no reperfusion group (n=6004) and the primary percutaneous coronary intervention (PCI) group (n=6592). Two-year all-cause mortality and major adverse cardiac and cerebrovascular events (MACCE) were compared.</p><p><strong>Results: </strong>In the no reperfusion group, ACEI/ARB therapy at discharge may reduce the incidences of 30-day MACCE (4.7% vs 7.4%; adjusted hazard ratio [HR]: 0.67; 95% confidence interval [CI]: 0.53-0.85; P<0.001), stroke (0.5% vs 1.1%; adjusted HR: 0.41; 95% CI: 0.21-0.83; P=0.01), and revascularization (2.1% vs 3.1%; adjusted HR: 0.66; 95% CI: 0.46-0.94; P=0.02) compared to patients not treated with ACEI/ARB. Patients treated with ACEI/ARB also showed a lower rate of two-year MACCE (17.0% versus 19.1%; adjusted HR: 0.87; 95% CI: 0.76-0.99; P=0.04). No differences were observed in the remaining outcomes. In the primary PCI group, no differences were observed for all examined outcomes before and after multivariate adjustments.</p><p><strong>Conclusions: </strong>Treatment with ACEI/ARB at discharge may reduce cardiovascular events in STEMI patients not receiving reperfusion, while no significant benefits were observed in those receiving primary PCI.</p>","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":null,"pages":null},"PeriodicalIF":3.7,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142391590","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}
Michał Pruc, Jacek Kubica, Maciej Banach, Damian Świeczkowski, Zubaid Rafique, William Frank Peacock, Zbigniew Siudak, Stanisław Surma, Prabath Nanayakkara, Krzysztof Kurek, Anne Lepetit, Łukasz Szarpak
{"title":"Prognostic value of the monocyte-to-high-density lipoprotein-cholesterol ratio in ACS patients: A systematic review and meta-analysis.","authors":"Michał Pruc, Jacek Kubica, Maciej Banach, Damian Świeczkowski, Zubaid Rafique, William Frank Peacock, Zbigniew Siudak, Stanisław Surma, Prabath Nanayakkara, Krzysztof Kurek, Anne Lepetit, Łukasz Szarpak","doi":"10.33963/v.phj.102773","DOIUrl":"https://doi.org/10.33963/v.phj.102773","url":null,"abstract":"<p><strong>Background: </strong>Globally, diseases of the cardiovascular system stand as the principal contributors to mortality and are anticipated to show an upward trajectory. The occurrence of Acute Coronary Syndrome (ACS) has been linked to underlying inflammatory processes. The monocyte-to-high-density lipoprotein-cholesterol (MHR) ratio has garnered significant attention as a prognostic biomarker, encapsulating the synergistic roles of inflammation and lipid metabolism in the pathophysiology of cardiovascular diseases, including ACS.</p><p><strong>Aims: </strong>This meta-analysis examines the prognostic MHR ratio in ACS patients.</p><p><strong>Methods: </strong>We systematically searched PubMed, Embase, Scopus, Web of Science, and the Cochrane Library databases to identify the relevant meta-analyses up to February 26, 2024. The findings were aggregated into risk ratios with 95% confidence intervals.</p><p><strong>Results: </strong>Eleven studies, with 7421 patients, were included. Low MHR levels compared to high MHR levels were associated with statistically significantly lower in-hospital mortality (0.9% vs. 5.5%; respectively; p<0.001), 3-month mortality (4.4% vs. 11.2%; p = 0.02), 6-month follow-up mortality (4.0% vs. 10.2%; p = 0.03), 1-year mortality (4.2%, vs. 10.2%; p<0.001), as well as long-term follow-up mortality (7.5% vs. 13.7%; p<0.001).</p><p><strong>Conclusions: </strong>MHR has both good predictive properties for mortality and MACE (short- and long-term). Data indicate that MHR may improve in-hospital and long-term cardiovascular risk prediction. It may, therefore, be an effective tool for risk re-estimation and the selection of patients for whom intensive lipid-lowering treatment may be particularly useful.</p>","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":null,"pages":null},"PeriodicalIF":3.7,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142391588","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}
Andrzej Hasiec, Mariusz Kruk, Cezary Kępka, Grzegorz Warmiński, Ilona Kowalik, Maria Bilińska, Łukasz Szumowski
{"title":"Evaluating the effect of coronary atherosclerosis on the occurrence of atrial fibrillation through coronary computed tomography angiography.","authors":"Andrzej Hasiec, Mariusz Kruk, Cezary Kępka, Grzegorz Warmiński, Ilona Kowalik, Maria Bilińska, Łukasz Szumowski","doi":"10.33963/v.phj.102554","DOIUrl":"https://doi.org/10.33963/v.phj.102554","url":null,"abstract":"<p><strong>Background: </strong>The direct impact of atherosclerotic lesions in coronary vessels on the occurrence of atrial fibrillation (AF) in patients without a history of acute myocardial ischemia, previous myocardial infarction, or revascularization procedures remains largely unknown.</p><p><strong>Aims: </strong>To assess the risk and predictors of new-onset AF in patients with coronary atherosclerosis confirmed by coronary computed tomography angiography (CCTA).</p><p><strong>Methods: </strong>We included consecutive patients referred for CCTA who had been observed and diagnosed with new-onset AF over 10 years.</p><p><strong>Results: </strong>Of the 549 patients enrolled in the study, 208 (37.9%) were diagnosed with atherosclerotic lesions in the coronary vessels and 63 (11.5%) developed AF during the 10 years of observation. Patients with AF were older (61.8 [10.4] years vs. 58.3 [9.2] years; P = 0.005), had an enlarged left atrium in the anteroposterior dimension (38.2 [7.2] mm vs. 34.4 [5.4] mm; P < 0.001), and had a widened interventricular septum (12.3 [2.0] mm vs. 11.0 [2.1] mm; P < 0.001). We also found a significant correlation between the occurrence of AF in patients with coronary atherosclerotic lesions and with increased thickness of the interventricular septum relative to the posterior wall of the left ventricle (P = 0.017).</p><p><strong>Conclusions: </strong>Our data indicate an association between coronary atherosclerosis and the greater risk of AF in patients with increased thickness of the interventricular septum relative to the posterior wall of the left ventricle. This finding suggests that by using CCTA we can predict which patients are at higher risk of developing AF.</p>","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":null,"pages":null},"PeriodicalIF":3.7,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142391580","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}
Ewa Orłowska-Baranowska, Małgorzata Nieznańska, Magdalena Marczak, Mateusz Śpiewak, Łukasz Mazurkiewicz, Barbara Miłosz, Karina Zatorska, Ilona Kowalik, Rafał Baranowski, Tomasz Hryniewiecki
{"title":"Late gadolinium enhancement in aortic stenosis: Is it an indication to surgical treatment in asymptomatic patients?","authors":"Ewa Orłowska-Baranowska, Małgorzata Nieznańska, Magdalena Marczak, Mateusz Śpiewak, Łukasz Mazurkiewicz, Barbara Miłosz, Karina Zatorska, Ilona Kowalik, Rafał Baranowski, Tomasz Hryniewiecki","doi":"10.33963/v.phj.102581","DOIUrl":"https://doi.org/10.33963/v.phj.102581","url":null,"abstract":"","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":null,"pages":null},"PeriodicalIF":3.7,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142391582","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}
Łukasz Wiewiórka, Jacek Legutko, Jarosław Trębacz, Paweł Kleczyński, Joanna Szachowicz-Jaworska, Maciej Krupiński, Paweł Banyś, Krzysztof Żmudka, Maciej Stąpór
{"title":"Computed tomography calcium scoring in routine clinical daily practice for assessing aortic valve stenosis severity.","authors":"Łukasz Wiewiórka, Jacek Legutko, Jarosław Trębacz, Paweł Kleczyński, Joanna Szachowicz-Jaworska, Maciej Krupiński, Paweł Banyś, Krzysztof Żmudka, Maciej Stąpór","doi":"10.33963/v.phj.102780","DOIUrl":"https://doi.org/10.33963/v.phj.102780","url":null,"abstract":"","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":null,"pages":null},"PeriodicalIF":3.7,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142391577","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}
Katarzyna Pomykała, Joanna Drozd-Sokołowska, Joanna Mączewska, Piotr Kacprzyk, Łukasz Bolkun, Grzegorz Styczyński, Agnieszka Tomaszewska, Grzegorz Basak
{"title":"T-cell acute lymphoblastic leukemia with involvement of extramedullary sites, including pericardium.","authors":"Katarzyna Pomykała, Joanna Drozd-Sokołowska, Joanna Mączewska, Piotr Kacprzyk, Łukasz Bolkun, Grzegorz Styczyński, Agnieszka Tomaszewska, Grzegorz Basak","doi":"10.33963/v.phj.102552","DOIUrl":"https://doi.org/10.33963/v.phj.102552","url":null,"abstract":"","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":null,"pages":null},"PeriodicalIF":3.7,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142391591","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}
Jarosław Trębacz, Robert Sobczyński, Janusz Konstanty-Kalandyk, Maciej Stąpór, Michał Okarski, Bogusław Kapelak, Paweł Kleczyński, Jacek Legutko
{"title":"Transcatheter aortic valve implantation with Navitor Titan device: First Polish experience.","authors":"Jarosław Trębacz, Robert Sobczyński, Janusz Konstanty-Kalandyk, Maciej Stąpór, Michał Okarski, Bogusław Kapelak, Paweł Kleczyński, Jacek Legutko","doi":"10.33963/v.phj.102781","DOIUrl":"https://doi.org/10.33963/v.phj.102781","url":null,"abstract":"","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":null,"pages":null},"PeriodicalIF":3.7,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142391594","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}