{"title":"Arrhythmogenic right ventricular cardiomyopathies (ARVC): Diagnostic challenges from imaging to genetics.","authors":"Mihnea Casian, Michael Papadakis, Ruxandra Jurcut","doi":"10.33963/v.phj.102391","DOIUrl":"https://doi.org/10.33963/v.phj.102391","url":null,"abstract":"<p><p>Arrhythmogenic right ventricular cardiomyopathy (ARVC) is a hereditary cardiomyopathy, predominantly affecting young males, regardless of ethnicity or race. Due to its variable penetrance, females usually have milder and less malignant phenotypes and it may be diagnosed in older individuals. Accordingly, some affected individuals may remain asymptomatic, while in others sudden cardiac death represents the inaugural symptom. Exercise-related palpitations and syncope are red-flag symptoms in otherwise healthy adolescents and young adults and should be fully investigated, considering ARVC as a potential diagnosis. Clinicians should adopt a cardiomyopathy-oriented mindset which is focused on recognizing suspicious electrocardiogram, structural abnormalities and family history of sudden cardiac death. Complete baseline-investigations should be performed in all individuals in whom ARVC is suspected, regardless of their symptoms. These include multi-modality imaging (echocardiogram, cardiac magnetic resonance imaging), electrocardiogram monitors and maximal exercise tolerance tests. Genetic testing should be regarded as the final piece of the puzzle and offered in individuals with a high pre-test probability. A clinically actionable result allows for predictive family testing and pre-implantation diagnosis. Importantly, it should be offered only with appropriate pre and post-test counselling. Both clinicians and patients should understand that not identifying a disease-causing variant does not exclude ARVC. Finally, three clinical cases illustrating the potential caveats in diagnosing ARVC are discussed.</p>","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":null,"pages":null},"PeriodicalIF":3.7,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142143122","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}
Tomasz Szatan, Artur Sufryd, Paweł Jastrzębski, Andrzej Kubicius, Katarzyna Mizia-Stec, Maciej T Wybraniec
{"title":"Multimodality imaging and thrombolytic therapy for prosthetic valve thrombosis. Authors' reply.","authors":"Tomasz Szatan, Artur Sufryd, Paweł Jastrzębski, Andrzej Kubicius, Katarzyna Mizia-Stec, Maciej T Wybraniec","doi":"10.33963/v.phj.102418","DOIUrl":"https://doi.org/10.33963/v.phj.102418","url":null,"abstract":"","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":null,"pages":null},"PeriodicalIF":3.7,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142143129","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}
Agata Krawczyk-Ożóg, Jakub Batko, Artur Dziewierz, Jakub Hołda, Kacper Jaśkiewicz, Barbara Zdzierak, Daniel Rams, Jakub Rusinek, Stanisław Bartuś, Mateusz K Hołda
{"title":"Assessment of atrial and ventricular mitral annular disjunction using cardiac computed tomography.","authors":"Agata Krawczyk-Ożóg, Jakub Batko, Artur Dziewierz, Jakub Hołda, Kacper Jaśkiewicz, Barbara Zdzierak, Daniel Rams, Jakub Rusinek, Stanisław Bartuś, Mateusz K Hołda","doi":"10.33963/v.phj.102409","DOIUrl":"https://doi.org/10.33963/v.phj.102409","url":null,"abstract":"","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":null,"pages":null},"PeriodicalIF":3.7,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142143123","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":"Statin discontinuation: How can we improve on the multiple pathways that contribute to suboptimal statin adherence?","authors":"Dan Atar, John Munkhaugen, Elise Sverre","doi":"10.33963/v.phj.102335","DOIUrl":"https://doi.org/10.33963/v.phj.102335","url":null,"abstract":"","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":null,"pages":null},"PeriodicalIF":3.7,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142143132","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 Mizia-Stec, Agnieszka Tycińska, Aleksandra Ciepłucha, Agnieszka Kapłon-Cieślicka, Adam Torbicki, Przemysław Leszek, Marcin Fijałkowski, Michał Hawranek, Marcin Grabowski, Marek Gierlotka, Marek Grygier, Maciej Kempa, Marcin Kurzyna, Przemysław Mitkowski, Tomasz Pawłowski, Mateusz Tajstra, Izabella Uchmanowicz, Robert J Gil
{"title":"A report of the National Board of the Polish Cardiac Society on compliance with the principles of equality in the Polish cardiological community.","authors":"Katarzyna Mizia-Stec, Agnieszka Tycińska, Aleksandra Ciepłucha, Agnieszka Kapłon-Cieślicka, Adam Torbicki, Przemysław Leszek, Marcin Fijałkowski, Michał Hawranek, Marcin Grabowski, Marek Gierlotka, Marek Grygier, Maciej Kempa, Marcin Kurzyna, Przemysław Mitkowski, Tomasz Pawłowski, Mateusz Tajstra, Izabella Uchmanowicz, Robert J Gil","doi":"10.33963/v.phj.102416","DOIUrl":"https://doi.org/10.33963/v.phj.102416","url":null,"abstract":"","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":null,"pages":null},"PeriodicalIF":3.7,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142143120","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}
Aleksander Misiewicz, Krzysztof Badura, Maciej Nadel, Jarosław Drożdż
{"title":"Heart failure in young adult: Cardiomyopathy or much more?","authors":"Aleksander Misiewicz, Krzysztof Badura, Maciej Nadel, Jarosław Drożdż","doi":"10.33963/v.phj.102441","DOIUrl":"https://doi.org/10.33963/v.phj.102441","url":null,"abstract":"","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":null,"pages":null},"PeriodicalIF":3.7,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142143125","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}
Szymon Włodarczak, Piotr Rola, Mateusz Barycki, Piotr Włodarczak, Łukasz Furtan, Adrian Doroszko, Maciej Lesiak, Adrian Włodarczak
{"title":"The novel magnesium Freesolve bioresorbable scaffold, combined with intravascular optical coherence tomography guidance in the management of MINOCA case.","authors":"Szymon Włodarczak, Piotr Rola, Mateusz Barycki, Piotr Włodarczak, Łukasz Furtan, Adrian Doroszko, Maciej Lesiak, Adrian Włodarczak","doi":"10.33963/v.phj.102286","DOIUrl":"https://doi.org/10.33963/v.phj.102286","url":null,"abstract":"","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":null,"pages":null},"PeriodicalIF":3.7,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142073188","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}
Piotr Szymański, Francesco Cosentino, Donna Fitzsimons, Vassil Traykov, Victor Aboyans, Hector Bueno, Adam Witkowski, Robert Gil, Przemysław Mitkowski
{"title":"Stronger together: The impact of Joint Advocacy efforts for European Union and National Cardiovascular Health Plans.","authors":"Piotr Szymański, Francesco Cosentino, Donna Fitzsimons, Vassil Traykov, Victor Aboyans, Hector Bueno, Adam Witkowski, Robert Gil, Przemysław Mitkowski","doi":"10.33963/v.phj.102281","DOIUrl":"https://doi.org/10.33963/v.phj.102281","url":null,"abstract":"","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":null,"pages":null},"PeriodicalIF":3.7,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142073187","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}