Kardiologia polska最新文献

{"title":"Isolated tuberculous pericarditis without evidence of pulmonary tuberculosis - a demanding disease not only because is very rare.","authors":"Marek Klocek, Oskar Marcinkowski, Jakub Mrzyk, Marek Rajzer","doi":"10.33963/v.phj.114116","DOIUrl":"https://doi.org/10.33963/v.phj.114116","url":null,"abstract":"","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":" ","pages":""},"PeriodicalIF":7.4,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148679106","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":"Clinical and cardiac magnetic resonance characteristics of patients with complicated versus uncomplicated acute myocarditis.","authors":"Barbara Zdzierak, Michał Węgiel, Bernadeta Chyrchel, Wiktoria Wojciechowska, Artur Dziewierz, Stanisław Bartuś, Andrzej Surdacki, Tomasz Rakowski","doi":"10.33963/v.phj.114050","DOIUrl":"https://doi.org/10.33963/v.phj.114050","url":null,"abstract":"","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":" ","pages":""},"PeriodicalIF":7.4,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148679067","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":"Dor procedure in post-infarction left ventricular aneurysm complicated by heart failure.","authors":"Ryszard Radziukiewicz, Aleksander Szczęsny, Łukasz Nowotka, Ewa Warchoł-Celińska, Krzysztof Kuśmierski, Maciej Sterliński, Mirosław Kowalski","doi":"10.33963/v.phj.114048","DOIUrl":"https://doi.org/10.33963/v.phj.114048","url":null,"abstract":"","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":" ","pages":""},"PeriodicalIF":7.4,"publicationDate":"2026-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148673767","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":"From inflammation to irreversibility: Multimodality imaging in constrictive pericarditis.","authors":"Magdalena Zarotyńska, Aleksander Wojciechowski, Bernadeta Chyrchel, Anna Grochowska, Tadeusz Popiela, Marek Rajzer, Wiktoria Wojciechowska","doi":"10.33963/v.phj.114010","DOIUrl":"https://doi.org/10.33963/v.phj.114010","url":null,"abstract":"","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":" ","pages":""},"PeriodicalIF":7.4,"publicationDate":"2026-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148673756","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":"Whole-body computed tomography's role in redefining left-sided infective endocarditis diagnosis and management.","authors":"Małgorzata Misztal-Ogonowska, Maciej Grabowski, Karina Zatorska, Anna Jasińska, Ilona Michałowska, Krzysztof Kuśmierski, Ilona Kowalik, Tomasz Hryniewiecki","doi":"10.33963/v.phj.113976","DOIUrl":"https://doi.org/10.33963/v.phj.113976","url":null,"abstract":"<p><strong>Background: </strong>Septic embolism, heart failure, perivalvular involvement, and uncontrolled infection are common complications of infective endocarditis (IE) and frequent indications for surgery.</p><p><strong>Aims: </strong>We evaluated the impact of introducing whole‑body computed tomography (WB‑CT; brain, chest, abdomen) into the diagnostic work-up of patients with left‑sided IE (LS-IE) on detection of embolic and perivalvular complications and on surgical indications.</p><p><strong>Methods: </strong>We retrospectively analyzed 366 patients admitted with LS-IE from 2015 to 2024. Patients were classified according to whether WB-CT was performed during hospitalization.</p><p><strong>Results: </strong>Of 366 patients, 132 (36.1%) underwent WB‑CT. Mean age was 57.9 (15.7) years, 79.8% were men, and surgery was performed in 268 patients (73.2%). Among patients who underwent WB-CT, embolic complications occurred in the spleen in 56 (42.4%), the brain in 28 (21.2%), and other sites in 23 (17.4%). The WB-CT strategy detected extracardiac embolic complications more often than the non-WB-CT protocol at each site (P <0.001). Perivalvular pseudoaneurysms were identified more frequently on CT than on echocardiography (P = 0.008). Among operated patients with WB‑CT (n = 94; 35.1%), embolism prevention was the main indication (47.9% vs. 23.0%; odds ratio [OR], 3.07; 95% confidence interval [CI], 1.80-5.26; P <0.001). By contrast, heart failure predominated in the non-WB-CT group (47.1% vs. 19.1%; OR, 0.26; 95% CI, 0.15-0.48; P <0.001).</p><p><strong>Conclusions: </strong>WB-CT was associated with a higher detection of embolic and perivalvular complications in LS-IE and with a different pattern of surgical indications, with embolism prevention more frequent in the WB-CT group.</p>","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":" ","pages":""},"PeriodicalIF":7.4,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148630822","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":"Wearable cardioverter-defibrillator in clinical practice - what we know and what questions are still to be answered.","authors":"David Duncker, Przemysław Mitkowski, Eloi Marijon, Maciej Sterliński","doi":"10.33963/v.phj.113978","DOIUrl":"https://doi.org/10.33963/v.phj.113978","url":null,"abstract":"<p><p>Sudden cardiac death remains a major contributor to cardiovascular mortality worldwide. The wearable cardioverter-defibrillator (WCD) provides temporary, non-invasive protection from sudden arrhythmic death through continuous rhythm monitoring and automatic detection and treatment of ventricular tachycardia and ventricular fibrillation. Accumulating evidence demonstrates high defibrillation efficacy, low rates of inappropriate shocks, and a clinically meaningful role in patients with transiently elevated or uncertain arrhythmic risk. The WCD is increasingly used as a bridge to recovery, implantable cardioverter-defibrillator implantation, or further risk stratification in conditions such as newly diagnosed heart failure with reduced ejection fraction, recent myocardial infarction, myocarditis, and after implantable cardioverter-defibrillator explantation. At the same time, the clinical effectiveness of WCD therapy is highlydependent on patient adherence, structured follow-up, and appropriate patient selection. Recent studies have further highlighted the role of the WCD not only as a temporary safeguard against sudden cardiac death, but also as a tool for protected risk stratification during periods of dynamic and evolving arrhythmic risk. This review summarizes current evidence supporting WCD therapy, discusses its role within contemporary heart failure and arrhythmia management pathways, highlights remaining knowledge gaps, and examines differences in implementation and reimbursement across selected European countries.</p>","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":" ","pages":""},"PeriodicalIF":7.4,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148630790","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":"Clinical phenotype and patient profile of individuals referred for invasive coronary angiography for chronic coronary syndromes: High prevalence of non-obstructive coronary artery disease and its predictors - a multicenter registry analysis.","authors":"Karol Kaziród-Wolski, Janusz Sielski, Kamil Salwa, Artur Dziewierz, Krzysztof P Malinowski, Zbigniew Siudak","doi":"10.33963/v.phj.113886","DOIUrl":"https://doi.org/10.33963/v.phj.113886","url":null,"abstract":"<p><strong>Background: </strong>Implementing non-invasive coronary imaging affects the use and distribution of non-obstructive coronary artery disease in coronary angiography (CAG).</p><p><strong>Aims: </strong>To identify current trends in CAG findings, the clinical phenotype associated with non-significant lesions and predictors of normal angiogram.</p><p><strong>Methods: </strong>The study included 749 235 CAGs recorded in the National Registry of Procedures of Invasive Cardiology database in Poland (456 202 [61%] were performed on men, with a median age of 67 years). Data were collected between 2014 and 2024 from patients with chronic coronary syndromes.</p><p><strong>Results: </strong>No significant stenosis was found in 49.5% of cases. The frequency of non-obstructive coronary artery disease showed increasing trend (range 32.4%-41.4%), while normal angiograms showed decreasing trend (range 16.4%-9.3%). Multivessel disease (MVD) without left main coronary artery (LMCA) involvement showed decreasing trend (range 23.9%-22.1%) as well as LMCA-only disease (range 0.36%-0.23%). Higher body weight and chronic obstructive pulmonary disease increased the likelihood of normal angiogram. Older age, male sex, diabetes, prior myocardial infarction, percutaneous coronary intervention, coronary artery bypass grafting, current smoking, hypertension, kidney disease, and psoriasis reduced it. Risk of periprocedural complications during CAG in group referred to conservative treatment have been increased by single-vessel disease (65%), MVD with/without LMCA stenosis (72%-81%), current smoking (39%), psoriasis (over 3-fold), and kidney disease (48%), while male sex reduced the risk by 34%.</p><p><strong>Conclusions: </strong>Non-obstructive atherosclerotic lesions are increasingly recognized. Groups with and without significant stenosis differ in clinical and anthropometric profiles. Body weight and chronic obstructive pulmonary disease predicted conservative management. Current smoking, psoriasis, kidney disease, and MVD increased procedural risk; male sex decreased it.</p>","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":" ","pages":""},"PeriodicalIF":7.4,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148604483","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":"Outcomes of balloon aortic valvuloplasty in contemporary practice: A single-center observational study.","authors":"Zofia Kampka, Wojciech Żakiewicz, Kamil Jabłoński, Aleksandra Golec, Kamil Górny, Julia Jung, Emilia Koziara, Katarzyna Szlachetka, Marek Grabka, Michał Lelek, Tomasz Bochenek, Damian Hudziak, Radosław Gocoł, Katarzyna Mizia-Stec, Krystian Wita, Maciej T Wybraniec","doi":"10.33963/v.phj.113887","DOIUrl":"https://doi.org/10.33963/v.phj.113887","url":null,"abstract":"<p><strong>Background: </strong>Balloon aortic valvuloplasty (BAV) remains a vital tool as a bridge to definitive treatment, a palliative therapy, or a stabilizing procedure for hemodynamically unstable patients.</p><p><strong>Aims: </strong>Our aim was to characterize patients undergoing BAV and identify predictors of procedural success, major adverse cardiovascular and cerebrovascular events, and in-hospital mortality.</p><p><strong>Methods: </strong>This retrospective, single-center registry embraced consecutive patients undergoing BAV between 2010 and 2022. Procedural success was defined as mean pressure gradient reduction > 10 mm Hg. Major adverse cardiovascular and cerebrovascular events was the primary composite endpoint.</p><p><strong>Results: </strong>Among 136 patients (57 men [41.9%]; mean [standard deviation] age 78.5 [8.9] years), BAV was performed as: a bridge to transcatheter aortic valve implantation (n = 42, 30.9%), palliative procedure (n = 49, 36.0%), prognostic procedure during transcatheter aortic valve implantation qualification (n = 33, 24.3%). Sixteen patients underwent percutaneous coronary intervention (14 before [10.3%] and 2 during BAV [1.5%]). Procedural success was reported in 60 patients (44.1%) and independently associated with a higher mean pressure gradient (odds ratio [OR], 1.09; 95% confidence interval: 1.002-1.19; P = 0.04). Major adverse cardiovascular and cerebrovascular events occurred in 23 patients (16.9%), was independently predicted by a higher maximal aortic valve gradient (OR, 1.02; P = 0.014) and need for intubation (OR, 15.5; P = 0.003). In-hospital mortality was 6.6%, with precedent percutaneous coronary intervention being its independent predictor (OR, 32.0; P = 0.015). Patients after successful BAV more frequently underwent subsequent aortic valve replacement.</p><p><strong>Conclusions: </strong>Balloon aortic valvuloplasty remains a valuable procedure, particularly as a bridge to definitive treatment. Major adverse cardiovascular and cerebrovascular events and mortality risk remains significant, highlighting the fragile nature of the patients' population.</p>","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":" ","pages":""},"PeriodicalIF":7.4,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148603898","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":"An unusual cardiac complication of an odontogenic infection - multimodality imaging in a rare infectious cascade.","authors":"Tomasz Walczak, Adrian Doroszko, Waldemar Banasiak, Dorota Kustrzycka-Kratochwil","doi":"10.33963/v.phj.113927","DOIUrl":"https://doi.org/10.33963/v.phj.113927","url":null,"abstract":"","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":" ","pages":""},"PeriodicalIF":7.4,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148579053","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":"Focal endocardial ablation at the lateral end of epicardial conduction identified by Ripple mapping in perimitral atrial tachycardia after modified anterior line ablation.","authors":"Tomomasa Takamiya, Kensuke Fujiwara, Takashi Miyamoto, Shinsuke Miyazaki, Tetsuo Sasano","doi":"10.33963/v.phj.113922","DOIUrl":"https://doi.org/10.33963/v.phj.113922","url":null,"abstract":"","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":" ","pages":""},"PeriodicalIF":7.4,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148579085","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}