Kardiologia polska最新文献

{"title":"SYNTAX score as a predictor of left ventricular function in patients after myocardial infarction.","authors":"Michał Węgiel, Artur Dziewierz, Piotr Jarosz, Stanisław Bartuś, Andrzej Surdacki, Tomasz Rakowski","doi":"10.33963/v.phj.105652","DOIUrl":"https://doi.org/10.33963/v.phj.105652","url":null,"abstract":"","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144032988","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":"Atrial fibrillation in patients with heart failure with reduced, mildly reduced, and preserved ejection fraction: a report from the HEart failuRe ObsErvational Study (HEROES).","authors":"Iwona Gorczyca-Głowacka, Agata Galas, Agata Tymińska, Katarzyna Byczkowska, Anna Furman-Niedziejko, Michał Tkaczyszyn, Adrian Stefański, Agnieszka Major, Dominika Klimczak-Tomaniak, Piotr Hamala, Małgorzata Zachura, Mateusz Staciwa, Maciej Nadel, Robert Morawiec","doi":"10.33963/v.phj.105590","DOIUrl":"https://doi.org/10.33963/v.phj.105590","url":null,"abstract":"<p><strong>Background: </strong>Heart failure (HF) and atrial fibrillation (AF) often coexist and modify each other's course. The prevalence and clinical characteristic of AF differ in specific HF subtypes.</p><p><strong>Aims: </strong>The study aimed to evaluate the incidence and clinical features of people with AF in comparison to those with sinus rhythm in HF, across the three HF subtypes categorized by left ventricular ejection fraction (EF).</p><p><strong>Methods: </strong>Hospitalized patients and outpatients were enrolled in the Heart failuReObsErvationalStudy, a prospective, multicenter cohort study. HF subtypes were defined as reduced EF (HFrEF, EF<40%), mildly reduced EF (HFmrEF, EF 40%-49%) or preserved EF(HFpEF, EF≥50%).</p><p><strong>Results: </strong>A total of 1,210 patients with HF were included in the study (71.8% male). Among them, 51.8% had HFrEF, 21.7% had HFmrEF, and 26.5% had HFpEF. Within the entire HF study population, 79.5% were hospitalized, and AF was present in 51.8% of patients. The prevalence of AF was 53.9% in HFrEF, 49.7% in HFmrEF, and 51.7% in HFpEF (P=0.59). The strongest factors independently associated with AF in different HF subtypes were echocardiographic abnormalities: aortic regurgitation in patients with HFpEF (OR 9.02, CI 1.14-71.27, P<0.001), left atrial volume > median in patients with HFmrEF (OR 6.21, CI 2.24-17.2, P<0.001) and in patients with HFrEF (OR 3.9, CI 2.21-6.90, P<0.001). Selected independent associations with AF were similar in HFpEF, HFmrEF, and HFrEF groups.</p><p><strong>Conclusions: </strong>In the population with HF, the AF incidence is similar in the HFrEF, HFmrEF and HFpEF groups. It is associated with similar clinical characteristics in HF subtypes.</p>","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030921","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":"Right atrial and dual chamber leadless pacemaker implantation: A pioneer experience in Poland. Findings from a multicentre national registry - a preliminary report.","authors":"Mateusz Tajstra, Anna Kurek, Przemysław Mitkowski, Krzysztof Boczar, Andrzej Ząbek, Lidia Chmielewska-Michalak, Marcin Michalak, Marcin Grabowski, Radosław Lenarczyk, Adam Sokal, Krystian Josiak, Bartosz Biel, Aleksandra Błachut, Oskar Kowalski, Zbigniew Kalarus, Mariusz Gąsior","doi":"10.33963/v.phj.105319","DOIUrl":"https://doi.org/10.33963/v.phj.105319","url":null,"abstract":"","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143772618","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":"\"Wrong way could be the only way\". A case of vascular access to a coronary vessel through a periprosthetic leak in the thoracic aorta.","authors":"Karol Zieliński, Artur Milnerowicz, Kornel Pormańczuk, Aleksandra Milnerowicz, Marek Mak, Natalia Świątoniowska-Lonc, Luiza Bulak, Dorota Wolny, Artur Telichowski, Adrian Doroszko, Waldemar Banasiak, Krzysztof Ściborski","doi":"10.33963/v.phj.105249","DOIUrl":"https://doi.org/10.33963/v.phj.105249","url":null,"abstract":"","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143772525","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":"Zero-exchange workflow for cryoballoon ablation in pulmonary vein isolation using a direct over-the-needle transseptal access with the FlexCath sheath: A multicenter observational study.","authors":"Piotr Denysiuk, Marcin Szczasny, Milena Stachyra, Joanna Popiolek-Kalisz, Magdalena Stadnik, Jarosław Wojcik, Piotr Blaszczak, Andrzej Glowniak","doi":"10.33963/v.phj.105344","DOIUrl":"https://doi.org/10.33963/v.phj.105344","url":null,"abstract":"<p><strong>Background: </strong>Transseptal puncture (TSP) is a crucial step during cryoballoon ablation (CBA) allowing for left atrium access. During the procedure an over-the-wire sheath exchange is required, which brings concerns about the exchange-related complications. An alternative option is performing the TSP through a steerable sheath and thus avoiding the exchange.</p><p><strong>Aims: </strong>We aimed to evaluate the feasibility, efficacy and safety of a simplified zero-exchange workflow for CBA procedure.</p><p><strong>Methods: </strong>Patients undergoing CBA (with Arctic Front Advance Pro, Medtronic) at 3 centers in Poland were prospectively enrolled and assigned to the standard approach (N=62) or the no-exchange group (N=62). The TSP in the standard approach group was performed through a fixed-curve sheath that was exchanged for a 15F steerable sheath (FlexCath Advance, Medtronic). In the no-exchange group the puncture was performed through the steerable sheath.</p><p><strong>Results: </strong>TSP was successfully performed in all patients. In the no-exchange group compared to the standard approach group the median (IQR) procedure time and left atrium dwell time were significantly shorter (75.0 (60.0 - 90.0) min vs 80.5 (70.0 - 100.0) min; P = 0.02 and 47 (40.0 - 56.0) min vs 51.5 (43.25 - 64.5) min, P = 0.04 , respectively) with comparable median (IQR) fluoroscopy time (14.0 (8.5 - 20.4) min vs 12.25 (10.0 - 17.6) min, P = 0.74). Only one potentially TSP-related complication has occurred in each group.</p><p><strong>Conclusion: </strong>A direct TSP with the FlexCath Advance sheath is a feasible, safe and efficient alternative to the standard approach.</p>","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143772620","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":"Approaches to rate response and atrioventricular delay management in dual-chamber pacemaker programming: Insights from a retrospective multicenter study.","authors":"Ewa Świerżyńska-Wodarska, Renata Główczyńska, Agnieszka Kołodzińska, Andrzej Cacko, Jakub Malinowski, Łukasz Nowotka, Filip Czyżewski, Artur Oręziak, Przemysław Stolarz, Joanna Zakrzewska-Koperska, Grzegorz Opolski, Łukasz Szumowski, Marcin Grabowski, Maciej Sterliński","doi":"10.33963/v.phj.105247","DOIUrl":"https://doi.org/10.33963/v.phj.105247","url":null,"abstract":"","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143772613","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 coronary artery bypass grafting in elderly patients: A comprehensive analysis of different surgical approaches (from the KROK Registry).","authors":"Kinga Kosiorowska, Tomasz Hrapkowicz, Marek Jasiński, Roman Przybylski, Marek Deja, Jan Rogowski, Witold Gerber, Jerzy Pacholewicz, Romuald Cichoń, Marek Cisowski, Wojciech Pawliszak, Paweł Bugajski, Michał Krejca, Tomasz Hirnle, Bartłomiej Perek, Zdzisław Tobota, Bohdan Maruszewski, And Krok Investigators","doi":"10.33963/v.phj.105419","DOIUrl":"https://doi.org/10.33963/v.phj.105419","url":null,"abstract":"<p><strong>Background: </strong>Coronary artery revascularization is vital for managing coronary artery disease, especially in elderly patients with multiple comorbidities.</p><p><strong>Aims: </strong>To evaluate the outcomes of coronary artery bypass surgery in patients aged ≥75 years, focusing on the survival benefits of different surgical techniques and graft types.</p><p><strong>Material and methods: </strong>This retrospective cohort study analyzed data from the Polish National Registry of Cardiac Surgery Procedures (2012-2022) for patients aged ≥75 years undergoing isolated coronary artery bypass surgery.</p><p><strong>Results: </strong>We analysed 18 215 patients: 12 843 patients were under 80 years; 4689 were between 80 and 84 years; and 683 were ≥85 years. Key preoperative risk factors associated with increased hospital mortality included extracardiac arteropathy, atrial fibrillation, chronic renal failure, recent myocardial infarction, and poor mobility. The median follow-up time was 4.8 years (interquartile range 2.37-7.27). On-pump coronary artery bypass grafting (ONCAB)demonstrated a significant long-term benefit in patients aged <80 years. The use of internal mammary artery graft provided significant survival advantages for those <85 years, but this benefit was not observed in patients aged ≥85 years (P = 0.73). Multiarterial grafting did not demonstrate a significant survival advantage across all age groups.</p><p><strong>Conclusions: </strong>In patients ≥80 years, there was no survival benefit between ONCAB and off-pump coronary bypass grafting. However, ONCAB was associated with significantly improved survival outcomes in younger patients. The internal mammary artery graft improved long-term survival in patients <85 years, while additional arterial grafts did not confer a survival benefit in the elderly population.</p>","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143710475","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":"Micra leadless pacemaker extraction using Aveir retrieval catheter-initial experience in Poland.","authors":"Mateusz Tajstra, Maciej Dyrbuś, Anna Kurek, Mariusz Gąsior","doi":"10.33963/v.phj.105420","DOIUrl":"https://doi.org/10.33963/v.phj.105420","url":null,"abstract":"","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143710467","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":"Myocardial infarction associated with anomalous origin of the right coronary artery from the pulmonary trunk.","authors":"Barbara Zdzierak, Bernadeta Chyrchel, Agata Krawczyk-Ożóg, Wojciech Szpyrka, Andrzej Witkowski, Artur Dziewierz","doi":"10.33963/v.phj.105220","DOIUrl":"https://doi.org/10.33963/v.phj.105220","url":null,"abstract":"","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143710469","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":"One in one hundred thousand chance - the importance of echocardiography before routine atrial flutter cardioversion.","authors":"Jan Sobieraj, Eulalia Welk, Radosław Wilimski, Adam Rdzanek, Piotr Scisło","doi":"10.33963/v.phj.105221","DOIUrl":"https://doi.org/10.33963/v.phj.105221","url":null,"abstract":"","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143710472","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}