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The study of the base resin impact on planktonic growth of microorganisms of oral origin. 基础树脂对口腔源性微生物浮游生长影响的研究。
Wiadomosci lekarskie Pub Date : 2025-01-01 DOI: 10.36740/WLek/197145
Yurij Kushnir, Roman Kutsyk, Mykola Rozhko, Tetyana Dmytryshyn, Roksolana Verbovska, Bohdan Pelekhan, Olena Rozhko
{"title":"The study of the base resin impact on planktonic growth of microorganisms of oral origin.","authors":"Yurij Kushnir, Roman Kutsyk, Mykola Rozhko, Tetyana Dmytryshyn, Roksolana Verbovska, Bohdan Pelekhan, Olena Rozhko","doi":"10.36740/WLek/197145","DOIUrl":"10.36740/WLek/197145","url":null,"abstract":"<p><strong>Objective: </strong>Aim: To study the main differences in the intensity of growth of microbial strains of oral origin when they are cultivated in the presence of base resins that are widely used in the clinic of prosthetic dentistry.</p><p><strong>Patients and methods: </strong>Materials and Methods: 3 types of base resin samples were used to evaluate the impact on the growth of microorganisms. Strains of opportunistic pathogens representing the facultative anaerobic transient microflora of the oral cavity were used for the research. Microbial cultures were isolated from the oral mucosa of the patients with removable dentures. The optical density of the culture was determined using a multi-mode photometer. Control growth of the cultures was evaluated under similar cultivation conditions in test tubes with a nutrient medium without resin samples.</p><p><strong>Results: </strong>Results: All resins reduced the intensity of polyantibiotic-resistant S. aureus MRSA growth compared to control samples. The impact on S. epedermidis growth was different. Thus, Vertex and Вreflex reduced the growth intensity insignificantly, and Villacryl increased it to the level of 1.104 ±0.026 CU in comparison with glass constituting 1.178 ±0.033 CU. All studied resins inhibited the growth of polyantibiotic-resistant S. aureus MRSA. Villacryl resin had the least impact on the growth of S. epedermidis. Villacryl resin inhibited C. albicans growth only by 13.70%, and the other two resins inhibited it by 25% on average.</p><p><strong>Conclusion: </strong>Conclusions: The conducted microbiological studies showed the diverse influence of base materials on such important indicators as the optical density of cultures grown in the presence of base resins and the growth inhibition index of cultures.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 1","pages":"110-115"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143537682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Nanohydroxyapatite as the key factor in bone regeneration. 纳米羟基磷灰石是骨再生的关键因素。
Wiadomosci lekarskie Pub Date : 2025-01-01 DOI: 10.36740/WLek/202331
Paweł Kamiński, Mateusz Kaczmarski, Marta Żerebiec, Natalia Saj, Aleksandra Bełżek, Zuzanna Rupeć, Karolina Turżańska, Małgorzata Drelich
{"title":"Nanohydroxyapatite as the key factor in bone regeneration.","authors":"Paweł Kamiński, Mateusz Kaczmarski, Marta Żerebiec, Natalia Saj, Aleksandra Bełżek, Zuzanna Rupeć, Karolina Turżańska, Małgorzata Drelich","doi":"10.36740/WLek/202331","DOIUrl":"https://doi.org/10.36740/WLek/202331","url":null,"abstract":"<p><p>Bone tissue is a complex material with remarkable durability, elasticity and resistance to mechanical forces, playing a key role in the musculoskeletal system. Hydroxyapatite, a naturally occurring bone-like mineral, is used in a variety of medical applications due to its compatibility with bone tissue. However, synthetic hydroxyapatite has some limitations, such as fragility and low resistance to mechanical straining. Recent developments in nanotechnology have led to the invention of nanohydroxyapatite, which improves bone regeneration and integration with surrounding tissues. The aim of the study is to draw attention to the growing potential of nanohydroxyapatite in clinical practice, especially in the treatment of bone defects. A comprehensive literature review was conducted using PubMed and Google Scholar based on specific criteria to identify relevant studies on the clinical application of nanohydroxyapatite and evaluate its effectiveness and applicability with other organic and inorganic materials. Nanohydroxyapatite has been extensively studied in vitro, in vivo and in clinical trials, showing enhanced bone regeneration and integration. Studies in animal models show promising results for nanohydroxyapatite in bone healing and infection prevention. Clinical studies also confirm its effectiveness in bone grafts, showing comparable results to autografts and fewer complications than other synthetic materials. Nanohydroxyapatite represents a promising biomaterial in modern medicine. Demonstrating effectiveness comparable to natural bone tissue in clinical applications, it exhibits great promise in bone regeneration, implant integration and tissue healing.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 3","pages":"551-558"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144039425","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Hepatitis E virus in pregnancy - vaccine and HEV reinforced with polymer. 妊娠期戊型肝炎病毒疫苗与聚合物增强戊型肝炎病毒。
Wiadomosci lekarskie Pub Date : 2025-01-01 DOI: 10.36740/WLek/202543
Kamila Gorczyca, Maciej Paszkowski
{"title":"Hepatitis E virus in pregnancy - vaccine and HEV reinforced with polymer.","authors":"Kamila Gorczyca, Maciej Paszkowski","doi":"10.36740/WLek/202543","DOIUrl":"https://doi.org/10.36740/WLek/202543","url":null,"abstract":"<p><p>The hepatitis E virus (HEV) causes self-limiting viral hepatitis. It is now global, both in developing and low-industrialized countries. With infection, the predominance of infections is asymptomatic but can cause death. Pregnant women are particularly vulnerable to severe complications. This article summarizes the current knowledge about HEV infection during pregnancy, focusing on immunology, transmission, complications in both pregnant and newborn women, and polymer-boosted vaccines. The development of a polymer-reinforced vaccine may in the future solve the problem of the HEV virus, which is particularly dangerous for pregnant women.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 3","pages":"621-625"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144026407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Barriers to physical activity counseling in primary health care: identifying gaps in training and implementation. 初级卫生保健中身体活动咨询的障碍:确定培训和实施方面的差距。
Wiadomosci lekarskie Pub Date : 2025-01-01 DOI: 10.36740/WLek/202448
Artur Jakubiak, Kamila Kwiatkowska, Nataliia Fedorenko, Silvija Ille, Zuzanna Jakubiak
{"title":"Barriers to physical activity counseling in primary health care: identifying gaps in training and implementation.","authors":"Artur Jakubiak, Kamila Kwiatkowska, Nataliia Fedorenko, Silvija Ille, Zuzanna Jakubiak","doi":"10.36740/WLek/202448","DOIUrl":"https://doi.org/10.36740/WLek/202448","url":null,"abstract":"<p><p>Physical activity (PA) is a key factor in the prevention and treatment of non-communicable diseases. Despite the proven effectiveness of various PA interventions, their implementation in real-world settings remains suboptimal. Numerous barriers hinder effective PA counseling, potentially preventing patients in PHC settings from achieving adequate levels of physical activity. The identified barriers include lack of time, insufficient knowledge, inadequate training in PA counseling, and lack of confidence among healthcare professionals. These challenges highlight a training gap in primary healthcare education. A systematic literaturę review was conducted, focusing on studies published between 2018 and 2024, with a particular emphasis on systematic reviews. Primary Health Care (PHC) provides an appropriate environment for PA counseling, as a significant portion of the population has regular contact with family physicians. Understanding the barriers to promoting PA at the PHC level is a crucial first step toward their elimination, ultimately contributing to improved health outcomes not only for individuals but also for the broader population.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 3","pages":"565-570"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Immediate diaphragmatic relaxation effect on mobility and pain threshold in smartphone users with non-specific cervical spine pain: a randomized placebo-controlled trial. 即时膈肌放松对智能手机用户非特异性颈椎疼痛的活动能力和痛阈的影响:一项随机安慰剂对照试验。
Wiadomosci lekarskie Pub Date : 2025-01-01 DOI: 10.36740/WLek/202427
Agata Czępińska, Magdalena Zawadka, Izabela Dąbkowska
{"title":"Immediate diaphragmatic relaxation effect on mobility and pain threshold in smartphone users with non-specific cervical spine pain: a randomized placebo-controlled trial.","authors":"Agata Czępińska, Magdalena Zawadka, Izabela Dąbkowska","doi":"10.36740/WLek/202427","DOIUrl":"https://doi.org/10.36740/WLek/202427","url":null,"abstract":"<p><strong>Objective: </strong>Aim: To compare the manual diaphragmatic relaxation technique and placebo intervention on selected parameters in the neck in smartphone users with non-specific neck pain.</p><p><strong>Patients and methods: </strong>Materials and methods: A randomized placebo-controlled trial included 38 women. Neck range of motion and pressure pain threshold were assessed in participants who were assigned to the Therapy group or a Placebo group. The intervention consisted of a single manual relaxation of the diaphragm in the supine position. Repeat measurements were taken after the intervention.</p><p><strong>Results: </strong>Results: There was a statistically significant effect of therapy on range of motion in both studied groups (p < 0.001; partial η2= 0.58. Statistically significant improvement in the range of motion concerned three planes of movement and all analyzed measurements. There were no statistically significant differences in range of motion between groups. Comparison of pressure pain threshold at the level of the 4th cervical vertebra before and after therapy showed significant differences only in the Therapy group (p=0.04, d=0.45). No statistically significant differences in pressure pain threshold were found between the groups either before or after therapy.</p><p><strong>Conclusion: </strong>Conclusions: Global summary of results does not allow for drawing final conclusions regarding the effect of manual diaphragm release on neck parameters in smartphone users with non-specific neck pain, taking into account the results of other researchers, diaphragm therapy is recommended for people with neck pain.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 3","pages":"522-530"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144037010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Advances in 3D printed orthotics for rehabilitation. 3D打印康复矫形器的研究进展。
Wiadomosci lekarskie Pub Date : 2025-01-01 DOI: 10.36740/WLek/202602
Aleksandra Bełżek, Marta Żerebiec, Natalia Saj, Zuzanna Rupeć, Paweł Kamiński, Mateusz Kaczmarski, Karolina Turżańska
{"title":"Advances in 3D printed orthotics for rehabilitation.","authors":"Aleksandra Bełżek, Marta Żerebiec, Natalia Saj, Zuzanna Rupeć, Paweł Kamiński, Mateusz Kaczmarski, Karolina Turżańska","doi":"10.36740/WLek/202602","DOIUrl":"https://doi.org/10.36740/WLek/202602","url":null,"abstract":"<p><p>3D printing technology has revolutionized medicine, particularly in orthopedic oncology and rehabilitation, by enabling the creation of customized implants, prostheses, and surgical tools. Its ability to produce complex, patient-specific structures with precise mechanical properties has significantly improved surgical outcomes and treatment effectiveness. Additionally, advancements in digital imaging and computer-aided design/computer-aided manufacturing (CAD/CAM) technologies have streamlined the design and manufacturing process, reducing production time while enhancing comfort and functionality. The continuous development of materials and printing techniques ensures further innovations in personalized medical solutions, making 3D printing a key tool in modern healthcare.The aim of this review is to evaluate the usefulness and development of 3D printing in rehabilitation, focusing on its impact on prosthetics and orthotics. The review of contemporary literature confirms that 3D printing significantly enhances the customization, efficiency, and accessibility of prosthetics and orthotics in rehabilitation. Studies indicate that 3D-printed devices provide comparable or superior biomechanical performance and comfort compared to traditionally manufactured solutions. Additionally, advancements in digital imaging and CAD/CAM technologies have optimized the design and production process, reducing manufacturing time while maintaining precision. 3D printing has emerged as a groundbreaking technology in rehabilitation, offering highly customizable and cost-effective solutions for prosthetics and orthotics. The integration of digital imaging and CAD/CAM technologies further refines the design process, ensuring greater precision. As research and material advancements continue, 3D printing is expected to play an increasingly significant role in rehabilitation, improving patient care and quality of life.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 3","pages":"539-543"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparative analysis of treatment options for impacted mandibular canines in different age groups of patients. A retrospective study. 不同年龄组患者下颌埋伏牙治疗方案的比较分析。回顾性研究。
Wiadomosci lekarskie Pub Date : 2025-01-01 DOI: 10.36740/WLek/203841
Zinaida Y Zhehulovych, Yuriy I Babaskin, Vitalii V Parii, Tetiana A Shumynska, Roman V Popov, Tamara A Melnichuk, Olexandr I Kovalchuk
{"title":"Comparative analysis of treatment options for impacted mandibular canines in different age groups of patients. A retrospective study.","authors":"Zinaida Y Zhehulovych, Yuriy I Babaskin, Vitalii V Parii, Tetiana A Shumynska, Roman V Popov, Tamara A Melnichuk, Olexandr I Kovalchuk","doi":"10.36740/WLek/203841","DOIUrl":"https://doi.org/10.36740/WLek/203841","url":null,"abstract":"<p><strong>Objective: </strong>Aim: To analyze the effectiveness of traditional treatment options for impacted mandibular canines in adolescents and young people while considering age, the number of impacted teeth, type of treatment, and orthodontic appliances.</p><p><strong>Patients and methods: </strong>Materials and Methods: The retrospective investigation of the data of the case histories of patients with impacted mandibular canines was done: 53 cases in children and adolescents (Q1-Q3 = 13 to 15 years) (Group І) and 19 in young adults (Q1-Q3 = 21.25 to 33.5 years) (Group ІІ). The anamnesis data and clinical examination, x-ray findings, jaw model findings, treatment methods, and results were studied.</p><p><strong>Results: </strong>Results: In Gr. I, unilateral impaction prevailed (71.7%), whereas 20.8% of patients had bilateral impaction of mandibular canines. In Gr. II, 57.9% of patients had unilateral impaction, whereas 26.3% had bilateral impaction of mandibular canines. There is a strong correlation between the treatment outcomes and the patient's age, the number of impacted teeth, and the type of orthodontic appliance.</p><p><strong>Conclusion: </strong>Conclusions: The findings indicate the risk of poor treatment effect increases with the patient's age and the kind of appliances. the number of retained teeth, and their location in the jaw.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 4","pages":"702-709"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144080919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Personal data protection in mHealth apps: international experience and prospects for legislative changes in Ukraine. 移动医疗应用程序中的个人数据保护:乌克兰立法变化的国际经验和前景。
Wiadomosci lekarskie Pub Date : 2025-01-01 DOI: 10.36740/WLek/203908
Vadym I Pishta, Sandra O Boldizhar, Tereziia P Popovych, Nazar T Holovatskiy, Anatoliy M Potapchuk, Mykhaylo M Hechko
{"title":"Personal data protection in mHealth apps: international experience and prospects for legislative changes in Ukraine.","authors":"Vadym I Pishta, Sandra O Boldizhar, Tereziia P Popovych, Nazar T Holovatskiy, Anatoliy M Potapchuk, Mykhaylo M Hechko","doi":"10.36740/WLek/203908","DOIUrl":"https://doi.org/10.36740/WLek/203908","url":null,"abstract":"<p><strong>Objective: </strong>Aim: This study aims to analyze the legal aspects of mHealth apps in Ukraine, focusing on personal data protection and the effectiveness of the current legislation. The paper also zeroes in on examining international personal data protection standards and offers recommendations for improving the respective Ukrainian legislation.</p><p><strong>Patients and methods: </strong>Matherials and Methods: we employed method such as Overview to study Ukrainian and foreign legislation on personal data protection.</p><p><strong>Conclusion: </strong>Conclusions: The study highlights the shortcomings in the legal regulation of mHealth apps in Ukraine, which creates risks to the privacy of users' personal data. To ensure the safe use of mHealth apps, it is necessary to implement international standards for protecting personal data, taking into account the experience of the United States, Canada, and the EU. Improving the legislation will help increase user confidence in mHealth apps and favour the interaction between patients and healthcare providers.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 4","pages":"949-954"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Profile of antibiotic resistance of the main infectious contaminants on the wound surface of wounded men in the Russian-Ukrainian war. 俄乌战争中伤员伤口表面主要感染性污染物的抗生素耐药性分析。
Wiadomosci lekarskie Pub Date : 2025-01-01 DOI: 10.36740/WLek/197142
Oksana Melnyk, Dmytro Vorobets, Viktor Chaplyk, Mykola Vorobets, Roman Fafula, Anna Besedina, Zinoviy Vorobets
{"title":"Profile of antibiotic resistance of the main infectious contaminants on the wound surface of wounded men in the Russian-Ukrainian war.","authors":"Oksana Melnyk, Dmytro Vorobets, Viktor Chaplyk, Mykola Vorobets, Roman Fafula, Anna Besedina, Zinoviy Vorobets","doi":"10.36740/WLek/197142","DOIUrl":"10.36740/WLek/197142","url":null,"abstract":"<p><strong>Objective: </strong>Aim: To study the spectrum of antibiotic resistance of causative agents of wound infection in wounded men at the stage of specialized medical care.</p><p><strong>Patients and methods: </strong>Materials and Methods: Retrospective analysis of the results of culture of wound secretions on chromogenic media. The research involved 113 samples of biomaterial from 85 wounded. Sensitivity of antibiotics was studied by the Kirby-Bauer method.</p><p><strong>Results: </strong>Results: Analysis of the microflora of the wound surface made it possible to determine the dominance of gram-negative bacteria, they were isolated in 80% of cases. The microbial spectrum of gram-negative bacteria is represented by Pseudomonas aeruginosa - 31 isolates, Acinetobacter baumannii - 29 isolates, Enterobacter aerogenes - 21 isolates, Proteus vulgaris - 13 isolates, Escherichia coli - 7 isolates, Enterobacter cloacae - 5 isolates, Klebsiella pneumoniae - 7 isolates and gram-positive bacteria Staphylococcus aureus - 5 isolates, Enterococcus fecalis - 32 isolates. Among all tested isolates of gram-negative non-fermenting bacteria and enterobacteria, the highest sensitivity was observed to colomycin and polymyxin B, from 60 to 80%. When analyzing of antibiotic sensitivity of Klebsiella pneumoniae and Acinetobacter baumannii, it was found that these pathogens retain 80-100% of their actual antibiotic sensitivity to polymyxins.</p><p><strong>Conclusion: </strong>Conclusions: Gram-negative strains isolated from wound infection are sensitive to antibiotics: 70% to polymyxins (colistin), 30% to aminoglycosides (amikacin), 24-16% to cephalosporins (cefoperazone-sulbactam/cefoperazone-avibactam).</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 2","pages":"295-302"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Acute coronary syndrome in post-partum period: challenge for differential diagnosis and proper management. 产后急性冠状动脉综合征:鉴别诊断和适当治疗的挑战。
Wiadomosci lekarskie Pub Date : 2025-01-01 DOI: 10.36740/WLek/197133
Sofiya Lypovetska, Mykola Shved
{"title":"Acute coronary syndrome in post-partum period: challenge for differential diagnosis and proper management.","authors":"Sofiya Lypovetska, Mykola Shved","doi":"10.36740/WLek/197133","DOIUrl":"10.36740/WLek/197133","url":null,"abstract":"<p><p>The patient was presented with chest pain, new ECG changes indicating ischemia, an increase in troponin and NT pro BNP, elevated D-dimer levels, and wall motion abnormalities on an Echo. A chest computed tomography angiography did not show pulmonary embolism but revealed a sac-like aneurysm of the left anterior descending artery (LAD). The coronary angiogram confirmed an aneurysm of the LAD in 6-7 segments, along with an extended 80% stenosis of the a. intermedia. The interventional cardiology team concluded that the patient required coronary artery bypass grafting (CABG) due to extensive vessel damage. She underwent CABG three months after acute coronary syndrome in an experienced center.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 2","pages":"474-478"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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