Postepy W Kardiologii Interwencyjnej最新文献

{"title":"Impact of size-dependent differences in excimer laser coronary angioplasty in ST-elevation acute myocardial infarction: nuclear scintigraphy findings.","authors":"Naoki Shibata, Yasuhiro Morita, Yasunori Kanzaki, Naoki Watanabe, Naoki Yoshioka, Yoshihito Arao, Kazuki Shimojo, Takuma Ohi, Itsuro Morishima","doi":"10.5114/aic.2025.147979","DOIUrl":"10.5114/aic.2025.147979","url":null,"abstract":"<p><strong>Introduction: </strong>Excimer laser coronary angioplasty (ELCA) employs catheters of various sizes. Although the crossability and irradiation time are better with the use of smaller-diameter catheters, the available irradiation area is greater when larger-diameter catheters are used.</p><p><strong>Aim: </strong>To investigate the effects of laser catheter size on myocardial function and salvage in patients with ST-elevation myocardial infarction (STEMI), as assessed using nuclear scintigraphy data.</p><p><strong>Material and methods: </strong>A total of 123 consecutive patients with STEMI who underwent primary percutaneous coronary intervention (PCI; median age, 67 [69-72] years; males, <i>n</i> = 102 [82.9%]) were retrospectively enrolled. The patients were divided into a 0.9-mm catheter diameter group (<i>n</i> = 47) and a 1.4-/1.7-mm catheter diameter group (<i>n</i> = 76). Clinical and periprocedural outcomes, along with myocardial function assessed by nuclear scintigraphy, were compared.</p><p><strong>Results: </strong>There were no significant differences in patient characteristics, PCI procedures, or in-hospital outcomes between the two groups. The occurrence of slow coronary flow and final Thrombolysis in Myocardial Infarction (TIMI) flow grade were similar between the two groups. Nuclear scintigraphy showed improvements in systolic function and myocardial salvage in both groups, with greater changes observed in the 0.9 mm group, although baseline differences in myocardial risk may have influenced these results.</p><p><strong>Conclusions: </strong>The 0.9-mm catheter may achieve myocardial salvage outcomes comparable to larger catheter sizes in STEMI patients undergoing ELCA, though further study is warranted.</p>","PeriodicalId":49678,"journal":{"name":"Postepy W Kardiologii Interwencyjnej","volume":"21 1","pages":"45-54"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11963057/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The relationship between advanced lung cancer inflammation index and high SYNTAX score in patients with non-ST-elevation myocardial infarction.","authors":"Mesut Gitmez","doi":"10.5114/aic.2025.148013","DOIUrl":"10.5114/aic.2025.148013","url":null,"abstract":"","PeriodicalId":49678,"journal":{"name":"Postepy W Kardiologii Interwencyjnej","volume":"21 1","pages":"135-136"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11963052/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Total percutaneous correction of tetralogy of Fallot after previous surgical repair.","authors":"Ahmet A Başkurt, Hatice Özdamar, Hüseyin Dursun, Dayimi Kaya","doi":"10.5114/aic.2025.148009","DOIUrl":"10.5114/aic.2025.148009","url":null,"abstract":"","PeriodicalId":49678,"journal":{"name":"Postepy W Kardiologii Interwencyjnej","volume":"21 1","pages":"131-133"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11963038/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of Emergency Medical Service (EMS) response times and operational factors in out-of-hospital cardiac arrests (OHCA): a retrospective analysis.","authors":"Mariusz Goniewicz, Kamil Bednarz, Ahmed M Al-Wathinani, Krzysztof Goniewicz","doi":"10.5114/aic.2024.145345","DOIUrl":"10.5114/aic.2024.145345","url":null,"abstract":"<p><strong>Introduction: </strong>Out-of-hospital cardiac arrests (OHCAs) require rapid emergency medical service (EMS) responses to improve patient outcomes. This study examines non-patient factors affecting EMS response times and OHCA outcomes, particularly return of spontaneous circulation (ROSC), with a focus on factors such as location, time of day, and season.</p><p><strong>Aim: </strong>To evaluate the influence of operational and situational factors on EMS response times and their association with ROSC rates.</p><p><strong>Material and methods: </strong>A retrospective analysis was performed using EMS records from the Lublin Voivodeship, Poland, covering 2014 to 2017. A total of 4,361 OHCA cases were selected from an initial 5,111 identified cases through ICD-10 and ICD-9 codes, utilizing call-out cards and medical rescue activity cards. Statistical analyses, including χ² tests and correlation coefficients, assessed the impact of socio-demographic and operational factors on ROSC outcomes.</p><p><strong>Results: </strong>Shorter EMS response times were significantly associated with higher ROSC rates, with a mean response time of 7.92 min for ROSC cases (SD = 4.86) versus 8.29 min for non-ROSC cases (SD = 4.19; <i>p</i> = 0.0430). High-priority cases (K-1) had better ROSC outcomes (16.97%) compared to lower-priority cases (K-2: 12.30%; <i>p</i> < 0.05). Time of day and season did not significantly impact response effectiveness.</p><p><strong>Conclusions: </strong>Rapid EMS response and effective prioritization improve ROSC rates in OHCA incidents. The findings highlight the need to optimize EMS protocols and training, with targeted strategies that consider operational factors to enhance survival rates across varied populations.</p>","PeriodicalId":49678,"journal":{"name":"Postepy W Kardiologii Interwencyjnej","volume":"21 1","pages":"25-36"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11963042/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Response to a letter on the article \"The relationship between advanced lung cancer inflammation index and high SYNTAX score in patients with non-ST-elevation myocardial infarction\".","authors":"Ali Hakan Konuş, Ömer Faruk Çırakoğlu","doi":"10.5114/aic.2025.148011","DOIUrl":"10.5114/aic.2025.148011","url":null,"abstract":"","PeriodicalId":49678,"journal":{"name":"Postepy W Kardiologii Interwencyjnej","volume":"21 1","pages":"134"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11963058/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Insights on the predictive role of aortic knob calcification in post-TAVI pacemaker implantation.","authors":"Hakan Süygün","doi":"10.5114/aic.2025.148015","DOIUrl":"10.5114/aic.2025.148015","url":null,"abstract":"","PeriodicalId":49678,"journal":{"name":"Postepy W Kardiologii Interwencyjnej","volume":"21 1","pages":"137-138"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11963046/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk factors for cerebral artery stenosis in patients with minor ischemic stroke classified as large atherosclerosis.","authors":"Yu Xia, Xia Zhou, Han Liu, Bo Tian, Rui Zhu, Zhongwu Sun","doi":"10.5114/aic.2024.147643","DOIUrl":"10.5114/aic.2024.147643","url":null,"abstract":"<p><strong>Introduction: </strong>The incidence of minor ischemic stroke (MIS) and associated cognitive impairment is rising, particularly among younger individuals. Thus, both primary and secondary prevention strategies are essential.</p><p><strong>Aim: </strong>This study investigated the risk factors for cerebral artery stenosis (CAS) in patients with MIS classified as large atherosclerosis (LAA) by TOAST, and examined the relationship between cognitive function and plasma lipoprotein-associated phospholipase A2 levels.</p><p><strong>Material and methods: </strong>We conducted a retrospective analysis of 789 MIS patients admitted to two hospitals between January 2015 and December 2023. Patients were classified using the TOAST criteria, with vascular stenosis detected via computed tomography angiography (CTA) and magnetic resonance angiography (MRA). Cognitive function was assessed using the Mini-Mental State Examination (MMSE). Univariate and multivariate regression analyses were performed to identify risk factors for CAS among LAA-type MIS patients.</p><p><strong>Results: </strong>Among the 789 patients, 494 (62.61%) had LAA. A total of 377 (76.32%) patients exhibited LAA-type vascular stenosis. Significant risk factors for CAS included a history of hypertension, diabetes, ischemic stroke, elevated fasting blood glucose, and plasma lipoprotein-associated phospholipase 2 levels (<i>p</i> < 0.05). Multivariate analysis revealed hypertension and increased phospholipase A2 as independent risk factors (OR = 2.046, OR = 1.059). The area under the ROC curve for plasma lipoprotein-associated phospholipase A2 predicting CAS was 0.700 (<i>p</i> < 0.0001). Additionally, a negative correlation was found between plasma lipoprotein-associated phospholipase A2 levels and MMSE scores (<i>r</i> = -0.218, <i>p</i> < 0.001).</p><p><strong>Conclusions: </strong>LAA is the predominant cause of MIS, with high rates of vascular stenosis. Hypertension and elevated plasma lipoprotein-associated phospholipase A2 levels are significant independent risk factors for CAS, and increased plasma lipoprotein-associated phospholipase A2 correlates negatively with cognitive function.</p>","PeriodicalId":49678,"journal":{"name":"Postepy W Kardiologii Interwencyjnej","volume":"21 1","pages":"94-100"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11963059/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Emergency percutaneous coronary intervention of the left main in a young patient with acute coronary syndrome: stepping in the dark?","authors":"Dusan Ruzicic, Milenko Cankovic, Dejan Milasinovic, Goran Stankovic","doi":"10.5114/aic.2024.145186","DOIUrl":"10.5114/aic.2024.145186","url":null,"abstract":"","PeriodicalId":49678,"journal":{"name":"Postepy W Kardiologii Interwencyjnej","volume":"21 1","pages":"116-117"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11963056/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Deferred stent optimization in a patient with acute myocardial infarction and high thrombus burden.","authors":"Barbara Zdzierak, Monika Cugowska, Michał Chyrchel, Wojciech Zasada, Stanisław Bartuś, Artur Dziewierz","doi":"10.5114/aic.2025.147995","DOIUrl":"10.5114/aic.2025.147995","url":null,"abstract":"","PeriodicalId":49678,"journal":{"name":"Postepy W Kardiologii Interwencyjnej","volume":"21 1","pages":"118-120"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11963041/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Every minute of delay (still) counts!","authors":"Artur Dziewierz, Giuseppe De Luca, Tomasz Rakowski","doi":"10.5114/aic.2025.147972","DOIUrl":"10.5114/aic.2025.147972","url":null,"abstract":"","PeriodicalId":49678,"journal":{"name":"Postepy W Kardiologii Interwencyjnej","volume":"21 1","pages":"1-3"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11963055/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}