Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine最新文献

{"title":"Bone where it should not be: a case of osseus metaplasia in the adrenal gland.","authors":"Szymon Suwała, Aisling Fitzgerald, Eoin Kavanagh, Adam Ostrowski, Izabela Neska-Długosz, Roman Junik","doi":"10.20452/pamw.16935","DOIUrl":"10.20452/pamw.16935","url":null,"abstract":"","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"In search for the cause of systolic murmur: a case study of MYH7-positive hypertrophic cardiomyopathy with right ventricular flow obstruction.","authors":"Renata Rajtar-Salwa, Michał Węgiel, Danuta Sorysz, Bernadeta Chyrchel, Stanisław Bartuś, Tomasz Rakowski","doi":"10.20452/pamw.16931","DOIUrl":"10.20452/pamw.16931","url":null,"abstract":"","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ambient air pollution and a risk of hospital admission due to acute and chronic coronary syndromes: a time-stratified case-crossover study in the 3 largest urban agglomerations in Poland.","authors":"Piotr Dąbrowiecki, Ewa Konduracka, Łukasz Kołtowski, Andrzej Chciałowski, Agata Dąbrowiecka, Piotr Kępa, Piotr O Czechowski, Tomasz Owczarek, Artur Badyda","doi":"10.20452/pamw.16925","DOIUrl":"10.20452/pamw.16925","url":null,"abstract":"<p><strong>Introduction: </strong>Short‑term exposure to air pollution may worsen the course of ischemic heart disease (IHD), causing acute and chronic coronary syndromes.</p><p><strong>Objectives: </strong>This study aimed to assess the risk of hospital admission due to chronic coronary syndromes (CCSs) and acute coronary syndromes (ACSs) after exposure to various air pollutants in Poland.</p><p><strong>Methods: </strong>This time‑series study evaluated the risk of hospital admission due to IHD over 3 days from exposure to several air pollutants. A distributed lag nonlinear modelling was used to determine the counts of hospital admissions due to CCSs and ACSs. Data for the 3 largest urban agglomerations in Poland between 2012 and 2017 were collected.</p><p><strong>Results: </strong>Within the study period, there were 88 467 admissions due to CCSs and 35 403 admissions due to ACSs. After adjusting for meteorological variables, the risk of admission due to CCSs increased after the exposure to particulate matter (PM) of aerodynamic diameter no greater than 10 μm (PM10; cumulative rate ratio [CRR] per 10 μg/m3, 1.007; 95% CI, 1.002-1.012), of diameter no greater than 2.5 μm (PM2.5; CRR per 10 μg/m3, 1.008; 95% CI, 1.001-1.014), and NO2 (CRR per 10 μg/m3, 1.037; 95% CI, 1.026-1.047). The risk of admission due to ACSs was increased after exposure to PM10 (CRR per 10 μg/m3, 1.009; 95% CI, 1.002-1.015) and PM2.5 (CRR per 10 μg/m3, 1.009; 95% CI, 1.001-1.018), whereas the association for the gaseous pollutants, NO2 and SO2, was less pronounced, that is, CRR per 10 μg/m3, 1.012; 95% CI, 0.998-1.026 and CRR per 10 μg/m3, 1.032; 95% CI, 0.998-1.067, respectively.</p><p><strong>Conclusion: </strong>The exposure to PM10, PM2.5, and NO2 is associated with an increased short‑term risk of hospital admission due to ACSs and CCSs.</p>","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Life-threatening postpneumonectomy syndrome with vascular distortion successfully treated with extracorporeal membrane oxygenation and tissue expander placement in a woman with lung cancer.","authors":"Witold Rzyman, Maciej Brzeziński, Magdalena Wujtewicz, Jadwiga Fijałkowska, Jacek Jassem, Ewa Jassem","doi":"10.20452/pamw.16934","DOIUrl":"10.20452/pamw.16934","url":null,"abstract":"","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"I suffer from several serious diseases.\" Dunnigan type of familial partial lipodystrophy: a multiple-symptom disorder caused by a genetic mutation.","authors":"Magdalena Płonka-Stępień, Jerzy Hohendorff, Łukasz Pawliński, Barbara Katra, Maciej T Małecki","doi":"10.20452/pamw.16918","DOIUrl":"10.20452/pamw.16918","url":null,"abstract":"","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Breaking the weight loss paradox: from weight reduction to cardiovascular benefit in obesity treatment.","authors":"Grzegorz Gajos","doi":"10.20452/pamw.16983","DOIUrl":"10.20452/pamw.16983","url":null,"abstract":"<p><p>Obesity is a growing global epidemic and a major risk factor for cardiovascular disease. However, previous weight loss interventions have largely failed to demonstrate consistent cardiovascular benefits. While lifestyle modifications remain the cornerstone of obesity management, their long-term efficacy is limited, and most individuals eventually regain the lost weight. Pharmacological approaches have historically been hindered by safety concerns and a lack of proven cardiovascular outcome benefits. Bariatric surgery remains the most effective intervention for long-term weight management and metabolic improvement, with accumulating evidence supporting its role in reducing the incidence of cardiovascular events. However, its accessibility and eligibility criteria limit its widespread adoption. Recent advances in the use of glucagon-like peptide-1 receptor agonists and multireceptor agonists have transformed obesity treatment. Semaglutide became the first obesity pharmacotherapy to demonstrate a significant 20% reduction in the incidence of major adverse cardiovascular events in the SELECT trial, although its impact on secondary end points was neutral. More potent agents, such as tirzepatide and retatrutide, have achieved unprecedented weight loss (up to 24%), raising the possibility of greater cardiovascular benefits. Beyond weight loss, these drugs exert pleiotropic effects on inflammation, endothelial function, and atherosclerosis, which may contribute to their cardioprotective potential. As pharmacotherapy continues to evolve, personalized treatment approaches targeting metabolic dysfunction and cardiovascular health will be crucial in redefining obesity care. This review explores the current landscape of obesity pharmacotherapy, its cardiovascular implications, and the emerging role of next-generation therapies in obesity management.</p>","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":"135 3","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diffuse pulmonary ossification with pneumoconiosis confirmed on transbronchial lung biopsy.","authors":"Rui He, Ling Mao","doi":"10.20452/pamw.16919","DOIUrl":"https://doi.org/10.20452/pamw.16919","url":null,"abstract":"","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":"135 3","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tailored approaches to transcatheter aortic valve implantation in patients with protruding coronary stents.","authors":"Krzysztof Greberski, Maciej Dąbrowski, Radosław Jarząbek, Rafał Wolny, Adam Witkowski, Paweł Bugajski","doi":"10.20452/pamw.16980","DOIUrl":"10.20452/pamw.16980","url":null,"abstract":"","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hospitalizations of patients with rheumatoid arthritis in Polish intensive care units or cardiac intensive care units in the years 2011-2021: a population study.","authors":"Julia Domańska-Poboża, Łukasz Kapica, Krzysztof Kanecki, Aneta Nitsch-Osuch, Paweł Goryński, Małgorzata Wisłowska","doi":"10.20452/pamw.16913","DOIUrl":"10.20452/pamw.16913","url":null,"abstract":"<p><strong>Introduction: </strong>Rheumatoid arthritis (RA) is a chronic autoimmune disease associated with significant comorbidities, including cardiovascular and respiratory complications, leading to increased hospitalization rates in intensive care units (ICUs) and cardiac intensive care units (CICUs). This study examines factors related to ICU/CICU admissions among Polish patients with RA from 2011 to 2021.</p><p><strong>Objectives: </strong>We aimed to analyze trends in ICU/CICU admissions, identify key factors influencing outcomes, and assess the impact of comorbidities on RA patient ICU/CICU mortality in critical care settings.</p><p><strong>Patients and methods: </strong>This retrospective population‑based study utilized data from the Polish national hospital morbidity registry. Inclusion criteria comprised ICU/CICU admission and an International Classification of Diseases, Tenth Revision code for RA. A total of 3066 hospitalization records were analyzed, focusing on demographics, length of stay, primary diagnosis, and ICU/CICU mortality rates. A logistic regression was used to evaluate the predictors of ICU/CICU mortality.</p><p><strong>Results: </strong>The study revealed a rising trend in ICU/CICU admissions, with a significant increase in 2021, potentially due to the COVID‑19 pandemic. The overall ICU/CICU mortality rate was 39.1%, with the highest values observed in patients with gastrointestinal (58.5%) and endocrine / metabolic diseases (61.5%). Urgent admissions and older age were strong predictors of ICU/CICU mortality (P <0.001), while sex was not a significant factor.</p><p><strong>Conclusions: </strong>Our findings emphasize the need for early intervention and comprehensive management strategies to mitigate severe RA complications. Future research should explore long‑term outcomes and the impact of RA treatments on ICU/CICU care.</p>","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical nutrition in gastrointestinal diseases: an up-to-date clinical practice guideline.","authors":"Jacek Sobocki, Dagmara Bogdanowska-Charkiewicz, Aleksandra Budnicka-Borkowicz, Małgorzata Chełmicka, Robert Dudkowiak, Marek Guzek, Aleksandra Kaczka, Alina Kanikowska, Krzysztof Kurek, Konrad Matysiak, Jacek Paluch, Magdalena Szewczuk, Ewa Walecka-Kapica, Krystian Adrych, Andrzej Dąbrowski, Anita Gąsiorowska, Marek Hartleb, Maria Kłopocka, Renata Talar-Wojnarowska, Dorota Waśko-Czopnik, Dorota Mańkowska-Wierzbicka","doi":"10.20452/pamw.16967","DOIUrl":"10.20452/pamw.16967","url":null,"abstract":"&lt;p&gt;&lt;p&gt;This paper presents updated recommendations on clinical nutrition in gastrointestinal diseases, developed by the Clinical Nutrition and Metabolism Section of the Polish Society of Gastroenterology. Their aim is to provide clinicians with comprehensive and up-to-date data on the diagnosis and management of malnutrition in various gastrointestinal conditions, including inflammatory bowel diseases, acute and chronic pancreatitis, and liver diseases, as well as to improve nutritional care in geriatrics. The primary goal of these recommendations is to provide practical, evidence-based guidance for clinical nutrition in gastroenterology. To achieve this, we reviewed, summarized, and integrated recent international guidelines, supplementing them with the latest available evidence where appropriate. A structured consensus decision-making process was followed by experts in the field, leading to the formulation of 67 key statements that reflect current best practices. The document provides detailed recommendations on indications for and contraindications to enteral and parenteral nutrition, with a special focus on endoscopic access for enteral feeding. It also outlines practical principles regarding caloric requirements and nutritional strategies tailored to specific gastrointestinal disorders. These recommendations have been carefully developed with input from leading experts in gastroenterology and clinical nutrition, ensuring both scientific rigor and practical applicability for health care professionals. The following recommendations are highlighted as being particularly relevant in everyday clinical practice: Statement 16: We suggest starting nutrition supply through the established percutaneous endoscopic gastrostomy and percutaneous endoscopic gastrojejunostomy within 3 to 4 hours postsurgery, and through direct percutaneous endoscopic jejunostomy within 24 hours postsurgery. Statement 38: In severe exacerbation of ulcerative colitis, we suggest enteral nutrition as the first-line management in patients with a functional gastrointestinal tract. We recommend parenteral nutrition in this patient group when the patient cannot be effectively fed via the gastrointestinal route. Statement 39: In malnourished patients with Crohn disease and indications for surgery, if possible, we recommend delaying surgery for 7 to 14 days or longer, until nutritional status improves. The optimal timing of surgery should be based on the benefit of continued metabolic preparation and the urgency of surgery due to increasing or regressing clinical symptoms. Statement 41: We recommend early initiation of oral nutrition in patients with predicted mild acute pancreatitis after resolution of complaints, regardless of lipase activity. Statement 42: We recommend the implementation of enteral nutrition from the start of hospitalization in all malnourished patients and individuals with predictive factors for severe acute pancreatitis, and within 72 hours of admission to a hos","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544310","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}