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

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Invasive management of sinus tachycardia in severe cardiovascular dysautonomia: preliminary observations from POL-CA (POLish Registry of CArdioneuroablation and CArdioneuromodulation). 严重心血管自主神经障碍患者窦性心动过速的侵入性治疗：POL-CA（波兰心血管消融术和心血管调节登记处）的初步观察。
IF 4.8 4区 医学
Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine Pub Date : 2026-09-18 DOI: 10.20452/pamw.17400
Marta Kornaszewska, Natalia Ogorzelec, Mariusz Kowalewski, Artur Fedorowski, Piotr Suwalski, Sebastian Stec
{"title":"Invasive management of sinus tachycardia in severe cardiovascular dysautonomia: preliminary observations from POL-CA (POLish Registry of CArdioneuroablation and CArdioneuromodulation).","authors":"Marta Kornaszewska, Natalia Ogorzelec, Mariusz Kowalewski, Artur Fedorowski, Piotr Suwalski, Sebastian Stec","doi":"10.20452/pamw.17400","DOIUrl":"https://doi.org/10.20452/pamw.17400","url":null,"abstract":"","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148992033","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}
引用次数: 0
Oral manifestations of Crohn's disease: a clinical image highlighting the importance of interdisciplinary gastroenterological and dental care. 克罗恩病的口腔表现：临床图像突出跨学科的胃肠病学和牙科护理的重要性。
IF 4.8 4区 医学
Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine Pub Date : 2026-09-17 DOI: 10.20452/pamw.17399
Barbara Kęsek, Ewa Michalak, Agata Dudzik, Dagmara Darczuk, Weronika Lipska
{"title":"Oral manifestations of Crohn's disease: a clinical image highlighting the importance of interdisciplinary gastroenterological and dental care.","authors":"Barbara Kęsek, Ewa Michalak, Agata Dudzik, Dagmara Darczuk, Weronika Lipska","doi":"10.20452/pamw.17399","DOIUrl":"https://doi.org/10.20452/pamw.17399","url":null,"abstract":"","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148991976","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}
引用次数: 0
Who can benefit from percutaneous left atrial appendage closure? Recent advances. 谁能从经皮左心耳闭合术中获益？最近的进展。
IF 4.8 4区 医学
Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine Pub Date : 2026-09-16 DOI: 10.20452/pamw.17402
Pavel Osmancik, Marek Hozman
{"title":"Who can benefit from percutaneous left atrial appendage closure? Recent advances.","authors":"Pavel Osmancik, Marek Hozman","doi":"10.20452/pamw.17402","DOIUrl":"https://doi.org/10.20452/pamw.17402","url":null,"abstract":"<p><p>Atrial fibrillation (AF) confers a substantial risk of stroke. Direct  oral anticoagulants (DOACs) are highly effective for stroke prevention and form the cornerstone of AF management. Nevertheless, many eligible patients do not receive or do not maintain long-term anticoagulation because of bleeding risk, prior hemorrhage, or other contraindications. Percutaneous left atrial appendage closure (LAAC) has emerged as a non-pharmacological alternative. In 2026, two major randomized trials addressing the role of LAAC as an alternative to anticoagulation were published: CHAMPION-AF and CLOSURE-AF. CHAMPION-AF randomized 3000 lower-risk AF patients to LAAC (Watchman FLX) or DOAC. LAAC met noninferiority for the composite efficacy endpoint of cardiovascular death, stroke, and systemic embolism (5.7% vs 4.8% at 3 years; hazard ratio [HR] 1.20, 95% CI 0.87-1.66) and demonstrated superiority for non-procedure-related bleeding (10.9% vs 19.0%; HR 0.55). Ischemic stroke alone, however, was numerically more frequent with LAAC (HR 1.61), an unexpected finding not observed in prior LAAC trials. CLOSURE-AF enrolled a substantially higher-risk population with a more adverse bleeding profile. LAAC failed to demonstrate noninferiority to best medical therapy for the composite primary endpoint consisting of cardiovascular death, stroke, systemic embolism, and major bleeding (16.8 vs 13.3 events per 100 patient-years), driven by higher mortality and more bleeding events in the device group. This review critically appraises the design, outcomes, and clinical implications of both trials in the context of previous trials, discusses methodological issues including noninferiority margin selection and bleeding-endpoint definitions, and outlines implications for patient selection for LAAC.</p>","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148978627","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}
引用次数: 0
What's next in sepsis? Controversies and future directions from the 2026 Surviving Sepsis Campaign Guidelines. 败血症的下一步是什么？2026年生存败血症运动指南的争议和未来方向。
IF 4.8 4区 医学
Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine Pub Date : 2026-09-15 DOI: 10.20452/pamw.17398
Simon Oczkowski, Waleed Alhazzani, Fayez Alshamsi, Emilie Belley-Cote, Joanna Dionne, Alison Fox-Robichaud, Kimia Honarmand, Morton Hylander Møller, Bram Rochwerg, Roman Jaeschke
{"title":"What's next in sepsis? Controversies and future directions from the 2026 Surviving Sepsis Campaign Guidelines.","authors":"Simon Oczkowski, Waleed Alhazzani, Fayez Alshamsi, Emilie Belley-Cote, Joanna Dionne, Alison Fox-Robichaud, Kimia Honarmand, Morton Hylander Møller, Bram Rochwerg, Roman Jaeschke","doi":"10.20452/pamw.17398","DOIUrl":"https://doi.org/10.20452/pamw.17398","url":null,"abstract":"<p><p>The Surviving Sepsis Campaign Guidelines (SSC) provide evidence-based recommendations for sepsis care relevant to a global audience. While many of the recommendations in the 2026 SSC build upon those in previous iterations, some recommendations point to new directions in the care of patients with sepsis - one characterized by a more flexible approach to the assessment and treatment of individual patient with careful consideration of the benefit of critical care and post-ICU recovery interventions. In this paper, we identify some of these key changes and how modern sepsis practice is changing- a hybrid approach of empiric early treatment alongside a nuanced, personalized stream of care, informed by patient values and preferences. We emphasize key methodological points which inform potentially controversial recommendations, so clinicians may better understand how to implement these in practice.</p>","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148978545","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}
引用次数: 0
Renal infarction due to multiple thromboembolic mechanisms in a kidney with an accessory renal artery. 肾副动脉多血栓栓塞机制所致的肾梗死。
IF 4.8 4区 医学
Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine Pub Date : 2026-09-03 DOI: 10.20452/pamw.17394
Anna Wasińska-Krawczyk, Aldona Wybraniec-Zaręba, Bartosz Mruk, Anna Kycia-Witkowska, Jerzy Walecki, Andrzej Rydzewski
{"title":"Renal infarction due to multiple thromboembolic mechanisms in a kidney with an accessory renal artery.","authors":"Anna Wasińska-Krawczyk, Aldona Wybraniec-Zaręba, Bartosz Mruk, Anna Kycia-Witkowska, Jerzy Walecki, Andrzej Rydzewski","doi":"10.20452/pamw.17394","DOIUrl":"https://doi.org/10.20452/pamw.17394","url":null,"abstract":"","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148907725","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}
引用次数: 0
Hemorrhagic bullae after seawater exposure: a red flag for fulminant necrotizing fasciitis. 海水暴露后出现出血性大泡：暴发性坏死性筋膜炎的危险信号。
IF 4.8 4区 医学
Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine Pub Date : 2026-09-03 DOI: 10.20452/pamw.17397
Filip Brzeszczyński, Hieronim Kołodziejczyk, Michał Karpiński, Joanna Brzeszczyńska, Michał Kułakowski, Oktawiusz Bończak
{"title":"Hemorrhagic bullae after seawater exposure: a red flag for fulminant necrotizing fasciitis.","authors":"Filip Brzeszczyński, Hieronim Kołodziejczyk, Michał Karpiński, Joanna Brzeszczyńska, Michał Kułakowski, Oktawiusz Bończak","doi":"10.20452/pamw.17397","DOIUrl":"https://doi.org/10.20452/pamw.17397","url":null,"abstract":"","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148907731","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}
引用次数: 0
Spontaneous remission of Cushing disease after clinically silent pituitary apoplexy with persistent positive desmopressin stimulation. 持续去氨加压素阳性刺激的临床无症状垂体卒中后库欣病自发性缓解。
IF 4.8 4区 医学
Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine Pub Date : 2026-09-03 DOI: 10.20452/pamw.17395
Kornel Witek, Tomasz Wieczorkiewicz, Joanna Sobolewska, Łukasz Działach, Przemysław Witek
{"title":"Spontaneous remission of Cushing disease after clinically silent pituitary apoplexy with persistent positive desmopressin stimulation.","authors":"Kornel Witek, Tomasz Wieczorkiewicz, Joanna Sobolewska, Łukasz Działach, Przemysław Witek","doi":"10.20452/pamw.17395","DOIUrl":"https://doi.org/10.20452/pamw.17395","url":null,"abstract":"","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148907747","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}
引用次数: 0
Insulinoma mimicking pheochromocytoma: a diagnostic challenge. 胰岛素瘤模拟嗜铬细胞瘤：一个诊断挑战。
IF 4.8 4区 医学
Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine Pub Date : 2026-09-03 DOI: 10.20452/pamw.17396
Maria Komisarz-Calik, Anna Bogusławska, Alicja Hubalewska-Dydejczyk, Aleksandra Gilis-Januszewska
{"title":"Insulinoma mimicking pheochromocytoma: a diagnostic challenge.","authors":"Maria Komisarz-Calik, Anna Bogusławska, Alicja Hubalewska-Dydejczyk, Aleksandra Gilis-Januszewska","doi":"10.20452/pamw.17396","DOIUrl":"https://doi.org/10.20452/pamw.17396","url":null,"abstract":"","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148907720","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}
引用次数: 0
Acute myocarditis and rapid deterioration in arrhythmogenic right ventricular cardiomyopathy. 致心律失常性右室心肌病的急性心肌炎和快速恶化。
IF 4.8 4区 医学
Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine Pub Date : 2026-09-01 DOI: 10.20452/pamw.17363
Maria Wawryka, Maja Wojtylak, Katarzyna Frączek, Małgorzata Urbańczyk-Zawadzka, Dominika Dykla, Tomasz Tokarek
{"title":"Acute myocarditis and rapid deterioration in arrhythmogenic right ventricular cardiomyopathy.","authors":"Maria Wawryka, Maja Wojtylak, Katarzyna Frączek, Małgorzata Urbańczyk-Zawadzka, Dominika Dykla, Tomasz Tokarek","doi":"10.20452/pamw.17363","DOIUrl":"https://doi.org/10.20452/pamw.17363","url":null,"abstract":"","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148867518","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}
引用次数: 0
Thromboelastometry‑guided anticoagulation in severely thrombocytopenic patients with venous thromboembolism: three illustrative cases. 血栓弹性测量引导抗凝治疗伴静脉血栓栓塞的严重血小板减少患者：三个说明性病例。
IF 4.8 4区 医学
Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine Pub Date : 2026-09-01 DOI: 10.20452/pamw.17392
Piotr F Czempik, Martyna Kurcz, Marta Pietrukaniec, Michał Holecki
{"title":"Thromboelastometry‑guided anticoagulation in severely thrombocytopenic patients with venous thromboembolism: three illustrative cases.","authors":"Piotr F Czempik, Martyna Kurcz, Marta Pietrukaniec, Michał Holecki","doi":"10.20452/pamw.17392","DOIUrl":"https://doi.org/10.20452/pamw.17392","url":null,"abstract":"","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148867505","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}
引用次数: 0
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