Cardiology journalPub Date : 2024-01-01Epub Date: 2024-11-20DOI: 10.5603/cj.99129
Yeon Heo, Seok Oh, Kyung Hoon Cho, Min Chul Kim, Doo Sun Sim, Young Joon Hong, Ju Han Kim, Youngkeun Ahn, Myung Ho Jeong
{"title":"Coronary vasospasm and cardiovascular outcomes in patients with isolated myocardial bridging: A retrospective study.","authors":"Yeon Heo, Seok Oh, Kyung Hoon Cho, Min Chul Kim, Doo Sun Sim, Young Joon Hong, Ju Han Kim, Youngkeun Ahn, Myung Ho Jeong","doi":"10.5603/cj.99129","DOIUrl":"10.5603/cj.99129","url":null,"abstract":"<p><strong>Background: </strong>Mounting evidence suggests an associated between myocardial bridging (MB) and coronary vasospasm (CVS); however, no consensus has been established on whether CVS worsens clinical outcomes in patients with MB. Therefore, this retrospective study aimed to compare the long-term clinical outcomes in patients with MB based on CVS presence.</p><p><strong>Methods: </strong>This retrospective study enrolled 254 consecutive patients with MB undergoing provocative testing for coronary reactivity between January 1, 2009 and December 30, 2015, and stratified them into 2 groups: (a) group A (with CVS, n = 168); and (b) group B (without CVS, n = 86). The primary endpoints were major adverse cardiovascular events (MACEs), a composite of cardiac death, cardiac arrest, non-fatal myocardial infarction, ischemia-driven revascularization, ischemia-driven coronary angiography, and ischemia-related hospitalization. Diverse Cox models were used to determine whether CVS independently influenced MACE.</p><p><strong>Results: </strong>The mean age of study participants was 50.8 years, and 60.2% of them were male. The median follow-up period was 8.15 years. The rate of MACE was 35.1% and 26.7% in groups A and B, respectively. Group A had a significantly higher risk of MACE than group B (the reference group) in model 3 (hazard ratio [HR]:1.92; 95% confidence interval [CI]:1.12-3.29) and model 4 (adjusted HR: 1.94; 95% CI: 1.04-3.59).</p><p><strong>Conclusions: </strong>The presence of CVS adversely affects clinical outcomes in patients with MB. Further prospective clinical studies are required to confirm this association.</p>","PeriodicalId":93923,"journal":{"name":"Cardiology journal","volume":" ","pages":"814-822"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11706257/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677993","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cardiology journalPub Date : 2024-01-01Epub Date: 2024-09-10DOI: 10.5603/cj.96025
Paweł Tyczyński, Szymon Kocańda, Daniel Płaczkiewicz, Justyna Gruczek, Maksymilian P Opolski, Elżbieta Czekajska, Adam Witkowski, Jacek Różański, Piotr Hoffman, Ilona Michałowska
{"title":"Coarctation of the aorta associated with anomalous origins of the coronary arteries.","authors":"Paweł Tyczyński, Szymon Kocańda, Daniel Płaczkiewicz, Justyna Gruczek, Maksymilian P Opolski, Elżbieta Czekajska, Adam Witkowski, Jacek Różański, Piotr Hoffman, Ilona Michałowska","doi":"10.5603/cj.96025","DOIUrl":"10.5603/cj.96025","url":null,"abstract":"","PeriodicalId":93923,"journal":{"name":"Cardiology journal","volume":" ","pages":"774-777"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11544406/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142303388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sylwia Abramczuk, Ilona Michałowska, Adrianna Drynkowska, Sara Kochańska, Piotr Kołsut
{"title":"Mediastinitis with aortic perforation after sternotomy.","authors":"Sylwia Abramczuk, Ilona Michałowska, Adrianna Drynkowska, Sara Kochańska, Piotr Kołsut","doi":"10.5603/cj.99690","DOIUrl":"10.5603/cj.99690","url":null,"abstract":"","PeriodicalId":93923,"journal":{"name":"Cardiology journal","volume":"31 5","pages":"780-781"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11544400/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142549438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Prolonged dual antiplatelet therapy in invasively treated acute coronary syndrome patients with different lipoprotein(a) concentrations.","authors":"Kongyong Cui, Shaoyu Wu, Dong Yin, Weihua Song, Hongjian Wang, Chenggang Zhu, Lei Feng, Yuejin Yang, Rui Fu, Kefei Dou","doi":"10.5603/cj.93062","DOIUrl":"10.5603/cj.93062","url":null,"abstract":"<p><strong>Background: </strong>Lipoprotein(a) [Lp(a)] was positively associated with recurrent ischemic events in patients with acute coronary syndrome (ACS). This study was performed to investigate the effect of Lp(a) levels on outcomes of dual antiplatelet therapy (DAPT) > 1 year versus DAPT ≤ 1 year after percutaneous coronary intervention (PCI) in this population.</p><p><strong>Methods: </strong>A total of 4,357 ACS patients who were event-free at 1 year after PCI were selected from the Fuwai PCI Registry, and patients were stratified into four groups according to DAPT duration (≤ 1 year vs. > 1 year) and Lp(a) levels (≤ 30 mg/dL vs. > 30 mg/dL). The primary endpoint was major adverse cardiovascular and cerebrovascular event (MACCE), defined as a composite of cardiac death, myocardial infarction or stroke.</p><p><strong>Results: </strong>After 2.4-year follow-up, the incidence of MACCE (HRadjusted 0.284, 95% CI 0.115-0.700; HRIPTW 0.351, 95% CI 0.164-0.751) were significantly reduced in DAPT > 1 year group than that in DAPT ≤ 1 year group in individuals with elevated Lp(a) levels. However, in individuals with normal Lp(a) levels, no statistically difference was found between these two groups in terms of MACCE, although the risks of all-cause death and definite/probable stent thrombosis were lower in DAPT > 1 year group. Notably, the risk of clinically relevant bleeding did not statistically differ between these two groups in individuals with different Lp(a) levels.</p><p><strong>Conclusions: </strong>This study firstly demonstrated that extended DAPT (> 1 year) was statistically associated with lower risk of ischemic events in ACS patients with elevated Lp(a) levels after PCI, whereas this association was not found in individuals with normal Lp(a) levels.</p>","PeriodicalId":93923,"journal":{"name":"Cardiology journal","volume":" ","pages":"32-44"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10919557/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49686258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cardiology journalPub Date : 2024-01-01Epub Date: 2023-12-29DOI: 10.5603/cj.98254
Claudio Borghi, Justyna Domienik-Karłowicz, Andrzej Tykarski, Krzysztof J Filipiak, Milosz J Jaguszewski, Krzysztof Narkiewicz, Marcin Barylski, Artur Mamcarz, Jacek Wolf, Giuseppe Mancia
{"title":"Expert consensus for the diagnosis and treatment of patients with hyperuricemia and high cardiovascular risk: 2023 update.","authors":"Claudio Borghi, Justyna Domienik-Karłowicz, Andrzej Tykarski, Krzysztof J Filipiak, Milosz J Jaguszewski, Krzysztof Narkiewicz, Marcin Barylski, Artur Mamcarz, Jacek Wolf, Giuseppe Mancia","doi":"10.5603/cj.98254","DOIUrl":"10.5603/cj.98254","url":null,"abstract":"","PeriodicalId":93923,"journal":{"name":"Cardiology journal","volume":" ","pages":"1-14"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10919576/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139059290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cardiology journalPub Date : 2024-01-01Epub Date: 2024-05-22DOI: 10.5603/cj.97859
Aldona Kubica
{"title":"Quality of life and functioning in chronic disease - what to assess in heart failure patients.","authors":"Aldona Kubica","doi":"10.5603/cj.97859","DOIUrl":"10.5603/cj.97859","url":null,"abstract":"","PeriodicalId":93923,"journal":{"name":"Cardiology journal","volume":" ","pages":"502-503"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11229803/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141077210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cardiology journalPub Date : 2024-01-01Epub Date: 2024-11-29DOI: 10.5603/cj.100509
Anna Nieroda, Krzysztof Jankowski, Janusz Domański, Michał Janiszewski, Marcin Komorowski, Krzysztof Lamparski, Janusz Kochman, Alekandra Gąsecka, Marek Pawlikowski
{"title":"A novel, patient-tailored method for non-invasive iFRCT measurement.","authors":"Anna Nieroda, Krzysztof Jankowski, Janusz Domański, Michał Janiszewski, Marcin Komorowski, Krzysztof Lamparski, Janusz Kochman, Alekandra Gąsecka, Marek Pawlikowski","doi":"10.5603/cj.100509","DOIUrl":"10.5603/cj.100509","url":null,"abstract":"","PeriodicalId":93923,"journal":{"name":"Cardiology journal","volume":" ","pages":"906-908"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11706254/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142752529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cardiology journalPub Date : 2024-01-01Epub Date: 2024-07-17DOI: 10.5603/cj.95753
Krzysztof Greberski, Maciej Łuczak, Cezary Danielecki, Karol Buszkiewicz, Olga Kazimierczak, Paweł Burchardt, Bartłomiej Perek, Przemysław Lisiński, Paweł Bugajski
{"title":"Impact of musculoskeletal disorders in patients using orthopedic equipment on sternotomy wound healing after cardiac surgery - preliminary report.","authors":"Krzysztof Greberski, Maciej Łuczak, Cezary Danielecki, Karol Buszkiewicz, Olga Kazimierczak, Paweł Burchardt, Bartłomiej Perek, Przemysław Lisiński, Paweł Bugajski","doi":"10.5603/cj.95753","DOIUrl":"10.5603/cj.95753","url":null,"abstract":"<p><strong>Background: </strong>The presence of locomotive disorders may negatively impact the outcome of cardiac surgeries. This retrospective study aimed to assess the effect of preoperative diagnosis of locomotive disorders requiring the continuous use of orthopedic devices on postoperative rehabilitation and stable sternum adhesion.</p><p><strong>Material and methods: </strong>The study included 122 patients who underwent cardiac surgery, with 68 patients in the study group having a musculoskeletal disorder and 54 patients in the control group without such disorders. Preoperative demographic, clinical, and laboratory data as well as postoperative rehabilitation and sternum adhesion were evaluated.</p><p><strong>Results: </strong>The results showed that patients in the study group had lower levels of calcium (p < 0.001), vitamin D (p < 0.001), and creatine kinase (p = 0.022) prior to the surgery. In the early postoperative period, 8 patients from the study group and 4 from the control group required reoperation due to sternal instability (p = ns). In the late postoperative period, sternal instability was present in 2 patients from the study group and 3 from the control group (p = ns). The survey study revealed a significantly better (p = 0.029) evaluation of postoperative rehabilitation among the study group patients.</p><p><strong>Conclusions: </strong>Overall, the results indicated that a preoperative locomotive disorder has no significant impact on sternal instability in the early or late postoperative periods. However, patients with such disorders have a better understanding of the importance, purpose, and course of rehabilitation after cardiac surgery and exhibit lower levels of calcium, vitamin D, and creatinine.</p>","PeriodicalId":93923,"journal":{"name":"Cardiology journal","volume":" ","pages":"843-849"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11706256/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141629574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cardiology journalPub Date : 2024-01-01Epub Date: 2024-07-17DOI: 10.5603/cj.96738
Alexandru Ionut Patrascu, Donat Binder, Ibrahim Alashkar, Amr Mady, Peter Schnabel, Wilfried Staehle, Kai Weinmann, Osama Risha, Ilka Ott
{"title":"Evolution of transcatheter interventions for secondary atrioventricular valve regurgitation: how to set up an edge-to-edge structural program.","authors":"Alexandru Ionut Patrascu, Donat Binder, Ibrahim Alashkar, Amr Mady, Peter Schnabel, Wilfried Staehle, Kai Weinmann, Osama Risha, Ilka Ott","doi":"10.5603/cj.96738","DOIUrl":"10.5603/cj.96738","url":null,"abstract":"","PeriodicalId":93923,"journal":{"name":"Cardiology journal","volume":" ","pages":"637-639"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11374318/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141629573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}