Cardiology journal最新文献

{"title":"Pharmacotherapy in Polish patients with heart failure with reduced ejection fraction: is it optimal?","authors":"Paula Połaska, Tomasz Urbanik, Hanna Wilk-Manowiec, Radosław Bartkowiak, Iwona Woźniak-Skowerska, Dariusz Nowak, Renata Główczyńska, Jadwiga Nessler, Jacek Gacoń, Leszek Badacz, Grzegorz Drelich, Anna Lisowska, Beata Wożakowska-Kapłon, Lidia Pawłowicz, Anna Kania, Wojciech Sobiczewski, Przemysław Leszek","doi":"10.5603/cj.103644","DOIUrl":"10.5603/cj.103644","url":null,"abstract":"","PeriodicalId":93923,"journal":{"name":"Cardiology journal","volume":" ","pages":"e00226011"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13170458/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145566761","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":"Beat-to-beat alternating left bundle branch block with QRS morphology variation.","authors":"Rami M Abazid, Magdi Hassanin, Habib Rehman Khan, Michael Kutryk, Sarah Woolridge","doi":"10.5603/cj.108647","DOIUrl":"10.5603/cj.108647","url":null,"abstract":"","PeriodicalId":93923,"journal":{"name":"Cardiology journal","volume":"33 ","pages":"e00226080"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13674980/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149186775","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":"The differences between ambulatory and hospitalized heart failure patients who have mildly reduced or preserved ejection fractions: lessons learned from the HF-POL study.","authors":"Agata Anna Galas, Paweł Krzesiński, Agnieszka Włochacz, Agnieszka Kapłon-Cieślicka, Marek Gierlotka, Jarosław D Kasprzak, Bartosz Krakowiak, Jadwiga Nessler, Jacek Niedziela, Agnieszka Pawlak, Anna Tomaszuk-Kazberuk, Krystian Wita, Małgorzata Lelonek","doi":"10.5603/cj.103954","DOIUrl":"10.5603/cj.103954","url":null,"abstract":"<p><strong>Background: </strong>Heart failure (HF) is a leading cause of hospitalization and mortality, regardless of left ventricular ejection fraction (LVEF). The prevalence of HF with preserved and mildly reduced ejection fraction (HFpEF and HFmrEF) is rising, along with increasing hospitalizations. Patients with HF exhibit varied clinical presentations and therapeutic needs, which depend on HF status rather than solely on LVEF. The study aimed to compare the general characteristics, clinical presentation, and diagnostic features of ambulatory and hospitalized (HOSPs) patients enrolled in the HF-POL study.</p><p><strong>Methods: </strong>HF-POL was a multicenter observational study in 14 Polish clinical centers, enrolling adult patients with HF and LVEF > 40%, either hospitalized for HF decompensation or under ambulatory care. Data collected included demographics, comorbidities, medications, physical exams, echocardiography, and additional diagnostics.</p><p><strong>Results: </strong>Among the 1497 patients, 52.5% were men, with a mean age of 75 years and an LVEF of 50%. HOSPs (63.4%) were older, more likely to be women, and more frequently had a new HF diagnosis compared to ambulatory (36.6%). HOSPs had fewer previous HF hospitalizations and lower rates of coronary artery disease and prior myocardial infarction. However, they had higher rates of chronic obstructive pulmonary disease, cancer, and depression. HOSPs were more often treated with beta blockers, mineralocorticoid receptor antagonists, calcium blockers, nitrates, amiodarone, and digoxin, but less often with sodium glucose cotransporter 2 inhibitors.</p><p><strong>Conclusions: </strong>The HF-POL registry highlighted important differences between hospitalized and ambulatory HF patients, underscoring the need for individualized management, particularly during transitions from hospital to ambulatory care.</p>","PeriodicalId":93923,"journal":{"name":"Cardiology journal","volume":" ","pages":"e00226013"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13189619/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145423576","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":"The relationship between inspiratory muscle strength and exercise tolerance in patients with coronary heart disease.","authors":"Tao Shen, Jinglin Li, Yanxin Song, Chuan Ren, Wei Zhao","doi":"10.5603/cj.102835","DOIUrl":"10.5603/cj.102835","url":null,"abstract":"<p><strong>Background: </strong>There has been insufficient research on the assessment of exercise capacity in patients with coronary heart disease (CHD) following percutaneous coronary intervention (PCI) who exhibit inspiratory muscle weakness (IMW).</p><p><strong>Methods: </strong>A retrospective cohort study involving CHD patients who underwent PCI at Peking University Third Hospital Heart Rehabilitation Center between January 2019 and December 2021 was conducted. Patients who had undergone inspiratory muscle testing and cardiopulmonary exercise testing (CPET) were included, and their clinical data were collected and analyzed.</p><p><strong>Results: </strong>A total of 571 post-PCI CHD patients were included in the study. The average age was 60.8 ± 4.3 years, and 479 male patients (83.9%) were included. The average maximal inspiratory pressure (MIP) of the enrolled patients was 90.7 ± 26.1 cm H2O, with 56 patients (9.8%) presenting with IMW. The IMW group had lower peak oxygen uptake (VO2peak) (17.4 ± 4.2 vs. 19.3 ± 5.1 mL/ /min/kg, p < 0.001) and oxygen uptake efficiency slopes (OUES) (1464.7 ± 368.5 vs. 1619.2 ± 400.4, p = 0.004). MIP correlated with VO2peak (r = 0.719, p < 0.001) and OUES (r = 0.622, p < 0.001). Multivariate regression analysis revealed that VO2peak (OR = 0.917, 95% CI = 0.858 ~ 0.980) and history of chronic obstructive pulmonary disease (COPD) (OR = 1.705, 95% CI = 0.934~ 3.112) were independent risk factors for IMW.</p><p><strong>Conclusions: </strong>After PCI, CHD patients exhibiting IMW, especially those with comorbid COPD, demonstrated reduced exercise tolerance and oxygen uptake efficiency.</p>","PeriodicalId":93923,"journal":{"name":"Cardiology journal","volume":" ","pages":"e00226002"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13189632/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276987","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":"Enhanced cardiac sympathetic innervation predicts systolic function improvement and outcome in dilated cardiomyopathy.","authors":"Ewa Dziewięcka, Katarzyna Holcman, Magdalena Kostkiewicz, Wojciech Szot, Sylwia Wiśniowska-Śmiałek, Mateusz Winiarczyk, Agnieszka Stępień-Wroniecka, Katarzyna Graczyk, Natalia Przytuła, Paweł Rubiś","doi":"10.5603/cj.106281","DOIUrl":"10.5603/cj.106281","url":null,"abstract":"","PeriodicalId":93923,"journal":{"name":"Cardiology journal","volume":"33 ","pages":"e00226058"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13262699/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148213748","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":"Lipoprotein(a) and clinical characteristics of Polish patients hospitalized in a tertiary referral hospital - an observational, cross-sectional study.","authors":"Tomasz Saniewski, Grzegorz Procyk, Jakub Zimodro, Olivia Wasilewska, Bartosz Mroczyk, Michał Lis, Aleksandra Gąsecka","doi":"10.5603/cj.108082","DOIUrl":"10.5603/cj.108082","url":null,"abstract":"<p><strong>Background: </strong>Lipoprotein(a) [Lp(a)] is a highly atherogenic particle that significantly increases overall cardiovascular risk. Evidence regarding concentrations of Lp(a) in the Polish general population remains limited, as well as the association between Lp(a) and various clinical characteristics. The aim in this study was to analyze Lp(a) concentration in a Polish population hospitalized in a tertiary referral hospital, compare clinical characteristics between patients with low and high Lp(a) and find the predictors of increased Lp(a) concentrations.</p><p><strong>Methods: </strong>This was an observational, cross-sectional study. All patients hospitalized in the Clinical Department of Internal Medicine, Endocrinology, Diabetology, and Nephrology in the Czerniakowski Hospital between 01.03.2024 and 08.10.2024 and with measured Lp(a) concentration were consecutively included. Patients were divided into two groups: those with high Lp(a) (≥ 30 mg/dL) and those with low Lp(a) ( < 30 mg/dL). The groups were compared in terms of multiple clinical characteristics. Multiple logistic regression was used to determine independent predictors of high Lp(a). The p-value below 0.05 was considered statistically significant.</p><p><strong>Results: </strong>Out of 562 patients, 117 had high Lp(a) concentration (20.8%). The groups did not differ in terms of age, sex, or clinical examination findings. In a multiple logistic regression, male sex was associated with a decreased odds ratio of high Lp(a) (OR = 0.2857, 95% CI: 0.1107 to 0.6468, p = 0.01).</p><p><strong>Conclusions: </strong>High Lp(a) is prevalent in the Polish population, and thus it is important to measure it routinely in each individual at least once in a lifetime and control all other known cardiovascular risk factors to decrease the overall risk.</p>","PeriodicalId":93923,"journal":{"name":"Cardiology journal","volume":" ","pages":"e00226010"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13189607/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145305036","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":"Concomitant Impella 5.5 with venoarterial extracorporeal membrane oxygenation via modified single arterial access technique using buried Y-graft.","authors":"Kaung Sithu Sett, Maciej Bochenek, Maciej Rachwalik","doi":"10.5603/cj.108035","DOIUrl":"10.5603/cj.108035","url":null,"abstract":"","PeriodicalId":93923,"journal":{"name":"Cardiology journal","volume":" ","pages":"e00226017"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13170444/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145552180","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":"Diagnostic trends in patients hospitalized with suspected myocarditis: 10-year data from the nationwide MYO-PL database.","authors":"Aleksandra Okrój, Emil Brociek, Krzysztof Ozierański, Marcin Kruk, Beata Koń, Marcin Grabowski, Agata Tymińska","doi":"10.5603/cj.103407","DOIUrl":"10.5603/cj.103407","url":null,"abstract":"<p><strong>Background: </strong>Myocarditis poses a great diagnostic challenge to clinicians, as the most sensitive diagnostic tools are not easily accessible in many hospitals. Clinical suspicion of myocarditis is based on clinical symptoms and additional tests' abnormalities. The diagnosis should be confirmed by endomyocardial biopsy (EMB) - the gold standard for the diagnosis of myocarditis. The study aimed to assess trends in the use of diagnostic procedures performed in all patients hospitalized with suspected myocarditis in Poland between 2011-2019.</p><p><strong>Methods: </strong>The nationwide MYO-PL database was derived from the database of the national healthcare insurer and created to identify hospitalization records with a primary diagnosis of myocarditis. We evaluated the use of recommended diagnostic procedures in this group of 19 978 patients within 6 months of the diagnosis of myocarditis.</p><p><strong>Results: </strong>Echocardiography was the most frequently used imaging technique among patients, and the number of patients who underwent this procedure between 2011-2019 rose every year (71.3-86.1%). Use of nuclear medicine procedures remained < 1% regardless of the year. Biomarkers measurements during primary hospitalization were performed in 13.8% (brain natriuretic peptides) and 41.3% (troponins) of patients. Interestingly, EMB was performed in less than 1% of patients. The most sensitive noninvasive test (cardiac magnetic resonance) was performed in 16.4% of patients (7.2-29.2% within 10 years). Most diagnostic tests were less frequently performed in females.</p><p><strong>Conclusions: </strong>The results highlight that the management of patients with myocarditis could be significantly improved if state-of-the-art diagnostic methods were followed according to guidelines.</p>","PeriodicalId":93923,"journal":{"name":"Cardiology journal","volume":" ","pages":"e00226004"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13189612/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144796317","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":"Why atrial fibrillation ablation remains underused in EuroAsia Task Force countries: insights from the ESC-EHRA Atlas and a regional survey.","authors":"Ayan Abdrakhmanov, Zhansaya Zhumagali, Cecilia Linde, Zhanasyl Suleymen, Salim Berkinbayev, Zhanar Abdrakhmanova, Moldir Yerikkyzy, Assel Chinybayeva, Elmira Yessimbekova, Jacek Bil, Robert J Gil","doi":"10.5603/cj.112081","DOIUrl":"10.5603/cj.112081","url":null,"abstract":"<p><strong>Background: </strong>The prevalence of atrial fibrillation (AF) is increasing worldwide, yet access to catheter ablation remains uneven across regions. This study aimed to compare access to AF ablation across seven EuroAsia Task Force countries and identify barriers and potential strategies for improving service provision.</p><p><strong>Methods: </strong>This cross-sectional study combined a secondary analysis of the 2025 European Society of Cardiology - European Heart Rhythm Association (ESC-EHRA) Atlas on Heart Rhythm Disorders with a structured regional survey. Procedural activity, infrastructure, and workforce indicators were compared with ESC reference medians and expressed per million population. Missing data for Turkmenistan were obtained from the national representative (2023). Exploratory correlations between ablation rates and healthcare expenditure indicators were assessed, including current health expenditure as a percentage of gross domestic product, out-of-pocket expenditure, domestic general government health expenditure, and current health expenditure per capita.</p><p><strong>Results: </strong>AF ablation volume ranged from 2 to 190 procedures per million population, with six of seven countries below the European median (151 per million). Hospitals performing ablation ranged from 0.1 to 1.9 per million, with only one country exceeding the ESC median. No country met benchmarks for high-volume ablation centers or operator density. Fellowship density was low (0.1-1.3 per million). Financial barriers were identified as the main obstacle by five of six country representatives.</p><p><strong>Conclusions: </strong>Access to AF ablation in EuroAsia Task Force countries is low and heterogeneous. Healthcare financing structure and per-capita health spending may be more important determinants of access than overall expenditure relative to gross domestic product.</p>","PeriodicalId":93923,"journal":{"name":"Cardiology journal","volume":"33 ","pages":"e00226069"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13576677/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148932003","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":"Letter to the Editor regarding: \"Lipid-lowering therapy in patients with hypercholesterolemia in terms of the POLSCORE and SCORE2 scales. A single-center retrospective analysis\".","authors":"Ryohei Kimura","doi":"10.5603/cj.110388","DOIUrl":"10.5603/cj.110388","url":null,"abstract":"","PeriodicalId":93923,"journal":{"name":"Cardiology journal","volume":"33 ","pages":"e00226043"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13189599/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147792129","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}