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: 2024-07-17DOI: 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: 2024-11-29DOI: 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.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}
Cardiology journalPub Date : 2024-01-01Epub Date: 2024-05-02DOI: 10.5603/cj.99332
Mariusz Tomaniak, Karol Sadowski, Adrian Bednarek, Zenon Huczek, Marek Gierlotka, Michał Hawranek, Marcin Grabowski, Wojciech Wojakowski, Krzysztof Milewski, Janusz Kochman
{"title":"Study design and rationale of the angio-based final functional effect of PCI (AFFE PCI) study: a prospective multi-center study of post-PCI vFFR impact on clinical outcomes and residual angina.","authors":"Mariusz Tomaniak, Karol Sadowski, Adrian Bednarek, Zenon Huczek, Marek Gierlotka, Michał Hawranek, Marcin Grabowski, Wojciech Wojakowski, Krzysztof Milewski, Janusz Kochman","doi":"10.5603/cj.99332","DOIUrl":"10.5603/cj.99332","url":null,"abstract":"","PeriodicalId":93923,"journal":{"name":"Cardiology journal","volume":" ","pages":"488-495"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11229809/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140869621","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: 2024-08-08DOI: 10.5603/cj.97842
Yong Hoon Kim, Ae-Young Her, Seung-Woon Rha, Cheol Ung Choi, Byoung Geol Choi, Soohyung Park, Dong Oh Kang, Su Jin Hyun, Jung Rae Cho, Ji Young Park, Sang-Ho Park, Myung Ho Jeong
{"title":"Effect of diabetes mellitus on 3-year outcomes in patients with acute myocardial infarction with nonobstructive coronary arteries.","authors":"Yong Hoon Kim, Ae-Young Her, Seung-Woon Rha, Cheol Ung Choi, Byoung Geol Choi, Soohyung Park, Dong Oh Kang, Su Jin Hyun, Jung Rae Cho, Ji Young Park, Sang-Ho Park, Myung Ho Jeong","doi":"10.5603/cj.97842","DOIUrl":"10.5603/cj.97842","url":null,"abstract":"<p><strong>Background: </strong>Diabetes mellitus (DM) is a significant factor in increased mortality rates among patients with acute myocardial infarction (AMI), but research on its impact on the long-term outcomes in patients with MI with nonobstructive coronary arteries (MINOCA) is limited. Thus, a comparison of the 3-year clinical outcomes between the DM and non-DM groups among patients with MINOCA was undertaken.</p><p><strong>Methods: </strong>From the Korea AMI Registry-National Institute of Health dataset, 10,774 AMI patients were enrolled. After applying the exclusion criteria, 379 patients with MINOCA were included. The primary clinical outcomes were major adverse cardiac and cerebrovascular events (MACCE), defined as all-cause death, recurrent myocardial infarction (MI), repeat coronary revascularization, and stroke. The secondary outcomes were the individual components of MACCE.</p><p><strong>Results: </strong>The adjusted hazard ratios for 3-year MACCE (2.287, p = 0.010), all-cause death (2.845, p = 0.004), and non-cardiac death (non-CD, 3.914, p = 0.008) were higher in the DM group than in the non-DM group. It is speculated that the higher non-CD rate in the MINOCA group is attributable to a higher proportion of patients with non-ST-segment elevation MI in the total study population. The CD, recurrent MI, revascularization, and stroke rates were similar between the DM and non-DM groups. DM, advanced age, cardiopulmonary resuscitation on admission, and non-use of statin medications were significant predictors of MACCE.</p><p><strong>Conclusions: </strong>In this study involving patients with MINOCA, the DM group exhibited a higher 3-year mortality rate than the non-DM group. Thus, DM demonstrated a hazardous effect even in patients with MINOCA.</p>","PeriodicalId":93923,"journal":{"name":"Cardiology journal","volume":" ","pages":"675-689"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11544401/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141903963","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":"Association between cognitive impairment and risk of atrial fibrillation: The Atherosclerosis Risk in Communities study.","authors":"Yizhou Li, Yu Jia, Wenli Jiang, Dongze Li, Jing Yu, Yi Liu, Xiaoyang Liao, Zhiwei Zhao","doi":"10.5603/cj.93107","DOIUrl":"10.5603/cj.93107","url":null,"abstract":"<p><strong>Background: </strong>Atrial fibrillation (AF) is reportedly a risk factor for cognitive impairment. Interestingly, recent studies have emphasized that impaired cognition is probably an initiating factor of cardiovascular disease. Thus, we aimed to explore the association between impaired cognition and the risk of AF, and clarify the potential mechanisms.</p><p><strong>Methods: </strong>Participants of visit 2 (1991-1993) in the Atherosclerosis Risk in Communities study were included. Global cognition z-scores and factor scores were calculated using the word fluency, delayed word recall, and digit symbol substitution tests. AF incidents were diagnosed by electrocardiography and inpatient records. The association of cognitive decline with AF risk and left atrial volume index (LAVI) was explored using Cox proportional hazards and linear regression models, respectively.</p><p><strong>Results: </strong>During the median follow-up of 18.2 ± 6.2 years, 2056/11,675 (17.6%) participants developed AF. Participants in the lowest quartile of global cognition z- and factor scores had a higher risk of AF (hazard ratio [HR]: 1.271, 95% confidence interval [CI]: 1.094-1.477, p = 0.002; HR: 1.305, 95% CI: 1.110-1.535, p = 0.001, respectively) than those in the highest quartile. Global cognition z- and factor scores were negatively correlated with the LAVI (B: -0.411, 95% CI: -0.749 to -0.074, p = 0.017; B: -0.425, 95% CI: -0.833 to -0.017, p = 0.041, respectively).</p><p><strong>Conclusions: </strong>Cognitive decline is significantly associated with a higher risk of AF, with atrial remodeling being a potential mechanism. Our results extend previous findings of the brain-heart axis and indicate the effects of cognitive injury on cardiac function and structure.</p><p><strong>Registration: </strong>URL: https://www.</p><p><strong>Clinicaltrials: </strong>gov; unique identifier: NCT00005131.</p>","PeriodicalId":93923,"journal":{"name":"Cardiology journal","volume":" ","pages":"553-563"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11374324/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49686333","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: 2023-11-15DOI: 10.5603/cj.96076
Jacek Kubica, Piotr Adamski, Sławomir Dobrzycki, Robert Gajda, Mariusz Gąsior, Marek Gierlotka, Miłosz Jaguszewski, Jacek Legutko, Maciej Lesiak, Eliano P Navarese, Piotr Niezgoda, Małgorzata Ostrowska, Tomasz Pawłowski, Agnieszka Tycińska, Julia M Umińska, Adam Witkowski, Robert Gil
{"title":"Cangrelor - Expanding therapeutic options in patients with acute coronary syndrome.","authors":"Jacek Kubica, Piotr Adamski, Sławomir Dobrzycki, Robert Gajda, Mariusz Gąsior, Marek Gierlotka, Miłosz Jaguszewski, Jacek Legutko, Maciej Lesiak, Eliano P Navarese, Piotr Niezgoda, Małgorzata Ostrowska, Tomasz Pawłowski, Agnieszka Tycińska, Julia M Umińska, Adam Witkowski, Robert Gil","doi":"10.5603/cj.96076","DOIUrl":"10.5603/cj.96076","url":null,"abstract":"<p><p>Cangrelor is the only intravenous P2Y12 receptor antagonist. It is an adenosine triphosphate analog that selectively, directly, and reversibly binds to the platelet P2Y12 receptors exerting its antiaggregatory effect. Cangrelor is characterized by linear, dose-dependent pharmacokinetics and rapid onset of action providing potent platelet inhibition exceeding 90%. Cangrelor is rapidly metabolized by endothelial endonucleotidase; thus, its half-life is 2.9 to 5.5 min, and its antiplatelet effect subsides within 60 to 90 min. Data originating from three pivotal cangrelor trials (CHAMPION PLATFORM, CHAMPION PCI, and CHAMPION PHOENIX) indicate that cangrelor reduces the risk of periprocedural thrombotic complications during percutaneous coronary intervention at the expense of mild bleedings. Its unique pharmacological properties allow it to overcome the limitations of oral P2Y12 receptor inhibitors, mainly related to the delayed and decreased bioavailability and antiplatelet effect of these agents, which are often observed in the setting of acute coronary syndrome. Subgroups of patients who could theoretically benefit the most from cangrelor include those in whom pharmacokinetics and pharmacodynamics of oral P2Y12 receptor antagonists are most disturbed, namely patients with ST-segment elevation myocardial infarction, those treated with opioids, with mild therapeutic hypothermia, or in cardiogenic shock. Cangrelor could also be useful if bridging is required in patients undergoing surgery. According to the current guidelines cangrelor may be considered in P2Y12 receptor inhibitor-naïve patients undergoing percutaneous coronary intervention in both acute and stable settings.</p>","PeriodicalId":93923,"journal":{"name":"Cardiology journal","volume":" ","pages":"133-146"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10919555/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"107593125","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}