{"title":"To save the Blue Babies: The 80th anniversary of the first Blalock-Thomas-Taussig shunt and the 70th anniversary of the first successful tetralogy of Fallot repair.","authors":"Magdalena Mazurak","doi":"10.33963/v.phj.102235","DOIUrl":"https://doi.org/10.33963/v.phj.102235","url":null,"abstract":"","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":null,"pages":null},"PeriodicalIF":3.7,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142522255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tomasz Soral, Rafał Gardas, Krzysztof S Gołba, Piotr Kulesza, Jolanta Biernat, Danuta Łoboda
Background: In patients with atrial fibrillation (AF) and symptomatic bradycardia, His Bundle pacing (HBP) is used to achieve an appropriate heart rate and physiological depolarization of the left ventricle (LV).
Aims: We aimed to evaluate the impact of HBP on LV function in two different populations: normal LV ejection fraction (LVEF) and low LVEF (<50%).
Methods: Patients who received HBP as de novo therapy or as an upgrade were divided into two groups based on initial LVEF, followed by echocardiographic and device monitoring.
Results: One hundred and twenty three patients (aged 76.0 [69.2-79.8] years, 74.0% men) with AF and bradycardia received HBP and completed follow-up with a median of 6.2 months (6.0-8.0). LV function remained unchanged in initially normal LV function patients (65 participants, LVEF 59.0% [55.0 - 62.0] vs. 58.0% [55.0-63.0]). In patients with low LVEF (58 participants), there was an increase in LVEF (37.5% [30.0-43.0] vs. 44.0% [35.0-50.0]; p < 0.0001), reduction of indexed LV end-systolic volume (62.4 [20.7] ml vs. 51.5 [21.5] ml; p = 0.001) and indexed LV end-diastolic volume (97.5 [26.2] ml vs. 88.1 [25.1] ml; p = 0.009), and improvement in the New York Heart Association class (2.3 [0.71] to 1.6 [0.9]; p < 0.0001).
Conclusion: With permanent HBP, patients with AF and bradycardia and without prior atrioventricular nodal ablation did not experience LV systolic function deterioration. Those with reduced baseline LVEF experienced improvements in LV function and its reverse remodeling at the mid-term follow-up.
背景：目的：我们旨在评估 HBP 对两种不同人群左心室射血分数（LVEF）正常和低 LVEF 的左心室功能的影响：根据初始 LVEF 将接受 HBP 治疗或升级治疗的患者分为两组，然后进行超声心动图和设备监测：123 名房颤和心动过缓患者（年龄 76.0 [69.2-79.8] 岁，74.0% 为男性）接受了 HBP 治疗，并完成了中位 6.2 个月（6.0-8.0）的随访。最初左心室功能正常的患者的左心室功能保持不变（65 名参与者，LVEF 59.0% [55.0 - 62.0] vs. 58.0% [55.0-63.0]）。低 LVEF 患者（58 人）的 LVEF 增加（37.5% [30.0-43.0] vs. 44.0% [35.0-50.0]; p < 0.0001），指数化左心室收缩末期容积减少（62.4 [20.7] ml vs. 51.5 [21.5] ml; p = 0.001）和指数化左心室舒张末期容积（97.5 [26.2] ml vs. 88.1 [25.1] ml; p = 0.009），纽约心脏协会分级改善（2.3 [0.71] 至 1.6 [0.9]; p < 0.0001）：结论：患有房颤和心动过缓、未进行过房室结消融术的永久性 HBP 患者不会出现左心室收缩功能恶化。基线 LVEF 降低的患者在中期随访时左心室功能及其反向重塑均有所改善。
{"title":"His bundle pacing is continually relevant for patients with atrial fibrillation and bradycardia without prior atrioventricular nodal ablation, data from mid-term follow-up.","authors":"Tomasz Soral, Rafał Gardas, Krzysztof S Gołba, Piotr Kulesza, Jolanta Biernat, Danuta Łoboda","doi":"10.33963/v.phj.103041","DOIUrl":"https://doi.org/10.33963/v.phj.103041","url":null,"abstract":"<p><strong>Background: </strong>In patients with atrial fibrillation (AF) and symptomatic bradycardia, His Bundle pacing (HBP) is used to achieve an appropriate heart rate and physiological depolarization of the left ventricle (LV).</p><p><strong>Aims: </strong>We aimed to evaluate the impact of HBP on LV function in two different populations: normal LV ejection fraction (LVEF) and low LVEF (<50%).</p><p><strong>Methods: </strong>Patients who received HBP as de novo therapy or as an upgrade were divided into two groups based on initial LVEF, followed by echocardiographic and device monitoring.</p><p><strong>Results: </strong>One hundred and twenty three patients (aged 76.0 [69.2-79.8] years, 74.0% men) with AF and bradycardia received HBP and completed follow-up with a median of 6.2 months (6.0-8.0). LV function remained unchanged in initially normal LV function patients (65 participants, LVEF 59.0% [55.0 - 62.0] vs. 58.0% [55.0-63.0]). In patients with low LVEF (58 participants), there was an increase in LVEF (37.5% [30.0-43.0] vs. 44.0% [35.0-50.0]; p < 0.0001), reduction of indexed LV end-systolic volume (62.4 [20.7] ml vs. 51.5 [21.5] ml; p = 0.001) and indexed LV end-diastolic volume (97.5 [26.2] ml vs. 88.1 [25.1] ml; p = 0.009), and improvement in the New York Heart Association class (2.3 [0.71] to 1.6 [0.9]; p < 0.0001).</p><p><strong>Conclusion: </strong>With permanent HBP, patients with AF and bradycardia and without prior atrioventricular nodal ablation did not experience LV systolic function deterioration. Those with reduced baseline LVEF experienced improvements in LV function and its reverse remodeling at the mid-term follow-up.</p>","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":null,"pages":null},"PeriodicalIF":3.7,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142503085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Enhanced complement consumption and histone H3 citrullination predict disease severity and early mortality risk in non-high-risk pulmonary embolism.","authors":"Paweł Rostoff, Michał Ząbczyk, Joanna Natorska","doi":"10.33963/v.phj.102983","DOIUrl":"https://doi.org/10.33963/v.phj.102983","url":null,"abstract":"","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":null,"pages":null},"PeriodicalIF":3.7,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142503082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Agnieszka Pawlak, Agata Bielecka-Dąbrowa, Tomasz Dzierżanowski, Paweł Holas, Izabela Jaworska, Jolanta Kolasa, Anna Tomaszuk-Kazberuk, Anna Mierzyńska, Andrzej Muszala, Robert Pudlo, Joanna Rymaszewska, Piotr Sobański, Dominika Dudek
{"title":"Expert opinion of the Heart Failure Association of the Polish Cardiac Society and the Polish Psychiatric Association on the management of patients with heart failure and selected mental disorders (depression, anxiety disorders, sleep disorders, delirium).","authors":"Agnieszka Pawlak, Agata Bielecka-Dąbrowa, Tomasz Dzierżanowski, Paweł Holas, Izabela Jaworska, Jolanta Kolasa, Anna Tomaszuk-Kazberuk, Anna Mierzyńska, Andrzej Muszala, Robert Pudlo, Joanna Rymaszewska, Piotr Sobański, Dominika Dudek","doi":"10.33963/v.phj.103100","DOIUrl":"https://doi.org/10.33963/v.phj.103100","url":null,"abstract":"","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":null,"pages":null},"PeriodicalIF":3.7,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142503083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rafał Januszek, Aleksandra Figas, Jarosław D Kasprzak
{"title":"Multivessel coronary disease in a young patient with sarcoidosis: A case report.","authors":"Rafał Januszek, Aleksandra Figas, Jarosław D Kasprzak","doi":"10.33963/v.phj.102982","DOIUrl":"https://doi.org/10.33963/v.phj.102982","url":null,"abstract":"","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":null,"pages":null},"PeriodicalIF":3.7,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142503088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mikołaj Błaziak, Szymon Urban, Maksym Jura, Weronika Wietrzyk, Bartłomiej Stańczykiewicz, Michał Jarocki, Kamila Florek, Aleksandra Jędrasek, Oskar Szymański, Magdalena Grzesiak, Wiktor Kuliczkowski
Background: Subsequent randomized controlled trials (RCTs) comparing the clinical outcomes of fractional flow reserve (FFR)-guided and angiography-guided revascularisation in patients with coronary artery disease (CAD) yielded inconsistent results.
Aims: This study aimed to assess head to head whether FFR-guided revascularisation reduces the rates of hard clinical endpoints in comparison with the angiography-guided approach alone.
Methods: This systematic review was conducted through June 2024 at Embase, Clinicaltrials.gov, Cochrane Library, and EBSCO. Only RCTs that evaluated stable and unstable CAD and acute myocardial infarction (MI) were included. Eight RCTs involving 4713 patients were included in the meta-analysis.
Results: FFR guidance was associated with a reduction of MI (risk ratio (RR), 0.75 [95% confidence interval (Cl), 0.58-0.96], p=0.02) and lower rate of revascularisation (standardised mean difference - 0.12, [95% Cl, -0.14-0.09], p<00001). There were no differences between FFR-guided and angio-guided revascularisation in major adverse cardiovascular events (MACE) (RR, 0.84 [95% Cl, 0.69-1.02], p=0.08), all-cause mortality (RR, 1.00 [95% Cl, 0.58-1.74], p=0.99), and unplanned revascularisation (RR, 0.89 [95% Cl, 0.72-1.10], p=0.28).
Conclusions: FFR-driven revascularisation was associated with a significantly lower rate of MI for entire population and also in the acute coronary syndrome (ACS) subset. These results were achieved with a substantially less revascularisations compared with solely angiographic guidance.
{"title":"Fractional flow reserve versus solely angiography-guided revascularisation in coronary artery disease. Systematic review and meta-analysis.","authors":"Mikołaj Błaziak, Szymon Urban, Maksym Jura, Weronika Wietrzyk, Bartłomiej Stańczykiewicz, Michał Jarocki, Kamila Florek, Aleksandra Jędrasek, Oskar Szymański, Magdalena Grzesiak, Wiktor Kuliczkowski","doi":"10.33963/v.phj.102941","DOIUrl":"https://doi.org/10.33963/v.phj.102941","url":null,"abstract":"<p><strong>Background: </strong>Subsequent randomized controlled trials (RCTs) comparing the clinical outcomes of fractional flow reserve (FFR)-guided and angiography-guided revascularisation in patients with coronary artery disease (CAD) yielded inconsistent results.</p><p><strong>Aims: </strong>This study aimed to assess head to head whether FFR-guided revascularisation reduces the rates of hard clinical endpoints in comparison with the angiography-guided approach alone.</p><p><strong>Methods: </strong>This systematic review was conducted through June 2024 at Embase, Clinicaltrials.gov, Cochrane Library, and EBSCO. Only RCTs that evaluated stable and unstable CAD and acute myocardial infarction (MI) were included. Eight RCTs involving 4713 patients were included in the meta-analysis.</p><p><strong>Results: </strong>FFR guidance was associated with a reduction of MI (risk ratio (RR), 0.75 [95% confidence interval (Cl), 0.58-0.96], p=0.02) and lower rate of revascularisation (standardised mean difference - 0.12, [95% Cl, -0.14-0.09], p<00001). There were no differences between FFR-guided and angio-guided revascularisation in major adverse cardiovascular events (MACE) (RR, 0.84 [95% Cl, 0.69-1.02], p=0.08), all-cause mortality (RR, 1.00 [95% Cl, 0.58-1.74], p=0.99), and unplanned revascularisation (RR, 0.89 [95% Cl, 0.72-1.10], p=0.28).</p><p><strong>Conclusions: </strong>FFR-driven revascularisation was associated with a significantly lower rate of MI for entire population and also in the acute coronary syndrome (ACS) subset. These results were achieved with a substantially less revascularisations compared with solely angiographic guidance.</p>","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":null,"pages":null},"PeriodicalIF":3.7,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142503084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Michał Buczyński, Jacek Kuźma, Przemysław Kosiński, Bożena Kociszewska-Najman, Bożena Werner, Karolina Szymczak, Wojciech Mądry, Mohamed Sameh Emam, Mariusz Kuśmierczyk
{"title":"Perioperative echocardiography in a newborn with severe tricuspid dysplasia operated on with CorMatrix tube reconstruction.","authors":"Michał Buczyński, Jacek Kuźma, Przemysław Kosiński, Bożena Kociszewska-Najman, Bożena Werner, Karolina Szymczak, Wojciech Mądry, Mohamed Sameh Emam, Mariusz Kuśmierczyk","doi":"10.33963/v.phj.103118","DOIUrl":"https://doi.org/10.33963/v.phj.103118","url":null,"abstract":"","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":null,"pages":null},"PeriodicalIF":3.7,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142503089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dorota Nowosielecka, Paweł Dąbrowski, Paweł Stefańczyk, Agnieszka Nowosielecka, Andrzej Kutarski
{"title":"The use of transesophageal echocardiography for assessment of lead position while identifying left bundle branch signals.","authors":"Dorota Nowosielecka, Paweł Dąbrowski, Paweł Stefańczyk, Agnieszka Nowosielecka, Andrzej Kutarski","doi":"10.33963/v.phj.102980","DOIUrl":"https://doi.org/10.33963/v.phj.102980","url":null,"abstract":"","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":null,"pages":null},"PeriodicalIF":3.7,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142503091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Maciej Dyrbuś, Joanna Machowicz, Łukasz Pyka, Elżbieta Adamowicz-Czoch, Katarzyna Sokoła, Damian Pres, Michał Skrzypek, Mariusz Gąsior, Mateusz Tajstra
{"title":"Right ventricular systolic pressure predicts outcomes in patients with cardiac resynchronization therapy-defibrillators.","authors":"Maciej Dyrbuś, Joanna Machowicz, Łukasz Pyka, Elżbieta Adamowicz-Czoch, Katarzyna Sokoła, Damian Pres, Michał Skrzypek, Mariusz Gąsior, Mateusz Tajstra","doi":"10.33963/v.phj.102981","DOIUrl":"https://doi.org/10.33963/v.phj.102981","url":null,"abstract":"","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":null,"pages":null},"PeriodicalIF":3.7,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142503090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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