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":" ","pages":""},"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":" ","pages":""},"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":" ","pages":""},"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":" ","pages":""},"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":" ","pages":""},"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":" ","pages":""},"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}
Karol Zieliński, Marek Mak, Filip Klausa, Agnieszka Siebert, Artur Telichowski, Adrian Doroszko, Waldemar Banasiak, Krzysztof Ściborski
{"title":"It's never too late for PCI: A case of a bail-out intentional percutaneous LIMA closure due to the CABG-induced coronary subclavian steal syndrome.","authors":"Karol Zieliński, Marek Mak, Filip Klausa, Agnieszka Siebert, Artur Telichowski, Adrian Doroszko, Waldemar Banasiak, Krzysztof Ściborski","doi":"10.33963/v.phj.102934","DOIUrl":"https://doi.org/10.33963/v.phj.102934","url":null,"abstract":"","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142503086","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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