Krzysztof Boczar, Krzysztof Lewandowski, Zbigniew Samitowski, Mateusz Ulman, Katarzyna Holcman, Andrzej Ząbek
{"title":"Successful use of the occlusion balloon as a bridge to surgery for subclavian vein rupture during transvenous lead extraction.","authors":"Krzysztof Boczar, Krzysztof Lewandowski, Zbigniew Samitowski, Mateusz Ulman, Katarzyna Holcman, Andrzej Ząbek","doi":"10.33963/v.phj.110623","DOIUrl":"https://doi.org/10.33963/v.phj.110623","url":null,"abstract":"","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145959404","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}
Background: Left ventricular global longitudinal strain (LVGLS) detects myocardial injury. Reduced LVGLS is associated with worse outcomes in several cardiovascular conditions. Currently, there is a paucity of evidence regarding LVGLS in patients with coronary microvascular dysfunction (CMD).
Aims: To assess whether LVGLS is reduced in patients with CMD.
Methods: We included patients who underwent clinically indicated invasive assessment of coronary microvascular function with ejection fraction >50%. LVGLS measurement was performed using semi-automated speckle-tracking software and is presented in absolute value. Associations between LVGLS, echocardiographic parameters, and coronary microvascular function were assessed using univariate and multivariable analyses.
Results: 93 patients were included in the analysis (58% female; median age 66, interquartile range [IQR] 58-74) of which 49 (52.6%) had evidence of CMD. Median ejection fraction and LVGLS for the study cohort were 60% and 16.2%, respectively. Patients with CMD had worse LVGLS compared to those without CMD (15.0% [IQR 13-17] vs. 17.9% [IQR 15-21]; P = 0.04). Patients with structural CMD (14.4%; IQR 12.3-16.6) vs. functional CMD (16.5%; IQR 14.3-19.4), and no CMD (17.9%; IQR 15.2-21.3) had lower LVGLS (P for trend = 0.001). Reduced LVGLS (<17.5%) was associated with CMD (odds ratio, 3.08; 95% confidence interval, 1.28-7.43) and remained significant after multivariable adjustment (adjusted odds ratio, 3.61; 95% confidence interval, 1.35-9.68; P = 0.01).
Conclusions: Patients with CMD and preserved ejection function have lower LVGLS compared with patients without CMD, with worse LVGLS among patients with structural vs. functional CMD. Reduced LVGLS might emerge as an early non-invasive marker for CMD.
{"title":"Left ventricular global longitudinal strain in patients with coronary microvascular dysfunction and preserved ejection fraction: A single center study.","authors":"Lior Zornitzki, Yotam Barlev, Sheizaf Gefen, Ophir Freund, Shir Frydman, Maayan Zuniga, Jeremy Ben-Shoshan, Yaron Arbel, Shmuel Banai, Maayan Konigstein","doi":"10.33963/v.phj.110652","DOIUrl":"https://doi.org/10.33963/v.phj.110652","url":null,"abstract":"<p><strong>Background: </strong>Left ventricular global longitudinal strain (LVGLS) detects myocardial injury. Reduced LVGLS is associated with worse outcomes in several cardiovascular conditions. Currently, there is a paucity of evidence regarding LVGLS in patients with coronary microvascular dysfunction (CMD).</p><p><strong>Aims: </strong>To assess whether LVGLS is reduced in patients with CMD.</p><p><strong>Methods: </strong>We included patients who underwent clinically indicated invasive assessment of coronary microvascular function with ejection fraction >50%. LVGLS measurement was performed using semi-automated speckle-tracking software and is presented in absolute value. Associations between LVGLS, echocardiographic parameters, and coronary microvascular function were assessed using univariate and multivariable analyses.</p><p><strong>Results: </strong>93 patients were included in the analysis (58% female; median age 66, interquartile range [IQR] 58-74) of which 49 (52.6%) had evidence of CMD. Median ejection fraction and LVGLS for the study cohort were 60% and 16.2%, respectively. Patients with CMD had worse LVGLS compared to those without CMD (15.0% [IQR 13-17] vs. 17.9% [IQR 15-21]; P = 0.04). Patients with structural CMD (14.4%; IQR 12.3-16.6) vs. functional CMD (16.5%; IQR 14.3-19.4), and no CMD (17.9%; IQR 15.2-21.3) had lower LVGLS (P for trend = 0.001). Reduced LVGLS (<17.5%) was associated with CMD (odds ratio, 3.08; 95% confidence interval, 1.28-7.43) and remained significant after multivariable adjustment (adjusted odds ratio, 3.61; 95% confidence interval, 1.35-9.68; P = 0.01).</p><p><strong>Conclusions: </strong>Patients with CMD and preserved ejection function have lower LVGLS compared with patients without CMD, with worse LVGLS among patients with structural vs. functional CMD. Reduced LVGLS might emerge as an early non-invasive marker for CMD.</p>","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145958797","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 Słaboszewski, Aleksandra Woźniak, Joanna Szachowicz-Jaworska, Aleksander Siniarski
{"title":"Retrospective analysis of perivascular fat in a 74-year-old man with acute coronary syndrome and zero calcium score.","authors":"Michał Słaboszewski, Aleksandra Woźniak, Joanna Szachowicz-Jaworska, Aleksander Siniarski","doi":"10.33963/v.phj.110625","DOIUrl":"https://doi.org/10.33963/v.phj.110625","url":null,"abstract":"","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145934353","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":"Importance of echocardiography in patients scheduled to undergo mitral transcatheter edge-to-edge repair.","authors":"Mesut Engin, Ufuk Aydın, Yusuf Ata, Hasan Arı","doi":"10.33963/v.phj.110583","DOIUrl":"https://doi.org/10.33963/v.phj.110583","url":null,"abstract":"","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145934197","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}
Piotr Gardziejczyk, Paweł Szymkiewicz, Ewa Wlazłowska-Struzik, Marta Skowrońska, Miron Kuśmirek, Jakub Baran
{"title":"First-in-Poland experience with a novel lattice-tip PF/RF ablation catheter: Real-world data from a single center.","authors":"Piotr Gardziejczyk, Paweł Szymkiewicz, Ewa Wlazłowska-Struzik, Marta Skowrońska, Miron Kuśmirek, Jakub Baran","doi":"10.33963/v.phj.110579","DOIUrl":"https://doi.org/10.33963/v.phj.110579","url":null,"abstract":"","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145934244","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 Dąbrowski, Aleksandra Świeca, Magdalena Kwiatkowska, Michał Kwiatkowski, Michał Jakubowski, Michał Malinowski, Michał Kozłowski, Maciej Cieślik, Paweł Krzesiński, Piotr Kwiatkowski
{"title":"Long-term survival after late surgical repair of adult anomalous origin of the left coronary artery from the pulmonary artery.","authors":"Michał Dąbrowski, Aleksandra Świeca, Magdalena Kwiatkowska, Michał Kwiatkowski, Michał Jakubowski, Michał Malinowski, Michał Kozłowski, Maciej Cieślik, Paweł Krzesiński, Piotr Kwiatkowski","doi":"10.33963/v.phj.110577","DOIUrl":"https://doi.org/10.33963/v.phj.110577","url":null,"abstract":"","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145917864","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}
Monika Gawałko, Monika Budnik, Piotr Scisło, Radosław Piątkowski, Beata Uziębło-Życzkowska, Paweł Krzesiński, Katarzyna Starzyk, Beata Wożakowska-Kapłon, Ludmiła Daniłowicz-Szymanowicz, Damian Kaufmann, Maciej Wójcik, Robert Błaszczyk, Konrad Pieszko, Katarzyna Łojewska, Jarosław Hiczkiewicz, Maciej Wybraniec, Katarzyna Mizia-Stec, Katarzyna Kosmalska, Marcin Fijałkowski, Anna Szymańska, Mirosław Dłużniewski, Maciej Haberka, Michał Kucio, Błażej Michalski, Karolina Kupczyńska, Anna Tomaszuk-Kazberuk, Katarzyna Wilk-Śledziewska, Renata Wachnicka-Truty, Marek Koziński, Paweł Burchardt, Marcin Grabowski, Agnieszka Kapłon-Cieślicka
Background: Renal dysfunction increases thromboembolic risk but is not consistently included in standard risk scores.
Aims: To compare the prevalence of left atrial thrombus (LAT) in atrial fibrillation (AF)/atrial flutter (AFl) patients based on renal function and oral anticoagulant (OAC) regimens.
Material and methods: Consecutive AF/AFl patients undergoing transesophageal echocardiography before cardioversion or ablation were included.
Results: Among 2790 patients with creatinine clearance (CrCl) data, 89% had CrCl ≥50 ml/min, 9.6% had CrCl 30-49 ml/min, and 1.5% had CrCl <30 ml/min. LAT prevalence was 6.7%, 16%, and 19%, respectively (P = 0.008). CrCl <50 ml/min was an independent predictor of LAT (odds ratio [OR], 1.81; 95% confidence interval [CI], 1.25-2.64). Of 2028 patients treated with non-vitamin K antagonist OACs (NOACs), 17% received reduced doses, with 56% of these reductions deemed inappropriate. LAT prevalence was higher with reduced NOAC doses (12%) compared to standard doses (4.6%, P <0.001). Patients with no indication for dose reduction but receiving reduced doses had a higher LAT risk (12% vs. 4.2%; P <0.001). Among those with an indication for reduced doses, LAT prevalence was similar (11%) regardless of dose appropriateness. There were no significant differences in LAT prevalence among different NOACs. Inappropriate NOAC dosing increased LAT risk (OR, 1.74; 95% CI, 1.11-2.73). Inappropriate dose reductions, especially with apixaban and rivaroxaban, was the main issue in inappropriate NOAC prescribing, likely influenced by age, bleeding risk, anemia, low CrCl, and antiplatelet use.
Conclusions: AF patients with CrCl <50 ml/min face a doubled LAT risk despite OAC therapy. Inappropriate NOAC dosing, particularly with apixaban and rivaroxaban, leads to double LAT risk.
{"title":"Influence of renal function and dose of non-vitamin K antagonist oral anticoagulants on left atrial thrombus risk in patients with atrial fibrillation. Results from the multicenter LATTEE study.","authors":"Monika Gawałko, Monika Budnik, Piotr Scisło, Radosław Piątkowski, Beata Uziębło-Życzkowska, Paweł Krzesiński, Katarzyna Starzyk, Beata Wożakowska-Kapłon, Ludmiła Daniłowicz-Szymanowicz, Damian Kaufmann, Maciej Wójcik, Robert Błaszczyk, Konrad Pieszko, Katarzyna Łojewska, Jarosław Hiczkiewicz, Maciej Wybraniec, Katarzyna Mizia-Stec, Katarzyna Kosmalska, Marcin Fijałkowski, Anna Szymańska, Mirosław Dłużniewski, Maciej Haberka, Michał Kucio, Błażej Michalski, Karolina Kupczyńska, Anna Tomaszuk-Kazberuk, Katarzyna Wilk-Śledziewska, Renata Wachnicka-Truty, Marek Koziński, Paweł Burchardt, Marcin Grabowski, Agnieszka Kapłon-Cieślicka","doi":"10.33963/v.phj.110478","DOIUrl":"https://doi.org/10.33963/v.phj.110478","url":null,"abstract":"<p><strong>Background: </strong>Renal dysfunction increases thromboembolic risk but is not consistently included in standard risk scores.</p><p><strong>Aims: </strong>To compare the prevalence of left atrial thrombus (LAT) in atrial fibrillation (AF)/atrial flutter (AFl) patients based on renal function and oral anticoagulant (OAC) regimens.</p><p><strong>Material and methods: </strong>Consecutive AF/AFl patients undergoing transesophageal echocardiography before cardioversion or ablation were included.</p><p><strong>Results: </strong>Among 2790 patients with creatinine clearance (CrCl) data, 89% had CrCl ≥50 ml/min, 9.6% had CrCl 30-49 ml/min, and 1.5% had CrCl <30 ml/min. LAT prevalence was 6.7%, 16%, and 19%, respectively (P = 0.008). CrCl <50 ml/min was an independent predictor of LAT (odds ratio [OR], 1.81; 95% confidence interval [CI], 1.25-2.64). Of 2028 patients treated with non-vitamin K antagonist OACs (NOACs), 17% received reduced doses, with 56% of these reductions deemed inappropriate. LAT prevalence was higher with reduced NOAC doses (12%) compared to standard doses (4.6%, P <0.001). Patients with no indication for dose reduction but receiving reduced doses had a higher LAT risk (12% vs. 4.2%; P <0.001). Among those with an indication for reduced doses, LAT prevalence was similar (11%) regardless of dose appropriateness. There were no significant differences in LAT prevalence among different NOACs. Inappropriate NOAC dosing increased LAT risk (OR, 1.74; 95% CI, 1.11-2.73). Inappropriate dose reductions, especially with apixaban and rivaroxaban, was the main issue in inappropriate NOAC prescribing, likely influenced by age, bleeding risk, anemia, low CrCl, and antiplatelet use.</p><p><strong>Conclusions: </strong>AF patients with CrCl <50 ml/min face a doubled LAT risk despite OAC therapy. Inappropriate NOAC dosing, particularly with apixaban and rivaroxaban, leads to double LAT risk.</p>","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145911747","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}
Wojciech Wojakowski, Michał Kozłowski, Daniel Cieśla, Zbigniew Kalarus, Witold Streb, Jarosław Trębacz, Krzysztof Reczuch, Jacek Piegza, Krzysztof Myrda, Dariusz Dudek, Adam Witkowski, Arkadiusz Pietrasik, Jerzy Pręgowski, Piotr Suwalski, Tomasz Hryniewiecki, Janina Stępińska, Waldemar Banasiak, Mariusz Gąsior, Marek Grygier
{"title":"In-hospital and 1-year outcomes of mitral transcatheter edge-to-edge repair in Poland derived from an all-comers administrative database.","authors":"Wojciech Wojakowski, Michał Kozłowski, Daniel Cieśla, Zbigniew Kalarus, Witold Streb, Jarosław Trębacz, Krzysztof Reczuch, Jacek Piegza, Krzysztof Myrda, Dariusz Dudek, Adam Witkowski, Arkadiusz Pietrasik, Jerzy Pręgowski, Piotr Suwalski, Tomasz Hryniewiecki, Janina Stępińska, Waldemar Banasiak, Mariusz Gąsior, Marek Grygier","doi":"10.33963/v.phj.110494","DOIUrl":"https://doi.org/10.33963/v.phj.110494","url":null,"abstract":"","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145911785","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}
Marcin Wełnicki, Karol Kamiński, Agnieszka Mastalerz-Migas, Ernest Kuchar, Piotr Jankowski, Robert Gil, Przemysław Mitkowski, Artur Mamcarz, Jacek Wysocki
Influenza increases the risk of cardiovascular incidents, hospitalization for heart failure, heart attack, stroke and cardiovascular death. Annual influenza vaccination is a well-known, safe and effective method of reducing the risk of infection in general and, above all, reducing the risk of severe disease. The preventive effect of annual vaccination is particularly important in groups at risk of a severe course of infection and the development of complications - these include cardiac patients. In this group, the additional benefits of vaccination are also particularly important - reducing the risk of cardiovascular incidents and death. However, vaccination coverage in Poland is still at a staggeringly low level. This document aims to popularise influenza vaccination as one of the key elements of general health and cardiovascular prevention.
{"title":"Influenza vaccination as part of the cardiovascular prevention - expert opinion supported by the Working Group on Cardiovascular Pharmacotherapy and Working Group on Prevention and Epidemiology Section of the Polish Cardiac Society.","authors":"Marcin Wełnicki, Karol Kamiński, Agnieszka Mastalerz-Migas, Ernest Kuchar, Piotr Jankowski, Robert Gil, Przemysław Mitkowski, Artur Mamcarz, Jacek Wysocki","doi":"10.33963/v.phj.109619","DOIUrl":"https://doi.org/10.33963/v.phj.109619","url":null,"abstract":"<p><p>Influenza increases the risk of cardiovascular incidents, hospitalization for heart failure, heart attack, stroke and cardiovascular death. Annual influenza vaccination is a well-known, safe and effective method of reducing the risk of infection in general and, above all, reducing the risk of severe disease. The preventive effect of annual vaccination is particularly important in groups at risk of a severe course of infection and the development of complications - these include cardiac patients. In this group, the additional benefits of vaccination are also particularly important - reducing the risk of cardiovascular incidents and death. However, vaccination coverage in Poland is still at a staggeringly low level. This document aims to popularise influenza vaccination as one of the key elements of general health and cardiovascular prevention.</p>","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145911862","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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