Abstract:
:The coronavirus disease 2019 (COVID-19) pandemic affects anticoagulation not only in those infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) but also in most patients who require daily anticoagulant therapy and are facing substantial limitations in medical care these days. Concomitant venous thromboembolism (VTE), a potential cause of unexplained deaths, has frequently been reported in patients with COVID-19, but its management is still challenging due to the complexity between antithrombotic therapy and hematological alterations. In the era of COVID-19 pandemic, it is highly recommended for patients who require chronic anticoagulation to continue therapy to prevent thromboembolic events. To avoid regular and frequent blood tests and unnecessary exposure to SARS-CoV-2 during contacts with medical personnel, direct oral anticoagulants should be strongly preferred whenever possible. Current evidence is insufficient to recommend routine pharmacological antithrombotic prophylaxis in all hospitalized patients with COVID-19. In patients with COVID-19 who are suspected of VTE or in whom the diagnosis is confirmed, parenteral therapy with low-molecular-weight heparin should be initiated in the absence of contraindications. If heparin-induced thrombocytopenia is suspected, nonheparin anticoagulants should be used such as bivalirudin or fondaparinux. In case of confirmed acute pulmonary embolism, treatment should be guided by risk stratification as defined in the current guidelines.
journal_name
Kardiol Poljournal_title
Kardiologia polskaauthors
Kosior DA,Undas A,Kopeć G,Hryniewiecki T,Torbicki A,Mularek-Kubzdela T,Windyga J,Pruszczyk Pdoi
10.33963/KP.15425subject
Has Abstractpub_date
2020-06-25 00:00:00pages
642-646issue
6eissn
0022-9032issn
1897-4279journal_volume
78pub_type
杂志文章abstract:INTRODUCTION:Currently pulmonary endarterectomy is considered the method of choice in patients with chronic thromboembolic pulmonary hypertension (CTEPH). It is not known if this option should be recommended in all suitable patients as it is highly variable with respect to prognosis. There is also doubt about selection...
journal_title:Kardiologia polska
pub_type: 临床试验,杂志文章
doi:
更新日期:2006-11-01 00:00:00
abstract::119 hypertensive patients were examined by 24-hour ambulatory blood pressure monitoring (ABPM) and traditional (casual) blood pressure measurements. The echocardiographic examination was also performed. Mean and maximal systolic and diastolic blood pressure values, systolic and diastolic pressure amplitude as well as ...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:
更新日期:1993-04-01 00:00:00
abstract::A patient with apical hypertrophic cardiomyopathy and myocardial infarction complicated by intramural haematoma of the left ventricle is presented. The angiographic examination confirmed atherosclerotic etiology of myocardial infarction. The other reasons of myocardial ischaemia in a hypertrophic cardiomyopathy are di...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:
更新日期:2002-10-01 00:00:00
abstract::99mTc-MIBI (2 methoxy -isobutylisonitrile) belongs to the new generation of radiopharmaceuticals used for studies of myocardial perfusion. Particularly convenient characteristics of the compound prompted numerous studies of its usefulness for scintigraphic diagnostics of coronary artery disease and myocardial heart in...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:
更新日期:1992-01-01 00:00:00
abstract:BACKGROUND:The survival of out-of-hospital sudden cardiac arrest (OHSCA) in Europe still remains low. The State Medical Rescue System is composed of several elements. The efficacy of each of these elements may have an influence on the victim's survival. Until now, the incidence of return of spontaneous circulation (ROS...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:10.5603/KP.a2016.0181
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:The presence of accessory pathways (APs) is a risk factor for sudden cardiac death and other clinical complications. AIMS:We aimed to characterize all adverse events likely related to the presence of APs in patients referred for AP ablation and to identify risk factors for malignant arrhythmias. METHODS:We...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:10.33963/KP.15161
更新日期:2020-03-25 00:00:00
abstract::We present a patient at risk of sudden cardiac death in whom ventricular fibrillation was effectively treated by wearable automatic defibrillator. We discuss the technical aspects of the device, current indications for this therapy and outcomes. ...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:
更新日期:2011-01-01 00:00:00
abstract:BACKGROUND:Due to the recent rapid increase in the number of patients implanted with pacemakers, cardioverter-defibrillators (ICD), and cardiac resynchronisation therapy devices (CRT), conventional monitoring at specialist clinics is becoming increasingly difficult. The development of technology has enabled remote devi...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:10.5603/KP.a2016.0019
更新日期:2016-01-01 00:00:00
abstract:BACKGROUND:Immediate initiation of cardiopulmonary resuscitation (CPR) increases chances of restoring spontaneous circulation and survival after out‑of‑hospital cardiac arrest (OHCA). For some refractory cases, extended cardiopulmonary resuscitation (ECPR) may be a promising option. AIMS:The aim of the study was to es...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:10.33963/KP.15433
更新日期:2020-09-25 00:00:00
abstract:BACKGROUND:Acute myocardial infarction (AMI) causes remodelling of the left ventricle (LV). Restoration of patency of an infarct-related artery by percutaneous coronary interventions (PCI) may prevent or inhibit cardiac remodelling. AIM:To assess LV contractility and function by serial echocardiographic examinations. ...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:
更新日期:2003-11-01 00:00:00
abstract::A case of a 60 year old female with angina and remote myocardial infarction is presented. Coronary angiography revealed an extreme curvature of the right coronary artery which was the most probable cause of infarction. A coronary stent was implanted which resulted in clinical improvement. ...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:
更新日期:2006-08-01 00:00:00
abstract:BACKGROUND:Major vessel stenoses are currently successfully treated with stent implantation. Recently, new cobalt-chromium stents (Andrastents XL and XXL, Andramed, Germany) have been introduced into clinical practice. This alloy combines high biocompatibility with radial strength and flexibility. AIM:To present our e...
journal_title:Kardiologia polska
pub_type: 临床试验,杂志文章
doi:
更新日期:2011-01-01 00:00:00
abstract::Congenitally corrected transposition of the great arteries (CCTGA) is a rare form of congenital heart disease characterised by atrioventricular as well as ventriculoarterial discordance. The life expectancy of individuals with CCTGA is limited by the onset of the systemic ventricular failure. There have been only a fe...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:
更新日期:2004-07-01 00:00:00
abstract:BACKGROUND:Statins have anti-inflammatory and anti-platelet effects, which are known as non-lipid effects. Statin treatment can decrease endogenous inflammatory response. AIM:To study the effects of atorvastatin on matrix metalloproteinase-9 (MMP-9) and high sensitive C-reactive protein (hs-CRP) - markers of the prote...
journal_title:Kardiologia polska
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:2004-05-01 00:00:00
abstract::Isolated critical ostial stenosis of the left main coronary artery (LMCA) without narrowing in the distal parts of coronary vessels is rather rare cause of angina. It was observed in 7 our patients: 5F and 2M aged 42-55 yrs (mean 47.5). Five of them were in unstable condition. In all of them a direct surgical angiopla...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:
更新日期:1992-09-01 00:00:00
abstract:BACKGROUND:Percutaneous mitral commissurotomy (PMC) has become the procedure of choice for patients with isolated mitral stenosis. AIM:To assess immediate and long-term results of PMC and identify predictors of event-free survival. METHODS:Percutaneous mitral commissurotomy was attempted in 1380 patients (mean age 49...
journal_title:Kardiologia polska
pub_type: 临床试验,杂志文章
doi:
更新日期:2008-05-01 00:00:00
abstract::BACKGROUND A myocardial bridge (MB) is defined as a congenital anomaly, in which a segment of an epicardial coronary artery takes an intramuscular course. AIMS The aim of the study was to evaluate the prevalence of MB in coronary arteries among patients who were diagnosed using coronary angiography. METHODS Data were ...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:10.5603/KP.a2019.0041
更新日期:2018-12-20 00:00:00
abstract:BACKGROUND:Since flow-mediated dilatation (FMD) is influenced by different factors, its clinical usefulness and validation is widely discussed. AIM:To assess the major factors that determine FMD values in a wide range of subjects with and without cardiovascular (CV) risk factors/diseases (CVRF/CVD). METHODS AND RESUL...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:10.5603/KP.a2013.0316
更新日期:2014-01-01 00:00:00
abstract::The clinical and echocardiographic variables related to spontaneous echo contrast were evaluated in a consecutive series of 600 patients undergoing transesophageal echocardiography with a 5-MHz single plane transducer. The spontaneous contrast was observed in 110 patients (18%). It was seen mainly in the atria; in the...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:
更新日期:1993-05-01 00:00:00
abstract::We describe a case of severe left ventricular (LV) heart failure caused by tachycardiomyopathy with concomitant presence of unsolved thrombus in left atrial appendage despite effective oral anticoagulant treatment. Successful ablation of atrial flutter and atrioventricular nodal reentry tachycardia entailed resolution...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:
更新日期:2011-01-01 00:00:00
abstract::Two extremely rare cases of adults with univentricular hearts of right ventricular morphology are presented. Pathogenesis and pathophysiology of univentricular circulation as well as anatomic variants, short information on prognosis and management are briefly discussed. Echocardiographic diagnosis of univentricular he...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:
更新日期:2004-09-01 00:00:00
abstract::The aim of the study was to investigate the effect of a new selective alpha 1-adrenoreceptor blocker doxazosin on blood pressure, serum lipids and lipoproteins in patients with essential hypertension. The study was done in 32 out-patients with mild-to-moderate hypertension (22 men and 10 women, mean age 45.6 +/- 10.1)...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:
更新日期:1993-02-01 00:00:00
abstract:BACKGROUND:This report comprises an analysis of results of examinations performed as a part of a cardiovascular disease prevention programme funded by the National Health Fund. AIM:To determine the relationship between body mass index (BMI) and blood pressure, blood glucose and lipid metabolism abnormalities in an eth...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:
更新日期:2007-10-01 00:00:00
abstract::Aortic dissection is a sudden event when the intimal tear occurs, blood penetrates the aortic wall through and the dissection propagates. Acute aortic dissection presents with chest pain, hemodynamic instability, absent or unequal peripheral pulses, various neurologic complications and aortic regurgitation. Noninvasiv...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:
更新日期:2010-04-01 00:00:00
abstract:BACKGROUND AND AIM:We aimed to investigate the predictive value of the CHA2DS2-VASc score in the development of contrast-induced nephropathy (CIN). METHODS:A total of 2972 patients who had been diagnosed with ST elevation myocardial infarction (STEMI) and who had undergone primary coronary angioplasty were included in...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:10.5603/KP.a2017.0177
更新日期:2018-01-01 00:00:00
abstract::A case of a 66-year-old male with acute myocardial infarction (MI) treated with streptokinase is presented. Due to the recurrence of angina six days from the acute phase of MI, the patient underwent coronary angiography which revealed critical stenosis of the left anterior descending coronary artery. During intracoron...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:
更新日期:2005-03-01 00:00:00
abstract:BACKGROUND AND AIM:The present study aimed to investigate the diagnostic value of fragmented QRS complex (fQRS) on 12-lead electrocardiogram (ECG) for myocardial scar detection, and presented the results in a systematic review and meta-analysis format. METHODS:Medline, SCOPUS, and ISI Web of Knowledge were searched el...
journal_title:Kardiologia polska
pub_type: 杂志文章,meta分析,评审
doi:10.5603/KP.a2015.0193
更新日期:2016-01-01 00:00:00
abstract:BACKGROUND:Carotid artery stenting (CAS) has become an alternative for carotid endarterectomy in the treatment of carotid artery atherosclerosis, due to limited injury and comparable periprocedural risk. The impact of coronary artery disease (CAD) on long-term follow-up after CAS needs to be reconsidered due to the int...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:10.5603/KP.a2014.0217
更新日期:2015-01-01 00:00:00
abstract:BACKGROUND:Red blood cell distribution width (RDW) is a risk factor related to adverse outcome in patients with heart failure (HF). Less is known about its influence in patients in their first hospitalization by HF. Aims: Our objective was to investigate the prognostic role of RDW in elderly patients firstly hospital...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:10.33963/KP.14818
更新日期:2019-06-25 00:00:00
abstract::A case of a 47 year old male with a history of closed mitral commissurotomy performed in 1991 and implantation of prosthetic mitral and aortic valves in 1999, is presented. Three years after the second procedure the patient developed dilatation of superior vena cava and internal jugular vein. ...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:
更新日期:2003-07-01 00:00:00