Abstract:
BACKGROUND:An incidental lesion of the parasympathetic ganglia during circumferential pulmonary vein isolation (CPVI) may affect heart rate variability (HRV). AIMS:We studied the pattern of changes in HRV parameters and the relationship between the 1‑year HRV change following CPVI and the recurrence of atrial fibrillation (AF). METHODS:A total of 100 consecutive patients undergoing CPVI for paroxysmal AF were enrolled (mean [SD] age, 56 [11.2] years; 61 men). We measured HRV on the day before and after CPVI, and then at 1 month as well as 3, 6, and 12 months after CPVI using 24‑hour Holter monitoring. RESULTS:During the median follow‑up of 33 months, 38 patients experienced the late recurrence of AF (LRAF). Compared with the pre‑CPVI values, HRV was significantly attenuated on day 1 after CPVI in all patients. However, at 3 to 6 months after CPVI, all HRV parameters remained significantly decreased in LRAF‑free patients but not in those with LRAF. The multivariate Cox analysis showed that early AF recurrence within the blanking period (hazard ratio [HR], 4.87; 95% CI, 2.44–9.69; P <0.001) and a change in the standard deviation of normal‑to‑normal intervals (SDNN) observed 3 months after ablation (HR, 0.99; 95% CI, 0.98–1; P = 0.01) were associated with LRAF. The cumulative LRAF freedom after CPVI was greater in patients with an SDNN reduction of more than 25 ms reported 3 months after ablation than in those with a reduction of 25 ms or lower (log‑rank P = 0.004). CONCLUSIONS:Sustained parasympathetic denervation during 12 months after CPVI was a marker of successful CPVI, whereas a 3‑month post‑CPVI SDNN reduction of 25 ms or lower predicted LRAF.
journal_name
Kardiol Poljournal_title
Kardiologia polskaauthors
Marinković M,Mujović N,Vučićević V,Steffel J,Potpara TSdoi
10.33963/KP.15187subject
Has Abstractpub_date
2020-03-25 00:00:00pages
209-218issue
3eissn
0022-9032issn
1897-4279journal_volume
78pub_type
杂志文章abstract::Diagnostic approach to and management of SHTG are not always straightforward and specialist knowledge is required, particularly with the expected increase in the rates of SHTG associated with obesity and diabetes epidemics. We hope that this article will prove helpful for physicians caring for such patients. Their man...
journal_title:Kardiologia polska
pub_type: 杂志文章,评审
doi:10.5603/KP.2013.0254
更新日期:2013-01-01 00:00:00
abstract:BACKGROUND:The evaluation of the left ventricular (LV) function is one of the most important elements of diagnosis in patients with cardiovascular (CV) diseases. A low LV ejection fraction (LVEF) is a strong and independent predictor of CV events. Traditionally, echocardiography characterises the LV systolic function b...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:
更新日期:2011-01-01 00:00:00
abstract::We presented a very rare case of the fistula to coronary artery during staphylococcal aortic valve endocarditis in a young man. The tranesophageal echocardiography detected vegetation on aortic valve leaflets and large regurgitatin. During transesophageal echocardiography the peri-anular multi-chamber abscess formatio...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:
更新日期:2010-05-01 00:00:00
abstract::In 75 patients 24-hour ecg monitoring value was compared with exercise test in diagnostics of postinfarction silent ischemia. Results compatibility of both comparing examinations was 79% with regard to only painless ischemia (p less than 0.001) and 91% to both estimated painless or painful episodes (p less than 0.001)...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:
更新日期:1989-01-01 00:00:00
abstract::Epsilon waves (EW) in right precordial leads are reliable diagnostic electrocardiographic criteria of arrhythmogenic right ventricular dysplasia-cardiomyopathy (ARVD/C). The definition of EW remains difficult because within the QRS complex are inscribed notches or deflections called fragmentation of the QRS complex ...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:
更新日期:2012-01-01 00:00:00
abstract:BACKGROUND:transient left ventricular ballooning syndrome (TLVBS) has been recently recognised as an acute disease mimicking myocardial infarction. AIM:we used greyscale and virtual histology (VH) intravascular ultrasound (IVUS) to study the presence and characteristics of atherosclerotic plaque in the left anterior d...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:
更新日期:2010-10-01 00:00:00
abstract:BACKGROUND AND AIM:We hypothesised that melatonin may represent a safe somniferous drug for cardiac patients, and assessed the effects of administering 5 mg of melatonin daily before bedtime for 30 days in patients with coronary artery disease (CAD) regarding changes in the nocturnal breathing pattern. METHODS:Sixty p...
journal_title:Kardiologia polska
pub_type: 杂志文章,随机对照试验
doi:
更新日期:2012-01-01 00:00:00
abstract:BACKGROUND:Numerous psychosomatic diseases, especially cardiovascular, are regarded as diseases of modern civilization. Psychological factors play a dominant role in these diseases. Among these factors we can distinguish several different types of emotional functioning and subjective estimation of patients' quality of ...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:
更新日期:2009-11-01 00:00:00
abstract:BACKGROUND:Whether right ventricular outfow tract septum (RVOTS) pacing is superior to right ventricular apex (RVA) pacing with respect to left ventricular synchrony, cardiac function, and remodelling in the elderly with normal left ventricular ejection fraction (LVEF), is still unknown. AIM:To assess the impact of RV...
journal_title:Kardiologia polska
pub_type: 杂志文章,随机对照试验
doi:
更新日期:2012-01-01 00:00:00
abstract:BACKGROUND:According to epidemiological studies, dyslipidaemia is the commonest risk factor of atherosclerosis in the Polish population. It is estimated that 18 million adult Poles are affected by dyslipidaemia. AIM:The purpose of this study was to evaluate the quality of the statin therapy in high-risk Polish outpati...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:10.5603/KP.2013.0037
更新日期:2013-01-01 00:00:00
abstract::In 59 patients with mild or moderate essential hypertension effects of propranolol and hydrochlorothiazide on serum lipids, fibrynogen, glucose and uric acid concentrations as well as serum euglobulins fibrynolysis time were studied. 36 patients received propranolol and 23 subjects hydrochlorothiazide. Follow-up time ...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:
更新日期:1989-01-01 00:00:00
abstract::A case of a 45-year-old male patient with hypertrophic cardiomyopathy (HCM) is presented. The patient suffered from chest pain since his childhood. He was hospitalised several times but accurate diagnosis was not established for nearly 20 years. The ECG changes were interpreted as myocardial ischaemia. The proper diag...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:
更新日期:2003-09-01 00:00:00
abstract::Impedance cardiography (ICG) enables the non-invasive, reproducible, beat-to-beat estimation of stroke volume (SV) changes, and the measurement of the absolute values of the ejection time (ET) and pre-ejection period (PEP), which allows the indirect evaluation of cardiac contractility. The miniaturised, Holter-type im...
journal_title:Kardiologia polska
pub_type: 杂志文章,评审
doi:
更新日期:2004-08-01 00:00:00
abstract:BACKGROUND:Despite results of the PROTECT AF trial, many patients undergoing left atrial appendage closure (LAAC) have unconditional contraindications to warfarin. AIM:We sought to investigate whether double antiplatelet therapy (DAPT) is safe in patients after LAAC. METHODS:Forty-four consecutive patients (22 males,...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:10.5603/KP.a2017.0245
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:Differences in clinical manifestation, therapeutic strategies and prognosis in men and women with acute coronary syndromes became crucial in the last decade. AIM:To present clinical characteristics of Polish women with ST-segment elevation myocardial infarction (STEMI). METHODS:A total of 26,035 patients w...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:
更新日期:2010-06-01 00:00:00
abstract::Apelin is a recently discovered biologically active peptide present in several isoforms that are agonists for orphan receptor APJ. Apelin and APJ receptor were found in the central nervous system and in different peripheral tissues. In the cardiovascular system the peptide is present both in the heart and in the endot...
journal_title:Kardiologia polska
pub_type: 杂志文章,评审
doi:
更新日期:2011-01-01 00:00:00
abstract:BACKGROUND:The chain of survival is a set of most important factors affecting survival after an out-of-hospital cardiac arrest (OHCA). Recognising the difficulties in applying the chain is the key to improving outcomes. Early return of spontaneous circulation (ROSC) after a cardiac arrest is a fundamental factor for pa...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:10.5603/KP.a2016.0001
更新日期:2016-01-01 00:00:00
abstract::Sudden cardiac death (SCD) is responsible for almost 50% of all cardiac deaths in the U.S. The most common underlying cause of SCD is coronary artery disease, especially acute myocardial infarction (AMI). There are no publications concerning the shape of ST segment elevation in AMI and the risk of ventricular fibrilat...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:
更新日期:2008-08-01 00:00:00
abstract::Patient with stable ischaemic heart disease and essential thrombocythemia in Invasive Cardiology Laboratory -- role of the automated systems for estimation of platelet aggregation. A case of a 63-year-old male patient with essential thrombocythemia and coronary artery disease is presented. The patient underwent electi...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:
更新日期:2004-10-01 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:Obstructive sleep apnoea syndrome (OSAS) is reported to be associated with hypertension, coronary artery disease, atrial fibrillation, and heart failure. Galectin-3 plays an important role in the regulation of inflammation, development of cardiac fibrosis, and remodelling. A significant relationship between ...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:10.5603/KP.a2016.0185
更新日期:2017-01-01 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::The study was designed to assess the influences of antiarrhythmic therapy on exercise tolerance in patients with coronary artery disease and ventricular arrhythmias. Subjects for this study were subdivided into 3 groups: group I - 46 patients treated with amiodarone 1,200 mg daily during 10 days and 200-600 mg daily w...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:
更新日期:1990-03-01 00:00:00
abstract::The autonomous nervous system influence on sinus node (SN) in both physiological and pathological states is the most important factor determining its function. There are only few publications about autonomous nervous system action on electrophysiological properties of the human heart (ventricles), specially in patient...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:
更新日期:1991-01-01 00:00:00
abstract::Churg-Strauss syndrome is a rare systemic disease characterized by necrotising vasculitis and peripheral eosinophilia. Cardiac involvement is found in up to 64% of patients and is given a high rank among the causes of morbidity and mortality. We presented a case of 26 year-old male with Churg-Strauss syndrome and left...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:
更新日期:2010-07-01 00:00:00
abstract::A case of a 49-year-old woman with episodes of syncopes as a first manifestation of variant angina is presented. She was admitted to cardiology ward because of recurrent angina associated with marked ST segment elevation in the inferior and anterior electrocardiographic leads. Previously she was diagnosed at a neurolo...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:
更新日期:2006-07-01 00:00:00
abstract:BACKGROUND:Cardiovascular implantable electronic device (CIED) infection is a complication of increasing incidence. We present a protocol of an observational case control clinical trial "Positron Emission Tomography Combined With Computed Tomography (PET CT) in Suspected Cardiac Implantable Electronic Device Infection,...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:10.5603/KP.a2015.0113
更新日期:2016-01-01 00:00:00
abstract::The value of radioimmunoassay for creatine kinase BB isoenzyme (CK-BB) determination in early diagnosis of acute myocardial infarction was estimated. The clinical material consisted of 35 randomly selected patients admitted to a coronary care unit during the 4 h after chest pain suspected for myocardial infarction. In...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:
更新日期:1990-01-01 00:00:00
abstract:BACKGROUND:Patients with multi-vessel coronary artery disease (CAD) are selected for percutaneous coronary interventions (PCI) or surgical revascularisation. The appropriateness of "ad hoc" PCI of borderline lesions (<70% of lumen diameter) in patients with a multi-vessel CAD has not been proven. However, delayed PCI o...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:
更新日期:2004-04-01 00:00:00
abstract::We present a case of a woman who had acute coronary syndrome caused by myocardial bridge. She was treated with percutaneous coronary intervention and stent implantation. Two months after the procedure the patient had myocardial infarction because of subacute thrombosis and during the second intervention another stent ...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:
更新日期:2007-06-01 00:00:00