Abstract:
BACKGROUND:Patent ductus arteriosus (PDA) occurs more frequently in premature infants. Depending on the degree of prematurity, these children often have other serious comorbidities that could have a significant impact on surgical outcome. AIM:This study aimed to evaluate the clinical results of surgical ligation of PDA in extremely low body weight preterm infants with birth weight below 750 g, and to identify risk factors of mortality. METHODS:A total of 31 preterm infants with birth weight below 750 g and significant PDA were operated between 2006 and 2016 through posterolateral thoracotomy (n = 16) or with the use of video-assisted thoracoscopic method (n = 15). Mean weight at the time of surgery was 750.8 ± 104.7 g. The gestational age ranged from 22 to 32 weeks. Data were retrospectively analysed, and prospective 100% follow-up was performed. RESULTS:In-hospital mortality was 25.8% (n = 8). The type of surgery had no influence on the results. During the follow-up period lasting 5.2 ± 2.5 years, two other patients died. One-year and five-year probability of survival was 77.4% and 74.2%, respectively. The predominant cause of death was acute heart failure. All patients with preoperative renal dysfunction died in the postoperative period. Moreover, Cox regression analysis revealed renal dysfunction as an independent risk factor of early death. CONCLUSIONS:Preterm infants with birth weight less than 750 g and significant PDA are highly challenging patients. Despite the recent advances in perioperative management with neonates, surgery is still associated with a high early mortality rate irrespective of the applied method.
journal_name
Kardiol Poljournal_title
Kardiologia polskaauthors
Stankowski T,Aboul-Hassan SS,Fritzsche D,Misterski M,Marczak J,Szymańska A,Szarpak Ł,Augustyn C,Cichoń R,Perek Bdoi
10.5603/KP.2018.0009subject
Has Abstractpub_date
2018-01-01 00:00:00pages
750-754issue
4eissn
0022-9032issn
1897-4279pii
VM/OJS/KP/11919journal_volume
76pub_type
杂志文章abstract::Atherothrombotic diseases (ATEs) and venous thromboembolism (VTE) have been traditionally considered to have a distinct pathogenesis. Today, a growing body of evidence on the pathophysiology of thrombus formation has convincingly proved that they share more mutual risk factors than previously recognized. It has been s...
journal_title:Kardiologia polska
pub_type: 杂志文章,评审
doi:10.33963/KP.14804
更新日期:2019-04-18 00:00:00
abstract:BACKGROUND:Severe cardiovascular complications are among the most important causes of mortality in systemic lupus erythematosus (SLE) patients. AIM:To assess the usefulness of echocardiography, ECG, and coronary artery calcium scoring (CACS) in the detection of myocardial ischaemia in SLE patients compared to single p...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:
更新日期:2011-01-01 00:00:00
abstract:BACKGROUND AND AIM:The purpose of this study was to determine the role of dominant frequency (DF) and organised index (OI) in outcomes of pulmonary vein (PV) isolation for paroxysmal atrial fibrillation (AF). METHODS:OI and DF of electrograms in coronary vein (CS) during AF were obtained by frequency spectra analysis ...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:
更新日期:2012-01-01 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: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:BACKGROUND:During neurocardiogenic reaction provoked by tilt testing (TT), different arrhythmias such as sinus bradycardia, sinus arrest, atrioventricular block or junctional rhythm or beats (JR) may occur. The characteristics of the JR during neurocardiogenic reaction have not yet been systematically assessed. It is n...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:
更新日期:2012-01-01 00:00:00
abstract:UNLABELLED:The clinical profile of 19 patients with dilated cardiomyopathy from 2 to 18 years old (mean age 13.4 +/- 4 years) was reviewed to detect any factors that might be predictive for their survival. Follow-up study ranged from 5 to 105 months (mean 39 +/- 33 months). All patients received digitalis + diuretics, ...
journal_title:Kardiologia polska
pub_type: 杂志文章,评审
doi:
更新日期:1991-01-01 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::It is a popular belief, that marijuana smoking is not harmful to health. Some publications, however, suggest its possible association with mental, respiratory and cardiovascular complications, but not with venous thromboembolism. The authors describe a case of severe pulmonary embolism in a mildly obese, 22 year-old m...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:
更新日期:2011-01-01 00:00:00
abstract:BACKGROUND:A new tissue Doppler index, E/(E'×S'), including the early diastolic transmitral/mitral annular velocity (E/E') ratio and systolic mitral annular velocity (S'), has a good accuracy in predicting left ventricular filling pressure. AIM:To investigate the value of E/(E'×S') measured at different sites of the m...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:10.5603/KP.a2013.0281
更新日期:2014-01-01 00:00:00
abstract::We present a case of a patient with very frequent episodes of paroxysmal atrial fibrillation (AF) who, besides hypertension and well-controlled post-amiodarone thyreotoxicosis, had no other potential causes of AF. Because of symptoms of gastroesophageal acid reflux, the patient was treated with omeprazole which signif...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:
更新日期:2005-01-01 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::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: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: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:BACKGROUND:Atrial fibrillation (AF) is the most common supraventricular tachyarrhythmia. Percutaneous left atrial appendage occlusion (LAAO) may be considered for stroke prophylaxis in patients with nonvalvular AF (NVAF), especially in contraindications for oral anticoagulants (OAC) or high risk of bleeding. The data a...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:10.5603/KP.a2017.0115
更新日期:2017-01-01 00:00:00
abstract::We describe a case of a 59-year-old female with paroxysmal atrial fibrillation and arterial hypertension who had syncopal attacks due to polymorphic ventricular tachycardia (PMVT) with a short coupling interval of an initiating beat (280 msec). We excluded structural heart disease. In the resting ECG the QTc interval ...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:
更新日期:2004-06-01 00:00:00
abstract:BACKGROUND:Sudden cardiac arrest (SCA) is a frequent cause of death in the developed world. Early defibrillation, preferably within the first minutes of the incident, significantly increases survival rates. Accessible automated external defibrillators (AED) in public areas have been promoted for many years, and several...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:10.5603/KP.a2017.0199
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:Percutaneous balloon aortic valvuloplasty (BAV) is an effective method of treatment for aortic stenosis in children. AIMS:This study aimed to assess the long‑term results of BAV in various age groups in the pediatric population. METHODS:This retrospective study included 68 patients (newborns, infants, and ...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:10.33963/KP.15245
更新日期:2020-06-25 00:00:00
abstract:BACKGROUND:Bisoprolol is one of the most widely used beta-blockers characterised by cardioselectivity, and it has no intrinsic sympathomimetic activity. It is commonly used in the treatment of coronary heart disease and heart failure. AIM:The aim of study was to assess the bioequivalence of the film-coated tablets con...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:10.5603/KP.a2016.0106
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:Hypertension, due to its prevalence, is a common and independent risk factor for atrial fibrillation (AF). High blood pressure causes structural and functional changes in the myocardium, leading to an increased risk of arrhythmia. This risk is higher when hypertension is accompanied by concomitant diseases t...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:10.5603/KP.2013.0062
更新日期:2013-01-01 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:BACKGROUND:There have been conflicting results about the role of strict rate control on cardiovascular outcomes in patients with chronic atrial fibrillation (AF). To date, large clinical studies have not shown a net clinical benefit derived from the current trend to specify the target ventricular rate according to the ...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:10.5603/KP.a2014.0092
更新日期:2014-01-01 00:00:00
abstract:INTRODUCTION:Normally the N-terminal domain of the LDL receptor (LDLR) binds to low-density lipoprotein through apolipoprotein B100. Mutations within the LDL receptor and/or apolipoprotein B-100 genes compromising this process may lead to congenital monogenic hypercholesterolaemias known as familial hypercholesterolaem...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:
更新日期:2006-02-01 00:00:00
abstract:BACKGROUND:The CHADS2 and CHA2DS2-VASc scores were shown to predict mortality in patients with atrial fibrillation. However, pathophysiology and treatment outcomes of atrial fibrillation and typical atrial flutter (AFL) differ. Consequently, the prognosis of patients with AFL can also be different. AIMS:The aim of the...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:10.33963/KP.15102
更新日期:2020-01-24 00:00:00
abstract:BACKGROUND:Many researchers have studied age- and sex-related differences in the management of patients with coronary artery disease. However, the results are inconsistent. AIM:To assess sex- and age-related bias in the secondary prevention in patients hospitalised due to ischaemic heart disease. METHODS:Five hospita...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:10.5603/KP.a2013.0148
更新日期:2013-01-01 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:BACKGROUND:Previous reports of pharmacological treatment concerning the surgical approach to coronary artery disease emphasise the underused possibilities of pharmacological treatment. AIM:To evaluate trends in the level of compliance between the pharmacological treatment administered in clinical practice and formal g...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:10.5603/KP.a2015.0094
更新日期:2015-01-01 00:00:00
abstract::Frequency of emergency calls for ambulance help to patients with acute myocardial infarction (MI) as well as a number of infarct complications and the influence of immediate professional help on survival of prehospital phase of acute MI is reviewed. The diagnosis of acute MI was based on a typical history of chest pai...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:
更新日期:1991-01-01 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