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, 12 were managed with immunosuppression, 16 with antiarrhythmics. There were 12 survivors and 7 nonsurvivors: the 1-year mortality was 21.2%, the 2-years mortality was 35.8%. All deaths were within first 2 years. In 12 patients who survived 2 years, significant improvement was noticed in 9 cases. Endomyocardial biopsy was performed in 16 patients. Four of them with histological diagnosis of myocarditis survived and in 3 of them a considerable improvement was noticed. Half of 12 patients with nonspecific histological findings died (p less than 0.05). There was no significant difference between survivors and nonsurvivors in all following parameters: the incidence of severe heart failure (NYHA class III-IV) and severe ventricular arrhythmias (Lown III-IV), relative heart volume, echocardiographic LVDD, haemodynamic parameters--CI, LVEF, LVEDP, LVEDVI. CONCLUSIONS:Clinical, electrocardiographic, echocardiographic and haemodynamic data are nonpredictive for survival. The most dangerous period are the first two years of illness. In long term, improvement was noticed in half of patients.
journal_name
Kardiol Poljournal_title
Kardiologia polskaauthors
Ciszewski A,Bilińska ZT,Lubiszewska B,Popławska W,Michalak E,Walczak F,Ruzyłło Wsubject
Has Abstractpub_date
1991-01-01 00:00:00pages
354-9issue
12eissn
0022-9032issn
1897-4279journal_volume
35pub_type
杂志文章,评审abstract:INTRODUCTION:In patients treated with permanent pacing, the electrode is typically placed in the right ventricular apex (RVA). Published data indicate that such electrode placement leads to an unfavourable ventricular depolarization pattern, while right ventricular outflow tract (RVOT) pacing seems to be more physiolog...
journal_title:Kardiologia polska
pub_type: 杂志文章,随机对照试验
doi:
更新日期:2006-10-01 00:00:00
abstract::A case of a 49-year-old female with a history of two myocardial infarctions (MI) and ischaemic stroke is presented. The patient was admitted to the hospital due to a third acute MI. Laboratory investigations revealed resistance to activated protein C due to factor V Leiden mutation. Diagnosis and treatment of patients...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:
更新日期:2005-02-01 00:00:00
abstract::Of adult patients of the Cardiac Defects Clinic, National Institute of Cardiology (in Warsaw) we can distinguish several groups of patients with congenital heart defects among which those who were diagnosed after the age of 18 or those who despite of early and correct diagnosis, not underwent surgery on the childhood ...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:
更新日期:1990-01-01 00:00:00
abstract::In patients with mitral valve prolapse syndrome (MVP) various electrophysiological abnormalities occur. There are convergent opinions concerning QT distance variability and the influence of autonomic nervous system on ventricular repolarization in this syndrome. In 38 MVP patients (group I) and 24 subjects without thi...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:
更新日期:1992-08-01 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:Recanalisation of chronic total occlusion (CTO) of a coronary artery can be reflected by improvements in various clinical parameters. Revealing increased parasympathetic activity would constitute an additional argument for performing this procedure. AIM:To assess the effect of CTO recanalisation on barorefl...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:10.5603/KP.a2013.0356
更新日期:2014-01-01 00:00:00
abstract:BACKGROUND:Surgery of the pulmonary valve, right ventricular outflow tract, and pulmonary artery falls under the domain of paediatric cardiac surgery. However, 97 adult patients underwent such operations in our institution from 1993 to 2016. AIM:This study aims to analyse preoperative risk factors, intraoperative data...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:10.5603/KP.a2017.0260
更新日期:2018-01-01 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:Currently, Shelhigh Stentless Composite Valve (SSCV) is the only complete biological conduit available on the market for this purpose. SSCV has been used to avoid anticoagulation with the advantage of established haemodynamic benefits of stentless valves as well as for its surgeon-friendly surgical implantat...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:
更新日期:2003-01-01 00:00:00
abstract:BACKGROUND:Previous studies have shown an association between paraoxonase (PON) activity and the presence and severity of coronary atherosclerosis. AIM:To demonstrate any association between serum PON activity and the presence and severity of coronary artery calcification (CAC). METHODS:A total of 156 consecutive pat...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:10.5603/KP.a2014.0061
更新日期:2014-01-01 00:00:00
abstract:BACKGROUND:TIMI Risk Score for ST-elevation myocardial infarction (STEMI) was developed in a cohort of patients treated with fibrinolysis. It was though to predict in-hospital and short-term prognosis. Later studies validated this approach in large cohorts of patients, regardless of the applied treatment and presented ...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:
更新日期:2007-07-01 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:BACKGROUND:Data on the results of ablation for atrial fibrillation (AF) in Poland are scarce. AIMS:The aim of the study was to compare the efficacy of ablation index (AI)-guided pulmonary vein isolation (PVI) with that of conventional contact force-based PVI. METHODS:Consecutive patients undergoing PVI for the first ...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:10.33963/KP.15523
更新日期:2020-10-23 00:00:00
abstract:BACKGROUND:Patients hospitalized due to heart failure (HF) exacerbation tend to have a poor prognosis. Most previous studies were performed in large clinical centers and detailed analyses of HF patients hospitalized in district general hospitals are lacking. AIMS:The aim of this study was to assess the outcomes of pat...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:10.33963/KP.15763
更新日期:2021-01-19 00:00:00
abstract:BACKGROUND:The growing penetration of mechanical reperfusion in ST-elevation myocardial infarction (STEMI) has been achieved by the creation of new percutaneous coronary intervention (PCI) centres which have helped to shorten delays but have compromised PCI volumes. AIM:To compare the outcomes in STEMI patients treate...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:10.5603/KP.a2014.0131
更新日期:2014-01-01 00:00:00
abstract:BACKGROUND:The group of patients who experienced an acute coronary syndrome and cardiosurgical procedures is diversified with regard to psychological condition. Organic heart disease leads to reduction in their life quality. Comprehensive rehabilitation may result in subjective improvement of patients' life quality. A...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:
更新日期:2009-05-01 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::Congenital abnormalities of the coronary arteries are found in 0.6-1.5% of patients in coronary angiographies and most of them are benign. Their presence may prolong the time of the examination which is important especially in patients with acute coronary syndromes (ACS). The incidence of coronary artery anomaly with ...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:10.5603/KP.2013.0106
更新日期:2013-01-01 00:00:00
abstract::We report a case of a 59 year-old man with hypertrophic cardiomyopathy who developed a pathological structure attached to the lead of cardioverter-defibrillator that has been detected by echocardiography. The authors describe a difficult differential diagnostic process aiming at the differentiation between cardiac dev...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:
更新日期:2010-07-01 00:00:00
abstract::We report a case of a 19-year-old patient with double outlet right ventricle (RV) and recurrent giant RV outflow tract pseudoaneurysm, after multiple redo surgery. The patient underwent implantation of a 10 mm Amplatzer Septal Occluder to close the pseudoaneurysm. Postinterventional echocardiography revealed dislocati...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:10.5603/KP.2013.0264
更新日期:2013-01-01 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:BACKGROUND:The relationship between hypertension and oxidative stress remains unexplained. Nevertheless, it is well established that reactive oxygen species have an influence on the arterial wall, endothelial function and therefore determine blood pressure. AIM:The evaluation of selected oxidative stress markers in hy...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:10.5603/KP.2013.0226
更新日期:2013-01-01 00:00:00
abstract:BACKGROUND:Optimisation of atrioventricular (AV) delay time has positive effects on left ventricular (LV) functions in patients with a DDD pacemaker. However, the method used for optimisation is still debated. AIM:To evaluate the effect of different AV delay times on various LV systolic performances by using automated...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:10.5603/KP.a2014.0045
更新日期:2014-01-01 00:00:00
abstract:BACKGROUND:Cardiovascular diseases (CVDs) are the main cause of morbidity and mortality in developed countries. Despite the progress in diagnostics and treatment, it is expected that CVD will still be the main cause of death worldwide until at least 2030. From 1991 CVD mortality in Poland systematically decreased, but ...
journal_title:Kardiologia polska
pub_type: 杂志文章,多中心研究
doi:10.5603/KP.a2015.0235
更新日期:2016-01-01 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:The practice guidelines of cardiological and diabetological societies emphasise that cardiovascular (CV) risk control in diabetic patients is especially important and should be stricter than in subjects without diabetes. There are little data on the frequency of meeting treatment goals in patients with newly...
journal_title:Kardiologia polska
pub_type: 杂志文章,随机对照试验
doi:
更新日期:2011-01-01 00:00:00
abstract:BACKGROUND:It has been shown that early abciximab administration before primary percutaneous coronary intervention (pPCI) for ST-segment elevation myocardial infarction (STEMI) improves efficacy of treatment. However, there are no data on the impact of this strategy on left ventricular (LV) function during long-term fo...
journal_title:Kardiologia polska
pub_type: 杂志文章,随机对照试验
doi:
更新日期:2008-06-01 00:00:00
abstract:BACKGROUND:The effective antihypertensive therapy is one of the main goals of treatment in metabolic syndrome (MS) because hypertensive patients with MS are of high cardiovascular risk. The impedance cardiography (ICG), as a modern technique of non-invasive haemodynamic monitoring, enables the evaluation of cardiac ind...
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:It is commonly believed that women undergoing isolated coronary artery bypass graft surgery (CABG) are subject to a higher risk of perioperative complications and death. AIM:To evaluate the effect of sex as a risk factor on early complications and mortality after isolated CABG performed with cardiopulmonary...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:10.5603/KP.a2014.0166
更新日期:2015-01-01 00:00:00
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 fibrilla...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:10.33963/KP.15187
更新日期:2020-03-25 00:00:00