Abstract：
INTRODUCTION:Recurrent atrial fibrillation (AF) in the setting of haemodynamic disturbances requires frequently repeated cardioversions, which is associated with the risk of myocardial damage. It is thus necessary to identify methods which can minimise the cardioverter impulse energy. AIM:To define the defibrillation threshold in recent-onset AF using a biphasic impulse, following an infusion of magnesium, potassium, and amiodarone. METHODS:Transoesophageal cardioversion was performed in 32 patients with AF lasting < or =48 hours, in whom prior administration of 40 mEq K+, 4.0 g MgSO4 and 300 mg amiodarone did not restore sinus rhythm. Cardioversion was performed under short intravenous anaesthesia using a biphasic impulse travelling from a multi-annular oesophageal electrode to two electrodes on the anterior chest wall. The initial energy was set to 1 J, which was subsequently increased according to the following protocol: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 15, 20, 25, 30, 40, 50 and 70 J. RESULTS:Electrical cardioversion following the administration of electrolytes and amiodarone restored sinus rhythm in all the patients (100% efficacy). The mean defibrillation threshold was 12.9+/-14.3 J, with a minimal effective energy of 1 J and a maximum effective energy of 70 J. The defibrillation threshold was in the range from 1 to 10 J in 75% of the patients. The mean cumulative energy transferred between electrodes during evaluation of the defibrillation threshold was 39.7 J (SD, 38.8). CONCLUSIONS:Transoesophageal cardioversion using a low-energy (mean, 12.9 J; range, 1-70 J) biphasic impulse, following the intravenous administration of potassium chloride and amiodarone, was 100% effective in restoring sinus rhythm in AF.
journal_name
Kardiol Poljournal_title
Kardiologia polskaauthors
Prochaczek F,Winiarska H,Kończakowski P,Pyka R,Dziuk D,Gałecka Jsubject
Has Abstractpub_date
2006-04-01 00:00:00pages
373-9; discussion 380-2issue
4eissn
0022-9032issn
1897-4279pii
5880journal_volume
64pub_type
杂志文章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: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 49-year-old female with patent ductus arteriosus complicated by severe pulmonary hypertension is presented. The patent ductus arteriosus was successfully closed by the Amplatzer duct occluder. The physical capacity improved from functional NYHA class III at baseline to class I one month after the procedure...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：2003-12-01 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：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 PD...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：10.5603/KP.2018.0009
更新日期：2018-01-01 00:00:00
abstract：:A 17-year-old girl without any cardiac symptoms and with no previous history of cardiovascular disease was diagnosed to have an intracardiac tumour. The diagnosis was made by chance during two-dimensional echocardiography which showed a mobile, peduncular tumour, 2 cm in diameter, arising from the apex of the left ven...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：2007-01-01 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：: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：: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: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: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：BACKGROUND:Despite wide popularity of football, there is a paucity of scientific evidence explaining the relationship between being a competitive footballer and life expectancy. AIM:The study analyses and compares cause-specific mortality of Polish male elite footballers and the general Polish male population. METHOD...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：10.5603/KP.a2018.0173
更新日期：2018-01-01 00:00:00
abstract：BACKGROUND:Differences between men and women in the prevalence and clinical course of coronary artery disease (CAD) have been well documented. There are no data in literature on the differences between males and females in the incidence of post-infarction left ventricular (LV) wall motion abnormalities of akinesia/dysk...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：2004-01-01 00:00:00
abstract：BACKGROUND:Nesfatin-1 is a novel anorectic neuropeptide with potent metabolic regulatory effects. AIM:We aimed to evaluate the relationship between nesfatin-1 levels and slow coronary flow (SCF). METHODS:A total of 60 consecutive patients with SCF and 60 consecutive patients with normal coronary flow (NCF) were enrol...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：10.5603/KP.a2017.0210
更新日期：2018-01-01 00:00:00
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 arrhythmogenic right ventricular dysplasia (ARVD) in a 28 year old man is reported. Diagnosis was based on ECG, echocardiographic and scintigraphic findings. Echocardiography and scintigraphy revealed an enlarged right ventricle and normal left ventricle. The abnormalities specific for ARVD were free wall mo...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：1992-01-01 00:00:00
abstract：BACKGROUND:Heart failure affects patients with normal left ventricular systolic function (heart failure with preserved ejection fraction [HFPEF]) and those with reduced ejection fraction (HFREF). The treatment of HFPEF remains an unresolved issue. AIM:We sought to determinate the relationship between inflammatory mark...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：10.5603/KP.a2018.0214
更新日期：2019-01-01 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：: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：: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: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:Late gadolinium enhancement (LGE) on cardiac magnetic resonance imaging (CMR) has been shown to be associated with ventricular arrhythmias, however, its prognostic role in predicting sudden cardiac death has not yet been established. AIM:To explore a potential relationship between LGE visualised by CMR and ...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：2009-08-01 00:00:00
abstract：BACKGROUND:Acute myocarditis is one of the most challenging diagnoses in cardiology. It is a disease with variable clinical presentation, progression and outcome. AIM:To assess clinical characteristics and outcome of patients hospitalised with diagnosis of acute myocarditis from year 2006 to 2008. METHODS:We analysed...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：2009-06-01 00:00:00
abstract：AIM:The aim of the study was to clinical analyse patients with cardioverter-defibrillator (ICD) treated in Cracow Department of Electrocardiology IK CMUJ between 1997-2004. METHODS:Data from 199 patients, aged 10 to 82, mean 56.9 year, in whom 198 implantations (31 of dual-chamber) and replacements were analyzed. CON...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：2004-09-01 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 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：:Precordial maps of R, S and Q waves were performed in 43 children with congenital and acquired cardiac defects, with cardiomyopathies and also in 55 healthy children. Two subgroups with the left and right ventricular hypertrophies were separated basing on a standard electrocardiogram. Multilead electrocardiogram (M60-...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：1989-01-01 00:00:00
abstract：BACKGROUND:Cardiac resynchronisation therapy (CRT) using biventricular pacing (BVP) has been shown to improve survival in patients with chronic heart failure (CHF). However, BVP cannot be achieved in all patients because of technical problems. In such patients, bifocal right ventricular pacing (BFP) may be an alternati...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：2010-11-01 00:00:00
abstract：BACKGROUND:There are numerous data indicating a significant role of the sympathoadrenal system and the reninangiotensin- aldosterone system in the regulation of blood pressure and the pathogenesis of essential hypertension. However, the genetic background of essential hypertension remains unclear. AIM:To determine the...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：2004-11-01 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
