Abstract：
BACKGROUND:Although increased left atrial size (LA) has been long regarded as one of the factors negatively influencing the long-term maintenance of sinus rhythm (SR) following cardioversion (CV) of atrial fibrillation (AF), some reports suggested that CV might be effective also in patients with large LA.Aim. We sought to determine the role of LA enlargement in long-term SR maintenance after CV of persistent AF. METHODS:104 consecutive patients (33 females, 71 males, mean age 60.4+/-7.4 years) were assigned to SR restoration and maintenance with serial antiarrhythmic drugs. Transthoracic echocardiographic (TTE) variables were recorded prior to CV. Generalised additive logistic regression was used to investigate the impact of LA enlargement on the long-term SR maintenance. RESULTS:SR was present in 63.5% of patients after one year of follow-up. Increased LA area >28 cm (RR 1.72; 1.09-2.71; p<0.02) and increased fractional shortening values in ranges between 26-40% (1.2; 1.01-1.44; p<0.05) were significantly associated with SR maintenance after one year. In order to determine the influence of the LA diameter on the probability of SR maintenance, we analysed mean LA(ar) values prior to and after CV. Patients with large LA(ar) (28 cm(2)) presented a significant decrease of LA size (31.45+/-3.07 cm(2) vs 28.94+/-3.81 cm(2); p<0.008) during the first 30 days after SR restoration. In the group of patients with LA(ar) 28 cm(2) we noted decrease in LA size by 2.57+/-3.2 cm(2), whereas in patients with a smaller LA volume this decrease was significantly lower, being 0.47+/-2.9 cm(2) (p<0.004). CONCLUSIONS:LA enlargement does not preclude a favourable outcome after CV of AF. The decrease in LA area occurring during 30 days following CV favours long term SR maintenance.
journal_name
Kardiol Poljournal_title
Kardiologia polskaauthors
Kosior DA,Szulc M,Torbicki A,Opolski G,Rabczenko Dsubject
Has Abstractpub_date
2005-05-01 00:00:00pages
428-37; discussion 438-9issue
5eissn
0022-9032issn
1897-4279journal_volume
62pub_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：: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：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：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：: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：:A case of a 48 year old female admitted to the hospital for further evaluation and treatment of an intracardiac tumour, is presented. The patient underwent surgical excision of the tumour localised in the right ventricular outflow tract with bioprosthetic tricuspid valve implantation and pacemaker insertion due to the...
journal_title：Kardiologia polska
pub_type： 杂志文章,评审
doi：
更新日期：2003-08-01 00:00:00
abstract：:We describe a case of a 55-year-old male with anterior myocardial infarction, treated in the acute phase with thrombolysis. Transthoracic echocardiography showed hypokinetic apical segments, ejection fraction of 55% and reduced coronary flow reserve in the left anterior descending (LAD) coronary artery. Elective coron...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：2004-03-01 00:00:00
abstract：:A case of a 65 year old male with acute myocardial infarction treated with primary angioplasty and stent implantation is presented. Following infarction, the patient suffered twice from the in-stent thrombosis in spite of triple antiplatelet/anticoagulant therapy. The problem of recurrent restenosis in spite of optima...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：2008-11-01 00:00:00
abstract：BACKGROUND:Ventricular premature beats (VPBs) are one of the most common rhythm abnormalities. Structural heart diseases such as myocardial hypertrophy and left ventricular dysfunction are associated with VPBs. However, the exact mechanism of VPBs in patients without structural heart disease has not been revealed yet. ...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：10.5603/KP.a2015.0025
更新日期：2015-01-01 00:00:00
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：:Sphygmomanometer S is the microcomputer device measuring blood pressure for (BP) on the basis of amplitude height and morphology of pulse waves, registered by the pulse converter placed in the air system of a cuff. The letter S stands the sphygmo-oscillographic method used in BP measurement (11). Sphygmomanometer S ma...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：1991-01-01 00:00:00
abstract：BACKGROUND:The Ministry of Health in Poland recommends electrocardiogram (ECG)-based cardiovascular screening in athletes, but so far there has been a lack of guidelines on preparticipation assessment. We compared different criteria of ECG screening assessment in a group of top-level athletes. AIM:The aims were to eva...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：10.5603/KP.a2017.0021
更新日期：2017-01-01 00:00:00
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 ...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：2006-04-01 00:00:00
abstract：:We present a case of a 70 year-old male with B-cell lymphoma of which the first clinical presentation was cardiac infiltration. The patient underwent full chemotherapy with complete tumour regression. Kardiol Pol 2011; 69, 10: 1063-1065. ...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：2011-01-01 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: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: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：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: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:The passage of a lead in tissues and in the cardiovascular system depends on the implantation technique. The structure of the leads, which is a combination of two or more materials, triggers their wear. Breakage of the external pacemaker (PM) lead insulation causes unsealing of the lead and exposure of its i...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：10.5603/KP.a2014.0108
更新日期：2014-01-01 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：:The purpose of this study was to investigate the correlation between mitral valve morphology and amplitude of the first heart sound and the opening snap. The material consisted of 21 women and 19 men with mitral valve disease. They ranged in age from 24 to 56 years. 36 patients had pure or dominant mitral stenosis and...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：1991-01-01 00:00:00
abstract：BACKGROUND:The ACC/AHA guidelines for management of patients with ST-elevation myocardial infarction (STEMI) have recommended primary PCI (pPCI) as the preferred reperfusion therapy, when it can be performed in a timely fashion, within 90-110 min from the first contact with medical personnel. The impact of treatment de...
journal_title：Kardiologia polska
pub_type： 临床试验,杂志文章
doi：
更新日期：2007-11-01 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：: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:It is difficult to define the optimal management of elderly heart failure (HF) patients with complex comorbidities. Thus, comprehensive characterisation of HF patients constitutes a crucial pre-condition for the successful management of this fragile population. AIM:To analyse the 'real life' HF patients, in...
journal_title：Kardiologia polska
pub_type： 杂志文章,多中心研究
doi：
更新日期：2011-01-01 00:00:00
abstract：BACKGROUND:Primary percutaneous coronary intervention (PPCI) is regarded as the treatment of choice for ST elevation myocardial infarction (STEMI) patients. It has been emphasised that only experienced centres with round-the-clock cathlab facilities should perform PPCI. Some investigators have doubted whether PPCI perf...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：2011-01-01 00:00:00
abstract：BACKGROUND:Atrial fibrillation (AF) is the most common arrhythmia, having a strong impact on long-term stroke and heart failure prevalence and mortality. Nowadays, rapid development in the field of minimising the invasiveness of surgical ablation of AF can be observed. AIM:To report on the feasibility and early result...
journal_title：Kardiologia polska
pub_type： 临床试验,杂志文章
doi：
更新日期：2007-04-01 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：:Different types of disorders, varying in time, concerning atrio-ventricular (AV) conductivity may occur during myocardial infarction (MI). Similarly, angiography may reveal the dynamics within lesions of thrombosis in arteries. A case of 58 year-old man, who suffered from temporal AV block of all degrees, and what is ...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：2011-01-01 00:00:00
