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/dyskinesia type and the outcome after surgical LV reconstruction. AIM:To compare gender-related differences in clinical characteristics, distribution of LV wall motion abnormalities, and outcome after surgical LV reconstruction. METHODS:Between 1993 and 2000, 3119 patients underwent surgery for CAD in our institution. Coronary artery bypass grafting (CABG) was performed in 3033 patients. Of those, 86 (2.67%) underwent CABG with concomitant surgical ventricular restoration (SVR). Clinical, echocardiographic and procedural data were compared between females and males. RESULTS:In the SVR group, the percentage of women was significantly higher than in the CABG group (29% vs 18.5%, p=0.05). Obesity, unstable angina and pulmonary oedema were significantly more common in females than in males. The end-diastolic volume and global ejection fraction were lower in women than in men. The ratio of ANV (systolic volume of akinetic/dyskinetic zone of LV) to EDV (diastolic LV volume) was significantly higher in females than in males. Cardiac output, cardiac index and stroke volume were significantly lower in females. Women had significantly higher NYHA class. Because of the greater extent of LVA in women, patch plasty was performed significantly more often in females than in males (p=0.05). Mortality in both genders was similar (4% vs 3%, NS). After the operation, a significant improvement of LV function was found in both groups, but the degree of improvement was higher in women. CONCLUSIONS:There is male predominance, both in the CABG and SVR groups, however, the proportion of females in the SVR group is significantly greater than in the whole CABG group. LV function is more depressed and NYHA class is higher in females than males. Because the extent of LV akinesia and dyskinesia is greater in females than in males, the circular plasty with patch closure is required more often in women.
journal_name
Kardiol Poljournal_title
Kardiologia polskaauthors
Hirnle T,Sobkowicz B,Stachurski A,Namieta K,Kustrzycki W,Stupiński W,Pelczar M,Tomaszewski P,Krupacz Rsubject
Has Abstractpub_date
2004-01-01 00:00:00pages
39-47issue
1eissn
0022-9032issn
1897-4279journal_volume
60pub_type
杂志文章abstract::We describe a case of severe left ventricular (LV) heart failure caused by tachycardiomyopathy with concomitant presence of unsolved thrombus in left atrial appendage despite effective oral anticoagulant treatment. Successful ablation of atrial flutter and atrioventricular nodal reentry tachycardia entailed resolution...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:
更新日期:2011-01-01 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
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更新日期:2009-11-01 00:00:00
abstract::Persistent left superior vena cava -- a case report. A case of a 72-year-old female admitted for pacemaker implantation is presented. During the procedure, persistent left superior vena cava was found. Pacemaker was inserted via right subclavicular vein. ...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:
更新日期:2004-12-01 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:Outcome after surgery for cardiac myxoma is very good, although due to relatively low prevalence in general population there are only a few reports with long-term follow-up that involved large number of patients. AIM:To evaluate short- and long-term outcome after myxoma removal in a single cardiac surgical ...
journal_title:Kardiologia polska
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更新日期:2011-01-01 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...
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journal_title:Kardiologia polska
pub_type: 杂志文章
doi:10.5603/KP.a2015.0177
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journal_title:Kardiologia polska
pub_type: 杂志文章
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journal_title:Kardiologia polska
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doi:
更新日期:2009-05-01 00:00:00
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journal_title:Kardiologia polska
pub_type: 杂志文章
doi:
更新日期:1991-01-01 00:00:00
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journal_title:Kardiologia polska
pub_type: 杂志文章
doi:
更新日期:2008-04-01 00:00:00
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journal_title:Kardiologia polska
pub_type: 杂志文章
doi:
更新日期:2010-04-01 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
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journal_title:Kardiologia polska
pub_type: 杂志文章
doi:
更新日期:2011-01-01 00:00:00
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pub_type: 传,历史文章,杂志文章
doi:
更新日期:2003-04-01 00:00:00
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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
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journal_title:Kardiologia polska
pub_type: 杂志文章
doi:10.5603/KP.a2016.0139
更新日期:2017-01-01 00:00:00
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journal_title:Kardiologia polska
pub_type: 杂志文章
doi:
更新日期:1989-01-01 00:00:00
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pub_type: 杂志文章
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journal_title:Kardiologia polska
pub_type: 杂志文章
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更新日期:1990-01-01 00:00:00
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journal_title:Kardiologia polska
pub_type: 杂志文章
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更新日期:2014-01-01 00:00:00
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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::A case of a 70 year old female with permanent atrial fibrillation and a history of stroke is presented. Echocardiography showed the presence of an oval mass in the left atrium which suggested thrombus or atrial myxoma. The patient underwent urgent cardiac surgery during which a long thrombus, originating from the left...
journal_title:Kardiologia polska
pub_type: 杂志文章
doi:
更新日期:2005-09-01 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
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journal_title:Kardiologia polska
pub_type: 临床试验,杂志文章
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更新日期:2013-01-01 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: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