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Noninfectious complications of acute stroke and their impact on hospital mortality in patients admitted to a stroke unit in Warsaw from 1995 to 2015
Conclusions Over the last two decades Polish urban stroke units may have achieved a significant reduction of the occurrence of some noninfectious complications (i.e. MI, exacerbated CHF and DVT). However, the list of conditions associated with stroke unit mortality includes not only MI and exacerbated CHF but also PE, gastrointestinal bleeding and recurrent stroke.
Source: Polish Journal of Neurology and Neurosurgery - September 22, 2017 Category: Neurosurgery Source Type: research

Stroke epidemiology based on experience from Krasnik county in eastern Poland.
CONCLUSIONS: Women aged around 78-years-old were the most likely to suffer a stroke. In men, it occurred eight years earlier. Despite residents of urban areas being hospitalised due to stroke more often, deaths caused by this disease were recorded the most frequently among rural residents. It can be concluded that primary stroke prevention is the only effective measure for reducing morbidity and premature mortality in the population. PMID: 32955229 [PubMed - in process]
Source: Annals of Agricultural and Environmental Medicine : AAEM - September 10, 2020 Category: Environmental Health Authors: Drop B, Marek K, Marzena FN Tags: Ann Agric Environ Med Source Type: research

Early and One-Year Outcomes of Acute Stroke in the Industrial Region of Poland During the Decade 2006 –2015: The Silesian Stroke Registry
Conclusions: In a large population of industrial province, we showed recent, positive trends in AS admissions, treatment and 1-year outcomes. Development of stroke unit networks and increase in thrombolytic treatment were at least in part responsible for survival improvement and reduction of recurrence of AS. However, case-fatality and stroke recurrence remain high compared to those of other developed countries.Neuroepidemiology 2018;50:183 –194
Source: Neuroepidemiology - March 27, 2018 Category: Epidemiology Source Type: research

The importance of atrial fibrillation and selected echocardiographic parameters for the effectiveness and safety of thrombolytic therapy in patients with stroke
ConclusionsThe presence of atrial fibrillation worsens the patient's prognosis in terms of the functional status and survival during the acute period of stroke in patients treated with intravenous thrombolysis.Higher NIHSS and CHA2DS2VASc scores and reduced EF in patients with stroke treated with thrombolysis are the predictors of unfavorable short-term prognosis.
Source: Polish Journal of Neurology and Neurosurgery - July 6, 2018 Category: Neurosurgery Source Type: research

Polish Helicopter Emergency Medical Service (HEMS) Response to Stroke: A Five-Year Retrospective Study.
CONCLUSIONS The use of HEMS in Poland in the case of patients with stroke symptoms ensures fast and professional assistance at the site of the medical emergency as well as safe transport to specialized centers, shortening the time of proper treatment implementation. PMID: 31473759 [PubMed - in process]
Source: Medical Science Monitor - September 2, 2019 Category: Research Tags: Med Sci Monit Source Type: research

Mechanisms of cardioembolic stroke revisited. Atrial cardiopathy.
Abstract There has been only moderate progress in our understanding of potential relation between atrial arrhythmia and stroke over years. Current approach is still based on a hypothesis that atrial contractile dysfunction due to fibrillation causes blood stasis, which accompanied by other factors acting together as Virchow's triad produces thrombus and embolism to the brain. In this review we would like to discuss a relatively new concept of atrial cardiopathy. It assumes that risk of thromboembolism is increased regardless of atrial rhythm, being largely driven by atrial tissue abnormalities, such as fibrosis, e...
Source: Polish Heart Journal - November 13, 2017 Category: Cardiology Authors: Mączyńska J, Kurkowska-Jastrzębska I, Dąbrowski R Tags: Kardiol Pol Source Type: research

Cerebellar stroke and aortic arch thrombosis.
PMID: 29251757 [PubMed - in process]
Source: Polish Heart Journal - December 19, 2017 Category: Cardiology Authors: Szczechowicz M, Mkalaluh S, Mashhour A, Zhigalov K, Weymann A Tags: Kardiol Pol Source Type: research

The evaluation of the recommended prevention of thrombosis in hospitalized patients with atrial fibrillation and high thromboembolism risk.
ConclusionsOral anticoagulants was indicated on discharge for 2/3 of patients with atrial fibrillation and high risk of stroke, and more often in patients with low risk of bleeding events. An increase in the number of oral anticoagulants indications has been observed in the recent 9 years. The factors which led to the lack of oral anticoagulants indications among patients with a high stroke risk were: hospitalization in years 2004-2006, high risk of bleeding, vascular disease, age≥80 years, paroxysmal atrial fibrillation and previous bleeding. PMID: 29297187 [PubMed - as supplied by publisher]
Source: Polish Heart Journal - January 3, 2018 Category: Cardiology Authors: Gorczyca-Michta I, Wożakowska-Kapłon B, Starzyk K, Szpotowicz A, Stec A Tags: Kardiol Pol Source Type: research

Dual antiplatelet therapy is safe and efficient after left atrial appendage closure.
CONCLUSIONS: LAAC followed by DAPT seems to be a safe and efficient alternative for stroke prevention in patients with NVAF and contraindications to anticoagulation therapy. This strategy may provide a significant reduction of events such as stroke and bleeding versus the score-predicted rate. PMID: 29350390 [PubMed - as supplied by publisher]
Source: Polish Heart Journal - January 19, 2018 Category: Cardiology Authors: Maksym J, Mazurek T, Kochman J, Grygier M, Kapłon-Cieślicka A, Marchel M, Lodziński P, Piątkowski R, Wilimski R, Czub P, Fojt A, Karolczak N, Hendzel P, Opolski G Tags: Kardiol Pol Source Type: research

IJERPH, Vol. 20, Pages 6145: Anticoagulant Treatment in Patients with AF and Very High Thromboembolic Risk in the Era before and after the Introduction of NOAC: Observation at a Polish Reference Centre
This study outlines reasons to initiate OAC treatment in very high-risk patients in clinical practice.
Source: International Journal of Environmental Research and Public Health - June 16, 2023 Category: Environmental Health Authors: Bernadetta Bielecka Iwona Gorczyca-G łowacka Agnieszka Ciba-Stemplewska Beata Wo żakowska-Kapłon Tags: Article Source Type: research

Causes of death and morbidity in patients with atrial fibrillation after left atrial appendage occlusion.
CONCLUSION: The majority of deaths are not related to stroke in patients with AF after the LAAO procedure. Mortality in first 2 years following the procedure was predominantly from non-cardiovascular causes. Key words: atrial fibrillation, LAAO, left atrial appendage, stroke. PMID: 31495824 [PubMed - as supplied by publisher]
Source: Polish Heart Journal - September 8, 2019 Category: Cardiology Authors: Burysz M, Litwinowicz R, Burysz A, Ogorzeja W, Bartuś K Tags: Kardiol Pol Source Type: research

Percutaneous left atrial appendage occlusion in the current practice
Kardiol Pol. 2021 Mar 5. doi: 10.33963/KP.15864. Online ahead of print.ABSTRACTOral anticoagulation (OAC) is the standard of care for stroke prevention in atrial fibrillation (AF) but is associated with a substantial risk of bleeding complications and is dependent on optimal patient´s compliance. In patients with non-valvular AF, the left atrial appendage is the source of thrombi that may cause stroke in up to 91-95% of cases. Thus, percutaneous left atrial appendage occlusion (LAAO) is increasingly being performed as an alternative to OAC for stroke prophylaxis in patients at increased bleeding risk. Current evidence sup...
Source: Polish Heart Journal - March 10, 2021 Category: Cardiology Authors: Ignacio Cruz-Gonz ález Blanca Trejo-Velasco Source Type: research

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