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Orthostatic hypotension and cardiovascular risk.
Abstract Orthostatic hypotension (OH) is a cardinal sign of cardiovascular (CV) autonomic dysfunction as a result of autonomic nervous system failure to control the postural hemodynamic homeostasis. The proportion of individuals with OH increases with aging and chronic conditions, such as neurodegenerative diseases, hypertension, heart failure, diabetes, renal dysfunction, autoimmune diseases and cancer. In those over 70 years, more than 20% can be affected. It is now increasingly recognized that a direct relationship exists between OH and each step of the CV disease continuum, eventually leading to end-stage hear...
Source: Polish Heart Journal - November 7, 2019 Category: Cardiology Authors: Fedorowski A, Ricci F, Sutton R Tags: Kardiol Pol 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

Depressive symptoms and cardiovascular diseases in the adult Polish population. Results of the NATPOL2011 study.
CONCLUSIONS: Depressive symptoms were more prevalent in women compared to men, and they were significantly and inde-pendently associated with age and primary education level in both sexes, and with a history of stroke in women. PMID: 30406941 [PubMed - indexed for MEDLINE]
Source: Kardiologia Polska - August 28, 2019 Category: Cardiology Authors: Piwoński J, Piwońska A, Jędrusik P, Stokwiszewski J, Rutkowski M, Bandosz P, Drygas W, Zdrojewski T Tags: Kardiol Pol Source Type: research

Statement by a Working Group conceived by the Polish National Consultants in Cardiology and Neurology addressing the use of implantable cardiac monitors in patients after ischaemic embolic stroke of undetermined source.
Abstract INTRODUCTION: Stroke remains one of the main causes of death and the most common cause of long-term disability in adults. Embolic strokes of undetermined source (ESUS) amount to a significant proportion of all ischaemic strokes. Detection of atrial fibrillation (AF) in this group of patients would allow for a major therapeutic decision to switch from antiplatelets to oral anticoagulants and therefore significantly reduce the risk of recurrence. STATE OF THE ART: Current technology allows long-term continuous ECG monitoring with different systems, including implantable cardiac monitors (ICM). However,...
Source: Neurologia i Neurochirurgia Polska - May 29, 2019 Category: Neurology Authors: Farkowski MM, Karlinski MA, Kaźmierczak J, Kułakowski P, Mitkowski P, Ptaszyński P, Ryglewicz D, Sławek J, Słowik A, Sterliński M Tags: Neurol Neurochir Pol Source Type: research

Transthoracic echocardiography in the assessment of cardiogenic causes of ischaemic stroke.
CONCLUSIONS: 1. Transthoracic echocardiography performed routinely in all AIS patients affects the treatment in a very low percentage of cases. 2. The group that could benefit the most from TTE examination includes people without established indications for chronic anticoagulant therapy, in particular patients after myocardial infarction and people with additional clinical symptoms. 3. In patients with AIS, the diagnostic sensitivity of TTE in the detection of PFO is low. Young people with a cryptogenic ischaemic stroke should undergo a transoesophageal assessment. PMID: 31020990 [PubMed - indexed for MEDLINE]
Source: Neurologia i Neurochirurgia Polska - May 29, 2019 Category: Neurology Authors: Król W, Żarek A, Wilk A, Guzik W, Ziemska M, Konopka M, Franczuk-Gwiazda M, Kuch M, Braksator W Tags: Neurol Neurochir Pol Source Type: research

Revisiting the risks of incident atrial fibrillation: a narrative review. Part 2.
Abstract Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia with increasing incidence worldwide. Much focus has been directed towards AF prevention, given the morbidity and mortality from stroke, heart failure, and dementia. There are a number of common conditions associated with the onset of AF including, but not limited to, increased alcohol consumption, body weight, exercise, and stress. To reduce the incidence of AF, public health campaigns and targeted patient interventions may be warranted to promote balanced alcohol intake, appropriate exercise, and stress management to prevent AF and ...
Source: Polish Heart Journal - May 23, 2019 Category: Cardiology Authors: Panchal G, Mahmood M, Lip GYH Tags: Kardiol Pol Source Type: research

Transthoracic echocardiography in the assessment of cardiogenic causes of ischemic stroke.
CONCLUSIONS: 1. Transthoracic echocardiography performed routinely in all AIS patients affects the treatment in a very low percentage of cases. 2. The group that could benefit the most from TTE examination includes people without established indications for chronic anticoagulant therapy, in particular patients after myocardial infarction and people with additional clinical symptoms. 3. In patients with AIS, the diagnostic sensitivity of TTE in the detection of PFO is low. Young people with a cryptogenic ischaemic stroke should undergo a transoesophageal assessment. PMID: 31020990 [PubMed - as supplied by publisher]
Source: Neurologia i Neurochirurgia Polska - April 24, 2019 Category: Neurology Authors: Król W, Żarek A, Wilk A, Guzik W, Ziemska M, Konopka M, Franczuk-Gwiazda M, Kuch M, Braksator W Tags: Neurol Neurochir Pol Source Type: research

Non-vitamin K antagonist oral anticoagulants (NOACs) in the treatment of coronary and peripheral atherosclerosis. Expert Consensus.
Abstract Oral anticoagulants (OAC) are widely used for prevention of systemic thromboembolism, including the reduction of the risk of stroke in patients with atrial fibrillation (AF) and prosthetic heart valves. There is also an increasing population of patients who require not only OACs, but also double antiplatelet therapy (DAPT). A typical example is a patient with AF and stable coronary artery disease or acute coronary syndrome (ACS), treated by percutaneous coronary intervention (PCI). In recent years, with the introduction of NOACs, triple or dual therapy has become safer. Regardless of these indications for...
Source: Polish Heart Journal - February 25, 2019 Category: Cardiology Authors: Witkowski A, Barylski M, Filipiak KJ, Gierlotka M, Legutko J, Lesiak M, Stępińska J, Wojakowski W Tags: Kardiol Pol Source Type: research

Ministernotomy or sternotomy in isolated aortic valve replacement? Early results.
Conclusions: Ministernotomy for AVR is a safe method and does not increase morbidity and mortality. It significantly reduces post-operative blood loss and shortens hospital stay. Ministernotomy can be successfully used as an alternative method to sternotomy. PMID: 30647743 [PubMed]
Source: Polish Journal of Cardio-Thoracic Surgery - January 17, 2019 Category: Cardiovascular & Thoracic Surgery Tags: Kardiochir Torakochirurgia Pol Source Type: research

Left atrial appendage occlusion: consensus document of Association of Cardiovascular Interventions and Heart Rhythm Section of Polish Cardiac Society.
Abstract Left atrial appendage (LAA) occlusion devices have the potential to influence the clinical approach to stroke prevention in patients with atrial fibrillation. A number of percutaneous techniques have been proposed, including various intracardiac plugs and also external ligation. Several devices have been already used in Poland. One of them has been evaluated in randomised controlled trials compared with the current standard of care. Others are less well studied but quite commonly used in Eu-rope. It is anticipated that the use of LAA occlusion technologies in clinical practice will expand. This Consensus ...
Source: Kardiologia Polska - November 28, 2018 Category: Cardiology Authors: Grygier M, Wojakowski W, Smolka G, Demkow M, Wąsek W, Sorysz D, Kralisz P, Bartuś K, Sukiennik A, Pracoń R, Witkowski A, Kowalski O, Legutko J Tags: Kardiol Pol Source Type: research

Differences in knowledge among patients with atrial fibrillation receiving non-vitamin K antagonist oral anticoagulants and vitamin K antagonists.
CONCLUSIONS: The knowledge of arrhythmia and anticoagulation is better regarding the safety issues among subjects on NOACs compared with those on VKAs. Irrespective of the type of oral anticoagulation therapy, education of AF patients should be improved. PMID: 29528483 [PubMed - indexed for MEDLINE]
Source: Kardiologia Polska - November 8, 2018 Category: Cardiology Authors: Konieczyńska M, Sobieraj E, Bryk AH, Dębski M, Polak M, Podolec P, Małecka B, Pająk A, Desteghe L, Heidbuchel H, Undas A Tags: Kardiol Pol Source Type: research

Depressive symptoms and cardiovascular diseases in Polish adult population. Results of NATPOL2011 study.
CONCLUSIONS: Depressive symptoms were more prevalent in women compared to men, and were significantly and independently associated with age and primary education level in both genders, and a history of stroke in women. PMID: 30406941 [PubMed - as supplied by publisher]
Source: Polish Heart Journal - November 8, 2018 Category: Cardiology Authors: Piwoński J, Piwońska A, Jędrusik P, Stokwiszewski J, Rutkowski M, Bandosz P, Drygas W, Zdrojewski T Tags: Kardiol Pol Source Type: research

Atrial fibrillation independently linked with depression in community-dwelling older population. Results from the nationwide PolSenior project.
CONCLUSIONS: In community-dwelling geriatric Polish population AF is associated with higher prevalence of depression. This association is independent from the demographic factors, disabilities and comorbidities (including history of stroke). PMID: 30219348 [PubMed - as supplied by publisher]
Source: Experimental Gerontology - September 13, 2018 Category: Geriatrics Authors: Rewiuk K, Wizner B, Klich-Rączka A, Więcek A, Mossakowska M, Chudek J, Szybalska A, Broczek K, Zdrojewski T, Grodzicki T Tags: Exp Gerontol Source Type: research

Applications of low-cost 3D printing in left atrial appendage closure using epicardial approaches - initial clinical experience.
Conclusions: Left atrial appendage 3D model is a useful tool in preoperative planning of a left atrial appendage occlusion using epicardial approaches with thoracoscopic or percutaneous access using LARIAT device. The quality of low-cost 3D printed LAA model is sufficient in planning minimally invasive procedure. PMID: 30069196 [PubMed]
Source: Polish Journal of Cardio-Thoracic Surgery - August 3, 2018 Category: Cardiovascular & Thoracic Surgery Tags: Kardiochir Torakochirurgia Pol Source Type: research

Malignant middle cerebral artery (MCA) infarction in people over 85 years old – Diagnosis, management and risk factors
ConclusionThe key risk factor in this group is the atrial fibrillation. The elderly patients require an intensive monitoring of the health condition by reference to brain stroke risk factors, especially atrial fibrillation.
Source: Polish Journal of Neurology and Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

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