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158 results on '"Dabrowska-Kugacka A"'

51. The High Risk of Obstructive Sleep Apnea—An Independent Risk Factor of Erectile Dysfunction in ST-Segment Elevation Myocardial Infarction Patients

Author

Marcin Grabowski, Krzysztof J. Filipiak, Filip M. Szymański, Alicja Dabrowska-Kugacka, Anna Hrynkiewicz-Szymanska, and Grzegorz Opolski

Subjects
Male, medicine.medical_specialty, Urology, Endocrinology, Diabetes and Metabolism, Myocardial Infarction, Statistics, Nonparametric, Body Mass Index, Endocrinology, Erectile Dysfunction, Risk Factors, Internal medicine, medicine, Humans, Prospective Studies, Myocardial infarction, Risk factor, Sleep Apnea, Obstructive, Chi-Square Distribution, business.industry, Epworth Sleepiness Scale, Age Factors, Sleep apnea, Odds ratio, Middle Aged, medicine.disease, Obstructive sleep apnea, Psychiatry and Mental health, C-Reactive Protein, Logistic Models, Erectile dysfunction, Reproductive Medicine, Hypertension, Physical therapy, Cardiology, Myocardial infarction complications, business
Abstract

Introduction Sleep-related breathing disorders are highly prevalent in patients with established cardiovascular disease. Obstructive sleep apnea (OSA) is associated with several cardiovascular conditions such as hypertension, ischemic heart disease, arrhythmias, and erectile dysfunction (ED). Aim The aim of this prospective study was to investigate the prevalence of ED in ST-segment elevation myocardial infarction (STEMI) patients at high risk of OSA, and to evaluate the leading factors that increase the risk of ED. Methods We prospectively studied 90 consecutive male STEMI patients. Main Outcome Measures A risk of OSA was assessed using the Berlin questionnaire (BQ) and Epworth Sleepiness Scale (ESS). Erectile function was assessed using the International Index of Erectile Function (IIEF). Results Thirty-two (35.6%) patients were at high risk of OSA. Patients were at high risk of OSA who on admission had significantly higher mean ESS score, and abnormal BQ, higher incidence of hypertension, and higher body mass index. They were also found to have significantly higher mean C-reactive protein level and higher incidence of ED. The mean IIEF score was significantly lower in patients at high risk of OSA (16.2 ± 5.4 vs. 20.5 ± 6.4; P = 0.004). In the multiple logistic regression analysis, high risk of OSA was strong and an independent risk factor of ED in STEMI patients (odds ratio 55.71, 95% confidence interval 3.36–923.81; P = 0.005). Conclusion ED was highly prevalent in STEMI patients at high risk of OSA. High risk of OSA was strong, independent risk factor for developing ED. Szymanski FM, Filipiak KJ, Hrynkiewicz-Szymanska A, Grabowski M, Dabrowska-Kugacka A, and Opolski G. The high risk of obstructive sleep apnea—An independent risk factor of erectile dysfunction in ST-segment elevation myocardial infarction patients.

Published
2011

52. P875Arrhythmic mitral valve prolapse in a practice of an ICD implanting center - a real world data

Author

Anna Pazdyga, Grzegorz Raczak, Alicja Dabrowska-Kugacka, Agnieszka Zienciuk, L Danilowicz-Szmanowicz, and Małgorzata Szwoch

Subjects
medicine.medical_specialty, business.industry, 030204 cardiovascular system & hematology, medicine.disease, Surgery, 03 medical and health sciences, 0302 clinical medicine, Physiology (medical), Medicine, Mitral valve prolapse, Center (algebra and category theory), 030212 general & internal medicine, Cardiology and Cardiovascular Medicine, business, Real world data
Published
2018

53. Single-Site Bachmann's Bundle Pacing Is Beneficial While Coronary Sinus Pacing Results in Echocardiographic Right Heart Pacemaker Syndrome in Brady-Tachycardia Patients

Author

Piotr Ruciński, Dariusz Kozłowski, Ewa Lewicka-Nowak, Andrzej Kutarski, Grzegorz Raczak, and Alicja Dabrowska-Kugacka

Subjects
Adult, Male, Tachycardia, Cardiac function curve, Pacemaker, Artificial, medicine.medical_specialty, Pacemaker syndrome, Electrocardiography, Tissue Doppler echocardiography, Heart Conduction System, Internal medicine, Atrial Fibrillation, Bradycardia, medicine, Humans, cardiovascular diseases, Bachmann's bundle, Coronary sinus, Aged, Sick Sinus Syndrome, business.industry, Cardiac Pacing, Artificial, Coronary Sinus, Hemodynamics, Atrial fibrillation, Syndrome, General Medicine, Stroke volume, Middle Aged, medicine.disease, Treatment Outcome, medicine.anatomical_structure, Case-Control Studies, Anesthesia, cardiovascular system, Cardiology, Female, medicine.symptom, Cardiology and Cardiovascular Medicine, business
Abstract

Background: It has been proposed that multisite atrial pacing (MSAp) restores atrial electrical activation and prevents atrial fibrillation recurrence; however, single-site Bachmann's bundle pacing (BBp) has also been reported as providing effective atrial resynchronization. Coronary sinus pacing (CSp) leads to reversed impulse propagation within the atria. Methods and Results: Acute echocardiographic examination was performed in 15 healthy subjects, and in 25 patients with sinus node dysfunction and recurrent atrial fibrillation during MSAp (atrial leads in the BB area and CS ostium), and single-site BBp and CSp. Regional atrial synchrony was assessed by tissue Doppler echocardiography. Pacing mode had no effect on stroke volume. CSp resulted in right atrial filling diminution, shortened mechanical atrioventricular delay in the right heart and diminished right ventricular inflow. The magnitude of reversion of the physiological right-to-left atrial contraction sequence was most prominent during CSp (15±11, 12±23, 3±21, 42±23 ms; control, MSAp, BBp, CSp respectively, P

Published
2010

54. Atrial Electromechanical Sequence and Contraction Synchrony during Single- and Multisite Atrial Pacing in Patients with Brady-Tachycardia Syndrome

Author

Ewa Lewicka-Nowak, Andrzej Kutarski, Paweł Zagożdżon, Alicja Dabrowska-Kugacka, Piotr Ruciński, and Grzegorz Raczak

Subjects
Male, Tachycardia, Ectopic Atrial, Tachycardia, medicine.medical_specialty, Contraction (grammar), Tissue Doppler echocardiography, Heart Conduction System, Internal medicine, Bradycardia, Humans, Medicine, Sinus rhythm, Heart Atria, cardiovascular diseases, Coronary sinus, Aged, business.industry, Cardiac Pacing, Artificial, Atrial fibrillation, Syndrome, General Medicine, medicine.disease, Myocardial Contraction, Atrial Lead, Surgery, Ostium, Treatment Outcome, cardiovascular system, Cardiology, Female, medicine.symptom, Cardiology and Cardiovascular Medicine, business
Abstract

OBJECTIVES Investigation of which atrial pacing modality provides atrial synchrony and the most physiological atrial contraction pattern in patients with brady-tachycardia syndrome. METHODS Fifteen healthy subjects and 57 patients with sinus node dysfunction, atrial fibrillation recurrences, and prolonged P-wave on the electrocardiogram treated with multisite atrial (MSA) pacing were studied. One atrial lead was implanted in the coronary sinus (CS) ostium area, the other at the right atrial appendage (RAA): RAA+CS group (28 patients), or Bachmann's bundle (BB) region: BB+CS group (29). Sinus rhythm (SR) and CS, RAA, BB, RAA+CS, and BB+CS pacing modalities were evaluated. Electromechanical delay (EMD) in atrial walls was assessed by tissue Doppler echocardiography. Interatrial (DeltainterA), intra-right (DeltaRA), and intra-left (DeltaLA) atrial dyssynchrony were calculated. RESULTS During SR, in the study group versus controls, important DeltainterA: 55 +/- 23 versus 22 +/- 11 ms (P < 0.01) and DeltaLA: 47 +/- 21 versus 21 +/- 6 ms (P < 0.001) were present. Single-site BB and both MSA pacing modes restored DeltainterA and DeltaLA (DeltainterA: 24 +/- 16, 20 +/- 13 and 14 +/- 9 ms, DeltaLA: 28 +/- 18, 28 +/- 13 and 20 +/- 10 ms during BB, RAA+CS and BB+CS pacing, respectively). CS pacing prolonged lateral RA EMD, while RAA pacing LA walls EMD, which resulted in DeltainterA persistence. CS pacing induced DeltaRA (50 +/- 23 vs 16 +/- 8 ms, P < 0.0001 vs controls). Atrial contraction sequence during BB pacing resembled that observed in controls. CONCLUSIONS (1) Single-site BB and both MSA pacing modes restored atrial synchrony. (2) Single-site RAA and CS ostium pacing retained interatrial dyssynchrony; moreover, CS pacing created RA dyssynchrony. (3) Single-site BB pacing provided physiological atrial contraction sequence.

Published
2009

55. Survival Analysis in Patients With Preserved Left Ventricular Function and Standard Indications for Permanent Cardiac Pacing Randomized to Right Ventricular Apical or Septal Outflow Tract Pacing

Author

Justyna Staniewicz, Ewa Lewicka-Nowak, Rajmund Wilczek, Dariusz Kozłowski, Grzegorz Raczak, Anna Faran, Sebastian Tybura, Paweł Zagożdżon, G. Swiatecka, and Alicja Dabrowska-Kugacka

Subjects
Male, Time Factors, Heart Ventricles, Kaplan-Meier Estimate, Ventricular Septum, Risk Assessment, Ventricular Function, Left, law.invention, Randomized controlled trial, law, Humans, Medicine, Prospective Studies, Prospective cohort study, Survival analysis, Aged, Proportional Hazards Models, Heart Failure, Proportional hazards model, business.industry, Hazard ratio, Cardiac Pacing, Artificial, Stroke Volume, Atrial fibrillation, General Medicine, Stroke volume, Middle Aged, medicine.disease, Confidence interval, Radiography, Treatment Outcome, Anesthesia, Female, Cardiology and Cardiovascular Medicine, business
Abstract

Background: Optimal right ventricular (RV) pacing site in patients referred for permanent cardiac pacing remains controversial. A prospective randomized trial was done to compare long-term effect of permanent RV apex (RVA) vs RV outflow tract (RVOT) pacing on the all-cause and cardiovascular mortality. Methods and Results: A total of 122 consecutive patients (70 men, 69 ±11 years), with standard pacing indications were randomized to RVA (66 patients) or RVOT (56 patients) ventricular lead placement. After the 10-year follow-up period the mortality data were summarized on the basis of an intention-to-treat analysis. During the long-term follow-up, 31 patients from the RVA group died vs 24 patients in the RVOT group (hazard ratio (HR), 0.96; 95% confidence interval (CI), 0.57-1.65; P=0.89). There were 10 cardiovascular deaths in the RVA and 12 in the RVOT group (HR, 1.04; 95%CI, 0.45-2.41; P=0.93). There were no differences in the all-cause or cardiovascular mortality between the pacing sites after adjustment for age, gender, arterial hypertension, atrial fibrillation, New York Heart Association class and left ventricular end-diastolic diameter. Conclusions: The RVOT provides no additional benefit in terms of long-term survival over RVA pacing. (Circ J 2009; 73: 1812-1819)

Published
2009

56. Are hospitalized or ambulatory patients with heart failure treated in accordance with European Society of Cardiology guidelines? Evidence from 12 440 patients of the ESC Heart Failure Long-Term Registry

Author

Maggioni, Aldo P, Anker, Stefan D., Dahlström, Ulf, Filippatos, Gerasimos, Ponikowski, Piotr, Zannad, Faiez, Amir, Offer, Chioncel, Ovidiu, Leiro, Marisa Crespo, Drozdz, Jaroslaw, Erglis, Andrejs, Fazlibegovic, Emir, Fonseca, Candida, Fruhwald, Friedrich, Gatzov, Plamen, Goncalvesova, Eva, Hassanein, Mahmoud, Hradec, Jaromir, Kavoliuniene, Ausra, Lainscak, Mitja, Logeart, Damien, Merkely, Bela, Metra, Marco, Persson, Hans, Seferovic, Petar, Temizhan, Ahmet, Tousoulis, Dimitris, Tavazzi, Luigi, Andarala, M., Fiorucci, E., Folkesson, E., Glemot, M., Gracia, G., Konte, M., Laroche, C., Mcneill, P. a., Missiamenou, V., Taylor, C., Fruhwald, F., Eberl, Alexander, Heller, S., Dolze, T., Platzer, V., Ablasser, K., Auer, J., Poelzl, G., Moertl, D., Podczeck Schweighofer, A., Reiter, S., Pravdic, D., Fazlibegovic, E., Muslibegovic, A., Vitlianova, K., Katova, T., Kotirkov, K., Petrov, I., Velikov, T., Kurteva, T., Gatzov, P., Kamenova, D., Antova, M., Tisheva, S., Sirakova, V., Krejci, J., Spinar, J., Mikolaskova, M., Krupicka, J., Malek, F., Hegarova, M., Pudil, R., Monhart, Z., Lazarova, M., Reda, A., Khairy, T., Farag, N., Saleh, A., Said, K., Abdel Hamid, M., Halawa, S., Ibrahim, B., Hanna, R., Hassanein, M., Sobhy, M., El Messiry, F., El Shazly, A. H., Elrakshy, Y., Aboleineen, W., Gouda, M., Youssef, A., Elbahry, A., Abdel, A., Ebeid, H., Nasr, G., Sobhy, H., Ashmawy, M., Lefol, C., Isnard, R., Hagege, A., Thevenin, S., Jondeau, G., Logeart, D., Codjia, R., Galinier, M., Bauer, F., Delahaye, F., Lamblin, N., Fertin, M., De Groote, P., Coisne, D., Le Marcis, V., Lequeux, B., J. F., Ly, Lotton, P., Donal, E., Le Moal, V., Basquin, A., Reynaud, A., Ridard, C., Thebault, C., Behar, N., Mascle, S., Schiele, F., Seronde, M. F., Morel, M., Meneveau, N., Luporsi, P., Bernard, Y., Pillot, M., Briand, F., Damy, T., Eicher, J. C., Avgeropoulou, C., Panagiotis, T., Tousoulis, D., Kotrogiannis, I., Stefanadis, C., Chrysohoou, C., Tsitsinakis, G., Dimitroula, T., Karavidas, A., Matzaraki, V., Terrovitis, J., Kapelios, C., Sfakianaki, T., Filippatos, G., Parissis, J. T., Ntai, K., Papadopoulou, A., Tziourganou, H., Douras, A., Ntertsas, K., Karotsaki, T., Nikoloulis, N., Tsaknakis, T., Patrianakos, A., Nyktari, E., Vardas, P., Soos, P., Nyolczas, N., Csaba Nagy, A., Halmosi, R., Nemeth, F., Amon, G., Dinnyes, J., Vazan Fuhrmann, A., Shotan, A., Alony, I., Elber, J., Olaru, A., Valenti, C., Reggianini, L., Modena, M. G., Copelli, S., Leuzzi, Concetta, Dei Cas, L., Carubelli, V., Lombardi, Cecilia, Bulgari, M., Tanghetti, E., Quinzani, F., Metra, M., Rovetta, R., Brasolin, B., Fedele, F., Sergi, Daniela, Romeo, F., Scarfò, I., Vellini, M., Fabris, E., Cinquetti, Martino, Stolfo, Davide, Sinagra, Gianfranco, Merlo, Marco, Fucili, A., Ferrari, R., Vassanelli, C., Torelli, F., Marchese, G., Zanolla, L., Cicoira, M., Anselmi, Manuel, Piccinino, C., Sartori, C., Di Ruocco, M. V., Marino, P. N., Giordano, A., Brognoli, S., Zanelli, E., Cosmi, F., Cadeddu, C., Bandino, S., Mercuro, G., Deidda, M., Salvemini, G., Correale, M., Di Biase, M., Musio, S., Passero, T., Italiano, Graziella, Agostoni, P., Salvioni, E., Schiavina, G., Squeri, CARLO ATTILIO, Bosi, S., Barbieri, A., Lemme, E., Penco, M., Marcon, S., Romano, S., Di Mauro, M., Frisinghelli, A., Veniani, M., Pieri, Pietro, Novo, S., Proclemer, Alessandro, Fresco, C., Miani, Daniela, Artico, Jessica, Gaita, F., Bergerone, S., Pirelli, SALVATORE DONATO, Di Tano, G., Cattaneo, Silvana, Gualco, A., Opasich, C., Priori, S. G., Iori, Elisa, Leci, E., Melandri, F., Voronina, N., Erglis, A., Kalnins, A., Kavoliuniene, A., Rumbinaite, E., Kazakauskaite, E., Petraskiene, I., Karaliute, R., Smalinskas, V., Tamakauskas, V., Petraskiene, D., Brazyte Ramanauskiene, R., Vysniauskas, V., Nowicka, A., Grabia, J., Dankowski, R., Szyszka, A., Szymanowska, K., Straburzynska Migaj, E., Kaluzna Oleksy, M., Grajek, S., Kasztelowicz, P., Orzel, T., Bednarczyk, G., Ruszkowski, P., Klimkiewicz, J., Majzner, A., Matusiak, A., Bylicka, E., Kwiatkowska, E., Kwiatkowska, K., Ochnio, M., Krzyzewska, T., Tarnowska, A., Komuda, K., Sobieszczanska Malek, M., Leszek, P., Rywik, T., Wisniewska, J., Kozar Kaminska, K., Piotrowska, M., Zielinski, T., Mamcarz, A., Welnicki, M., Folga, A., Kaplon Cieslicka, A., Opolski, G., Marchel, M., Balsam, P., Michalek, A., Pawlak, A., Byczkowska, K., Mozenska, O., Gil, K., Gil, R. J., Skrobowski, A., Uzieblo Zyczkowska, B., Piotrowicz, K., Krzesinski, P., Stanczyk, A., Ciurzynski, M., Bienias, P., Pruszczyk, P., Juszczyk, Z., Switala, P., Stankala, S., Polonski, L., Rozentryt, P., Gabryel, J., Lazorko Piega, M., Kardaszewicz, P., Poprawa, I., Komorowska, E., Lauko Rachocka, A., Abdulkarim, A. F., Dudzik Plocica, A., Zolbach, A., Sajnaga, D., Komorowska, K., Baczynska, K., Samcik, M., Wolniewicz, L., Wozakowska Kaplon, B., Sosnowska Pasiarska, B., Bartkowiak, R., Fiega, A., Serwicka, A., Szymczyk, A., Fitas, G., Zysko, D., Poliwczak, A., Broncel, M., Bala, A., Kasprzak, J. D., Jankowski, L., Rudzinska, M., Zycinski, P., Retwinski, A., Pietka, I., Drozdz, J., Wojtczak Soska, K., Jankowska, E., Ponikowski, P., Cichy, A., Kostka, A., Kaminski, L., Weglarz, J., Bodys, A., Flis, P., Kleinrok, A., Prokop Lewicka, G., Mosakowska, K., Rynkiewicz, A., Bellwon, J., Dabrowska Kugacka, A., Lewicka, E., Raczak, G., Skorek, E., Szabowski, S., Krysiak, W., Pietrzak, J., Gilewski, W., Sinkiewicz, W., Furman, A., Zalewski, J., Nessler, J., Bury, K., Grzegorzko, A., Zabojszcz, M., Mirek Bryniarska, E., Klys, J., Przybylska, K., Szulik, M., Kalarus, Z., Kuczaj, A., Nowalany Kozielska, E., Krzeminski, A., Ventosa, A., Tavares Aguiar, C., Moura, B., Cardoso, J. S., De Jesus, I., Chin, J., Faria, R., Pereira, S., Lima, Giuseppe, Oliveira Guimarães, T., Francisco, A. R., Brito, D., Placido, R., Martins, S., Fonseca, C., Marques, F., Araujo, I., Proenca, M., Cardiga, R., Andrade, A., Castro, Alessandra, Pereira, A., Queirós, C., Silva, P., Santos, R., Lourenço, C., Moreno, N., Almeida, F., Quelhas, I., Baptista, A., Ferreira, A., Magalhaes, P., Ferreira, Clara, Moreira, I., Durao, D., Severino, D., Ferreira Da Silva, G., Marta, L., Peres, Martina, Stanescu, C., Dan, A., Dan, G. A., Daha, I., Popescu, R., Vinereanu, D., Sinescu, C. J., Macarie, C., Radoi, M., Nechita, E., Christodorescu, R., Datcu, M., Craiu, E., Otasevic, P., Ristic, A. D., Simeunovic, D., Seferovic, P., Pencic, B., Andric, A., Stojcevski, B., Lebedinski, E., Suzic Lazic, J., Celic, V., Krotin, M., Radovanovic, Slavena, Iric Cupic, V., Milanov, S., Davidovic, G., Jovic, Masa, Radin, A., Mihajlovic, B., Stojiljkovic, J., Cankovic, M., Cemerlic Adic, N., Dodic, Sara, Kecojevic, S., Stojsic, S., Petrovic, D., Deljanin Ilic, M., Ilić, Saša, Stoickov, V., Antic, S., Stanojevic, D., Pavlovic, M., Atanaskovic, V., Mitic, Vanja, Kovar, F., Goncalvesova, E., Murin, J., Pernicky, M., Klabnik, A., Kmec, J., Rajtman, D., Kovac, D., Horvat, Sara, Krunic, B., Bombek, M., Krajnc, I., Losic, R., Glavic, T., Komel, Janja, Cernic Suligoj, N., Ravnikar, T., Letonja, M., Cencic, Vanja, Savnik Iskra, M., Strasek, M., Leskovar, B., Drnovsek, B., Klen, J., Marolt, A., Kladnik, M., Slemenik Pusnik, C., Pusnik Vrckovnik, M., Jug, Barbara, Fras, Z., Bartolic, Andrej, Melihen Bartolic, C., Valentincic, M., Winkler, R., Blanco Canosa, P., Grille Cancela, Z., Crespo Leiro, M., Paniagua Martin, M. J., Marzoa Rivas, R., Barge Caballero, E., Torres Calvo, F., Bravo Marques, R., Epelde Gonzalo, F., Recio Platero, A., De La Fuente Galan, L., Lopez Diaz, J., Goncalvez Ramirez, L. Renier, Cubero Gallego, H., Sliwiski Herrera, J. F., Bierge Valero, D., Salmeron, F. M., Gallego Page, J. C., Jose Fernandez, M., Sahuquillo, A., Garcia De La Villa, B., Castro Conde, A., Iniesta Manjavacas, A. M., Salvador Montanes, O., Gonzalez Gallarza, R. Dalmau, Ofelia Rosillo, S., Araujo, A., Briceno, A., Alonso Pulpon, L., Cobo, M., Soria, T., Gomez Bueno, M., Garcia Pavia, P., Gonzalez Segovia, A., Sayago, I., Segovia Cubero, J., Delgado Jiménez, J. F., Angel Gomez Sanchez, M., Escribano Subias, P., Barrios Garrido Lestache, E., Ruiz Cano, M. J., Vicente Hernandez, M., Puga Martinez, M., Lopez Moreno, E., Serrano Martinez, J. L., Fernandez Alvarez, M., Rivera Lopez, R., Lopez Fernandez, S., Alcade Martinez, V., Sanmartin, M., Pellicer Cabo, A., Garcia Escriva, D., Ridocci Soriano, F., Perez Silvestre, J., Facila Rubio, L., Garcia Gonzalez, P., Sanchez Lazaro, I. J., Almenar Bonet, L., Garcia Pinilla, J. M., Andres, Ulrike Julia, Bayes Genis, A., Roig, E., Mirabet, S., Mendez, A., Garcia Cosio, L., Garay, A., Muntane, G., Gonzalez Costello, J., Leon, V., Diaz Molina, B., Famara Hernandez, I., Lara Padron, A., Laynez Cerdena, I., Mateo, I., Quiles, J., Bertomeu, V., Elamrani, A., Angel Rodrigez Ortega, J., Martinez Abellan, R., Valero, R., Fernandez Vivancos, C., Sanz Julve, M., Perez Martinez, M. T., Pascual Figal, D. A., Martinez Martinez Espejo, M. D., Rosario Gracia Rodenas, M., Pastor Perez, F., Melin, M., Hägglund, E., Stenberg, A., Lindahl, I. M., Asserlund, B., Olsson, L., Dahlström, U., Afzelius, M., Karlström, P., Tengvall, L., Wiklund, P. A., Olsson, B., Temizhan, A., Kalayci, S., Bozkurt, M., Taraktas, M., Cavusoglu, Y., Gunes, H., Birhan Yilmaz, M., Demir, B., Gencer, E., Maggioni, Aldo P, Anker, Stefan D., Dahlström, Ulf, Filippatos, Gerasimo, Ponikowski, Piotr, Zannad, Faiez, Amir, Offer, Chioncel, Ovidiu, Leiro, Marisa Crespo, Drozdz, Jaroslaw, Erglis, Andrej, Fazlibegovic, Emir, Fonseca, Candida, Fruhwald, Friedrich, Gatzov, Plamen, Goncalvesova, Eva, Hassanein, Mahmoud, Hradec, Jaromir, Kavoliuniene, Ausra, Lainscak, Mitja, Logeart, Damien, Merkely, Bela, Metra, Marco, Persson, Han, Seferovic, Petar, Temizhan, Ahmet, Tousoulis, Dimitri, Tavazzi, Luigi, Andarala, M., Fiorucci, E., Folkesson, E., Glemot, M., Gracia, G., Konte, M., Laroche, C., Mcneill, P. a., Missiamenou, V., Taylor, C., Fruhwald, F., Eberl, Alexander, Heller, S., Dolze, T., Platzer, V., Ablasser, K., Auer, J., Poelzl, G., Moertl, D., Podczeck Schweighofer, A., Reiter, S., Pravdic, D., Fazlibegovic, E., Muslibegovic, A., Vitlianova, K., Katova, T., Kotirkov, K., Petrov, I., Velikov, T., Kurteva, T., Gatzov, P., Kamenova, D., Antova, M., Tisheva, S., Sirakova, V., Krejci, J., Spinar, J., Mikolaskova, M., Krupicka, J., Malek, F., Hegarova, M., Pudil, R., Monhart, Z., Lazarova, M., Reda, A., Khairy, T., Farag, N., Saleh, A., Said, K., Abdel Hamid, M., Halawa, S., Ibrahim, B., Hanna, R., Hassanein, M., Sobhy, M., El Messiry, F., El Shazly, A. H., Elrakshy, Y., Aboleineen, W., Gouda, M., Youssef, A., Elbahry, A., Abdel, A., Ebeid, H., Nasr, G., Sobhy, H., Ashmawy, M., Lefol, C., Isnard, R., Hagege, A., Thevenin, S., Jondeau, G., Logeart, D., Codjia, R., Galinier, M., Bauer, F., Delahaye, F., Lamblin, N., Fertin, M., De Groote, P., Coisne, D., Le Marcis, V., Lequeux, B., Ly, J. F., Lotton, P., Donal, E., Le Moal, V., Basquin, A., Reynaud, A., Ridard, C., Thebault, C., Behar, N., Mascle, S., Schiele, F., Seronde, M. F., Morel, M., Meneveau, N., Luporsi, P., Bernard, Y., Pillot, M., Briand, F., Damy, T., Eicher, J. C., Avgeropoulou, C., Panagiotis, T., Tousoulis, D., Kotrogiannis, I., Stefanadis, C., Chrysohoou, C., Tsitsinakis, G., Dimitroula, T., Karavidas, A., Matzaraki, V., Terrovitis, J., Kapelios, C., Sfakianaki, T., Filippatos, G., Parissis, J. T., Ntai, K., Papadopoulou, A., Tziourganou, H., Douras, A., Ntertsas, K., Karotsaki, T., Nikoloulis, N., Tsaknakis, T., Patrianakos, A., Nyktari, E., Vardas, P., Soos, P., Nyolczas, N., Csaba Nagy, A., Halmosi, R., Nemeth, F., Amon, G., Dinnyes, J., Vazan Fuhrmann, A., Shotan, A., Alony, I., Elber, J., Olaru, A., Valenti, C., Reggianini, L., Modena, M. G., Copelli, S., Leuzzi, Concetta, Dei Cas, L., Carubelli, V., Lombardi, Cecilia, Bulgari, M., Tanghetti, E., Quinzani, F., Metra, M., Rovetta, R., Brasolin, B., Fedele, F., Sergi, Daniela, Romeo, F., Scarfò, I., Vellini, M., Fabris, E., Cinquetti, Martino, Stolfo, Davide, Sinagra, Gianfranco, Merlo, Marco, Fucili, A., Ferrari, R., Vassanelli, C., Torelli, F., Marchese, G., Zanolla, L., Cicoira, M., Anselmi, Manuel, Piccinino, C., Sartori, C., Di Ruocco, M. V., Marino, P. N., Giordano, A., Brognoli, S., Zanelli, E., Cosmi, F., Cadeddu, C., Bandino, S., Mercuro, G., Deidda, M., Salvemini, G., Correale, M., Di Biase, M., Musio, S., Passero, T., Italiano, Graziella, Agostoni, P., Salvioni, E., Schiavina, G., Squeri, CARLO ATTILIO, Bosi, S., Barbieri, A., Lemme, E., Penco, M., Marcon, S., Romano, S., Di Mauro, M., Frisinghelli, A., Veniani, M., Pieri, Pietro, Novo, S., Proclemer, Alessandro, Fresco, C., Miani, Daniela, Artico, Jessica, Gaita, F., Bergerone, S., Pirelli, SALVATORE DONATO, Di Tano, G., Cattaneo, Silvana, Gualco, A., Opasich, C., Priori, S. G., Iori, Elisa, Leci, E., Melandri, F., Voronina, N., Erglis, A., Kalnins, A., Kavoliuniene, A., Rumbinaite, E., Kazakauskaite, E., Petraskiene, I., Karaliute, R., Smalinskas, V., Tamakauskas, V., Petraskiene, D., Brazyte Ramanauskiene, R., Vysniauskas, V., Nowicka, A., Grabia, J., Dankowski, R., Szyszka, A., Szymanowska, K., Straburzynska Migaj, E., Kaluzna Oleksy, M., Grajek, S., Kasztelowicz, P., Orzel, T., Bednarczyk, G., Ruszkowski, P., Klimkiewicz, J., Majzner, A., Matusiak, A., Bylicka, E., Kwiatkowska, E., Kwiatkowska, K., Ochnio, M., Krzyzewska, T., Tarnowska, A., Komuda, K., Sobieszczanska Malek, M., Leszek, P., Rywik, T., Wisniewska, J., Kozar Kaminska, K., Piotrowska, M., Zielinski, T., Mamcarz, A., Welnicki, M., Folga, A., Kaplon Cieslicka, A., Opolski, G., Marchel, M., Balsam, P., Michalek, A., Pawlak, A., Byczkowska, K., Mozenska, O., Gil, K., Gil, R. J., Skrobowski, A., Uzieblo Zyczkowska, B., Piotrowicz, K., Krzesinski, P., Stanczyk, A., Ciurzynski, M., Bienias, P., Pruszczyk, P., Juszczyk, Z., Switala, P., Stankala, S., Polonski, L., Rozentryt, P., Gabryel, J., Lazorko Piega, M., Kardaszewicz, P., Poprawa, I., Komorowska, E., Lauko Rachocka, A., Abdulkarim, A. F., Dudzik Plocica, A., Zolbach, A., Sajnaga, D., Komorowska, K., Baczynska, K., Samcik, M., Wolniewicz, L., Wozakowska Kaplon, B., Sosnowska Pasiarska, B., Bartkowiak, R., Fiega, A., Serwicka, A., Szymczyk, A., Fitas, G., Zysko, D., Poliwczak, A., Broncel, M., Bala, A., Kasprzak, J. 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R., Brito, D., Placido, R., Martins, S., Fonseca, C., Marques, F., Araujo, I., Proenca, M., Cardiga, R., Andrade, A., Castro, Alessandra, Pereira, A., Queirós, C., Silva, P., Santos, R., Lourenço, C., Moreno, N., Almeida, F., Quelhas, I., Baptista, A., Ferreira, A., Magalhaes, P., Ferreira, Clara, Moreira, I., Durao, D., Severino, D., Ferreira Da Silva, G., Marta, L., Peres, Martina, Stanescu, C., Dan, A., Dan, G. A., Daha, I., Popescu, R., Vinereanu, D., Sinescu, C. J., Macarie, C., Radoi, M., Nechita, E., Christodorescu, R., Datcu, M., Craiu, E., Otasevic, P., Ristic, A. 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J., Marzoa Rivas, R., Barge Caballero, E., Torres Calvo, F., Bravo Marques, R., Epelde Gonzalo, F., Recio Platero, A., De La Fuente Galan, L., Lopez Diaz, J., Goncalvez Ramirez, L. Renier, Cubero Gallego, H., Sliwiski Herrera, J. F., Bierge Valero, D., Salmeron, F. M., Gallego Page, J. C., Jose Fernandez, M., Sahuquillo, A., Garcia De La Villa, B., Castro Conde, A., Iniesta Manjavacas, A. M., Salvador Montanes, O., Gonzalez Gallarza, R. Dalmau, Ofelia Rosillo, S., Araujo, A., Briceno, A., Alonso Pulpon, L., Cobo, M., Soria, T., Gomez Bueno, M., Garcia Pavia, P., Gonzalez Segovia, A., Sayago, I., Segovia Cubero, J., Delgado Jiménez, J. F., Angel Gomez Sanchez, M., Escribano Subias, P., Barrios Garrido Lestache, E., Ruiz Cano, M. J., Vicente Hernandez, M., Puga Martinez, M., Lopez Moreno, E., Serrano Martinez, J. 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A., Olsson, B., Temizhan, A., Kalayci, S., Bozkurt, M., Taraktas, M., Cavusoglu, Y., Gunes, H., Birhan Yilmaz, M., Demir, B., and Gencer, E.

Subjects
Registrie, Male, ACE inhibitors, Angiotensin-Converting Enzyme Inhibitors, Nitrate, Beta-blockers, Ambulatory Care, Medicine, Registries, Diuretics, Mineralocorticoid Receptor Antagonists, Angiotensin Receptor Antagonist, Middle Aged, Defibrillators, Implantable, Clinical Practice, Europe, Hospitalization, Ambulatory, MRAs, Practice Guidelines as Topic, MRA, Cardiology, CRT, Female, Guideline Adherence, Implantable, Cardiology and Cardiovascular Medicine, Human, medicine.medical_specialty, Cardiotonic Agents, cardiology and cardiovascular mediciney, Mineralocorticoid Antagonists, Adrenergic beta-Antagonists, Heart failure, ICD, Aged, Angiotensin Receptor Antagonists, Heart Failure, Humans, Hydroxymethylglutaryl-CoA Reductase Inhibitors, Nitrates, Platelet Aggregation Inhibitors, Drug treatment, ACE inhibitor, Internal medicine, Diuretic, Cardiotonic Agent, In patient, Beta-blocker, Mineralocorticoid Receptor Antagonist, business.industry, Platelet Aggregation Inhibitor, beta-blockers, heart failure, adrenergic beta-antagonists, aged, ambulatory care, angiotensin receptor antagonists, angiotensin-converting enzyme inhibitors, cardiology, cardiotonic agents, defibrillators, implantable, diuretics, europe, female, guideline adherence, hospitalization, humans, hydroxymethylglutaryl-coa reductase inhibitors, male, middle aged, mineralocorticoid receptor antagonists, nitrates, platelet aggregation inhibitors, practice guidelines as topic, registries, Adrenergic beta-Antagonist, Angiotensin-Converting Enzyme Inhibitor, Guideline, medicine.disease, Observational study, Hydroxymethylglutaryl-CoA Reductase Inhibitor, business, Defibrillators
Abstract

AimsTo evaluate how recommendations of European guidelines regarding pharmacological and non-pharmacological treatments for heart failure (HF) are adopted in clinical practice.Methods and resultsThe ESC-HF Long-Term Registry is a prospective, observational study conducted in 211 Cardiology Centres of 21 European and Mediterranean countries, members of the European Society of Cardiology (ESC). From May 2011 to April 2013, a total of 12 440 patients were enrolled, 40.5% with acute HF and 59.5% with chronic HF. Intravenous treatments for acute HF were heterogeneously administered, irrespective of guideline recommendations. In chronic HF, with reduced EF, renin-angiotensin system (RAS) blockers, beta-blockers, and mineralocorticoid antagonists (MRAs) were used in 92.2, 92.7, and 67.0% of patients, respectively. When reasons for non-adherence were considered, the real rate of undertreatment accounted for 3.2, 2.3, and 5.4% of the cases, respectively. About 30% of patients received the target dosage of these drugs, but a documented reason for not achieving the target dosage was reported in almost two-thirds of them. The more relevant reasons for non-implantation of a device, when clinically indicated, were related to doctor uncertainties on the indication, patient refusal, or logistical/cost issues.ConclusionThis pan-European registry shows that, while in patients with acute HF, a large heterogeneity of treatments exists, drug treatment of chronic HF can be considered largely adherent to recommendations of current guidelines, when the reasons for non-adherence are taken into account. Observations regarding the real possibility to adhere fully to current guidelines in daily clinical practice should be seriously considered when clinical practice guidelines have to be written. © 2013 Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2013. For permissions please email: journals.permissions@oup.com

Published
2013

58. Poster session 5The imaging examinationP1097Correlation between visual and quantitative assessment of left ventricle: intra- and inter-observer agreementP1099Incremental prognostic value of late gadolinium-enhanced by cardiac magnetic resonance in patients with heart failureAnatomy and physiology of the heart and great vesselsP1100Left ventricular geometry and diastolic performance in erectile dysfunction patients; a topic of differential arterial stiffness influenceAssessment of diameters, volumes and massP1101Impact of the percutaneous closure of atrial septal defect on the right heart "remodeling"P1102Left Ventricular Mass Indexation in Infants, Children and Adolescents: a Simplified Approach for the Identification of Left Ventricular Hypertrophy in Clinical PracticeP1103Impact of trabecules while quantifying cardiac magnetic resonance exams in patients with systemic right ventricleP1104Detection of subclinical atherosclerosis by carotid intima-media thickness: correlation with leukocytes telomere shorteningAssessments of haemodynamicsP1105Flow redirection towards the left ventricular outflow tract: vortex formation is not affected by variations in atrio-ventricular delayAssessment of systolic functionP1106Reproducibility and feasibility of cardiac MRI feature tracking in Fabry diseaseP1107Normal left ventricular strain values by two-dimensional strain echocardiography; result of normal (normal echocardiographic dimensions and functions in korean people) studyP1108Test-retest repeatability of global strain following st-elevation myocardial infarction - a comparison of tagging and feature trackingP1109Cardiotoxicity induced by tyrosine kinase inhibitors in patients with gastrointestinal stromal tumors (GIST)P1110Finite strain ellipses for the analysis of left ventricular principal strain directions using 3d speckle tracking echocardiographyP1111Antihypertensive therapy reduces time to peak longitudinal strainP1112Right ventricular systolic function as a marker of prognosis after inferior myocardial infarction - 5-year follow-upP1113Is artery pulmonary dilatation related with right but also early left ventricle dysfunction in pulmonary artery hypertension?P1114Right ventricular mechanics changes according to pressure overload increasing, a 2D-speckle tracking echocardiographic evaluationAssessment of diastolic functionP1115Paired comparison of left atrial strain from P-wave to P-wave and R-wave to R-waveP1116Diagnostic role of Tissue Doppler Imaging echocardiographic criteria in obese heart failure with preserved ejection fraction patientsP1117Evaluation of diastolic function of right ventricle in idiopathic pulmonary arterial hypertensionP1118Severity and predictors of diastolic dysfunction in a non-hypertensive non-ischemic cohort of Egyptian patients with documented systemic autoimmune disease; pilot reportP1119correlation between ST segment shift and cardiac diastolic function in patients with acute myocardial infarctionIschemic heart diseaseP1120Computed tomography coronary angiography verSus sTRess cArdiac magneTic rEsonance for the manaGement of sYmptomatic revascularized patients: a cost effectiveness study (STRATEGY study)P1121Utility of transmural myocardial mechanic for early infarct size prediction after primary percutaneous coronary intervention in STEMI patientsP1122Progressive Improvements of the echocardiographic deformation parameters in ST Elevation Myocardial Infarction after five years follow-upP1123Long-term prognostic value of left ventricular dyssynchrony as assessed by cardiac magnetic resonance feature-tracking imaging after a first st-segment elevation myocardial infarctionP1124Differences in mitral annulus remodeling in acute anterior ST elevation and acute inferior ST elevation myocardial infarctionP1125Reduction of microvascular injury using a novel theragnostic ultrasound strategy: a first in men feasibility and safety studyP1126Impact of focused echocardiography in clinical decision of patient presented with st elevation myocardial infarction underwent primary angioplastyHeart valve DiseasesP1127Aortic valve area calculation in aortic stenosis: a comparison among conventional and 3D-transesophageal echocardiography and computed tomographyP1128Myocardial fibrosis and microRNA-21 expression in patients with severe aortic valve stenosis and preserved ejection fraction: a 2D speckle tracking echocardiography, tissutal and plasmatic studyP1129Quantification of calcium amount in a new experimental model: a comparison between calibrated integrated backscatter of ultrasound and computed tomographyP1130Altered diffusion capacity in aortic stenosis: role of the right heartP1131Osteoprotegerin predicts all-cause mortality in calcific aortic stenosis patients with preserved left ventricle ejection fraction in long term observationP1132Mitral regurgitation as a risk factor for pulmonary hypertension in patients with aortic stenosisP1133The relationship between the level of plasma B-type natriuretic peptide and mitral stenosisP1134Aortic regurgitation, left ventricle mechanics and vascular load: a single centre 2d derived-speckle tracking studyP1135Feasibility and reproducibility issues limit the usefulness of quantitative colour Doppler parameters in the assessment of chronic aortic and mitral regurgitation severityP1136Predictors of postoperative outcome in degenerative mitral regurgitationP1137Left ventricular mechanical dyssynchrony in patients with severe mitral regurgitation of rheumatic etiology; three dimensional echocardiography studyP1138Functional mitral regurgitation and left atrial dysfunction concur in determining pulmonary hypertension and functional status in subjects with left ventricular systolic dysfunctionP11393D echocardiography allows more effective quantitative assessment of the severity of functional tricuspid regurgitation than conventional 2D/Doppler echocardiographyP1140Prosthetic valve thrombosis: still a severe disease? 10-years experience in a university hospitalP1141Validity of echocardiography in the hospital course of patients with feverP1142Do baseline 3DTEE characteristics of mitral valve apparatus predict long term result in patients undergoing percutaneous valve repair for degenerative regurgitation?P1143Influence of baseline aortic regurgitation on mitral regurgitation change after transcatheter aortic valve replacement for aortic stenosisP1144Prevalence of echocardiography detected significant valvular regurge in subclinical rheumatic carditis in assiut childrenCardiomyopathiesP1145Can we early detect left ventricular systolic dysfunction in patients with Duchenne muscular dystrophy using global longitudinal strain assessment?P1146Prevalence of isolated papillary muscle hypertrophy in young competitive athletesP1147Troponin release after exercise in patients with hypertrophic cardiomyopathy: associations with clinical and mr imaging characteristicsP1148Atrial fibrillation in hypertrophic cardiomyopathy: can we score the risk?P1149Impact of hypertrophy on multiple layer longitudinal deformation in hypertrophy cardiomyopathy and cardiac amyloidosis compared to controlsP1150Functional evaluation in hypertrophic cardiomyopathy combining cardiopulmonary exercise testing combined with exercise-echocardiographyP1151Refinement of the old diagnostic criteria of left ventricular noncompaction cardiomyopathy (LVNC) based on cardiac magnetic resonance (CMR)P1152Differences of clinical characteristics and outcomes between acute myocarditis with preserved and reduced left ventricular systolic functionP1153Value of longitudinal strain for distinguishing left ventricular non-compaction from idiopathic dilated cardiomyopathyP1154Speed of recovery of left ventricular function is not related to the prognosis of Takotsubo cardiomyopathy. A Portuguese multicentre studyP1155Predictors of in-hospital left ventricular systolic function recovery after admission with takotsubo cardiomyopathy. Portuguese multicentre studyP1156Mid-ventricular takotsubo detected by initial echocardiogram associates with recurrence of takotsubo cardiomyopathy - a portuguese multicentre studySystemic diseases and other conditionsP1157Relations between left ventricle remodelling and expression of angiotensin 2 AT2R1 geneP1158Impact of renal denervation on long-term blood pressure variability and surrogate markers of target organ damage in individuals with drug-resistant arterial hypertensionP1159Greater improvement of coronary artery function, left ventricular deformation and twisting by IL12/23 compared to TNF-a inhibition in psoriasisP1160Advanced glycation end products play a role in adverse LV remodeling following MIP1161Incidence of subclinical myocardial dysfunction in patients with systemic sclerosis and normal left ventricular systolic and diastolic functionP1162Left atrial remodeling and dysfunction occur early in patients with systemic sclerosis and normal left ventricular functionP1163Intrinsic vortex formation : a unique performance indicatorP1164P-wave morphology is unaffected by training-induced biatrial dilatation: a prospective, longitudinal study in healthy athletesP1165Usefulness of transthoracic echocardiography in diagnosis of young patients with ischemic strokeP1166Primary cardiac lymphoma: role of echocardiography in the clinical managementP1167Abnormal echocardiographic findings in cancer patients before chemotherapyMasses, tumors and sources of embolismP1168Three-dimensional transesophageal echocardiography of the left atrial appendage reduces rate of postpone electrical cardioversionP1169Detection of ventricular thrombus by cmr after reperfused st-segment elevation myocardial infarction correlated with echocardiographyP1170Clinical and transthoracic echocardiographic predictors of left atrial appendage thrombus in patients with atrial fibrillationStress echocardiographyP1171Pharmacological stress echocardiography complications: a 4-year single center experienceP1172Myocardial functional and perfusion reserve in type I diabetesP1173Feasibility of incorporating 3D Dobutamine stress echocardiography into routine clinical practiceP1174Right ventricular isovolumic acceleration at rest and during exercise in children after heart transplantP1175Right ventricular systolic and diastolic response to exercise in children after heart transplant -a bicycle exercise studyP1176Determinants of functional capacity in heart failure patients with reduced ejection fractionP1177Handgrip stress echocardiography with emotional component compared to conventional isometric exercise in coronary artery disease diagnosisP1178The relationship between resting transthoracic echocardiography and exercise capacity in patients with paroxysmal atrial fibrillationP1179Correlation between NT-proBNP and selected echocardiography parameters at rest and after exercise in patients with functional ischemic mitral regurgitation qualified for cardiosurgical treatmentReal-time three-dimensional TEEP1180Vena contracta area for severity grading in functional and degenerative mitral regurgitation: A study based on transesophageal 3D colour Doppler in 419 patientsP1181Proximal flow convergence by 3D echocardiography in the evaluation of mitral valve area in rheumatic mitral stenosisP1182Quantification of valve dimensions by transesophageal 3D echocardiography in patients with functional and degenerative mitral regurgitationTissue Doppler and speckle trackingP1183Automatic calculation of left ventricular volume changes over a cardiac cycle from echocardiography images by nonlinear dimensionality reductionP1184Effect of the mitral valve repairs on the left ventricular blood flow formationP1185Quantification of left atrial strain using cardiovascular magnetic resonance. a comparison between hypertrophic cardiomyopathy and healthy controlsP1186The role of early systolic lengthening in patients with non-ST elevation acute coronary syndrome and its relation to syntax scoreP1187Different standard two dimensional strain methods to quantity left ventricular mechanicsP1188Atrial function and electrocardiography caracteristics in sportsmen with or without paroxysmal atrial fibrillationP1189Right ventricular outflow premature contractions induce regional left ventricular dysfunctionP1190Ultrasound guided venous access for pacemaker and defibrillators. Randomized TrialP1191Atrial function analysis correlates with symptoms and quality of life of heart failure patientsP1192The use of tissue doppler echocardiography in myocardial iron overload in patients with thalassaemia majorP1193Independent association between pulse pressure and left ventricular global longitudinal strainP1194Global and regional longitudinal strain identifies the presence of coronary artery disease in patients with suspected reduction of coronary flow reserve and absence of wall motion abnormalitiesP1195Prognostic value of invasive and noninvasive parameters of right ventricular function in patients with pulmonary arterial hypertension receiving specific vasodilator therapyP1196Myocardial deformation analysis to improve arrhythmic risk stratificationP1197Quantitative assessment of regional systolic and diastolic function parameters for detecting prior transient ischemia in normokinetic segmentsP1198Left atrial function in patients with corrected tetralogy of Fallot - a three-dimensional speckle-tracking echocardiographic studyP1199Left atrial ejection force correlates with left atrial strain and volume-based functional properties as assessed by three-dimensional speckle tracking echocardiographyP1200Acute angulation of the aortic arch late after the arterial switch operation for transposition of the great arteries: impact on cardiac mechanicsP1201Circumferential deformation of the ascending thoracic aorta in hypertensive patients by three-dimensional speckle tracking echocardiographyCardiac Magnetic ResonanceP1202The incremental value of cardiac magnetic resonance on diagnosis myocardial infarction and non-obstructed coronary arteriesP1204Reference ranges of global and regional myocardial T1 values derived from MOLLI and shMOLLI at 3TComputed Tomography & Nuclear CardiologyP1205Deformation of the left atrial appendage after percutaneous closure with the Amplatzer cardiac plugP1206Prognostic impact of non-obstructive coronary artery disease on coronary computed tomographic angiography: A single-center study

Author

Colunga Blanco, S, primary, Gonzalez Matos, C, primary, Angelis, A, primary, Dinis, P G, primary, Chinali, M, primary, Toth, A, primary, Andreassi, M G, primary, Rodriguez Munoz, D, primary, Reid, A B, primary, Park, JH, primary, Shetye, A, primary, Novo, G, primary, De Marchi, S F, primary, Cikes, M, primary, Smarz, K, primary, Illatopa, V, primary, Peluso, D, primary, Wellnhofer, E, primary, De La Rosa Riestra, A, primary, Sattarzadeh Badkoubeh, R, primary, Mandour Ali, M, primary, Azoz, A, primary, Pontone, G, primary, Krljanac, G, primary, Acar, R, primary, Nucifora, G, primary, Sirtautas, A, primary, Roos, S T, primary, Qasem, M S, primary, Marini, C, primary, Fabiani, I, primary, Gillis, K, primary, Bandera, F, primary, Borowiec, A, primary, Lim, YJ, primary, Chalbia, T E, primary, Santos, M, primary, Gao, S A, primary, Zilberszac, R, primary, Farrag, AAM, primary, Palmiero, G, primary, Aruta, P, primary, De Diego Soler, O, primary, Fasano, D, primary, Tamborini, G, primary, Ancona, F, primary, Raafat, D M, primary, Marchel, M, primary, De Gregorio, C, primary, Gommans, D H F, primary, Godinho, A R, primary, Mielczarek, M, primary, Kubik, M, primary, Cho, J Y, primary, Tarando, F, primary, Lourenco Marmelo, B F, primary, Reis, L, primary, Domingues, K, primary, Krestjyaninov, MV, primary, Mesquita, J, primary, Ikonomidis, I, primary, Ferferieva, V, primary, King, GJ, primary, D'ascenzi, F, primary, Ferrera Duran, C, primary, Sormani, P, primary, Gonzalez Fernandez, O, primary, Tereshina, O, primary, Cambronero Cortinas, E, primary, Kupczynska, K, primary, Carvalho, J F, primary, Shivalkar, B, primary, Aghamohammadzadeh, R, primary, Cifra, B, primary, Kuznetsov, VA, primary, Van Zalen, JJ, primary, Kochanowski, J, primary, Goebel, B, primary, Ladeiras-Lopes, R, primary, Karvandi, M, primary, Alonso Salinas, G, primary, Unkun, T, primary, Ranjbar, S, primary, Hubert, A, primary, Enescu, OA, primary, Liccardo, M, primary, Cameli, M, primary, Ako, E, primary, Lembo, M, primary, Goffredo, C, primary, Enache, R, primary, Wdowiak-Okrojek, K, primary, Nemes, A, primary, Di Salvo, G, primary, Capotosto, L, primary, Caravaca, P, primary, Maceira Gonzalez, A M, primary, Iriart, X, primary, Jug, B, primary, Garcia Campos, A, additional, Capin Sampedro, E, additional, Corros Vicente, C, additional, Martin Fernandez, M, additional, Leon Arguero, V, additional, Fidalgo Arguelles, A, additional, Velasco Alonso, E, additional, Lopez Iglesias, F, additional, De La Hera Galarza, JM, additional, Chaparro-Munoz, M, additional, Recio-Mayoral, A, additional, Vlachopoulos, C, additional, Ioakeimidis, N, additional, Felekos, I, additional, Abdelrasoul, M, additional, Aznaouridis, K, additional, Chrysohoou, C, additional, Rousakis, G, additional, Aggeli, K, additional, Tousoulis, D, additional, Faustino, AC, additional, Paiva, L, additional, Fernandes, A, additional, Costa, M, additional, Cachulo, MC, additional, Goncalves, L, additional, Emma, F, additional, 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MJ, additional, Jung, HO, additional, Sohn, IS, additional, Park, SM, additional, Cho, GY, additional, Choi, JO, additional, Park, SW, additional, Nazir, SA, additional, Khan, JN, additional, Singh, A, additional, Kanagala, P, additional, Squire, I, additional, Mccann, GP, additional, Di Lisi, D, additional, Meschisi, MC, additional, Brunco, V, additional, Badalamenti, G, additional, Bronte, E, additional, Russo, A, additional, Novo, S, additional, Von Tscharner, M, additional, Urheim, S, additional, Aakhus, S, additional, Seiler, C, additional, Schmalholz, S, additional, Biering-Sorensen, T, additional, Cheng, S, additional, Oparil, S, additional, Izzo, J, additional, Pitt, B, additional, Solomon, SD, additional, Zaborska, B, additional, Jaxa-Chamiec, T, additional, Tysarowski, M, additional, Budaj, A, additional, Cordova, F, additional, Aguirre, O, additional, Sanabria, S, additional, Ortega, J, additional, Romeo, G, additional, Perazzolo Marra, M, additional, Tona, F, additional, Famoso, G, additional, Pigatto, E, additional, Cozzi, F, additional, Iliceto, S, additional, Badano, LP, additional, Kriatselis, C, additional, Gerds-Li, JH, additional, Kropf, M, additional, Pieske, B, additional, Graefe, M, additional, Martinez Santos, P, additional, Batlle Lopez, E, additional, Vilacosta, I, additional, Sanchez Sauce, B, additional, Espana Barrio, E, additional, Jimenez Valtierra, J, additional, Campuzano Ruiz, R, additional, Alonso Bello, J, additional, Martin Rios, MD, additional, Farrashi, M, additional, Abtahi, H, additional, Sadeghi, H, additional, Sadeghipour, P, additional, Tavoosi, A, additional, Abdel Rahman, TA, additional, Mohamed, LA, additional, Maghraby, HM, additional, Kora, IM, additional, Abdel Hameed, FR, additional, Ali, MN, additional, Al Shehri, A, additional, Youssef, A, additional, Gad, A, additional, Alsharqi, M, additional, Alsaikhan, L, additional, Andreini, D, additional, Rota, C, additional, Guglielmo, M, additional, Mushtaq, S, additional, Baggiano, A, additional, Beltrama, V, additional, Solbiati, A, additional, Guaricci, AI, additional, Pepi, M, additional, Trifunovic, D, additional, Sobic Saranovic, D, additional, Savic, L, additional, Grozdic Milojevic, I, additional, Asanin, M, additional, Srdic, M, additional, Petrovic, M, additional, Zlaic, N, additional, Mrdovic, I, additional, Dogan, C, additional, Izci, S, additional, Gecmen, C, additional, Unkun, T, additional, Cap, M, additional, Erdogan, E, additional, Onal, C, additional, Yilmaz, F, additional, Ozdemir, N, additional, Muser, D, additional, Tioni, C, additional, Zanuttini, D, additional, Morocutti, G, additional, Spedicato, L, additional, Bernardi, G, additional, Proclemer, A, additional, Pranevicius, R, additional, Zapustas, N, additional, Briedis, K, additional, Valuckiene, Z, additional, Jurkevicius, R, additional, Juffermans, LJM, additional, Enait, V, additional, Van Royen, N, additional, Van Rossum, AC, additional, Kamp, O, additional, Khalaf, HASSEN, additional, Hitham, SAKER, additional, Osama, AS, additional, Abazid, RAMI, additional, Guall, RAHIM, additional, Durdan, SHAFAT, additional, Mohammed, ZYAD, additional, Stella, S, additional, Rosa, I, additional, Ancona, F, additional, Spartera, M, additional, Italia, L, additional, Latib, A, additional, Colombo, A, additional, Margonato, A, additional, Agricola, E, additional, Scatena, C, additional, Mazzanti, C, additional, Conte, L, additional, Pugliese, N, additional, Barletta, V, additional, Bortolotti, U, additional, Naccarato, AG, additional, Di Bello, V, additional, Bala, G, additional, Roosens, B, additional, Hernot, S, additional, Remory, I, additional, Droogmans, S, additional, Cosyns, B, additional, Generati, G, additional, Labate, V, additional, Donghi, V, additional, Pellegrino, M, additional, Carbone, F, additional, Alfonzetti, E, additional, Guazzi, M, additional, Dabrowski, R, additional, Kowalik, I, additional, Firek, B, additional, Chwyczko, T, additional, Szwed, H, additional, Kawamura, A, additional, Kawano, S, additional, Zaroui, A, additional, Ben Said, R, additional, Ben Halima, M, additional, Kheder, N, additional, Farhati, A, additional, Mourali, S, additional, Mechmech, R, additional, Leite, L, additional, Martins, R, additional, Baptista, R, additional, Barbosa, A, additional, Ribeiro, N, additional, Oliveira, A, additional, Castro, G, additional, Pego, M, additional, Polte, C L, additional, Lagerstrand, K, additional, Johnsson, Å A, additional, Janulewicz, M, additional, Bech-Hanssen, O, additional, Gabriel, H, additional, Wisser, W, additional, Maurer, G, additional, Rosenhek, R, additional, El Aroussy, W, additional, Abdel Ghany, M, additional, Al Adeeb, K, additional, Ascione, L, additional, Carlomagno, G, additional, Sordelli, C, additional, Ferro, A, additional, Ascione, R, additional, Severino, S, additional, Caso, P, additional, Muraru, D, additional, Janei, C, additional, Haertel Miglioranza, M, additional, Cavalli, G, additional, Peluso, D, additional, Cucchini, U, additional, Badano, L, additional, Armario Bel, X, additional, Garcia-Garcia, C, additional, Ferrer Sistach, E, additional, Rueda Sobella, F, additional, Oliveras Vila, T, additional, Labata Salvador, C, additional, Serra Flores, J, additional, Lopez-Ayerbe, J, additional, Bayes-Genis, A, additional, Conte, E, additional, Gonella, A, additional, Morena, L, additional, Civelli, D, additional, Losardo, L, additional, Margaria, F, additional, Riva, L, additional, Tanga, M, additional, Carminati, C, additional, Muratori, M, additional, Gripari, P, additional, Ghulam Ali, S, additional, Fusini, L, additional, Vignati, C, additional, Bartorelli, AL, additional, Alamanni, F, additional, Marini, C, additional, Montorfano, M, additional, Ismaiel, A, additional, Ali, N, additional, Amry, S, additional, Serafin, A, additional, Kochanowski, J, additional, Filipiak, KJ, additional, Opolski, G, additional, Speranza, G, additional, Ando', G, additional, Magaudda, L, additional, Cramer, GE, additional, Bakker, J, additional, Michels, M, additional, Dieker, HJ, additional, Fouraux, MA, additional, Marcelis, CLM, additional, Timmermans, J, additional, Brouwer, MA, additional, Kofflard, MJM, additional, Vasconcelos, M, additional, Araujo, V, additional, Almeida, P, additional, Sousa, C, additional, Macedo, F, additional, Cardoso, JS, additional, Maciel, MJ, additional, Voilliot, D, additional, Huttin, O, additional, Venner, C, additional, Olivier, A, additional, Villemin, T, additional, Deballon, R, additional, Manenti, V, additional, Juilliere, Y, additional, Selton-Suty, C, additional, Dabrowska-Kugacka, A, additional, Dorniak, K, additional, Lewicka, E, additional, Szalewska, D, additional, Kutniewska-Kubik, M, additional, Raczak, G, additional, Kim, K H, additional, Yoon, H J, additional, Park, H J, additional, Ahn, Y, additional, Jeong, M H, additional, Cho, J G, additional, Park, J C, additional, Kim, J H, additional, Galli, E, additional, Habib, G, additional, Schnell, F, additional, Lederlin, M, additional, Daubert, JC, additional, Mabo, P, additional, Donal, E, additional, Faria, R, additional, Magalhaes, P, additional, Marques, N, additional, Domingues, K, additional, Lourenco, C, additional, Almeida, AR, additional, Teles, L, additional, Picarra, B, additional, Azevedo, O, additional, Oliveira, M, additional, Marmelo, B, additional, Almeida, A, additional, Bento, D, additional, Cruz, I, additional, Reis, L, additional, Gimaev, RH, additional, Melnikova, MA, additional, Olezov, NV, additional, Ruzov, VI, additional, Goncalves, P, additional, Almeida, M S, additional, Branco, P, additional, Carvalho, M S, additional, Dores, H, additional, Gaspar, M A, additional, Sousa, H, additional, Andrade, M J, additional, Mendes, M, additional, Makavos, G, additional, Varoudi, M, additional, Papadavid, E, additional, Andreadou, I, additional, Gravanis, K, additional, Liarakos, N, additional, Pavlidis, G, additional, Rigopoulos, D, additional, Lekakis, J, additional, Deluyker, D, additional, Bito, V, additional, Punzi, L, additional, Neilan, T, additional, Coen, K, additional, Gannon, S, additional, Bennet, K, additional, Clarke, JG, additional, Solari, M, additional, Cameli, M, additional, Focardi, M, additional, Corrado, D, additional, Bonifazi, M, additional, Henein, M, additional, Mondillo, S, additional, Gomez-Escalonilla, C, additional, De Agustin, A, additional, Egido, J, additional, Islas, F, additional, Simal, P, additional, Gomez De Diego, JJ, additional, Luaces, M, additional, Macaya, C, additional, Perez De Isla, L, additional, Zancanella, M, additional, Rusconi, C, additional, Musca, F, additional, Santambrogio, G, additional, De Chiara, B, additional, Vallerio, P, additional, Cairoli, R, additional, Giannattasio, G, additional, Moreo, A, additional, Alvarez Ortega, C, additional, Mori Junco, R, additional, Caro Codon, J, additional, Meras Colunga, P, additional, Ponz De Antonio, I, additional, Lopez Fernandez, T, additional, Valbuena Lopez, S, additional, Moreno Yanguela, M, additional, Lopez-Sendon, JL, additional, Surkova, E, additional, Bonanad-Lozano, C, additional, Lopez-Lereu, MP, additional, Monmeneu-Menadas, JV, additional, Gavara, J, additional, De Dios, E, additional, Paya-Chaume, A, additional, Escribano-Alarcon, D, additional, Chorro-Gasco, FJ, additional, Bodi-Peris, V, additional, Michalski, BW, additional, Miskowiec, D, additional, Kasprzak, JD, additional, Lipiec, P, additional, Morgado, G, additional, Caldeira, D, additional, Joao, I, additional, Almeida, A R, additional, Lopes, L, additional, Fazendas, P, additional, Cotrim, C, additional, Pereira, H, additional, De Block, C, additional, Buys, D, additional, Salgado, R, additional, Vrints, C, additional, Van Gaal, L, additional, Mctear, C, additional, Irwin, RB, additional, Dragulescu, A, additional, Friedberg, M, additional, Mertens, L, additional, Krinochkin, DV, additional, Yaroslavskaya, EI, additional, Zaharova, EH, additional, Pushkarev, GS, additional, Sugihara, C, additional, Patel, NR, additional, Sulke, AN, additional, Lloyd, GW, additional, Piatkowski, R, additional, Scislo, P, additional, Grabowski, M, additional, Marchel, M, additional, Roland, H, additional, Hamadanchi, A, additional, Otto, S, additional, Jung, C, additional, Lauten, A, additional, Figulla, HC, additional, Poerner, TC, additional, Sampaio, F, additional, Fonseca, P, additional, Fontes-Carvalho, R, additional, Pinho, M, additional, Campos, AS, additional, Castro, P, additional, Fonseca, C, additional, Ribeiro, J, additional, Gama, V, additional, Heck, R, additional, Hamdanchi, A, additional, Figulla, HR, additional, Ranjbar, S, additional, Ghaffaripour Jahromi, M, additional, Hinojar, R, additional, Fernandez Golfin, C, additional, Esteban, A, additional, Pascual-Izco, M, additional, Garcia-Martin, A, additional, Jimenez-Nacher, JJ, additional, Zamorano, JL, additional, Acar, R, additional, Bakal, RB, additional, Kaymaz, C, additional, Karvandi, M, additional, Galand, V, additional, Matelot, D, additional, Leclercq, C, additional, Carre, F, additional, Suran, BC, additional, Margulescu, AD, additional, Rimbas, RC, additional, Siliste, C, additional, Vinereanu, D, additional, Nocerino, P, additional, Urso, AC, additional, Borrino, A, additional, Carbone, C, additional, Follero, P, additional, Ciardiello, C, additional, Prato, L, additional, Salzano, G, additional, Marino, F, additional, Ruspetti, A, additional, Sparla, S, additional, Di Tommaso, C, additional, Loiacono, F, additional, D'ascenzi, F, additional, Porter, J, additional, Walker, M, additional, Lo Iudice, F, additional, Esposito, R, additional, Santoro, C, additional, Cocozza, S, additional, Izzo, R, additional, De Luca, N, additional, De Simone, G, additional, Trimarco, B, additional, Galderisi, M, additional, Gervasi, F, additional, Patti, G, additional, Mega, S, additional, Bono, M, additional, Di Sciascio, G, additional, Buture, A, additional, Badea, R, additional, Platon, P, additional, Ghiorghiu, I, additional, Jurcut, R, additional, Coman, IM, additional, Popescu, BA, additional, Ginghina, C, additional, Lunetta, M, additional, Spoto, MS, additional, Lo Vi, AM, additional, Pensabene, G, additional, Carita, P, additional, Coppola, G, additional, Assennato, P, additional, Shim, A, additional, Wejner-Mik, P, additional, Havasi, K, additional, Domsik, P, additional, Kalapos, A, additional, Forster, T, additional, Piros, GA, additional, Lengyel, C, additional, Orosz, A, additional, Bulbul, Z, additional, Issa, Z, additional, Al Sehly, A, additional, Pergola, V, additional, Oufi, S, additional, Conde, Y, additional, Cimino, E, additional, Rinaldi, E, additional, Ashurov, R, additional, Ricci, S, additional, Pergolini, M, additional, Vitarelli, A, additional, Lujan Valencia, JE, additional, Chaparro, M, additional, Garcia-Guerrero, A, additional, Cristo Ropero, MJ, additional, Izquierdo Bajo, A, additional, Madrona, L, additional, Monmeneu, JV, additional, Igual, B, additional, Lopez Lereu, P, additional, Garcia, MP, additional, Selmi, W, additional, Jalal, Z, additional, Thambo, JB, additional, Kosuta, D, additional, and Fras, Z, additional

Published
2015
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59. Diastolic Indexes During Dobutamine Stress Echocardiography in Patients Early After Myocardial Infarction

Author

Marc J. Claeys, Alicja Dabrowska-Kugacka, and Frank Rademakers

Subjects
Adult, Male, Technetium Tc 99m Sestamibi, Cardiac Catheterization, medicine.medical_specialty, Adenosine, Time Factors, Myocardial Infarction, Ischemia, Diastole, Blood Pressure, Doppler echocardiography, Heart Rate, Dobutamine, Internal medicine, Heart rate, medicine, Humans, Radiology, Nuclear Medicine and imaging, Myocardial infarction, Radionuclide Imaging, Aged, Aged, 80 and over, medicine.diagnostic_test, business.industry, Hemodynamics, Middle Aged, medicine.disease, Myocardial Contraction, Echocardiography, Doppler, Heart catheterization, Cardiology, Female, Cardiology and Cardiovascular Medicine, Isovolumic relaxation time, business, medicine.drug
Abstract

The aim of this study was to determine whether Doppler parameters assessed during dobutamine stress echocardiography in the early phase after myocardial infarction could discriminate patients with residual ischemia from those without. Thirty-six patients after a recent myocardial infarction with and without residual ischemia underwent dobutamine stress echocardiography, adenosine sestamibi scintigraphy, and coronary angiography within 2 weeks after the acute event. The only diastolic Doppler parameter discriminating the two groups was the isovolumic relaxation time (IVRT) measured at the peak of the dobutamine infusion. It became shorter in both groups but significantly more in patients without than in those with residual ischemia despite a larger increase in heart rate in the latter group. IVRT at rest was 78 +/- 18 msec and decreased with high-dose dobutamine to 54 +/- 11 msec in the control group and to 69 +/- 16 msec in the ischemic group (p < 0.01). In addition, the rate-corrected IVRT (IVRTc) was calculated: IVRTc = IVRT/sqrtRR. The value of IVRTc = 80 at peak dobutamine infusion is able to discriminate patients with residual ischemia from those without with a sensitivity of 80% and a specificity of 70%.

Published
1998

60. Comparison of the Acute Hemodynamic Effect of Right Ventricular Apex, Outflow Tract, and Dual‐Site Right Ventricular Pacing

Author

Rubaj, Andrzej, Rucinski, Piotr, Sodolski, Tomasz, Bilan, Andrzej, Gulaj, Marcin, Dabrowska‐Kugacka, Alicja, and Kutarski, Andrzej

Subjects
Aged, 80 and over, Male, Analysis of Variance, Pacemaker, Artificial, Cardiac Pacing, Artificial, Blood Pressure, Original Articles, Middle Aged, Cardiography, Impedance, Ventricular Dysfunction, Left, Ventricular Function, Right, Humans, Female, Cardiac Resynchronization Therapy Devices, Atrioventricular Block, Aged
Abstract

Background: We studied the acute effect of pacing at the right ventricular outflow tract (RVOT), right ventricular apex (RVA) and simultaneous RVA and RVOT—dual‐site right ventricular pacing (DuRV) in random order on systolic function using impedance cardiography. Methods: Seventy‐three patients (46 males), aged 52–89 years (mean 71.4 years) subjected to routine dual chamber pacemaker implantation with symptomatic chronic II or atrioventricular block, were included to the study. Results: DuRV pacing resulted in significantly higher cardiac index (CI) in comparison to RVOT and RVA and CI at RVOT was higher than at RVA pacing (2.46 vs 2.35 vs 2.28; P < 0.001). In patients with ejection fraction >50% significantly higher CI was observed during DuRV pacing when compared to RVOT and RVA pacing and there was no difference of CI between RVOT and RVA pacing (2.53 vs 2.41 vs 2.37; P < 0.001). In patients with ejection fraction

Published
2010

62. Oral Abstract session: Advanced echo techniques - New eyes on congenital heart disease: Thursday 4 December 2014, 08:30-10:00 * Location: Agora

Author

Timoteo, A. T., primary, Moura Branco, L., additional, Ramos, R., additional, Aguiar Rosa, S., additional, Agapito, A., additional, Sousa, L., additional, Oliveira, J., additional, Leal, A., additional, Cruz Ferreira, R., additional, Kutty, S., additional, Li, L., additional, Danford, D., additional, Houle, H., additional, Xiao, Y., additional, Pedrizzetti, G., additional, Porter, T., additional, Leren, I. S., additional, Hasselberg, N., additional, Saberniak, J., additional, Haland, T., additional, Kongsgard, E., additional, Smiseth, O., additional, Edvardsen, T., additional, Haugaa, K., additional, Ben Moussa, N., additional, Cinteza, E., additional, Giugno, L., additional, Butera, G., additional, Piazza, L., additional, Micheletti, A., additional, Saracino, A., additional, Negura, D. G., additional, Carminati, M., additional, Chessa, M., additional, Kubik, M., additional, Dabrowska-Kugacka, A., additional, Lewicka, E., additional, Danilowicz-Szymanowicz, L., additional, Szalewska, D., additional, Kutniewska-Kubik, M., additional, Raczak, G., additional, Enache, R., additional, Mateescu, A., additional, Nastase, O., additional, Popescu, B., additional, Ginghina, C., additional, Karsenty, C., additional, Hadeed, K., additional, Hascoet, S., additional, Amadieu, R., additional, Dulac, Y., additional, Acar, P., additional, Ammirati, A., additional, Palmieri, R., additional, Silvetti, M., additional, and Drago, F., additional

Published
2014
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63. Atrial function during different multisite atrial pacing modalities in patients with bradycardia--tachycardia syndrome

Author

Ewa Lewicka-Nowak, Piotr Ruciński, Alicja Dabrowska-Kugacka, Andrzej Kutarski, Grzegorz Raczak, and Dariusz Kozłowski

Subjects
Tachycardia, Bradycardia, Adult, Male, medicine.medical_specialty, Pacemaker, Artificial, Electrocardiography, Heart Conduction System, Recurrence, Internal medicine, Atrial Fibrillation, medicine, Humans, cardiovascular diseases, Bachmann's bundle, Coronary sinus, Aged, Echocardiography, Doppler, Pulsed, medicine.diagnostic_test, business.industry, Cardiac Pacing, Artificial, Hemodynamics, Atrial fibrillation, General Medicine, Syndrome, Middle Aged, medicine.disease, Atrial Function, Atrial Lead, medicine.anatomical_structure, Anesthesia, cardiovascular system, Cardiology, Female, medicine.symptom, Electrical conduction system of the heart, Cardiology and Cardiovascular Medicine, business
Abstract

Background: Multisite atrial pacing (MAP) was introduced to improve atrial electrical synchrony and prevent recurrence of atrial fibrillation (AF). Methods and Results: In the present study there were 57 patients with sinus node disease, AF recurrence and prolonged P-wave on ECG with 2 MAP modalities. In all patients 1 lead was implanted in the coronary sinus (CS) ostium area. In the right atrial appendage (RAA)+CS group (28 patients) the other atrial lead was in the RAA, and in the BB+CS group (29 patients) in the Bachmann's bundle (BB) region. Tissue Doppler was used to register the electromechanical delay (EMD) in the atrial walls and estimate the atrial contraction synchrony. Cardiac output and myocardial performance index did not differ during the 2 MAP modalities. During BB+CS, in comparison with RAA+CS pacing, the peak of the mitral atrial wave occurred earlier (P

Published
2009

65. Echocardiographic evaluation of patients with severe heart failure and impairment of intraventricular conduction following cardiac resynchronisation therapy

Author

Anna, Faran, Alicja, Dabrowska-Kugacka, Ewa, Lewicka-Nowak, Sebastian, Tybura, Bozena, Zieba, Ludmiła, Daniłowicz-Szymanowicz, Elzbieta, Krzymińska-Stasiuk, Maciej, Kempa, Katarzyna, Kogut, and Grzegorz, Raczak

Subjects
Adult, Heart Failure, Male, Pacemaker, Artificial, Ventricular Remodeling, Heart Conduction System, Cardiac Pacing, Artificial, Humans, Female, Middle Aged, Severity of Illness Index, Aged, Ultrasonography
Abstract

Echocardiographic examination is essential for clinical assessment of patients after cardiac resynchronisation therapy (CRT).To assess the benefit of CRT in patients with end-stage heart failure at long-term follow-up.28 patients with end-stage heart failure, NYHA classor= III (or= II in patients with indications for implantable cardioverter defibrillator and echocardiographic signs of ventricular mechanical systolic dyssynchrony), left ventricular ejection fraction (LVEF)35%, QRS duration120 ms and left bundle branch block morphology received a biventricular device. Standard colour Doppler echocardiography examination was performed at baseline, and then every 6 months, up to 2 years. Parameters of systolic and diastolic LV function, mitral insufficiency and right ventricular (RV) pressure were evaluated.Following CRT, a statistically significant improvement of LV dimensions (p0.05), and LVEF (p0.001) was recorded. CRT also resulted in a mitral regurgitation decrement (p0.01). Interventricular mechanical delay was shortened (p=0.0005). After 2 years, non-significant worsening of LV dimensions was observed. At long-term follow-up CRT did not result in LV volume, left atrium, RV dimension or RV pressure reduction.CRT is associated with reverse remodelling of the LV at mid-term follow-up.

Published
2008

66. Right ventricular apex versus right ventricular outflow tract pacing: prospective, randomised, long-term clinical and echocardiographic evaluation

Author

Ewa, Lewicka-Nowak, Alicja, Dabrowska-Kugacka, Sebastian, Tybura, Elzbieta, Krzymińska-Stasiuk, Rajmund, Wilczek, Justyna, Staniewicz, Grazyna, Swiatecka, and Grzegorz, Raczek

Subjects
Aged, 80 and over, Heart Failure, Male, Pacemaker, Artificial, Heart Ventricles, Cardiac Pacing, Artificial, Stroke Volume, Middle Aged, Electrocardiography, Ventricular Dysfunction, Left, Echocardiography, Atrial Fibrillation, Feasibility Studies, Humans, Female, Longitudinal Studies, Prospective Studies, Aged, Follow-Up Studies
Abstract

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 physiological.To compare long-term effects of RVOT versus RVA pacing on clinical status, left ventricular (LV) function, and the degree of atrioventricular valve regurgitation.Patients with indications for permanent pacing, admitted to hospital between 1996 and 1997, were randomised to receive RVA or RVOT pacing. In 2004 during a final control visit in 27 patients clinical status, echocardiographic parameters and QRS complex duration as well as NT-proBNP level were measured. Analysed parameters were compared between groups and in the case of data available during the perioperative period also their evolution in time was assessed.Out of 27 patients 14 were randomised to the RVA group and 13 to the RVOT group. No significant differences between groups were observed before the procedure with respect to age, gender, comorbidities or echocardiographic parameters. Mean duration of pacing did not differ significantly between the groups (89+/-9 months in RVA group vs 93+/-6 months in RVOT group, NS). In the RVA group significant LV ejection fraction decrease was observed (from 56+/-11% to 47+/-8%, p0.05); in the RVOT group LV ejection fraction did not change (54+/-7% and 53+/-9%; NS). Progression of tricuspid valve regurgitation was also observed in the RVA group but not in the RVOT group. During the final visit NT-proBNP level was significantly higher in the RVA group: 1034+/-852 pg/ml vs 429+/-430 pg/ml (p0.05).In patients with normal LV function permanent RVA pacing leads to LV systolic and diastolic function deterioration. RVOT pacing can reduce the unfavourable effect and can slow down cardiac remodelling caused by permanent RV pacing. Clinical and echocardiographic benefits observed in the RVOT group after 7 years of pacing are reflected by lower NT-proBNP levels in this group of patients.

Published
2006

67. Biventricular pacing demonstrates similar effects in elderly and younger patients with advanced heart failure in the mid-term follow-up

Author

Ewa, Lewicka-Nowak, Alicja, Dabrowska-Kugacka, Anna, Faran, Andrzej, Kutarski, Rajmund, Wilczek, Grazyna, Swiatecka, and Grzegorz, Raczak

Subjects
Adult, Heart Failure, Male, Heart Ventricles, Cardiac Pacing, Artificial, Length of Stay, Middle Aged, Defibrillators, Implantable, Electrocardiography, Treatment Outcome, Humans, Female, Prospective Studies, Aged, Follow-Up Studies
Abstract

Biventricular (BIV) pacing has been shown to improve haemodynamics and functional status of patients (pts) with advanced chronic heart failure (CHF). No study has determined the effects of BIV in relation to the age of pts.To compare the clinical outcome in two groups of pts:or =65 years (yrs) and65 yrs referred for BIV pacing in our centre with at least 6 months of follow-up.Among 15 ptsor =65 yrs and 16 pts65 yrs successfully implanted with a BIV pacemaker, 12 and 15 pts, respectively, completed 6-month follow-up. Evaluation included change of NYHA class, 6-minute walking distance (6-minWD), drug therapy, QRS duration and echocardiographic parameters. The need for hospitalisation due to the worsening of CHF symptoms, assessed 6 months before and 6 months after BIV pacing, was compared. During long-term follow-up survival and complications related to this therapy were analysed.In both groups after 6 months of BIV pacing clinical improvement was observed, as demonstrated by the reduction in NYHA class (p0.005), average duration of hospitalisation due to CHF (p0.05) and diuretics doses (p0.05). The comparison of changes in these parameters between the two groups, as well as of changes in 6-minWD and echocardiographic parameters, did not show significant difference. BIV pacing enabled an increase in the dosage of beta-blockers (in 50% ptsor =65 yrs and 60% pts65 yrs), as well as of ACEI or ARB (25% and 40% pts, respectively). Survival was 80% in 15 ptsor =65 yrs during 16+/-15 months of follow-up and 81% in 16 pts v65 yrs during 22+/-14 months. All complications occurred in the 30-day post-operative period with similar frequency in both groups, also when LV lead-related complications were compared.In the mid-term follow-up BIV pacing demonstrates similar improvement in clinical status and exercise tolerance in elderly ptsor =65 yrs, as compared with pts65 yrs. In both groups BIV pacing reduced the need for hospitalisation due to worsening of CHF symptoms, and enabled beneficial changes in the pharmacological treatment. Elderly patients are not at risk of more frequent complications associated with BIV pacing.

Published
2006

68. [Electrical remodeling in a patient with biventricular pacemaker]

Author

Ewa, Lewicka-Nowak, Anna, Faran, Alicja, Dabrowska-Kugacka, Andrzej, Lubiński, Rajmund, Wilczek, and Grazyna, Swiatecka

Subjects
Cardiomyopathy, Dilated, Male, Pacemaker, Artificial, Ventricular Dysfunction, Left, Treatment Outcome, Heart Conduction System, Humans, Aged
Abstract

Electrical remodelling in a patient with biventricular pacemaker - a case report. A case of a 70-year-old patient with dilated cardiomyopathy is presented. The patient underwent biventricular pacemaker implantation and improved markedly. Indications for resynchronisation therapy are discussed.

Published
2005

69. 806 Complications related to left ventricular lead implantation for permanent biventricular pacing in patients with advanced heart failure

Author

H. Szwed, M. Gawrysiak, Andrzej Lubiński, A. Faran, E. Lewicka‐Nowak, Andrzej Kutarski, R. Wilczek, A. Maciag, A. Dabrowska ‐Kugacka, and M. Sterlinski

Subjects
medicine.medical_specialty, Ventricular lead, business.industry, Heart failure, Internal medicine, Cardiology, medicine, In patient, Cardiology and Cardiovascular Medicine, medicine.disease, business
Published
2005

70. 677 Is right ventricular outflow tract pacing superior to right ventricular apex stimulation? Long-term observation

Author

J. Staniewicz, Sebastian Tybura, G. Swiatecka, Ewa Lewicka-Nowak, Alicja Dabrowska-Kugacka, Rajmund Wilczek, and Grzegorz Raczak

Subjects
medicine.medical_specialty, business.industry, Physiology (medical), Internal medicine, medicine, Cardiology, Ventricular outflow tract, Stimulation, Cardiology and Cardiovascular Medicine, business, Term (time), Apex (geometry)
Published
2005

73. Sudden death in hypertrophic cardiomyopathy: old risk factors re-assessed in a new model of maximalized follow-up

Author

Dimitrow, P. P., primary, Chojnowska, L., additional, Rudzinski, T., additional, Piotrowski, W., additional, Ziolkowska, L., additional, Wojtarowicz, A., additional, Wycisk, A., additional, Dabrowska-Kugacka, A., additional, Nowalany-Kozielska, E., additional, Sobkowicz, B., additional, Wrobel, W., additional, Aleszewicz-Baranowska, J., additional, Rynkiewicz, A., additional, Loboz-Grudzien, K., additional, Marchel, M., additional, and Wysokinski, A., additional

Published
2010
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75. High-Volume Hemofiltration as Adjuvant Therapy for Refractory Shock after Pericardiocentesis

Author

Piotr Siondalski, Alicja Dabrowska-Kugacka, Jan Rogowski, Romuald Lango, and Maciej Michał Kowalik

Subjects
Male, Inotrope, medicine.medical_specialty, Adolescent, Heart Ventricles, medicine.medical_treatment, Bentall procedure, Hemodynamics, Marfan Syndrome, Cardiac tamponade, Internal medicine, Hemofiltration, medicine, Humans, business.industry, Pericardiocentesis, Shock, medicine.disease, Cardiac Tamponade, Echocardiography, Shock (circulatory), Heart failure, Cardiology, Surgery, medicine.symptom, Cardiology and Cardiovascular Medicine, business
Abstract

Background: Pericardiocentesis for the treatment of chronic cardiac tamponade can occasionally result in acute pulmonary edema or biventricular failure. A sudden increase in heart filling pressures and right-to-left ventricular-output mismatch have been proposed underlying mechanisms.Case Report: We report the case of 16-year-old patient who underwent pericardiocentesis for chronic cardiac tamponade 6 weeks after undergoing a Bentall procedure. The patient developed circulatory shock 6 hours after pericardiocentesis. High-volume hemofiltration was used as a rescue therapy after treatment with positive inotropic drugs proved ineffective. An improvement in circulatory function observed after commencement of the hemofiltration treatment was followed by hemodynamic deterioration when the hemofiltration procedure was ceased.Discussion: The mechanism of the observed hemodynamic improvement is unclear. Hemodynamic recovery related in time to high-volume hemofiltration treatment indicates the possible removal of inflammatory mediators. Visceral vasoconstriction resulting from cardiac tamponade and subsequent improvement in gut perfusion after pericardiocentesis that led to washout of inflammatory mediators might have contributed to the development of acute heart failure. Cytokine removal by high-volume hemofiltration and the procedure's relationship to hemodynamic improvement have previously been demonstrated in clinical and experimental studies of septic shock.Conclusions: We conclude that high-volume hemofiltration can be helpful as an adjuvant treatment for refractory shock after pericardiocentesis for chronic cardiac tamponade. The mechanism of the observed hemodynamic improvement remains to be investigated.

Published
2011

77. Survival Analysis in Patients With Preserved Left Ventricular Function and Standard Indications for Permanent Cardiac Pacing Randomized to Right Ventricular Apical or Septal Outflow Tract Pacing

Author

Dabrowska-Kugacka, Alicja, primary, Lewicka-Nowak, Ewa, additional, Tybura, Sebastian, additional, Wilczek, Rajmund, additional, Staniewicz, Justyna, additional, Zagozdzon, Pawel, additional, Faran, Anna, additional, Kozlowski, Dariusz, additional, Raczak, Grzegorz, additional, and Swiatecka, Grazyna, additional

Published
2009
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86. 498 Echocardiography findings in chambers of right heart in patients with implantable pacemaker or cardioverter-defibrilator and suspected infective endocarditis

Author

E.W. Krzyminska-Slasiuk, A. Bac zynska, A. Dabrowska-Kugacka, M. Kempa, and T. Gorczynski

Subjects
medicine.medical_specialty, business.industry, General Medicine, medicine.disease, law.invention, Bacterial endocarditis, law, Internal medicine, Infective endocarditis, Right heart, Cardiology, medicine, Artificial cardiac pacemaker, Radiology, Nuclear Medicine and imaging, In patient, Cardiology and Cardiovascular Medicine, business
Published
2005

87. P-281 Diastolic left ventricular function in patients after catheter radiofrequency ablation of atrial fibrillation

Author

Tomasz Królak, Maciej Kempa, Alicja Dabrowska-Kugacka, A. Lubinski, G. Swiatecka, and Anna Baczyńska

Subjects
medicine.medical_specialty, Ventricular function, business.industry, Radiofrequency ablation, Diastole, Atrial fibrillation, medicine.disease, law.invention, Catheter radiofrequency ablation, law, Physiology (medical), Internal medicine, Cardiology, Medicine, In patient, Cardiology and Cardiovascular Medicine, business
Published
2003

88. A07-2 Influence of LBBB, RBBB, DDD and BIV pacing on ventricular contraction pattern in patients with dilative cardiomyopathy

Author

Ewa Lewicka-Nowak, Anna Faran, Alicja Dabrowska-Kugacka, and G. Swiatecka

Subjects
medicine.medical_specialty, business.industry, Left bundle branch block, Cardiomyopathy, Dilative cardiomyopathy, Right bundle branch block, medicine.disease, Ventricular contraction, Physiology (medical), Internal medicine, medicine, Cardiology, In patient, Cardiology and Cardiovascular Medicine, business
Published
2003

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