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1. Poster session Thursday 6 December - AM: Other myocardial diseases

Author

Z. Ojaghi-Haghighi, A. Mostafavi, H. Moladoust, F. Noohi, M. Maleki, M. Esmaeilzadeh, N. Samiei, S. Hosseini, R. Jasaityte, A. Teske, P. Claus, B. Verheyden, F. Rademakers, J. D'hooge, A. Patrianakos, A. Zacharaki, A. Kalogerakis, E. Nyktari, P. Maniatakis, F. Parthenakis, P. Vardas, J. M. Hilde, I. Skjoerten, S. Humerfelt, V. Hansteen, M. Melsom, J. Hisdal, K. Steine, R. Ippolito, P. Gripari, D. Muraru, R. Esposito, G. Kocabay, G. Tamborini, M. Galderisi, F. Maffessanti, L. Badano, M. Pepi, S. Yurdakul, F. Oner, T. Sahin, B. Avci, Y. Tayyareci, H. Direskeneli, S. Aytekin, T. Filali, B. Jedaida, D. Lahidheb, M. Gommidh, H. Mahfoudhi, N. Hajlaoui, R. Dahmani, W. Fehri, H. Haouala, V. Andova, L. Georgievska-Ismail, E. Srbinovska-Kostovska, Y. Gardinger, J. Joanna Hlebowicz, O. Ola Bjorgell, M. Magnus Dencker, M.-T. Liao, C.-T. Tsai, J.-L. Lin, K. Piestrzeniewicz, K. Luczak, M. Maciejewski, J. Komorowski, J. Jankiewicz-Wika, J. Drozdz, M. F. Ismail, A. Alasfar, M. Elassal, S. El-Sayed, M. Ibraheim, P. Dobrowolski, A. Klisiewicz, E. Florczak, A. Prejbisz, E. Szwench, J. Rybicka, A. Januszewicz, P. Hoffman, M. Santos Furtado, K. Nogueira, A. Arruda, A. C. Rodrigues, F. Carvalho, M. Silva, A. Cardoso, E. Lira-Filho, J. Pinheiro, J. L. Andrade, M. Mohammed, C. Zito, M. Cusma-Piccione, G. Di Bella, N. Taha, D. Zagari, A. Oteri, A. Quattrone, I. Boretti, S. Carerj, O. Obremska, B. Boratynska, P. Poczatek, Z. Zon, M. Magott, K. Klinger, O. Szenczi, Z. Szelid, P. Soos, Z. Bagyura, E. Edes, P. Jozan, B. Merkely, J. Ahn, D. Kim, D. Jeon, I. Kim, F. Baeza Garzon, M. Delgado, D. Mesa, M. Ruiz, J. S. De Lezo, M. Pan, C. Leon, F. Castillo, M. Morenate, F. Toledano, L. Zhong, E. Lim, N. Shanmugam, S. Law, B. Ong, K. Katwadi, R. Tan, Y. Chua, R. Liew, Z. Ding, H. Von Bibra, C. Leclerque, T. Schuster, P.-M. Schumm-Draeger, M. Bonios, A. Kaladaridou, O. Papadopoulou, A. Tasoulis, C. Pamboucas, A. Ntalianis, J. Nanas, S. Toumanidis, D. Silva, N. Cortez-Dias, P. Carrilho-Ferreira, R. Placido, C. Jorge, C. Calisto, S. Robalo Martins, J. Carvalho De Sousa, F. Pinto, A. Nunes Diogo, M. Przewlocka-Kosmala, A. Orda, B. Karolko, A. Mysiak, W. Kosmala, S. Moral Torres, J. Rodriguez-Palomares, V. Pineda, D. Gruosso, A. Evangelista, D. Garcia-Dorado, J. Figueras, E. Cambronero, M. J. Corbi, A. Valle, J. Cordoba, C. Llanos, M. Fernandez, I. Lopez, V. Hidalgo, M. Barambio, J. Jimenez, A. D'andrea, L. Riegler, R. Cocchia, M. Russo, E. Bossone, R. Calabro, A. Iniesta Manjavacas, S. Valbuena Lopez, T. Lopez Fernandez, S. Garcia-Blas, F. De Torres Alba, J. G. De Diego, U. Ramirez Valdiris, J. Mesa Garcia, M. Moreno Yanguela, J. Lopez-Sendon, B. Logstrup, H. Andersen, L. Thuesen, E. Christiansen, K. Terp, K. Klaaborg, S. Poulsen, A. Cacicedo, S. Velasco, U. Aguirre, J. Onaindia, I. Rodriguez, G. Oria, A. Subinas, G. Zugazabeitia, A. Romero, E. Laraudogoitia Zaldumbide, S. Weisz, J. Magne, R. Dulgheru, M. Rosca, L. Pierard, P. Lancellotti, V. Auffret, E. Donal, M. Bedossa, D. Boulmier, M. Laurent, J. Verhoye, H. Le Breton, S. Van Hall, T. Herbrand, U. Ketterer, S. Keymel, Y. Boering, T. Rassaf, C. Meyer, T. Zeus, M. Kelm, J. Balzer, M. Floria, S. Seldrum, M. Mariciuc, G. Laurence, M. Buche, P. Eucher, Y. Louagie, J. Jamart, B. Marchandise, E. Schroeder, A. Venkatesh, A. Sahlen, J. Johnson, L. Brodin, R. Winter, K. Shahgaldi, A. Manouras, L. Fusini, M. Muratori, F. Alamanni, A. Bartorelli, C. Ferrari, E. Caiani, E. Yaroslavskaya, V. Kuznetsov, G. Pushkarev, D. Krinochkin, I. Zyrianov, C. Ciobotaru, Y. Kobayashi, K. Yamamoto, E. Hirose, A. Hirohata, T. Ohe, P. Jhund, T. Cunningham, V. Murday, I. Findlay, P. Sonecki, I. Rangel, C. Sousa, A. Goncalves, A. Correia, A. Vigario, E. Martins, J. Silva-Cardoso, F. Macedo, M. Maciel, D. Lovric, J. Samardzic, D. Milicic, V. Reskovic, Z. Baricevic, I. Ivanac, J. Separovic Hanzevacki, K. Kim, J. Song, H. Jeong, H. Yoon, Y. Ahn, M. Jeong, J. Cho, J. Park, J. Kang, A. Iorio, B. Pinamonti, M. Bobbo, M. Merlo, G. Barbati, L. Massa, G. Faganello, A. Di Lenarda, G. Sinagra, F. Heggemann, K. Hamm, F. Streitner, T. Sueselbeck, T. Papavassiliu, M. Borggrefe, D. Haghi, F. Ferreira, A. Galrinho, R. Soares, L. Branco, J. Abreu, J. Feliciano, A. Papoila, M. Alves, A. Leal, R. Ferreira, A. Reynaud, L. H. Lund, E. Oger, E. Drouet, C. Hage, F. Bauer, C. Linde, J. Daubert, F. Schnell, P. Lentz, G. Kervio, G. Leurent, P. Mabo, F. Carre, A. Rodrigues, M. Roque, D. Becker, S. Barros, F. Kay, T. Emerick, P. Sampaio-Barros, J. Andrade, S. Yamada, K. Okada, H. Iwano, H. Nishino, M. Nakabachi, S. Yokoyama, S. Kaga, T. Mikami, H. Tsutsui, R. Mincu, S. Magda, S. Dumitrache Rujinski, T. Constantinescu, S. Mihaila, A. Ciobanu, M. Florescu, D. Vinereanu, T. Ashcheulova, O. Kovalyova, E. Ardeleanu, D. Gurgus, A. Gruici, R. Suciu, I. Ana, L. Bergenzaun, H. Ohlin, P. Gudmundsson, R. Willenheimer, M. Chew, A. Charalampopoulos, L. Howard, R. Davies, W. Gin-Sing, I. Tzoulaki, I. Grapsa, S. Gibbs, P. Massabuau, L. Weinert, O. Lairez, M. Berry, M. Sotaquira, P. Vaida, R. Lang, I. Khan, D. Waterhouse, S. Asegdom, M. Alqaseer, D. Foley, B. Mcadam, P. Colonna, E. Michelotto, W. Genco, M. Rubino, S. Pugliese, A. Belfiore, M. Sorino, M. Trisorio Liuzzi, G. Antonelli, G. Palasciano, A. Duszanska, I. Skoczylas, W. Streb, T. Kukulski, L. Polonski, Z. Kalarus, A. Fleig, K. Seitz, S. Secades, M. Martin, C. Corros, M. Rodriguez, J. De La Hera, A. Garcia, E. Velasco, E. Fernandez, V. Barriales, J. Lambert, D. R. Zwas, S. Hoss, D. Leibowitz, R. Beeri, C. Lotan, D. Gilon, K. Wierzbowska-Drabik, N. Roszczyk, M. Sobczak, M. Plewka, L. Chrzanowski, P. Lipiec, J. Kasprzak, K. Wita, K. Mizia-Stec, W. Wrobel, E. Plonska-Gosciniak, T. Pinho, Y. Wang, H. Houle, A. J. Madureira, J. Zamorano, M. J. Maciel, R. Ancona, S. Comenale Pinto, P. Caso, M. Coppola, O. Rapisarda, R. Calabro', R. Cadenas Chamorro, T. Lopez, J. Gomez, M. Moreno, P. Salinas, C. Jimenez Rubio, S. Valbuena, A. Manjavacas, F. De Torres, T. Vaugrenard, O. Huttin, A. Rouge, J. Schwartz, P. Zinzius, B. Popovic, J. Sellal, E. Aliot, Y. Juilliere, C. Selton-Suty, J. Looi, A. Lee, M. Hsiung, W. Song, R. Wong, M. J. Underwood, F. Fang, Q. Lin, Y. Lam, C. Yu, A. Vitarelli, B. Nguyen, L. Capotosto, G. D-Alessandro, M. D-Ascanio, A. Rafique, E. Gang, F. Barilla, R. Siegel, A. Kydd, F. Khan, W. Watson, L. Mccormick, M. Virdee, D. Dutka, S. Ranjbar, M. Karvandi, S. Hassantash, J. Grapsa, I. Efthimiadis, T. Pakrashi, D. Dawson, P. Punjabi, P. Nihoyannopoulos, M. Henein, S. Soderberg, E. Tossavainen, P. Lindqvist, H. Bellsham-Revell, A. Bell, O. Miller, J. Simpson, E. Altekin, M. Kucuk, A. Yanikoglu, S. Karakas, A. Er, D. Ozel, C. Ermis, I. Demir, G. Bajraktari, G. Di Salvo, L. Baldini, F. Del Gaizo, A. Rea, V. Pergola, G. Pacileo, B. Fadel, J.-S. Seo, G.-N. Choi, H.-Y. Jin, S.-H. Seol, J.-S. Jang, T.-H. Yang, D.-K. Kim, D.-S. Kim, E. Papadopoulou, S. Hatzidou, J. Agrios, C. Pamboukas, A. Antoniou, P. Gargiulo, S. Dellegrottaglie, D. Bruzzese, O. Scala, C. D'amore, D. Ruggiero, C. Marciano, E. Vassallo, E. Pirozzi, P. Perrone Filardi, V. Mor-Avi, N. Kachenoura, J. Lodato, S. Port, S. Chandra, B. Freed, N. Bhave, B. Newby, A. Patel, G. Dwivedi, M. Alam, K. Boczar, B. Chow, G. Staskiewicz, E. Czekajska-Chehab, S. Uhlig, A. Tomaszewski, J. Przegalinski, R. Maciejewski, A. Drop, G. Di Giammarco, C. Canosa, M. Foschi, G. Liberti, M. Bedir, D. Marinelli, S. Masuyama, R. Rabozzi, S. Vijayan, H. Miller, R. Muthusamy, S. Smith, L. Gargani, P. Pang, E. Davis, A. Schumacher, R. Sicari, E. Picano, A. Chmiel, M. Mizia, M. Haberka, K. Gieszczyk, A. Sikora - Puz, B. Lasota, O. Trojnarska, S. Grajek, Z. Gasior, A. Koumoulidis, I. Vlasseros, D. Tousoulis, V. Katsi, A. Avgeropoulou, M. Divani, C. Stefanadis, and I. Kallikazaros

Subjects
medicine.medical_specialty, business.industry, Internal medicine, Cardiology, medicine, Radiology, Nuclear Medicine and imaging, General Medicine, Function (mathematics), Cardiology and Cardiovascular Medicine, Independent predictor, business, Ventricular geometry
Published
2012
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2. Poster Session: Right ventricular systolic function

Author

M. Altman, C. Bergerot, H. Thibault, A. Aussoleil, E. Skuldadt Davidsen, M. Barthelet, G. A. Derumeaux, J. Grapsa, I. Zimbarra Cabrita, J. Afilalo, S. Paschou, D. Dawson, G. Durighel, D. O'regan, L. Howard, J. Gibbs, P. Nihoyannopoulos, M. Morenate Navio, M. Mesa Rubio, M. D. Ortega, M. Ruiz Ortiz, F. Castillo Bernal, C. L. Del Pino, F. Toledano, M. P. Alvarez-Ossorio, S. Ojeda Pineda, J. S. D. Lezo Cruz-Conde, R. Jasaityte, P. Claus, A. Teske, L. Herbots, B. Verheyden, F. Rademakers, J. D'hooge, C. G. Tocchetti, C. Coppola, D. Rea, C. Quintavalle, L. Guarino, N. Castaldo, C. De Lorenzo, G. Condorelli, C. Arra, N. Maurea, D. Voilliot, O. Huttin, Y. Camara, W. Djaballah, S. Carillo, P. Zinzius, J. Sellal, M. Angioi, Y. Juilliere, C. Selton-Suty, P. Dobrowolski, A. Klisiewicz, E. Florczak, A. Prejbisz, E. Szwench, J. Rybicka, A. Januszewicz, P. Hoffman, A. Jurado Roman, S. De Dios Perez, J. M. M. De Nicolas, B. Diaz Anton, B. Rubio Alonso, R. Martin Asenjo, S. Mayordomo Gomez, L. Villagraz Tecedor, L. Blazquez, R. T. De Meneses, A. Bernard, A. I. Hernandez, A. Reynaud, C. Lerclercq, J. Daubert, E. Donal, R. Arjan Singh, S. Sivarani, S. Lim, W. Azman, M. Almeida, N. Cardim, V. Fonseca, V. Carmelo, S. Santos, T. Santos, J. Toste, W. Kosmala, A. Orda, B. Karolko, A. Mysiak, M. Przewlocka-Kosmala, K. Farsalinos, D. Tsiapras, S. Kyrzopoulos, E. Avramidou, D. Vassilopoulou, V. Voudris, H. Hayrapetyan, K. Adamyan, J. Montero Cabezas, C. Granda Nistal, B. Garcia Aranda, V. Sanchez Sanchez, A. Sestito, P. Lamendola, A. Di Franco, C. Lauria, G. Lanza, M. Kukucka, A. Unbehaun, S. Buz, A. Mladenow, H. Kuppe, M. Pasic, H. Habazettl, D. Gemma, N. Montoro Lopez, M. G. R. De Celix, T. Lopez Fernandez, F. De Torres Alba, D. I. Del Valle, U. Ramirez, J. Mesa, M. Moreno Yanguela, J. Lopez Sendon, G. W. Eveborn, H. Schirmer, P. Lunde, G. Heggelund, K. Rasmussen, Z. Wang, B. Lasota, K. Mizia-Stec, M. Mizia, A. Chmiel, T. Adamczyk, J. Chudek, Z. Gasior, A. Venkatesh, J. Johnson, A. Sahlen, L. Brodin, R. Winter, K. Shahgaldi, A. Manouras, S. Valbuena, A. Iniesta, T. Lopez, F. De Torres, P. Salinas, S. Garcia, M. Moreno, J. Lopez-Sendon, I. Lebid, T. Kobets, T. Kuzmenko, S. Katsanos, K. Yiu, M. Clavel, N. Nina Ajmone, F. Van Der Kley, J. Rodes Cabau, M. Schalij, J. Bax, P. Pibarot, V. Delgado, L. Fusini, G. Tamborini, M. Muratori, P. Gripari, N. Marsan, C. Cefalu', S. Ewe, F. Maffessanti, M. Pepi, N. Hasselberg, K. Haugaa, H. Petri, K. Berge, T. Leren, H. Bundgaard, T. Edvardsen, R. Ancona, S. Comenale Pinto, P. Caso, M. Coppola, O. Rapisarda, C. Cavallaro, F. Vecchione, A. D'onofrio, R. Calabro', R. Rimbas, S. Mihaila, O. Enescu, N. Patrascu, R. Dragoi, M. Rimbas, C. Pop, D. Vinereanu, S. Gustafsson, S. Morner, C. Gronlund, O. Suhr, P. Lindqvist, G. Di Bella, C. Zito, F. Minutoli, A. Madaffari, M. Cusma Piccione, A. Mazzeo, R. Massimo, M. Pasquale, G. Vita, S. Carerj, I. Rangel, A. Goncalves, C. Sousa, A. Correia, E. Martins, J. Silva-Cardoso, F. Macedo, M. Maciel, B. Pfeiffer, A. Rigopoulos, H. Seggewiss, M. Alvarez Fuente, T. Sainz Costa, C. Medrano, M. Navarro, D. Blazquez Gamero, J. Ramos, M. Mellado, M. De Jose, M. Munoz, E. Maroto, L. Gargani, P. Gosciniak, L. Pratali, G. Agoston, C. Bruni, S. Guiducci, M. Matucci Cerinic, A. Varga, R. Sicari, E. Picano, C. Zhao, M. Mei, C. Yeung, C. Siu, H. Tse, M. Florescu, L. Magda, R. Mincu, I. Daha, C. M. Stanescu, L. Chirila, C. Baicus, A. Vlase, G. Dan, M. Montoro Lopez, R. Florez Gomez, A. Alonso Ladreda, C. Itziar Soto, J. Rios Blanco, G. Guzman Martinez, B. Lichodziejewska, K. Kurnicka, S. Goliszek, M. Kostrubiec, O. Dzikowska-Diduch, M. Ciurzynski, A. Labyk, M. Krupa, P. Palczewski, P. Pruszczyk, C. C. De Sousa, A. Vigario, T. Pinho, J. Silva Cardoso, S.-J. Park, J.-E. Song, Y.-J. Lee, M.-R. Ha, S.-A. Chang, J.-O. Choi, S.-C. Lee, S. Park, J. Oh, A. Van De Bruaene, P. De Meester, R. Buys, L. Vanhees, M. Delcroix, J. Voigt, W. Budts, A. Blundo, S. Buccheri, I. P. Monte, S. Leggio, C. Tamburino, M. Sotaquira, R. Lang, E. Caiani, M. Floria, L. De Roy, O. Xhaet, D. Blommaert, J. Jamart, M. Gerard, O. Deceuninck, B. Marchandise, S. Seldrum, E. Schroeder, B. Unsworth, S. Sohaib, K. Kulwant-Kaur, L. Malcolme-Lawes, P. Kanagaratnam, I. Malik, B. Ren, H. Mulder, A. Haak, M. Van Stralen, T. Szili-Torok, J. Pluim, M. Geleijnse, J. Bosch, R. Baglini, A. Amaducci, G. D'ancona, S. Van Den Oord, Z. Akkus, G. Ten Kate, G. Renaud, E. Sijbrands, N. De Jong, A. Van Der Lugt, A. Van Der Steen, A. Schinkel, A. Bjallmark, M. Larsson, D. Grishenkov, L.-A. Brodin, T. Brismar, G. Paradossi, K. A. Sveen, T. Nerdrum, K. Hanssen, K. Dahl-Jorgensen, K. Steine, S. Cimino, G. Pedrizzetti, G. Tonti, E. Canali, V. Petronilli, F. Cicogna, L. Arcari, L. De Luca, C. Iacoboni, L. Agati, S. S. Abdel Moneim, S. Eifert Rain, M. Bernier, G. Bhat, M. Hagen, D. Bott-Kitslaar, R. Castello, S. Wilansky, P. Pellikka, S. Mulvagh, I. Delithanasis, J. Celutkiene, C. Kenny, M. Monaghan, W. Park, G. Hong, J. Son, S. Lee, U. Kim, J. Park, D. Shin, Y. Kim, K. Toutouzas, M. Drakopoulou, C. Aggeli, I. Felekos, C. Nikolaou, A. Synetos, K. Stathogiannis, E. Tsiamis, E. Siores, C. Stefanadis, B. Plicht, P. Kahlert, T. Grave, T. Buck, T. Konorza, M. Gursoy, T. Gokdeniz, M. Astarcioglu, Z. Bayram, B. Cakal, S. Karakoyun, M. Kalcik, R. Acar, G. Kahveci, M. Ozkan, W. Tsang, L. Weinert, S. Yurdakul, B. Avci, S. Sahin, B. Dilekci, S. Aytekin, F. Arenga, S. Hascoet, R. Martin, Y. Dulac, M. Peyre, C. Benzouid, K. Hadeed, P. Acar, D. Zakarkaite, V. Skorniakov, V. Zvironaite, V. Grabauskiene, J. Burca, L. Ciparyte, A. Laucevicius, G. Di Salvo, A. Rea, A. D'aiello, F. Del Gaizo, V. Pergola, A. D'andrea, G. Pacileo, R. Calabro, M. Russo, C. Dedobbeleer, A. Hadefi, R. Naeije, P. Unger, C. Mornos, D. Cozma, A. Ionac, A. Mornos, M. Valcovici, S. Pescariu, L. Petrescu, K. Hu, D. Liu, M. Niemann, S. Herrmann, M. Cikes, S. Stoerk, S. Knop, G. Ertl, B. Bijnens, F. Weidemann, M. De Knegt, T. Biering-Sorensen, P. Sogaard, J. Sivertsen, J. Jensen, R. Mogelvang, W. Lam, M. Tang, K. Chan, Y. Yang, F. Fang, J. Sun, C. Yu, Y. Lam, V. Panoulas, S. Sulemane, A. Bratsas, K. Konstantinou, M. Francone, T. Schau, M. Seifert, D. Ridjab, M. Schoep, M. Gottwald, M. Neuss, J. Meyhoefer, M. Zaenker, C. Butter, A. Tarr, S. Stoebe, D. Pfeiffer, A. Hagendorff, E. Maret, B.-M. Ahlander, P.-G. Bjorklund, J. Engvall, G. Staskiewicz, E. Czekajska-Chehab, P. Adamczyk, E. Siek, P. Przybylski, R. Maciejewski, A. Drop, C. Jimenez Rubio, G. Isasti Aizpurua, J. Miralles Ibarra, M. Al-Mallah, T. Somg, S. Alam, J. Chattahi, B. Zweig, K. Dhanalakota, S. Boedeker, K. Ananthasubramaniam, C. Park, K. March, S. Jones, J. Mayet, T. Tillin, N. Chaturvedi, A. Hughes, E. Hamodraka, E. Kallistratos, A. Karamanou, T. Tsoukas, D. Mavropoulos, N. Kouremenos, I. Zaharopoulou, N. Nikolaidis, D. Kremastinos, A. Manolis, M. Loboz-Rudnicka, J. Jaroch, Z. Bociaga, E. Kruszynska, B. Ciecierzynska, M. Dziuba, K. Dudek, I. Uchmanowicz, K. Loboz-Grudzien, D. Silva, A. Magalhaes, C. Jorge, N. Cortez-Dias, P. Carrilho-Ferreira, J. Silva Marques, I. Portela, C. Pascoa, A. Nunes Diogo, D. Brito, B. Roosens, G. Bala, S. Droogmans, J. Hostens, J. Somja, E. Delvenne, J. Schiettecatte, T. Lahoutte, G. Van Camp, and B. Cosyns

Subjects
medicine.medical_specialty, business.industry, Internal medicine, medicine, Cardiology, Radiology, Nuclear Medicine and imaging, General Medicine, Session (computer science), Systolic function, Cardiology and Cardiovascular Medicine, business
Published
2012
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3. [Takayasu's arteritis: underestimated cause of hypertension]

Author

I, Cybulska, M, Makowiecka-Cieśla, and E, Florczak

Subjects
Adult, Male, Adolescent, Prednisolone, Hypertension, Anti-Inflammatory Agents, Humans, Angiotensin-Converting Enzyme Inhibitors, Female, Middle Aged, Calcium Channel Blockers, Diuretics, Takayasu Arteritis
Abstract

Takaysu's arteritis (TA) is regarded to be a frequent cause of hypertension in Asian population. However some reports have recently informed about increasing frequency of its also in non Asian people. The aim of this study was to evaluated own experiences on diagnosis and treatment of TA as well as prevalence of TA in hypertensive patients in Caucasian population.During last 15 years we examined 4190 hypertensive patients hospitalized in our department. Renovascular hypertension was recognized in 139 cases. The diagnosis of TA was based on angiographically proven vascular changes and its inflammatory phase on estimation increased (40 mm/h) sedimentation rate and immunoglobulins above normal level. The patients with acute phase of TA initially received typical immunosuppressive therapy (prednisone in monotherapy or combined with azatioprine or cyclophosphamide), followed by chronic administration of prednisone. In every case, if it was possible, we proposed angio-corrective procedure. All patients have received hypotensive and antiplatelet therapy.TA was recognized in 15 patients--4 men and 11 women, average age 36.3 +/- 9.8 y. The patients with TA represented 0.37% hypertensive and 10.9% cases of renovascular hypertension. Significant stenosis of renal artery and various degree of lesions in aorta and some arteries was discovered in all persons. In the observed group hypertension was effectively controlled with 2-3 hypotensive drugs, including ACE inhibitors, diuretics and Ca antagonists. The acute phase of TA was diagnosed in 11 patients and it was treated successfully (except one case) with immunosuppressive therapy. After discontinuation of the treatment (4 patients) progression of the disease was observed. In 6 patients, characterised by clinical and biochemical remission of acute phase percutaneous angioplasty renal artery was performed. A good result in long-term follow-up period was observed in 4 cases (in 2 after repeated procedure). Surgical procedure was performed in 4 cases--in 2 on carotid and in 1 on renal and the next one on coronary artery. In first 3 cases the procedures were unsuccessful (reocclusion ?).Our observation suggested that 1. The incidence of TA in hypertensive (especially renovascular hypertension) population is more frequent than expected. 2. Acute phase of the disease is indication to long-term the immunosuppressive therapy. 3. Angiocorrective procedure is necessary reflected in every case in period of remission of acute phase.

Published
2002

4. [A difficult diagnostic case of malignant hypertension]

Author

K, Paschalis-Purtak, B, Puciłowska, M, Kabat, E, Florczak, and M, Sznajderman

Subjects
Hypertension, Malignant, Male, Renin-Angiotensin System, Humans, Middle Aged
Abstract

A case of a 62-year old male with malignant hypertension was described. The clinical picture was dominated by the presence of cachexia, polyuria and polyneuropathy. Laboratory examinations revealed highly elevated sedimentation rate, hyponatremia and hypokalemia. Secondary hypertension as well as other diseases with similar clinical symptoms were excluded basing in diagnostic procedures. The authors discuss pathophysiological mechanisms on the base of abnormally elevated activity of the renin-angiotensin-aldosterone system. Unusual body weight loss (approximately 20 kgs), polyneuropathy and irreversible lesion of renal tubules without renal function impairment are emphasized.

Published
1993

5. 2 cases of Sneddon syndrome

Author

E, Florczak, J, Dobrogowska-Kunicka, K, Paschalis-Purtak, and B, Puciłowska

Subjects
Adult, Cardiolipins, Antibodies, Anticardiolipin, Hypertension, Humans, Female, Syndrome, Leg Dermatoses, Middle Aged, Skin Diseases, Vascular, Antiphospholipid Syndrome, Brain Ischemia
Abstract

Two cases of Sneddon syndrome (S.s.) in a 33 and 53-year-old women who developed arterial hypertension, cerebral ischaemic signs and who have livedo reticularis or livedo racemosa, are reported. The authors describe clinical, radiological and biological features of this rare disease, as well as diagnostic investigations including the measurements of the antiphospholipid antibodies (APA). The possible role of APA in the pathogenesis of S.s. is discussed.

Published
1992

6. [Bartter's syndrome]

Author

E, Florczak

Subjects
Diagnosis, Differential, Hyperaldosteronism, Renin, Bartter Syndrome, Humans, Hypokalemia
Published
1990

7. [Value of roentgen pictures in epilepsy]

Author

J, Czochańska and E, Florczak-Mikicińska

Subjects
Radiography, Epilepsy, Adolescent, Child, Preschool, Brain, Humans, Infant, Child, False Negative Reactions
Published
1989

14. [Usefulness of metoclopramidum-Polfa in the roentgenological diagnosis of defects of the gastrointestinal system in children]

Author

S, Winnicki, E, Florczak-Mikicińska, and W, Pruszyńska-Podemska

Subjects
Hernia, Diaphragmatic, Adolescent, Metoclopramide, Infant, Newborn, Infant, Pyloric Stenosis, Radiographic Image Enhancement, Hernia, Hiatal, Child, Preschool, Gastroesophageal Reflux, Humans, Barium Sulfate, Child, Gastrointestinal Motility
Abstract

The purpose of this report is estimation of influence of Metoclopramidum on gastrointestinal tract in children and advantages of its administration in gastrointestinal examination. Between October 1980 and August 1981 70 children had contrast gastrointestinal studies with administrations Metoclopramidum. In the cases of suspicion pylorostenosis administration Metoclopramidum make possible correct diagnosis with minimal irradiation of child. After administration Metoclopramidum the roentgenological sing of hiatus hernia and reflux gastro-oesophageal are better visible.

Published
1984

16. 172 cases of Wilms' tumor in children

Author

E, Florczak-Mikicińska and S, Winnicki

Subjects
Male, Child, Preschool, Humans, Infant, Female, Urography, Child, Wilms Tumor, Kidney Neoplasms
Published
1982

20. [Selected measurements of the skull in children with cleft defects of the face]

Author

E, Florczak-Mikicińska

Subjects
Cleft Palate, Male, Radiography, Pierre Robin Syndrome, Cephalometry, Child, Preschool, Skull, Humans, Infant, Female
Abstract

In available literature there are many controversion ablut influence of cleft of face on her development. In 48 children with cleft palate and in 45 children with Pierre Robin syndrome on estimated the next measurements: a) the lenght of the skull, b) the length of the anterior fossa cranii , c) the relative length of the maxilla, d) the height of the face, e) the relative length of mandible, f) the angle of the mandible. In children with Pierre-Robin syndrome there was decreased the length of mandible and the length of the anterior fossa cranii and increased the height of face. In children with cleft palate there was decreased the lenght of the maxilla.

Published
1983

22. [Importance of roentgenological examinations in children with ovarian tumors]

Author

E, Florczak-Mikicińska, S, Winnicki, and G, Kubicka

Subjects
Ovarian Neoplasms, Teratoma, Dysgerminoma, Diagnosis, Differential, Radiography, Neuroblastoma, Urinary Bladder Neoplasms, Abdominal Neoplasms, Humans, Mesenchymoma, Female, Child, False Negative Reactions, Granulosa Cell Tumor
Published
1983

24. [Roentgenologic findings in the urinary tract of children with spina bifida and meningomyelocele]

Author

S, Winnicki, W, Pruszyńska-Podemska, and E, Florczak-Mikicińska

Subjects
Male, Vesico-Ureteral Reflux, Sacrum, Lumbar Vertebrae, Meningomyelocele, Pyelonephritis, Infant, Newborn, Infant, Hydronephrosis, Spina Bifida Occulta, Thoracic Vertebrae, Radiography, Humans, Female
Abstract

In the years 1972-1979, 63 infants with spina bifida and myelomeningocele were under observation: in this group there were 29 boys and 34 girls, newborns and infants constituted 51% of this group. In 54 children spina bifida is observed in lumbar and/or lumborsacral segments of spine. In the roentgenographic evaluation the congenital malformations of urinary tract were present in 13% cases. Congenital skeletal malformations were coexistent in 9% children. In the first I.V.P. the roentgen appearance of hydronephrosis were manifested in 33%, in cystography abnormal picture was observed in 80% cases. The changes in neurogenic bladder were: trabeculated wall, obstructions of the flow of urine, residual urine and in 38% cases reflux into the kidney. Spontaneous flow of urine and normal micturition cystography is observed only in children, in which spina bifida was stated below second lumbar vertebral segment. No correlation exists between the level of spina bifida and radiological image of urinary tract.

Published
1983

26. [Juvenile idiopathic osteoporosis]

Author

E, Florczak-Mikicińska

Subjects
Radiography, Calcaneus, Humans, Osteoporosis, Female, Femur, Child, Thoracic Vertebrae
Published
1985

29. [Early diagnosis of multiple sclerosis]

Author

M, Cendrowska, J, Czochańska, and E, Florczak-Mikícińska

Subjects
Multiple Sclerosis, Time Factors, Child, Preschool, Age Factors, Humans, Infant, Prospective Studies, Child, Follow-Up Studies
Abstract

Tuberous sclerosis belongs to the diseases diagnosed usually at pre-school or school age. Pringle's naevus ist the basic sing indicating the diagnosis. Genetic determination of the disease makes possibly early diagnosis necessary for correct genetic counselling. In the light of long-term observations of children with tuberous sclerosis the authors discuss the problems connected with early diagnosis of this condition evaluating the diagnostic usefulness of various signs and symptoms of the disease, and the usefulness of radiological examination methods. The importance of computer tomography for early diagnosis, and of family examination in cases of tuberous sclerosis is emphasized.

Published
1983

30. [X-ray findings in histiocytosis X (author's transl)]

Author

E, Florczak-Mikicińska, D, Perek, and W, Pruszyńska-Podemska

Subjects
Male, Radiography, Histiocytosis, Langerhans-Cell, Child, Preschool, Age Factors, Humans, Infant, Female, Child, Bone and Bones
Published
1981

31. [Radiographic evaluation of upper calyx syndrome]

Author

S, Winnicki, E, Florczak-Mikicińska, and W, Pruszyńska-Podemska

Subjects
Male, Pyelonephritis, Child, Preschool, Infant, Newborn, Humans, Infant, Female, Kidney Pelvis, Urography, Child, Kidney Calices
Abstract

Upper calyx syndrome in children was first described in 1968. It may be caused by dysmorphy, organic narrowing and vascular compression. The purpose of this report is estimation the frequency of this syndrome in children with chronic pyelonephritis, its clinical significance and determination the test of roentgenological diagnosis. In 21 cases (5% children with chronic pyelonephritis) there were changes in upper calyx. The main cause of this changes was vascular compression (4,3%). Clinical significance of upper calyx syndrome is big, because in all the cases there was chronic infection of genitourinary tract. The roentgenological signs of upper calyx syndrome are; obstruction at the infundibulum, significant distending of calyx and delayed emptying at intravenous pyelography.

Published
1984

35. [Diagnosis of subdural hygroma in infants]

Author

J, Czochańska, E, Florczak, and T, Zardecka

Subjects
Male, Lymphangioma, Brain Neoplasms, Age Factors, Humans, Infant, Female, Subdural Space, Syndrome
Published
1973

38. Outcomes of cardiac surgical treatment for carcinoid heart disease.

Author

Konsek-Komorowska SJ, Kolasińska-Ćwikła AD, Różański J, Bartuś K, Kuriata J, Konka M, Sitkowska-Rysiak E, Michałowska I, Florczak E, Jaworska-Wilczyńska M, Januszewicz A, Hryniewiecki T, Ćwikła JB, and Pęczkowska M

Subjects
Echocardiography, Humans, Carcinoid Heart Disease complications, Carcinoid Heart Disease surgery, Cardiac Surgical Procedures
Published
2022
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39. Genetic Study of PHACTR1 and Fibromuscular Dysplasia, Meta-Analysis and Effects on Clinical Features of Patients: The ARCADIA-POL Study.

Author

Warchol-Celinska E, Berrandou T, Prejbisz A, Georges A, Dupré D, Januszewicz M, Florczak E, Jozwik-Plebanek K, Dobrowolski P, Smigielski W, Drygas W, Kadziela J, Witkowski A, Kabat M, Szczerbo-Trojanowska M, Pappaccogli M, Persu A, Jeunemaitre X, Januszewicz A, and Bouatia-Naji N

Subjects
Adult, Aneurysm etiology, Computed Tomography Angiography, Contraceptives, Oral adverse effects, Dizziness etiology, Female, Fibromuscular Dysplasia complications, Fibromuscular Dysplasia diagnostic imaging, Genetic Predisposition to Disease, Genotype, Headache etiology, Humans, Hypertension genetics, Male, Middle Aged, Polymorphism, Single Nucleotide, Registries statistics & numerical data, Stroke etiology, Tinnitus etiology, Fibromuscular Dysplasia genetics, Hypertension, Renovascular genetics, Microfilament Proteins genetics
Published
2020
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40. Dissecting visceral fibromuscular dysplasia reveals a new vascular phenotype of the disease: a report from the ARCADIA-POL study.

Author

Warchoł-Celińska E, Pieluszczak K, Pappaccogli M, Soplińska A, Prejbisz A, Dobrowolski P, Klisiewicz A, Kądziela J, Falkowski A, Śmigielski W, Florczak E, Jóźwik-Plebanek K, Michałowska I, Kabat M, Zgorzelski C, Madej K, Nazarewski S, Smólski M, Olewnik Ł, Litwin M, Szczerbo-Trojanowska M, Zieniewicz K, Drygas W, Rowiński O, Witkowski A, Adlam D, Van der Niepen P, Persu A, Januszewicz A, and Januszewicz M

Subjects
Adult, Aged, Biological Specimen Banks, Blood Pressure Monitoring, Ambulatory, Carotid Arteries physiopathology, Female, Fibromuscular Dysplasia diagnostic imaging, Fibromuscular Dysplasia physiopathology, Humans, Hypertension diagnostic imaging, Hypertension physiopathology, Kidney physiopathology, Male, Middle Aged, Phenotype, Prevalence, Tomography, X-Ray Computed, Ultrasonography, Doppler, Carotid Arteries diagnostic imaging, Fibromuscular Dysplasia epidemiology
Abstract

Objective: Visceral artery fibromuscular dysplasia (VA FMD) manifestations range from asymptomatic to life-threatening. The aim of the study is to evaluate the prevalence and clinical characteristics of VA FMD., Methods: A total of 232 FMD patients enrolled into ongoing ARCADIA-POL study were included in this analysis. All patients underwent detailed clinical evaluation including ambulatory blood pressure monitoring, biobanking, duplex Doppler of carotid and abdominal arteries and whole body angio-computed tomography. Three control groups (patients with renal FMD without visceral involvement, healthy normotensive patients and resistant hypertensive patients) matched for age and sex were included., Results: VA FMD was present in 32 patients (13.8%). Among these patients (women: 84.4%), FMD lesions were more frequent in celiac trunk (83.1%), 62.5% of patients showed at least one visceral aneurysm, and five patients presented with severe complications related to VA FMD. No demographic differences were found between patients with VA FMD and individuals from the three control groups, with the exception of lower weight (P < 0.001) and BMI (P < 0.001) in VA FMD patients. Patients with FMD (with or without visceral artery involvement) showed significantly smaller visceral arterial diameters compared with controls without FMD., Conclusion: Patients with FMD showed smaller visceral arterial diameters when compared with patients without FMD. This may reflect a new phenotype of FMD, as a generalized arteriopathy, what needs further investigation. Lower BMI in patients with VA FMD might be explained by chronic mesenteric ischemia resulting from FMD lesions. FMD visceral involvement and visceral arterial aneurysms in patients with renal FMD are far to be rare. This strengthens the need for a systematic evaluation of all vascular beds, including visceral arteries, regardless of initial FMD involvement.

Published
2020
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41. Systematic and Multidisciplinary Evaluation of Fibromuscular Dysplasia Patients Reveals High Prevalence of Previously Undetected Fibromuscular Dysplasia Lesions and Affects Clinical Decisions: The ARCADIA-POL Study.

Author

Warchol-Celinska E, Prejbisz A, Dobrowolski P, Klisiewicz A, Kadziela J, Florczak E, Michalowska I, Jozwik-Plebanek K, Kabat M, Kwiatek P, Nazarewski S, Madej K, Rowinski O, Swiatlowski L, Peczkowska M, Hanus K, Talarowska P, Smolski M, Kowalczyk K, Kurkowska-Jastrzebska I, Stefanczyk L, Wiecek A, Widecka K, Tykarski A, Stryczynski L, Litwin M, Hoffman P, Witkowski A, Szczerbo-Trojanowska M, Januszewicz M, and Januszewicz A

Subjects
Adolescent, Adult, Aged, Aged, 80 and over, Child, Clinical Decision-Making, Computed Tomography Angiography, Female, Humans, Male, Middle Aged, Prospective Studies, Registries, Whole Body Imaging, Young Adult, Aorta, Abdominal diagnostic imaging, Carotid Arteries diagnostic imaging, Cerebral Arteries diagnostic imaging, Fibromuscular Dysplasia diagnostic imaging
Abstract

Fibromuscular dysplasia (FMD), regarded as a generalized vascular disease, may affect all vascular beds and may result in arterial stenosis, occlusion, aneurysm, or dissection. It has been proposed to systematically evaluate all vascular beds in patients with FMD, regardless of initial FMD involvement. However, the impact of this approach on clinical decisions and on management is unknown. Within the prospective ARCADIA-POL study (Assessment of Renal and Cervical Artery Dysplasia-Poland), we evaluated 232 patients with FMD lesions confirmed in at least one vascular bed, out of 343 patients included in the registry. All patients underwent a detailed clinical evaluation including computed tomography angiography of intracranial and cervical arteries, as well as computed tomography angiography of the abdominal aorta, its branches, and upper and lower extremity arteries. In the study group, FMD lesions were most frequently found in renal arteries (87.5%). FMD was also found in cerebrovascular (24.6%), mesenteric (13.8%), and upper (3.0%) and lower extremity (9.9 %) arteries. Newly diagnosed FMD lesions were found in 34.1% of the patients, and previously undetected vascular complications were found in 25% of the patients. Among all FMD patients included in the study, one out of every 4 evaluated patients qualified for interventional treatment due to newly diagnosed FMD lesions or vascular complications. The ARCADIA-POL study shows for the first time that the systematic and multidisciplinary evaluation of patients with FMD based on a whole-body computed tomography angiography scan has an impact on their clinical management. This proved the necessity of the systematic evaluation of all vascular beds in patients with FMD, regardless of initial FMD involvement.

Published
2020
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42. Mechanisms of Myocardial Infarction in Patients With Nonobstructive Coronary Artery Disease: Results From the Optical Coherence Tomography Study.

Author

Opolski MP, Spiewak M, Marczak M, Debski A, Knaapen P, Schumacher SP, Staruch AD, Grodecki K, Chmielak Z, Lazarczyk H, Kukula K, Tyczynski P, Pregowski J, Dabrowski M, Kadziela J, Florczak E, Skrobisz A, and Witkowski A

Subjects
Adult, Aged, Coronary Angiography, Coronary Artery Disease complications, Coronary Artery Disease pathology, Coronary Thrombosis diagnostic imaging, Coronary Thrombosis etiology, Coronary Vessels pathology, Female, Humans, Magnetic Resonance Imaging, Cine, Male, Middle Aged, Myocardial Infarction etiology, Myocardial Infarction pathology, Predictive Value of Tests, Prospective Studies, Risk Factors, Rupture, Spontaneous, Young Adult, Coronary Artery Disease diagnostic imaging, Coronary Vessels diagnostic imaging, Myocardial Infarction diagnostic imaging, Plaque, Atherosclerotic, Tomography, Optical Coherence
Abstract

Objectives: This study sought to assess the presence and morphological features of coronary plaques on optical coherence tomography (OCT) as the causes of myocardial infarction with nonobstructive coronary arteries (MINOCA)., Background: Although coronary atherosclerosis has been postulated as a potential mechanism of MINOCA, the interaction between disrupted coronary plaques and myocardial injury remains unknown., Methods: In a prospective study, consecutive patients with MI but without significant coronary stenosis (≥50%) at angiography underwent OCT and cardiac magnetic resonance (CMR) with late gadolinium-enhancement (LGE). The infarct-related artery (IRA) was identified by localization of ischemic-type LGE., Results: Thirty-eight MINOCA patients (mean age 62 ± 13 years, 55% female, 39% with ST-segment elevation) were enrolled. Maximal diameter stenosis was 35% by angiography, and 5 patients (13%) had normal angiogram results. Plaque disruption and coronary thrombus were observed in 9 patients (24%) and 7 patients (18%), respectively. Sixteen of 31 patients (52%) undergoing CMR showed LGE. Ischemic-type LGE was present in 7 patients (23%) and was more common in patients with than without plaque disruption (50% vs. 13%, respectively; p = 0.053) and coronary thrombus (67% vs. 12%, respectively; p = 0.014). In the per-lesion analysis, the IRA showed significantly more plaque disruption (40% vs. 6%; p = 0.02), thrombus (50% vs. 4%; p = 0.014), and thin-cap fibroatheroma (70% vs. 30%; p = 0.03) than the non-IRA., Conclusions: Plaque disruption and thrombus are not uncommon in MI without obstructive coronary stenoses at angiography and may be associated with the presence and location of ischemic-type myocardial injury on CMR. OCT may be valuable in identifying atherosclerotic etiology in individuals with MINOCA. (Optical Coherence Tomography in Patients With Acute Myocardial Infarction and Nonobstructive Coronary Artery Disease [SOFT-MI]; NCT02783963)., (Copyright © 2019 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.)

Published
2019
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43. Association of intrarenal blood flow with renal function and target organ damage in hypertensive patients with fibromuscular dysplasia: the ARCADIA-POL study.

Author

Januszewicz M, Januszewicz A, Michałowska I, Klisiewicz A, Dobrowolski P, Warchoł-Celińska E, Jóźwik-Plebanek K, Witkowski A, Kądziela J, Kowalczyk K, Ziębka J, Talarowska P, Kabat M, Florczak E, Pręgowska-Chwała B, Tykarski A, Stryczyński Ł, Stefańczyk L, Litwin M, Widecka K, Adamczak M, Szczerbo-Trojanowska M, Hoffman P, Więcek A, and Prejbisz A

Subjects
Adult, Aged, Case-Control Studies, Correlation of Data, Female, Fibromuscular Dysplasia physiopathology, Humans, Hypertension, Renal physiopathology, Kidney diagnostic imaging, Male, Middle Aged, Poland, Renal Artery Obstruction physiopathology, Renal Circulation, Risk Factors, Vascular Stiffness, Fibromuscular Dysplasia complications, Hypertension, Renal complications, Kidney physiopathology, Renal Artery Obstruction complications, Vascular Resistance
Abstract

INTRODUCTION Data on the assessment of intrarenal blood flow parameters in patients with renal fibromuscular dysplasia (FMD) are scarce. OBJECTIVES The aim of the study was to evaluate intrarenal blood flow parameters in patients with FMD and significant or nonsignificant renal artery stenosis (RAS). PATIENTS AND METHODS We evaluated intrarenal blood flow parameters by Doppler ultrasonography in 153 patients with renal FMD enrolled in the ARCADIA‑POL study: 32 and 121 patients with and without significant RAS, respectively, compared with 60 matched patients with essential hypertension and 60 healthy controls. RESULTS Patients with FMD and significant RAS had a lower renal resistive index (RRI) compared with patients with FMD without significant RAS, patients with essential hypertension, and normotensive controls (mean [SD], 0.51 [0.08] vs 0.60 [0.07], 0.62 [0.06], and 0.61 [0.06], respectively; P <0.001). In patients with nonsignificant RAS, RRI correlated significantly with carotid intima-media thickness, 24‑hour diastolic blood pressure, 24‑hour pulse pressure, left ventricular diastolic function, known duration time of hypertension, and age. In patients with significant RAS, there was a significant correlation between RRI and known duration time of hypertension, left ventricular diastolic function, and age. In a separate, "per‑kidney" analysis, renal arteries with FMD and significant RAS were characterized by lower RRI values, higher maximal blood flow velocity, higher renal aortic ratio, and longer acceleration time compared with renal arteries with FMD and nonsignificant RAS as well as renal arteries without FMD. CONCLUSIONS In contrast to atherosclerotic RAS, intrarenal blood flow in patients with FMD and RAS is preserved, confirming that renal vasculature is relatively intact in these patients.

Published
2019
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44. High incidence and clinical characteristics of fibromuscular dysplasia in patients with spontaneous cervical artery dissection: The ARCADIA-POL study.

Author

Talarowska P, Dobrowolski P, Klisiewicz A, Kostera-Pruszczyk A, Członkowska A, Kurkowska-Jastrzębska I, Gąsecki D, Warchoł-Celińska E, Światłowski Ł, Florczak E, Januszewicz M, Michałowska I, Józwik-Plebanek K, Szczudlik P, Błażejewska-Hyżorek B, Protasiewicz M, Odrowąż-Pieniążek P, Tekieli Ł, Michel-Rowicka K, Hanus K, Widecka K, Sołtysiak M, Tykarski A, Stryczyński Ł, Szczerbo-Trojanowska M, Hoffman P, Prejbisz A, and Januszewicz A

Subjects
Adult, Blood Pressure Monitoring, Ambulatory, Comorbidity, Computed Tomography Angiography, Echocardiography, Female, Fibromuscular Dysplasia diagnosis, Fibromuscular Dysplasia physiopathology, Humans, Hypertension diagnosis, Hypertension epidemiology, Hypertension physiopathology, Incidence, Male, Middle Aged, Poland epidemiology, Prospective Studies, Risk Factors, Sex Factors, Vertebral Artery Dissection diagnosis, Vertebral Artery Dissection physiopathology, Whole Body Imaging, Cervical Vertebrae blood supply, Fibromuscular Dysplasia epidemiology, Vertebral Artery Dissection epidemiology
Abstract

The association between fibromuscular dysplasia (FMD) and spontaneous cervical artery dissection (SCeAD) has been recognized, but the available evidence on this relationship is scant. Therefore, the main goal of our study was to systematically evaluate FMD frequency, clinical characteristics and vascular bed involvement in patients with SCeAD. Among 230 patients referred to the ARCADIA-POL study, 43 patients (mean age 44.1 ± 8.9 years; 15 men and 28 women) with SCeAD were referred. Also, 135 patients with FMD were compared to patients with and without SCeAD. Patients underwent: ambulatory blood pressure measurements, biochemical evaluation, echocardiographic examination, and whole body computed tomographic angiography. FMD changes were found in 39.5% of patients with SCeAD. There were no differences in clinical characteristics between patients with SCeAD and FMD and those without FMD, except for a tendency towards a higher female ratio in SCeAD patients with FMD. There were no differences in other parameters describing target organ and SCeAD characteristics. Patients with SCeAD and FMD compared to those without SCeAD were characterized by a lower frequency of hypertension and a higher frequency of hyperlipidemia and history of contraceptive hormone use. Our study indicates a high incidence (39.5%) of FMD in subjects with SCeAD. Since there are no distinctive discriminating factors between patients with SCeAD and FMD and those without FMD, FMD should be suspected in all patients with SCeAD.

Published
2019
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45. Prevalence of smoking and clinical characteristics in fibromuscular dysplasia. The ARCADIA-POL study.

Author

Dobrowolski P, Januszewicz M, Witowicz H, Warchoł-Celińska E, Klisiewicz A, Skrzypczyńska-Banasik U, Kabat M, Kowalczyk K, Aniszczuk-Hybiak A, Florczak E, Witkowski A, Tykarski A, Widecka K, Szczerbo-Trojanowska M, Śmigielski W, Drygas W, Michałowska I, Hoffman P, Prejbisz A, and Januszewicz A

Subjects
Aneurysm, Case-Control Studies, Dissection statistics & numerical data, Female, Fibromuscular Dysplasia complications, Fibromuscular Dysplasia epidemiology, Humans, Hypertension, Male, Middle Aged, Prevalence, Registries, Renal Artery Obstruction complications, Smoking epidemiology, Fibromuscular Dysplasia etiology, Smoking adverse effects
Abstract

Purpose: Smoking was identified as a potential factor contributing to fibromuscular dysplasia (FMD). To evaluate the prevalence of smoking and clinical characteristics in FMD subjects., Material and Methods: We analysed 190 patients with confirmed FMD in at least one vascular bed. The rate of smokers in FMD patients was compared to that in two control groups selected from a nationwide survey., Results: The rate of smokers in FMD patients was 42.6%. There were no differences in frequency of smokers between FMD patients and: a group of 994 matched control subjects from general population and a group of matched hypertensive subjects. There were no differences in the characteristics of FMD (including rates of multisite FMD and significant renal artery stenosis) and its complications (including rates of dissections and aneurysms) between smokers and non-smokers. Smokers as compared with non-smokers were characterized by higher left ventricle mass index., Conclusions: There is no difference in the rate of smokers between FMD patients and subjects from the general population. Moreover, we did not find any association between smoking and clinical characteristics of FMD patients nor its extent and vascular complications. Our results do not support the hypothesis that smoking is involved in the pathophysiology of FMD.

Published
2019
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46. Aortopulmonary fistula secondary to giant ascending aortic aneurysm recognized by computed tomography.

Author

Michałowska I, Kuriata J, Kwiatek P, Florczak E, and Kuśmierczyk M

Subjects
Aortic Dissection complications, Aortic Dissection diagnosis, Aortic Aneurysm, Thoracic diagnosis, Arterio-Arterial Fistula diagnosis, Chronic Disease, Diagnosis, Differential, Humans, Male, Middle Aged, Severity of Illness Index, Aorta, Thoracic diagnostic imaging, Aortic Aneurysm, Thoracic complications, Arterio-Arterial Fistula etiology, Computed Tomography Angiography methods, Pulmonary Artery abnormalities, Pulmonary Artery diagnostic imaging
Published
2019
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47. Renal Denervation in Resistant Hypertension and Obstructive Sleep Apnea: Randomized Proof-of-Concept Phase II Trial.

Author

Warchol-Celinska E, Prejbisz A, Kadziela J, Florczak E, Januszewicz M, Michalowska I, Dobrowolski P, Kabat M, Sliwinski P, Klisiewicz A, Topor-Madry R, Narkiewicz K, Somers VK, Sobotka PA, Witkowski A, and Januszewicz A

Subjects
Adolescent, Adult, Aged, Blood Pressure Monitoring, Ambulatory, Echocardiography, Female, Follow-Up Studies, Humans, Hypertension diagnosis, Hypertension physiopathology, Kidney diagnostic imaging, Male, Middle Aged, Polysomnography, Prospective Studies, Sleep Apnea, Obstructive diagnosis, Sleep Apnea, Obstructive physiopathology, Time Factors, Treatment Outcome, Ultrasonography, Doppler, Young Adult, Blood Pressure physiology, Hypertension therapy, Kidney innervation, Sleep Apnea, Obstructive therapy, Sympathectomy methods
Abstract

It has been postulated that catheter-based renal denervation (RDN) may lower blood pressure (BP) and improve severity of obstructive sleep apnea (OSA) in resistant hypertensive patients. The aim of our study (NCT01366625) was to investigate in a prospective randomized trial the effect of RDN on BP and clinical course of OSA. Sixty patients with true resistant hypertension coexisting with moderate-to-severe OSA (apnea/hypopnea index, ≥15) were randomly allocated to RDN group (30 patients) and to control group (30 patients). The primary end point was reduction in office systolic BP at 3 months. Secondary end points included reduction in diastolic office and ambulatory BP, change in apnea/hypopnea index and biochemical measurements at 3 months, and change in echocardiographic measurements at 6 months. There were no differences in clinical characteristics between the groups. At 3 months in the RDN group, both office and ambulatory BP were significantly reduced, and a significant decrease in OSA severity (apnea/hypopnea index, 39.4 versus 31.2 events per hour; P =0.015) was observed. Between-group difference in apnea/hypopnea index change was significant at 0.05. At 6 months in the RDN group, reductions in office and ambulatory BP were sustained and were accompanied by significant improvement in echocardiographic measures of global longitudinal strain. There were no differences in metabolic variables in follow-up in both groups. In a randomized controlled trial, RDN lowered both office and ambulatory BP in patients with resistant hypertension and OSA. This was accompanied by improvement of the clinical severity of OSA., Clinical Trial Registration: URL: http://www.clinicaltrials.gov. Unique identifier: NCT01366625., (© 2018 American Heart Association, Inc.)

Published
2018
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48. Echocardiographic assessment of left ventricular morphology and function in patients with fibromuscular dysplasia: the ARCADIA-POL study.

Author

Dobrowolski P, Januszewicz M, Klisiewicz A, Prejbisz A, Warchoł-Celińska E, Michałowska I, Florczak E, Kożuch K, Hanus K, Aniszczuk-Hybiak A, Witowicz H, Witkowski A, Kądziela J, Kabat M, Madej K, Nazarewski S, Tykarski A, Stryczyński Ł, Szczerbo-Trojanowska M, Światłowski Ł, Kosiński P, Widecka K, Januszewicz A, and Hoffman P

Subjects
Case-Control Studies, Humans, Echocardiography methods, Fibromuscular Dysplasia diagnostic imaging, Heart Ventricles diagnostic imaging
Abstract

Objective: To provide a comprehensive assessment of left ventricle (LV) structure, and function and to detect alterations in cardiac properties in relationship to presence, subtypes and extent of fibromuscular dysplasia (FMD)., Methods: We studied 144 patients with FMD. The control group consisted of 50 matched individuals. Office and ambulatory blood pressure levels were evaluated. Echocardiography was employed to assess: left ventricular mass index (LVMI), systolic function including speckle tracking echocardiography and diastolic function assessed by mitral flow and tissue Doppler imaging., Results: There were no differences in LV morphology and function between patients with FMD and the control group. Among 128 patients with renal FMD, there were no differences in LVMI and LV systolic function between patients with unifocal and multifocal FMD. The patients with multifocal FMD were characterized by lower early diastolic velocity (e') as compared with unifocal FMD and control groups. However, in a multivariate regression model, e' was not independently correlated with FMD. There were no associations between echocardiographic indexes and vascular involvement of FMD. Also, there were no differences in LV morphology and function in patients with significant renal artery stenosis (RAS) compared with patients with history of significant RAS and patients with nonsignificant RAS., Conclusion: Our study in contrast to those with atherosclerotic RAS, did not show differences in LV morphology and function between FMD patients and matched controls. Although FMD can result in hypertension and serious vascular complications, there is no proof that it can alter LV regardless of FMD type and its extent.

Published
2018
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49. A 51-year-old patient with carcinoid heart disease and severe tricuspid regurgitation.

Author

Florczak E, Pęczkowska M, Konka M, Różański J, and Kolasińska-Ćwikła A

Subjects
Bioprosthesis, Carcinoid Heart Disease drug therapy, Female, Humans, Ileal Neoplasms pathology, Liver Neoplasms complications, Liver Neoplasms secondary, Middle Aged, Somatostatin therapeutic use, Tricuspid Valve Insufficiency diagnostic imaging, Tricuspid Valve Insufficiency surgery, Carcinoid Heart Disease complications, Heart Valve Prosthesis Implantation, Tricuspid Valve, Tricuspid Valve Insufficiency etiology
Published
2017
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50. Morning blood pressure surge and markers of cardiovascular alterations in untreated middle-aged hypertensive subjects.

Author

Pręgowska-Chwała B, Prejbisz A, Kabat M, Puciłowska B, Paschalis-Purtak K, Florczak E, Klisiewicz A, Kuśmierczyk-Droszcz B, Hanus K, Bursztyn M, and Januszewicz A

Subjects
Adult, Age Factors, Blood Pressure Determination, Carotid Arteries diagnostic imaging, Echocardiography, Doppler, Pulsed, Female, Humans, Hypertrophy, Left Ventricular diagnostic imaging, Male, Middle Aged, Retrospective Studies, Blood Pressure physiology, Carotid Intima-Media Thickness, Circadian Rhythm physiology, Essential Hypertension physiopathology, Sleep physiology
Abstract

The purpose of the study was to evaluate the degree of morning blood pressure surge (MBPS) and its relationship with markers of cardiovascular alterations in untreated middle-aged hypertensives. We studied 241 patients (mean age, 36.6 ± 10.7 years). Subjects with higher sleep-through MBPS (st-MBPS) were older (P = .003), had higher carotid intima-media thickness (cIMT) (P = .05) and lower E/A ratio (P = .01) than those with lower MBPS. Subjects with higher prewakening MBPS (pw-MBPS) had significantly higher deceleration time (P = .01) compared with those with lower pw-MBPS. St-MBPS correlated significantly with age, cIMT values, 24-hour systolic and diastolic BP, and systolic BP night-time fall. The significant correlations between pw-MBPS and cIMT values, deceleration time, 24-hour diastolic BP and systolic BP night-time fall were observed. A relationship between MBPS and cardiovascular alterations was observed both in dippers and nondippers, although in non-dippers, it was less pronounced. The results may imply a possible link between MBPS and markers of cardiovascular alterations in untreated hypertensive subjects., (Copyright © 2016 American Society of Hypertension. Published by Elsevier Inc. All rights reserved.)

Published
2016
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