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Błaszczyk R, Petniak A, Bogucki J, Kocki J, Wysokiński A, Głowniak A. Association between Resistant Arterial Hypertension, Type 2 Diabetes, and Selected microRNAs. J Clin Med 2024; 13:542. [PMID: 38256676 PMCID: PMC10816137 DOI: 10.3390/jcm13020542] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2023] [Revised: 01/12/2024] [Accepted: 01/16/2024] [Indexed: 01/24/2024] Open
Abstract
INTRODUCTION In recent years, a very close relationship between miRNA and cardiovascular diseases has been found. RAH and T2DM are accompanied by a change in the microRNA expression spectrum. OBJECTIVES This study aimed to evaluate the clinical characteristics and expression of selected microRNAs in patients with idiopathic RAH and T2DM. PATIENTS AND METHODS A total of 115 patients with RAH were included in this study. Among them were 53 patients (46.09%) with T2DM. miRNA levels were determined using quantitative real-time polymerase chain reaction. The expression of the examined genes was calculated from the formula RQ = 2-ΔΔCT. RESULTS Analysis using the Mann-Whitney U test showed a statistically significant (p < 0.05) difference in the expression of MIR1-1 (p = 0.031) and MIR195 (p = 0.042) associated with the occurrence of T2DM in the subjects. The value of MIR1-1 gene expression was statistically significantly higher in patients with T2DM (median: 0.352; mean: 0.386; standard deviation: 0.923) compared to patients without T2DM (median: 0.147; mean: -0.02; standard deviation: 0.824). The value of MIR195 gene expression was statistically significantly higher in patients with T2DM (median: 0.389, mean: 0.442; standard deviation: 0.819) compared to patients without T2DM (median: -0.027; mean: 0.08; standard deviation: 0.942). CONCLUSIONS The values of MIR1-1 and MIR195 gene expression were statistically significantly higher in patients with RAH and T2DM compared to patients with RAH and without T2DM. Further studies are necessary to precisely clarify the roles of miRNAs in patients with RAH and T2DM. They should demonstrate the utility of these genetic markers in clinical practice.
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Affiliation(s)
- Robert Błaszczyk
- Department of Cardiology, Medical University of Lublin, 20-090 Lublin, Poland
| | - Alicja Petniak
- Department of Clinical Genetics, Medical University of Lublin, 20-080 Lublin, Poland
| | - Jacek Bogucki
- Department of Organic Chemistry, Medical University of Lublin, 20-093 Lublin, Poland
| | - Janusz Kocki
- Department of Clinical Genetics, Medical University of Lublin, 20-080 Lublin, Poland
| | - Andrzej Wysokiński
- Department of Cardiology, Medical University of Lublin, 20-090 Lublin, Poland
| | - Andrzej Głowniak
- Department of Cardiology, Medical University of Lublin, 20-090 Lublin, Poland
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Wójtowicz-Marzec M, Wysokińska B, Wysokiński A. Neonatal manifestation of 22q11.2 deletion syndrome - four case reports and a mini-literature review. Ann Agric Environ Med 2023; 30:773-778. [PMID: 38153084 DOI: 10.26444/aaem/165981] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/29/2023]
Abstract
A genetic disorder caused by the microdeletion of the long arm of 22th chromosome is the most common microdeletion syndrome in humans. It is estimated that 22q11.2 deletion affects one in every 1,000 foetales and one in 4,000 live births. During the neonatal period, the 22q11.2 deletion syndrome manifests itself in children in the form of dysmorphic facial features, and the results of ultrasound imaging tests reveal thymus hypoplasia, urinary tract disorders or brain impairments. The picture is completed by congenital heart diseases which indicate a high probability of the syndrome. This report describes four cases of newborns with 22q11.2 syndrome, presenting with a variety of clinical findings typical for this genetic disorder. The patients present symptoms ranging from mild to life-threatening conditions. The severity of the congenital heart defect determines the survival rate in infancy. Each needs of each patient must be tailored to his or her specific medical problems. A holistic approach, addressing medical and behavioural needs, can be very helpful.
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Affiliation(s)
- Monika Wójtowicz-Marzec
- Department of Obstetrics and Pathology of Pregnancy, Medical University, Lublin, Poland
- Faculty of Health Sciences, Medical University, Lublin, Poland
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Topyła-Putowska W, Tomaszewski M, Wojtkowska A, Wysokiński A. Novel Echocardiographic Measurements of Right Ventricular-Pulmonary Artery Coupling in Predicting the Prognosis of Precapillary Pulmonary Hypertension. J Pers Med 2023; 13:1627. [PMID: 38138854 PMCID: PMC10744346 DOI: 10.3390/jpm13121627] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2023] [Revised: 11/13/2023] [Accepted: 11/20/2023] [Indexed: 12/24/2023] Open
Abstract
BACKGROUND Currently, there are many parameters with proven prognostic significance in pulmonary hypertension (PH). Recently, the parameters defining right ventricular-pulmonary artery coupling (RVPAC) have gained clinical importance. In our study, we investigated the prognostic potential of previously known single echocardiographic parameters and new parameters reflecting RVPAC in patients with precapillary PH. OBJECTIVE Our study aimed to evaluate the prognostic value of selected echocardiographic parameters and the neutrophil-lymphocyte ratio (NLR) in adults with precapillary PH. METHODS This study included 39 patients (74% women; average age, 63 years) with precapillary PH: pulmonary arterial hypertension (PAH) and chronic thromboembolic PH (CTEPH). The mean follow-up period was 16.6 ± 13.3 months. Twelve patients (31%) died during the observation time. We measured several echocardiographic parameters, which reflect right ventricular function, pulmonary hemodynamics, and RVPAC. To assess disease progression and the patient's functional capacity, the World Health Organization functional class (WHO FC) was determined. The patient's physical capacity was also evaluated using the 6 min walk test (6MWT). The analysis included values of the N-terminal prohormone brain natriuretic peptide (NT-proBNP) and NLR. RESULTS TAPSE × AcT and TAPSE/sPAP were shown to statistically and significantly correlate with PH predictors, including WHO-FC, 6MWT, and NT-proBNP. Univariate Cox proportional hazards regression analysis revealed that AcT, TAPSE, mPAP, TAPSE/sPAP, RAP, TRPG/AcT, TAPSE × AcT, and NLRs are good predictors of mortality in patients with PH. In addition, the ROC curve analysis showed that TAPSE × AcT is a better predictor of PH-related deaths than TAPSE/sPAP and TAPSE alone. In our study, patients with TAPSE × AcT values < 126.36 had shorter survival times (sensitivity = 72.7%; specificity = 80.0%). CONCLUSIONS TAPSE × AcT is a novel, promising, and practicable echocardiographic parameter reflecting RVPAC, which is comparable to TAPSE/sPAP. Moreover, TAPSE × AcT can be a useful parameter in assessing the severity and prognosis of patients with precapillary PH.
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Affiliation(s)
- Weronika Topyła-Putowska
- Department of Cardiology, Medical University of Lublin, 20-059 Lublin, Poland; (M.T.); (A.W.); (A.W.)
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Topyła-Putowska W, Tomaszewski M, Wojtkowska A, Styczeń A, Wysokiński A. Tricuspid Regurgitation Velocity/Tricuspid Annular Plane Systolic Excursion (TRV/TAPSE) Ratio as a Novel Indicator of Disease Severity and Prognosis in Patients with Precapillary Pulmonary Hypertension. Diseases 2023; 11:117. [PMID: 37754313 PMCID: PMC10528921 DOI: 10.3390/diseases11030117] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2023] [Revised: 09/03/2023] [Accepted: 09/06/2023] [Indexed: 09/28/2023] Open
Abstract
BACKGROUND Tricuspid annular plane systolic excursion (TAPSE) and tricuspid regurgitation velocity (TRV) are two echocardiographic parameters with prognostic value in patients with pulmonary hypertension (PH). When analyzed concurrently as the TRV/TAPSE ratio, they allow the ventricular-pulmonary artery coupling (RVPAC) to be assessed. This could better predict disease severity in patients with PH. OBJECTIVE Our study aimed to evaluate the prognostic value of the TRV/TAPSE ratio echocardiographic parameter in adults with precapillary PH. METHODS This study included 39 patients (74% women; average age, 63 years) with precapillary PH (pulmonary arterial hypertension and chronic thromboembolic PH) The mean follow-up period was 16.6 ± 13.3 months. Twelve patients (31%) died during the observation time. We measured TAPSE as a surrogate of RV contractility and TRV reflecting RV afterload, while ventricular-arterial coupling was evaluated by the ratio between these two parameters (TRV/TAPSE). To assess disease progression and the patient's functional capacity, the World Health Organization functional class (WHO FC) was determined. Patient physical capacity was also evaluated using the 6 min walk test (6MWT). The analysis included values of N-terminal prohormone brain natriuretic peptide (NT-proBNP), which were taken routinely during the follow-up visit. RESULTS The mean calculated TRV/TAPSE ratio was 0.26 ± 0.08 m/s/mm. Upon comparison of the TRV/TAPSE ratio to the disease prognostic indicators, we observed a statistically significant correlation between TRV/TAPSE and the results of the WHO FC, 6MWT, and NT-proBNP. The TRV/TAPSE ratio is thus a good predictor of mortality in PH patients (AUC, 0.781). Patients with a TRV/TAPSE ratio > 0.30 m/s/mm had a shorter survival time, with log-rank test p < 0.0001. Additionally, ROC analysis revealed higher AUC for TRV/TAPSE than for TAPSE and TRV alone. CONCLUSIONS TRV/TAPSE is a promising practicable echocardiographic parameter reflecting RVPAC. Moreover, TRV/TAPSE could be viable risk stratification parameter and could have prognostic value in patients with PH.
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Wacinski P, Madejczyk A, Kondracki B, O’Kane P, Wacinski J, Kijewski B, Kawiak A, Binko P, Głowniak A, Wysokiński A. Complex, high-risk, and indicated percutaneous coronary angioplasty in essentially calcified stented coronary lesions using excimer laser coronary atherectomy with contrast mix injection. Postepy Kardiol Interwencyjnej 2023; 19:209-216. [PMID: 37854964 PMCID: PMC10580858 DOI: 10.5114/aic.2023.131473] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2023] [Accepted: 07/03/2023] [Indexed: 10/20/2023] Open
Abstract
Introduction Complex, coronary stenosis remains a technical challenge that may be responsible for in-stent restenosis and vessel thrombosis. Here we investigated the efficacy and safety of excimer laser coronary atherectomy (ELCA) with contrast mix injection for improving vessel wall stent apposition in undilatable, mostly calcified lesions. Aim To assess ELCA with contrast mix injection in complex, stented, calcified coronary lesions. Material and methods This prospective single-center observational study enrolled 52 consecutive patients (73 lesions), with suboptimal stents implanted in de novo lesions and lesions requiring in-stent restenosis (ISR) due to stent underexpansion using all available means to achieve an optimal result. Patients presenting with ST-segment elevation myocardial infarction were excluded. All patients underwent coronary angiography 6 months after ELCA with intravascular ultrasound or optical coherence tomography study. We used contrast media mixed with saline (25-75%) to supply maximum laser energy output when a standard approach was unsuccessful. Procedural success was defined as relative stent expansion of > 80% minimal stent area (MSA) divided by average reference lumen area. Results Procedural success was achieved in all cases. The cross-sectional area measured in treated segment improved significantly from 2.9 (0.72) mm2 to 7.3 (0.79) mm2 after ELCA. The in-hospital device-oriented major adverse cardiac event (DOCE) rate was 9.6%. No vessel perforation occurred during ELCA. After 6 months, the DOCE rate was 13.4%, while the rate of target lesion revascularization (TLR) was 8.2%. Conclusions This registry confirms the efficacy and safety of ELCA with contrast mix injection as a possible approach for stent expansion/ISR in failed PCI.
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Affiliation(s)
- Piotr Wacinski
- Department of Cardiology, Medical University of Lublin, SPSK4 Hospital, Lublin, Poland
| | - Andrzej Madejczyk
- Department of Cardiology, Medical University of Lublin, SPSK4 Hospital, Lublin, Poland
| | - Bartosz Kondracki
- Department of Cardiology, Medical University of Lublin, SPSK4 Hospital, Lublin, Poland
| | - Peter O’Kane
- Dorset Heart Centre, The Royal Bournemouth Hospital, Castle Lane East, Bournemouth, Dorset, UK
| | - Jakub Wacinski
- Department of Clinical Genetics, Medical University, Lublin, Poland
| | - Bartosz Kijewski
- Department of Cardiology, Medical University of Lublin, SPSK4 Hospital, Lublin, Poland
| | - Andrzej Kawiak
- Department of Neuroinformatics and Biomedical Engineering, Institute of Computer Science, Maria Curie-Sklodowska University, Lublin, Poland
| | - Paweł Binko
- Department of Cardiology, Medical University of Lublin, SPSK4 Hospital, Lublin, Poland
| | - Andrzej Głowniak
- Department of Cardiology, Medical University of Lublin, SPSK4 Hospital, Lublin, Poland
| | - Andrzej Wysokiński
- Department of Cardiology, Medical University of Lublin, SPSK4 Hospital, Lublin, Poland
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Zawiślak J, Artykiewicz K, Stążka J, Wysokiński A, Zapolski T. Percutaneous coronary intervention for iatrogenic occlusion of the circumflex artery (Cx) following mitral valve replacement surgery. Kardiol Pol 2023:VM/OJS/J/94298. [PMID: 36929305 DOI: 10.33963/kp.a2023.0072] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2023] [Accepted: 02/19/2023] [Indexed: 03/18/2023]
Affiliation(s)
- Jacek Zawiślak
- Department of Cardiology, Medical University of Lublin, Lublin, Poland.
| | | | - Janusz Stążka
- Department of Cardiac Surgery, Medical University of Lublin, Lublin, Poland
| | | | - Tomasz Zapolski
- Department of Cardiology, Medical University of Lublin, Lublin, Poland
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7
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Jaglińska K, Polak B, Klimek-Turek A, Fornal E, Stachniuk A, Trzpil A, Błaszczyk R, Wysokiński A. Comparison of the Determination of Some Antihypertensive Drugs in Clinical Human Plasma Samples by Solvent Front Position Extraction and Precipitation Modes. Molecules 2023; 28:molecules28052213. [PMID: 36903457 PMCID: PMC10004659 DOI: 10.3390/molecules28052213] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2023] [Revised: 02/18/2023] [Accepted: 02/25/2023] [Indexed: 03/06/2023] Open
Abstract
The determination of the selected antihypertensive drugs in human plasma samples with the novel solvent front position extraction (SFPE) technique is presented. The SFPE procedure combined with LC-MS/MS analysis was used for the first time to prepare a clinical sample containing the drugs mentioned above from different therapeutic groups. The effectiveness of our approach was compared with the precipitation method. The latter technique is usually used to prepare biological samples in routine laboratories. During the experiments, the substances of interest and the internal standard were separated from other matrix components using a prototype horizontal chamber for thin-layer chromatography/high-performance thin-layer chromatography (TLC/HPTLC) with a moving pipette powered by a 3D mechanism, which distributed the solvent on the adsorbent layer. Detection of the six antihypertensive drugs was performed by liquid chromatography coupled to tandem mass spectrometry (LC-MS/MS) in multiple reaction monitoring (MRM) mode. Results obtained by SFPE were very satisfactory (linearity R2 ≥ 0.981; %RSD ≤ 6%; LOD and LOQ were in the range of 0.06-9.78 ng/mL and 0.17-29.64 ng/mL, respectively). The recovery was in the range of 79.88-120.36%. Intra-day and inter-day precision had a percentage coefficient of variation (CV) in the range of 1.10-9.74%. The procedure is simple and highly effective. It includes the automation of TLC chromatogram development, which significantly reduced the number of manual operations performed, the time of sample preparation and solvent consumption.
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Affiliation(s)
- Kamila Jaglińska
- Department of Physical Chemistry, Medical University of Lublin, Chodźki 4A, 20-093 Lublin, Poland
| | - Beata Polak
- Department of Physical Chemistry, Medical University of Lublin, Chodźki 4A, 20-093 Lublin, Poland
- Correspondence:
| | - Anna Klimek-Turek
- Department of Physical Chemistry, Medical University of Lublin, Chodźki 4A, 20-093 Lublin, Poland
| | - Emilia Fornal
- Department of Bioanalytics, Medical University of Lublin, Jaczewskiego 8b, 20-090 Lublin, Poland
| | - Anna Stachniuk
- Department of Bioanalytics, Medical University of Lublin, Jaczewskiego 8b, 20-090 Lublin, Poland
| | - Alicja Trzpil
- Department of Bioanalytics, Medical University of Lublin, Jaczewskiego 8b, 20-090 Lublin, Poland
| | - Robert Błaszczyk
- Chair and Department of Cardiology, Medical University of Lublin, Jaczewskiego 8, 20-090 Lublin, Poland
| | - Andrzej Wysokiński
- Chair and Department of Cardiology, Medical University of Lublin, Jaczewskiego 8, 20-090 Lublin, Poland
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Zawiślak J, Artykiewicz K, Styczeń A, Drozd J, Targońska S, Stążka J, Wysokiński A, Zapolski T. Surgical removal of a guidewire entrapped during recanalization of chronic total occlusion of the right coronary artery. Kardiol Pol 2023; 81:180-181. [PMID: 36354116 DOI: 10.33963/kp.a2022.0252] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2022] [Accepted: 10/20/2022] [Indexed: 03/04/2023]
Affiliation(s)
- Jacek Zawiślak
- Department of Cardiology, Medical University of Lublin, Lublin, Poland.
| | | | - Agnieszka Styczeń
- Department of Cardiology, Medical University of Lublin, Lublin, Poland
| | - Jakub Drozd
- Department of Cardiology, SP ZOZ MSWiA, Lublin, Poland
| | - Sylwia Targońska
- Department of Cardiac Surgery, Medical University of Lublin, Lublin, Poland
| | - Janusz Stążka
- Department of Cardiac Surgery, Medical University of Lublin, Lublin, Poland
| | | | - Tomasz Zapolski
- Department of Cardiology, Medical University of Lublin, Lublin, Poland
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Okruszek Ł, Chrustowicz M, Jarkiewicz M, Krawczyk M, Manera V, Piejka A, Schudy A, Wiśniewska M, Wysokiński A. Mentalizing abilities mediate the impact of the basic social perception on negative symptoms in patients with schizophrenia. J Psychiatr Res 2022; 155:85-89. [PMID: 35995018 DOI: 10.1016/j.jpsychires.2022.07.069] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/26/2022] [Revised: 07/13/2022] [Accepted: 07/30/2022] [Indexed: 10/31/2022]
Abstract
Social cognitive deficits are currently considered as one of the main predictors of clinical symptoms and functional outcome in patients with schizophrenia. Multiple studies have suggested that a two-factor solution (low-level vs. high-level) best describes the structure of social cognitive processes in patients. While higher-order processes have been repeatedly linked to negative symptoms, no such association was found for lower-level processes. Thus, the aim of the current study is to examine whether the association between basic social perception processes and symptoms in patients with schizophrenia is mediated by mentalizing abilities. One hundred thirty-nine patients have completed basic social perception (Communicative Interactions Database task CID-12) and mentalizing (Reading the Mind in the Eyes task) tasks. In line with our hypothesis, we have observed full mediation of the effects of basic social perception abilities on negative symptoms via mentalizing abilities in patients. This effect suggests that, similarly as in the case of positive symptoms, a hierarchical nature of social cognitive processes should be considered while investigating negative symptoms of schizophrenia.
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Affiliation(s)
- Ł Okruszek
- Social Neuroscience Lab, Institute of Psychology, Polish Academy of Sciences, Poland.
| | - M Chrustowicz
- Social Neuroscience Lab, Institute of Psychology, Polish Academy of Sciences, Poland
| | | | - M Krawczyk
- Social Neuroscience Lab, Institute of Psychology, Polish Academy of Sciences, Poland
| | | | - A Piejka
- Social Neuroscience Lab, Institute of Psychology, Polish Academy of Sciences, Poland
| | - A Schudy
- Faculty of Psychology, University of Warsaw, Poland
| | - M Wiśniewska
- Social Neuroscience Lab, Institute of Psychology, Polish Academy of Sciences, Poland
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Kudlicki J, Zawiślak J, Artykiewicz K, Styczeń A, Targońska S, Wójcik J, Czekajska-Chehab E, Wysokiński A, Zapolski T. Simultaneous pulmonary embolization and myocardial infarction with ST-segment elevation related to paradoxical embolization: Significance of patent foramen ovale. Kardiol Pol 2022; 80:1053-1055. [DOI: 10.33963/kp.a2022.0201] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2022] [Accepted: 08/30/2022] [Indexed: 11/15/2022]
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Kubica J, Adamski P, Ładny JR, Kaźmierczak J, Fabiszak T, Filipiak KJ, Gajda R, Gąsior M, Gąsior Z, Gil R, Gorący J, Grajek S, Gromadziński L, Gruchała M, Grześk G, Hoffman P, Jaguszewski MJ, Janion M, Jankowski P, Kalarus Z, Kasprzak JD, Kleinrok A, Kochman W, Kubica A, Kuliczkowski W, Legutko J, Lesiak M, Nadolny K, Navarese EP, Niezgoda P, Ostrowska M, Paciorek P, Siller-Matula J, Szarpak Ł, Timler D, Witkowski A, Wojakowski W, Wysokiński A, Zielińska M. Pre-hospital treatment of patients with acute coronary syndrome: Recommendations for medical emergency teams. Expert position update 2022. Cardiol J 2022; 29:540-552. [PMID: 35514089 PMCID: PMC9273237 DOI: 10.5603/cj.a2022.0026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2022] [Revised: 03/31/2022] [Accepted: 04/24/2022] [Indexed: 11/25/2022] Open
Affiliation(s)
- Jacek Kubica
- Collegium Medicum, Nicolaus Copernicus University, Bydgoszcz, Poland
| | - Piotr Adamski
- Collegium Medicum, Nicolaus Copernicus University, Bydgoszcz, Poland.
| | - Jerzy R Ładny
- Department of Emergency Medicine Medical University of Bialystok, Poland
| | | | - Tomasz Fabiszak
- Collegium Medicum, Nicolaus Copernicus University, Bydgoszcz, Poland
| | - Krzysztof J Filipiak
- Institute of Clinical Medicine, Maria Sklodowska-Curie Medical Academy, Warsaw, Poland
| | | | - Mariusz Gąsior
- 3rd Department of Cardiology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, Katowice, Poland
| | - Zbigniew Gąsior
- Department of Cardiology, Medical University of Silesia, Katowice, Poland
| | - Robert Gil
- Mossakowski Medical Research Institute, Polish Academy of Science, Warsaw, Poland
| | - Jarosław Gorący
- Independent Laboratory of Invasive Cardiology, Pomeranian Medical University, Szczecin, Poland.,Department of Cardiology, Pomeranian Medical University, Szczecin, Poland
| | - Stefan Grajek
- Ist Department of Cardiology, Poznan University of Medical Sciences, Poznań, Poland
| | - Leszek Gromadziński
- Department of Cardiology and Internal Medicine, School of Medicine, Collegium Medicum, University of Warmia and Mazury, Olsztyn, Poland
| | - Marcin Gruchała
- Ist Department of Cardiology, Medical University of Gdańsk, Poland
| | - Grzegorz Grześk
- Department of Cardiology and Clinical Pharmacology, Faculty of Health Sciences, Nicolaus Copernicus University, Toruń, Poland
| | - Piotr Hoffman
- Department of Congenital Heart Defects, National Institute of Cardiology, Warszawa, Poland
| | | | - Marianna Janion
- Institute of Medical Sciences, Collegium Medicum, Jan Kochanowski University, Kielce, Poland
| | - Piotr Jankowski
- Department of Internal Medicine and Geriatric Cardiology, Centre of Postgraduate Medical Education, Warsaw, Poland.,Department of Epidemiology and Health Promotion, School of Public Health, Centre of Postgraduate Medical Education, Warsaw, Poland
| | - Zbigniew Kalarus
- 2nd Chair and Department of Cardiology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, Katowice, Poland
| | - Jarosław D Kasprzak
- 1st Department of Cardiology, Medical University of Lodz, Bieganski Hospital, Łódź, Poland
| | - Andrzej Kleinrok
- University of Information Technology and Management in Rzeszów, Poland
| | - Wacław Kochman
- The National Institute of Cardiology, Department of Cardiology, Bielanski Hospital, Warsaw, Poland
| | - Aldona Kubica
- Collegium Medicum, Nicolaus Copernicus University, Bydgoszcz, Poland
| | | | - Jacek Legutko
- Department of Interventional Cardiology, Institute of Cardiology, Jagiellonian University Medical College, John Paul II Hospital in Krakow, Poland
| | - Maciej Lesiak
- Ist Department of Cardiology, Poznan University of Medical Sciences, Poznań, Poland
| | | | - Eliano P Navarese
- Collegium Medicum, Nicolaus Copernicus University, Bydgoszcz, Poland
| | - Piotr Niezgoda
- Collegium Medicum, Nicolaus Copernicus University, Bydgoszcz, Poland
| | | | | | - Jolanta Siller-Matula
- Department of Experimental and Clinical Pharmacology, Medical University of Warsaw, Poland.,Department of Cardiology, Medical University of Vienna, Austria
| | - Łukasz Szarpak
- Institute of Outcomes Research, Maria Sklodowska-Curie Medical Academy, Warsaw, Poland.,Research Unit, Maria Sklodowska-Curie Bialystok Oncology Center, Bialystok, Poland
| | - Dariusz Timler
- Department of Emergency Medicine and Disaster Medicine, Medical University of Lodz, Lodz, Poland
| | - Adam Witkowski
- Department of Interventional Cardiology and Angiology, National Institute of Cardiology, Warszawa, Poland
| | - Wojciech Wojakowski
- Department of Cardiology and Structural Heart Diseases, Medical University of Silesia, Katowice, Poland
| | | | - Marzenna Zielińska
- Department of Invasive Cardiology, Medical University of Lodz, Lodz, Poland
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Topyła-Putowska W, Tomaszewski M, Wysokiński A, Tomaszewski A. Echocardiography in Pulmonary Arterial Hypertension: Comprehensive Evaluation and Technical Considerations. J Clin Med 2021; 10:jcm10153229. [PMID: 34362015 PMCID: PMC8348437 DOI: 10.3390/jcm10153229] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2021] [Revised: 07/18/2021] [Accepted: 07/20/2021] [Indexed: 12/21/2022] Open
Abstract
Pulmonary arterial hypertension (PAH) is a rare, progressive disease in which there is a persistent, abnormal increase in pulmonary artery pressure. Symptoms of pulmonary hypertension are nonspecific and mainly associated with progressive right ventricular failure. The diagnosis of PAH is a multistep process and often requires the skillful use of several tests. The gold standard for the diagnosis of PAH is hemodynamic testing. Echocardiography currently plays an important role in the diagnostic algorithm of PAH as it is minimally invasive and readily available. Moreover, many echocardiographic parameters are closely related to pulmonary hemodynamics. It allows assessment of the right heart′s structure and function, estimation of the pressure in the right ventricle, right atrium, and pulmonary trunk, and exclusion of other causes of elevated pulmonary bed pressure. Echocardiographic techniques are constantly evolving, and recently, measurements made using new techniques, especially 3D visualization, have become increasingly important. In echocardiographic assessment, it is crucial to know current guidelines and new reports that organize the methodology and allow standardization of the examination. This review aims to discuss the different echocardiographic techniques used to evaluate patients with PAH.
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Szymański P, Gackowski A, Mizia-Stec K, Kasprzak JD, Lipczyńska M, Lipiec P, Trojnarska O, Wejner-Mik P, Sorysz D, Sobkowicz B, Oko-Sarnowska Z, Wysokiński A, Szyszka A, Płońska-Gościniak E, Gąsior Z, Ciurzyński M, Pasierski T, Hoffman P. Echocardiography during the coronavirus disease 2019 pandemic - the impact of the vaccination program. A 2021 update of the expert opinion of the Working Group on Echocardiography of the Polish Cardiac Society. Kardiol Pol 2021; 79:595-603. [PMID: 34125943 DOI: 10.33963/kp.15973] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2021] [Accepted: 06/08/2021] [Indexed: 11/23/2022]
Abstract
The coronavirus disease 2019 (COVID-19) pandemic resulted in an urgent need to reorganize the work of echocardiography laboratories in order to ensure the safety of patients and the protection of physicians, technicians, and other staff members. In the previous Expert Opinion of the Working Group on Echocardiography of Polish Cardiac Society we provided recommendations for the echocardiographic services, in order to ensure maximum possible safety and efficiency of imagers facing epidemic threat. Now, with much better knowledge and larger experience in treating COVID-19 patients and with introduction of vaccination programs, we present updated recommendations for performing transthoracic and transesophageal examinations, including information on the potential impact of personnel and the patient vaccination program, and growing numbers of convalescents on performance of echocardiographic laboratories, with the goal of their ultimate reopening.
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Affiliation(s)
- Piotr Szymański
- Clinical Cardiology Center, Central Clinical Hospital of the Ministry of the Interior in Warsaw and Center of Postgraduate Medical Education, Warszawa, Poland.
| | - Andrzej Gackowski
- Jagiellonian University, Medical College, Institute of Cardiology, Department of Coronary Disease and Heart Failure, Noninvasive Cardiovascular Laboratory, John Paul II Hospital, Kraków, Poland
| | - Katarzyna Mizia-Stec
- 1st Department of Cardiology, Medical University of Silesia in Katowice, Katowice, Poland
| | - Jarosław D Kasprzak
- 1st Department of Cardiology, Medical University of Lodz, Bieganski Hospital, Łódź, Poland
| | - Magdalena Lipczyńska
- Department of Congenital Heart Disease, National Institute of Cardiology, Warszawa, Poland
| | - Piotr Lipiec
- Department of Rapid Cardiac Diagnostics, Medical University of Lodz, Łódź, Poland
| | - Olga Trojnarska
- 1st Department of Cardiology, Poznan University of Medical Sciences, Poznań, Poland
| | - Paulina Wejner-Mik
- 1st Department of Cardiology, Medical University of Lodz, Bieganski Hospital, Łódź, Poland
| | - Danuta Sorysz
- Department of Cardiology and Cardiovascular Interventions, University Hospital, Kraków, Poland
| | - Bożena Sobkowicz
- Department of Cardiology, Medical University in Bialystok, Białystok, Poland
| | - Zofia Oko-Sarnowska
- 1st Department of Cardiology, Poznan University of Medical Sciences, Poznań, Poland
| | - Andrzej Wysokiński
- Department of Cardiology, Pomeranian Medical University, Szczecin, Poland
| | - Andrzej Szyszka
- 2nd Department of Cardiology, Poznan University of Medical Sciences, Poznań, Poland
| | | | - Zbigniew Gąsior
- Department of Cardiology, Medical University of Silesia in Katowice, Katowice, Poland
| | - Michał Ciurzyński
- Department of Internal Medicine and Cardiology Medical University of Warsaw, Warszawa, Poland
| | - Tomasz Pasierski
- Department of Medical Ethics and Palliative Medicine, Warsaw Medical University, Warszawa, Poland
| | - Piotr Hoffman
- Department of Congenital Heart Disease, National Institute of Cardiology, Warszawa, Poland
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Budnik M, Piątkowski R, Zaleska M, Ochijewicz D, Zalewska-Adamiec M, Rajtar-Salwa R, Susuł M, Marona M, Wojtkowska A, Klotzka A, Iwańczyk S, Duda-Pyszny D, Legutko J, Gąsior M, Lesiak M, Kaźmierczak J, Wysokiński A, Ponikowski P, Leszek P, Bartuś S, Dobrzycki S, Opolski G. Pol-tako - the first, nationwide Polish multicenter analysis of patients with takotsubo syndrome. Kardiol Pol 2021; 79:867-869. [PMID: 34125949 DOI: 10.33963/kp.a2021.0037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2021] [Accepted: 06/14/2021] [Indexed: 11/23/2022]
Affiliation(s)
- Monika Budnik
- 1st Chair and Department of Cardiology, Medical University of Warsaw, Warszawa, Poland.
| | - Radosław Piątkowski
- 1st Chair and Department of Cardiology, Medical University of Warsaw, Warszawa, Poland
| | - Martyna Zaleska
- 1st Chair and Department of Cardiology, Medical University of Warsaw, Warszawa, Poland
| | - Dorota Ochijewicz
- 1st Chair and Department of Cardiology, Medical University of Warsaw, Warszawa, Poland
| | | | - Renata Rajtar-Salwa
- Department of Cardiology and Cardiovascular Interventions, University Hospital, Kraków, Poland
| | - Michał Susuł
- Department of Cardiology and Cardiovascular Interventions, University Hospital, Kraków, Poland
| | - Miłosz Marona
- Department of Intensive Cardiac Care, The National Institute of Cardiology, Warszawa, Poland
| | | | - Aneta Klotzka
- 1st Department of Cardiology, Poznan University of Medical Sciences, Poznań, Poland
| | - Sylwia Iwańczyk
- 1st Department of Cardiology, Poznan University of Medical Sciences, Poznań, Poland
| | - Dominika Duda-Pyszny
- Department of Cardiology, SMDZ in Zabrze,Medical University in Katowice, Silesian Center for Heart Diseases, Zabrze, Poland
| | - Jacek Legutko
- Jagiellonian University Medical College, Faculty of Medicine, Institute of Cardiology, Department of Interventional Cardiology, John Paul II Hospital, Kraków, Poland
| | - Mariusz Gąsior
- Department of Cardiology, SMDZ in Zabrze,Medical University in Katowice, Silesian Center for Heart Diseases, Zabrze, Poland
| | - Maciej Lesiak
- 1st Department of Cardiology, Poznan University of Medical Sciences, Poznań, Poland
| | | | | | - Piotr Ponikowski
- Department of Heart Diseases, Wroclaw Medical University, Wrocław, Poland
| | - Przemysław Leszek
- Department of Heart Failure and Transplantology, The National Institute of Cardiology, Warszawa, Poland
| | - Stanisław Bartuś
- Department of Cardiology and Cardiovascular Interventions, University Hospital, Kraków, Poland
| | - Sławomir Dobrzycki
- Department of Invasive Cardiology, Medical University of Bialystok, Białystok, Poland
| | - Grzegorz Opolski
- 1st Chair and Department of Cardiology, Medical University of Warsaw, Warszawa, Poland
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Nasiłowska-Barud A, Zapolski T, Barud M, Wysokiński A. An analysis of anxiety and selected aspects of personality in women with ischemic heart disease according to P.T. Costa and R. R. McCrae theory - The role of psychosocial factors in ischemic heart disease. Ann Agric Environ Med 2021; 28:107-113. [PMID: 33775075 DOI: 10.26444/aaem/118430] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
INTRODUCTION Risk factors for ischemic heart disease (IHD) are very numerous and not fully defined. In addition to classic risk factors, different factors are also distinguished, among them psychological aspects chich have rarely been subject to detailed analyses. OBJECTIVE The aim of study was an analysis of the anxiety structure, including the five factors of personality: neuroticism (NEU), extraversion (EXT), openness (OPE), agreeableness (AGR) and conscientiousness (CON), in women with IHD. MATERIAL AND METHODS The study involved 140 women aged 37-74 years with IHD confirmed by coronary angiography. Psychological examination was conducted using R.B. Cattell's IPAT Anxiety Scale and P.T. Costa and R.R. McCrae's NEO-FFI Personality Inventory. RESULTS The results obtained from the IPAT Anxiety Scale showed that the study group of 140 women with IHD had the correct level of internal integrity (Q3- ). The dominant factor in the anxiety structure in 88.7% of subjects was neurotic tension (Q4+). A lack of sense of safety was indicated by 72.6% of subjects (L+), 69.3% experienced a strong tendency to self-blame and experience a sense of guilt (O + ), and over 51.6% of women with IHD expressed decreased emotional stability (C - ). The level of general anxiety was high (GA=7.3). The analysis of the five factors of personality revealed that the dominant factors in the structure of personality of women with IHD were CON in 69.3%, AGR in 46.7% and EXT in 45.2%. NEU and OPE were moderately significant factors. CONCLUSIONS Women with IHD are characterised by a high level of anxiety, increased neurotic tension, decreased emotional stability, auto-aggression and a sense of danger and distrust. Women with IHD demonstrate a high level of factors, such as extraversion, agreeableness and conscientiousness.
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Affiliation(s)
| | - Tomasz Zapolski
- Department of Cardiology, Medical University, Lublin, Poland
| | - Małgorzata Barud
- Department of Anaesthesiology and Intensive Therapy, Medical University, Lublin, Poland
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Styczeń A, Kozak M, Karaś-Głodek M, Czekajska-Chehab E, Tomaszewski A, Wysokiński A, Zapolski T. Atypical Cardiac Location of Melanoma of Unknown Origin. ACTA ACUST UNITED AC 2021; 57:medicina57020107. [PMID: 33503841 PMCID: PMC7911921 DOI: 10.3390/medicina57020107] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2020] [Revised: 01/20/2021] [Accepted: 01/22/2021] [Indexed: 11/16/2022]
Abstract
The subject was a 66-year-old woman, suffering from the chest pain evoked by physical activity. Transthoracic echocardiography (TTE) revealed an abnormal structure, 41 × 29 mm. In MSCT, a hypodensic mobile tissue lesion that was infiltrating the whole thickness of left ventricle was confirmed. PET excluded the existence of other remote lesions. After surgical tumor removal, histopathological differential diagnosis revealed melanoma, myoepithelial cancer, and MPNST “high–grade” sarcoma. A control TTE detected a tumor that was 14 × 10 mm. After immunohistochemical results, immunotherapy with pembrolizumab was used, which resulted in complete tumor resolution. Presently, surgical resection and neoadjuvant targeted immunochemotherapy remain the treatment of choice for clinical stage III/IV melanoma.
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Affiliation(s)
- Agnieszka Styczeń
- Department of Cardiology, Medical University of Lublin, Jaczewskiego 8, 20-954 Lublin, Poland; (A.S.); (M.K.); (M.K.-G.); (A.T.); (A.W.)
| | - Mariusz Kozak
- Department of Cardiology, Medical University of Lublin, Jaczewskiego 8, 20-954 Lublin, Poland; (A.S.); (M.K.); (M.K.-G.); (A.T.); (A.W.)
| | - Marta Karaś-Głodek
- Department of Cardiology, Medical University of Lublin, Jaczewskiego 8, 20-954 Lublin, Poland; (A.S.); (M.K.); (M.K.-G.); (A.T.); (A.W.)
| | | | - Andrzej Tomaszewski
- Department of Cardiology, Medical University of Lublin, Jaczewskiego 8, 20-954 Lublin, Poland; (A.S.); (M.K.); (M.K.-G.); (A.T.); (A.W.)
| | - Andrzej Wysokiński
- Department of Cardiology, Medical University of Lublin, Jaczewskiego 8, 20-954 Lublin, Poland; (A.S.); (M.K.); (M.K.-G.); (A.T.); (A.W.)
| | - Tomasz Zapolski
- Department of Cardiology, Medical University of Lublin, Jaczewskiego 8, 20-954 Lublin, Poland; (A.S.); (M.K.); (M.K.-G.); (A.T.); (A.W.)
- Correspondence:
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Zapolski T, Styczeń A, Kozak M, Karaś-Głodek M, Brzozowski W, Tomaszewski A, Wysokiński A. Septic cerebral stroke associated with infective endocarditis after the MitraClip procedure. Kardiol Pol 2020; 78:943-944. [PMID: 32627998 DOI: 10.33963/kp.15481] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Affiliation(s)
- Tomasz Zapolski
- Department of Cardiology, Medical University of Lublin, Lublin, Poland.
| | - Agnieszka Styczeń
- Department of Cardiology, Medical University of Lublin, Lublin, Poland
| | - Mariusz Kozak
- Department of Cardiology, Medical University of Lublin, Lublin, Poland
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Topyła W, Tomaszewski M, Wojtkowska A, Łukasik S, Wysokiński A, Serefko A. IMAGING TECHNIQUES IN THE DIAGNOSIS OF PULMONARY HYPERTENSION. Wiad Lek 2020; 73:1867-1869. [PMID: 33099531] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
OBJECTIVE Introduction: Pulmonary hypertension is defined as being a haemodynamic state, wherein the mean pulmonary artery pressure measured during right heart catheterization is equal or greater than 25 mmHg. As a result, right ventricular heart failure develops and clinical symptoms such as dyspnea, fatigue, weakness, angina and fainting occur. The aim: To highlight the role of imaging techniques in diagnostic process for pulmonary hypertension. PATIENTS AND METHODS Review and Disscusion: The diagnosis of pulmonary hypertension is multistage and often requires a number of studies. Currently, imaging techniques play a significant role in the diagnostic algorithm for pulmonary hypertension due to the fact that they are non-invasive and readily available, and many of their parameters are closely related to pulmonary hemodynamics. CONCLUSION Conclusions: The diagnosis of pulmonary hypertension requires a multistep approach and a number of imaging studies. The suspicion of the disease is based on medical history, clinical symptoms and chest radiogram. Echocardiography plays a crucial role in pulmonary hypertension detection. A computed tomography and cardiac magnetic resonance are valuable methods in determining the cause of suspected or confirmed pulmonary hypertension.
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Affiliation(s)
- Weronika Topyła
- DEPARTMENT OF CARDIOLOGY, MEDICAL UNIVERSITY OF LUBLIN, LUBLIN, POLAND
| | | | | | - Sylwia Łukasik
- DEPARTMENT OF CARDIOLOGY, MEDICAL UNIVERSITY OF LUBLIN, LUBLIN, POLAND
| | | | - Anna Serefko
- DEPARTMENT OF APPLIED AND SOCIAL PHARMACY, LABORATORY OF PRECLINICAL TESTING, MEDICAL UNIVERSITY OF LUBLIN, LUBLIN, POLAND
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Łukasik S, Łukasik D, Tomaszewski M, Topyła W, Wojtowska A, Szopa A, Wysokiński A. THE DIFFICULTIES IN THE DIAGNOSIS OF PULMONARY HYPERTENSION ASSOCIATED WITH CHRONIC LUNG DISEASE. Wiad Lek 2020; 73:1853-1860. [PMID: 33099529] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
OBJECTIVE Introduction: Chronic lung disease (WHO group 3) is the second leading cause of pulmonary hypertension (PH). In turn, the development of PH influences the course of lung disease, worsening the clinical symptoms and prognosis. The aim: To analyse the difficulties in the diagnosis of pulmonary hypertension due to chronic lung disease. PATIENTS AND METHODS Review and Discussion: According to recent literature, PH in the course of lung diseases develops as a result of both "parenchymal" and vascular pathology in patients with a genetic predisposition. Prolonged infection (especially viral) may be an additional promoting factor. Elevation of pulmonary arterial pressure (PAP) is usually moderate and correlates with severity of lung disease. In a small minority, PAP may reach that seen in WHO group 1 pulmonary arterial hypertension (PAH). CONCLUSION Conclusions: Echocardiography and right heart catheterization are the principal tools for the diagnosis of PH in chronic lung diseases. Unfortunately, current medications for treating PAH have not shown benefit in controlled trials of group 3 PH, hence their routine use is not recommended. Patients with severe group 3 PH should be considered for referral to expert centres or entry into clinical trials.
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Affiliation(s)
- Sylwia Łukasik
- DEPARTMENT OF CARDIOLOGY, MEDICAL UNIVERSITY OF LUBLIN, LUBLIN, POLAND
| | - Dariusz Łukasik
- DEPARTMENT OF CARDIOLOGY, MEDICAL UNIVERSITY OF LUBLIN, LUBLIN, POLAND
| | | | - Weronika Topyła
- DEPARTMENT OF CARDIOLOGY, MEDICAL UNIVERSITY OF LUBLIN, LUBLIN, POLAND
| | | | - Aleksandra Szopa
- DEPARTMENT OF APPLIED AND SOCIAL PHARMACY, LABORATORY OF PRECLINICAL TESTING, MEDICAL UNIVERSITY OF LUBLIN, LUBLIN, POLAND
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Wojtkowska A, Tomaszewski M, Topyła W, Łukasik S, Wysokiński A, Szopa A. ECHOCARDIOGRAPHIC EVALUATION OF THE RIGHT HEART IN THE PULMONARY HYPERTENSION. Wiad Lek 2020; 73:1874-1877. [PMID: 33099533] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
OBJECTIVE Introduction: A comprehensive assessment of right ventricular size and function, as well as evaluation of pulmonary artery pressures is an integral part of every echocardiographic examination. It is important to know the relevant guidelines but also the pitfalls of echocardiography. The aim: To determine the significance of echocardiography in the diagnostic process, prognosis and evaluation of treatment effectiveness in pulmonary hypertension. PATIENTS AND METHODS Review and Discussion: The gold standard for evaluation of size, ejection fraction, and stroke volume of the right ventricle is cardiac magnetic resonance. Whereas, the gold standard for the assessments of pulmonary artery pressures is right heart catheterization. However, echocardiography is the first diagnostic modality in the assessment of size and function of the right heart. CONCLUSION Conclusions: Echocardiographic evaluation of the right heart plays a fundamental role in the diagnostic process of pulmonary hypertension. Echocardiography is essential to predict the course of the disease and assess the treatment efficiency.
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Affiliation(s)
| | | | - Weronika Topyła
- DEPARTMENT OF CARDIOLOGY, MEDICAL UNIVERSITY OF LUBLIN, LUBLIN, POLAND
| | - Sylwia Łukasik
- DEPARTMENT OF CARDIOLOGY, MEDICAL UNIVERSITY OF LUBLIN, LUBLIN, POLAND
| | | | - Aleksandra Szopa
- DEPARTMENT OF APPLIED AND SOCIAL PHARMACY, LABORATORY OF PRECLINICAL TESTING, MEDICAL UNIVERSITY OF LUBLIN, LUBLIN, POLAND
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Głowniak A, Janczarek M, Tarkowski A, Wysocka A, Szczerbo-Trojanowska M, Wysokiński A. Silent Cerebral Infarcts Following Left-Sided Accessory Pathway Ablation in Wolff-Parkinson-White (WPW) Syndrome: A Preliminary Report. Med Sci Monit 2019; 25:1336-1341. [PMID: 30778023 PMCID: PMC6391861 DOI: 10.12659/msm.914652] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
Background Catheter ablation is a routine procedure in patients with WPW syndrome. Silent cerebral infarcts (SCI) detected in magnetic resonance imaging may be a complication of the ablation procedure, but it is well documented only in atrial fibrillation ablation. Ablation of left-sided accessory pathways (L-AP) has a similar target area, but WPW patients differ from those with atrial fibrillation, due to lower initial risk of cerebral embolic events. The aim of this study was to determine whether the ablation of left-sided accessory pathways carries the risk of SCI. Material/Methods Twenty consecutive patients with overt L-AP referred for RF ablation in our center were included in the study. An irrigated ablation catheter was used in 8 patients, and a non-irrigated ablation catheter was used in 12 patients. Diffusion-weighted magnetic resonance imaging was performed pre-procedurally and on the next day after the ablation in all patients. Results Ablation procedures were completed without complications and there were no neurological symptoms following the procedure, although in 2 patients (10%), post-procedural diffusion-weighted magnetic resonance revealed new acute silent cerebral infarcts. Both patients with new cerebral lesions were female, and a non-irrigated catheter was used in both cases. Conclusions This is the first study documenting the presence of silent cerebral infarcts after WPW ablation. Further investigations are needed to evaluate the risk of silent cerebral infarcts associated with L-AP ablation.
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Affiliation(s)
- Andrzej Głowniak
- Department of Cardiology, Medical University of Lublin, Lublin, Poland
| | - Marzena Janczarek
- Department of Interventional Radiology and Neuroradiology, Medical University of Lublin, Lublin, Poland
| | - Adam Tarkowski
- Department of Cardiology, Medical University of Lublin, Lublin, Poland
| | - Anna Wysocka
- Department of Cardiology, Medical University of Lublin, Lublin, Poland.,Department of Internal Medicine in Nursing, Medical University of Lublin, Lublin, Poland
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Sałacki AJ, Wysokiński A. Reactive thrombocytosis resulting from frequent blood donations as an extremely rare cause of ST Segment Elevation Myocardial Infarction in the case of a 19-year-old male. Ann Agric Environ Med 2018; 25:602-604. [PMID: 30586983 DOI: 10.26444/aaem/74196] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
INTRODUCTION Thrombocytosis is a disease where the platelet count exceeds 600,000/μl. It is usually reactive in nature, less often clonal. Reactive thrombocytosis is usually a response to reactive inflammation or infection, splenectomy, iron deficiency, pregnancy, physical effort or cancer. CASE REPORT The case is described of a heart attack with ST-segment elevation in a 19-year-old male which was occurred due to intensive haematopoietic system renewal, caused by frequent blood donation which, in turn, caused reactive thrombocytosis. Reactive thrombocytosis is very rarely the cause of heart attack with ST-segment elevation, and is extremely rarely caused by blood donation. It is generally considered that reactive thrombocytosis is not a risk factor in the case of thromboembolic complications. CONCLUSION The presented case and the literature point to the risk of serious thromboembolic incidents, including heart attack, in the course of thrombocytosis.
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Affiliation(s)
- Andrzej Jakub Sałacki
- Doctoral Studies, II Faculty of Medicine with English Languae Divison, Medical University of Lublin.
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23
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Lipiec P, Bąk J, Braksator W, Fijałkowski M, Gackowski A, Gąsior Z, Kasprzak JD, Klisiewicz A, Kowalski M, Kukulski T, Mizia-Stec K, Płońska-Gościniak E, Pruszczyk P, Sobkowicz B, Szymański P, Szyszka A, Trojnarska O, Wysokiński A, Hoffman P. [Transthoracic echocardiography in adults - guidelines of the Working Group on Echocardiography of the Polish Cardiac Society]. Kardiol Pol 2018; 76:488-493. [PMID: 29457625 DOI: 10.5603/kp.2018.0051] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2017] [Accepted: 09/18/2017] [Indexed: 11/25/2022]
Abstract
This document presents current Polish guidelines on the clinical use of transthoracic echocardiography, including stress examinations, in adult patients. The examinations with pocket-size imaging devices are also discussed. The authors present recommendations regarding indications and contraindications, staff and equipment requirements, patient preparation and information, examination protocol, reporting and reimbursement.
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Kudlicki J, Kania A, Frania-Baryluk A, Tomaszewski A, Wysokiński A, Czekajska-Chehab E. Peripartum cardiomyopathy with advanced heart failure, complicated by thrombosis and pulmonary embolism with right lower lobe infarction: a therapeutic and diagnostic challenge. Pol Arch Intern Med 2018; 128:482-484. [PMID: 30057381 DOI: 10.20452/pamw.4296] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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25
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Kudlicki J, Frania-Baryluk A, Kania A, Tomaszewski A, Wysokiński A, Czekajska-Chehab E. Advanced hypertrophic obstructive cardiomyopathy diagnosed in early pregnancy: successful prevention of sudden cardiac death. Pol Arch Intern Med 2018; 128:256-258. [PMID: 29657309 DOI: 10.20452/pamw.4245] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Lipiec P, Bąk J, Braksator W, Fijałkowski M, Gackowski A, Gąsior Z, Kasprzak JD, Klisiewicz A, Kowalski M, Kukulski T, Mizia-Stec K, Płońska-Gościniak E, Pruszczyk P, Sobkowicz B, Szymański P, Szyszka A, Trojnarska O, Wysokiński A, Hoffman P. Transesophageal echocardiography in adults — guidelines of the Working Group on Echocardiography of the Polish Cardiac Society. Kardiol Pol 2018; 76:494-498. [DOI: 10.5603/kp.2018.0052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2017] [Accepted: 11/08/2017] [Indexed: 11/25/2022]
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Kudlicki J, Kania A, Frania-Baryluk A, Tomaszewski A, Wysokiński A, Czekajska-Chehab E. Right atrial angiosarcoma in a pregnant woman: diagnostic and therapeutic dilemmas. Pol Arch Intern Med 2018; 128:129-131. [PMID: 29511149 DOI: 10.20452/pamw.4208] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Sałacki AJ, Zapolski T, Wysokiński A. Idarucizumab: a quick and effective antidote administered prior to coronary artery bypass surgery and mitral valve annuloplasty in a patient treated with dabigatran. Pol Arch Intern Med 2017; 127:635-638. [PMID: 28724875 DOI: 10.20452/pamw.4063] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Kudlicki J, Kania AM, Tomaszewski A, Wysokiński A, Stążka J. Long-term follow-up in a pregnant patient with severe aortic stenosis complicated by pulmonary oedema and cardiac arrest treated with cardiopulmonary bypass surgery. Kardiol Pol 2017; 75:615. [PMID: 28707294 DOI: 10.5603/kp.2017.0105] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2017] [Accepted: 02/01/2017] [Indexed: 11/25/2022]
Affiliation(s)
| | - Anna M Kania
- Department of Cardiology, Medical University of Lublin, Lublin, Poland, Poland.
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Sałacki AJ, Wysokiński A. Fenomen Raynauda jako czynnik przepowiadający rzadką postać choroby wieńcowej — dławicę naczynioskurczową Prinzmetala. Folia Cardiologica 2017. [DOI: 10.5603/fc.2017.0055] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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Nasiłowska-Barud A, Zapolski T, Barud M, Wysokiński A. Overt and Covert Anxiety as a Toxic Factor in Ischemic Heart Disease in Women: The Link Between Psychological Factors and Heart Disease. Med Sci Monit 2017; 23:751-758. [PMID: 28187122 PMCID: PMC5317281 DOI: 10.12659/msm.902544] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022] Open
Abstract
Background Long-term clinical observations have shown that anxiety disorders influence the etiopathogenesis of ischemic heart disease (IHD) in women. The aim of this study was to determine the characteristics of the structure of overt and covert anxiety, and to examine the impact of the severity of anxiety on five personality traits as described Costa and McCrae. Material/Methods The study involved 50 women aged 37 to 74 years, who were treated because of IHD that was confirmed by angiographic examination of the coronary vessels. Psychological studies were conducted using the IPAT Anxiety Scale (Cattell) and NEO-FFI Personality Inventory (Costa and McCrae). Results From among the 50 women with IHD included in the study, 28 had higher overt anxiety scores than covert anxiety scores. Women with high overt anxiety were more emotionally changeable (C−), became impatient more easily, and expressed disappointment with life. They also worried about life problems more frequently. They had considerable suspiciousness (L+) and less trust towards the environment. They had a much stronger tendency to blame themselves (O+) and had intense internal, neurotic tension (Q4+). Women with high levels of overt anxiety had more neurotic traits (NEU), and lower openness to experience (OPE) scores. Conclusions Women with IHD were characterized by a high level of unease and anxiety. This may have resulted from lack of personality harmony, lack of personality integrity, or experienced value crises. Internal tension, auto-aggression, lowered emotional stability, and a sense of threat dominate the structure of unease and anxiety.
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Affiliation(s)
- Alicja Nasiłowska-Barud
- Department of Clinical Psychology, Medical University of Lublin, Lublin, Poland.,Department of Cardiology, Medical University of Lublin, Lublin, Poland
| | - Tomasz Zapolski
- Department of Cardiology, Medical University of Lublin, Lublin, Poland
| | - Małgorzata Barud
- Department of Anaesthesiology and Intensive Therapy, Medical University of Lublin, Lublin, Poland
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Jaroszynski A, Dereziński T, Jaroszyńska A, Zapolski T, Wąsikowska B, Wysokiński A, Jawień A, Załuska W, Horoch A. Association of anthropometric measures of obesity and chronic kidney disease in elderly women. Ann Agric Environ Med 2016; 23:636-640. [PMID: 28030936 DOI: 10.5604/12321966.1226859] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
INTRODUCTION AND OBJECTIVE Growing evidence suggests that obesity is an important contributor to the development of chronic kidney disease (CKD). The relationship between obesity and CKD is complex and not completely understood, and the best anthropometric index of obesity in predicting CKD is controversial. This study aimed to determine the best anthropometric index of obesity in predicting CKD in a population of elderly women. MATERIALS AND METHODS Anthropometric indexes of obesity including body mass index (BMI), waist circumference (WC), waist-to-height ratio (WheiR) and waist-to-hip-ratio (WHR), were obtained in 730 selected females. Biochemical measurements including blood glucose, lipid profile, and 2-h postprandial blood glucose were performed. GFR was estimated by using CKD-EPI equation. RESULTS The prevalence of CKD stage ≥ 3 was 12.2%. Overweight and obesity was found in 50% and 36% of participants, respectively. Increased central fat distribution, as defined by WheiR, WC and WHR, was found in 89.6%, 91.7% and 89.4% individuals, respectively. Univariate linear regression analysis showed positive correlations between CKD and age (p<0.001), BMI (p<0.001), WC (p<0.001), WHR (p=0.007), WheiR (p<0.001), diabetes (p=0.002), as well as triglicerydes (p=0.031), and negative correlation between CKD and HDL level (p=0.017). Multivariable analysis demonstrated that hypertension, diabetes, WC and WheiR were independent predictors of CKD. The area under the receiver operating characteristics curve was best for WheiR (0.647), followed by WC (0.620), BMI (0.616), and WHR (0.532). CONCLUSIONS Abdominal obesity is an important predictor of CKD. Of commonly used anthropometric parameters of obesity WheiR ≥ 0.6 is particularly associated with CKD in elderly females.
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Affiliation(s)
| | | | | | - Tomasz Zapolski
- Department of Cardiology, Medical University of Lublin, Poland
| | | | | | - Arkadiusz Jawień
- Department of Vascular Surgary and Angiology Nicolaus Copernicus University, Bydgoszcz, Poland
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Sałacki AJ, Wysokiński A. 18-year-old man with cardiomyopathy resulting from isolated left ventricular non-compaction and atrial fibrillation diagnosed for the first time — difficult choices and therapeutic decisions. Folia Cardiologica 2016. [DOI: 10.5603/fc.2016.0055] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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Styczeń A, Falkiewicz M, Karaś-Głodek M, Wysokiński A, Zapolski T. Eteksylan dabigatranu a idarucizumab — przełomowe rozwiązanie problemów klinicznych związanych z przeciwkrzepliwym działaniem leku. Folia Cardiologica 2016. [DOI: 10.5603/fc.2016.0049] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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Kania A, Kudlicki J, Frania-Baryluk A, Trojnar M, Guła M, Parcheta K, Wysokiński A, Czekajska-Chehab E, Adamczyk P, Drelich-Zbroja A. Double thrombolysis in early pregnancy can be safe. Kardiol Pol 2016. [DOI: 10.5603/kp.2016.0076] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Zapolski T, Wysokiński A. [Current views on the interaction between the treatment of osteoporosis and cardiovascular diseases]. Wiad Lek 2016; 69:665-674. [PMID: 27941208] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
The most common medical conditions after menopause are osteoporosis and atherosclerotic disease. Traditionally these two conditions were considered unrelated and their coexistence has been attributed to independent processess exclusively reated to age. The possible link between cardiovascular disease and osteoporosis stimulates today to analyse not only the evidence of a possible association, but also to identify mutual beneficial and adverse effects of drugs used in these two diseases. That's why, the focus on the interference between osteoporosis treatment and drugs used for atherosclerosis is made. Moreover side effects of cardiological drug considering bones are analysed. Additionally possible advantages of selected drugs used for cardiovascular diseases on osteoporosis prevention are evaluated. Drugs used for osteoporosis treatment may heave adverse effects on cardiovascular system. The article has detailed analyses of current drug classes, such as the bisphosphonates, strontium ranelate as well as a review of the controversy surrounding hormone replacement therapy (HRT) and the selective oestrogen receptor modulators (SERMs). Lastly discussion of adverse effects on the heart of calcium and drugs influencing calcium metabolism such as vitamin D, parathormone and calcitonin is performed.
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Affiliation(s)
- Tomasz Zapolski
- Katedra i Klinika Kardiologii, Uniwersytet Medyczny, Lublin, e-mail:
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Jaroszyński A, Jaroszyńska A, Siebert J, Dąbrowski W, Niedziałek J, Bednarek-Skublewska A, Zapolski T, Wysokiński A, Załuska W, Książek A, Schlegel TT. The prognostic value of positive T-wave in lead aVR in hemodialysis patients. Clin Exp Nephrol 2015; 19:1157-64. [PMID: 25724127 PMCID: PMC4679784 DOI: 10.1007/s10157-015-1100-8] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2014] [Accepted: 02/16/2015] [Indexed: 12/18/2022]
Abstract
BACKGROUND Given that cardiac disease is the leading cause of mortality in hemodialysis (HD) patients, identification of patients at risk for cardiac mortality is crucial. The aim of this study was to determine if positive T-wave amplitude in lead aVR (TaVR) was predictive of cardiovascular (CV) mortality and sudden cardiac death (SCD) in a group of HD patients. METHODS AND RESULTS After exclusion, 223 HD patients were prospectively followed-up for 25.43 ± 3.56 months. Patients were divided into TaVR negative (n = 186) and TaVR positive (n = 37) groups. Myocardial infarction, diabetes and beta-blocker therapy were more frequent in positive TaVR patients. Patients with upright TaVR were older, had higher left ventricular mass index, lower ejection fraction, higher calcium × phosphate product, higher troponin T level, higher prevalence of ST-T abnormalities, and increased width of QRS complex and QT interval, compared with patients with negative TaVR. A Kaplan-Meier analysis showed that the cumulative incidences of CV mortality as well as SCD were higher in patients with positive TaVR compared with those with negative TaVR (log-rank, p < 0.001 in both cases). A multivariate analysis selected age [hazard ratio (HR) 1.71, p < 0.001], heart rate (HR 1.42, p = 0.016), and positive TaVR (HR 2.21, p = 0.001) as well as age (HR 1.88, p < 0.001), and positive TaVR (HR 1.53, p = 0.014) as independent predictors of CV mortality and SCD, respectively. CONCLUSION In HD patients, positive TaVR is an independent and powerful predictor of CV mortality as well as SCD. This simple ECG parameter provides additional information beyond what is available with other known traditional risk factors and allows the identification of patients most at risk of CV events.
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Affiliation(s)
- Andrzej Jaroszyński
- Department of Family Medicine, Medical University of Lublin, Staszica 11, 20-081, Lublin, Poland.
| | - Anna Jaroszyńska
- Department of Cardiology, Medical University of Lublin, Lublin, Poland
| | - Janusz Siebert
- Department of Family Medicine, University Center for Cardiology, Medical University of Gdańsk, Gdańsk, Poland
| | - Wojciech Dąbrowski
- Department of Anesthesiology and Intensive Care, Medical University of Lublin, Lublin, Poland
| | - Jarosław Niedziałek
- Department of Family Medicine, Medical University of Lublin, Staszica 11, 20-081, Lublin, Poland
| | | | - Tomasz Zapolski
- Department of Cardiology, Medical University of Lublin, Lublin, Poland
| | | | - Wojciech Załuska
- Department of Nephrology, Medical University of Lublin, Lublin, Poland
| | - Andrzej Książek
- Department of Nephrology, Medical University of Lublin, Lublin, Poland
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Zapolski T, Haratym-Zwolak A, Wysokiński A. Współczesne zasady diagnostyki zapalenia mięśnia sercowego i kardiomiopatii pozapalnej. Folia Cardiologica 2015. [DOI: 10.5603/fc.2015.0047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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Wysokiński A, Kowalski ML, Kłoszewska I. Serum levels of PYY(1-36) peptide in patients with schizophrenia on clozapine monotherapy. Pharmacopsychiatry 2014; 47:169-73. [PMID: 24936806 DOI: 10.1055/s-0034-1382012] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
INTRODUCTION The present study was undertaken to determine if patients with schizophrenia on clozapine monotherapy have lower serum levels of peptide YY [PYY(1-36)], which is an endogenous inhibitor of food intake, comparing to healthy controls. METHODS Data for 24 patients (mean age 38.8 years) with paranoid schizophrenia on clozapine monotherapy and 24 healthy subjects (gender- and age-matched; mean age 39.9 years) were analyzed. RESULTS Fasting serum levels of PYY(1-36) were lower in the clozapine group (178.4±138.4 vs. 277.4±218.1 pg/mL, p=0.034). In the whole study sample PYY(1-36) levels were lower in subjects with body mass index≥25 kg/m(2) (p=0.03) and in subjects with abdominal obesity defined using International Diabetes Foundation criteria (p=0.04). There were no significant differences for metabolic syndrome, smoking, impaired fasting glucose, dyslipidemia, and homeostatic model assessment (HOMA) defined insulin resistance. DISCUSSION RESULTS suggest that weight is asso-ciated with levels of PYY. Patients on clozapine had higher body mass index, but not fat mass index or body weight, therefore lower levels of PYY(1-36) in patients taking clozapine may result from clozapine-induced weight gain and central -obesity.
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Affiliation(s)
- A Wysokiński
- Department of Old Age Psychiatry and Psychotic Disorders, Medical University of Lodz, Lodz, Poland
| | - M L Kowalski
- Department of Immunology, Rheumatology and Allergy, Medical University of Lodz, Lodz, Poland
| | - I Kłoszewska
- Department of Old Age Psychiatry and Psychotic Disorders, Medical University of Lodz, Lodz, Poland
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Gradzik K, Kociubińska M, Wójcik M, Czarnota T, Mazur-Stazka E, Wysokiński A. [Treatment problems of idiopathic arterial pulmonary hypertension--case report]. Pol Merkur Lekarski 2014; 36:397-399. [PMID: 25095640] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
Pulmonary arterial hypertension (PAH) is characterized by elevations in the pulmonary arterial pressure and the vascular resistance in pulmonary placenta. One of the kinds of the pulmonary hypertension is the idiopathic arterial pulmonary hypertension, which etiology is not known. Below we present the case of 51 year old woman with idiopathic arterial pulmonary hypertension. Due to worsening shortness of breath occurring at night and heart palpitations, the noninvasive and invasive diagnostics were conducted. The diagnostics have shown a dilatation of the right atrium and ventricle, widening of the pulmonary vessels with the pressure in the pulmonary artery 108 mmHg, and moderate regurgitation of tricuspid valve and pulmonary artery. In spite of the treatment, increasing right sided heart failure was the cause of patient's further hospitalization. After the introduction of Ambrisentan therapy, her condition has improved. She waited for a lung transplant. The last exacerbation of ascites was probably a result of the cessation of the use of the above mentioned drug. Then there was a sudden cardiac arrest and, despite of the treatment the patient has died.
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Wysocka A, Cybulski M, Berbeć H, Wysokiński A, Stążka J, Zapolski T. Prognostic value of paraoxonase 1 in patients undergoing coronary artery bypass grafting surgery. Med Sci Monit 2014; 20:594-600. [PMID: 24721823 PMCID: PMC3989945 DOI: 10.12659/msm.890025] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
BACKGROUND The aim of this study was to evaluate whether -108C/T polymorphism of the paraoxonase 1 (PON1) gene and the plasma enzyme activity are risk factors for adverse cardiac events after coronary artery bypass grafting (CABG). MATERIAL AND METHODS Seventy-one patients with coronary heart disease (CHD) undergoing CABG were enrolled in the study. Genomic DNA was extracted from the venous blood using the Gen Elute™ Blood Genomic DNA kit (Sigma) according to the manufacturer's instructions. PON1 activity was measured in 50 mM glycine/NaOH buffer (pH 10.5) containing 1.0 mM paraoxon, and 1.0mM CaCl2. RESULTS The mean PON1 activity toward paraoxon and toward phenyl acetate was equal (166.5 ± 86.9 U/ml and 96.0 ± 47.2 U/ml, respectively) in patients with CHD. The -108C/T polymorphism of PON1 gene was tested. In CABG patients, PON1 activities in dependence on genotypes were significantly different and equalled 266.2 ± 117.9 U/ml for CC, 178.8 ± 64.7 U/ml for CT, and 98.9 ± 59.2 U/ml for TT genotype. Patients with PON1 activity lower than 193.5 U/ml exhibited significantly increased risk of a serious cardiac event in comparison with patients with PON1 activity higher or equal to this value (p=0.03). Additionally, TT genotype was significantly associated with shorter time of event-free survival in comparison with CT and CC genotypes (p=0.009). CONCLUSIONS The PON1 polymorphism and enzyme plasma activity are associated with CHD occurrence. High PON1 activity connected with the presence of CC and CT genotypes decreases the recurrence of symptoms of coronary heart disease and improve prognosis after CABG.
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Affiliation(s)
- Anna Wysocka
- Department of Cardiology, Medical University of Lublin, Lublin, Poland
| | - Marek Cybulski
- Department of Biochemistry and Molecular Biology, Medical University of Lublin, Lublin, Poland
| | - Henryk Berbeć
- Department of Biochemistry and Molecular Biology, Medical University of Lublin, Lublin, Poland
| | | | - Janusz Stążka
- Department of Cardiosurgery, Medical University of Lublin, Lublin, Poland
| | - Tomasz Zapolski
- Department of Cardiology, Medical University of Lublin, Lublin, Poland
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Wójcik M, Błaszczyk R, Konarski Ł, Tomaszewski A, Wysokiński A. Dynamic left ventricular outflow tract obstruction. Kardiol Pol 2014; 72:287. [DOI: 10.5603/kp.2014.0058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2013] [Accepted: 06/12/2013] [Indexed: 11/25/2022]
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Zapolski T, Kamińska A, Konarski Ł, Wysokiński A. [The left atrium volume index: a biomarker of left atrium remodelling--methods of assessment and predictive value]. Kardiol Pol 2013; 71:191-7. [PMID: 23575716 DOI: 10.5603/kp.2013.0016] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2013] [Indexed: 11/25/2022]
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Pietrzak A, Brzozowska A, Lotti T, Mosiewicz J, Wysokiński A, Mieczkowska J, Hercogova J, Bartosińska J, Juszkiewicz-Borowiec M, Chodorowska G. Future diagnosis, today's treatment - cardiomyopathy in the course of psoriasis: a case report. Dermatol Ther 2013; 26:489-92. [PMID: 24552414 DOI: 10.1111/dth.12021] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
Psoriasis is a relatively common, chronic skin disease of inflammatory origin. In recent years, public attention has been drawn to a more and more frequently observed relationship between psoriasis and cardiovascular disease. Nowadays, psoriasis is independently held responsible for increased cardiovascular mortality. It seems that the actual significance of the problem, together with a heart-related death risk for these patients is often underestimated. This study presents clinical evidence collected during a long-term observation and treatment of an 80-year-old psoriatic patient with concomitant diabetes, hypertension, and ischemic heart disease, whose overall clinical picture also suggested a congestive, inflammation-related cardiomyopathy with conduction disorders and severe heart failure. Despite the patient's advanced age and associated serious, long-established psoriasis-related problems, he was successfully treated with the use of interventional cardiology methods, as well as cardiac resynchronization therapy.
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Affiliation(s)
- Aldona Pietrzak
- Department of Dermatology, Venereology and Paediatric Dermatology, Medical University, Lublin, Poland
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Zapolski T, Wysokiński A. Left atrium volume index is influenced by aortic stiffness and central pulse pressure in type 2 diabetes mellitus patients: a hemodynamic and echocardiographic study. Med Sci Monit 2013; 19:153-64. [PMID: 23458774 PMCID: PMC3628717 DOI: 10.12659/msm.883818] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022] Open
Abstract
BACKGROUND Left atrial volume index (LAVI) has recently emerged as a useful biomarker for risk stratification and risk monitoring in many clinical settings. Many hemodynamic factors such as preload and afterload have an effect on evaluating left atrium function. This study was performed to investigate the relationship between LAVI and aortic stiffness index (ASI) and selected markers characterizing hemodynamic state in patients with type 2 diabetes mellitus (DM2). MATERIAL AND METHODS The study population consisted of 100 patients (56 men, 44 women), 67.2 (±10.9) years old DM2, scheduled for routine coronary angiography. Standard transthoracic echocardiography was used to measure parameters needed for calculation of LAVI and ASI. During invasive procedures, central pulse pressure (CPP) in the ascendens aorta and left ventricle end-diastolic pressure (LVEDP) were recorded. Selected laboratory parameters were obtained, including lipidogram, serum uric acid, hs-CRP, fibrinogen, cTnT, myoglobin, BNP, HbA1C, creatinine, and GFR. RESULTS Both LAVI and ASI were greater and CPP and LVEDP were markedly elevated in DM2 patients compared to controls. The independent predictors of LAVI were ASI (ß=0.331; p=0.011), CPP (ß=0.312; p=0.020), LVEDP (ß=0.381; p=0.006), HbA1C (ß=0.379; p=0.008), and BNP (ß=0,423; p<0,001). CONCLUSIONS The strong correlation between HbA1C and both LAVI and ASI is a sign of negative influence of poor glycemia control on the left ventricle diastolic function and compliance of the aorta. The independent correlation between LAVI and ASI, CPP, and LVEDP improved by association of LAVI and ASI with specific biochemical markers suggests an association between LAVI and elastic properties of the aorta, as well as CPP in DM2 patients.
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Affiliation(s)
- Tomasz Zapolski
- Department of Cardiology, Medical University of Lublin, Lublin, Poland.
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Waciński P, Głowniak A, Czekajska-Chehab E, Dąbrowski W, Wójcik J, Wysokiński A. Acute left main coronary artery occlusion following inadvertent delivery of radiofrequency energy during ventricular tachycardia ablation successfully treated by rescue angioplasty with stenting: A two-year follow-up. Cardiol J 2013; 20:100-2. [DOI: 10.5603/cj.2013.0017] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2013] [Indexed: 11/25/2022] Open
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Nasiłowska-Barud A, Fedorovich V, Zapolski T, Sikorska-Jaroszyńska M, Wysokiński A. Pain-coping strategies in women with ischemic heart disease. Ann Agric Environ Med 2013; 20:767-772. [PMID: 24364450] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
INTRODUCTION AND OBJECTIVE The objective of the study was evaluation of the level and structure of anxiety and fear, and the characteristics of pain coping strategies used by females with ischemic heart disease (IHD). The detailed aim was assessment of the mutual relationships between the fear and pain coping strategies applied. MATERIAL AND METHODS The study covered 75 females aged 33-80 (mean age 61; SD±9.66), hospitalized in the Cardiology Clinic who had coronary angiography performed in order to assess the state of coronary vessels. Psychological studies were conducted by means of the IPAT Anxiety Scale by R. B. Cattell and the Pain Coping Strategies Questionnaire CSQ by A. C. Rosenstiel and F. J. Keefe. RESULTS The results obtained indicated that in the group of 75 females with IHD in the structure of anxiety and fear there dominated strong tendencies towards self-blaming and the experiencing of a sense of guilt, as well as a high level of internal tension. The strategy of the greatest importance in coping with pain among females with IHD was 'Praying and Hoping'. The strategies used with similar frequency were: 'Coping Self-Statements', 'Diverting Attention' and 'Increased Behavioural Activities'. CONCLUSIONS In females with IHD, the application of psychotherapy is recommended, aimed at reducing the level of auto-aggression tendencies and decreasing a high level of internal tension. Psychotherapeutic activities carried out among females with ischemic heart disease should focus on the strengthening of strategies of coping with pain, such as: 'Coping Self- Statements', 'Increased Behavioural Activities', and focusing attention on serious life problems.
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Affiliation(s)
- Alicja Nasiłowska-Barud
- Department of Clinical Psychology, Medical University, Lublin Poland; Department of Cardiology, Medical University, Lublin Poland
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Zapolski T, Wysokiński A, Książek A, Jaroszyński A. Left atrial volume index and aortic stiffness index in adult hemodialysed patients--link between compliance and pressure mediated by endothelium dysfunction; a cross-sectional study. BMC Cardiovasc Disord 2012; 12:100. [PMID: 23122326 PMCID: PMC3519803 DOI: 10.1186/1471-2261-12-100] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2012] [Accepted: 10/19/2012] [Indexed: 11/28/2022] Open
Abstract
BACKGROUND This study was performed to investigate the relationship between elastic properties of aorta and left atrium volume index (LAVI) in hemodialyzed (HD) patients. METHODS Study group was consisted of 73 patients (age 51,6 ± 7,6 years) treated by hemodialysis. In all patients standard echocardiography was performed. Aortic stiffness index (ASI) was calculated using formula: ASI = log (SBP/DBP)/[(Aomax-Aomin)/Aomin]. LAVI was calculated according to the formula: LAVI = [π/6 x (LAmax x LAshort x LAlong)]/m(2). Additionally several indices were calculated: left ventricle mass (LVM), left ventricle mass index (LVMI), midwall fractional shortening (mFS), endsystolic stress (ESS), mFS/ESS. Additionally the laboratory parameters including lipidogram, troponin T (cTnT), NT-proBNP and asymmetric dimethylarginine (ADMA) were measured. RESULTS The ASI was strong and significantly correlated with left atrium volume (LAV) and LAVI (respectively: 0,601; p < 0,001 and 0,598; p < 0,001). The ASI was independently and markedly associated with ADMA, cTnT, CRP, T-chol, and LDL-chol. The LAVI was independently and significantly correlated with NT-proBNP and cTnT. CONCLUSIONS There is correlation between ASI and ADMA, marker of endothelium dysfunction. There is also association between LAVI and NT-proBNP, signs of elevated left atrium pressure. The strong correlation between ASI and LAVI, improved by associations of specific biochemical markers with these echocardiographic indices, suggests there is the link between elastic properties of aorta and left atrium pressure in hemodialysed patients mediated by endothelial dysfunction.
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Affiliation(s)
- Tomasz Zapolski
- Chair and Department of Cardiology, Medical University of Lublin, Lublin, Poland
| | - Andrzej Wysokiński
- Chair and Department of Cardiology, Medical University of Lublin, Lublin, Poland
| | - Andrzej Książek
- Chair and Department of Nephrology, Medical University of Lublin, Lublin, Poland
| | - Andrzej Jaroszyński
- Chair and Department of Family Medicine, Medical University of Lublin, Lublin, Poland
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Zapolski T, Wysokiński A, Książek A, Jaroszyński A. Aortic stiffness and left atrial volume index in patients on continuous ambulatory peritoneal dialysis: role of endothelial dysfunction. Int J Cardiol 2012; 162:253-6. [PMID: 22790190 DOI: 10.1016/j.ijcard.2012.06.111] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/06/2012] [Revised: 06/18/2012] [Accepted: 06/23/2012] [Indexed: 12/25/2022]
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