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Jankowska H, Dorniak K, Dudziak M, Glińska A, Sienkiewicz K, Kulawiak-Gałąska D, Fijałkowska J, Dubaniewicz A, Hellmann M. The usefulness of speckle tracking echocardiography for the prediction of cardiac involvement in patients with biopsy-proven sarcoidosis. Echocardiography 2024; 41:e15777. [PMID: 38526991 DOI: 10.1111/echo.15777] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2023] [Revised: 01/09/2024] [Accepted: 01/10/2024] [Indexed: 03/27/2024] Open
Abstract
INTRODUCTION Cardiac sarcoidosis (CS) is commonly diagnosed based on clinical criteria and abnormalities in noninvasive imaging reported in patients with biopsy-proven extracardiac sarcoidosis. Electrocardiogram and two-dimensional echocardiography have a low sensitivity for CS detection. Cardiovascular magnetic resonance imaging (CMR) and positron emission tomography (PET) have limitations in terms of cost and availability. OBJECTIVES This study aimed to assess the usefulness of left ventricular longitudinal strain, measured using two-dimensional speckle tracking echocardiography (STE), for the prediction of late gadolinium enhancement (LGE) presence in CMR in patients with biopsy-proven sarcoidosis. PATIENTS AND METHODS A total of 119 patients with biopsy-proven extracardiac sarcoidosis were divided, according to the clinical criteria proposed by the 2014 Heart Rhythm Society expert consensus statement (HRS 2014), into two groups: 43 individuals with "probable cardiac sarcoidosis", CS(+) and 76 individuals without cardiac sarcoidosis, CS (-). Data from echocardiography, CMR, 12-lead ECG and 24 h Holter monitoring were analyzed. RESULTS Left ventricular global longitudinal strain (LV-GLS) was slightly reduced in the entire sarcoidosis group (-18.61± 2.96), no difference between the CS (+) and CS (-) subgroups was found (-18.0% ± 3.2% and -18.9% ± 2.8%, respectively; p = .223). No cut-off value for LV-GLS was identified that could predict the presence of LGE. Segmental longitudinal strain impairment partially correlated with the presence of LGE on CMR. CONCLUSIONS In our cohort of sarcoidosis patients, segmental longitudinal strain proved more helpful in the diagnostic process than LV-GLS. The ultimate role of STE in the diagnosis of CS remains to be established.
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Affiliation(s)
- Hanna Jankowska
- Department of Cardiac Diagnostics, Medical University of Gdańsk, Gdańsk, Poland
| | - Karolina Dorniak
- Department of Cardiac Diagnostics, Medical University of Gdańsk, Gdańsk, Poland
| | - Maria Dudziak
- Department of Cardiac Diagnostics, Medical University of Gdańsk, Gdańsk, Poland
| | - Anna Glińska
- Second Department of Radiology, Medical University of Gdańsk, Gdańsk, Poland
| | | | | | - Jadwiga Fijałkowska
- Second Department of Radiology, Medical University of Gdańsk, Gdańsk, Poland
| | - Anna Dubaniewicz
- Department of Pulmonology, Medical University of Gdańsk, Gdańsk, Poland
| | - Marcin Hellmann
- Department of Cardiac Diagnostics, Medical University of Gdańsk, Gdańsk, Poland
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Fijałkowska J, Sobolewski J, Glińska A, Pisowodzka I, Nowak R, Żarczynska-Buchowiecka M, Pieńkowska J, Gruchała M, Szurowska E, Dorniak K, Fijałkowski M. Cardiac abnormalities detected by echocardiography and cardiac magnetic resonance in healthcare professionals recovered from non-severe COVID-19. Kardiol Pol 2021; 79:1256-1258. [PMID: 34599499 DOI: 10.33963/kp.a2021.0114] [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: 09/20/2021] [Accepted: 09/20/2021] [Indexed: 11/23/2022]
Affiliation(s)
| | - Jakub Sobolewski
- Department of Cardiology, Medical University of Gdansk, Gdańsk, Poland
| | - Anna Glińska
- Department of Radiology, Medical University of Gdansk, Gdańsk, Poland
| | | | - Radosław Nowak
- Department of Cardiology, Medical University of Gdansk, Gdańsk, Poland
| | | | - Joanna Pieńkowska
- Department of Radiology, Medical University of Gdansk, Gdańsk, Poland
| | - Marcin Gruchała
- Department of Cardiology, Medical University of Gdansk, Gdańsk, Poland
| | - Edyta Szurowska
- Department of Radiology, Medical University of Gdansk, Gdańsk, Poland
| | - Karolina Dorniak
- Department of Noninvasive Cardiac Diagnostics, Medical University of Gdansk, Gdańsk, Poland
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Dorniak K, Stopczyńska I, van Heeswijk RB, Żaczyńska-Buchowiecka M, Fijałkowska J, Glińska A, Gruchała M, Szurowska E, Dudziak M, Sabisz A. Cardiac magnetic resonance imaging with T2 mapping for the monitoring of acute heart transplant rejection in patients with problematic endomyocardial biopsy: in anticipation of new recommendations. Kardiol Pol 2021; 79:339-343. [PMID: 33687863 DOI: 10.33963/kp.15852] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Kwiatkowska J, Meyer-Szary J, Bazgier M, Fijałkowska J, Wierzba J, Glińska A, Dorniak K. Left ventricular volumes and function affected by myocardial fibrosis in patients with Duchenne and Becker muscular dystrophies: a preliminary magnetic resonance study. Kardiol Pol 2020; 78:331-334. [DOI: 10.33963/kp.15223] [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: 11/23/2022]
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Sabisz A, Naumczyk P, Marcinkowska A, Graff B, Gąsecki D, Glińska A, Witkowska M, Jankowska A, Konarzewska A, Kwela J, Jodzio K, Szurowska E, Narkiewicz K. Aging and Hypertension - Independent or Intertwined White Matter Impairing Factors? Insights From the Quantitative Diffusion Tensor Imaging. Front Aging Neurosci 2019; 11:35. [PMID: 30837864 PMCID: PMC6389787 DOI: 10.3389/fnagi.2019.00035] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [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: 05/24/2018] [Accepted: 02/05/2019] [Indexed: 01/17/2023] Open
Abstract
Aging disrupts white matter integrity, and so does continuous elevated blood pressure that accompanies hypertension (HTN). Yet, our understanding of the interrelationship between these factors is still limited. The study aimed at evaluating patterns of changes in diffusion parameters (as assessed by quantitative diffusion fiber tracking - qDTI) following both aging, and hypertension, as well as the nature of their linkage. 146 participants took part in the study: the control group (N = 61) and the patients with hypertension (N = 85), and were divided into three age subgroups (25-47, 48-56, 57-71 years). qDTI was used to calculate the values of fractional anisotropy, mean, radial and axial diffusivity in 20 main tracts of the brain. The effects of factors (aging and hypertension) on diffusion parameters of tracts were tested with a two-way ANOVA. In the right hemisphere there was no clear effect of the HTN, nor an interaction between the factors, though some age-related effects were observed. Contrary, in the left hemisphere both aging and hypertension contributed to the white matter decline, following a functional pattern. In the projection pathways and the fornix, HTN and aging played part independent of each other, whereas in association fibers and the corpus callosum if the hypertension effect was significant, an interaction was observed. HTN patients manifested faster decline of diffusion parameters but also reached a plateau earlier, with highest between-group differences noted in the middle-aged subgroup. Healthy and hypertensive participants have different brain aging patterns. The HTN is associated with acceleration of white matter integrity decline, observed mainly in association fibers of the left hemisphere.
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Affiliation(s)
- Agnieszka Sabisz
- Second Department of Radiology, Medical University of Gdańsk, Gdańsk, Poland
| | | | - Anna Marcinkowska
- Second Department of Radiology, Medical University of Gdańsk, Gdańsk, Poland
| | - Beata Graff
- Department of Hypertension and Diabetology, Medical University of Gdańsk, Gdańsk, Poland
| | - Dariusz Gąsecki
- Department of Neurology of Adults, Medical University of Gdańsk, Gdańsk, Poland
| | - Anna Glińska
- Second Department of Radiology, Medical University of Gdańsk, Gdańsk, Poland
| | - Marta Witkowska
- Institute of Psychology, University of Gdańsk, Gdańsk, Poland
| | - Anna Jankowska
- Second Department of Radiology, Medical University of Gdańsk, Gdańsk, Poland
| | | | - Jerzy Kwela
- Institute of Experimental Physics, University of Gdańsk, Gdańsk, Poland
| | | | - Edyta Szurowska
- Second Department of Radiology, Medical University of Gdańsk, Gdańsk, Poland
| | - Krzysztof Narkiewicz
- Department of Hypertension and Diabetology, Medical University of Gdańsk, Gdańsk, Poland
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Banaszkiewicz K, Sikorska K, Dorniak K, Lewczuk-Myślicka A, Sworczak K, Szurowska E, Sabisz A, Glińska A. Primary adrenal insufficiency and hemochromatosis - Cause and effect relationship or a coincidence? Ann Endocrinol (Paris) 2019; 80:64-67. [PMID: 30340758 DOI: 10.1016/j.ando.2018.01.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/22/2017] [Revised: 11/24/2017] [Accepted: 01/10/2018] [Indexed: 06/08/2023]
Affiliation(s)
- Katarzyna Banaszkiewicz
- Department of Endocrinology and Internal Medicine, Medical University of Gdansk, Debinki 7, 80-211 Gdansk, Poland; Department of Tropical Medicine and Epidemiology, Medical University of Gdansk, Powstania Styczniowego 9b, 81-519 Gdynia, Poland.
| | - Katarzyna Sikorska
- Department of Tropical Medicine and Epidemiology, Medical University of Gdansk, Powstania Styczniowego 9b, 81-519 Gdynia, Poland.
| | - Karolina Dorniak
- Department of Noninvasive Cardiac Diagnostic, Medical University of Gdansk, Debinki 7, 80-211 Gdansk, Poland.
| | - Anna Lewczuk-Myślicka
- Department of Endocrinology and Internal Medicine, Medical University of Gdansk, Debinki 7, 80-211 Gdansk, Poland
| | - Krzysztof Sworczak
- Department of Endocrinology and Internal Medicine, Medical University of Gdansk, Debinki 7, 80-211 Gdansk, Poland.
| | - Edyta Szurowska
- 2nd Department of radiology, medical university of Gdansk, Debinki street 7, 80-211 Gdansk, Poland.
| | - Agnieszka Sabisz
- 2nd Department of radiology, medical university of Gdansk, Debinki street 7, 80-211 Gdansk, Poland.
| | - Anna Glińska
- 2nd Department of radiology, medical university of Gdansk, Debinki street 7, 80-211 Gdansk, Poland.
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Glińska A, Dyaczyńska-Herman A, Kucharski W. [Cardiac arrest in the records of the Resuscitation Team of the Provincial Ambulance Service in Katowice]. Pol Tyg Lek 1974; 29:1335-7. [PMID: 4848180] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
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Gliński M, Pardela M, Wojakowski I, Glińska A. [Extrabulbar duodenal ulcer]. Pol Tyg Lek 1971; 26:1987-8. [PMID: 5139580] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
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