Coexistence of non-dipper hypertension with other chronic diseases

Background Hypertension is currently one of the major risk factors of cardiovascular diseases. Level of blood pressure fluctuates over a 24-hour cycle. Depending on the incidence of daily blood pressure rhythm disorders, or a lack thereof, we can distinguish dipper and non-dipper profiles. Material and methods The analysis covered medical documentation and a 24-hour blood pressure rhythm monitored by the ABPM system in selected 130 patients with diagnosed arterial hypertension, aged between 18 and 87, hospitalized in the years 2010–2014 in the Internal Medicine Department. Results It was found that hypertension frequently occurred in obese patients, with carbohydrate metabolism disorders, hyperlipidaemia and thyroid diseases. A significant correlation was observed between dipper hypertension and hyperlipidaemia, as well as between non-dipper hypertension and smoking. Conclusions Non-dipper type patients constitute a quite varied group in terms of concurrent diseases. These patients should be actively monitored for specific chronic illnesses

Diabetic foot syndrome as an interdisciplinary problem

Diabetes is a metabolic disease of the growing maturity. Diabetic foot syndrome is a chronic complications of diabetes. In neuropathic sensory disorders, ischemia of the lower limbs, and improper alignment metabolic control may occur in minor injuries around the foot, giving rise to a difficult healing ulcers. Even minor wounds rapidly infection by pathogenic bacteria, which significantly hinders their treatment. Health and life-saving solution in situations of persistent symptoms of infection is amputation of the lower limb. Doing so, however, does not solve the problem of diabetic and should be the final proceedings after having exhausted all possible treatments for diabetic foot syndrome

Diabetic foot syndrome as an interdisciplinary problem

Diabetes is a metabolic disease of the growing maturity. Diabetic foot syndrome is a chronic complications of diabetes. In neuropathic sensory disorders, ischemia of the lower limbs, and improper alignment metabolic control may occur in minor injuries around the foot, giving rise to a difficult healing ulcers. Even minor wounds rapidly infection by pathogenic bacteria, which significantly hinders their treatment. Health and life-saving solution in situations of persistent symptoms of infection is amputation of the lower limb. Doing so, however, does not solve the problem of diabetic and should be the final proceedings after having exhausted all possible treatments for diabetic foot syndrome

Coronary arteritis as a cause of cardiac rhythm disorders

Rymkiewicz Emilia, Karczewska Agnieszka, Lis Beata, Mosiewicz Barbara, Sołdaj–Bukszyńska Katarzyna, Ścirka Natalia, Grzywa‑Celińska Anna, Rękas‑Wójcik Agata, Grochowski Cezary, Dzida Grzegorz, Mosiewicz Jerzy. Coronary arteritis as a cause of cardiac rhythm disorders. Journal of Education, Health and Sport. 2017;7(9):33-44. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.854838 http://ojs.ukw.edu.pl/index.php/johs/article/view/4751 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 1223 (26.01.2017). 1223 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Authors 2017; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 01.08.2017. Revised: 02.08.2017. Accepted: 28.08.2017. Coronary arteritis as a cause of cardiac rhythm disorders Emilia Rymkiewicz, Agnieszka Karczewska, Beata Lis, Barbara Mosiewicz, Katarzyna Sołdaj–Bukszyńska, Natalia Ścirka, Anna Grzywa-Celińska, Agata Rękas‑Wójcik, Cezary Grochowski, Grzegorz Dzida, Jerzy Mosiewicz Katedra i Klinika Chorób Wewnętrznych prof. dr hab. n. med. Jerzy Mosiewicz Samodzielny Publiczny Szpital Kliniczny Nr 1 w Lublinie Abstract Ischemic heart disease is a unit consisting of all heart ischemic states regardless of their pathomechanism. Despite common knowledge about risk factors, it remains the most frequent cause of death in industrialized countries. Aim of this paper is to present a case of 23-year-old patient hospitalized in the Department of Internal Diseases because of sensation of heart palpitation and weakness due to acute coronary syndrome in course of coronary arteritis, which occurred 7 years earlier. After performing 24-hour cardiac rhythm observation using Holter monitor, episodes of atrioventricular block Mobitz II, sinoatrial block and multiple supraventricular and ventricular excitations were found. Key words: coronary arteritis, myocardial infarction

Coronary arteritis as a cause of cardiac rhythm disorders

Rymkiewicz Emilia, Karczewska Agnieszka, Lis Beata, Mosiewicz Barbara, Sołdaj–Bukszyńska Katarzyna, Ścirka Natalia, Grzywa‑Celińska Anna, Rękas‑Wójcik Agata, Grochowski Cezary, Dzida Grzegorz, Mosiewicz Jerzy. Coronary arteritis as a cause of cardiac rhythm disorders. Journal of Education, Health and Sport. 2017;7(9):33-44. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.854838 http://ojs.ukw.edu.pl/index.php/johs/article/view/4751 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 1223 (26.01.2017). 1223 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Authors 2017; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 01.08.2017. Revised: 02.08.2017. Accepted: 28.08.2017. Coronary arteritis as a cause of cardiac rhythm disorders Emilia Rymkiewicz, Agnieszka Karczewska, Beata Lis, Barbara Mosiewicz, Katarzyna Sołdaj–Bukszyńska, Natalia Ścirka, Anna Grzywa-Celińska, Agata Rękas‑Wójcik, Cezary Grochowski, Grzegorz Dzida, Jerzy Mosiewicz Katedra i Klinika Chorób Wewnętrznych prof. dr hab. n. med. Jerzy Mosiewicz Samodzielny Publiczny Szpital Kliniczny Nr 1 w Lublinie Abstract Ischemic heart disease is a unit consisting of all heart ischemic states regardless of their pathomechanism. Despite common knowledge about risk factors, it remains the most frequent cause of death in industrialized countries. Aim of this paper is to present a case of 23-year-old patient hospitalized in the Department of Internal Diseases because of sensation of heart palpitation and weakness due to acute coronary syndrome in course of coronary arteritis, which occurred 7 years earlier. After performing 24-hour cardiac rhythm observation using Holter monitor, episodes of atrioventricular block Mobitz II, sinoatrial block and multiple supraventricular and ventricular excitations were found. Key words: coronary arteritis, myocardial infarction