Preventive cardiology in the aspect of recent reports from the Congress of the European Society of Cardiology in Barcelona, August 26–30, 2017

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Zorganizowana skrzeplina w lewej komorze powstała po zabiegu przezskórnej angioplastyki wieńcowej mimo stosowanej podwójnej terapii przeciwpłytkowej

Myocardial infarction is an acute condition which can lead to many complications in a postinfarct period (MI, myocardial infarction). Left ventricular thrombus formation after successful primary percutaneous coronary intervention (PCI) with stenting and treating with dual antiplatelet therapy nowadays is a less common finding especially in absence of severe left ventricular dysfunction associated with MI. Case of 70-year-old male who was admitted to the Emergency Department with severe MI treating with successful primary PCI with stenting and dual antiplatelet therapy with a new unexpected finding of thrombus in the left ventricular apex observed in control of the echocardiography examination during hospitalisation despite dual antiplatelet therapy.Zawał serca jest stanem ostrym, który może prowadzić do licznych powikłań we wczesnym okresie pozawałowym.Występowanie skrzepliny w lewej komorze u pacjentów po skutecznej pierwotnej przezskórnej angioplastyce (PCI) z implantacją stentu i zastosowaniu podwójnej terapii przeciwpłytkowej (DAPT) w obecnych czasach jest mniej powszechnym zjawiskiem, zwłaszcza u osób bez ciężkiej pozawałowej dysfunkcji mięśnia lewej komory. Zaprezentowano przypadek 70-letniego mężczyzny, przyjętego do kliniki z prezentacją ostrego zespołu wieńcowego leczonego skuteczną pierwotną PCI z implantacją stentu i zastosowaniem DAPT, u którego, mimo zastosowanej terapii, w kolejnych badaniach echokardiograficznych podczas hospitalizacji obserwowano skrzeplinę w koniuszku lewej komory

Zastawki serca po 22 latach - prawidłowy obraz homograftu aortalnego, zaawansowane wady ujść przedsionkowo-komorowych

We report a case of a 61-year-old female patient with a history of aortic valve replacement, who was admitted to our hospital with symptoms and signs of decompensated heart failure (NYHA class III). Transthoracic echocardiogram revealed mitral valve and tricuspid valve regurgitation (III grade) with normal function of aortic valve homograft implanted 22 years ago. The patient underwent cardiosurgical mitral valve replacement and tricuspid valve annuloplasty with very good result. An aortic valve homograft may be the best alternative to a mechanical valves for a young female patients

The differences in the relationship between diastolic dysfunction, selected biomarkers and collagen turn-over in heart failure patients with preserved and reduced ejection fraction

Background: The aim of the study was to assess the correlation of the selected biomarkers and collagen turn-over indices with advanced echocardiographic parameters among patients with preserved and reduced ejection fraction (EF). Methods: We included 62 patients with the symptomatic heart failure. The patients were divided in to two groups according to the evaluated ejection fraction (EF — Simpson method): heart failure with reduced ejection fraction (HFrEF) group — 30 patients with low EF — 35–50% (16 male, mean age 54.9 ± 12.6), heart failure with preserved ejection fraction (HFpEF) group — 32 patients with EF &gt; 50% (16 male, mean age 62.3 ± 7.6). Clinical evaluation included 6-min walk test, biochemistry, procollagen type I N-terminal propeptide (PINP), procollagen type III N-terminal propetide (PIIINP), matrix metaloproteinase-2 (MMP2), ghrelin, and galectin-3 levels measurements. Echocardiographic examination was performed with analysis of diastolic function and global longitudinal strain (GLS). Results: The GLS in the HFrEF group was significantly lower than in the HFpEF group at the baseline (GLS: 9.56 vs. 16.03, p &lt; 0.01). There was a strong negative correlation of the PIIINP and GLS in HFrEF group (r = –0.74, p = 0.005), but only a moderate negative correlation in HFpEF (r = –0.55, p = 0.02). In the HFrEF group, there was a moderate negative correlation between the baseline level of galectin-3 and GLS (r = –0.59, p = 0.03). The correlation of ghrelin and tissue inhibitor of matrix metalloproteinase-1 with EF in the HFrEF group was moderate and statistically significant (r = 0.62, p = 0.02 and r = –0.63, p = 0.02, respectively). Conclusions: Procollagen type III peptide has a strong negative correlation with left ventricular GLS. Galectin-3 relationship with strain may indicate novel pathophysiological pathways and requires further investigation.

Echokardiografia pierwszym krokiem w diagnostyce guzów nerki

Intracardiac tumours are usually found after clinical symptoms lead to a positive imaging study, or as an incidental finding of imaging study, usually echocardiography. Cardiac tumours range from non-neoplastic lesions to high grade malignancies. The majority of primary cardiac tumours are myxomas (in 75% cases) or sarcomas (about 10% cases). In this paper we present cases of 2 patients with right atrial tumour, extending from renal carcinoma, invading renal vein and inferior vena cava into right atrium. Two different therapeutic strategies were undertaken in those patients. Kardiol Pol 2011; 69, 8: 849&#8211;85

Echokardiografia pierwszym krokiem w diagnostyce guzów nerki

Intracardiac tumours are usually found after clinical symptoms lead to a positive imaging study, or as an incidental finding of imaging study, usually echocardiography. Cardiac tumours range from non-neoplastic lesions to high grade malignancies. The majority of primary cardiac tumours are myxomas (in 75% cases) or sarcomas (about 10% cases). In this paper we present cases of 2 patients with right atrial tumour, extending from renal carcinoma, invading renal vein and inferior vena cava into right atrium. Two different therapeutic strategies were undertaken in those patients. Kardiol Pol 2011; 69, 8: 849&#8211;85