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

Community — acquired pneumonia in elderly patients with comorbidities

Wstęp. Pozaszpitalne zapalenie płuc jest częstą chorobą rozpoznawaną w praktyce lekarza rodzinnego. Ze względu na postępujące starzenie się społeczeństwa występuje w dużej mierze u osób w wieku starszym. Cel pracy. Analiza objawów występujących w przebiegu pozaszpitalnego zapalenia płuc u pacjentów starszych. Materiał i metody. Przeanalizowano pod względem występujących objawów dokumentację medyczną kolejno wybranych 45 pacjentów z rozpoznanym pozaszpitalnym zapaleniem płuc. Do oceny zapalenia posłużyło oznaczenie białka C-reaktywnego (CRP) oraz stężenia leukocytów w morfologii krwi. Analizie poddano również występowanie u poszczególnych pacjentów określonych chorób współistniejących. Wyniki. U pacjentów powyżej 70. roku życia rzadziej obserwowano objawy kliniczne i laboratoryjne typowe dla zapalenia płuc. Wnioski. Pozaszpitalne zapalenie płuc (PZP) ma odmienną symptomatologię u osób starszych oraz znacznie gorszy przebieg, jeśli towarzyszą mu choroby współistniejące.Introduction. Community — acquired pneumonia is a common lung disease diagnosed in general practice. Because the population is getting older, many elderly people are affected. Aim of the study. Analysis of symptoms in the course of community-acquired pneumonia in elderly patients. Material and methods. Analyzed in terms of symptoms sequentially selected medical records of 45 patients with diagnosis of community-acquired pneumonia. To evaluate the sign of inflammation C-reactive protein (CRP) concentration and white blood cells was used. Results. Patients over 70 years old less frequently presented typical clinical and laboratory signs of pneumonia. Conclusions. Community-acquired pneumonia (CAP) has a different symptomatology in the elderly patients and its cause significantly deteriorates if it is accompanied by comorbidities

Extrapulmonary tuberculosis — a multidisciplinary approach

Gruźlica pozapłucna jest istotnym problemem klinicznym. W przeciwieństwie do gruźlicy płuc jej rozpoznanie bywa trudne, ze względu na brak charakterystycznych objawów oraz skomplikowaną diagnostykę. Problem dotyczy głównie pacjentów z obniżoną odpornością na skutek współwystępowania licznych chorób współtowarzyszących, jak również w trakcie przewlekłej steroidoterapii czy leczenia przeciwnowotworowego. W poniższej pracy przedstawiamy występowanie, przebieg kliniczny, diagnostykę i rokowanie w gruźlicy pozapłucnej, zależnie od jej lokalizacji w oparciu o aktualne piśmiennictwo.Extrapulmonary tuberculosis is an essential clinical problem. On the contrary to the tuberculosis of the lung its diagnosis may be difficult due to no characteristic symptoms and complex diagnostic procedures. It concerns especially patients with abnormal low immunity because of a lot of concomitant diseases, as well as in the course of chronic steroid or antineoplasm therapy. In this article we present epidemiology, clinical process, diagnosis and prognosis depending on location of the in extrapulmonary tuberculosis based on the current literature

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