19 results on '"K. Szydlo"'
Search Results
2. Poster Session 2: Secondary prevention
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J. Delgado Silva, R. Gomes, S. Almeida, K. Reis Santos, D. Cavaco, F. Bello Morgado, P. Adragao, A. Silva, W. Kwasniewski, A. Filipecki, W. Orszulak, D. Urbanczyk, K. Szydlo, M. Trusz-Gluza, S. Rocha, B. Aldhoon, J. Kettner, M. Cihlova, J. Kohoutek, M. Wiendl, V. Melenovsky, and J. Kautzner
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Secondary prevention ,medicine.medical_specialty ,business.industry ,Physiology (medical) ,Incidence (epidemiology) ,Medicine ,Successful resuscitation ,Session (computer science) ,Cardiology and Cardiovascular Medicine ,business ,Intensive care medicine ,Out of hospital cardiac arrest - Published
- 2009
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3. Moderated Posters: Sudden cardiac death
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W. Kwasniewski, A. Filipecki, W. Orszulak, D. Urbanczyk, K. Szydlo, M. Trusz Gluza, C. J. W. Borleffs, J. B. Van Rees, G. H. Van Welsenes, L. Van Erven, R. J. Van Bommel, E. T. Van Der Velde, J. J. Bax, M. J. Schalij, J. Jimenez-Candil, M. Ruiz, J. Morinigo, A. Martin, C. Ledesma, C. Martin-Luengo, R. Cozar-Leon, E. Diaz-Infante, B. Prado-Gotor, P. Nieto, J. Maldonado, I. Borrego, J. M. Cruz, K. Satomi, Y. Yamada, H. Okamura, T. Noda, W. Shimizu, K. Suyama, N. Aihara, S. Kamakura, E. Hatzinikolaou-Kotsakou, G. Moschos, T. H. Beleveslis, E. Reppas, M. Kotsakou, K. Tsakiridis, M. F. Nageh, J. J. Kim, J. Yao, T. F. Deering, A. Epstein, D. Goldman, S. Greenberg, Y. Dalal, J. Kreuz, O. Balta, L. Lickfett, G. Nickenig, J. Schwab, F. W. Horlbeck, A. Bitzen, N. Liliegren, A. Jegorova, and J. O. Schwab
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medicine.medical_specialty ,business.industry ,Physiology (medical) ,Internal medicine ,Cardiology ,Medicine ,Cardiology and Cardiovascular Medicine ,business ,medicine.disease ,Sudden cardiac death - Published
- 2009
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4. Poster Session 2: Sudden death and ICD: technical aspects
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F. Andersson, T. Arentz, G. Lassabe, J. Vogt, T. F. Deering, S. Fromentin, A. Epstein, M. Delay, Stefan Hjelm, P. Mitkowski, P. Maury, Shostak Na, K. Lee, E. Marras, A. Kalogeropoulos, J. M. Dupuis, P. Delise, P. Arvanitis, N. Mizutani, C. Herrera Siklody, Anders Björling, C. Marcon, F. Blixt, L. Parreira, F. Morgado, J. E. Val-Mejias, K. Wita, A. Rollin, Z. Tabor, I. Magne, J. Taieb, A. Varbaro, M. Gupta, A. Stromberg, T. Yonemoto, C. Perzanowski, K. Szydlo, D. Alexopoulos, L. Beck, C. Restle, N. Mujovic, A. Duparc, A. Tassin, F. Treguer, M. Pittaro, D. Kalusche, B. Hallier, J. Payne, Kjell Noren, G. Allocca, Karin Järverud, G. Nikokiris, I. Chiladakis, S. Doshi, D. S. Golman, T. Potpara, S. Shah, J. C. Daubert, W. Irnich, M. Grujic, A. Oza, J. Schiebeling-Roemer, A. Hebrard, S. Grajek, A. Solnon, N. Koutogiannis, M. Kroll, D. Cavaco, Michael Broomé, J. Brachmann, C. Casset, A. A. Platonova, R. Weber, K. Santos, R. Shah, F. Qu, S. Marcelino, S. Greenberg, A. Silva, N. Sitta, I. Johansson, K. Gutleben, M. Polovina, M. Trusz-Gluza, R. Bowes, J. L. Pasquie, A. Baszko, P. Mabo, M. Fukuta, T. Ito, F. Zagli, G. Boriani, R. Reeves, M. Hero, Tomas Svensson, A. Furber, F. Prunier, J. Stockinger, N. Lever, R. Fouche, S. K. Doshi, R. Ochotny, T. Blum, F. Raczka, R. Graumann, P. Carmo, C. Sager, M. Wasniewski, M. Souques, M. Da Soghe, E. Moro, P. Larsen, P. Mondoly, P. Adragao, F. Krumel, P. Rumeau, and D. A. Anichkov
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medicine.medical_specialty ,business.industry ,Physiology (medical) ,medicine ,Medical emergency ,Session (computer science) ,Cardiology and Cardiovascular Medicine ,medicine.disease ,Psychiatry ,business ,Sudden death - Published
- 2009
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5. Poster Session 1: Ablation of SVT and VT
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N. M. S. De Groot, J. Z. Atary, N. A. Blom, J. P. Van Kuijk, M. J. Schalij, M. Tomaske, R. Candinas, M. Weiss, U. Bauersfeld, A.- A. Fassa, G. Ashrafpoor, H. Sunthorn, H. Burri, P. Gentil-Baron, D. Shah, A. P. Wijnmaalen, V. Delgado, E. R. Holman, J. J. Bax, K. Zeppenfeld, M. Kuhne, H. Oral, F. Morady, F. Bogun, B. Schwagten, T. Szili-Torok, P. Knops, G. Kimman, A. Thornton, L. Jordaens, K. Satomi, T. Roland, S. Kamakura, K. Kuck, F. Ouyang, S. Nowak, A. M. Wnuk-Wojnar, A. Hoffmann, C. Czerwinski, K. Szydlo, A. Rybicka-Musialik, I. Wozniak-Skowerska, M. Trusz-Gluza, T. Krynski, S. M. Stec, H. Hachiya, K. Hirao, T. Sasaki, K. Higuchi, M. Isobe, K. Etsadashvili, F. Hintringer, X. Stuehlinger, T. Berger, W. Dichtl, F. X. Roithinger, O. Pachinger, M. Stuehlinger, K. Tanno, T. Onuki, Y. Minoura, M. Kawamura, T. Asano, Y. Kobayashi, A. Bonet, J. Merce Klein, R. De Castro, P. Valdovinos, I. Colomer, M. I. Garcia, I. Serrano, A. Bardaji, P. Peichl, R. Cihak, R. Polasek, P. Kucera, J. Bytesnik, J. Kautzner, S. Schlueter, O. Grebe, E. V. Vester, P. Maury, J. Fourcade, A. Duparc, A. Hebrard, P. Mondoly, A. Rollin, P. Rumeau, M. Delay, B. W. L. De Boeck, A. J. Teske, F. A. A. Mohamed Hoesein, V. J. H. Van Driel, P. Loh, M. J. M. Cramer, F. W. Prinzen, P. A. F. Doevendans, E. Pokushalov, A. Romanov, A. Turov, P. Shugaev, S. Artemenko, N. Shirokova, B. Richter, M. Gwechenberger, A. Socas, G. Zorn, S. Albinni, J. Wojta, T. Binder, H. Goessinger, K. Kettering, H. Mollnau, F. Gramley, C. Weiss, A. Berkowitsch, T. Neumann, M. Kuniss, S. Zaltsberg, M. Wojcik, H. F. Pitschner, D. Wichterle, M. Peca, V. Bulkova, A. Suzuki, Y. Yamauchi, H. Okada, T. Obayashi, Y. Sekiguchi, K. Aonuma, F. Zoppo, E. Bertaglia, F. Zerbo, G. Brandolino, E. Bacchiega, L. Lickfett, B. Bellmann, M. Linhart, J. W. Schrickel, T. Lewalter, J. O. Schwab, G. Nickenig, E. L. Mittmann-Braun, P. Dabrowski, E. Kozluk, P. Stefanczyk, A. Kleinrok, G. Opolski, M. Andronache, A. Abdelaal, I. Magnin-Poull, J. Cedano, L. Groben, D. Mandry, E. Aliot, C. De Chillou, A. A. W. Mulder, M. C. E. F. Wijffels, E. F. D. Wever, L. V. A. Boersma, B. Manfai, R. Faludi, E. Fodi, P. Rausch, T. Simor, L. Sciarra, M. Rebecchi, E. De Ruvo, L. De Luca, L. M. Zuccaro, A. Fagagnini, P. Delise, L. Calo, E. Mikhaylov, Y. Van Belle, P. Janse, D. Lebedev, A. Kanidieva, D. Patel, M. Shaheen, K. Sonne, P. Mohanty, L. Di-Biase, L. Popova, D. Burkhardt, A. Natale, C. J. Mccann, B. Gal, P. Goethals, P. Peychev, P. Geelen, R.- G. Vatasescu, C. Iorgulescu, I. Ieremciuc, R. Alexandru, M. Dorobantu, P. Insulander, H. Bastani, F. Braunschweig, M. Jensen-Urstad, J. Schwieler, F. Tabrizi, G. Kenneback, C. S. A. B. A. Foldesi, A. Kardos, A. Mihalcz, P. A. L. Abraham, Z. O. L. T. A. N. Som, J. O. Z. S. E. F. Borbola, J. O. Z. S. E. F. Vanyi, T. A. M. A. S. Szili-Torok, A. Pastor Fuentes, A. Nunez, N. Tur, B. Berzal, F. G Cosio, N. Mujovic, M. Grujic, S. Mrdja, A. Kocijancic, T. Potpara, M. Polovina, B. Vujisic-Tesic, M. Petrovic, T. Hayashi, T. Furukawa, M. Kawabata, C. Lavalle, S. Ficili, M. Galeazzi, M. Russo, A. Pandozi, C. Pandozi, F. Venditti, M. Santini, K. Pavlikova, M. Psenicka, Z. Anger, A. Linhart, A. Narten, A. Gamelin, J. Mittag, S. Raffa, J.- C. Geller, D. Mocini, H. F. Groenveld, M. Rienstra, M. P. Van Den Berg, H. L. Hillege, D. J. Van Veldhuisen, I. C. Van Gelder, G. Morani, A. Manica, C. Angheben, M. A. Cicoira, L. Pozzani, L. Tomasi, G. Zanotto, C. Vassanelli, S. Ahmed, A. V. Ranchor, and A. C. P. Wiesfeld
- Subjects
medicine.medical_specialty ,business.industry ,Physiology (medical) ,medicine.medical_treatment ,medicine ,Radiology ,Session (computer science) ,Cardiology and Cardiovascular Medicine ,Ablation ,business - Published
- 2009
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6. Poster Session 4: ECG
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D. Rollando, R. Pap, F. Fernandez-Aviles, N. Davidson, R. Weber, A. H. Christensen, E. Stoica, G. P. Bezante, P. Saravanan, A. Tardin, S. Apiyasawat, T. Papaioannou, L. Getaz, F. Gonzalez Llopis, G. Bertero, B. Moise, L. Paredes, A. Antoniadis, C. Stefanadis, J. Osca Asensi, M. Haissaguerre, A. Forclaz, P. Serrano Aguilar, M. Trusz-Gluza, E. Tsaritsaniotis, I. Nault, E. Arbelo Lainez, A. Matsumura, A. Filipecki, P. Dilaveris, J. L. Rojo Alvarez, T. Forster, M. Ito, J. A. Giner-Caro, J. Martinez-Sanchez, J. H. Svendsen, S. Yamazato, Everss, E. Modonesi, M. Suzuki, J. Carlson, K. Letsas, S. Sugiura, J. D. Luporsi, R. M. W. Hofstra, F. Holmqvist, P. Kaminsky, A. Bikias, S. O'neill, S. Led, E. Themeles, Y. Jackson, D. Coriu, A. Salvador Sanz, J. J. Sanchez-Munoz, T. Arentz, E. Gonzalez-Torrecilla, E. Reppas, F. Chappuis, G. Tsiliki, O. Chioncel, G. Katsaris, M. Senga, G. Manis, T. H. Beleveslis, L. Haman, A. Michelucci, Z. Tabor, J. Sztajzel, A. Jadidi, K. Tsakiridis, M. Kotsakou, C. Militaru, S. Haunso, S. Archontakis, C. Macarie, F. Atienza Fernandez, M. Nieri, A. Makai, K. Wita, P. Reilly, E. Fujii, I. Donoiu, P. Chandanamattha, M. Ezekowitz, S. Connolly, G. Moschos, G. Galanti, J. D. H. Jongbloed, H. Dostalova, M. Hocini, O. Cano Perez, J. Olague De Ros, S. Yusuf, A. Scopinaro, S. Sideris, A. Arenal Maiz, S. Terrades, E. Zorio Grima, L. Caselli, A. Garcia Quintana, M. Gatley, J. Oldgren, S. Miyazaki, I. Delithanasis, N. Fragakis, I. Tatsis, E. Hatzinikolaou-Kotsakou, M. Wright, J. Navarro Manchon, A. Giuca, L. Garcia Perez, M. L. Castilla San Jose, P. Penafiel-Verdu, S. Narayan, T. Gialernios, E. Caballero Dorta, A. Barsotti, D. D. Ionescu, M. Valdes-Chavarri, C. Brunelli, A. Garcia-Alberola, G. Klausz, T. Ngarmukos, J. Almendral Garrote, O. Londono Sanchez, B. Brembilla-Perrot, M. Nakamura, L. Wallentin, M. A. Arnau Vives, J. Gaspoz, Y. Hashimoto, P. Van Der Zwaag, K. Szydlo, G. Bencsik, F. J. Pastor-Perez, P. Parizek, P. G. Platonov, S. Vignini, M. P. Van Den Berg, V. Santeladze, P. Arsenos, K. Gatzoulis, K. Likittanasombat, M. Ohno, L. Saghy, A. Medina Fernandez-Aceytuno, W. Nagahori, D. Kalusche, L. Serrano Arriezu, A. Parekh, N. N. Al-Shawabkeh, J P Van Tintelen, K. Astheimer, M. Stridh, and N. Sadoul
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medicine.medical_specialty ,business.industry ,Physiology (medical) ,Physical therapy ,medicine ,Session (computer science) ,Cardiology and Cardiovascular Medicine ,business - Published
- 2009
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7. 237 Prognostic value of discharge NT-proBNP level for major adverse cardiac events in patients treated with primary PCI
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K. Wita, A. Filipecki, K. Szydlo, M. Trusz-Gluza, J. Krauze, Zbigniew Tabor, and A. Gerber
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medicine.medical_specialty ,business.industry ,Internal medicine ,Conventional PCI ,Cardiology ,Medicine ,In patient ,Medical emergency ,Cardiology and Cardiovascular Medicine ,business ,medicine.disease ,Value (mathematics) - Published
- 2006
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8. Energetic Coordination Compounds: Investigation of Aliphatic Ligands and Development of Prototype Detonators.
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Pawlus K, Stolarczyk A, Jarosz T, Polis M, Szydlo K, Hawełek Ł, Waśkiewicz S, and Łapkowski M
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- Ligands, Amines chemistry, Transition Elements chemistry, Calorimetry, Differential Scanning, Spectrum Analysis, Raman, Coordination Complexes chemistry, Coordination Complexes chemical synthesis, Explosive Agents chemistry
- Abstract
In this work, energetic coordination compounds (ECCs) of transition metals (Fe, Ni, Cu, Zn) containing aliphatic amines as ligands were synthesized: ethylenediamine; 1,3-diaminopropane; tris(2-aminoethyl)amine; tris(3-aminopropyl)amine. The compounds were investigated in terms of ignition/explosion temperature, friction and impact sensitivity. For selected compounds, structural characterisation was presented (IR-ATR spectroscopy, Raman spectroscopy) and their morphology was determined (SEM, powder XRD). They were also investigated by differential scanning calorimetry (DSC). In order to assess the potential application of selected ECCs in detonators, underwater explosion tests were carried out, determining energetic performance. The results achieved for detonators containing ECCs were compared with those for reference detonators (containing pentaerythritol tetranitrate, PETN), indicating their potential use as a "green" alternative to nitric acid esters.
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- 2024
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9. Pyrotechnic Delay Compositions Based on BaO 2 : Not as "Green" as Expected.
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Lysien K, Szatan K, Szydlo K, Polis M, Procek M, Stolarczyk A, and Jarosz T
- Abstract
The aims of this study were to investigate the potential of using barium peroxide as an environmentally friendly oxidising agent, to evaluate the composition of the combustion products of the developed pyrotechnic delay compositions (PDCs) and to provide information about the impact of the utilised metallic fuel (Mg, Al, Fe or Cu) on the properties of those PDCs. The PDCs exhibited acceptable friction and impact sensitivity values. This allowed conducting further experiments, e.g., determining the linear combustion velocity of the PDCs as a function of oxygen balance (OB). Based on the composition of the post-combustion residues, determined by Raman spectroscopy and SEM-EDS, an initial mechanism for the combustion of the developed PDCs was proposed.
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- 2023
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10. Improving the Robustness of Engineered Bacteria to Nutrient Stress Using Programmed Proteolysis.
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Szydlo K, Ignatova Z, and Gorochowski TE
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- Bacteria genetics, Nutrients, Protein Biosynthesis, Proteolysis, RNA, Bacterial genetics, Escherichia coli genetics, Escherichia coli metabolism, Escherichia coli Proteins genetics, Escherichia coli Proteins metabolism
- Abstract
The use of short peptide tags in synthetic genetic circuits allows for the tuning of gene expression dynamics and release of amino acid resources through targeted protein degradation. Here, we use elements of the Escherichia coli and Mesoplasma florum transfer-mRNA (tmRNA) ribosome rescue systems to compare endogenous and foreign proteolysis systems in E. coli . We characterize the performance and burden of each and show that, while both greatly shorten the half-life of a tagged protein, the endogenous system is approximately 10 times more efficient. On the basis of these results we then demonstrate using mathematical modeling and experiments how proteolysis can improve cellular robustness through targeted degradation of a reporter protein in auxotrophic strains, providing a limited secondary source of essential amino acids that help partially restore growth when nutrients become scarce. These findings provide avenues for controlling the functional lifetime of engineered cells once deployed and increasing their tolerance to fluctuations in nutrient availability.
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- 2022
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11. Dynamicity of early and late phases of repolarization in patients with remote anterior myocardial infarction: the interlead differences.
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Szydlo K, Wita K, Trusz-Gluza M, Filipecki A, Orszulak W, Urbanczyk D, and Tabor Z
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- Analysis of Variance, Echocardiography, Female, Humans, Linear Models, Male, Middle Aged, Myocardial Infarction diagnostic imaging, Retrospective Studies, Sensitivity and Specificity, Statistics, Nonparametric, Electrocardiography, Ambulatory, Heart Conduction System physiopathology, Myocardial Infarction physiopathology
- Abstract
Background: Repolarization dynamicity (QT/RR) is supposed to be a prognostic marker in post-MI patients. However, data on the relationships between early and late phases of QT and RR intervals (QT peak/RR and T peak-T end/RR) are insufficient, and which ECG lead should be used for the analysis is unclear. We analyzed repolarization dynamicity in patients after anterior MI with and without VT/VF history using two leads of Holter recordings- modified V(5) and V(3) . The daytime and nighttime periods were also analyzed., Methods: Cohort of 88 patients after anterior MI (>6 months) consisted of 43 patients without VT/VF (33 males; 59 ± 12 years; LVEF: 41 ± 7%; NoVT/VF), and 45 patients with VT/VF history- ICD implanted as secondary prevention (40 males; 64 ± 10 years; LVEF: 32 ± 8%; VT/VF). QT/RR, QT peak/RR and T peak-T end/RR were calculated from 24-hour ECG for the entire recording, daytime and nighttime periods, from V(5) and V(3) leads, respectively., Results: VT/VF patients had lower LVEF (P = 0.001). There were no differences in age and gender. VT/VF group had steeper QT/RR, QT peak/RR, and T peak-T end/RR in V(5) : 0.233 ± 0.04 versus 0.150 ± 0.05, P = 0.0001, 0.181 ± 0.04 versus 0.120 ± 0.04, P = 0.0001, 0.052 ± 0.02 versus 0.030 ± 0.02, P = 0.0001, and in V(3) : 0.201 ± 0.04 versus 0.149 ± 0.05, P = 0.0001, 0.159 ± 0.03 versus 0.118 ± 0.04, P = 0.0001, and 0.042 ± 0.02 versus 0.031 ± 0.02, P = 0.004; respectively. VT/VF patients had higher indices in V(5) than in V(3) lead (P = 0.001). QT/RR and QT peak/RR were steeper at daytime period in both leads. It was not found for T peak-T end/RR., Conclusions: Patients with VT/VF history are characterized by steeper relationships between repolarization duration and RR intervals. These findings are more evident in modified V(5) lead., (© 2012, Wiley Periodicals, Inc.)
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- 2012
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12. Heart rate turbulence in postinfarction patients with history of malignant ventricular arrhythmias.
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Szydlo K, Orszulak W, Trusz-Gluza M, Tabor Z, Wita K, Orszulak M, Marzec M, Kniewska-Jarzabek K, and Grabka M
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- Aged, Female, Heart Rate, Humans, Male, Heart Conduction System physiopathology, Myocardial Infarction complications, Myocardial Infarction physiopathology, Tachycardia, Ventricular complications, Tachycardia, Ventricular physiopathology, Ventricular Fibrillation complications, Ventricular Fibrillation physiopathology
- Abstract
Unlabelled: In the study, there has been retrospectively analyzed heart rate turbulence in postinfarction patients. The cohort of 158 patients consisted of 94 patients with documented ventricular tachycardia and/or ventricular fibrillation (VT/VF) and 64 patients without history of VT/VF. Turbulence onset and slope were calculated from Holter recordings, and left ventricle ejection fraction (LVEF) ≤35% was regarded as severe left ventricle dysfunction. Study groups were similar in age and sex. Left ventricle ejection fraction was lower in the VT/VF group (P < .005). Patients with VT/VF had higher turbulence onset (-0.22% ± 1% vs -0.8% ± 2%; P = .005) and lower turbulence slope (2.6 ± 1.9 vs 4.1 ± 3.5 milliseconds per RR interval; P = .01). These trends were observed in patients with LVEF >35% but not in subjects with LVEF ≤35%. Diabetes mellitus, previous coronary artery bypass graft, and amiodarone therapy have diminished the intergroup differences significantly., Conclusions: Heart rate turbulence is diminished in postinfarction patients with a history of malignant ventricular arrhythmias. It seems to separate subjects at arrhythmic risk among patients with relatively preserved left ventricle function, but it is diminished in patients with previous coronary artery bypass graft, diabetes, and amiodarone therapy., (Copyright © 2011 Elsevier Inc. All rights reserved.)
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- 2011
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13. Impact of left ventricular remodeling on ventricular repolarization and heart rate variability in patients after myocardial infarction treated with primary PCI: prospective 6 months follow-up.
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Szydlo K, Wita K, Trusz-Gluza M, Urbanczyk D, Filipecki A, Orszulak W, Tabor Z, Krauze J, Kwasniewski W, Myszor J, Turski M, Kolasa J, and Szczogiel J
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- Autonomic Nervous System physiopathology, Circadian Rhythm, Cohort Studies, Electrocardiography, Ambulatory statistics & numerical data, Female, Follow-Up Studies, Heart Ventricles diagnostic imaging, Humans, Male, Middle Aged, Monitoring, Physiologic methods, Monitoring, Physiologic statistics & numerical data, Prospective Studies, Time Factors, Ultrasonography, Ventricular Function, Left, Angioplasty, Balloon, Coronary, Heart Rate, Myocardial Infarction physiopathology, Myocardial Infarction therapy, Ventricular Remodeling
- Abstract
Background: The relation between postinfarction left ventricle remodeling (LVR), autonomic nervous system and repolarization process is unclear. Purpose of the study was to assess the influence of LVR on the early (QTpeak) and late (TpeakTend) repolarization periods in patients after myocardial infarction (MI) treated with primary PCI. The day-to-night differences of repolarization parameters and the relation between QT and heart rate variability (HRV) indices, as well left ventricle function were also assessed., Methods: The study cohort of 104 pts was examined 6 months after acute MI. HRV and QT indices (corrected to the heart rate) were obtained from the entire 24-hour Holter recording, daytime and nighttime periods., Results: LVR was found in 33 patients (31.7%). The study groups (LVR+ vs LVR-) did not differ in age, the extent of coronary artery lesions and treatment. Left ventricle ejection fraction (LVEF) was lower (38%+/- 11% vs 55%+/- 11%, P < 0.001), both QTc (443 +/- 26 ms vs 420 +/- 20 ms, P < 0.001) and TpeakTendc (98 +/- 11 ms vs 84 +/- 12 ms, P < 0.005) were longer in LVR + patients, with no differences for QTpeakc. Trends toward lower values of time-domain (SDRR, rMSSD) HRV parameters were found in LVR+ pts. Day-to-night difference was observed only for SDRR, more marked in LVR-group. Remarkable relations between delta LVEF (6 months minus baseline), delta LVEDV and TpeakTendc were found, with no such relationships for QTpeakc., Conclusions: The patients with LVR have longer repolarization time, especially the late phase-TpeakTend, which represents transmural dispersion of repolarization. Its prolongation seems to be related to local attributes of myocardium and global function of the left ventricle but unrelated to the autonomic nervous influences. Remodeling with moderate LV systolic dysfunction is associated with insignificant decrease in HRV indices and preserved circadian variability.
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- 2008
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14. QT/RR relationship in patients after remote anterior myocardial infarction with left ventricular dysfunction and different types of ventricular arrhythmias.
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Szydlo K, Trusz-Gluza M, Wita K, Filipecki A, Orszulak W, Urbanczyk D, Krauze J, Kolasa J, and Tabor Z
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- Circadian Rhythm, Cohort Studies, Electrocardiography, Ambulatory methods, Female, Heart Rate, Humans, Male, Middle Aged, Tachycardia, Ventricular physiopathology, Ventricular Fibrillation physiopathology, Arrhythmias, Cardiac physiopathology, Electrocardiography, Ambulatory statistics & numerical data, Myocardial Infarction physiopathology, Ventricular Dysfunction, Left physiopathology
- Abstract
Background: QT/RR relationship was found to be both rate-dependent and rate-independent, what suggests the influence of autonomic drive and other not-autonomic related factors on it. The steeper QT/RR slope in patients after acute myocardial infarction (MI) was described, but the relationship to ventricular arrhythmias is unknown. The purpose of this study was to calculate differences in QT/RR relationship in patients after remote anterior MI with left ventricular dysfunction and different types of ventricular arrhythmias., Methods: The cohort of 95 patients (age: 63 +/- 11 years, LVEF: 35 +/- 9%) with previous anterior MI (mean 1.1 years) was divided into two well-matched groups-50 patients without episodes of ventricular tachycardia (VT) or ventricular fibrillation (VF) (NoVT/VF: 39 males, 64 +/- 12 years, LVEF 37 +/- 8%) and 45 patients with VT and/or VF (all with ICD implanted) (VT/VF: 35 males, 62 +/- 10 years, LVEF 34 +/- 10%). No true antiarrhythmics were used. QT/RR slope was calculated from 24-hour Holter ECG for the entire recording (E), daytime (D) and nighttime (N) periods., Results: Groups did not differ in basic clinical data (age, LVEF, treatment). QT/RR slopes were steeper in VT/VF than in NoVT/VF group in all analyzed periods: E - 0.195 +/- 0.03 versus 0.15 +/- 0.03 (P < 0.001), N - 0.190 +/- 0.03 versus 0.138 +/- 0.03 (P < 0.001) and D - 0.200 +/- 0.04 versus 0.152 +/- 0.03 (P < 0.001). No significant day-to-night differences were found in both groups., Conclusions: Steeper QT/RR slope and complete lack of day-to-night differences in VT/VF patients show inappropriate QT adaptation to the heart rate changes. The prognostic significance of this parameter needs prospective studies.
- Published
- 2008
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15. Postextrasystolic repolarization abnormalities in ST-U segment in patients with ventricular arrhythmias.
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Trusz-Gluza M, Szydlo K, Kukla P, Wozniak-Skowerska I, Filipecki A, Peszek E, and Wojcik E
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- Aged, Female, Heart Diseases physiopathology, Humans, Male, Middle Aged, Sensitivity and Specificity, Heart Conduction System physiopathology, Tachycardia, Ventricular physiopathology, Ventricular Fibrillation physiopathology
- Abstract
Background: Changes in U-wave amplitude after premature ventricular contractions (PVC) are known as prognostic markers in the long QT syndrome dependent on bradycardia. The purpose of the study was to find correlation between postextrasystolic ST-U segment changes and a history of sustained ventricular tachycardia or ventricular fibrillation (VT/VF)., Methods: The ST-U segment configurations were taken from the 24-hour ambulatory ECG. The comparison of the morphology of these segments was performed between sinus beats preceding PVC's and first postextrasystolic beats., Population: Two groups of patients were evaluated: 1) 32 patients with VT/VF history (VT/VF group), and 2) 36 patients with potentially malignant arrhythmia (structural heart disease with frequent PVCs and/or nonsustained VT- nsVT) (non-VT/VF group)., Results: We found T-wave changes in 8 patients (25%) from the VT/VF group and in 12 patients (33.3%) from the nonVT/VF group (P = NS) and U-wave changes in 13 patients (40.6%) and 3 patients (8.3%), respectively (P < 0.05). Other ECG indexes related to PVC's were also considered: RR interval, coupling interval (CI), prematurity index (PI), and postextrasystolic pause (PP). The analysis of these ECG indices revealed, when compared with patients without T-U-wave changes, that the occurrence of U-wave changes was significantly related to longer RR interval of the sinus rhythm preceding PVC: 1025 +/- 211 vs 918 +/- 200 ms (P < 0.05). The prematurity index was lowest in patients with U-wave changes: 0.54 +/- 0.12 vs 0.65 +/- 0.16 (P < 0.01) while postextrasystolic pauses leading to the postextrasystolic U-wave changes were significantly longer: 1383 +/- 223 vs 1130 +/- 247 ms (P < 0.001). CI did not differentiate patients: 556 +/- 108 vs 584 +/- 117 ms (P = NS)., Conclusions: Postextrasystolic changes in ST-U segment configuration are dependent on bradycardia, low prematurity index of the PVC, and the lengthening of the postextrasystolic pause. U-wave changes more frequently appeared in patients with malignant arrhythmias. Follow-up study is needed to assess if they might be predictive for the occurrence or reoccurrence of arrhythmic episodes.
- Published
- 2002
- Full Text
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16. Correlation of heart rate variability parameters and QT interval in patients after PTCA of infarct related coronary artery as an indicator of improved autonomic regulation.
- Author
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Szydlo K, Trusz-Gluza M, Drzewiecki J, Wozniak-Skowerska I, and Szczogiel J
- Subjects
- Autonomic Nervous System physiopathology, Circadian Rhythm physiology, Electrocardiography, Ambulatory, Female, Heart innervation, Humans, Male, Middle Aged, Angioplasty, Balloon, Coronary, Electrocardiography, Heart Rate physiology, Myocardial Infarction physiopathology, Myocardial Infarction therapy
- Abstract
Unlabelled: The purpose of this study was to determine if PTCA of the infarct related coronary artery (IRA) in the late phase of myocardial infarction (MI) can improve autonomic regulation of sinus rhythm and electrical stability of the myocardium measured by heart rate variability (HRV), QT, QTc, and its dispersion (QTd) and if any correlation exists among these measures. The study was performed in 25 patients (21 male, age: 50 +/- 9 years, EF: 52% +/- 11%) in the late phase of MI (2.5 +/- 1.5 months). HRV parameters were calculated automatically. QT, QTc, and QTd were measured manually from a 12-lead surface ECG (50 mm/s). All measurements were made before and 3-5 days after PTCA. Day and night parameters of HRV were sampled over two periods: 2 pm to 10 pm (day) and 10 pm to 6 am (night). Parameters of HRV measured from whole recordings were significantly higher after successful PTCA: SDRR (116 +/- 31 vs 128 +/- 38 ms), SD (55 +/- 17 vs 62 +/- 22 ms), rMSSD (30 +/- 13 vs 36 +/- 14 ms) and HF (246 +/- 103 vs 417 +/- 224 ms2). Significant differences were found during daytime for SD, rMSSD, and HF, and during nighttime for SDRR, SDANN. QT interval duration, QT corrected to the heart rate, and QT dispersion were significantly lower after PTCA (QTd: 54 +/- 15 vs 39 +/- 12 ms). There was no correlation between HRV and QT values before PTCA. High correlations were found after the procedure, particularly between QTd and nighttime HRV., Conclusions: PTCA of IRA in the late phase of MI enhances sympathovagal regulation of the cardiac rhythm and the electrical stability of the heart, which may be prognostically important.
- Published
- 1998
- Full Text
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17. Heart rate variability: its association with hemodynamic function of the left ventricle in patients with coronary heart disease.
- Author
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Szydlo K, Trusz-Gluza M, Filipecki A, Orszulak W, Drzewiecki J, and Giec L
- Subjects
- Adult, Aged, Analysis of Variance, Autonomic Nervous System physiopathology, Cardiac Catheterization, Cardiac Output, Low physiopathology, Cardiac Volume, Circadian Rhythm, Coronary Angiography, Diastole, Electrocardiography, Ambulatory, Gated Blood-Pool Imaging, Hemodynamics, Humans, Linear Models, Middle Aged, Myocardial Contraction, Stroke Volume, Systole, Ventricular Dysfunction, Left physiopathology, Ventricular Pressure, Coronary Disease physiopathology, Heart Rate, Ventricular Function, Left
- Abstract
Patients with heart failure secondary to coronary heart disease (CHD) are characterized by an imbalance of the autonomic nervous system, which can be assessed by analysis of the heart rate variability (HRV). However it is still unclear whether all patients with CHD reveal suppression of HRV and if it is related to hemodynamic function and contractile disturbances of the left ventricle. To answer these questions data from 105 consecutive patients were analyzed and compared with 17 healthy subjects. All study participants underwent 24-hour ambulatory ECG recordings with calculation of HRV parameters and angiographic examination after collection of clinical data and other noninvasive evaluations. Time- (SDRR, SDANN, SD, pNN50) and frequency- (LF, HF) domain parameters of HRV were assessed. All ventriculographic and hemodynamic measurements were used in the analysis. Highly significant correlations were found between all HRV parameters, and left ventricular ejection fraction (LVEF) and left ventricular end-diastolic pressure (P < 0.001). Patients with LVEF < 40% were characterized by significantly lower values of HRV and impairment or lack (LVEF < 20%) of diurnal variation of frequency-domain measurements of HRV. Patients with segmental akinesis or dyskinesis also had lower values of HRV. The group with dyskinesis was characterized by significantly lower diurnal rhythms of LF and HF, independent of LVEF.
- Published
- 1996
- Full Text
- View/download PDF
18. Dispersion of the QT interval as a predictor of cardiac death in patients with coronary heart disease.
- Author
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Trusz-Gluza M, Woźniak-Skowerska I, Giec L, and Szydlo K
- Subjects
- Action Potentials physiology, Death, Sudden, Cardiac etiology, Discriminant Analysis, Female, Follow-Up Studies, Forecasting, Heart Arrest etiology, Humans, Logistic Models, Male, Middle Aged, Prognosis, Regression Analysis, Retrospective Studies, Risk Factors, Sensitivity and Specificity, Survival Rate, Tachycardia, Ventricular physiopathology, Ventricular Fibrillation physiopathology, Ventricular Function, Coronary Disease complications, Electrocardiography methods, Heart Arrest diagnosis
- Abstract
Abnormal dispersion of the QT interval (QTd), measured as interlead variability of QT, may reflect a regional variation in duration of ventricular action potential and, hence, of cardiac electrical instability. In this retrospective study, we analyzed the effect of QTd on survival and its relation to other known predictors of subsequent cardiac death (CD) and sudden cardiac death (SCD) in 162 patients with coronary heart disease (CHD). QTd was calculated as the difference between the highest and lowest values measured in each of the 12 ECG leads (Qtmax - QTmin). Seventeen CDs occurred, including nine SCDs, during a 25 +/- 11 month follow-up. There were significant differences in CD (P < 0.001 in log-rank test) and in SCD (P < 0.01). The 1- and 3-year survivals were 87.5% and 76.5% in patients with QTd > 0.060 seconds versus 98% and 93.5% in patients with QTd < 0.060 seconds, respectively. Additionally, a stepwise Cox regression analysis revealed that increased QTd was an independent risk factor of CD and SCD. A cut-off value of 60 ms for QTd had a 53% sensitivity and 79% specificity in discriminating patients who are at risk of CD. The positive and negative prognostic values were 23% and 93%, respectively. Our findings support the hypothesis that increased QTd has a prognostic value in the stratification of patients with CHD independent of other known risk factors.
- Published
- 1996
- Full Text
- View/download PDF
19. Value of heart rate variability parameters for prediction of serious arrhythmic events in patients with malignant ventricular arrhythmias.
- Author
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Filipecki A, Trusz-Gluza M, Szydlo K, and Giec L
- Subjects
- Adult, Aged, Arrhythmias, Cardiac complications, Arrhythmias, Cardiac therapy, Cardiac Output, Low physiopathology, Death, Sudden, Cardiac etiology, Defibrillators, Implantable, Electrocardiography, Ambulatory, Electrophysiology, Female, Follow-Up Studies, Forecasting, Humans, Male, Middle Aged, Predictive Value of Tests, Proportional Hazards Models, Recurrence, Risk Factors, Sensitivity and Specificity, Signal Processing, Computer-Assisted, Stroke Volume, Survival Rate, Tachycardia, Ventricular physiopathology, Ventricular Dysfunction complications, Ventricular Dysfunction therapy, Ventricular Fibrillation physiopathology, Arrhythmias, Cardiac physiopathology, Heart Rate, Ventricular Dysfunction physiopathology
- Abstract
Heart rate variability (HRV) assesses the electrical stability of the heart and can identify patients at risk of sudden cardiac death (SCD). The value of 10 HRV parameters from 24 hour ECG (in both time and frequency domain) to predict serious arrhythmic events (SAE) in a group of 56 patients with ventricular tachycardia and/or ventricular fibrillation of different etiologies not due to acute myocardial infarction was explored. Eighteen patients had low left ventricular ejection fractions (LVEF). During follow-up (6-46 months, mean = 24) 8 SCD and 12 recurrences of malignant ventricular arrhythmias or ICD discharges were recorded. Proportional hazard analysis (Cox model) for SAE revealed that the mean of all 5 minute standard deviation of RR intervals (SD) and the amplitude of low frequency spectrum (L) were independent risk factors of SAE (P < 0.05). The best models were: SD+EF and L+EF where predictive values were high (sensitivity approximately 60%, specificity over 95%, positive predictive value over 90% and negative predictive value approximately 80%). Event-free survival curves revealed a significantly shorter survival in patients with EF < 40%: 47% vs. 92%, SD < 43 ms; 56% vs. 92% and L < 16 ms; 56% vs. 89% (all P < 0.001) after 2 years. The subgroup with low EF and SD < 43 ms revealed a significantly shortened survival (27% vs 83% at 2 years, P < 0.01). Some HRV parameters, SD from the time and L from the frequency domain, were predictive of a fatal outcome in VT/VF patients. Combined SD+EF and L+EF values are powerful predictors of serious arrhythmic events.
- Published
- 1996
- Full Text
- View/download PDF
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