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Article ; Online: Stress-induced cardiac arrest with mitral annulus disjunction in a physician amid the COVID-19 pandemic fight.

Marona, Milosz / Celinska-Spodar, Malgorzata / Spiewak, Mateusz / Konopka, Anna

2020 Volume 41, Issue 30, Page(s) 2921

MeSH term(s)	Adult ; Betacoronavirus ; COVID-19 ; Coronavirus Infections/epidemiology ; Defibrillators, Implantable ; Echocardiography ; Female ; Heart Arrest/diagnosis ; Heart Arrest/etiology ; Heart Arrest/therapy ; Heart Valve Diseases/complications ; Heart Valve Diseases/diagnostic imaging ; Heart Valve Diseases/physiopathology ; Humans ; Magnetic Resonance Imaging ; Mitral Valve/diagnostic imaging ; Occupational Stress/complications ; Occupational Stress/physiopathology ; Pandemics ; Physicians ; Pneumonia, Viral/epidemiology ; SARS-CoV-2 ; Ventricular Fibrillation/diagnosis ; Ventricular Fibrillation/etiology ; Ventricular Fibrillation/physiopathology ; Ventricular Fibrillation/therapy
Keywords	covid19
Language	English
Publishing date	2020-05-27
Publishing country	England
Document type	Case Reports ; Journal Article
ZDB-ID	603098-1
ISSN	1522-9645 ; 0195-668X
ISSN (online)	1522-9645
ISSN	0195-668X
DOI	10.1093/eurheartj/ehaa450
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Article: Stress-induced cardiac arrest with mitral annulus disjunction in a physician amid the COVID-19 pandemic fight

Marona, Milosz / Celinska-Spodar, Malgorzata / Spiewak, Mateusz / Konopka, Anna

Eur Heart J

Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #381974
Database	COVID19

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Article ; Online: Infective endocarditis caused by Trichosporon spp. effectively managed with a combination of voriconazole and surgical intervention.

Stępień-Wojno, Małgorzata / Marona, Miłosz / Kołsut, Piotr / Cieślik, Justyna / Michałowska, Ilona / Konopka, Anna

Polish archives of internal medicine

2023 Volume 134, Issue 2

MeSH term(s)	Humans ; Voriconazole/therapeutic use ; Trichosporon ; Antifungal Agents/therapeutic use ; Endocarditis/drug therapy ; Endocarditis/surgery ; Endocarditis, Bacterial/drug therapy
Chemical Substances	Voriconazole (JFU09I87TR) ; Antifungal Agents
Language	English
Publishing date	2023-12-20
Publishing country	Poland
Document type	Journal Article
ZDB-ID	123500-x
ISSN	1897-9483 ; 0032-3772
ISSN (online)	1897-9483
ISSN	0032-3772
DOI	10.20452/pamw.16635
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Article ; Online: Stress-induced cardiac arrest with mitral annulus disjunction in a physician amid the COVID-19 pandemic fight

Marona, Milosz / Celinska-Spodar, Malgorzata / Spiewak, Mateusz / Konopka, Anna

European Heart Journal

2020 Volume 41, Issue 30, Page(s) 2921–2921

Keywords	Cardiology and Cardiovascular Medicine ; covid19
Language	English
Publisher	Oxford University Press (OUP)
Publishing country	uk
Document type	Article ; Online
ZDB-ID	603098-1
ISSN	1522-9645 ; 0195-668X
ISSN (online)	1522-9645
ISSN	0195-668X
DOI	10.1093/eurheartj/ehaa450
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Article ; Online: Patent ductus arteriosus obscured by a giant aortic aneurysm in a young man with acute heart failure.

Jaworski, Krzysztof / Michałowska, Ilona / Marona, Miłosz / Pracoń, Radosław / Szpakowski, Eugeniusz / Dąbrowski, Rafał

Kardiologia polska

2021 Volume 80, Issue 2, Page(s) 224–225

MeSH term(s)	Aortic Aneurysm/complications ; Aortic Aneurysm/diagnostic imaging ; Ductus Arteriosus ; Ductus Arteriosus, Patent/complications ; Ductus Arteriosus, Patent/diagnostic imaging ; Heart Failure/complications ; Humans ; Male
Language	English
Publishing date	2021-12-22
Publishing country	Poland
Document type	Journal Article
ZDB-ID	411492-9
ISSN	1897-4279 ; 0022-9032
ISSN (online)	1897-4279
ISSN	0022-9032
DOI	10.33963/KP.a2021.0187
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Article ; Online: Heart rate and the use of beta-blockers in stable outpatients with coronary artery disease: Polish baseline results of the CLARIFY registry.

Stępińska, Janina / Marona, Miłosz / Greenlaw, Nicola / Steg, Gabriel

Kardiologia polska

2014 Volume 72, Issue 11, Page(s) 1156–1164

Abstract: Background: Heart rate (HR) is an important risk factor in coronary artery disease (CAD). However, there is little contemporary data on HR and the use of HR-lowering medications, particularly beta-blockers, among patients with stable CAD in routine ... ...

Abstract	Background: Heart rate (HR) is an important risk factor in coronary artery disease (CAD). However, there is little contemporary data on HR and the use of HR-lowering medications, particularly beta-blockers, among patients with stable CAD in routine clinical practice. Aim: To describe HR in the Polish population of the CLARIFY registry, overall and in relation to beta-blocker use, and to assess the determinants of HR. Methods and results: CLARIFY is an international, prospective, observational, longitudinal registry of outpatients with stable CAD, defined as either prior myocardial infarction or revascularisation procedure, or evidence of coronary stenosis of at least 50%, or chest pain associated with proven myocardial ischaemia. A total of 33,438 patients from 45 countries in Europe, the Americas, Africa, the Middle East, and Asia/Pacific were enrolled between November 2009 and July 2010. In Poland, 1,004 patients were enrolled between February and June 2010, which was the largest population among countries from Eastern Europe. Most patients were men (72.8%). Mean ± standard deviation age was 62.1 ± 9.1 years. HR determined by pulse was 69.3 ± 9.4 bpm and by electrocardiogram was 68.2 ± 10.6 bpm. Beta-blockers were used in 89.9% of patients. Resting HR ≥ 70 bpm was noted in 49.3% of all patients and in 48.6% of patients on beta-blockers. Resting HR ≥ 70 bpm was significantly more frequent among younger patients, and in those with diabetes, those being treated for arterial hypertension, and who lacked regular physical activity. Patients with HR ≥ 70 bpm at rest had more frequent symptoms of angina and more frequently needed hospitalisation due to heart failure. Conclusions: Despite a very high rate of beta-blocker use, almost 50% of patients with stable CAD had a resting HR ≥ 70 bpm, which was associated with more frequent angina and ischaemia. Further HR lowering is possible in many patients with CAD. Whether or not this will improve symptoms and outcomes is under investigation.
MeSH term(s)	Adrenergic beta-Antagonists/therapeutic use ; Aged ; Coronary Artery Disease/drug therapy ; Female ; Heart Rate/drug effects ; Humans ; Male ; Middle Aged ; Poland ; Registries
Chemical Substances	Adrenergic beta-Antagonists
Language	English
Publishing date	2014
Publishing country	Poland
Document type	Journal Article
ZDB-ID	411492-9
ISSN	1897-4279 ; 0022-9032
ISSN (online)	1897-4279
ISSN	0022-9032
DOI	10.5603/KP.a2014.0134
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Article ; Online: Management strategies and 5-year outcomes in Polish patients with stable coronary artery disease versus other European countries: data from the CLARIFY registry.

Parma, Zofia / Young, Robin / Roleder, Tomasz / Marona, Miłosz / Ford, Ian / Tendera, Michał / Steg, Philippe G / Stępińska, Janina

Polish archives of internal medicine

2019 Volume 129, Issue 5, Page(s) 327–334

Abstract: INTRODUCTION An international registry of ambulatory patients with stable coronary artery disease (CLARIFY) allows a comparison of management and outcomes in real‑life setting. OBJECTIVES We aimed to compare the management strategies and 5‑year outcomes ... ...

Abstract	INTRODUCTION An international registry of ambulatory patients with stable coronary artery disease (CLARIFY) allows a comparison of management and outcomes in real‑life setting. OBJECTIVES We aimed to compare the management strategies and 5‑year outcomes in patients from Poland and from other European countries. PATIENTS AND METHODS Stable coronary artery disease was defined as previous myocardial infarction (MI) or revascularization, coronary stenosis greater than 50%, or documented symptomatic myocardial ischemia. Patients were followed on an annual basis for 5 years. RESULTS Among the total of 32 703 patients, 1000 were enrolled in Poland, and 17 326 in other European countries. Polish patients were younger, with a higher proportion of women, smokers, and patients with previous MI, dyslipidemia, and hypertension. Patients in both cohorts received adequate medical treatment, with more Polish patients receiving β‑blockers. Blood pressure and lipid control to target was similar and remained low in both cohorts. Diabetes control and successful smoking cessation rates were lower in Poland than in other European countries. Polish patients more often underwent percutaneous coronary intervention. All‑cause (8.5% vs 7.9%; P = 0.81) and cardiovascular death rates (5.3% vs 4.9%; P = 0.82) did not differ between the groups, but fatal or nonfatal MI occurred more often in the Polish cohort (5% vs 3.1%; P = 0.006). Angina control was better in Poland than in other European countries (Canadian Cardiovascular Society class II-IV, 11.5% vs 15.8% of patients; P <0.001). CONCLUSIONS Risk factor control was insufficient both in patients from Poland and in those from other European countries. The more frequent use of revascularization in Polish patients was not linked to improved outcomes, but, together with more extensive prescription of β‑blockers, might have contributed to better angina control.
MeSH term(s)	Aged ; Coronary Artery Disease/drug therapy ; Coronary Artery Disease/therapy ; Disease Management ; Europe ; Female ; Humans ; Male ; Middle Aged ; Myocardial Ischemia ; Poland ; Registries ; Treatment Outcome
Language	English
Publishing date	2019-04-05
Publishing country	Poland
Document type	Comparative Study ; Journal Article
ZDB-ID	123500-x
ISSN	1897-9483 ; 0032-3772
ISSN (online)	1897-9483
ISSN	0032-3772
DOI	10.20452/pamw.14789
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Article ; Online: Elective versus rescue balloon aortic valvuloplasty for critical aortic stenosis.

Tyczyński, Paweł / Chmielak, Zbigniew / Dąbrowski, Maciej / Skowroński, Jarosław / Kukuła, Krzysztof / Stokłosa, Patrycjusz / Demkow, Marcin / Marona, Miłosz / Śmigielski, Witold / Stępińska, Janina / Hryniewiecki, Tomasz / Witkowski, Adam

Kardiologia polska

2020 Volume 78, Issue 10, Page(s) 982–989

Abstract: Background: Balloon aortic valvuloplasty (BAV) may be considered a bridge to further intervention in hemodynamically unstable patients or patients with symptomatic severe aortic stenosis (AS).: Aims: This study aimed to retrospectively compare ... ...

Abstract	Background: Balloon aortic valvuloplasty (BAV) may be considered a bridge to further intervention in hemodynamically unstable patients or patients with symptomatic severe aortic stenosis (AS). Aims: This study aimed to retrospectively compare periprocedural and in‑hospital outcomes of AS patients treated with elective BAV (group 1) and rescue BAV (group 2). Methods: We identified 35 patients in whom BAV was performed between 2010 and 2018. Among them, 16 were treated electively (group 1) and 19 urgently (group 2). Results: Overall, BAV resulted in a significant decrease in the mean transaortic gradient by a median (interquartile range [IQR]) value of 5 (1-10) mm Hg (P <0.01) and the maximal transaortic gradient by a median (IQR) value of 13.5 (2.5-23.2) mm Hg (P <0.01). Postprocedural grade II aortic regurgitation rates increased from 8.6% to 17.1% (P = 0.48). Periprocedural death occurred in 4 patients (11.4%)-all from group 2 (21%) (P = 0.1). In‑hospital death occurred in 15 patients (42.8%)-3 patients (18.7%) from group 1 and 12 patients (63.1%) from group 2 (P <0.01). During follow‑up, a single patient underwent surgical aortic valve replacement, and transcatheter aortic valve implantation was performed in 4 individuals. A single patient died 22 months after BAV. Conclusions: Periprocedural and in‑hospital mortality in patients with critical AS treated with BAV remains very high, especially in patients treated urgently.
MeSH term(s)	Aortic Valve/surgery ; Aortic Valve Stenosis/surgery ; Balloon Valvuloplasty ; Humans ; Retrospective Studies ; Time Factors ; Transcatheter Aortic Valve Replacement ; Treatment Outcome
Language	English
Publishing date	2020-04-17
Publishing country	Poland
Document type	Journal Article
ZDB-ID	411492-9
ISSN	1897-4279 ; 0022-9032
ISSN (online)	1897-4279
ISSN	0022-9032
DOI	10.33963/KP.15299
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Article ; Online: Biventricular assist device-induced recovery from acute heart failure in peripartum cardiomyopathy on cardiac magnetic resonance imaging.

Petryka-Mazurkiewicz, Joanna / Kryczka, Karolina / Marona, Miłosz / Kuriata, Jarosław / Sitkowska-Rysiak, Ewa / Konopka, Anna / Marczak, Magdalena / Kołsut, Piotr / Kuśmierczyk, Mariusz / Demkow, Marcin / Dzielińska, Zofia

Kardiologia polska

2020 Volume 78, Issue 12, Page(s) 1284–1285

MeSH term(s)	Cardiomyopathies/diagnostic imaging ; Heart Failure ; Heart-Assist Devices ; Humans ; Magnetic Resonance Imaging ; Peripartum Period
Language	English
Publishing date	2020-08-26
Publishing country	Poland
Document type	Journal Article
ZDB-ID	411492-9
ISSN	1897-4279 ; 0022-9032
ISSN (online)	1897-4279
ISSN	0022-9032
DOI	10.33963/KP.15586
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Article ; Online: Anomalous origin of culprit coronary arteries in acute coronary syndromes.

Tyczyński, Paweł / Kukuła, Krzysztof / Pietrasik, Arkadiusz / Bochenek, Tomasz / Dębski, Artur / Oleksiak, Anna / Marona, Miłosz / Lelek, Michał / Stępińska, Janina / Witkowski, Adam

Cardiology journal

2017 Volume 25, Issue 6, Page(s) 683–690

Abstract: Background: The aim of the study was to describe a series of acute coronary syndrome (ACS) patients in whom anomalous origin of culprit coronary artery (AOCCA) was diagnosed. Percutaneous coronary interventions (PCI) in AOCCA are performed very ... ...

Abstract	Background: The aim of the study was to describe a series of acute coronary syndrome (ACS) patients in whom anomalous origin of culprit coronary artery (AOCCA) was diagnosed. Percutaneous coronary interventions (PCI) in AOCCA are performed very infrequently. Methods: Electronic databases from three high-volume tertiary cardiac centers were retrospectively searched for the presence of AOCCA in ACS. Results: Different types of AOCCA in ACS were identified in 20 patients. The most frequent AOCCA was left circumflex coronary artery (LCx) originating from right coronary artery (RCA) or directly from the right coronary sinus (RCS), n = 13, followed by high/atypical RCA, n = 3, left coronary artery (LCA) originating from RCS (n = 3) with either RCA-AOCCA (n = 1) or left anterior descending coronary artery (LAD)-AOCCA (n = 1) or RCA originating from left sinus of Valsalva, (n = 1), LAD originating from RCA (n = 1). In 1 ST-segment elevation myocardial infarction (STEMI)-patient RCA-AOCCA cannulation was unsuccessful, in 1 non-STEMI-patient AOCCA was missed, 1 ACS- -patient was treated surgically and 1 ACS-patient was treated conservatively (both patients with non- STEMI). In the remaining patients PCI was successfully performed. Conclusions: The most frequently encountered AOCCA is LCx branching-off from RCA. AOCCA may either be difficult to cannulate and PCI aborted even in STEMI, or missed, especially when the intermediate branch from LCA is mimicking proper LCx.
MeSH term(s)	Acute Coronary Syndrome/diagnosis ; Acute Coronary Syndrome/etiology ; Acute Coronary Syndrome/surgery ; Adult ; Aged ; Aged, 80 and over ; Coronary Angiography ; Coronary Vessel Anomalies/complications ; Coronary Vessel Anomalies/diagnosis ; Coronary Vessel Anomalies/surgery ; Coronary Vessels/diagnostic imaging ; Coronary Vessels/surgery ; Electrocardiography ; Female ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; Percutaneous Coronary Intervention/methods ; Retrospective Studies
Language	English
Publishing date	2017-12-14
Publishing country	Poland
Document type	Journal Article ; Multicenter Study
ZDB-ID	2488680-4
ISSN	1897-5593 ; 1897-5593
ISSN (online)	1897-5593
ISSN	1897-5593
DOI	10.5603/CJ.a2017.0142
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