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Article: Echocardiographic Evaluation of Atrial Remodelling for the Prognosis of Maintaining Sinus Rhythm after Electrical Cardioversion in Patients with Atrial Fibrillation.

Wałek, Paweł / Roskal-Wałek, Joanna / Dłubis, Patryk / Wożakowska-Kapłon, Beata

2023 Volume 12, Issue 15

Abstract: Atrial fibrillation (AF) is the most common atrial tachyarrhythmia. One of the methods of AF treatment is direct current cardioversion (DCCV), but in the long-term follow-up we observe quite a high percentage of AF recurrences after this procedure. In ... ...

Abstract	Atrial fibrillation (AF) is the most common atrial tachyarrhythmia. One of the methods of AF treatment is direct current cardioversion (DCCV), but in the long-term follow-up we observe quite a high percentage of AF recurrences after this procedure. In order to assess the prognosis of DCCV effectiveness, we use clinical, biochemical and echocardiographic parameters. The objective of this review is to systematise the current knowledge on echocardiographic measurements in patients with persistent AF used to assess the progress of remodelling of the atrial wall, which affects the likelihood of maintaining sinus rhythm after DCCV. In this article, echocardiographic parameters for the evaluation of remodelling of the atrial wall are divided into groups referring to structural, mechanical, and electrical remodelling, as well as parameters for the evaluation of left ventricular filling pressure. The article aims to draw attention to the clinical value of echocardiographic measurements, which is the selection of patients who will maintain sinus rhythm after DCCV in the long-term follow-up, which will allow to avoid unnecessary risks associated with the procedure and enable the selection of the appropriate treatment strategy.
Language	English
Publishing date	2023-08-07
Publishing country	Switzerland
Document type	Journal Article ; Review
ZDB-ID	2662592-1
ISSN	2077-0383
ISSN	2077-0383
DOI	10.3390/jcm12155158
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: GABAAR-mediated tonic inhibition differentially modulates intrinsic excitability of VIP- and SST- expressing interneurons in layers 2/3 of the somatosensory cortex.

Bogaj, Karolina / Kaplon, Roksana / Urban-Ciecko, Joanna

Frontiers in cellular neuroscience

2023 Volume 17, Page(s) 1270219

Abstract: Extrasynaptic GABAA receptors (GABAARs) mediating tonic inhibition are thought to play an important role in the regulation of neuronal excitability. However, little is known about a cell type-specific tonic inhibition in molecularly distinctive types of ... ...

Abstract	Extrasynaptic GABAA receptors (GABAARs) mediating tonic inhibition are thought to play an important role in the regulation of neuronal excitability. However, little is known about a cell type-specific tonic inhibition in molecularly distinctive types of GABAergic interneurons in the mammalian neocortex. Here, we used whole-cell patch-clamp techniques in brain slices prepared from transgenic mice expressing red fluorescent protein (TdTomato) in vasoactive intestinal polypeptide- or somatostatin- positive interneurons (VIP-INs and SST-INs, respectively) to investigate tonic and phasic GABAAR-mediated inhibition as well as effects of GABAA inhibition on intrinsic excitability of these interneurons in layers 2/3 (L2/3) of the somatosensory (barrel) cortex. We found that tonic inhibition was stronger in VIP-INs compared to SST-INs. Contrary to the literature data, tonic inhibition in SST-INs was comparable to pyramidal (Pyr) neurons. Next, tonic inhibition in both interneuron types was dependent on the activity of delta subunit-containing GABAARs. Finally, the GABAAR activity decreased intrinsic excitability of VIP-INs but not SST-INs. Altogether, our data indicate that GABAAR-mediated inhibition modulates neocortical interneurons in a type-specific manner. In contrast to L2/3 VIP-INs, intrinsic excitability of L2/3 SST-INs is immune to the GABAAR-mediated inhibition.
Language	English
Publishing date	2023-10-12
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2452963-1
ISSN	1662-5102
ISSN	1662-5102
DOI	10.3389/fncel.2023.1270219
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Article: The Impact of a Single Haemodialysis Session on the Retinal Thickness and Optic Nerve Morphology.

Roskal-Wałek, Joanna / Gołębiewska, Joanna / Mackiewicz, Jerzy / Bociek, Agnieszka / Wałek, Paweł / Biskup, Michał / Bołtuć-Dziugieł, Kamila / Starzyk, Katarzyna / Odrobina, Dominik / Wożakowska-Kapłon, Beata / Jaroszyński, Andrzej

Diagnostics (Basel, Switzerland)

2024 Volume 14, Issue 3

Abstract: Background: The aim of the study was to assess the influence of a single haemodialysis (HD) session on the retinal and optic nerve morphology in end-stage kidney disease (ESKD) patients.: Methods: It is a prospective study including only the right ... ...

Abstract	Background: The aim of the study was to assess the influence of a single haemodialysis (HD) session on the retinal and optic nerve morphology in end-stage kidney disease (ESKD) patients. Methods: It is a prospective study including only the right eye of 35 chronic kidney disease (CKD) patients subjected to HD. Each patient underwent a full eye examination 30 min before HD (8 a.m.) and 15 min after HD. Optical coherence tomography (OCT) was used to assess the peripapillary retinal nerve fibre layer (pRNFL) thickness, macular nerve fibre layer (mRNFL) thickness, ganglion cell layer with inner plexiform layer thickness (GCL+), GCL++ (mRNFL and GCL+) thickness, total retinal thickness (RT) and total macular volume (TMV). The correlation was tested between such systemic parameters changes as systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial pressure (MAP), body weight, plasma osmolarity and ocular perfusion pressure (OPP) and ultrafiltration volume with total RT and pRNFL thickness changes during HD. Results: In the results of a single HD session, we could observe a statistically significant increase in the total RT thickness (pre-HD 270.4 ± 19.94 μm, post-HD 272.14 ± 20.11 μm; Conclusion: Even a single HD session affects the retinal and pRNFL thickness, which should be taken into account when interpreting the OCT results in patients subjected to HD. The impact of changes after a single HD session on selected parameters requires further assessment in subsequent studies, including long-term observation.
Language	English
Publishing date	2024-02-03
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2662336-5
ISSN	2075-4418
ISSN	2075-4418
DOI	10.3390/diagnostics14030331
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Article ; Online: Left Atrial Wall Motion Velocity Assessed during Atrial Fibrillation Predicts Sinus Rhythm Maintenance after Electrical Cardioversion in Patients with Persistent Atrial Fibrillation.

Wałek, Paweł / Roskal-Wałek, Joanna / Dłubis, Patryk / Tracz, Justyna / Wożakowska-Kapłon, Beata

International journal of environmental research and public health

2022 Volume 19, Issue 23

Abstract: Reduced left atrial wall motion velocity measured during AF (LAWMV) indicates left atrial remodeling. The aim of this study was to investigate whether LAWMV assessed with tissue Doppler imaging during atrial fibrillation (AF) predicts sinus rhythm (SR) ... ...

Abstract	Reduced left atrial wall motion velocity measured during AF (LAWMV) indicates left atrial remodeling. The aim of this study was to investigate whether LAWMV assessed with tissue Doppler imaging during atrial fibrillation (AF) predicts sinus rhythm (SR) maintenance after direct current cardioversion (DCCV) for persistent AF. The study included 126 patients who underwent DCCV and were followed for 12 months. At 12 months, maintained SR was reported in 55 patients (43.7%). We noted that LAWMV was higher in patients with maintained SR at 12 months than in those with recurrent AF (3.69 ± 0.84 vs. 2.86 ± 1.09;
MeSH term(s)	Humans ; Atrial Fibrillation/diagnostic imaging ; Atrial Fibrillation/therapy ; Heart Atria/diagnostic imaging ; Electric Countershock/methods ; Echocardiography/methods ; Odds Ratio ; Treatment Outcome
Language	English
Publishing date	2022-11-23
Publishing country	Switzerland
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2175195-X
ISSN	1660-4601 ; 1661-7827
ISSN (online)	1660-4601
ISSN	1661-7827
DOI	10.3390/ijerph192315508
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Article ; Online: Long-term mortality after retinal artery occlusion - a single centre study.

Roskal-Wałek, Joanna / Mackiewicz, Jerzy / Wałek, Paweł / Sidło, Jacek / Biskup, Michał / Wożakowska-Kapłon, Beata / Odrobina, Dominik

Annals of agricultural and environmental medicine : AAEM

2023 Volume 30, Issue 2, Page(s) 252–258

Abstract: Introduction and objective: Retinal artery occlusion (RAO) is an ophthalmic and systemic emergency requiring urgent diagnosis and treatment. Data regarding mortality in this group, especially in the European population, are modest. The aim of this study ...

Abstract	Introduction and objective: Retinal artery occlusion (RAO) is an ophthalmic and systemic emergency requiring urgent diagnosis and treatment. Data regarding mortality in this group, especially in the European population, are modest. The aim of this study is to assess all-cause mortality in post-RAO patients. Material and methods: This is a retrospective, single-centre study involving 198 patients following RAO diagnosed in 2004-2020. The control group included 198 patients after cataract surgery matched for gender and age, with the date of cataract surgery corresponding to the date of the RAO. Results: The average follow-up of the study population was 6.32±2.15 years. Post-RAO patients had significantly higher risk of all-cause mortality (Log-rank test p = 0.001), also when stratified for ages below 75 years (Log-rank test p = 0.016) and those aged 75 and over (Log-rank test p = 0.001). In the group of patients without cardiovascular events before RAO/cataract surgery, post-RAO patients were also at higher risk of all-cause mortality (Log-rank test p = 0.011), but when stratified according to age, those observations were borderline significant (Log-rank test p = 0.083 for a group of patients aged less than 75 years, and p = 0.051 for patients aged 75 and over). Cox analysis showed that in the group of post-RAO patients, the main risk factors for all-cause mortality were age (HR 1.07, 95%CI 1.04-1.1; p < 0.001), ischemic heart disease (HR 1.72; 95%CI 1.08-2.72; p = 0.022), and permanent atrial fibrillation (HR 2.18, 95%CI 1.08-4.38; p = 0.029). Conclusions: Regardless of age and previous cardiovascular events, post-RAO patients are at a higher risk of all-cause mortality than patients without a history of RAO.
MeSH term(s)	Humans ; Aged ; Retrospective Studies ; Retinal Artery Occlusion ; Eye ; Myocardial Ischemia ; Cataract
Language	English
Publishing date	2023-06-16
Publishing country	Poland
Document type	Journal Article
ZDB-ID	1215115-4
ISSN	1898-2263 ; 1232-1966
ISSN (online)	1898-2263
ISSN	1232-1966
DOI	10.26444/aaem/167379
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Article: Retinal Artery Occlusion and Its Impact on the Incidence of Stroke, Myocardial Infarction, and All-Cause Mortality during 12-Year Follow-Up.

Roskal-Wałek, Joanna / Wałek, Paweł / Biskup, Michał / Sidło, Jacek / Cieśla, Elżbieta / Odrobina, Dominik / Mackiewicz, Jerzy / Wożakowska-Kapłon, Beata

Journal of clinical medicine

2022 Volume 11, Issue 14

Abstract: The aim of the study was to evaluate the incidence of ischemic stroke, myocardial infarction, and all-cause mortality in patients with retinal artery occlusion (RAO). This single-center retrospective study included 139 patients diagnosed with RAO between ...

Abstract	The aim of the study was to evaluate the incidence of ischemic stroke, myocardial infarction, and all-cause mortality in patients with retinal artery occlusion (RAO). This single-center retrospective study included 139 patients diagnosed with RAO between 2009 and 2020. The control group included 139 age- and sex-matched patients without RAO who underwent cataract surgery. The year of the surgery corresponded to the year of RAO onset. During the 12-year follow-up, patients with RAO had a shorter time to death (49.95 vs. 15.74 months;
Language	English
Publishing date	2022-07-14
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2662592-1
ISSN	2077-0383
ISSN	2077-0383
DOI	10.3390/jcm11144076
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Article ; Online: Analysis of the Correlation of Galectin-3 Concentration with the Measurements of Echocardiographic Parameters Assessing Left Atrial Remodeling and Function in Patients with Persistent Atrial Fibrillation.

Wałek, Paweł / Grabowska, Urszula / Cieśla, Elżbieta / Sielski, Janusz / Roskal-Wałek, Joanna / Wożakowska-Kapłon, Beata

Biomolecules

2021 Volume 11, Issue 8

Abstract: Galectin-3 (gal-3) is a fibrosis marker and may play a role in fibrosis of the left atrium (LA). Left atrial wall fibrosis may influence the transition from paroxysmal to non-paroxysmal atrial fibrillation (AF). In this study, we assessed the correlation ...

Abstract	Galectin-3 (gal-3) is a fibrosis marker and may play a role in fibrosis of the left atrium (LA). Left atrial wall fibrosis may influence the transition from paroxysmal to non-paroxysmal atrial fibrillation (AF). In this study, we assessed the correlation of gal-3 concentration with the main echocardio-graphic parameters evaluating dimensions, volume, compliance, and left atrial contractility during AF and after successful electrical cardioversion (DCCV). The study included 63 patients with left atrial enlargement who qualified for DCCV due to persistent AF. The procedure recovered sinus rhythm in 43 (68.3%) patients. The concentration of gal-3 was negatively correlated with the echocardiographic parameters of LA including dimensions (LA length pre, rho = -0.38;
MeSH term(s)	Aged ; Atrial Fibrillation/diagnostic imaging ; Atrial Fibrillation/metabolism ; Atrial Fibrillation/physiopathology ; Atrial Fibrillation/therapy ; Atrial Remodeling ; Biomarkers/metabolism ; Blood Proteins/genetics ; Blood Proteins/metabolism ; Echocardiography ; Electric Countershock/methods ; Endomyocardial Fibrosis/diagnostic imaging ; Endomyocardial Fibrosis/metabolism ; Endomyocardial Fibrosis/physiopathology ; Endomyocardial Fibrosis/therapy ; Female ; Galectins/genetics ; Galectins/metabolism ; Gene Expression ; Heart Atria/diagnostic imaging ; Heart Atria/metabolism ; Heart Atria/pathology ; Heart Atria/physiopathology ; Heart Ventricles/diagnostic imaging ; Heart Ventricles/metabolism ; Heart Ventricles/pathology ; Heart Ventricles/physiopathology ; Humans ; Male ; Middle Aged ; Myocardial Contraction ; Ventricular Function, Left
Chemical Substances	Biomarkers ; Blood Proteins ; Galectins ; LGALS3 protein, human
Language	English
Publishing date	2021-07-28
Publishing country	Switzerland
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2701262-1
ISSN	2218-273X ; 2218-273X
ISSN (online)	2218-273X
ISSN	2218-273X
DOI	10.3390/biom11081108
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Article ; Online: Retinal artery occlusion and its association with stroke – literature review

Joanna Roskal-Wałek / Jerzy Mackiewicz / Paweł Wałek / Marcin Gregorczyk / Michał Biskup / Beata Wożakowska-Kapłon / Dominik Odrobina

Studia Medyczne, Vol 39, Iss 1, Pp 55-

2023 Volume 64

Abstract: Retinal artery occlusion (RAO) leads to acute retinal ischemia. Despite the low incidence rate of RAO, the occurrence of this condition has very important clinical implications. It is an emergency condition that requires urgent diagnostic evaluation and ... ...

Abstract	Retinal artery occlusion (RAO) leads to acute retinal ischemia. Despite the low incidence rate of RAO, the occurrence of this condition has very important clinical implications. It is an emergency condition that requires urgent diagnostic evaluation and treatment. RAO is the ocular equivalent of acute cerebral ischemia. Patients with RAO have similar etiology and risk factors to patients with ischemic stroke and also are at high risk of subsequent cardiovascular events. However, the impact of RAO on the risk of a further ischemic stroke is still a matter of debate. Herein, we present a literature review on the relationship between RAO and stroke.
Keywords	stroke ; retinal artery occlusion ; cerebral small vessel disease ; Medicine ; R
Language	English
Publishing date	2023-03-01T00:00:00Z
Publisher	Termedia Publishing House
Document type	Article ; Online
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Article: Central and Branch Retinal Artery Occlusion-Do They Harbor the Same Risk of Further Ischemic Events?

Roskal-Wałek, Joanna / Wałek, Paweł / Biskup, Michał / Odrobina, Dominik / Mackiewicz, Jerzy / Głuszek, Stanisław / Wożakowska-Kapłon, Beata

Journal of clinical medicine

2021 Volume 10, Issue 14

Abstract: Purpose: Retinal artery occlusion (RAO) is associated with an increased risk of cardiovascular events such as ischemic stroke and myocardial infarction, but whether different RAO subtypes such as central retinal artery occlusion (CRAO) or branch retinal ...

Abstract	Purpose: Retinal artery occlusion (RAO) is associated with an increased risk of cardiovascular events such as ischemic stroke and myocardial infarction, but whether different RAO subtypes such as central retinal artery occlusion (CRAO) or branch retinal artery occlusion (BRAO) carry similar risk of these events is unclear. Our aim was to determine whether the risk of cardiovascular events differs between CRAO and BRAO. Methods: This single-center, retrospective study included 131 patients hospitalized in our clinic in 2010-2020 with CRAO or BRAO confirmed by ophthalmic examination. Data on demographics, previous ischemic stroke and myocardial infarction, comorbidities, the results of echocardiographic and ultrasound carotid artery examinations and laboratory tests were assessed. Data on ischemic stroke, myocardial infarction, and all-cause mortality occurring after RAO were obtained from the Polish National Health Service, which collects data on all publicly funded hospitalizations. Using these data, Kaplan-Meier analyses and Cox proportional hazard regression were performed. Results: Ischemic stroke occurred in 9.9% of patients after RAO: 10.6% in the CRAO group and 8.1% in the BRAO group ( Conclusions: The prognosis for ischemic stroke, myocardial infarction, and all-cause mortality is similar in patients with CRAO and BRAO. Ischemic strokes occur with a similar frequency before and after RAO. Myocardial infarctions are observed significantly more frequently before an episode of RAO than after. The results of our study indicate that both CRAO and BRAO require expanded diagnostics to assess the risk of recurrent cardiovascular events, especially ischemic strokes, to implement appropriate prophylaxis and reduce mortality.
Language	English
Publishing date	2021-07-13
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2662592-1
ISSN	2077-0383
ISSN	2077-0383
DOI	10.3390/jcm10143093
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Article ; Online: Double left anterior descending artery: Congenital anomaly or normal variant of coronary arteries?

Spałek, Michał / Stępień-Wałek, Alicja / Paszkiewicz, Joanna / Wożakowska-Kapłon, Beata

Cardiology journal

2017 Volume 24, Issue 4, Page(s) 445–446

MeSH term(s)	Aged ; Computed Tomography Angiography ; Coronary Angiography/methods ; Coronary Vessel Anomalies/classification ; Coronary Vessel Anomalies/diagnostic imaging ; Coronary Vessel Anomalies/therapy ; Coronary Vessels/diagnostic imaging ; Drug-Eluting Stents ; Female ; Humans ; Middle Aged ; Percutaneous Coronary Intervention/instrumentation
Language	English
Publishing date	2017
Publishing country	Poland
Document type	Case Reports ; Journal Article
ZDB-ID	2488680-4
ISSN	1897-5593 ; 1897-5593
ISSN (online)	1897-5593
ISSN	1897-5593
DOI	10.5603/CJ.2017.0090
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