Kardiol Pol
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The aim of remote monitoring of implantable cardioverter-defibrillators (ICD) is to increase the patient's safety by early detection of technical or medical malfunctions and decrease the number of follow-up visits. ⋯ Remote monitoring of ICD recipients in Poland does not present technical difficulties and enables early detection of serious events in ICD patients.
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Intraoperative transoesophageal echocardiography (IOTEE) is an integral part of many cardiac surgical procedures and is employed during major non-cardiac operations to monitor cardiac performance, particularly in high-risk patients. In the case of elective coronary artery bypass grafting (CABG) procedures this examination is performed according to experience and availability in a given centre. ⋯ Intraoperative transoesophageal echocordiography during elective CABG allows one to control difficult stages of the surgical procedure and to select patients at risk of perioperative haemodynamic deterioration. Our study supports the routine application of IOTEE in elective CABG.
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We describe a case of a 67-year-old woman with incessant idiopathic ventricular tachycardia and tachycardia-induced cardiomyopathy who underwent a successful RF ablation of the arrhythmic focus located in the aorto-mitral continuity. The optimal approach and titration of RF energy was achieved by means of the intracardiac echocardiography. The regression of signs of heart failure has been also observed.