Kardiol Pol
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Comparative Study
The impact of the Polish national Programme of Cardiovascular Disease Prevention on the quality of primary cardiovascular disease prevention in clinical practice.
Despite a decline since 1991, cardiovascular diseases (CVD) are the major burden on public health in Poland. ⋯ 1. The PCVDP appears to be effective in identifying high risk patients. 2. The effectiveness of the routine management of risk factors in primary care is very low. 3. Addressing via the PCVDP all decisions as to the extent and means of intervention on risk factors to primary care physicians appears to be ineffective. 4. There is a need to introduce an effective structured intervention on risk factors and add it to the PCVDP.
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Randomized Controlled Trial
Effect of gender on efficacy of preoperative intra-aortic balloon pump in high risk patients undergoing surgical coronary revascularisation.
There is no strong evidence supporting the use of preoperative intra-aortic balloon pump (IABP) in high-risk patients undergoing coronary artery bypass grafting (CABG). This issue has only been investigated in small studies which analysed the general population of patients, without focusing on specific subgroups, including gender. ⋯ There is a beneficial effect of preoperative IABP use in high-risk patients undergoing CABG, particularly in women and patients with co-morbidities (diabetes, obesity, and peripheral vascular disease).
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Case Reports
[Complete atrioventricular block due to hyperkalemia caused by rhabdomyolysis during treatment with statin].
Complete atrioventricular block can occur, among others, in case of hyperkalemia, that is a life-threatening complication of rhabdomyolysis. Statins constitute the medication group that is especially associated with a possibility of muscle complications. Frequency of statin-associated myalgia is 5-10%, and potentially fatal rhabdomyolysis--0.02-0.09%. ⋯ Iatrogenic rhabdomyolysis with life-threatening hyperkalemia, that was related to statin, was diagnosed. After application of suitable pharmacotherapy, conduction abnormalities resolved. The patient was discharged in a good condition.
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Brugada syndrome is a genetic disease characterised by ST segment elevation in right precordial leads and the occurrence of episodes of polymorphic ventricular tachycardia. It is also associated with a high risk of sudden death. We describe three males in whom Brugada syndrome was finally diagnosed after several hospitalisations due to syncope and ventricular tachycardia.