Kardiol Pol
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In up to 36% of patients undergoing cardiac surgery prolonged intensive care unit stay may be necessary. Mortality rates of these patients range from 11% to 94%, causing enormous clinical and ethical issues. ⋯ The present study found that the preoperative presence of diabetes mellitus, and postoperative multiorgan failure syndrome decreased the probability of survival in patients with prolonged intensive care unit stay after elective isolated on-pump coronary artery bypass surgery.
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A case of a 50-year-old man admitted to the cardiology department due to massive infective endocarditis is presented. Diagnosis was confirmed by further investigations and patient was referred to cardiosurgery department. The surgery revealed destruction of mitral, tricuspid and aortic valve, thus three bioprostheses were implanted. The treatment was successful and six months after surgery patient was in good overall condition.
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Increased homocysteine (Hcy) levels predispose to atherosclerosis. Vitamin B6, B12 and folate play an important role in Hcy metabolism. ⋯ In the Polish population insufficient folate intake was common (deficiency was noted in nearly 80-90% of the population) and despite the correct average, a high proportion of subjects did not fulfil B6 and B12 intake recommendations; an inverse association between vitamins B6, B12 and folate consumption and Hcy concentration and prevalence of hyper-Hcy was observed
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Cryoballon isolation of the pulmonary veins has recently emerged as a promissing technique for ablation of atrial fibrillation (AF). ⋯ Cryoballoon ablation of pulmonary vein ostia is effective and safe, and can be an alternative to RF ablation. Easier procedure technique make possible shortening of the learning curve and increase the number of treated patients.
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A case of a 28-year-old women, with acute aortic dissection type B, ten days after childbirth is described. The pregnancy was ended by cesarean section. ⋯ A subsequent one-month follow-up period was uneventful. Diagnosis and treatment of acute aortic dissection are discussed.