Polskie Archiwum Medycyny Wewnętrznej
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Pol. Arch. Med. Wewn. · Feb 2024
Coronary artery disease in older adults with congenital heart defects: risk factors and pharmacotherapy.
With advancing age, adults with congenital heart disease (ACHD) are at a higher risk of developing atherosclerotic coronary artery disease (CAD). ⋯ CAD is common in older patients with ACHD. Our results underline the importance of identification and treatment of modifiable CAD risk factors in individuals with ACHD. The obesity paradox might also play a role in this population. The rate of guideline‑recommended pharmacotherapy implementation seems to be satisfactory.
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Pol. Arch. Med. Wewn. · Feb 2024
Possible association of beta-blockers use with risk of intracranial aneurysm rupture.
Aneurysmal subarachnoid hemorrhage is a devastating type of stroke, associated with high mortality and morbidity. One of modifiable risk factors of aneurysm rupture is hypertension, however, it is still not clear whether any particular antihypertensive drugs play a significant role in the prevention of aneurysm rupture. ⋯ Aneurysm located in the anterior cerebral circulation might be less likely to rupture if patients receive β‑blockers or statins.
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Pol. Arch. Med. Wewn. · Feb 2024
Echocardiographic predictors of left ventricular remodeling in patients after a history of active myocarditis.
Myocarditis may be difficult to diagnose because of the variety of its clinical manifestations, and the clinical course of the disease can be unpredictable. Nevertheless, some patients may exhibit partial or full contractile recovery following myocarditis. Standard and speckle-tracking echocardiography may serve as tools to follow this recovery. ⋯ Mechanical dispersion, QRS duration, and MRA use are independent predictors of positive LV remodeling in individuals with a history of AM.