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1
Content available remote Treatment questions in POTS with hypertension and syncope
100%
Lelonek M. , Goch J.
Open Medicine
|
2008
|
tom 3
|
nr 3
361-364
EN
A 27-year old man experienced recurrent syncope with prodromal palpitations and resultant injury. The features of these episodes suggested a potentially neurally-mediated mechanism. Head-up tilt test revealed the postural orthostatic tachycardia syndrome (POTS). Within the first minutes of upright posture during the total head-up tilt testing, a heart rate increase of >30 beats/min and to a maximum of 150 beats/min was documented in the patient. At the end of passive tilting, the patient lost consciousness in the absence of hypotension while in sinus rhythm of 140 bpm. The 12-lead ECG and electrophysiological study showed no abnormalities. The patient received a beta-adrenergic blocker, a selective central imidazoline receptor agonist and psychiatric therapy, resulting in only a short-term improvement.
2
Content available remote Arterial hypertension in degenerative non-severe aortic stenosis
80%
Jegier B. , Jaszewski R. , Lelonek M.
Open Medicine
|
2012
|
tom 7
|
nr 1
95-99
3
Content available remote Young syncopal man and decision about permanent cardiac pacing
80%
Lelonek M. , Stanczyk A. , Goch J.
Open Medicine
|
2008
|
tom 3
|
nr 4
505-509
EN
A 20-year old man experienced recurrent syncope, that suggested a partially neutrally-mediated mechanism, but in some cases were without a prodrome. The tilt test was negative. The 12-lead ECG and electrophysiological study showed first-degree AV block. Syncope in bradyarrhythmia was suspected and an implantable loop recorder was indicated. In the first month after implantation the patient experienced one syncopal episode. In the stored ECG, AV junctional rhythm was detected. The patient received a pacemaker and symptoms improved.
4
Content available remote StudHeart-diabetes mellitus t.2 risk factors in senior medical students
80%
Morawiec R. , Janikowski K. , Zawisza J. , Lelonek M.
Open Medicine
|
2013
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tom 8
|
nr 5
608-617
EN
Introduction. StudHeart research was performed to evaluate the risk of diabetes mellitus type 2 (T2DM) amongst the senior medical students. Material and methods. The research involved 506 students aged 22–27 (mean age 23.96±1.52 yrs) in their 5th and 6th year of the medical faculties at the Medical University of Lodz. Each of the examined students has filled out an anonymous survey comprising 12 questions, which enabled us to use the FINDRISC scale in estimation of the risk for T2DM. Analysis was performed in relation to gender. Results. Overall in 16.80% of respondents the body mass index (BMI) was >25 kg/m2. Almost all students (93.48%) admitted to drinking alcohol and 9.68% smoked cigarettes. Only 13.64% of participants exercised daily (women 8.16% vs. men 21.30%; P=0.000). Everyday consumption of fruit and vegetables was reported by 55.34% of the respondents whereas 6.92% of them (women 4.42% vs. men 10.40%; P=0.026) ate fast-food 2–3 times a week. The overall risk for T2DM was elevated in 17.2% of examined students. It is predicted that by the time participants will reach age of 45, 40.52% of them (mostly men) will have their risk of T2DM elevated. Conclusion. Despite the awareness of risk factors for T2DM among senior medical students, their lifestyle remains unchanged. In the given population it is predicted that the risk of T2DM will enhance about 2.5-fold in the next 20 years.
5
Content available remote Prognosis of elderly patients hospitalized in the cardiac ward
80%
Cichocka-Radwan A. , Pietka I. , Lelonek M.
Open Medicine
|
2013
|
tom 8
|
nr 1
62-68
EN
Introduction Cardiovascular diseases affect nearly 80% of the elderly, and they are the major cause of death in this population. The aim was to evaluate the clinical profile and prognostic factors for patients aged 80 years and more who have been hospitalized for cardiologic reasons. Material and Methods The study included 100 patients aged 80–91 years (46% men) referred to the Department of Cardiology. We analyzed the reasons and length of hospitalization, clinical factors, results of basic laboratory tests, echocardiography, angiography, comorbidities and number of deaths during the hospitalization and in one year of follow-up. Patients were divided and analyzed, depending on the total mortality rate.Results The most common causes of hospitalization were myocardial infarction (67%) and heart failure (10%). Coronary angiography was performed in 72% of patients and percutaneous coronary intervention in 81%. The most common cause of hospital deaths was myocardial infarction (67%). The proportion of deaths in hospital was 8%, and during a year of observation it was 26%. Deaths were found to be related to ventricular conduction blocks (OR=4.0; P=0.03) and atrial fibrillation (OR=11.15; P=0.04). Conclusions In the elderly hospitalized in cardiac wards, myocardial infarction was the most common cause of hospitalization and hospital death. The mortality rate was high and associated with ventricular conduction blocks and atrial fibrillation.
6
Content available remote Usefulness of Reynolds Risk Score in men with stable angina
70%
Pietka I. , Sakowicz A. , Pietrucha T. , Cichocka-Radwan A. , Lelonek M.
Open Medicine
|
2014
|
tom 9
|
nr 1
21-27
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