Publications by authors named "A P Nikolova"

Osimertinib is first-line treatment for epidermal growth factor (EGFR)-mutated non-small cell lung cancer (NSCLC) and has been associated with cardiotoxicity. However, the nature of cardiac remodeling and associated risk factors remains incompletely understood. Retrospective analysis of NSCLC patients with ≥1 echocardiogram post-osimertinib between 2007 and 2022 was performed.

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Background: Primary graft dysfunction (PGD) remains the leading cause of 30-day mortality post-heart transplantation (HTx). HTx recipients experiencing severe PGD have been found to have high levels of circulating proteins associated with PGD occurrence and post-HTx survival. Whether treating these patients with therapeutic plasma exchange (TPE) can attenuate ongoing immunological and inflammatory processes and improve post-transplant outcomes has not been well-investigated.

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Background: Microvascular dysfunction after heart transplantation leads to restrictive cardiac allograft physiology (RCP), which is classified as severe coronary allograft vasculopathy (CAV); however, the prognosis of RCP remains unclear. Therefore, in this study, we aimed to elucidate the prognosis of RCP in comparison with that of severe angiographic CAV.

Methods: We assessed 116 patients with severe CAV who underwent heart transplantation between 2004 and 2023.

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Article Synopsis
  • - The study investigated how different types of arrhythmias (irregular heartbeats) correlate with radiation doses to specific parts of the heart in patients receiving radiotherapy for non-small cell lung cancer.
  • - Out of 748 patients, 17.1% developed serious arrhythmias over a median of 2 years, with atrial fibrillation being the most common (8.0% incidence at 2 years).
  • - Various radiation doses to specific cardiac structures were linked to different arrhythmia types, highlighting the importance of targeted radiation delivery for reducing heart-related side effects after cancer treatment.
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