Publications by authors named "Judit Szilagyi"

Article Synopsis
  • The study aimed to investigate how premature ventricular contractions (PVCs) affect heart function and whether any structural changes persist even after the PVCs are stopped.
  • Fifteen pigs were subjected to different conditions: continuous PVC pacing for 12 weeks, no pacing, or PVC pacing followed by a 4-week recovery; changes in heart function were measured biweekly.
  • Results showed that while LV function improved after stopping PVCs, there was still increased LV dyssynchrony and fibrosis in those exposed to PVCs, indicating lasting effects on the heart even after the PVCs ceased.
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Atrial fibrillation is the most common supraventricular arrhythmia affecting an increasing proportion of the population in which mainstream therapy, i.e. catheter ablation, provides freedom from arrhythmia in only a limited number of patients.

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Background: An increasing number of adults with congenital heart disease (CHD) are undergoing catheter ablation for atrial fibrillation (AF). Data on ablation strategy and outcomes in CHD are limited. Rhythm control is often believed to be of greater importance among patients with complex CHD.

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Background: The pathophysiology of cardiomyopathy associated with premature ventricular contractions (PVCs) remains unclear.

Objectives: This study prospectively explored cardiomyopathy development in a swine model of paced ectopic beats.

Methods: A total of 35 swine underwent pacemaker implantation.

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Introduction: Outcome of patients undergoing catheter ablation of atrial fibrillation (AF) varies widely. We sought to investigate whether parameters derived from the spectral analysis of surface ECG and intracardiac AF electrograms can predict outcome in patients referred for pulmonary vein isolation (PVI).

Methods: We performed spectral analysis on the surface ECG and intracardiac electrograms from patients referred for AF ablation.

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Article Synopsis
  • Atrial fibrillation (AF) ablation focuses on isolating pulmonary veins (PVs), with repeat ablations often facing challenges due to PV reconnection (PVr).
  • A study of 152 patients revealed that 16.4% maintained persistent PV isolation (PVi), and those with PVi exhibited higher rates of persistent AF and obesity compared to those with PVr.
  • Despite a strategy targeting non-PV triggers during repeat ablation in PVi patients, long-term sinus rhythm rates were lower (56% vs. 76.3% for PVr), indicating that PVr patients generally have better outcomes post-ablation.
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Objectives: The purpose of this study was to determine the optimal approach to focal atrial tachycardia originating from around the atrioventricular node.

Background: Focal atrial tachycardia (FAT) demonstrating earliest activation around the atrioventricular (AV) node during right atrial (RA) mapping has been eliminated by ablation at the RA para-Hisian region, from the left atrium (LA) or the noncoronary aortic cusp (NCC). However the optimal approach has not been determined.

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Background Or Purpose: Episodes of left atrial (LA) pressure increase predispose to atrial fibrillation (AF). The adaptation of LA mechanical function and electrophysiology to pressure elevation in healthy adults, and in patients with AF, is largely unknown.

Methods: Eleven patients with left-sided accessory pathway (controls) and 16 patients with paroxysmal AF undergoing catheter ablation were studied.

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Micafungin activity was determined against 24 wild-type clinical isolates and 5 American Type Culture Collection strains belonging to 8 Candida species in RPMI-1640 with and without 50% serum using broth microdilution and time-kill methodology. MIC values increased from 4- to 128-folds in 50% serum for all Candida species. Micafungin was not fungicidal against C.

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Caspofungin activity was determined in vitro and in vivo against three Candida orthopsilosis, three C. metapsilosis, two C. parapsilosis sensu stricto and two C.

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Caspofungin and nikkomycin Z (NIK) efficacy alone and in combination were tested against seven Candida species showing or not showing paradoxical growth (PG) against caspofungin in time-kill test in RPMI-1640. Selected isolates against caspofungin and NIK were also tested in 50% serum. PG was always eliminated by NIK as well as by serum.

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Killing activity of amphotericin B, fluconazole, voriconazole, posaconazole, and 5-fluorocytosine was determined against 6 Candida parapsilosis, 3 Candida orthopsilosis, and 4 Candida metapsilosis clinical isolates. After 24 h, 1 of 6 C. parapsilosis, 1 of 3 C.

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