Publications by authors named "Lukasz Czyz"

Introduction: Originally thought unsuitable due to proneness to myocardial motion and susceptibility artefacts, spin-echo echo planar imaging (SE-EPI) has gained attention for the cardiac diffusion-weighted imaging (DWI) and diffusion tensor imaging (DTI) offering higher SNR and lower achievable echo time (TE).

Aim: The application of DTI for patients with acute myocardial infarction (AMI) using our methodology developed on the basis of the SE-EPI sequence.

Material And Methods: Twelve patients with AMI and six healthy controls were enrolled in the preliminary DTI study within the CIRCULATE STRATEGMED 2 project.

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Introduction: Infarct size (IS) is a fundamental determinant of left-ventricular (LV) remodelling (end-systolic and end-diastolic volume change, ΔESV, ΔEDV) and adverse clinical outcomes after myocardial infarction (MI). Our prior work found that myocardial uptake of transcoronary-delivered progenitor cells is governed by IS.

Aim: To evaluate the relationship between IS, stem cell uptake, and the magnitude of LV remodelling in patients receiving transcoronary administration of progenitor cells shortly after MI.

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Article Synopsis
  • The prevalence of coronary artery disease and heart failure is on the rise, despite advancements in treatment methods, and this trend is expected to continue in the coming decades.
  • Objective imaging techniques are essential for evaluating traditional and new heart treatments, allowing for better assessment of heart health and function.
  • This review focuses on single-photon emission computed tomography, highlighting its potential as a reliable, observer-independent method for measuring left ventricular performance and blood flow.
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  • The CHART-1 study found that multiple injections of cardiopoetic cells in patients with chronic ischemic heart failure may diminish their therapeutic effects over time.
  • Patients with low left ventricular ejection fraction (LVEF) underwent either cell transplantation or a sham procedure, and their heart function was assessed using echocardiography.
  • Results indicated that a significant percentage of those receiving cardiopoetic cells experienced decreased heart contractility and increased wall motion score, suggesting that the injection technique may cause myocardial injury that outweighs potential benefits.
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Article Synopsis
  • The study examines factors influencing patient enrollment in clinical trials for chronic ischaemic heart failure (CIHF), specifically comparing characteristics between those who were eligible and enrolled (E-E) and those who were eligible but not enrolled (E-NE).
  • A total of 5,436 hospitalized patients were evaluated over four recruitment periods, revealing that the characteristics and medical treatment of E-E and E-NE patients were largely similar, except for those enrolled showing more severe left ventricular impairment.
  • The main reasons for non-enrollment included participation in other trials and lack of consent, while ineligibility was mainly due to recent cardiac interventions, age, and coexisting diseases.
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Despite unquestionable progress in interventional and pharmacologic therapies of ischemic heart disease, the number of patients with chronic ischemic heart failure is increasing and the prognosis remains poor. Repair/restoration of functional myocardium through progenitor cell-mediated (PCs) healing and renovation of injured myocardium is one of the pivotal directions in biomedical research. PCs release numerous pro-angiogenic and anti-apoptotic factors.

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Introduction: Carotid artery stenting (CAS) using conventional (single-layer) stents is associated with worse clinical outcomes in diabetes mellitus (DM) vs. non-DM patients: an effect driven largely by lesion-related adverse events. CAS outcomes with MicroNet-covered stents (MCS) in diabetic patients have not been evaluated.

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