Publications by authors named "M Rybczynski"

Background: Marfan syndrome (MFS) guidelines recommend optimal pharmacologic therapy (OPT) and replacement of the ascending aorta (RAA) at 5.0 cm in diameter to prevent acute type A aortic dissection (ATAAD) and death. The effect of early MFS diagnosis and initiation of therapy on outcomes is not known.

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Objective: This study aimed to present the early and mid-term outcomes of fenestrated/branched thoracic endovascular aortic repair (f/bTEVAR) for aortic arch pathologies.

Background: f/bTEVAR represents a less invasive treatment option for aortic arch diseases. Previous published series showed decreased early mortality and morbidity compared to open repair.

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Pharmacologic reduction in heart rate with beta-blockers (BB) or ivabradine is associated with improved survival in heart failure (HF) with sinus rhythm. We analyzed the association of different heart rate-reducing drug treatments on outcomes in HF outpatients. Consecutive patients with HF in sinus rhythm referred to a specialized tertiary service were prospectively enrolled from August 2015 until March 2018.

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Aims: Small studies and observations suggested that exercise training may improve peak oxygen consumption (peakVO ) in patients with advanced heart failure and left ventricular assist device (LVAD). We investigated whether in this patient group a supervised exercise training can improve exercise capacity.

Methods And Results: In this multicentre, prospective, randomized, controlled trial, patients with stable heart failure and LVAD were randomly assigned (2:1) to 12 weeks of supervised exercise training or usual care, with 12 weeks of follow-up.

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Article Synopsis
  • A study evaluated the impact of native valve preservation versus prosthetic valve replacement on exercise capacity and patient-reported outcomes in 100 non-elderly adults undergoing aortic valve surgery from 2017 to 2020.
  • Results showed that while native valve preservation had a significantly higher risk of reoperation, patients in the native valve group experienced improved peak oxygen consumption and greater increases in walking distance and quality of life at the 1-year follow-up.
  • Both surgical options led to noticeable improvements in physical and mental health, with native valve patients showing a trend towards better walking distance compared to those who received prosthetic valves.
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