Publications by authors named "Marta Cisowska"

Article Synopsis
  • The study investigated short- and long-term cardiac complications in children with Multisystem Inflammatory Syndrome (MIS-C) linked to different SARS-CoV-2 variants (original/alpha, delta, omicron) over time.
  • Data showed that younger patients were more prevalent during the omicron wave and had significantly fewer cardiac issues compared to those in the alpha and delta groups, with only minor complications reported.
  • Overall, while cardiac complications were more severe in older children during earlier waves, most cases resolved during hospitalization, indicating a favorable long-term outcome.
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Article Synopsis
  • This study evaluates the incidence and management of multisystem inflammatory syndrome in children (MIS-C) during periods dominated by different COVID-19 variants (Alpha vs. Delta/Omicron).
  • Out of 108 analyzed patients, 68.5% were hospitalized during the Alpha phase, while 31.5% were during the Delta/Omicron phase, with most key clinical indicators remaining similar between the groups.
  • Notably, respiratory symptoms were more frequent in the Delta/Omicron group, but overall treatment approaches, including the use of intravenous immunoglobulins and corticosteroids, showed no significant differences.
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Background: Pulmonary endarterectomy is the treatment of choice for a majority of patients with chronic thromboembolic pulmonary hypertension (CTEPH), however, haemodynamic criteria for the surgery have not been established. It is still unknown whether patients with mild CTEPH should be operated on and what is the clinical course of unoperated, anticoagulated mild CTEPH.

Aim: To determine the clinical course in chronically anticoagulated, unoperated patients with mild CTEPH.

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Chronic thromboembolic pulmonary embolism not preceded by clinical thromboembolic event(s) in a 50 year-old male with a history of three-year dyspnea on exertion was detected. Proximal chronic pulmonary embolism, mean pulmonary artery pressure 32 mm Hg, and pulmonary vascular resistance of 444 dyn x s(-1) x cm(-5) were found. We describe a 11-year clinical course of anticoagulated patient with monitoring of functional status and echocardiography and with control of pulmonary haemodynamics at the end of follow-up.

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The article refers to actual data on pathophysiology of pulmonary arterial hypertension (PAH). PAH is a group of diseases characterized by a progressive increase of resistance and pressure in pulmonary vascular bed, leading to systolic overload and failure of the right heart ventricle, and in consequence - to premature death. The latest classification of PAH, basing on pathophysiology of the disease, was proposed in 2003 in Venice.

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