Publications by authors named "Miroslawa Herdynska-Was"
Objective: To assess the principles of qualification and the range of organ transplantation in a patient with diagnosis of system sclerosis with pulmonary manifestation and severe myocardial insufficiency.
Methods: We present the case of a 43-year-old patient with confirmed systemic sclerosis with pulmonary manifestations and biventricular heart insufficiency after disease exacerbation and sudden cardiac arrest in the pulseless electrical activity (PEA) mechanism with effective resuscitation, with increasing shortness of breath and the need for inotropes and levosimendan infusion without a significant improvement in his general status. Owing to the diagnosis of a systemic disease with no option for pharmacologic or any other treatment for heart failure, he was reevaluated and put on an urgent waiting list for isolated heart transplantation.
Article Synopsis
- The study investigates the formation of PRA (Panel Reactive Antibodies) in patients undergoing elective cardiac surgery and how it affects their recovery.
- Blood samples were taken from 44 patients before surgery, with results showing that higher PRA levels were linked to more post-operative complications and longer hospital stays.
- Overall, while cardiac surgery does not strongly cause PRA formation, higher PRA levels are associated with increased risks during recovery, regardless of the type of surgery performed.