Publications by authors named "Rafal Gardas"

Background: In patients with atrial fibrillation (AF) and symptomatic bradycardia, His Bundle pacing (HBP) is used to achieve an appropriate heart rate and physiological depolarization of the left ventricle (LV).

Aims: We aimed to evaluate the impact of HBP on LV function in two different populations: normal LV ejection fraction (LVEF) and low LVEF (<50%).

Methods: Patients who received HBP as de novo therapy or as an upgrade were divided into two groups based on initial LVEF, followed by echocardiographic and device monitoring.

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Article Synopsis
  • Left bundle branch area pacing (LBBAP) is being examined as a potential alternative to biventricular pacing (BVP) for patients needing cardiac resynchronization therapy (CRT), with a study comparing the two along with left bundle-optimized therapy CRT (LOT-CRT).
  • In the study involving 48 patients, LOT-CRT and BVP showed significantly greater increases in left ventricular pressure and QRS shortening compared to unipolar and bipolar LBBAP, indicating better hemodynamic performance.
  • Results also suggested that patients with interventricular conduction delay had less QRS reduction but similar improvements in left ventricular pressure compared to those with left bundle branch block, and the effectiveness of combining LBBAP with coronary vein
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This study evaluated the relationship of non-invasive arterial stiffness parameters with an individual 10-year risk of fatal and non-fatal atherosclerotic cardiovascular disease (ASCVD) events in the cohort post-coronavirus disease 2019 (COVID-19). The study group included 203 convalescents aged 60.0 (55.

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Aims: The application of conduction system pacing (CSP) in clinical practice is growing, and the need for lead extraction will also increase. The data on outcomes and safety of CSP lead extraction are limited. The aim of this study was to assess procedural outcomes and safety of CSP lead removal.

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Background: Exercise capacity reflects the cardiovascular risk after myocardial infarction (MI). The study aims to evaluate the impact of sleep-disordered breathing (SDB) on exercise capacity after MI.

Methods: Consecutive patients referring to outpatient cardiac rehabilitation up to 28 days after MI and participating in the Polish Managed Care after Acute Myocardial Infarction (MC-AMI) program were included.

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: His bundle pacing (HBP) is suitable for 80% of patients with any indication for permanent pacemaker implantation, with a clinical benefit compared to right ventricular pacing (RVP). Although complications and mortality related to RVP are widely reported in the literature, data on HBP are limited. This study aimed to analyze HBP complications and outcomes in the short-term (up to 30 days) and long-term (up to the following 24 months) follow-up (F/U).

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Background: Transvenous lead extraction (TLE) is a well-established treatment option for patients with cardiac implantable electronic devices (CIED) complications.

Objective: The purpose of this study was to evaluate the safety and efficacy of TLE in CIED infection and non-CIED infection patients.

Methods: Consecutive patients who underwent TLE between 2016 and 2022 entered the EXTRACT Registry.

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Sleep-disordered breathing (SDB), i.e., central sleep apnea (CSA) and obstructive sleep apnea (OSA), affects the prognosis of patients with heart failure with reduced ejection fraction (HFrEF).

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Article Synopsis
  • - This study investigated the safety and effectiveness of stereotactic arrhythmia radioablation (STAR) for treating ventricular tachycardia (VT) in patients who didn't respond to traditional catheter ablation or had contraindications to it.
  • - In a group of 11 patients, the trial monitored for severe adverse events, finding that only one patient experienced a significant treatment-related issue, while the others showed an 84.3% reduction in VT symptoms.
  • - While STAR shows promise as a safe treatment option for certain patients, further research is needed to evaluate long-term effects and to compare it with existing treatment methods.
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Pacing-induced cardiomyopathy (PICM) is among the most common right ventricular pacing complications. Upgrading to cardiac resynchronization therapy (CRT) is the recommended treatment option. Conduction system pacing with His bundle pacing (HBP) has the potential to restore synchronous ventricular activation and can be an alternative to biventricular pacing (BVP).

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Background: His bundle pacing (HBP) maintains a physiological activation pattern of ventricular activation, and in patients with intraventricular conduction delay (IVCD) it can normalize wide QRS duration.

Methods: A total of 181 patients from the HBP registry were enrolled into a the study, which was conducted at the Department of Electrocardiology in Katowice, Poland. The patients had left ventricular ejection fraction (LVEF) < 50% and were implanted between November 2015 and April 2019.

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Background: Stereotactic Arrhythmia Radioablation (STAR) is an emerging treatment modality for patients with sustained ventricular tachycardia (VT) and refractory to treatment with drugs and radiofrequency catheter ablation (RFA). It is believed that up to 12-17% of patients experience recurrence of VT within 1 year of follow-up; thus, novel therapeutic options are needed. The aim of this article is to present initial experience within a novel treatment modality for VT.

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Background: Permanent right ventricular pacing (RVP) results in cardiac dyssynchrony that may lead to heart failure and may be an indication for the use of cardiac resynchronization therapy (CRT). The study aimed to evaluate predictors of outcomes in patients with pacing-induced cardiomyopathy (PICM) if upgraded to CRT.

Methods: One hundred fifteen patients, 75.

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Endocardial leads can potentially cause problems during coronary vessels visualization in multislice computed tomography (MSCT) due to a large number of artifacts. Based on presented case, we conclude that it is possible to perform MSCT of coronary arteries and leads visualization despite coexistence of four endocardial leads.

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A pericardial cyst is, according to the definition, a collection of fluid or blood in the pericardial space (inside the pericardial sac) around the heart. New visualization methods can help in the non-invasive diagnosis of pericardial cysts. Based on a presented case, we conclude that multi-slice computed tomography can have a great impact on the detection of pericardium diseases such as a pericardial cyst.

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A variety of etiologies can cause erroneous detection in patients with implantable cardioverter defibrillator (ICDs). Interaction between two endocardial leads is rare and uncommon in causing electrical noise. During a reimplantation procedure of an ICD system in a 68-year-old man, additional electrical signals could be detected.

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