- Cardiac Arrhythmias and Treatments
- Atrial Fibrillation Management and Outcomes
- Cardiac pacing and defibrillation studies
- Cardiac electrophysiology and arrhythmias
- Cardiovascular Syncope and Autonomic Disorders
- Cardiac Imaging and Diagnostics
- Cardiovascular Function and Risk Factors
- Acute Myocardial Infarction Research
- Heart Rate Variability and Autonomic Control
- Takotsubo Cardiomyopathy and Associated Phenomena
- Respiratory and Cough-Related Research
- Cardiovascular Effects of Exercise
- Ion channel regulation and function
- ECG Monitoring and Analysis
- Cardiac tumors and thrombi
- Cardiac Structural Anomalies and Repair
- Cardiac, Anesthesia and Surgical Outcomes
- Coronary Interventions and Diagnostics
- Antiplatelet Therapy and Cardiovascular Diseases
- Pulmonary Hypertension Research and Treatments
- Cardiovascular Issues in Pregnancy
- Vascular anomalies and interventions
- Venous Thromboembolism Diagnosis and Management
- Pericarditis and Cardiac Tamponade
- Cardiomyopathy and Myosin Studies
Jagiellonian University
2015-2025
Mesko (Poland)
2019-2025
John Paul II Hospital
2025
Institute of Cardiology
2013-2025
Ministry of Interior and Administration
2024
Jan Grodek State Vocational Academy in Sanok
2017-2023
Krakow Cardiovascular Research Institute
2023
Rzeszów University
2014-2020
Medical University of Warsaw
2007-2020
University Clinical Centre
2020
Observational studies and a recent randomized controlled trial have provided some evidence that cardioneuroablation (CNA) may prevent syncope recurrence in patients affected by cardioinhibitory reflex during the first 2 years following procedure. Nevertheless, many issues concerning clinical indications, methodology, long-term results remain unresolved. These constitute background of this manuscript which pioneers CNA experts debated critical aspects aimed at finding agreement or, if not...
Abstract OBJECTIVES The aim of this study was to evaluate in-hospital outcomes and long-term survival patients undergoing cardiac surgery with preoperative atrial fibrillation (AF). We compared different strategies, including no-AF treatment, left appendage occlusion (LAAO) alone, concomitant surgical ablation (SA) alone or both. METHODS A retrospective analysis using the KROK registry included all diagnosis AF who underwent in Poland between January 2012 December 2022. Risk adjustment...
Transesophageal echocardiography (TEE) is the gold standard for exclusion of thrombi in left atrial appendage (LAA) before ablation fibrillation. Intracardiac (ICE) used to assist fibrillation ablation; however, it can also be LAA imaging. The aim our study was determine whether ICE could replace TEE and identify optimal placement visualization.Seventy-six consecutive patients (56 men; mean age, 55±9.6 years) scheduled underwent procedure assessment by ICE. An 8F AcuNav probe introduced into...
Electrocardiographic diagnosis of wide QRS complex tachycardia (WCT) continues to be challenging as none one the available methods is specific for ventricular (VT) diagnosis. We aimed construct a method WCT differentiation based on scoring system, in which ECGs are graded according number VT-specific features. This novel was validated and compared with Brugada algorithm other methods. A total 786 WCTs (512 VTs) from 587 consecutive patients proven were analysed by two blinded observers. The...
Left atrial (LA) fibrosis promotes fibrillation (AF), may predict poor radiofrequency catheter ablation (RFCA) outcome, and be assessed invasively using electroanatomical mapping (EAM). Speckle tracking echocardiography (STE) enables quantitative assessment of LA function. The aim was to assess the relationship between derived from EAM echocardiographic parameters as well biomarkers in patients with AF.Sixty-six (64% males, mean age 56 ± 10) nonvalvular AF treated first RFCA were...
Although the "near-zero-X-Ray" or "No-X-Ray" catheter ablation (CA) approach has been reported for treatment of various arrhythmias, few prospective studies have strictly used "No-X-Ray," simplified 2-catheter approaches CA in patients with supraventricular tachycardia (SVT). We assessed feasibility a minimally invasive, nonfluoroscopic (MINI) such patients.Data were obtained from multicenter registry regular SVTs. After femoral access, 2 catheters to create simple, 3D electroanatomic maps...
Safe discontinuation of pacemaker therapy for vagally mediated bradycardia is a dilemma. The aim the study was to present outcomes proposed diagnostic and therapeutic process aimed at discontinuing or not restoring (PPM) in patients with bradycardia.The group consisted two subgroups suspected who were considered have PPM discontinued restore their if cardioneuroablation (CNA) would successfully treat bradycardia. A 3 had just explanted but reimplantation suggested, 17 preexisting pacemakers...
Background Experimental studies suggest that the electrocardiographic Tpeak–Tend (TpTe) interval reflects transmural dispersion of repolarization (TDR). The genesis and role TpTe in a clinical setting have not been established. This study aimed to assess usefulness as an index TDR pro‐arrhythmic marker. Materials methods Endocardial monophasic action potential (MAP) duration QTp, QTe intervals were assessed 13 patients undergoing electrophysiological study. Surface electrocardiograms...
Imaging of the left atrium (LA) is mandatory during catheter ablation atrial fibrillation (AF) and may be achieved by echocardiography. The aim present study was to assess feasibility using a recently released transoesophageal echocardiography (TEE) microprobe (micro-TEE) in non-sedated adult patients undergoing AF directly compare this new technique with intracardiac (ICE).The group consisted 12 consecutive (8 males, mean age 49 ± 14 years) who underwent first radiofrequency ablation. All...
Abstract Background Radiofrequency ablation (RFCA) became a treatment of choice in patients with recurrent ventricular tachycardia, fibrillation, and appropriate interventions implanted cardioverter-defibrillator (ICD), however, electrical storm (ES) pregnant woman has not yet been reported. Case presentation We describe case successful rescue ES 26-year-old Caucasian during her first pregnancy (23rd week). The arrhythmogenic right dysplasia/cardiomyopathy (ARVD/C) was diagnosed 3 years...
ARTICLE Risk of left atrial appendage thrombus in patients scheduled for ablation fibrillation... 921 most widely used and endorsed by international guidelines. 2 In addition, other parameters such as renal impairment or permanent type AF have been recently proposed additional thromboembolic risk factors large cohorts with after ablation. [3]4][5] However, no study has addressed this issue AF.INTRODUCTION Atrial fibrillation (AF) increases the events, including ischemic stroke, promoting...
The present case study reports a of chronic cough and syncope associated with frequent premature ventricular complexes (PVCs). Careful analysis cough-related symptoms ECG monitoring led to the suspicion PVC-induced cough. A coincidence between PVCs episodes was also documented by portable multichannel recorder. Moreover, Doppler echocardiography revealed transient increase in pulmonary artery blood flow. After exclusion other possible aetiologies, complete relief achieved radiofrequency...
Background and aim: To assess safety efficacy of antazoline for termination atrial fibrillation (AF) occurring during ablation accessory pathways (AP). Methods: We analyzed electrophysiological mechanism (changes in A-A interval) the percentage pre-excited QRS complexes before after administration. The total dose administered time from start injection to sinus rhythm restoration were also measured. Results: Out consecutive 290 patients with Wolff-Parkinson-White syndrome undergoing...
We present a case study article demonstrating successful implementation of ultrasound guided extra cardiac vagus nerve stimulation during cardioneuroablation. To our knowledge it is first published description this technique, as most ECVS are done in the internal jugular vein bulb area. This method allows for reduction fluoroscopy time, and importantly reproducible capture especially after full bi-nodal (sinus atrioventricular) cardioneuroablation when may not give any effect heart. includes...
Heart rate monitors (HRMs) are used by millions of athletes worldwide to monitor exercise intensity and heart (HR) during training. This case report presents a 34-year-old male amateur soccer player with severe bradycardia who accidentally identified numerous pauses over 4 s (maximum length: 7.3 s) sleep on his own HRM variability (HRV) function. Simultaneous Holter ECG recordings were performed in an outpatient clinic, finding consistent 6.3 sinus arrests (SA) 33 beats/min. During the...