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Medicina
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At the Interface between Cardiology and Cardiac Surgery—Current Trends in...
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At the Interface between Cardiology and Cardiac Surgery—Current Trends in Treatment of Cardiovascular Diseases

A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Cardiology".

Deadline for manuscript submissions: closed (30 June 2024) | Viewed by 3968

Special Issue Editors

Dr. Anna Olasinska-Wisniewska

E-Mail Website
Guest Editor
Department of Cardiac Surgery and Transplantology, Poznan University of Medical Sciences, 61-848 Poznan, Poland
Interests: aortic stenosis; TAVI; heart failure; coronary artery disease; atrial fibrillation
Special Issues, Collections and Topics in MDPI journals
Dr. Tomasz Urbanowicz

E-Mail Website
Guest Editor
Department of Cardiac Surgery and Transplantology, Poznan University of Medical Sciences, 61-848 Poznan, Poland
Interests: coronary artery disease; inflammation; heart failure; coronary artery bypass grafting; off-pump bypass grafting; arterial revascularization; mechanical circulatory support; heart transplant
Special Issues, Collections and Topics in MDPI journals
Dr. Gábor Bari

E-Mail Website
Guest Editor
Cardiac Surgery, University of Szeged, Szeged, Hungary
Interests: coronary artery disease; minimally invasive procedures

Special Issue Information

Dear Colleagues,

Cardiovascular diseases are leading causes of mortality and morbidity worldwide. Both, cardiological and cardiosurgical procedures have evolved significantly during last decades. However, with the improvement of current cardiovascular technologies, the patients’ profile has also significantly changed. Patients at the advanced stages of heart failure in course of coronary artery disease, valvular diseases, arrhythmias or cardiomyopathies are offered the best therapy options. In several cases firm cooperation of cardiologists and cardiac surgeons is necessary. Transcatheter procedures, minimally invasive techniques and hybrid procedures are important features of current cardiovascular medicine.

We encourage practitioners and scientists to share their best medical knowledge in the field of cardiac and surgical procedures in this special issue publications.

We sincerely invite original studies and review articles, especially original papers in transcatheter procedures, minimally invasive techniques and hybrid procedures are highly invited.

Dr. Anna Olasińska-Wiśniewska
Dr. Tomasz Urbanowicz
Dr. Gábor Bari
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Medicina is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2200 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

 

Keywords

  • coronary artery disease
  • valvular disease
  • aortic stenosis
  • heart failure
  • transcatheter
  • revascularisation
  • bypass grafting

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Published Papers (3 papers)

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Research

8 pages, 260 KiB  
Article
Long-Term Nitrogen Dioxide Exposure as a Possible 5-Year Mortality Risk Factor in Diabetic Patients Treated Using Off-Pump Surgical Revascularization—A Retrospective Analysis
by Tomasz Urbanowicz, Krzysztof Skotak, Aleksandra Krasińska-Płachta, Mariusz Kowalewski, Anna Olasińska-Wiśniewska, Krystian Szczepański, Andrzej Tykarski, Beata Krasińska, Zbigniew Krasiński and Marek Jemielity
Medicina 2024, 60(8), 1326; https://doi.org/10.3390/medicina60081326 - 15 Aug 2024
Viewed by 766
Abstract
Background: There is mounting evidence that diabetic-related cardiac metabolism abnormalities with oxidative stress and inflammatory mechanism activation align with the functional impairments that result in atherosclerotic lesion formation. Among the possible non-traditional coronary lesion risk factors, environmental exposure may be significant, especially [...] Read more.
Background: There is mounting evidence that diabetic-related cardiac metabolism abnormalities with oxidative stress and inflammatory mechanism activation align with the functional impairments that result in atherosclerotic lesion formation. Among the possible non-traditional coronary lesion risk factors, environmental exposure may be significant, especially in diabetic patients. Methods: A total of 140 diabetic patients (115 (82%) males and 25 (18%) females) with a mean age of 65 (60–71) underwent surgical revascularization due to multivessel coronary disease. The possible all-cause mortality risk factors, including demographical and clinical factors followed by chronic air pollution exposure, were identified. Results: All patients were operated on using the off-pump technique and followed for 5.6 (5–6.1) years. The multivariable model for 5-year mortality prediction presented the nitrogen dioxide chronic exposure (HR: 3.99, 95% CI: 1.16–13.71, p = 0.028) and completeness of revascularization (HR: 0.19, 95% CI: 0.04–0.86, p = 0.031) as significant all-cause mortality risk factors. Conclusions: Ambient air pollutants such as an excessive chronic nitrogen dioxide concentration (>15 µg/m3) may increase 5-year all-cause mortality in diabetic patients following surgical revascularization. Full article
(This article belongs to the Special Issue At the Interface between Cardiology and Cardiac Surgery—Current Trends in Treatment of Cardiovascular Diseases)
10 pages, 503 KiB  
Article
Long-Term Survival after Coronary Artery Surgical Revascularization—Does Ambient Temperature Matter?
by Tomasz Urbanowicz, Krzysztof Skotak, Jakub Bratkowski, Anna Olasińska-Wiśniewska, Krzysztof J. Filipiak, Michał Michalak, Kajetan Grodecki, Krystian Szczepański, Andrzej Tykarski, Beata Krasińska, Zbigniew Krasiński, Aleksandra Krasińska-Płachta and Marek Jemielity
Medicina 2024, 60(8), 1220; https://doi.org/10.3390/medicina60081220 - 27 Jul 2024
Viewed by 832
Abstract
Background and Objectives: The progression of global warming results in an increased exposure to extreme heat, leading to exaggeration of preexisting diseases and premature deaths. The aim of the study was to present possible risk factors for all-cause long-term mortality in patients who [...] Read more.
Background and Objectives: The progression of global warming results in an increased exposure to extreme heat, leading to exaggeration of preexisting diseases and premature deaths. The aim of the study was to present possible risk factors for all-cause long-term mortality in patients who underwent surgical revascularization, including an assessment of the influence of ambient temperature exposure. Materials and Methods: Retrospective analysis included 153 (123 (80%) males and 30 (20%) females) patients who underwent off-pump revascularization and were followed for a median time of 2533 (1035–3250) days. The demographical, clinical data and ambient temperature exposure were taken into analysis for prediction of all-cause mortality. Individual exposure was calculated based on the place of habitation. Results: In the multivariate logistic regression model with backward stepwise elimination method, risk factors such as dyslipidaemia (p = 0.001), kidney disease (p = 0.005), age (p = 0.006), and body mass index (p = 0.007) were found to be significant for late mortality prediction. In addition to traditional factors, environmental characteristics, including tropical nights (p = 0.043), were revealed to be significant. Conclusions: High night-time ambient temperatures known as tropical nights may be regarded as additional long-term mortality risk factor after surgical revascularization. Full article
(This article belongs to the Special Issue At the Interface between Cardiology and Cardiac Surgery—Current Trends in Treatment of Cardiovascular Diseases)
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11 pages, 1037 KiB  
Article
LARIAT or AtriClip: Complications Profile and Comparison in Patients with Atrial Fibrillations Based on Manufacturer and User Facility Device Experience Database
by Radosław Litwinowicz, Jakub Batko, Jakub Rusinek, Wojciech Olejek, Daniel Rams, Mariusz Kowalewski, Krzysztof Bartuś and Marian Burysz
Medicina 2023, 59(12), 2055; https://doi.org/10.3390/medicina59122055 - 21 Nov 2023
Viewed by 1583
Abstract
Background and Objectives: Left atrial appendage closure is an alternative treatment to reduce thromboembolism in patients with atrial fibrillation in whom oral anticoagulation (OAC) is contraindicated. The aim of this study was to evaluate the complications profiles of the LARIAT and AtriClip devices [...] Read more.
Background and Objectives: Left atrial appendage closure is an alternative treatment to reduce thromboembolism in patients with atrial fibrillation in whom oral anticoagulation (OAC) is contraindicated. The aim of this study was to evaluate the complications profiles of the LARIAT and AtriClip devices and perform a comparison between them based on the MAUDE (Manufacturer and User Facility Device Experience) database. Materials and Methods: The Manufacturer and User Facility Device Experience database was searched on 15 January 2023. For AtriClip, only reports regarding isolated procedures or procedures associated with minimally invasive ablation were included. Adverse effects and causes of death were defined based on the literature on the topic and the causes described in the reports. In total, 63 patients were included in the LARIAT group and 53 patients were included in the AtriClip group. Results: With the LARIAT device, the most common complication without device problems was pericardial effusion (n = 18, 52.9%), whereas this complication was not observed with AtriClip (p < 0.001). Postoperative bleeding was a second complication that occurred significantly more often in the LARIAT group—in 15 (44.1%) cases versus 1 (2.7%) case with AtriClip (p < 0.001). In addition, significant differences were found in the prevalence of stroke (LARIAT n = 0 vs. AtriClip n = 7, 18.9%, p = 0.012) and thrombus (LARIAT n = 2, 5.9% vs. n = 11, 29.7%, p = 0.013). Conclusions: Each type of left atrial appendage closure procedure is associated with device-specific requirements and complications that, if known, can be avoided. Full article
(This article belongs to the Special Issue At the Interface between Cardiology and Cardiac Surgery—Current Trends in Treatment of Cardiovascular Diseases)
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