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Biomedical subjects

G Opolski

Publications and source records attributed to G Opolski.

At least 37 records · Page 2Linked to original sources
PubMed1992

[A method of averaged ECG signal does not identify patients with ventricular tachycardia in disorders of intraventricular conduction].

Conduction defect are known to delay and fragment the ecg signal and may be expected to cause changes on the signal-averaged ecg that mimic ventricular late potentials. The aim of our study was to asses whether signal-averaged ECG (SAE) identify patients (pts) with sustained ventricular tachycardia (VT) after myocardial infarction (MI) who display right or left bundle branch block (RBBB or LBBB). We studied 23 pts with RBBB and 25 pts with LBBB. SEA was recorded with bidirectional filters at 25-250 HZ and 40-250 Hz using Simson method. The total filtered QRS duration (QRSd), root mean square voltage in the terminal 40ms of the QRS (RMS40) and low amplitude signal duration less than 40uV (LAS40)) were measured. Signal-averaged parameters with a filter at 25-250 Hz were: [table: see text] Signal-averaged parameters with a filter at 40-259 Hz were: [table: see text] In conclusion SAE parameters do not allow separation of pts with sustained VT from pts with RBBB or LBBB after MI. These data indicate that conduction defects have effects on signal-averaged ecg parameters and may result in masking of ventricular late potentials.

Action Potentials↗
PubMed1991

Value of the atrial signal-averaged electrocardiogram in identifying patients with paroxysmal atrial fibrillation.

Atrial signal-averaged electrocardiogram was compared between 25 patients with paroxysmal atrial fibrillation and 20 healthy persons without atrial arrhythmias (control). The duration time of the high frequency (50-250 Hz) P wave was significantly (P less than 0.01) prolonged in the groups of patients with paroxysmal atrial fibrillation compared with the control group (116 +/- 16.4 versus 92 +/- 8.1 msec). The diagnostic value of the duration of the high frequency P wave for identifying patients with paroxysmal atrial fibrillation was 104 msec. Using this criterion, a sensitivity of 76% and a specificity of 90% were achieved. Our observation has shown that the atrial signal-averaged electrocardiogram is a useful technique for identifying patients with paroxysmal atrial fibrillation.

Adult↗
PubMed1991

[Atrial natriuretic peptide level in acute myocardial infarction].

Concentration of atrial natriuretic peptide (ANP) was studied in acute myocardial infarction (AMI), its association with ventricular arrhythmias (VA), left ventricular dysfunction and infarct size. Plasma ANP concentrations were measured at time: 0, 4, 8, 16, 24, 48 and 72 hours after admission in 11 patients (pts) with first AMI, up to 6 hours after the first symptoms. Ventricular arrhythmia was assessed by 24 hour Holter monitoring, left ventricular dysfunction by echocardiography and infarct size by serial CK-MB measurement in first 72 hours of AMI. In subsequent measurements the average plasma concentration of ANP (mean +/- SEM) was elevated: 42.2 +/- 9.9, 35.3 +/- 12.5, 33.9 +/- 8.3, 42.3 +/- 8.3, 36.9 +/- 6.4, 60.7 +/- 9.3, 47.8 +/- 12.0 fmol/ml. The maximal plasma ANP concentration was significantly higher (p less than 0.01) in 4 pts with VA 4th grade acc. to Lown than in 7 pts without VA (102.6 +/- 17.9 vs 41.1 +/- 6.4). The maximal level of ANP--153.3 fmol/ml in a patient with paroxysmal supraventricular tachycardia was observed. There were no significant correlations between plasma ANP and infarct size, size of left atrium and contractility disturbances of left ventricle.

Adult↗
PubMed1991

[A case of ventricular free wall rupture in acute myocardial infarction treated conservatively with success].

A sixty year old man developed clinical signs of pericardial tamponade on fifth day of acute myocardial infarction. An echocardiogram showed a pericardial effusion and rupture of left ventricular free wall. After pericardial puncture and four days pericardial drainage, the fissure of rupture was closed by formation of thrombus and pseudoaneurysm. After six weeks patient was discharged in good condition.

Drainage↗
PubMed1990

[Clinical significance of mitral valve insufficiency detected by Doppler echocardiography in acute myocardial infarction].

Doppler echocardiography revealed in the third week of the recent myocardial infarction a pattern of mitral insufficiency in 27 (36%) of the 75 patients studied. Mitral insufficiency was usually associated with the more severe clinical course of myocardial infarction, with more frequent supraventricular and ventricular arrhythmias, heart failure, and with more extensive infarction area, as compared with the patients without mitral failure. A decreased contractibility of the left ventricle wall (especially in patients with anterior myocardial infarction accompanied by mitral insufficiency and enlargement ventricular dimension) may suggest its role in the development of mitral insufficiency in myocardial infarction. The results show the need of Doppler echocardiography in recent myocardial infarction to detect patients with an increased risk.

Adult↗
PubMed1989

[Disturbances of upper airway patency and their sequelae].

The authors present their investigations of the effects of upper airway compromise from hypertrophy of lymphoid tissue, nasal polyps, deviated nasal septum and hypertrophy of the nasal conchae. All the patients were under the age of 18 years. Methods of assessing children with airway compromise include 6-hour polysomnography (PSG). Special attention was paid to the heart function, as well as to pO2 and pCO2 saturation. Computer analysis of PSG studies revealed disturbances in circulatory system function, unnoticed in routine physical examination. The results may serve as one more voice in a debate about the advisability of surgical treatment of airway compromise performed in childhood.

Airway Obstruction↗
PubMed1989

[Value of recording late ventricular potentials in patients with a history of myocardial infarction].

The aim of the work was to determine the values of the registration of late ventricular potentials (PPK) in order to identify patients with paroxysmal ventricular tachycardia following myocardial infarction. PPK was found in 26 out of 30 patients (87%) with episodes of ventricular tachycardia and only in 6 out of 50 (12%) patients without such rhythm disorders following myocardial infarction (p less than 0.001). No PPK were found in any of 25 healthy persons of the control group. No significant difference was found in the frequency of complex ventricular extrasystolic beats (III-V cl. according to Lown) in 24-hour ambulatory electrocardiogram between patients with paroxysmal ventricular tachycardia (47%) and patients without such episodes in anamnesis (30%). The recording of PPK in chest surface leads makes it possible to identify patients with paroxysmal ventricular tachycardia following cardiac infarct.

Action Potentials↗
PubMed1989

[Nasal obstruction in patients with sleep apnea].

The authors described the clinical signs and consequences of suffocations during sleep apnea. They presented the results of the surgical intervention of nasal obstruction in patients with sleep apnea. The during-all-night examinations of these patients proved the possibility of positive effects of surgical intervention of nasal obstruction in patients with sleep apnea.

Adult↗
PubMed1988

The correlation between CK MB curve type and the clinical course of recent myocardial infarction.

In 265 patients with acute myocardial infarction (MI) for whom the 72-hour CK MB curve was obtained, three types of a curve were found: with a single and early 16 h peak value (type A), with a single late 16 h peak value (type B), and with a double peak (type C). Type A of the CK MB curve was found in 32% of patients with acute MI, type B in 55% and type C in 13%. There were no significant differences of CK MB max between the type groups. Infarct size differed significantly between groups (A-29 +/- 19, B-35 +/- 22, C-53 +/- 30 g Eq CK MB). In-hospital mortality also differed significantly particularly between type C (31%) and type A groups (5%). Nitroglycerin or practolol given intravenously during the first 48 hours changed the CK MB curve mainly by decreasing CK MB max as compared to controls treated conventionally. There was no effect of treatment with either nitroglycerin or practolol on the clinical course in patients with type A CK MB curve. There is a good correlation between the CK MB curve type and the clinical course of MI. Nitroglycerin or practolol decreased the infarct size only in patients with either B or C type of CK MB curve, having no influence in patients with a mild form of acute MI (type A).

Adult↗
PubMed1988

Prognostic significance of late potentials after myocardial infarction.

Signal-averaged electrocardiograms (ECGs) were registered before hospital discharge in 120 consecutive patients (pts) with first acute myocardial infarction (MI). 26 pts (22%) had abnormal signal-averaged ECGs - late potentials (LP). Pts with LP had a more serious clinical course than pts without LP: sustained ventricular tachycardia (VT) (27% vs. 2%; p less than 0.01), left ventricular aneurysm (35% vs. 11%; p much less than 0.05) and greater infarct size (62 +/- 35 vs. 43 +/- 22 CK-MB gEq; p less than 0.01). Complex ventricular ectopic activity was more often in pts with LP than in those without LP (54% vs. 28%; p less than 0.05). During an up to 18-month follow-up (mean 13) 6 pts presented sustained VT and 2 died suddenly. 5 pts with sustained VT and 2 pts who died suddenly had LP. The sensitivity of the signal-averaged ECG as a predictor of arrhythmic events was 86%, with a specificity of 82%. Signal-averaged ECGs provide prognostic information in identifying arrhythmic events after MI.

Aged↗