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Title: Endothelial function in atrial fibrillation

Author:

Rewiuk, Krzysztof

Date:

2014

Type:

Praca doktorska

Abstract:

Introduction: The risk of thromboembolic events in atrial fibrillation (AF) is partially independent of the arrhythmia itself. Endothelial dysfunction could be a pathogenic factor of this phenomenon.Method: The study included 60 patients with recent onset AF (up to 48h), candidates for pharmacological cardioversion. Patients underwent bFMD examination and markers associated with endothelial function (vWF, sE-selectin, ADMA, SDMA, OPG, PTX3, TRAIL, hsCRP) were determined. Patients were re-examined after 7-10 days, using the same assay.Results: The biochemical markers indicated vascular endothelial dysfunction and were partially associated with the presence of co-morbidities. The persistance of atrial fibrillation was associated with a significant decrease in the bFMD while cardioversion to sinus rhythm was not connected with improvement of this parameter. Test markers were not predictors of sinus rhythm return, but allow to predict the presence of the indications for anticoagulation.Conclusions: Patients with acute onset AF are characterized by endothelial dysfunction. The longer duration of arrhythmia leading to further deterioration of endothelial function while the successful cardioversion does not bring the improvement in the short term. The parameters of endothelial function may help to identification of patients with indications for chronic anticoagulation.

Place of publishing:

Kraków

Level of degree:

2 - studia doktoranckie

Degree discipline:

choroby układu krążenia

Degree grantor:

Wydział Lekarski

Promoter:

Grodzicki, Tomasz

Date issued:

2013

Identifier:

oai:dl.cm-uj.krakow.pl:3896

Call number:

ZB-120486

Language:

pol

Access rights:

nieograniczony

Subject and keywords:

atrial fibrillation FMD endothelium

Object collections:

Last modified:

Jun 26, 2023

In our library since:

May 15, 2014

Number of object content hits:

503

Number of object content views in PDF format

209

All available object's versions:

http://dl.cm-uj.krakow.pl:8080/publication/3896

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Edition name Date
ZB-120486 Jun 26, 2023

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