Jarosław Rydzek

Publications

• 0.57

  Impact points

  [Recurrent syncope in a male patient with bicuspid aortic valve].

  Jarosław Rydzek, Zbigniew Gąsior

  Kardiologia polska. 01/2011; 69(5):475-7; discussion 478.

  We present a case of a 31 year-old male patient with a congenital heart disease - bicuspid aortic valve with secondary aortic valve insufficiency, in whom recurrent syncope associated with episodes of complete atrioventricular block was observed. After implantation of a pacemaker syncope did not rec... [more] We present a case of a 31 year-old male patient with a congenital heart disease - bicuspid aortic valve with secondary aortic valve insufficiency, in whom recurrent syncope associated with episodes of complete atrioventricular block was observed. After implantation of a pacemaker syncope did not reccur. Due to risk of complications with bicuspid aortic valve it was decided that surgical treatment should be considered in this case.

• [The importance of resting ECG in diagnosis of coronary heart disease exacerbation and in heart rate disregulations in patients under home palliative care].

  Jarosław Rydzek, Zbigniew Gasior

  Wiadomości lekarskie (Warsaw, Poland : 1960). 01/2011; 64(1):56-62.

  There are large numbers of people suffering from simultaneous coronary heart disease and ischaemic heart disease who remain under home palliative care. When concentrating on oencological palliative treatment, there exists sometimes a tendency to forget about the possibility of deterioration in the g... [more] There are large numbers of people suffering from simultaneous coronary heart disease and ischaemic heart disease who remain under home palliative care. When concentrating on oencological palliative treatment, there exists sometimes a tendency to forget about the possibility of deterioration in the general condition of a patient with cardio-vascular system dysfunctions. Deterioration in the patient's condition and persistent somatic complaints are frequently interpreted as progress in neoplastic disease or side effects of the employed therapy. It frequently leads to unnecessary discontinuation of palliative oencological treatment. Severe general condition of most patients limits the possibility of ischaemic heart disease diagnosis. It is also impossible to perform stress tests. Resting ECG is a simple and relatively inexpensive diagnostic method, possible to be performed at home by the patient's bed. Basing on a medical survey and an analysis of ECG record, diagnosis of deterioration in CHNS is very successful. The management of a patient with advanced neoplastic disease coexistent with ischaemic heart disease demands careful oencological and cardiologic treatment. ECG examinations carried in the patient's bed constitutes a crucial element of diagnostics in deteriorating coronary heart disease and in heart rate disregulations in patients under home palliative care.
• 0.57

  Impact points

  [Right ventricular metastasis of leiomyosarcoma].

  Jarosław Rydzek, Zbigniew Gąsior

  Kardiologia polska. 12/2010; 68(12):1370-3.

  We present a case of a 57 year-old patient with a right ventricular metastasis of leiomyosarcoma. The patient was subjected to a tumour excision and a supplementary radiotherapy 12 years earlier. Non-characteristic symptoms and adverse medical history of coronary heart disease (three remote myocardi... [more] We present a case of a 57 year-old patient with a right ventricular metastasis of leiomyosarcoma. The patient was subjected to a tumour excision and a supplementary radiotherapy 12 years earlier. Non-characteristic symptoms and adverse medical history of coronary heart disease (three remote myocardial infarctions) delayed diagnosis and treatment. Because the disease was advanced, the patient was disqualified from surgical treatment. Good clinical condition, however, allowed for gemcitabine treatment, however, long-termed prognosis is poor.
• 0.57

  Impact points

  [A 31 year-old female with recurrent pericardial effusion. Diagnostic and therapeutic difficulties].

  Jarosław Rydzek, Marianna Janion

  Kardiologia polska. 06/2010; 68(6):687-93, discussion 694.

  We present a case of a 31 year-old female with recurrent pericarditis. Despite pharmacological treatment with nonsteroidal anti-inflammatory drugs, steroids, diuretics and antibiotics the symptoms of cardiac tamponade occurred. The patient required pericardiocentesis with pericardial drainage. In ab... [more] We present a case of a 31 year-old female with recurrent pericarditis. Despite pharmacological treatment with nonsteroidal anti-inflammatory drugs, steroids, diuretics and antibiotics the symptoms of cardiac tamponade occurred. The patient required pericardiocentesis with pericardial drainage. In about 30% of cases the specific etiology it ts not detecting using the routine tests.

• [Pericarditis and cardiac tamponade in patient with pulmonary embolism].

  Jarosław Rydzek, Ireneusz Barziej, Justyna Hasij, Aneta Długosz, Anna Kaptacz

  Wiadomości lekarskie (Warsaw, Poland : 1960). 01/2010; 63(2):54-60.

  We present the case of co-existing pericarditis, cardiac tamponade and pulmonary embolism in a 60-year-old man treated with COPD. Cardiac tamponade as well as pulmonary embolism constitute a direct danger to life and the recovery depends on fast and proper treatment. Cardiac tamponade which co-exist... [more] We present the case of co-existing pericarditis, cardiac tamponade and pulmonary embolism in a 60-year-old man treated with COPD. Cardiac tamponade as well as pulmonary embolism constitute a direct danger to life and the recovery depends on fast and proper treatment. Cardiac tamponade which co-exists with COPD is a pathology which is especially difficult to be diagnosed due to similar clinical symptoms. The necessity of pericardiocentesis in acute cardiac tamponade may limit the treatment of the coexisting pulmonary embolism.