Maciej Slodki

Maciej Slodki
Masovian State University in Plock · Faculty of Health Science

Professor

About

141
Publications
28,955
Reads
How we measure 'reads'
A 'read' is counted each time someone views a publication summary (such as the title, abstract, and list of authors), clicks on a figure, or views or downloads the full-text. Learn more
589
Citations

Publications

Publications (141)
Article
Purpose: This article aimed to present the factors determining survival and prognosis in fetuses and newborns with critical prenatal aortic stenosis (AS) and to present 26 years of tertiary center experience. Methods: Study included 87 fetuses with critical AS requiring surgical intervention during neonatal period. All results were expressed as...
Article
Aim: The aim of this study was to prepare normograms for the fetal stomach, urinary bladder, and stomach to urinary bladder index in healthy fetuses. Material and methods: The study was conducted based on the data extracted from the database of our tertiary center in the years 2016–2019. The study group, comprising 867 fetuses, demonstrated normal...
Article
Introduction The aim of this study was to evaluate if selected prenatal markers obtainded from fetal echocardiography can predict postnatal outcome in congenital diaphragmatic hernia (CDH) patients. We also aimed to verify the prognostic value of lung-to-head ratio (LHR). Material and methods The study group included 29 fetuses with CDH. We analyz...
Article
Objectives: To present the crucial role of echocardiographic examination in perinatal care and analyze influence of prenatal treatment for neonatal outcome. Furthermore, the attempt to answer the question if there was any relationship between the occurrence of fetal Ebstein's anomaly and environmental risk factors in polish population. Methods:...
Article
Full-text available
The aim of this study was to evaluate the impact of pregestational diabetes mellitus (DM) on fetal cardiac function two-dimensional parameters using spectral and tissue Doppler. Pregnant women between 20 and 36 + 6 weeks gestation were divided into three groups: controls, type I DM, and type II DM. The right ventricle (RV) and left ventricle (LV) a...
Article
Full-text available
Introduction Delivery is a physiological process stimulating the adaptation of the newborn to new conditions of life outside the mother’s body The moment of the baby’s birth and cutting the umbilical cord means the newborn’s violent transition from the uterine environment to the external world, which requires the dynamic process of adaptation conne...
Article
Full-text available
Introduction End-stage renal disease (ESRD) is an important complication of diabetes, which is the leading cause of ESRD worldwide The aim of the study was a comparative analysis of all-cause mortality in patients with ESRD with diagnosed diabetes mellitus (DM) and no diagnosed DM. Material and methods Data for the analysis were obtained from the...
Article
Full-text available
The aim of this study was to evaluate the impact of pregestational diabetes mellitus (DM) on fetal cardiac function two- dimensional parameters using spectral and tissue Doppler. Pregnant women between 20 and 36 + 6 weeks gestation were divided into three groups: controls, type I DM, and type II DM. The right ventricle (RV) and left ventricle (LV)...
Article
Objectives: To evaluate the incidence of hypoplastic left heart syndrome (HLHS) and the efficiency of the screening program using data from the Polish National Registry for Fetal Cardiac Anomalies. To investigate whether HLHS incident rates in Poland are seasonally variable. Methods: Data on 791 cases of HLHS from the Registry collected between...
Article
Full-text available
Our group presents our reflections, based on the current literature, concerning the obstetric and rheumatologic management of the foetus identified with clinical myocardial disease mediated by maternal autoantibodies (MAb). The European League Against Rheumatism (EULAR) have recommended the use of hydroxychloroquine (HCQ) during asymptomatic lupus...
Article
Full-text available
Introduction Doppler imaging of foetal pulmonary veins plays a crucial role in prenatal cardiology centres. Therefore, we established reference ranges for maximal fetal pulmonary venous blood flow velocity for our unit. Material and methods A database of fetal ultrasound and echocardiographic examinations was analysed retrospectively. Healthy fetu...
Article
Objective Congenital corrected transposition of the great arteries (ccTGA) is a rare congenital cardiac anomaly which remains difficult to diagnose prenatally. We aim to investigate the natural history, associated anomalies and the outcome of patients in prenatally diagnosed ccTGA. Method This was an international multicenter retrospective analysis...
Poster
Objectives Congenital heart defects (CHD) are one of the most commonly diagnosed congenital malformations in fetuses and newborns. The aim of the study was to determine whether interpregnancy interval (IPI), maternal age or number of pregnancies had any influence on the recurrence of congenital heart disease in subsequent pregnancies. Methods We f...
Poster
Objectives In up to 22% of patients with hypoplastic left heart syndrome (HLHS) restriction of the atrial septum develops at some point of gestation and often progresses until birth. We carried out this study in order to determine survival predictors as well as possibly find out why restriction occurs in some HLHS patients and not others. Methods...
Article
Objective: Early pregnancy models for prediction of GDM have been proposed, mostly using anamnestic and biochemical parameters. The aim of our study was to evaluate the strength of association of first trimester fetal heart rate (FHR) in predicting the development of gestational diabetes (GDM). Study design: We considered in our analysis singlet...
Article
Background Altered cardiac geometry affects a proportion of fetuses with growth restriction (FGR). The aim of this study was to explore the hemodynamic factors associated with cardiac remodeling in late FGR. Methods This was a prospective study of singleton pregnancies complicated by late-onset FGR undergoing assessment of left (LV) and right (RV)...
Article
Objective: To describe umbilical vein (UV) hemodynamic in macrosomic fetuses at 11+0 13+6 weeks of gestation and to build a multiparametric prediction model including pregnancy and ultrasound characteristics able to detect fetal macrosomia in the first trimester. Methods: Matched case-control study including pregnancies who underwent ultrasound...
Article
Objective: Pregnancies complicated by late-onset fetal growth restriction (FGR) are at increased risk of short- and long-term morbidities. Despite this, identification of cases at higher risk of adverse perinatal outcome when FGR is diagnosed is challenging. The aims of this study were to elucidate the strength of association and predictive accura...
Article
Full-text available
Introduction: Congenital heart defects (CHD) are one of the most commonly diagnosed congenital malformations in fetuses and newborns. The aim of the study was to determine whether inter-pregnancy interval (IPI), maternal age or number of pregnancies had any influence on the recurrence of congenital heart disease in subsequent pregnancies. Material...
Article
Full-text available
Introduction The fetal thymus may be visualized using ultrasonography (USG) and is typically located in the mediastinum. In the past years, the size of the fetal thymus has served not only as a marker of genetic or heart defects but also as a predictive factor for intrauterine growth restriction, premature birth, preeclampsia, chorioamnionitis or e...
Article
Objective: To explore women’s compliance with ultrasound evaluation (UE) during labor compared with standard vaginal examination (VE). Methods: Prospective observational cohort study including uncomplicated singleton pregnancies with the fetus in vertex presentation from 37 weeks of gestation. Labor progress was assessed by both VE and UE. Women ac...
Article
Objective: Membrane sweeping has been shown to potentially reduce the need of formal induction of labor. The primary aim of this study was to elucidate the role of ultrasound assessment of the cervix in predicting successful membrane sweeping in singleton pregnancies at term; the secondary aim was to build a multiparametric prediction model integra...
Article
Objectives: This prospective study aimed to assess the effectiveness of foramen ovale examination in classifying prenatal hypoplastic left heart syndrome (HLHS) in accordance with the new classification groupings for congenital heart defects. Material and methods: The analysis included 145 fetuses with HLHS, diagnosed and monitored between 2008...
Article
Full-text available
The aim of the study was to evaluate the association between environmental exposure to nonpersistent insecticides and semen quality (concentration, motility, morphology, computer-aided semen analysis [CASA] parameters, and sperm DNA damage). Urine samples ( n = 315) collected from men who attended the infertility clinic with normal semen concentrat...
Article
Introduction: Prenatal atrioventricular septal defect (AVSD) on frequent occasions coexists with other cardiac or extracardiac abnormalities or malformation which may change the prognosis and the management with the fetus and the newborn. The aim of the research was to assess the prognosis and the outcome of prenatally diagnosed AVSD based on the c...
Article
Full-text available
Introduction: The aim of this study was to evaluate the following parameters of fetuses and neonates with omphalocele: the prevalence of coexisting congenital heart defects (CHD), abnormalities in heart function and the impact of coexisting CHD on fetal and neonatal survival. Material and methods: The study group consisted of 69 fetuses with omphal...
Article
Introduction: Prenatal diagnosis of congenital heart disease (CHD) leads to improved outcome but not mortality rate. This may not be the case for coarctation of the aorta (CoA). The objective of this study is to estimate the effect of a prenatal diagnosis of CoA by comparing neonates with CoA by the time of diagnosis. Materials and methods: The stu...
Article
Full-text available
INTRODUCTION: The aim of this study was to present our current practice of counseling patients and families with the most severe congenital malformations in the 3rd trimester of pregnancy and to develop practical guidelines for our team and involved healthcare/ socialcare professionals. MATERIAL & METHODS: It was a retrospective evaluation of a ser...
Article
Full-text available
Introduction: Fetal echocardiography is a method of choice for diagnosing cardiovascular anomalies prenatally. However, in the majority of cases, the complexity of a defect creates a diagnostic challenge. Moreover, postnatal validation of sonographic findings rarely can be obtained. Nevertheless, the feedback is vital for improving diagnostic capab...
Article
Full-text available
International Prenatal Cardiology Collaboration Group (IPCCG) links specialists from prenatal cardiology all over the world. In this recommendation we would like to focus on the fetal/prenatal echocardiography official report. So far many recommendations focused mainly on technical aspects of the fetal heart examination.
Article
Full-text available
Introduction: Congenital heart defects are the most frequent reason for deaths during the neonatal and early infancy periods. The aim of this study was to retrospectively analyze singleton pregnancy outcomes of premature neonates with congenital cardiac defects delivered by Cesarean section. Materials and methods: A retrospective analysis was perfo...
Article
Full-text available
Introduction: Fetal cardiac tumors are anomalies, that occur rarely: from Nationwide Register of Fetal Cardiological Problems in Poland in years 2004-2016 amongst 8112 fetuses with cardiological problems, there were 85 fetuses with cardiac tumors, including 52 cases of multiple cardiac tumors (0,64%) and 33 of single anomalies (0,4%). Material: Thi...
Article
Fetal echocardiography facilitates the prenatal diagnosis of infants with congenital heart disease (CHD) and through sequential examinations, allows assessment of fetal hemodynamics and cardiovascular status from the time of diagnosis to delivery. Fetal cardiologists have created diagnostic protocols aimed at risk stratifying severity and potential...
Article
Full-text available
Malaria is one of the most common lethal parasitic diseases. Infection is transmitted when an infected female mosquito bites a human introducing the sporozoites into human blood. The article presents the course of pregnancy and delivery in a patient complicated by Plasmodium infection. The patient had repetitive several trips to Tanzania over a sho...
Article
Objective: To analyze the spectrum of prenatally diagnosed absent pulmonary valve syndrome (APVS) and the outcome from diagnosis onwards. Fetuses with APVS and tetralogy of Fallot (TOF/APVS) and with APVS and intact ventricular septum (APVS/IVS) were included. Method: Multicenter retrospective study of the International Prenatal Cardiology Colla...
Article
Objective: Prenatal congenital heart disease classification system specify critical d-TGA with restriction of the foramen ovale (which requires Rashkind procedure) and planned d-TGA. However, current prenatal diagnostic criteria for post-delivery foramen ovale (FO) restriction in d-TGA are inadequate, resulting in a high false negative rate. We ai...
Article
Objectives: To analyze a population of fetuses with prenatally diagnosed right aortic arch (RAA). Methods: Retrospective study of fetuses with RAA diagnosed prenatally between 2011 and 2015 in 2 referral centers. Results: RAA was found in 4.4% (46/1036) of fetuses with cardiovascular abnormalities (CVA). As an isolated anomaly, RAA was present...
Conference Paper
Full-text available
Objectives: Congenital heart defects are common and contribute substantially to the mortality of newborns and young infants, in spite of well-developed medical and surgical treatments. Methods: In 2006, the Polish Ministry of Health established a Register of Fetal Heart Defects (RFHD) to enable cooperative gathering of data on CHD, cardiac arrhythm...
Conference Paper
Full-text available
Objectives: Neonatal teratomas, primarily sacrococcygeal in location , occur in 1:30,000–1:170,000 livebirths, male to female ratio 1:3. Although it is relatively easy to detect prenatally, the perinatal management is still difficult due to high neonatal mortality. The aim of the study was to evaluate the performance of echocardiography in the pren...
Article
Full-text available
We present the case of aneurysm of the muscular intraventricular septum with accompanying cardiomegaly and abnormal venous flow patterns requiring emergency cesarean section and specialized neonatal treatment. At the age of 8 months our patient has no clinical symptoms with a 6 mm scar in intraventricular muscular septum..
Article
Full-text available
Total anomalous pulmonary venous connection (TAPVC) is a congenital heart defect (CHD), in which all pulmonary veins connect to the systemic veins or to the right atrium/coronary sinus instead of the left atrium. We present a case report of fetus with prenatally diagnosed isolated infracardiac type of TAPVC in 38th week of gestation. In fetal echoc...
Article
Full-text available
Objectives: Neonatal teratomas, primarily sacrococcygeal in location , occur in 1:30,000–1:170,000 livebirths, male to female ratio 1:3. Although it is relatively easy to detect prenatally, the perinatal management is still difficult due to high neonatal mortality. The aim of the study was to evaluate the performance of echocardiography in the pren...
Article
Infants born with congenital heart disease (CHD) may require emergent treatment in the newborn period. These infants are likely to benefit the most from a prenatal diagnosis, which allows for optimal perinatal planning. Several cardiac centers have created guidelines for the management of these high-risk patients with CHD. This paper will review an...
Article
Full-text available
Congenital heart defects are among the most common congenital defects and contribute substantially to the mortality of newborns and young infants, in spite of well-developed medical and surgical treatments.
Article
Full-text available
Progress in the fields of fetal cardiology and fetal surgery have been seen not only in singleton pregnancies but also in multiple pregnancies. Proper interpretation of prenatal echocardiography is critical to clinical decision making, family counseling and perinatal management for obstetricians, maternal fetal medicine specialists, neonatologists...
Article
Full-text available
Cantrell’s pentalogy is a congenital defect characterized by uncompleted fusion of the anterior chest wall, resulting in an extrathoracic location of the heart. Ultrasound diagnosis during the first trimester of prenatal life is possible, and termination of pregnancy is usually chosen by pregnant women. We analysed 57 fetuses: 56 from literature an...
Article
Full-text available
Based on fourteen case reports from various centres from 1992-2015 and three original studies in 2006-2011, 122 fetuses were subjected to analysis. In these reports, transplacental digoxin treatment was administered to different cardiac anomalies such as SVT , Ebstein’s anomaly, critical AS , absent pulmonary valve syndrome, complete heart block, i...
Article
Full-text available
Objectives: Coarctation of the aorta (CoA) is an irreversible congenital heart defect. Its prenatal diagnosis is not rare a subject to false-positive conclusion. We present a novel hypothesis explaining the basis of this error. Methods: Ten cases of prenatal suspicion of the coarctation of the aorta (based on disproportion at the level of 4 chamber...
Conference Paper
Full-text available
The paediatric cardiology congenital heart defects (CHD) classifications are mainly based on anatomic details and/or pulmonary blood flow and are not useful in fetal medicine. What is also important current classifications of CHD does not consider the progression of the defect, which is one of the most important aspects of prenatal cardiology. Our...
Conference Paper
Full-text available
Objective: D-TGA is a cardiac malformation for which urgent Rashkind procedure may be needed, or surgical correction may be performed on an elective basis. The existing literature, describe the need for the Rashkind procedure in selected neonates with d-TGA after prenatal diagnosis. Restriction of the foramen ovale in d-TGA is not frequent, and thu...