Cardiology Journal

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Cardiology Journal

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Editors-in-Chief:
Milosz J. Jaguszewski, Juan Luis Guttiérrez-Chico

28/07/2026

First reported balloon-in-basket pulsed field ablation in a patient with long-standing persistent atrial fibrillation and a mechanical mitral valve prosthesis

The authors report what appears to be the first use of the Volt balloon-in-basket pulsed field ablation system in a patient with long-standing persistent atrial fibrillation

In a 64-year-old patient, 16 pulsed field ablation applications enabled isolation of all four pulmonary veins. No phrenic nerve injury, pericardial effusion, or deterioration of prosthetic valve function was observed. During 194 days of follow-up, no recurrence of atrial arrhythmia was reported.

This single case supports the technical feasibility of the procedure, but larger studies are needed to determine its safety, durability, and comparative effectiveness in patients with mechanical hear

Authors: Maciej Wójcik, Paweł Błaszkiewicz

DOI: https://doi.org/10.5603/cj.109792

05/06/2026

Can inflammatory biomarkers help identify which overweight and obese patients are more likely to experience atrial fibrillation recurrence after catheter ablation?

This original study applies machine learning to a broad panel of inflammatory and clinical variables to predict both early and late AF recurrence. One of the most clinically interesting signals: late recurrence prediction became notably stronger when early recurrence was taken into account, suggesting that post-ablation rhythm behavior may carry major prognostic value.

A thought-provoking read for electrophysiology teams looking at recurrence risk through a more integrated lens.

Authors: Jan Budzianowski, Marcin Ostrowski, Raquel Fernandez-Peralta, Katarzyna Kaczmarek-Majer, Janusz Rzeźniczak, Dominika Kasprzak, Jarosław Hiczkiewicz, Paweł Burchardt

26/05/2026

Could a short course of rifaximin help address high on-ticagrelor platelet reactivity after ACS?

The FLORA-ACS study protocol explores the gut–platelet axis in a clinically relevant post-ACS population, combining platelet function testing with microbiome profiling. A thought-provoking research direction for interventional cardiology and personalized antiplatelet therapy.

Authors: Klaudyna Grzelakowska, Piotr Adamski, Michał Kasprzak, Piotr Michalski, Piotr Niezgoda, Małgorzata Ostrowska, Julia Umińska, Jakub Ratajczak, Kacper Strzelewicz, Tomasz Grzybowski, Katarzyna Skonieczna, Katarzyna Buszko, Jacek Kubica

11/02/2026

OCT is a go-to tool for “stent healing” assessment—but how well do OCT patterns reflect *true* arterial healing on histopathology?

This original study tackles that gap using a histology-validated porcine coronary restenosis model (DES + BMS), asking a clinically relevant question: can OCT help identify a *completely healed* coronary stent (beyond simple strut coverage)?

What to look for:
• OCT phenotypes that track with “better healing” vs signals that may indicate ongoing adverse biology
• A decision-tree approach (see Figure 4) suggesting practical OCT feature combinations linked to persistent fibrin/inflammation

Authors: Maciej Pruski, Mateusz Kachel, Carlos Fernandez, Adam Janas, Aleksandra Błachut, Magdalena Michalak, Paweł Kaźmierczak, Paweł E Buszman, Krzysztof Milewski, Piotr P. Buszman

30/01/2026

Angiography called it “mild” — physiology disagreed.

A 76-year-old woman with antiphospholipid syndrome presented with dyspnea and inferior LV wall abnormalities. Coronary angiography showed only a borderline mid-RCA lesion with linear/braided (“woven coronary artery”-like) structures. But FFR was markedly abnormal (0.63), prompting intracoronary imaging.

OCT revealed the striking “lotus root–like” multichannel pattern, consistent with a recanalized coronary thrombus — and the patient improved after PCI.

If you’re managing “hazy” or seemingly insignificant segments, this short Image-in-Cardiovascular-Medicine report is a sharp reminder: angiography alone can underestimate functional severity.

Authors: Tomoko Sekine, Tadao Aikawa, Iwao Okai, Tohru Minamino

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Strona internetowa

https://journals.viamedica.pl/cardiology_journal, https://www.researchgate.net/journal/Cardiology-Journal-1898-018X

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