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Author Bartosz Ludwik

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Feasibility and performance of catheter ablation with zero-fluoroscopy approach for regular supraventricular tachycardia in patients with structural and/or congenital heart disease.

Aleksandra Morka, Janusz Śledź, Karol Deutsch, Bartosz Ludwik, Magdalena Zagrodzka, Lesław Szydłowski, Sebastian Stec,

Patients with structural heart disease (SHD) are more difficult to ablate than those with a structurally healthy heart. The reason may be technical problems. We compared periprocedural data in unselected patients (including SHD group) recruited for zero-fluoroscopy catheter ablation (ZF-CA) of supraventricular arrhythmias (SVTs).Consecutive adult patients with atrioventricular nodal reentry ... Read more >>

Medicine (Baltimore) (Medicine)
[2019, 98(41):e17333]

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Zero‑fluoroscopy approach to mapping and catheter ablation of atypical accessory pathways located at the right / left coronary cusp commissure.

Sebastian Stec, Bartosz Ludwik, Janusz Śledź, Ewa Zaremba-Flis, Sebastian Szmit,

Kardiol Pol (Kardiologia polska)
[2019, 77(12):1200-1201]

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Long-term follow-up and comparison of techniques in radiofrequency ablation of ventricular arrhythmias originating from the aortic cusps (AVATAR Registry).

Katarzyna Styczkiewicz, Bartosz Ludwik, Janusz Śledź, Magdalena Lipczyńska, Beata Zaborska, Tomasz Kryński, Karol Deutsch, Aleksandra Morka, Piotr Kukla, Marek Styczkiewicz, Piotr Kułakowski, Sebastian M Stec,

INTRODUCTION:Radiofrequency ablation (RFA) of outflow tract ventricular arrhythmia (VA) that originates from the aortic cusps can be challenging. Data on long‑ term efficacy and safety as well as optimal technique after aortic cusp ablation have not previously been reported. OBJECTIVES:This aim of the study was to determine the short- and ... Read more >>

(Polish archives of internal medicine)
[2019, 129(6):399-407]

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A simplified approach for evaluating sustained slow pathway conduction for diagnosis and treatment of atrioventricular nodal reentry tachycardia in children and adults.

Janusz Sledz, Michal Labus, Mariusz Mazij, Monika Klank-Szafran, Dariusz Karbarz, Bartosz Ludwik, Jacek Kusa, Karol Deutsch, Leslaw Szydlowski, Adrian Mscisz, Jerzy Spikowski, Aleksandra Morka, Tomasz Kameczura, Aleksandra Swietoniowska-Mscisz, Sebastian Stec,

PURPOSE:During incremental atrial pacing in patients with atrioventricular nodal reentrant tachycardia, the PR interval often exceeds the RR interval (PR > RR) during stable 1:1 AV conduction. However, the PR/RR ratio has never been evaluated in a large group of patients with pacing from the proximal coronary sinus and after isoproterenol challenge. ... Read more >>

Adv Med Sci (Advances in medical sciences)
[2018, 63(2):249-256]

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Electrocardiographic algorithms to guide the management strategy of idiopathic outflow tract ventricular arrhythmias.

Bartosz Ludwik, Karol Deutsch, Mariusz Mazij, Janusz Śledź, Aleksandra Morka, Michał Labus, Michał Chrabąszcz, Bartosz Szafran, Jerzy Śpikowski, Lesław Szydłowski, Sebastian M Stec,

INTRODUCTION    The current guidelines of the European Society of Cardiology outlined electrocardiographic (ECG) differentiation of the site of origin (SoO) in patients with idiopathic ventricular arrhythmias (IVAs). OBJECTIVES    The aim of this study was to compare 3 ECG algorithms for differentiating the SoO and to determine their diagnostic value for ... Read more >>

(Polish archives of internal medicine)
[2017, 127(11):749-757]

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Maximum voltage gradient technique for optimization of ablation for typical atrial flutter with zero-fluoroscopy approach.

Karol Deutsch, Janusz Śledź, Mariusz Mazij, Bartosz Ludwik, Michał Labus, Dariusz Karbarz, Bernadetta Pasicka, Michał Chrabąszcz, Arkadiusz Śledź, Monika Klank-Szafran, Laura Vitali-Sendoz, Tomasz Kameczura, Jerzy Śpikowski, Piotr Stec, Marek Ujda, Sebastian Stec,

Radiofrequency catheter ablation (RFCA) is an established effective method for the treatment of typical cavo-tricuspid isthmus (CTI)-dependent atrial flutter (AFL). The introduction of 3-dimensional electro-anatomic systems enables RFCA without fluoroscopy (No-X-Ray [NXR]). The aim of this study was to evaluate the feasibility and effectiveness of CTI RFCA during implementation of ... Read more >>

Medicine (Baltimore) (Medicine)
[2017, 96(25):e6939]

Cited: 1 time

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Validation of Standard and New Criteria for the Differential Diagnosis of Narrow QRS Tachycardia in Children and Adolescents.

Karol Deutsch, Sebastian Stec, Piotr Kukla, Aleksandra Morka, Marek Jastrzebski, Artur Baszko, Maciej Pitak, Janusz Sledz, Kamil Fijorek, Mariusz Mazij, Bartosz Ludwik, Marcin Gubaro, Leslaw Szydlowski,

To establish an appropriate treatment strategy and determine if ablation is indicated for patients with narrow QRS complex supraventricular tachycardia (SVT), analysis of a standard 12-lead electrocardiogram (ECG) is required, which can differentiate between the 2 most common mechanisms underlying SVT: atrioventricular nodal reentry tachycardia (AVNRT) and orthodromic atrioventricular reentry ... Read more >>

Medicine (Baltimore) (Medicine)
[2015, 94(51):e2310]

Cited: 1 time

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Simplified automated right ventricular overdrive pacing for rapid diagnosis of supraventricular tachycardia.

Sebastian Stec, Janusz Sledź, Mariusz Mazij, Bartosz Ludwik, Michał Labus, Jerzy Spikowski, Lesław Szydłowski, Monika Klank-Szafran, Ewa Kraszewska, Adam S Budzikowski,

OBJECTIVES: The purpose of this study was to prospectively evaluate the feasibility and diagnostic value of right ventricular overdrive pacing (RVOP) during supraventricular tachycardia (SVT) using a 2-catheter approach with automatic pacing from the right ventricular inflow (RVIT) and outflow tract (RVOT). METHODS: One hundred and thirty-six consecutive patients (with ... Read more >>

Cardiology (Cardiology)
[2014, 129(2):93-102]

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Feasibility of implementation of a "simplified, No-X-Ray, no-lead apron, two-catheter approach" for ablation of supraventricular arrhythmias in children and adults.

Sebastian Stec, Janusz Śledź, Mariusz Mazij, Małgorzata Raś, Bartosz Ludwik, Michał Chrabąszcz, Arkadiusz Śledź, Małgorzata Banasik, Magdalena Bzymek, Krzysztof Młynarczyk, Karol Deutsch, Michał Labus, Jerzy Śpikowski, Lesław Szydłowski,

Although the "near-zero-X-Ray" or "No-X-Ray" catheter ablation (CA) approach has been reported for treatment of various arrhythmias, few prospective studies have strictly used "No-X-Ray," simplified 2-catheter approaches for CA in patients with supraventricular tachycardia (SVT). We assessed the feasibility of a minimally invasive, nonfluoroscopic (MINI) CA approach in such patients.Data ... Read more >>

J. Cardiovasc. Electrophysiol. (Journal of cardiovascular electrophysiology)
[2014, 25(8):866-874]

Cited: 8 times

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[Non-invasive electrophysiologic study and radiofrequency current ablation of tachycardia responsible for numerous inappropriate ICD interventions in patient with post-infarction dilated cardiomyopathy].

Ewa Mroczek, Bartosz Ludwik, Mariusz Mazij, Michał Labus, Sebastian Stec, Janusz Sledź, Jerzy Spikowski, Jerzy Lewczuk,

We present a case of 75-year-old man with numerous inappropriate interventions of an implanted cardioverter-defibrillator (ICD). In this patient with ischaemic cardiomyopathy, ICD was implanted for primary prevention of sudden cardiac death following recurrent syncope. ICD interrogation and non-invasive electrophysiologic study (NIPS) confirmed a risk of reentry-mediated tachycardia and excluded ... Read more >>

Kardiol Pol (Kardiologia polska)
[2010, 68(5):599-603; discussion 604]

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[Cardiac tamponade due to angiosarcoma--was surgical treatment necessary? A case report].

Katarzyna Sośnik, Jerzy Lewczuk, Bartosz Ludwik, Joanna Kowal, Bozena Sobkowicz, Witold Gwoźdź, Krzysztof Wrabec,

We present a case of a 49-year-old patient with cardiac tamponade due to haemopericardium. The decision to perform surgery, although controversial, allowed to diagnose cardiac angiosarcoma with metastases to pericardium, vena cava superior and pulmonary trunk. Consequently, chemotherapy was instituted and was initially effective, however, the patient died 12 months ... Read more >>

Kardiol Pol (Kardiologia polska)
[2006, 64(12):1426-1427]

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[One-year controlled therapy with doxazosin in patients with pulmonary hypertension due to chronic obstructive pulmonary disease].

Bartosz Ludwik, Jerzy Lewczuk, Piotr Piszko, Małgorzata Nowak, Krzysztof Wrabec,

UNLABELLED: It was shown recently that a thirty day doxazosin therapy, that was undertaken to prove alpha1-adrenergic hypothesis for pulmonary hypertension, resulted in a significant improvement of pulmonary hemodynamics in patients with hypoxic pulmonary hypertension (HPH) due to COPD. AIM OF THE STUDY: The objective of this study was to ... Read more >>

Pol. Merkur. Lekarski (Polski merkuriusz lekarski : organ Polskiego Towarzystwa Lekarskiego)
[2006, 20(119):527-530]

Cited: 1 time

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Results of one-year anticoagulation in patients with newly detected chronic thromboembolic pulmonary hypertension not treated with pulmonary endarterectomy.

Renata Romaszkiewicz, Jerzy Lewczuk, Piotr Piszko, Jacek Jagas, Lucyna Lenartowska, Bartosz Ludwik, Wiesława Sawa, Krzysztof Wrabec,

INTRODUCTION: Currently pulmonary endarterectomy is considered the method of choice in patients with chronic thromboembolic pulmonary hypertension (CTEPH). It is not known if this option should be recommended in all suitable patients as it is highly variable with respect to prognosis. There is also doubt about selection of adequate time ... Read more >>

Kardiol Pol (Kardiologia polska)
[2006, 64(11):1196-202; discussion 1203-4]

Cited: 2 times

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[Normal coronary angiogram in patient with diagnosis of acute coronary syndrome with ST segment elevation. Was it possible to recognise acute pulmonary embolism earlier?].

Bartosz Ludwik, Jerzy Lewczuk, Piotr Piszko, Tomasz Wysoczański, Joanna Kowal, Katarzyna Sośnik, Krzysztof Wrabec,

A case of a 48 year old male scheduled for early invasive treatment of acute coronary syndrome with ST segment elevation is presented. Clinical suspicion of acute pulmonary embolism was undertaken because of normal coronary angiogram and was confirmed by pulmonary angiography. Differential diagnosis based on medical history, electrocardiogram and ... Read more >>

Kardiol Pol (Kardiologia polska)
[2006, 64(1):68-71]

Cited: 1 time

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[Characteristics of acute, hemodynamically stable pulmonary embolism presenting as a syncope].

Daniel Błaszczyk, Jerzy Lewczuk, Piotr Piszko, Bartosz Ludwik, Andrzej Konieczny, Małgorzata Nowak, Marzena Stopyra-Poczatek, Krzysztof Wrabec,

Syncope (S) occurs in approximately 10% patients with acute pulmonary embolism (APE) and is commonly ascribed to the massive, hemodynamically instable APE. The aim of the study was to assess the occurrence and significance of S revealing hemodynamically stable APE. We found syncope in 6 of 21 (29%) consecutive patients ... Read more >>

Wiad. Lek. (Wiadomosci lekarskie (Warsaw, Poland : 1960))
[2006, 59(9-10):607-611]

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[How to manage the patients with hypoxic pulmonary hypertension?].

Jerzy Lewczuk, Bartosz Ludwik,

Hypoxic pulmonary hypertension (HPH) develops in many patients with advanced chronic obstructive pulmonary disease (COPD) and aggravates their quality of life and prognosis. The most proper but as yet not satisfactory management of HPH involves COPD prophylaxis. In this article pathophysiological background to use systemic vasodilators in treatment of HPH ... Read more >>

Pol. Merkur. Lekarski (Polski merkuriusz lekarski : organ Polskiego Towarzystwa Lekarskiego)
[2005, 19(112):567-570]

Cited: 0 times

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[Effect of a 2-year pulmonary rehabilitation on the 7-year prognosis in patients with advanced chronic obstructive pulmonary disease].

Piotr Piszko, Jerzy Lewczuk, Maria Kowalska-Superlak, Jacek Jagas, Bartosz Ludwik, Krzysztof Wrabec,

Pulmonary rehabilitation (PR) improve the quality of life in COPD patients, however, little has been known whether it may improve the survival. We assessed 7-year prognosis in 46 patients with advanced COPD, 27 of which completed successfully 2-year course of PR whereas 19 COPD patients made a control (C) group. ... Read more >>

Pol. Arch. Med. Wewn. (Polskie Archiwum Medycyny Wewnetrznej)
[2004, 111(1):57-62]

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