Research Topics
| Piotr KuklaSummaryAffiliation: Medical University Country: Poland Publications
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Publications
[Fulminant myocarditis complicated with cardiogenic shock and various tachyarrhythmias]Piotr Kukla
, Szpital Specjalistyczny im. H. Klimontowicza, Gorlice
Kardiol Pol 64:208-11; discussion 212. 2006
"Tombstoning" of ST segment in acute myocardial infarction -- effect on clinical coursePiotr Kukla
Oddział Wewnetrzny, Szpital Specjalistyczny im H Klimontowicza, ul Wegierska 21, 38 300 Gorlice
Kardiol Pol 64:275-80; discussion 281. 2006..There are, however, few publications dealing with the effects of ST segment elevation shape in STEMI patients on their clinical course and prognosis...
[Long QT syndrome in the postpartum period]Piotr Kukla
Oddział Chorób Wewnetrznych, Szpital Specjalistyczny, Gorlice
Kardiol Pol 67:795-9; discussion 800. 2009..In the postpartum period, 3 months after delivery she had syncopal episodes. Holter monitoring showed polymorphic ventricular tachycardia. The cardioverter-defibrillator was implanted...
[Dynamic ECG changes after thromboendarterectomy in a patient with chronic thromboembolic pulmonary hypertension and C protein deficiency]Piotr Kukla
Oddział Internistyczno Kardiologiczny, Szpital Specjalistyczny, Gorlice
Kardiol Pol 70:741-2. 2012..The 3 months follow-up ECG showed normalisation to positive T waves. The patient was in NYHA class I and he stayed on the anticoagulation therapy...
[Abnormal electrocardiogram with signs of an old infero-lateral myocardial infarction scar. Hypertrophic cardiomyopathy has not one name]Piotr Kukla
Oddział Internistyczno Kardiologiczny, Szpital Specjalistyczny, 38 300 Gorlice
Kardiol Pol 70:1063-5. 2012..The magnetic resonance of the heart confirmed the echocardiography findings...
[Higher right precordial leads and Fontaine leads: the better detection of QRS fragmentation and epsilon wave in arrhythmogenic right ventricular dysplasia-cardiomyopathy]Piotr Kukla
Oddział Internistyczno Kardiologiczny, Szpital Specjalistyczny, Gorlice
Kardiol Pol 70:958-9. 2012..The case we described reminds that EW could be enhancing by F-ECG leads and f-QRS by using higher right precodial leads...
[Dynamic changes of repolarization pattern associated with deep breathing and exercise in a young athlete: the sign "athletes heart" or concealed heart disease?]Piotr Kukla
Oddział Internistyczno Kardiologiczny, Szpital Specjalistyczny, ul Wegierska 21, Gorlice
Kardiol Pol 70:853-5. 2012..3% of the young athletes and in 2.7% young, professional athletes. The repolarisation abnormalities described in our patient belong to electrocardiographic spectrum of the early repolarisation pattern mainly seen in black, young athletes...
[Early repolarisation syndrome and sudden cardiac death A.D. 2012. Early repolarisation or delayed depolarisation syndrome?]Piotr Kukla
Oddział Internistyczno Kardiologiczny, Szpital Specjalistyczny, Gorlice
Kardiol Pol 70:414-9. 2012..Recent publications change the benign character of ERS. It was suggested that ERS can be associated with sudden cardiac death, idiopathic ventricular fibrillation. This article described history and evolution of ERS...
Prognostic significance of ST segment changes in lead aVR in patients with acute inferior myocardial infarction with ST segment elevationPiotr Kukla
Department of Internal Diseases and Cardiology, H Klimontowicz Hospital, Gorlice, Poland
Kardiol Pol 70:111-8. 2012..Patients with inferior wall ST segment elevation myocardial infarction (STEMI) are considered to be at lower risk than patients with anterior wall STEMI. Nonetheless, 30-40% of all acute inferior wall MI cases have a poor prognosis...
[Epileptic asystole - a case report]Piotr Kukla
Oddział Internistyczno Kardiologiczny, Szpital Specjalistyczny, Gorlice
Kardiol Pol 70:64-5. 2012..The pacemaker was implanted and antiepileptic therapy with valproic acid chrono (1800 mg/d.) was continued. We review in this article present data on arrhythmic epilepsy...
[Myopericarditis complicated with cardiogenic shock mimicking acute coronary syndrome with ST elevation in a patient with hyperthyroidism and diabetes mellitus]Piotr Kukla
Oddział Wewnetrzny, Szpital Specjalistyczny im H Klimontowicza, Gorlice
Kardiol Pol 66:982-6; discussion 986. 2008..After stabilisation patient underwent coronarography which showed normal coronary arteries. The final diagnosis was acute myopericarditis complicated with acute heart failure and cardiogenic shock...
[Ventricular fibrillation in acute myocardial infarction - do genes play a role?]Piotr Kukla
Oddział Chorób Wewnetrznych, Szpital Specjalistyczny im H Klimontowicza, Gorlice
Kardiol Pol 66:1113-6; discussion 1116-7. 2008..We propose that such 'arrhythmogenic' ST elevation might result more from systolic rather than diastolic current of injury during AMI. We discuss genetic predispositions (latent channellopathies) for VF during AMI...
Acute pulmonary embolism registry in the Małopolska region - clinical coursePiotr Kukla
Department of Internal Diseases, H Klimontowicz Hospital, Gorlice, Poland
Kardiol Pol 67:735-41. 2009..Mortality in APE still remains very high in spite of progress in diagnostic tools. Mortality rate is about 30% in patients with unrecognised APE. APE is one of the main causes of in-hospital mortality...
[Malignant form of familial hypertrophic cardiomyopathy complicated with ventricular fibrillation in siblings. Electrocardiogram in hypertrophic cardiomyopathy - a review]Piotr Kukla
Oddział Chorób Wewnetrznych, Szpital Specjalistyczny, Gorlice
Kardiol Pol 67:774-80; discussion 781. 2009..During 24-month follow-up fast VT was observed in sister of proband. We review electrocardiographic changes in HCM and their correlation with magnetic resonance...
[Pseudo-Wellens syndrome in a patient with vasospastic angina]Piotr Kukla
Oddział Internistyczno Kardiologiczny, Szpital im H Klimontowicza, Gorlice
Kardiol Pol 69:79-81; discussion 82. 2011..We describe a patient with acute coronary syndrome and pseudo-Wellens syndrome as a cause of vasospastic angina. These ECG abnormalities need differentiation with acute pulmonary embolism...
[Catecholaminergic ventricular tachycardia initially diagnosed as right ventricular outflow tract arrhythmia. Differential diagnosis of CPVT, LQTS and RVOT arrhythmia]Piotr Kukla
Oddział Internistyczno Kardiologiczny, Szpital Specjalistyczny, Gorlice
Kardiol Pol 69:177-9; discussion 180. 2011..The adrenaline infusion provoked bidirectional nonsustained VT and the U wave amplitude augmentation. Betablocker was initiated (bisoprolol). The patient is free of symptoms, only single PVC is observed...
How often pulmonary embolism mimics acute coronary syndrome?Piotr Kukla
General and Cardiology Ward, H Klimontowicz Memorial Hospital, Gorlice, Poland
Kardiol Pol 69:235-40. 2011..In 50% of patients, APE is accompanied by chest pain and in 30-50% of the patients markers of myocardial injury are elevated...
[Arrhythmogenic right ventricular cardiomyopathy with left ventricular involvement mimicking acute coronary syndrome - two case reports]Piotr Kukla
Oddział Internistyczno Kardiologiczny, Szpital Specjalistyczny im H Klimontowicza, Gorlice
Kardiol Pol 69:470-4. 2011..Both patients had symptoms resembling acute coronary syndrome and received cardioverter-defibrillator due to recurrent sustained ventricular tachycardia...
The prognostic value of ST-segment elevation in the lead aVR in patients with acute pulmonary embolismPiotr Kukla
Department of Internal Diseases and Cardiology, H Klimontowicz Hospital, Gorlice, Poland
Kardiol Pol 69:649-54. 2011..Aim: To assess the prevalence of STE in aVR in patients with APE and its correlation with clinical course as well as other ECG parameters recorded at admission...
The value of ECG parameters in estimating myocardial injury and establishing prognosis in patients with acute pulmonary embolismPiotr Kukla
Department of Internal Diseases and Cardiology, H Klimontowicz Hospital, Gorlice, Poland
Kardiol Pol 69:933-8. 2011..The electrocardiogram (ECG) is characterised by little sensitivity and specificity in the diagnostic evaluation of acute pulmonary embolism (APE)...
Lambda-like ST segment elevation in acute myocardial infarction - a new risk marker for ventricular fibrillation? Three case reportsPiotr Kukla
Klinika Chorób Wewnetrznych, Szpital Specjalistyczny im H Klimontowicza, ul Wegierska 21, 38 300 Gorlice, Poland
Kardiol Pol 66:873-7; discussion 877-8. 2008..This ECG pattern resembles the ST segment elevation shape in the type 1C Brugada syndrome. The 'lambda-like' ST segment elevation in AMI may identify patients with increased risk of VF or SCD...
Electrocardiography and prognosis of patients with acute pulmonary embolismPiotr Kukla
Department of Internal Diseases and Cardiology, H Klimontowicz Hospital, Gorlice, Poland
Cardiol J 18:648-53. 2011..To assess the influence of electrocardiographic (ECG) pattern on prognosis and complications of patients hospitalized with acute pulmonary embolism (APE)...
Inferior wall myocardial infarction with or without right ventricular involvement--treatment and in-hospital coursePiotr Kukla
Oddział Wewnetrzny, Szpital Specjalistyczny, ul Wegierska 21, 38 300 Gorlice, Poland
Kardiol Pol 64:583-8; discussion 589-90. 2006..Right ventricular infarction (RVI) is most commonly associated with inferior wall infarction (20-50% of cases). Clinical presentation of RVI may vary...
[Polymorphic ventricular tachycardia in acute myocardial infarction without ST elevation in a patient with thrombocytopenia]Piotr Kukla
Oddział Wewnetrzny, Szpital Specjalistyczny, ul Wegierska 21, 38 300 Gorlice
Kardiol Pol 64:1008-13; discussion 1013-4. 2006..v. infusion. After this regimen PMVT/VF did not recur and QT was normalized. Additionally successful PCI of LAD with 80% stenosis was performed. The paper discusses the problem of PMVT in the settings of AMI...
[Asymptomatic Brugada sign--diagnostic dilemma]Piotr Kukla
, Szpital Specjalistyczny im. H. Klimontowicza, ul. Wegierska 21, 38-300 Gorlice
Kardiol Pol 64:1303-7; discussion 1308. 2006
[Massive pulmonary embolism treated successfully with embolectomy following failed thrombolysis--the role of repeated spiral computerised tomography and echocardiography--a case report]Piotr Kukla
Szpial Specjalistyczny im H Klimontowicza, ul Wegierska 21, Gorlice
Kardiol Pol 65:58-61; discussion 62. 2007..Repeated tomography and echocardiography revealed progression of pulmonary embolism. The patient was transferred to a cardiosurgical department where successful embolectomy was performed...
[Transient left ventricular apical ballooning syndrome--a case report]Piotr Kukla
Szpital Specjalistyczny im H Klimontowicza, Oddział Wewnetrzny, ul Wegierska 19, 38 300 Gorlice
Kardiol Pol 65:166-9. 2007..Because of these findings and typical echocardiographic picture, a transient left ventricular apical ballooning syndrome (the tako-tsubo syndrome) was diagnosed...
Fast and slow torsade de pointes--electrocardiographic characteristicsPiotr Kukla
Department of Internal Medicine, Klimontowicz Hospital, Gorlice, Poland
Kardiol Pol 60:342-7. 2004..Fast episodes of TdP were preceded by faster baseline rhythm before TdP. Faster TdP more frequently degenerated into VF than slower episodes...
[Polymorphic ventricular tachycardia with a short coupling interval in a patient with normal heart--a case report]Piotr Kukla
, Szpital Specjalistyczny im. Klimontowicza, Gorlice, Poland
Kardiol Pol 60:586-90. 2004..The U wave disappeared 9 minutes afterwards. The ajmaline test was positive for the Brugada syndrome. The patient received ICD and sotalol, and during 6-month follow-up she remains asymptomatic...
[Variant angina mimicking right ventricular infarction--a case report]Piotr Kukla
, Szpital Specjalistycznego w Gorlicach, ul. Wegierska 21, 38-300 Gorlice, Poland
Kardiol Pol 62:245-8; discussion 249. 2005..Coronary angiography was normal. Therapy with calcium channel blockers was effective. Difficulties in the treatment of patients with variant angina are discussed...
[Amiodarone-induced torsade de pointes--five case reports]Piotr Kukla
, Szpital Specjalistyczny im H. Klimontowicza, Gorlice, Poland
Kardiol Pol 60:365-70; discussion 371. 2004..Beta-blocker, lidocaine and, in two patients, tosylate bretylate were effective. All patients survived to hospital discharge, however, one patient died four months later...
[Acute coronary syndrome with ST segment elevation diagnosed as Tako-Tsubo syndrome]Piotr Kukla
, Szpital Specjalistyczny im. Klimontowicza, Gorlice
Kardiol Pol 62:400-3; discussion 404. 2005
[Variant Brugada syndrome--mild ST segment elevation in inferior leads and aborted sudden cardiac death]Piotr Kukla
Oddział Wewnetrzny, Szpital Specjalistyczny im H Klimontowicza, Gorlice
Kardiol Pol 65:1494-8. 2007..Persistent ST segment elevations in inferior leads can be a marker of variant Brugada syndrome...
[Massive pulmonary embolism during pregnancy treated with streptokinase and complicated by massive haemorrhage--a case report]Piotr Kukla
, Gorlice, Poland
Kardiol Pol 60:505-9; discussion 509. 2004..This treatment was complicated by a massive bleeding due to the rupture of the uterus. She underwent hysterectomy and recovered thereafter...
J-wave-associated ventricular fibrillation in a patient with a subarachnoid haemorrhagePiotr Kukla
Department of Internal Medicine, Specialistic Hospital, Gorlice, Poland
Europace 14:1063-4. 2012..The present report is the first to describe a J-wave-associated VF as another possible mechanism of sudden cardiac death in patients with SAH...
[Acquired long QT syndrome with torsade de pointes in a patient with primary hypothyroidism]Piotr Kukla
, Szpital Specjalistyczny im. H. Klimontowicza, Gorlice, Poland
Kardiol Pol 58:224-6. 2003..Increased doses of hormonal substitution with thyroid hormones successfully eliminated malignant ventricular arrhythmias and normalised QT interval to 430 msec...
Macroscopic T-wave alternans during non-sustained ventricular tachycardiaPiotr Kukla
Department of Internal Medicine, Specialistic Hospital, Gorlice, Poland
Europace 10:509-10. 2008
[Intracranial hemorrhage complicated by recurrent polymorphic ventricular torsade de pointes tachycardia]Piotr Kukla
, Szpitala Specjalistycznego im. Klimontowicza, Gorlice, Poland
Kardiol Pol 58:390-3. 2003..9 mmol/l and magnesium level - 0.6 mmol/l. Intravenous lidocaine and magnesium caused a complete supression of arrhythmia. Unfortunately, the patient died three days later due to cerebral damage and respiratory failure...
Electrocardiographic diagnosis of biventricular pacing in patients with nonapical right ventricular leadsMarek Jastrzebski
First Department of Cardiology and Hypertension, University Hospital, Cracow, Poland
Pacing Clin Electrophysiol 35:1199-208. 2012..Our goal was to identify electrocardiographic features that differentiate between BiV and right ventricular (RV)-only pacing in patients with nonapical RV leads...
Vasospastic angina with J-wave pattern and polymorphic ventricular tachycardia effectively treated with quinidineJerzy Sacha
Department of Cardiology, Regional Medical Center, Opole, Poland
Ann Noninvasive Electrocardiol 17:286-90. 2012..Myocardial ischemia during coronary spasm may generate malignant ventricular arrhythmias. The J-wave pattern was suggested to be a marker of a disorder associated with life-threatening arrhythmias...
[Morgani-Adams-Stokes attacks due to complete atrio-ventricular block and torsade de pointes tachycardia]Piotr Kukla
, Gorlice
Kardiol Pol 63:90-3; discussion 94. 2005
Postextrasystolic repolarization abnormalities in ST-U segment in patients with ventricular arrhythmiasMaria Trusz-Gluza
First Department of Cardiology, Silesian Medical Academy, Ziolowa 47, 40-635 Katowice, Poland
Ann Noninvasive Electrocardiol 7:17-21. 2002..U-wave changes more frequently appeared in patients with malignant arrhythmias. Follow-up study is needed to assess if they might be predictive for the occurrence or reoccurrence of arrhythmic episodes...
[J-wave associated idiopathic ventricular fibrillation--a new arrhythmogenic syndrome?]Marek Jastrzebski
I Klinika Kardiologii i Nadciśnienia Tetniczego, Szpital Uniwersytecki, Krakow
Kardiol Pol 66:447-9; discussion 449-50. 2008
