Alicja Cepiel-Kośmieja

Dr. Alicja Cepiel-Kośmieja

orcid

Research Focus & Metrics

Academic Career Length

14Years (2013-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

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24 December 2014 in Irish Veterinary Journal
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Journal Article
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Izabela Janus-ZiółkowskaIzabela Janus-Ziółkowska
Izabela Janus-Ziółkowska
ANAgnieszka Noszczyk-Nowak
Agnieszka Noszczyk-Nowak
MNMarcin Nowak
Marcin Nowak
ACAlicja Cepiel-Kośmieja
Alicja Cepiel-Kośmieja
Rafał CiaputaRafał Ciaputa
Rafał Ciaputa
KJKarolina Jabłońska
Karolina Jabłońska
Myocarditis is a disease caused by numerous etiological factors and characterized by a non-specific course. The only method allowing for precise characterization of inflammatory changes is the histopathological examination of heart muscle specimens. The study was conducted on heart muscle preparations from 11 dogs with ante-mortem diagnosis of cardiac disease. Animals presented with a poor response to an applied treatment or had suspected sudden cardiac death. The heart specimens were taken post-mortem, preserved and stained with haematoxylin and eosin. Subsequently, the presence and intensity of changes, i.e. inflammatory infiltration, the amount of connective tissue and features of cardiomyocyte degeneration were estimated. The specimens from dogs suspected of having a myocarditis of bacteriological etiology underwent additional bacteriological and immunohistochemical examination. The examination revealed an inflammatory infiltration of variable intensity combined with the degenerative changes in all dogs. There were vegetative and abnormal cystic forms of Borrelia burgdorferi sensu lato in 6 dogs. A Staphylococcus aureus infection was confirmed in one dog and an acute coronary syndrome with neutrophil infiltration was revealed in another one. Although the clinical pattern in patients with myocarditis is diverse, the definitive morphological diagnosis is made based on the histopathological examination. This examination can lead to a better understanding of the pathogenesis of the disease. To the best of our knowledge, this is the first description of myocarditis combined with the presence of spore forms of Borrelia burgdorferi sensu lato in the heart specimens of dogs.

1 March 2017 in Journal of Veterinary Research
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Journal Article
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ANAgnieszka Noszczyk-Nowak
Agnieszka Noszczyk-Nowak
MMMarcin Michałek
Marcin Michałek
EKEwelina Kałuża
Ewelina Kałuża
ACAlicja Cepiel-Kośmieja
Alicja Cepiel-Kośmieja
UPUrszula Pasławska
Urszula Pasławska
Introduction:The prevalence of arrhythmias in dogs and the influence of sex, breed, age, and body weight were analysed over a seven-year span.Material and Methods:In total, 1189 referrals for cardiological examination by electrocardiography were received at one academic centre in Poland between 2008 and 2014. The largest proportion of the examined dogs were cross-breeds with body weight below 25 kg (n = 153, 12.87%), followed by German Shepherds (n = 122, 10.26%), Labrador Retrievers (n = 68, 5.72%), Yorkshire Terriers (n = 63, 5.3%), and Boxers (n = 60, 5.05%). Retrospective analysis was made of 1201 standing or right recumbent electrocardiograms without pharmacological sedation. The prevalence of arrhythmias was examined in terms of sex, age, body weight, and breed of the dogs.Results:A total of 630 (52.46%) electrocardiograms showed no signs of arrhythmia, but 96 (7.99%) and 475 (39.55%) pointed to physiological and pathological arrhythmias respectively. The most commonly diagnosed type was atrial fibrillation with 33.68% incidence, followed by ventricular arrhythmias (28%), sinus pauses (27.58%), supraventricular arrhythmias (24%), and atrioventricular blocks (22.95%). Pathological arrhythmias were most commonly found in male dogs and in German Shepherds.Conclusions:Atrial fibrillation predominated, followed by premature ventricular complexes. Male dogs were generally more prone to heart rhythm disturbances.

1 March 2019 in Journal of Veterinary Research
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Journal Article
Open access
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ANAgnieszka Noszczyk-Nowak
Agnieszka Noszczyk-Nowak
MMMarcin Michałek
Marcin Michałek
KKKarolina Kapturska
Karolina Kapturska
ACAlicja Cepiel-Kośmieja
Alicja Cepiel-Kośmieja
AJAdrian Janiszewski
Adrian Janiszewski
UPUrszula Pasławska
Urszula Pasławska
Introduction: Pacemaker implantation is the only effective symptomatic treatment for life-threatening bradyarrhythmias. Major complications observed after implantation of cardiac pacemakers include lead dislocation, loss of pulse generator function, and inadequate stimulation. The aim of this retrospective single-centre study was to analyse the indications for pacemaker implantation and the incidence and types of complications associated with this procedure in dogs treated for symptomatic bradyarrhythmia. Material and Methods: The retrospective analysis included 31 dogs with symptomatic bradyarrhythmia, implanted with permanent cardiac pacemakers in 1992–2017. The list of analysed variables included patient age, breed, sex, indication for pacemaker implantation, comorbidities, and the incidence of procedure-related complications along with the type thereof. Results: The most common indication for pacemaker implantation was 3 rd degree AVB, followed by SSS, advanced 2 nd degree AVB, and PAS. Pacemaker implantation was associated with a 35% overall complication rate and 6.45% periprocedural mortality. There were no significant differences in terms of procedure-related complications with regard to age, sex, breed, indications for pacemaker implantation, or comorbidities. Conclusions: Cardiac pacing is the only effective treatment of symptomatic bradycardia, but as an invasive procedure, may pose a risk of various complications, including death.

1 December 2015 in Polish Journal of Veterinary Sciences
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Journal Article
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MKM. Kander
M. Kander
UPU. Pasławska
U. Pasławska
MSM. Staszczyk
M. Staszczyk
ACAlicja Cepiel-Kośmieja
Alicja Cepiel-Kośmieja
RPRobert Paslawski
Robert Paslawski
ANAgnieszka Noszczyk-Nowak
Agnieszka Noszczyk-Nowak
The study has focused on the retrospective analysis of cases of coexisting congenital aortic stenosis (AS) and pulmonary artery stenosis (PS) in dogs. The research included 5463 dogs which were referred for cardiological examination (including clinical examination, ECG and echocardiography) between 2004 and 2014. Aortic stenosis and PS stenosis were detected in 31 dogs. This complex defect was the most commonly diagnosed in Boxers – 7 dogs, other breeds were represented by: 4 cross-breed dogs, 2 Bichon Maltais, 3 Miniature Pinschers, 2 Bernese Mountain Dogs, 2 French Bulldogs, and individuals of following breeds: Bichon Frise, Bull Terrier, Czech Wolfdog, German Shepherd, Hairless Chinese Crested Dog, Miniature Schnauzer, Pug, Rottweiler, Samoyed, West Highland White Terrier and Yorkshire Terrier. In all the dogs, the murmurs could be heard, graded from 2 to 5 (on a scale of 1-6). Besides, in 9 cases other congenital defects were diagnosed: patent ductus arteriosus, mitral valve dysplasia, pulmonary or aortic valve regurgitation, tricuspid valve dysplasia, ventricular or atrial septal defect. The majority of the dogs suffered from pulmonary valvular stenosis (1 dog had supravalvular pulmonary artery stenosis) and subvalvular aortic stenosis (2 dogs had valvular aortic stenosis). Conclusions and clinical relevance – co-occurrence of AS and PS is the most common complex congenital heart defect. Boxer breed was predisposed to this complex defect. It was found that coexisting AS and PS is more common in male dogs and the degree of PS and AS was mostly similar.

19 December 2016 in Advances in Clinical and Experimental Medicine
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Journal Article
Open access
ANAgnieszka Noszczyk-Nowak
Agnieszka Noszczyk-Nowak
ACAlicja Cepiel-Kośmieja
Alicja Cepiel-Kośmieja
AJAdrian Janiszewski
Adrian Janiszewski
RPRobert Paslawski
Robert Paslawski
JGJacek Gajek
Jacek Gajek
JNJozef Nicpon
Jozef Nicpon
Swine are a well-recognized animal model for human cardiovascular diseases. Despite the widespread use of porcine model in experimental electrophysiology, still no reference values for intracardiac electrical activity and conduction parameters determined during an invasive electrophysiology study (EPS) have been developed in this species thus far. The aim of the study was to develop a set of normal values for intracardiac electrical activity and conduction parameters determined during an invasive EPS of swine. The study included 36 healthy domestic swine (24-40 kg body weight). EPS was performed under a general anesthesia with midazolam, propofol and isoflurane. The reference values for intracardiac electrical activity and conduction parameters were calculated as arithmetic means ± 2 standard deviations. The reference values were determined for AH, HV and PA intervals, interatrial conduction time at its own and imposed rhythm, sinus node recovery time (SNRT), corrected sinus node recovery time (CSNRT), anterograde and retrograde Wenckebach points, atrial, atrioventricular node and ventricular refractory periods. No significant correlations were found between body weight and heart rate of the examined pigs and their electrophysiological parameters. The hereby presented reference values can be helpful in comparing the results of various studies, as well as in more accurately estimating the values of electrophysiological parameters that can be expected in a given experiment.

1 January 2014 in TURKISH JOURNAL OF VETERINARY AND ANIMAL SCIENCES
Verified
Journal Article
Closed access
ANAgnieszka Noszczyk-Nowak
Agnieszka Noszczyk-Nowak
MNMarcin Nowak
Marcin Nowak
UPUrszula Paslawska
Urszula Paslawska
ACAlicja Cepiel-Kośmieja
Alicja Cepiel-Kośmieja
AJAdrian Janiszewski
Adrian Janiszewski
JNJozef Nicpon
Jozef Nicpon