Occurence of implantable cardioverter-defibrillator therapy in clinical practice

Andrej Nagy, Jolana Lipoldová, Miroslav Novák, Radka Štěpánová

Cor Vasa 2017, 59(3):e215-e221 | DOI: 10.1016/j.crvasa.2016.12.014  

The landmark trials MADIT II, SCD-HeFT, and COMPANION in 2002-2005 years have reported their positive results to sudden cardiac death reduction. Since that time the indications for the use of implantable cardioverter-defibrillators (ICDs) have substantially broadened. The occurrence of appropriate ICD therapy differs in the individual trials. We were retrospectively analyzing the occurrence of ventricular tachycardia/ventricular fibrillation (VT/VF) from ICD remote monitoring database (Biotronik Home Monitoring TM, www.biotronik-homemonitoring.com). No significant difference was found between subgroups divided by the implantation indication, the programmed...

Psychosocial sequelae following cardiac arrest

Veronika Dostálová, Kamil Sedláček, Jan Bělohlávek, Radovan Turek, Martin Pretl, Ondřej Bezdíček

Cor Vasa 2017, 59(3):e222-e228 | DOI: 10.1016/j.crvasa.2016.11.012  

Background: Cardiac arrest (CA) leads to cerebral hypoxia resulting in multifactorial brain injury. Cognitive impairment and a higher degree of depressive symptoms are the most frequently described mental health problems after CA. The aim of the present study is to characterize psychosocial sequelae of CA.Methods: The study population included 113 subjects. 62 patients after CA were matched to 51 healthy controls according to demographic characteristics and premorbid intelligence level. Cognitive test (MoCA), inventories of depressive (BDI-II) and anxiety symptoms (STAI) and midlife crisis scale (MCS) were administrated to study participants.Results:...

Troponin levels in patients with stable CAD

Josef Daněk, Tomáš Hnátek, Martin Malý, Miloš Táborský, Jaromír Běláček, Jan Škvařil, Lenka Pospíšilová, Miroslav Černohous, Pavel Sedloň, Martin Hajšl, Miroslav Zavoral

Cor Vasa 2017, 59(3):e229-e234 | DOI: 10.1016/j.crvasa.2016.12.001  

Introduction: Cardiac troponins are known as specific markers of myocardial damage. Their elevation in the serum is not always related to acute myocardial ischemia. The increased sensitivity of diagnostic kits has resulted in an increase in the number of positive results in patients without acute coronary syndrome (ACS).Study objectives: To determine the level of highly sensitive troponin T (hsTnT) in stable patients (without ACS) before selective coronarography (SCG) and to determine the correlation between hsTnT values and the extent of atherosclerotic damage to the coronary arteries.Methodology: We studied a group of 251 consecutive patients...

The APOE ε2 allele is associated with increased plasma apolipoprotein E levels in patients with coronary artery disease

Leoš Pleva, Pavlína Kušnierová, Pavlína Plevová, Šárka Hilscherová, Michal Karpíšek, Jana Zapletalová, Lucie Faldynová, Petra Kovářová, Pavel Kukla

Cor Vasa 2017, 59(3):e235-e239 | DOI: 10.1016/j.crvasa.2016.11.011  

Aims: We sought to evaluate the influence of APOE polymorphisms (ε2-rs7412, ε4-rs429358) on plasma levels of apolipoprotein E in patients with confirmed coronary artery disease.Methods: A total of 94 patients with coronary artery disease were included in our study. Genotypisation for rs429358 and rs7412 in APOE was performed and plasma levels of apolipoprotein E, lipids, and hs-CRP were measured.Results: Significantly higher plasma levels of APOE were found in the ε2 carriers compared to the normal ε3/ε3 genotype (40.4 mg/mL vs. 22.9 mg/mL, p = 0.018). There was no difference in APOE levels between the...

Barriers in the implementation of guidelines for acute coronary syndromes. Focus on antiplatelet therapy

Petr Widimský, Petr Toušek, František Toušek, Martin Sluka, Alexandra Vodzinská, Petra Kupková, Martin Hutyra, Jiří Jarkovský

Cor Vasa 2017, 59(3):e240-e245 | DOI: 10.1016/j.crvasa.2016.12.002  

Aim: Modern treatment of acute coronary syndromes significantly improved outcomes of patients with this life-threatening disease. Especially the combination of timely interventional treatment with potent novel antiplatelet agents was proven to be effective in several randomized trials and is now recommended by guidelines worldwide. The aim of this study was to analyze how the guidelines are implemented in real life practice.Methods and patients: Between 2013 and 2015 two complementary acute coronary syndrome registries were organized in the Czech Republic and included a total of 1967 patients. The ATHRO-II registry was done in 29 outpatient cardiology...

Increased maximum p wave duration in smoking patients with ST-elevation acute myocardial infarction and its relationship with inflammatory markers

Yaniel Castro-Torres, Raimundo Carmona-Puerta, Luis Castañeda-Carsarvilla

Cor Vasa 2017, 59(3):e246-e250 | DOI: 10.1016/j.crvasa.2016.10.005  

Introduction: Electrocardiographic markers for atrial fibrillation and the relationship with inflammatory markers have not been evaluated in smoker patients with acute myocardial infarction.Material and methods: This is a cross-sectional study developed between January 2012 and July 2014 at Hospital Universitario Celestino Hernández Robau from Santa Clara, Cuba. One hundred fifteen patients were included finally. The sample was divided into two groups (smokers and non-smokers). We obtained clinical and laboratory data and compared electrocardiographic markers for atrial fibrillation in both groups and with inflammatory markers.Results: Maximum...

Bioabsorbable stents in routine practice. New epoch in interventional cardiology

Jan Škvařil, Miroslav Černohous, Martin Hajšl, Pavel Sedloň, Miroslav Zavoral, Martin Malý

Cor Vasa 2017, 59(3):e251-e256 | DOI: 10.1016/j.crvasa.2016.11.007  

Introduction: According to contemporary experience, bioabsorbable vascular scaffolding (BVS) implantation represents promising perspective in cardiology interventions. In the cathlab of Central Military Hospital in Prague, the program of BVS implantation started in June 2013.Patient cohort and methods: From June 2013 to October 2015, 107 procedures of BVS implantation in 98 patients were performed. Total of 110 lesions were treated. In nine patients BVS was implanted in two stages. In three patients, the intervention of two vessels was performed during one procedure, always using BVS. Non-randomized data of three cohorts of patients were evaluated:...

Cerebral mycotic aneurysm as a consequence of infective endocarditis: A literature review

Shi-Min Yuan, Guo-Feng Wang

Cor Vasa 2017, 59(3):e257-e265 | DOI: 10.1016/j.crvasa.2016.11.004  

Background: Cerebral mycotic aneurysm (CMA) secondary to infectice endocarditis (IE) is rare. The clinical features of this entity have not been sufficiently clarified.Methods: The data source of this study was based on comprehensive literature retrieval of articles published in English 1990-2014 in the PubMed, Highwire Press and Google search engine. The search terms were "infective endocarditis" and "intracranial/cerebral mycotic aneurysm".Results: The CMAs usually developed 2.1 months after the onset of IE. Staphylococcus was the most frequent pathogen and Streptococcus was more frequent as evidenced by blood culture. The most common presentation...

Statin therapy in the prevention of atrial fibrillation in the early postoperative period after coronary artery bypass grafting: A meta-analysis

Olga L. Bockeria, Vladimir A. Shvartz, Albert A. Akhobekov, Ludmila A. Glushko, Tatayna G. Le, Anton R. Kiselev, Mikhail D. Prokhorov, Leo A. Bockeria

Cor Vasa 2017, 59(3):e266-e271 | DOI: 10.1016/j.crvasa.2016.11.003  

Background: Postoperative atrial fibrillation (POAF) is observed in the early postoperative period in approximately every third patient after coronary artery bypass grafting (CABG). The pathogenesis of POAF is multifactorial and is not yet fully studied. In many studies, post-operative inflammatory response has been extensively investigated as a potential basic factor of POAF. It is known that statins have anti-inflammatory properties. In some studies, pre- and perioperative use of statins has shown the decrease of incidence of POAF after CABG.Objective: We conducted meta-analysis of randomized and observational studies of efficiency of statin...

Peripartum cardiomyopathy - A case report and concise review

Lucie Karafiátová, Marie Lazárová, Miloš Táborský

Cor Vasa 2017, 59(3):e272-e276 | DOI: 10.1016/j.crvasa.2016.12.013  

Peripartum cardiomyopathy (PPCM) is rare, but-life threatening disease, which affects women in the last month of pregnancy or in the first five months after delivery. Its incidence is variable, ranging from 1 in 1300 to 1 in 15,000 pregnancies and is more prevalent in Haiti and certain parts of Africa. Risk factors include multiparity, advanced maternal age, multiple pregnancies, pre-eclampsia, chronic hypertension, smoking, alcoholism, malnutrition, and long-term tocolysis.Our case report describes a case of a patient, who was admitted for shortness of breath rapidly worsening into asthma cardiale closely after spontaneous delivery. As the cause...

Intracardiac thrombi during warfarin anticoagulation - A case report and a brief literature review

Irene Pescetelli, Eugenio Genovesi, Giulia Renda, Eligio Di Renzo, Raffaele De Caterina

Cor Vasa 2017, 59(3):e277-e281 | DOI: 10.1016/j.crvasa.2017.01.004  

A 78-year-old woman with a history of ischemic heart disease and permanent atrial fibrillation, on treatment with warfarin, was admitted to the Emergency Department because of paroxysmal nocturnal dyspnoea. Instrumental findings indicated an early phase of acute heart failure. The latest INR value was 3.64, and previous available INR values were all within the therapeutic range (2-3). A transthoracic 2D echocardiographic examination showed left ventricular dilatation and a severe reduction in systolic function. An echogenic pedunculated mass was observed in the left atrium, adherent to the interatrial septum. Twelve hours later, the patient reported...

Unusual cases of acute mitral valve regurgitation

Jiří Lukavec, Hana Línková, Robért Petr, Zbyněk Straka

Cor Vasa 2017, 59(3):e282-e286 | DOI: 10.1016/j.crvasa.2016.07.002  

Severe acute mitral regurgitation without early surgical correction can lead to congestive left-sided heart failure and quick death. Traumatic mechanism is one of its rare causes and is described in the literature mainly after blunt chest injuries in car accidents. In our case reports, we deal with cases of patients who have been diagnosed with a significant mitral regurgitation with rupture of chordae tendineae with symptoms of left ventricular failure requiring cardiac surgery. The onset of symptoms was associated with traumatic events of small or mild intensity.

Endovascular treatment of the malignant thrombus in the descending thoracic aorta

Michael Jonák, Ondrej Majchrák, Jiří Novotný, Olga Ternuscsák

Cor Vasa 2017, 59(3):e287-e290 | DOI: 10.1016/j.crvasa.2016.12.003  

Thrombus in the non-aneurysmal, non-atherosclerotic descending thoracic aorta (NAADTA) represents a rare source of peripheral arterial embolism. Despite being mostly asymptomatic process, its consequences can be very serious. In this case report, we described the case of a patient with malignant thrombus occurring in otherwise ''healthy'' descending thoracic aorta, already complicated by embolization into superior mesenteric artery, subsequently solved by stent graft implantation into the thoracic aorta.

Infective endocarditis and incidental popliteal artery mycotic aneurysm

Serkan Burç Deşer, Mustafa Kemal Demirağ

Cor Vasa 2017, 59(3):e291-e293 | DOI: 10.1016/j.crvasa.2016.12.012  

A mycotic aneurysm (MA) is rarely seen and defined as a pseudoaneurysm of the vessel wall due to infective endocarditis (IE). Arterial complications are often seen as an acute ischemia in the limbs (20-30%) and usually involve the lower limbs rather than upper limbs. Majority of MA involve brachial, femoral or popliteal arteries with their branches however, MA is rarely seen on the distal part of the popliteal artery. Popliteal artery mycotic pseudoaneurysm is rare and may imitate calf vein thrombosis. We report surgical management of a rare case of MA involving the popliteal artery and aortic valve replacement (AVR) due to IE.

Oznámení

Cor Vasa 2017, 59(3):III  

Hana Skalická, Miloš Táborský et al.: Manuál ambulantního specialisty - kardiologa

Prof. MUDr. Jan Petrášek, DrSc.

Cor Vasa 2017, 59(3):339  

Branislav Stančák, Alexander Bohó, Marek Mátuš: Antiarytmiká

Prof. MUDr. Jan Petrášek, DrSc.

Cor Vasa 2017, 59(3):340  

Za docentem MUDr. Janem Němcem (7. 11. 1962-7. 5. 2017)

Prof. MUDr. Josef Veselka, CSc.

Cor Vasa 2017, 59(3):338  

Editorial Board

Editorial board

Cor Vasa 2017, 59(3):i | DOI: 10.1016/S0010-8650(17)30096-6