Analysis of elective coronary angiography findings in patients with suspected angina pectoris in the cardiocenter Hradec Králové - Real-life clinical practice in light of the guidelines

Radek Válek, Karel Mědílek, Josef Bis, Jiří Nový, Jiří Cyrany, Josef Šťásek

Cor Vasa 2018, 60(6):e563-e568 | DOI: 10.1016/j.crvasa.2018.06.007  

Introduction: Coronary angiography (CA) is a gold standard for diagnosis of occlusive coronary atherosclerosis in patients with high pre-test probability of ischemic heart disease (IHD PTP) and in patients with medium pre-test probability, in whom a prognostically significant ischemia is detected during a stress test. The imaging stress tests are preferred to the exercise electrocardiogram due to higher sensitivity and specificity. The aim of this work was to analyze the profile of patients undergoing the elective CA due to suspected IHD.Study population and methods: Population of 184 patients who underwent elective CA due to suspected IHD between...

Trends in the history and fate of patients hospitalized for acute myocardial infarction

Vladimír Staněk, Marie Gebauerová, Michael Želízko, Jan Piťha, Rudolf Poledne, Věra Lánská, Jolana Mrázková, Jiří Kettner, Josef Kautzner

Cor Vasa 2018, 60(6):e569-e575 | DOI: 10.1016/j.crvasa.2018.09.001  

The aim of the study is to report on the history of ischemic heart disease (IHD), clinical course and early and late mortality in 1291 middle-aged men (

Education in the area of heart and vessel diseases for 40+ citizens

Věra Olišarová, Valérie Tóthová, Lenka Šedová, Sylva Bártlová, Ivana Chloubová, Helena Michálková, Radka Prokešová, Marie Trešlová

Cor Vasa 2018, 60(6):e576-e581 | DOI: 10.1016/j.crvasa.2017.12.002  

Introduction and goal: The heart and vessel diseases rank among main causes of death worldwide. In the Czech Republic, they account for a high proportion of hospitalizations. Although such diseases can be very well influenced through elimination of influenceable risk factors, their prevalence in the Czech population is still high. That leads to rising need to increase the efficiency of health education activities. Therefore the article aims at revealing the current status of education in the area of prevention of cardiovascular diseases, as seen by the citizens themselves, thus providing a feedback that can help to improve the situation in this area.Methods:...

The positive impact of a four-week Cardiac Rehabilitation program on depression levels of cardiological patients

Floriana Caccamo, Simone Saltini, Cristina Marogna, Vito Sava, Roberto Carlon, Federico Vignaga

Cor Vasa 2018, 60(6):e582-e588 | DOI: 10.1016/j.crvasa.2017.12.003  

Purpose: To investigate the positive impact of a Cardiac Rehabilitation program on levels of depression in patients after an acute cardiac event and to verify if some socio-demographic variables, as diagnosis, gender and age, and variables related to work and social support (working occupation, marital status, presence/absence of children) could be considered as predictors of depression, both at the beginning and at the end of the Cardiac Rehabilitation.Methods: One hundred and twenty-two patients completed the BDI-II questionnaire for evaluate depressive symptoms, before and after a four-week Cardiac Rehabilitation program. Changes in the scores...

Our experience with surgical minimally invasive aortic valve replacement

David Nešpor, Jiří Ondrášek, Jan Štěrba, Tomáš Kára, Petr Němec

Cor Vasa 2018, 60(6):e589-e596 | DOI: 10.1016/j.crvasa.2017.12.007  

Background: In the context of the development of modern cardiac valve interventional methods (TAVI, TMVI, MitraClip), miniinvasivity in cardiac surgery is becoming increasingly important. An alternative approach to complete sternotomy in isolated aortic valve replacement (AVR) is access from anterior thoracotomy or upper ministernotomy. In CKTCH Brno, an isolated aortic valve replacement (AVR) from the upper hemisternotomy (UHS) is performed from 2013 onwards.Methods: Between 2013 and 2016, isolated AVR was performed in our institution in 666 patients. Full median sternotomy approach was used in 565 patients, minimally invasive approach (UHS) in...

Atrial fibrillation, oral anticoagulants and health related quality of life

Ketija Apsite, Baiba Lurina, Andris Tupahins, Vladimirs Voicehovskis, Tarass Ivascenko, Oskars Kalejs, Aivars Lejnieks

Cor Vasa 2018, 60(6):e597-e602 | DOI: 10.1016/j.crvasa.2017.12.012  

Introduction: Atrial fibrillation (AFib) is a disease that can influence the health related quality of life. Also oral anticoagulants can influence it both because of its therapeutic benefits or complications as well as how the anticoagulant usage influence the person's life style by regular laboratory test necessity or diet restrictions.Aim: Determine and analyze whether there is a statistically significant difference comparing health related quality of life between K vitamin antagonist, warfarin, users, novel anticoagulant (NOAC), rivaroxaban, dabigatran, users and patients, who do not use any kind of oral anticoagulant.Materials and methods:...

Development of early reperfusion after the first episode of acute pulmonary embolism

Jana Václavková, Jan Mrózek, Vladimír Janovský, Pavol Bindas, Jana Petrová, Luboš Kraus, Michal Svoboda, Pavel Jansa

Cor Vasa 2018, 60(6):e603-e606 | DOI: 10.1016/j.crvasa.2017.12.014  

Introduction: Factors influencing the early reperfusion after pulmonary embolism (PE), with possible impact on development of chronic thromboembolic disease and chronic thromboembolic pulmonary hypertension (CTEPH), have not been completely identified yet.Study population and methods: The total of 85 patients hospitalized with the first episode of acute PE underwent a ventilation-perfusion lung scan before hospital discharge. The reperfusion was evaluated based on clinical, echocardiographic and laboratory parameters.Results: The study population consisted of 37 men and 48 women, mean age 60 years. A high-risk PE was present in 9.4% of patients,...

Should we fear infarct-like myocarditis?

Jan Duršpek, Jan Baxa, Jakub Šedivý, Daniel Rajdl, Milan Hromádka, Jan Lhotský, Richard Rokyta

Cor Vasa 2018, 60(6):e607-e614 | DOI: 10.1016/j.crvasa.2018.01.003  

Introduction: Infarct-like myocarditis is the most common presentation of acute myocarditis. A good prognosis is mentioned in the literature and several months of restricted physical activity is usually recommended.Objectives: The aim of our study was to show the characteristic features and specificity of this particular presentation of myocarditis and to evaluate its prognosis, relative to physical activity, after hospital discharge.Methodology: From 2012-2016, 73 patients with infarct-like myocarditis were hospitalized at the University Hospital of Pilsen and were evaluated by basic diagnostic parameters. Thirty-two patients from this group...

The prognostic value of exercise stress echocardiography - Validation of a newly implemented method in our center

Luboš Jukl, Jiří Vondrák, Martin Kubrycht, Martin Pavolko, Petr Vojtíšek, Jan Matějka, Jan Večeřa

Cor Vasa 2018, 60(6):e615-e621 | DOI: 10.1016/j.crvasa.2018.01.006  

Aim: The aim of this study was to assess the validity and prognostic value of exercise stress echocardiography, as a newly introduced method at our workplace, over the medium-term time horizon.Methods and results: Between February 2014 and May 2017, 204 patients (63% males, 60 ± 11 years) underwent exercise stress echocardiography (ESE) due to stable symptoms including chest pain or exertional dyspnea, with a known or suspected ischemic heart disease (IHD). A pre-test probability of IHD was 45 ± 17%. The contrast agent was used in 25 (12%) patients. Positive test: new appearance of wall motion abnormalities in at least two adjacent...

Cardiac resynchronization therapy in the Czech Republic - Data from the EHRA CRT Survey II multicenter registry

Alan Bulava, Přemysl Hájek, Josef Kautzner, Petr Pařízek, Petr Neužil, Rostislav Polášek, Jan Večeřa, Pavel Osmančík, Jan Chovančík, Milena Kubíčková, David Šipula, Kenneth Dickstein, Cecilia Linde, Camilla Normand

Cor Vasa 2018, 60(6):e622-e630 | DOI: 10.1016/j.crvasa.2018.03.004  

Introduction: Cardiac resynchronization therapy (CRT) has been proven to lower mortality and morbidity in selected patients with chronic congestive heart failure. The first prospective ESC (European Society of Cardiology) registry showed that indications for CRT were broadly extrapolated to groups of patients, who were not adequately represented in published randomized trials. Significant differences were also documented regarding implantation techniques between different regions and countries. The goal of this article is to explore the second international registry EHRA CRT II Survey and compare the data retrieved from this registry to common clinical...

Anatomical context of left anterior descending artery and right ventricular lead implanted apparently in the midseptal position - Case report

Anna Malá, Pavel Osmančík, Petr Štros, Dalibor Heřman, Karol Čurila, Róbert Petr

Cor Vasa 2018, 60(6):e631-e634 | DOI: 10.1016/j.crvasa.2017.12.008  

Septal pacing is considered to be more physiological compared to pacing of the apex of the right ventricle (RV). However, correct placement of the RV lead into the septum is often difficult using only fluoroscopic criteria during implantation; and many leads are in fact anchored in the anterior or free wall of the RV. In our case report we would like to show that unintentional implantation of the RV lead into the anterior wall can endanger left anterior descending artery, because of its close anatomical relation.

Late recurrence of fulminant myocarditis related to HSS/DRESS

Miguel Ardérius, Miguel Nobre Menezes, Tiago Marques, Dulce Brito, Ana Ortins-Pina, Mónica Mendes Pedro, Fausto Pinto, Fátima Veiga

Cor Vasa 2018, 60(6):e635-e637 | DOI: 10.1016/j.crvasa.2017.12.009  

Hypersensitivity Syndrome or Drug Reaction with Eosinophilia and Systemic Symptoms (HSS/DRESS) is a rare pharmacological hypersensitivity reaction that may include cardiac involvement, with high mortality and long-term heart failure.A 28-year-old woman, two months after the diagnosis of DRESS secondary to sulfasalazine, developed fulminant eosinophilic necrotizing myocarditis. After intensive multiorgan support, recovery and cardiac function normalization were observed. Eight months later presented a recurrence with fast progression to refractory cardiogenic shock and death.We alert to a rare and underdiagnosed pathology, with adverse prognosis,...

"Blue-grey syndrome" - A rare adverse effect of amiodarone

Hana Kuncipálová, František Toušek, Hana Janatová, Jana Přádná, Miroslav Řežábek

Cor Vasa 2018, 60(6):e638-e644 | DOI: 10.1016/j.crvasa.2018.03.003  

Amiodarone is a very effective drug for some patients in cardiology, we must always consider its frequent adverse effects, which can significantly affect the quality of patients' lives. We describe a relatively rare adverse effect of amiodarone in our case report of a 61-year-old man, who was electively admitted for implanted cardioverter-defibrillator upgrade. Pronounced grey skin discolouration led us to make a diagnosis of blue-grey syndrome.

High-sensitive cardiac troponin T is not always heart - Paraneoplastic systemic sclerosis simulated myocardial ischemia

Johannes Mierke, Stefanie Jellinghaus, Anna Selle, Hagen Schroetter, David M. Poitz, Karim Ibrahim

Cor Vasa 2018, 60(6):e645-e648 | DOI: 10.1016/j.crvasa.2018.10.001  

Background: The high-sensitive cardiac troponin T (hs-cTnT, Elecsys®) is an excellent and worldwide used diagnostic marker for myocardial ischemia with high sensitivity. However, elevated hs-cTnT levels are found in different systemic diseases and can lead to misdiagnosis. The high-sensitive cardiac troponin I (hs-cTnI, ARCHITECT®) shows comparable sensitivity. However, hs-cTnI is much more specific than hs-cTnT (92% vs. 80%, 99th percentile).Case summary: An asymptomatic women with a cancer of unknown primary (CUP) presented constantly high hs-cTnT. Electrocardiogram, echocardiography as well as cardiac MRI and CT angiography of the coronary...

Clinical Indications and Time Schedule for Cardiac Magnetic Resonance Imaging. A Joint Expert Opinion of the Czech Society of Cardiology and Czech Radiological Society of the Czech Medical Society of J.E. Purkyne

Martin Pleva, Jiří Weichet, Tomáš Paleček, Jan Baxa, Theodor Adla, Dana Kautznerová, Šárka Bohatá

Cor Vasa 2018, 60(6):e649-e653 | DOI: 10.1016/j.crvasa.2018.03.007  

XVI. konference České asociace akutní kardiologie

Cor Vasa 2018, 60(6):766-776  

Erratum k: "Praktická doporučení European Heart Rhythm Association (EHRA) pro užití nových perorálních antikoagulancií u pacientů s fibrilací síní, 2018. Souhrn dokumentu připravený Českou kardiologickou společností" [Cor et Vasa 60 (2018) 491-517]

Robert Čihák, Luděk Haman, Miloš Táborský

Cor Vasa 2018, 60(6):758-760  

Zemřel MUDr. Pavel Jerie (9. 12. 1927-29. 10. 2018)

Jiří Vítovec, Michal Fejfuša

Cor Vasa 2018, 60(6):763  

Odešel MUDr. Pavel Jerie

Michael Aschermann

Cor Vasa 2018, 60(6):763  

Otevřený a poslední dopis mému příteli MUDr. Pavlovi Jeriemu

Prof. MUDr. Jan Petrášek, DrSc.

Cor Vasa 2018, 60(6):764  

Zemřela Eva Klima, MD

Michael Aschermann

Cor Vasa 2018, 60(6):765  

Editorial Board

Editorial board

Cor Vasa 2018, 60(6):i | DOI: 10.1016/S0010-8650(18)30118-8