Cor et Vasa, 2007 (vol. 49), issue 5

Editorial

Jaká je optimální srdeční frekvence?

Jaromír Hradec

Cor Vasa 2007, 49(5):163-165 | DOI: 10.33678/cor.2007.062

Original research articles

Our experience with a systematic program of care of adults with congenital heart disease

Jana Popelová, Štěpán Černý, Roman Gebauer, Petr Pavel, Pavel Jehlička, Petr Kolouch, David Doubek, Petr Kmoníček, Petr Neužil, Miloš Táborský, Petr Niederle, Jiří Weichet, Bohumil Hučín, Jan Škovránek, Petr Tax, Oleg Reich, Roman A. Gebauer

Cor Vasa 2007, 49(5):169-173 | DOI: 10.33678/cor.2007.064

Aim:A retrospective evaluation of the outcomes of a program of systematic care of adults with congenital heart disease (CHD) at Na Homolce Hospital. Patients:Out of more than 1,900 adults with congenital heart disease, 128 were operated on from April 2005 through January 2007. The mean age was 41 ± 15 years. Results:Surgical mortality was zero as was 30-day mortality; 3 patients were lost to long-term follow-up. The average hospitalization time was 11.7 ± 5 days. Reoperations accounted for 46% of all operations, 15% were repeat reoperations. Total cavopulmonary connection (TCPC) as the first surgical...

Prevalence of hypertension at ages 5, 13 and 18 years, and its association with overweight and obesity.

Zuzana Urbanová, Milan Šamánek

Cor Vasa 2007, 49(5):174-178 | DOI: 10.33678/cor.2007.065

Aim of study:Hypertension is often associated with overweight and obesity. Our study was designed to determine the prevalence of hypertension in 5-, 13-, and 18-year-olds and the association of hypertension with overweight and obesity. Method:Anthropometric data were obtained from, and blood pressure measured in a total of 7,427 children attending preventive examinations for children and adolescents at ages 5, 13, and 18 years in general practitioner offices. Data were obtained from 57 physicians across the Czech Republic. Results:Hypertension was diagnosed in 115 (1.54%) of the 7,427 subjects

Case reports

Malabsorption syndrome as a cause of cardiogenic shock.

Jiří Haniš, Ivo Staněk, František Toušek

Cor Vasa 2007, 49(5):180-182 | DOI: 10.33678/cor.2007.066

This is the case report of a female patient whose initial symptom was upper limb paraparesis, with subsequent development of a shock state, ECG-documented extensive myocardial infarction with acute significant left ventricular dysfunction, all this secondary to malabsorption syndrome in the presence of gluten enteropathy.

Cardiovascular manifestations and ECG findings in hypothermia.

Pavol Brunclík, Juraj Payer, Zdenko Vlček, Aktham Yaghi

Cor Vasa 2007, 49(5):183-187 | DOI: 10.33678/cor.2007.067

The authors report the first cases in Slovakia of ECG-documented Osborne wave associated with hypothermia. They present a review of Osborne wave definitions in the literature and discuss its clinical significance in various clinical settings. They explain the cellular and ionic mechanisms underlying the development of J-wave elevation, and the electrophysiological, ECG, and cardiovascular changes caused by hypothermia.

A double-chambered right ventricle, the diagnosis and treatment of congenital heart disease in adults.

Ota Cieluch, Jaroslav Januška, Libor Škňouřil, Marian Branny, Piotr Branny, Renata Radeva, Romuald Čuřík

Cor Vasa 2007, 49(5):188-191 | DOI: 10.33678/cor.2007.068

The authors present the case of a 43-year-old woman with a double-chambered right ventricle. The patient had been observed since youth for a ventricular septal defect that closed spontaneously. At the same time, she gradually developed a right ventricular outflow tract obstruction with a high-pressure gradient. She was scheduled for cardiac surgery for severe symptoms and severe subvalvular pulmonary stenosis.

Images in cardiology

Aterosklerotické koronární aneuryzma

Jan Sitar, Ladislav Groch

Cor Vasa 2007, 49(5):166 | DOI: 10.33678/cor.2007.063

Short communication

Drug therapy of arterial hypertension in patients with significant aortic stenosis.

Kateřina Linhartová, Roman Čerbák, Jan Filipovský, Gabriela Štěrbáková

Cor Vasa 2007, 49(5):192-194

Arterial hypertension affects 30-70% patients with aortic stenosis. There are no specific recommendations for drug treatment of this population of patients; to date, no consensus has been reached over vasodilator administration. The aim of our study was to determine the incidence of hypertension and the proportion of medically treated patients with aortic stenosis at the time of indication for surgery.Data from a comprehensive examination of 225 patients (mean age 68 ± 9 years; 41% of women) with significant non-rheumatic calcified aortic stenosis (mean gradient 54 ± 17 mmHg) were analyzed. Arterial hypertension was present in 68%...

Postgraduate

Genetics in cardiology. Part I. The history and evolution of modern genetics

Ilga Grochová, Ladislav Groch

Cor Vasa 2007, 49(5):196-201 | DOI: 10.33678/cor.2007.070

As a specialty, current medical genetics began to evolve in the 1940s to 1950s. The paper provides an overview of the milestones in genetics: discovery of DNA as the carrier of genetic information, uncovering of the DNA structure, protein synthesis encoding, complete identification of genes in the human genome, the HapMap project, ENCODE program, GEI project, and GAIN project. In the second part of the paper, the authors explain the role played currently by genetics in the diagnosis, treatment and prognosis of cardiac disease. The topics of future articles addressing medical genetics are given.

Kardio

Zamyšlení nad stoupajícím zájmem o srdeční mitochondrie

Cor Vasa 2007, 49(5):K144

Marek Gwozdziewicz: Arteriální revaskularizace myokardu

Cor Vasa 2007, 49(5):K146

J. Bauersachs, S. Frantz, G. Ertl (org.): Cardiovascular Healing