Cor et Vasa, 2008 (vol. 50), issue 11

Editorial

Akutní koronární syndromy bez elevací úseků ST

Michael Aschermann

Cor Vasa 2008, 50(11):410  

What is best for my patient

Jean Marco

Cor Vasa 2008, 50(11):411-412  

Review articles

The pathophysiology of non-ST-elevation acute myocardial infarction and specific features of its treatment in the Czech Republic

Petr Kala, Martin Poloczek

Cor Vasa 2008, 50(11):413-417 | DOI: 10.33678/cor.2008.151  

Non-ST-elevation acute coronary syndrome is a serious cardiovascular disease with an adverse impact on short and long-term mortality and morbidity, with a 10-15% risk of death or non-fatal myocardial infarction. The body of knowledge about its pathophysiology is continuously increasing, and the data available are crucial for more precise risk stratification of the patients. Actually, the most important is the combination of clinical and laboratory risks. The Czech Republic has developed one of the best systems of acute care for the patients with acute coronary syndrome worldwide. To maintain this trend, it is necessary to translate the latest diagnostic...

Interventional treatment of elderly patients with acute coronary syndrome

Petr Kala, Petr Widimský

Cor Vasa 2008, 50(11):418-420 | DOI: 10.33678/cor.2008.152  

Interventional treatment of the elderly with acute coronary syndrome is a complex, mostly interdisciplinary problem that we are faced with increasingly often due to the aging of the population. Although the interventional technique is the same as in the younger population, we have to count with a primary, much higher global and cardiac risk in the elderly. Early interventional treatment has a major beneficial impact because of the high risk of death of acute coronary syndrome in the elderly. This is true especially in older patients with ST-elevation myocardial infarction (STEMI) treated with primary coronary intervention (primary PCI); in this group...

The pitfalls in diagnosing and treating non-ST-elevation acute myocardial infarction - the message from the Czech symposium at EuroPCR 2008

Petr Kala

Cor Vasa 2008, 50(11):422-423 | DOI: 10.33678/cor.2008.153  

Non-ST-elevation acute myocardial infarction (NSTEMI) is a serious disease with different clinical, angiographic and laboratory findings. The name of the Czech session at the largest European congress of interventional cardiology, EuroPCR 2008, "Are all non-ST-elevation acute myocardial infarction patients equal?" pointed out very well the differences among the patients. The session prepared by the Working Group of Interventional Cardiology of the Czech Society of Cardio-logy consisted of three interesting cases followed by short reviews of up-to-date evidence. This article is a short summary of the presentations focusing on some of the "hidden" problems.

Spontaneous coronary artery dissection

Michael Želízko, Marek Hrnčárek, Bronislav Janek, Vladimír Karmazín, Vladimír Pořízka

Cor Vasa 2008, 50(11):424-427 | DOI: 10.33678/cor.2008.154  

Spontaneous coronary artery dissection (SCAD) is a rare cause of acute coronary syndrome in young patients without apparent risk factors for coronary artery disease. It is predominantly young healthy females who are affected during pregnancy and the peripartum period, with connective tissue diseases or autoimmune diseases implicated in the pathophysiology of this condition. Therapeutic approaches include conservative medical therapy, coronary artery bypass graft surgery, and percutaneous coronary intervention (PCI) with intravascular ultrasound guidance, depending on the extent of disease and clinical symptoms.

Case reports

Non-traditional management of left main stenosis presenting as NSTEMI in an elderly female patient with severe coronary artery calcifications

Pavel Červinka

Cor Vasa 2008, 50(11):428-431 | DOI: 10.33678/cor.2008.155  

The author presents the case report of a 84-year-old lady with non-ST elevation myocardial infarction due to left main stenosis treated by percutaneous coronary intervention with rotational atherectomy and "bare" metal stent implantation using the "V" technique.

Acute myocardial infarction in patients after coronary artery bypass grafting

Ota Hlinomaz, Ladislav Groch

Cor Vasa 2008, 50(11):432-435 | DOI: 10.33678/cor.2008.156  

Acute coronary syndrome in patients after coronary artery bypass grafting is caused mostly by unstable lesion in the saphenous vein graft, less often by unstable lesion in the native coronary artery. We report a case, in whom it is difficult to decide whether to perform percutaneous coronary intervention in unstable lesion of the saphenous vein graft or in chronic stable lesion in the native coronary artery supplied by this graft.

Reviews

Otto Lang, Milan Kamínek, Helena Trojanová: Nukleární kardiologie

Prof. MUDr. Jan Petrášek, DrSc.

Cor Vasa 2008, 50(11):K207  

Images in cardiology

Acute coronary syndrome due to spontaneous coronary artery dissection

Josef Bis, Pavel Polanský, Josef Šťásek, Jaroslav Dušek, Jan Vojáček, Miroslav Brtko

Cor Vasa 2008, 50(11):437-438 | DOI: 10.33678/cor.2008.157  

Reports

Workshop o chirurgické revaskularizaci myokardu bez mimotělního oběhu

Doc. MUDr. Petr Němec, CSc.

Cor Vasa 2008, 50(11):K205  

Abstracts

III. sjezd České společnosti kardiovaskulární chirurgie ČLS JEP

Cor Vasa 2008, 50(11):K209-244  

Reflections

Zamyšlení nad odkazem našich učitelů

Cor Vasa 2008, 50(11):K203-204  

Personalia

K 70. narozeninám prof. MUDr. Bořivoje Semráda, CSc. (7. 11. 1938)

Václav Chaloupka

Cor Vasa 2008, 50(11):K206  

Informations

11. symposium pracovní skupiny Chlopenní a vrozené srdeční vady v dospělosti České kardiologické společnosti. Úskalí v diagnostice a léčbě srdečních vad

MUDr. Miroslav Brtko, Ph.D., prim. MUDr. Petr Vojtíšek, CSc.

Cor Vasa 2008, 50(11):K208  


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