Snížení reziduálního vaskulárního rizika bude hlavní cíl preventivní kardiologie ve 21. století

Hana Rosolová

Cor Vasa 2010, 52(4):209-211  

Atrial fibrillation in patients with significant aortic stenosis

Roman Surovčík, Pavel Jebavý, Karel Hlaváček, Rudolf Feuereisl, Petr Frídl, Ján Lietava

Cor Vasa 2010, 52(4):234-237 | DOI: 10.33678/cor.2010.058  

Atrial fibrillation occurs in approximately 5% of patients with severe aortic stenosis. Its incidence and prevalence do not increase until the magnitude of aortic stenosis reaches a higher degree as opposed to mitral valve disease.Aim of study: To determine the prevalence of recurrent and permanent atrial fibrillation and to assess gender differences in the prevalence in patients with severe aortic stenosis. Another primary aim was to find clinical, echocardiographic, and hemodynamic predictors of atrial fibrillation before surgical treatment.Secondary aim: To analyze the effect of arterial hypertension, antihypertensive medication, and invasively...

Correlation between the SYNTAX Score and serum matrix metalloproteinase-3 levels in patients with chronic coronary heart disease

Martin Gřiva, Robert Náplava, Milada Špendlíková, Jiří Jarkovský, Ota Hlinomaz, Čestmír Číhalík

Cor Vasa 2010, 52(4):238-243 | DOI: 10.33678/cor.2010.059  

Aim: The SYNTAX Score is designed to describe the extent of coronary artery involvement by atherosclerosis. Among other things, matrix metalloproteinases play an important role in the pathogenesis of vascular diseases such as atherosclerosis, plaque rupture, and aneurysm. The study was conducted to determine whether or not there is a correlation between matrix metalloproteinase-3 (MMP-3) levels and the SYNTAX Score in patients with chronic coronary heart disease.Methods: A total of 128 randomly selected patients with chronic coronary heart disease (CHD) (75% of men, 69% of individuals with diabetes; the exclusion criteria included troponin I positivity,...

Percutaneous renal artery angioplasty: indications, surgical technique, and long-term outcomes

Michael Želízko, Marcela Bürgelová, Vladimír Pořízka, Vladimír Karmazín, Vladimír Teplan

Cor Vasa 2010, 52(4):244-251 | DOI: 10.33678/cor.2010.060  

Aim: The purpose of the study was 1) to investigate the incidence of significant renal artery stenosis in patients undergoing coronary angiography, 2) to assess the significance of renal artery stenosis by angiography and intravascular ultrasound (IVUS), 3) to evaluate the plaque composition by virtual histology (VH) and 4) to analyze predictors of renal angioplasty success or failure.Methods: Patients with significant renal artery stenosis by angiography (stenosis diameter ≥ 70%) underwent intravascular ultrasound assessment and plaque characterization by virtual histology. Renal blood flow was assessed by renal frame count and renal blush...

Acute occlusion of the splanchnic vascular bed after cardiac surgery

Martin Varga, Ivan Matia, Miloš Kučera, Bedřich Sixta, Matěj Kočík, Martin Oliverius, Jan Pirk, Miloš Adamec

Cor Vasa 2010, 52(4):252-256 | DOI: 10.33678/cor.2010.061  

Aim: To retrospectively assess the incidence, selected risk factors, clinical, imaging, and laboratory signs of vascular artery involvement in patients undergoing cardiac surgery in the Prague-based Institute for Clinical and Experimental Medicine (IKEM) and requiring subsequent surgery.Materials and methods: In the period from 1 January 2003 through 31 April 2009, a total of 7,971 cardiac surgical procedures were performed at the Department of Cardiovascular Surgery, IKEM. Within 30 days postoperatively, 26 patients experienced acute abdominal pain requiring revision surgery. The cause of abdominal pain was acute occlusion of the splanchnic vascular...

Long-term reliability of AAI/R pacing mode in patients with sinus node disease - 10-year experience

Vladimír Ťažký, Juraj Mistrík

Cor Vasa 2010, 52(4):257-261 | DOI: 10.33678/cor.2010.062  

Aim: To find out how much determination of the Wenckebach point (WB) is a reliable method for indicating long-term treatment of patients with sick sinus syndrome (SSS) and AAI/R cardiac pacing. To detect changes in the conduction capacity of the AV node (WB) after pacemaker (PM) implantation. To determine the prevalence of atrial fibrillation, flutter, and other atrial arrhythmias. To identify the need for hospitalization of cardiac patients and the incidence of complications.Methods: A total of 104 consecutive patients who underwent AAI/R mode PM implantation for symptomatic SSS from March 1996 to December 2006 were studied. The mean age of the...

Residual Risk Reduction Initiative: výzva ke snížení reziduálního vaskulárního rizika u pacientů s dyslipidemií

Jean-Charles Fruchart, Frank M. Sacks, Michel P. Hermans, Gerd Assmann, W. Virgil Brown, Richard Ceska, M. John Chapman, Paul M. Dodson, Paola Fioretto, Henry N. Ginsberg, Takashi Kadowaki, Jean-Marc Lablanche, Nikolaus Marx, Jorge Plutzky, Zeljko Reiner, Robert S. Rosenson, Bart Staels, Jane K. Stock, Rody Sy, Christoph Wanner, Alberto Zambon, Paul Zimmet

Cor Vasa 2010, 52(4):212-228 | DOI: 10.33678/cor.2010.056  

Heart failure in patients on dialysis. A review of the issue and proposed therapeutic algorithm

Miloš Kubánek, Marcela Bürgelová, Tereza Vychodilová, Jana Vrbská, Ivan Málek

Cor Vasa 2010, 52(4):229-233 | DOI: 10.33678/cor.2010.057  

In patients on dialysis, chronic heart failure (CHF) has a high incidence and prevalence and is associated with a very poor prognosis. Chronic renal failure (CRF) worsens the hemodynamic status and myocardial function in patients with an underlying heart disease and may directly contribute to the development of what is called uremic cardiomyopathy. The prognosis of patients with dilated cardiomyopathy and CRF, if treated with carvedilol and angiotensin-coverting enzyme inhibitors, has been shown to improve. In patients with co-existing CHF and CRF, it is imperative to provide, in addition to drug therapy, effective hemodialysis, reduce hyperhydration,...

Transcatheter closure of coronary artery fistula by implanting three platinum coils in a 91-year-old female

Helena Podroužková, Ladislav Groch, Jaroslav Meluzín, Petr Krupa, Jiří Vaníček

Cor Vasa 2010, 52(4):262-264 | DOI: 10.33678/cor.2010.063  

This is the case report of a 91-year-old female referred for elective coronary arteriography due to typical exertional chest pain and shortness of breath, worsened in the last month and resulting in NYHA class III.Coronary angiography revealed a fistula connecting the proximal segment of the left anterior descending artery (LAD) with proximal portion of the pulmonary artery.The fistula was occluded by percutaneous implantation of three platinum coils with a good result, without any complications.The patient reports complete disappearance of symptoms one year after the procedure.

Mechanical cardiac support has been given the green light

Adrian Kolesár, Ján Luczy, Marta Jakubová, Martin Ledecký, Martin Studenčan, Albert Hermely, Monika Jankajová, František Sabol

Cor Vasa 2010, 52(4):265-269 | DOI: 10.33678/cor.2010.064  

Mechanical cardiac support is currently one of the most dynamic areas of modern cardiology and cardiac surgery in the treatment of acute and chronic heart failure. The main objective is to improve or completely restore the corresponding hemodynamic parameters and adequate organ perfusion. In this paper, we present the tragic case of a female patient, in whom coronary angiography and quantification of two stenoses by intravascular ultrasound failed to predict an unfavourable clinical trend; three months later, the patient suffered an acute myocardial infarction due to critical stenosis of the left main coronary artery at a site originally described...

Cumulation of complications in a patient with arrhythmogenic right ventricular dysplasia after primary implantation of single-chamber ICD

Ingrid Sovová, Martin Hutyra, Miloš Táborský, Tomáš Skála, Jan Galuszka

Cor Vasa 2010, 52(4):270-274 | DOI: 10.33678/cor.2010.065  

Arrhythmogenic right ventricular dysplasia is a rare cause of collapse, most frequently due to ventricular tachycardia. In patients with documented ventricular tachycardia, cardioverter-defibrillator (ICD) implantation to prevent sudden cardiac death is indicated. In the presented case, ICD implantation was complicated with a ventricular defibrillation lead perforating into front mediastinum requiring lead extraction and subsequent reimplantation of a new lead into the right ventricular outflow tract. A week later, the patient developed sepsis due to mediastinitis, pericarditis, and jugular vein thrombosis. Echocardiography and chest computer tomography...

Robert A. O'Rourke, Richard A. Walsh, Valentin Fuster: Hurst's The Heart. Manual of Cardiology

Prof. MUDr. Jan Petrášek, DrSc.

Cor Vasa 2010, 52(4):292  

Vladimír Černý, Martin Matějovič, Pavel Dostál, et al.: Vybrané doporučené postupy v intenzivní medicíně

Prof. MUDr. Jan Petrášek, DrSc.

Cor Vasa 2010, 52(4):293  

Karel Lukáš, Aleš Žák a kolektiv: Chorobné znaky a příznaky

Prof. MUDr. Jan Petrášek, DrSc.

Cor Vasa 2010, 52(4):294  

The role of coronary calcium score in predicting myocardial infarction. Morning well, afternoon hell

Eliška Sovová, Milan Kamínek, Marek Richter, Milan Sova, Miloš Táborský

Cor Vasa 2010, 52(4):275-276 | DOI: 10.33678/cor.2010.066  

Kompletní ruptura anterolaterálního a parciální ruptura posteromediálního papilárního svalu jako mechanická komplikace akutního infarktu myokardu a příčina kardiogenního šoku

Karel Navrátil, Martin Hutyra, Martin Sluka, Pavla Látalová, Miloš Táborský

Cor Vasa 2010, 52(4):277-278 | DOI: 10.33678/cor.2010.067  

Ruptura nekoronárního Valsalvova sinu s komunikací do pravé síně jako příčina progrese námahové dušnosti

Alexandr Schee, Tomáš Marek, Petr Syrovátka, Michael Želízko, Vladimír Karmazín, Miloš Kubánek, Pavel Šulc, Jan Pirk, Josef Kautzner

Cor Vasa 2010, 52(4):279-280 | DOI: 10.33678/cor.2010.068  

Půlstoletí náhrad srdečních chlopní

Jan Dominik

Cor Vasa 2010, 52(4):281-284  

Prolomení mlčenlivosti

Prof. MUDr. Roman Čerbák, CSc.

Cor Vasa 2010, 52(4):286-287  

Poslední den v březnu se prof. MUDr. Jiří Widimský, DrSc., FESC, FAHA, dožívá 85 let

Prof. MUDr. Vladimír Staněk, CSc.

Cor Vasa 2010, 52(4):288  

Udělení statutu komplexního kardiovaskulárního centra a kardiovaskulárního centra Ministerstvem zdravotnictví ČR
Roboti se přesouvají z chirurgických sálů na katetrizační

Petr Widimský, Jan Pirk, Michael Aschermann, Petr Němec, Stanislava Pánová, Markéta Brabcová

Cor Vasa 2010, 52(4):289-291