Cor et Vasa from the year 2019

Michael Aschermann

Cor Vasa 2019, 61(1):7  

MitraClip in patients with functional mitral regurgitation and advanced heart failure - Single centre experience

Aleš Benák, Blanka Skalická, Jana Hašková, Martin Kotrč, Radka Kočková, Vladimír Pořízka, Michael Želízko, Josef Kautzner, Vojtěch Melenovský

Cor Vasa 2019, 61(1):8-14 | DOI: 10.1016/j.crvasa.2018.07.006  

Aim: Chronic heart failure with left ventricular (LV) dysfunction is often associated with functional mitral regurgitation (MiR). This may be ameliorated, mitral valve morphology permitting, by implanting a MitraClip. Registry data demonstrate a positive effect on symptoms. A decrease in mortality and shorter hospitalisation for heart failure are currently the subjects of randomised studies. The aim of the work presented here is to describe our experience with this therapeutic approach. Methods and results: Since 2014, MitraClip has been implanted at our clinic in 30 patients with significant functional MiR and LV systolic dysfunction (DCM 60%, IHD...

Pulmonary embolism cohort in Pisek Hospital

Miroslav Kodým

Cor Vasa 2019, 61(1):15-19 | DOI: 10.1016/j.crvasa.2018.06.003  

We present retrospective unselected cohort of 204 consecutive patients treated for pulmonary embolism at Internal medicine department of Hospital Písek. We achieved low in-patient mortality (5.88%) even with a very conservative use of thrombolysis (8.82%). In total there were 39 patients with high risk PE (2009 Czech nomenclature as "massive"), 44 with intermediate-risk PE (2009 Czech nomenclature as "submassive"), 121 with low-risk PE (2009 Czech nomenclature as "small"). Data were collected before 2014 ESC guidelines and PEITHO study. CTA was performed in 81.86% of patients. It is an excellent diagnostic tool, but in urgent cases its use is often...

The changes in achievement of target LDL-cholesterol levels between 2006 and 2017 in Czech patients with chronic coronary heart disease

Pavla Vorlíčková, Otto Mayer Jr., Jan Bruthans, Jitka Seidlerová, Julius Gelžinský, Markéta Mateřánková, Martina Cvíčela, Renata Cífková, Jan Filipovský

Cor Vasa 2019, 61(1):20-27 | DOI: 10.1016/j.crvasa.2018.05.002  

Several clinical trials have shown that patients with coronary heart disease (CHD) benefit from more aggressive treatment to achieve lower target LDL cholesterol. We aimed to analyze the changes in achievement of guideline recommended LDL target during last 10 years and the usual dosage of statin in secondary prevention of CHD. We analyzed 1349 patients (21.7% females) aged 64.9 years (standard deviation [SD] ± 9.0) after acute coronary syndrome and/or coronary revascularization from three different cohorts (Czech samples of EUROASPIRE III, IV and V). Overall control of hypercholesterolemia substantially improved from year 2006 to year 2017, 52%...

Effects of age on left ventricular diastolic function

Jan Pyszko, Jan Václavík, Tomáš Václavík, Eva Kociánová, Monika Kamasová, Marie Lazárová, Miloš Táborský

Cor Vasa 2019, 61(1):28-31 | DOI: 10.1016/j.crvasa.2018.10.003  

Introduction: Echocardiography plays a pivotal role in the diagnosis of left ventricular diastolic function. There has been only limited data on effects of age on different parameters of left ventricular diastolic function. Methods: We retrospectively searched and analysed a computerised echocardiography database data of subjects investigated at our department. We enrolled only subjects with sinus rhythm, normal left ventricular ejection fraction, without any valvular disease or any other significant echocardiographic pathology. By a subsequent manual search of hospital records we divided subjects into three groups based on their clinical history -...

Quality of life and depression in adults with repaired complex cyanotic congenital heart disease in the Czech Republic

Jana Rubáčková Popelová, Renata Živná, Markéta Tomková, Jakub Tomek

Cor Vasa 2019, 61(1):32-41 | DOI: 10.33678/cor.2019.003  

Background: Good quality of life is an important goal in treatment of complex cyanotic congenital heart disease (CHD); however, there is a lack of consensus concerning quality of life in complex CHD patients in the literature. The aim of this study was to assess quality of life and rate of depression in adults with complex cyanotic CHD late after repair. Method: The studied cohort consists of 212 adults with repaired complex cyanotic CHD and 86 healthy controls. Subjects filled in questionnaires evaluating quality of life (SF-36) and depression (Zung self-rating depression scale). Additional data on the influence of CHD on patient's life, physical...

Heart rate variability in atrial septal defect both before and after operation

Vladimir A. Shvartz, Anton R. Kiselev, Olga L. Bockeria

Cor Vasa 2019, 61(1):42-47 | DOI: 10.1016/j.crvasa.2018.08.001  

Over the recent decades, study of vegetative influence on the heart and its evaluation as a predictor of mortality due to cardiac problems and development of cardiovascular complications raised a considerable interest. Heart rate variability (HRV) analysis is a simple, noninvasive and safe method to study vegetative regulation of the human cardiovascular system. In the view of some authors, in patients suffering from structural heart defects, a decrease in HRV due to volume overload of the heart may cause elevation of pressure in the heart cavities, possible dysfunction of baroreceptors and can result in vegetative imbalance. During surgery, the neurovegetative...

Foam cell formation and cholesterol trafficking and metabolism disturbances in atherosclerosis

Alexandrina Volobueva, Dongwei Zhang, Andrey V. Grechko, Alexander N. Orekhov

Cor Vasa 2019, 61(1):48-55 | DOI: 10.1016/j.crvasa.2018.06.006  

Foam cells are typical components of atherosclerotic plaques, where they actively participate in the intracel- lular cholesterol accumulation. Onset and further progression of atherosclerosis is tightly associated with foam cell formation. These cells can originate both from the circulating monocytes/macrophages and from the resident smooth muscular cells migrating to the growing lesion. Classically activated pro-inflammatory M1 macrophages play an important role in atherogenesis, while M2 macrophages have a protective role in plaque stabilization. Molecular mechanisms for VSMC transformation towards foam cells remains to be studied in detail. Lipid...

Left atrial myxoma complicated with a myocardial infarction in a 10-year-old boy: A case report and review of the literature

Ahmed Sghaier, Nejeh Ben Halima, Ghada Hamila, Houssem Thabet, Marwa Ben Abdallah, Yossra Messaoudi

Cor Vasa 2019, 61(1):56-59 | DOI: 10.1016/j.crvasa.2017.12.011  

A 10-year-old child experienced syncope on exertion, preceded by chest pain and palpitations. The physical exam had no particularities except for a diastolic roll at the mitral area. The initial electrocardiogram showed a ventricular tachycardia successfully wiped out by cardioversion. The electrical control showed an extensive anterior myocardial infarction. Emergency Doppler echocardiography showed a dilated LV, akinesia of the apical and middle segments of the anterolateral wall and of the apex with a reduced LVEF of 35%. A mass covering almost all of the left atrium was noted evoking a myxoma. A thoracic angiography scan and a coronary-scan confirmed...

Summary of guidelines for cardiology follow-up of Turner syndrome patients (the International Turner Syndrome Consensus Group) with commentary

Eva Klásková, Jana Rubáčková Popelová, Jiřina Zapletalová, Jan Pavlíček

Cor Vasa 2019, 61(1):60-67 | DOI: 10.33678/cor.2019.002  

Authors of the original recommendation: Claus H. Gravholt jménem International Turner Syndrome Consensus Group.The following text is dedicated to the cardiovascular aspects of Turner syndrome from the perspective of the new guidelines of the International Turner Syndrome Consensus Group - "Clinical practice guidelines for the care of girls and women with Turner". The development of these guidelines was initiated by the European Society of Endocrinology and the Pediatric Endocrine Society in cooperation with the European Society for Pediatric Endocrinology, the Endocrine Society, the European Society of Human Reproduction and Embryology, the American...

Alternating bundle-branch block in acute coronary syndrome

Matic Avsec, Misa Fister, Marko Noč, Peter Radsel

Cor Vasa 2019, 61(1):68-71 | DOI: 10.1016/j.crvasa.2017.12.013  

Background: Bundle-branch blocks often blur ischemic ECG changes. Alternating bundle-branch block is not yet fully understood but can hold clinical significance. Case report: We present a case of a patient with a known left bundle-branch block (LBBB) who developed a new right bundle-branch block (RBBB) in a setting of acute coronary syndrome. Coronary angiogram revealed subtotal proximal LAD stenosis that was resolved with stent implantation. After the percutaneous coronary intervention RBBB disappeared and LBBB reappeared. The probable reason for the alternating bundle-branch block in the presented case is a new origin of ventricular impulses after...

Scimitar syndrome - a case report

Juraj Bujdák, Jiří Vondrák, Jan Matějka, Pavel Král, Bořivoj Korbel

Cor Vasa 2019, 61(1):72-75 | DOI: 10.1016/j.crvasa.2018.01.002  

The authors present a case of a rare congenital cardiopulmonary anomaly. In the discussion section, possible associated disorders, clinical syndromes and diagnostic possibilities are considered. The case report is sup- ported by the chest radiograph and the 2D and 3D computer tomography scans.

(Infarction of the left atrium resulting in its rupture)

Ondřej Kučerka, Pavel Sedloň, Eva Traboulsi, Martin Malý

Cor Vasa 2019, 61(1):76-78 | DOI: 10.1016/j.crvasa.2018.02.009  

Although atrial myocardial infarction is an entity that has been reported for decades, it is frequently neglected in clinical practice. Isolated infarction of an atrium is rare, usually occurring concomitantly with ventricular myocardial infarction. The major complications of atrial infarction are cardiac arrhythmias, thromboembolization and atrial rupture. We report an 84-year-old male patient with left atrial rupture following subacute inferolateral STEMI and left atrial infarction.

Cardiology Rehabilitation wards: Isolation of Staphylococcus capitis. A risk of infection to be kept under control

Pasqualina Laganà, Santi Delia, Maria Anna Coniglio

Cor Vasa 2019, 61(1):79-81 | DOI: 10.1016/j.crvasa.2018.02.005  

Cardiology Rehabilitation wards specialize in the rehabilitation of patients who are suffering from cardiac surgery or an acute heart attack. Hospital infections are the most frequent and severe complication of health- care. Nevertheless, during the last two decades, coagulase-negative staphylococci (CoNS) have been indicated as the primary cause of infections and septicemia in cardiology care units. Among the CoNS, the role played by Staphylococcus capitis in the field of infectious processes has been considered. We present our experience of S. capitis isolations from a patient admitted with cardiovascular disease with lower limbal diabetic...

Acute coronary syndrome and coronary microfistulae left ventricular.

Francesco Messina, Sergio Crosca

Cor Vasa 2019, 61(1):82-84 | DOI: 10.1016/j.crvasa.2018.02.002  

Coronary fistulae are rare anatomic anomalies and those ones draining in left ventricle have low incidence. Apical hypertrophy of left ventricle is a relatively rare manifestation of hypertrophic cardiomyopathy, sometimes associated with coronary fistulae. We show the case of a coronary microfistulae draining on left ventricle associated with an apical hypertrophic cardiomyopathy which manifested for the first time as an acute coronary syndrome non-ST elevation myocardial infarction (NSTEMI).

Rare cause of recurrent systemic embolism in a middle-aged woman with undiagnosed lung A-V malformation

Blažej Rácz, Aleš Linhart, Jan Bělohlávek, Vladimír Mikulenka, Robert Šachl, Petr Vařejka

Cor Vasa 2019, 61(1):85-89 | DOI: 10.1016/j.crvasa.2018.02.004  

We report a case of the recurrent systemic embolism in a 48-year-old woman without previous medical history. Gradual clinical development revealed a combination of rare anatomical and pathological findings. The first manifestation of the disease in the patient was repeated systemic embolization in the left arm requiring repeated surgical embolectomy in a very short time sequence. In a parallel search for a possible source, clinically silent pulmonary embolism, patent foramen ovale and significant vascular A-V malformation in the left lung were diagnosed. In the subsequent period, there was an unexpected event of an acute massive myocardial infarction,...

A mobile mass on the tricuspid valve in a young female: The critical distinction between the vegetation and cardiac tumor

Yavuzer Koza, Uğur Kaya, Enise Armağan Koza

Cor Vasa 2019, 61(1):90-92 | DOI: 10.1016/j.crvasa.2018.05.003  

Papillary fibroelastomas (PFEs) are benign cardiac tumors with high embolic tendency, and usually originate from the cardiac valve. We report the case of a 34-year-old woman who experienced progressive dyspnea and fatigue. Transthoracic echocardiography revealed a pediculated, homogenous echo-dense, and highly mobile mass attached to the tricuspid valve. The patient was diagnosed with cardiac PFE because of its size and mobility, and surgical resection was scheduled.

Peritoneal dialysis as successful treatment in patient with end-stage congestive heart failure due to endomyocardial fibrosis

Francesco Sbrana, Antonio Cioni, Vladyslav Chubuchny, Claudia Taddei, Roberto Bigazzi, Emilio Maria Pasanisi

Cor Vasa 2019, 61(1):93-94 | DOI: 10.1016/j.crvasa.2018.04.001  

Šamánkovy Poděbrady

Jan Janoušek, Zuzana Urbanová

Cor Vasa 2019, 61(1):97-98  

Martin Gřiva (ed.): Paliativní péče v kardiologii Racionální přístup u pacientů v pokročilé fázi kardiologických onemocnění

Jan Petrášek

Cor Vasa 2019, 61(1):96  

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Cor Vasa 2019, 61(1):99-100