Akutní koronární syndrom: některé aspekty moderní farmakoterapie a revaskularizace

Petr Kala

Interv Akut Kardiol. 2002;1(2):63  

Heart Surgery in Patients with Left Main Stenosis: a 2-year Restrospective Study

František Holm, Jean-Claude Lubanda, Michal Semrád, Jan Roháč, Vladimír Vondráček, Ivo Miler, Ivan Vaněk, MUDr. František Holm CSc, Jean-Claude Lubanda, prof. MUDr. Michael Aschermann DrSc

Interv Akut Kardiol. 2002;1(2):68-73  

A stenosis of the left main coronary artery (LMCA) is found in 7 to 10 % of all performed coronary angiographies. Conservative therapy has a very high mortality rate in comparison to surgery, which has very good long-term outcomes and is accepted as the standard therapy of this affliction. It is just a few years since percutaneous coronary intervention (PCI) has become a new alternative in selected cases. Methods: We performed a 2 year retrospective analysis (1998–99) of the in-hospital mortality and morbidity of those patients who had left main stenosis and who were referred for CABG. Results: In a group of 1 443 patients operated...

CAROTID ARTERY STENTING IN PATIENTS AT HIGH RISK of ENDARTERECTOMY

Miroslav Bulvas, Zuzana Sommerová, Renata Urbanová

Interv Akut Kardiol. 2002;1(2):74-80  

Objectives: The aim of this study was to evaluate the technical success, safety and restenosis rate of carotid artery stenting in patients at a high risk for surgical therapy. Methods: Between October 1995 and August 2002, a total of 111 patients (120 carotid artery lesions) underwent carotid stenting. Minimally, one risk factor for surgery (serious concomitant disease, contralateral carotid occlusion, restenosis after endarterectomy, neck radiotherapy, high stenosis location) was present in every patient. Seventy four stenoses (67 %) were symptomatic. Thirty one balloon-expandable and 89 self-expandable stents were implanted. Results:...

Simple and double transseptal catheterization in clinical electrophysiology - practical approach in the electophysiologic lab without previous experience with the method

Martin Fiala, Petr Heinc, Jan Lukl

Interv Akut Kardiol. 2002;1(2):81-84  

Summary: Transseptal catheterization, including double transseptal catheterization, represents an essential and more frequently used method in clinical electrophysiology in the era of catheter ablation of atrial fibrillation. Method: Transseptal catheterization was successfully performed in 36 from 37 patients (9 women) on whom the procedure was started. Mean age of patients was 52,7 ± 3,1 (21–74) years. The transseptal set designed for clinical electrophysiology includes the Brockenbrough needle and a long sheath with a dilatator was used for the procedure. The method utilizes two projective views of an electrophysiologist...

Chronic regurgitative valve disease of left heart yesterday and today

Roman Čerbák

Interv Akut Kardiol. 2002;1(2):85-89  

Diagnosis and treatment of mitral and aortic regurgitation have recently undergone significant improvements. Understanding of the pathophysiologic changes of volume and pressure preload of the left heart chamber in valve regurgitation have contributed to the understanding of the crucial differences between aortic and mitral regurgitation. Detailed information about left heart chamber function has offered earlier surgical solutions to these disorders. Preoperative diagnosis consists mainly of noninvasive evaluations, surgical intervention favouring valve repair operations. Advances in cardiosurgery, anaesthesia and postoperative care have brought improvement,...

Evaluation of myocardial perfusion by contrast echocardiography

Roman Štípal

Interv Akut Kardiol. 2002;1(2):90-95  

Evaluation of myocardial perfusion is important for the estimation of patients‘ prognosis, particularly reperfusion therapy after an acute myocardial infarction. Myocardial contrast echocardiography (MCE) is one of new and promising methods suitable for repeated bed side patient examination. The main limitations are the cost of the contrast agent and the image quality during its intravenous application, which was suboptimal in several patients.

Resynchronization therapy for chronic heart failure - summary of current knowledge

Přemysl Šváb, Jaroslav Šimon

Interv Akut Kardiol. 2002;1(2):96-99  

Resynchronization therapy represents a new nonpharmacological method for the treatment of chronic heart failure. Historically, the older modality of electric therapy for heart failure by the standard double chamber stimulation with optimal a-v interval has not been widely accepted as a suitable method for the treatment of heart failure and is efficient probably only in a small number of patients. On the other hand, the clinical benefit of biventricular stimulation has been proved in large randomized studies (PATCHF, MIRACLE, MUSTIC, CONTAKT-CD). This treatment modality significantly improves exercise tolerance, quality of life in patients with severe...

Double inlet left ventricle and cor triatriatum - an unusual combination of cyanotic congenital heart disease

Petra Antonová

Interv Akut Kardiol. 2002;1(2):100-102  

Common double inlet left ventrilce is a rare cyanotic congenital heart disease and most of the patients are operated on in childhood. The most common operation is either a bivetricular correction or univentricular correction by a total cavopulmonary connection, i. e. the Fontan operation. Some patients with a favourable morphology can reach adulthood without surgery. After the onset of cardiac insufficiency the only possible treatment can be heart transplantation.We present a case of a patient with double inlet left ventricle in combination with cor triatriatum who underwent three palliative operations in childhood, a definitive correction being impossible...

Early surgical myocardial revascularization after acute myocardial infarction treated with thrombolysis (Case history)

Martin Florian, Josef Kautzner, Jiří Kettner, Jan Pirk, Jiří Charvát

Interv Akut Kardiol. 2002;1(2):103-106  

The authors present the case of a patient with acute anterior myocardial infarction with multiple severe impairment of his coronary arteries, which was insolvable by percutaneous coronary intervention. He was treated initially by i. v. thrombolysis which was administered in the Department of Medicine of a Community hospital. After recurrence of his angina, which was accompanied by severe left heart failure, he underwent urgent surgical myocardial revascularization, but succumbed early following the operation because of haemorrhagic complications, which were not associated with the previous thrombolysis. A brief review of the literature concerning early...

Abstrakta z 1. konference České kardiologické společnosti

Interv Akut Kardiol. 2002;1(2)  

Intervenční kardiologie na kongresu Evropské kardiologické společnosti v Berlíně 2002

MUDr. Stanislav Šimek

Interv Akut Kardiol. 2002;1(2):107-109  

Akutní kardiologie na kongresu Evropské kardiologické společnosti v Berlíně 2002

MUDr. Petr Janský

Interv Akut Kardiol. 2002;1(2):110-111  

Vybraná témata z problematiky srdečních arytmií na kongresu Evropské kardiologické společnosti v Berlíně 2002

Jan Bytešník

Interv Akut Kardiol. 2002;1(2):112-113  

TCT 2002

Vladimír Karmazín

Interv Akut Kardiol. 2002;1(2):114