Dance drugs and acute kardiology

Martin Mates, Roman Ondrejčák

Interv Akut Kardiol. 2005;4(1):3  

OUT-OF-HOSPITAL CARDIAC ARREST IN THE EAST BOHEMIAN REGION

Miloslav Pleskot, Jaroslav Kajzr, Jiří Kvasnička, Miroslav Měšťan, Petr Pařízek, Miloslav Tauchman, Zdeněk Tušl, Anush Babu, Jakub Střítecký, Eva Čermáková, Petra Perná

Interv Akut Kardiol. 2005;4(1):10-17  

Introduction: Long-term results of care in patients with out-of-hospital cardiac arrest (CA) are mainly dependent on the quality and organisation of pre-hospital care. Aim: Describe and assess certain indicators of care in patients with out-of-hospital CA in the East Bohemian region (sex, age, main diagnosis, in pre-hospital care: dispatch time, date and location of arrest, first ECG record). The authors mainly scrutinised the number of patients that were hospitalised and those that were discharged home. Patients and methods: With the aid of a questionnaire supplied to 24 rescue centres in the East Bohemian region over the period from 1. 4. 2002 to...

CONTRAST-ENHANCED MAGNETIC RESONANCE VERSUS THALLIUM SCINTIGRAPHY IN THE DETECTION OF MYOCARDIAL VIABILITY. PROSPECTIVE COMPARATIVE STUDY

Miroslav Solař, Jan Žižka, Jiří Doležal, Ludovít Klzo, Jaroslav Tintěra, Jaroslav Vižďa, Jiří Ceral, Pavel Žáček, Vladimír Lonský

Interv Akut Kardiol. 2005;4(1):18-23  

Background: The aim of study was to compare contrast-enhanced magnetic resonance imaging (CE-MRI) to single-photon emission tomography using 201Thallium chloride (SPECT Tl) in the detection of myocardial viability. Methods: Patients with chronic coronary artery disease and ejection fraction (EF) ≤ 45 % were included. CE-MRI was performed using Inversion Recovery Turbo FLASH (fast low-angle shot) sequence and 4-hours rest redistribution protocol was used for SPECT Tl. Results: Total number of 40 patients was included and 32 of them underwent follow-up exam after revascularization. The concordance in the viability assessment between the both methods...

THE ROLE OF INTRAVASCULAR ULTRASOUND IN THE CATHETERISATION LABORATORY

Tomáš Kovárník, Jan Horák, Michael Aschermann

Interv Akut Kardiol. 2005;4(1):24-32  

Intravascular ultrasound visualises not only coronary artery lumen but also the vessel wall and renders possibleprecise measurement of arteries and atherosclerotis plaque. The coronary angiography is essential method for assessment of coronary arteries, but has it’s limitations in the assessment of ostial lesion and the stenosis of the left main coronary artery. IVUS can elucidate correct diagnosis in case of uncertainty. Further role for IVUS is indication for coronary interventions (assessment of hemodynamic severity, selection of best diameter for catheters), assessment results after coronary intervention and diagnosis of periprocedural complication....

CONTRAST-INDUCED NEPHROPHATY TODAY (FENOLDAPAM DID NOT SUCCEED IN CONTRAST STUDY)

Katarína Lacová

Interv Akut Kardiol. 2005;4(1):33-37  

Contrast nephropathy (CN) is a common cause of renal dysfuntion after coronarography. CN is associated with increased morbidity and mortality, including the permanent impairment of renal function, short-term dialysis and extended hospitalization. This article discuss the incidence, definition, pathophysiology, risk factors, treatment of CN; provides an overview of proven preventive interventions. Analysis of risk factors; use of low – or isoosmolar contrast media (CM) in high-risk patients; application of small volumes CM; time delay in some groups of patients; hydratation; use of acetylcysteine; discontinue of diuretics, ACE inhibitors and non-steroidal...

POSTINFARCTION VENTRICULAR SEPTAL RUPTURE AS A CAUSE OF CARDIOGENIC SHOCK

Martin Poloczek, Petr Kala, Petr Neugebauer, Otakar Boček, Petr Jeřábek, Jiří Pařenica, Miroslav Vytiska

Interv Akut Kardiol. 2005;4(1):38-40  

Postinfarction ventricular septal rupture is a rare cause of cardiogenic shock in patients with acute myocardial infarction (AMI). The appropriate medical approach is still unclear in this diagnosis as an optimal time of surgical procedure. We present a patient treated in our cardiology department with cardiogenic shock caused by ventricular septal rupture complicating acute myocadial infarction.

LATE THROMBOSIS IN DRUG ELUTING STENT

Zdeněk Coufal, Tomáš Fiala, Robert Náplava, Martin Gřiva, Martin Slabák

Interv Akut Kardiol. 2005;4(1):41-44  

The use of drug eluting stents (DES) reduces the risk of restenosis. Prolonged antiplatelet therapy with ASA + thienopyridin is necessary due to delayed reendotelisation of DES, and potentialy higher risk of the in stent thrombosis. The risk of thrombosis in DES is equal to that in bare metal stents in case of prolonged antiplatelet therapy. The authors present a case of late thrombosis in paclitaxel eluting stent due to premature cessation of dual antiplatelet therapy.

ECSTASY INDUCED ACUTE MYOCARDIAL INFARCTION

Robert Holaj, Tomáš Janota, Jaromír Hradec

Interv Akut Kardiol. 2005;4(1):45-48  

Introduction: Ecstasy (methylene-3.4-dioxymetamphetamine MDMA) has been gaining popularity as a recreational drug over the past few decades around the globe. Although once thought to be safer than its mother compound, amphetamine, several life-threatening adverse reactions have been reported. However, MDMA-induced acute myocardial infarction is rarely reported. Case report: We report a case of a 22 year old man, who was admitted to our department for a continual chest pressure shortly after taking two tablets of ecstasy (approximately 120–160 mg of MDMA) within two days of the house party. His ECG showed ST elevation in inferolateral leads....

The 3rd conference Working Group Acute Cardiology of Czech Society of Cardiology, December 8th-10th 2004

Karel Dvořák

Interv Akut Kardiol. 2005;4(1):49-50  

TECHNIQUE OF INSERTION OF SWAN-GANZ BALLOON CATHETERS INTO THE PULMONARY ARTERY VIA THE FEMORAL VEIN (USEFUL TRICKS)

Jiří Endrys

Interv Akut Kardiol. 2005;4(1):52-54  

Thermodilution is widely acknowledged method for measurement of cardiac output using floating Swan-Ganz balloon catheters. They can be introduced blindly into the pulmonary artery through the tributaries of the superior vena cava guided just by pattern of the pressure curve. In catheterization laboratory the most frequently used entry is the femoral vein and from this site Swan-Ganz catheters do not float. Reaching pulmonary artery from this vein requires always fluoroscopic guidance of catheter manipulation which might be sometimes rather difficult since the maneuverability of the Swan-Ganz catheters is limited in comparison to the standard catheters....