Od morfologie ke koronární fyziologii

Petr Kala

Interv Akut Kardiol 2011; 10(Suppl. D)  

Comparative aspects of the development of cardiac blood supply

Bohuslav Ošťádal

Interv Akut Kardiol 2011; 10(Suppl. D): 6-10  

Phylogenetic differences in cardiac size are accompanied by significant changes of the cardiac blood supply. Vertebrates generally possess four types of ventricular musculature and blood supply: a) spongious musculature only, supplied by diffusion from the ventricular cavity – lacunar blood supply; b) the inner avascular spongious layer is covered by an outer compact layer with a vascular supply; c) like b) but with capillaries also present in some trabeculae of spongious musculature and d) compact musculature only, supplied by coronary vessels. While the heart of adult homeotherms consists of compact musculature with a coronary blood...

CT coronary angiography and its role in diagnosing coronary disease

Marian Branny

Interv Akut Kardiol 2011; 10(Suppl. D): 11-14  

An overwiev article of coronary computed tomography angiography. The studies of accuracy, prognostic value and comparison with invasive coronary angiography are described.

Intravascular ultrasound

Tomáš Kovárník, Jan Horák, Milan Šonka

Interv Akut Kardiol 2011; 10(Suppl. D): 15-20  

The authors are presenting an overview of current indication for intravascular ultrasound in catheterization laboratory. Practical applications in daily life are underlined. Summary encompasses the examples of 3D reconstruction of coronary arteries done by fusion of angiography and intravascular ultrasound

Optical coherent tomography

Pavel Červinka, Radim Špaček, Petr Kala

Interv Akut Kardiol 2011; 10(Suppl. D): 21-23  

Optical coherent tomography (OCT) with the 10 μm resolution is the most precise invasive coronary imaging technique at present. A lot of highly interested information has been shown in the early OCT experimental research especially in the field of drug-eluting stents healing and some of the vessel wall pathologies. This technique seems to have a big potential for future more broader indication in in daily practise.

Myocardial fractional flow reserve

Martin Mates

Interv Akut Kardiol 2011; 10(Suppl. D): 24-30  

Myocardial fractional flow reserve has become the only method used routinely to assess functional significance of coronary stenosis in the cardiac catheter laboratory. It has been extensively studied and validated in different clinical situation over last 20 years. A recent large multicenter study FAME found that a physiologically – guided coronary intervention was superior to the standard angiography-guided approach in patients with multi-vessel disease. This review informs about methodology, limitations a clinical indication of fractional flow reserve use.

Index of myocardial resistence in the microvasculature assessment

Petr Kala

Interv Akut Kardiol 2011; 10(Suppl. D): 32-34  

Impaired microvascular function is associate with worse prognosis of the patients with acute myocardial infarction including patients after coronary intervention or without coronary artery disease. The index of myocardial resistance based on the simultaneous pressure and temperature measurements is one of the possible techniques for the microvasculature assessment in the cathethrisation laboratory.