Slovo úvodem

Jan Vojáček

Interv Akut Kardiol. 2002;1(1):3  

Fate of patients after the surgical repair of rupture of the ventricular septum following acute myocardial infarction - long-term follow-up

Jana Vrbská, Jan Šochman, Petr Frídl, Jan Pirk, Vladimír Staněk, Jiří Kettner, Martin Wiendl

Interv Akut Kardiol. 2002;1(1):8-12  

Background: Rupture of the ventricular septum leads to severe mechanic compromise after acute myocardial infarction and has a dire effect on the survival of the patient. Objectives: to review a number of patients with this diagnosis who underwent surgical intervention in the Department of Cardiovascular Surgery of the Institute of Clinical and Experimental Medicine (IKEM), to determine the in-hospital mortality incidence and ascertain the future clinical course of patients after their discharge. Methods: Diagnosis of post MI rupture of the ventricular septum was confirmed by echocardiography ( transthoracic or preferably transesophageal) or invasively...

Primary coronary angioplasty in the elderly

Petr Kala, Martin Poloczek, Otakar Boček, Petr Jeřábek, Petr Neugebauer, Jiřina Kosová

Interv Akut Kardiol. 2002;1(1):13-20  

Background: Primary PTCA is the method of choice in the reperfusion treatment of the acute ST-elevation myocardial infarction. The question is whether this treatment would be equally effective also in the elderly. Methods: A retrospective analysis of the 116 patients indicated to the primary PTCA in 2000. The group of patients was divided into 14 patients (10,5 %) in group A aged ≥74 and in 102 younger patients in group B. Basic characteristics of the groups, primary angiographical results and the hospitalization outcome were analysed. Smoking was the only significantly different main risk factor. Results: In groups A vs. B 8 vs. 37...

Influence of infarct related artery reperfusion before primary coronary angioplasty

Stanislav Šimek, Michael Aschermann, František Holm, Jiří Humhal, Aleš Linhart, Miroslav Pšenička, Libor Hemžský, Jan Vojáček

Interv Akut Kardiol. 2002;1(1):21-27  

Objectives: To investigate the prevalence of total coronary occlusion during the early hours of acute myocardial infarction (AMI). To evaluate the effect of infarct artery reperfusion before primary coronary angioplasty on short-term and long-term prognosis of patients with AMI. Methods: 278 consecutive patients with AMI treated with primary coronary angioplasty were followed for 38 ± 12 months. The study population was divided into 2 groups according to the presence (group A, n = 33) or absence (group B, n = 245) of infarct related artery TIMI (Thrombolysis In Myocardial Infarction) flow ≥ 2...

Mortality of patients with acute myocardial infarction at the Coronary Care Unit in the University Hospital Brno-Bohunice

Stanislav Janoušek, Radka Adámková, Martin Tesák, Kateřina Buchtová, Jan Maňoušek

Interv Akut Kardiol. 2002;1(1):28-31  

Aim of study: There is significant progress in the treatment of acute myocardial infarction (AMI) due to reperfusion therapy. The aim of our study was to analyze from that point of view treatment of AMI at the our coronary care unit (CCU) during the one year period with established 24-hours´ duty of acute coronarography with the special attention to the mortality. Methods: The retrospective analysis of all patients admitted at the CCU under diagnosis of AMI during the year 2002. These were 305 persons (198 men, mean age 67 ± 13 years, range 30–96 years) and that group was 61 % of all 504 patients admitted to the CCU. The...

The efficacy of implantable cardioverter-defibrillators in the prevention of sudden cardiac death: a survey of the current knowledge

Jan Bytešník

Interv Akut Kardiol. 2002;1(1):32-36  

The paper offers a review of the results published from randomized studies evaluating the efficacy of therapy with ICD in patients with structural heart disease at high risk of sudden arrythmogenic death. The conclusions from the secondary prevention trials („post-event“ trials) AVID, CIDS and CASH, are consistent in showing a relative risk reduction of the 2-year mortality of 30 % in the group treated with ICD as compared to the conventional medical therapy group. The most impressive benefit observed was in the group of patients with a previous myocardial infarction and moderate to severe left ventricular dysfunction with ejection...

Damage to the kidneys caused by contrast agents

Vojtěch Martínek

Interv Akut Kardiol. 2002;1(1):37-40  

Nephropathy due to the application of radio-contrast agents, called contrast nephropathy (CN), is determined by the development of acute renal failure or by the progression of pre-existing renal insufficiency within 24–72 hours after contrast agent administration. Serum creatinine usually rises 30 % above its previous level. In pathogenesis of CN relative hypoperfusion of renal medulla results in its subsequent ischemic injury. In majority of cases the diuresis continues and the decrease of renal function is reversible. The incidence of CN in patients with normal renal function is very low, but increases with the severity of the pre-existing...

Cardiac tamponade

Martin Riedel

Interv Akut Kardiol. 2002;1(1):41-48  

An increase in intraperikardial pressure due to the accumulation of fluid or air in the pericardial space leads to cardiac tamponade, which is characterized by an increase in intracardiac pressures, progressive limitation of the diastolic ventricular filling, and decrease in stroke volume and cardiac output. Clinical hallmarks are high venous pressure, tachycardia and hypotension with pulsus paradoxus. It is an urgent life-threatening condition with high mortality, necessitating accurate diagnosis and prompt intervention. Echocardiography allows rapid confirmation of the presence of an effusion and enables assessment of its hemodynamic impact. Percutaneous...

Trifurkační stenting kmene levé věnčité tepny u akutního infarktu myokardu

Jan Vojáček, Martin Mates, Petr Hájek, Martin Malý, Vladimír Hraboš, David Horák

Interv Akut Kardiol. 2002;1(1):49  

Surgical treatment of coronary artery aneurysm-to-right atrium fistula

Michal Semrád, Petr Bodlák, Martin Stříteský, Vladimír Vondráček, Jan Vojáček, Petr Hájek, Jaroslav Lindner, Jan Kunstýř, Ivan Vaněk

Interv Akut Kardiol. 2002;1(1):50-54  

52-year-old female with a marked left-to-right shunt (Qp/Qs = 2,72) due to circumflex coronary artery aneurysm-to-right atrium fistula and congestive heart failure was indicated for surgery. Operative management involved proximal pericardial patch occlusion of circumflex artery aneurysm transluminally through the dilated left main coronary artery stem, leaving left anterior descending (LAD) and intermedius (IM) branch ostium intact and followed by distal circumflex coronary artery-to-coronary sinus fistula ligation. A left internal mammary artery (LIMA) – LAD coronary artery bypass was performed to secure a perfect flow through LAD....

51. výroční zasedání americké kardiologické společnosti (ACC) očima intervenčního kardiologa

MUDr. Ladislav Groch

Interv Akut Kardiol. 2002;1(1):55-57