Aortální stenóza - některé obtížné situace v rozpoznání a léčení aortální stenózy dospělých

Roman Čerbák

Interv Akut Kardiol. 2003;2(3):111-114  

Primary PCI at the age of 70 and more - in-hospital results

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

Interv Akut Kardiol. 2003;2(3):119-123  

Background: At present the primary coronary intervention (primary PCI) has been accepted as a method of choice in the reperfusion treatment of the ST-elevation acute myocardial infarction. This interventional technique is routinely used in younger patients and less often in the group of the elderly (above 65 to 70 years of age). Aim: The authors tried to answer the following questions: 1. Are there any differences in the primary PTCA technique between the younger patients and the elderly? 2. Are the elderly patients really at high cardiovascular risk? 3. Are there any differences in primary angiographical results between the two groups? 4. Are...

Primary PCI at the age of 70 and more - results of the middle-term follow-up

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

Interv Akut Kardiol. 2003;2(3):124-128  

Background: Short-term results of the primary coronary intervention (primary PCI) are mostly very good. There is a need to accept the significant worse results during the follow-up in the group of elderly patients. Aim: To compare the middle-term follow-up results of the consecutive patients divided into two groups according their age (70 years). Methods: A prospective analysis of 116 consecutive patients with acute ST-elevation myocardial infarction who were treated with primary PCI in the period from January 2000 to the end of December 2000. The whole group of patients at the age 65.4 on average (38–96 years old) was divided into two groups:...

Radiofrequency catheter ablation of ventricular tachycardia in arrhythmogenic right ventricular dysplasia

Josef Kautzner, Robert Čihák, Vlastimil Vančura, Kateřina Lefflerová, Jan Bytešník

Interv Akut Kardiol. 2003;2(3):129-132  

Background: Ventricular tachycardia (VT) in arrhythmogenic right ventricular dysplasia (ARVD) is believed to be of intramyocardial reentry origin. However, there is still limited information about the character of reentry circuits, and about the long-term benefit of radiofrequency (RF) catheter ablation. Methods: To address this issue, 8 monomorphic, hemodynamically stable VTs were mapped in 6 patients with ARVD (5 men, mean age 48±15 years). After identification of late potentials in sinus rhythm, VT was induced by programmed ventricular stimulation. Entrainment was performed during mapping by pacing from the distal bipole of the mapping catheter...

HMG-CoA inhibitors and percutaneous coronary interventions

Ota Hlinomaz, Ladislav Groch

Interv Akut Kardiol. 2003;2(3):133-136  

HMG-CoA inhibitors or statins are drugs with clearly proved reduction of major adverse cardiac events in patients with coronary artery disease. Beyond lowering lipids, statins have favourable effects on endothelial function, inflammation, plaque stability, platelet adhesion and thrombosis. Statins do not reduce angiographic restenosis after percutaneous coronary interventions (PCI). The LIPS trial showed improvement of outcome of patients after PCI treated with statin. The recent trials observe the positive role of pretreatment with statins before PCI. Statins should be administered to every patient with coronary artery disease or at high risk irrespective...

Aortic stenosis might be associated with low transvalvular gradient when transvalvular flow is diminished

David Horák, Ivana Zvánovcová, Petr Hájek, Vladimír Hraboš, Martin Mates, Jana Popelová, Přemysl Šváb, Jan Vojáček, Karel Hlaváček

Interv Akut Kardiol. 2003;2(3):137-143  

Vast majority of patients in this group are patients with left ventricular dysfunction. This this condition is coupled with several potential difficulties: 1. difficulties with precise quantification of stenosis grade and its differentiation from so called pseudostenosis: 2. second important question is which patient will profit from operative approach. Useful may be comparison of measurement in basic state versus state with measurement performed under augmented flow. The most common way is dobutamine stress echocardiography. It is useful for distinguishing true stenosis from pseudostenosis as well as for assessment of contractile reserve....

Perikardiální výpotek při hypotyreóze téměř z Guinessovy knihy rekordů

Jan Šochman, Barbora Křížová, Tomáš Marek, Jan Švejda

Interv Akut Kardiol. 2003;2(3):148-149  

Katetrizační uzávěr muskulárního defektu komorového septa

Petr Tax, Oleg Reich, Jan Marek, Jan Škovránek, Václav Chaloupecký, Bohumil Hučín

Interv Akut Kardiol. 2003;2(3):150-151  

Accidental finding of left ventricle pseudoaneurysm

Miroslav Vytiska, Petr Kala, Tomáš Brychta, Oto Boček, Petr Jeřábek, Petr Neugebauer, Martin Poloczek, Jiří Pařenica, Bořivoj Semrád, Jan Černý

Interv Akut Kardiol. 2003;2(3):144-147  

Pseudoaneurysm of the left ventricle owing to rupture in left ventricle free wall is referred to as a mechanical complication of myocardial infarction. The authors report a patient with accidental finding of left ventricle pseudoaneurysm during elective cardiac cathetrisation following inferior wall myocardial infarction. A short review of diagnostic modalities, risk factors and treatment is presented.

Vývoj české intervenční kardiologie a její postavení v Evropě

Jan Vojáček

Interv Akut Kardiol. 2003;2(3):152-155  

Elektrofyziologie na XI. Výročním sjezdu ČKS, Brno 11. - 14. 5. 2003

Josef Kautzner

Interv Akut Kardiol. 2003;2(3):156-157  

Akutní koronární syndrom (AKS) bez ST elevací

Ladislav Groch

Interv Akut Kardiol. 2003;2(3):158-160