Interventional Cardiology, 2004 (vol. 3), issue 4

Editorial

Katetrizační ablace fibrilace síní: skutečná terapeutická alternativa?

Josef Kautzner

Interv Akut Kardiol. 2004;3(4):167-169

Akutní koronární syndromy a intrakoronární hematologie. Úhel pohledu a co si myslíme, že víme

Jan Šochman

Interv Akut Kardiol. 2004;3(4):170-171

Original articles

OUR EXPERIENCES WITH TRAPEASE CAVAL FILTER IMPLANTATION

Petr Štverák, Petr Matoška, Iva Stolařová, Roman Štípal, Arnošt Martínek, Zdeněk Tesař

Interv Akut Kardiol. 2004;3(4):177-180

Introduction: Inferior vena cava filters offer a safe and effective way of pulmonary embolus prevention and reduction of complications when compared to earlier techniques of caval interruption. The aim of this presentation is to assess our experience with implantation of permanent caval filter TrapEase. Method: We performed retrospective analysis of 30 patients to whom 30 permanent caval filters were implantated in our ward, within the period of February 2000–January 2003. Indications for implantation permanent caval filter were: patients with contraindication to anticoagulative therapy and/or patients who have developed pulmonary embolism despite...

TREATMENT OF ST-ELEVATION MYOCARDIAL INFARCTION IN THE HEART OF EUROPE: ANALYSIS OF THE SOUTH BOHEMIAN CORONARY REGISTRY

František Toušek, Pavel Jelínek, Martin Vácha, Ladislav Pešl, Milan Slapnička, Jiří Janžura, Jiří Bělohoubek, Radim Frána, Blanka Kočišková, Milan Vambera

Interv Akut Kardiol. 2004;3(4):181-184

The authors present the analysis of the South Bohemian Coronary Registry which maps real-life treatment of ST-elevation myocardial infarction (STEMI) not only in the central cardiocenter but throughout the whole South Bohemian region. In 2003, total of 599 patients with diagnosed STEMI were admitted to the hospitals within the region. Out of this 464 patients were treated in the cardiocenter (CC): 162 patients directly from the cardiocenter referal area, 302 patients (65 %) were transferred from community hospitals to direct angioplasty (dPCI) from the distance 27–93 km. The overall in-hospital mortality in the STEMI patients was 7.5 %...

Reviews

TEMPORARY RESYNCHRONIZATION PACING FOR THE TREATMENT OF ACUTE HEART FAILURE

Jan Janoušek, Pavel Vojtovič, Roman Antonín Gebauer

Interv Akut Kardiol. 2004;3(4):185-188

Cardiac resynchronization therapy is an accepted method for the treatment of chronic left ventricular failure in dilated cardiomyopathy associated with electromechanical dyssynchrony. Beneficial acute hemodynamic effects may be used in the treatment of acute heart failure following cardiac surgery. Available data from patients after surgical correction of congenital heart defects have shown multiple effects of resynchronization pacing in terms of increased arterial pressure, cardiac index and maximum ventricular +dP/dt. Temporary resynchronization pacing has been used as an alternative to mechanical circulatory support in patients who failed weaning...

BETA-BLOCKERS IN THE TREATMENT OF ACUTE MYOCARDIAL INFARCTION

Stanislav Janoušek

Interv Akut Kardiol. 2004;3(4):189-191

Beta-blockers use is an essential part of modern treatment of acute myocardial infarction nowadays either in acute phase or in secondary prevention, which is supported by a great number of clinical studies. Contraindications are only hypertension, bradycardia, acute heart failure, bronchial asthma and advanced obstructive bronchopulmonary disease. Especially patients with extensive myocardial infarctions have the greatest benefit of such treatment. In spite of this positive effect, the administration of beta-blockers in patients with acute myocardial infarction is not fully utilized. The efforts is to initiate the treatment in as early phase of condition...

THERAPEUTIC HYPOTHERMIA IN PATIENTS AFTER CARDIAC ARREST

Miroslav Solař

Interv Akut Kardiol. 2004;3(4):192-195

The survival and the quality of life in patients surviving cardiac arrest are markedly limited by postischemic encephalopathy that results from anoxia and reperfusion injury. The extent of brain damage can be diminished by therapeutic hypothermia that leads to the decrease of metabolism and suppression of pathogenetic mechanisms related to reperfusion injury. The decrease of body temperature to 32–34º for 12–24 hours can improve neurologic finding and mortality in patients after cardiac arrest. The most effective ways of decreasing body temperature are external cooling and infusion of iced fluids. Because of its efficacy, simplicity...

ACUTE CORONARY SYNDROMES AND INHIBITORS OF PLATELET GLYCOPROTEIN RECEPTORS IIB/IIIA: WHEN AND WHOM TO?

Vasiľ Hricák

Interv Akut Kardiol. 2004;3(4):196-201

Mainstay in the treatment of acute coronary syndromes (ACS) both in a conservative and an interventional treatment arm is combined antithrombotic treatment. Thienopyridines (clopidogrel) and inhibitors of glycoprotein platelet receptors IIb/IIIa (IGPIIb/IIIa) abciximab, eptifibatid, tirofiban form a contribution to the modern antithrombotic pharmacotherapy. So the question is on the place when and whom to indicate this modern treatment and besides, due to the fact of high financial costs of IGPIIb/IIIa treatment and that it is not without a risk and has its contraindications. Large randomised studies demonstrated a benefit of IGPIIb/IIIa in the treatment...

Case reports

RECURRENT SUBACUTE IN STENT THROMBOSIS - BAD LUCK?

Pavel Boček, Jan Pešek, Ivo Bernat

Interv Akut Kardiol. 2004;3(4):202-204

64 years old male smoker with history of MI (anterior wall 10 years ago) was admitted to our hospital for direct PCI (chest pain lasting 5 hours, elevation of ST segment on EKG). On admission advanced heart failure indicated artificial ventilation. Direct PCI of circumflex branch (thrombotic occlusion) with implantation of 2 stents was performed. Two days later patient was transferred to the local hospital. Two days later it was necessary to perform new direct PCI due to incoming STEMI in the same location (thrombotic reocclusion) and the other reintervention we had to perform 5 days later. All together 4 stents have been implanted, during the second...

ACUTE MYOCARDIAL INFARCTION IN PREGNANT WOMAN WITH RISKY BEHAVIOUR

Jana Bednářová, Pavel Červinka, Josef Dražka, Milena Kubíčková

Interv Akut Kardiol. 2004;3(4):205-206

An acute myocardial infarction occurs quite rarely in pregnat women and is associated with high mortality for both, mother and fetus. A risk is the highest in the third trimester, in women younger than 35 years and in the case of delivery by Caesarian section. Authors describe a case of 32 years-old gypsy woman with risky behaviour and low compliance to the medical treatment. Patient was hospotalised 1st time at 32nd week of pregnancy for acute myocardial infarction of the inferior wall. On the 3rd day of hospitalisation she signed a negative letter of indemnity and left hospital. On the 2rd day after delivery reinfarction occured in the same region....

RELATIVELY LOW GRADIENT AND NORMAL LEFT VENTRICLE EJECTION FRACTION DOES NOT EXCLUDE HAEMODYNAMICALLY SIGNIFICANT AORTIC STENOSIS

MUDr. Jaroslav Kajzr, Jiří Endrys

Interv Akut Kardiol. 2004;3(4):207-209

Haemodynamic significance of aortic stenosis along with symptomatology is often assessed according to left ventricle ejection fraction and aortic valve gradient. The authors present a case report of a patient with ejection fraction 60 % and relatively low mean aortic gradient were measured by ultrasound (37 mmHg) and catheterization (33 mmHg). Severe aortic stenosis with aortic valve area index 0,4 cm2/m2 was discovered by cardiac catheterization. Possible errors and pitfalls in aortic stenosis evaluation are presented. Catheterization technique developed at our department is discussed.

Abstracts

Abstrakta z 3. konference pracovní skupiny Akutní kardiologie České kardiologické společnosti

Interv Akut Kardiol. 2004;3(4)

Information

Správa zo 6. stretnutia Pracovnej skupiny invazívnej a intervenčnej kardiológie, Modra-Harmónia, 10. 6.-12. 6. 2004

Viliam Fridrich

Interv Akut Kardiol. 2004;3(4):211-212

Správa z IX. kongresu Slovenskej kardiologickej spoločnosti

Martin Studenčan

Interv Akut Kardiol. 2004;3(4):213

Evropský kardiologický sjezd v Mnichově z pohledu arytmologa

Vlastimil Vančura

Interv Akut Kardiol. 2004;3(4):214-218

Akutní kardiologie na kongresu Evropské kardiologické společnosti v Mnichově 2004

MUDr. Petr Janský

Interv Akut Kardiol. 2004;3(4):219-220