Interventional Cardiology - Quo Vadis?

MUDr. Michael Želízko CSc

Interv Akut Kardiol. 2006;5(2):51-52  

Success rate of external electrical cardioversion with biphasic rectilinear shock in patients with atrial fibrillation, influence of chest impedance on acute effectiveness of cardioversion

MUDr. Pavel Marcián, prof. MUDr. Jan Lukl CSc, Jana Zapletalová

Interv Akut Kardiol. 2006;5(2):67-72  

Purpose of study: The main goal of the study was to determine the effectiveness of biphasic rectilinear shock during external cardioversion in patients with persistent atrial fibrillation (AF). An additional goal was to assess the factors which influence cardioversion success rate, in particular chest impedance. Method: From a cohort of 244 patients, in whom a total of 439 external electrical cardioversions was performed using the Biphasic Defibrillator, data on the procedures performed between July 2001 and October 2005 were collected both retrospectively and prospectively and further statistically processed. Both individual and cumulative effectiveness...

Myocardial infarction registry pilot project - results from the year 2004

Zdeněk Monhart, Hana Grünfeldová, Dana Ryšavá, MUDr. Tomáš Velimský, Lubomír Ballek, MUDr. Petr Janský, Václav Faltus

Interv Akut Kardiol. 2006;5(2):73-77  

Aim: The aim of the study was to compare diagnostic and therapeutic procedures in a population of all patients with acute myocardial infarction in several regions in the Czech Republic. Methods: A total of all 879 patients (475 men, 404 women) admitted for acute myocardial infarction to five municipal hospitals (Caslav, Jindrichuv Hradec, Kutna Hora, Pisek, Znojmo) was included into the study. We collected the data on the patients’ risk factors of coronary artery disease, initial ECG and haemodynamic features, reperfusion therapy among patients with ST elevation MI, medical therapy in the first 24 hours and at discharge, and in-hospital complications....

Diagnosis and treatment of hypertensive crisis

doc. MUDr. Jindřich Špinar CSc, Jiří Vítovec

Interv Akut Kardiol. 2006;5(2):78-79  

Hypertensive crisis is an acute, life-threatening condition associated with a sudden increase in blood pressure. If the increase is accompanied by end-organ damage, it is referred to as emergent situation; if the patient‘s complaints are due to high hypertension alone without organ damage, it is referred to as urgent situation.

Risk stratification in patients with non-ST segment elevation acute coronary syndromes

MUDr. Pavel Boček

Interv Akut Kardiol. 2006;5(2):80-85  

Acute coronary syndrome without ST segment elevation is a diagnosis covering a wide range of clinical conditions of the same aetiopathogenesis, but with very different manifestations depending on numerous factors. The risk of continuing progression into myocardial infarction or recurrent myocardial infarction or into death differs in each patient. Many risk factors have been discovered which show worsened prognosis of an individual patient and at the same time identify patients who will benefit most from the application of aggressive diagnostic and therapeutic approaches. Nowadays, risk score systems are available which determine a patient’s...

Update in Antiplatelet Treatment and in Facilitated PCI

Jan Vojáček

Interv Akut Kardiol. 2006;5(2):86-88  

Thrombosis of native coronary vessels as well as abrupt closure of drug-eluting or bare stents remains considerable problem in the treatment of patients with coronary artery disease. Thrombosis is related neither to the degree of atherosclerotic lesion nor to the phase of its duration. Also stent thrombosis occurs both in the early phase as well as after several weeks or even moths after its implantation. It may be consequence of discontinuation of dual antiplatelet therapy or due to the documented resistance to aspirin or clopidogrel treatment.

Less common side effects of amiodarone

MUDr. Tomáš Janota CSc, MUDr. Jan Malík, MUDr. Robert Holaj, MUDr. Jan Šimek

Interv Akut Kardiol. 2006;5(2):90-92  

The case report describes the course of disease of a patient experiencing a combination of three side effects of amiodarone. First, it was the less known Parkinson‘s syndrome. A second side effect was bronchospasm, also a fairly rare complication. The third one was QT-interval prolongation, a well known, but somewhat disregarded serious side effect of therapy with amiodarone. The case report points to the increasing risk for side effects developing in severely ill patients and to the importance of being familiar even with the less common side effects of therapy.

Traumatic Dissection of Coronary Artery as a Cause of Myocardial Infarction

Petr Kuchynka, MUDr. Stanislav Šimek, Pavel Procházka, MUDr. Lubor Goláň, Vilém Danzig, Ondřej Dostál, Vratislav Mrázek, MUDr. Jan Horák CSc, prof. MUDr. Michael Aschermann DrSc, doc. MUDr. Aleš Linhart CSc

Interv Akut Kardiol. 2006;5(2):93-94  

Myocardial infarction (MI) can rarely be caused by coronary artery injury in conjunction with chest trauma. Young men are mostly affected. Car accidents are the most frequent cause of this complication. We describe a case of a 39-year-old sportsman with an aneurysm of the left ventricle after anterior myocardial infarction caused by a traumatic dissection of the left anterior descending coronary artery. The diagnosis of MI was done the basis of heart failure developed 7 months after accident on snowboard.

Registr of Acute Coronary Events

Vladimír Staněk

Interv Akut Kardiol. 2006;5(2):62  

Antiplatelet Therapy in High-Risk Patients with non-ST Elevation Acute Coronary Syndrome

MUDr. Roman Štípal CSc

Interv Akut Kardiol. 2006;5(2):64  

Active W study

MUDr. Petr Janský

Interv Akut Kardiol. 2006;5(2):96-98  

The ACTIVE W study compared efficacy and safety of oral anticoagulant therapy and a combination of aspirin and clopidogrel in patients with atrial fibrillation and increased vascular risk. The study was terminated prematurely, because it was shown that well managed oral anticoagulation is significantly more efficacious in prevention of strokes and other serious vascular complications than dual antiplatelet therapy.