Pathophysiology and new technologies - advances in atrial fibrillation ablation techniques

MUDr. Martin Fiala Ph.D

Interv Akut Kardiol. 2006;5(5):195-198  

QUALITY OF LIFE IN PATIENTS WITH PERIPHERAL ARTERIAL OCCLUSIVE DISEASE UNDERGOING ENDOVASCULAR INTERVENTION BY MEANS OF PERCUTANEOUS TRANSLUMINAL ANGIOPLASTY

Ladislav Slováček, MUDr. Brigita Slováčková Ph.D, Vendelín Chovanec, Marie Kašlíková, Petra Vacková, Jan Raupach, doc. MUDr. Libuše Vodičková CSc, MUDr. Martin Blažek, prof. MUDr. Ladislav Jebavý CSc, MUDr. Jan M. Horáček Ph.D

Interv Akut Kardiol. 2006;5(5):207-210  

Background: The study evaluates global quality of life in patients with peripheral arterial occlusive disease (PAOD) and the effect of percutaneous transluminal angioplasty (PTA) on quality of life in patients with PAOD. Patients and method: The study is local, prospective and longitudinal. It was carried out at 2nd Internal Clinic of Charles University Hospital in Hradec Králové. Dates were obtained during year 2006. The total number of respondents with PAOD was 30 (20 male, 10 female). All respondents had infliction of femoral and poplietal arterial circulation. The average age of all respondents was 63,1 years (age range 49–79 years). The...

CATHETER ABLATION FOR ATRIAL FIBRILLATION USING INTRACARDIAC ECHOCARDIOGRAPHY

Robert Čihák, doc. MUDr. Josef Kautzner CSc, Hanka Mlčochová, Petr Peichl, Dan Wichterle

Interv Akut Kardiol. 2006;5(5):211-215  

Background: Catheter ablation is effective in the treatment of atrial fibrillation (AF). During the procedure, visualisation of left atrium and pulmonary veins (PV) is important. We assessed the role of intracardiac echocardiography (ICE) for the guidance of ablation. . Methods: The study included 220 patients (pts, 181 men, age 55 ± 9) with paroxysmal, persistent or permanent AF, in whom catheter ablation was performed using 8 mm tip catheter and electro-anatomical mapping (CARTO, Biosense Webster). Moreover, guidance by ICE was used in 162 pts (group I), while the rest 58 pts underwent ablation without ICE (group II). Results:...

Treatment of Septic Patients in Intensive Cardiac Care - An Evidence Based Medicine Approach

Richard Rokyta, Martin Matějovič

Interv Akut Kardiol. 2006;5(5):216-223  

Sepsis is the leading cause of mortality in noncoronary intensive care units, but it frequently occurs in intensive cardiac care units as well. Mortality in severe sepsis is 30–50 % and in septic shock it can reach 50–60 %. The Surviving Sepsis Campaign (SSC) recently published guidelines concerning the optimal management of septic patients. The goal of implementing these guidelines into clinical practice is to improve clinical outcome, particularly in the most severe forms of sepsis. This review article summarizes and comments on the SSC guidelines, stressing septic bundles. Additionally, specific points concerning intensive...

Primary PCI of the left anterior descending coronary artery via left internal mammary artery

prof. MUDr. Jan Vojáček DrSc

Interv Akut Kardiol. 2006;5(5):231-232  

ACUTE CORONARY SYNDROME WITH ANGIOGRAPHICALLY NORMAL CORONARY ARTERIES - THE ROLE OF TRANSESOPHAGEAL ECHOCARDIOGRAPHY IN DETERMINATION OF THERAPEUTIC STRATEGY

Martin Tesák, MUDr. Petr Kala Ph.D, prof. MUDr. Jindřich Špinar CSc., FESC, Zdeněk Monhart

Interv Akut Kardiol. 2006;5(5):224-226  

We present a case of a woman affected by acute myocardial infarction (AMI) with coronarographically almost normal coronary arteries. Persistent atrial fibrillation preceded the episode of acute coronary syndrome. Transesophageal ultrasound investigation following coronarography confirmed left atrial appendage thrombus which evoked suspicion of coronary embolism as a cause of acute myocardial infarction. We discuss the role of transesophageal echocardiography for choice of therapeutic strategy in AMI patients with angiographically normal or almost normal coronary arteries.

TAKO-TSUBO CARDIOMYOPATHY - CASE REPORT

Josef Bis, Pavel Polanský, prof. MUDr. Jan Vojáček DrSc, Ludovít Klzo, Josef Šťásek, prof. MUDr. Jaroslav Dušek CSc, Miroslav Brtko

Interv Akut Kardiol. 2006;5(5):227-230  

Case report of woman suffering sudden chest pain on exertion. There were specific findings for Tako-tsubo cardiomyopathy: coronary angiogram without diseased vessels, clinical course, shape of left ventricle in acute phase and rapid improvement of it´s function. Finaly we summarize basic findings of this disease.

Is it meaningful to evaluate the quality of life of patients after interventional vascular procedures?

MUDr. Dušan Kučera

Interv Akut Kardiol. 2006;5(5):206  

NEW CLINICAL STUDIES WITH DRUG ELUTING STENTS IN PATIENTS WITH ACUTE MYOCARDIAL INFARCTION. RESULTS OF TYPHOON, PASSION AND SESAMI

Ota Hlinomaz, MUDr. Miloslav Tejc

Interv Akut Kardiol. 2006;5(5):233-234  

There is no doubt about use of drug eluting stents in PCI patients with stable angina pectoris or acute coronary syndromes without ST segment elevations. Little randomized data existed in the setting of ST elevation myocardial infarction. The TYPHOON, PASSION and SESAMI trials compared sirolimus or paclitaxel eluting stents with bare metal stents and were conducted exclusively in the ST elevation myocardial infarction population treated with primary PCI. DES were associated with a difference in the clinical and angiographic endpoints mostly caused by reduction of restenosis rate.