The reverse side of transradial approach

Ivo Varvařovský

Interv Akut Kardiol. 2007;6(1):3-4  

RADIAL ARTERY, CLINICAL RESULTS AND GRAFT PATENCY AFTER 3 YEARS

Karel Vik, Jaroslav Lindner, Tomáš Grus, Ivo Miler, Jan Táborský, Marek Šlais, prof. MUDr. Michael Aschermann DrSc, Jan Tošovský

Interv Akut Kardiol. 2007;6(1):12-15  

Background: Considering expected benefit of full arterial revascularization and known risks of bilateral mammary artery harvesting, radial artery may represent a proper alternative arterial graft. In this retrospective study we present mid-term results of our first 125 consecutive patients. Methods: From August 1998 to December 2000 radial artery was harvested and used in 125 patients, their clinical status was evaluated after 2 years using questionnaire, in 43 of them (34.4 %) coronary angiography was performed. Results: 92 % of all patients were males, average age was 56 ± 7.2 years. Altogether 138 coronary anastomoses...

THE EFFECT OF CURRENT GLYCAEMIA ON THE DECREASE IN ST ELEVATION IN PATIENTS WITH ACUTE MYOCARDIAL INFARCTION TREATED WITH DIRECT CORONARY ANGIOPLASTY

Alena Křížová, Ondřej Šmíd, Ivo Varvařovský, Petr Vojtíšek

Interv Akut Kardiol. 2007;6(1):16-19  

Aim of the study: to study the relationship between the entry glycaemia values and the ST segment resolution on ECG among patients with ST segment elevation myocardial infarction (STEMI) after primary coronary intervention (dPCI). Subjects: 120 consecutive patients admitted to hospital for STEMI. Methods: 1. comparison of ST segment elevation (STE) resolution after dPCI in the group of patients with hyperglycaemia (entry glycaemia > 7,8 mmol/l) and normoglycaemia. 2. comparison of the values of entry glycaemia in the group of patients with ST segment resolution > 50 % and

CARDIAC MARKERS AT THE BEGINNING OF THE THIRD MILLENIUM

Radek Pudil, Miloš Tichý, Jan Vojáček

Interv Akut Kardiol. 2007;6(1):20-23  

The purpose of this review is to provide an overview of essential clinical characteristics of several biomarkers that may have a potential clinical utility in diagnosing process and risk stratification in patients with acute coronary syndromes and heart failure. These biomarkers belong to those, which can detect myocardial ischemia and necrosis (troponin T and I, creatinkinase, ischemia-modified albumin, fatty acids binding protein, choline, glycogen phoshorylase isoenzyme BB, placental growth hormone, pregnancy-associated protein A, soluble CD40 ligand) and markers of myocardial function (natriuretic peptides). Authors reveal essential summary of...

PRACTICAL ASSESSMENT OF INTRAVASCULAR ULTRASOUND

Tomáš Kovárník, MUDr. Jan Horák CSc, prof. MUDr. Michael Aschermann DrSc, doc. MUDr. Aleš Linhart CSc

Interv Akut Kardiol. 2007;6(1):24-29  

Intravascular ultrasound (IVUS) is diagnostic method enables the insight into coronary arteries. It is possible to perform precise measurement of lumen, plaque and artery as well. Using of IVUS renders possible more accurate measurements, especially in dubious situations and helps to reliable guiding of coronary interventions, including the diagnosis of complications.

ARRHYTHMIC STORM EARLY AFTER MYOCARDIAL INFARCTION CAUSED BY POLYMORPHIC VENTRICULAR TACHYCARDIAS

Petr Peichl, MUDr. Jiří Kettner CSc, doc. MUDr. Josef Kautzner CSc

Interv Akut Kardiol. 2007;6(1):31-33  

Arrhythmic storm caused by polymorphic ventricular tachycardias and ventricular fibrillation is rare but serious complication after myocardial infarction. We report a case of a 65-years old female, in whom the subacute stent trombosis in left anterior descending artery led to development of aneurysm and severe systolic left ventricular dysfunction. The clinical course was then complicated by the arrhythmic storm caused by recurrent runs of polymorphic ventricular tachycardias/ventricular fibrillation. These tachyarrhythmias were triggered by monomorphic ventricular premature beats originating from the lower portion of interventricular septum. The recurrences...

Comments on the paper „Radial artery, clinical results and graft patency after 3 years“

Michal Semrád, Tomáš Urban

Interv Akut Kardiol. 2007;6(1):10-11