Interv Akut Kardiol. 2007;6(3):79-80
Interv Akut Kardiol. 2007;6(3):87-91
Aim: To evaluate the total incidence of local complications in patients’ groin after percutaneous coronary interventions (PCI), to review incidence of these complications depending on administration of the glykoprotein IIb/IIIa inhibitor abciximab. Material and methods: Retrospective analysis of the group of 1 482 patients after PCI between January 1, 2005 and December 31, 2006. From this total number of performed PCI there were 1 349 (91 %) patients who were implanted at least one stent. 223 patients were administered the inhibitor IIb/IIIa abciximab during the intervention (15 %). Results: The local complications with...
Interv Akut Kardiol. 2007;6(3):92-96
Introduction: Primary coronary intervention is the fastest and safest method of treatment of the acute myocardial infarction with ST elevations (STEMI). It significantly improves the short and long term outcome of the patients and reduces the risk of cardiovascular complications. Left ventricle (LV) systolic dysfunction after AMI together with its negative remodelling belong to the main problems of cardiology at present. The aim of the work is to assess the influence of the mechanical reperfusion by primary PCI on the left ventricle systolic function and its remodelling. Methods: Prospective 6-month clinical and echocardiographical evaluation of 83...
Interv Akut Kardiol. 2007;6(3):97-101
The leading interest in recent years has been in risk stratification and prevention of thromboembolic complications in atrial fibrillation (AF) which, with its potential consequences, does definitely not belong to „innocent“ arrhythmias. Present guidelines for management of patients with atrial fibrillation focused on stroke, which is certainly a disabling complication of this rhythm disturbance. The precise mechanism predisposing to thrombus formation is unclear. However, we know that macroscopic, haemodynamic factors and also microscopic changes participate in its formation. An insignificant effort has also been made to identify risk...
Interv Akut Kardiol. 2007;6(3):102-106
Coronary anomalies are a poorly understood topic in modern cardiology. The incidence of coronary anomalies in patients undergoing coronary angiography varies from 0,3 % to 5,6 %. We describe the case of a young patient with acute myocardial infarcion and with anomalous origin of the right coronary artery from the left coronary sinus. We discuss the clinical importance of this anomaly and review the literature.
Interv Akut Kardiol. 2007;6(3):107-109
Asymptomatic thirty six years old man was cathetherized because of ventricular septal defect and prolabing cusp of aortic valve. Large anomalous artery arising from circumflex artery was found. This anomalous branch supplied tumor in mediastinum – paraganglioma. The patient was succesfully operated.
Interv Akut Kardiol. 2007;6(3):110-112
Myocardial perforation caused by pacing lead is a rare complication of pacemaker implantation. It is associated with the use of both active- and passive-fixation leads, but active fixation can increase the risk of perforation. We report the patient in whom an active ventricular lead caused perforation of right ventricular wall. The patient was readmitted to hospital on 5th day after pacemaker implantation for complete failure of pacing with symptoms like dizziness and faintness. Afterwards, using echocardiogram and X-rays, diagnosis of perforation was revealed. There were signs of small-sized pericardial effusion around the distal end of lead. Perforating...
Interv Akut Kardiol. 2007;6(3):118-119
Interv Akut Kardiol. 2007;6(3):120
Interv Akut Kardiol. 2007;6(3):121
Interv Akut Kardiol. 2007;6(3):115-116
The treatment of patients with stable forms of coronary artery disease (CAD) is a daily routine for a cardiologists. Two trials dealing with the topic raised an understandable attention. They were published almost simultaneously in prestigious journals New England Journal of Medicine and JAMA.
Interv Akut Kardiol. 2007;6(3):86
Interv Akut Kardiol. 2007;6(3):113-114
Interv Akut Kardiol. 2007;6(3)