Interv Akut Kardiol. 2007;6(4):127-128
Interv Akut Kardiol. 2007;6(4):135-138
For nearly 50 years, the right ventricular apex (RVA) has been used as the elective pacing site for permanent pacing in bradyarrhythmias. Experimental and clinical studies, however, suggest that RVA pacing contributes to marked asynchrony of ventricular activation which is associated with abnormalities in regional coronary perfusion and metabolism. It might result in impairment of systolic and diastolic LV function. Long-term observational studies suggest that even structural changes may occur (remodelling). Alternative pacing sites which may reduce these adverse changes were tested in either acute or chronic studies, some of them have determined the...
Interv Akut Kardiol. 2007;6(4):139-143
Despite all improvements in health care and better scientific knowledge, the incidence of infective endocarditis has remained unchanged. This disease is changing face – rheumatic heart disease as a classic predisposing condition has been decreasing in incidence, whereas degenerative valve disease and prosthetic valves are becoming more frequent disposition. Furthermore, new possible cathegory has been emerging – due to increasing invasive procedures and vascular instrumentation, the occurence of so called nosocomial endocarditis is increasing. In connection with this, incidence of aggresive staphylococcal or atypical infections (such as...
Interv Akut Kardiol. 2007;6(4):144-146
We present a case of a patient with ST elevations in leads II, III, AVF and subjective problems suspected of acute coronary syndrome. Subsequent investigation excluded the acute coronary syndrome and the metabolic dysbalance with severe hyperkalemia was diagnosed. The ST elevations disappear after the correction of parameters of mineral balance. We discuss the differential diagnosis of ST elevations in relationship to hyperkalemia.
Interv Akut Kardiol. 2007;6(4):147-150
Transradial approach was used for renal artery angioplasty in the first two cases and the technique of the procedure is discussed.
Interv Akut Kardiol. 2007;6(4):158-159
Interv Akut Kardiol. 2007;6(4):160
Interv Akut Kardiol. 2007;6(4):161
Interv Akut Kardiol. 2007;6(4):156
Interv Akut Kardiol. 2007;6(4):157
Interv Akut Kardiol. 2007;6(4):134
Interv Akut Kardiol. 2007;6(4):152-153
Interv Akut Kardiol. 2007;6(4):154-155