Which antithrombotics treatment in patients with coronary stenting requiring anticoagulation warfarin therapy ?

Vasiľ Hricák

Interv Akut Kardiol. 2008;7(4):131-132  

Differential diagnosis of wide complex tachycardia

Luděk Haman

Interv Akut Kardiol. 2008;7(4):137-141  

Initial evaluation of every tachyarrhythmia begins with question whether the QRS complex is wide or narrow. Most important cause of wide complex tachycardia (WCT) is ventricular tachycardia (VT). A narrow complex usually indicates supraventricular tachycardia (SVT), however, SVT can also manifest as a WCT. Differentiation between SVT with a wide QRS due to aberrancy or preexcitation and VT often present a diagnostic challenge. The identification of the origin is critical because the treatment for each is different and improper therapy may have serious consequences. Following report is focused on differential diagnosis particularly using standard 12-lead ECG.

The role of catheter ablation in prevention of thromboembolic stroke

Martin Fiala

Interv Akut Kardiol. 2008;7(4):143-146  

Atrial fibrillaton (AF) is associated with increased risk of thromboembolic stroke. Clinical course of the ischemic stroke in patients with AF is worse compared to that in patients without AF. Anticoagulation represents the current basis of stroke prevention in patients with AF, although it includes many drawbacks and does not reduce the incidence of stroke to the level of population without AF. Permanent sinus rhythm offers the best prevention of thromboembolic stroke; however, effectiveness of the antiarrhythmic drugs to achieve this goal is low. Catheter ablation is much more potent in long-term elimination of AF compared to antiarrhythmic drugs;...

Rotational atherectomy - present position in interventional cardiology

Petr Kala

Interv Akut Kardiol. 2008;7(4):148-151  

Rotational atherectomy has been used in interventional cardiology since 1988. The technical concept is focused on decreasing or removing the atherosclerotic plaque from the diseased coronary artery responsible for the myocardial ischemia. As well as the other technically more difficult and adjunctive methods for the classical coronary angioplasty and stent implantation, its usage went through the periods of enthusiasm and scepticism. At present, the method is experiencing a moderate renaissance due to the better characteristics of the balloon catheters and stents, including the drug-eluting stents, where the optimal stent aposition is needed for the...

Pericarditis purulenta

Radomír Šimek, Jiří Malý, Peter Telekes, et al

Interv Akut Kardiol. 2008;7(4):152-154  

Purulent pericarditis is a rare disease which may cause cardiac tamponade. It often develops in the presence of a coexistent local or systemic infection, but origin of infection can be obscure too. Mortality of untreated disease is high. Early diagnosis of purulent pericarditis is essential to survival. Echocardiography and pericardial fluid analysis is important for early diagnosis. Therapy consists of acute pericardial drainage, administration of broad-spectrum antibiotics and early chirurgical approach with pericardectomy in order to avoid further progress of constrictive pericarditis. We present a case of a 37-year old male with clinical and ultrasonographic...

Combined electroanatomic mapping and cryoablation of incessant ventricular premature beats from the left aortic sinus of Valsalva

Martin Fiala, Marian Branny

Interv Akut Kardiol. 2008;7(4):155-157  

A case of a young man with incessant idiopathic ventricular premature beats originating from the left aortic sinus of Valsalva is presented. Localization of the ectopic focus and its anatomic relation to the left main coronary artery was identified using electroanatomic mapping and angiography. Painless and safe destruction of the ectopic focus was completed with cryoablation.

Abstrakta XVIII. workshop intervenční kardiologie

Interv Akut Kardiol. 2008;7(4):161-164  

EuroPCR 2008

Petr Kala

Interv Akut Kardiol. 2008;7(4):160  

TAPAS study

Petr Kala

Interv Akut Kardiol. 2008;7(4):159