Mění se incidence infekční endokarditidy ?

Jiří Beneš

Interv Akut Kardiol. 2010;9(5):231-232  

Is CRP valuable for risk stratification of coronary restenosis ?

Robert Náplava, Martin Gřiva, Milada Špendlíková, Jiří Jarkovský, Ota Hlinomaz, Čestmír Číhalík

Interv Akut Kardiol. 2010;9(5):234-236  

Coronary restenosis has many causes. Inflammatory reaction after vascular damage playes key role. Importance of CRP assessment in periferal blood in coronary restenosis prediction remains still unclear.

Acute changes in atrial morphology and function after atrio-ventricular resynchronization in patients

Dan Marek, Eliška Sovová, Marie Berková, Martin Fiala, Jan Lukl, Čestmír Číhalík

Interv Akut Kardiol. 2010;9(5):238-243  

with previous chronic atrioventricular block or single chamber pacing Background: In pts with chronic complete heart block (HB) or single chamber pacing (VVI) and preserved sinus depolarization, left and right atria (LA, RA) suffer from increased intraatrial pressure resulting from atrioventricular dyssynchrony (AVDys). The overloaded atrium dilates and loses its contractile function. Purpose: To assess whether these pathological features could be reversed by physiological/sequential pacing (PP) and what are the most acute hemodynamical changes in patients with AVDys, in whom PP is implanted. Methods: PP was implanted in 26 pts with previous...

Percutaneous treatment of bifurcation stenoses

Pavel Červinka

Interv Akut Kardiol. 2010;9(5):244-250  

Although the introduction of drug-eluting stents (DES) in the clinical practice has substantially contributed to the treatment of patients with ischaemic heart disease (IHD) and allowed percutaneous treatment of even very complex lesions, the treatment of bifurcation stenoses still remains a challenge for interventional cardiologists today. Even thirty years after the introduction of percutaneous coronary intervention (PCI) in the treatment of IHD there is no uniform approach to the percutaneous treatment of lesions located at coronary bifurcations as indicated by a wide range of more or less technically demanding techniques. The aim of this...

Renin-angiotensin system blockade in treating cardiovascular disease

Jindřich Špinar, Jiří Vítovec

Interv Akut Kardiol. 2010;9(5):252-257  

Current knowledge on renin-angiotensin-aldosterone system and the options of its blockade are summarized. Blockade at the level of converting enzyme (ACE inhibitors = ACE-I) and at the level of receptor (AT1 blockers = ARB) has been an established treatment modality in numerous cardiovascular diseases, particularly heart failure, post myocardial infarction, hypertension or diabetes mellitus. Comparison of ACE inhibitors and AT1 blockers was initially performed in heart failure and post myocardial infarction in the ValHeft and VALIANT trials, respectively; and, subsequently, in secondary prevention of ischemic heart disease in the ONTARGET trial,...

Anterior myocardial infarction with ST elevations and cardiogenic shock caused by iatrogenic dissection

Zdeněk Velička, Vladimír Hraboš, Peter Telekes, Jan Černý, David Horák

Interv Akut Kardiol. 2010;9(5):264-265  

of the left mammary artery during angiographic examination Iatrogenic dissection of the left internal mammary artery (LIMA) used as a coronary bypass to the left anterior descending (LAD) artery represents a rare, however potentially very serious complication of angiographic procedures via the arterial system of the left upper extremity. We present a patient admitted for acute anterior myocardial infarction with ST elevations caused by iatrogenic dissection of the LIMA during angiographic examination.

Bilateral internal mammary artery. Catheterization from left transradial approach

Jan Škvařil, Radka Kočková, Pavel Sedloň, Miroslav Černohous, Patrik Jarkovský, Libor Kameník, Miroslav Zavoral

Interv Akut Kardiol. 2010;9(5):267-270  

This report descibes heart catheterisation from left transradial approach in a patient with unstable angina pectoris. He underwent previous surgical revascularization wih the utilization of bilateral mammarian arteries. Although left transradial approach is not described in such cases, this diagnostic procedure was performed this way and subsequently followed by the intervention of left anterior descendent (LAD) without any complications, with commonly used equipment and with good angiographic and clinical results. However, due to its character and the demanding procedural parameters (fluoroscopy, contrast media consumption) this technique...

Tips and tricks of transradial approach

Miroslav Brtko

Interv Akut Kardiol. 2010;9(5):272-273  

The left mammarocoronary bypass angiography from the right transradial approach One possibility of performing angiography of mammarocoronary bypass constructed from the left internal thoracic artery using right transradial approach is described in this case report.

Pharmacotherapy of an acute heart failure - current status and outlook for the future

Tomáš Janota

Interv Akut Kardiol. 2010;9(5):258-263  

A new onset heart failure or a decompensation of chronic heart failure belong to most frequent reasons of hospitalization at age over 65, moreover, hospitalizations with very high mortality. Main target of therapy is rapid relief from symptoms and optimisation of hemodynamic status with minimum adverse events aiming for a positive long term outcome. Unfortunately, evidenced medical approaches fulfilling these requirements are still rare. Standard therapy including diuretics, vasodilators and inotropes face a lot of limitations. Effectiveness of new therapeutic perspectives awaits confirmation and new data on efficacy of standard medical approaches...