Éra funkční revaskularizace aneb koncept all-in-one

MUDr. Petr Kala, Ph.D., FESC, FSCAI

Interv Akut Kardiol. 2011;10(1):8  

Two years of experience with transcutaneous implantation of aortic valve in Cardiocenter Hradec Kralove

Jan Vojáček, Josef Šťásek, Josef Bis, Jan Harrer, Jan Vojáček, Miroslav Brtko, Pavel Polanský, Jaroslav Dušek, Martin Vejbera, Josef Kovalsky

Interv Akut Kardiol. 2011;10(1):9-12  

Altogether 38 patients (19 males, 19 females, age 62–87, mean 78.8 ± 5.6 years) with significant aortic stenosis and very high risk for surgical aortic valve replacement underwent percutaneous aortic valve implantation (TAVI) at the Dept Interventional Cardiology, Dept Medicine I, Hradec Kralove in the time period from January 2009 through December 2010. Transfemoral implantation was performed in 28 patients and transapical in 10 subjects. Edwards-Sapien and later Edwards-Sapien XT valves were implanted, 23 mm valve in 19 and 26 mm valve in 19 patients. The aortic gradient decreased from 46.9 ± 15.2 mm Hg to 13.8 ± 1.4...

Titanium stent - a new era in interventional cardiology ?

Miloslav Brtko

Interv Akut Kardiol. 2011;10(1):14-16  

Bare metal stents (BMS) have solved the problem of acute or abrupt coronary artery occlusion during percutaneous coronary interventions; however, a more pronounced intimal hyperplasia was documented following their implantation compared to plain balloon angioplasty and restenosis was reported in 20–30 % of patients. Drug-eluting stents (DES) substantially reduced the restenosis rate, but brought about another problem – late and very late stent thrombosis. Titanium stent which, according to preclinical studies, stimulates the growth of endothelial cells, reduces platelet and fibrinogen adhesion and fibrin deposition and reduces intimal...

Troponin in acute myocardial infarction - golden standard or good servant, but bad master ?

Některá úskalí při užívání troponinu pro stanovení diagnózy akutního infarktu myokardu Stanislav Janoušek

Interv Akut Kardiol. 2011;10(1):18-22  

Some difficulties in use troponin for determination diagnosis of acute myocardial infarction Determination of cardiac troponins has become the gold standard of diagnosis of acute myocardial infarction (AMI) in the last decade. Despite their high sensitivity it is impossible not to notice their small specificity; they are detected in plasma in a wide range of acute and chronic diseases, without ischemic necrosis of myocytes. Therefore, finding the real cause of their increase can be a challenging diagnostic problem in some cases. One big disadvantage is also a relatively long interval after the onset of AMI, where they are not present in plasma,...

Electrical cardioversion and defibrillation

Pavel Marcián, Bronislav Klementa, Olga Klementová

Interv Akut Kardiol. 2011;10(1):24-29  

Electrical cardioversion and defibrillation are procedures sharing, to a great degree, the method of performance and the technique by which to restore sinus rhythm. They mainly differ in the time period within which the procedure must be carried out. While electrical cardioversion is typically a planned procedure (often in terms of weeks), defibrillation is strictly an emergency procedure which must be performed within minutes of the onset of malignant arrhythmia. Both methods have found a firm place in intensive care of patients with various types of tachyarrhythmias and are an integral part of guidelines on cardiopulmonary resuscitation.

Ad hoc implantation of Integrity coronary stents to the left circumflex CTO

Jan Vojáček

Interv Akut Kardiol. 2011;10(1):37-39  

and right coronary artery critical stenosis using 5 F radial approach A 52-year-old male with a positive family history, non-smoker, diabetic on oral antidiabetic drugs with hyperlipoproteinaemia was referred for coronary angiography due to a one-year history of exertional angina pectoris. He had been treated with Aspirin 100 mg, Concor COR 2.5 mg, Torvacard 20 mg, and Siofor 500 mg o. d. The following were performed: coronary angiography via the right radial artery using a 5 F catheter, ad hoc recanalization of segmental occlusion of the left circumflex artery, direct stenting of the right coronary artery using a 5 F guiding catheter, and...

Emergent aortic valve replacement in a pregnant 34-year-old with endocarditis

Vladimír Lonský, Pavel Marcián, Andrea Steriovský, Kateřina Přikrylová, Karolína Fábiková, Vilém Bruk, Martin Procházka

Interv Akut Kardiol. 2011;10(1):31-34  

Introduction: The need for cardiac surgery during pregnancy is rare. Only 2 % to 4 % of pregnancies are complicated by maternal cardiac disease and most of these can be managed with medical therapy until Caesarian delivery and operate heart after it on. Acute aortic insufficiency occurs with a frequency of 1:8,000 pregnancies, myocardial infarction (predominantly due to coronary dissections) 1:10,000 pregnancies. On occasion, whether owing to natural progression of the underlying cardiac disease or precipitated by the cardiovascular changes of pregnancy, cardiac surgical therapy must be considered. Cardiac surgery is inherently dangerous for...

Aalst-Eindhoven-Brno Course on Coronary Physiology (A-E-B Course)

MUDr. Petr Kala, Ph.D.

Interv Akut Kardiol. 2011;10(1):40