Mechanizovaná srdeční masáž, krok ke zlepšení úspěšnosti kardiopulmonální resuscitace?

Tomáš Janota

Interv Akut Kardiol. 2013;12(2):56-57  

Prediktivní, preventivní, personalifi kovaná medicína - příslib do budoucnosti?

prof. MUDr. Václav Zamrazil, DrSc.

Interv Akut Kardiol. 2013;12(2):51  

Increased radiation exposure in transradial approach. A real drawback or an obsolete problem?

Jan Škvařil, Pavel Sedloň, Miroslav Černohous, Patrik Jarkovský, Radka Kočková

Interv Akut Kardiol. 2013;12(2):59-64  

Objective: Beside many advantages of a transradial approach (TRA), the controversy concerning possibly increased radiation exposure remains. The objective of the study was to compare left radial, right radial (TRA-R) and femoral (TFA) approaches concerning total time, fluoroscopy time, radiation exposure of patients as well as of physicians. Material and methods: 456 patients were prospectively randomized to TRA-L (154), TRA-R (159) or TFA (143). Procedural time, fluoroscopy time, dose-area product (DAP) as patient´s exposure and physician´s equivalent dose, measured with personal electronic dosemeter, were evaluated. Separately for diagnostic...

Quantitative cardiac SPECT in the detection of coronary artery disease: validation of findings by coronary angiography

Milan Kamínek, Iva Metelková, Miroslava Budíková, Lenka Henzlová, Eva Buriánková, Radim Formánek, Vladimír Kincl, Jiří Ostřanský, Martin Hutyra, Eliška Sovová

Interv Akut Kardiol. 2013;12(2):66-69  

Aim: To analyse sensitivity and specificity of SPECT and to assess the diagnostic potential of quantitative parameters of perfusion, left ventricular function and calcium score to identify high risk patients with multivessel coronary artery disease. Methods: 702 patients underwent stress gated SPECT study and then coronary angiography. We quantified% of ischemic myocardium, left ventricular ejection fraction, end-diastolic and end-systolic volumes and transient ischemic dilatation ratio. Results: Sensitivity and specificity of SPECT were 91 % (456/502) and 76 % (151/200), respectively, without significant difference between men and women....

Cardiac perforations associated with pacemaker and implantable cardioverter-defibrillator leads

Klaudia Židová, Miroslav Novák, Jolana Lipoldová

Interv Akut Kardiol. 2013;12(2):71-74  

PM and ICD lead perforations Cardiac perforation associated with a pacemaker or an implantable cardioverter-defibrillator lead is recognised as a relatively rare complication varying in clinical course significantly – from asymptomatic cases up to cardiac tamponade. Potential risk factors for lead perforation include previous temporary lead placement, use of corticosteroids, older age, female gender, and low body mass index. Higher risk of lead perforation is also documented in atrial, defibrillation and active fixation leads; furthermore, right ventricular leads perforations are more likely to occur when implanted in the apical position....

Invasive cardiologic procedures - anestesiologist΄s view point

Petr Vojtíšek, Pavel Červinka, Daniel Nalos

Interv Akut Kardiol. 2013;12(2):76-78  

The modern cardiology provides many invasive procedures. Some of these procedures need an appropriate deep sedation or general anesthesia. In our regional hospital patients undergo anesthesia for percutaneous aortic valve replacement and percutaneous left atrial appendix closure. This article discusses some of the aspects of these specific procedures.

The importance of left atrial anatomy and function for prognosis and interventional therapy

Libor Škňouřil, Martin Fiala

Interv Akut Kardiol. 2013;12(2):79-82  

With the development of invasive procedures, the view of the left atrium has been changed. Left atrial dilatation and dysfunction used to be considered permanent, but it has been shown that the pathological remodelation can be reversible. The number of invasive procedures where the left atrium is their place or target is increasing. Most of this procedures is connected with atrial fibrillation. This article deals with the anatomy and function of the left atrium that is important for interventional procedures as well as for their optimal indication.

Mechanical chest compression devices

Vladimír Tuka, Ondřej Šmíd

Interv Akut Kardiol. 2013;12(2):83-86  

Sudden cardiac death is the most common cause of death due to coronary artery disease. The mainstay of therapy is the cardiopulmonary resuscitation where the thoracic compressions at an adequate rate play the major role. Despite very good evidence on the efficacy of adequate chest compression the reality is more than suboptimal. The performance of adequate chest compressions is impossible in transport settings or at the catheterisation laboratory. The mechanical chest compression systems are safe and efficient tools to provide chest compressions without interruption and rescuers fatigue. Two systems of mechanical chest compression devices are...

Iatrogenic hemothorax as a complication of pericardial puncture

Andreas Krüger, Petr Ošťádal, Stanislav Černohorský, Petr Neužil

Interv Akut Kardiol. 2013;12(2):94-96  

Pericardial effusion is a relatively frequent finding in patients after various catheterization procedures as well as cardiac surgery. The main diagnostic method is echocardiographic examination that also allows to assess the hemodynamic significance of the effusion and, thus, the presence of cardiac tamponade. In large pericardial effusions, pericardiocentesis under echocardiographic or fluoroscopic guidance is carried out. Catheter-based or surgical pericardial fenestration can be considered in certain cases.

Rupture of aneurysm of noncoronary Valsalva sinus as a cause of right-sided heart failure

Pavla Čadová, Theodor Adla, Jiří Vejvoda, David Zemánek, Josef Veselka

Interv Akut Kardiol. 2013;12(2):97-98  

Aneurysm of Valsalva sinus is a rare disease of the coronary sinus, course of which may range from asymptomatic to severe heart failure with significant left-to-right shunt in the case of its rupture. In this case, we describe an unusual case of right heart failure of a 19-year old man, who underwent surgery for aortic coarctation and patent ductus arteriosus as a child. We diagnosed the defect of noncoronary Valsalva sinus with significant left-to-right shunt, which was closed by pericardium.

Prophylactic treatment of stable angina pectoris

Jaromír Hradec

Interv Akut Kardiol. 2013;12(2):88-92  

Treatment of stable angina pectoris (AP) has to be complex. It consists of necessary preventive measures, pharmacological therapy and revascularization procedures, either catheterization or surgical. Pharmacological therapy and invasive revascularization procedures are not competitive, but they are complementary. The article brings an overview of pharmacological treatment of stable AP. In all patients secondary prevention measures has to be apllied, non-pharmacological as well as pharmacological ones. It is possible to divide formally pharmacological treatment of stable AP into treatment influencing prognosis (antiplatelet drugs, statins, RAAS...

„Leadless“ pacemaker - kardiostimulátor pro další desetiletí?

Petr Neužil, Jan Petrů, Jan Škoda, Lucie Šedivá

Interv Akut Kardiol. 2013;12(2):99-101  

Remembering professor prof. MUDr. Jan Lukl, M.D.,DrSc.

Interv Akut Kardiol. 2013;12(2):102