Má transapikální implantace aortální chlopně budoucnost?

Jan Vojáček, Jan Harrer

Interv Akut Kardiol. 2013;12(4):171-172  

Quality of life after Ross procedure

Martin Voborník, Jan Vojáček, Martina Cvečková, Pavel Žáček, Jaroslav Špatenka

Interv Akut Kardiol. 2013;12(4):174-176  

The aim of the study: Report’s target was to compare the quality of life of two patients groups: First – 23 Ross patients, and second – 29 mechanical valve prostheses owners. Material and methods: Ross procedure was performed in 28 patients at our Institution since 2009. Perioperative mortality was 0%, survival rate 100 %, pulmonary autograft and pulmonary allograft function remains excellent. From that series 23 patients (› 6 months after Ross) have been evaluated. The control group was formed from 29 patients (matched for comparable profile) who underwent the aortic valve replacement with mechanical valve prosthesis....

Coronary thrombus analysis in myocardial infraction: new aspects of acute coronary occlusion

Jan Vojáček, Ivo Šteiner, Josef Špaček, Josef Bis, Jaroslav Dušek

Interv Akut Kardiol. 2013;12(4):178-182  

Aim of the study: Thromboaspiration in patients with STE myocardial infarction brought the possibility of the analysis of the thrombus acquired from occluded coronary artery. Patients and methods: We report the results of light microscopy, electron microscopy and imunohistochemistry analysis of the aspirates obtained during the primary coronary angioplasty by thromboaspiration catheters in patients with STE acute myocardial infarction. The thrombus was obtained in 50 consecutive patients (age 35–91years, average 65.4 ± 13.9, 36 males and 14 females) from October 29, 2012 through July 14, 2013. Results: The composition of obtained...

Rotational atriography of left atrium - a new imaging technique used to support left atrial radiofrequency ablation:

František Lehar, Zdeněk Stárek, Jiří Jež, Miroslav Novák, Jiří Wolf, Peter Kružliak, Tomáš Kulík, Alena Žbánková, Radek Jančár

Interv Akut Kardiol. 2013;12(4):184-189  

a comparison of anatomical data of left atrium obtained from 3D rotational atriography and computed tomography Introduction: Catheter ablation therapy for atrial fibrillation is a commonly used therapeutic method. Given the anatomical complexity of the left atrium, three-dimensional models of this chamber of the heart obtained by computed tomography (CT) are employed. Rotational atriography is a new imaging technique used to obtain the same data as those obtained by CT scans. Methods: Our aim was to compare anatomical parameters of the left atrium obtained by the method of 3D rotational atriography with the data obtained by CT scans in 65...

Levosimendan in current treatment of severe heart failure

Jan Krupička, Tomáš Janota

Interv Akut Kardiol. 2013;12(4):191-195  

Acute heart failure is one of the most common causes of hospitalisation and patients with this disease have a high risk of rehospitalisation or death. Drugs are being sought that would reverse this condition. Positive inotropic agents in patients with severe acute heart failure aid in overcoming the most critical period of haemodynamic instability and bring symptomatic relief. Despite unquestionable immediate clinical benefit, however, the majority of positive inotropic agents do not improve and even worsen the long-term prognosis of patients, particularly of those with ischaemic heart disease. In comparison with the older inotropes, levosimendan,...

Minimally invasive videoassisted surgical therapy of mitral and tricuspid valves

Marek Pojar, Jan Vojáček, Jan Harrer, Zdeněk Turek, Jindřich Samek, Nedal Omran, Pavel Žáček

Interv Akut Kardiol. 2013;12(4):196-199  

Minimally invasive surgical access for the treatment of mitral and tricuspid valves has become an alternative method to the conventional approach via median sternotomy. Videoassisted approach through the small right thoracotomy, so called MICS (minimally invasive cardiac surgery), is indicated for the therapy of the atrioventricular valve disease, closure of the atrial septal defect or the extraction of the patological formation from the left or the right atrium. MICS approach is associated with the shorter postoperative lenght of stay, shorter postoperative intensive care unit stay or shorter ventilation time. Return to the normal activity...

Interventional cardiac procedures from the anesthesiologist´s paint of view

Aleš Březina

Interv Akut Kardiol. 2013;12(4):201-205  

Increasing number of patients scheduled for an interventional procedure such as electrophysiological diagnostic studies, ablations of arrhythmia pathways, placement of pacemakers or implantable cardioverters/defibrillators or heart valve implantations, and the medical conditions of the patient population, resulted in an increasing demand for the consultation and care provided by anesthesiologists, in selected group of this patients. This article discusses some of the anesthesia aspects of these specific procedures.

Regadenoson - selective A2A adenosine for use as a pharmacological stress test in nuclear cardiology

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

Interv Akut Kardiol. 2013;12(4):207-210  

We present two case reports, demonstrating advantages of selective A2A adenosine (regadenoson) for use as a stress test in nuclear cardiology, when conventional stress techniques may be impossible or very difficult. In the case 1, 59-year-old diabetic female patient with a history of prior myocardial infarction was treated by direct angioplasty. Single-photon emission computed tomography (SPECT) showed quantitative extent ischemia in the territory of infarcted vessel. Repeated coronary angiography revealed in-stent restenosis and patient underwent bypass graft surgery. In the case 2, 55-year-old male, with several co-morbidities, had a history...

RELAX-AHF trial: new hope for acute heart failure treatment

Petr Janský

Interv Akut Kardiol. 2013;12(4):212-213  

Serelaxin is a novel recombinant form of human vasoactive peptide relaxin-2. The international randomized RELAX-AHF trial compared serelaxin with placebo in patiens hospitalized for acute heart failure. Serelaxin improved primary endpoint – the visual analogue scale area under the curve of patient-reported dyspnoea compared to placebo. There was no significant difference between placebo and serelaxin for the second primary endpoint – Likert scale, measuring proportion of patients with dyspnoea improvement. Serelaxin improved some other symptoms of heart decompensation. The secondary efficacy endpoints of cardiovascular mortality...

The STREAM (Strategic Reperfusion Early After Myocardial Infarction) Study.

Karel Dvořák

Interv Akut Kardiol. 2013;12(4):215-218  

Fibrinolysis – alternative reperfusion strategy for STEMI The STREAM study was open-label, prospective, randomized, international and multicenter trial. Ninety nine centers from 15 countries participated in the study. Two therapeutic approaches were compared in patients with STEMI that had the first medical contact within 3 hours after symptom onset preferably in pre-hospital period, and that were unable to undergo a primary percutaneous coronary intervention (PPCI) within 1 hour, but not longer interval than 3 hours. Patients were assigned in part to the PPCI group, with immediate transfer to 7/24 PCI center, and prehospital therapy...