Frakční průtoková rezerva myokardu (FFRmyo) v intervenční kardiologii - zlatý standard posouzení funkční významnosti koronárních stenóz a další perspektivy

Petr Kala, Martin Mates

Interv Akut Kardiol. 2014;13(1):8  

STEMI a direkt PCI - spolupráce kardiocentra FN HK a ZZS KHK

Abdulwasya Al Mawiri, Jan Vojáček

Interv Akut Kardiol. 2014;13(1):9-10  

Začněme výživou …

Ing. Ivan Mach, CSc.

Interv Akut Kardiol. 2014;13(1):3  

Czech TAVI Registry - technical background of the multicentre parametric data collection

Milan Blaha, Petr Kala, Daniel Klimeš, Jiří Jarkovský, Marian Branny, Josef Šťásek, Jan Vojáček, Viktor Kočka, Michael Želízko, Pavel Červinka, Martin Mates, Petr Němec, Ladislav Dušek

Interv Akut Kardiol. 2014;13(1):13-16  

The surgical aortic valve replacement represents the gold standard of treatment of patients with hemodynamically significant aortic stenoses. Within the last 10 years, the catheter treatment, i.e. the aortic valve implantation into the native aortic valve (TAVI – transcatheter aortic valve implantation), has been added to the surgical one. The Czech TAVI Registry has served as the platform for long-term follow-up and the treatment effectivity analyses required by the new technolgies´ implementation. The paper is focused on the technical aspects of the multicentre registry comprising 688 completed parametric records from about 95% of all...

The imaging methods in diagnostics and risk stratification of acute pulmonary embolism

Vladimír Kincl, Adéla Drozdová, Roman Panovský, Igor Suškevič, Milan Kamínek

Interv Akut Kardiol. 2014;13(1):17-22  

Acute pulmonary embolism is one of frequent life-threatening cardiovascular diseases. Its severity varies from low risk cases with good prognosis to severe shock states with high mortality. The most exact diagnostics and risk stratification is basic requirement for successful therapy. This paper provides review of imaging methods which are fundamental part of diagnostic process in acute pulmonary embolism.

Troponins in diagnostics of acute coronary syndromes - update 2014

Radek Pudil

Interv Akut Kardiol. 2014;13(1):23-26  

The introduction of highly-sensitive method for the assessment of cardiac troponins represents a progress in diagnostics, therapy and risk stratification in acute coronary syndromes. It provides earlier diagnosis and increase of the sensitivity in the diagnostic process of acute myocardial infarction. Further increase of the sensitivity can be achieved with simultaneous assessment of other markers (copeptin, heart fatty acid binding protein) or evaluation of additional clinical parameters (electrocardiogram, GRACE or TIMI risk score). The question of the rule-out protocols remains opened in the process of evaluation of the coronary etiology...

Unusual complication of the transradial percutaneous coronary angiography: kinking

Lucie Francová, David Horák, Lukáš Jaworski, Vladimír Hraboš, Jan Marušiak

Interv Akut Kardiol. 2014;13(1):31-32  

of the diagnostic catheter requiring surgical removal Percutaneous coronary angiography is commonly performed examination with a low risk of a serious complications. Occurrence of complications of transradial approach is around 1 %. In our institution, we perform about 2 500 coronarography per year since 2008, about 1100 PCI, approximately 90 % is performed by transradial approach, and most of the patients examined in the outpatient mode. We present a case report of severe complication of transradial coronary angiography, where it was necessary surgical intervention, but without effect on patient΄s prognosis.

Stopkatý velký útvar v levé síni

Sunil Adhikari, Antonin Novák, Jozef Jakabčin, Ivana Havlova, Pavel Červinka, Milouš Derner

Interv Akut Kardiol. 2014;13(1):34-35  

V této kazuistice autoři prezentují případ 65leté ženy s anamnézou dušnosti a kolapsů. Echokardiogafickým vyšetřením byl zjištěn velký tumor v levé síní, velmi suspektní jako myxom. Magnetická rezonance potvrdila morfologii a tvar útvaru, jehož tkáňová charakteristika byla při vyšetření diagnostikována jako trombus. Po antikoagulační léčbě došlo k vymizení útvaru. Kazuistikou chceme dokumentovat důležitost včasného echokardiografického vyšetření a následně magnetickou rezonancí, která může určit i tkáňovou charakteristiku útvaru.

Repair of mitral paravalvular leaks by transapical approach

Jiří Ničovský, Petr Němec, Petr Malík, Aleš Tomášek, Sylva Kovalová, Josef Nečas

Interv Akut Kardiol. 2014;13(1):36-38  

Paravalvular leak (PVL) is one of the most serious complications after valve replacement. If it is haemodynamicaly significant the therapy of choice is conventional open heart surgery. Percutaneous closure of the leak is the alternative method for smaller leaks. In following case report we describe hybrid surgical-interventional transapical closure of paravalvular leak of mitral valve. We report a case of a 63 years old man after repeated sternotomy, in whom paravalvular leaks after mitral valve replacement occured. These leaks have not been haemodynamicaly significant, but severe transfusion-requiring hemolytic developed. Because of high operative...

The position of rivaroxaban in current medicine

Jiří Slíva

Interv Akut Kardiol. 2014;13(1):28-30  

Novel anticoagulants (NOACs) present a huge step forward in better prevention and treatment of pathologic conditions associated with increased coagulation. Their administration is characterized by better predictability of particular effect and lower incidence of adverse drug reactions. The following article, based on so far published clinical trials, is focusing on the mapping of up-to-date knowledge about direct inhibitor of activated factor Xa, rivaroxaban.

8. sympozium Pracovní skupiny Plicní cirkulace ČKS

Pavel Jansa

Interv Akut Kardiol. 2014;13(1):45  

Novinky ve specifické léčbě plicní arteriální hypertenze

David Ambrož

Interv Akut Kardiol. 2014;13(1):46  

Nursing care for patients after percutaneous transluminal angioplasty

Adriana Horčičáková, Ilona Plevová

Interv Akut Kardiol. 2014;13(1):40-44  

Introduction: Closures and stenoses of peripheral system arteries in lower limbs are addressed by an endovascular intervention, where the most frequently used method is a percutaneous transluminal angioplasty (PTA). This is a therapeutic method which has some specific features in the nursing care after a vascular intervention. Goal: The goal of the research was to evaluate nursing care for patients after PTA at a standard ward. Methodology: The research was carried out in the Vascular Centre of Vítkovická nemocnice a.s. from November 2011 to February 2012. The research set was composed of 191 respondents. Measuring tools included a non-standard...