Interventional Cardiology, 2017 (vol. 16), issue 2
Editorial
History of myocardial revascularization – the journey to the first percutaneous coronary angioplasty and beyond Dedicated to the 40th anniversary of the first PTCA
Jan F. Vojáček
Interv Akut Kardiol. 2017;16(2):51-55 
History of the revascularization of the myocardium in patients with coronary artery disease is remarkable, its individual parts were over the years repeatedly mentioned in lectures at various congresses and desribed by the direct participants in professional journals. Most of the new procedures we have adopted over time, and therefore I considered it appropriate to summarize it here, on the occasion of the fortieth anniversary of the execution of the first coronary angioplasty and, hence, the creation of the subspeciality of Interventional Cardiology.
Original articles
Sticky platelet syndrome – current status and perspectives
Ján Staško, Miroslava Dobrotová, Jela Ivanková, Mária Škereňová, Pavol Hollý, Juraj Sokol, Lucia Stančiaková, Peter Kubisz
Interv Akut Kardiol. 2017;16(2):56-60 | DOI: 10.36290/kar.2017.010
Platelet hyperaggregability as a distinct cause of thrombosis was recognized for the first time in the late 1970s. In the 1980s, the term SPS was proposed for a thrombophilic thrombocytopathy with familiar occurrence and autosomal trait, characterized by increased platelet aggregation after low concentrations of adenosine diphosphate (ADP) and/or epinephrine (EPI). In the last 30 years, several authors – E. F. Mammen and R. L. Bick in the first place – provided clinical evidence that led to the definition of exact diagnostic criteria, with three types of aggregation patterns, and associated SPS with a variety of thrombotic events –...
Review articles
Pulmonary arterial hypertension – diagnosis and treatment
Martin Hutyra, Jan Přeček
Interv Akut Kardiol. 2017;16(2):63-68 | DOI: 10.36290/kar.2017.037
Pulmonary arterial hypertension (PAH) is a disease of the small pulmonary arteries that is characterized by vascular proliferation and remodeling. It results in a progressive increase in pulmonary vascular resistance and, ultimately, right ventricular failure and death. Despite recent major improvements in symptomatic treatments, no current treatment cures this devastating condition. However, during the past 25 years, treatment options for patients with the disease have evolved to help prolong their survival and improve their quality of life.
Caheter ablation for atrial fibrillation in prevention of stroke
Martin Fiala
Interv Akut Kardiol. 2017;16(2):71-74 | DOI: 10.36290/kar.2017.011
Prevention of thromboembolic complications represents a fundamental component of treatment in patients with atrial fibrillation (AF). Successful AF catheter ablation, via restoration of sinus rhythm and recovery of normal left atrial appendage contractions, has the potential to reverse the risk of ischemic stroke to the level in population without AF. In addition, the ablation effects include reversal of hemodynamic and functional impairment hidden behind the cardiovascular mortality, specifically in patients with persistent AF. Deeper understanding of causal links between AF and the risk of thromboembolic event would help better stratification...
Case reports
Recurrent spontaneous coronary artery dissection. When less can be more. Case Report
Martin Šimek, Andrea Steriovský, David Richter, Jan Látal, Marie Černá
Interv Akut Kardiol. 2017;16(2):76-79 | DOI: 10.36290/kar.2017.005
We report the case of a 33-year old woman with a recurrent spontaneous coronary artery dissection (SCAD). Primary SCAD involving left anterior descending coronary artery (LAD) was managed conservatively. She underwent repeated coronary angiography for progression of exertional dyspnoea (NYHA II–III, CCS 0) 6 weeks later and new SCAD of the proximal right coronary artery (RCA) was found. An attempt at PCI on LAD led to retrograde progression of dissection into the left main coronary artery (LM). She hemodynamically deteriorated and complained of chest pain due to compromised LM flow (TIMI I). She underwent successfully “bail-out” triple...
Reverted sudden death and malignant arrhythmias in the patient after myocarditis
Adel Abdulghani, Jozef Jakabčin, Milouš Derner, Pavel Červinka
Interv Akut Kardiol. 2017;16(2):80-83 | DOI: 10.36290/kar.2017.012
The case report documents young man with myocarditis as a etiology of irreversible left ventricular dysfunction. Myocarditis is the pathological result of myocardial infection and autoimmunity that causes active inflammatory destruction of myocytes. In our case fibrotic scar tissue was documented with magnetic resonance imaging in the left ventricle and interventricular septal tissue. Malignant arrhythmia was the etiology of aborted sudden cardiac death in the acute phase and few months later. Case describes the process of differential diagnosis of acute phase after ventricular tachycardia at the emergency department. Prognosis of patients after...