Ebstein’s anomaly with significant dysplasia of the tricuspid valve presenting at 73 years of age. A case report
We present the case of a patient with a milder form of EA and a contribution of dysplasia, with the disease undiagnosed until his eighties when he developed heart failure accompanied by significant tricuspid regurgitation. Tricuspid valve replacement with a bioprosthesis and atrial septal defect occlusion were followed by significant improvement of RV function and remission of the patient’s problems. (Source: Cor et Vasa)
Source: Cor et Vasa - September 6, 2018 Category: Cardiology Source Type: research

Extracorporeal membrane oxygenation in a patient with yew and escitalopram intoxication
We present a case of a 25-year-old patient with yew and escitalopram ingestion in a suicide attempt. He presented to the emergency department of a regional hospital with cardiology center without cardiosurgery clinic, but with VA ECMO team on site. Pulseless ventricular tachycardia and fibrillation unresponsive to usual treatment developed soon after presentation and the patient had to be placed on VA ECMO during ongoing cardiopulmonary resuscitation using Lucas CPR device. Patient survived and was successfully weaned off VA ECMO after 4 days with normalization of cardiac function and without severe liver or kidney dysfunc...
Source: Cor et Vasa - September 6, 2018 Category: Cardiology Source Type: research

MitraClip in patients with functional mitral regurgitation and advanced heart failure – Single centre experience
Publication date: Available online 1 September 2018Source: Cor et VasaAuthor(s): Aleš Benák, Blanka Skalická, Jana Hašková, Martin Kotrč, Radka Kočková, Vladimír Pořízka, Michael Želízko, Josef Kautzner, Vojtěch MelenovskýAbstractAimChronic heart failure with left ventricular (LV) dysfunction is often associated with functional mitral regurgitation (MiR). This may be ameliorated, mitral valve morphology permitting, by implanting a MitraClip. Registry data demonstrate a positive effect on symptoms. A decrease in mortality and shorter hospitalisation ...
Source: Cor et Vasa - September 1, 2018 Category: Cardiology Source Type: research

Heart rate variability in atrial septal defect both before and after operation
This article is a literature review of the data on the characteristics of HRV in patients with atrial septal defect (ASD), as well as the regularities of its dynamics after surgical and X-ray endovascular correction of the defect. The article also highlights possible pathophysiology of these vegetative abnormalities. (Source: Cor et Vasa)
Source: Cor et Vasa - August 29, 2018 Category: Cardiology Source Type: research

Editorial Board
Publication date: August 2018Source: Cor et Vasa, Volume 60, Issue 4Author(s): (Source: Cor et Vasa)
Source: Cor et Vasa - August 28, 2018 Category: Cardiology Source Type: research

Iatrogenic epinephrine-induced Takotsubo cardiomyopathy in beta-blocker poisoning: Case report
In conclusion, Takotsubo cardiomyopathy was probably triggered in the present case by the association of three etiologies: emotional stress, epinephrine infusion and beta-blocker poisoning. Physicians should be aware of possible iatrogenic triggers of this disease, especially the harmful effects of catecholamine on heart function and/or poisoning with cardiotoxic drugs. (Source: Cor et Vasa)
Source: Cor et Vasa - August 28, 2018 Category: Cardiology Source Type: research

ST segment elevations caused by invasion of carcinoma of the thymus to the myocardium
Publication date: Available online 25 August 2018Source: Cor et VasaAuthor(s): Věra Müllerová, Jozef Jakabčin, Vladěna Skálová, Pavel ČervinkaAbstractPathological ST segment elevations in 12-lead ECG are in most cases caused by ischemic heart disease during acute transmural infarction. ST segment elevations in ECG can even have non-ischemic etiology during another cardiac disease and there are also rare causes of ST elevations of a non-cardiac origin. In this case report, the authors present the case of a 68-year-old male patient with carcinoma of the thymus, which was growing through to the c...
Source: Cor et Vasa - August 26, 2018 Category: Cardiology Source Type: research

The less common arrhythmias in the acute cardiac care unit
Publication date: Available online 23 August 2018Source: Cor et VasaAuthor(s): Predrag Stojadinović, Jiří Kettner, Josef Kautzner (Source: Cor et Vasa)
Source: Cor et Vasa - August 23, 2018 Category: Cardiology Source Type: research

Corrigendum to ``Asymptomatic damage of central nervous system defined by excess level of protein S100B by patients undergoing the radiofrequency ablation of ventricular tachycardia’’ [Cor et Vasa 60 (2018) e281–e286]
Publication date: Available online 17 August 2018Source: Cor et VasaAuthor(s): E. Šušková, O. Jiravský, R. Neuwirth, J. Chovančík, M. Branny (Source: Cor et Vasa)
Source: Cor et Vasa - August 18, 2018 Category: Cardiology Source Type: research

The 2018 European Heart Rhythm Association Practical Guide on the use of non-vitamin K antagonist oral anticoagulants in patients with atrial fibrillation: Summary of the document prepared by the Czech Society of Cardiology
Publication date: Available online 16 August 2018Source: Cor et VasaAuthor(s): Robert Čihák, Luděk Haman, Miloš Táborský (Source: Cor et Vasa)
Source: Cor et Vasa - August 17, 2018 Category: Cardiology Source Type: research

Bridging anticoagulation therapy
Publication date: Available online 14 August 2018Source: Cor et VasaAuthor(s): Štefan Volovár, Radka Tancošová, Richard RokytaAbstractOral anticoagulation therapy is used in patients with various diagnoses to reduce the risk of thromboembolic events or to induce a hypocoagulation state to facilitate dissolution of a thrombus. In clinical practice we often encounter anticoagulated patients, many of whom have been diagnosed with nonvalvular atrial fibrillation. Each year a significant number of these patients undergo a medical procedure, which, in some cases, requires temporary discontinuation of ...
Source: Cor et Vasa - August 14, 2018 Category: Cardiology Source Type: research

Single coronary artery with double coronary courses: Tips and tricks
Publication date: Available online 11 August 2018Source: Cor et VasaAuthor(s): Murat Gul, Ozcan Ozeke, Anil Ozen, Fatih Mehmet Ucar, Serkan Cay, Dursun ArasAbstractCongenital coronary artery anomalies are uncommon and the vast majority is diagnosed incidentally during coronary angiogram or necropsy. A single coronary artery is one of the most rarely seen coronary artery anomalies Determination of its course (inter-arterial, intra-septal, pre-pulmonic or retro-aortic) is very important regarding its clinical significance. Avoiding the misdiagnosis of an unsuspected anomalous coronary artery is critical to the patient and it...
Source: Cor et Vasa - August 12, 2018 Category: Cardiology Source Type: research

Cardioembolic stroke as consequence of myocardial infarction: Case report and concise review
Publication date: Available online 11 August 2018Source: Cor et VasaAuthor(s): Ondřej Černý, Tomáš Roubíček, Jindřich Kupec, Rostislav PolášekAbstractDespite tremendous achievements in myocardial infarction therapy, thromboembolic complications remain very serious and its prognosis often fatal. Postinfarction cardioembolic stroke is the most frequent and has the highest mortality of all ischemic stroke subtypes. In this case report we describe cardioembolic stroke from postinfarction apical left ventricular aneurysm as a first symptom of myocardial infarction. In brief literatu...
Source: Cor et Vasa - August 12, 2018 Category: Cardiology Source Type: research

Analysis of elective coronary angiography findings in patients with suspected angina pectoris in the cardiocenter Hradec Králové – Real-life clinical practice in light of the guidelines
ConclusionMost of the patients referred for elective CA had medium risk of IHD. The patient medical history alone was not a reliable predictor of IHD. The stress tests for detection of ischemia were performed scarcely with the dominance of stress electrocardiogram, which was not reliable in the ischemia detection in the clinical practice. The imaging stress tests were not used to a sufficient extent and the rate of negative elective CAs was high in the analyzed study population. (Source: Cor et Vasa)
Source: Cor et Vasa - August 11, 2018 Category: Cardiology Source Type: research

Pulmonary embolism cohort in Pisek Hospital
We present retrospective unselected cohort of 204 consecutive patients treated for pulmonary embolism at Internal medicine department of Hospital Písek. We achieved low in-patient mortality (5.88%) even with a very conservative use of thrombolysis (8.82%). In total there were 39 patients with high risk PE (2009 czech nomenclature as ``massive’’), 44 with intermediate-risk PE (2009 czech nomenclature as ``submassive’’), 121 with low-risk PE (2009 czech nomenclature as ``small’’). Data were collected before 2014 ESC guidelines and PEITHO study.CTA was performed in 81.86% of patients...
Source: Cor et Vasa - August 3, 2018 Category: Cardiology Source Type: research

Foam cell formation and cholesterol trafficking and metabolism disturbances in atherosclerosis
Publication date: Available online 25 July 2018Source: Cor et VasaAuthor(s): Alexandrina Volobueva, Dongwei Zhang, Andrey V. Grechko, Alexander N. OrekhovAbstractFoam cells are typical components of atherosclerotic plaques, where they actively participate in the intracellular cholesterol accumulation. Onset and further progression of atherosclerosis is tightly associated with foam cell formation. These cells can originate both from the circulating monocytes/macrophages and from the resident smooth muscular cells migrating to the growing lesion. Classically activated pro-inflammatory M1 macrophages play an important role in...
Source: Cor et Vasa - July 25, 2018 Category: Cardiology Source Type: research

Infected thoracic stentgraft and prosthetic graft with replacement by human aortic allograft
Publication date: Available online 17 July 2018Source: Cor et VasaAuthor(s): Vladimir Sihotsky, Peter Berek, Abraham John Mathews, Ivan Kopolovets, Maria Kubikova, Frantisek Sabol, Adrian Kolesar, Luboslav Bena, Jan Rosocha, Maria Frankovicova (Source: Cor et Vasa)
Source: Cor et Vasa - July 18, 2018 Category: Cardiology Source Type: research

Acute purulent pericarditis caused by Clostridium septicum
We describe the case of a 71-year-old man suffering from liver cirrhosis with an acute purulent pericarditis. The organism responsible for his pericarditis was Clostridium septicum; a Gram-positive obligatory pathogen, commonly associated with gastrointestinal tumours. Despite the prolonged, targeted antibiotic therapy, the infection resulted in endocarditis and the need for an urgent the aortic valve replacement. (Source: Cor et Vasa)
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

Surgical management of idiopathic constrictive pericarditis
Publication date: Available online 31 March 2017Source: Cor et VasaAuthor(s): Serkan Burç Deşer, Semih Murat YücelAbstractConstrictive pericarditis is defined as impaired diastolic cardiac function leading to heart failure, progressive fluid overload, systemic venous congestion and reduction of cardiac output. Both ventricles affected by the constriction; however, symptoms of right heart failure dominate. The congestive heart failure and normal left ventricular systolic functions are seen in the presence constrictive pericarditis. Pericardiectomy is considered as the mainstay treatment method for constrictive ...
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

Anomalous left circumflex artery occlusion: A technical challenge in primary percutaneous coronary intervention?
Publication date: Available online 31 March 2017Source: Cor et VasaAuthor(s): Giuseppe Andò, Vittorio Virga, Olimpia Trio, Alessandro Di Giorgio, Francesco SaporitoAbstractAnomalies of the coronary arteries can be found in approximately 1% of patients undergoing coronary angiography. Most coronary anomalies do not result in signs, symptoms, or complications, and usually are discovered as incidental findings at the time of catheterization. Coronary anomalies may pose several challenges to the interventional cardiologist in the emergency setting, as anomalous vessels may be difficult to find or to selectively cannulat...
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

Cardiac implantable devices and Takotsubo syndrome. A rare but potential eventuality
We report the case of a female patient who suffered from Takotsubo cardiomyopathy associated to a coronary fistula after pacemaker implantation. Its occurrence should be always remembered by the implanters, avoiding it by an appropriate psychological screening and use of conscious sedation. (Source: Cor et Vasa)
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

Anomalous left coronary artery from the pulmonary artery: A rare case diagnosed in an adult
This article reports on a 45-year-old asymptomatic man with the ALCAPA diagnosed thanks to a detailed cardiac examination, that followed the finding of the left bundle branch block and a decreased left ventricular systolic ejection fraction. Although coronary angiography and computed tomography are considered to be the key diagnostic methods for ALCAPA, in this case the diagnosis was established based on echocardiography. Previously, the patient has been under regular review by a cardiologist with the incorrect diagnosis of multiple ventricular septal defects. In fact, this diagnosis resulted from a misinterpretation of th...
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

Cardiobacterium hominis and endocarditis. Rare but important clinical relevance
Publication date: Available online 25 May 2017Source: Cor et VasaAuthor(s): Annamaria Ioppolo, Claudia Morabito, Gessica D’Amico, Antonio Taormina, Emmanuele Soraci, Giuseppe DattiloAbstractInfective endocarditis is a severe disease with high morbidity rate. Cardiobacterium hominis (CH) is a member of the HACEK group of microorganisms. We show the case of a man of 56 years with infective endocarditis on a native mitral valve, sustained by C. hominis. The relevance of this case is based on the fact that infections sustained by CH, even if not so frequent (about 1–3% of all cases), are a possible cause of infecti...
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

Case report of an unusual presentation of aortic dissection
Publication date: Available online 26 May 2017Source: Cor et VasaAuthor(s): Júlio Gil, Bruno Marmelo, Luís Abreu, Hugo Antunes, Luísa Gonçalves, Davide Moreira, Luís Ferreira dos Santos, José Costa Cabral (Source: Cor et Vasa)
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

Heart rate variability evaluation in the assessment of cardiac autonomic neuropathy in patients with type 2 diabetes
Publication date: Available online 2 June 2017Source: Cor et VasaAuthor(s): Rudolf Metelka, Lubica Cibičková, Jaromíra Gajdová, Ondřej KrystyníkAbstractIntroductionHeart rate variability (HRV) is a respected measure used in the assessment of cardiac autonomic neuropathy (CAN) and it can serve as an independent prognostic indicator of sudden arrhythmic death risk. Despite the importance of early detection, the diagnosis of CAN is often made too late, especially in diabetics. Besides the long subclinical phase of CAN, reasons for this include great diversification of employed diagnostic methods ...
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

A new lesion in an old stent: A new insight into very late stent thrombosis
Publication date: Available online 20 June 2017Source: Cor et VasaAuthor(s): Kamran Majeed, Richard Alcock (Source: Cor et Vasa)
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

Media sclerosis Mönckeberg affects microcirculation
Publication date: Available online 23 June 2017Source: Cor et VasaAuthor(s): P. Lanzer, C. ZouboulisAbstractMedia sclerosis Mönckeberg is known to be associated with progressive deposits of crystalline and amorphous hydroxyapatite within the media of large arteries. Here we provide evidence for calcifications within microcirculation in a 66-year-old patient with known and documented media sclerosis Mönckeberg of large peripheral arteries. (Source: Cor et Vasa)
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

An unusual case of a subacute right ventricular perforation from a pacemaker lead with subsequent left hemothorax
Publication date: Available online 5 July 2017Source: Cor et VasaAuthor(s): Ryan K. Dean, Rogin Subedi, Dalvir Gill, Amitpal Nat (Source: Cor et Vasa)
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

Acute temponade due to postinfarction myocardial rupture successfully managed with urgent pericardiotomy
Publication date: Available online 8 July 2017Source: Cor et VasaAuthor(s): Shi-Min Yuan, Jin-Zao Chen, Yao-Hua Yu, Liang-Qing Lin, Xiang-Kui Fang, Jing LinAbstractPostinfarction myocardial rupture is rare and fatal. A 60-year-old female developed hemodynamic collapse after 2-h acute precordial pains. Acute tamponade and cardiogenic shock were confirmed. The patient underwent urgent pericardiotomy under the aid of intraaortic balloon pump and inotropic infusions. The differential diagnosis of acute chest pain is important. Early diagnosis and prompt surgical intervention of acute temponade are crucial for rescuing the pati...
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

Subclavian artery stenosis: An unusual cause of periprocedural myocardial infarction following the surgical myocardial revascularization
Publication date: Available online 19 July 2017Source: Cor et VasaAuthor(s): T. Lopuchovský, M. Moščovič, R. Novotný, A. Kolesár, Š. Lukačín, F. SabolAbstractThe introduced case report explains the atypical periprocedural myocardial infarction following the surgical myocardial revascularization. 60-year-old man has undergone the coronary bypass surgery with arterial graft of left mammary artery (LIMA) to left anterior descending artery (LAD) and venous graft to posterior interventricular branch of right coronary artery. Early in the post-surgery period a perioperative myocardial...
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

Iatrogenic life-threating condition in a patient with multiple rare disorders
Publication date: Available online 23 July 2017Source: Cor et VasaAuthor(s): Martyna Zaleska, Olga Możeńska, Mariola Laszuk, Piotr Suwalski, Dariusz Artur KosiorAbstractAndersen–Tawil syndrome (long QT syndrome 7) is a rare inherited disorder, characterized by periodic paralysis, long QT, ventricular arrhythmias and skeletal abnormalities.A 52-year-old female with a history of long QT-syndrome, ICD implantation (secondary prevention of cardiac arrest) and systemic vasculitis was admitted due to an electrical storm caused by endocarditis. She was admitted again short after discharge due to multi-organ failure, which...
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

Mexiletine as a one effective alternative for antiarrhythmic drugs and ablation resistant electrical storm – A case report
We present case of 78-year-old male transferred to our Department due to multiple episodes of malignant ventricular arrhythmias refractory to previous antiarrhythmic treatments (device settings optimization, amiodarone treatment, lidocaine infusion and optimal pharmacotherapy). Additionally, patient had ischemic end-stage heart failure and implanted CRT-D. We excluded secondary causes of electrical storm and due to inefficacy of medical therapy, we applied radiofrequency ablation. During 1st day after procedure life-threatening VT/VF recurred. As our last choice, we modified therapy and introduced mexiletine, what resulted...
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

An anomalous case of S-ICD malfunctioning: A big trouble or a soap bubble?
Publication date: Available online 2 August 2017Source: Cor et VasaAuthor(s): Pasquale Crea, Angela Nicotera, Bruna Crea, Antonio Taormina, Giuseppe PiccioloAbstract12 h after the implant of a S-ICD the patient accused an inappropriate shock due to noise oversensing. ICD interrogation showed undersensing of ventricular signals on primary vector and significative noise on alternative vector. Surprisingly, 2 days full recovery of sensing of primary vector was observed. Trapped air was likely to be the cause of malfunctioning. (Source: Cor et Vasa)
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

Recurrent infective endocarditis as a manifestation of Loeffler's endocarditis: The diagnostic importance of cardiac magnetic resonance imaging
We present a 60-year-old patient with a history of recurrent infective endocarditis due to different Streptococcus species. Transthoracic echocardiography (TTE) revealed a circumscript echodense structure near the apex of the left ventricle, suggestive of a vegetation. Positron emission tomography revealed increased activity at the same site of the left ventricle and showed no other abnormalities. The patient was treated with intravenous antimicrobial therapy for each episode of infective endocarditis (3x). The vegetation near the apex remained visible on follow-up TTE. Diagnostic cardiac magnetic resonance imaging (CMR) w...
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

Transcatheter aortic valve replacement – Therapeutical option in a patient with complex heart disease
Publication date: Available online 26 August 2017Source: Cor et VasaAuthor(s): P. Zdráhal, J. Bis, P. Polanský, J. Dušek, J. ŠťásekAbstractAuthors are presenting a case report describing diagnostic and therapeutic approach in patient with severe dyspnoea. The dominant cause of the symptoms was combined aortic valve disease and monstrous obesity. The other findings were combined mitral valve disease and provoked midventricular obstruction of the left ventricle. A complex cardiac surgery was not recommended due to the aortic valve annulus size, massive calcification of both mitral and aort...
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

Rupture of free wall of left ventricle in a patient with takotsubo cardiomyopathy
Publication date: Available online 20 September 2017Source: Cor et VasaAuthor(s): Jan Hulka, Jiri SoukupAbstractTakotsubo cardiomyopathy (TTC) belongs to rare heart disease with symptoms imitating acute coronary syndrome with ST segment elevation. Usually, it occurs predominantly in postmenopausal women. In most cases, the disease has an uncomplicated course, but some patients may develop severe complications (e.g. cardiogenic shock, severe heart failure, malignant arrhythmia, thromboembolism or myocardial wall rupture). This case report describes an 82-year-old man with TTC complicated rupture of the left ventricular free...
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

Dual-lumen catheter in coronary chronic occlusions
We report three CTO cases successfully treated using a dual-lumen catheter after other crossing strategies failed to cross the occlusion. This tool is easy and reliable to use and could be useful in similar situations in CTO cases. (Source: Cor et Vasa)
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

The importance of a higher dose of a mineralocorticoid receptor antagonist in reducing risk of recurrent hospitalization in a patient with advanced chronic heart failure – A case report
Publication date: Available online 22 September 2017Source: Cor et VasaAuthor(s): G. Mairgani, V. Mála, F. MálekAbstractThe authors present the significance of a higher dose of a mineralocorticoid receptor antagonist in reducing the frequency of hospitalizations for decompensated heart failure in a 67-year-old patient suffering from advanced chronic heart failure. (Source: Cor et Vasa)
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

Arrhythmogenic cardiomyopathy of left ventricle. A rare event, but possible
Publication date: Available online 23 October 2017Source: Cor et VasaAuthor(s): Michele Scarano, Germana Gizzi, Cesare MantiniAbstractArrhythmogenic right ventricular dysplasia (ARVD) is a form of inherited cardiomyopathy characterized by fibro-fatty substitution mainly right ventricular (RV). Affected patients may succumb to life-threatening ventricular arrhythmias and heart failure. It is even more common among athletes who experience sudden cardiac death (SCD). The disease involvement is not limited only to the RV, but the left ventricle (LV) can also be involved. We have reported a case of a 38 years-old man, with two ...
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

Combined orthotopic heart transplantation followed by autologous stem cell transplantation in a patient with light chain amyloidosis and isolated cardiac involvement
We present a case of amyloidosis AL with isolated myocardial involvement. Because of a refractory heart failure picture, patient underwent orthotopic heart transplant (OHT). The replaced heart showed an important midwall infiltration. Ten months after he underwent autologous stem-cell transplantation (ASCT) with a favorable outcome. The case demonstrates that OHT followed by ASCT in highly selected patients with light chain amyloidosis is a life-saving procedure. (Source: Cor et Vasa)
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

“Acute coronary syndrome” and heart failure caused by a large hiatal hernia
Publication date: Available online 11 November 2017Source: Cor et VasaAuthor(s): Jiří Holý, Pavel Červinka, Nedal Omran, Ján KoscelanskýAbstractUpside down stomach (UDS) as a severe form of hiatal hernia has various clinical scenarios. Patients could be asymptomatic or present with haemodynamic collapse due to mechanical compression of the mediastinum.We herein present a case of 71-year-old woman referred to our clinic due to acute coronary syndrome with acute onset of heart failure, which was treated accordingly. Throughout the diagnostic and therapeutic process, a diagnosis of an incarcerate...
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

Ventricular fibrillation as a primary manifestation of Wolff–Parkinson–White syndrome
Publication date: Available online 20 November 2017Source: Cor et VasaAuthor(s): Tereza Eichlerová, Jiří Knot, Pavel OsmančíkAbstractWolff–Parkinson–White syndrome (WPW) is defined as a condition involving an accessory pathway associated with symptoms. A typical ECG pattern of a pre-excitation shows a short PQ interval, presence of delta wave and a broad QRS complex on surface ECG. The underlying mechanism involves an accessory pathway, which enables conduction of a depolarization wave from atria to ventricles bypassing the AV node and predisposes to arrhythmias and sudden cardiac death. ...
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

An unrecognized combined congenital heart defect – Bicuspid aortic valve and ventricular septal defect as a cause of acute heart failure in adulthood
We report on a case of 51-year-old man with an unrecognized combined congenital heart defect: bicuspid aortic valve (with severe aortic insufficiency), a serious defect of ventricular septum (with pulmonary hypertension) and severe tricuspid valve insufficiency, presenting as an acute heart failure. (Source: Cor et Vasa)
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

Giant-cell myocarditis – A case report and a brief review
Publication date: Available online 20 November 2017Source: Cor et VasaAuthor(s): Jan Látal, Miloslav Špaček, Jan Přeček, Zbyněk Tüdös, Martin Hutyra, Tomáš Tichý, Miloš TáborskýAbstractGiant-cell myocarditis is an extremely rare disease with high morbidity and mortality. In the majority of cases, the course of the disease is in the form of fulminant myocarditis. The cornerstone of the treatment is aggressive immunosuppresive therapy in addition to heart failure treatment, however the need for mechanical circulatory support or heart transplant is high. In...
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

Cardiac arrest in patient with significant pulmonary regurgitation after surgical valvulotomy at 10 years of age for isolated pulmonary stenosis
We present the case of a 46-year-old man with gradually progressing pulmonary regurgitation after surgical valvulotomy at 10 years of age. Despite regular follow-ups by the cardiologist, the patient was never referred to a specialized centre and cardiac arrest caused by ventricular fibrillation occurred after physical exercise. (Source: Cor et Vasa)
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

Surgical resection of occluded abdominal stent graft followed by aorto-bi-iliac vascular reconstruction with Intergard Synergy vascular prosthesis
ConclusionWhen endovascular treatments of stent grafts’ branch occlusion fail, surgical treatment, despite its higher perioperative risks and technical challenges, remains the only treatment option. (Source: Cor et Vasa)
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

Impact of radial and femoral access on radiation dose and fluorography time in patients with acute coronary syndrome
ConclusionWe found that the radiation dose was lower in femorally accessed group. Although radiation dose is not the main concern in patients with acute coronary syndromes, our results suggest that femoral access can be preferred over radial access in certain situations. (Source: Cor et Vasa)
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

Prognostic value of cystatin C in relation to other markers of renal function in early prediction of hospital mortality and major cardiac adverse events in patients with ST elevation myocardial infarction treated by primary percutaneous coronary intervention
Publication date: Available online 6 December 2017Source: Cor et VasaAuthor(s): Jan Přeček, Martin Hutyra, Martin Sněhota, Jiří Jarkovský, Tomáš Adam, Miloslav Špaček, Štěpán Hudec, Miloš TáborskýAbstractIntroductionCystatin C has been implicated as a prognostic marker in cardiovascular diseases. The aim of prospective study was to evaluate the benefits of measuring cystatin C for prognostic stratification to predict hospital mortality and the rates of major cardiac adverse events (MACE) in ST elevation myocardial infarction (STEMI) patients and to...
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

Cardiac resynchronization therapy – A comparison of VV delay optimization by 3D echocardiography using systolic dyssynchrony index and QRS width assessment at 6 months after CRT implantation
ConclusionIndividual CRT optimization using SDI compared with QRS duration assessment did not reveal any significant differences in echocardiographic parameters and clinical outcomes at 6-month follow-up. (Source: Cor et Vasa)
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

Education in the area of heart and vessel diseases for 40+ citizens
Publication date: Available online 6 January 2018Source: Cor et VasaAuthor(s): Věra Olišarová, Valérie Tóthová, Lenka Šedová, Sylva Bártlová, Ivana Chloubová, Helena Michálková, Radka Prokešová, Marie TrešlováAbstractIntroduction and goalThe heart and vessel diseases rank among main causes of death worldwide. In the Czech Republic, they account for a high proportion of hospitalizations. Although such diseases can be very well influenced through elimination of influenceable risk factors, their prevalence in the C...
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research