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 5, 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 5, 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 5, 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 5, 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 incarcerated UDS was established as...
Source: Cor et Vasa - July 5, 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. The most common arrhythmia...
Source: Cor et Vasa - July 5, 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 5, 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 our case report, we present a patient suffering from gi...
Source: Cor et Vasa - July 5, 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 5, 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 5, 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 5, 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
ConclusionsCystatin C is a predictor of early outcome comparable with the GRACE score in patients with STEMI. (Source: Cor et Vasa)
Source: Cor et Vasa - July 5, 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 5, 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 Czech population is still high. That leads to rising need to increase the efficiency of health ed...
Source: Cor et Vasa - July 5, 2018 Category: Cardiology Source Type: research
Left atrial myxoma complicated with a myocardial infarction in a 10-year-old boy: A case report and review of the literature
Publication date: Available online 17 January 2018Source: Cor et VasaAuthor(s): Ahmed. Sghaier, Nejeh. Ben Halima, Ghada. Hamila, Houssem Thabet, Marwa. Ben Abdallah, Yossra. MessaoudiAbstractA 10-year-old child experienced syncope on exertion, preceded by chest pain and palpitations. The physical exam had no particularities except for a diastolic roll at the mitral area. The initial electrocardiogram showed a ventricular tachycardia successfully wiped out by cardioversion. The electrical control showed an extensive anterior myocardial infarction. Emergency Doppler echocardiography showed a dilated LV, akinesia of the apic...
Source: Cor et Vasa - July 5, 2018 Category: Cardiology Source Type: research
