Cardiology Rehabilitation wards: Isolation of Staphylococcus capitis. A risk of infection to be kept under control
We present our experience of S. capitis isolations from a patient admitted with cardiovascular disease with lower limbal diabetic ulcers. (Source: Cor et Vasa)
Source: Cor et Vasa - July 5, 2018 Category: Cardiology Source Type: research

Infarction of the left atrium resulting in its rupture
We report an 84-year-old male patient with left atrial rupture following subacute inferolateral STEMI and left atrial infarction. (Source: Cor et Vasa)
Source: Cor et Vasa - July 5, 2018 Category: Cardiology Source Type: research

Open repair of a symptomatic popliteal artery aneurysm in a 71-year-old patient: Case report
ConclusionUp-to-date, open surgical resection remains a gold standard in the treatment of PAA with superior long-term results over endovascular techniques. Nevertheless, new endovascular techniques are becoming more sophisticated, allowing us to use these endovascular modalities as an alternative treatment option in selected patients. (Source: Cor et Vasa)
Source: Cor et Vasa - July 5, 2018 Category: Cardiology Source Type: research

Residual syntax score can predict short- and long-term outcomes in patients with STEMI
ConclusionrSS, which is an indirect marker of incomplete revascularisation, was independently correlated with recurrent MI and MACE after STEMI. (Source: Cor et Vasa)
Source: Cor et Vasa - July 5, 2018 Category: Cardiology Source Type: research

Cardiac resynchronization therapy in the Czech Republic – Data from the EHRA CRT Survey II multicenter registry
ConclusionThe second CRT registry is a valuable source of information on current clinical practices, indications, and results regarding this invasive heart failure therapy. Comparisons of data derived from the Czech Republic with the other ESCMS data set showed that the Czech Republic is among the top 10 countries with respect to the number of procedures, implantation success, and low complication rates. However, use of telemonitoring systems is rather low compared to the European average. A significant number of patients were indicated for CRT based on indications not covered by the Class I of the current recommendations ...
Source: Cor et Vasa - July 5, 2018 Category: Cardiology Source Type: research

Hyperacute T waves in inferior leads as a dynamic sign of evolving STEMI
ConclusionHyperacute tall and broad-based symmetric T waves are transient and thus uncommonly seen, but they can be the very first ECG evidence of total coronary occlusion and transmural ischemia. Early recognition of this ECG pattern is crucial to ensure diagnosis and optimal treatment of patients with STEMI, which consist in immediate reperfusion by primary angioplasty. (Source: Cor et Vasa)
Source: Cor et Vasa - July 5, 2018 Category: Cardiology Source Type: research

The long-term effects of individual cardiac rehabilitation in patients with coronary artery disease
ConclusionHome based cardiac rehabilitation and regular physical activity significantly improves long-term cardiac morbidity in patients with coronary artery disease. (Source: Cor et Vasa)
Source: Cor et Vasa - July 5, 2018 Category: Cardiology Source Type: research

Biomarkers of renal function in prognostic stratification of patients with acute coronary syndrome
Publication date: April 2018Source: Cor et Vasa, Volume 60, Issue 2Author(s): Jan Přeček, Martin Hutyra, František Kováčik, Jiří Orság, Miloš TáborskýAbstractThere is close pathophysiological interaction between the kidneys and the heart, affecting, among others, the risk for development and prognosis of many cardiovascular disease. Early risk stratification of patients with acute coronary syndrome (ACS) is important for optimizing their therapy. Presented is an overview of prognostic stratification of ACS patients according to baseline levels of renal function biomarkers. Apart from classic biomarkers (creatini...
Source: Cor et Vasa - July 5, 2018 Category: Cardiology Source Type: research

Valve preserving surgery in patients with bicuspid aortic valve
ConclusionBicuspid aortic valve repair is a safe procedure, which can be performed with acceptable midterm results. Risk of repair failure depends on preoperative valve morphology and choice of repair technique. Repair technique needs to be tailored to the specific anatomy of the valve. (Source: Cor et Vasa)
Source: Cor et Vasa - July 5, 2018 Category: Cardiology Source Type: research

Inappropriate left ventricular hypertrophy as a tool for risk stratification in patients with essential hypertension
Publication date: April 2018Source: Cor et Vasa, Volume 60, Issue 2Author(s): Sergiy LozinskyAbstractThe alternative method of appropriate left ventricular mass prediction in subjects with normal BP and arterial hypertension was proposed. Also the associations of new indicator of LVM inappropriateness with myocardial infarction, stroke and persistent atrial fibrillation were studied.The study consisted of 2 stages. On the first stage 630 untreated hypertensive patients and 206 normotensive persons were studied using methods of office blood pressure (OBP) measurement, echocardiography (ECG), ambulatory blood pressure monito...
Source: Cor et Vasa - July 5, 2018 Category: Cardiology Source Type: research

Cardiorenal interactions
Publication date: April 2018Source: Cor et Vasa, Volume 60, Issue 2Author(s): Vladimir Tesar, Jan VachekAbstractCardiorenal interactions are bidirectional. Renal hypoperfusion in patients with acute or chronic heart disease is associated with increased mortality and increased risk of end-stage renal disease. Heart damage and/or dysfunction in patients with acute and chronic kidney disease has significant negative impact on the patient survival. Awareness and early diagnosis and therapy may help to ameliorate negative consequences of the other organ damage, especially in acute setting. Search for therapeutic interventions a...
Source: Cor et Vasa - July 5, 2018 Category: Cardiology Source Type: research

Late infective endocarditis of an Amplatzer atrial septal device twelve years after implantation
Publication date: April 2018Source: Cor et Vasa, Volume 60, Issue 2Author(s): Tomáš Toporcer, Adrián Kolesár, Martin Ledecký, František SabolAbstractInfective endocarditis was initially defined as a disease of patients with pre-existing valvular abnormalities. In contemporary medicine a valvular prosthesis and implanted medical devices are the most common risk factors for infective endocarditis.A case report is presented regarding an 18-year-old female with a medical history of a 12-year implanted Amplatzer occluder. Echocardiography showed an endocarditis focus in the right atrium communicating to the left atrium an...
Source: Cor et Vasa - July 5, 2018 Category: Cardiology Source Type: research

Management of cardiac sarcoidosis – A practical guide
Publication date: April 2018Source: Cor et Vasa, Volume 60, Issue 2Author(s): Petr Kopriva, Martin Griva, Zbynek TüdösAbstractSarcoidosis is a multi-system granulomatous disorder of unclear etiology which can affect any organ of the body including the heart. The heart is involved in up to 25% of sarcoidosis patients. In rare cases, the heart can be the only organ involved.Involvement of the heart, called cardiac sarcoidosis, especially if symptomatic, significantly deteriorates the prognosis for sarcoidosis patients, which is why cardiac sarcoidosis should be not only considered, but also searched for actively. Despite r...
Source: Cor et Vasa - July 5, 2018 Category: Cardiology Source Type: research

Carotid endarterectomy during the acute period of ischemic stroke
ConclusionsUrgent CEA is indicated in patients with unstable neurological symptoms as well as for those with unstable atherosclerotic plaques. Considering a high risk of stroke recurrence within the first 14 days urgent CEA is effective in the prevention of recurrent stroke. Only 2.2% patients developed postoperatively stroke. (Source: Cor et Vasa)
Source: Cor et Vasa - July 5, 2018 Category: Cardiology Source Type: research

Enteric-coated aspirin in cardiac patients: Is it less effective than plain aspirin?
Publication date: April 2018Source: Cor et Vasa, Volume 60, Issue 2Author(s): Radovan Jirmář, Petr WidimskýAbstractThe aim of this review article is to make readers aware of the risk of an inadequate antiplatelet effect of enteric-coated formulations of aspirin. Judging by data from studies published to date and exploring the efficacy of various aspirin formulations, there exist sufficient evidences only of a plain form of aspirin absorbed in the stomach. The implication is that patients with coronary heart disease (CHD) should be treated exclusively with the standard formulation of aspirin. (Source: Cor et Vasa)
Source: Cor et Vasa - July 5, 2018 Category: Cardiology Source Type: research