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
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 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 Czech population is still high. That leads to rising need to increase the efficiency of health ed...
Source: Cor et Vasa - July 10, 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 10, 2018 Category: Cardiology Source Type: research
The positive impact of a four-week Cardiac Rehabilitation program on depression levels of cardiological patients
ConclusionThe decreased levels of depression showed the positive impact of Cardiac Rehabilitation program where structured activities have many beneficial effects on the psychological status of patients. The current findings suggested to consider gender difference and presence of social support to set up interventions for patients with heart disease. (Source: Cor et Vasa)
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research
Cardiac implantable electronic devices and chemotherapy: A risky combination
We present a case of CHT-induced CDE in a 64-year-old male with multiple cardiac risk factors. (Source: Cor et Vasa)
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research
Atrial fibrillation, oral anticoagulants and health related quality of life
ConclusionNOAC usage correlates with the best health related quality of life scores, gaining a statistically significant difference compared to warfarin users in physical functioning (warfarin – 95.85, NOACs – 124.57; p = 0.012) and social functioning mean ranks (warfarin – 95.16, NOACs – 119.08; p = 0.026). Age had low negative correlation with physical functioning scores. (Source: Cor et Vasa)
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research
Our experience with surgical minimally invasive aortic valve replacement
ConclusionIn this study we describe our technique and results of minimally invasive aortic valve replacement in our institution. Based on our results, we evaluate this technique as safe and well reproducible. (Source: Cor et Vasa)
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research
Alternating bundle-branch block in acute coronary syndrome
We present a case of a patient with a known left bundle-branch block (LBBB) who developed a new right bundle-branch block (RBBB) in a setting of acute coronary syndrome. Coronary angiogram revealed subtotal proximal LAD stenosis that was resolved with stent implantation. After the percutaneous coronary intervention RBBB disappeared and LBBB reappeared. The probable reason for the alternating bundle-branch block in the presented case is a new origin of ventricular impulses after initial medical treatment. New onset RBBB has been an intriguing clinical entity often associated with acute myocardial infarction. RBBB could be a...
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research
Late recurrence of fulminant myocarditis related to HSS/DRESS
Publication date: Available online 1 February 2018Source: Cor et VasaAuthor(s): Miguel Ardérius, Miguel Nobre Menezes, Tiago Marques, Dulce Brito, Ana Ortins-Pina, Mónica Mendes Pedro, Fausto Pinto, Fátima VeigaAbstractHypersensitivity Syndrome or Drug Reaction with Eosinophilia and Systemic Symptoms (HSS/DRESS) is a rare pharmacological hypersensitivity reaction that may include cardiac involvement, with high mortality and long-term heart failure.A 28-year-old woman, two months after the diagnosis of DRESS secondary to sulfasalazine, developed fulminant eosinophilic necrotizing myocarditis. After intensive multiorgan s...
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research
Infectious aneurysm of the ascending aorta – Successful conservative treatment in a high-risk patient
We report a case of an infectious aneurysm of the ascending aorta with an atypical clinical manifestation and a complicated diagnostic process, which resulted in successful comprehensive conservative management of a high-risk patient who rejected radical surgical treatment. (Source: Cor et Vasa)
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research
Development of early reperfusion after the first episode of acute pulmonary embolism
ConclusionThe analysis did not identify risk factors significantly associated with the absence of early reperfusion of the PE. This points toward the need of further follow-up of patients after a PE with the aim of identifying the patients with the high risk of developing the chronic thromboembolic disease and CTEPH. (Source: Cor et Vasa)
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research
Use of OPCAB in Czechia 2010–2015: Have we learned any lessons?
ConclusionsThe prevalence of OPCAB in Czech Republic has decreased. However, it is unclear whether this is due to the recent widely respected prospective randomized clinical trials. Published papers have not shown the superiority of OPCAB in high-risk patients, yet Czech cardiac surgeons prefer this strategy, especially in patients with a history of renal insufficiency. In that point, the community of Czech cardiac surgeons seems to have become more conservative with a trend toward incomplete revascularization. (Source: Cor et Vasa)
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research
Should we fear infarct-like myocarditis?
ConclusionInfarct-like myocarditis was the most common presentation of acute myocarditis during the observation time. No patient had an early recurrence of the disease (i.e., within 1 year) and no left ventricular (LV) systolic dysfunction was developed. Infarct-like myocarditis has a specific feature that differs from other types of myocarditis. It has good prognosis, which is independent of physical exertion starting 1 month after hospital discharge. (Source: Cor et Vasa)
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research
