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 5, 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 5, 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 5, 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 5, 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 5, 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 5, 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 5, 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 5, 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 5, 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 5, 2018 Category: Cardiology Source Type: research
The prognostic value of exercise stress echocardiography – Validation of a newly implemented method in our center
ConclusionExercise stress echocardiography in hands of an experienced operator is a safe and valuable method. Negative result of a diagnostic exercise stress echocardiography has, based on our experience, an excellent negative predictive value concerning cardiovascular morbidity and mortality within the 17 month-time median. (Source: Cor et Vasa)
Source: Cor et Vasa - July 5, 2018 Category: Cardiology Source Type: research
Scimitar syndrome – A case report
Publication date: Available online 15 February 2018Source: Cor et VasaAuthor(s): Juraj Bujdák, Jiří Vondrák, Jan Matějka, Pavel Král, Bořivoj KorbelAbstractThe authors present a case of a rare congenital cardiopulmonary anomaly. In the discussion section, possible associated disorders, clinical syndromes and diagnostic possibilities are considered. The case report is supported by the chest radiograph and the 2D and 3D computer tomography scans. (Source: Cor et Vasa)
Source: Cor et Vasa - July 5, 2018 Category: Cardiology Source Type: research
Rare cause of recurrent systemic embolism in a middle-aged woman with undiagnosed lung A-V malformation
We report a case of the recurrent systemic embolism in a 48-year-old woman without previous medical history. Gradual clinical development revealed a combination of rare anatomical and pathological findings. The first manifestation of the disease in the patient was repeated systemic embolization in the left arm requiring repeated surgical embolectomy in a very short time sequence. In a parallel search for a possible source, clinically silent pulmonary embolism, patent foramen ovale and significant vascular A-V malformation in the left lung were diagnosed. In the subsequent period, there was an unexpected event of an acute m...
Source: Cor et Vasa - July 5, 2018 Category: Cardiology Source Type: research
Acute coronary syndrome and coronary microfistulae left ventricular. A rare event, but possible
Publication date: Available online 12 March 2018Source: Cor et VasaAuthor(s): Francesco Messina, Sergio CroscaAbstractCoronary fistulae are rare anatomic anomalies and those ones draining in left ventricle have low incidence. Apical hypertrophy of left ventricle is a relatively rare manifestation of hypertrophic cardiomyopathy, sometimes associated with coronary fistulae. We show the case of a coronary microfistulae draining on left ventricle associated with an apical hypertrophic cardiomyopathy which manifested for the first time as an acute coronary syndrome NSTEMI. (Source: Cor et Vasa)
Source: Cor et Vasa - July 5, 2018 Category: Cardiology Source Type: research
Cost effectiveness analysis of out-patient and remote monitoring of patients after pacemaker replacement from the perspective of the health care payer
ConclusionRemote monitoring, is from the perspective of the health care payer, not associated with costs reduction in patients after pacemaker replacement due to battery depletion compared to standard out-patient follow-up. (Source: Cor et Vasa)
Source: Cor et Vasa - July 5, 2018 Category: Cardiology Source Type: research
