Chronic heart failure – Impact of the condition on patients and the healthcare system in the Czech Republic: A retrospective cost-of-illness analysis
Conclusion The data from clinical practice confirm that patients with chronic HF discharged from acute heart failure hospitalization are at high risk of death and/or subsequent hospitalization. The average annual costs for all-cause hospitalizations of CHS patients within the first and second years are CZK 58,528 and CZK 23,082 per patient, respectively. The costs attributed to all-cause hospitalization care of chronic HF patients can be estimated as approximately 7.7% of all annual inpatient expenses of health insurance companies and 2.7% of total healthcare expenditures in the Czech Republic. (Source: Cor et Vasa)
Source: Cor et Vasa - April 6, 2018 Category: Cardiology Source Type: research
Role of serum MicroRNA-499 as a diagnostic marker in acute myocardial infarction (AMI)
Publication date: Available online 5 April 2018 Source:Cor et Vasa Author(s): Kuzhandai Velu, R. Ramesh, R. Medha, Kulkarni Sweta, Mohammad Hanifa Acute myocardial infraction is one of the leading causes of morbidity and mortality in developing countries such as India and even worldwide. Its etiology is complicated because of several confounding factors involved in its pathogenesis. Recently, MicroRNA has been recognized to play an important role in predicting the diagnosis and prognosis of myocardial infarction. MiR-499 plays a pivotal role in the recovery of cardiac cell, following injury. Since several studies ha...
Source: Cor et Vasa - April 5, 2018 Category: Cardiology Source Type: research
Impact of the radial versus femoral access for primary percutaneous intervention on smoking cessation rates: A paradoxus between the health related quality of life and smoking quitting?
Conclusion This study shows that the smoking cessation was lower in RA group compared to FA group. The more comfortable conditions of STEMI management related to RA may cause a lower awareness of the disease severity and lower motivation to quit smoking. Therefore, it is important to inquire about smoking status at each clinical encounter, particularly in patients undergoing pPCI by the radial approach. (Source: Cor et Vasa)
Source: Cor et Vasa - April 3, 2018 Category: Cardiology Source Type: research
The long-term effects of individual cardiac rehabilitation in patients with coronary artery disease
Conclusion Home 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 - March 31, 2018 Category: Cardiology Source Type: research
Hyperacute T waves in inferior leads as a dynamic sign of evolving STEMI
Conclusion Hyperacute 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 - March 27, 2018 Category: Cardiology Source Type: research
Residual syntax score can predict short- and long-term outcomes in patients with STEMI
Conclusion rSS, 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 - March 24, 2018 Category: Cardiology Source Type: research
Cardiac resynchronization therapy in the Czech Republic – Data from the EHRA CRT Survey II multicenter registry
Conclusion The 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 - March 24, 2018 Category: Cardiology Source Type: research
Open repair of a symptomatic popliteal artery aneurysm in a 71-year-old patient: Case report
Conclusion Up-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 - March 19, 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 - March 17, 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 2018 Source:Cor et Vasa Author(s): Francesco Messina, Sergio Crosca Coronary 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 - March 14, 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
Conclusion Remote 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 - March 14, 2018 Category: Cardiology Source Type: research
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 - March 14, 2018 Category: Cardiology Source Type: research
Ruptured non-coronary sinus of Valsalva aneurysm into the right atrium in 44-year-old patient
Publication date: February 2018 Source:Cor et Vasa, Volume 60, Issue 1 Author(s): Andrey Slautin, Vladimír Mikulenka, Jaroslav Hlubocký, Róbert Novotný, Miroslav Špaček, Vladimír Vondráček, Jaroslav Lindner We hereby present a case report of ruptured sinus of Valsalva aneurysm into the right atrium in 44-year-old patient with 8-month progressive exertional dyspnoea, occasional palpitations and oedema of lower extremities. A massive left-to-right shunt between the outflow tract of the left ventricle and right atrium was discovered from the echocardiogram examination. The patient was indicated for surgery, ...
Source: Cor et Vasa - March 2, 2018 Category: Cardiology Source Type: research
The use of echocardiography in acute cardiovascular care. Summary of the document prepared by the Czech Society of Cardiology
Publication date: February 2018 Source:Cor et Vasa, Volume 60, Issue 1 Author(s): Martin Hutyra, Tomáš Paleček, Milan Hromádka Echocardiography is one of the most powerful diagnostic and monitoring tools available to the modern emergency/critical care practitioner, and the provision of echocardiography is fundamental to the management of patients with acute cardiovascular disease. Echocardiography can provide important information throughout the whole patient pathway, having been shown to change therapy in 60–80% of patients in the pre-hospital setting, improve diagnostic accuracy and efficiency in the emergency...
Source: Cor et Vasa - March 2, 2018 Category: Cardiology Source Type: research
Panvascular risk factor – Diabetes
Publication date: February 2018 Source:Cor et Vasa, Volume 60, Issue 1 Author(s): Ramalingam Vadivelu, Rajesh Vijayvergiya Diabetes mellitus is the metabolic bed rock on which macrovascular and microvascular complications develop, hence diabetes is often regarded as a panvascular risk factor. Diabetes, a major risk factor of coronary artery disease (CAD), is also a maker for systemic atherosclerosis. Macrovascular complications include CAD, cerebrovascular disease and peripheral arterial disease (PAD), while microvascular complications include retinopathy, nephropathy and neuropathy. The underlying pathophysiological m...
Source: Cor et Vasa - March 2, 2018 Category: Cardiology Source Type: research
