PanVascular medicine issue of Cor et Vasa
Publication date: February 2018 Source:Cor et Vasa, Volume 60, Issue 1 Author(s): Michael Aschermann (Source: Cor et Vasa)
Source: Cor et Vasa - March 2, 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 - March 2, 2018 Category: Cardiology Source Type: research
Heart failure and inhibition of renin –angiotensin–aldosterone system
Publication date: Available online 1 March 2018 Source:Cor et Vasa Author(s): Jiří Vítovec, Jindřich Špinar, Lenka Špinarová A historical survey is presented of mortality clinical trials focussed on the inhibition of the renin–angiotensin–aldosterone system on different levels in patients with chronic heart failure. The first study, CONSENSUS, was published in 1987 and showed that the ACE-inhibitor enalapril clearly reduced mortality in severe heart failure compared with placebo. This was followed by studies with beta blockers, angiotensin II type 1 receptor blockers, blockers of mineralocorticoid receptors...
Source: Cor et Vasa - March 2, 2018 Category: Cardiology Source Type: research
Panvascular disease – Diagnosis and management
Publication date: Available online 15 February 2018 Source:Cor et Vasa Author(s): Katerina K. Naka, Victor Aboyans, Charalambos Vlachopoulos Panvascular disease (PVD) increases significantly the risk for cardiovascular events (myocardial infarction, stroke and cardiovascular death); the more sites affected, the greater the risk of a major cardiac event. Despite its high incidence and severe cardiovascular prognosis, PVD has still not been well studied. History of risk factors and co-morbidities, as well as a detailed physical examination, are mandatory in the initial screening and diagnostic work-up. The ankle-brachia...
Source: Cor et Vasa - February 16, 2018 Category: Cardiology Source Type: research
Scimitar syndrome – A case report
Publication date: Available online 15 February 2018 Source:Cor et Vasa Author(s): Juraj Bujdák, Jiří Vondrák, Jan Matějka, Pavel Král, Bořivoj Korbel The 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 - February 16, 2018 Category: Cardiology Source Type: research
The prognostic value of exercise stress echocardiography – Validation of a newly implemented method in our center
Conclusion Exercise 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 - February 16, 2018 Category: Cardiology Source Type: research
Use of OPCAB in Czechia 2010 –2015: Have we learned any lessons?
Conclusions The 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 - February 14, 2018 Category: Cardiology Source Type: research
Should we fear infarct-like myocarditis?
Conclusion Infarct-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 - February 14, 2018 Category: Cardiology Source Type: research
Development of early reperfusion after the first episode of acute pulmonary embolism
Conclusion The 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 - February 7, 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 - February 2, 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 - February 2, 2018 Category: Cardiology Source Type: research
Late recurrence of fulminant myocarditis related to HSS/DRESS
Publication date: Available online 1 February 2018 Source:Cor et Vasa Author(s): Miguel Ardérius, Miguel Nobre Menezes, Tiago Marques, Dulce Brito, Ana Ortins-Pina, Mónica Mendes Pedro, Fausto Pinto, Fátima Veiga Hypersensitivity 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 multior...
Source: Cor et Vasa - February 2, 2018 Category: Cardiology Source Type: research
The positive impact of a four-week Cardiac Rehabilitation program on depression levels of cardiological patients
Conclusion The 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 - January 30, 2018 Category: Cardiology Source Type: research
Cardiorenal interactions
Publication date: Available online 17 January 2018 Source:Cor et Vasa Author(s): Vladimir Tesar, Jan Vachek Cardiorenal 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 - January 30, 2018 Category: Cardiology Source Type: research
The use of echocardiography in acute cardiovascular care
Publication date: Available online 17 January 2018 Source:Cor et Vasa 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 - January 30, 2018 Category: Cardiology Source Type: research
