The view of the Czech Society of Cardiology on the electronic healthcare

Zdeněk Gütter, Michal Štýbnar, David Kula

Cor Vasa 2017, 59(2):e103-e104 | DOI: 10.1016/j.crvasa.2017.03.006  

Electrocardiographic findings in hepatic cirrhosis and their association with the severity of disease

Leili Pourafkari, Samad Ghaffari, Leila Nazeri, Janine B. Lee, Kourosh Masnadi-Shirazi, Arezou Tajlil, Nader D. Nader

Cor Vasa 2017, 59(2):e105-e113 | DOI: 10.1016/j.crvasa.2016.01.010  

Purpose/aim: Previous studies reported prolongation of QT interval in cirrhotic patients. We aimed to investigate the electrocardiographic changes and their correlation with the disease severity in cirrhotic patients.Methods: Sixty-nine cirrhotic patients were examined. The prolongation of corrected QT interval and low--voltage QRS in electrocardiography were cross-examined for clinical and biochemical data. The association of electrocardiographic findings with the severity of cirrhosis, as determined by both Child-Pugh and model for end-stage liver diseases (MELD) scores, was investigated.Results: QT-interval prolongation was detected in 63.5%...

Study of main arteries stiffness in patients with coronary heart disease depending on prevalence of atherosclerosis

U. I. Nizamov, F. M. Bekmetova, S. U. Khoshimov, A. B. Shek, R. D. Kurbanov

Cor Vasa 2017, 59(2):e114-e118 | DOI: 10.1016/j.crvasa.2016.04.003  

Objective: To study the vascular wall stiffness in patients with coronary artery disease based on the prevalence of atherosclerotic lesion.Materials and methods: The study involved 90 patients diagnosed with unstable angina class II B, the control group consisted of 27 healthy individuals. By using the SphygmoCor (AtCor Medical, Australia) apparatus, stiffness indicators, like pulse wave velocity (PWV) and augmentation index (AIx) were studied by means of the applanation tonometry method. Coronary angiography was performed on the Allura CV-20 (Philips, The Netherlands) unit, the state of the carotid arteries was studied by duplex ultrasonography,...

The risk profile of patients with acute coronary syndrome treated at IKEM between 2006 and 2013

Vladimír Staněk, Marie Gebauerová, Jan Piťha, Rudolf Poledne, Věra Lánská, Renáta Cífková, Jolana Mrázková, Jiří Kettner

Cor Vasa 2017, 59(2):e119-e127 | DOI: 10.1016/j.crvasa.2016.11.013  

The proportion and, possibly, also the relevance of some cardiovascular risk factors at the population level are changing. The aim of the present study was to characterize the current risk profile of patients with acute coronary syndrome (ACS) and to compare their data with those obtained from an identical population.Included in the study were 946 men aged 28-65 years and 296 women aged 30-70 years, admitted to the Department of Cardiology, Institute for Clinical and Experimental Medicine, Prague, Czech Republic, with the diagnosis of ACS between 2006 and 2013. The incidence of risk factors in patients was compared with that identified in an age-matched...

Upper gastrointestinal bleeding in the setting of excessive warfarin anticoagulation: Risk factors, and clinical outcome

Leili Pourafkari, Samad Ghaffari, Niloofar Zamani, Kourosh Masnadi-Shirazi, Nasrin Khaki, Arezou Tajlil, Ata Hassani Afshar, Nader D. Nader

Cor Vasa 2017, 59(2):e128-e133 | DOI: 10.1016/j.crvasa.2016.03.006  

Aim: Gastrointestinal tract is the most common source of severe bleeding following excessive warfarin anticoagulation (EWA). We aimed to describe the risk factors and outcome associated with upper gastrointestinal bleeding (UGIB) in patients admitted with EWA.Methods: Demographics, clinical, laboratory and endoscopic findings of patients admitted with EWA from 2003 to 2015 were reviewed. Hospital mortality, blood product utilization and hospital length of stay were recorded. Regression analyses were performed for prediction of GI bleeding and mortality in patients with EWA.Results: Medical records of 157 women and 121 men were reviewed. From...

Relationship between arterial stiffness parameters and the extent and severity of coronary artery disease

Filiz Kizilirmak Yilmaz, Gamze Babur Guler, Ozgur Kaya, Ekrem Guler, Gultekin Gunhan Demir, Haci Murat Gunes, Fatih Erkam Olgun, İrfan Barutcu, Bilal Boztosun

Cor Vasa 2017, 59(2):e134-e141 | DOI: 10.1016/j.crvasa.2016.05.004  

Background: The association between arterial stiffness (AS) and coronary artery disease (CAD) has been previously demonstrated. In the present study, we aim to investigate the relationship between various AS parameters and the extent and severity of CAD.Methods: The study population consisted of 411 patients with CAD documented by coronary angiography. We measured various AS parameters including augmentation index (AIx), augmentation pressure (AP), pulse wave velocity (PWV), central systolic pressure (cSys), central diastolic pressure (cDia) and central pulse pressure (cPP) with pulse wave analysis. Angiographic images were used to calculate Gensini...

Impact of papillary muscles on ventricular function measurements in 3T cardiac magnetic resonance

Silvio Quick, Nadine Waessnig, Philip Sommer, Felix M. Heidrich, Christian Pfluecke, Karim Ibrahim, Ruth Strasser, Uwe Speiser, Stefan Wiedemann

Cor Vasa 2017, 59(2):e142-e148 | DOI: 10.1016/j.crvasa.2016.06.002  

Background: Prior studies revealed, that left and right ventricular (LV, RV) volume, mass and function differ significantly, depending on trabeculae papillary and papillary muscles (TPM) have been included or excluded in LV and RV calculations.Methods: A cohort of 101 patients underwent CMR. It constituted of 26 patients without pathological findings in CMR (reference group), patients with ischemic cardiomyopathy (ICM), dilated cardiomyopathy (DCM) and patients with left ventricular hypertrophy (25 per group). Left and right ventricular parameters were determined using previously established methods: Method 1 inclusion and method 2 exclusion of...

Circulating desialylated low density lipoprotein

Alexander N. Orekhov, Ekaterina A. Ivanova, Alexandra A. Melnichenko, Igor A. Sobenin

Cor Vasa 2017, 59(2):e149-e156 | DOI: 10.1016/j.crvasa.2016.10.003  

Accumulation of lipids is the central event in the development of atherosclerotic lesion. Circulating low density lipoprotein (LDL) particles are known to be the major source of cholesterol and other lipids stored in atherosclerotic plaque. However, not all LDL particles possess atherogenic properties. In order to induce lipid accumulation in arterial cells, LDL particles have to undergo modifications. Although among such modifications the oxidation remains the most studied one, other atherogenic LDL modifications have been described. According to a series of studies conducted with blood serum and LDL from atherosclerotic patients, desialylation is...

Imaging methods in cardiomyopathies

Pavel Gregor, Hana Línková

Cor Vasa 2017, 59(2):e157-e162 | DOI: 10.1016/j.crvasa.2016.09.002  

The echocardiography, as a widely available and relatively inexpensive basic imaging method, fulfills an irreplaceable function of a screening method in cardiomyopathies. Among new imaging methods, three-dimensional (3D) echocardiography may prove useful, particularly in spongious and apical hypertrophic cardiomyopathies; speckle-tracking echocardiography in differentiation of athletic heart from hypertrophic cardiomyopathy, various types of restrictive cardiomyopathy (including the initial stages of cardiac amyloidosis) and distinguishing between stress and spongious cardiomyopathy. More detailed information may be provided by cardiac magnetic resonance...

Summary of the 2016 ESC Position Paper on cancer treatments and cardiovascular toxicity developed under the auspices of the ESC Committee for Practice Guidelines. Prepared by the Czech Society of Cardiology

Hana Skalická, Radek Pudil, Pavel Gregor

Cor Vasa 2017, 59(2):e181-e195 | DOI: 10.1016/j.crvasa.2017.01.026  

Successful endovascular treatment of type B aortic dissection in a 15-year-old child

Ivo Petrov, Anna Kaneva-Nencheva, Elisaveta Levunlieva, Kamelia Genova, Iskren Garvanski, Georgi Konstantinov, Gloria Adam

Cor Vasa 2017, 59(2):e163-e170 | DOI: 10.1016/j.crvasa.2016.04.006  

Aortic dissection is a rare condition in the pediatric and young adult population [1]. Here, we present an unusual case of a 15-year-old male patient with sudden onset of chest and back pain and numbness in the left leg. Chest and abdominal CT revealed Stanford type B (DeBakey type III) aortic dissection, leading to subocclusive stenosis of the superior mesenteric artery (causing critical intestinal dysfunction with ileus) and total occlusion of left iliac and left renal arteries. The child was admitted 48 hours after chest pain onset in critical clinical condition. Revascularization was achieved by several consecutive endovascular procedures, and...

Midaortic syndrome in a young man: Case presentation

Camelia C. Diaconu

Cor Vasa 2017, 59(2):e171-e173 | DOI: 10.1016/j.crvasa.2016.04.007  

Aortic coarctation is a congenital narrowing of the aorta, usually diagnosed during childhood. In a minority of cases, this malformation is detected during adulthood, by late complications such as systemic hypertension or intracranial aneurysm rupture. We present the case of a 31-year-old man, without past medical history, who presented for headache and increasing fatigue. The physical exam revealed high blood pressure values and weak femoral pulses in both legs. Abdominal ultrasonography identified stenosis of abdominal aorta, after the origin of the celiac trunk. Aortography confirmed the coarctation and revealed also an occlusion of the superior...

An unexpected complication. First descriptions of intercostal artery rupture in Ehlers-Danlos syndrome

Akram A. Youssef, Uwe Speiser, Karim Ibrahim, Christian Pfluecke, Felix M. Heidrich, Stephan Wiedemann, Ruth H. Strasser, Silvio Quick

Cor Vasa 2017, 59(2):e174-e176 | DOI: 10.1016/j.crvasa.2016.05.001  

A case of Ehlers-Danlos syndrome of vascular type with a history of mechanical valve prosthesis was admitted with dyspnea and chest pain. After exclusion a myocardial infarction, an angio-CT was performed and revealed a spontaneous rupture of an intercostal artery with subsequent hemothorax and compression atelectasis. The case was complicated by the ongoing anticoagulant therapy for the mechanical valve prosthesis with warfarin. After failure of conservative therapy, the case underwent surgical treatment. As shown in this case, mechanical valve prosthesis with necessary adequate anticoagulation, using long lasting warfarin derivates, could be an unneeded...

Rupture of the right Valsalva sinus with significant left-to-right shunt: A case report

Katarína Kubišová, Libor Škňouřil, Marian Branny

Cor Vasa 2017, 59(2):e177-e180 | DOI: 10.1016/j.crvasa.2016.05.002  

Valsalva sinus aneurysm (VSA) is a rare heart disease, which is most frequently congenital. Even though it can be asymptomatic, there is a danger of expansion and rupture resulting in heart failure.Our case report discusses a 25-year-old male without any significant medical history, being evaluated for dyspnea and fever. Right Valsalva sinus rupture was diagnosed and the patient was treated surgically.

ST segment depression in the inferior leads in Brugada Pattern: It's time to look for it

P. Crea, E. Baldi, G. Picciolo, F. Luzza, G. Oreto

Cor Vasa 2017, 59(2):e210-e212 | DOI: 10.1016/j.crvasa.2016.05.003  

A rare cardiovascular cause of fever of unknown origin: Infected thoracal aortic aneurysm

Belma Kalayci, İbrahim İlker Öz, Ahmet İşleyen, Ziyaeddin Aktop, İbrahim Akpinar

Cor Vasa 2017, 59(2):e208-e209 | DOI: 10.1016/j.crvasa.2016.03.005  

Aortitis can cause fever of unknown origin. Those affected patients had presented with sepsis. It is an important consideration that when we could not identify the origin of transthoracic echocardiography. However, it is difficult to be revealed of descending aorta by transthoracic echocardiography. Therefore computed tomography angiography may be kept in mind for diagnosis in patients with aortitis. We report a patient presenting to our hospital with sepsis and detected a saccular aneurysm and periaortic abscess and air collection in thoracal aorta due to Staphylococcus aureus.

Cardiac Arrest Centers. Joint Statement of Czech Professional Societies: Czech Acute Cardiac Care Association of the Czech Society of Cardiology, Czech Resuscitation Council, Czech Society of Intensive Care Medicine ČLS JEP, Czech Society of Anesthesiology, Resuscitation and Intensive Care Medicine ČLS JEP, and Society for Emergency and Disaster Medicine ČLS JEP

Petr Ošťádal, Richard Rokyta, Martin Balík, Jan Bělohlávek, Karel Cvachovec, Vladimír Černý, Pavel Dostál, Tomáš Janota, Petr Kala, Martin Matějovič, Jiří Pařenica, Jana Šeblová, Roman Škulec, Vladimír Šrámek, Anatolij Truhlář

Cor Vasa 2017, 59(2):e196-e199 | DOI: 10.1016/j.crvasa.2017.03.009  

A conception for the use of mechanical support for the treatment of advanced cardiac or pulmonary failure in the Czech Republic: A joint statement of the Czech Society of Cardiology, Czech Society of Intensive Care Medicine ČLS JEP, Czech Society of Cardiovascular Surgery ČLS JEP, Czech Society of Anesthesiology, Resuscitation and Intensive Care Medicine ČLS JEP, Czech Transplantation Society, Czech Society for Extracorporeal Circulation, Society for Organ Transplantations ČLS JEP

Petr Němec, Jan Bělohlávek, Martin Balík, Karel Cvachovec, Štěpán Černý, Vladimír Černý, Pavel Dostál, Robert Lischke, Ivan Netuka, Jiří Malý, Jaroslav Mašín, František Mlejnský, Petr Ošťádal, Richard Rokyta, Michael Želízko

Cor Vasa 2017, 59(2):e200-e203 | DOI: 10.1016/j.crvasa.2017.03.008  

e-Health: A position statement of the European Society of Cardiology. Summary of the document prepared by the Czech Society of Cardiology

Miloš Táborský, Aleš Linhart, Hana Skalická

Cor Vasa 2017, 59(2):e204-e207 | DOI: 10.1016/j.crvasa.2017.03.001  

19. sympozium Pracovní skupiny chlopenní a vrozené srdeční vady v dospělosti

Cor Vasa 2017, 59(2):241-244  

Corrigendum to "TAVI - From patient selection to follow-up" [Cor Vasa 59 (2017) e2-e9]

Michael Želízko

Cor Vasa 2017, 59(2):e213 | DOI: 10.1016/j.crvasa.2017.03.010  

Editorial Board

Editorial board

Cor Vasa 2017, 59(2):i | DOI: 10.1016/S0010-8650(17)30054-1