(The prevalence of major cardiovascular risk factors in the Czech population in 2015-2018. The Czech post-MONICA study)

Renata Cífková, Jan Bruthans, Peter Wohlfahrt, Alena Krajčoviechová, Pavel Šulc, Lenka Eremiášová, Jan Pudil, Aleš Linhart, Jiří Widimský Jr., Jan Filipovský, Otto Mayer Jr., Věra Lánská, Rudolf Poledne, Petr Stávek

Cor Vasa 2020, 62(1):6-16 | DOI: 10.33678/cor.2020.010  

Cardiovascular disease (CVD) is the main cause of death in the Czech Republic. The decline in CVD mortality observed in our country since 1985 may be due to a decrease in its incidence or case fatality. Case fatality is mostly related to the standard of health care whereas the incidence of CVD is associated with the risk profile of the population. The aim of this study was to determine the prevalence of major CVD risk factors in a representative Czech population sample. Methods: A 1% population sample aged 25-64 years was randomly selected from nine districts of the Czech Republic. The examination consisted of completing a standard questionnaire, obtaining...

(The reasons of pre-hospital delay in patients with STEMI)

Tomáš Grézl, Martin Porzer, Jan Mrózek, Marian Branny

Cor Vasa 2020, 62(1):17-20 | DOI: 10.33678/cor.2019.060  

Aim: The aim of this article is to assess the socio-demographic, personal, situational and time-related factors influencing the duration of the process of decision making of patients with acute coronary syndrome (ACS) when calling for help. Methods: 83 consecutive patients were included in our study while they were hospitalized at our ward during the period from 12/2018 to 3/2019 because of ST elevation myocardial infarction (STEMI). The pa- tients filled in a questionnaire while its items were related to their knowledge of ACS and the reasons for the delay before they were admitted to the hospital (delay). Results: In total, 83 patients were included...

Development, effectiveness, and current possibilities in prenatal detection of congenital heart defects

Jan Pavlíček, Alicja Piegzová, Eva Klásková, Sabina Kaprálová, Alžběta Palátová, Richard Špaček, Tomáš Gruszka

Cor Vasa 2020, 62(1):21-28 | DOI: 10.33678/cor.2019.090  

Aim: To study the development and effectiveness of prenatal diagnostics for congenital heart defects (CHDs). To monitor the overall incidence of CHDs and the level of detection for individual types of fetal defects. Methods: This retrospective cohort study retrieved data on ultrasound examinations of the fetal heart (fetal echocardiography), conducted by a gynecologist or pediatric cardiologist, and postnatal standardized examinations, conducted by a pediatric cardiologist, between 2011 and 2018. A pediatric cardiologist was present at all fetal autopsies and provided precise descriptions of the heart defect. All fetuses and newborns with severe pathologies...

Characteristics of hippocampus, cognitive functions, lipid profile, and severity of chronic heart failure in patients with coronary heart disease

Natalya S. Akimova, Oksana V. Bugaeva, Diana G. Persashvili, Larisa E. Konshina, Yury G. Shvarts

Cor Vasa 2020, 62(1):29-32 | DOI: 10.33678/cor.2019.074  

Background: Currently, the relationship between the severity of chronic heart failure (CHF) and the main quantitative characteristics of the hippocampus, cognitive functions, and lipid profile components in pa- tients with coronary heart disease (CHD) is not clearly understood. Materials and methods. Fifty patients with CHD and functional class (FC) II-IV CHF were examined. The study did not include patients who had severe medical conditions which could develop the morphological changes in the brain. In addition to the routine clinical tests, Doppler echocardiography and nuclear magnetic resonance imaging (MRI) of the brain were performed; the right...

Aborted sternotomy in the modern era of transcatheter aortic valve replacement

Ivo Gasparovič, Panagiotis Artemiou, Michal Hulman

Cor Vasa 2020, 62(1):33-36 | DOI: 10.33678/cor.2019.080  

Introduction: Some patients with symptomatic aortic stenosis undergo sternotomy and have the operation aborted because of intraoperative discovery of unexpected severe calcification of the aorta. The aim of this study is to present our experience and analyze the causes, the management, and the outcomes of these patients. Methods: This is a retrospective study. Between January 2010 and December 2017 10565 patients underwent cardiac surgery, 27 patients (0.3%) had aborted sternotomy, of whom seven patients with severe aortic stenosis. The reason was unexpected intraoperative discovery of severe calcified ascending aorta that precluded placing of an aortic...

A second look at autopericardial mitral annuloplasty

Abubakari I. Sidiki, Alexandr G. Faybushevich, Alexandr N. Lishchuk

Cor Vasa 2020, 62(1):37-43 | DOI: 10.33678/cor.2020.003  

Objective: To compare total pericardial mitral annuloplasty (PeMA) and total prosthetic mitral annuloplasty (PrMA) in terms of durability in the treatment of degenerative, ischemic functional and non-ischemic functional mitral regurgitation (MR). Methods: We retrospectively reviewed prospectively collected data of 280 patients who received either PeMA (50.4%) or PrMA (with Carpentier-Edwards Physio rings; 49.6%) after valvuloplasty between 2008 and 2015. Combined procedures included: 40 CABG (PeMA - 18, PrMA - 22); 13 ablations with left atrial appendectomy (PrMA - 8, PrMA - 5); 7 tricuspid valve repairs (PeMA - 2, PrMA - 5); 9 closures of atrial septal...

(Using questionnaires to detect obstructive sleep apnoe)

Pavel Šulc

Cor Vasa 2020, 62(1):44-49 | DOI: 10.33678/cor.2019.086  

Introduction: Obstructive sleep apnoe (OSA) syndrome is a serious and rather frequent condition remaining largely undiagnosed and, therefore, untreated. A possible way how to improve the detection of OSA in the general population is the employment of dedicated questionnaires to preselect high-risk individuals. Objectives: The aim of this review is to compare sensitivity and specificity of questionnaires developed to preselect patients with clinically relevant OSA. Methods: Based on eligibility criteria, we selected studies focusing on the sensitivity and specificity of each of the following questionnaires: the Berlin Questionnaire (BQ), Epworth Sleepiness...

(Athlete's heart vs hypertrophic cardiomyopathy - differential diagnostics according to current guidelines)

Martin Bláha

Cor Vasa 2020, 62(1):50-55 | DOI: 10.33678/cor.2019.087  

Hypertrophic cardiomyopathy (HCM) is one of the most common causes of sudden death of young athletes under 35 years of age. Its phenotypic manifestation may resemble the physiological response of the myocardium to a high training load in case of so-called athlete's heart. These two modalities must be distinguished from each other in order to preserve the life of athletes with yet unrecognized HCM, and also on the other side, to avoid unnecessary stopping the career of the healthy ones.

(Sanitation of dental foci before valve surgery)

Šimon Macháček, Adam Nocar, Markéta Dušková, Taťjana Dostálová

Cor Vasa 2020, 62(1):56-59 | DOI: 10.33678/cor.2019.071  

Patients after heart valve surgery or its prosthesis replacement are at an increased risk of developing infectious endocarditis (IE). Routinely performed prevention measures of IE include screening and eventual sanitation of potential sources of infection. Most common site of preventive sanitation procedures is an oral cavity. Even though sanitation of dental foci became a part of routine screening, there is a lack of data to support its benefits to the patients. This article summarizes published clinical trials on this topic. In cooperation with doctors from the Department of Stomatology, 2nd Faculty of Medicine of Charles University in Prague, a...

(New European standards of care of patients with terminal heart failure and their application in the Czech health system)

Ladislav Kabelka

Cor Vasa 2020, 62(1):70-71 | DOI: 10.33678/cor.2020.001  

Patent ductus arteriosus closure using an Amplatzer ventricular septal defect closure device in adulthood

Loua Hattach, Kawtar Afrikh, Nadia Fellat, Rokya Fellat

Cor Vasa 2020, 62(1):72-74 | DOI: 10.33678/cor.2019.045  

Patent ductus arteriosus (PDA) is a persistent communication between the descending thoracic aorta and the pulmonary artery that results from failure of normal physiologic closure of the fetal ductus. It is one of the more common congenital heart defects. The PDA closure is the main treatment and can be surgical or percutaneous. The trancatheter approach proved its efficacy and safety all over the past 20 years and a variety of devices have been developed and are now available. This report describes a transcatheter closure of a PDA on an 18-year-old girl with features suggestive of a large PDA. While we intended to close the PDA using an Amplatzer...

(Retrograde coronary venous ethanol ablation of premature ventricular contractions in a patient with arrhytmia induced cardiomyopathy)

Ivan Ranič, Jaroslav Januška, Miroslav Hudec, Libor Škňouřil, Jakub Pindor, Otakar Jiravský

Cor Vasa 2020, 62(1):75-79 | DOI: 10.33678/cor.2019.026  

Female patient with frequent premature ventricular contraction (PVC) with arrhythmia induced cardiomyopathy with left ventricle systolic dysfunction. At first patient underwent endocardial end epicardial catheter ablation via the coronary sinus. After these procedures a total amount of 36% of PVC activity was verified with 24 hour EKG holter. Therefore after detailed consideration and due to numerous publications we chose retrograde coronary venous ethanol ablation in third branches. The day after the procedure there was significant decrease in total amount of PVC. Control echocardiography upon dismissal showed an increase in systolic function of left...

Pacing-induced right ventricular cardiomyopathy resynchronized using His bundle pacing

Martin Kameník, Pavel Osmančík, Petr Štros, Dalibor Heřman, Jana Veselá, Radka Procházková, Karol Čurila

Cor Vasa 2020, 62(1):80-84 | DOI: 10.33678/cor.2019.011  

Permanent unifocal right ventricular pacing can lead to ventricular dyssynchrony with subsequent dysfunction of the left ventricle, which can lead to heart failure. Heart failure caused by right ventricular pacing was traditionally associated with pacing from the apex of the right ventricle. Over the last two decades, significant efforts have been made to find alternative pacing sites that can reduce or prevent the risk of heart failure. Based on the latest findings, pacing the His bundle area appears extremely promising. In this case report, we present a 79-year-old male, who developed left ventricular dysfunction with heart failure within six months...

(Atypical manifestation of giant aneurysm of the ascending aorta)

Eva Wilhelmová, Eva Krčová, Josef Bešík, Martin Malý

Cor Vasa 2020, 62(1):85-88 | DOI: 10.33678/cor.2019.053  

Ascendant aortic aneurysm has an asymptomatic clinical course and manifests itself with various, often fatal, complications. Due to more accessible imaging methods, the finding of gigantic aneurysm is rare nowadays. We present a case of a patient in whom an acute myocardial infarction revealed the presence of a giant aneurysm of the ascending aorta.

(Paraganglioma-induced takotsubo cardiomyopathy)

Petra Kadlečková, Tomáš Roubíček, Rostislav Polášek

Cor Vasa 2020, 62(1):89-93 | DOI: 10.33678/cor.2019.013  

Takotsubo cardiomyopathy (also known as stress cardiomyopathy or apical balloon syndrome) is an acquired myocardial disease characterized by symptoms similar to acute coronary syndrome. Pathophysiological mechanism of this disorder is still not well understood. Generally accepted mechanism is probably catecholamine-induced myocardial stunning provoked by stress, excessive physical exertion or rarely endocrine active tumors. We present a case report of a patient who was admitted to our clinic for suspected acute coronary syndrome. Subsequent examinations showed that it was a stress cardiomyopathy caused by extraadrenally localized tumor - paraganglioma....

Recenze: Miloš Táborský a výbor České kardiologické společnosti 2015–2019; 90 let české kardiologie

Prof. MUDr. Jan Petrášek, DrSc.

Cor Vasa 2020, 62(1):95  

Recenze: Karel Roztočil; 25 let České angiologické společnosti 1993–2018

MUDr. Jiří Spáčil, CSc.

Cor Vasa 2020, 62(1):96  

(Expert consensus statement on prenatal cardiology organization in the Czech Republic. Prepared by the Working Group on Pediatric Cardiology of the Czech Society of Cardiology)

Viktor Tomek, Hana Jičínská, Eva Klásková, Petr Jehlička, Pavel Balatka, Pavel Vít, Petr Hecht, Oleg Reich, Jan Janoušek

Cor Vasa 2020, 62(1):60-63 | DOI: 10.33678/cor.2019.085  

(Palliative care for people living with heart failure: European Association for Palliative Care Task Force expert position statement, 2019)

Martin Gřiva, Ladislav Kabelka, Jiří Vítovec

Cor Vasa 2020, 62(1):64-69 | DOI: 10.33678/cor.2019.092  

Autoři originálního textu EAPC: Piotr Z. Sobanski,Bernd Alt-Epping jménem pracovnî skupiny EAPC Task Force on Palliative Care for People with Heart Disease.