A Solution Trick: Implantation of Coronary Sinus Lead Without Delivery System, A Case Series Study

Ersin Doğanözü

Cor Vasa 2022, 64(4):374-379 | DOI: 10.33678/cor.2021.097  

Background: Cardiac resynchronization therapy (CRT) is one of the most challenging procedure of invasive cardiology. Variations of coronary sinus anatomy and complexity of the procedure may result in unsuccessful implantation or may need surgical implantation of coronary sinus lead. Methods: This is a retrospective observational case study. The patients were enrolled from the CRT patients who were implanted LV lead without delivery sheath of cardiology department between July 2020 and March 2021. Patient information was obtained by retrospective file scanning. Description of tips of the trick: Multipurpose (MP) or any diagnostic catheter is pushed...

(Outcomes of pregnancy in pre-existing cardiomyopathy and after heart transplantation)

Lenka Vojtičková, Miloš Kubánek, Jana Bínová, Jiří Gurka, Markéta Hegarová, Marianna Podzimková, Lenka Hošková, Alice Krebsová, Ivan Málek, Vojtěch Melenovský, Ivan Netuka, Josef Cindr, Josef Kautzner, Antonín Pařízek

Cor Vasa 2022, 64(4):381-389 | DOI: 10.33678/cor.2021.142  

Introduction: Pregnancy in females with pre-existing cardiomyopathy with left-ventricular systolic dysfunction and/or after heart transplantation is associated with risks for both the mother and the child. Thus, it is not recommended in the majority of patients. However, in selected cases, with awareness of the risks, pregnancy may be considered. We aimed to analyse a group of patients with heart failure and/or after heart transplantation (HTx) who were pregnant and gave birth to a living new-born during follow-up in our institution.

The human hypoxia-inducible factor 1alpha gene in anthracycline-induced heart failure

Kristina V. Kopeva, Elena V. Grakova, Sergey N. Shilov, Ekaterina N. Berezikova, Anna A.Popova, Maria N. Neupokoeva, Elena T. Ratushnyak, Alexander T. Teplyakov

Cor Vasa 2022, 64(4):390-397 | DOI: 10.33678/cor.2022.046  

Objective: The objective of the study was to evaluate the role of hypoxia-inducible factor 1alpha (HIF1A) gene (1772C>T, rs11549465) in the course of anthracycline-induced heart failure (AIHF) in women without previous cardiovascular diseases (CVD) during 24 months. Methods: A total of 114 women, median age of 47.0 (44.0; 52.0) years with AIHF of NYHA class I-III who received doxorubicin for breast cancer were enrolled. Evaluation of gene polymorphisms was carried out by polymerase chain reaction at baseline. Results: After 24 months of follow-up all patients had breast cancer remission and were divided into 2 groups: group 1 comprised women with...

Mortality, deep vein thrombosis, and D-dimer levels in patients with COVID-19

Jose Maria Pereira de Godoy, Mariana Orate Menezes da Silva, Henrique Amorim Santos, Amanda Fernandes Vidal da Silva, Gleison Juliano da Silva Russeff

Cor Vasa 2022, 64(4):399-402 | DOI: 10.33678/cor.2022.018  

Aim: The aim of the present study was to analyze D-dimer levels and associate these levels with deep vein thrombosis and mortality in patients with COVID-19. Method: From a population of approximately 1200 patients evaluated for the investigation of deep vein thrombosis (DVT) of the lower limbs using bilateral venous Doppler ultrasound, 100 positive for DVT and 100 negative for DVT were selected to compose the present sample. Data were collected on sex, age and D-dimer levels. D-dimer levels were categorized as follows: > 20 µg/mL, 10 to 20 µg/mL, 5 to 10 µg/mL, 3 to 5 µg/mL and < 3 µg/mL. The association between D-dimer...

(Permanent pacemaker implantation in patients undergoing TAVR - single center study between years 2009 and 2021)

Adéla Drozdová, Otakar Jiravský, Jakub Balušík, Jan Chovančík, Libor Škňouřil

Cor Vasa 2022, 64(4):403-410 | DOI: 10.33678/cor.2022.028  

Introduction: Transcatheter aortic valve replacement (TAVR) is becoming more prevalent option of aortic valve replacement, predominantly amongst patients with a higher surgical risk. Despite a rapid development of TAVR prostheses, incidence of conduction abnormalities requiring cardiac pacing as a result of TAVR is not significantly decreasing. There are numerous risk factors which can help to predict the risk for cardiac pacing after TAVR.

Feasibility of evaluation of Polar H10 chest-belt ECG in patients with a broad range of heart conditions

Tomáš Skála, Marek Vícha, Martin Rada, Jan Vácha, Jakub Flašík, Miloš Táborský

Cor Vasa 2022, 64(4):411-422 | DOI: 10.33678/cor.2022.083  

Background: The chest-belt can be used to obtain a 1-lead ECG. Data from it have been validated for the determination of heart rate and for the possibility to detect atrial fibrillation (AF) compared to ECG-Holter on a short ECG recording in selected patients. However, validation of the possibility to evaluate long ECG recordings in patients with a wide range of heart diseases has not yet been performed. Methodology and results: 54 hospitalized patients, 53 outpatients and 54 healthy controls were enrolled in the study (n = 161 in total). Using a Polar H10 chest-belt, 1-2 hours of ECG were recorded in all patients (1 153 229 heartbeats, average heart...

(Conduction system pacing, classification, operation techniques, and methods used to confirm ventricular capture type in pacemaker implantation)

Ondřej Süssenbek, Rostislav Polášek, Alan Bulava, Petr Štros, Milan Chovanec, Karol Čurila

Cor Vasa 2022, 64(4):423-435 | DOI: 10.33678/cor.2022.008  

New methods of cardiac pacing are being adopted in clinical practice in recent years. They are called physiological pacing or conduction system pacing and include His bundle pacing, direct left bundle branch pacing, and left ventricular septal pacing. These methods differ significantly from a standard pacemaker implant procedure. The lead is fixed directly into or adjacent to the tissue of the conduction system of the heart as opposed to lead fixation in myocardial tissue of the right ventricle. Specialized tools and maneuvers for confirming conduction system capture are necessary during the implant procedure. Growing evidence on the safety and feasibility...

(Optimizing Foundational Therapies in Patients With HFrEF. How Do We Translate These Findings Into Clinical Care? Translation of the document prepared by the Czech Society of Cardiology)

Filip Málek, Miloš Táborský

Cor Vasa 2022, 64(4):441-454 | DOI: 10.33678/cor.2022.079

(Commentary to the article "Optimizing Foundational Therapies in Patients With HFrEF. How Do We Translate These Findings Into Clinical Care?"

Filip Málek, Miloš Táborský

Cor Vasa 2022, 64(4):437-438 | DOI: 10.33678/cor.2022.087  

Anomalous Coronary Artery Presented with Typical Chest Pain: What is Define The Malignant from Benign Anomalous Coronary Artery (A Case Series)

Louisa Fadjri Kusuma Wardhani, Ivana Purnama Dewi, Arifta Devi Anggraeni, Meity Ardiana

Cor Vasa 2022, 64(4):457-462 | DOI: 10.33678/cor.2021.096  

Background: Congenital coronary anomalies (CCA) are the important causes of morbidity and mortality associated with angina or SCD. CCA divided into two groups, depending on the origin and course of the coronary artery. Malignant CCA comprises arteries with ectopic origin from the contralateral side of the heart followed by an inter-arterial course. Case summary: We presented two distinct characteristics of coronary anomalies with typical chest pain presentation. Both patients had a normal physical examination and no ischemia sign. Coronary CT-angiography showed a malignant type of right anomalous coronary artery from the opposite sinus (R-ACAOS) with...

Isolated Single Left Coronary Artery Anomalies as An Incidental Finding in ST-Elevation Myocardial Infarction: A Rare Case

Ivana Purnama Dewi, Kresna Nugraha Setia Putra, Louisa Fadjri Kusuma Wardhani, Kristin Purnama Dewi, Rosi Amrilla Fagi

Cor Vasa 2022, 64(4):463-467 | DOI: 10.33678/cor.2021.120  

Introduction: congenital anomaly. SCA may cause ischemia, congestive heart failure, and accidental cardiac death in most cases, which are asymptomatic and unintentional. Case report: tomography angiography (CCTA) was done two weeks after the PCI procedure. From CCTA, it was confirmed the absence of RCA and no coronary stenosis. Conclusion: One of the rarest coronary artery anomalies is left SCA with congenital absence of the RCA. It is associated with ischemia in some patients and may be life-threatening. For diagnosis and risk stratification, CCTA is the preferred method.

(Fukutinopathy as a rare cause of dilated cardiomyopathy and subclinical skeletal myopathy - a case report and review of cardiac involvement in skeletal muscle disease)

Kateřina Bouzková, Miloš Kubánek, Alice Krebsová, Lenka Piherová, Petr Ridzoň, Tomáš Roubíček, Stanislav Kmoch, Vojtěch Melenovský, Josef Kautzner

Cor Vasa 2022, 64(4):468-473 | DOI: 10.33678/cor.2021.119  

Fukutinopathy belongs to α-dystroglykanopathies, autosomal recessive inherited skeletal muscle myopathies with a variable cardiac involvement. The disease was discovered in Japan with endemic occurrence as Fukuyama congenital skeletal dystrophy. However, it can be rarely diagnosed also in other countries with a different genetic architecture. We present a case of fukutinopathy in a young male of Czech origin with dilated cardiomyopathy and elevation of creatine phosphokinase. Neurologic assessment revealed just borderline signs of skeletal muscle myopathy. Whole-exome sequencing revealed in one allele a pathogenic missense variant of fukutin (FKTN)...

PaceMaker lead and atrial thrombosis, a rare event but of high clinical importance

Lorenzo Pistelli, Francesca Parisi, Alessio Currò, Elisabetta Demurtas, Rosalba De Sarro, Lorenzo Gurioli, Walter Grosso Marra

Cor Vasa 2022, 64(4):474-477 | DOI: 10.33678/cor.2022.062  

Background: Trans-venous lead-related thrombosis is an undervalued issue. Despite its large incidence, the majority of cases remain undiagnosed because clinically silent. Many risk factors are described as predispos- ing to clot formation on device leads. Since the lack of guidelines or evidences regarding the best therapeutic option, treatment of endocavitary clots on pacemaker wire is left to individual decision between surgical catheter extraction, thrombolysis or anticoagulation therapy. In some patients, the labile equilibrium between hemorrhagic and thrombotic events may further complicate management. Case presentation: We...

(Pheochromocytoma as a rare cause of fatal heart failure)

Matej Strýček, Jiří Seiner, Jan Štros, Pavol Tomašov, Rostislav Polášek

Cor Vasa 2022, 64(4):478-481 | DOI: 10.33678/cor.2021.134  

Pheochromocytoma is a tumor that arises from chromaffin cells of the adrenal medulla. Together with sympathetic paragangliomas, these are relatively rare catecholamine-secreting tumors. They are one of the less common causes of secondary hypertension. The clinical presentation of pheochromocytoma is very variable. The classic triad of symptoms in patients with a pheochromocytoma consists of paroxysmal episodic headache, sweating, and palpitations. In our case report, we present a patient in whom pheochromocytoma manifested primarily as a fatal heart failure.

Vojtěch Hainer a kolektiv: Základy klinické obezitologie

Jan Petrášek

Cor Vasa 2022, 64(4):487  

Lukáš Karel, Josef Kautzner, Jiří Hoch a kolektiv Bolest na hrudi

Jan Petrášek

Cor Vasa 2022, 64(4):488  

Za MUDr. Janem Škovránkem, CSc.

Jan Janoušek, Jan Marek, Václav Chaloupecký, Oleg Reich

Cor Vasa 2022, 64(4):483-484  

Opustil nás MUDr. Tomáš Klíma

Michael Aschermann, Jan Starý

Cor Vasa 2022, 64(4):485  

Profesor MUDr. Jaromír Hradec, CSc., FESC, slaví životní jubileum

Michael Aschermann

Cor Vasa 2022, 64(4):486