Editorial

Petr Ošťádal

Cor Vasa 2023, 65(5):727 | DOI: 10.33678/cor.2023.078  

Kazuistické číslo Cor et Vasa podesáté

Michael Aschermann

Cor Vasa 2023, 65(5):728 | DOI: 10.33678/cor.2023.077  

Comparison of cyanoacrylate agents VariClose^® and VenaSeal^™ in the treatment of insufficient saphenous veins

Peter Baláž, Slavomír Rokošný, Adam Whitley

Cor Vasa 2023, 65(5):729-734 | DOI: 10.33678/cor.2023.054  

Objective: The goal of this study was to compare the cyanoacrylate venous sealing systems VenaSeal^™ and VariClose^® in the treatment of superficial venous insufficiency. Methods: A single-centre retrospective analysis on patients treated between April 2018 and April 2022 with cyanoacrylate adhesives for lower limb superficial truncal vein insufficiency was performed. Results: The VariClose^® system was used in 27 patients (30 veins) and the VenaSeal^™ system in 97 patients (125 veins). The median follow-up periods for patients treated with VariClose^® and VenaSeal^™...

Prevalence and predictors of pacemaker dependency: Data from a cardiac centre registry in Iraq

Haitham Ali Abdullah, Ali Al-Mossawi, Kasim Abbas Ismail Al-Iqabby

Cor Vasa 2023, 65(5):735-739 | DOI: 10.33678/cor.2023.022  

Background: Pacemaker dependency can be defined generally as inadequate or absent patient intrinsic rhythm, it has a dangerous consequence during conditions that may affect pacemaker function. Objectives: To identify the prevalence of pacemaker dependency among patients with permanent pacemaker and to analyze the particular factors that may affect its occurrence. Grouping the patients to pacemaker dependent or not has a great effect on patient management. Patients and method: A cross-sectional study enrolled 400 patients with permanent pacemaker for different bradyarrhythmia abnormalities. Patients visited Ibn Al-Bitar Specialized Center for cardiac...

Heart surgery before the cardiopulmonary bypass era

Nazmul Hosain, Md Anisuzzaman

Cor Vasa 2023, 65(5):741-748 | DOI: 10.33678/cor.2023.013  

Until the late 19th century, the heart was thought as an organ that shouldn't be touched. Famous surgeon Stephen Paget in 1895 wrote: "Surgery of the heart has probably reached the limit set by the nature, no new methods, and no new discovery can overcome the natural difficulties that attend a wound of the heart." But surgeons like Axel Cappelen in Norway in 1895, and Ludwig Rehn in Germany in 1896 dared to enter into this taboo territory and repaired stab injuries of the heart. With these, the era of cardiac surgery began. Later, the two world wars opened the opportunities of exploring heart wounds for the war veterans like George Gray Turner, Henry...

Cardiovascular diseases and frontal QRS-T angle

Lutfu Askin, Okan Tanriverdi, Fatih Poyraz

Cor Vasa 2023, 65(5):749-756 | DOI: 10.33678/cor.2023.030  

The frontal QRS-T angle is an electrocardiographic measurement that reflects the spatial relationship between the depolarization and repolarization vectors in the heart. It is determined by the angles between the QRS and T wave vectors in the frontal plane. A wider QRS-T angle is associated with increased ventricular ectopic activity, impaired left ventricular function, and increased risk of cardiovascular diseases (CVDs). Several studies have suggested that a wider frontal QRS-T angle is associated with an increased risk of developing CVDs, including myocardial infarction, heart failure, and sudden cardiac death. Overall, the evidence suggests that...

(Czech Association for Preventive Cardiology Expert Consensus Statement on the State of Genetic Testing for Inherited Cardiovascular Diseases)

Alice Krebsová, Eva Kutílková, Veronika Zoubková, Terezia Tavačová, Petra Peldová, Lenka Piherová, Pavel Votýpka, Štěpánka Pohlová Kučerová, Ilga Grochová, Andrea Gřegořová, Daniela Žáková, Tomáš Freiberger, Jan Janoušek, Tomáš Novotný, Milan Macek

Cor Vasa 2023, 65(5):798-805 | DOI: 10.33678/cor.2023.057  

In contemporary cardiology, genetics is mainly applied to cardiovascular diseases with Mendelian inheritance. These diseases include cardiomyopathy, hereditary forms of arrhythmic syndromes, aortic syndromes, and some congenital developmental defects. The common risk of all mentioned groups of diseases is sudden cardiac death, which is why post-mortem examination and care for relatives and survivors are an important part. The goal of clinical genetic examination and genetic counselling in cardiology is to carry out a detailed description of the disease - phenotyping, compiling a family tree, cascade cardiology screening in the family and, in indicated...

(Patient with a rare tuberculous form of constrictive pericarditis)

Jozef Dodulík, Radovan Jursa, Jiří Plášek, Lenka Dodulíková, Pavel Kukla, Vladimír Židlík, Jan Václavík

Cor Vasa 2023, 65(5):757-762 | DOI: 10.33678/cor.2023.056  

Pericarditis is a relatively rare heart disease. In our conditions, the most common etiological agent is viruses. Rarer agents include Mycobacterium tuberculosis, more typical in developing countries. Complications are not frequent, but the most common complications of pericarditis include the formation of an effusion, the development of cardiac tamponade, constrictive pericarditis or the development of myopericarditis. We present the case of a 52-year-old patient indicated for total pericardectomy for tuberculous constrictive pericarditis.

(Overt coronary artery fistula in a patient with systemic scleroderma)

Petr Binar

Cor Vasa 2023, 65(5):763-765 | DOI: 10.33678/cor.2023.048  

Chronic coronary syndrome can be a result of atherosclerotic stenosis or vasospasms, but it can also be rarely caused by anatomical vascular anomalies, such as the coronary artery fistulas (CAF). The case report of a patient with CAF leading to myocardial ischemia through the steal phenomenon will be presented here. A relation of CAF to systemic scleroderma will be discussed, as this disease was also verified and treated in this particular man.

(Transcatheter aortic valve implantation in a patient with extreme risk of development of infective endocarditis)

Eliška Kupcová, Martin Hajšl, Martin Malý

Cor Vasa 2023, 65(5):766-769 | DOI: 10.33678/cor.2023.069  

Aortic stenosis is the most common acquired valvular heart disease by adults and due to aging of population prevalence will increase. Since 2002 transcatheter aortic valve implantation (TAVI) has become a well-rec- ognized alternative for surgical aortic valve replacement (SAVR). Initially for inoperable patients or the high surgical risk patients, later even for the patients with medium and low risk. It all relates with technological progress of the method and increasing experience of cardiac centers. As invasive procedure, it has its own complications, including prosthetic infective endocarditis (TAVI-IE) with the incidence 0.3-3.4% and mortality...

(New-onset conduction disorders after TAVI and the ability of their reparation in practice)

Dagmar Ulrichová

Cor Vasa 2023, 65(5):770-772 | DOI: 10.33678/cor.2023.070  

Transcatheter aortic valve replacement (TAVI) has become a suitable alternative to surgical aortic valve replacement (SAVR) for patients not accepted by surgeons, but also a preferred method for lower-risk pa- tients, especially in older age groups. However, compared to SAVR, it is burdened with a higher risk of iatrogenic heart rhythm disturbances. These disturbances occur mostly periprocedurally or in the early postoperative period and some of them are fully reversible. Our case report describes the case of a patient after TAVI in whom a new-onset cardiac rhythm disturbance including ongoing syncope was documented. The aim of this case report is...

Parapneumonic ST segment elevation

Joana Maria Laranjeira Correia, Gonçalo RM Ferreira, Vanda Neto, João Fiuza, António Costa, Maria Luísa Gonçalves

Cor Vasa 2023, 65(5):773-776 | DOI: 10.33678/cor.2023.014  

The presence of ST-segment elevation on the 12-lead electrocardiogram in a patient with suggestive symp- toms of myocardial infarction should trigger an early diagnosis of ST-segment elevation myocardial infarction and urgent intervention to restore coronary perfusion, usually by percutaneous coronary intervention. However, several diseases and conditions can mimic an acute myocardial infarction or the ST-segment elevation pattern on the electrocardiogram. We report a clinical case of a patient hospitalized with the first diagnosis of pneumonia, who developed a de novo anteroseptal ST-segment elevation on electrocardiogram and clinical pain suggestive...

Diagnosis of persistent left superior vena cava: the role of echocardiography

Joana Maria Laranjeira Correia, Vanda Neto, João Fiuza, Gonçalo RM Ferreira, Miguel Correia

Cor Vasa 2023, 65(5):777-778 | DOI: 10.33678/cor.2023.035  

Persistent left superior vena cava (PLSVC) is a rare but the most common thoracic venous anomaly. It results when the left superior cardinal vein caudal to the innominate vein fails to regress and can be associated with other cardiovascular abnormalities. While PLSVC is often asymptomatic, it can cause serious complications during vascular interventional procedures or surgical treatment of cardiac anomalies. Incidental identifica- tion of a dilated coronary sinus on echocardiography should raise the suspicion of PLSVC. The diagnosis should be confirmed by agitated saline contrast echocardiography.

Posterior reversible encephalopathy syndrome caused by contrast media after percutaneous coronary intervention

İbrahim Saraç, Gökhan Tonkaz, Faruk Aydinyilmaz, Emrah Aksakal

Cor Vasa 2023, 65(5):779-782 | DOI: 10.33678/cor.2023.009  

Contrast media use is an integral part of invasive procedures, mainly radiodiagnostic procedures, performed for diagnosis and treatment in the cardiac catheterization laboratory. There are many complications related to contrast agents after percutaneous coronary intervention (PCI). Contrast-induced neurotoxicity is a rarely reported complication that may result with encephalopathy. In this report, posterior reversible encephalopathy syndrome (PRES), a rare consequence of neurotoxicity of iodinated contrast agents with acute onset, reversible with early diagnosis and treatment, and diagnosed by neurologic examination radiological imaging methods, will...

Ventricular tachycardia and non-Hodgkin's lymphoma. Syncope in a 33-year-old young

Olga La Cognata, Alessandro Di Carlo, Armando Lo Savio, Marco Borgi, Marco Bonanno, Cristina Poleggi, Francesca Campanella, Maria Claudia Lo Nigro, Alessio Currò, Rosalba De Sarro

Cor Vasa 2023, 65(5):783-786 | DOI: 10.33678/cor.2022.142  

Radiation induced coronary heart disease is among the most actively studied areas in cardio-oncology today. In fact, cases of acute myocardial infarction in young patients previously subjected to radiotherapy are not rare. We describe a clinical case of a syncope following an inferior STEMI started with ventricular tachycardia, in a young patient who underwent radio- and chemotherapy treatment 10 years ago for the treatment of non-Hodgkin's lymphoma.

Papillary fibroelastoma originating from the left ventricular outflow tract

Irem Turkmen, Serkan Kahraman, Ersin Kadirogullari, Salih Guler, Lokman Yalcin, Nermin Gunduz, Gamze Babur Guler

Cor Vasa 2023, 65(5):787-789 | DOI: 10.33678/cor.2023.042  

Papillary fibroelastomas are rare benign tumors of cardiac origin. In this case report, we present an asymptomatic 64-year-old female patient with a large left ventricular outflow tract papillary fibroelastoma treated surgically. We would like to emphasize the management of atypical located and clinically asymptomatic papillary fibroelastoma.

Sudden cardiac death with recovery of cardiac activity (clinical case)

Andriy Vytryhovskiy, Nestor Seredyuk, Mykola Stovban, Nadiia Kulaeits, Mykyta Bielinskyi, Nataliia Kiritsa, Mykhaylo Fedorchenko

Cor Vasa 2023, 65(5):790-795 | DOI: 10.33678/cor.2023.029  

The article presents a clinical case of sudden clinical death with recovery of cardiac activity in a patient with specific clinical predictors of sudden death. All electrical events preceding the death were recorded by a Holter monitor worn by the patients at the time. Klíčová slova: Arytmie Holterovo monitorování srdečního rytmu Ischemická choroba srdeční Náhlá srdeční smrt Rizikové faktory Srdeční selhání Ventrikulární ektopie

Right ventricular outflow tract obstruction caused by sinus of Valsalva aneurysm

Dita Schaffelhoferová, Jiří Haniš, Ladislav Pešl

Cor Vasa 2023, 65(5):796-797 | DOI: 10.33678/cor.2023.027  

Radek Ptáček, Petr Bartůněk: Spravedlnost v medicíně

Prof. MUDr. Jan Petrášek, DrSc.

Cor Vasa 2023, 65(5):807  

Tim Harford: Jak číst čísla. Deset pravidel pro orientaci ve statistikách

Prof. MUDr. Jan Petrášek, DrSc.

Cor Vasa 2023, 65(5):808