Lymphomyokinetic exercises and activities for treatment of lower limb lymphedema: reviewReview articles

Jose Maria Pereira de Godoy, Henrique Jose Pereira de Godoy, Maria de Fatima Guerreiro Godoy

Cor Vasa 2024, 66(4):436-439 | DOI: 10.33678/cor.2024.043  

There is a scarcity of studies on active forms of muscle activity as monotherapy for the reduction in the volume of the edema. One of the major challenges is the use of an isolated method to enable the evaluation of exercises as monotherapy for an immediate and long-term reduction in edema. The only study encountered is an evaluation immediately after muscle activity. Passive exercise can reduce the edema as monotherapy, but better results are achieved when combined with compression mechanisms. The maintenance of compression after exercises or activities enables achieving better results.

(Atrial fibrillation in patients with hypertrophic cardiomyopathy)Review articles

Veronika Puchnerová, Michael Jenšovský, Petr Ošťádal, Jiří Bonaventura

Cor Vasa 2024, 66(4):429-434 | DOI: 10.33678/cor.2024.038  

Atrial fibrillation is the most common sustained arrhythmia in patients with hypertrophic cardiomyopathy. The review article focuses on the complex mechanisms of development of atrial fibrillation in this subgroup of patients and on specific aspects of treatment (anticoagulation therapy and rhythm control). The final part focuses on the arrhythmia's effect on clinical symptomatology and prognosis of patients with hypertrophic cardiomyopathy.

(Non-invasive evaluation of myocardial work efficiency: from theory to practice)Review articles

Tereza Hadžić, Olena Iurchenko, Jan Kovanda, Michal Vrbík, Miroslav Ložek, Jan Janoušek

Cor Vasa 2024, 66(4):421-428 | DOI: 10.33678/cor.2024.030  

Ventricular function is a fundamental parameter in clinical practice when it comes to prognosis, indication for treatment, and evaluation of effectiveness of applied therapy in a variety of cardiovascular diseases. Even though there already exists a whole range of invasive and non-invasive methods of its evaluation, all these methods have their limitations. One of the possible means of evaluation of ventricular function is the measurement of myocardial work which enables to assess myocardial work efficiency if related, for example, to cardiac output. This has, however, required performing an invasive study in the past. Recently, a new method of myocardial...

Heart Rate Recovery Index Evaluation in Prediabetic PatientsOriginal research articles

Okan Tanriverdi

Cor Vasa 2024, 66(4):417-420 | DOI: 10.33678/cor.2024.046  

Background: Prediabetes is a major public health risk factor for type 2 diabetes. The heart rate recovery index (HRRI) shows autonomic function and predicts cardiovascular disease (CVD) independently. The objective of the research was to assess the HRRI in individuals with prediabetes. Methods: The study comprised 400 cardiology clinic patients, 164 (41% female) and 316 (59% male). The Bruce protocol required treadmill stress ECGs for all patients. After the stress test, HRRIs were collected at 1, 2, 3, and 5 minutes. HRRI is calculated by subtracting the subject's maximal exercise HR at the end of the session from HR after 1, 2, 3, and 5 minutes of...

Baseline intervals in electrocardiogram for risk stratification in Brugada syndrome: A 10-year prospective studyOriginal research articles

Vanda Devesa Neto, Joana Correia, António Costa, Luís Santos

Cor Vasa 2024, 66(4):411-416 | DOI: 10.33678/cor.2024.027  

Background: Risk stratification in Brugada syndrome (BrS) remains challenging. The aim of this study was to evaluate the baseline intervals in resting ECG of a cohort of Portuguese patients with first-degree relatives diagnosed with BrS and to identify ECG parameters associated with cardiac events (CE) over a 10-year period. Methods: Prospective study assessing 107 Portuguese patients with first-degree relatives diagnosed with BrS and followed over a decade to detect CE. Subgroups included spontaneous type 1 (SB), inducible type 1 (IB), and normal ECG. CE were a composite endpoint comprising of sudden cardiac death (SCD), implantable cardioverter-defibrillator...

Investigation of Heart Rate Variability and Ventricular Repolarization Indexes in Brucella Patients with PalpitationsOriginal research articles

Okan Tanriverdi, Lutfu Askin, Husna Sengul Askin, Serdar Turkmen

Cor Vasa 2024, 66(4):403-410 | DOI: 10.33678/cor.2024.016  

Background: Global zoonotic diseases like brucellosis increase cardiac mortality and malignant arrhythmias. Heart rate variability (HRV) measures heart rate non-invasively and reliably. Lower HRV suggests autonomic dysfunction. The Tp-e/QT interval (QT) and corrected QT (QTc) ratios are used to detect ventricular arrhyth- mogenesis. Objective: In brucellosis, we examined the relationship between autonomic dysfunction and ventricular repolarization (VR). This was done noninvasively by assessing HRV and VR parameters. Methods: One hundred patients with brucellosis had a mean age of 39.2±1.1 years. One hundred healthy volunteers with a mean age of...

(Prescription of basic pharmacotherapy and its dosage in outpatient care after discharge in patients hospitalized for cardiac decompensation)Original research articles

Jan Orct, Otto Mayer Jr., Simona Bílková, Tomáš Krynský, Josef Jirák

Cor Vasa 2024, 66(4):394-402 | DOI: 10.33678/cor.2024.036  

Aims: We analyzed the prescription and dosage of essential pharmacotherapy in outpatient care at the end of 2022 in patients hospitalized between 2010-2020 for cardiac decompensation. Methods: The initial sample included 4097 patients hospitalized for cardiac decompensation. From this cohort, we analyzed 975 surviving patients (mean age 71.9 [±SD 10.8], 62.8% male) regarding pharmacotherapy in their central medication record. Results: The prescription of beta-blockers (BB) was 79.6% in outpatient care and did not significantly change after discharge from hospitalization (77.5%). Taking BB with evidence in chronic heart failure (HF) only, there...

Jiří Kettner, Josef Kautzner a kolektiv: Akutní kardiologieBook reviews

Jan Petrášek

Cor Vasa 2024, 66(3):388  

Jan Václavík, Zdeněk Lys a kolektiv: Multimorbidita v klinické praxiBook reviews

Jan Petrášek

Cor Vasa 2024, 66(3):387  

Opustil nás pan profesor MUDr. Jiří Kvasnička, CSc.Personalities

Michael Aschermann, Vladimír Rozsíval

Cor Vasa 2024, 66(3):386  

Odešel bojovník a vizionář doc. MUDr. Tomáš Kára, Ph.D.Personalities

Jiří Vítovec, Miroslav Souček, Michael Aschermann

Cor Vasa 2024, 66(3):384  

Paní profesorka Hana Rosolová slaví životní jubileumPersonalia

Michael Aschermann, výbor ČKS

Cor Vasa 2024, 66(3):382  

A case of Turner's syndrome, factor 5 Leiden, and fibrinogen deficiency associated with congenital aortic stenosis complicated by aortic aneurysm and aortic regurgitationCase reports

Emre Oteyaka, Leylagül Kaynar, Hasan Erdem Murat Ugurlucan, Halil Turkoglu

Cor Vasa 2024, 66(3):378-379 | DOI: 10.33678/cor.2024.011  

The combination of Turner's syndrome, factor 5 Leiden and fibrinogen 1 deficiency is extremely rare. The modified Bentall procedure is a viable option for the management of aortic aneurysms and bicuspid aortic valves in Turner's syndrome to minimise the risks associated with high-risk surgical interventions. We report details of the successful implementation of the Bentall operation in a patient with Turner's syndrome complicated by aortic aneurysm, bicuspid aorta, factor 5 Leiden and fibrinogen deficiency.

A patient with Duchenne muscular dystrophy and complete AV block undergoing a successful left bundle area pacing implantationCase reports

Ramazan Gündüz, Bekir Serhat Yildiz, Su Ozgur

Cor Vasa 2024, 66(3):375-377 | DOI: 10.33678/cor.2024.014  

The use of septal pacing, a novel pacemaker technique, is particularly recommended for patients with heart failure and a pacing requirement of ≥40% within a 24-hour period. The feasibility and effectiveness of left bundle area pacing remain unknown in Duchenne muscular dystrophy patients. Our case represents the first instance in Duchenne muscular dystrophy patients demonstrating the applicability of conduction system pacing.

Venous Thromboembolism, an Unusual Complication of Infective Endocarditis Caused by Moraxella species: a Case ReportCase reports

Meity Ardiana, Tita Rif'atul Mahmudah, Bambang Herwanto, Inna Maya Sufiyah

Cor Vasa 2024, 66(3):370-374 | DOI: 10.33678/cor.2024.009  

Background: Septic embolism is a relatively common and potentially severe complication of infective endocarditis (IE), and most often are found in the brain, solid organs (e.g. spleen, kidney, lungs), and lower extremity. Interestingly, we found an acute venous thromboembolic event in IE patient with septicemia. Case illustration: A 42-year-old male was referred from neighboring island to our hospital for IE and septic shock. On admission he complained of shortness of breath during heavy activity, with fatigue and fever for seven days. He also presented with acute onset of left upper extremity pain for three days. The pain was increased over time with...

Sinus of Valsalva aneurysm - myocardial infarction perpetrator or silent bystander?Case reports

Martin Jedlička, Michal Fikrle, Roman Panovský, Lucia Masárová

Cor Vasa 2024, 66(3):366-369 | DOI: 10.33678/cor.2023.074  

Background: In some cases myocardial infarction is not associated with atherothrombotic coronary artery dis- ease and can be caused by many different mechanisms. One of these situations is a coronary artery embolism. This case report discusses the possibility of coronary embolism from newly diagnosed sinus of Valsalva aneurysm (SOVA), which is a rare clinical abnormality that can be clinically silent or symptomatic in varied ways. Case presentation: A 54-year-old woman presented with ST-segment elevations myocardial infarction of left ventricle inferior wall. We performed emergent coronary angiography where occlusion of the posterior descending artery...

(Traditional risk factors and chronic diseases associated with an increased risk of coronary artery disease. Risk stratification and intervention from childhood)Review articles

Veronika Urbanová, Jakub Mrakava, Karel Koubský, Irena Aldhoon-Hainerová, Kristina Rücklová

Cor Vasa 2024, 66(3):349-364 | DOI: 10.33678/cor.2023.100  

Coronary artery disease risk not only in adults but also in children is predominantly related to risk factors associated with atherosclerosis. These traditional cardiovascular risk factors include hypercholesterolaemia, obesity, diabetes mellitus, hypertension and smoking. Another high risk group for coronary artery disease are individuals with cardiac, vascular or other chronic diseases. These include chronic kidney diseases, chronic inflammatory diseases, malignancies, certain congenital heart defects, inborn or acquired coronary anomalies including interventions on coronary arteries, Kawasaki disease and cardiac allograft vasculopathy in heart transplant...

(Ambulatory blood pressure monitoring, sleep quality, and reliability of night hypertension)Review articles

Samuel Genzor, Eva Kociánová, Ladislav Stanke, Michal Štýbnar, Jan Mizera, Martin Vykopal

Cor Vasa 2024, 66(3):345-348 | DOI: 10.33678/cor.2023.087  

Nocturnal hypertension is a significant risk factor for cardiovascular mortality and morbidity. Its determination requires the use of 24-hour blood pressure monitoring (ABPM). However, the examination results can be less reliable in patients with insomnia, habitual short sleep or other sleep disorders. In these patients, it is possible to detect falsely high values of blood pressure in the night interval. At the same time, the treatment of sleep disorders itself could adjust the nighttime values of blood pressure and thus prevent unreasonably intensive treatment of high blood pressure. The article summarizes current knowledge about the effect of sleep...

(The inferior vena cava filter and complications associated with its use)Review articles

Marek Hudák, Martin Koščo, Lucia Dekanová, Veronika Pavlíková, Eva Szabóová, Mária Rašiová

Cor Vasa 2024, 66(3):335-343 | DOI: 10.33678/cor.2024.015  

The inferior vena cava filter prevents pulmonary embolism by mechanically trapping the embolus in the inferior vena cava. It should be strictly indicated and implanted only in a selected group of patients with deep vein thrombosis. However, the introduction of a plenty relative indications significantly increased the rate of caval filter implantation in the last decade and it led consequently to dramatic increase of complications rate, too. The purpose of this article is to summarize the possible complications related to the use of the caval filter, to present the reader clinical manifestation of these complications, as they are often overlooked, and...

The role of neutrophil-to-lymphocyte ratio in left ventricular hypertrophy development in patients with comorbid course of hypertension, diabetes mellitus, and obesityOriginal research articles

Oleksandra Babycheva, Olga Sadovenko, Iulia Rodionova, Inna Kutia, Anton Bilchenko, Borys Shelest, Nataliia Sukhonos, Yuliia Kovalova

Cor Vasa 2024, 66(3):328-334 | DOI: 10.33678/cor.2024.008  

Objective: The patients with concurrent hypertension, diabetes mellitus (DM), and obesity are among the most common associated conditions in contemporary clinical practice. It is of crucial importance to investigate the development of left ventricular hypertrophy (LVH) in above mentioned complicated comorbid patients. The association of neutrophil-to-lymphocyte ratio (NLR) with the development of LVH is not researched enough. The aim of the work was to study the role of NLR in the development of LVH in hypertensive patients burdened with type 2 diabetes and obesity. Methods: 297 hypertensive patients with diabetes mellitus type 2 and obesity were enrolled...

Early-LVT Risk Score - A new Clinical Risk Score for Early Left Ventricular Thrombus Prediction Following AnteriorST-Segment Elevation Myocardial InfarctionOriginal research articles

Joana Laranjeira Correia, Vanda Devesa Neto, João Gouveia Fiuza, Luísa Gonçalves

Cor Vasa 2024, 66(3):323-327 | DOI: 10.33678/cor.2024.004  

Background: Despite advancements in the management of ST-segment elevation myocardial infarction (STEMI), the risk of left ventricular thrombus (LVT) remains a significant concern due to its potential for embolic complications. Early identification of patients at high risk for LVT is crucial for guiding therapeutic interventions and improving clinical outcomes. Aim: This study aimed to develop a practical and clinically applicable risk score (Early-LVT Risk Score) that integrates readily available demographic, clinical, and echocardiographic parameters to predict the likelihood of early LVT formation post anterior STEMI. Methods: A sub-analysis of...

Cancer Diagnosis in Hypertensive Heart Disease Population: A Cross Sectional Study in Soetomo General HospitalOriginal research articles

Meity Ardiana, Wynne Widiarti, Chaq El Chaq Z. Multazam, Hanif Ardiansyah Sulistya

Cor Vasa 2024, 66(3):318-322 | DOI: 10.33678/cor.2024.003  

Hypertension as a global concern remains inadequately controlled, ultimately leading to cardiac structural and functional changes associated with hypertensive heart disease (HHD). Simultaneously, cancer, characterized with abnormal cell proliferation, exhibits diverse behaviours and responses to treatment strategies. Despite extensive efforts, certain type of cancers remains incurable, making both cardiovascular diseases and cancer the leading causes of non-communicable disease mortality in the world. To investigate this association, we conducted a cross-sectional study, reporting the incidence of cancer in the HHD population at Soetomo General Hospital....

Prognostic importance of the hemoglobin, albumin, lymphocyte, and platelet (HALP) score in patients with acute pulmonary embolismOriginal research articles

Ekrem Taha Sert, Kamil Kokulu, Hüseyin Mutlu, Mustafa Önder Gönen

Cor Vasa 2024, 66(3):312-317 | DOI: 10.33678/cor.2023.099  

Objective: To investigate the prognostic value of the hemoglobin, albumin, lymphocyte, and platelet (HALP) score in acute pulmonary embolism (APE). Methods: We retrospectively evaluated patients aged 18 years and over who were diagnosed with APE by computed tomography pulmonary angiography at the emergency department (ED) between January 2019 and January 2023. The patients' clinical and demographic data were evaluated, and their simplified pulmonary embolism severity index values were calculated. The HALP score was obtained using the first blood sample measured after the patients were admitted to the ED. The HALP score was calculated according to the...

Predictors of major adverse cardiovascular events in patients with coronary artery perforation treated with covered stentsOriginal research articles

Umeyir Savur, Aysel Akhundova, Başak Çatalbaş, İbrahim Oguz Karaca

Cor Vasa 2024, 66(3):307-311 | DOI: 10.33678/cor.2024.002  

Background: Coronary artery perforation (CAP) is a rare, life-threatening complication of percutaneous coronary intervention (PCI). PTFE-coated stents are highly successful and lifesaving in the treatment of coronary perforation. The incidence of thrombosis and restenosis in the PTFE-covered stent is higher than in standard stents. The aim of this study was to evaluate the clinical outcomes of PTFE-covered stents for CAP. Materials and methods: We evaluated a total of 38 patients who were treated with PTFE-coated stents for coronary perforation from January 2012 to January 2022 at a single high-volume center, Medipol University Hospital in Turkey....

(Mid-term results of dynamic aortic root remodeling - a single center study)Original research articles

Adrián Kolesár, Tomáš Toporcer, Tomáš Molnár, Lukáš Vajda, Martina Polačková, Jana Jevčáková, Lucia Mistríková, Štefánia Mižáková, Štefan Lukačin

Cor Vasa 2024, 66(3):302-306 | DOI: 10.33678/cor.2024.021  

Aortic root remodeling was first published in the 1980s. Today's aortic root remodeling is geometrically precisely defined and indicated in every patient with aortic valve regurgitation in aortic root aneurysm. The aim of the work is to evaluate the medium-term results of aortic root remodeling in our conditions and the risk factors that have an impact on this stability. The work included 103 patients undergoing aortic root remodeling from January 2011 to December 2013. Patient follow-up was performed by echocardiographic control in correlation with the recommendations of the international AVIATOR registry. The analysis of patient survival focused...

Jiří Bonaventura: Současná kardiologie. Manuál pro praxiBook reviews

Prof. MUDr. Jan Petrášek, DrSc.

Cor Vasa 2024, 66(2):296  

Profesor MUDr. Aleš Linhart, DrSc., FESC, FCMA, slaví životní jubileumPersonalia

Michael Aschermann

Cor Vasa 2024, 66(2):295  

Prof. MUDr. Petr Widimský, DrSc., FESC, FACC, sedmdesátiletýPersonalia

Pavel Gregor

Cor Vasa 2024, 66(2):291-293  

Profesor Petr Widimský slaví životní jubileumPersonalia

Michael Aschermann

Cor Vasa 2024, 66(2):294  

Aktualizace Doporučení ESC pro diagnostiku a léčbu akutního a chronického srdečního selhání 2021. Vypracovaná Pracovní skupinou pro diagnostiku a léčbu akutního a chronického srdečního selhání Evropské kardiologické společnosti (ESC). Se zvláštním přispěním Evropské asociace srdečního selhání ESC.Guidelines

McDonagh TA, Metra M, Adamo M, Gardner RS, Baumbach A, Böhm M, Burri H, Butler J, Čelutkienė J, Chioncel O, Cleland JGF, Crespo-Leiro MG, Farmakis D, Gilard M, Heymans S, Hoes AW, Jaarsma T, Jankowska EA, Lainscak M, Lam CSP, Lyon AR, McMurray JJV, Mebazaa A, Mindham R, Muneretto C, Piepoli MF, Price S, Rosano GMC, Ruschitzka F, Skibelund AK, McDonagh TA, Metra M, Adamo M, Gardner RS, Baumbach A, Böhm M, Burri H, Butler J, Čelutkienė J, Chioncel O, Cleland JGF, Crespo-Leiro MG, Farmakis D, Gilard M, Heymans S, Hoes AW, Jaarsma T, Jankowska EA, Lainscak M, Lam CSP, Lyon AR, McMurray JJV, Mebazaa A, Mindham R, Muneretto C, Piepoli MF, Price S, Rosano GMC, Ruschitzka F, Skibelund AK, Jan Krejčí, Lenka Špinarová, Jiří Pařenica, Anna Chaloupka, Jiří Veselý

Cor Vasa 2024, 66(2):280-288 | DOI: 10.33678/cor.2024.018