Ali Aycan Kavala, Saygin Turkyilmaz, Yusuf Kuserli, Gülsüm Turkyilmaz, Mehmet Ali Yeşiltaş, Hasan Toz, Selim Tumkaya
{"title":"Early-term results of coronary artery bypass grafting in renal transplant patients","authors":"Ali Aycan Kavala, Saygin Turkyilmaz, Yusuf Kuserli, Gülsüm Turkyilmaz, Mehmet Ali Yeşiltaş, Hasan Toz, Selim Tumkaya","doi":"10.33678/cor.2023.008","DOIUrl":"https://doi.org/10.33678/cor.2023.008","url":null,"abstract":"","PeriodicalId":10787,"journal":{"name":"Cor et vasa","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135782532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"(Development of sleep apnea syndrome in a patient with heart failure before and after orthotopic heart transplant)","authors":"Lujza Zikmund Galková, Jiří Hlásenský, Lenka Špinarová, Petr Němec, Jiří Vítovec, Jan Krejčí","doi":"10.33678/cor.2023.015","DOIUrl":"https://doi.org/10.33678/cor.2023.015","url":null,"abstract":"V tĂŠto prĂĄci popisujeme pĹĂpad pacienta se syndromem spĂĄnkovĂŠ apnoe pĹi srdeÄnĂm selhĂĄnĂ a nĂĄslednÄ po ortotopickĂŠ transplantaci srdce (OTS) a jejĂ ovlivnÄnĂ pĹetlakovou ventilacĂ. SpĂĄnkovĂĄ apnoe (SA) je ovlivnitelnĂ˝m nezĂĄvislĂ˝m rizikovĂ˝m faktorem kardiovaskulĂĄrnĂch onemocnÄnĂ. JejĂmi klinickĂ˝mi pĹĂznaky mohou bĂ˝t dlouhotrvajĂcĂ Ăşnava a nadmÄrnĂĄ dennĂ spavost, poruchy kognitivnĂch funkcĂ zahrnujĂcĂ zhorĹĄenou krĂĄtkodobou pamÄĹĽ a poruchy soustĹedÄnĂ, behaviorĂĄlnĂ poruchy, jako je nĂĄladovost, agresivita, ztrĂĄta motivace a tzv. noÄnĂ symptomy: ronchopatie (chrĂĄpĂĄnĂ), ÄastĂĄ probuzenĂ lapavĂ˝mi dechy - pavor nocturnus, nykturie, fragmentace spĂĄnku a po probuzenĂ typickĂŠ sucho v Ăşstech nebo rannĂ cefalea. Diagnostika SA je zaloĹžena na vĂ˝sledcĂch polysomnografickĂŠho Äi polygrafickĂŠho vyĹĄetĹenĂ, jejĂ lĂŠÄba pak spoÄĂvĂĄ v tzv. neinvazivnĂ pĹetlakovĂŠ ventilaci. SA mĹŻĹže vĂŠst k rozvoji novĂ˝ch Äi zhorĹĄenĂ stĂĄvajĂcĂch kardiovaskulĂĄrnĂch onemocnÄnĂ, a tedy v koneÄnĂŠm dĹŻsledku k rozvoji srdeÄnĂho selhĂĄnĂ (HF), klinickĂŠmu syndromu zapĹĂÄinÄnĂŠmu funkÄnĂmi Äi strukturĂĄlnĂmi abnormalitami vedoucĂmi k poruĹĄe srdeÄnĂ funkce. VĂ˝skyt srdeÄnĂho selhĂĄnĂ se u nĂĄs i celosvÄtovÄ neustĂĄle zvyĹĄuje, a to i pĹes rozvoj novĂ˝ch ĂşÄinnĂ˝ch lĂŠkĹŻ a nefarmakologickĂ˝ch postupĹŻ, k nimĹž patĹĂ i ortotopickĂĄ transplantace srdce. © 2023, ÄKS.","PeriodicalId":10787,"journal":{"name":"Cor et vasa","volume":"58 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135782539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Haran Burri, Marek Jastrzebski, Oscar Cano, Karol Čurila, Jan de Pooter, Weijian Huang, Carsten Israel, Jacqueline Joza, Jorge Romero, Kevin Vernooy, Pugazhendhi Vijayaraman, Zachary Whinnett, Francesco Zanon, Miloš Táborský, Karol Čurila, Marián Fedorco, Josef Kautzner, Alan Bulava, Patrik Jarkovský, Rostislav Polášek, Miroslav Novák, Vít Gloger, Milan Kozák, Štěpán Havránek, Vlastimil Vančura, Alexandr Schee, Milena Kubíčková
Stimulace srdeÄnĂho pĹevodnĂho systĂŠmu (conduction system pacing, CSP) se "vynoĹila" jako fyziologiÄtÄjĹĄĂ alternativa stimulace pravĂŠ komory a ve vybranĂ˝ch pĹĂpadech se pouĹžĂvĂĄ i pro srdeÄnĂ resynchronizaÄnĂ terapii. Stimulace Hisova svazku byla zavedena pĹed vĂce neĹž dvÄma desĂtkami let a v poslednĂch pÄti letech se zaÄala pouĹžĂvat ve vÄtĹĄĂ mĂĹe potĂŠ, co se na trhu objevilo instrumentarium usnadĹujĂcĂ implantaci elektrod. Stimulace oblasti levĂŠho Tawarova ramĂŠnka je novÄjĹĄĂ strategiĂ, kterĂĄ zĂskĂĄvĂĄ vzhledem k vÄtĹĄĂ cĂlovĂŠ oblasti a vynikajĂcĂm elektrickĂ˝m parametrĹŻm rychle oblibu. NicmĂŠnÄ stejnÄ jako v pĹĂpadÄ jakĂŠkoli intervence je pĹedpokladem bezpeÄnĂŠ a ĂşÄinnĂŠ lĂŠÄby jejĂ sprĂĄvnĂŠ provĂĄdÄnĂ. CĂlem tohoto dokumentu je standardizovat zpĹŻsob provĂĄdÄnĂ danĂŠho vĂ˝konu a nabĂdnout jistĂ˝ rĂĄmcovĂ˝ pĹehled lĂŠkaĹĹŻm, kteĹĂ by rĂĄdi implantovali elektrody pro CSP, pĹĂpadnÄ kteĹĂ si pĹejĂ zdokonalit svoji techniku implantace.
{"title":"(EHRA clinical consensus statement on conduction system pacing implantation: endorsed by the Asia Pacific Heart Rhythm Society (APHRS), Canadian Heart Rhythm Society (CHRS), and Latin American Heart Rhythm Society (LAHRS). Translation of the document prepared by the Czech Society of Cardiology)","authors":"Haran Burri, Marek Jastrzebski, Oscar Cano, Karol Čurila, Jan de Pooter, Weijian Huang, Carsten Israel, Jacqueline Joza, Jorge Romero, Kevin Vernooy, Pugazhendhi Vijayaraman, Zachary Whinnett, Francesco Zanon, Miloš Táborský, Karol Čurila, Marián Fedorco, Josef Kautzner, Alan Bulava, Patrik Jarkovský, Rostislav Polášek, Miroslav Novák, Vít Gloger, Milan Kozák, Štěpán Havránek, Vlastimil Vančura, Alexandr Schee, Milena Kubíčková","doi":"10.33678/cor.2023.061","DOIUrl":"https://doi.org/10.33678/cor.2023.061","url":null,"abstract":"Stimulace srdeÄnĂho pĹevodnĂho systĂŠmu (conduction system pacing, CSP) se \"vynoĹila\" jako fyziologiÄtÄjĹĄĂ alternativa stimulace pravĂŠ komory a ve vybranĂ˝ch pĹĂpadech se pouĹžĂvĂĄ i pro srdeÄnĂ resynchronizaÄnĂ terapii. Stimulace Hisova svazku byla zavedena pĹed vĂce neĹž dvÄma desĂtkami let a v poslednĂch pÄti letech se zaÄala pouĹžĂvat ve vÄtĹĄĂ mĂĹe potĂŠ, co se na trhu objevilo instrumentarium usnadĹujĂcĂ implantaci elektrod. Stimulace oblasti levĂŠho Tawarova ramĂŠnka je novÄjĹĄĂ strategiĂ, kterĂĄ zĂskĂĄvĂĄ vzhledem k vÄtĹĄĂ cĂlovĂŠ oblasti a vynikajĂcĂm elektrickĂ˝m parametrĹŻm rychle oblibu. NicmĂŠnÄ stejnÄ jako v pĹĂpadÄ jakĂŠkoli intervence je pĹedpokladem bezpeÄnĂŠ a ĂşÄinnĂŠ lĂŠÄby jejĂ sprĂĄvnĂŠ provĂĄdÄnĂ. CĂlem tohoto dokumentu je standardizovat zpĹŻsob provĂĄdÄnĂ danĂŠho vĂ˝konu a nabĂdnout jistĂ˝ rĂĄmcovĂ˝ pĹehled lĂŠkaĹĹŻm, kteĹĂ by rĂĄdi implantovali elektrody pro CSP, pĹĂpadnÄ kteĹĂ si pĹejĂ zdokonalit svoji techniku implantace.","PeriodicalId":10787,"journal":{"name":"Cor et vasa","volume":"87 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135782540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Can systolic pulmonary artery pressure be used as one of the criteria of risk stratification in acute pulmonary embolism?","authors":"Habibe Hezer, Ayse Sule Ates, Idris Yakut, Hatice Kilic, H. Hasanoglu","doi":"10.33678/cor.2023.020","DOIUrl":"https://doi.org/10.33678/cor.2023.020","url":null,"abstract":"","PeriodicalId":10787,"journal":{"name":"Cor et vasa","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135782543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Meity Ardiana, Andrianto Andrianto, Denisa Nugrahita Asmarani, Ryan Enast Intan, Lukman Hakim Andira, Fita Triastuti
{"title":"Knowledge Upgrading of General Practitioners in the Community Health Cares in Surabaya after Joining Virtual Training of Early Cardiovascular Detection in Pregnancy: A Quasi-Experimental Study","authors":"Meity Ardiana, Andrianto Andrianto, Denisa Nugrahita Asmarani, Ryan Enast Intan, Lukman Hakim Andira, Fita Triastuti","doi":"10.33678/cor.2023.001","DOIUrl":"https://doi.org/10.33678/cor.2023.001","url":null,"abstract":"","PeriodicalId":10787,"journal":{"name":"Cor et vasa","volume":"95 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135782534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"(Arrhythmogenic potential in Turner syndrome patients)","authors":"Sabina Kaprálová, Jan Pavlíček, Alžběta Palátová, Radek Vrtěl, Hana Tomášková, Jiřina Zapletalová, Eva Klásková","doi":"10.33678/cor.2023.036","DOIUrl":"https://doi.org/10.33678/cor.2023.036","url":null,"abstract":"Ăvod: TurnerĹŻv syndrom (TS) je spojen s Ĺadou jasnÄ definovanĂ˝ch kardiovaskulĂĄrnĂch rizik v podobÄ vrozenĂ˝ch srdeÄnĂch vad a zĂskanĂ˝ch kardiovaskulĂĄrnĂch onemocnÄnĂ. NejednotnĂŠ jsou Ăşdaje o arytmogennĂm potenciĂĄlu u nositelek TS, pĹedevĹĄĂm ve vĂ˝skytu malignĂch komorovĂ˝ch arytmiĂ na podkladÄ dlouhĂŠho intervalu QT. CĂlem tĂŠto prĂĄce bylo zhodnocenĂ vĂ˝skytu abnormalit EKG u pacientek s tĂmto syndromem. Metodika: Do studie bylo zaĹazeno 61 dĂvek a Ĺžen s TS, u kterĂ˝ch bylo provedeno kompletnĂ kardiologickĂŠ vyĹĄetĹenĂ vÄetnÄ EKG a holterovskĂŠ monitorace EKG. Na 12svodovĂŠm EKG byla hodnocena dĂŠlka intervalu PR a QT, pĹi holterovskĂŠ monitoraci EKG prĹŻmÄrnĂĄ tepovĂĄ frekvence (TF) vÄetnÄ z-score, pĹĂtomnost sĂĹovĂŠ/komorovĂŠ extrasystolie a jinĂ˝ch arytmiĂ. Interval QT byl korigovĂĄn dle Bazetta a Hodgese a tyto hodnoty byly porovnĂĄny. AnalyzovĂĄna byla zĂĄvislost parametrĹŻ na jednotlivĂ˝ch karyotypech. VĂ˝sledky: MediĂĄn intervalu PR byl 120 ms (prĹŻmÄr 118,4 ms), krĂĄtkĂ˝ interval PR byl identifikovĂĄn u 13 % (8/61), ŞådnĂĄ z pacientek nemÄla delta vlnu jako obraz preexcitace komor. AbsolutnĂ hodnota QT byla v mediĂĄnu 340 ms (prĹŻmÄr 336 ms). Interval QTc prodlouĹženĂ˝ nad 440 ms mÄlo 5 % (3/61) pacientek pĹi uĹžitĂ korekce dle Bazetta a 3 % (2/61) pĹi korekci dle Hodgese. Hodnota QTc dle Bazetta se vĂ˝znamnÄ liĹĄila od QTc dle Hodgese (mediĂĄn 410 ms, prĹŻmÄr 405 ms vs. mediĂĄn 390 ms, prĹŻmÄr 390 ms; p < 0,001). Z holterovskĂŠ monitorace byla TF za 24 hodin v mediĂĄnu 92/min (prĹŻmÄr 93,3/min). TF nad +2 z-score se potvrdila u 6,5 % (4/61) pĹĂpadĹŻ. U 48 % (29/61) pacientek byla zachycena sĂĹovĂĄ a u 25 % (15/61) komorovĂĄ extrasystolie, ÄetnÄjĹĄĂ vĂ˝skyt byl u monosomie 45,X na rozdĂl od ostatnĂch skupin karyotypĹŻ. ZĂĄvaĹžnĂŠ arytmie nebyly identifikovĂĄny. ZĂĄvÄr: EKG zmÄny jsou u nositelek TS srovnatelnÄ ÄetnĂŠ jako v obecnĂŠ populaci a jsou klinicky nevĂ˝znamnĂŠ. Riziko malignĂch arytmiĂ nebylo v tĂŠto studii prokĂĄzĂĄno. Pro hodnocenĂ intervalu QTc u pacientek s TS je pravdÄpodobnÄ vhodnÄjĹĄĂ metoda dle Hodgese neĹž bÄĹžnÄ pouĹžĂvanĂĄ Bazettova formule. © 2023, ÄKS.","PeriodicalId":10787,"journal":{"name":"Cor et vasa","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135782547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Is there a relationship between aortic valve degeneration and left ventricle function?","authors":"Aysel Akhundova, Murat Sunbul, Tarik Kivrak, Fuad Samadov, Bulent Mutlu","doi":"10.33678/cor.2022.143","DOIUrl":"https://doi.org/10.33678/cor.2022.143","url":null,"abstract":"CĂl: CĂlem naĹĄĂ studie bylo zkoumat pĹĂpadnou souvislost mezi degeneracĂ aortĂĄlnĂ chlopnÄ (aortic valve, AV) a funkcĂ levĂŠ komory srdeÄnĂ (left ventricle, LV) a zda se takovĂĄ souvislost nĂĄslednÄ projevuje na hodnotĂĄch biomarkerĹŻ. Metody: Do studie bylo zaĹazeno 42 po sobÄ nĂĄsledujĂcĂch pacientĹŻ s degenerativnĂm postiĹženĂm AV a 25 kontrolnĂch jedincĹŻ. AortĂĄlnĂ chlopnÄ byly podle typu degenerace rozdÄleny na chlopnÄ se stenotickĂ˝mi a sklerotickĂ˝mi zmÄnami. U vĹĄech pacientĹŻ bylo pĹed bicyklovou ergometriĂ v pozici pololeĹže a nĂĄslednÄ po nĂ provedeno vyĹĄetĹenĂ metodami dvoudimenzionĂĄlnĂ (2D) jĂcnovĂŠ echokardiografie a 2D speckle tracking echokardiografie (STE). Sledovali jsme rovnÄĹž souvislost mezi sklerotickĂ˝m postiĹženĂm aorty a hodnoty biomarkerĹŻ, jako jsou galektin-3, troponin T stanovenĂ˝ metodou s vysokou citlivostĂ (high-sensitive [hs] troponin-T), C-reaktivnĂ protein (CRP) a pro-BNP. VĂ˝sledky: CelkovĂ˝ longitudinĂĄlnĂ strain (global longitudinal strain, GLS) LK byl pĹi maximĂĄlnĂ zĂĄtÄĹži a v dobÄ zotavovĂĄnĂ statisticky vĂ˝znamnÄ horĹĄĂ u pacientĹŻ s degenerovanou AV neĹž u kontrol. PĹi bazĂĄlnĂ zĂĄtÄĹži a maximĂĄlnĂ zĂĄtÄĹži i v obdobĂ zotavovĂĄnĂ byly u pacientĹŻ s degenerovanou AV - ve srovnĂĄnĂ s kontrolami - statisticky vĂ˝znamnÄ vĂce postiĹženĂŠ i rezervoĂĄrovĂĄ a konduitnĂ funkce levĂŠ sĂnÄ. Hodnoty CRP, hs-troponinu T a pro-BNP byly ve skupinĂĄch s degenerovanou AV statisticky vĂ˝znamnÄ vyĹĄĹĄĂ neĹž u kontrol. Hodnota LV GLS korelovala negativnÄ s hodnotami CRP a E/e' pĹi maximĂĄlnĂ zĂĄtÄĹži i s prĹŻmÄrnĂ˝mi transvalvulĂĄrnĂmi tlakovĂ˝mi gradienty u AV v klidu a pĹi maximĂĄlnĂ zĂĄtÄĹži. MultivariaÄnĂ lineĂĄrnĂ regresnĂ analĂ˝za prokĂĄzala, Ĺže hodnoty CRP a prĹŻmÄrnĂŠ transvalvulĂĄrnĂ tlakovĂŠ gradienty u AV pĹi maximĂĄlnĂ zĂĄtÄĹži jsou nezĂĄvislĂ˝mi prediktory LV GLS. ZĂĄvÄry: PĹes normĂĄlnĂ funkci LV nejenĹže dochĂĄzĂ u pacientĹŻ s aortĂĄlnĂ sklerĂłzou k vĂ˝znamnĂŠmu zhorĹĄenĂ LV GLS, tato zmÄna je vĂ˝raznÄjĹĄĂ pĹi maximĂĄlnĂ zĂĄtÄĹži. Z vĂ˝sledkĹŻ naĹĄĂ studie lze usuzovat, Ĺže STE pĹedstavuje spolehlivĂ˝ nĂĄstroj pro Äasnou detekci poruchy funkce LV pacientĹŻ s aortĂĄlnĂ sklerĂłzou. © 2023, ÄKS.","PeriodicalId":10787,"journal":{"name":"Cor et vasa","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135782531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"(General and clinical neurocardiology)","authors":"Jan Galuszka","doi":"10.33678/cor.2023.016","DOIUrl":"https://doi.org/10.33678/cor.2023.016","url":null,"abstract":"ÄlĂĄnek struÄnÄ shrnuje klĂÄovĂŠ publikace neurokardiologie v zahraniÄnĂm i domĂĄcĂm pĂsemnictvĂ v poslednĂch ÄtyĹiceti letech, zabĂ˝vĂĄ se definicĂ pojmu, vymezenĂm neurokardiologie obecnĂŠ a klinickĂŠ. ZdĹŻrazĹuje prĂĄci prĹŻkopnĂkĹŻ neurokardiologie Johna Andrewa Armoura a Jeffreyho Laurence Ardella, vĂ˝znam autonomnĂho nervovĂŠho systĂŠmu v hierarchickĂŠm ĹĂzenĂ srdeÄnĂ Äinnosti, koncept funkÄnĂho srdeÄnĂho mozku. ZĂĄvÄrem pĹipomĂnĂĄ vĂ˝znamnĂŠ dokumenty translaÄnĂ a klinickĂŠ neurokardiologie, projekt SPARC a potenciĂĄl neuromodulaÄnĂ terapie v praxi. © 2023, ÄKS.","PeriodicalId":10787,"journal":{"name":"Cor et vasa","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135782542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Stroke and a Strange Intrapulmonary Shunt","authors":"Joana Laranjeira Correia, Gonçalo R. M. Ferreira, Vanda Neto, João Fiuza, António Costa, Miguel Correia","doi":"10.33678/cor.2022.135","DOIUrl":"https://doi.org/10.33678/cor.2022.135","url":null,"abstract":"Spektrum plicnĂch arteriovenĂłznĂch malformacĂ (pulmonary arteriovenous malformation, PAVM) se pohybuje v rozmezĂ od mikroskopickĂ˝ch lĂŠzĂ aĹž po izolovanĂŠ nebo ÄetnĂŠ velkĂŠ abnormĂĄlnĂ zkraty mezi plicnicĂ a plicnĂ Ĺžilou. Mezi hlavnĂ komplikace PAVM, jeĹž jsou vĂ˝sledkem intrapulmonĂĄlnĂho zkratu, patĹĂ cĂŠvnĂ mozkovĂĄ pĹĂhoda, mozkovĂ˝ absces a hypoxemie. ParadoxnĂ embolie je povaĹžovĂĄna za jednu z hlavnĂch pĹĂÄin cĂŠvnĂch mozkovĂ˝ch pĹĂhod u mladĂ˝ch pacientĹŻ; ve vzĂĄcnĂ˝ch pĹĂpadech k nĂ mĹŻĹže dojĂt i na Ăşrovni plic. Popisujeme pĹĂpad pĹŻvodnÄ zdravĂŠ 44letĂŠ Ĺženy s intrapulmonĂĄlnĂm zkratem prokĂĄzanĂ˝m jĂcnovĂ˝m echokardiogramem bÄhem vyĹĄetĹenĂ kryptogennĂ cĂŠvnĂ mozkovĂŠ pĹĂhody. Ani pouĹžitĂŠ pokroÄilĂŠ zobrazovacĂ metody nezjistily ŞådnĂŠ arteriovenĂłznĂ malformace. © 2023, ÄKS.","PeriodicalId":10787,"journal":{"name":"Cor et vasa","volume":"95 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135782544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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