[Determination of anti-arrhythmia therapy of ventricular arrhythmias based on programmed ventricular stimulation].

M Herold, S Hrdlicka, P Osmera, P Gregor

Vnitr Lek 1991, 37(11-12):833-840

The authors used programmed ventricular stimulation in 38 patients who had during Holter monitoring severe ventricular arrhythmias (greater than or equal to Lown 4a). The group comprised patients with IHD (22x), hypertrophic (11x) and dilatating cardiomyopathy (2x). Three patients had no organic heart disease. Nine patients were treated at the time of examination with antiarrhythmic drugs. In a total of 16 patients it proved possible to provoke ventricular tachycardia (VT)--four times permanent ventricular tachycardia, 12x transient ventricular tachycardia (NSVT). In the group of treated patients SVT was provoked twice and NSVT also twice, always in...

[Echocardiographic determination of morphologic and functional indicators in competitive runners with mild hypertension].

H Vizinová, I Oral

Vnitr Lek 1991, 37(11-12):841-846

The authors examined four groups of 30-60-year-old men who different by the blood pressure at rest and the amount of physical activity: a control group of healthy inactive subjects (n = 10), healthy contesting endurance runners (n = 10), inactive men with mild essential hypertension (n = 10) and contesting endurance runners with mild essential hypertension who had been active for at least 8 years and had dispensary care (n = 10). Indicators of left ventricular hypertrophy were evaluated by one-dimensional echocardiography and also some functional indicators (pulse volume, systemic vascular resistance and fractionated reduction), using the method of...

[Echocardiographic evaluation of asynergy of the left ventricle in the early stages of acute myocardial infarct and its value in predicting infarct complications].

J Murín, J Bulas, J Kasper, R Uhliar

Vnitr Lek 1991, 37(11-12):847-852

The authors report on their experience with the semiquantitative echocardiographic evaluation of left ventricular asynergy (group of 36 patients examined by two-dimensional echocardiography, dividing the left ventricle into 20 segments) in the early stage of myocardial infarction and its application in the prediction of complications of infarction. The authors evaluated asynegry using two parameters: RA (range of asynergy and IA (asynergy index) which characterizes the grade of ventricular affection. They describe the calculation of these parameters. The authors revealed a significant correlation (p less than 0.005) between RA or IA and the incidence...

[Systemic connective tissue diseases--prognostic conclusions of a 30-year study].

D Zitnan, J Rovenský, J Lukác, M Zatkalík, H Tauchmannová

Vnitr Lek 1991, 37(11-12):853-858

In the course of the last three decades a gradually supplemented group of 627 patients was subjected to prognostic analysis, incl. 388 with systemic lupus erythematosus, 160 with diffuse scleroderma, 51 with dermato- and polymyositis and 28 with a mixed connective tissue syndrome. Taking into account the onset of the disease, sex, extent of organ affection and therapy as well as the survival period and mortality, the conclusions of the statistical evaluation revealed that more than 90% of patients survived for more than 5 years: 92.2% with systemic lupus erythematosus, 94.3% with diffuse scleroderma 93.3% with dermato- and polymyositis and 100% with...

[The value of the carbohydrate metabolism response for assessment of early prognosis in patients with acute myocardial infarct without previously detected diabetes].

P Lunda, V Zamrazil, A Simecková, P Stolba, P Husek, J Bednár, V Vána

Vnitr Lek 1991, 37(11-12):859-866

The authors examined 68 patients with a acute myocardial infarction without previously detected diabetes. They evaluated the importance of the relationship of the intensity of the stressor, humoral stress response and the response of the carbohydrate metabolism for the early prognosis of the infarction. Despite the complexity of these relations and heterogenity in the group of these patients, the authors confirmed the prognostic importance of hyperglycaemia, cortisolaemia and urinary catecholamine levels, and based on their own experience, they recommended to follow up these indicators during the first days after development of the infarction.

[The carbohydrate metabolism and stress hormone response during acute myocardial infarct in persons without diagnosed diabetes].

P Lunda, V Zamrazil, A Simecková, P Stolba, P Husek, J Bednár, V Vána

Vnitr Lek 1991, 37(11-12):867-874

The authors examined 68 patients with a acute myocardial infarction without previously detected diabetes. They evaluated some indicators of the humoral stress response and the response of the carbohydrate metabolism during a recent infarction. They found very complicated interrelations between hormones of the stress reaction and indicators of the carbohydrate metabolism under conditions of circulatory stress. Despite this they detected some dominating trend and compared their findings with data from the literature.

[The carbohydrate metabolism and stress hormone response in acute myocardial infarct--its importance in predicting permanent disorders of glucoregulation].

P Lunda, V Zamrazil, A Simecková, P Stolba, P Husek, J Bednár, V Vána

Vnitr Lek 1991, 37(11-12):875-882

The authors examined in a group of 68 patients with a acute myocardial infarction (without confirmed diabetes) some indicators of the humoral stress reaction and the response of indicators of the carbohydrate metabolism during circulatory stress. After three years they re-examined 48 of these patients with special attention to their carbohydrate metabolism. Based on the assembled results, the authors sought a relationship between findings during the acute circulatory stress and the level of the carbohydrate metabolism after three years. In future diabetics they found during the period of the acute infarction higher levels of immunoreactive insulin,...

[New tests for laboratory diagnosis of spherocytosis].

V Brabec, T Marík, H Feixová, V Slavíková

Vnitr Lek 1991, 37(11-12):883-887

The authors evaluated advantages of the glycerol lysis test (AGLT) and its modification the "pink" test in the laboratory diagnosis of hereditary spherocytosis (HS). Both tests were positive in all examined subjects with HS and in some patients with autoimmune haemolytic anaemia (AIHA) and were negative in controls and some other haemolytic diseases. As these tests are easy to perform and quick, they can be recommended as a supplementary or screening examination in hereditary spherocytosis. The "pink" test has, as compared with the ALGT test, the advantage that it is simpler.

[Central venous sepsis in long-term catheterization of patients during intensive treatment of acute leukemia].

J Slechtová, V Koza

Vnitr Lek 1991, 37(11-12):888-892

The authors evaluate the prevalence of central venous catheter sepsis and possible catheter sepsis in granulocytopenic patients with acute leukaemia after intensive treatment with cytostatics. The group comprises 42 patients subjected to 57 catheterizations of a central vein. The period of catheterizations was 18-89 days, the average period 43 days. Catheter sepsis was revealed in 15 patients, i.e. 26.3% of all performed catheterizations, possible catheter sepsis was recorded in four patients, i. e. 7.0%. In almost half of the catheter sepses (42.1%) the same microbiological finding was recorded in the haemoculture and skin smear at the site of insertion...

[Myelodysplastic syndrome with severe thrombocytopenia and economic aspects of therapy].

J Zemanová, M Matýsková, E Krahulcová, H Kubesová

Vnitr Lek 1991, 37(11-12):893-897

On the example of a 66-year-old man the authors describe the atypical course of myelodysplastic syndrome of the type of refractory anaemia with dominating thrombocytopenia, manifested by massive haemorrhage, mostly into the digestive tract. In view of the increasing number of patients with this diagnosis, the authors attempted to elaborate the approximate costs of treatment of the condition in a medical department.

[Plasmacytoma and support therapy with calcitonin].

Z Adam

Vnitr Lek 1991, 37(11-12):898-900

The author describes the excellent effect of two-years therapy of a female patient suffering from multiple myeloma, using the calcitonin preparation Miacalcic Sandoz. During the two and a half year follow up of the patient only a small progression of the bone affection occurred. The patient who on account of pain was treated with opiates was unable to walk unaided, now walks does not take analgesics.

[Simultaneous occurrence of Crohn's and Bechterew's disease].

J Ledec

Vnitr Lek 1991, 37(11-12):901-904

The author describes a case-history of concomitant manifestation of classical Bekhterev's disease (HLA B 27 positive) which preceded by 10 years the detection of Crohn's disease of the stomach, terminal ileum and rectum. The author discusses the relationship of the two diseases in particular with regard to the probable defined extraintestinal manifestation of Crohn's disease. The concurrent presence of the two diseases causes difficulties when assessing the humoral activity. For ankylosing spondylarthritis with a manifest or silent intestinal inflammation 5-aminosalicylic acid is the drug of choice. Early detection of the two diseases is important...

[Orthostatic hypotension in the aged].

S Krajcík

Vnitr Lek 1991, 37(11-12):905-910