Vnitřní lékařství, 2000 (roč. 46), číslo 12
[Strength training in patients after myocardial infarct].
V Chaloupka, L Elbl, S Nehyba
Vnitr Lek 2000, 46(12):829-834
The objective of the work was to evaluate the suitability and safety of resistance training in patients after myocardial infarction (IM), in older patients and to assess the suitable time for including resistance exercise into the rehabilitation programme. The group comprises a total of 74 patients after IM aged 27-76 years (57 +/- 9). The group included 65 men and 9 women. The authors divided the whole group into two sub-groups by age. The first group is formed by patients under 65 years and the second one by those aged > 65 years. The authors included resistance training from the third week of the rehabilitation programme. During the resistance...
[Dehydrdoepiandrosterone, dehydroepiandrosteron-sulfate and insulin in acute myocardial infarct].
A Kreze, I Juríceková, M Dobáková, Z Putz, F Kovár
Vnitr Lek 2000, 46(12):835-838
The authors discuss the relationship between dehydroepiandsoterone, its sulphate conjugate and insulin and ischaemic heart disease in patients with acute myocardial infarction. In the examined group of patients they found lower values of dehydroepiandosterone and its sulphate in men, lower values of dehydroepiandosterone in women as compared with mean values with regard to age and a close inverse correlation of insulin and dehydroepiandrosterone and insulin and dehydroepiandrosterone sulphate. Whether dehydroepiandosterone is the "missing link" of hyperinsulinaemia and arterosclerosis is so far only a theoretical issue.
[Helicobacter pylori and nonspecific intestinal inflammation].
H Münzová, P Dítě, I Sevcíková, J Dolina, I Novotný, M Kunovská
Vnitr Lek 2000, 46(12):839-842
In 50 subjects with non-specific inflammations of the gut the total prevalence of Helicobacter pylori positive antibodies was 28%, while in the control group of blood donors its was 54% Patients with ulcerative colitis had lower antibodies--18%, in Crohn's disease the serum positivity was 33%. The lowest value of antibodies was found in patients taking Sulfasalazine--11%. The serum positivity was substantially higher in inactive ulcerative colitis and Crohn's disease--35% than in patients with signs of high activity--13%. In 28 patients with non-specific inflammations of the gut endoscopy was performed, in 60% with a pathological outcome. Histologically...
[The role of ergometric testing in diagnosis of latent long QT syndrome].
T Novotný, B Semrád, J Kadlecová, R Gaillyová
Vnitr Lek 2000, 46(12):843-847
BACKGROUND: The long QT syndrome is a genetically determined disease based on mutations of ion membrane channel genes. The resulting prolongation of repolarization increases a risk of malignant ventricular arrhythmias and sudden death. The diagnosis is problematic in individuals with borderline or even normal corrected QT interval value. Ventricular arrhythmias in this syndrome are often provoked by exercise, therefore exercise testing is considered as a useful differential diagnostic method.METHODS: In a 24-member family an occurrence of the long QT syndrome was established clinically in 7 patients. In other 3 members borderline corrected QT interval...
[Echocardiography and sonography of the carotid arteries in diabetics with cerebrovascular stroke].
J Chlumský, J Charvát
Vnitr Lek 2000, 46(12):848-850
The incidence of cerebrovascular attacks (CVA) in diabetics is 2-3 times higher as compared with the non-diabetic population. The objective of the present work was to evaluate etiological factors by means of echocardiography and sonography of the carotid arteries. The authors evaluated retrospectively findings of these examinations in 253 patients with CVA in a group of diabetic and non-diabetic patients as well as in a group of patients with atrial fibrillations or sinus rhythm. In patients with a sinus rhythm the presence of diabetes was associated with a more frequent finding of atherosclerotic changes, significant stenoses of the carotid vessels...
[Catheter therapy in patients with stable angina pectoris. Results of 662 coronary angioplasties].
J Veselka, D Tesar, T Urbanová, T Honěk, J Neuwirth
Vnitr Lek 2000, 46(12):851-855
Coronary angioplasty supplemented by implantation of a stent has become a standard therapeutic method in patients with stable angina pectoris. The authors analyzed the spectrum of patients indicated for this treatment, its successfulness and complications of catheterizations. In the course of a two-year period the authors implemented 662 catheterizations in 602 patients with stable angina. 58% patients indicated for coronary angioplasty on account of stable angina had a history of myocardial Q infarction, 93% had angina grade II or III according to CCS. Affection of one artery was diagnosed in 56% patients, complete revascularization was achieved in...
[Experimental study of resveratrol and flavonoids in red wine with regard to their possible hypolipemic effects].
P Kollár, H Kotolová, J Necas, M Karpísek, L Bartosíková, P Karesová
Vnitr Lek 2000, 46(12):856-860
Resveratrol (trans-3,5,4'-trihydroxystilben) is a polyphenol (phytoalexin) naturally found in wine and different therapeutic plants. It is a substance with an antioxidant and estrogenic effect and the ability to inhibit the growth of some tumours. Some studies mention its possible antiaggregation, neuroprotective and antiallergic effect. In the submitted pilot study the authors investigated the effect of resveratrol and flavonoids (anthocyanins, catechins) on serum lipid levels, in particular total cholesterol and liver enzymes in the laboratory rat. In the experiments healthy animals were used (fed a standard diet) as well as hypercholesterolemic...
[Therapy of vasovagal syncope (nonpharmacologic therapy and pharmacotherapy)].
P Mitro
Vnitr Lek 2000, 46(12):861-868
Recurrent vasovagal syncope is a frequent clinical problem. Provisions regarding the regimen, non-pharmacological treatment and pharmacotherapy are the basic principles of management of patients with vasovagal syncope. Regimen provisions involve avoidance of predisposing factors and immediate horizontalization during initial presyncopal manifestations. Endurance training, tilt training, autogenous training and increased intake of salt and fluids are possible ways of non-pharmacological treatment. According to the relatively extensive number of published reports on pharmacological treatment of vasovagal syncope four preparations proved effective in...
[Therapy of vasovagal syncoope (cardiostimulation therapy)].
P Mitro
Vnitr Lek 2000, 46(12):869-873
Cardiostimulation in used less frequently than pharmacotherapy in the treatment of vasovagal syncope. It proves useful in treatment of vasovagal associated with bradycardia. Cardiostimulation of both cavities is more effective than of one cavity. The optimal cardiostimulation algorithm for treatment of vasovagal syncope which ensures and adequate start of cardiostimulation and has an optimal effect on haemodynamic parameters is still sought. The rate drop response algorithm seems promising. The algorithm was used so far only in one randomized study which was to verify the effect of cardiostimulation in the treatment of vasovagal syncope--Vasovagal...
[Clinical characteristics of pulmonary embolism].
M Riedel
Vnitr Lek 2000, 46(12):874-880
Pulmonary embolism is nearly always a complication of deep venous thrombosis. The evaluation of risk factors for venous thromboembolism not only aids diagnosis but also guides decisions about the intensity of prophylactic measures. As both the extent and chronicity of pulmonary vascular obstruction vary widely, pulmonary embolism can produce widely differing clinical pictures. From the clinical, pathophysiological and therapeutical point of view, it is convenient to classify pulmonary embolism into four types: acute minor embolism (dyspnoea with or without pleuritic pain or haemoptysis), acute massive embolism (hemodynamic instability), subacute massive...
[Diagnosis of pulmonary embolism].
M Riedel
Vnitr Lek 2000, 46(12):881-889
Accurate diagnosis of pulmonary embolism is essential to minimize morbidity and mortality caused by failure to treat when necessary or by inappropriate treatment. Because clinical symptoms and signs are nonspecific, it is impossible to prove the diagnosis solely on clinical grounds. The diagnosis requires high level of suspicion, estimation of the pretest clinical likelihood of embolism, and judicious use of objective investigations (scintigraphy, computed tomography, or angiography) to confirm or refute the suspicion. The choice of tests depends on the availability of these tests, the hemodynamic state of the patient, and the presence of other cardiopulmonary...
[Adrenomyeloneuropathy as the cause of Addison's disease].
L Benová, M Ochodnický, N Misovicová, M Mokán
Vnitr Lek 2000, 46(12):890-892
The authors describe adrenoleukodystrophy and adrenomyeloneuropathy found in one family. This disease is a less frequent cause of Addison's disease, but it is very serious from the prognostic aspect. The authors recommend therefore to examine very long chain fatty acid plasma levels in patients with adrenal insufficiency.