Cardio surgery Dotaz Zobrazit nápovědu

Profesor Karel Maydl se narodil v Rokytnici nad Jizerou, kde jeho otec pracoval u místního soudu. Česká kardiochirurgie se zrodila prvním úspěšným ošetřením bodného poranění srdce, které provedl Rychlík v roce 1910. Několik dalších let byla poté kardiochirurgie pouze příležitostným ošetřením poranění srdce. Až v roce 1934 Jiří Diviš vyťal gangliom stelatum při léčení anginy pectoris a v roce 1936 provedl operaci konstriktivní perikarditidy. V práci jsou dále zmíněny všechny zásadní okamžiky rozvoje kardiochirurgie v Čechách a na Moravě. Ve druhé části práce jsou probrány nejčastější výkony prováděné v současné době. Je konstatováno, že česká kardiochirurgie co do počtu i kvality operací je na západoevropské úrovni. V závěru je opět citován prof. Maydl, který zemřel na srdeční selhání a posteskl si, proč neonemocněl nemocí, která by se dala ovládat nožem. A za 100 let od té doby možno konstatovat, že v IKEM bylo operováno 283 lékařů pro onemocnění srdce a výsledky operací jsou lepší než u nelékařů, takže tím se vyvrací pověst o tom, že lékaři jsou špatnými pacienty.

Professor Karel Maydl was born in Rokytnice nad Jizerou, where his father was employed at the local court. Czech cardio-surgery was born with the first successful treatment of the stab in the heart, which was done by professor Rychlík in 1910. The next few years the cardio-surgery was represented only by occasional treatment of heart injury. Only in 1934 Jiří Diviš excided ganglion stelatum to cure angina pectoris and in 1936 he performed surgical treatment of constrictive pericarditis. Article reviews all Essentials moments in the development of cardio-surgery in Bohemia and Moravia. The second part of the paper gives at present the most frequently performed surgeries. It is concluded that the Czech cardio-surgery has according to the numbers and duality of the treatment the west-European level. At the end Professor Maydl, who died for heart failure, is quoted, why he himself had to be stroked by the disease, which is not possible to treat with the knife. In the100 years since that it is possible to evaluate that in ICEM 283 medical doctors have been treated for the heart disease and results of their operations were Berger than in standard population. It reproves the bad record of doctors to be bad patients.

MeSH
kardiochirurgické výkony MeSH

Časopis

Annales de chirurgie thoracique et cardio vasculaire

Société de chirurgie thoracique de langue française
Autor Autorita

Paris : Expansion scientifique française, 1962-1997

sv.

MeSH
hrudní chirurgie MeSH
kardiovaskulární chirurgické výkony MeSH
Publikační typ
periodika MeSH

Kniha

Fourth EACTS adult cardiac surgical database report 2010 : towards global benchmarking

Bridgewater, Ben
Autor Autorita
European Association for Cardio-thoracic Surgery
Autor Autorita

Oxfordshire : Dendrite Clinical Systems, 2010

240 s. : il.

MeSH
dospělí MeSH
kardiochirurgické výkony MeSH
Check Tag
dospělí MeSH
Publikační typ
zprávy MeSH

Článek

The European Registry for Patients with Mechanical Circulatory Support of the European Association for Cardio-Thoracic Surgery: third report

European Registry for Patients with Mechanical Circulatory Support of the European Association for Cardio-Thoracic ...

European journal of cardio-thoracic surgery. 2022 ; 62 (1) : . [pub] 20220615

Eur J Cardiothorac Surg
ISSN 1873-734X
Medvik
Zdroj

OBJECTIVES: In the third report of the European Registry for Patients with Mechanical Circulatory Support of the European Association for Cardio-Thoracic Surgery, outcomes of patients receiving mechanical circulatory support are reviewed in relation to implant era. METHODS: Procedures in adult patients (January 2011-June 2020) were included. Patients from centres with <60% follow-ups completed were excluded. Outcomes were stratified into 3 eras (2011-2013, 2014-2017 and 2018-2020). Adverse event rates (AERs) were calculated and stratified into early phase (<3 months) and late phase (>3 months). Risk factors for death were explored using univariable Cox regression with a stepwise time-varying hazard ratio (<3 vs >3 months). RESULTS: In total, 4834 procedures in 4486 individual patients (72 hospitals) were included, with a median follow-up of 1.1 (interquartile range: 0.3-2.6) years. The annual number of implants (range: 346-600) did not significantly change (P = 0.41). Both Interagency Registry for Mechanically Assisted Circulatory Support class (classes 4-7: 23, 25 and 33%; P < 0.001) and in-hospital deaths (18.5, 17.2 and 11.2; P < 0.001) decreased significantly between eras. Overall, mortality, transplants and the probability of weaning were 55, 25 and 2% at 5 years after the implant, respectively. Major infections were mainly noted early after the implant occurred (AER<3 months: 1.44 vs AER>3 months: 0.45). Bilirubin and creatinine levels were significant risk factors in the early phase but not in the late phase after the implant. CONCLUSIONS: In its 10 years of existence, EUROMACS has become a point of reference enabling benchmarking and outcome monitoring. Patient characteristics and outcomes changed between implant eras. In addition, both occurrence of outcomes and risk factor weights are time dependent.