78 results match your criteria: "Ceske Budejovice Hospital[Affiliation]"

Objective: To evaluate whether implementing a nutritional care bundle is associated with growth and morbidity in very preterm (VPT) infants.

Study Design: This study compared 87 VPT infants (<32 gestational weeks) born 2018 (Before group) with 75 infants born 2020 (After group), treated at a single center in the Czech Republic. A nutritional care bundle was implemented during 2019.

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Article Synopsis
  • The HeartInsight multiparametric algorithm uses remote monitoring data from implantable cardioverter-defibrillators (ICDs) to calculate an HF Score, which helps predict worsening heart failure hospitalizations (WHFHs).
  • A study pooled data from 9 clinical trials involving 1,841 ICD patients, finding that a high baseline HF Score significantly correlates with increased long-term risks of death and WHFHs.
  • The analysis revealed that patients with an HF Score over 23 faced more than double the risk of experiencing death or WHFH compared to those with lower scores, emphasizing the score's potential in risk stratification for heart failure patients.
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Patients with testicular lymphoma are at an increased risk of central nervous system (CNS) disease. Optimal strategy for CNS relapse prevention is unknown. We analyzed treatment strategies, cumulative incidence of CNS relapse and prognosis in 229 patients with diffuse large B-cell lymphoma (DLBCL) and testicular involvement: 157 primary testicular lymphomas (PTL) in clinical stages IE/IIE and 72 patients in advanced stages (T-DLBCL) IIIE/IV.

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Purpose: Convalescent plasma (CP) collected from people who recovered from COVID-19 became a rapidly available treatment modality in numerous countries, including the Czech Republic. The aims of our study were to evaluate the effectiveness and safety of CP in the treatment of COVID-19.

Methods: This retrospective observational study involved six Czech hospitals.

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  • A prospective observational study evaluated the use of pulsed electric field (PF) ablation for treating ventricular arrhythmias, focusing on its efficacy and safety in a small patient population of 44 individuals.
  • The study showed an 84% acute success rate in eliminating frequent ventricular premature complexes (VPCs) and non-inducibility of ventricular tachycardia (VT), indicating that PF ablation can effectively treat these conditions.
  • At a 3-month follow-up, 81% of patients with VPCs experienced sustained suppression, but only 52% of patients with scar-related VT remained free of any arrhythmias, suggesting that while PF ablation is promising, its long-term effectiveness for VT may need further
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  • Pulsed field ablation (PFA) is a new method for treating atrial fibrillation (AF) that focuses on ablating heart tissue while minimizing harm to nearby structures.
  • In the MANIFEST-17K study, data from 106 centers involved 17,642 patients and showed no serious complications like esophageal damage, with only a 1% major complication rate.
  • The results suggest that PFA has a strong safety profile and may change how AF is treated, compared to traditional thermal ablation methods.
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  • This study evaluates the results of concomitant cryo-ablation for treating atrial fibrillation (AF) in patients also undergoing cardiac surgery.
  • Researchers analyzed data from 103 patients after they had a hybrid treatment involving radiofrequency catheter ablation performed 105 days post-surgery.
  • The findings showed that a significant number of patients had successful isolation of pulmonary veins and conduction blocks, with specific areas exhibiting more gaps, indicating varied effectiveness in the ablation technique.
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Background And Objectives: Endovascular treatment of cerebral aneurysms has tremendously advanced over the past decades. Nevertheless, aneurysm residual and recurrence remain challenges after embolization. The objective of this study was to elucidate the portion of embolized aneurysms requiring open surgery and evaluate whether newer endovascular treatments have changed the need for open surgery after failed embolization.

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Objectives: The aim of the study was to establish an international multicenter registry to collect data on patients with Multisystem Inflammatory Syndrome in Children (MIS-C), in order to highlight a relationship between clinical presentation, age of onset and geographical distribution on the clinical outcome.

Study Design: Multicenter retrospective study involving different international societies for rare immunological disorders.1009 patients diagnosed with MIS-C between March and September 2022, from 48 centers and 22 countries were collected.

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Objectives: Cardiac arrhythmias predict poor outcome after myocardial infarction (MI). We studied if arrhythmia monitoring with an insertable cardiac monitor (ICM) can improve treatment and outcome.

Design: BIO|GUARD-MI was a randomized, international open-label study with blinded outcome assessment.

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Utility of a guiding catheter for conduction system pacing: An early multicenter experience.

Heart Rhythm O2

January 2024

Santa Maria della Misericordia, Arrhythmia and Electrophysiology Unit, Rovigo, Italy.

Article Synopsis
  • Conduction system pacing (CSP) is shown to potentially outperform traditional right ventricular pacing methods, prompting exploration of a new catheter for easier implantation.
  • The BIO|MASTER.Selectra 3D study reported a 93.6% success rate for achieving CSP in 147 out of 157 patients, with no serious complications within a week post-implantation.
  • Results indicate that patient outcomes can improve with the Selectra 3D catheter, which allows flexibility between His bundle pacing (HBP) and left bundle branch area pacing (LBBAP), yielding nearly 99% success in procedures where both methods were considered.
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Aims: Our aim was to describe the changes in therapy and diabetes control in Ukrainian war refugee children with diabetes (CwD) during the first year of their stay in Czechia.

Methods: A total of 124 CwD (62 male, 62 female) were enrolled into this observational study. Anthropometric, laboratory and diabetes management data were acquired at baseline and at 3 months intervals for 12 months.

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Aims: Data on the hybrid atrial fibrillation (AF) treatment are lacking in patients with structural heart disease undergoing concomitant CryoMaze procedures. The aim was to assess whether the timely pre-emptive catheter ablation would achieve higher freedom from AF or atrial tachycardia (AT) and be associated with better clinical outcomes than surgical ablation alone.

Methods And Results: The trial investigated patients with non-paroxysmal AF undergoing coronary artery bypass grafting and/or valve repair/replacement with mandatory concomitant CryoMaze procedure who were randomly assigned to undergo either radiofrequency catheter ablation [Hybrid Group (HG)] or no further treatment (Surgery Group).

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Article Synopsis
  • The HeartInsight algorithm predicts worsening heart failure hospitalizations (WHFHs) by assessing a heart failure score calculated from seven physiological parameters, including heart rate and patient activity.
  • Data from 2050 defibrillator patients showed that those who later experienced WHFH had a significantly higher HF score, both at the start and over a 12-week period, compared to those without WHFH.
  • The study concluded that monitoring trends in the HF score and its components could effectively indicate deteriorating heart failure status before WHFH occurs.
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Effect of Asymptomatic and Symptomatic COVID-19 on Acute Ischemic Stroke Revascularization Outcomes.

Stroke

January 2024

Stroke Center, Neurology Service, Department of Neurological Sciences, Lausanne University Hospital, University of Lausanne, Switzerland (D.S., P.M.).

Background: The association of COVID-19 with higher bleeding risk and worse outcomes in acute ischemic stroke (AIS) undergoing revascularization may be related to the presence of infection symptoms. We aimed to assess the safety and outcomes of revascularization treatments in patients with AIS with asymptomatic COVID-19 (AS-COVID) or symptomatic COVID-19 (S-COVID).

Methods: We conducted an international multicenter retrospective cohort study of consecutive AIS tested for SARS-CoV-2, receiving intravenous thrombolysis and endovascular treatment between 2020 and 2021.

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Corynebacteria, non-spore-forming, gram-positive, aerobic or facultative anaerobic, pleomorphic bacilli, are part of the normal skin, oropharyngeal, and intestinal flora in humans. However, this microorganism can rarely be associated with invasive infections such as bone and joint infections, bacteremia, endocarditis, meningitis, liver and spleen abscesses. We present a case of bacteremic arthritis of a native knee joint caused by non-toxigenic Corynebacterium diphtheriae in a patient with alcoholic liver cirrhosis.

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Article Synopsis
  • The study compares the effectiveness of hybrid epicardial-endocardial ablation (HA) to standard endocardial catheter ablation (CA) for patients with persistent and longstanding persistent atrial fibrillation (PersAF/LSPAF), suggesting HA may offer better long-term results.
  • The CEASE-AF trial enrolled participants across nine European countries, focusing on those with symptomatic, drug-resistant atrial fibrillation and specific heart size measurements, making it a randomized controlled study.
  • Results showed that 71.6% of patients in the HA group achieved freedom from significant arrhythmias after 12 months, compared to only 39.2% in the CA group, indicating a substantial improvement in effectiveness with HA.
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Article Synopsis
  • - Interventional electrophysiology provides various treatments for patients with cardiac arrhythmias, with catheter ablation being a key method for managing tachycardias.
  • - The field has advanced significantly, using multiple ablation tools and techniques to improve the accuracy of procedures while relying heavily on fluoroscopy for guidance.
  • - However, the use of X-ray technology presents health risks, prompting a focus on strategies to minimize fluoroscopy use and enhance radiation protection for both patients and healthcare providers.
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Objective: Over 480 000 Ukrainian refugees have arrived in the Czech Republic since the Russian invasion of Ukraine in 2022, including over 500 people with HIV. This study describes the demographics, characteristics, and management of Ukrainian refugees with HIV in the Czech Republic.

Design: Retrospective, observational, noninterventional study.

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Despite the importance of functional outcome, only a few scoring systems exist to predict neurologic outcome in meningioma surgery. Therefore, our study aims to identify preoperative risk factors and develop the receiver operating characteristics (ROC) models estimating the risk of a new postoperative neurologic deficit and a decrease in Karnofsky performance status (KPS). A multicentric study was conducted in a cohort of 552 consecutive patients with skull base meningiomas who underwent surgical resection from 2014 to 2019.

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Article Synopsis
  • * The SurHyb study is a randomized trial comparing the effectiveness of surgical CryoMaze alone versus a combined approach of CryoMaze followed by radiofrequency catheter ablation after three months in patients with persistent atrial fibrillation.
  • * This study aims to provide deeper insights into which treatment option is more effective for patients undergoing surgery, potentially improving outcomes for those with atrial fibrillation during heart surgeries.
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Article Synopsis
  • - The study investigated the effectiveness and safety of the CartoFinder algorithm in ablating persistent atrial fibrillation (PsAF) by targeting specific activation patterns and impulses, with patients followed for 12 months post-procedure.
  • - A total of 64 patients participated, with a notable 9.4% reporting primary adverse events during the procedure, and significant improvements were seen in heart rhythm cycles after mapping and ablation.
  • - Results showed a 60.9% rate of being arrhythmia-free and 75.0% symptom-free after one year, particularly highlighting that patients whose atrial fibrillation converted to sinus rhythm had better outcomes compared to those who did not.
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Background And Aim: In-stent restenosis (ISR) belongs to an infrequent but potentially serious complication after carotid angioplasty and stenting in patients with severe carotid stenosis. Some of these patients might be contraindicated to repeat percutaneous transluminal angioplasty with or without stenting (rePTA/S). The purpose of the study is to compare the safety and effectiveness of carotid endarterectomy with stent removal (CEASR) and rePTA/S in patients with carotid ISR.

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