Examination methods in cardiology doc. MUDr. Jaromír Chlumský

ISCHEMIA: EKG, stress test, cathetrisation ARYTMIA: 24 h EKG monitoring electrofysiology HYPERTENSION: 24h BP monitoring FUNCTION of LV: echocardiography

3D echo

After stent implantation

Virtual histology

MRI

Karto system

Ankle Brachial Index ABI: highly specific for leg artery stenosis > 50%, highly sensitive (95 %), takes 10 minutes, recommended in important guidelines (AHA/ACC 1, TASC II 2 etc.) 1 Hirsch AT Circulation 2006;113: Norgren et al. Eur J Vasc Endovasc Surg 2007;33(Suppl. 1):S1-S75. To date, the ABI is the most effective, accurate and practical method of PAD detection (quick, easy, non invasive, cost effective) Systolic blood pressure at ankle should be at least as high as pressure in the arm, i.e. ankle brachial index > 1.0 If ankle pressure is lower than brachial pressure, stenosis is likely i.e. ankle brachial index < 0.9 = PAD Severe moderate mild boderline healthy __________PAD_____________________ 1.0

BNP in patients with dyspnea

biomarkers Troponin – elevation after 6 h, T1/2 12 h CK CK MB - dg of recidive Myoglobin – schort T1/2