Vnitřní lékařství a jeho specializace

doc. MUDr. Miroslav Souček CSc

Interní Med. 2005; 7(12): 523  

What a physician should know about diastolic heart failure?

prof. MUDr. Jindřich Špinar CSc., FESC, prof. MUDr. Jiří Vítovec CSc., FESC

Interní Med. 2005; 7(12): 527-532  

Epidemiological studies show that 30-50% of all patients with chronic heart failure have normal ejection fraction of the left ventricle. Mostly in these patients, the primary cause of heart failure is a diastolic dysfunction of left ventricle. According to the definition of European Cardiologic Society, three criteria must be fulfilled for diagnosis of diastolic heart failure: (1) signs of heart failure; (2) preserved left ventricular systolic function (EF > 0,45); objective proof of abnormal relaxation, distensibility or filling of left ventricle. The prevalence of a diastolic heart failure increases with age. It affect women more frequently (approx....

Screening of sporadic colorectal cancer

doc. MUDr. Miroslav Zavoral Ph.D, MUDr. Ing. Filip Závada

Interní Med. 2005; 7(12): 534-538  

Secondary prevention of coleorectal cancer is focused on otherwise healthy idividuals. There are different laboratiory methods, imaging techniques and endocopic examinations used top screen the wide population. In most of the developed countries, including the Czech Republic, testing for faecal ocult blood is used as first line method. This examination should be routinely performed at the general practitioners office and is well accepted because of its noninvasiveness. Positive individuals undergo colonoscopy for establishment of diagnosis. Secondary prevention involves those, who are at increased risk of colorectal cancer. These patients are followed...

Cough in the practice of the general practitioner

MUDr. Hana Fojtů

Interní Med. 2005; 7(12): 539-542  

Cough is one of the most frequent symptoms that brings patients to see the doctor. It is one of the most common defence reflex mechanisms of human organism. The article describes a differentiation of individual forms of the cough according to occurrence, causes and diagnostic options with a focus on the chronic cough.

Preoperative evaluation and perioperative management of diabetic patients

MUDr. Hana Krejčí Ph.D

Interní Med. 2005; 7(12): 543-546  

Patients with diabetes mellitus have a higher rate of surgical procedures compared with the non-diabetic population. There is growing evidence that poor perioperative glucose control is associated with higher morbidity and mortality. The submitted text contains recommendations for preoperative evaluation of diabetic patients, preparation for the surgery and further management of diabetes during and after surgery.

Mateří kašička - nenahraditelný dar přírody

Interní Med. 2005; 7(12): 570  

Přínos klinických a laboratorních ukazatelů pro diagnózu plicní embolie

MUDr. Jiří Vymětal, MUDr. Rudolf Metelka Ph.D, doc. MUDr. Otílie Weinbergová CSc, MUDr. Iva Metelková

Interní Med. 2005; 7(12): 557-559  

Průběh mitrální stenózy při horší spolupráci pacienta a zajímavá komplikace po kardiochirurgickém výkonu

MUDr. Hana Burianová

Interní Med. 2005; 7(12): 560-561  

Ochronóza a její kardiovaskulární manifestace

MUDr. Jan Galuszka Ph.D, Ing. Vojtěch Bekárek, MUDr. Martin Sluka, MUDr. Marcela Škvařilová Ph.D, prof. MUDr. Jan Lukl CSc, MUDr. Jan Hrbek, MUDr. Tomáš Mráz

Interní Med. 2005; 7(12): 563-565  

Comunity acquired urinary tract infections

MUDr. Kateřina Bartoníčková

Interní Med. 2005; 7(12): 548-550  

Urinary tract infections (UTI) are considered to be the most common bacterial infections. They affected people during their lifetime depending on age and sex. The diagnosis and treatment community-acquired UTI is mostly the matter of physicians. The urologists examine the patients with complicated UTI. In the scope of interdisciplinary co-operations we search for the optimal way of diagnosis and treatment of UTI. We emphasise the prevention of recurrent UTI and minimization of the risk of the lasting consequences and economic aspects (the cost of examinations and treatment, duration of morbidity), of course.

Diagnosis and treatment of migraine

MUDr. Eva Medová

Interní Med. 2005; 7(12): 551-556  

Migraine is a paroxysmal chronic disease presenting with typical headaches and a specific course of attacks. It has its trigger factors and associated signs and symptoms. Since there is no specific laboratory test that would definitely migraine confirm or rule out, a thorough history is essential. The treatment of migraine is divided into acute – suppressing the pain during attacks, and prophylactic that can decrease frequency and often times the intensity of attacks as well. For acute treatment drugs of choice are specific antimigraine medications – triptanes. The severity of attacks and associated symptoms influence the choice of application...

Postmenopauzální osteoporóza

MUDr. Tomáš Hála

Interní Med. 2005; 7(12): 566-569