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V Spisák

Publications and source records attributed to V Spisák.

5 recordsLinked to original sources
PubMed2000

[Early rehospitalization in cardiovascular diseases].

The authors investigated perspectively during 1998 the frequency of early rehospitalizations (within 30 days after discharge) focused on cardiovascular diseases. From a total number of hospitalized patients (2349) early rehospitalized patients accounted for 91% (214 rehospitalizations). Rehospitalizations after cardiac attacks accounted for 45.4% rehospitalizations and for 4.1% of all hospitalized patients. The largest ratio of rehospitalizations on account of cardiovascular diseases were patients with heart failure (39.1%), with cardiac arrhythmias (22.6%) and unstable angina pectoris (21.6%). In relation to the number of total hospital admissions most frequently patients with unstable angina pectoris were rehospitalized within 30 days after discharge (20.1%). Least frequently patients with myocardial infarction, a cerebrovascular attack and hypertension were rehospitalized (3.1%, 3.0%, 1.9%). An important factor which was followed up was the cause of rehospitalization which was assessed in 54.6% of patients. In patients with heart failure in as many as 71%. The authors assume that in this percentage of rehospitalizations it should be possible to avert it and to reduce thus at the same time economic costs. It was not possible to assess exactly the role of social factors in rehospitalizations but it is possible that they were identical with the cause on the part of the patient and participated by 17.5-21% in rehospitalizations (see tables 7 and 11).

Aged↗
PubMed1996

[Serum and urinary concentrations of magnesium in patients with chronic heart failure].

Patients with chronic heart failure suffer more frequently, due to cumulation of factors leading to impaired magnesium (Mg) metabolism, from disorders of its concentration in serum and urine. Hypomagnesaemia has a marked (statistically significant) negative impact on the one-the two-year survival of patients. The author examined 57 patients with chronic heart failure. He did not detect hypomagnesaemia in any of them (Mg levels below 0.7 mmol/l). In two instances he found reduced urinary levels of Mg (less than 1 mmol/24 hours). Surprising is the more frequent occurrence of hypermagnesaemia (Mg above 1.0 mmol/l) which has also an adverse (statistically significant) prognostic effect on the one- and two-year survival of these patients. In the discussion the author deals with the effect of individual factors and drugs on Mg concentrations in serum and urine.

Chronic Disease↗
PubMed1994

[Treatment of acute myocardial infarct with magnesium].

The author examined 78 patients with acute myocardial infarction (IM). Forty-four patients were treated with magnesium (Mg) in continual 48 hours infusions, whereby during the first 24 hours the patients were given 50 mmol Mg, during the subsequent 24 hours 12 mmol Mg. Thirty-four patients with acute IM served as placebo group. The two groups did not differ statistically as regards the presence of risk factors (hypertension, hyperlipoproteinaemia, smoking), the incidence of diabetes (DM), age, sex the presence of Q and non Q IM. The two groups did not differ as regards the frequence of streptokinase administration. During the 21-day follow-up period (period in hospital) the authors recorded the following results: 1. In the Mg group the incidence of heart failure was by 22% lower. 2. In the Mg group the incidence of arrhythmias was by 28% lower. 3. In the Mg group the mortality rate in hospital was by 22% lower. In the discussion the author deals with the mechanism of the protective action of Mg in acute myocardial infarction and gives serum Mg concentration recorded during Mg administration.

Female↗
PubMed1992

[Magnesium loading test in cardiovascular diseases].

The author presents an account of results of the magnesium loading test and its method, from a group of 50 patients with cardiovascular diseases. The magnesium loading test reveals shortage of bodily reserves of magnesium (mg) by calculating the percentage of Mg retention. In a group of examined subjects the author found a high percentage of Mg retention (on average 68%) which suggests an unequivocal deficiency of bodily Mg reserves in this group of patients. At the same time changes of serum concentrations and urinary excretion of other investigated minerals are discussed. As compared with other methods of assessment of Mg bodily reserves, the loading test is most suitable for clinical practice. In the discussion the author analyzes the assembled results and factors which lead to deficiency of bodily Mg reserves and deals with substitution treatment by Mg preparations.

Coronary Disease↗