[Patients with unstable angina pectoris--what were the real facts in Czech and Moravian hospitals in the year 2000?]. / Nemocní s nestabilní anginou pectoris--jaká byla skutecnost v ceských a moravských nemocnicích v roce 2000?

The authors evaluated the occurrence of risk factors, mode of therapy and in-patient mortality in 726 patients admitted to 38 Czech and Moravian hospitals for unstable angina pectoris with ECG finding of ischaemia without ST segment elevation, who were indicated to application of anticoagulant treatment with low molecular weight heparin. The duration of the before-hospital phase represented a significant risk factor for the progression of disease up to Q myocardial infarction. The relapse of stenocardia occurred in 19.8% of patients during the hospitalization and myocardical infarction Q occurred in 7.5% patients, while 2.89% patients died during hospitalization. These results were compared with those performed in the registries of GRACE, ENACT and Euro Heart Survey Acute Coronary Syndrome-EHS-ACS. The results of therapy in the Czech Republic may be further improved by a more advanced health education within the framework of secondary prevention of IHD, a risk stratification of patients, more modern drug therapy and a better collaboration of hospitals lacking invasive catchment area workplaces of intervention cardiology.

An atypical case of arising of some parietal branches of the Arteria iliaca interna in man.

In the pelvis of a 78 year old man there have been observed deviations in the origin and course os some parietal branches of the A. iliaca interna dextra. Apart from this typically arising and passing branches (the A. glutaea superior dextra, the A. glutaea inferior dextra, the A. umbilicalis dextra) an atypical stem--the Truncus pudendo-obturatorius--comes out of the A. iliaca interna dextra. This stem divides into the A. obturatoria dextra and the A. pudenda accessoria. The A. pudenda accessoria goes through the pelvis and through the fissure between Symphysis and the Diaphragma urogenitale on the Radix penis as the A. dorsalis penis dextra. The A. pudenda interna dextra comes out of the A. pudenda accessoria in a quite atypical way. It enters the fossa ischiorectalis through the fissure in the hind part of the Arcus tendineus m. levatoris ani ventrally from the Spina ischiadica. Its terminal part goes to the right Corpus cavernosum penis as the A. profunda penis dextra. The parietal branches of the A. iliaca interna sinistra arise and go in a typical way. The A. pudenda accessoria is not formed on the left side of the pelvis.