Sex- and/or ethnic-appropriate echocardiographic reference values are indicated for many measurements of LA and LV size, LV mass, and EF. Reference values for LV volumes and mass also differ across the age range.

Background / Aim. Well-organized cardiovascular rehabilitation (CVR) reduces cardiovascular burden by influencing cardiovascular risk factors, improving the quality of life and reducing mortality and hospital readmission. However, its effects on hemodynamic status are largely unknown. The aim of our study was to evaluate the influence of three-week CVR program on hemodynamic status and to investigate if there is a correlation between physical strain tolerance and hemodynamic parameters measured by impedance cardiography (ICG) before and after CVR program in patients with coronary artery disease. Methods. Fifty-two patients attended a three-week CVR program. At the beginning and at the end of rehabilitation program laboratory tests, exercise stress tests (EST) and ICG measurements were taken. Results. Patients showed better strain tolerance on the second exercise stress test (EST2) by achieving higher strain level (Z=2,315; p=0,021) and longer duration of test (Z=2,305; p=0,021). There was a strong positive correlation between the level of EST2 and cardiac output (CO) (r=0,538; p<0,001) and stroke volume (SV) (r=0,380; p=0,017) on the second ICG (ICG2). Also, there was a strong negative correlation between EST2 level and systemic vascular resistance (SVR) (r=-0,472; p=0,002) and SVR index (SSVRI) (r=-0,407; p=0,010) on ICG2. There was a strong positive correlation between EST2 duration and CO (r=0.517; p=0.001) as well as between EST2 duration and SV (r=0.340; p=0.034), and a strong negative correlation between EST2 duration and SVR (r=-0.504; p=0.001) as well as between EST2 duration and SVRI (r=-0.448; p=0.004), according to ICG2. Conclusion. Our study showed that a well-designed CVR program can lead to better physical strain tolerance. Furthermore, CVR led to a significant positive correlation between EST and cardiac output as well as between EST and stroke volume measured by ICG. On the other hand, there was a significant negative correlation between EST and vascular related parameters according to ICG at the end of the CVR program.

UvodKardiorenalni sindrom se definiše kao patofiziološki poremećaj funkcije srca i bubrega, u kome akutni ili hronični poremećaj funkcije jednog organa podstiče akutni ili hronični poremećaj drugog organa (1-5).Razlikujemo pet tipova kardio-renalnog sindroma, a u kardio-renalnom sindromu tip 2 hrončni poremećaj funkcije srca za posledicu ima hronični poremećaj funkcije bubrega (1-5). Zbog smanjenog srčanog rada i smanjene zapremine arterijske krvi koja obezbeđuje perfuziju bubrega, hronična zastojna srčana slabost dovodi do stalnog i progresivnog opadanja funkcije bubrega (1-5). PREGLED SAŽETAK

Vaskulitisi predstavljaju zapaljenje zidova krvnih sudova (1-3). Preciznu dijagnozu vaskulitisa nekada je teško postaviti s obzirom na razlike u etiologiji, patogenezi, zahvaćenosti krvnih sudova različite veličine i obimu zahvaćenosti organa (1-3). Prema preporukama

SAŽETAK Uvod. Lečenje višesudovne koronarne bolesti primenom perkutane koronarne intervencije (PCI) pokazalo je zadovoljavajući kratkoročni, ali inferiorniji dugoročni rezultat u odnosu na aortokoronarnu bajpas operaciju (CABG). ABSTRACT Objective. Previous experience in the treatment of multivessel coronary artery disease using PCI showed satisfactory short-term, but inferior long-term results in comparison to CABG. Certain groups of patients with multi-vessel disease treated with PCI may have long-term results equal to CABG. In the decision making process there is