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[捷克心脏病学会与捷克心脏病学的起源]

[The origins of the Czech Society of Cardiology and of Czech cardiology].

作者信息

Widimský J

机构信息

Klinika kardiologie IKEM Praha.

出版信息

Vnitr Lek. 2013 Jun;59(6):433-9.

Abstract

The paper presents the origins of the Czech Society of Cardiology on the one hand, and the origins of Czech cardiology on the other. The Czech Society of Cardiology is the third oldest in the world (after the American and German Societies). It was founded in 1929 by Prof. Libenský. As early as in 1933, the Society organised the first international congress of cardiologists in Prague, which was attended by 200 doctors, out of which 50 were from abroad. The most participants came from France and Poland. Other participants came from England, Argentina, Belgium, the Netherlands, Italy, Romania, Spain and Switzerland. The worldwide importance of this congress is apparent from the fact that both the World Society of Cardiology and the European Society of Cardiology (EKS) were founded after World War II in the years 1950 and 1952, i.e. almost 20 years after the first international congress of cardiology in Prague. In 1964, the Fourth Congress of European Society of Cardiology was held in Prague with the participation of 1,500 specialists from 31 countries and chaired by Prof. Pavel Lukl, the later president of EKS (1964- 1968). The paper also presents the work of our specialists in WHO and the history of the international journal Cor et Vasa issued by the Avicenum publishing house in Prague in English and Russian in the years 1958- 1992. An important role in the development of our cardiology was played by certain departments and clinics. In 1951, the Institute for Cardiovascular Research (ÚCHOK) was founded in PrahaKrč, thanks to the initiative of MU Dr. František Kriegl, the Deputy Minister of Health. Its first director was Klement Weber, who published, as early as in 1929, a monograph on arrhythmias -  50 years earlier than arrhythmias started to be at the centre of attention of cardiologists. Klement Weber was one of the doctors of President T. G. Masaryk during his serious disease towards the end of his life. Jan Brod was the deputy of Klement Weber in the Institute and the chair of its Scientific Council. The Institute for Cardiovascular Research was the third institute for cardiovascular diseases in the world. The origins of Czech cardiology are documented in three most important areas -  the treatment of hypertension, the development of cardiothoracic surgery and the development of treatment of acute myocardial infarction. Hradec Králové became, thanks to Academician Bedrna, the first centre of cardiac surgery in this country. The development of hypertension treatment was stormy, thanks to the discovery of an effective pharmacotherapy, from the originally incurable malignant hypertension to the well curable benign hypertension. The effective treatment of acute infarction was based on the development of heart defibrillation enabling the establishment of coronary units, and later on the thrombolytic and antiplatelet therapies up to the contemporary PCI as the treatment of choice. During that time, AIM mortality decreased from the original 30% to the present 4- 5%.

摘要

本文一方面介绍了捷克心脏病学会的起源,另一方面介绍了捷克心脏病学的起源。捷克心脏病学会是世界上第三古老的学会(仅次于美国和德国的学会)。它于1929年由利本科斯基教授创立。早在1933年,该学会就在布拉格组织了首届心脏病学家国际大会,有200名医生参加,其中50名来自国外。参会人数最多的是法国和波兰。其他参会者来自英国、阿根廷、比利时、荷兰、意大利、罗马尼亚、西班牙和瑞士。这次大会在全球的重要性从以下事实可见一斑:世界心脏病学会和欧洲心脏病学会(EKS)都是在二战后的1950年和1952年成立的,即布拉格首届心脏病学家国际大会召开近20年后。1964年,第四届欧洲心脏病学会大会在布拉格举行,来自31个国家的1500名专家参会,由帕维尔·卢克教授担任主席,他后来成为EKS主席(1964 - 1968年)。本文还介绍了我们的专家在世界卫生组织的工作,以及1958 - 1992年期间由布拉格阿维森纳出版社以英文和俄文出版的国际期刊《心脏与血管》的历史。某些科室和诊所对我们心脏病学的发展起到了重要作用。1951年,在卫生部副部长弗拉迪斯拉夫·克里格尔博士的倡议下,布拉格-克腊尔什的心血管研究所以及成立。其第一任所长是克莱门特·韦伯,他早在1929年就出版了一本关于心律失常的专著——比心律失常开始成为心脏病学家关注的核心早了50年。克莱门特·韦伯是T.G.马萨里克总统晚年重病期间的医生之一。扬·布罗德是该研究所克莱门特·韦伯的副手和科学委员会主席。心血管研究所是世界上第三个心血管疾病研究所。捷克心脏病学的起源在三个最重要的领域有记载——高血压治疗、心胸外科发展以及急性心肌梗死治疗的发展。由于贝德尼亚院士,赫拉德茨-克拉洛韦成为该国第一个心脏外科中心。高血压治疗的发展历程波折,得益于有效药物疗法的发现,从原本无法治愈的恶性高血压发展到如今易于治愈的良性高血压。急性梗死的有效治疗基于心脏除颤技术的发展,这使得冠状动脉单元得以建立,后来又有溶栓和抗血小板疗法,直至当代将经皮冠状动脉介入治疗(PCI)作为首选治疗方法。在此期间,急性心肌梗死的死亡率从最初的30%降至目前的4 - 5%。

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