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Renata Cifkova

Bio: Renata Cifkova is an academic researcher from First Faculty of Medicine, Charles University in Prague. The author has contributed to research in topics: Population & Blood pressure. The author has an hindex of 68, co-authored 305 publications receiving 80868 citations. Previous affiliations of Renata Cifkova include Masaryk University & Czechoslovak Academy of Sciences.


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TL;DR: Cilem teto prace proto bylo popsat soucasný rizikový profil pacientů s akutnim koronarnim syndromem (AKS) a srovnat jej s populacnimi daty z identicke populace.
Abstract: Zastoupeni a zřejmě i význam některých kardiovaskularnich rizikových faktorů se na populacni urovni měni. Cilem teto prace proto bylo popsat soucasný rizikový profil pacientů s akutnim koronarnim syndromem (AKS) a srovnat jej s populacnimi daty z identicke populace.Do studie bylo zahrnuto 946 mužů ve věku 28-65 let a 296 žen ve věku 30-70 let, kteři byli přijati na Kliniku kardiologie IKEM s diagnozou akutniho koronarniho syndromu v letech 2006-2013. Výskyt rizikových faktorů u nemocných byl srovnavan s výskytem rizikových faktorů u populacniho vzorku obyvatel odpovidajiciho věku, který byl vysetřen v ramci projektu Czech post-MONICA v letech 2006-2009. Ve srovnani s kontrolni skupinou 1 400 mužů a 1 016 žen měli nemocni castějsi výskyt vsech rizikových faktorů s výjimkou celkoveho cholesterolu. Muži i ženy s AKS měli obdobnou hodnotu celkoveho cholesterolu (muži 5,41 ± 1,16 mmol/l vs. 5,50 ± 1,08 mmol/l, NS, ženy 5,60 ± 1,25 mmol/l vs. 5,71 ± 1,01 mmol/l, NS), ale vyssi hodnotu LDL cholesterolu (muži 3,66 ± 1,05 mmol/l vs. 3,38 ± 0,93 mmol/l, p < 0,001, ženy 3,67 ± 1,17 mmol/l vs. 3,45 ± 0,91 mmol/l, p < 0,001) a nižsi hodnotu HDL cholesterolu (muži 1,14 ± 0,31 mmol/l vs. 1,28 ± 0,34 mmol/l, p < 0,001, ženy 1,32 ± 0,37 mmol/l vs. 1,60 ± 0,38 mmol/l, p < 0,001). Tyto rozdily jsou zachovany i při vylouceni pacientů a kontrolnich osob, ktere byly leceny statiny. Detailnějsi analýza lipidoveho spektra podle věkových skupin ukazala větsi rozdily mezi nemocnými a kontrolni skupinou v hodnotě LDL cholesterolu předevsim u mladsich pacientů, zatimco hodnoty HDL cholesterolu jsou nižsi ve vsech věkových skupinach. Poměr LDL/HDL cholesterolu tak zůstava u nemocných oproti kontrolam vyssi ve vsech věkových skupinach.Pozitivni rodinna anamneza (RA) předcasneho výskytu ischemicke choroby srdecni (ICHS) u rodiců byla u nemocných s AKS rovněž castějsi (muži 19,8 % vs. 13,9 %, p < 0,001, ženy 25,9 % vs. 18,4 %, p < 0,001) a větsi rozdily byly zaznamenany u mladsich pacientů. U pacientů s pozitivni rodinnou anamnezou se AKS manifestoval v casnějsim věku a věkový rozdil se zvýraznil, pokud byla pozitivni RA spojena s kouřenim nebo hypertenzi. Muži s AKS a pozitivni RA se od ostatnich nemocných lisili pouze vyssim podilem nizkých hodnot (< 1,0 mmol/l) HDL cholesterolu (55,5 % vs. 45,0 %, p < 0,05 mmol/l) a vyssim BMI (29,27 ± 4,79 vs. 28,49 ± 4,29 kg/m2, p < 0,05).Hodnota celkoveho cholesterolu se v soucasne populaci nejevi jako rizikový faktor akutniho koronarniho syndromu. Jako největsi riziko se jevi kouřeni a nizka hodnota HDL cholesterolu, resp. vyssi poměr LDL/HDL cholesterolu. U mladsich osob se jako rizikový faktor navic uplatňuji pozitivni rodinna anamneza předcasneho výskytu ICHS a vyssi hodnota LDL cholesterolu.

5 citations

Journal ArticleDOI
TL;DR: The European Meeting on Hypertension has established itself as the most important hypertension congress in the world, and it has occurred that false abstracts have twice been submitted and, in one case, accepted for poster presentation.
Abstract: The European Meeting on Hypertension was organized for the 15th time in Milan in June 2005. Every second meeting takes place in Milan; after the record turnout of more than 8000 delegates at the 14...

4 citations

Journal ArticleDOI
TL;DR: A lower HDL-C in the group of FH patients compared with control subjects was demonstrated and Elevated triglyceride levels were found in FH males and females, except for males with FDB.

4 citations

Journal ArticleDOI
TL;DR: A major aim of treating hypertension is a maximal decrease in long-term total CV risk, which could only be achieved by treatment of all reversible risk factors and associated conditions in addition to treatment of raised BP per se.
Abstract: Cardiovascular disease (CVD) remains the leading cause of death in developed countries [1]. Hypertension and dyslipidaemia are two major CVD risk factors highly prevalent either alone or in combination [2]. Hypertension often clusters with other CVD risk factors associated with a markedly increased risk of CV events. The interaction among CVD risk factors is such that the probability of a CV event is frequently greater in patients with only moderate BP and cholesterol abnormalities in the presence of additional risk factors than in patients with isolated marked elevation in BP or cholesterol levels alone [3]. In addition, the majority of CV events in the population occur among individuals with modest levels of several risk factors rather than among those rare persons with extreme values of one risk factor. A major aim of treating hypertension is a maximal decrease in long-term total CV risk. This could only be achieved by treatment of all reversible risk factors and associated conditions in addition to treatment of raised BP per se.

4 citations

Journal Article
TL;DR: Although most patients had single- or double-vessel coronary disease, the overall increase in CIMT suggests that their coronary events were not due to destabilization of a single focal atheroma but may have reflected a generalized atherosclerotic process.
Abstract: BACKGROUND: Carotid intima-media thickness (CIMT) is considered to be a useful surrogate marker of coronary atherosclerosis. However, it is unclear whether this applies to young patients with acute myocardial infarction (AMI), in whom most cases are attributable to the destabilization of focal atheroma.

4 citations


Cited by
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Giuseppe Mancia1, Robert Fagard, Krzysztof Narkiewicz, Josep Redon, Alberto Zanchetti, Michael Böhm, Thierry Christiaens, Renata Cifkova, Guy De Backer, Anna F. Dominiczak, Maurizio Galderisi, Diederick E. Grobbee, Tiny Jaarsma, Paulus Kirchhof, Sverre E. Kjeldsen, Stéphane Laurent, Athanasios J. Manolis, Peter M. Nilsson, Luis M. Ruilope, Roland E. Schmieder, Per Anton Sirnes, Peter Sleight, Margus Viigimaa, Bernard Waeber, Faiez Zannad, Michel Burnier, Ettore Ambrosioni, Mark Caufield, Antonio Coca, Michael H. Olsen, Costas Tsioufis, Philippe van de Borne, José Luis Zamorano, Stephan Achenbach, Helmut Baumgartner, Jeroen J. Bax, Héctor Bueno, Veronica Dean, Christi Deaton, Çetin Erol, Roberto Ferrari, David Hasdai, Arno W. Hoes, Juhani Knuuti, Philippe Kolh2, Patrizio Lancellotti, Aleš Linhart, Petros Nihoyannopoulos, Massimo F Piepoli, Piotr Ponikowski, Juan Tamargo, Michal Tendera, Adam Torbicki, William Wijns, Stephan Windecker, Denis Clement, Thierry C. Gillebert, Enrico Agabiti Rosei, Stefan D. Anker, Johann Bauersachs, Jana Brguljan Hitij, Mark J. Caulfield, Marc De Buyzere, Sabina De Geest, Geneviève Derumeaux, Serap Erdine, Csaba Farsang, Christian Funck-Brentano, Vjekoslav Gerc, Giuseppe Germanò, Stephan Gielen, Herman Haller, Jens Jordan, Thomas Kahan, Michel Komajda, Dragan Lovic, Heiko Mahrholdt, Jan Östergren, Gianfranco Parati, Joep Perk, Jorge Polónia, Bogdan A. Popescu, Zeljko Reiner, Lars Rydén, Yuriy Sirenko, Alice Stanton, Harry A.J. Struijker-Boudier, Charalambos Vlachopoulos, Massimo Volpe, David A. Wood 
TL;DR: In this article, a randomized controlled trial of Aliskiren in the Prevention of Major Cardiovascular Events in Elderly people was presented. But the authors did not discuss the effect of the combination therapy in patients living with systolic hypertension.
Abstract: ABCD : Appropriate Blood pressure Control in Diabetes ABI : ankle–brachial index ABPM : ambulatory blood pressure monitoring ACCESS : Acute Candesartan Cilexetil Therapy in Stroke Survival ACCOMPLISH : Avoiding Cardiovascular Events in Combination Therapy in Patients Living with Systolic Hypertension ACCORD : Action to Control Cardiovascular Risk in Diabetes ACE : angiotensin-converting enzyme ACTIVE I : Atrial Fibrillation Clopidogrel Trial with Irbesartan for Prevention of Vascular Events ADVANCE : Action in Diabetes and Vascular Disease: Preterax and Diamicron-MR Controlled Evaluation AHEAD : Action for HEAlth in Diabetes ALLHAT : Antihypertensive and Lipid-Lowering Treatment to Prevent Heart ATtack ALTITUDE : ALiskiren Trial In Type 2 Diabetes Using Cardio-renal Endpoints ANTIPAF : ANgioTensin II Antagonist In Paroxysmal Atrial Fibrillation APOLLO : A Randomized Controlled Trial of Aliskiren in the Prevention of Major Cardiovascular Events in Elderly People ARB : angiotensin receptor blocker ARIC : Atherosclerosis Risk In Communities ARR : aldosterone renin ratio ASCOT : Anglo-Scandinavian Cardiac Outcomes Trial ASCOT-LLA : Anglo-Scandinavian Cardiac Outcomes Trial—Lipid Lowering Arm ASTRAL : Angioplasty and STenting for Renal Artery Lesions A-V : atrioventricular BB : beta-blocker BMI : body mass index BP : blood pressure BSA : body surface area CA : calcium antagonist CABG : coronary artery bypass graft CAPPP : CAPtopril Prevention Project CAPRAF : CAndesartan in the Prevention of Relapsing Atrial Fibrillation CHD : coronary heart disease CHHIPS : Controlling Hypertension and Hypertension Immediately Post-Stroke CKD : chronic kidney disease CKD-EPI : Chronic Kidney Disease—EPIdemiology collaboration CONVINCE : Controlled ONset Verapamil INvestigation of CV Endpoints CT : computed tomography CV : cardiovascular CVD : cardiovascular disease D : diuretic DASH : Dietary Approaches to Stop Hypertension DBP : diastolic blood pressure DCCT : Diabetes Control and Complications Study DIRECT : DIabetic REtinopathy Candesartan Trials DM : diabetes mellitus DPP-4 : dipeptidyl peptidase 4 EAS : European Atherosclerosis Society EASD : European Association for the Study of Diabetes ECG : electrocardiogram EF : ejection fraction eGFR : estimated glomerular filtration rate ELSA : European Lacidipine Study on Atherosclerosis ESC : European Society of Cardiology ESH : European Society of Hypertension ESRD : end-stage renal disease EXPLOR : Amlodipine–Valsartan Combination Decreases Central Systolic Blood Pressure more Effectively than the Amlodipine–Atenolol Combination FDA : U.S. Food and Drug Administration FEVER : Felodipine EVent Reduction study GISSI-AF : Gruppo Italiano per lo Studio della Sopravvivenza nell'Infarto Miocardico-Atrial Fibrillation HbA1c : glycated haemoglobin HBPM : home blood pressure monitoring HOPE : Heart Outcomes Prevention Evaluation HOT : Hypertension Optimal Treatment HRT : hormone replacement therapy HT : hypertension HYVET : HYpertension in the Very Elderly Trial IMT : intima-media thickness I-PRESERVE : Irbesartan in Heart Failure with Preserved Systolic Function INTERHEART : Effect of Potentially Modifiable Risk Factors associated with Myocardial Infarction in 52 Countries INVEST : INternational VErapamil SR/T Trandolapril ISH : Isolated systolic hypertension JNC : Joint National Committee JUPITER : Justification for the Use of Statins in Primary Prevention: an Intervention Trial Evaluating Rosuvastatin LAVi : left atrial volume index LIFE : Losartan Intervention For Endpoint Reduction in Hypertensives LV : left ventricle/left ventricular LVH : left ventricular hypertrophy LVM : left ventricular mass MDRD : Modification of Diet in Renal Disease MRFIT : Multiple Risk Factor Intervention Trial MRI : magnetic resonance imaging NORDIL : The Nordic Diltiazem Intervention study OC : oral contraceptive OD : organ damage ONTARGET : ONgoing Telmisartan Alone and in Combination with Ramipril Global Endpoint Trial PAD : peripheral artery disease PATHS : Prevention And Treatment of Hypertension Study PCI : percutaneous coronary intervention PPAR : peroxisome proliferator-activated receptor PREVEND : Prevention of REnal and Vascular ENdstage Disease PROFESS : Prevention Regimen for Effectively Avoiding Secondary Strokes PROGRESS : Perindopril Protection Against Recurrent Stroke Study PWV : pulse wave velocity QALY : Quality adjusted life years RAA : renin-angiotensin-aldosterone RAS : renin-angiotensin system RCT : randomized controlled trials RF : risk factor ROADMAP : Randomized Olmesartan And Diabetes MicroAlbuminuria Prevention SBP : systolic blood pressure SCAST : Angiotensin-Receptor Blocker Candesartan for Treatment of Acute STroke SCOPE : Study on COgnition and Prognosis in the Elderly SCORE : Systematic COronary Risk Evaluation SHEP : Systolic Hypertension in the Elderly Program STOP : Swedish Trials in Old Patients with Hypertension STOP-2 : The second Swedish Trial in Old Patients with Hypertension SYSTCHINA : SYSTolic Hypertension in the Elderly: Chinese trial SYSTEUR : SYSTolic Hypertension in Europe TIA : transient ischaemic attack TOHP : Trials Of Hypertension Prevention TRANSCEND : Telmisartan Randomised AssessmeNt Study in ACE iNtolerant subjects with cardiovascular Disease UKPDS : United Kingdom Prospective Diabetes Study VADT : Veterans' Affairs Diabetes Trial VALUE : Valsartan Antihypertensive Long-term Use Evaluation WHO : World Health Organization ### 1.1 Principles The 2013 guidelines on hypertension of the European Society of Hypertension (ESH) and the European Society of Cardiology …

14,173 citations

Journal ArticleDOI
TL;DR: Authors/Task Force Members: Piotr Ponikowski* (Chairperson) (Poland), Adriaan A. Voors* (Co-Chair person) (The Netherlands), Stefan D. Anker (Germany), Héctor Bueno (Spain), John G. F. Cleland (UK), Andrew J. S. Coats (UK)

13,400 citations

Journal ArticleDOI
TL;DR: It was agreed that there should not be an obligatory component, but that waist measurement would continue to be a useful preliminary screening tool, and a single set of cut points would be used for all components except waist circumference, for which further work is required.
Abstract: A cluster of risk factors for cardiovascular disease and type 2 diabetes mellitus, which occur together more often than by chance alone, have become known as the metabolic syndrome. The risk factors include raised blood pressure, dyslipidemia (raised triglycerides and lowered high-density lipoprotein cholesterol), raised fasting glucose, and central obesity. Various diagnostic criteria have been proposed by different organizations over the past decade. Most recently, these have come from the International Diabetes Federation and the American Heart Association/National Heart, Lung, and Blood Institute. The main difference concerns the measure for central obesity, with this being an obligatory component in the International Diabetes Federation definition, lower than in the American Heart Association/National Heart, Lung, and Blood Institute criteria, and ethnic specific. The present article represents the outcome of a meeting between several major organizations in an attempt to unify criteria. It was agreed that there should not be an obligatory component, but that waist measurement would continue to be a useful preliminary screening tool. Three abnormal findings out of 5 would qualify a person for the metabolic syndrome. A single set of cut points would be used for all components except waist circumference, for which further work is required. In the interim, national or regional cut points for waist circumference can be used.

11,737 citations

Journal ArticleDOI
TL;DR: The Global Burden of Diseases, Injuries, and Risk Factors Study 2016 (GBD 2016) provides a comprehensive assessment of prevalence, incidence, and years lived with disability (YLDs) for 328 causes in 195 countries and territories from 1990 to 2016.

10,401 citations