Revista espanola de cardiologia最新文献

{"title":"Taquicardia ventricular en perfusión miocárdica con regadenosón","authors":"Manuel Moreno-Caballero, Enrique Moratalla-Aranda, Ana Cristina Villena-García","doi":"10.1016/j.recesp.2023.07.015","DOIUrl":"10.1016/j.recesp.2023.07.015","url":null,"abstract":"","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":null,"pages":null},"PeriodicalIF":5.9,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47202784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Inteligencia artificial y lenguaje médico (II)","authors":"","doi":"10.1016/j.recesp.2023.10.012","DOIUrl":"https://doi.org/10.1016/j.recesp.2023.10.012","url":null,"abstract":"","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":null,"pages":null},"PeriodicalIF":5.9,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139653761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tratamientos por catéter en diversas categorías de riesgo de embolia pulmonar: ¿estándar de atención o último recurso?","authors":"Felix Mahfoud, Felix Götzinger, Lucas Lauder","doi":"10.1016/j.recesp.2023.08.007","DOIUrl":"10.1016/j.recesp.2023.08.007","url":null,"abstract":"","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":null,"pages":null},"PeriodicalIF":5.9,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139294411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Readaptación funcional basada en ejercicio físico terapéutico en pacientes con COVID persistente (RECOVER)","authors":"Alejandro Berenguel Senén ,&nbsp;Alejandro Gadella Fernández ,&nbsp;Juan Godoy López ,&nbsp;Javier Borrego Rodríguez ,&nbsp;Manuel Gallango Brejano ,&nbsp;Pedro Cepas Guillén ,&nbsp;Carlos de Cabo Porras ,&nbsp;Cristina Morante Perea ,&nbsp;Esther Gigante Miravalles ,&nbsp;Álvaro Serrano Blanco ,&nbsp;Íñigo San-Millán Castrillón ,&nbsp;Luis Rodríguez Padial","doi":"10.1016/j.recesp.2023.06.010","DOIUrl":"10.1016/j.recesp.2023.06.010","url":null,"abstract":"<div><h3>Introduction and objectives</h3><p>Postacute COVID syndrome (PACS) is common after acute SARS-CoV-2 infection. One of the most frequent and disabling symptoms is exercise intolerance (EI). Recent evidence suggests that EI in PACS has a peripheral (metabolic-neuromuscular) origin, suggesting that exercise training may be an effective treatment. The aim of this study was to assess the role a therapeutic physical exercise program (TPEP) in PACS with EI.</p></div><div><h3>Methods</h3><p>This single-center, open-label, randomized clinical trial compared an exercise training program (intervention group) with regular physical activity recommendations (control group) in patients with PACS and EI. The intervention group underwent an 8-week TPEP. The primary endpoint was improvement in functional capacity, assessed as the change in peak VO₂.</p></div><div><h3>Results</h3><p>We included 50 participants with PACS (73% women, mean age 47<!--> <!-->±<!--> <!-->7.1 years). The intervention group showed a 15% improvement in peak VO₂ (peak VO₂ pre- and postintervention: 25.5<!--> <!-->±<!--> <!-->7.7<!--> <!-->mL/kg/min and 29.3<!--> <!-->±<!--> <!-->4.7 mL/kg/min; <em>P</em> &lt;<!--> <!-->.001) and a 13.2% improvement in predicted values (92.1<!--> <!-->±<!--> <!-->14.3% and 108.4<!--> <!-->±<!--> <!-->13.4%; <em>P</em> &lt;<!--> <!-->.001). No significant changes in VO₂ values were observed in the control group. Unlike the control group, the intervention group also showed improvements in all secondary outcomes: quality of life scales, muscle power, maximum inspiratory power, metabolic flexibility, and body fat percentage.</p></div><div><h3>Conclusions</h3><p>The program improved functional capacity in patients with PACS and EI.</p></div>","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":null,"pages":null},"PeriodicalIF":5.9,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48134634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Falta de adherencia al tratamiento antiagregante plaquetario doble: viejos problemas sin nuevas soluciones","authors":"Luis Ortega-Paz ,&nbsp;Roxana Mehran ,&nbsp;Dominick J. Angiolillo","doi":"10.1016/j.recesp.2023.08.008","DOIUrl":"10.1016/j.recesp.2023.08.008","url":null,"abstract":"","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":null,"pages":null},"PeriodicalIF":5.9,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136094472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluación simplificada de la esfericidad de la aurícula izquierda por resonancia magnética cardiaca","authors":"Jerremy Weerts ,&nbsp;Felipe Bisbal ,&nbsp;Antoni Bayés-Genís ,&nbsp;Victoria Delgado ,&nbsp;German Cediel ,&nbsp;Albert Teis","doi":"10.1016/j.recesp.2023.08.002","DOIUrl":"10.1016/j.recesp.2023.08.002","url":null,"abstract":"","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":null,"pages":null},"PeriodicalIF":5.9,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138616160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cardiología y cirugía cardiaca: ¿gemelos separados al nacer?","authors":"M. Dolores García-Cosío Carmena ,&nbsp;José López-Menéndez","doi":"10.1016/j.recesp.2023.07.018","DOIUrl":"10.1016/j.recesp.2023.07.018","url":null,"abstract":"","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":null,"pages":null},"PeriodicalIF":5.9,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0300893223003329/pdfft?md5=d367e0df6b7f3ca58b6128b63b90ead0&pid=1-s2.0-S0300893223003329-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135248420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impacto del cateterismo derecho de ejercicio en el diagnóstico diferencial de la enfermedad tromboembólica pulmonar crónica","authors":"Sergio Huertas Nieto ,&nbsp;Maite Velázquez Martín ,&nbsp;Fernando Sarnago Cebada ,&nbsp;Carmen Jiménez López-Guarch ,&nbsp;Nicolás Maneiro Melón ,&nbsp;Ángela Flox Camacho ,&nbsp;Teresa Segura de la Cal ,&nbsp;Alejandro Cruz Utrilla ,&nbsp;Ricardo Aguilar Colindres ,&nbsp;María Jesús López Gude ,&nbsp;Carlos Andrés Quezada Loaiza ,&nbsp;Yolanda Revilla Ostolaza ,&nbsp;Sergio Alonso Charterina ,&nbsp;Covadonga Gómez Cuervo ,&nbsp;Fernando Arribas Ynsaurriaga ,&nbsp;Pilar Escribano Subías","doi":"10.1016/j.recesp.2023.06.007","DOIUrl":"10.1016/j.recesp.2023.06.007","url":null,"abstract":"<div><h3>Introduction and objectives</h3><p>Chronic thromboembolic disease refers to the presence of chronic thrombotic pulmonary vascular thrombosis without pulmonary hypertension (PH) at rest but with exercise limitation after pulmonary embolism (PE). Our aim was to evaluate the hemodynamic response to exercise in these patients and its correlation with the values reached in cardiopulmonary exercise testing.</p></div><div><h3>Methods</h3><p>We included symptomatic patients with persistent pulmonary thrombosis after PE. We excluded patients with left heart disease or significant PH (mean pulmonary arterial pressure [mPAP] &gt;<!--> <!-->25<!--> <!-->mmHg, pulmonary vascular resistance &gt;<!--> <!-->3 WU, and pulmonary capillary wedge pressure [PCWP] &gt;<!--> <!-->15<!--> <!-->mmHg). Cardiopulmonary exercise testing and exercise right heart catheterization were performed. Exercise-induced precapillary PH was defined as mPAP/CO slope &gt;<!--> <!-->3 and PCWP/CO slope &lt;<!--> <!-->2<!--> <!-->mmHg/l/min. The hemodynamic response and the values obtained in cardiopulmonary exercise testing were compared between patients with and without exercise-induced precapillary PH.</p></div><div><h3>Results</h3><p>We studied 36 patients; 4 were excluded due to incomplete hemodynamic data. Out of the 32 patients analyzed; 3 developed a pathological increase in PCWP. Among the remaining 29 patients (mean age, 49.4<!--> <!-->±<!--> <!-->13.7 years, 34.5% women), 13 showed exercise-induced PH. Resting mPAP was higher in those who developed exercise-induced PH (23.3<!--> <!-->±<!--> <!-->5.4 vs 19.0<!--> <!-->±<!--> <!-->3.8<!--> <!-->mmHg; <em>P</em> <!-->=<!--> <!-->.012), although CO was similar in the 2 groups. Patients with exercise-induced PH exhibited data of ventilatory inefficiency with reduced values of end-tidal CO₂ pressure at the anaerobic threshold (32.8<!--> <!-->±<!--> <!-->3.0 vs 36.2<!--> <!-->±<!--> <!-->3.3<!--> <!-->mmHg; <em>P</em> <!-->=<!--> <!-->.021) and a higher Ve/VCO₂ slope (34.2<!--> <!-->±<!--> <!-->4.8 vs 30.7<!--> <!-->±<!--> <!-->5.0<em>; P</em> <!-->=<!--> <!-->.049).</p></div><div><h3>Conclusions</h3><p>Exercise limitation and ventilatory inefficiency could be attributable to exercise-induced precapillary PH in a subgroup of patients with persistent pulmonary thrombosis and dyspnea.</p></div>","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":null,"pages":null},"PeriodicalIF":5.9,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48035521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Eficacia y seguridad de la técnica BASILICA en pacientes con alto riesgo de obstrucción coronaria sometidos a TAVI","authors":"Pedro Cepas-Guillén ,&nbsp;Rami Gabani ,&nbsp;Marc Giménez-Milà ,&nbsp;Laura Sanchis ,&nbsp;Xavier Freixa ,&nbsp;Ander Regueiro","doi":"10.1016/j.recesp.2023.08.003","DOIUrl":"10.1016/j.recesp.2023.08.003","url":null,"abstract":"","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":null,"pages":null},"PeriodicalIF":5.9,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55242864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Disfunción aguda de válvula aórtica percutánea con insuficiencia grave debida a rotura de velo espontánea","authors":"Álvaro Pinar Abellán,&nbsp;Macarena López Vázquez,&nbsp;Nuria Vallejo Calcerrada,&nbsp;Arsenio Gallardo López,&nbsp;Jesús Jiménez Mazuecos,&nbsp;Driss Melehi El Assali","doi":"10.1016/j.recesp.2023.08.001","DOIUrl":"10.1016/j.recesp.2023.08.001","url":null,"abstract":"","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":null,"pages":null},"PeriodicalIF":5.9,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136159891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}