Revista Argentina de Cardiologia最新文献_第7页

Use of the Pharmacoinvasive Strategy in Argentina. ARGEN-IAM ST Registry Analysis 阿根廷药物侵入策略的使用。注册表分析

Revista Argentina de Cardiologia Pub Date : 2023-06-01 DOI: 10.7775/rac.v91.i3.20632

Mauro Rossi Prat, J. Gagliardi, M. L. Estrella, Gerarda Zapata, Mauro A. Quiroga, Adrián Charask, A. Meiriño, Yanina Castillo Costa, Walter Quiroga, Heraldo D´Imperio

{"title":"Use of the Pharmacoinvasive Strategy in Argentina. ARGEN-IAM ST Registry Analysis","authors":"Mauro Rossi Prat, J. Gagliardi, M. L. Estrella, Gerarda Zapata, Mauro A. Quiroga, Adrián Charask, A. Meiriño, Yanina Castillo Costa, Walter Quiroga, Heraldo D´Imperio","doi":"10.7775/rac.v91.i3.20632","DOIUrl":"https://doi.org/10.7775/rac.v91.i3.20632","url":null,"abstract":"Background: Primary percutaneous coronary intervention (PPCI) is the treatment of choice for acute ST elevation myocardial infarction (STEMI). In Argentina, a country with a large area and suboptimal reperfusion times, the pharmacoinvasive (PI) strategy might be considered. Methods: ARGEN-IAM-ST is a national prospective, multicenter, and observational registry that includes STEMI patients with less than 36 hours of progression. The PI strategy usage and its associated variables were defined. Results: In this registry, 4788 patients were analyzed, of which 88.56% underwent PPCI, 8.46% received thrombolytics with positive reperfusion (TL+), and only 2.98% received PI strategy. Median and interquartile range (IQR) of total ischemia time were lower in patients receiving TL+ (165 min, IQR 100-269) and PI (191 min, IQR 100-330) than in patients undergoing PPCI (280 min, IQR 179-520), p <0.001. No differences in intra-hospital mortality were observed: 4.9% in the PI strategy group, 5.2% in the TL+ group and 7.8% in the PPCI group (p = 0.081). No differences in major bleeding events were observed. It was observed that 57% of the TL+ patients met the criteria for high cardiovascular risk, but they did not receive PI strategy, as recommended. Conclusions: Only 3 out of 100 reperfused STEMI patients received PI strategy. Its administration is not systematically associated to high cardiovascular risk. Despite the under-usage, it remains an option to be considered due to its total ischemia time lower than in the PPCI, with no increase in clinically significant bleedings.","PeriodicalId":34966,"journal":{"name":"Revista Argentina de Cardiologia","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81836702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Survey on Women's Perception and Awareness of Cardiovascular Risk Factors and How They Are Managed 女性对心血管危险因素的认知及管理方法调查

Revista Argentina de Cardiologia Pub Date : 2023-06-01 DOI: 10.7775/rac.v91.i3.20633

V. L. Crosa, Alejandra Avalos Oddi, L. Cáceres, Yanina Castillo Costa, R. Aguero, Viviana Rubilar

{"title":"Survey on Women's Perception and Awareness of Cardiovascular Risk Factors and How They Are Managed","authors":"V. L. Crosa, Alejandra Avalos Oddi, L. Cáceres, Yanina Castillo Costa, R. Aguero, Viviana Rubilar","doi":"10.7775/rac.v91.i3.20633","DOIUrl":"https://doi.org/10.7775/rac.v91.i3.20633","url":null,"abstract":"Background: Cardiovascular disease (CVD) is the leading cause of death in women. Nevertheless, women are less likely than men to receive guidance or preventive treatment to reduce it. Objective: The aim of this study was to detect the prevalence of cardiovascular risk factors (CRF) and detect the level of women's perception and awareness of CRF and CVD. Methods: We conducted an observational, cross-sectional study in July 2021 using a voluntary, anonymous, and online survey. The information collected included age range, CRF, CVD, risk perception and implementation of healthy habits and behaviors. Results: A total of 3888 women participated (age between 46 and 65 years in 50.1%); 34.1% had excess weight and 43.6% had a waist circumference > 80 cm. Hypertension (HTN) was reported by 24.2%; total cholesterol was > 200 mg/dL in 19.6%; 5,4% were diabetics (DM); 44.3% had sedentary lifestyle; 11.3% were current smokers and 34.5% were former smokers; 82.1% had been pregnant at least once and 26.9% reported a complication during pregnancy. A bad obstetric history was more commonly associated with HTN (34% vs. 24%, p < 0.01), DM (7% vs. 5%, p = 0.04) and CVD (14% vs. 11%, p < 0.01). Among the 10.9% who reported a history of CVD, myocardial infarction was the most common condition (51.1%). Sixty-two percent of survey respondents considered that cancer, and particularly breast cancer (53.4%), is the main cause of death in women. Conclusions: We found a high prevalence of modifiable CRF with low perception of cardiovascular risk. A bad obstetric history was associated with higher prevalence of CRF.","PeriodicalId":34966,"journal":{"name":"Revista Argentina de Cardiologia","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84585946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Acute Coronary Syndromes in High Complexity Centers of Argentina. The ReSCAR Registry 阿根廷高复杂性中心的急性冠状动脉综合征ReSCAR注册中心

Revista Argentina de Cardiologia Pub Date : 2023-06-01 DOI: 10.7775/rac.v91.i3.20631

M. Rivero, J. Feder, Gaston Procopio, M. Gingins, Juan M Souto, Ricardo Villareal

{"title":"Acute Coronary Syndromes in High Complexity Centers of Argentina. The ReSCAR Registry","authors":"M. Rivero, J. Feder, Gaston Procopio, M. Gingins, Juan M Souto, Ricardo Villareal","doi":"10.7775/rac.v91.i3.20631","DOIUrl":"https://doi.org/10.7775/rac.v91.i3.20631","url":null,"abstract":"Background: We conducted a multicenter registry to analyze the diagnostic and therapeutic approach to all types of acute coronary syndromes; this registry is the first to provide detailed information on conditions without significant epicardial coronary artery disease. Knowing the reality of current medical practice is important to find opportunities for improvement. Methods: Patients hospitalized for acute coronary syndrome between January and August 2022 in 15 centers of Argentina, with high-sensitivity cardiac troponin, coronary care unit, and catheterization laboratory available 24 hours, were prospectively recorded. Results: A total of 984 consecutive patients were included, 22.2% with unstable angina, 39.1% with non-ST-segment elevation myocardial infarction (NSTEMI) and 24.1% with ST-segment elevation myocardial infarction (STEMI). Additionally, 4.1% presented as type 2 AMI, 1.2% as myocarditis, 0.7% as Takotsubo syndrome and 8.6% as myocardial infarction with non-obstructive coronary arteries (MINOCA). Median age was 66 years [interquartile range (IQR) 56.5-74] and 75.3% were men. An early invasive management was used in 84% of patients without ST segment elevation, and 76.5% of them had significant coronary artery disease. During hospitalization, 2.84% of the patients presented reinfarction, 2.43% recurrent angina, 2% postinfarction angina and 0.5% stent thrombosis. Bleeding events occurred in 4.4% of the patients, and overall in-hospital mortality was 3.76%. Conclusions: The registry has a good representation of the spectrum of patients with initial suspicion of \"acute coronary syndrome\", managed in centers with an invasive initial strategy and with low rate of in-hospital complications and acceptable overall mortality.","PeriodicalId":34966,"journal":{"name":"Revista Argentina de Cardiologia","volume":"117 17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84268907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Minimally Invasive Surgery with the Bentall-De Bono Technique. Initial Experience at Hospital Italiano de Buenos Aires 微创手术与本特尔-德博诺技术。在布宜诺斯艾利斯意大利医院的初步经验

Revista Argentina de Cardiologia Pub Date : 2023-06-01 DOI: 10.7775/rac.v91.i3.20364

Carlos Alvarez Tamara, G. Fortunato, Guillermo Stoger, E. Rossi, R. Posatini, V. Kotowicz

{"title":"Minimally Invasive Surgery with the Bentall-De Bono Technique. Initial Experience at Hospital Italiano de Buenos Aires","authors":"Carlos Alvarez Tamara, G. Fortunato, Guillermo Stoger, E. Rossi, R. Posatini, V. Kotowicz","doi":"10.7775/rac.v91.i3.20364","DOIUrl":"https://doi.org/10.7775/rac.v91.i3.20364","url":null,"abstract":"Background: Cardiac surgery avoiding full sternotomy began to emerge in the 1990s with the first hemi-sternotomies and mini-thoracotomies. Aortic valve and root surgery is one of the most common procedures in our field. In this paper, we analyze our experience in minimally invasive cardiac surgery (MICS) for the aortic root with the Bentall-De Bono technique (MICS-Bentall). Objective: To analyze the surgical results in the first 10 patients underwent a MICS-Bentall procedure at our site. Methods: A retrospective observational study was carried out including patients with valve disease and aortic root dilation who underwent a surgery with the MICS-Bentall procedure in a tertiary care hospital from December 2019 to December 2020. Continuous variables were expressed as mean and standard deviation or median and interquartile range according to the observed distribution. Categorical variables were expressed as absolute and relative frequency. Results: Out of 165 patients undergoing aortic root surgery, 10 patients were included. Mean age was 56 ± 17.03 years, 70% male; all cases were elective. Median (interquartile range, IQR) STS PROM % was 1.48 (1-2.02). Eighty percent had bicuspid valve. Fifty percent of patients were extubated within 6 hours. In the 30-day follow-up, no death was recorded, and two complications were registered: one patient experienced atrial fibrillation without hemodynamic decompensation and another a wound infection. The mean hospital length of stay was 5 days. Conclusion: In our experience, MICS using the Bentall technique showed satisfactory results in terms of low perioperative mortality","PeriodicalId":34966,"journal":{"name":"Revista Argentina de Cardiologia","volume":"37 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86828256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Mortality Attributable to Tobacco Consumption in the Province of Buenos Aires. Estimation from the National Surveys of Risk Factors 布宜诺斯艾利斯省烟草消费导致的死亡率。来自全国风险因素调查的估计

Revista Argentina de Cardiologia Pub Date : 2023-06-01 DOI: 10.7775/rac.v91.i3.20630

A. Bolzán, Hanna Fritz Heck, Silvia Rey

{"title":"Mortality Attributable to Tobacco Consumption in the Province of Buenos Aires. Estimation from the National Surveys of Risk Factors","authors":"A. Bolzán, Hanna Fritz Heck, Silvia Rey","doi":"10.7775/rac.v91.i3.20630","DOIUrl":"https://doi.org/10.7775/rac.v91.i3.20630","url":null,"abstract":"Background: Tobacco consumption is the leading cause of death from non-communicable diseases, such as heart disease, lung disease and cancer. Estimating prevalence-based mortality attributed to tobacco consumption is based on prior knowledge of the number of smokers, ex-smokers, and non-smokers in the population. These data derive from the four National Surveys of Risk Factors (En-cuestas Nacionales de Factores de Riesgo, ENFR). Objectives: This study aims to show the burden of mortality due to tobacco consumption in the Province of Buenos Aires in the assessed periods of the four ENFRs (2005, 2009, 2013, 2018). Methods: Mortality attributable to tobacco consumption was estimated by using a prevalence-based method and assuming the risks associated with smoking in the 19 causes classified as associated with smoking, in accordance with the Cancer Prevention Study II (CPSII). The deaths were grouped into periods equivalent to those relevant to each ENFR. The CSPII attributable fractions were then applied by estimating the absolute deaths and attributable fractions of mortality by cause and groupings: tumours, circulatory diseases and respiratory diseases. Results: Overall, in persons aged 18 years or older, there was a decrease in smoking prevalence from 29.5% in 2005 to 23.1% in 2018 (an absolute reduction of 6.4% and a percentage reduction of 21.7%). A total of 6293 out of 18 255 deaths from cardiovascular di-seases in the four surveys were attributed to smoking, that is, 34.4%, compared to 68% of deaths from tumours and 40.0% of deaths from respiratory diseases. Conclusion: It is necessary to further strengthen measures to reduce exposure","PeriodicalId":34966,"journal":{"name":"Revista Argentina de Cardiologia","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90237135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Posterior Embolic Stroke Secondary to Subclavian Artery Thrombosis 继发于锁骨下动脉血栓形成的后栓塞性中风

Revista Argentina de Cardiologia Pub Date : 2023-06-01 DOI: 10.7775/rac.v91.i3.20637

Robertino Bevacqua, Pablo Cassaglia, J. L. Fuentes, Ramiro Malagrini, A. V. Chavarri, Mariano Norese

引用次数: 0

Cardiovascular Risk Profile in Women from Three Different Areas of the Province of Tucumán, Argentina 阿根廷Tucumán省三个不同地区妇女的心血管风险概况

Revista Argentina de Cardiologia Pub Date : 2023-06-01 DOI: 10.7775/rac.v91.i3.20629

D. Holownia

{"title":"Cardiovascular Risk Profile in Women from Three Different Areas of the Province of Tucumán, Argentina","authors":"D. Holownia","doi":"10.7775/rac.v91.i3.20629","DOIUrl":"https://doi.org/10.7775/rac.v91.i3.20629","url":null,"abstract":"Background: The role of the environment on female population health in Tucumán has been little studied. This study aimed to evaluate the cardiovascular risk profile in women from rural, peri-urban and urban areas in the province of Tucumán (Argentina) and to analyse their differences. Methods: An analytical cross-sectional study was conducted in 3 groups of women from Tucumán: rural (n = 125), peri-urban (n = 50) and urban (n = 112). Results: Blood pressure (BP) was lower in the rural group; the urban group showed higher heart rate and smaller neck circumference. Of the studied women, 29.7% were overweight and 42.4% obese, and no significant differences were found in the 3 groups. Increased neck circumference was observed in 62% of women in the rural group, 79% in the peri-urban group and 41% in the urban group (p <0.001). Smoking was more frequent in the urban group. In the urban and peri-urban groups, the proportion of women with higher education level was greater (p <0.001). Education level was positively correlated with heart rate. Conclusion: Regardless of the environment, women from Tucumán are overweight or obese and have other risk factors for cardio-vascular disease. This should be considered when planning policies and making decisions in order to improve their prognosis.","PeriodicalId":34966,"journal":{"name":"Revista Argentina de Cardiologia","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79701614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Andres Vesalio. La resurrección de la anatomía 安德烈斯·维萨利奥。解剖学的复活

Revista Argentina de Cardiologia Pub Date : 2023-05-16 DOI: 10.7775/rac.es.v91.i2.20619

J. Trainini

引用次数: 0

Síndrome portopulmonar postrasplante hepático, una etiología de disnea poco frecuente que no hemos de olvidar 肝移植后港肺综合征，一种我们不能忘记的罕见呼吸困难的病因

Revista Argentina de Cardiologia Pub Date : 2023-05-16 DOI: 10.7775/rac.es.v91.i2.20617

Ana Ruiz Rodríguez, Uxue Idiazabal Rodríguez, Iñigo Pereiro Lili

引用次数: 0

El desafío de iniciar una gran tarea 开始一项伟大任务的挑战

Revista Argentina de Cardiologia Pub Date : 2023-05-16 DOI: 10.7775/rac.es.v91.i2.20621

Claudio R. Majul

引用次数: 0