REC: CardioClinics最新文献_第5页

Valor pronóstico del conocimiento del perfil lipídico en los pacientes ingresados por un primer síndrome coronario agudo 了解首次急性冠状动脉综合征入院患者血脂情况的预后价值

REC: CardioClinics Pub Date : 2024-04-01 DOI: 10.1016/j.rccl.2023.09.005

Alberto Cordero , Emilio Flores , David Escribano , María Amparo Quintanilla , José Moreno-Arribas , José María López-Ayala , María Dolores Masiá , Elías Martínez Rey-Rañal , Pilar Zuazola , María Salinas

{"title":"Valor pronóstico del conocimiento del perfil lipídico en los pacientes ingresados por un primer síndrome coronario agudo","authors":"Alberto Cordero , Emilio Flores , David Escribano , María Amparo Quintanilla , José Moreno-Arribas , José María López-Ayala , María Dolores Masiá , Elías Martínez Rey-Rañal , Pilar Zuazola , María Salinas","doi":"10.1016/j.rccl.2023.09.005","DOIUrl":"10.1016/j.rccl.2023.09.005","url":null,"abstract":"<div><h3>Introduction and objectives</h3><p>Low-density lipoprotein cholesterol (LDL-C) values are linearly associated with the incidence of ischemic heart disease, although many people are unaware of whether or not they have dyslipidemia.</p></div><div><h3>Methods</h3><p>Retrospective study of all patients admitted for a first acute coronary syndrome (ACS). We considered ignorance of the lipid profile when there was no previous diagnosis of dyslipidemia, no lipid-lowering treatment was followed, nor was there laboratory determination of LDL-C in the last 5 years.</p></div><div><h3>Results</h3><p>A total of 3122 patients were included, aged 67.1 (13.2) years, 73.4% men and 54% admitted for ST-segment elevation acute coronary syndrome (STEACS); 1325 (42.44%) did not know their cholesterol levels and the associated variables were not having high blood pressure or diabetes, age < 55 years, male sex, low burden of comorbidity and presentation as STEACS. A significant interaction was detected between age and knowledge of dyslipidemia (<em>P</em> = .02). Hospital mortality was 6.5% (201 patients) and was the same in patients who knew or did not know their cholesterol levels; However, it was higher in those who did not know their LDL-C and were < 65 years of age (3.8% vs 1.5%; <em>P</em> < .01). The multivariate analysis identified an independent association between ignorance of cholesterol and in-hospital mortality, but only in patients aged < 65 years (OR, 2.39; 95%CI, 1.12-5.27; <em>P</em> = .031).</p></div><div><h3>Conclusions</h3><p>Cholesterol unawareness is very prevalent in patients admitted for a first acute coronary syndrome and it is associated to higher in-hospital mortality rates for patients < 65 years old.</p></div>","PeriodicalId":36870,"journal":{"name":"REC: CardioClinics","volume":"59 2","pages":"Pages 87-94"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135765560","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}

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Índice de autores 作者索引

REC: CardioClinics Pub Date : 2024-04-01 DOI: 10.1016/S2605-1532(24)00071-2

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Adquisición de competencias en ECV en el grado en Medicina: percepción de médicos residentes de cardiología 医学学位中心血管疾病能力的获得：心脏病学住院医师的看法。

REC: CardioClinics Pub Date : 2024-04-01 DOI: 10.1016/j.rccl.2023.10.003

Ana Laffond , Martín Negreira Caamaño , Jorge Rodríguez Capitán , Pedro Cepas-Guillén , Pablo Díez-Villanueva , Manuel F. Jiménez-Navarro

{"title":"Adquisición de competencias en ECV en el grado en Medicina: percepción de médicos residentes de cardiología","authors":"Ana Laffond , Martín Negreira Caamaño , Jorge Rodríguez Capitán , Pedro Cepas-Guillén , Pablo Díez-Villanueva , Manuel F. Jiménez-Navarro","doi":"10.1016/j.rccl.2023.10.003","DOIUrl":"10.1016/j.rccl.2023.10.003","url":null,"abstract":"<div><h3>Introduction and objectives</h3><p>University education during the degree in Medicine must ensure the acquisition of essential knowledge and skills necessary for the performance of the medical profession. The objective of this study was to analyze the perception of Cardiology resident doctors in Spain regarding the acquisition of competencies in cardiovascular pathology during their university training, and its usefulness in daily clinical practice.</p></div><div><h3>Methods</h3><p>A telematic questionnaire was developed targeting 814 cardiology residents in Spain between January and February 2023. The acquisition of competencies during the medicine degree and the implementation of teaching innovations in the subject of cardiovascular diseases were evaluated.</p></div><div><h3>Results</h3><p>The survey was completed by 69 (8.5%) cardiology residents (mean age of 29, 43% women). The competencies that a larger number of respondents considered acquired during their university training were knowledge of cardiovascular risk factors (91.2%), while the interpretation of major diagnostic tests was considered acquired by a smaller number of respondents (27.9%). The majority of participants stated that university training was only useful for passing the subject. The most commonly implemented teaching innovations were clinical practices (96.2%), and their implementation received positive evaluations from the majority of participants.</p></div><div><h3>Conclusions</h3><p>Cardiology residents participating in the survey reflected that university education in cardiovascular pathology in Spain primarily emphasizes the acquisition of theoretical knowledge. However, the inclusion of teaching innovations could facilitate the development of practical competencies and skills, which are crucial in the foundational training of a physician.</p></div>","PeriodicalId":36870,"journal":{"name":"REC: CardioClinics","volume":"59 2","pages":"Pages 113-120"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136153023","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}

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Experiencia inicial de la donación cardiaca en asistolia controlada en una región ultraperiférica y multinsular 在最外围的多岛地区，对心跳骤停者进行控制性心脏捐献的初步经验

REC: CardioClinics Pub Date : 2024-04-01 DOI: 10.1016/j.rccl.2024.01.003

Mario Galván Ruiz , María del Val Groba Marco , Vicente Peña Morant , Francisco Portela Torrón , Miguel Fernández de Sanmamed Girón , Antonio García Quintana

引用次数: 0

Registro de actividad y recursos de las unidades de cuidados intensivos cardiológicos dependientes de servicios de cardiología 依赖于心脏病学服务的心脏病学重症监护室的活动和资源登记。

REC: CardioClinics Pub Date : 2024-04-01 DOI: 10.1016/j.rccl.2023.10.006

Pablo Jorge-Pérez , Ricardo Pinto-Plasencia , Martín J. García-González , Ana Viana-Tejedor , Miguel Corbí-Pascual , Miriam Juárez-Fernández , Aitor Uribarri , Marta M. Martín-Cabeza , Albert Ariza-Solé

{"title":"Registro de actividad y recursos de las unidades de cuidados intensivos cardiológicos dependientes de servicios de cardiología","authors":"Pablo Jorge-Pérez , Ricardo Pinto-Plasencia , Martín J. García-González , Ana Viana-Tejedor , Miguel Corbí-Pascual , Miriam Juárez-Fernández , Aitor Uribarri , Marta M. Martín-Cabeza , Albert Ariza-Solé","doi":"10.1016/j.rccl.2023.10.006","DOIUrl":"10.1016/j.rccl.2023.10.006","url":null,"abstract":"<div><h3>Introduction and objectives</h3><p>Despite advances in the definition of the cardiovascular critical care subspecialty, acute cardiovascular care in Europe remains highly variable in terms of resources, specialty status and training of medical and nursing staff, processes, and outcomes of care. For this reason, it is advisable to establish circuits and records for the collection and analysis of data on bed occupancy, diagnosis, mortality, and morbidity. The spectrum of the different cardiovascular pathologies of the patients treated in the cardiac intensive care unit (CICU) has changed profoundly.</p></div><div><h3>Methods</h3><p>The objective of this study was to analyze the current volume and activity data of the different CICU depending on Cardiology Departments in Spain, in order to identify indicators for continuous improvement in all participating centers.</p></div><div><h3>Results</h3><p>Twenty-two UCICs participated in the registry, with a median of 1024 (763-1264) admissions. The median number of beds in the CICU is 8 (8-9) and 8 (4-11.5) in the Intermediate Units. The ratio of physicians on weekdays to the number of beds was 0.29±0.1 in type III CICU and 0.2±0.1 in intermediate units. On the other hand, on weekends the ratio was 0.10±0.05. Overall hospital mortality was 4.34%±1.9%.</p></div><div><h3>Conclusions</h3><p>In this exploratory and cross-sectional analysis of CICU dependent on Cardiology Services in Spain, great variability in the level and coexistence of Units between centers can be seen. The number of medical personnel in the CICU is much lower than current recommendations, especially during shifts or weekends.</p></div>","PeriodicalId":36870,"journal":{"name":"REC: CardioClinics","volume":"59 2","pages":"Pages 121-129"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139299035","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}

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Modelo predictivo de recuperación en la taquimiocardiopatía 心动过速肌病康复预测模型

REC: CardioClinics Pub Date : 2024-04-01 DOI: 10.1016/j.rccl.2023.12.005

Noelia Bouzas-Cruz

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Ojos que no ven, corazón que sí siente 看不见的眼睛，感受得到的心

REC: CardioClinics Pub Date : 2024-04-01 DOI: 10.1016/j.rccl.2023.11.003

Almudena Castro Conde

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Sarcoma intimal primario cardiaco 原发性心脏内膜肉瘤

REC: CardioClinics Pub Date : 2024-04-01 DOI: 10.1016/j.rccl.2023.12.001

Cristina Helguera Amezua , Francisco Callejo Magaz , Luis Gutiérrez de la Varga