REC: CardioClinics最新文献_第6页

Masas cardiacas: diagnóstico, pronóstico y tratamiento 心脏肿块：诊断、预后和治疗

REC: CardioClinics Pub Date : 2024-07-01 DOI: 10.1016/j.rccl.2024.04.002

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Comité Organizador, Comité Científico y Junta Directiva 组织委员会、科学委员会和董事会

REC: CardioClinics Pub Date : 2024-06-01 DOI: 10.1016/S2605-1532(24)00074-8

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REC: CardioClinics Pub Date : 2024-06-01 DOI: 10.1016/S2605-1532(24)00076-1

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Comunicaciones 通信

REC: CardioClinics Pub Date : 2024-06-01 DOI: 10.1016/S2605-1532(24)00075-X

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Modelo de predicción para cuantificar la fracción de eyección recuperada del ventrículo izquierdo en taquimiocardiopatía 心动过速心肌病左心室射血分数恢复量化预测模型

REC: CardioClinics Pub Date : 2024-04-01 DOI: 10.1016/j.rccl.2023.10.002

Álvaro Izquierdo-Bajo , Rocío Cózar-León , Diego F. Arroyo-Moñino , Inmaculada Fernández-Valenzuela , Pablo Bastos-Amador , José Miguel Carreño-Lineros , Ernesto Díaz-Infante

{"title":"Modelo de predicción para cuantificar la fracción de eyección recuperada del ventrículo izquierdo en taquimiocardiopatía","authors":"Álvaro Izquierdo-Bajo , Rocío Cózar-León , Diego F. Arroyo-Moñino , Inmaculada Fernández-Valenzuela , Pablo Bastos-Amador , José Miguel Carreño-Lineros , Ernesto Díaz-Infante","doi":"10.1016/j.rccl.2023.10.002","DOIUrl":"10.1016/j.rccl.2023.10.002","url":null,"abstract":"<div><h3>Introduction and objectives</h3><p>Tachycardiomyopathy is a frequent cause of reversible ventricular dysfunction, whose predictors of recovery are not properly identified. Their individual estimate would be useful to carry out the corresponding invasive procedures.</p></div><div><h3>Methods</h3><p>This is an observational, retrospective and unicentral study. Cases diagnosed with tachycardiomyopathy were collected between September 2015 and January 2023. The sample was split into 2 study groups: the first one was used for the construction of the linear regression model by performing a multivariate analysis based on evaluating all possible equations (sample 1, 70%); whereas the second one was intended for the validation of the model (sample 2, 30%).</p></div><div><h3>Results</h3><p>A total of 134 patients were gathered and left ventricular ejection fraction (LVEF) at recovery (the difference between final and original LVEF) was calculated in all of them. Within sample 1, setting parameters of 16,383 models were estimated. The model selected, based on Mallows’ Cp index, was the composed of the following variables: sex, arterial hypertension (HT), LVEF at diagnosis, achievement of rhythm control, and ablation. The selected model explains about half of the individual variability of the recovered LVEF (R<sup>2</sup> 0.493). Afterwards, individual LVEF at recovery predicted by the model was compared with the observed LVEF in sample 2. No overall significant differences were observed in the R<sup>2</sup> coefficient of determination.</p></div><div><h3>Conclusions</h3><p>Sex, arterial hypertension, LVEF at diagnosis, achievement of rhythm control, and ablation were considered as predictors of recovered LVEF in patients with tachycardiomyopathy. This has made possible a quantitative estimate when integrating them within the model.</p></div>","PeriodicalId":36870,"journal":{"name":"REC: CardioClinics","volume":"59 2","pages":"Pages 95-102"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135708707","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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Intoxicación grave por adelfa (Nerium oleander). Arritmias y tratamiento 严重夹竹桃（Nerium oleander）中毒。心律失常和治疗

REC: CardioClinics Pub Date : 2024-04-01 DOI: 10.1016/j.rccl.2023.11.004

Juan Francisco Muñoz Moreno, Guillermo Hernández Gozalves, María Herreros Gonzalo

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Comunicaciones 通信

REC: CardioClinics Pub Date : 2024-04-01 DOI: 10.1016/S2605-1532(24)00070-0

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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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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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