Archivos Peruanos de cardiologia y cirugia cardiovascular最新文献

Totally endoscopic periareolar approach for mitral valve repair. First case reported in Peru. 全内窥镜镜框周围入路修复二尖瓣。秘鲁报告首例病例。

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2025-02-12 eCollection Date: 2025-01-01 DOI: 10.47487/apcyccv.v6i1.449

Josías C Ríos-Ortega, Víctor Robles-Velarde, Zoe Díaz-Chavez

引用次数: 0

[Double-chambered right ventricle in a patient with hypertrophic cardiomyopathy. A case report]. 肥厚性心肌病患者的双室右心室。[病例报告]。

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2025-02-12 eCollection Date: 2025-01-01 DOI: 10.47487/apcyccv.v6i1.440

Juan María Iroulart, Joaquín Ferrero, Rocío Blanco, Roshan Licht, Ana Miceli, María Natalia Pellegrini, Diego Pérez de Arenaza, Rodolfo Pizarro

引用次数: 0

[Anatomical variant and venous access: the challenge of persistent left vena cava in neonates]. [解剖变异和静脉通路：新生儿持续性左腔静脉的挑战]。

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2025-02-12 eCollection Date: 2025-01-01 DOI: 10.47487/apcyccv.v6i1.455

Arianna Sofia García Calle, Vanessa Patricia Moreno Ccama, Ángel Francisco Samanez Obeso

引用次数: 0

[Detrimental impact of acute coronary syndrome on the independence of the elderly]. 【急性冠脉综合征对老年人生活自理的不利影响】。

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2025-02-12 eCollection Date: 2025-01-01 DOI: 10.47487/apcyccv.v6i1.454

Paul Coello, Inti Chaves, Paul Pacheco, Fabricio Alverca, Cristian M Garmendia

{"title":"[Detrimental impact of acute coronary syndrome on the independence of the elderly].","authors":"Paul Coello, Inti Chaves, Paul Pacheco, Fabricio Alverca, Cristian M Garmendia","doi":"10.47487/apcyccv.v6i1.454","DOIUrl":"https://doi.org/10.47487/apcyccv.v6i1.454","url":null,"abstract":"Objectives: To evaluate the prognostic role of functional status in older adults hospitalized for acute coronary syndrome (ACS) and the implications of the coronary event on functional decline during follow-up.Materials and methods: This was a single-center, prospective cohort study including patients aged ≥65 years hospitalized for ACS with (STEMI) or without ST-segment elevation in 2022. Patients with total dependence or lacking a care network were excluded. Functional status was assessed using the Barthel Index and the Lawton and Brody scales at admission, 30 days, and one year post-discharge. The association between initial functional status and major adverse cardiovascular events (MACE) was analyzed, as well as the impact of ACS on functional status over the short and long term.Results: A total of 110 patients older than 65 years were included (mean age 78.8±4.6 years; 61.8% male). At admission, 94.3% presented mild functional dependence according to the Barthel Index, with similar findings on the Lawton and Brody scales. At 30 days, a significant functional decline was observed (Barthel: 71.2±11.3, p<0.001; Lawton: 4.8±2.5, p=0.02), which persisted at one year. Initial functional status was not associated with MACE. ST-segment elevation ACS (STEMI) was an independent predictor of short-term functional decline (adjusted OR 1.75; p=0.04).Conclusions: In older adults with ACS, initial functional status did not predict adverse events; however, significant functional decline was observed, particularly after STEMI. This underscores the importance of personalized strategies for managing this vulnerable population.","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"6 1","pages":"11-19"},"PeriodicalIF":0.0,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12076765/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[New atypical advanced interatrial block with triphasic morphology]. [新型不典型晚期房间传导阻滞伴三相形态]。

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2025-02-12 eCollection Date: 2025-01-01 DOI: 10.47487/apcyccv.v6i1.476

Jorge P Juárez-Lloclla, Marco A Lazo-Soldevilla, Sofía Rivera-Chávez, Cengiz Burak, Adrián Baranchuk

引用次数: 0

[Comparison of the epidemiological, clinical and diagnostic characteristics of infective endocarditis of native and prosthetic valves in a Peruvian reference center]. [秘鲁某参考中心原生瓣膜与人工瓣膜感染性心内膜炎的流行病学、临床和诊断特点比较]。

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2025-02-12 eCollection Date: 2025-01-01 DOI: 10.47487/apcyccv.v6i1.463

Daniel Espinoza-Alva, Renee Montesinos-Segura, Annette Mantilla-Huertas, Diego Davila-Flores

{"title":"[Comparison of the epidemiological, clinical and diagnostic characteristics of infective endocarditis of native and prosthetic valves in a Peruvian reference center].","authors":"Daniel Espinoza-Alva, Renee Montesinos-Segura, Annette Mantilla-Huertas, Diego Davila-Flores","doi":"10.47487/apcyccv.v6i1.463","DOIUrl":"https://doi.org/10.47487/apcyccv.v6i1.463","url":null,"abstract":"Objective: To compare the epidemiological, clinical and diagnostic characteristics of patients with native valve infective endocarditis (NVIE) and prosthetic valve infective endocarditis (PVIE) treated in a Peruvian reference center.Materials and methods: A retrospective, descriptive study was conducted on patients diagnosed with NVIE and PVIE at the Instituto Nacional Cardiovascular (INCOR), EsSalud, between 2017 and 2023.Results: A total of 65 NVIE and 55 PVIE cases were identified, with community-acquired infections predominating (92.3% in NVIE, 83.6% in PVIE). PVIE patients were older (mean age: 63.7 vs. 46.1 years, p<0.001) and had more comorbidities. The key predisposing factor in PVIE was prior endocarditis (20.0%) and valve repair (14.5%), while congenital heart disease (41.5%) and valvular disease (21.5%) predominated in NVIE. Fever and dyspnea were the most common symptoms in both groups. The aortic valve was the most frequently affected (78.5% in NVIE, 87.3% in PVIE). NVIE was associated with vegetation (92.3%) and leaflet perforations (41.5%), while PVIE showed more abscesses (34.5%) and pseudoaneurysms (36.4%). Cardiac computed tomography identified vegetations and pseudoaneurysms in both groups. Blood cultures were positive in 49.2% of NVIE and 65.5% of PVIE, with Streptococcus species predominant in NVIE and Staphylococcus species in PVIE. Surgical treatment was performed in 96.7% of NVIE and 82.6% of PVIE cases.Conclusions: NVIE predominantly affected younger patients with congenital heart disease, while PVIE was more common in older patients with comorbidities. Transesophageal echocardiography and microbiological findings were essential for diagnosis.","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"6 1","pages":"20-28"},"PeriodicalIF":0.0,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12076766/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Perioperative morbidity and mortality of cardiac surgeries at the Instituto Nacional Cardiovascular, Lima, Peru, during the year 2023]. [2023年秘鲁利马国家心血管研究所心脏手术围手术期发病率和死亡率]。

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2025-02-12 eCollection Date: 2025-01-01 DOI: 10.47487/apcyccv.v6i1.446

Harod Silva-Tejada, Josué Sisniegas-Razón, Franklin Martínez-Ninanqui, Zoé Díaz-Chávez, Josías C Ríos-Ortega

{"title":"[Perioperative morbidity and mortality of cardiac surgeries at the Instituto Nacional Cardiovascular, Lima, Peru, during the year 2023].","authors":"Harod Silva-Tejada, Josué Sisniegas-Razón, Franklin Martínez-Ninanqui, Zoé Díaz-Chávez, Josías C Ríos-Ortega","doi":"10.47487/apcyccv.v6i1.446","DOIUrl":"https://doi.org/10.47487/apcyccv.v6i1.446","url":null,"abstract":"Objective: Determine postoperative mortality and postoperative complications of patients undergoing cardiac surgery in the Cardiovascular Surgery Service of the Instituto Nacional Cardiovascular, EsSalud, Lima, Peru, in the year 2023.Materials and methods: We carried out a descriptive, retrospective study of the patients' medical records.Results: In 2023, 538 cardiac surgeries were performed in our center; overall mortality was 5.6%; however, mortality from elective surgeries was 4.1%. The mortality of isolated coronary surgery was 1.9% and of isolated valve surgery was 0.7%. Stroke occurred in 1.5% of patients; re-operation due to bleeding was performed in 8.1% of cases. The most frequently performed surgery was valve surgery (either isolated or multivalvular) with 40.1% of cases, followed by coronary surgery with 28.6%. The hospital stay for coronary surgery had a median of 9.9 days (8-12), and for isolated valve surgery it was 12.8 days (10-14).Conclusions: The postoperative results of cardiac surgery at the National Cardiovascular Institute are acceptable and comparable to those of other international high-volume surgical centers.","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"6 1","pages":"36-43"},"PeriodicalIF":0.0,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12076760/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Irreversible cardiotoxicity induced by trastuzumab: a systematic review based on a pharmacovigilance case report. 曲妥珠单抗诱导的不可逆心脏毒性：基于药物警戒病例报告的系统评价。

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2025-02-12 eCollection Date: 2025-01-01 DOI: 10.47487/apcyccv.v6i1.456

Víctor E Lechuga-Noa, L Yesenia Rodríguez-Tanta, Tania Del Pilar Solis-Yucra, Efraín Cesar Rojo Rosales

{"title":"Irreversible cardiotoxicity induced by trastuzumab: a systematic review based on a pharmacovigilance case report.","authors":"Víctor E Lechuga-Noa, L Yesenia Rodríguez-Tanta, Tania Del Pilar Solis-Yucra, Efraín Cesar Rojo Rosales","doi":"10.47487/apcyccv.v6i1.456","DOIUrl":"https://doi.org/10.47487/apcyccv.v6i1.456","url":null,"abstract":"Irreversible cardiotoxicity (IC) induced by trastuzumab (TZB) is a rare but serious adverse event. As a result, its characteristics and the specific factors related to exposure remain poorly understood. This study aims to synthesize and evaluate the existing evidence on IC. We presented a pharmacovigilance case of long-term IC and conducted a systematic review (SR) of the clinical manifestations of cases reported worldwide. We reported the case using the CARE guidelines checklist and assessed the causality using the modified Algorithm of Karch and Lasagna. Following PRISMA guidelines, we conducted the SR using defined terms in PubMed, Embase, Scopus, and Web of Science from inception until June 2023. This SR included five case reports, including the pharmacovigilance case reported by us. While patients exhibited different severe clinical characteristics, receiving TZB at a 6 mg/kg dose was consistent. Despite varying treatment durations, the median time of IC diagnosis was 10 months, and the average difference between the basal and the final left ventricular ejection fraction was roughly 30%. According to the modified Karch and Lasagna algorithm, all cases were ranged from possible to probable. While TZB is generally considered a reversible cardiotoxic antineoplastic, clinicians and regulators must be aware of the potential IC risk with long-term manifestations. Vigilant cardiac monitoring and further research are crucial to better understanding and managing this serious adverse event.","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"6 1","pages":"1-10"},"PeriodicalIF":0.0,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12076770/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Mid-ventricular hypertrophic cardiomyopathy with apical aneurysm: a multimodality imaging case report. 中室性肥厚性心肌病伴顶动脉瘤：多模态影像学病例报告。

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2025-02-12 eCollection Date: 2025-01-01 DOI: 10.47487/apcyccv.v6i1.452

Pavel Martinez-Dominguez, Manuel Horna-Noriega, María José Santa-Ana-Bayona, Sara Ramírez-Flores, Lucia Horna-Regalado, Nilda Espinola-Zavaleta

引用次数: 0

Performance of scoring systems for predicting mortality after cardiac surgery in the elderly. 预测老年人心脏手术后死亡率的评分系统的性能。

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2025-02-12 eCollection Date: 2025-01-01 DOI: 10.47487/apcyccv.v6i1.459

Arturo M Ruiz-Beltrán, Gerardo Chacón-Loyola, Ricardo L Barajas-Campos, Alejandro Alcaraz-Guzmán, Manuel A Montoya-Hernández, Leonardo D Alcázar-Flores, Laura L Rodríguez-Chávez

{"title":"Performance of scoring systems for predicting mortality after cardiac surgery in the elderly.","authors":"Arturo M Ruiz-Beltrán, Gerardo Chacón-Loyola, Ricardo L Barajas-Campos, Alejandro Alcaraz-Guzmán, Manuel A Montoya-Hernández, Leonardo D Alcázar-Flores, Laura L Rodríguez-Chávez","doi":"10.47487/apcyccv.v6i1.459","DOIUrl":"https://doi.org/10.47487/apcyccv.v6i1.459","url":null,"abstract":"Objective: To evaluate the predictive ability of traditional risk scores and frailty assessment for 30-day mortality in elderly patients undergoing cardiac surgery.Materials and methods: A single-center retrospective cohort study was conducted, including elderly patients (≥75 years old) who underwent cardiac surgery between January 2005 and December 2015. EuroSCORE II, STS (Society of Thoracic Surgeons) score, Charlson Comorbidity Index, and Electronic Frailty Index scores were calculated to assess their predictive ability for 30-day mortality using receiver operating characteristic (ROC) curves and corresponding areas under the curve (AUC).Results: A total of 203 patients were included during the study period, of whom 33% underwent isolated coronary bypass surgery. The overall 30-day mortality rate was 17.6%. Patients who died within the first 30 days exhibited higher scores on EuroSCORE II, STS, and the Electronic Frailty Index. The areas under the ROC curves were: EuroSCORE II, 0.74 (95% CI: 0.66-0.81); STS, 0.66 (95% CI: 0.57-0.77); Charlson Comorbidity Index, 0.60 (95% CI: 0.49-0.70); and Electronic Frailty Index, 0.63 (95% CI: 0.52-0.73).Conclusions: In this cohort of elderly patients undergoing cardiac surgery, EuroSCORE II demonstrated the best performance in predicting 30-day mortality.","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"6 1","pages":"29-35"},"PeriodicalIF":0.0,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12076771/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0