Archivos Peruanos de cardiologia y cirugia cardiovascular最新文献

[Andersen-Tawil Syndrome, a differential of bidirectional ventricular tachycardia: a case report]. [安德森-塔维尔综合征，双向室性心动过速的一种鉴别诊断：病例报告]。

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2024-09-29 eCollection Date: 2024-07-01 DOI: 10.47487/apcyccv.v5i3.378

Miguel J Tejeda-Camargo, Paula N Vanegas-Rincón, Luis E Villamil-Ramírez, Julio C Rojas-Rojas, Richard Soto Becerra

引用次数: 0

[Hypertrophic cardiomyopathy with mid-ventricular phenotype and filamin C mutation, an uncommon case report]. [肥厚型心肌病伴中心室表型和丝胺 C 基因突变，一个不常见的病例报告]。

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2024-09-29 eCollection Date: 2024-07-01 DOI: 10.47487/apcyccv.v5i3.379

Juan D Orozco Burbano, Carlos H Palacios, Clara I Saldarriaga Giraldo, Luisa F Durango Gutiérrez, Juan C Rendón Isaza

引用次数: 0

[Frailty and adverse outcomes in patients over 65 years old with acute coronary syndrome in a hospital cohort in Medellin, Colombia]. [哥伦比亚麦德林一家医院队列中 65 岁以上急性冠状动脉综合征患者的虚弱与不良预后]。

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2024-09-29 eCollection Date: 2024-07-01 DOI: 10.47487/apcyccv.v5i3.408

Alberto Navarro-Navajas, Alejandro Narvaéz-Orozco, Daniel Camilo Aguirre-Acevedo, David Pabón-De Ossa, Valentina Angarita-Vasquez, Juan Camilo Ortiz-Uribe, Juan Andrés Delgado-Restrepo, Juan Manuel Senior-Sánchez

{"title":"[Frailty and adverse outcomes in patients over 65 years old with acute coronary syndrome in a hospital cohort in Medellin, Colombia].","authors":"Alberto Navarro-Navajas, Alejandro Narvaéz-Orozco, Daniel Camilo Aguirre-Acevedo, David Pabón-De Ossa, Valentina Angarita-Vasquez, Juan Camilo Ortiz-Uribe, Juan Andrés Delgado-Restrepo, Juan Manuel Senior-Sánchez","doi":"10.47487/apcyccv.v5i3.408","DOIUrl":"https://doi.org/10.47487/apcyccv.v5i3.408","url":null,"abstract":"Objective: Several studies have demonstrated an association between frailty and worse outcomes in patients with acute coronary syndrome (ACS); however, there is a lack of evidence from Colombia. This study aims to evaluate the association between frailty and the risk of adverse outcomes in patients over 65 years old diagnosed with ACS.Materials and methods: A prospective cohort study was conducted, including patients over 65 years old who underwent coronary angiography due to an ACS diagnosis at a hospital in Medellín, Colombia. Frailty was assessed using the FRAIL scale. The primary outcome was all-cause mortality at 30 days. Secondary outcomes included length of hospital stay and a composite outcome of in-hospital or 30-day mortality, contrast-induced nephropathy (CIN), acute heart failure, cardiogenic shock, hemorrhagic complications, and vascular complications.Results: A total of 112 patients were included. Frail patients (n=35, 31.3%) were older, had a lower socioeconomic status, higher GRACE scores, and more severely compromised coronary vessels. A significant association was observed between frailty and 30-day mortality (relative risk [RR] 19.00, 95% confidence interval [CI]: 5.04-72.61; p<0.001), the composite outcome (RR 4.57, 95% CI: 2.56-8.34; p<0.001), and longer hospital stays (9 days vs. 5 days in the non-frail group).Conclusions: A considerable number of patients over 65 years old with ACS were frail. Frailty was associated with adverse in-hospital and 30-day outcomes.","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"5 3","pages":"124-131"},"PeriodicalIF":0.0,"publicationDate":"2024-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11473076/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142482115","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

[Percutaneous correction of structural congenital heart diseases during the early puerperium. Experience of a center]. [产后早期经皮矫正先天性心脏结构性疾病。一个中心的经验]。

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2024-09-29 eCollection Date: 2024-07-01 DOI: 10.47487/apcyccv.v5i3.402

Alejandro Narváez Orozco, Alberto Navarro Navajas, Carolina Cardona Buitrago, Emilio Herrera Céspedes, Juan Camilo Ortiz Uribe, Juan Andrés Delgado Restrepo, Juan Manuel Senior Sánchez, Jairo Alfonso Gándara Ricardo, Edison Muñoz Ortiz

{"title":"[Percutaneous correction of structural congenital heart diseases during the early puerperium. Experience of a center].","authors":"Alejandro Narváez Orozco, Alberto Navarro Navajas, Carolina Cardona Buitrago, Emilio Herrera Céspedes, Juan Camilo Ortiz Uribe, Juan Andrés Delgado Restrepo, Juan Manuel Senior Sánchez, Jairo Alfonso Gándara Ricardo, Edison Muñoz Ortiz","doi":"10.47487/apcyccv.v5i3.402","DOIUrl":"https://doi.org/10.47487/apcyccv.v5i3.402","url":null,"abstract":"Objetive: Congenital heart diseases (CHD) can be found in pregnant women. Although cardiac interventions in the catheterization laboratory are considered safe and effective, it is preferable to wait 3-6 months after delivery to correct simple, uncomplicated CHD; however, this may result in follow-up losses. The objective is to present our experience in correcting CHD during the early puerperium (EP).Materials and methods: All cases of pregnant women with CHD, including atrial septal defect (ASD), patent ductus arteriosus (PDA), and aortic coarctation (CoA) between 2017-2023, who underwent percutaneous defect correction during the EP were collected.Results: Fifteen pregnant women were included, diagnosed with ASD (5), PDA (6), and CoA (4). Five patients (33.3%) were classified as WHO risk class IV; the procedure was successful in 80% of the cases, and only 1 patient presented complications.Conclusions: In our experience, the closure of uncomplicated congenital defects during the EP did not present major complications and could be a treatment strategy to prevent follow-up losses after delivery in pregnant women with CHD.","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"5 3","pages":"137-142"},"PeriodicalIF":0.0,"publicationDate":"2024-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11473075/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142482118","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

[Neonatal screening for critical congenital heart diseases in Peru: an urgent call]. [秘鲁新生儿先天性心脏病筛查：紧急呼吁]。

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2024-09-29 eCollection Date: 2024-07-01 DOI: 10.47487/apcyccv.v5i3.366

Katia Bravo-Jaimes, Daniel Lozano Moreno, Jeannette Orozco, William Rosales, Nely Macedo, Mónica Medina, Gian Huamán, Rafael Márquez, Miriam Valdez, Ana Lucía Vásquez Choy, Henry A Zapata, Julio Sánchez Tonohuye, Carmen Dávila Aliaga

{"title":"[Neonatal screening for critical congenital heart diseases in Peru: an urgent call].","authors":"Katia Bravo-Jaimes, Daniel Lozano Moreno, Jeannette Orozco, William Rosales, Nely Macedo, Mónica Medina, Gian Huamán, Rafael Márquez, Miriam Valdez, Ana Lucía Vásquez Choy, Henry A Zapata, Julio Sánchez Tonohuye, Carmen Dávila Aliaga","doi":"10.47487/apcyccv.v5i3.366","DOIUrl":"https://doi.org/10.47487/apcyccv.v5i3.366","url":null,"abstract":"Congenital heart diseases are the most common congenital malformations worldwide and represent one of the leading causes of neonatal death, in addition to the significant use of human and financial resources by health systems. The purpose of this document is to support the implementation of neonatal screening for critical congenital heart diseases using pulse oximetry according to the different geographical altitudes of Peru. This technology is widely used worldwide and has high sensitivity, specificity, and cost-effectiveness. At many latitudes, it has led to better survival in this group of patients and in the neonatal population in general since its use in the early detection of sepsis, pneumonia, and other conditions that affect the oxygenation of the newborn. Neonatal screening for critical congenital heart disease is applicable at all levels of healthcare at a national level, and its implementation must be a priority to improve neonatal health.","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"5 3","pages":"157-166"},"PeriodicalIF":0.0,"publicationDate":"2024-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11473077/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142482117","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

Shaggy aorta: ideal substrate for disaster. Updated review. 毛茸茸的主动脉：灾难的理想基质。最新回顾。

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2024-09-29 eCollection Date: 2024-07-01 DOI: 10.47487/apcyccv.v5i3.410

Kevin Velarde-Acosta, Josh Yefry Moscoso Ramirez, Paol Rojas, Lucy Susanibar, Lady Diana Quintana Reusche, Angela Cachicatari, Roberto Baltodano-Arellano

引用次数: 0

[Balloon atrioseptostomy under echocardiographic and fluoroscopic guide in patients with congenital heart diseases under 3 months in a national reference pediatric center]. [国家参考儿科中心对 3 个月以下先天性心脏病患者在超声心动图和透视引导下进行的球囊寰枢椎造口术]。

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2024-09-29 eCollection Date: 2024-07-01 DOI: 10.47487/apcyccv.v5i3.394

Alex Catalán Cabrera, Karen Condori Alvino, Mónica Medina Durand, Ricardo Galvez-Arévalo

{"title":"[Balloon atrioseptostomy under echocardiographic and fluoroscopic guide in patients with congenital heart diseases under 3 months in a national reference pediatric center].","authors":"Alex Catalán Cabrera, Karen Condori Alvino, Mónica Medina Durand, Ricardo Galvez-Arévalo","doi":"10.47487/apcyccv.v5i3.394","DOIUrl":"https://doi.org/10.47487/apcyccv.v5i3.394","url":null,"abstract":"Objective: Balloon atrioseptostomy is an emergency procedure in congenital heart diseases requiring an atrial septal defect to increase cardiac output in right-sided obstructive lesions or to improve mixing in patients with transposition of the great arteries. This procedure is currently performed with both fluoroscopy and echocardiography. The main objective is to describe our experience with the use of balloon atrioseptostomy under echocardiographic and fluoroscopic guidance in patients under 3 months.Materials and methods: A descriptive, comparative and retrospective study in patients in whom balloon atrioseptostomy was performed under echocardiographic and fluoroscopic guidance between 2018 and 2023 in a referral hospital in Peru.Results: 36 patients were analyzed, of which 21 were from the fluoroscopy group. and 15 patients from the echocardiography group. More than 2/3 of the cases were males, and more than 60% of patients in both groups had transposition of the great vessels. No significant differences were found in terms of ventilatory support and inotropic support. The success of the procedure was 100% in both groups, without complications.Conclusion: Both balloon atrioseptostomy performed by fluoroscopy and those performed by echocardiography were successful and without complications, emphasizing that the one performed by echocardiography is performed in the patient's crib, avoiding the transfer of the critical unit to the angiography room and without the use of radiation.","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"5 3","pages":"132-136"},"PeriodicalIF":0.0,"publicationDate":"2024-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11473072/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142482114","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

Killip and Kimball classification in the Ultrasound era: Is it time to redefine? 超声时代的 Killip 和 Kimball 分类法：是时候重新定义了吗？

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2024-09-29 eCollection Date: 2024-07-01 DOI: 10.47487/apcyccv.v5i3.413

Marco Antonio Ponce-Gallegos, Miguel Mendoza-Mujica, Jaime Ponce-Gallegos, Jesús Alberto García-Diaz, Jorge Armando Zelada-Pineda, Diego Araiza-Garaygordobil

{"title":"Killip and Kimball classification in the Ultrasound era: Is it time to redefine?","authors":"Marco Antonio Ponce-Gallegos, Miguel Mendoza-Mujica, Jaime Ponce-Gallegos, Jesús Alberto García-Diaz, Jorge Armando Zelada-Pineda, Diego Araiza-Garaygordobil","doi":"10.47487/apcyccv.v5i3.413","DOIUrl":"https://doi.org/10.47487/apcyccv.v5i3.413","url":null,"abstract":"Lung ultrasound is a tool that is increasingly gaining strength in the initial evaluation of the patient in the emergency department and in critical care areas, making it particularly useful for cardiologists. In patients with ST elevation and acute myocardial infarction it has been observed that 25-45% of patients are wrongly classified as Class I in the Killip and Kimball classification after lung ultrasound (subclinical congestion). The clinical relevance of this finding lies in the fact that the greater the number of B lines, the greater short- and long-term the mortality is. An important advantage is that no prolonged time for learning the technique is required. More studies are needed to evaluate the role and importance of subclinical congestion in patients with acute myocardial infarction. Unfortunately, ultrasound is not widely available in developing countries, so the physical examination will continue to play an important role in the initial evaluation of patients with acute myocardial infraction.","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"5 3","pages":"153-156"},"PeriodicalIF":0.0,"publicationDate":"2024-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11473071/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142482119","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

[Analysis of the quality of an artificial intelligence mobile application for ECG interpretation]. [用于心电图解读的人工智能移动应用程序的质量分析]。

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2024-06-24 eCollection Date: 2024-04-01 DOI: 10.47487/apcyccv.v5i2.363

Rodrigo Chavez-Ecos, Kiara Camacho-Caballero, Marcelo S Chavez-Ecos, Miguel A Chavez-Gutarra, Oscar Aguirre-Zurita, Fabian A Chavez-Ecos

引用次数: 0

[Reply yo the letter to the editor : "Keeping an eye on the pharmacoinvasive strategy"]. [回复致编辑的信："密切关注药物入侵策略"]。

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2024-06-24 eCollection Date: 2024-04-01 DOI: 10.47487/apcyccv.v5i2.368.

L Marco Lopez-Rojas, Cynthia Paola Paredes Paucar, Paol Rojas De La Cuba, W Germán Yábar Galindo, Jorge Orlando Martos Salcedo, Piero Custodio-Sánchez

引用次数: 0