Archivos Peruanos de cardiologia y cirugia cardiovascular最新文献

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[Radiofrequency catheter ablation in pediatric population: clinical, electrophysiological and therapeutic characteristics in a Peruvian pediatric hospital]. [儿科人群的射频导管消融:秘鲁一家儿科医院的临床、电生理和治疗特点]。
Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2021-12-31 eCollection Date: 2021-10-01 DOI: 10.47487/apcyccv.v2i4.167
Luis Alfredo Melgar Quicaño, Fredy Chipa Ccasani
{"title":"[Radiofrequency catheter ablation in pediatric population: clinical, electrophysiological and therapeutic characteristics in a Peruvian pediatric hospital].","authors":"Luis Alfredo Melgar Quicaño,&nbsp;Fredy Chipa Ccasani","doi":"10.47487/apcyccv.v2i4.167","DOIUrl":"https://doi.org/10.47487/apcyccv.v2i4.167","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to describe the clinical, electrophysiological and therapeutic characteristics of pediatric patients with supraventricular tachycardia undergoing radiofrequency ablation.</p><p><strong>Materials and methods: </strong>Observational, descriptive, retrospective study of children admitted for supraventricular tachycardia treatment at the Instituto Nacional de Salud del Niño during 2018 to 2021.</p><p><strong>Results: </strong>Data from 62 procedures were collected, corresponding to 59 patients (mean age: 9.91 years, 61% male), 23% of procedures were performed in patients under 15kg, and two were in patients under 5kg. 63% of patients had a structurally normal heart, while 37% had some type of congenital heart disease, the most common being Ebstein's anomaly. The most widely used group of drugs were beta-blockers, mainly propranolol. Among the arrhythmias treated, 21.7% had preexcitation Syndrome, 33.3% had at least one hidden accessory pathway, 5% corresponded to permanent reciprocating junctional tachycardia, 5% intranodal tachycardia, 11.7% atrial tachycardia, 10 % atrial flutter, 5% had other types of tachycardia and in 5 cases no tachycardia was induced. Of the total procedures, 76% corresponded to electrophysiological study and ablation, four patients recurred.</p><p><strong>Conclusions: </strong>The most common supraventricular tachycardia substrate in children was the presence of some accessory pathway. Radiofrequency catheter ablation could be applied in children with a high success rate and a low complication rate.</p>","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"2 4","pages":"219-226"},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/39/5e/apcyccv-2-219.PMC10506544.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41160925","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
[Severe aortic stenosis and familial hypercholesterolemia]. [严重主动脉狭窄和家族性高胆固醇血症]。
Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2021-12-31 eCollection Date: 2021-10-01 DOI: 10.47487/apcyccv.v2i4.166
Milagros Mallma Gomez, Josafat Condori Ccallo, David Miranda Noé
{"title":"[Severe aortic stenosis and familial hypercholesterolemia].","authors":"Milagros Mallma Gomez,&nbsp;Josafat Condori Ccallo,&nbsp;David Miranda Noé","doi":"10.47487/apcyccv.v2i4.166","DOIUrl":"https://doi.org/10.47487/apcyccv.v2i4.166","url":null,"abstract":"<p><p>Homozygous familial hypercholesterolemia (HFH) is a rare and life-threatening disease that can manifest as coronary artery disease or severe aortic stenosis before twenties. We present the case of a male adolescent who was hospitalized with a clinical diagnosis of HFH and severe aortic stenosis. He underwent aortic valve replacement with mechanical prosthesis and aortic annulus enlargement, and two aortocoronary bypasses were implanted due to an intraoperative complication. The patient evolved favourably and was discharged with combination therapy with high-intensity statins and ezetimibe.</p>","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"2 4","pages":"268-273"},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/94/c5/apcyccv-2-268.PMC10506555.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41107319","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
[Comparative analysis of myocardial deformation in patients recovered from mild SARS-CoV-2 infection]. [轻度严重急性呼吸系统综合征冠状病毒2型感染康复患者心肌变形的比较分析]。
Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2021-12-31 eCollection Date: 2021-10-01 DOI: 10.47487/apcyccv.v2i4.175
Roberto Baltodano-Arellano, Kelly Cupe-Chacalcaje, Paol Rojas, Giovanni Meneses, Dante Urdanivia-Ruiz, Eliana Rafael-Horna, Luis Falcón-Quispe, Ángela Cachicatari-Beltrán, Karla Sue América Hurtado-Belizario, Gerald Lévano-Pachas
{"title":"[Comparative analysis of myocardial deformation in patients recovered from mild SARS-CoV-2 infection].","authors":"Roberto Baltodano-Arellano,&nbsp;Kelly Cupe-Chacalcaje,&nbsp;Paol Rojas,&nbsp;Giovanni Meneses,&nbsp;Dante Urdanivia-Ruiz,&nbsp;Eliana Rafael-Horna,&nbsp;Luis Falcón-Quispe,&nbsp;Ángela Cachicatari-Beltrán,&nbsp;Karla Sue América Hurtado-Belizario,&nbsp;Gerald Lévano-Pachas","doi":"10.47487/apcyccv.v2i4.175","DOIUrl":"https://doi.org/10.47487/apcyccv.v2i4.175","url":null,"abstract":"<p><strong>Objectives: </strong>During acute infection by the SARS-CoV-2 virus, myocardial involvement has been demonstrated; it is unknown if cardiovascular sequelae in patients recovered from this infection and if these are associated with global morbidity and mortality. The objective of this study was to compare myocardial deformation in patients recovered from mild SARS-CoV-2 virus infection with healthy controls.</p><p><strong>Materials and methods: </strong>This was a cross-sectional observational study that included 33 subjects recovered from mild SARS-CoV-2 infection, who were diagnosed in the previous three to six months, and 31 healthy volunteers, both groups free of cardiovascular risk factors. The study of myocardial deformation was performed using echocardiography with the speckle tracking modality. Clinical and anthropometric variables were compared.</p><p><strong>Results: </strong>The 2D global longitudinal strain of the left ventricle was lower in the subjects recovered from mild SARS-CoV-2 infection than the controls (-20.2% ± 2.6 v -21.6% ± 2.4; p: 0.036). Both groups presented differences in the three ventricular levels, significant at the apical level (-21.2 ± 4.0 vs -23.4% ± 4.2; p: 0.044). The effect by levels shows an inverse Takotsubo pattern. The left ventricular ejection fraction was preserved in both groups (p: 0.153).</p><p><strong>Conclusions: </strong>Left ventricular myocardial deformation is affected in subjects recovered from mild SARS-CoV-2 infection, while the ejection fraction was found in normal ranges. Our study shows a potential role of global longitudinal strain in the detection of subclinical myocardial alterations in patients who had SARS-CoV-2.</p>","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"2 4","pages":"227-232"},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/88/80/apcyccv-2-227.PMC10506539.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41159081","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
Ankle-brachial index: more than a diagnostic test? 踝臂指数:不仅仅是一种诊断测试?
Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2021-12-31 eCollection Date: 2021-10-01 DOI: 10.47487/apcyccv.v2i4.168
Ludwig Cáceres-Farfán, Milagros Moreno-Loaiza, W Samir Cubas
{"title":"Ankle-brachial index: more than a diagnostic test?","authors":"Ludwig Cáceres-Farfán,&nbsp;Milagros Moreno-Loaiza,&nbsp;W Samir Cubas","doi":"10.47487/apcyccv.v2i4.168","DOIUrl":"https://doi.org/10.47487/apcyccv.v2i4.168","url":null,"abstract":"<p><p>The ankle-brachial index (ABI) is the relationship between the systolic blood pressure taken at the ankle level and the brachial artery. A pathological ABI (<0.90 or >1.40) indicates the presence of peripheral artery disease (PAD). Many studies indicate the great utility of this test in the diagnosis of PAD due to its ease of use, reproducibility, low cost, and high cost-effectiveness. This evaluation can be directly correlated with cardiovascular morbidity and mortality; however, it has recently been confirmed that a low ABI can be a predictor of major cardiovascular events, as it is related to diabetes mellitus, chronic coronary disease, stroke, and more. The objective of this work was to review the current evidence on the importance of ABI in the diagnosis of PAD and its main role as a predictor of cardiovascular morbidity and mortality.</p>","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"2 4","pages":"254-262"},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/7c/d4/apcyccv-2-254.PMC10506545.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41123173","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
[Hypertrophic septal cardiomyopathy, the great simulator]. [肥厚性间隔心肌病,伟大的模拟器]。
Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2021-12-31 eCollection Date: 2021-10-01 DOI: 10.47487/apcyccv.v2i4.171
Santiago Forero, Nelson Leandro Moreno
{"title":"[Hypertrophic septal cardiomyopathy, the great simulator].","authors":"Santiago Forero,&nbsp;Nelson Leandro Moreno","doi":"10.47487/apcyccv.v2i4.171","DOIUrl":"https://doi.org/10.47487/apcyccv.v2i4.171","url":null,"abstract":"<p><p>Hypertrophic cardiomyopathy is the more commonly (60 to 70 percent) genetically determined disease of the heart muscle caused by mutations in one of several sarcomere genes that encode components of the heart's contractile apparatus. It is characterized by disproportionate hypertrophy in the absence of a secondary cause. The clinical presentation is variable, ranging from asymptomatic to heart failure or sudden cardiac death. Hypertrophy and abnormal ventricular configuration can result in dynamic left ventricular outflow obstruction in most cases. The goal of therapeutic interventions is largely to reduce dynamic obstruction, with different therapeutic options encompassing risk stratification for sudden death, genetic screening, lifestyle modifications, and drugs. A case of hypertrophic septal cardiomyopathy, a fairly frequent and under-diagnosed entity, is discussed below.</p>","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"2 4","pages":"274-278"},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d4/71/apcyccv-2-274.PMC10506570.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41163107","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
[Hypertonic saline solution and high dose of diuretic, ¿what do we know and how can we use them in persistent congestion?] [高渗盐水溶液和高剂量利尿剂,我们知道什么?我们如何在持续充血中使用它们?]
Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2021-12-31 eCollection Date: 2021-10-01 DOI: 10.47487/apcyccv.v2i4.159
Juan D Orozco Burbano, Clara I Saldarriaga Giraldo, Diego A Echeverri Marín
{"title":"[Hypertonic saline solution and high dose of diuretic, ¿what do we know and how can we use them in persistent congestion?]","authors":"Juan D Orozco Burbano,&nbsp;Clara I Saldarriaga Giraldo,&nbsp;Diego A Echeverri Marín","doi":"10.47487/apcyccv.v2i4.159","DOIUrl":"https://doi.org/10.47487/apcyccv.v2i4.159","url":null,"abstract":"<p><p>The presence of decompensated heart failure continues to be a condition with high rates of hospitalization, impact on the health system, and quality of life for those who suffer it. The mainstay of treatment in these cases are diuretics. However, the resistance to this pharmacological group may occasionally occur, generating an inadequate negative fluid balance and persistence of congestion with negative clinical outcomes. Hypertonic saline solution with high doses of diuretic emerges as a therapeutic option for this group of patients with probable physiological, and clinical benefits on hospitalization and re-admission rates due to heart failure decompensation. A review of the most relevant aspects and benefits of this combination is discussed in this article.</p>","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"2 4","pages":"247-253"},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c0/c1/apcyccv-2-247.PMC10506575.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41124308","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
[Ventricular diverticulum in Cantrell´s pentalogy: rare but not isolated entities]. [坎特雷尔五脏病学中的心室憩室:罕见但非孤立的实体]。
Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2021-12-31 eCollection Date: 2021-10-01 DOI: 10.47487/apcyccv.v2i4.162
María Concepción Rocha-Arrieta, Antonio Arias-Díaz, Enrique Felipe Soto Zárate, Gabriel Elias Vergara Vergara, Guillermo José Aristizábal Villa, Gustavo Adolfo Brochet Bayona
{"title":"[Ventricular diverticulum in Cantrell´s pentalogy: rare but not isolated entities].","authors":"María Concepción Rocha-Arrieta,&nbsp;Antonio Arias-Díaz,&nbsp;Enrique Felipe Soto Zárate,&nbsp;Gabriel Elias Vergara Vergara,&nbsp;Guillermo José Aristizábal Villa,&nbsp;Gustavo Adolfo Brochet Bayona","doi":"10.47487/apcyccv.v2i4.162","DOIUrl":"https://doi.org/10.47487/apcyccv.v2i4.162","url":null,"abstract":"<p><p>Pentalogy of Cantrell is a rare entity characterized by a combination of alterations, among which the following stand out: defects of the pericardium, heart, diaphragm, lower third of sternum and abdominal wall. On the other hand, congenital cardiac diverticulum is a rare malformation whose presentation is associated with Cantrell's pentalogy in some cases. We present the case of a child with Cantrell's pentalogy who, during follow-up, was diagnosed with left ventricular diverticulum, which required surgical management with a favorable outcome. Addressing these conditions requires the use of cardiovascular images that allow timely decision-making by the treating team.</p>","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"2 4","pages":"263-267"},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/87/2b/apcyccv-2-263.PMC10506561.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41142048","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
[Epidemiological characteristics of heart transplant recipients in Peru 2010-2020]. 【2010-2020年秘鲁心脏移植受者的流行病学特征】。
Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2021-12-31 eCollection Date: 2021-10-01 DOI: 10.47487/apcyccv.v2i4.187
Gracia Del Carmen Polo Lecca, Franz Ronald Soplopuco Palacios, Walter Alberto Alarco León, Oscar Nelson Aguirre Zurita, Cristian Aguilar Carranza, Ruth Eneida Villarroel Villa, Tommy Leonel Prado Gómez, José Luis Tapia Leonardo, Miguel Ángel Lescano Alva, Víctor Justo Robles Velarde, Julio Alberto Morón Castro, Yulma Donayre Moquillaza, Teresa Colque Rojas, Luis Javier Palma Ortecho, David Germán Gálvez Caballero
{"title":"[Epidemiological characteristics of heart transplant recipients in Peru 2010-2020].","authors":"Gracia Del Carmen Polo Lecca,&nbsp;Franz Ronald Soplopuco Palacios,&nbsp;Walter Alberto Alarco León,&nbsp;Oscar Nelson Aguirre Zurita,&nbsp;Cristian Aguilar Carranza,&nbsp;Ruth Eneida Villarroel Villa,&nbsp;Tommy Leonel Prado Gómez,&nbsp;José Luis Tapia Leonardo,&nbsp;Miguel Ángel Lescano Alva,&nbsp;Víctor Justo Robles Velarde,&nbsp;Julio Alberto Morón Castro,&nbsp;Yulma Donayre Moquillaza,&nbsp;Teresa Colque Rojas,&nbsp;Luis Javier Palma Ortecho,&nbsp;David Germán Gálvez Caballero","doi":"10.47487/apcyccv.v2i4.187","DOIUrl":"https://doi.org/10.47487/apcyccv.v2i4.187","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the epidemiological, clinical, surgical, pathological characteristics and outcomes in the follow-up of heart transplant recipients at the National Cardiovascular Institute during 2010-2020.</p><p><strong>Material and methods: </strong>A retrospective descriptive study was performed by reviewing the medical records of patients undergoing heart transplantation at a national referral center, describing the clinical, surgical, laboratory, pathology characteristics and survival of patients up to 10 years of follow-up.</p><p><strong>Results: </strong>Eighty-six patients were transplanted in 10 years, the median age was 41 years (RIQ 28-56), being predominantly male (66.3%). The three leading causes of indication for heart transplantation were: dilated cardiomyopathy (48.9%), ischemic heart disease (17.4%), and myocarditis (6.9%). Total ischemia time was 160 minutes (RIQ 129.7-233.5). Survival at one, five, and ten years was 84.8%, 73.6%, and 65.7% respectively. The main cause of death was non-cardiac: infectious (39.1%) and of unknown origin (26%).</p><p><strong>Conclusions: </strong>The main etiology of heart failure in heart transplant recipients in Peru in recent years was nonischemic dilated cardiomyopathy. We observed that the survival rate was similar to that of international registries; however, the rate of mortality due to infectious causes and death of unknown origin is high, which poses a challenge in the management of post-transplant patients.</p>","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"2 4","pages":"233-239"},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c8/7e/apcyccv-2-233.PMC10506564.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41145634","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
[Pulmonary arterial hypertension and renal impairment in patients from the National Institute of Cardiology Dr. Ignacio Chávez, Mexico]. [墨西哥国家心脏病研究所Ignacio Chávez博士的患者肺动脉高压和肾损伤]。
Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2021-12-31 eCollection Date: 2021-10-01 DOI: 10.47487/apcyccv.v2i4.150
Franklyn Colón, Anthony Gutiérrez, Annette G García, Lorgis Jiménez, Diego E Arbaje, Nayeli Zayas
{"title":"[Pulmonary arterial hypertension and renal impairment in patients from the National Institute of Cardiology Dr. Ignacio Chávez, Mexico].","authors":"Franklyn Colón,&nbsp;Anthony Gutiérrez,&nbsp;Annette G García,&nbsp;Lorgis Jiménez,&nbsp;Diego E Arbaje,&nbsp;Nayeli Zayas","doi":"10.47487/apcyccv.v2i4.150","DOIUrl":"https://doi.org/10.47487/apcyccv.v2i4.150","url":null,"abstract":"<p><strong>Objective: </strong>The objective of the study was to describe the clinical characteristics and the evolution of the severity of pulmonary arterial hypertension (PAH) and the degree of renal failure.</p><p><strong>Material and methods: </strong>A retrospective observational study was carried out in which the physical and electronic medical records of 60 patients older than 18 years with a diagnosis of pulmonary arterial hypertension were analyzed.</p><p><strong>Results: </strong>In our study, 11.4% of the severe PAH group worsened renal function at six months, and 13.6% of the participants worsened it at one year. In contrast, in the group with moderate PAH, 18.8% worsened at six months, and 12.5% worsened at one year. Also, the GFR at one year was 54.15 mL/min/1.73 m<sup>2</sup> in the moderate PAH group and in the severe PAH group was 73.55 mL/min/1.73 m<sup>2</sup>.</p><p><strong>Conclusion: </strong>The results of this research suggest that the deterioration of kidney function is related to the severity of pulmonary arterial hypertension.</p>","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"2 4","pages":"240-246"},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/05/de/apcyccv-2-240.PMC10506565.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41177502","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
Acute Stanford type A aortic dissection associated with aortic coarctation repaired by Tirone E. David & debranching techniques with combined axillar and femoral perfusion: a case report. Tirone E.David和去支技术结合腋窝和股骨灌注修复与主动脉缩窄相关的急性斯坦福A型主动脉夹层:一例报告。
Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2021-09-30 eCollection Date: 2021-07-01 DOI: 10.47487/apcyccv.v2i3.154
Francisco Guerrero, Karla Bautista, Giuseppe Salas, Edmy Callalli, Josías C Ríos
{"title":"Acute Stanford type A aortic dissection associated with aortic coarctation repaired by Tirone E. David & debranching techniques with combined axillar and femoral perfusion: a case report.","authors":"Francisco Guerrero,&nbsp;Karla Bautista,&nbsp;Giuseppe Salas,&nbsp;Edmy Callalli,&nbsp;Josías C Ríos","doi":"10.47487/apcyccv.v2i3.154","DOIUrl":"https://doi.org/10.47487/apcyccv.v2i3.154","url":null,"abstract":"<p><p>We present the case of a 38-year-old male with a diagnosis of Stanford A aortic dissection and associated coarctation of the thoracic aorta. Acute dissection associated with coarctation of the aorta is a rare problem and difficult to manage surgically. Establishing a cardiopulmonary bypass (CPB) with adequate flows is the main objective of the procedure; optimal cannulation ensures the protection of cerebral and visceral organs. We successfully performed aortic valve re-implantation surgery (T. David Surgery), replacement of the ascending aorta and aortic arch, as well as debranching of the supra-aortic trunks. The cannulation technique was axillary and femoral to guarantee flows through the coarctation area.</p>","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"2 3","pages":"211-215"},"PeriodicalIF":0.0,"publicationDate":"2021-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/28/20/apcyccv-2-211.PMC10506551.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41168711","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
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