Archivos Peruanos de cardiologia y cirugia cardiovascular最新文献_第2页

Peripartum cardiomyopathy management: insights from a Latin American case report. 围产期心肌病管理：来自拉丁美洲病例报告的见解。

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2024-12-11 eCollection Date: 2024-10-01 DOI: 10.47487/apcyccv.v5i4.422

Javier Torres-Valencia, Gabriela Zavaleta-Camacho, José Saucedo-Chinchay, Karen Alayo-Rojas, Carlos Diaz-Arocutipa

{"title":"Peripartum cardiomyopathy management: insights from a Latin American case report.","authors":"Javier Torres-Valencia, Gabriela Zavaleta-Camacho, José Saucedo-Chinchay, Karen Alayo-Rojas, Carlos Diaz-Arocutipa","doi":"10.47487/apcyccv.v5i4.422","DOIUrl":"10.47487/apcyccv.v5i4.422","url":null,"abstract":"Peripartum cardiomyopathy (PPCM) is a potentially life-threatening condition that can occur during the late pregnancy or puerperium. A 31-year-old woman with a recent twin pregnancy presented with heart failure symptoms nine days postpartum. On admission, she had volume overload and hemodynamic compromise, which was rapidly reversed with inotropic levosimendan support. Echocardiography revealed a left ventricular ejection fraction (LVEF) of 20% with global hypokinesia. Once stabilized, she was discharged on heart failure medication, bromocriptine, and warfarin. Cardiac magnetic resonance imaging at five weeks demonstrated a preserved LVEF of 57% and no evidence of myocardial scarring or edema. During the 4-year follow-up, the patient remained stable with no new pregnancies. This case highlights the importance of considering PPCM in the differential diagnosis of heart failure in the peripartum period after excluding other etiologies. It also describes the successful use of bromocriptine in facilitating recovery of systolic function without long-term complications.","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"5 4","pages":"249-254"},"PeriodicalIF":0.0,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11753419/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143029923","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

Repair of multiple abdominopelvic aneurysms: is the open approach still valid? A case report. 腹腔多发动脉瘤的修复：开腹入路是否仍然有效？一份病例报告。

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2024-12-11 eCollection Date: 2024-10-01 DOI: 10.47487/apcyccv.v5i4.415

W Samir Cubas, Franco Albán-Sánchez, Milagros Salazar-Cuizano, Johnny Mayta-Rodríguez, Carlos Pachas-Canales, Hugo León, Alexis Sánchez-Huamán, Jessica Pedroza-Silvera, Ninach Muñante-Nima

{"title":"Repair of multiple abdominopelvic aneurysms: is the open approach still valid? A case report.","authors":"W Samir Cubas, Franco Albán-Sánchez, Milagros Salazar-Cuizano, Johnny Mayta-Rodríguez, Carlos Pachas-Canales, Hugo León, Alexis Sánchez-Huamán, Jessica Pedroza-Silvera, Ninach Muñante-Nima","doi":"10.47487/apcyccv.v5i4.415","DOIUrl":"10.47487/apcyccv.v5i4.415","url":null,"abstract":"Multiple Aneurysmal Arterial Disease (MAD) is an extremely rare arterial vascular condition and is produced by an abnormal alteration of smooth muscle cells and neutrophils, producing a multiple-aneurysmal degeneration. We present the case of a 36-year-old patient with a MAD in the cerebral territory and extremities with no surgical indication; however, with an aneurysm of the right inferior renal segmental artery, inferior mesenteric artery, left common iliac artery, and right internal iliac artery with surgical indication. An open approach with single-stage surgical repair, including graft interposition, bypass, exclusion, and vascular reimplantation, was performed. The surgical and postoperative course was uneventful, and the patient was discharged with an indication for outpatient follow-up. The open approach may be the best option for young patients with MAD, especially in the abdominopelvic region, without the need for high resources, with satisfactory results and improved patient survival.","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"5 4","pages":"255-260"},"PeriodicalIF":0.0,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11753416/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143030105","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

[Clinical, diagnostic and therapeutic profile of patients with left intraventricular thrombus in three high-complexity centers during the period 2000-2022]. [2000-2022年三个高复杂性中心左室内血栓患者的临床、诊断和治疗概况]。

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2024-12-11 eCollection Date: 2024-10-01 DOI: 10.47487/apcyccv.v5i4.430

Felipe Lozano Pineda, Carolina Cardona Buitrago, Santiago Giraldo Ramírez, Jairo Alfonso Gándara Ricardo, Edison Muñoz Ortiz, Catalina Gallego Muñoz, Juan David Valencia Duque, Edgar Alonso Mejía Guerra, Juan Nicolás Dallos Ferrerosa, Juan Manuel Senior Sánchez

{"title":"[Clinical, diagnostic and therapeutic profile of patients with left intraventricular thrombus in three high-complexity centers during the period 2000-2022].","authors":"Felipe Lozano Pineda, Carolina Cardona Buitrago, Santiago Giraldo Ramírez, Jairo Alfonso Gándara Ricardo, Edison Muñoz Ortiz, Catalina Gallego Muñoz, Juan David Valencia Duque, Edgar Alonso Mejía Guerra, Juan Nicolás Dallos Ferrerosa, Juan Manuel Senior Sánchez","doi":"10.47487/apcyccv.v5i4.430","DOIUrl":"10.47487/apcyccv.v5i4.430","url":null,"abstract":"Objective: To determine the clinical, diagnostic, and therapeutic profile of patients with left intraventricular thrombus (LVT) in three high-complexity centers in Medellín, Colombia, between January 2000 and January 2022.Materials and methods: This was an observational and cross-sectional study that included 307 patients with LVT. Hospital records were analyzed to identify the clinical and therapeutic profile, and thrombus resolution and systemic embolism were evaluated. Univariate and bivariate analyses were performed using Fisher's exact test and a logistic regression model.Results: The prevalence of LVT was 9.75%. In 85% of cases, LVT was diagnosed using transthoracic echocardiography; 75.9% of patients were male, and the median age was 62 years. The most frequent comorbidities were heart failure (95.77%) and hypertension (69.7%).LVT occurred in 27% of cases in the context of acute coronary syndrome (ACS). Low molecular weight heparin (LMWH) was administered in 78.5% of cases, and warfarin was the most commonly used anticoagulant (82.7%). Hemorrhagic complications occurred in 19.2%, mainly gastrointestinal, and 35% of patients achieved thrombus resolution. Systemic embolism developed in 30% of cases, primarily affecting the central nervous system. Overall mortality was 15%.Conclusions: The prevalence of LVT was 9.75%. Warfarin remains the standard treatment, although alternative therapies are used in special cases. Apical dysfunction was associated with systemic embolism.","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"5 4","pages":"207-214"},"PeriodicalIF":0.0,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11753417/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143029866","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

Mitral valve infective endocarditis as a manifestation of disseminated Cryptococcus neoformans infection: a case report. 二尖瓣感染性心内膜炎是播散性新型隐球菌感染的表现：1例报告。

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2024-12-11 eCollection Date: 2024-10-01 DOI: 10.47487/apcyccv.v5i4.412

Oyuky Flores-Alamos, Diego González-Guzmán, Antonio de Jesús Andrade-Ortega, Jaime Ponce-Gallegos, Amayrani E Coyac-Cavazos, César Yldifonso Salinas-Ulloa, Marco Antonio Ponce-Gallegos

{"title":"Mitral valve infective endocarditis as a manifestation of disseminated Cryptococcus neoformans infection: a case report.","authors":"Oyuky Flores-Alamos, Diego González-Guzmán, Antonio de Jesús Andrade-Ortega, Jaime Ponce-Gallegos, Amayrani E Coyac-Cavazos, César Yldifonso Salinas-Ulloa, Marco Antonio Ponce-Gallegos","doi":"10.47487/apcyccv.v5i4.412","DOIUrl":"10.47487/apcyccv.v5i4.412","url":null,"abstract":"Infective endocarditis is a disease that affects mainly the endocardial surface of the heart and cardiac valves (native or prosthetic). The main risk factors for developing infective endocarditis are male sex, older age, intracardiac shunts, prosthetic valves, rheumatic, and congenital heart disease, intracardiac devices, intravenous drugs use, immunosuppression, and hemodialysis. Streptococci and Staphylococci spp. have been the most frequent isolated organisms. On the other hand, the most common fungal organism in infective endocarditis is Candida albicans (24-46%), followed by Aspergillus spp. (25%), and a few cases by Cryptococcus neoformans, which are associated with higher rate of mortality. This case provides an interesting case of Cryptococcus neoformans native valve infective endocarditis in a young woman with stage IV chronic kidney disease and severe malnutrition.","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"5 4","pages":"233-236"},"PeriodicalIF":0.0,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11753414/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143029994","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

[Trends in the epidemiology of acute myocardial infarction in Peru: An analysis of the official SUSALUD records]. [秘鲁急性心肌梗死流行病学趋势：对秘鲁国立卫生大学官方记录的分析]。

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2024-12-11 eCollection Date: 2024-10-01 DOI: 10.47487/apcyccv.v5i4.435

Akram Hernández-Vásquez, Rodrigo Vargas-Fernández, Manuel Chacón-Díaz

{"title":"[Trends in the epidemiology of acute myocardial infarction in Peru: An analysis of the official SUSALUD records].","authors":"Akram Hernández-Vásquez, Rodrigo Vargas-Fernández, Manuel Chacón-Díaz","doi":"10.47487/apcyccv.v5i4.435","DOIUrl":"10.47487/apcyccv.v5i4.435","url":null,"abstract":"Objective: To determine the age-standardized rate of acute myocardial infarction (AMI) events and its trend in recent years.Materials and methods: An ecological study of secondary data on morbidity in emergency areas of Peruvian hospitals between 2018 and 2023 was conducted. Cases of AMI in adults aged 20 years or older were identified using ICD-10 codes. Age-standardized AMI event rates per 100,000 person-years were calculated. In addition, the change in event rate between extreme years was calculated, and a Poisson regression was used to estimate the annual percentage change in event rates along with their 95% confidence interval (CI), adjusting for age and calendar year. These rates were stratified by sex and political-administrative regions.Results: 28,088 AMI events were recorded between 2018 and 2023. The national age-standardized rate increased from 22.77 in 2018 to 25.60 per 100,000 person-years in 2023, with an annual percentage change of 6.72% (95% CI 4.25-9.25). Men had higher AMI event rates compared to women throughout the study period. In addition, the highest event rates were observed in the Constitutional Province of Callao, San Martin and Loreto.Conclusions: Our findings provide a better understanding of the epidemiology of AMI in Peru and its evolution in recent years, important data to improve prevention, treatment and resource distribution strategies for the management of AMI.","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"5 4","pages":"187-197"},"PeriodicalIF":0.0,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11753418/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143029878","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

[Surgical closure of the left atrial appendage in cardiac surgery: a review article]. [心脏手术中左心耳的手术闭合：综述文章]。

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2024-12-11 eCollection Date: 2024-10-01 DOI: 10.47487/apcyccv.v5i4.429

Pedro Iván Rojas Sánchez

引用次数: 0

Recurrent pulmonary thromboembolism with cardiac tamponade as initial manifestations of lupus and antiphospholipid syndrome: a case report. 复发性肺血栓栓塞合并心包填塞作为狼疮和抗磷脂综合征的初始表现：1例报告。

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2024-12-11 eCollection Date: 2024-10-01 DOI: 10.47487/apcyccv.v5i4.418

Julieta Sofia Villanueva-Valle, Eder Jonathan Amaro-Palomo, Mónica Andrea Munive-Eyssautier, Fernando Gonzalez-Diaz, Adrián Sotelo-Soleno, Santiago Alba-Valencia, Alexandra Arias-Mendoza, Diego Araiza-Garaygordobil

{"title":"Recurrent pulmonary thromboembolism with cardiac tamponade as initial manifestations of lupus and antiphospholipid syndrome: a case report.","authors":"Julieta Sofia Villanueva-Valle, Eder Jonathan Amaro-Palomo, Mónica Andrea Munive-Eyssautier, Fernando Gonzalez-Diaz, Adrián Sotelo-Soleno, Santiago Alba-Valencia, Alexandra Arias-Mendoza, Diego Araiza-Garaygordobil","doi":"10.47487/apcyccv.v5i4.418","DOIUrl":"10.47487/apcyccv.v5i4.418","url":null,"abstract":"Systemic lupus erythematosus (SLE) is an inflammatory autoimmune disease with an important course due to systemic compromise. SLE is frequently associated with antiphospholipid syndrome, and pulmonary thromboembolism (PE) is particularly common. It is extremely rare for PE to be the initial clinical presentation and even more uncommon for it to coincide with cardiac tamponade, representing a challenge in diagnosis and management. We present a case of a 42-year-old woman with recurrent PE with severe pleural and pericardial effusion, hemodynamic instability, and cardiac tamponade. Laboratory workup revealed hypocomplementemia, leukopenia, negative SLE antibodies, and a positive lupus anticoagulant. This case emphasizes the importance of determining the etiology of PE, assessing risk classification, and implementing proper management, which are crucial for the patient's survival and outcome.","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"5 4","pages":"237-242"},"PeriodicalIF":0.0,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11753424/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143030062","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

Factors influencing the use of direct oral anticoagulants among patients with chronic chagas cardiomyopathy. 影响慢性恰加斯心肌病患者直接口服抗凝剂使用的因素。

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2024-12-11 eCollection Date: 2024-10-01 DOI: 10.47487/apcyccv.v5i4.433.

Sergio Alejandro Gómez-Ochoa, Lyda Z Rojas, Lizeth Johana Alarcón Meléndez, María Alejandra Quintero Santana, Lisbeth Paola Becerra-Motta, Angie Yarlady Serrano-García, Luis E Echeverría

{"title":"Factors influencing the use of direct oral anticoagulants among patients with chronic chagas cardiomyopathy.","authors":"Sergio Alejandro Gómez-Ochoa, Lyda Z Rojas, Lizeth Johana Alarcón Meléndez, María Alejandra Quintero Santana, Lisbeth Paola Becerra-Motta, Angie Yarlady Serrano-García, Luis E Echeverría","doi":"10.47487/apcyccv.v5i4.433.","DOIUrl":"10.47487/apcyccv.v5i4.433.","url":null,"abstract":"Objective: Chronic Chagas Cardiomyopathy (CCC) carries a high risk of embolic events due to structural changes in the left ventricle and frequent conduction disorders. However, there is limited data on anticoagulant prescription patterns and factors influencing the use of direct oral anticoagulants (DOACs) in these patients. This study aims to characterize CCC patients based on the anticoagulant therapy received and identify factors associated with DOACs use.Materials and methods: A cross-sectional study was conducted at a tertiary-level hospital in Colombia between 2019-2022. Multivariate logistic regression models were used to assess factors associated with anticoagulant therapy and DOACs use.Results: Among 224 CCC patients, 65.7% (n=153) were on anticoagulants, with DOACs being the most prescribed (53%). Notably, 35% of patients at high risk of stroke (CHA2DS2-VASc) were not receiving anticoagulants. Atrial fibrillation (OR 256.08; 95% CI 61.94-1058.72), ventricular aneurysms (OR 4.82; 95% CI 1.54-15.09), and reduced interventricular septal thickness (OR 0.75; 95% CI 0.60-0.92) were associated with anticoagulant use. DOACs were mainly prescribed for patients with atrial fibrillation (OR 13.29; 95% CI 2.47-71.56) and high bleeding risk (HAS-BLED ≥3, OR 11.36; 95% CI 1.15-112.11).Conclusions: A significant proportion of CCC patients were not receiving anticoagulants despite their high risk of stroke and embolic events. The use of anticoagulation was significantly associated with atrial fibrillation, the presence of ventricular aneurysms and reduced interventricular septal thickness. It is crucial to raise awareness among healthcare professionals in endemic areas to improve treatment.","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"5 4","pages":"198-206"},"PeriodicalIF":0.0,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11753429/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143029879","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

[Right ventricular endomyocardial fibrosis: Atypical presentation of a rare disease. Case report]. 右室心内膜心肌纤维化：一种罕见疾病的非典型表现。病例报告)。

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2024-12-11 eCollection Date: 2024-10-01 DOI: 10.47487/apcyccv.v5i4.409

Laura Valentina López Gutiérrez, Mauricio Andrés Murillo Moreno, Luisa Fernanda Durango, Jhon Fredy Salamanca Montilla, Clara Inés Saldarriaga Giraldo

引用次数: 0

A heart failure program in low-income patients in Argentina (COMM-HF). 阿根廷低收入患者心力衰竭项目（COMM-HF）。

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2024-12-11 eCollection Date: 2024-10-01 DOI: 10.47487/apcyccv.v5i4.432

Rosana Poggio, Lucia Marianela Ortiz, Natalia Rivadulla, María José Martínez, Lucrecia María Burgos, Laura Gutiérrez, Javier Mariani, José P Lopez-Lopez, Eduardo Chuquiure-Valenzuela, Modou Jobe, Taofeek Awotidebe, Amitava Banerjee, Guillermo Cursack, Abraham Samuel Babu, Vilma Irazola, Juan Martín Brunialti, Mariano Maydana, Diego Federico Echazarreta

{"title":"A heart failure program in low-income patients in Argentina (COMM-HF).","authors":"Rosana Poggio, Lucia Marianela Ortiz, Natalia Rivadulla, María José Martínez, Lucrecia María Burgos, Laura Gutiérrez, Javier Mariani, José P Lopez-Lopez, Eduardo Chuquiure-Valenzuela, Modou Jobe, Taofeek Awotidebe, Amitava Banerjee, Guillermo Cursack, Abraham Samuel Babu, Vilma Irazola, Juan Martín Brunialti, Mariano Maydana, Diego Federico Echazarreta","doi":"10.47487/apcyccv.v5i4.432","DOIUrl":"10.47487/apcyccv.v5i4.432","url":null,"abstract":"Objective: In low- and middle-income countries, heart failure (HF) is the leading cause of death and disability.Materials and methods: A feasibility study was conducted to assess the fidelity, reach, and adoption of an educational program led by non-medical staff to improve outpatient care for patients hospitalized with HF in the local public health system.Results: Thirty patients were included, with a mean age of 55.3 years (63.3% male). A total of 97.3% of planned home visits and 90% of scheduled phone calls were completed. Counselling modules were delivered during 90.4% of home visits, with no significant challenges reported during implementation. At the end of follow-up, there was a trend towards improved lifestyle habits, a reduction in mean heart rate (78.0 to 68.3 beats per minute; p = 0.016), a decrease in the proportion of patients in NYHA functional class III (20% to 7.4%; p = 0.041), and a slight reduction in mean body mass index (29.5 vs. 28.9; p = 0.042).Conclusions: A home-based educational program, designed to optimize outpatient management of heart failure and led by non-medical healthcare personnel, was well-received and demonstrated feasibility for implementation in low-income patients relying solely on the Argentine public health system.","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"5 4","pages":"215-225"},"PeriodicalIF":0.0,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12087600/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144103417","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