Archivos Peruanos de cardiologia y cirugia cardiovascular最新文献

{"title":"[[Clinical and surgical profile of adults with congenital heart disease undergoing cardiac surgery at a Peruvian referral center]].","authors":"Rosina Ruiz Roque, Carlos Carcausto Huamani, Ruht Villarroel Villa, Corina Céspedes Solano, Miriam Gaby Escate, Jorge Quispe López, Reynaldo Saire Huamán, Ángel Alejos Alarcón, Jenny Cedrón Custodio, Julia Vásquez Quispe, Betthina Avalos Carasas, Edwar Paul Cachay, Adriel Olórtegui Yzú, Víctor Justo Robles Velarde, Marina Huamán Robles","doi":"10.47487/apcyccv.v7i2.597","DOIUrl":"https://doi.org/10.47487/apcyccv.v7i2.597","url":null,"abstract":"","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"7 2","pages":"108-116"},"PeriodicalIF":0.0,"publicationDate":"2026-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13485409/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148801944","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}

{"title":"[[One patient, three arrhythmias. Case report]].","authors":"Angel Cueva-Parra, Ana Cecilia Gonzales-Luna, Marisel Payano-Rojas, Mario Cabrera-Saldaña, Richard Soto-Becerra, Carolina Guevara-Caicedo, Pio Zelaya-Castro","doi":"10.47487/apcyccv.v7i2.599","DOIUrl":"https://doi.org/10.47487/apcyccv.v7i2.599","url":null,"abstract":"","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"7 2","pages":"142-146"},"PeriodicalIF":0.0,"publicationDate":"2026-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13485403/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148801959","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}

{"title":"[Exercise in cardiomyopathies: updated evaluation, risk stratification, and clinical prescription].","authors":"Alan García Yánez, Miguel Mateo Montañez Soler, Miguel Ángel Santamaría","doi":"10.47487/apcyccv.v7i2.579.","DOIUrl":"10.47487/apcyccv.v7i2.579.","url":null,"abstract":"","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"7 2","pages":"126-136"},"PeriodicalIF":0.0,"publicationDate":"2026-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13644353/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149139483","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}

{"title":"Betabloqueadores en pacientes posinfarto de miocardio.","authors":"Frank W Britto","doi":"10.47487/apcyccv.v7i1.606","DOIUrl":"10.47487/apcyccv.v7i1.606","url":null,"abstract":"","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"7 1","pages":"89-91"},"PeriodicalIF":0.0,"publicationDate":"2026-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13227933/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148159268","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}

{"title":"When beta-blocker unmasks the diagnosis: pheochromocytoma mimicking acute coronary syndrome. A case report.","authors":"Alexis Vallejos-Barrientos, Luis Eslava-Galvez, Iván García-Gómez, María Angélica-Medrano, David Galvez-Caballero","doi":"10.47487/apcyccv.v7i1.574","DOIUrl":"10.47487/apcyccv.v7i1.574","url":null,"abstract":"<p><p>Pheochromocytoma is a catecholamine-producing neuroendocrine neoplasm classically associated with secondary hypertension. We describe the case of a 63-year-old male who presented with intermittent precordial discomfort, paroxysmal hypertensive episodes, and a mild rise in cardiac troponin levels. He was referred to our institution with a presumptive diagnosis of acute coronary syndrome. Serial admission electrocardiograms showed no dynamic ischemic changes, and transthoracic echocardiography demonstrated preserved global systolic function without regional wall motion abnormalities. A noninvasive ischemic workup was therefore planned. Before performing coronary computed tomographic angiography (CCTA), the patient received propranolol, after which he developed a hypertensive crisis accompanied by recurrent precordial pain; an identical episode occurred following a second beta-blocker dose. CCTA ruled out flow-limiting coronary artery stenoses. In view of the clinical context, pheochromocytoma was suspected. Contrast-enhanced abdominal computed tomography identified a left adrenal mass, and urinary metanephrines were elevated. The patient underwent adrenalectomy, and histopathological examination confirmed a benign pheochromocytoma. Postoperative recovery was uneventful, and the patient remains asymptomatic at follow-up.</p>","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"7 1","pages":"80-85"},"PeriodicalIF":0.0,"publicationDate":"2026-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13227932/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148159339","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}

{"title":"Management and perceptions of anemia and iron deficiency prior to cardiac surgery.","authors":"Sebastián Garcia-Zamora, Andrés Arteaga-Arellano, Joaquín Perea, Manuel Chacón-Díaz, Roberto Martín Reyes, Ricardo Villarreal, Gabriel Aisenberg, Johanna Contreras, María Ines Sosa-Liprandi, Miguel A Quintana, Diego X Chango, Franklin Cueva-Torres, Ricardo Mourilhe-Rocha, Juan Esteban Gómez-Mesa, Marcelo Nahin, Roberto Carlos Macías-Carvantes, Vladimir E Ullauri-Solorzano, Ricardo López-Santi, Carmen Encarnación-Roa, Gabriela Borrayo-Sanchez, Ana G Múnera, Adrián Baranchuk","doi":"10.47487/apcyccv.v7i1.598","DOIUrl":"10.47487/apcyccv.v7i1.598","url":null,"abstract":"<p><strong>Introducción: </strong>La anemia y la deficiencia de hierro (DH) son condiciones frecuentes en pacientes con enfermedades cardiovasculares y se asocian a mayor morbimortalidad en cirugía cardíaca. Sin embargo, no existen datos sobre cómo es abordada esta problemática en Iberoamérica. Debido a ello, desde la Sociedad Interamericana de Cardiología nos propusimos explorar conocimientos, actitudes y conductas de médicos latinoamericanos involucrados en el perioperatorio de cirugía cardíaca.</p><p><strong>Materiales y métodos: </strong>Se realizó un estudio transversal mediante una encuesta electrónica anónima distribuida entre enero y agosto de 2025, utilizando un muestreo tipo «bola de nieve». Se incluyeron médicos con actividad asistencial que involucre la atención de pacientes previa a cirugía cardíaca.</p><p><strong>Resultados: </strong>Respondieron la encuesta 881 médicos de 23 países. Si bien el 83,7% manifestó que tamizaba la presencia de anemia de forma rutinaria, solo el 43,7% expresó evaluar la DH. Un 18,2% manifestó contar con protocolos institucionales sobre este tópico. El manejo terapéutico mostró notables diferencias: solo el 11,8% indicó administrar hierro endovenoso (EV) ante el diagnóstico de anemia o DH. El 46,9% de los participantes expresó tener acceso rutinario a hierro EV; sin embargo, solo el 26,6% de ellos refirió haber indicado esta intervención a pacientes en el preoperatorio de cirugía cardíaca en los 6 meses previos a responder la encuesta. Además, el 54,8% de los encuestados no había recibido formación específica y se sentía solo moderadamente preparado para manejar estas condiciones.</p><p><strong>Conclusión: </strong>Nuestros datos sugieren que existen brechas significativas entre la evidencia disponible y la práctica clínica en el manejo preoperatorio de anemia y DH, destacando la necesidad de protocolos institucionales y mayor educación médica especializada.</p>","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"7 1","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2026-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13227944/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148159231","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}

{"title":"Risk factors for the presentation of supraventricular arrhythmias in patients residing at high altitudes.","authors":"Anibal Diaz-Lazo, José Beraún-Barrantes, Raúl Montalvo","doi":"10.47487/apcyccv.v7i1.584","DOIUrl":"10.47487/apcyccv.v7i1.584","url":null,"abstract":"<p><strong>Objective: </strong>To determine the risk factors associated with the occurrence of supraventricular arrhythmias (SVA) among residents at high altitude.</p><p><strong>Material and methods: </strong>We conducted an analytical observational case-control study, including 24-hour electrocardiographic monitoring and transthoracic echocardiography in 192 individuals. Logistic regression analysis was used for statistical evaluation.</p><p><strong>Results: </strong>The study included 96 cases and 96 controls. Mean age was higher among cases than controls (65.9 ± 13.6 vs. 47.5 ± 19.5 years; p<0.001). Progressive increases in age, systolic blood pressure, and pulse pressure were significantly associated with a higher incidence of SVA. In multivariable analysis, hypertension (Odds Ratio [OR] = 3.43, 95% confidence interval [CI]: 1.64-7.16; p<0.001) and pulse pressure greater than 50 mmHg (OR = 3.27, 95% CI: 1.61-6.65; p=0.001) were independently associated with the presence of SVA. Hypertensive patients had more than a threefold increased likelihood of developing SVA compared with normotensive individuals. Episodes of supraventricular tachycardia were significantly more frequent among hypertensive participants than among non-hypertensive participants (60.6% vs. 39.4%; p<0.001).</p><p><strong>Conclusion: </strong>Hypertension and elevated pulse pressure are significant risk factors for the development of SVA among residents at high altitude. Further studies are warranted to clarify the clinical implications for prevention and management of SVA in hypertensive patients.</p>","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"7 1","pages":"9-15"},"PeriodicalIF":0.0,"publicationDate":"2026-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13227942/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148159364","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}

{"title":"Blood pressure reference curves by age and residential altitude in Peruvian adults.","authors":"Akram Hernández-Vásquez, Jamee Guerra Valencia, Rodrigo Vargas-Fernández","doi":"10.47487/apcyccv.v7i1.596.","DOIUrl":"10.47487/apcyccv.v7i1.596.","url":null,"abstract":"<p><strong>Objetivos: </strong>Desarrollar curvas percentilares por edad para la presión arterial media (PAM), diastólica (PAD) y sistólica (PAS) en adultos peruanos de 20-59 años, estratificadas por altitud de residencia.</p><p><strong>Materiales y métodos: </strong>Se realizó un estudio transversal analítico con la Encuesta Demográfica y de Salud Familiar (ENDES) 2014-2024. Se incluyeron adultos de 20-59 años con dos mediciones válidas de presión arterial y sin diagnóstico previo de hipertensión. La altitud de residencia se clasificó en <2500, 2500-3499 y ≥3500 metros sobre el nivel del mar (m s.n.m.). Los percentiles (P5-P95) de la PAM, PAD y PAS se estimaron empleando modelos aditivos generalizados para localización, escala y forma (GAMLSS) con distribución Box-Cox Cole and Green (BCCG).</p><p><strong>Resultados: </strong>Se analizaron 227 093 adultos (edad media: 35,7 años; 56,2% mujeres). En todos los estratos de altitud, la PAM, PAD y PAS mostraron incrementos graduales entre los 20 y 50 años, aunque la magnitud del incremento se atenuó a mayor altitud. La PAD y la PAM mostraron relativa estabilidad después de los 50 años, mientras que la PAS continuó aumentando de forma más progresiva. A los 50 y 59 años, los valores de PAS fueron sistemáticamente más bajos en altitudes ≥3500 que en <2500 m s.n.m.</p><p><strong>Conclusiones: </strong>La distribución de la presión arterial varía según la altitud de residencia, con incrementos por edad menos marcados en zonas de mayor altitud. Las curvas de referencia percentilares generadas pueden aportar a la interpretación contextualizada de la presión arterial en poblaciones de alta altitud y fortalecer la vigilancia epidemiológica.</p>","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"7 1","pages":"16-26"},"PeriodicalIF":0.0,"publicationDate":"2026-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13227938/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148159271","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}

{"title":"Dunning type III aortocoronary dissection after percutaneous coronary intervention for chronic total occlusion. A case report.","authors":"Alexis Vallejos-Barrientos, Alessandra Centeno-Araujo, Diego Davila-Flores, Zoila Rodríguez-Urtega","doi":"10.47487/apcyccv.v7i1.563","DOIUrl":"10.47487/apcyccv.v7i1.563","url":null,"abstract":"","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"7 1","pages":"70-74"},"PeriodicalIF":0.0,"publicationDate":"2026-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13227941/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148159179","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}

{"title":"Modified Warden technique for repair of partial anomalous pulmonary venous drainage. A case report.","authors":"Denis Manuel Carrasco Herrera, Harod Anders Silva Tejada, Aldrix Josué Sisniegas Razón","doi":"10.47487/apcyccv.v7i1.536","DOIUrl":"10.47487/apcyccv.v7i1.536","url":null,"abstract":"<p><p>Partial anomalous pulmonary venous drainage is an uncommon condition representing 0.6% of all congenital malformations that may be associated with an atrial septal defect. In the present report, we describe a modification of the Warden technique for surgical repair of partial anomalous pulmonary venous drainage with atrial septal defect by using a superior vena cava flap and a right atrial appendage flap to create a new tension-free cavoatrial continuity (neo right superior vena cava), along with redirection of the anomalous pulmonary veins to the left atrium through the atrial septal defect using an autologous pericardial patch. The patient had a favorable postoperative course, with no evidence of residual shunt or obstructive gradient across the anastomosis, and was discharged on postoperative day six.</p>","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"7 1","pages":"75-79"},"PeriodicalIF":0.0,"publicationDate":"2026-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13227936/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148159226","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}