Archivos Peruanos de cardiologia y cirugia cardiovascular最新文献

{"title":"Clinical predictors of coronary artery bypass graft surgery in patients hospitalized for Non-ST acute coronary syndrome - Buenos Aires I and ReSCAR22 registries.","authors":"Julián M Feder, Alan R Sigal, Leonardo A Seoane, Mirza Rivero, Gonzalo Perez, Ezequiel J Zaidel, Fabricio G Procopio, Diego Conde, Juan P Costabel","doi":"10.47487/apcyccv.v5i1.333.","DOIUrl":"https://doi.org/10.47487/apcyccv.v5i1.333.","url":null,"abstract":"<p><strong>Objectives: </strong>To identify predictors of coronary artery bypass graft surgery (CABG) requirement as a revascularization method in in real-world non-ST-segment elevation acute coronary syndrome (NSTE-ACS) patients.</p><p><strong>Materials and methods: </strong>. An individual pre-specified analysis of patients with NSTE-ACS was performed from two prospective Argentine registries between 2017 and 2022. We analyzed the difference in baseline characteristics between patients who required CABG and those who did not require this intervention. Then, a logistic regression analysis was performed to determine independent predictors in patients who received CABG as a method of revascularization.</p><p><strong>Results: </strong>A total of 1848 patients with a median age of 54.8 (interquartile range [IQR]: 53.7-56) years and an ejection fraction of 42.1% (IQR: 41.2-43.1) were included. A total of 233 patients required CABG (12.6%). Baseline characteristics between the two groups were similar, except in patients requiring CABG, who were younger (51.5 <i>vs.</i> 55.7 years; p=0.010), more frequently diabetic (38.2% <i>vs.</i> 25.7%; p=0.001) and male (90.1% <i>vs.</i> 73.7%; p=0.001). In addition, they had, to a lesser extent, previous cardiac surgery (2.1% <i>vs.</i> 11.2%; p=0.011). After multivariable analysis, the following were independently associated with CABG: age (Odds Ratio [OR]: 0.99, 95% confidence interval [CI]: 0.98-0.99; p=0.008), male sex (OR: 3.08, 95% CI: 1.87-5.1; p=0.001), history of previous CABG (OR: 0.14, 95% CI: 0.05-0.30; p=0.001) and diabetes (OR: 1.84, 95% CI: 1.31- 2.57; p=0.001).</p><p><strong>Conclusions: </strong>In this analysis of two NSTEACS registries, younger age, male sex, a diagnosis of diabetes and the absence of previous surgery were independent predictors of the requirement for inpatient CABG.</p>","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"5 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2024-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10999314/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140873273","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":"[Pharmacoinvasive strategy in Latin America. Why don't we see it as our option?]","authors":"Alexandra Arias-Mendoza","doi":"10.47487/apcyccv.v4i4.355","DOIUrl":"https://doi.org/10.47487/apcyccv.v4i4.355","url":null,"abstract":"","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"5 1","pages":"61-62"},"PeriodicalIF":0.0,"publicationDate":"2024-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10999310/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140861726","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":"[Mechanical circulatory support in cardiogenic shock, a reality in Peru].","authors":"Leonardo Salazar","doi":"10.47487/apcyccv.v1i3.84","DOIUrl":"https://doi.org/10.47487/apcyccv.v1i3.84","url":null,"abstract":"","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"1 3","pages":"198-199"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10712227/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138801363","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":"[Diuretic resistance and heart failure: between congestion and kidney injury].","authors":"Paola Morejón Barragán","doi":"10.47487/apcyccv.v1i3.72","DOIUrl":"https://doi.org/10.47487/apcyccv.v1i3.72","url":null,"abstract":"<p><p>Nowadays, heart Failure (HF) is one of the main contributors of cardiovascular morbidity and mortality, this faces us with great challenges. The heart-kidney interaction receives particular attention due to the development of the so-called cardiorenal syndrome (CRS) and the diuretic resistance, latter is a predictor of adverse events in acute HF and is independent of the glomerular filtration rate. Development of diuretic resistance is secondary to multiple causes, so a comprehensive evaluation of all of them is required. In recent years, congestion has become relevant within the pathophysiological mechanism of CRS, as it mutually generates and perpetuates damage in these two organs. Given the importance of congestion, diuretics remain the cornerstone of treatment, although their use is largely empirical due to the limited evidence available. The evidence-based treatment paradigm is elusive in this scenario, so one question remains unanswered: Do the interventions to treat or to prevent the diuretic resistance modify the prognosis in acute HF?</p>","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"1 3","pages":"157-164"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10712235/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138801167","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":"[Spatial analysis of hypertension in Peruvian adults, 2022].","authors":"Akram Hernández-Vásquez,&nbsp;Brenda Noemí Carrillo Morote,&nbsp;Victoria Del Carmen Azurin Gonzales,&nbsp;Efraín Y Turpo Cayo,&nbsp;Diego Azañedo","doi":"10.47487/apcyccv.v4i2.296","DOIUrl":"https://doi.org/10.47487/apcyccv.v4i2.296","url":null,"abstract":"<p><strong>Objectives: </strong>To perform a spatial analysis of arterial hypertension in the Peruvian adult population to identify geographic patterns with a higher concentration of cases.</p><p><strong>Materials and methods: </strong>A spatial analysis was conducted using data from the Demographic and Family Health Survey (ENDES) 2022. A sample of 29,422 adults was included, and the global Moran's index and Getis-Ord Gi* analysis were used to evaluate spatial autocorrelation and cluster concentration.</p><p><strong>Results: </strong>The age-standardized prevalence of arterial hypertension was 19.2%. Clusters with a high concentration of arterial hypertension were observed in departments along the Peruvian coast such as Tumbes, Piura, Lambayeque, La Libertad, Ancash, and Lima, as well as in the northern regions of the Highlands. Clusters were also found in the regions of Loreto and Madre de Dios in the Peruvian jungle.</p><p><strong>Conclusions: </strong>This study revealed geographic patterns of arterial hypertension in Peru, with a higher concentration of cases along the Peruvian coast and in certain regions of the Highlands and Jungle. These findings highlight the need to develop strategies for the prevention and control of the disease, especially in the areas identified as high-prevalence clusters.</p>","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"4 2","pages":"48-54"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10538923/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41143396","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":"Cardiac magnetic resonance as a risk re-stratification tool in apical hypertrophic cardiomyopathy.","authors":"Ana María Larriva,&nbsp;Sandra Rosales Uvera,&nbsp;Zuilma Vásquez,&nbsp;Beatriz Fernández,&nbsp;Diego Xavier Chango Azanza","doi":"10.47487/apcyccv.v4i2.289","DOIUrl":"https://doi.org/10.47487/apcyccv.v4i2.289","url":null,"abstract":"<p><p>Apical hypertrophic cardiomyopathy (ApHCM) can result in the formation of a left ventricular apical aneurysm and progressive myocardial fibrosis, which is associated with a worse prognosis. We present the case of a 76-year-old man previously diagnosed with ApHCM seven years ago, who has been under clinical follow-up. Serial cardiac magnetic resonance (CMR) imaging was performed in 2013 and 2020 due to suspected apical aneurysm formation based on echocardiographic evaluation. The 2020 CMR imaging revealed an increase in myocardial fibrosis observed through late-gadolinium enhancement images and, for the first time, a small apical aneurysm that was not clearly visualized on two-dimensional echocardiography. The time course leading to the development of an ApHCM aneurysm is not well-defined and may impact the clinical course.</p>","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"4 2","pages":"78-82"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10538924/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41154652","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":"[Analysis of cardiac surgeries and operative mortality at the National Cardiovascular Institute during 2022].","authors":"Gerber Polo-Gutierrez,&nbsp;Harod Anders Silva-Tejada,&nbsp;Franklin Willy Martinez-Ninanqui,&nbsp;Victor Robles-Velarde,&nbsp;Josías Ríos-Ortega","doi":"10.47487/apcyccv.v4i2.287","DOIUrl":"https://doi.org/10.47487/apcyccv.v4i2.287","url":null,"abstract":"<p><strong>Objective: </strong>To describe cardiac surgeries, their approaches, and determine operative mortality according to the type of surgery and the main complications recorded within 30 days postoperatively, performed at the National Cardiovascular Institute of Peru.</p><p><strong>Materials and methods: </strong>A descriptive study was conducted on all patients over 18 years of age who underwent cardiovascular surgery at the National Cardiovascular Institute \"Carlos Alberto Peschiera Carrillo\".</p><p><strong>Results: </strong>During the year 2022, a total of 503 cardiac surgeries were performed. Of the patients undergoing surgery, 63.6% (320) were males. Isolated valvular surgery, primarily aortic or mitral valve replacement, was the most frequent surgical procedure, with 136 surgeries (27.0%). This was followed by myocardial revascularization surgery with 110 procedures (21.9%). Throughout the year, there were 23 deaths, resulting in an overall mortality rate of 4.5%. The mortality rate for elective surgeries was 2.8%, while for emergency surgeries, it was 14.3%. The most common complication was paroxysmal atrial fibrillation (14.0%), followed by surgical site infection with 52 cases (10.3%).</p><p><strong>Conclusions: </strong>Valvular surgery, whether isolated or combined with other procedures, was the most frequently performed. The obtained mortality rate is considered acceptable for a reference center.</p>","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"4 2","pages":"55-61"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10538925/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41163920","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":"[Atypical presentation of ruptured aneurysmal right sinus of Valsalva with severe aortic insufficiency].","authors":"Miguel Ángel Serrano-Sánchez,&nbsp;Alfredo Sotomayor-Estrada,&nbsp;W Samir Cubas","doi":"10.47487/apcyccv.v4i1.284.","DOIUrl":"10.47487/apcyccv.v4i1.284.","url":null,"abstract":"<p><p>Aneurysm of the Sinus of Valsalva (ASV) is a rare abnormality and affects less than 0.1% of the general population. We describe the case of a 37-year-old woman with a clinical picture characterized by dyspnea, palpitations, and syncope of 6 years of evolution. The echocardiographic study revealed a right ASV with a sub pulmonary interventricular perforation of 8mm and producing a regurgitant jet into the right ventricle, causing dilatation of the right ventricular outflow tract, pulmonary artery, and severe aortic insufficiency Carpentier DI. The patient underwent successful repair of the defect and interventricular perforation, and valve replacement was not necessary. Timely echocardiographic diagnosis and early surgery are the main predictors that make the difference between an excellent outcome and certain death.</p>","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"4 2","pages":"68-71"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10538917/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41164633","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":"Presentación atípica de rotura de seno de Valsalva derecho aneurismático con insuficiencia aortica severa","authors":"Archivos Peruanos de Cardiología, Cirugía Cardiovascular, E. R. Martins, Lima Perú. a Médico residente. b Médico asistente., Miguel Ángel Serrano-Sánchez, Alfredo L Sotomayor-Estrada, Samir Cubas","doi":"10.47487/apcyccv.v4i2.284","DOIUrl":"https://doi.org/10.47487/apcyccv.v4i2.284","url":null,"abstract":"RESUMEN El aneurisma del seno de Valsalva (ASV) es una anormalidad poco frecuente que afecta a menos del 0,1% de la población en general. Se describe el caso de una mujer de 37 años con un cuadro clínico de 6 años de evolución caracterizado por disnea, palpitaciones y síncope. El estudio ecocardiográfico evidenció ASV derecho con una perforación interventricular subpulmonar de 8 mm que producía un jet de regurgitación hacia el ventrículo derecho que ocasionaba la dilatación del tracto de salida de ventrículo derecho, la arteria pulmonar e insuficiencia aórtica severa Carpentier ID. El paciente se sometió a una reparación exitosa del defecto y de la perforación interventricular, sin necesidad de reemplazo valvular. El diagnóstico ecocardiográfico oportuno y una cirugía precoz, son los principales predictores que suponen la diferencia entre una evolución excelente y una muerte segura.","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"4 1","pages":"68 - 71"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44950962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Clinical characteristics and care times in a chest pain unit of the emergency department of an argentine center].","authors":"María Florencia Grande Ratti,&nbsp;Ignacio Martín Bluro,&nbsp;Fiorella Castillo,&nbsp;María Elena Zapiola,&nbsp;Ana Soledad Pedretti,&nbsp;Bernardo Martínez","doi":"10.47487/apcyccv.v4i2.293","DOIUrl":"https://doi.org/10.47487/apcyccv.v4i2.293","url":null,"abstract":"<p><strong>Objectives: </strong>. To report the frequency of precordial pain, describe clinical characteristics, and care times.</p><p><strong>Methods: </strong>. Retrospective descriptive study that included consultations in the Chest Pain Unit in 2021 in the emergency department of a private hospital in Argentina.</p><p><strong>Results: </strong>There were 1469 admissions for chest pain, yielding a frequency of 1.09% (95%CI 1.04-1.15). They were 52% men, mean age 62 years (SD ±15); 48% had hypertension and 32% dyslipidemia. The median time to initial ECG was 4.3 min (ICR 2.5-7.5); and 26 min (ICR 14-46) to medical evaluation. A total of 206 (14%) were hospitalized with a median of 3 days, 76% were admitted to a closed unit, 9% required non-invasive ventilation/mechanical ventilaction and in-hospital mortality was 2.9%. Those hospitalized presented shorter delay time to medical attention (p<0.01), and greater performance of complementary studies (p<0.01), with no differences in time to ECG (p=0.22).</p><p><strong>Conclusions: </strong>Care times were within the stipulated standards, being an important indicator of quality. Nursing was crucial, taking care of the correct triage, ECG on admission, and guaranteeing care until medical evaluation.</p>","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"4 2","pages":"41-47"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10538921/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41156040","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}