Archivos Peruanos de cardiologia y cirugia cardiovascular最新文献

{"title":"[Cardiovascular compromise in the infection by the human immunodeficiency virus].","authors":"Germán Valenzuela-Rodríguez","doi":"10.47487/apcyccv.v4i1.269","DOIUrl":"https://doi.org/10.47487/apcyccv.v4i1.269","url":null,"abstract":"<p><p>Human immunodeficiency virus (HIV) infection was associated with increased morbidity and mortality, predominantly for opportunistic infections, before using antiretroviral therapy. With this, patients have experienced increased survival and cardiovascular compromise too. The etiology of these clinical conditions could be related to the infection itself, adverse events associated with antiretroviral therapy, or adverse events produced by the combination with other drugs. Some of these conditions have an acute onset, and their rapid recognition is vital for a better prognosis.</p>","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"4 1","pages":"21-29"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/36/d3/apcyccv-4-21.PMC10318990.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10180417","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":"Congenital Gerbode defect in an adult patient: report of an extremely rare case.","authors":"Pedro Daniel Díaz-Sarasa,&nbsp;Jorge Sebastián Reyes-Villanés,&nbsp;W Samir Cubas","doi":"10.47487/apcyccv.v4i1.250","DOIUrl":"https://doi.org/10.47487/apcyccv.v4i1.250","url":null,"abstract":"<p><p>Gerbode Defect (GD) is a rare congenital heart disease that mainly affects the upper portion of the membranous septum, generating a shunt between the left ventricle and the right atrium. Even though most cases are congenital, it has also been reported acquired cases due to cardiac surgery, infective endocarditis, acute ischemic heart disease, and invasive percutaneous procedures. The diagnostic workup includes the clinical evaluation and the echocardiographic study. Here, we present the case of a 43-year-old adult patient with an incidental finding of a congenital GD in the context of acute appendicitis. Imaging plays a role in the diagnostic workup of congenital diseases; in this case, it allowed us to identify more details and the decision-making for our patient.</p>","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"4 1","pages":"29-32"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/2d/e8/apcyccv-4-29.PMC10318994.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9803420","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":"[Surgical Revascularization of the Myocardium by Minimally Invasive Access].","authors":"Roger Yoel Conde Moncada,&nbsp;Aldrix Josué Sisniegas Razón","doi":"10.47487/apcyccv.v4i1.254","DOIUrl":"https://doi.org/10.47487/apcyccv.v4i1.254","url":null,"abstract":"<p><p>Median sternotomy is the Gold Standard access for surgical revascularization of the myocardium, but it is not free of complications, especially in patients with multiple comorbidities. Minimally invasive access offers the advantage of avoiding sternotomy, achieving a more accelerated postoperative recovery, with less hospital stay time and a higher level of satisfaction with quality of life. We present the case of a 49-year-old male patient, diabetic, hypertensive, smoker, with multiarterial coronary artery disease, very symptomatic, who underwent surgical revascularization by left mini-thoracotomy.</p>","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"4 1","pages":"33-36"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8f/3f/apcyccv-4-33.PMC10318991.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9804993","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":"[Right intraatrial lipoma. A case report].","authors":"Azucena Arévalo-Santa-María,&nbsp;Silvana Gonzales-Castro,&nbsp;Giuseppe Salas-Escobedo,&nbsp;Josías C Ríos-Ortega","doi":"10.47487/apcyccv.v4i1.275","DOIUrl":"https://doi.org/10.47487/apcyccv.v4i1.275","url":null,"abstract":"<p><p>We present the case of a 56-year-old male patient with a history of atrial flutter for six months; he was admitted to the hospital for presenting a mass of 8 cm in maximum diameter in the right atrium, which prolapsed through the tricuspid valve into the right ventricle. Emergency surgery was scheduled, performing exeresis of the tumor and tricuspid annuloplasty. The Pathological anatomy determined that the removed mass corresponded to a cardiac lipoma.</p>","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"4 1","pages":"37-40"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/62/dd/apcyccv-4-37.PMC10318987.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10180416","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":"[The SYNTAX Revascularization Index and major cardiovascular events in patients with multivessel coronary artery disease in the Instituto Nacional de Cardiología Ignacio Chávez - Mexico].","authors":"Tania Vásquez Loarte,&nbsp;Yigal Piña Reyna,&nbsp;Marco Peña Duque,&nbsp;César Antonio Ortiz Zegarra","doi":"10.47487/apcyccv.v4i1.282","DOIUrl":"https://doi.org/10.47487/apcyccv.v4i1.282","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the degree of incomplete revascularization in patients with multiarterial coronary artery disease who underwent percutaneous coronary intervention (PCI) or coronary artery bypass surgery (CABG) using the Syntax revascularization index (SRI) and its relationship to major cardiovascular events during follow-up.</p><p><strong>Materials and methods: </strong>Observational, retrospective study with 4-year follow-up of patients with multiarterial coronary artery disease who underwent surgical or percutaneous coronary revascularization, in whom the baseline Syntax score (SSb) and the residual Syntax score (SSr) were calculated. The Syntax Revascularization Index (SRI) was determined with the following formula: SRI = (1- [SSr/SSb]) x 100, and major cardiovascular events at 4-year follow-up were compared.</p><p><strong>Results: </strong>Two hundred patients (100 in each group) were evaluated. Mean SSr in group 1 was 83.2%, and in group 2, 79.0% (p=0.88). Mean complete revascularization was 41% in the first group and 35% in the second. A cutoff point of ≤90% of IRS had the best accuracy for predicting major cardiovascular events (area under the curve of 0.60; 95% CI: 0.49-0.71, p<0.05). In multivariate analysis IRS was an independent predictor of major cardiovascular events (HR 2.6; 95%CI: 1.32-3.22, p= 0.043).</p><p><strong>Conclusions: </strong>The Syntax Revascularization Index may be useful for measuring the degree of revascularization in patients with multiarterial coronary artery disease treated percutaneously or surgically. An SRI ³90% may be an acceptable target for revascularization<b>.</b></p>","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"4 1","pages":"7-12"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/77/9d/apcyccv-4-07.PMC10424548.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10010139","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 tele-rehabilitation in times of pandemic. Experience at the National Cardiovascular Institute INCOR in Lima-Peru].","authors":"Jessica Espinoza Pérez,&nbsp;Rosalía Ofelia Fernández Coronado,&nbsp;Adriel Olórtegui Yzú,&nbsp;Julia Amalia Fernández Coronado,&nbsp;Yolanda Rocío Palomino Vilchez,&nbsp;Marco Antonio Heredia Ñahui,&nbsp;Renzo Eduardo Soca Meza,&nbsp;Hanna Silva Valenzuela","doi":"10.47487/apcyccv.v4i1.281","DOIUrl":"https://doi.org/10.47487/apcyccv.v4i1.281","url":null,"abstract":"<p><strong>Objective: </strong>Cardiac Rehabilitation (CR) programs based on telehealth are an alternative in the context of a pandemic and represent an opportunity to continue in the intervention of cardiovascular diseases (CVD). The present study aims to evaluate the effect of a Cardiac Tele-Rehabilitation (CTR) program on quality of life, anxiety/depression index, exercise safety and Level Of disease awareness in patients discharged from a national referral institute in times of pandemic.</p><p><strong>Methods: </strong>A pre-experimental study in cardiac patients who entered the cardiac rehabilitation program at INCOR from August to December 2020. The study included low-risk patients who were administered a questionnaire (on cardiovascular disease, exercise safety, anxiety/depression, and quality of life) at the beginning and end of the program, which was applied through a virtual platform. Descriptive and comparative before-after analysis was used through hypothesis testing.</p><p><strong>Results: </strong>Sixty-four patients were included (71.9% male). The mean age was 63.6 ±11.1 years. Regarding exercise safety, an increase in the mean score was found after the application of the program (3.06 ± 0.8 to 3.18 ± 0.7, p=0.324). Concerning anxiety, the mean score was reduced from 8.61 to 4.75, while for depression, the reduction was from 7.27 to 2.92. Regarding the quality-of-life score, the global component improved from 111.48 to 127.92.</p><p><strong>Conclusions: </strong>The CTR program implemented through a virtual platform during the COVID-19 pandemic enhanced quality of life and decreased stress and depression in cardiac patients discharged from a national cardiovascular referral center.</p>","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"4 1","pages":"13-20"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/fd/86/apcyccv-4-13.PMC10318993.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9803425","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 progression of systemic light chain amyloidosis].","authors":"Diego Xavier Chango Azanza, Ruth Lizbeth Fernández Tirado, Valeria Verenisse López Pillaga, José David Tello Ochoa, Javier Fernando Pinos Vásquez","doi":"10.47487/apcyccv.v3i4.249.","DOIUrl":"10.47487/apcyccv.v3i4.249.","url":null,"abstract":"<p><p>Systemic light chain amyloidosis is a disease characterized by the accumulation of amyloid protein in multiple organs and systems. We present the case of a 52-year-old male patient with a diagnosis of systemic light chain amyloidosis associated with cardiac and renal involvement. A renal biopsy showed the presence of renal amyloidosis associated with proteinuria, and the patient was referred for cardiovascular evaluation. The baseline electrocardiogram showed micro voltage in frontal leads that were discordant with the left ventricular hypertrophy evidenced in the transthoracic echocardiogram (TTE). Cardiac magnetic resonance imaging (CMR) confirmed the presence of cardiac amyloid infiltration with a pattern of extensive ventricular late-gadolinium enhancement. Despite being referred and receiving specific systemic chemotherapy treatment, the evolution was not favorable after four months of follow-up with worsening cardiac infiltration, increasing values of biomarkers, and progression of dyspnea. The TTE was useful in revealing the unfavorable evolution and worsening of diastolic function parameters and increased wall thickness in the context of infiltration. The electrocardiogram and echocardiogram were easily accessible tools that allowed the monitoring of the response to treatment.</p>","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"3 4","pages":"220-225"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d0/36/apcyccv-3-220.PMC10241332.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9583606","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":"[Clinical variables associated with no-reflow after percutaneous coronary intervention in ST-segment elevation myocardial infarction: Secondary analysis of the PERSTEMI I and II study].","authors":"Cynthia Paredes-Paucar, Piero Custodio-Sánchez, Manuel Chacón-Diaz","doi":"10.47487/apcyccv.v3i4.253","DOIUrl":"10.47487/apcyccv.v3i4.253","url":null,"abstract":"<p><strong>Objective: </strong>To determine the clinical factors associated to no-reflow after percutaneous coronary intervention (PCI) in patients with ST-segment elevation myocardial infarction (STEMI) in Peru.</p><p><strong>Materials and methods: </strong>Case - control retrospective study, derived from the PERSTEMI (Peruvian Registry of ST-elevation myocardial infarction) I and II study. Cases (group 1) were those patients who presented no-reflow after PCI, defined by a TIMI flow < 3, and controls (group 2) were those with a TIMI 3 flow after the intervention. Clinical and angiographic variables were compared between both groups, and a multivariate analysis was performed looking for associated factors to no-reflow.</p><p><strong>Results: </strong>We included 75 cases and 304 controls. The incidence of no-reflow was 19.8%. There was a higher frequency of no-reflow in patients with primary PCI compared to the pharmacoinvasive strategy, in patients with one-vessel disease and in those with TIMI 0 before PCI. In-hospital mortality and heart failure were higher in patients with no-reflow (21.3% vs. 2.9% and 45.3% vs. 16.5, respectively; p<0.001). After the multivariate analysis, the ischemia time > 12 hours, Killip Kimball (KK) > I, TIMI 0 before PCI, and one-vessel disease were the factors significantly associated with no-reflow after PCI.</p><p><strong>Conclusions: </strong>The ischemia time greater than 12 hours, the highest KK score, the presence of an occluded culprit artery (TIMI 0) before PCI and an one-vessel disease, were factors independently associated to no-reflow in patients with STEMI in Peru.</p>","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"3 4","pages":"196-203"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a6/6b/apcyccv-3-196.PMC10284576.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9710356","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":"Progresión cardiaca de amiloidosis sistémica de cadera ligera","authors":"Diego Xavier Chango Azanza, Ruth Lizbeth Fernández Tirado, Valeria Verenisse López Pillaga, José David Tello Ochoa, Javier Fernando Pinos Vásquez","doi":"10.47487/apcyccv.v3i4.249","DOIUrl":"https://doi.org/10.47487/apcyccv.v3i4.249","url":null,"abstract":"RESUMEN La amiloidosis sistémica de cadena ligera es una enfermedad caracterizada por la acumulación de proteína amiloide en múltiples órganos y sistemas. Presentamos el caso de un paciente de sexo masculino de 52 años con diagnóstico de amiloidosis sistémica de cadena ligera con compromiso cardiaco y renal. Una biopsia renal mostró la presencia de amiloidosis renal asociada a proteinuria. El electrocardiograma inicial mostró microvoltaje en derivaciones frontales discordante con la hipertrofia ventricular izquierda evidenciada en el ecocardiograma transtorácico (ETT). La resonancia magnética cardiaca (RMC) confirmó la presencia de infiltración amiloide cardiaca con un patrón de realce tardío de gadolinio extenso ventricular. A pesar de recibir tratamiento específico sistémico quimioterápico, la evolución no fue favorable a los cuatro meses de seguimiento, con empeoramiento de la infiltración cardíaca, aumento de los biomarcadores y progresión de la disnea. El ETT permitió poner en manifiesto el empeoramiento de parámetros de función diastólica e incremento de los espesores parietales en contexto de la infiltración. El electrocardiograma y ecocardiograma fueron herramientas de fácil acceso que permitieron el monitoreo de la respuesta al tratamiento.","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"3 1","pages":"220 - 225"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46668492","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":"Acute and long-term success of ventricular tachycardia ablation in patients with ischemic heart disease in a Mexican center","authors":"Á. Cueva-Parra, Diego Neach-De La Vega, Paola Yañez-Guerrero, G. Bustillos-García, J. Gómez-Flores, M. Levinstein, J. Morales, P. Iturralde-Torres, M. Márquez, S. Nava","doi":"10.47487/apcyccv.v3i4.236","DOIUrl":"https://doi.org/10.47487/apcyccv.v3i4.236","url":null,"abstract":"RESUMEN Objetivo. Informar los resultados de la ablación con catéter de taquicardia ventricular (TV) en la cardiopatía isquémica (CI) e identificar los factores de riesgo asociados a la recurrencia en un centro mexicano. Materiales y métodos . Se realizó una revisión retrospectiva de los casos de ablación de TV ejecutados en nuestro centro desde 2015 hasta 2022. Se analizó por separado las características de los pacientes y las de los procedimientos y se determinaron los factores asociados a la recidiva. Resultados . Se realizaron 50 procedimientos en 38 pacientes (84% varones; edad media 58,1 años). La tasa de éxito agudo fue del 82%, con un 28% de recurrencia. Sexo femenino (OR 3,33, IC 95% 1,66-6,68, p=0,006); fibrilación auricular (OR 3,5, IC 95% 2,08-5,9, p=0,012); tormenta eléctrica (OR 2.4, IC 95% 1.06-5.41, p =0,045); la clase funcional mayor que II (OR 2,86, IC 95% 1,34-6,10, p=0,018) fueron factores de riesgo para recurrencia y la presencia de TV clínica en el momento de la ablación (OR 0,29, IC 95% 0,12- 0,70, p=0,004) y el uso de más de dos técnicas de mapeo (OR 0,64, IC 95% 0,48 - 0,86, p=0,013) fueron factores protectores. Conclusiones. La ablación de taquicardia ventricular en cardiopatía isquémica ha tenido buenos resultados en nuestro centro. La tasa de recurrencia es similar a lo reportado por otros autores y existen algunos factores asociados a ella.","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"3 1","pages":"179 - 187"},"PeriodicalIF":0.0,"publicationDate":"2022-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42919530","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}