Cynthia Paredes-Paucar, Piero Custodio-Sánchez, Manuel Chacón-Diaz
{"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}
Diego Xavier Chango Azanza, Ruth Lizbeth Fernández Tirado, Valeria Verenisse López Pillaga, José David Tello Ochoa, Javier Fernando Pinos Vásquez
{"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}
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
{"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}
Claudio Leiva Abanto, Félix Medina Palomino, Henry Anchante Hernández, Roy Dueñas Carvajal
{"title":"Síndrome de Takotsubo: complicación cardiovascular del accidente cerebrovascular","authors":"Claudio Leiva Abanto, Félix Medina Palomino, Henry Anchante Hernández, Roy Dueñas Carvajal","doi":"10.47487/apcyccv.v3i4.235","DOIUrl":"https://doi.org/10.47487/apcyccv.v3i4.235","url":null,"abstract":"Resumen Mujer adulta mayor, 82 años, Katz A, con antecedente de diabetes mellitus tipo 2 e hipertensión arterial; ingresa por accidente cerebrovascular isquémico que se complica con síndrome de Takotsubo con posterior reingreso por fibrilación auricular tras el alta médica. Estos tres eventos clínicos tienen criterios para integrarse como un síndrome cerebro-corazón, el cual es una condición de alto riesgo para mortalidad.","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"3 1","pages":"204 - 209"},"PeriodicalIF":0.0,"publicationDate":"2022-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41890202","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}
Claudio Leiva Abanto, Félix Medina Palomino, Henry Anchante Hernández, Roy Dueñas Carvajal
{"title":"[Takotsubo Syndrome: cardiovascular complication of stroke].","authors":"Claudio Leiva Abanto, Félix Medina Palomino, Henry Anchante Hernández, Roy Dueñas Carvajal","doi":"10.47487/apcyccv.v3i2.235","DOIUrl":"https://doi.org/10.47487/apcyccv.v3i2.235","url":null,"abstract":"<p><p>An 82-year-old woman, Katz A, with a history of type 2 diabetes mellitus and high blood pressure, was admitted for ischemic stroke complicated by Takotsubo´s syndrome with subsequent readmission for atrial fibrillation after discharge. These three clinical events have criteria to be integrated as a Brain Heart Syndrome, which is a high-risk condition for mortality.</p>","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"3 4","pages":"204-209"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/af/be/apcyccv-3-204.PMC10241338.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9698942","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}
Angel Cueva-Parra, Diego Neach-De La Vega, Paola Yañez-Guerrero, Gabriela Bustillos-García, Jorge Gómez-Flores, Moisés Levinstein, José L Morales, Pedro Iturralde-Torres, Manlio F Márquez, Santiago Nava
{"title":"Acute and long-term success of ventricular tachycardia ablation in patients with ischemic heart disease in a Mexican center.","authors":"Angel Cueva-Parra, Diego Neach-De La Vega, Paola Yañez-Guerrero, Gabriela Bustillos-García, Jorge Gómez-Flores, Moisés Levinstein, José L Morales, Pedro Iturralde-Torres, Manlio F Márquez, Santiago Nava","doi":"10.47487/apcyccv.v3i2.236","DOIUrl":"https://doi.org/10.47487/apcyccv.v3i2.236","url":null,"abstract":"<p><strong>Objective: </strong>. To report the results of ventricular tachycardia (VT) catheter ablation in ischemic heart disease (IHD), and to identify risk factors associated with recurrence in a Mexican center.</p><p><strong>Materials and methods: </strong>. We made a retrospective review of the cases of VT ablation performed in our center from 2015 to 2022. We analyzed the characteristics of the patients and those of the procedures separately and we determined factors associated with recurrence.</p><p><strong>Results: </strong>. Fifty procedures were performed in 38 patients (84% male; mean age 58.1 years). Acute success rate was 82%, with a 28% of recurrences. Female sex (OR 3.33, IC 95% 1.66-6.68, p=0.006), atrial fibrillation (OR 3.5, IC 95% 2.08-5.9, p=0.012), electrical storm (OR 2.4, IC 95% 1.06-5.41, p=0.045), functional class greater than II (OR 2.86, IC 95% 1.34-6.10, p=0.018) were risk factors for recurrence and the presence of clinical VT at the time of ablation (OR 0.29, IC 95% 0.12-0.70, p=0.004) and the use of more than 2 techniques for mapping (OR 0.64, IC 95% 0.48-0.86, p=0.013) were protective factors.</p><p><strong>Conclusions: </strong>. Ablation of ventricular tachycardia in ischemic heart disease has had good results in our center. The recurrence is similar to that reported by other authors and there are some factors associated with it.</p>","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"3 4","pages":"179-187"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/7f/63/apcyccv-3-179.PMC10241329.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9964062","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}
José Luis Conde Salazar, Aldrix Josué Sisniegas Razón, Franz Soplopuco Palacios
{"title":"[Cor triatriatum sinister, case report].","authors":"José Luis Conde Salazar, Aldrix Josué Sisniegas Razón, Franz Soplopuco Palacios","doi":"10.47487/apcyccv.v3i4.243","DOIUrl":"https://doi.org/10.47487/apcyccv.v3i4.243","url":null,"abstract":"<p><p>We report a case of cor triatriatum sinister associated with anomalous pulmonary venous drainage in an adult patient who presented with palpitations, lower limb edema, dyspnea, orthopnea, bendopnea and ascites. The clinical picture began with episodes of atrial fibrillation, associated with rehospitalizations for right heart failure, so angiotomography and transesophageal echography were requested, which led to the final diagnosis. The surgical approach was performed by total excision of the multifenestrating fibromuscular septum and double valvular plasty, due to severe mitral and tricuspid insufficiency, which improved the patient's clinical condition. The importance of considering this acyanotic congenital heart disease within the differential diagnosis of the causes of right heart failure originating in the left atrium is recognized.</p>","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"3 4","pages":"215-219"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/24/cc/apcyccv-3-215.PMC10241328.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9583605","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}
Ángel Cueva-Parra, Ruy Ploneda-Valencia, Moisés Levinstein, Jorge Gómez-Flores, Santiago Nava
{"title":"[Left bundle branch stimulation in diffuse electrical heart disease in a pediatric patient].","authors":"Ángel Cueva-Parra, Ruy Ploneda-Valencia, Moisés Levinstein, Jorge Gómez-Flores, Santiago Nava","doi":"10.47487/apcyccv.v3i4.239","DOIUrl":"https://doi.org/10.47487/apcyccv.v3i4.239","url":null,"abstract":"<p><p>Left bundle branch stimulation is a second-line strategy in patients where His bundle stimulation is not optimal. Currently, no cases of left bundle branch stimulation have been reported in patients with diffuse electrical cardiac disease or in the pediatric population.</p>","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"3 4","pages":"210-214"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/51/11/apcyccv-3-210.PMC10241327.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9583607","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}
Yelson Alejandro Picón-Jaimes, Manuel Alejandro Merchán-Cepeda, Juan Camilo Castro-Córdoba, Manuel Alejandro Jaramillo-Acosta, Hector Jaime Peñaranda-Ocampo
{"title":"[Cardiovascular risk in patients with acute gout: is there any association and need for treatment?]","authors":"Yelson Alejandro Picón-Jaimes, Manuel Alejandro Merchán-Cepeda, Juan Camilo Castro-Córdoba, Manuel Alejandro Jaramillo-Acosta, Hector Jaime Peñaranda-Ocampo","doi":"10.47487/apcyccv.v3i4.240","DOIUrl":"https://doi.org/10.47487/apcyccv.v3i4.240","url":null,"abstract":"","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"3 4","pages":"226-227"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b3/67/apcyccv-3-226.PMC10241326.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9964066","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}
Lady Rojana Vásquez Ortiz, Deysi Díaz Seijas, Natalia Emilia Gordillo Campos, Ana Elizabeth Aguilar Alban
{"title":"[Knowledge about warfarin treatment in patients with atrial fibrillation or mechanical prosthetic valves].","authors":"Lady Rojana Vásquez Ortiz, Deysi Díaz Seijas, Natalia Emilia Gordillo Campos, Ana Elizabeth Aguilar Alban","doi":"10.47487/apcyccv.v3i4.256","DOIUrl":"https://doi.org/10.47487/apcyccv.v3i4.256","url":null,"abstract":"<p><strong>Objective: </strong>To determine the degree of knowledge about warfarin treatment in patients with atrial fibrillation or with mechanical prosthetic valves.</p><p><strong>Materials and methods: </strong>Descriptive, observational, cross-sectional study. The OAK test was applied to all adult patients with a diagnosis of atrial fibrillation or with mechanical prosthetic valves treated with warfarin, who attended the hematology consultation from May 17 to November 10, 2022, at the \"Instituto Nacional Cardiovascular Carlos Alberto Peschiera Carrillo\".</p><p><strong>Results: </strong>A total of 150 patients participated, 64% were male, with a mean age of 60.3 ± 15 years, 45.3% with a diagnosis of atrial fibrillation and 54.7% with mechanical prosthetic valves. The mean OAK test score was 44.4% (8.4/19), only 6% (n=9) achieved a satisfactory score ≥75.0%, the percentage of correct answers according to dimensions was: 68 % in forms of use, 39.3% in interactions and complications and 41.1% in INR control. A 40.7% did not understand the meaning of the term INR and 81.3% did not know their optimal values.</p><p><strong>Conclusions: </strong>The patient's degree of knowledge about warfarin treatment was inadequate; both in its use, interactions and complications. Considering that it is a difficult drug to use, due to its narrow therapeutic window and its multiple interactions, inadequate knowledge of its use may contribute to inappropriate anticoagulation.</p>","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"3 4","pages":"188-195"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/2c/d0/apcyccv-3-188.PMC10284579.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9703667","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}