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Síndrome de Takotsubo: complicación cardiovascular del accidente cerebrovascular Takotsubo综合征：中风的心血管并发症
Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2022-12-19 DOI: 10.47487/apcyccv.v3i4.235
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}
引用次数: 0
[Takotsubo Syndrome: cardiovascular complication of stroke]. 【Takotsubo综合征:中风的心血管并发症】。
Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2022-10-01 DOI: 10.47487/apcyccv.v3i2.235
Claudio Leiva Abanto, Félix Medina Palomino, Henry Anchante Hernández, Roy Dueñas Carvajal
{"title":"[Takotsubo Syndrome: cardiovascular complication of stroke].","authors":"Claudio Leiva Abanto,&nbsp;Félix Medina Palomino,&nbsp;Henry Anchante Hernández,&nbsp;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}
引用次数: 0
Acute and long-term success of ventricular tachycardia ablation in patients with ischemic heart disease in a Mexican center. 墨西哥中心缺血性心脏病患者室性心动过速消融的急性和长期成功。
Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2022-10-01 DOI: 10.47487/apcyccv.v3i2.236
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,&nbsp;Diego Neach-De La Vega,&nbsp;Paola Yañez-Guerrero,&nbsp;Gabriela Bustillos-García,&nbsp;Jorge Gómez-Flores,&nbsp;Moisés Levinstein,&nbsp;José L Morales,&nbsp;Pedro Iturralde-Torres,&nbsp;Manlio F Márquez,&nbsp;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}
引用次数: 0
[Cor triatriatum sinister, case report]. [Cor triatriatum sinister，病例报告]。
Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2022-10-01 DOI: 10.47487/apcyccv.v3i4.243
José Luis Conde Salazar, Aldrix Josué Sisniegas Razón, Franz Soplopuco Palacios
{"title":"[Cor triatriatum sinister, case report].","authors":"José Luis Conde Salazar,&nbsp;Aldrix Josué Sisniegas Razón,&nbsp;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}
引用次数: 0
[Left bundle branch stimulation in diffuse electrical heart disease in a pediatric patient]. [小儿弥漫性电性心脏病患者左束支刺激]。
Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2022-10-01 DOI: 10.47487/apcyccv.v3i4.239
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,&nbsp;Ruy Ploneda-Valencia,&nbsp;Moisés Levinstein,&nbsp;Jorge Gómez-Flores,&nbsp;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}
引用次数: 0
[Cardiovascular risk in patients with acute gout: is there any association and need for treatment?] 急性痛风患者的心血管风险:是否存在关联?是否需要治疗?］
Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2022-10-01 DOI: 10.47487/apcyccv.v3i4.240
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,&nbsp;Manuel Alejandro Merchán-Cepeda,&nbsp;Juan Camilo Castro-Córdoba,&nbsp;Manuel Alejandro Jaramillo-Acosta,&nbsp;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}
引用次数: 0
[Knowledge about warfarin treatment in patients with atrial fibrillation or mechanical prosthetic valves]. [心房颤动或机械瓣膜患者华法林治疗知识]。
Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2022-10-01 DOI: 10.47487/apcyccv.v3i4.256
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,&nbsp;Deysi Díaz Seijas,&nbsp;Natalia Emilia Gordillo Campos,&nbsp;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}
引用次数: 0
Incisión de clamshell con esternotomía media como abordaje del aneurisma de arco aórtico complicado 胸骨中段切开钳壳切除术治疗复杂主动脉弓瘤
Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2022-09-30 DOI: 10.47487/apcyccv.v3i3.225
Gerber Polo-Gutiérrez, Luis Felipe Bustinza-Carassa, Yemmy Pérez-Valverde, Yuler Abono Sánchez
{"title":"Incisión de clamshell con esternotomía media como abordaje del aneurisma de arco aórtico complicado","authors":"Gerber Polo-Gutiérrez, Luis Felipe Bustinza-Carassa, Yemmy Pérez-Valverde, Yuler Abono Sánchez","doi":"10.47487/apcyccv.v3i3.225","DOIUrl":"https://doi.org/10.47487/apcyccv.v3i3.225","url":null,"abstract":"RESUMEN El tratamiento del aneurisma de arco aórtico constituye uno de los mayores desafíos en la cirugía de aorta. Presentamos el caso de una mujer joven con antecedente de síndrome de Marfan, Pectus Excavatum severo y cirugía de Bentall, que ingresó a cirugía de emergencia por aneurisma de arco aórtico roto-contenido. Se logró un abordaje exitoso mediante una incisión de Clamshell asociada a reesternotomía media.","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"3 1","pages":"172 - 176"},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49474248","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}
引用次数: 0
Desarrollo y patente de un sistema de aspiración intrapericárdico flexible 柔性心包内抽吸系统的开发和专利
Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2022-09-30 DOI: 10.47487/apcyccv.v3i3.231
N. Aranda-Pretell
{"title":"Desarrollo y patente de un sistema de aspiración intrapericárdico flexible","authors":"N. Aranda-Pretell","doi":"10.47487/apcyccv.v3i3.231","DOIUrl":"https://doi.org/10.47487/apcyccv.v3i3.231","url":null,"abstract":"","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"3 1","pages":"177 - 178"},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47927636","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}
引用次数: 0
Vexilología en el electrocardiograma. Signo de la bandera de Sudáfrica 心电图中的vexiology。南非国旗的标志
Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2022-09-30 DOI: 10.47487/apcyccv.v3i3.206
R. N. Estupiñán-Paredes, Ana M. Robayo-Betancourt, Nelson L. Moreno-Ruiz
{"title":"Vexilología en el electrocardiograma. Signo de la bandera de Sudáfrica","authors":"R. N. Estupiñán-Paredes, Ana M. Robayo-Betancourt, Nelson L. Moreno-Ruiz","doi":"10.47487/apcyccv.v3i3.206","DOIUrl":"https://doi.org/10.47487/apcyccv.v3i3.206","url":null,"abstract":"RESUMEN El electrocardiograma (ECG) es un examen que permite tomar decisiones que podrían salvar la vida del paciente. Se debe tener en cuenta que tiene diferentes patrones y diagnósticos diferenciales, como el patrón del síndrome coronario agudo con elevación del segmento ST lateral alto, al cual se denomina el «signo de la bandera de Sudáfrica». Presentamos el caso de un paciente de 44 años que presentó dolor torácico típico en quien se realizó un ECG que evidenció elevación del segmento ST en las derivaciones DI, DII, AVL - V2, e infradesnivel en DIII, lo cual corresponde a una oclusión coronaria aguda con compromiso del segmento lateral del corazón. Este patrón ECG es conocido como el signo de la bandera de Sudáfrica. El pronto reconocimiento permitió la decisión de realizar la terapia farmacológica y la angioplastia de rescate, inmediatamente.","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"3 1","pages":"162 - 165"},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44316370","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}
引用次数: 0
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