Archivos Peruanos de cardiologia y cirugia cardiovascular最新文献_第8页

[Cardiac arrhythmias and amyloidosis]. [心律失常和淀粉样变]。

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2022-04-01 DOI: 10.47487/apcyccv.v3i2.217

Jorge Salinas-Arce, Raúl Alca-Clares, Ana Cecilia Gonzales-Luna, Mario Cabrera-Saldaña, Pablo Mendoza-Novoa, Paula Solórzano-Altamirano, Milton Guevara-Valdivia

{"title":"[Cardiac arrhythmias and amyloidosis].","authors":"Jorge Salinas-Arce, Raúl Alca-Clares, Ana Cecilia Gonzales-Luna, Mario Cabrera-Saldaña, Pablo Mendoza-Novoa, Paula Solórzano-Altamirano, Milton Guevara-Valdivia","doi":"10.47487/apcyccv.v3i2.217","DOIUrl":"https://doi.org/10.47487/apcyccv.v3i2.217","url":null,"abstract":"Cardiac amyloidosis (CA) is a form of cardiomyopathy characterized by the extracellular deposit of protein fibers in the myocardium, leading to the development of heart failure, arrhythmias, and electrical conduction system alterations. It is known that most cardiomyopathies have a close relationship with heart rhythm abnormalities, however, CA is specially related to different kinds of arrhythmias even in pre-diagnosis stages. Arrhythmias like atrial fibrillation are present in up to 70% of patients with CA associated with a high risk of cardioembolic complications independent of the risk stratification. Ventricular arrhythmias are frequent, but the use of implantable cardioverter defibrillator has not been demonstrated to improve survival. The Atrial-Ventricular node disease is also common, and is frequently associated with the implantation of a pacemaker, even in asymptomatic patients. In this review, we clarify the recommendations of the most current guidelines, summarize historical and contemporaneous data and describe evidence-based strategies for the management of arrhythmias and their complications in CA.","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"3 2","pages":"82-97"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f5/83/apcyccv-3-82.PMC10284580.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9712336","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

Giant cardiac hydatid cyst causing sustained ventricular tachycardia. Successful surgical treatment. 巨大的心脏包虫囊肿引起持续性室性心动过速。手术治疗成功。

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2022-04-01 DOI: 10.47487/apcyccv.v3i2.209

Edmy Callalli, Christian Pelaez, José Carlos Armendáriz-Ferrari, Silvana Gonzales, Mercedes Salas, Martín Niño, Anibal Bombilla

引用次数: 0

[Prediction of significant coronary lesions by SPECT myocardial perfusion. Results from a national reference hospital in Lima-Peru]. SPECT心肌灌注预测显著冠状动脉病变。结果来自利马-秘鲁的一家国家参考医院]。

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2022-04-01 DOI: 10.47487/apcyccv.v3i2.222

Luisa S Talledo-Paredes, Delia M T Guerrero-Ramírez, Aurelio Mendoza-Paulini, Zoila Rodríguez-Urteaga, Daniel Angulo-Poblete, Josías C Ríos-Ortega

{"title":"[Prediction of significant coronary lesions by SPECT myocardial perfusion. Results from a national reference hospital in Lima-Peru].","authors":"Luisa S Talledo-Paredes, Delia M T Guerrero-Ramírez, Aurelio Mendoza-Paulini, Zoila Rodríguez-Urteaga, Daniel Angulo-Poblete, Josías C Ríos-Ortega","doi":"10.47487/apcyccv.v3i2.222","DOIUrl":"https://doi.org/10.47487/apcyccv.v3i2.222","url":null,"abstract":"Objective: To determine the discriminative capacity of myocardial perfusion with single photon emission tomography (SPECT) to predict coronary obstructions by coronary angiography. To determine mortality and major cardiovascular events at follow-up.Materials and methods: . Retrospective observational study with clinical follow-up in patients undergoing SPECT and then coronary angiography. We excluded patients with myocardial infarction and percutaneous and/or surgical revascularization in the previous 6 months.Results: 105 cases were included in the study. The most commonly used SPECT protocol was pharmacological (70%). Patients with perfusion defect ≥10% of total ventricular mass (TVM) had significant coronary lesions (SCL) in 88% of cases (sensitivity 87.5% and specificity 83%). On the other hand, having ischemia ≥10% of the TVM was associated with 80% SCL (sensitivity: 72%, specificity: 65%). Clinical follow-up at 48 months evidenced that a perfusion defect ≥ 10% was predictive of major cardiovascular events (MACE) in both univariate (HR=5.3; 95%CI 1.2 - 22.2; p=0.022) and multivariate (HR= 6.1; 95%CI 1.3 - 26.9; p= 0.017) analyses.Conclusions: . Having a perfusion defect ≥10% of the MVT in the SPECT study predicted with high probability and sensitivity the existence of SCL (>80%); moreover, this group had higher MACE at follow-up.","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"3 2","pages":"74-81"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8f/c1/apcyccv-3-74.PMC10241335.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9582611","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

[Outcomes of percutaneous balloon pulmonary valvuloplasty in pulmonary valve stenosis in the pediatric population in a single center, Lima - Peru]. [在利马-秘鲁单一中心的儿科人群中，经皮球囊肺动脉瓣成形术治疗肺动脉瓣狭窄的结果]。

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2022-04-01 DOI: 10.47487/apcyccv.v3i2.208

Gian Huamán-Benancio, Carlos Peralta-Ponce, Daniella Vinelli-Arzubiaga, Cesar Esquivel-León, Isabel Pinedo Padilla

{"title":"[Outcomes of percutaneous balloon pulmonary valvuloplasty in pulmonary valve stenosis in the pediatric population in a single center, Lima - Peru].","authors":"Gian Huamán-Benancio, Carlos Peralta-Ponce, Daniella Vinelli-Arzubiaga, Cesar Esquivel-León, Isabel Pinedo Padilla","doi":"10.47487/apcyccv.v3i2.208","DOIUrl":"https://doi.org/10.47487/apcyccv.v3i2.208","url":null,"abstract":"Objective: To evaluate the effectiveness of the procedure and outcomes during follow-up.Methods: 80 patients with pulmonary valvular stenosis who underwent percutaneous balloon valvuloplasty between January 2014 and December 2019 are described. Demographic, echocardiographic, and hemodynamic characteristics of the procedure were evaluated. Follow-up included clinical, echocardiographic parameters, pulmonary regurgitation severity, and residual pulmonary gradient at each cutoff point.Results: The age range was 2 years (interquartile range: 10.5 months - 6 years), and the predominant sex was male with 56.2%. The transvalvular pulmonary gradient decreased from 61.7 mmHg +- 21.2 to 17 mmHg (interquartile range: 11-26 mmHg). The immediate success rate was 90%. Follow-up time showed a median of 21 months (interquartile range: 5-47.5 months). All patients at follow-up showed some degree of pulmonary insufficiency at each cutoff point; 17% of the cases at the end of their follow-up were found to have severe insufficiency. Three cases of long-term restenosis were found (3.8%), and 6 (7.5%) were admitted for valvuloplasty surgery or pulmonary valve replacement. The complications reported reached 10% of cases, two patients were admitted to surgery during the procedure for major complications. A significant association was found with severe pulmonary insufficiency at the end of follow-up and ring/balloon ratio.Conclusions: Percutaneous transluminal valvuloplasty with balloon is an effective technique in the treatment of pulmonary valvular stenosis, with reported complications but with good results during follow-up.","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"3 2","pages":"60-68"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/df/89/apcyccv-3-60.PMC10284577.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9712337","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

Aortic valve replacement through minithoracotomy. Results from the Peruvian experience. 小开胸主动脉瓣置换术。秘鲁经验的结果。

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2022-04-01 DOI: 10.47487/apcyccv.v3i2.219

Josías C Ríos-Ortega, Josué Sisniegas-Razón, Roger Conde-Moncada, Yemmy Pérez-Valverde, Julio Morón-Castro

{"title":"Aortic valve replacement through minithoracotomy. Results from the Peruvian experience.","authors":"Josías C Ríos-Ortega, Josué Sisniegas-Razón, Roger Conde-Moncada, Yemmy Pérez-Valverde, Julio Morón-Castro","doi":"10.47487/apcyccv.v3i2.219","DOIUrl":"https://doi.org/10.47487/apcyccv.v3i2.219","url":null,"abstract":"Objectives: To assess mortality, major valve-related events (MAVRE), and other complications in the perioperative period and follow up in patients with aortic valve replacement (AVR) through mini-thoracotomy (MT).Methods: We retrospectively analyzed patients aged <80 who underwent AVR through MT between January 2017 and December 2021 in a national reference center in Lima, Peru. Patients undergoing other surgical approaches (mini-sternotomy, etc.), other concomitant cardiac procedures, redo, and emergency surgeries were excluded. We measured the variables (MAVRE, mortality, and other clinical variables) at 30 days and a mean follow-up of 12 months.Results: Fifty-four patients were studied, the median age was 69.5 years, and 65% were women. Aortic valve (AV) stenosis was the main indication for surgery (65%), and bicuspid AV represented 55.6% of cases. At 30-days, MAVRE occurred in two patients (3.7%), with no in-hospital mortality. One patient had an intraoperative ischemic stroke, and one required a permanent pacemaker. No patient underwent reoperation due to prosthesis dysfunction or endocarditis. In a mean follow-up of one year, MAVRE occurrence did not show variations with the perioperative period, most patients remained in NYHA I (90.7%) or II (7.4%) compared to the preoperative period (p<0.001).Conclusions: AV replacement through MT is a safe procedure in our center for patients under 80 years.","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"3 2","pages":"69-73"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/3c/90/apcyccv-3-69.PMC10241336.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9582614","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

[Rheumatic mitral aggression. Usefulness of 3d transesophageal echocardiography]. 风湿性二尖瓣侵犯。三维经食管超声心动图的应用价值。

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2022-04-01 DOI: 10.47487/apcyccv.v3i2.211

Kelly Cupe-Chacalcaje, Lindsay Benites-Yshpilco, Angela Cachicatari-Beltrán, Dante Urdanivia-Ruiz, Eliana Rafael-Horna, Paol Rojas, Gerald Lévano-Pachas, Roberto Baltodano-Arellano

引用次数: 0

[Prognostic value of the absolute decrease of the N-terminal portion of B-type natriuretic propeptide in decompensated heart failure: secondary analysis of the CLUSTER-HF study]. [失代偿性心力衰竭患者 B 型利钠肽 N 端绝对值下降的预后价值：CLUSTER-HF 研究的二次分析】。］

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2022-03-31 eCollection Date: 2022-01-01 DOI: 10.47487/apcyccv.v3i1.198

Cynthia Paredes-Paucar, Leonardo Villa Medina, Diego Araiza-Garaygordobil, Rodrigo Gopar-Nieto, Pablo Martínez-Amezcua, Alejandro Cabello-Lopez, Daniel Sierra-Lara, José Luis Briseño De La Cruz, Hector Gonzáles Pacheco, Alexandra Arias Mendoza

{"title":"[Prognostic value of the absolute decrease of the N-terminal portion of B-type natriuretic propeptide in decompensated heart failure: secondary analysis of the CLUSTER-HF study].","authors":"Cynthia Paredes-Paucar, Leonardo Villa Medina, Diego Araiza-Garaygordobil, Rodrigo Gopar-Nieto, Pablo Martínez-Amezcua, Alejandro Cabello-Lopez, Daniel Sierra-Lara, José Luis Briseño De La Cruz, Hector Gonzáles Pacheco, Alexandra Arias Mendoza","doi":"10.47487/apcyccv.v3i1.198","DOIUrl":"10.47487/apcyccv.v3i1.198","url":null,"abstract":"Objective: The purpose of this study is to determine the prognostic value of the absolute decrease in the N-terminal portion of pro-B-type natriuretic peptide (NT-proBNP) to prevent fewer clinical events, in the population of CLUSTER-HF (efficacy of ultrasound lung to guide therapy and prevent readmissions in heart failure).Materials and methods: This study was conducted in a subgroup of ninety-four patients with available NT-proBNP information at hospital discharge and prior to randomization in the CLUSTER-HF study. The primary objective of the study was to determine the prognostic value of absolute NT-proBNP decline below which fewer events of all-cause death, emergency room visits, and rehospitalization for heart failure at 180 days.Results: The absolute decrease in NT-proBNP below 3,350 pg/mL has a moderate discriminative capacity with AUC= 0.602, with a prognostic value in the combined event at 180 days (log-rank test, p=0.01). Also, according to the multivariable analysis, it is an independent marker of clinical events at 180 days OR 0.319 (0.102-0.995, p=0.04) above other clinical variables.Conclusions: An absolute decrease to 3,350 pg/mL of NT-proBNP or less at discharge from the hospitalization due to heart failure, was associated with fewer clinical events at 180 days.","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"3 1","pages":"8-15"},"PeriodicalIF":0.0,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d6/86/apcyccv-3-08.PMC10318989.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9859361","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 cardiovascular complications in a Peruvian population of oncology patients]. [秘鲁肿瘤患者的急性心血管并发症]。

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2022-03-31 eCollection Date: 2022-01-01 DOI: 10.47487/apcyccv.v3i1.192

Germán Valenzuela-Rodríguez, Miguel Lescano-Alva, Mayte Bryce-Alberti, Arianna Portmann-Baracco, Walter Prudencio-León

{"title":"[Acute cardiovascular complications in a Peruvian population of oncology patients].","authors":"Germán Valenzuela-Rodríguez, Miguel Lescano-Alva, Mayte Bryce-Alberti, Arianna Portmann-Baracco, Walter Prudencio-León","doi":"10.47487/apcyccv.v3i1.192","DOIUrl":"10.47487/apcyccv.v3i1.192","url":null,"abstract":"Objective: To know the most frequent acute cardiovascular complications in a Peruvian population of oncologic patients.Materials and methods: Retrospective, descriptive study of oncologic patients treated at Clinica Delgado between January 2014 and December 2019, from which the subgroup with the seven most prevalent cancers at the national level was selected according to information from Globocan 2018. Additionally, we evaluated the epidemiology of patients with cardiovascular complications that conditioned their hospitalization or were detected during this, calculating their cardiovascular risk according to Hermann and SCORE risk scales.Results: Forty-four patients had complications; 27 (61.4%) were hospitalized due to acute cardiovascular causes. The mean age of this subgroup was 69.88 years (SD 12.77), and 22 (81.5%) were older than 60 years. Fourteen (51.9%) were male. According to the Hermann scale, 33.3% had intermediate-risk and 14.9% had a high or very high risk. According to the SCORE scale, 62.97% had an intermediate-risk and 7.40% high risk. The most common acute cardiovascular complications were deep vein thrombosis and ischemic stroke (66.65%). One patient (3.7%) reported previous cardiovascular disease. Four patients (14.8%) had a fatal outcome during hospitalization. The median length of hospitalization was five days.Conclusions: We present the cases of acute cardiovascular complications in a population of oncologic patients and their vascular risk according to Hermann and SCORE scales. The most common complications were deep vein thrombosis (48.14%), stroke (18.51%), and myocardial infarction (14.81%).","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"3 1","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c7/f3/apcyccv-3-01.PMC10424505.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10013482","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

[Revascularización quirúrgica utilizando dos arterias torácicas internas en Sudamérica]. [南美使用两条胸内动脉的外科血管重建]。

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2022-03-31 eCollection Date: 2022-01-01 DOI: 10.47487/apcyccv.v3i1.199

Pedro Rojas, Josué Sisniegas, Romel Zamudio, Josías Ríos

引用次数: 0

[Advanced heart failure due to coronary aneurysms]. [冠状动脉瘤引起的晚期心力衰竭]。

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2022-03-31 eCollection Date: 2022-01-01 DOI: 10.47487/apcyccv.v3i1.188

Ruth N Estupiñán-Paredes, Nelson L Moreno-Ruiz, Jeffrey Castellanos-Parada, Carlos A Arias-Barrera

引用次数: 0