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

[Clinical and angiographic characteristics of patients with coronary ectasia in a reference hospital]. 【某参比医院冠状动脉扩张患者的临床及造影特点】。

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2022-07-01 DOI: 10.47487/apcyccv.v3i2.229.

David Alejandro Rodríguez Falla, Eliana Alejandra Rafael-Horna, José Quiroz Burgos, Gerald Lévano-Pachas, Giovanni Meneses

{"title":"[Clinical and angiographic characteristics of patients with coronary ectasia in a reference hospital].","authors":"David Alejandro Rodríguez Falla, Eliana Alejandra Rafael-Horna, José Quiroz Burgos, Gerald Lévano-Pachas, Giovanni Meneses","doi":"10.47487/apcyccv.v3i2.229.","DOIUrl":"https://doi.org/10.47487/apcyccv.v3i2.229.","url":null,"abstract":"Objective: To analyze the clinical and angiographic characteristics of patients with coronary ectasia found on coronary angiography.Materials and methods: : Descriptive study of patients admitted to the cardiac catheterization laboratory of the Hospital Guillermo Almenara with coronary ectasia, during the years 2012 to 2020. The frequency of coronary ectasia, clinical, angiographic and coronary flow characteristics were determined.Results: 7504 catheterizations were reviewed, and 91 patients were found to have coronary ectasia (1.21%). Of these patients, 71 cases were male (78%), and the mean age was 67.74 ± 9.9 years. The 38.5% of cases were obese or overweight; 39.6% were hypertensive; 11% diabetic; 13.2% smoked; 3.3% had chronic kidney disease and 3.3% had polyglobulia. Sixty-one percent of cases had a diagnosis of acute coronary syndrome, and 24% of cases had high-risk stable angina. The artery most frequently involved by ectasia was the right coronary artery (70%). The average diameter of the ectatic artery was 5.7 mm. Occlusive thrombus was found in 19.8% of cases. There was a significant association between TIMI flow and diameter of the ectatic artery (p=0.000), and there was also an association between coronary ectasia and acute coronary syndrome among patients living at an altitude of more than 2500 m (p=0.000).Conclusions: coronary ectasia was an infrequent entity among patients who underwent coronary angiography, was predominantly male, mainly involved the right coronary artery, was associated with lower TIMI flow, and acute coronary syndrome among residents above 2500 m of altitude.","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"3 3","pages":"139-144"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10241337/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9947711","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

[Corrected QT interval and GRACE score relationship in patients with non-ST segment elevation myocardial infarction]. [非st段抬高型心肌梗死患者校正QT间期与GRACE评分的关系]。

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2022-07-01 DOI: 10.47487/apcyccv.v3i2.223.

Guillermo Cruz-Aragón, Manlio F Márquez, Angel Cueva-Parra, Héctor González-Pacheco, Pedro Iturralde, Santiago Nava

{"title":"[Corrected QT interval and GRACE score relationship in patients with non-ST segment elevation myocardial infarction].","authors":"Guillermo Cruz-Aragón, Manlio F Márquez, Angel Cueva-Parra, Héctor González-Pacheco, Pedro Iturralde, Santiago Nava","doi":"10.47487/apcyccv.v3i2.223.","DOIUrl":"https://doi.org/10.47487/apcyccv.v3i2.223.","url":null,"abstract":"Background: The Global Registry of Acute Coronary Events (GRACE) prediction model stratifies patients with non-ST-segment elevation myocardial infarction (NSTEMI). Corrected QT interval (QTc) is not considered in this model.Objective: To evaluate the relationship between the QTc interval and the GRACE score in patients with NSTEMI.Materials and methods: An observational, retrospective study was carried between 2016 and 2019. We included patients with diagnosis of NSTEMI, QTc intervals were calculated with Bazett's formula, and they were classified into 2 groups: a normal QTc interval (<440 ms) and prolonged (≥440 ms). According to the GRACE score they were classified in three ranges: low risk (≤109 points), intermedium (110 - 139 points) and high (≥140 points), we determined if there were a correlation between QTc interval and the GRACE score.Results: A total of 940 patients with a diagnosis of NSTEMI were admitted in our institution, 634 met the inclusion criteria, there were 390 patients with normal QTc interval and 244 with a prolonged QTc interval. Patients with prolonged QTc were older (65.5 vs 61, p=0.001) with a lower proportion of males (71.7% vs 82.8%, p=0.001). An association was found between the GRACE score and the QTC interval, subjects with a normal QTc had a greater proportion of low and intermediate risk than those with a prolonged QTc (p=0.001). Conclusions. In NSTEMI patients, a normal QTc interval (<440 ms) is associated with a GRACE risk score of low or intermediate risk.","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"3 3","pages":"132-138"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10241343/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9947710","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

[Vexillology on the electrocardiogram. South Africa´s flag sign]. 心电图的病理学。南非的国旗标志]。

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2022-07-01 DOI: 10.47487/apcyccv.v3i2.206

Ruth N Estupiñan-Paredes, Ana M Robayo-Betancourt, Nelson L Moreno-Ruiz

引用次数: 0

Rotura de aislante de electrodo de marcapasos por atrapamiento subclavio. Reporte de caso 锁骨下滞留导致起搏器电极绝缘体断裂。病例报告

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2022-06-30 DOI: 10.47487/apcyccv.v3i2.210

Miguel Alfonso Meza Aquino, Emilio Pablo Choy Quintanilla

引用次数: 0

[Cardiovascular complications in pregnant woman with Primary Mediastinal B-Cell Lymphoma]. [原发性纵隔B细胞淋巴瘤孕妇的心血管并发症]。

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2022-06-27 eCollection Date: 2022-04-01 DOI: 10.47487/apcyccv.v3i2.202

Melisa Inquilla Coyla, Henry Anchante Hernández, Félix Medina Palomino

引用次数: 0

[One-year survival among patients with ST-elevation myocardial infarction in Peru]. [秘鲁ST段抬高型心肌梗死患者的一年存活率]。

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2022-06-27 eCollection Date: 2022-04-01 DOI: 10.47487/apcyccv.v3i2.218

Manuel Chacón-Diaz, Akram Hernández-Vásquez, Piero Custodio-Sánchez

{"title":"[One-year survival among patients with ST-elevation myocardial infarction in Peru].","authors":"Manuel Chacón-Diaz, Akram Hernández-Vásquez, Piero Custodio-Sánchez","doi":"10.47487/apcyccv.v3i2.218","DOIUrl":"10.47487/apcyccv.v3i2.218","url":null,"abstract":"Objectives: To determine one-year survival and factors associated with mortality in patients with ST-segment elevation myocardial infarction in Peru.Methods: An analysis was made of the cohort of patients included in the PERSTEMI-II registry during the year 2020, in whom survival at one year after the event and its risk factors were evaluated using Kaplan-Meier survival analysis and Cox regression.Results: Of 374 patients in the PERSTEMI-II study, 366 (97.9%) completed follow-up up to one year after the event with a survival rate of 85%. Successful reperfusion was related to better survival at 1 year (hazard ratio [HR]=0.30, 95% CI: 0.14-0.62, p=0.001). Age (HR=1.04, 95% CI: 1.01-1.07, p=0.003), chronic kidney disease (HR=2.15, 95% CI: 1.04-4.39, p=0.037) and cardiogenic shock (HR=6.67, 95% CI: 3.72-11.97, p<0.001) were factors of higher mortality at 1-year follow-up.Conclusion: The PERSTEMI-II registry is the first Peruvian registry that provides data on survival after ST-segment elevation myocardial infarction, which is 85% at one year. Successful reperfusion improves survival at one-year post infarction.","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"3 2","pages":"53-59"},"PeriodicalIF":0.0,"publicationDate":"2022-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a5/de/apcyccv-3-53.PMC10284578.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9712334","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

[Cardiac amyloidosis: a case report]. [心脏淀粉样变性：病例报告]。

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2022-06-27 eCollection Date: 2022-04-01 DOI: 10.47487/apcyccv.v3i2.207

Adriana E Viñas-Mendieta, Mario B García-Saavedra

引用次数: 0

[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