Archivos Peruanos de cardiologia y cirugia cardiovascular最新文献_第9页

Isquemia recurrente posterior a infarto agudo de miocardio en el adulto mayor. Insólita presentación inicial de arteritis de Takayasu 老年人急性心肌梗塞后复发性缺血。高松动脉炎的首次罕见表现

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2022-03-22 DOI: 10.47487/apcyccv.v3i1.190

Luis Murillo Pérez, Zoila Rodríguez Urteaga

引用次数: 0

[Mechanical complications after myocardial infarction in a National Reference Hospital]. [某国家参考医院心肌梗死后机械并发症]。

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2022-01-01 DOI: 10.47487/apcyccv.v3i1.200

Daniel Espinoza Alva, Milagros Yanina Mallma Gómez, Juan Manuel Muñoz Moreno

{"title":"[Mechanical complications after myocardial infarction in a National Reference Hospital].","authors":"Daniel Espinoza Alva, Milagros Yanina Mallma Gómez, Juan Manuel Muñoz Moreno","doi":"10.47487/apcyccv.v3i1.200","DOIUrl":"https://doi.org/10.47487/apcyccv.v3i1.200","url":null,"abstract":"Objective: To determine the clinical characteristics, therapeutic and in-hospital mortality of patients with mechanical complications post myocardial infarction.Materials and methods: Observational, descriptive and retrospective study. We included patients >18 years old with a diagnosis of mechanical complication post myocardial infarction hospitalized at the Instituto Nacional Cardiovascular- INCOR in Lima -Peru, from January 1, 2017 to December 31, 2021. Variables like clinical characteristics, treatments, complications, and in-hospital mortality were studied.Results: We found 37 cases, with a predominance of males (73.0%) and a median age of 73 years old. The location of the myocardial infarction was 51.4% in the anterior wall and 43.2% in the inferior wall. The patients received reperfusion therapy with fibrinolysis in 5 cases (13.5%), coronary angioplasty in 5 (13.5%), and 73% received only medical management prior to the diagnosis of mechanical complications. Of the 37 patients, 13 (35.1%) presented isolated ventricular free wall rupture, 12 (32.4%) isolated interventricular septum rupture, 10 (27.0%) the combination of ventricular free wall rupture and interventricular septum, and 2 (5.4%) papillary muscle rupture. In-hospital mortality was 51.4%.Conclusions: The ventricular free wall rupture was the most frequent complication, patients with mechanical complications after myocardial infarction still maintain high intra-hospital mortality rates, mainly in those who did not have adequate surgical treatment.","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"3 1","pages":"25-32"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/eb/b1/apcyccv-3-25.PMC10318997.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9804973","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

[Compliance with the cardiology residency training program during the COVID-19 pandemic, Lima-Peru]. [在利马-秘鲁COVID-19大流行期间遵守心脏病学住院医师培训计划]。

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2022-01-01 DOI: 10.47487/apcyccv.v3i1.196

Adriel Olortegui Yzu, Rosalía Fernández Coronado, Luis Murillo Pérez, Patty Fernández Rodríguez

{"title":"[Compliance with the cardiology residency training program during the COVID-19 pandemic, Lima-Peru].","authors":"Adriel Olortegui Yzu, Rosalía Fernández Coronado, Luis Murillo Pérez, Patty Fernández Rodríguez","doi":"10.47487/apcyccv.v3i1.196","DOIUrl":"https://doi.org/10.47487/apcyccv.v3i1.196","url":null,"abstract":"Objective: To characterize compliance with the annual curricular program of second and third-year cardiology residents in hospital of Lima-Peru during the COVID-19 pandemic.Materials and methods: A cross-sectional study was conducted, through a questionnaire applied to seventy-eight cardiology residents from the second and third year of specialty. We evaluated the compliance with rotations in clinical fields, individual compliance with the annual program, and the achievement of minimum training standards.Results: Compliance with rotations in clinical fields was highly variable (from 7.9% in Cardiac Rehabilitation for the second year to 90.9% for imaging in cardiology). Regarding individual compliance, 98.7% did not manage to comply with the annual program. Finally, only the standard of evaluation by radionuclides of myocardial function and perfusion was achieved by all residents, concerning the scope of the other achievements, variations are reported from 4.4% for performing stress tests to 75.8% in the to participate in interventional cardiology procedures. Associations were found between compliance with rotations with the type of health organization and type of university.Conclusions: The COVID-19 pandemic has considerably affected the training of cardiology residents, mainly due to non-compliance with the annual curriculum.","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"3 1","pages":"16-24"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/93/09/apcyccv-3-16.PMC10318988.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9859363","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

[Radiofrequency catheter ablation in pediatric population: clinical, electrophysiological and therapeutic characteristics in a Peruvian pediatric hospital]. [儿科人群的射频导管消融：秘鲁一家儿科医院的临床、电生理和治疗特点]。

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2021-12-31 eCollection Date: 2021-10-01 DOI: 10.47487/apcyccv.v2i4.167

Luis Alfredo Melgar Quicaño, Fredy Chipa Ccasani

{"title":"[Radiofrequency catheter ablation in pediatric population: clinical, electrophysiological and therapeutic characteristics in a Peruvian pediatric hospital].","authors":"Luis Alfredo Melgar Quicaño, Fredy Chipa Ccasani","doi":"10.47487/apcyccv.v2i4.167","DOIUrl":"https://doi.org/10.47487/apcyccv.v2i4.167","url":null,"abstract":"Objective: This study aims to describe the clinical, electrophysiological and therapeutic characteristics of pediatric patients with supraventricular tachycardia undergoing radiofrequency ablation.Materials and methods: Observational, descriptive, retrospective study of children admitted for supraventricular tachycardia treatment at the Instituto Nacional de Salud del Niño during 2018 to 2021.Results: Data from 62 procedures were collected, corresponding to 59 patients (mean age: 9.91 years, 61% male), 23% of procedures were performed in patients under 15kg, and two were in patients under 5kg. 63% of patients had a structurally normal heart, while 37% had some type of congenital heart disease, the most common being Ebstein's anomaly. The most widely used group of drugs were beta-blockers, mainly propranolol. Among the arrhythmias treated, 21.7% had preexcitation Syndrome, 33.3% had at least one hidden accessory pathway, 5% corresponded to permanent reciprocating junctional tachycardia, 5% intranodal tachycardia, 11.7% atrial tachycardia, 10 % atrial flutter, 5% had other types of tachycardia and in 5 cases no tachycardia was induced. Of the total procedures, 76% corresponded to electrophysiological study and ablation, four patients recurred.Conclusions: The most common supraventricular tachycardia substrate in children was the presence of some accessory pathway. Radiofrequency catheter ablation could be applied in children with a high success rate and a low complication rate.","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"2 4","pages":"219-226"},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/39/5e/apcyccv-2-219.PMC10506544.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41160925","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

[Severe aortic stenosis and familial hypercholesterolemia]. [严重主动脉狭窄和家族性高胆固醇血症]。

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2021-12-31 eCollection Date: 2021-10-01 DOI: 10.47487/apcyccv.v2i4.166

Milagros Mallma Gomez, Josafat Condori Ccallo, David Miranda Noé

引用次数: 0

[Comparative analysis of myocardial deformation in patients recovered from mild SARS-CoV-2 infection]. [轻度严重急性呼吸系统综合征冠状病毒2型感染康复患者心肌变形的比较分析]。

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2021-12-31 eCollection Date: 2021-10-01 DOI: 10.47487/apcyccv.v2i4.175

Roberto Baltodano-Arellano, Kelly Cupe-Chacalcaje, Paol Rojas, Giovanni Meneses, Dante Urdanivia-Ruiz, Eliana Rafael-Horna, Luis Falcón-Quispe, Ángela Cachicatari-Beltrán, Karla Sue América Hurtado-Belizario, Gerald Lévano-Pachas

{"title":"[Comparative analysis of myocardial deformation in patients recovered from mild SARS-CoV-2 infection].","authors":"Roberto Baltodano-Arellano, Kelly Cupe-Chacalcaje, Paol Rojas, Giovanni Meneses, Dante Urdanivia-Ruiz, Eliana Rafael-Horna, Luis Falcón-Quispe, Ángela Cachicatari-Beltrán, Karla Sue América Hurtado-Belizario, Gerald Lévano-Pachas","doi":"10.47487/apcyccv.v2i4.175","DOIUrl":"https://doi.org/10.47487/apcyccv.v2i4.175","url":null,"abstract":"Objectives: During acute infection by the SARS-CoV-2 virus, myocardial involvement has been demonstrated; it is unknown if cardiovascular sequelae in patients recovered from this infection and if these are associated with global morbidity and mortality. The objective of this study was to compare myocardial deformation in patients recovered from mild SARS-CoV-2 virus infection with healthy controls.Materials and methods: This was a cross-sectional observational study that included 33 subjects recovered from mild SARS-CoV-2 infection, who were diagnosed in the previous three to six months, and 31 healthy volunteers, both groups free of cardiovascular risk factors. The study of myocardial deformation was performed using echocardiography with the speckle tracking modality. Clinical and anthropometric variables were compared.Results: The 2D global longitudinal strain of the left ventricle was lower in the subjects recovered from mild SARS-CoV-2 infection than the controls (-20.2% ± 2.6 v -21.6% ± 2.4; p: 0.036). Both groups presented differences in the three ventricular levels, significant at the apical level (-21.2 ± 4.0 vs -23.4% ± 4.2; p: 0.044). The effect by levels shows an inverse Takotsubo pattern. The left ventricular ejection fraction was preserved in both groups (p: 0.153).Conclusions: Left ventricular myocardial deformation is affected in subjects recovered from mild SARS-CoV-2 infection, while the ejection fraction was found in normal ranges. Our study shows a potential role of global longitudinal strain in the detection of subclinical myocardial alterations in patients who had SARS-CoV-2.","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"2 4","pages":"227-232"},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/88/80/apcyccv-2-227.PMC10506539.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41159081","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

Ankle-brachial index: more than a diagnostic test? 踝臂指数：不仅仅是一种诊断测试？

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2021-12-31 eCollection Date: 2021-10-01 DOI: 10.47487/apcyccv.v2i4.168

Ludwig Cáceres-Farfán, Milagros Moreno-Loaiza, W Samir Cubas

引用次数: 0

[Hypertrophic septal cardiomyopathy, the great simulator]. [肥厚性间隔心肌病，伟大的模拟器]。

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2021-12-31 eCollection Date: 2021-10-01 DOI: 10.47487/apcyccv.v2i4.171

Santiago Forero, Nelson Leandro Moreno

引用次数: 0

[Hypertonic saline solution and high dose of diuretic, ¿what do we know and how can we use them in persistent congestion?] [高渗盐水溶液和高剂量利尿剂，我们知道什么？我们如何在持续充血中使用它们？]

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2021-12-31 eCollection Date: 2021-10-01 DOI: 10.47487/apcyccv.v2i4.159

Juan D Orozco Burbano, Clara I Saldarriaga Giraldo, Diego A Echeverri Marín

引用次数: 0

[Ventricular diverticulum in Cantrell´s pentalogy: rare but not isolated entities]. [坎特雷尔五脏病学中的心室憩室：罕见但非孤立的实体]。

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2021-12-31 eCollection Date: 2021-10-01 DOI: 10.47487/apcyccv.v2i4.162

María Concepción Rocha-Arrieta, Antonio Arias-Díaz, Enrique Felipe Soto Zárate, Gabriel Elias Vergara Vergara, Guillermo José Aristizábal Villa, Gustavo Adolfo Brochet Bayona

引用次数: 0