Archivos de cardiologia de Mexico最新文献

{"title":"[Multiple mobile thrombi in non-aneurysmal thoracoabdominal aorta: an unusual case report of ischemic stroke].","authors":"Fernando Garagoli, Rodrigo Bagnati, Ignacio Bluro, Mariano Falconi, Alberto Giménez-Conca, Rodolfo Pizarro","doi":"10.24875/ACM.22000130","DOIUrl":"10.24875/ACM.22000130","url":null,"abstract":"","PeriodicalId":8360,"journal":{"name":"Archivos de cardiologia de Mexico","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9922951","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}

{"title":"[Is the NSTEACS pretreatment recommended by the guidelines what reflects the real world?]","authors":"Julio Bono, Juan P Ricarte-Bratti, Raúl Barcudi","doi":"10.24875/ACM.22000198","DOIUrl":"10.24875/ACM.22000198","url":null,"abstract":"<p><p>The appropriate time for the administration of P2Y12 inhibitors in patients with non-ST elevation acute coronary syndrome has been the subject of debate for two decades. The current recommendations of the European guidelines suggest administering acetylsalicylic acid and waiting for the coronary angiography and once the anatomy is known, adding a P2Y12 inhibitor only in those cases in which an early interventional strategy is scheduled. However, in the real world, the strategy to perform pretreatment or not is more complex. There is uncertainty regarding whether the patient can access a coronary angiography within 24 hours. In this scenario, pretreatment upon admission of intermediate or high-risk patients could be an option if it is not studied with catheterization within 2 to 4 hours of admission, previously analyzing the patient's ischemic and bleeding risk. Large-scale studies comparing these two options are still lacking.</p>","PeriodicalId":8360,"journal":{"name":"Archivos de cardiologia de Mexico","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9914162","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}

{"title":"[Congenital heart disease in Down's syndrome].","authors":"Rebeca Arias-Lobo,&nbsp;Edgar Lupinta-Paredes,&nbsp;Juan Calderón-Colmenero,&nbsp;Jorge L Cervantes-Salazar,&nbsp;José A García-Montes,&nbsp;Emilia J Patiño-Bahena,&nbsp;Antonio Benita-Bordes","doi":"10.24875/ACM.22000053","DOIUrl":"https://doi.org/10.24875/ACM.22000053","url":null,"abstract":"<p><strong>Background: </strong>Down syndrome is the most common chromosomal abnormality, it is associated with a wide variety of congenital heart defects, being considered as clinical elements of high infant morbidity and mortality. Objective.</p><p><strong>Objective: </strong>To describe the clinical outcomes of patients with Down syndrome undergoing surgery and interventionism as treatment for congenital heart disease at this Institution.</p><p><strong>Material and methods: </strong>368 patients with Down syndrome and associated congenital heart disease were diagnosed. The variables studied were weight, stature, sex, age, type of heart disease, corrective procedure, length of stay in the hospital and intensive care unit, morbidity and mortality.</p><p><strong>Results: </strong>368 pediatric patients underwent surgical or interventional correction. Of which 197 (54%) were female, the median age was 24 months (interquartile range [IQR]: 14-48) in the surgical group and 36 months (IQR: 17-85) in the interventional group. The most frequent congenital heart diseases were: PCA (31%), IVC (28%), CAV (20%), ASD (16%) and tetralogy of Fallot with 4% respectively. Hospital stay was 9 days (IQR: 7-15) in the surgical group and 3 days (IQR: 2-5) in the hemodynamic group. Morbidities were postoperative infection in 30 patients (14%) and complete atrioventricular block in 19 patients (9%). Overall mortality including both surgical and interventional was 2%.</p><p><strong>Conclusions: </strong>The therapeutic, surgical and interventional results in children with Down syndrome and congenital heart disease have improved very satisfactorily. The lower prevalence of the atrioventricular canal in the Mexican population is noteworthy. It is essential to carry out a cardiological evaluation of children with Down syndrome and those with congenital heart disease to correct them in a timely manner to promote survival and quality of life.</p>","PeriodicalId":8360,"journal":{"name":"Archivos de cardiologia de Mexico","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8f/70/7567AX223-ACM-93-294.PMC10406475.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10366461","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}

{"title":"Changing the paradigm: From cardiac rehabilitation to vascular rehabilitation.","authors":"Carlos Escobar,&nbsp;Raquel Campuzano,&nbsp;M Rosa Fernández,&nbsp;Vicente Arrarte,&nbsp;Almudena Castro","doi":"10.24875/ACM.22000194","DOIUrl":"https://doi.org/10.24875/ACM.22000194","url":null,"abstract":"*Correspondence: Carlos Escobar E-mail: escobar_cervantes_carlos@hotmail.com Available online: 28-02-2023 Arch Cardiol Mex. 2022;93(3):387-388 www.archivoscardiologia.com Date of reception: 22-07-2022 Date of acceptance: 29-11-2022 DOI: 10.24875/ACM.22000194 Cardiac rehabilitation, consisting of prescribed exercise and counseling for risk modification, has demonstrated not only to improve risk factors control, but also to reduce recurrent cardiovascular outcomes in patients with previous myocardial infarction. Nevertheless, most patients including in these programs have been limited to patients with prior acute cardiac conditions (i.e., acute coronary syndrome and heart failure)1. However, it should be noted that atherosclerotic vascular disease is not limited to heart disease, but to all vascular beds, including cerebrovascular and peripheral artery disease. Stroke is a chronic and in many cases disabling condition with a high risk of recurrence (> 10% within the index event). In addition, these patients have a great risk of developing new events in other vascular beds2. Conventionally, the management of these patients has been mainly focused on the acute event and the follow-up on neurological rehabilitation to reduce the stroke-related disability. However, vascular risk factor control after stroke is clearly suboptimal in this population. In fact, more than a half of patients do not attain recommended targets, particularly blood pressure and low-density lipoprotein cholesterol. This is not related with a poor adherence to secondary preventive medication after ischemic stroke, but with an insufficient intensification of vascular protective medications3. Similarly, patients with peripheral artery disease are at high risk of major atherothrombotic vascular events, including myocardial infarction, ischemic stroke, and vascular-related death, even after revascularization. Thus, it has been reported that one-in-six patients with peripheral artery disease aged ≥ 50 years who underwent peripheral revascularization had a major atherothrombotic vascular event within 1 year4. Remarkably, vascular risk factors control remains far from optimal in this population5. Therefore, all these findings clearly indicate the need for developing new strategies to prevent major vascular events in patients with peripheral artery disease. In summary, patients with cerebrovascular and peripheral artery disease are at high risk of recurrent events in the same or other vascular beds. This is mainly related with a poor secondary prevention approach. Considering the benefits that has been observed in patients with a previous myocardial infarction after undergoing cardiac rehabilitation programs, it would be desirable that these programs could be extended to patients with previous acute vascular conditions, regardless origin, and not limited to patients","PeriodicalId":8360,"journal":{"name":"Archivos de cardiologia de Mexico","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/9f/8b/7567AX223-ACM-93-387.PMC10406470.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10366507","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}

{"title":"[Aortic valve reconstruction surgery with Ozaki technique: initials results from a single center].","authors":"Josías C Ríos-Ortega, Necemio Aranda-Pretell, Luisa Talledo-Paredes, Manuel Dávila-Durand, Andrés Reyes-Torres, Yemmy Pérez-Valverde, Julio Morón-Castro","doi":"10.24875/ACM.22000169","DOIUrl":"10.24875/ACM.22000169","url":null,"abstract":"<p><strong>Background: </strong>Aortic valve (AV) replacement is the gold standard treatment for severe symptomatic AV disease. Recently, AV reconstruction surgery (Ozaki procedure) emerges as a surgical alternative with good results in the medium term.</p><p><strong>Methods: </strong>We retrospectively analyzed 37 patients who underwent AV reconstruction surgery between January 2018 and June 2020 in a national reference center in Lima, Peru. The median age was 62 years, interquartile range (IQR: 42-68). The main indication for surgery was AV stenosis (62.2%), in most cases due to bicuspid valve (19 patients, 51.4%). Twenty-two (59.4%) patients had another pathology with surgical indication associated to AV disease, 8 (21.6%) had dilatation of the ascending aorta with indication for replacement.</p><p><strong>Results: </strong>One in-hospital death occurred (1/38, 2.7%) due to perioperative myocardial infarction. There was a significant reduction in the medians of the peak (70 mmHg, CI 95% = 50.03-79.86 vs. 14 mmHg, CI 95% = 11.93-17.5, p < 0.0001) and mean (45.5 mmHg CI 95% = 30.6-49.68 vs. 7 mmHg, CI 95% = 5.93-9.6, p < 0.0001) AV gradients when we compared baseline characteristics with first 30-days results. In an average of 19 (± 8.9) months of follow-up, survival, reoperation-free survival for valve dysfunction, and survival free of AV insufficiency ≥ II were 97.3%, 100% and 91.9%, respectively. Significant reduction in the medians of the peak and mean AV gradients was maintained.</p><p><strong>Conclusions: </strong>AV reconstruction surgery showed optimal results in term of mortality, reoperation-free survival, and hemodynamic characteristics of the neo-AV.</p>","PeriodicalId":8360,"journal":{"name":"Archivos de cardiologia de Mexico","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2023-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ce/f1/7567AX223-ACM-93-308.PMC10406489.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10346779","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}

{"title":"[Nafis and Servet: Pulmonary circulation fathers].","authors":"Jos L Sandoval-Guti Rrez","doi":"10.24875/ACM.22000015","DOIUrl":"https://doi.org/10.24875/ACM.22000015","url":null,"abstract":"","PeriodicalId":8360,"journal":{"name":"Archivos de cardiologia de Mexico","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/88/c3/7567AX223-ACM-93-380.PMC10406472.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9993841","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}

{"title":"Comorbidities and cardiac symptoms can modify myocardial function regardless of ischemia: a cross-sectional study with PET/CT.","authors":"Erick Alexanderson-Rosas,&nbsp;Neftali Eduardo Antonio-Villa,&nbsp;Enrique C Guerra,&nbsp;Hector Gurrola-Luna,&nbsp;Andrea Johana Barajas-Paulin,&nbsp;Adrian Espejel-Guzman,&nbsp;Valentina Prieto-Vargas,&nbsp;Alexis D Aparicio-Ortiz,&nbsp;Javier Serrano-Roman,&nbsp;Aldo Cabello-Ganem,&nbsp;Alejandro Bautista-Perez-Gavilan,&nbsp;Isabel Carvajal-Juarez,&nbsp;Enrique Solorzano-Pinot,&nbsp;Nilda Espinola-Zavaleta","doi":"10.24875/ACM.22000088","DOIUrl":"10.24875/ACM.22000088","url":null,"abstract":"<p><strong>Objective: </strong>Associating comorbidities and cardiac symptoms that alter myocardial mechanical function could help clinicians to correctly identify at-risk population.</p><p><strong>Methods: </strong>We conducted a functional open population cross-sectional study of patients referred to a positron emission computed tomography/computed tomography unit in Mexico City for evaluation of myocardial function, perfusion, and coronary circulation. Ischemia was defined as a sum difference score (SDS) > 2. Association between comorbidities and cardiac symptoms was tested using logistic regression models and trend analysis. We performed an interaction analysis to evaluate the addition of any accompanying symptoms to comorbid conditions on impairment of myocardial function.</p><p><strong>Results: </strong>One thousand two hundred and seventy-three patients were enrolled, 66.1% male, with a mean age of 62.4 (± 12.7) years, 360 (28.7%) with ischemia, 925 (72.7%) with at least one comorbidity, and 676 (53.1%) had at least one associated cardiac symptom. Patients without ischemia, type 2 diabetes, arterial hypertension, and adverse cardiac symptoms were associated with adverse function, perfusion, and coronary flow parameters. We observed a trend of a cumulative number of comorbidities and cardiac symptoms with increased ischemia and decreased coronary flow. Only in decreased LVEF, we demonstrated an interaction effect between increased comorbidities and adverse symptoms.</p><p><strong>Conclusions: </strong>The high burden of comorbidities and symptoms in our population alter myocardial function regardless of the level of ischemia.</p>","PeriodicalId":8360,"journal":{"name":"Archivos de cardiologia de Mexico","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/56/a9/7567AX223-ACM-93-336.PMC10406484.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9978863","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}

{"title":"[Persistent fever after hospital intervention: nosocomial endocarditis in mitral bioprostheses].","authors":"Bárbara Segura-Méndez,&nbsp;Miriam Blanco,&nbsp;Yolanda Carrascal","doi":"10.24875/ACM.22000006","DOIUrl":"https://doi.org/10.24875/ACM.22000006","url":null,"abstract":"","PeriodicalId":8360,"journal":{"name":"Archivos de cardiologia de Mexico","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/34/77/7567AX223-ACM-93-360.PMC10406471.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9993071","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}

{"title":"[Six minute walk test: From normal to morbid obesity subject].","authors":"Luis-Efrén Santos-Martínez, Noé Osegueda-Palomera, Caleb Montoya-Landa, Raúl Reséndiz-Herrera, Adriana Ordóñez-Reyna, Juan-José Arroyo-González, Javier Quevedo-Paredes, Luis-Antonio Moreno-Ruiz","doi":"10.24875/ACM.22000079","DOIUrl":"10.24875/ACM.22000079","url":null,"abstract":"<p><strong>Introduction: </strong>Morbid obesity is associated with alterations in the ability to walk, however, the behavior of the 6-minute walk test in subjects with increases in body mass index is unknown.</p><p><strong>Objective: </strong>To describe the behavior of the 6-minute walk test in subjects with normal body mass index to morbid obesity.</p><p><strong>Methods: </strong>Through an analytical cross-sectional design, subjects of both genders from 18 to 60 years old with body mass index were studied: Normal (BMI:18.5-24.9); overweight (BMI:25-29.9); obesity (BMI:30-39.9); morbid obesity (BMI:>40) kg/m². A 6-minute walk test was performed, demographic variables and pathological personal history were delimited. BMI categories were analyzed with one-way ANOVA and Bonferroni adjustment, and gender with t-test, both for independent groups, and Pearson's correlations for the various variables.</p><p><strong>Results: </strong>480 subjects of both genders were studied in four groups. Age: men 43 ± 11 and women 45 ± 10 years old. Percentage diabetes <i>mellitus</i> (6.7%), arterial hypertension (18.3%). Meters walked men vs. women by body mass index (normal: 483 ± 56 vs. 449 ± 61; overweight: 471 ± 55 vs. 441 ± 44; obesity: 455 ± 70 vs. 421 ± 47; morbid obesity: 443 ± 49 vs. 403 ± 54, p < 0.05). Correlation body mass index-meters walked: r: -0.446 (p < 0.0001).</p><p><strong>Conclusions: </strong>Meters walked in the 6-minute walk test decreased as body mass index increased. The male gender walked more meters in all categories.</p>","PeriodicalId":8360,"journal":{"name":"Archivos de cardiologia de Mexico","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2023-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/fd/34/7567AX223-ACM-93-284.PMC10406474.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9993620","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}

{"title":"[Better late than never: assessment of arrhythmogenic cardiomyopathy in an elderly patient].","authors":"Ignacio Barriuso,&nbsp;Jara Gayán-Ordas,&nbsp;Pablo Pastor-Pueyo","doi":"10.24875/ACM.22000070","DOIUrl":"https://doi.org/10.24875/ACM.22000070","url":null,"abstract":"*Correspondence: Ignacio Barriuso E-mail: barriusobarrado@gmail.com Available online: 23-01-2023 Arch Cardiol Mex. 2023;93(3):366-368 www.archivoscardiologia.com Date of reception: 23-02-2022 Date of acceptance: 26-07-2022 DOI: 10.24875/ACM.22000070 A 74-year-old woman without previous medical history except for the left bundle branch block was admitted for evaluation of recurrent syncopes. During admission, she experienced a sustained self-limited monomorphic ventricular tachycardia together with new syncope. Initial echocardiography displayed moderate biventricular systolic dysfunction. Cardiac magnetic resonance imaging (CMRI) confirmed these findings (Fig. 1) and revealed patchy subepicardial areas of late gadolinium enhancement within the left ventricular inferolateral and apical segments (red arrow) and an aneurysm was found in the right ventricular apex, containing a rounded thrombus (blue arrow) which persisted 10 days after intravenous anticoagulation therapy. Due to the clinical suspicion of biventricular arrhythmogenic cardiomyopathy with sustained ventricular arrhythmias, cardioverter-defibrillator (ICD) implantation was decided. Subcutaneous approach, initially preferred due to persistent thrombus, was finally dismissed due to predicted high risk of inappropriate therapies in the screening test. Finally, a transvenous ICD was implanted with defibrillation electrode located in the posterior interventricular vein and left bundle branch pacing (Fig. 2) with a significant reduction of paced QRS duration (Fig. 3) and partial recovery of biventricular function during the follow-up. Subsequently, a genetic study was performed confirming a pathogenic variant in the DSG2 gene, which not only explained the phenotype but also allowed familiar cascade screening (Fig. 4).","PeriodicalId":8360,"journal":{"name":"Archivos de cardiologia de Mexico","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/92/68/7567AX223-ACM-93-366.PMC10406476.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9993619","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}