Archivos de cardiologia de Mexico最新文献

{"title":"Definition of normal blood pressure at 11 to 14 weeks' gestation according to risk.","authors":"Yamile L Valenzuela-Muhech,&nbsp;Alfredo J Cervantes-Ricaud,&nbsp;Erika R Carrasco-Blancas,&nbsp;Marco A Cortes-Martínez,&nbsp;Héctor Oviedo-Cruz","doi":"10.24875/ACM.21000247","DOIUrl":"https://doi.org/10.24875/ACM.21000247","url":null,"abstract":"<p><strong>Objective: </strong>To define normal blood pressure at first trimester of pregnancy by performance for pre-eclampsia prediction.</p><p><strong>Method: </strong>A cohort study in singleton pregnancies, according to the competing risks model for pre-eclampsia. Blood pressure was measured according to a standardized method at 11 to 14 weeks' gestation.</p><p><strong>Results: </strong>Among 797 pregnancies included, there were 40 (5.0%, IC95 3.6; 6.4) deliveries with pre-eclampsia. The systolic, diastolic, and mean arterial blood pressures were respectively of 101(9), 68(8) and 79(8) mmHg in pregnant women who did not develop pre-eclampsia, against 109(10), 75(8) and 86(8) in those who did (p < 0.001, t-test). The areas under the curves were 0.707 (0.637; 0.777), 0.728 (0.661; 0.795), and 0.738 (0.673; 0.803). At a 3% of false positive rate, the cut-off points were 119, 83 and 94 mmHg with predictive values of negative of 95.6%.</p><p><strong>Conclusions: </strong>It is feasible to define the normal values for blood pressure in pregnancy on biostatistic and clinical basis.</p>","PeriodicalId":8360,"journal":{"name":"Archivos de cardiologia de Mexico","volume":"93 1","pages":"62-68"},"PeriodicalIF":0.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/99/86/7567AX221-ACM-93-62.PMC10161832.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9417273","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":"Rupture of sinus of Valsalva aneurysm to the right atrium resolved with interventionism.","authors":"Vanesa G Jiménez-Garcés,&nbsp;José A Priego-Carrillo,&nbsp;Sergio A Trevethan-Cravioto,&nbsp;José A Arias-Godínez,&nbsp;Juan P Sandoval-Jones,&nbsp;Mauricio López-Meneses,&nbsp;Leonor Bonilla-Quezada,&nbsp;Lucero Molina-Delgado","doi":"10.24875/ACM.220000191","DOIUrl":"https://doi.org/10.24875/ACM.220000191","url":null,"abstract":"<p><p>We present a case of a ruptured right sinus of Valsalva aneurysm to the right atrium that developed global heart failure over the course of three months, and which was completely resolved through cardiac catheterism, placing an occlusive device at the site of the fistula. Its ethology is discussed, as well as the guidelines for clinical diagnosis and treatment.</p>","PeriodicalId":8360,"journal":{"name":"Archivos de cardiologia de Mexico","volume":"93 3","pages":"355-359"},"PeriodicalIF":0.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1d/21/7567AX223-ACM-93-355.PMC10406473.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10050692","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":"Prevalence of diabetes, epidemiological characteristics and vascular complications.","authors":"María P Russo,&nbsp;María F Grande-Ratti,&nbsp;Mariana A Burgos,&nbsp;Anahí A Molaro,&nbsp;María B Bonella","doi":"10.24875/ACM.21000410","DOIUrl":"https://doi.org/10.24875/ACM.21000410","url":null,"abstract":"<p><strong>Objective: </strong>To estimate prevalence of diabetes in outpatient care and to describe its epidemiological characteristics, comorbidities, and related vascular complications.</p><p><strong>Methods: </strong>Observational cross-sectional study which included all adults affiliated from a private insurance health plan on March 2019, at Hospital Italiano de Buenos Aires, from Argentina.</p><p><strong>Results: </strong>The global prevalence of diabetes resulted in 8.5% with 95% CI 8.3-8.6 (12,832 out of a total of 150,725 affiliates). The age stratum with the highest prevalence was the group between 65 and 80 years old with 15.7% (95% CI 15.3-16.1). People with diabetes had a mean age of 70 years (SD 14), 52% were women, and the most frequently associated cardiovascular risk factors were: dyslipidaemia (88%), arterial hypertension (74%) and obesity (55%). In relation to metabolic control, 60% had at least one glycosylated hemoglobin measured in the last year, 70% of which were less than 7%. Almost 80% have LDL measured at least once in the last 2 years, 55% of them had an LDL value equal to or less than 100 mg/dl. The macrovascular complications present in order of frequency were: acute myocardial infarction (11%), cerebrovascular accident (8%) and peripheral vascular disease (4%); while the microvascular complications were found to be diabetic neuropathy (4%) and retinopathy (2%). 7% had diabetic foot, with less than 1% amputations.</p><p><strong>Conclusion: </strong>Diabetes represents a prevalent problem, even in elderly patients. This population continues to present a high cardiovascular risk, with little compliance with therapeutic goals.</p>","PeriodicalId":8360,"journal":{"name":"Archivos de cardiologia de Mexico","volume":"93 1","pages":"30-36"},"PeriodicalIF":0.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/2f/58/7567AX221-ACM-93-30.PMC10161833.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9766744","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":"The impact of 3D transesophageal echocardiographic transillumination in prosthetic mitral valve endocarditis.","authors":"Javier I Armenta-Moreno,&nbsp;Joaquín Berarducci,&nbsp;Nilda Espinola-Zavaleta","doi":"10.24875/ACM.21000337","DOIUrl":"https://doi.org/10.24875/ACM.21000337","url":null,"abstract":"","PeriodicalId":8360,"journal":{"name":"Archivos de cardiologia de Mexico","volume":"93 1","pages":"100-101"},"PeriodicalIF":0.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/91/b7/7567AX221-ACM-93-100.PMC10161835.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9766748","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":"Cardiac fibroma as a cause of ventricular arrhythmias in childhood.","authors":"Miguel A Medina-Andrade,&nbsp;Jaime López-Taylor,&nbsp;María S Hernández-Flores,&nbsp;David Ramírez-Cedillo,&nbsp;Ítalo Massini-Aguilera,&nbsp;Carlos Jiménez-Fernández,&nbsp;Rocío A Peña-Juárez","doi":"10.24875/ACM.22000155","DOIUrl":"https://doi.org/10.24875/ACM.22000155","url":null,"abstract":"","PeriodicalId":8360,"journal":{"name":"Archivos de cardiologia de Mexico","volume":"93 3","pages":"364-365"},"PeriodicalIF":0.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/5f/fb/7567AX223-ACM-93-364.PMC10406490.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9956209","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":"Outlook of coronary ectasia at the National Institute of Cardiology Ignacio Chávez: a cross-sectional study.","authors":"Gerardo Vieyra-Herrera,&nbsp;María G García-Navarrete,&nbsp;Cristian A Dámazo-Escobedo,&nbsp;Héctor González-Pacheco,&nbsp;Laura L Rodríguez-Chavez,&nbsp;Carlos Silva-Ruz","doi":"10.24875/ACM.21000380","DOIUrl":"https://doi.org/10.24875/ACM.21000380","url":null,"abstract":"<p><strong>Introduction: </strong>Coronary Ectasia (CE) is a pathological remodeling with a low worldwide prevalence. It is defined as a diffuse dilatation greater than 1.5 times the diameter of the adjacent segments of the same or different coronary arteries.</p><p><strong>Objective: </strong>To document the clinical and angiographic characteristics, and medical treatment at the discharge of patients diagnosed with coronary ectasia who attended the National Institute of Cardiology (INC).</p><p><strong>Methods: </strong>Cross-sectional study with a non-experimental descriptive design, with a non-probabilistic convenience sampling.</p><p><strong>Results: </strong>Of 69 patients who attended the INC with a diagnosis of CD, most were men, with a mean age of 56 + 11 years, the most common coronary risk factor in patients with CE was smoking 58% (40); it was associated mostly with an acute myocardial infarction ST-segment elevation (STEMI) 65.2% (45), of frequent location in the lower face 40% (18), correlated with the most affected artery is the Right Coronary Artery (CD) 69.6% (48), followed by the circumflex (Cx) 56.5% (39). A mean LVEF of 47 + 9.72 was evident within the ventricular function. As well as the preferential use of dual antiplatelet therapy with anticoagulant (DAP + OAC) in 58% (40) at the discharge of each patient from the INC.</p><p><strong>Conclusion: </strong>CE is a not uncommon pathological remodeling in INC. This study showed that STEMI is the most typical manifestation of CE, diagnostic coronary angiography identified a type 3 Markis, so a low rate of mortality and recurrence of cardiovascular events would be expected, and despite the lack of consensus on the ideal therapy, at the INC individualized treatment is preferred, recommending lifestyle changes, and using triple therapy (DAP + OAC) as a medical treatment only at the time of patient discharge.</p>","PeriodicalId":8360,"journal":{"name":"Archivos de cardiologia de Mexico","volume":"93 2","pages":"197-202"},"PeriodicalIF":0.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c8/b1/7567AX222-ACM-93-197.PMC10161814.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10259219","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":"Remote endovascular treatment of femoral pseudoaneurysms in hostile groins: technical note.","authors":"Kerbi A Guevara-Noriega,&nbsp;Ramsey Walter,&nbsp;Uvanys Guevara-Noriega","doi":"10.24875/ACM.21000328","DOIUrl":"https://doi.org/10.24875/ACM.21000328","url":null,"abstract":"Pseudoaneurysms (PSAs) are false aneurysms that typically arise due to the inappropriate closure of arterial wall perforations during endovascular procedures. Femoral pseudoaneurysm (F-PSA) has an incidence ranging from 0.2% to 7.0% for all procedures, with therapeutic coronary angiography contributing a vast number of these complications1-3. Risk factors correlated with post-interventional F-PSA have been classified into procedure-related or patient-related factors. Patient-related factors include scars in the groin and body mass index (BMI) > 28 kg/m2. The latter represents a particularly at-risk population for complications after open inguinal procedures, and therefore, the obese are not ideal patients for open repair of F-PSA. Furthermore, obesity presents a challenge for manual compression, which, when performed improperly, poses a significant risk factor for developing a pseudoaneurysm1. Obese patients and those with hostile groins (including previously operated, history of radiation, close infection, skin candidiasis, or prominent skin folds) represent a population in which all measures should be taken to reduce the possibility of F-PSA. However, suppose iatrogenic F-PSA arises despite such measures. In that case, these groups must be considered “non-ideal candidates” for open surgery, as they carry an increased risk for postoperative complications (blood transfusion and re-exploration, surgical wound infection, lymphatic fistula, distal arterial embolization, seroma, wound dehiscence, neuropraxia, and venous thrombosis)1. When an F-PSA is detected, a treatment plan must be established expediently. In the case of symptomatic F-PSA, progression, skin breakdown, hemodynamic instability, and pseudoaneurysm rupture are the primary concerns. As such, symptomatic F-PSAs classically have undergone surgical repair. However, the ultrasound-guided compression therapy (USGCT) represented an easy-to-perform and rapid alternative management strategy1. In the case of unsuccessful USGCT, the following widely accepted step is thrombin injection. Thrombin is injected into the new-formed sac under ultrasound guidance, producing rapid thrombosis of the PSA. However, in cases of either short neck of the PSA or failure after the first attempt of thrombin injection, a surgical procedure is indicated1. In selected patients at higher risk of developing complications, we propose a technique of Keeping the EndovasculaR Balloon in place during thrombin Injection (KERBI). This employs a left brachial approach for endovascular balloon placement and ultrasound-guided thrombin injection.","PeriodicalId":8360,"journal":{"name":"Archivos de cardiologia de Mexico","volume":"93 2","pages":"249-251"},"PeriodicalIF":0.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/01/76/7567AX222-ACM-93-249.PMC10161821.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10260785","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":"Echocardiographic analysis of pulmonary arterial systolic pressure in pulmonary hypertension.","authors":"Diana Romero-Zertuche,&nbsp;Luis E Santos-Martínez,&nbsp;Juan F Loaiza-Sanchez,&nbsp;Luis A Moreno-Ruiz,&nbsp;Alicia Contreras-Rodríguez","doi":"10.24875/ACM.22000124","DOIUrl":"https://doi.org/10.24875/ACM.22000124","url":null,"abstract":"<p><strong>Introduction: </strong>The reliability of pulmonary arterial systolic pressure by transthoracic echocardiography is limited by its variability to define pulmonary hypertension.</p><p><strong>Objective: </strong>To know the variability of pulmonary arterial systolic pressure estimated by echocardiography in pulmonary hypertension. Their demographic variables were obtained.</p><p><strong>Methods: </strong>From 2016-2020 subjects with pulmonary hypertension were recruited, with pulmonary artery systolic pressure estimated by transthoracic echocardiography and by right heart catheterization. Data were analyzed using the Bland-Altman descriptive statistic and the intraclass correlation coefficient (95% confidence interval).</p><p><strong>Results: </strong>152 subjects, age 60 ± 12 years, were studied. Body mass index 27.64 ± 4.69 kg/m². The pulmonary artery systolic pressure estimated by transthoracic echocardiography 58.99 ± 18.62 vs. cardiac catheterization 55.43 ± 16.79 mmHg. Mean difference (bias) -3.6 (29.1, -36.2) and intraclass correlation coefficient 0.717 (0.610, 0.794).</p><p><strong>Conclusions: </strong>Variability is wide, and agreement is substantial for pulmonary artery systolic pressure. It is recommended to estimate only as screening for pulmonary hypertension.</p>","PeriodicalId":8360,"journal":{"name":"Archivos de cardiologia de Mexico","volume":"93 3","pages":"267-275"},"PeriodicalIF":0.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a3/44/7567AX223-ACM-93-267.PMC10406477.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10050690","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":"Use of extra-anatomical bypass for the management of complications with ECPELLA.","authors":"Claudia M Aguirre-Ramón,&nbsp;Carlos Domínguez-Massa,&nbsp;Manuel Pérez-Guillén,&nbsp;Audelio A Guevara-Bonilla,&nbsp;Paulina M Briz-Echeverría,&nbsp;José A Rincón-Almanza,&nbsp;Juan B Martínez-León","doi":"10.24875/ACM.210003631","DOIUrl":"https://doi.org/10.24875/ACM.210003631","url":null,"abstract":"","PeriodicalId":8360,"journal":{"name":"Archivos de cardiologia de Mexico","volume":"93 1","pages":"112-114"},"PeriodicalIF":0.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a0/19/7567AX221-ACM-93-112.PMC10161843.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9469923","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":"Validation of qrs-polarity algorithm with special emphasis in parahisian pathways.","authors":"Jorge Gómez-Flores,&nbsp;Ángel Cueva-Parra,&nbsp;Antonio Gallegos-Cortéz,&nbsp;Santiago Nava,&nbsp;Manlio F Márquez,&nbsp;Pedro Iturralde-Torres","doi":"10.24875/ACM.22000090","DOIUrl":"https://doi.org/10.24875/ACM.22000090","url":null,"abstract":"<p><strong>Background: </strong>In 1996 Iturralde et al. published an algorithm based on the QRS polarity to determine the location of the accessory pathways (AP), this algorithm was developed before the massive practice of invasive electrophysiology.</p><p><strong>Purpose: </strong>To validate the QRS-Polarity algorithm in a modern cohort of subjects submitted to radiofrequency catheter ablation (RFCA). Our objective was to determinate its global accuracy and its accuracy for parahisian AP.</p><p><strong>Methods: </strong>We conducted a retrospective analysis of patients with Wolff-Parkinson-White (WPW) syndrome who underwent an electrophysiological study (EPS) and RFCA. We employed the QRS-Polarity algorithm to predict the AP anatomical location and we compared this result with the real anatomic location determined in the EPS. To determine accuracy, the Cohen's kappa coefficient (k) and the Pearson correlation coefficient were used.</p><p><strong>Results: </strong>A total of 364 patients were included (mean age 30 years, 57% male). The global k score was 0.78 and the Pearson's coefficient was 0.90. The accuracy for each zone was also evaluated, the best correlation was for the left lateral AP (k of 0.97). There were 26 patients with a parahisian AP, who showed a great variability in the ECG features. Employing the QRS-Polarity algorithm, 34.6% patients had a correct anatomical location, 42.3% had an adjacent location and only 23% an incorrect location.</p><p><strong>Conclusion: </strong>The QRS-Polarity algorithm has a good global accuracy; its precision is high, especially for left lateral AP. This algorithm is also useful for the parahisian AP.</p>","PeriodicalId":8360,"journal":{"name":"Archivos de cardiologia de Mexico","volume":"93 2","pages":"164-171"},"PeriodicalIF":0.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b8/77/7567AX222-ACM-93-164.PMC10161820.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9766777","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}