Regina Aguilar-López, Gustavo Rojas-Velasco, Renata Toledo-Elías
{"title":"Comment on the firsts insights of the arterial hypertension study in México (RIHTA): are we doing things right?","authors":"Regina Aguilar-López, Gustavo Rojas-Velasco, Renata Toledo-Elías","doi":"10.24875/ACM.24000100","DOIUrl":"10.24875/ACM.24000100","url":null,"abstract":"","PeriodicalId":93885,"journal":{"name":"Archivos de cardiologia de Mexico","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140869081","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":"[Right ventricle-dependent coronary circulation in pulmonary atresia with intact ventricular <i>septum</i>. About three patients without coronary ostium atresia. Is a transient percutaneous decompression maneuver necessary?]","authors":"José L Colín-Ortiz, Cecilia E López-Andrade","doi":"10.24875/ACM.24000057","DOIUrl":"https://doi.org/10.24875/ACM.24000057","url":null,"abstract":"<p><strong>Objective: </strong>Pulmonary atresia with intact ventricular septum (PA-IVS) is a rare congenital heart disease characterized by a wide morphological spectrum that can be associated with abnormalities in the coronary circulation such as sinusoids, fistulas, stenosis or atresia. Some patients do not present ventriculo-coronary fistulas or intramyocardial sinusoids, other patients do present ventriculo-coronary connections, but only some of the latter will have right ventricle-dependent coronary circulation (RVDCC); timely establishment of the diagnosis of RVDCC is essential, since the prognosis of these patients is generally fatal. There are reports of patients with this type of coronary circulation (RVDCC) who were undergone to univentricular physiology, but this treatment option remains controversial, so the purpose of this manuscript is to share three cases with PA-IVS and RVDCC, their outcome and the reflections they provide us.</p><p><strong>Method: </strong>We conducted a cross-sectional, descriptive, observational study of patients with PA-IVS and RVDCC without atresia of the coronary ostium during the study period.</p><p><strong>Results: </strong>Three patients were identified, the clinical and angiographic characteristics and their evolution are described, and a new technique or maneuver for transient percutaneous decompress of the right ventricle is described theoretically for those cases where there is doubt about RVDCC during the angiographic study.</p><p><strong>Conclusions: </strong>An accurate diagnosis regarding the existence of RVDCC is vital. In some cases, the interpretation of angiography for the diagnosis of RVDCC can be difficult to pinpoint and in many cases, it can be operator dependent, however we consider that is necessary to have a technique or maneuver that can objectively and without doubts determine RVDCC in those cases where angiography is not totally conclusive and thus be able to offer the best therapeutic option.</p>","PeriodicalId":93885,"journal":{"name":"Archivos de cardiologia de Mexico","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689601","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}
Elsa de la Chesnaye, Cristina Revilla-Monsalve, Gerardo Rodríguez-Diez
{"title":"The association between adipokines dysregulation and the occurrence of atrial fibrillation and obese patients, is it relevant?","authors":"Elsa de la Chesnaye, Cristina Revilla-Monsalve, Gerardo Rodríguez-Diez","doi":"10.24875/ACM.24000035","DOIUrl":"https://doi.org/10.24875/ACM.24000035","url":null,"abstract":"<p><p>Atrial fibrillation (AF) is the most common arrhythmia, affecting approximately 33.5 millions of people worldwide. Unfortunately, the prevalence of this arrhythmia will increase within the following two decades, resulting in a higher mortality rate and a higher economic burden for public health services. Obesity, specifically central obesity, plays an essential role in developing AF by increasing pericardial fat and epicardial adipose tissue thickness, generating a chronic inflammation state where dysregulation of the serum concentration of several proinflammatory proteins occurs and indirectly promotes AF. Therefore, recent research has focused on analyzing the circulating concentration of different molecules, including pro and anti-inflammatory adipokines, and their association with AF. Herein, we review several studies addressing the association of adipokines with the onset or recurrence of AF to establish such association as a potential biomarker for the prevention or adequate treatment of this arrhythmia. We concluded that the insight into this topic is very controversial and needs further research.</p>","PeriodicalId":93885,"journal":{"name":"Archivos de cardiologia de Mexico","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142634288","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":"[Percutaneous treatment of aortic coartation and ductus arteriosus in a patient with Ebstein's anomaly].","authors":"Monserrat Gomez-Gomez, José L Colín-Ortiz","doi":"10.24875/ACM.24000017","DOIUrl":"https://doi.org/10.24875/ACM.24000017","url":null,"abstract":"","PeriodicalId":93885,"journal":{"name":"Archivos de cardiologia de Mexico","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142634286","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":"[Clinical characterization of patients with complete fetal atrioventricular block].","authors":"Fernando A Muralles-Castillo","doi":"10.24875/ACM.24000049","DOIUrl":"https://doi.org/10.24875/ACM.24000049","url":null,"abstract":"<p><p>The following article seeks to describe the clinical characterization of patients with congenital complete atrioventricular block. Information was collected from different sources, among which is the presentation of the pathology and its impact on the fetus, and the main basis was look for an association between the use of medications and its prognosis. Within the treatment to be used in patients with fetal atrioventricular block, the use of steroids, beta-adrenergic stimulators, plasma, etc., is mentioned; however, their use is controversial, since there are still many studies in which it is not defined whether they are used in isolation or together to improve the patient's condition. Steroids are the medications most used in this pathology and also the most studied, although their use has decreased the development of hydrops and preventing a type II atrioventricular block from progressing to a complete one, it can also cause greater loss of amniotic fluid, causing oligohydramnios that could cause fetal damage. Due to this, the assessment of the use of different medications will depend on the patient's clinical condition and multidisciplinary management should be addressed in the perinatal period to improve the prognosis of the patient and the mother.</p>","PeriodicalId":93885,"journal":{"name":"Archivos de cardiologia de Mexico","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142634280","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}
Ana R Barreno-Mendoza, Jorge Silva-Estrada, Jesús De Rubens-Figueroa
{"title":"[Doble orificio mitral aislado como hallazgo incidental].","authors":"Ana R Barreno-Mendoza, Jorge Silva-Estrada, Jesús De Rubens-Figueroa","doi":"10.24875/ACM.24000098","DOIUrl":"https://doi.org/10.24875/ACM.24000098","url":null,"abstract":"","PeriodicalId":93885,"journal":{"name":"Archivos de cardiologia de Mexico","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142634283","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}
Mauro Echavarría-Pinto, Pedro H Guerrero-Morales, Tonantzin Mendiola-Gómez, Jorge L Castrejón-Mora
{"title":"Honeycomb-like structure in patient with multivessel disease: case report.","authors":"Mauro Echavarría-Pinto, Pedro H Guerrero-Morales, Tonantzin Mendiola-Gómez, Jorge L Castrejón-Mora","doi":"10.24875/ACM.24000149","DOIUrl":"https://doi.org/10.24875/ACM.24000149","url":null,"abstract":"","PeriodicalId":93885,"journal":{"name":"Archivos de cardiologia de Mexico","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142549503","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}
Lucrecia M Burgos, Lucas L Suárez, Julio A San Martino, Rocio C Baro-Vila, Juan Mariano-Vrancic, Mirta Diez
{"title":"Unraveling the challenges in spontaneous coronary artery dissection: a case series of VA ECMO support and heart transplantation.","authors":"Lucrecia M Burgos, Lucas L Suárez, Julio A San Martino, Rocio C Baro-Vila, Juan Mariano-Vrancic, Mirta Diez","doi":"10.24875/ACM.24000004","DOIUrl":"https://doi.org/10.24875/ACM.24000004","url":null,"abstract":"","PeriodicalId":93885,"journal":{"name":"Archivos de cardiologia de Mexico","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142514535","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}
Lyda Z Rojas, Sergio A Gómez-Ochoa, Jaime A Rodríguez, Karen A García-Rueda, Angela M Torres-Bustamante, Daniel R Botero, María Cantillo-Reines, Angie Y Serrano-García, Adriana M Jurado, Kelly J Castro, Katerine Pinilla, Angie C Mendoza-Quiñonez, Nelly J Vasquez, Yeinmy Y Alvarez, Maribel Rojas, Diana M Ortega-Solano, Yesenia Sanabria, Angelica Vargas-Sanabria, Aura M Cáceres, Paula S Bohorquez-Hernández, Carlos Portillo, Luis E Echeverría
{"title":"Decompensated heart failure in a single center of a Latin American country: findings from the first 1595 cases in the ICARUS registry.","authors":"Lyda Z Rojas, Sergio A Gómez-Ochoa, Jaime A Rodríguez, Karen A García-Rueda, Angela M Torres-Bustamante, Daniel R Botero, María Cantillo-Reines, Angie Y Serrano-García, Adriana M Jurado, Kelly J Castro, Katerine Pinilla, Angie C Mendoza-Quiñonez, Nelly J Vasquez, Yeinmy Y Alvarez, Maribel Rojas, Diana M Ortega-Solano, Yesenia Sanabria, Angelica Vargas-Sanabria, Aura M Cáceres, Paula S Bohorquez-Hernández, Carlos Portillo, Luis E Echeverría","doi":"10.24875/ACM.24000020","DOIUrl":"https://doi.org/10.24875/ACM.24000020","url":null,"abstract":"<p><strong>Objective: </strong>Describe the methodological aspects, sociodemographic, and clinical characteristics of patients hospitalized with acute decompensated heart failure (ADHF) and their short-term outcomes.</p><p><strong>Methods: </strong>Prospective cohort of patients with ADHF from the emergency service of the cardiovascular center. Descriptive statistics were used to synthesize sociodemographic characteristics, clinical characteristics during hospitalization, and outcomes.</p><p><strong>Results: </strong>1595 patients with ADHF. The median age was 68 years (Q1 = 58; Q3 = 76), and 69.28% were men. The median hospital stay was 6 days (Q1 = 4; Q3 = 11), with an cumulative incidence for re-hospitalization at 30 days of 8.70% (95% CI 7.18-10.40%), in-hospital mortality cumulative incidence of 4.33% (95% CI 3.38-5.44%), and a median change in the quality-of-life score Minnesota Living with Heart Failure at 30 days of -20 points (Q1 = -37; Q3 = -5). At discharge, all patients had a percentage > 70% of the use of quadruple neurohormonal blockade therapy.</p><p><strong>Conclusion: </strong>Institutional aCute decompensAted HeaRt FailUre RegiStry (ICARUS) is one of the first studies in Latin America to demonstrate the importance of characterizing the population with ADHF and the adherence to heart failure guidelines may have influenced the favorable clinical outcomes.</p>","PeriodicalId":93885,"journal":{"name":"Archivos de cardiologia de Mexico","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142514533","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}
Óscar R Aguilar-Villegas, Javier Barragán-Los Santos, Luis E Del Moral-Wong, Luis M Amezcua-Guerra, M Magdalena Aguirre-García
{"title":"[Beyond the plaque: immunological implications of risk factors in atherosclerosis].","authors":"Óscar R Aguilar-Villegas, Javier Barragán-Los Santos, Luis E Del Moral-Wong, Luis M Amezcua-Guerra, M Magdalena Aguirre-García","doi":"10.24875/ACM.23000246","DOIUrl":"https://doi.org/10.24875/ACM.23000246","url":null,"abstract":"<p><p>The formation of atherosclerotic plaque results from the complex interaction between modifiable and non-modifiable risk factors, through immune mechanisms that orchestrate both inflammatory and anti-inflammatory processes. Atherosclerosis often culminates in ischemic heart disease or cerebrovascular events, which are the leading causes of mortality worldwide. Currently, primary prevention focuses on controlling modifiable risk factors. Therefore, understanding the molecular mechanisms underlying the damage induced by these risk factors is essential to develop more effective treatments. This article provides a detailed review of the immunological processes underlying the initiation and progression of atheroma plaque, exploring their relationship with traditional risk factor such as smoking, diabetes mellitus, dyslipidemia, and hypertension, as well as a new potential risk factor: microbiota dysbiosis. Furthermore, the attributable risk of each factor is independently assessed, and the effectiveness of risk factor control measures is demonstrated as the best strategy to date for the regression of atherosclerosis and the prevention of its complications.</p>","PeriodicalId":93885,"journal":{"name":"Archivos de cardiologia de Mexico","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142514532","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}