Archivos de cardiologia de Mexico最新文献

{"title":"A disastrous dyad: fibrinous pericarditis and cancer therapy-related cardiac dysfunction in primary mediastinal diffuse large B cell lymphoma.","authors":"Andrea Nájera-Rojas, Ximena Latapi-Ruiz-Esparza, Rodrigo Gopar-Nieto, Diego Araiza-Garaygordobil, Daniel Sierra-Lara-Martínez","doi":"10.24875/ACM.24000086","DOIUrl":"10.24875/ACM.24000086","url":null,"abstract":"","PeriodicalId":93885,"journal":{"name":"Archivos de cardiologia de Mexico","volume":"95 2","pages":"257-259"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12058097/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188636","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":"Difficulties in monitoring cardiometabolic risk in the chronic use of atypical antipsychotics for non-traditional indications, in a specialty hospital in Argentina: a qualitative study.","authors":"María N Vivacqua, María F Grande Ratti, José L Faccioli","doi":"10.24875/ACM.24000120","DOIUrl":"10.24875/ACM.24000120","url":null,"abstract":"<p><strong>Objective: </strong>To explore the barriers that hinder the proper monitoring of adverse effects in patients prescribed antipsychotics in a medical specialty hospital in Argentina.</p><p><strong>Method: </strong>A qualitative interpretive study of narrative design with ten semi-structured individual interviews with doctors from various specialties, conducted in outpatient clinics between May and November 2022, with an ad hoc guide based on a bibliography.</p><p><strong>Results: </strong>Barriers in interpersonal relationships emerged, highlighting the insufficient duration and infrequent consultations, communication problems between professionals and between professionals and their patients, and difficulties in teamwork. The obstacles were related to 1) limited direct communication; 2) communication via electronic medical records (without prior agreement or confirmation of receipt of messages); 3) use of patients as intermediaries for message exchange; 4) disregarding another professional's indications without communicating with them; 5) expressing differing criteria to the patient, delegating responsibility for treatment decisions to the patient; 6) assuming that antipsychotic monitoring is carried out by another professional; 7) hierarchies that hinder communication, and 8) experienced medical referents. These topics relate to inherent healthcare system issues, mainly the lack of available time and communication between colleagues as an unpaid task.</p><p><strong>Conclusions: </strong>Communication barriers imposed by the healthcare system can result in misunderstandings that lead to suboptimal health outcomes. Sharing this information could guide organizations in developing strategies to improve communication and facilitate teamwork in hospital settings.</p>","PeriodicalId":93885,"journal":{"name":"Archivos de cardiologia de Mexico","volume":"95 2","pages":"154-162"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12058101/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188639","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":"Acute rheumatic fever: 15-year single-center experience of a middle-income country in Latin America.","authors":"Diego A Lozano-Espinosa, Kelly C Márquez-Herrera, Víctor M Huertas-Quiñonez, Roy Sanguino-Lobo, Adriana Díaz-Maldonado","doi":"10.24875/ACM.24000155","DOIUrl":"10.24875/ACM.24000155","url":null,"abstract":"<p><strong>Objective: </strong>Acute rheumatic fever (ARF) is the leading cause of acquired heart disease in children and young adults in developing countries. The objective is to describe the clinical and epidemiological presentation of patients under 18 years of age with ARF in a pediatric hospital in Colombia over a period of 15 years (2006-2020), emphasizing cardiac involvement.</p><p><strong>Methods: </strong>Case series study of children with rheumatic fever for 15 years (2006 to 2020).</p><p><strong>Results: </strong>Seventy patients under the age of 18 with criteria for acute rheumatic fever were evaluated. Mean age was 10 years. Chorea was the most frequent manifestation (n = 51, 72.8%) followed by carditis (n = 31, 44.2%). Cases of ARF were proportionally more frequent from 2015 (43/70, 61.4%), as did the frequency of carditis (19/31, 61.2%) and subclinical carditis (7/11, 63.6%). Eight percent had a PR prolongation.</p><p><strong>Conclusions: </strong>The incidence in this study is high (moderate-risk). Chorea was the most frequent initial manifestation, which reflects the late diagnosis. The case frequency of acute rheumatic fever, especially for carditis and subclinical carditis, increased considerably beginning in 2015. Echocardiographic is trascendent because 35.4% of cases with carditis were subclinical.</p>","PeriodicalId":93885,"journal":{"name":"Archivos de cardiologia de Mexico","volume":"95 2","pages":"199-206"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12058087/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188637","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":"Elevated lipoprotein(a) and its association with early-onset myocardial infarction and coronary burden.","authors":"Alim Namitokov","doi":"10.24875/ACM.24000183","DOIUrl":"10.24875/ACM.24000183","url":null,"abstract":"<p><strong>Objectives: </strong>Cardiovascular diseases (CVDs) remain a leading cause of morbidity and mortality worldwide, with myocardial infarction (MI) representing one of the most severe manifestations. Lipoprotein(a) [Lp(a)], a genetically influenced lipoprotein subclass, has gained attention for its role in atherogenesis and thrombogenesis. This study investigates clinical and demographic differences in early MI patients with varying Lp(a) levels, dividing them into two groups: Lp(a) < 50 mg/dL and Lp(a) ≥ 50 mg/dL. A retrospective analysis assessed demographic and clinical features, lipid profiles, and comorbidities.</p><p><strong>Methods: </strong>A retrospective cohort analysis was conducted on 189 patients aged 18-55 years with early-onset MI. Patients were grouped by Lp(a) levels (< 50 mg/dL, n = 109; ≥ 50 mg/dL, n = 80). Clinical parameters analyzed included age at MI onset, number of affected coronary vessels, comorbidities (diabetes mellitus, arterial hypertension, smoking status), statin therapy, and lipid profiles (total cholesterol, triglycerides, HDL, non-HDL, and LDL). Statistical comparisons and correlation analyses were performed to evaluate associations between Lp(a) levels and clinical features.</p><p><strong>Results: </strong>Elevated Lp(a) levels (≥ 50 mg/dL) were associated with younger MI onset, greater vascular burden, and less frequent statin use. Patients with higher Lp(a) had higher BMI and lower HDL levels. Significant differences were observed in age at MI onset (p = 0.0026), number of affected vessels (p = 0.0001), smoking prevalence (p = 0.002), statin use (p < 0.0001), BMI (p = 0.0061), triglycerides (p = 0.0121), and HDL levels (p < 0.0001). A positive correlation between Lp(a) levels and the number of affected vessels (r = 0.303) was identified.</p><p><strong>Conclusion: </strong>Elevated Lp(a) levels are strongly associated with younger age at MI onset, increased coronary involvement, and a pro-atherogenic lipid profile. These findings underscore the importance of Lp(a) as a biomarker for risk stratification in MI patients and highlight the need for targeted therapeutic approaches for individuals with high Lp(a) levels.</p>","PeriodicalId":93885,"journal":{"name":"Archivos de cardiologia de Mexico","volume":"95 2","pages":"188-193"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12058090/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188652","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":"Telemedicine in critical care: collaborative experience in postoperative pediatric cardiac care.","authors":"María Althabe, Paula Martínez-Da Bove, Celeste Arancibia, Mercedes Montonati, Sandra Chuchuy, Doris Flores, Noelia De Maio, Mariana Fenoy, Edgardo Rodríguez, Laura Selvatici","doi":"10.24875/ACM.24000070","DOIUrl":"10.24875/ACM.24000070","url":null,"abstract":"<p><strong>Objectives: </strong>Telehealth applied to the perioperative care of pediatric patients with congenital heart disease facilitates sharing experiences and provides valuable support to institutions initiating cardiac surgery programs, improving the quality of patient care. The primary goal of this study is to describe the implementation and initial results of a collaborative telehealth program between two cardiac centers with different complexity.</p><p><strong>Method: </strong>Three teleconsultations per patient were programed, one preoperative to identify risks and discuss postoperative strategies, the second immediate after admission, and the last on day 2 pop. Demographic data, diagnosis, and surgical procedures (RACHS-1 scale) were recorded. A satisfaction survey was completed at the end of the process for each patient. A descriptive analysis was performed (Stata^®).</p><p><strong>Results: </strong>One hundred and twenty-three patients were consulted in 154 connections, with an average of 25 min consultation. Diagnoses included ventricular septal defect, atrial septal defect, and aortic coartation. The proportion of patients undergoing more complex procedures (RACHS-1 ≥ 3) increased from 9.5 to 35%. Survey results indicated that teleconsultation significantly contributed to problem-solving and understanding (100%), suggested new studies (18.6%), or new diagnoses (16.3%), modifications in therapeutic proposals (37.2%), and follow-up protocols (49%). Connectivity issues (41.8%) and challenges in coordinating consultation schedules (42%) were identified as the main difficulties.</p><p><strong>Conclusions: </strong>Throughout the program, the complexity of RACHS-1 ≥ 3 procedures increased from 9.5 to 35%. Teleconsultation demonstrated notable enhancements in understanding and problem-solving capabilities, despite challenges in connectivity and scheduling coordination.</p>","PeriodicalId":93885,"journal":{"name":"Archivos de cardiologia de Mexico","volume":"95 2","pages":"138-142"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12058094/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188653","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":"Analysis of COVID-19 patients hospitalized in general wards and intensive care units: Insights from the RIMAC cardiopulmonary imaging registry across Latin American centers.","authors":"Graciela Reyes, Roberto Baltodano, Heraldo D'Imperio, Cecilia Morales, Josh Moscoso, Kelly Cupe-Chacalcaj, Angela Cachicatari-Beltran, Rosa Lopez, Ma Paula Velazco, Marcelo L Campos-Vieira, José M Hernández, Ricardo Pignatelli, Salvador V Spina","doi":"10.24875/ACM.24000068","DOIUrl":"10.24875/ACM.24000068","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to compare various aspects among coronavirus disease 2019 (COVID-19) patients admitted to general wards versus intensive care units (ICUs) in Latin American (LATAM), including demographics, comorbidities, imaging and laboratory findings, complications, treatments, and predictors of mortality.</p><p><strong>Materials and methods: </strong>Data from the LATAM cardiopulmonary imaging registry of hospitalized COVID-19 patients (RIMAC) were analyzed. RIMAC is a prospective observational study conducted from March to December 2020 across 12 tertiary centers in nine LATAM countries.</p><p><strong>Results: </strong>Out of 1,435 patients, 49.34% were admitted to general wards and 50.66% to ICUs. Significant differences were observed between the two groups. ICU patients had a higher incidence of comorbidities, elevated biomarker levels, and complications such as kidney and heart failure, and required more intensive treatments. They also showed more severe imaging findings and had longer hospital stays with higher mortality rates compared to ward patients.</p><p><strong>Conclusion: </strong>The study highlighted significant disparities between COVID-19 patients admitted to general wards and ICUs in LATAM. These disparities encompassed clinical severity, resource utilization, and mortality rates. Older age, obesity, extensive lung infiltrates, and kidney failure emerged as predictors of mortality. These findings underscore the need for tailored management strategies based on the severity of illness among COVID-19 patients in LATAM.</p>","PeriodicalId":93885,"journal":{"name":"Archivos de cardiologia de Mexico","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12058105/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142789728","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":"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":"Instituto y no hospital. La distintiva organización que Ignacio Chávez concibió para combatir integralmente a las enfermedades del corazón en México. En el octogésimo aniversario del Instituto Nacional de Cardiología.","authors":"Raúl Izaguirre-Ávila","doi":"10.24875/ACM.24000121","DOIUrl":"10.24875/ACM.24000121","url":null,"abstract":"<p><p>In 1936, Ignacio Chávez submitted a proposal to the Mexican government for the creation of a cardiology institute. He had studied in Paris, Berlin, and other European cities in 1926. Upon his return to Mexico, he founded the Cardiology Service at the General Hospital in Mexico City, the first of its kind in the country. The National Institute of Cardiology of Mexico was inaugurated on April 18, 1944, becoming one of the first cardiology institutes in the world. Chávez explained the purpose of this new institute: \"We were born with the purpose of studying, researching, and controlling heart diseases.\" According to him, the institute should be a place where cardiovascular diseases could be addressed comprehensively, combining clinical practice with research and teaching to provide effective knowledge for patient care and scientific advancement. \"A health center is for the patient, of course; but something more than that is necessary: a great school for doctors, a great laboratory for researchers, and a social instrument of human help,\" he said. This vision was summarized in the words: love and science at the service of the heart. Chávez successfully institutionalized cardiology in Mexico. From its inception, the institute became an internationally recognized center, attracting students from various countries. Alfredo de Micheli noted that under Chávez's influence and example, new institutions emerged in the national medical field and expanded onto the international stage. The institute founded by Chávez became a model for similar institutions on other continents and a driving force in the international cardiology movement. Chávez's legacy was a work of love, intelligence, and culture, dedicated to the heart and the care of humanity.</p>","PeriodicalId":93885,"journal":{"name":"Archivos de cardiologia de Mexico","volume":" ","pages":"96-106"},"PeriodicalIF":0.0,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142775398","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":"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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12058106/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689601","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 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":"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":"49-54"},"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}