Rafael Pedraza-Jiménez, Roberto Anjed Velazco-Llinas, Valeria Sandoval-Martínez, José M Alanís-Naranjo
{"title":"Hepatocellular carcinoma with inferior vena cava tumor thrombus extending into cardiac chambers: case report.","authors":"Rafael Pedraza-Jiménez, Roberto Anjed Velazco-Llinas, Valeria Sandoval-Martínez, José M Alanís-Naranjo","doi":"10.24875/ACM.24000116","DOIUrl":"10.24875/ACM.24000116","url":null,"abstract":"","PeriodicalId":93885,"journal":{"name":"Archivos de cardiologia de Mexico","volume":"95 3","pages":"245-249"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12324847/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790980","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}
Lucrecia M Burgos, María P Duczynski, María L Coronel, Jorge Thierer
{"title":"Impact of a structured educational intervention on attitudes and practice of heart failure in Latin America.","authors":"Lucrecia M Burgos, María P Duczynski, María L Coronel, Jorge Thierer","doi":"10.24875/ACM.24000111","DOIUrl":"10.24875/ACM.24000111","url":null,"abstract":"<p><strong>Objective: </strong>The implementation of heart failure (HF) guidelines in actual practice is rarely adequate and most patients do not receive optimal treatments. Our aim was to assess changes in attitudes, knowledge, confidence, and care pathways of HF patients among physicians in Argentina after a structured educational intervention.</p><p><strong>Methods: </strong>Cross-sectional survey in 22 public and private health centers of physicians who participated in a comprehensive multi-module educational program (patient identification, classification/therapeutic options in advanced HF, structure/organization of the HF Day Hospital, education of patients in different stages/scenarios, and education of nursing staff in the management of patients at different stages/scenarios). Simple evidence-based roadmaps were created to address knowledge gaps.</p><p><strong>Results: </strong>The intervention improved physicians' confidence in the diagnosis of HF with preserved ejection fraction (p < 0.001), and prioritization of quadruple therapy for outpatients (p = 0.01) and patients with acute HF (p < 0.001). The proportion of \"confident\"/\"very confident\" physicians in identifying HF patients with reduced ejection fraction who could benefit from an implantable cardioverter-defibrillator increased significantly (p = 0.01), as did the relevance of hypertonic saline administration and intravenous iron infusions. The use of discharge checklists increased significantly after the intervention.</p><p><strong>Conclusions: </strong>This multifaceted, structured intervention was effective in improving physicians' confidence and attitudes, as well as their knowledge and care pathways of HF patients in Argentina.</p>","PeriodicalId":93885,"journal":{"name":"Archivos de cardiologia de Mexico","volume":"95 3","pages":"169-174"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12324845/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790982","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":"Geriatric cardiology.","authors":"Luis A Lasses-Y-Ojeda","doi":"10.24875/ACM.24000092","DOIUrl":"10.24875/ACM.24000092","url":null,"abstract":"","PeriodicalId":93885,"journal":{"name":"Archivos de cardiologia de Mexico","volume":"95 3","pages":"141-143"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12324849/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790979","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}
Fernando Wyss, Ricardo Lopez-Santi, Daniel Piskorz, Shyla Gupta, Ana Munera-Echeverri, Pilar Lopez-Santi, Gonzalo Piskorz, Vladimir Ulluauri, Juan E Gomez, Mildren Del Sueldo, Claudia Almonte, Máxima Mendez, Osiris Valdez, Carlos I Ponte-Negreti, Iván Romero-Rivera, Adriana Puente-Barragan, Raúl Villar, Julio Effio, Daniel Pichel, Percy Berrospi, Ana I Barrientos, Nancy Silvera, Edmundo Jordan, Wistremundo Dones, Daniel Quezada, Ariel Arguello, Gonzalo Perez, Adrián Baranchuk
{"title":"Immunization and cardiovascular disease in Latin America. The CorVacc study: rationale and design.","authors":"Fernando Wyss, Ricardo Lopez-Santi, Daniel Piskorz, Shyla Gupta, Ana Munera-Echeverri, Pilar Lopez-Santi, Gonzalo Piskorz, Vladimir Ulluauri, Juan E Gomez, Mildren Del Sueldo, Claudia Almonte, Máxima Mendez, Osiris Valdez, Carlos I Ponte-Negreti, Iván Romero-Rivera, Adriana Puente-Barragan, Raúl Villar, Julio Effio, Daniel Pichel, Percy Berrospi, Ana I Barrientos, Nancy Silvera, Edmundo Jordan, Wistremundo Dones, Daniel Quezada, Ariel Arguello, Gonzalo Perez, Adrián Baranchuk","doi":"10.24875/ACM.24000239","DOIUrl":"10.24875/ACM.24000239","url":null,"abstract":"<p><strong>Objectives: </strong>To determine the rates of vaccination against influenza and pneumococcal disease in the general population of the Americas, both healthy and sick, and to analyze the factors influencing these rates.</p><p><strong>Methods: </strong>The Inter-American Vaccination Registry of Influenza and Pneumococcus, (CorVacc Study) is a cross-sectional survey of the general population that will be enacted in 19 Latin American countries. A total of 34 questions will be given to consecutive patients aged 18 years or older through an online survey.</p><p><strong>Results: </strong>The data will be analyzed by country and region according to seven clusters: demographics, socioeconomic and educational level, cardiometabolic profile, cardiovascular interventions, medical follow-up and treatments, and COVID-19 vaccination status. The study will be conducted by the Prevention Council of the Inter-American Society of Cardiology.</p><p><strong>Conclusions: </strong>This study will provide insight into the impact of influenza and pneumococcus vaccinations in Latin American populations and the barriers preventing the immunization targets from being actualized. Hopefully, this will help to facilitate the development of targeted and focused health prevention strategies.</p>","PeriodicalId":93885,"journal":{"name":"Archivos de cardiologia de Mexico","volume":"95 3","pages":"144-152"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12324838/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790981","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 challenges of indexing and impact factor in Latin American cardiology journals.","authors":"Daniel L Piskorz","doi":"10.24875/ACM.24000216","DOIUrl":"10.24875/ACM.24000216","url":null,"abstract":"<p><p>Bibliographic search is an essential tool to find answers to medical questions, stimulate the development of research projects and properly focus their design. The organization of bibliographic databases of primary sources of information is an essential need for the advancement of knowledge. On the Internet it is possible to access free of charge databases created and maintained, for the most part, by research centers, universities and public organizations. Most Latin American journals are considered in regional bibliographic databases, favoring the regional exposure of research products. However, the great challenge is indexing in Medline, mainly due to its global impact. The quality, scientific relevance and innovation of the articles published in a journal marks its impact factor. The editorial body of the journals tries to build and offer a high-quality scientific product, giving prestige to the scientific society it represents.</p>","PeriodicalId":93885,"journal":{"name":"Archivos de cardiologia de Mexico","volume":"95 2","pages":"239-242"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12058096/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188654","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}
Andrea Nájera-Rojas, Ximena Latapi-Ruiz-Esparza, Rodrigo Gopar-Nieto, Diego Araiza-Garaygordobil, Daniel Sierra-Lara-Martínez
{"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}
María N Vivacqua, María F Grande Ratti, José L Faccioli
{"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}
José M Alanís-Naranjo, Elvira Flores-Ibarra, Carlos Á Monterrey-García, Cielmar Galeana-Abarca, Julio C Rivera-Hermosillo
{"title":"Lambl's excrescence on the aortic valve.","authors":"José M Alanís-Naranjo, Elvira Flores-Ibarra, Carlos Á Monterrey-García, Cielmar Galeana-Abarca, Julio C Rivera-Hermosillo","doi":"10.24875/ACM.24000157","DOIUrl":"10.24875/ACM.24000157","url":null,"abstract":"","PeriodicalId":93885,"journal":{"name":"Archivos de cardiologia de Mexico","volume":"95 3","pages":"262-263"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12324843/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790983","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}
José M Alanís-Naranjo, Agustín Vela-Huerta, Julio C Rivera-Hermosillo, José E Villegas-Mayoral
{"title":"Usefulness of the ACTION ICU score to predict complications requiring critical care in Mexican patients with non-ST-segment elevation myocardial infarction.","authors":"José M Alanís-Naranjo, Agustín Vela-Huerta, Julio C Rivera-Hermosillo, José E Villegas-Mayoral","doi":"10.24875/ACM.24000255","DOIUrl":"10.24875/ACM.24000255","url":null,"abstract":"<p><strong>Objective: </strong>The Acute Coronary Treatment and Intervention Outcomes Network Intensive Care Unit (ACTION ICU) score is a tool for assessing the risk of complications associated with non-ST-segment elevation myocardial infarction (NSTEMI) requiring intensive care unit (ICU) admission. The study aimed to describe the usefulness of the ACTION ICU score in Mexican patients with NSTEMI.</p><p><strong>Methods: </strong>A single-center, retrospective, observational, and comparative study of patients with NSTEMI admitted between January 2017 and December 2023; patients with respiratory failure, cardiac arrest, shock, and arrhythmias requiring a pacemaker on admission were excluded from the study. Based on the collected data, the ACTION ICU score was applied to all patients. The cutoff score for ICU admission is 5, with a 9.3% risk of complications. During hospitalization, the composite primary outcome included cardiac arrest, shock, heart block requiring a pacemaker, respiratory failure, stroke, or death. The score's performance was determined by calculating the area under the curve (AUC).</p><p><strong>Results: </strong>A total of 345 NSTEMI patients were included; 41 (14.2%) developed the primary outcome. The most common complications were shock (12.5%) and respiratory failure (8.1%). A score of 0 to 5 points was present in 187 patients (54.2%), 10 of whom (5.3%) developed the primary outcome. The score had an AUC of 0.77 [CI 0.64-0.97, p value 0.01].</p><p><strong>Conclusions: </strong>The ACTION ICU score showed acceptable discriminative ability for identifying patients with NSTEMI who need ICU care, providing a valuable tool to predict complications and implement best practices in medical units with limited resources.</p>","PeriodicalId":93885,"journal":{"name":"Archivos de cardiologia de Mexico","volume":"95 3","pages":"160-168"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12324830/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790986","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}
Diego A Lozano-Espinosa, Kelly C Márquez-Herrera, Víctor M Huertas-Quiñonez, Roy Sanguino-Lobo, Adriana Díaz-Maldonado
{"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}