{"title":"Look before you leap! - A case report of left main dissection causing myocardial infarction.","authors":"Sriram Veeraraghavan, Bharath R Kidambi","doi":"10.24875/ACM.23000269","DOIUrl":"10.24875/ACM.23000269","url":null,"abstract":"","PeriodicalId":93885,"journal":{"name":"Archivos de cardiologia de Mexico","volume":" ","pages":"526-528"},"PeriodicalIF":0.0,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141768311","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}
Celso A Mendoza-González, Neftalí E Antonio-Villa, Mireya B Contreras-Alanis, María F Fernández-Sandoval, Jimena Castillo-Macías, Daniel E Sandoval-Colin, Jacobo S Vera-Chávez, Víctor A Quiroz-Martínez, Karina Del Valle-Zamora
{"title":"[COVID-19 in patients with pre-existing cardiovascular disease: a series of cases during the fourth epidemiologic wave in Mexico City].","authors":"Celso A Mendoza-González, Neftalí E Antonio-Villa, Mireya B Contreras-Alanis, María F Fernández-Sandoval, Jimena Castillo-Macías, Daniel E Sandoval-Colin, Jacobo S Vera-Chávez, Víctor A Quiroz-Martínez, Karina Del Valle-Zamora","doi":"10.24875/ACM.23000259","DOIUrl":"10.24875/ACM.23000259","url":null,"abstract":"<p><strong>Objective: </strong>SARS-CoV-2 infection induces an immune response that causes excessive inflammation damaging cardiac tissue and vascular endothelium. The objective of this study is to review a series of cases of hospitalized patients with pre-existing cardiac disease to describe the clinical behavior and highlight the low frequency of morbidity and mortality.</p><p><strong>Method: </strong>Retrospective study of 17 patients with a confirmed diagnosis of COVID-19 by polymerase chain reaction test or antigen test, a history of cardiovascular disease with or without comorbidities, and a history of at least one dose of the vaccine for COVID-19, during the period between December 30, 2021 and March 17, 2022 at the Ignacio Chávez National Institute of Cardiology in Mexico City.</p><p><strong>Results: </strong>The most frequent cardiac pathology was acute myocardial infarction (31.25%) and the most common arrhythmia was atrial fibrillation (25%). The median number of days of hospital stay was 10 days (interquartile range: 4-14). Regarding the outcomes, 94% of the patients were discharged due to clinical improvement, and only one patient died during his hospitalization.</p><p><strong>Conclusions: </strong>It is crucial to continue investigating SARS-CoV-2 effects in patients pre-existing heart disease and in those with persistent symptoms after infection. This will allow the development of more effective strategies for the treatment and prevention of cardiovascular complications associated with COVID-19.</p>","PeriodicalId":93885,"journal":{"name":"Archivos de cardiologia de Mexico","volume":" ","pages":"480-487"},"PeriodicalIF":0.0,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141768309","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}
Ruth Y Ramos-Gutiérrez, Nancy Acuña-Chávez, Daniel López-Aguilera, Juan C Lona-Reyes
{"title":"[Survival after receiving advanced cardiopulmonary resuscitation and associated factors in children over 1 month in a hospital in Mexico].","authors":"Ruth Y Ramos-Gutiérrez, Nancy Acuña-Chávez, Daniel López-Aguilera, Juan C Lona-Reyes","doi":"10.24875/ACM.23000186","DOIUrl":"10.24875/ACM.23000186","url":null,"abstract":"","PeriodicalId":93885,"journal":{"name":"Archivos de cardiologia de Mexico","volume":" ","pages":"506-510"},"PeriodicalIF":0.0,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141768310","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}
Martín Negreira-Caamaño, Laura Acero-García de la Santa, Daniel Salvo-Chabuel, María Arántzazu-González-Marín
{"title":"[Giant cardiac rhabdomyoma: an atypical cause of ST-segment elevation in the newborn].","authors":"Martín Negreira-Caamaño, Laura Acero-García de la Santa, Daniel Salvo-Chabuel, María Arántzazu-González-Marín","doi":"10.24875/ACM.23000195","DOIUrl":"10.24875/ACM.23000195","url":null,"abstract":"","PeriodicalId":93885,"journal":{"name":"Archivos de cardiologia de Mexico","volume":" ","pages":"533-534"},"PeriodicalIF":0.0,"publicationDate":"2024-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141725279","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}
Pedro D Díaz-Sarasa, Herón G Méndez-Sánchez, Guering Eid-Lidt
{"title":"[Aneurysms and coronary artery fistula after endomyocardial biopsy in a patient with a heart transplant. Angiographic and clinical evolution. Report of a case.]","authors":"Pedro D Díaz-Sarasa, Herón G Méndez-Sánchez, Guering Eid-Lidt","doi":"10.24875/ACM.24000036","DOIUrl":"10.24875/ACM.24000036","url":null,"abstract":"","PeriodicalId":93885,"journal":{"name":"Archivos de cardiologia de Mexico","volume":" ","pages":"111-114"},"PeriodicalIF":0.0,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141565308","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}
Aníbal V Díaz-Lazo, Mely Ruiz-Aquino, Hugo Arroyo-Hernández
{"title":"[Factors associated with left ventricular diastolic dysfunction in adults from a region of the Andes in Peru].","authors":"Aníbal V Díaz-Lazo, Mely Ruiz-Aquino, Hugo Arroyo-Hernández","doi":"10.24875/ACM.23000217","DOIUrl":"10.24875/ACM.23000217","url":null,"abstract":"<p><strong>Objective: </strong>To determine the factors associated with left ventricular diastolic dysfunction (LVDD) in adults residing in a region of the Andes in Peru.</p><p><strong>Method: </strong>A case-control study was conducted on adults living at an altitude of more than 3000 meters in Peru. Cases consisted of patients diagnosed with LVDD through echocardiography, whereas controls were adults without LVDD, as confirmed by echocardiography.</p><p><strong>Results: </strong>A total of 50 cases and 100 controls were included in the study. Among them, 38.7% had high blood pressure, and 41.3% were overweight. Upon adjusted analysis, age 60 or older (aOR: 4.06; 95%CI: 1.29-12.8), female sex (aOR: 2.24; 95%CI: 1.01-4.96) and left ventricular hypertrophy (aOR: 3.17; 95%CI: 1.41-7.17) were identified as statistically significant factors associated with LVDD.</p><p><strong>Conclusions: </strong>The risk of LVDD is associated with older adults, female gender, and left ventricular hypertrophy among individuals residing above 3000 meters altitude in a region of the Andes, in Peru.</p>","PeriodicalId":93885,"journal":{"name":"Archivos de cardiologia de Mexico","volume":" ","pages":"444-450"},"PeriodicalIF":0.0,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141565323","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}
Carlos Alcántara-Noguez, Desireé Leines-Castelán, Aarón E Buenabad-Hernández, Alejandra Contreras-Ramos, Sergio Ruiz-González, Patricia Romero-Cardenas, Alejandro Bolio-Cerdan
{"title":"Surgical approach with minimally invasive intervention in lusoria dysphagia.","authors":"Carlos Alcántara-Noguez, Desireé Leines-Castelán, Aarón E Buenabad-Hernández, Alejandra Contreras-Ramos, Sergio Ruiz-González, Patricia Romero-Cardenas, Alejandro Bolio-Cerdan","doi":"10.24875/ACM.24000072","DOIUrl":"10.24875/ACM.24000072","url":null,"abstract":"<p><p>The lusoria artery has a prevalence of 0.5-2% in the general population. The abnormal development of the aortic arch forms vascular rings around the trachea and esophagus, causing pressure on them and leading to characteristic symptoms such as chest pain, difficulty breathing, and/or swallowing. Conventionally, only the subclavian artery was severed to release the esophagus, as done in neonates. However, this can lead to long-term hypotrophy of the thoracic limb. The surgical intervention remains controversial, with limitations, and it is only to be performed when the patient presents with symptoms. In the following two cases, a two-stage minimally invasive approach is described: first, a left lateral minithoracotomy for lusoria artery sectioning, and second, a supraclavicular approach for reimplantation into the right carotid artery.</p>","PeriodicalId":93885,"journal":{"name":"Archivos de cardiologia de Mexico","volume":" ","pages":"55-58"},"PeriodicalIF":0.0,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141565324","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}
Paola S García-Vargas, José L Colín-Ortiz, Jorge A Silva-Estrada, Brenda M Gutiérrez-Anguiano, Andrea Nava-Celis
{"title":"[Double coronary fistula: a rare finding in a pediatric patient].","authors":"Paola S García-Vargas, José L Colín-Ortiz, Jorge A Silva-Estrada, Brenda M Gutiérrez-Anguiano, Andrea Nava-Celis","doi":"10.24875/ACM.24000069","DOIUrl":"10.24875/ACM.24000069","url":null,"abstract":"","PeriodicalId":93885,"journal":{"name":"Archivos de cardiologia de Mexico","volume":" ","pages":"128-130"},"PeriodicalIF":0.0,"publicationDate":"2024-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141422155","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}
José R González-Juanatey, Alberto Cordero, Luis Masana, Regina Dalmau
{"title":"[Effectiveness of the CNIC polypill in secondary cardiovascular prevention in the subgroup of patients of the NEPTUNO study using atorvastatin doses of 20 mg].","authors":"José R González-Juanatey, Alberto Cordero, Luis Masana, Regina Dalmau","doi":"10.24875/ACM.23000230","DOIUrl":"10.24875/ACM.23000230","url":null,"abstract":"<p><strong>Objective: </strong>To analyse the incidence and risk of recurrent major adverse cardiovascular events (MACE), level of risk factor control, treatment persistence and cost of the CNIC polypill version containing acetylsalicylic acid (ASA) 100 mg, atorvastatin 20 mg (A20), and ramipril 2.5, 5.0 or 10 mg in secondary cardiovascular prevention patients.</p><p><strong>Method: </strong>Subanalysis of the observational, retrospective, multicentre, NEPTUNO study in patients treated for two years with the CNIC polypill A20, the same monocomponents as single drugs, equipotent drugs, and other therapies.</p><p><strong>Results: </strong>922 patients were included in each group. The risk of recurrent MACE was lower among CNIC A20 polypill users than all others (21%, 23% and 26% increased risk among the monocomponents, equipotent or other therapy cohorts, respectively; p < 0.05). The magnitude of the mean change in low-density lipoprotein cholesterol and blood pressure, as well as the increase in the proportion of patients achieving target goals, was also greater among patients treated with the CNIC A20 polypill than in any of the other cohorts (all p < 0.001). Treatment persistence was significantly higher in patients treated with the CNIC A20 polypill (p < 0.001) and was a less costly strategy than any other therapeutic option.</p><p><strong>Conclusions: </strong>In patients in secondary cardiovascular prevention, the CNIC A20 polypill (ASA 100 mg, atorvastatin 20 mg, and ramipril 2.5, 5.0 or 10 mg) constitutes a valid therapeutic option with similar benefits and outcomes to the version of the polypill with atorvastatin 40 mg.</p>","PeriodicalId":93885,"journal":{"name":"Archivos de cardiologia de Mexico","volume":" ","pages":"429-443"},"PeriodicalIF":0.0,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141285620","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}
Juan A Vega-Rosales, Huitzilihuitl Saucedo-Orozco, Ricardo Márquez-Velasco, Randall Cruz-Soto, Daniel F Zazueta-Salido, Solange G Koretzky, Gustavo Salinas-Arteaga, Verónica Guarner-Lans, Linaloe Pech-Manzano, Israel Pérez-Torres, Claudia Tavera-Alonso, Ma Elena Soto
{"title":"The role of the osteoprotegerin/RANKL/RANK axis and osteopontin in acute coronary syndrome.","authors":"Juan A Vega-Rosales, Huitzilihuitl Saucedo-Orozco, Ricardo Márquez-Velasco, Randall Cruz-Soto, Daniel F Zazueta-Salido, Solange G Koretzky, Gustavo Salinas-Arteaga, Verónica Guarner-Lans, Linaloe Pech-Manzano, Israel Pérez-Torres, Claudia Tavera-Alonso, Ma Elena Soto","doi":"10.24875/ACM.24000037","DOIUrl":"10.24875/ACM.24000037","url":null,"abstract":"<p><strong>Objectives: </strong>The primary objective of this study is to ascertain the levels of osteoprotegerin (OPG) and osteopontin (OPN), alongside osteoprotegerin/RANKL ratio (ORR), and assess their association with the SYNTAX score and ascertain the potential of these molecules as predictive markers for risk, aiding in risk stratification. Eventually, they could potentially be employed even before angiography to gauge the severity of coronary lesions.</p><p><strong>Methods: </strong>Prospective study with 147 participants, 101 (69%) were men, with an average age of 60. We included three groups - (1) patients with acute coronary syndrome undergoing percutaneous coronary intervention (ACS-PCI), (2) patients without ACS who underwent coronary angiography for an indication other than ischemia and did not undergo PCI (non-ACS without), and (3) one asymptomatic subject. OPG and OPN were measured. ORR and SYNTAX scores were calculated. The association between OPG and OPN levels and important clinical variables was investigated.</p><p><strong>Results: </strong>OPG levels in Group 1 were lower compared to Groups 2 and 3 (controls), Group 1 (490 pg/mL) versus Group 2 (829 pg/mL) versus Group 3 (845 pg/mL) (p = 0.001). OPG had lower levels in patients with coronary artery stenosis versus without stenosis. A decrease in ORR was shown in all groups and no association with the SYNTAX score.</p><p><strong>Conclusion: </strong>OPG and OPN (and ORR) levels are decreased in patients with ACS and show no correlation with the SYNTAX score. As an exploratory study, our work suggest that increased OPG and OPN levels in non-ACS patients may have, in fact, a protective effect. This study is one of the few with an appropriate control in ACS and reproducibility is necessary mainly with multicenter studies.</p>","PeriodicalId":93885,"journal":{"name":"Archivos de cardiologia de Mexico","volume":" ","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2024-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141177079","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}