Revista medica del Instituto Mexicano del Seguro Social最新文献_第6页

[Coronary lithotripsy in calcified lesions: fragmented calcium]. 【钙化病变的冠状动脉碎石术:钙碎片化】。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2023-11-06 DOI: 10.5281/zenodo.10064745

Gustavo Inzunza-Cervantes, Erick Alfonso García-Fajardo, Francisco Antonio Martínez-Hernández, Verónica Zazueta-Armenta, Jesús Omar Hernandez-Marquez, Juan Ramón Herrera-Gavilanes

{"title":"[Coronary lithotripsy in calcified lesions: fragmented calcium].","authors":"Gustavo Inzunza-Cervantes, Erick Alfonso García-Fajardo, Francisco Antonio Martínez-Hernández, Verónica Zazueta-Armenta, Jesús Omar Hernandez-Marquez, Juan Ramón Herrera-Gavilanes","doi":"10.5281/zenodo.10064745","DOIUrl":"10.5281/zenodo.10064745","url":null,"abstract":"Background: Complex calcified coronary lesions are a frequent finding during percutaneous coronary intervention, representing for decades a challenge and limitation in patients with indication of revascularization, due to suboptimal angiographic results, high incidence of perioperative complications and long-term adverse events despite the multiple strategies employed, such as the use of cutting balloon, high-pressure balloons or rotational or orbital atherectomy, interventions with limitations that have hindered its routine use, recently a new plaque modification technique known as coronary intravascular lithotripsy has burst into the treatment of this complex entity, which consists in the use of a specially modified balloon for the emission of pulsatile mechanical energy (sonic pressure waves) that allows modifying the calcified plate.Clinical case: By presenting a series of clinical cases and reviewing the literature, our initial experience is presented, key elements are summarized and discussed in the understanding of this new intervention technique necessary for decision making.Conclusion: Coronary intravascular lithotripsy is projected as a promising technique for the modification and preparation of superficial and deep calcified coronary lesions, through microfractures that allow the apposition and effective expansion of the stent, strategy that according to different trials (Disrupt CAD series, SOLSTICE assay) and records presents a high efficiency and good safety profile, data consistent with our initial experience.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10727760/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138300856","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}

引用次数: 0

[Procalcitonin as sepsis predictor in cardiovascular surgery with cardiopulmonary bypass]. [降钙素原作为心血管手术伴体外循环脓毒症的预测因子]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2023-11-06 DOI: 10.5281/zenodo.10064366

Alma Ivette Carrasco-Castilla, María Del Carmen Jiménez-González, Edgar Cruz-García, Gerardo Gutiérrez-Tovar, Angélica Atzin Cedillo-López, María Elena Rosalba Rodríguez-López, Iván de Jesús Ascencio-Montiel

{"title":"[Procalcitonin as sepsis predictor in cardiovascular surgery with cardiopulmonary bypass].","authors":"Alma Ivette Carrasco-Castilla, María Del Carmen Jiménez-González, Edgar Cruz-García, Gerardo Gutiérrez-Tovar, Angélica Atzin Cedillo-López, María Elena Rosalba Rodríguez-López, Iván de Jesús Ascencio-Montiel","doi":"10.5281/zenodo.10064366","DOIUrl":"10.5281/zenodo.10064366","url":null,"abstract":"Background: Cardiopulmonary bypass generates an exacerbated response that may lead to sepsis.Objective: To describe the association between procalcitonin levels and sepsis diagnosis in cardiovascular surgery subjects with cardiopulmonary bypass.Methods: A case-series study was conducted in 142 patients. Serum procalcitonin levels were measured at 24 hours and at 72 hours after surgery using a point of care testing based on quantitative immunochromatographic method. To assess association between procalcitonin levels and sepsis status, we calculated area under the curve (AUC) and sensitivity, specificity, and predictive values for the best cut-off point.Results: From 142 patients studied, 7 developed sepsis after surgery (4.9%). For 24-hours procalcitonin levels AUC was 0.921 and best cut-off point was 3.8 ng/mL (sensitivity 0.857 and specificity 0.904). In the case of 72-hours procalcitonin levels, we observed a value of 0.868 for AUC and best cut-off point was 8.4 ng/mL (sensitivity 0.86 and specificity 0.97).Conclusions: Procalcitonin levels at 24 and 72 hours after cardiovascular surgery with cardiopulmonary bypass are associated with sepsis presence at cut-off points of 3.8 and 8.4 ng/mL respectively.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10721336/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138300864","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}

引用次数: 0

[Availability of mammographs in Mexico: Is it possible to expand coverage]. [墨西哥乳房x光检查的可用性:是否有可能扩大覆盖范围]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2023-11-06 DOI: 10.5281/zenodo.10064296

Isabel Sollozo-Dupont, Héctor Alejandro Galván-Espinoza, Yolanda Villaseñor

{"title":"[Availability of mammographs in Mexico: Is it possible to expand coverage].","authors":"Isabel Sollozo-Dupont, Héctor Alejandro Galván-Espinoza, Yolanda Villaseñor","doi":"10.5281/zenodo.10064296","DOIUrl":"10.5281/zenodo.10064296","url":null,"abstract":"Background: Breast cancer screening coverage in Mexico is limited. It is necessary to configure the Mexican health system to make it capable of producing more mammograms, without neglecting quality and diagnostic opportunity.Objective: To project the coverage of breast cancer screening programs according to the mammographs availability in the Mexican Health System.Material and methods: An exploratory study was conducted correlating the number mammographs available in the Mexican Health System with women between 40 and 69 who are the target of screening programs in Mexico. The analysis consisted of calculating the coverage of breast cancer screening programs if each mammograph could perform 6336 screening mammograms per year. All the calculations were made with the information of the year 2020 as the most current data in terms of population density.Results: It was determined that the number of mammographs is enough to raise the offer of screening studies to ≈50% at the national level. There are even states whose coverage capacity is projected above 70%. Some of them are Mexico City, Colima, Durango, Quintana Roo, Zacatecas, Baja California Sur and Coahuila. Also, it was observed that the distribution of mammographs is not equitable in the national territory, suggesting investment both in equipment and in screening strategies for breast cancer.Conclusions: Our data show that it is possible to advance in preventing breast cancer in Mexico, although the improvement of the management capacities of the Mexican Health System is required to improve both the coverage and quality of the breast cancer screening programs.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10715020/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138300912","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}

引用次数: 0

[Answer to "Comment on article: "Correlation between ultrasonography and thorax portable radiography in patients with COVID-19""]. [回复“对文章《COVID-19患者超声检查与胸部便携式x线片的相关性》的评论”]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2023-11-06 DOI: 10.5281/zenodo.10064262

Francisco José Avelar-Garnica, Fernando Bernardo Reyes-Olhagaray, Carlos Paredes-Manjarrez, Jorge Arellano-Sotelo, Viridiana Monserrat Luis-Jarquín, José Adán Miguel-Puga, Kathrine Jáuregui-Renaud

引用次数: 0

[Follow-up of the patient with pacemakers: Interrogation and basic programming]. [用起搏器对病人的随访:询问和基本程序]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2023-11-06 DOI: 10.5281/zenodo.10064399

Gustavo Inzunza-Cervantes, Jose de Jesús Díaz-Dávalos, Arturo Flores-Anguiano, José Manuel Ornelas-Aguirre, Isabel Cristina Peralta-Figueroa, Verónica Zazueta-Armenta

引用次数: 0

[Suicidal attempt in a school-aged patient and related factors: a case report]. [一名学龄患者的自杀企图及其相关因素:一例报告]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2023-11-06 DOI: 10.5281/zenodo.10064736

Rocío Hinojosa-Vega, Karmina Elena Rojas-Carrasco, Sonia González-Muñiz, Leonel Jaramillo-Villanueva, Abigail Jiménez-Márquez

{"title":"[Suicidal attempt in a school-aged patient and related factors: a case report].","authors":"Rocío Hinojosa-Vega, Karmina Elena Rojas-Carrasco, Sonia González-Muñiz, Leonel Jaramillo-Villanueva, Abigail Jiménez-Márquez","doi":"10.5281/zenodo.10064736","DOIUrl":"10.5281/zenodo.10064736","url":null,"abstract":"Background: Suicide is a public health problem, which has increased in recent years, becoming a serious cause of mortality, mostly in low- and middle-income countries. Suicidal behavior is infrequent before adolescent years, various related factors have been described. The purpose of this work is to describe the case of a patient in school age who attempted suicide and the identified factors that might have contributed.Clinical case: Nine-year-old male attempted suicide by hanging in the bathroom, endangering his life. He received emergency attention and hospitalized in intensive care. During his hospitalization, the mental health service approached him. Amongst the factors previously associated with suicidal intent during school age and identifiable in the patient are family disintegration, symptoms of major depression episodes, reading-related learning difficulties and attention deficit hyperactivity disorder. The patient received treatment and follow up consultation, without showing any suicidal behavior up to this date. The patient is currently 13 years old.Conclusions: It must be recognized that children of school age can present suicidal behavior. It is important to acknowledge the factors associated with this kind of behavior, to reduce risks and provide an opportune attention and handling.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10727761/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138300869","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}

引用次数: 0

[Takotsubo cardiomyopathy associated with abnormal birth of the coronary arteries]. [Takotsubo心肌病与冠状动脉异常出生有关]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2023-11-06 DOI: 10.5281/zenodo.10064743

Jesús Guadalupe González-Jasso, Yuyi Lizeth Montero-Pola, Otoniel Toledo-Salinas, Werner Schlie-Villa, Alexander Muñóz-López, Ernesto García-Hernández

{"title":"[Takotsubo cardiomyopathy associated with abnormal birth of the coronary arteries].","authors":"Jesús Guadalupe González-Jasso, Yuyi Lizeth Montero-Pola, Otoniel Toledo-Salinas, Werner Schlie-Villa, Alexander Muñóz-López, Ernesto García-Hernández","doi":"10.5281/zenodo.10064743","DOIUrl":"10.5281/zenodo.10064743","url":null,"abstract":"Background: Takotsubo cardiomyopathy (TM) is a form of non-ischemic cardiomyopathy. It is characterized by transient regional systolic dysfunction of the left ventricle that mimics acute myocardial infarction. The main objective of this article is to report the case of a patient with TM associated with abnormal birth of the left coronary trunk.Clinical case: A 76-year-old woman with typical angina at rest, with an electrocardiogram that showed dynamic changes in the T wave and elevation of biomarkers. Coronary angiography showed epicardial coronary arteries without significant lesions and abnormal birth of the left coronary trunk from the proximal segment of the right coronary artery. The patient progressed favorably, and the transthoracic echocardiogram showed no mobility disorders 3 months after the event.Conclusions: TM and abnormal birth of the coronary arteries are rare diseases whose simultaneous presentation is extraordinary. The diagnosis of both clinical entities is made by coronary angiography and echocardiogram, and their treatment is similar to that of patients with acute coronary syndrome. Abnormal birth of the left coronary trunk with retroaortic switch reaching the contralateral site has a good clinical prognosis and echocardiographic follow-up should be performed 4 weeks after the onset of the condition.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10727765/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138300884","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}

引用次数: 0

[Indicators to measure the performance of emergency trauma care]. [衡量急诊创伤护理绩效的指标]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2023-11-06 DOI: 10.5281/zenodo.10064412

Juan Daniel Vera-López, Ileana Beatriz Heredia-Pi, Ricardo Pérez-Núñez, Martha Hijar

{"title":"[Indicators to measure the performance of emergency trauma care].","authors":"Juan Daniel Vera-López, Ileana Beatriz Heredia-Pi, Ricardo Pérez-Núñez, Martha Hijar","doi":"10.5281/zenodo.10064412","DOIUrl":"10.5281/zenodo.10064412","url":null,"abstract":"The objective of this paper was to identify the main indicators used to measure the performance in emergency trauma care. A literature review was carried out in the electronic databases: PubMEd, LILACS and Epistemónikos, including publications between January 2011 and December 31, 2021, in Spanish, English and Portuguese. A total of 962 publications were identified. When reviewing the full text, 48 articles were included. The indicators were classified in the dimensions of process and results. 100 different indicators were identified to analyze the performance of emergency trauma care. 71% were process indicators, including service time and triage. In the results dimension 29 indicators were identified; mortality was the indicator most analyzed as well as length of stay. Six indicators on the disability of injured people and 14 indicators related to satisfaction were identified, the most frequent being complaints. Various indicators have been used to assess the performance of emergency trauma care. In the results dimension, the indicators related to satisfaction and disability after injuries have been little explored. Decision-makers and those responsible for emergency care must promote performance evaluation exercises to learn about their current situation using appropriate and sensitive indicators with the available data.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10721338/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138300862","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}

引用次数: 0

[Subtle and subclinical neurological findings in patients with SARS-CoV-2]. [SARS-CoV-2患者的细微和亚临床神经学表现]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2023-11-06 DOI: 10.5281/zenodo.10064309

Daniel Arturo Martínez-Piña, Daniel San Juan-Orta, Edith González-Guevara, Clara Elena Vázquez-Díaz, Martha Alicia Hernández-González, José Octavio Sosa-Ramos

{"title":"[Subtle and subclinical neurological findings in patients with SARS-CoV-2].","authors":"Daniel Arturo Martínez-Piña, Daniel San Juan-Orta, Edith González-Guevara, Clara Elena Vázquez-Díaz, Martha Alicia Hernández-González, José Octavio Sosa-Ramos","doi":"10.5281/zenodo.10064309","DOIUrl":"10.5281/zenodo.10064309","url":null,"abstract":"Background: There are severe neurological conditions in patients with COVID-19, such as: cerebrovascular disease, Guillain-Barré syndrome, encephalitis, acute hemorrhagic necrotizing encephalopathy and myelitis.Objective: We describe that the patient with SARS-CoV 2 with respiratory symptoms has subtle or subclinical neurological manifestations.Material and methods: Observational, cross-sectional, analytical study, which included patients aged 18-65 years with respiratory symptoms and a confirmed diagnosis of COVID-19. Intubated patients with chronic neurodegenerative diseases or pre-existing neurological compromise were excluded. Semiology of the headache and neurological examination were performed; Serum levels of glucose, protein, electrolytes, lactate, C-reactive protein, lactic dehydrogenase, and D-dimer were measured. Cerebrospinal fluid (CSF) analysis and electroencephalogram (EEG) were also performed in patients who accepted the risks.Results: A high prevalence of subtle neurological manifestations was found in patients with COVID-19 with only a respiratory clinical picture. Headache, anosmia, dysgeusia, and hypopalesthesia predominated in the early stages, with frequent abnormal findings in the CSF (>70%) and less frequently in the EEG (<20%).Conclusions: Headache, anosmia, dysgeusia and hypoesthesia were frequent at the beginning of the infection, together with abnormal findings in CSF and EEG, without other neurological symptoms or neurological disease.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10712932/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138300868","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}

引用次数: 0

[Cognitive alterations in patients recovered from COVID-19 treated in Cardiopulmonary Rehabilitation]. [心肺康复治疗中COVID-19患者的认知改变]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2023-11-06 DOI: 10.5281/zenodo.10064351

Ana Luisa Domínguez-Paredes, Clara Lilia Varela-Tapia, Valeska Dorado-Arias, Elizabeth Salazar-Núñez, Daniel Martínez-Barro

{"title":"[Cognitive alterations in patients recovered from COVID-19 treated in Cardiopulmonary Rehabilitation].","authors":"Ana Luisa Domínguez-Paredes, Clara Lilia Varela-Tapia, Valeska Dorado-Arias, Elizabeth Salazar-Núñez, Daniel Martínez-Barro","doi":"10.5281/zenodo.10064351","DOIUrl":"10.5281/zenodo.10064351","url":null,"abstract":"Background: COVID-19 is associated with multiple complications, in addition to those produced at the pulmonary level. Post-COVID-19 cognitive deficits have been detected in the cognitive domain of attention and executive functions, even 4 months after COVID-19.Objective: to determine the frequency of cognitive alterations in patients recovered from COVID-19.Material and methods: A cross-sectional, descriptive and analytical study was carried out. Records of patients in care after infection by SARS-CoV-2 were integrated, the Neuropsi test was applied. Descriptive statistics and association tests were used through the Chi square test, taking p < 0.05 as significant.Results: Data from 44 files were integrated. The median age, I place them in the sixth decade of life. There was a predominance of men (63.6%). The most frequent comorbidities were systemic arterial hypertension (50%) and diabetes mellitus (40.9%). Most of the patients were managed only at home (61.4%) with a moderate-severe COVID-19 picture (68.2%). The most affected dimensions of the Neuropsi test were attention and concentration (47.7%, mild alteration) and short-term memory (77.3%, mild alteration).Conclusions: Cognitive impairment in patients recovered from COVID-19 assessed through the Neuropsi test presented mild alterations in attention and concentration, as well as in short-term memory. These could affect functionality, quality of life and ability to perform work.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10715817/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138300914","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}

引用次数: 0