To describe a rare cause of syncope whose mechanism is the compression of the left atrium caused by large hiatal hernia.
Material and method
Description of three patients visiting our hospital for repeat episodes of syncope in relation to food intake.
Conclusions
Food intake in patients with large hiatal hernia can cause syncope caused by compression of the left atrium whose diagnosis may be delayed to be classified as «situational» or swallowing. Transthoracic echocardiography and chest computed tomography were essential for correct diagnosis. Symptoms disappear with the surgical treatment of hiatal hernia or or alleviated by decreasing the volume of intake.
{"title":"Una causa rara de síncope","authors":"Ramón Maseda Uriza, Jesús Piqueras Flores, Pedro Pérez Díaz, Álvaro Moreno Reig","doi":"10.1016/j.carcor.2016.09.004","DOIUrl":"10.1016/j.carcor.2016.09.004","url":null,"abstract":"<div><h3>Objectives</h3><p>To describe a rare cause of syncope whose mechanism is the compression of the left atrium caused by large hiatal hernia.</p></div><div><h3>Material and method</h3><p>Description of three patients visiting our hospital for repeat episodes of syncope in relation to food intake.</p></div><div><h3>Conclusions</h3><p>Food intake in patients with large hiatal hernia can cause syncope caused by compression of the left atrium whose diagnosis may be delayed to be classified as «situational» or swallowing. Transthoracic echocardiography and chest computed tomography were essential for correct diagnosis. Symptoms disappear with the surgical treatment of hiatal hernia or or alleviated by decreasing the volume of intake.</p></div>","PeriodicalId":100216,"journal":{"name":"Cardiocore","volume":"53 2","pages":"Pages 82-84"},"PeriodicalIF":0.0,"publicationDate":"2018-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.carcor.2016.09.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73170442","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":"Una causa poco frecuente de dolor torácico: neumopericardio","authors":"Iris Esteve Ruiz , Mariano Zamora Sierra , Nieves Romero Rodríguez","doi":"10.1016/j.carcor.2016.08.005","DOIUrl":"10.1016/j.carcor.2016.08.005","url":null,"abstract":"","PeriodicalId":100216,"journal":{"name":"Cardiocore","volume":"53 1","pages":"Page 38"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.carcor.2016.08.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90353848","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}
Pub Date : 2018-01-01DOI: 10.1016/j.carcor.2017.11.001
Manuel Almendro-Delia, Tania Seoane-García
{"title":"¿Se debe realizar revascularización completa en el contexto de un IAM?","authors":"Manuel Almendro-Delia, Tania Seoane-García","doi":"10.1016/j.carcor.2017.11.001","DOIUrl":"10.1016/j.carcor.2017.11.001","url":null,"abstract":"","PeriodicalId":100216,"journal":{"name":"Cardiocore","volume":"53 1","pages":"Pages 3-7"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.carcor.2017.11.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89576462","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}
Pub Date : 2018-01-01DOI: 10.1016/j.carcor.2017.09.002
Ainhoa Robles-Mezcua, Víctor M. Becerra-Muñoz, Miguel A. López-Garrido, Hugo N. Orellana-Figueroa, Ana Guijarro-Contreras, Nasiba Abdeselam-Mohamed, Claudia Lozano-Aida, Francisco Temboury-Villaseca, Eduardo de Teresa-Galván, Manolo Jiménez-Navarro
Introduction
The prevalence of acute coronary syndrome in young population is estimated at around 6% and 10%. Previous studies have suggested clinical and evolutionary differences between men and young women suffering from an event of this type.
Methods
This was a retrospective study that included all male patients under 45 years of age and women under 55 years of age, who were admitted for acute coronary syndrome at our center between 2006 and 2014. We studied cardiovascular risk factors, type of coronary disease and treatment strategy, as well as mortality and events at follow-up.
Results
A total of 471 patients were included, 283 men and 188 women. High blood pressure and diabetes mellitus were more frequent among women (46.8% and 30.9%, respectively) than among men (30% and 9.5% respectively, P < .001), whereas there were more smoking men (88.7% vs. 68.1%, P < .001) and cocaine use (11% vs. 1.1%, P < .011). The men group received revascularization treatment in greater proportion than the women group (90.8% vs. 75%, P < .001) and better medical treatment at discharge. With a mean follow-up of 61.34 ± 30.14 months, long-term mortality was higher among the female group (8.1% vs. 2.3%, P = .004).
Conclusions
There were significant differences in the distribution of cardiovascular risk factors and type of coronary disease and treatment. Long-term mortality was higher among women group.
急性冠状动脉综合征在年轻人中的患病率估计在6%和10%左右。先前的研究表明，患有这种类型的事件的男性和年轻女性之间存在临床和进化上的差异。方法回顾性分析2006 - 2014年间我院收治的急性冠状动脉综合征患者，男性45岁以下，女性55岁以下。我们研究了心血管危险因素、冠状动脉疾病类型和治疗策略，以及随访期间的死亡率和事件。结果共纳入471例患者，其中男性283例，女性188例。高血压和糖尿病在女性中的发生率分别为46.8%和30.9%，高于男性(分别为30%和9.5%)。.001)，而吸烟男性较多(88.7% vs. 68.1%， P <.001)和可卡因使用(11% vs. 1.1%， P <.011)。男性组接受血运重建术治疗的比例高于女性组(90.8% vs. 75%， P <.001)和出院时更好的医疗待遇。平均随访61.34±30.14个月，女性组长期死亡率较高(8.1%比2.3%，P = 0.004)。结论两组患者心血管危险因素分布、冠心病类型及治疗方法存在显著差异。妇女组的长期死亡率较高。
{"title":"Características clínicas, terapéuticas y evolutivas de los pacientes jóvenes ingresados por síndrome coronario agudo. ¿Existen diferencias entre sexos?","authors":"Ainhoa Robles-Mezcua, Víctor M. Becerra-Muñoz, Miguel A. López-Garrido, Hugo N. Orellana-Figueroa, Ana Guijarro-Contreras, Nasiba Abdeselam-Mohamed, Claudia Lozano-Aida, Francisco Temboury-Villaseca, Eduardo de Teresa-Galván, Manolo Jiménez-Navarro","doi":"10.1016/j.carcor.2017.09.002","DOIUrl":"10.1016/j.carcor.2017.09.002","url":null,"abstract":"<div><h3>Introduction</h3><p>The prevalence of acute coronary syndrome in young population is estimated at around 6% and 10%. Previous studies have suggested clinical and evolutionary differences between men and young women suffering from an event of this type.</p></div><div><h3>Methods</h3><p>This was a retrospective study that included all male patients under 45 years of age and women under 55 years of age, who were admitted for acute coronary syndrome at our center between 2006 and 2014. We studied cardiovascular risk factors, type of coronary disease and treatment strategy, as well as mortality and events at follow-up.</p></div><div><h3>Results</h3><p>A total of 471 patients were included, 283 men and 188 women. High blood pressure and diabetes mellitus were more frequent among women (46.8% and 30.9%, respectively) than among men (30% and 9.5% respectively, <em>P</em> <!--><<!--> <!-->.001), whereas there were more smoking men (88.7% vs. 68.1%, <em>P</em> <!--><<!--> <!-->.001) and cocaine use (11% vs. 1.1%, <em>P</em> <!--><<!--> <!-->.011). The men group received revascularization treatment in greater proportion than the women group (90.8% vs. 75%, <em>P</em> <!--><<!--> <!-->.001) and better medical treatment at discharge. With a mean follow-up of 61.34<!--> <!-->±<!--> <!-->30.14 months, long-term mortality was higher among the female group (8.1% vs. 2.3%, <em>P</em> <!-->=<!--> <!-->.004).</p></div><div><h3>Conclusions</h3><p>There were significant differences in the distribution of cardiovascular risk factors and type of coronary disease and treatment. Long-term mortality was higher among women group.</p></div>","PeriodicalId":100216,"journal":{"name":"Cardiocore","volume":"53 1","pages":"Pages 21-27"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.carcor.2017.09.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78561575","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}
Pub Date : 2018-01-01DOI: 10.1016/j.carcor.2016.07.006
Laura Pérez-Gómez, Iris María Esteve-Ruiz, Ana María Campos-Pareja, Diego Rangel-Sousa
We present the case of a 55 year-old patient with severe heart failure secondary to myocarditis with severely depressed ejection fraction, referred to our Hospital for Cardiac pretransplant evaluation. Due to the presence of elevated pulmonary vascular resistance despite optimization of vasodilator medical treatment, an EXCOR® was implanted as a bridge to transplantation. This article aims to highlight the importance of ventricular assist devices to solve long-term contraindication posed severe pulmonary hypertension for heart transplantation. In addition, we will discuss the complications of immune etiology that may arise in the short-medium term and the different diagnostic techniques and treatment options available to address both humoral and cellular rejection to the transplanted organ.
{"title":"Trasplante cardiaco en paciente portador de Berlin Heart EXCOR®, con rechazo agudo refractario a tratamiento corticoideo: un reto diagnóstico","authors":"Laura Pérez-Gómez, Iris María Esteve-Ruiz, Ana María Campos-Pareja, Diego Rangel-Sousa","doi":"10.1016/j.carcor.2016.07.006","DOIUrl":"10.1016/j.carcor.2016.07.006","url":null,"abstract":"<div><p>We present the case of a 55 year-old patient with severe heart failure secondary to myocarditis with severely depressed ejection fraction, referred to our Hospital for Cardiac pretransplant evaluation. Due to the presence of elevated pulmonary vascular resistance despite optimization of vasodilator medical treatment, an EXCOR<sup>®</sup> was implanted as a bridge to transplantation. This article aims to highlight the importance of ventricular assist devices to solve long-term contraindication posed severe pulmonary hypertension for heart transplantation. In addition, we will discuss the complications of immune etiology that may arise in the short-medium term and the different diagnostic techniques and treatment options available to address both humoral and cellular rejection to the transplanted organ.</p></div>","PeriodicalId":100216,"journal":{"name":"Cardiocore","volume":"53 1","pages":"Pages 34-36"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.carcor.2016.07.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85053856","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}
Pub Date : 2018-01-01DOI: 10.1016/j.carcor.2016.06.002
Iris Esteve Ruiz , Nieves Romero Rodríguez , Maria del Pilar Serrano Gotarredona
{"title":"Caracterización y pronóstico de la hipertrofia mediante cardiorresonancia","authors":"Iris Esteve Ruiz , Nieves Romero Rodríguez , Maria del Pilar Serrano Gotarredona","doi":"10.1016/j.carcor.2016.06.002","DOIUrl":"10.1016/j.carcor.2016.06.002","url":null,"abstract":"","PeriodicalId":100216,"journal":{"name":"Cardiocore","volume":"53 1","pages":"Page 37"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.carcor.2016.06.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77855876","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}
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