Pub Date : 2018-01-01DOI: 10.1016/j.carcor.2017.08.005
Juan Manuel García González , Rafael Grande
Introduction and objectives
Since 1980 in Andalusia, cardiovascular mortality has declined, and life expectancy at birth has increased. The objective of this paper is to explain the contribution to life expectancy at birth of changes in mortality by myocardial infarction in Andalusia from 1980 to 2014.
Methods
Ecological design in two stages: 1980-2001 and 2001-2014. Population and deaths by cause data from National Statistics Institute. We calculate age-standardized mortality rates by myocardial infarction, which are applied to joinpoint regression models to estimate moments of change and evaluate trends. We use decomposition of differences in life expectancy to calculate the contributions of mortality change to life expectancy at birth by sex and age.
Results
Decrease in mortality by myocardial infarction in Andalusia from 1980 to 2014 has supposed a rise of 0.88 years for men, and 0.49 for women in life expectancy at birth, mainly coming from ages 65+ years-old (77% for men, 93% for women), and during the period 2011-2014 (57% and 89%).
Conclusions
The decline of mortality by myocardial infarction has implied a remarkable progress in life expectancy at birth of Andalusian population.
{"title":"Tendencias de la mortalidad por infarto agudo de miocardio y cambios en la esperanza de vida en Andalucía (1980-2014)","authors":"Juan Manuel García González , Rafael Grande","doi":"10.1016/j.carcor.2017.08.005","DOIUrl":"10.1016/j.carcor.2017.08.005","url":null,"abstract":"<div><h3>Introduction and objectives</h3><p>Since 1980 in Andalusia, cardiovascular mortality has declined, and life expectancy at birth has increased. The objective of this paper is to explain the contribution to life expectancy at birth of changes in mortality by myocardial infarction in Andalusia from 1980 to 2014.</p></div><div><h3>Methods</h3><p>Ecological design in two stages: 1980-2001 and 2001-2014. Population and deaths by cause data from National Statistics Institute. We calculate age-standardized mortality rates by myocardial infarction, which are applied to joinpoint regression models to estimate moments of change and evaluate trends. We use decomposition of differences in life expectancy to calculate the contributions of mortality change to life expectancy at birth by sex and age.</p></div><div><h3>Results</h3><p>Decrease in mortality by myocardial infarction in Andalusia from 1980 to 2014 has supposed a rise of 0.88 years for men, and 0.49 for women in life expectancy at birth, mainly coming from ages 65+<!--> <!-->years-old (77% for men, 93% for women), and during the period 2011-2014 (57% and 89%).</p></div><div><h3>Conclusions</h3><p>The decline of mortality by myocardial infarction has implied a remarkable progress in life expectancy at birth of Andalusian population.</p></div>","PeriodicalId":100216,"journal":{"name":"Cardiocore","volume":"53 1","pages":"Pages 14-20"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.carcor.2017.08.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84283246","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.2017.11.004
Jaime Nevado-Portero , Ovidio Muñiz-Grijalvo
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Pub Date : 2017-12-01DOI: 10.1016/J.CARCOR.2017.12.001
Núria Alemany, María José Romero-Reyes, José Miguel Carreño Lineros, Luis Pastor Torres
{"title":"Importancia de las nuevas técnicas de imagen en el diagnóstico precoz de la endocarditis infecciosa","authors":"Núria Alemany, María José Romero-Reyes, José Miguel Carreño Lineros, Luis Pastor Torres","doi":"10.1016/J.CARCOR.2017.12.001","DOIUrl":"https://doi.org/10.1016/J.CARCOR.2017.12.001","url":null,"abstract":"","PeriodicalId":100216,"journal":{"name":"Cardiocore","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85987280","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 : 2017-10-01DOI: 10.1016/j.carcor.2016.03.004
Javier León Jiménez, Santiago Jesús Camacho Freire, Jessica Roa Garrido, Antonio Enrique Gómez Menchero, Rosa María Cardenal Piris, María Teresa Moraleda Salas, Prudencia Gómez Fernández, Javier Landero García, José Francisco Díaz Fernández
{"title":"Fenómeno de no-reflow coronario: revisión actualizada de un fenómeno antiguo","authors":"Javier León Jiménez, Santiago Jesús Camacho Freire, Jessica Roa Garrido, Antonio Enrique Gómez Menchero, Rosa María Cardenal Piris, María Teresa Moraleda Salas, Prudencia Gómez Fernández, Javier Landero García, José Francisco Díaz Fernández","doi":"10.1016/j.carcor.2016.03.004","DOIUrl":"10.1016/j.carcor.2016.03.004","url":null,"abstract":"","PeriodicalId":100216,"journal":{"name":"Cardiocore","volume":"52 4","pages":"Pages 155-161"},"PeriodicalIF":0.0,"publicationDate":"2017-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.carcor.2016.03.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88323922","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 : 2017-10-01DOI: 10.1016/j.carcor.2017.04.004
Miriam Auxiliadora Martín Toro , Miriam Padilla Pérez , Manuel Santiago Herruzo Rojas , Juan Ángel Herrador Fuentes , Javier Torres Llergo , Víctor Aragón Extremera , María Rosa Fernández Olmo , Daniel Salas Bravo , José María Márquez Moreno , Eduardo Vázquez Ruiz de Castroviejo , Juan Carlos Fernández Guerrero
We report a case of a patient with cardiorespiratory arrest due to recovered ventricular fibrillation. In the acute phase, ST segment elevation was observed in anterolateral wall in the electrocardiogram, and severe left ventricular dysfunction was observed on the echocardiogram. However, an urgent cardiac catheterization didńt shown the existence of coronary lesions despite of the severe ventricular dysfunction. At six days there was a complete recovery of ventricular function and echocardiographic alterations and successive electrocardiographic records were also normalized. The peculiarity of the present clinical case is the rapid favorable evolution after the recovery of a sudden death, as well as the diagnostic, prognostic and therapeutic questions it propose.
{"title":"Infarto de miocardio con coronarias sanas. Un desafío para el clínico","authors":"Miriam Auxiliadora Martín Toro , Miriam Padilla Pérez , Manuel Santiago Herruzo Rojas , Juan Ángel Herrador Fuentes , Javier Torres Llergo , Víctor Aragón Extremera , María Rosa Fernández Olmo , Daniel Salas Bravo , José María Márquez Moreno , Eduardo Vázquez Ruiz de Castroviejo , Juan Carlos Fernández Guerrero","doi":"10.1016/j.carcor.2017.04.004","DOIUrl":"10.1016/j.carcor.2017.04.004","url":null,"abstract":"<div><p>We report a case of a patient with cardiorespiratory arrest due to recovered ventricular fibrillation. In the acute phase, ST segment elevation was observed in anterolateral wall in the electrocardiogram, and severe left ventricular dysfunction was observed on the echocardiogram. However, an urgent cardiac catheterization didńt shown the existence of coronary lesions despite of the severe ventricular dysfunction. At six days there was a complete recovery of ventricular function and echocardiographic alterations and successive electrocardiographic records were also normalized. The peculiarity of the present clinical case is the rapid favorable evolution after the recovery of a sudden death, as well as the diagnostic, prognostic and therapeutic questions it propose.</p></div>","PeriodicalId":100216,"journal":{"name":"Cardiocore","volume":"52 4","pages":"Pages 162-164"},"PeriodicalIF":0.0,"publicationDate":"2017-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.carcor.2017.04.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80682169","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 : 2017-10-01DOI: 10.1016/j.carcor.2017.07.002
Alejandro Gutiérrez-Barrios , Santiago Camacho-Freire , Miguel Alba-Sánchez , Jorge Chavarria-Viquez , Soledad Ojeda-Pineda , Diana Villanueva-Ospino , Dolores Cañadas-Pruaño , Germán Calle-Pérez , Jesús Oneto-Otero , José F. Diaz-Fernández , Manuel Pan-Álvarez Ossorio , Rafael Vázquez-García
Introduction
Recently, there has been renewed interest in new coronary physiological indexes. Our aim was to investigate the correlation of resting baseline Pd/Pa and cFFR with FFR in real life patients and to test the accuracy of Pd/Pa and cFFR compare to FFR.
Material and methods
Multicenter prospective Study of patients with intermediate coronary stenosis functionally assessed by the ratio of distal coronary pressure and aortic pressure at rest (Pd/Pa), FFR and cFFR.
Results
70 patients (80 coronary lesions) were enrolled. Pd/Pa(r=0.82, P<.001) and cFFR (r=0.89, P<.001) showed a good correlation with FFR.
Based on the established FFR cutoff threshold of 0.8 to define a positive result, 44 (55%) lesions were functionally significant
ROC curve analysis of Pd/Pa and cFFR showed an area under the curve of 0.91 (95% IC 0.85-0.98) and 0.91 (95% IC 0.85-0.97) respectively.
The best cutoff values were >0.92 and >0.85 showing both of them a negative predictive value of 80%, a sensitivity of 84% and a specificity of 75% and 83% respectively.
Conclusions
Pd/PA but specially cFFR is accurate in predicting the functional significance of coronary stenosis. This could allow, in some cases, avoid the use of adenosine savings costs and time.
最近，人们对新的冠状动脉生理指标重新产生了兴趣。我们的目的是研究现实生活中患者静息基线Pd/Pa和cFFR与FFR的相关性，并比较Pd/Pa和cFFR与FFR的准确性。材料与方法对中度冠状动脉狭窄患者进行多中心前瞻性研究，采用静息时冠状动脉远端压与主动脉压之比(Pd/Pa)、FFR和cFFR进行功能评估。结果纳入70例患者(80例冠状动脉病变)。Pd/Pa(r=0.82, p < 0.01)和cFFR (r=0.89, p < 0.01)与FFR有良好的相关性。根据建立的FFR截断阈值0.8定义阳性结果，44例(55%)病变功能显著。Pd/Pa和cFFR曲线分析显示，曲线下面积分别为0.91 (95% IC 0.85-0.98)和0.91 (95% IC 0.85-0.97)。最佳截断值为>0.92和>0.85，两者的阴性预测值分别为80%，敏感性为84%，特异性为75%和83%。结论spd /PA，尤其是cFFR对冠状动脉狭窄的功能意义预测准确。在某些情况下，这可以避免使用腺苷，节省成本和时间。
{"title":"Concordancia de índice cFFR con el FFR con adenosina intracoronaria en la práctica real","authors":"Alejandro Gutiérrez-Barrios , Santiago Camacho-Freire , Miguel Alba-Sánchez , Jorge Chavarria-Viquez , Soledad Ojeda-Pineda , Diana Villanueva-Ospino , Dolores Cañadas-Pruaño , Germán Calle-Pérez , Jesús Oneto-Otero , José F. Diaz-Fernández , Manuel Pan-Álvarez Ossorio , Rafael Vázquez-García","doi":"10.1016/j.carcor.2017.07.002","DOIUrl":"10.1016/j.carcor.2017.07.002","url":null,"abstract":"<div><h3>Introduction</h3><p>Recently, there has been renewed interest in new coronary physiological indexes. Our aim was to investigate the correlation of resting baseline Pd/Pa and cFFR with FFR in real life patients and to test the accuracy of Pd/Pa and cFFR compare to FFR.</p></div><div><h3>Material and methods</h3><p>Multicenter prospective Study of patients with intermediate coronary stenosis functionally assessed by the ratio of distal coronary pressure and aortic pressure at rest (Pd/Pa), FFR and cFFR.</p></div><div><h3>Results</h3><p>70 patients (80 coronary lesions) were enrolled. Pd/Pa(r=0.82, <em>P</em><.001) and cFFR (r=0.89, <em>P</em><.001) showed a good correlation with FFR.</p><p>Based on the established FFR cutoff threshold of 0.8 to define a positive result, 44 (55%) lesions were functionally significant</p><p>ROC curve analysis of Pd/Pa and cFFR showed an area under the curve of 0.91 (95% IC 0.85-0.98) and 0.91 (95% IC 0.85-0.97) respectively.</p><p>The best cutoff values were >0.92 and >0.85 showing both of them a negative predictive value of 80%, a sensitivity of 84% and a specificity of 75% and 83% respectively.</p></div><div><h3>Conclusions</h3><p>Pd/PA but specially cFFR is accurate in predicting the functional significance of coronary stenosis. This could allow, in some cases, avoid the use of adenosine savings costs and time.</p></div>","PeriodicalId":100216,"journal":{"name":"Cardiocore","volume":"52 4","pages":"Pages 150-154"},"PeriodicalIF":0.0,"publicationDate":"2017-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.carcor.2017.07.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89936677","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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