Virginia Estragó, M. Muñoz, R. Álvarez, Ximena Reyes, Walter Reyes
{"title":"Utilización de un dispositivo de tecnología móvil para tamizaje de fibrilación auricular. Estudio piloto","authors":"Virginia Estragó, M. Muñoz, R. Álvarez, Ximena Reyes, Walter Reyes","doi":"10.29277/cardio.36.1.13","DOIUrl":"https://doi.org/10.29277/cardio.36.1.13","url":null,"abstract":"","PeriodicalId":191575,"journal":{"name":"Revista Uruguaya de Cardiología","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130541883","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":"La Revista en tiempos de pandemia. Más tuya que nunca","authors":"F. Ferrando","doi":"10.29277/cardio.36.1.9","DOIUrl":"https://doi.org/10.29277/cardio.36.1.9","url":null,"abstract":"","PeriodicalId":191575,"journal":{"name":"Revista Uruguaya de Cardiología","volume":"101 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116033018","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":"Aspectos destacados de las guías europeas de fibrilación auricular","authors":"J. Castro","doi":"10.29277/cardio.36.1.10","DOIUrl":"https://doi.org/10.29277/cardio.36.1.10","url":null,"abstract":"","PeriodicalId":191575,"journal":{"name":"Revista Uruguaya de Cardiología","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114274204","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}
J. Vázquez, Rafael Grassi, A. Simeone, Siul Salisbury
Resumen Un gossypiboma, oblitoma o textiloma se define como todo cuerpo extraño olvidado en el interior de un paciente durante una intervención quirúrgica. Representa una complicación posquirúrgica poco frecuente pero de consecuencias potencialmente graves. En general, se manifiesta con cuadros clínicos variables: una masa o pseudotumor, sangrados, fiebre, dolor, varios meses o años después de la cirugía original. También puede ser un hallazgo accidental. Describimos el caso clínico de una paciente con un gossypiboma vinculado a una cirugía cardíaca que se realizó 40 años antes al cuadro clínico actual, que se presenta con arritmia ventricular maligna. Palabras clave: GOSSYPIBOMA ARRITMIA VENTRICULAR MALIGNA
{"title":"Arritmia Ventricular maligna asociada a un gossypiboma. Reporte de un caso","authors":"J. Vázquez, Rafael Grassi, A. Simeone, Siul Salisbury","doi":"10.29277/cardio.36.2.11","DOIUrl":"https://doi.org/10.29277/cardio.36.2.11","url":null,"abstract":"Resumen Un gossypiboma, oblitoma o textiloma se define como todo cuerpo extraño olvidado en el interior de un paciente durante una intervención quirúrgica. Representa una complicación posquirúrgica poco frecuente pero de consecuencias potencialmente graves. En general, se manifiesta con cuadros clínicos variables: una masa o pseudotumor, sangrados, fiebre, dolor, varios meses o años después de la cirugía original. También puede ser un hallazgo accidental. Describimos el caso clínico de una paciente con un gossypiboma vinculado a una cirugía cardíaca que se realizó 40 años antes al cuadro clínico actual, que se presenta con arritmia ventricular maligna. Palabras clave: GOSSYPIBOMA ARRITMIA VENTRICULAR MALIGNA","PeriodicalId":191575,"journal":{"name":"Revista Uruguaya de Cardiología","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127645231","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}
Since an early age of heart surgery, atrial fibrillation has been a frequent companion of the postoperative period, and its decline is not to be expected in the near future.The interpretation of its clinical significance has changed in recent years, after knowing its recurrent trend and its association with serious immediate and long-term complications.This fact unveils a new challenge, as it is no longer a minor problem of consideration restricted to the perioperative period and has become a topic of concern and follow-upin the distant future, still with uncertainties as to its evolution and management.The effective prophylaxis of this arrhythmia has been difficult by the multiplicity of risk factors and the intricate of its genesis, added to the increasing age of the patients involved, the greater complexity of the procedures, the possible side effects of the drugs used and the absence of a reliable predictive algorithm that could allow to rationalizing preventive measures.In addition, many recommendations from current clinical practice guidelines are based on information obtained from studies in primary atrial fibrillation, so their adoption in the heart surgery scenario has been less than desirable.All these aspects are analyzed in this review, which ends with directives for the practical management of the arrhythmia in the perioperative environment.
{"title":"Fibrilación auricular posoperatoria. ¿Un lobo con piel de cordero?","authors":"Jorge Estigarribia Passaro","doi":"10.29277/cardio.36.1.5","DOIUrl":"https://doi.org/10.29277/cardio.36.1.5","url":null,"abstract":"Since an early age of heart surgery, atrial fibrillation has been a frequent companion of the postoperative period, and its decline is not to be expected in the near future.The interpretation of its clinical significance has changed in recent years, after knowing its recurrent trend and its association with serious immediate and long-term complications.This fact unveils a new challenge, as it is no longer a minor problem of consideration restricted to the perioperative period and has become a topic of concern and follow-upin the distant future, still with uncertainties as to its evolution and management.The effective prophylaxis of this arrhythmia has been difficult by the multiplicity of risk factors and the intricate of its genesis, added to the increasing age of the patients involved, the greater complexity of the procedures, the possible side effects of the drugs used and the absence of a reliable predictive algorithm that could allow to rationalizing preventive measures.In addition, many recommendations from current clinical practice guidelines are based on information obtained from studies in primary atrial fibrillation, so their adoption in the heart surgery scenario has been less than desirable.All these aspects are analyzed in this review, which ends with directives for the practical management of the arrhythmia in the perioperative environment.","PeriodicalId":191575,"journal":{"name":"Revista Uruguaya de Cardiología","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115041920","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 Guamán, W. Acosta, Carla Alvarez, Benhard Hasbum
mortality and morbidity in developed countries. Diabetes Mellitus is a major risk factor for cardiovascular disease, contributing to its devastating economic consequences. Metabolic syndrome and abdominal obesity are an increasing health problem, often linked to diabetes (and glucose intolerance). Opposed to subcutaneous, intra-abdominal fat deposition results in a series of deleterious mechanisms, including the release of inflammatory markers that contributes to the high incidence of cardiovascular disease in this population. In fact, it is clear that inflammation is a major player in obesity, metabolic syndrome, and diabetes, not only contributing to these conditions, but also being a link between them. Indeed, several pathways suggest interaction between the metabolic and immune-inflammatory system, indicating that these processes are not different mechanism but different manifestation of the same process. Cardiovascular, noninvasive imaging has emerged as an accurate tool for assessing burden of atherosclerosis. Magnetic resonance imaging has been revealed as an accurate tool to assess the burden of disease (in extra-coronary territories). However, the understanding of the mechanism involved in plaque development, inflammation and instability has led to the concept of functional imaging (in addition to the “classical” anatomical imaging). Inflammation within the atherosclerotic plaque can be quantified by 18 F fluorodeoxyglucose positron-emission tomography. Much hope is placed on the role of this new merged imaging modality for the diagnosis of high risk plaques and for the treatment monitoring. Finally, new advances in molecular imaging using targeted contrast agents have permitted the noninvasive characterization of plaque composition both by magnetic resonance imaging and by computed tomography.
{"title":"Diabetes y enfermedad cardiovascular","authors":"Carlos Guamán, W. Acosta, Carla Alvarez, Benhard Hasbum","doi":"10.29277/CARDIO.36.1.4","DOIUrl":"https://doi.org/10.29277/CARDIO.36.1.4","url":null,"abstract":"mortality and morbidity in developed countries. Diabetes Mellitus is a major risk factor for cardiovascular disease, contributing to its devastating economic consequences. Metabolic syndrome and abdominal obesity are an increasing health problem, often linked to diabetes (and glucose intolerance). Opposed to subcutaneous, intra-abdominal fat deposition results in a series of deleterious mechanisms, including the release of inflammatory markers that contributes to the high incidence of cardiovascular disease in this population. In fact, it is clear that inflammation is a major player in obesity, metabolic syndrome, and diabetes, not only contributing to these conditions, but also being a link between them. Indeed, several pathways suggest interaction between the metabolic and immune-inflammatory system, indicating that these processes are not different mechanism but different manifestation of the same process. Cardiovascular, noninvasive imaging has emerged as an accurate tool for assessing burden of atherosclerosis. Magnetic resonance imaging has been revealed as an accurate tool to assess the burden of disease (in extra-coronary territories). However, the understanding of the mechanism involved in plaque development, inflammation and instability has led to the concept of functional imaging (in addition to the “classical” anatomical imaging). Inflammation within the atherosclerotic plaque can be quantified by 18 F fluorodeoxyglucose positron-emission tomography. Much hope is placed on the role of this new merged imaging modality for the diagnosis of high risk plaques and for the treatment monitoring. Finally, new advances in molecular imaging using targeted contrast agents have permitted the noninvasive characterization of plaque composition both by magnetic resonance imaging and by computed tomography.","PeriodicalId":191575,"journal":{"name":"Revista Uruguaya de Cardiología","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124845851","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":"Lo mejor del Congreso ACC 2021","authors":"","doi":"10.29277/cardio.36.3.8","DOIUrl":"https://doi.org/10.29277/cardio.36.3.8","url":null,"abstract":"","PeriodicalId":191575,"journal":{"name":"Revista Uruguaya de Cardiología","volume":"81 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117056390","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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