La pandemia ha permitido visualizar mas claramente las prioridades de la humanidad, nunca tan globalizada como ahora, para las proximas decadas. Todo lo vinculado a la salud, que quiza hace unos meses no se percibia como prioridad, estara junto a los temas ambientales en los primeros lugares. Como hemos sido testigos, el coronavirus ha desnudado realidades en todo el mundo y tambien ha permitido visualizar oportunidades. En esta serie de articulos, que ambiciosamente hemos titulado Efectos colaterales positivos, intentamos jerarquizar algunas de esas oportunidades en el ambito medico en general y en la cardiologia en particular.
{"title":"Efectos colaterales positivos de la pandemia (II). Introducción a la e.Salud","authors":"Walter Reyes Caorsi","doi":"10.29277/cardio.35.3.5","DOIUrl":"https://doi.org/10.29277/cardio.35.3.5","url":null,"abstract":"La pandemia ha permitido visualizar mas claramente las prioridades de la humanidad, nunca tan globalizada como ahora, para las proximas decadas. Todo lo vinculado a la salud, que quiza hace unos meses no se percibia como prioridad, estara junto a los temas ambientales en los primeros lugares. Como hemos sido testigos, el coronavirus ha desnudado realidades en todo el mundo y tambien ha permitido visualizar oportunidades. En esta serie de articulos, que ambiciosamente hemos titulado Efectos colaterales positivos, intentamos jerarquizar algunas de esas oportunidades en el ambito medico en general y en la cardiologia en particular.","PeriodicalId":191575,"journal":{"name":"Revista Uruguaya de Cardiología","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125148245","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}
G. Tortajada, Zuly Cortellezzi, Romina Roif, Gonzalo Varela
Arrhythmias represent one of the most frequent complications during the postoperative period of cardiac surgery. They may worsen patient evolution, increase the in-hospital length of stay, modify therapeutics and increase health costs. Its proper diagnosis and management improves the long-term prognosis of patients. Atrial fibrillation is the most common arrhythmia in the postoperative period of cardiac surgery, with other supraventricular arrhythmias being less common. Ventricular arrhythmias are cause of increases in morbidity and mortality. Their main characteristics will be discussed in this review.
{"title":"Arritmias ventriculares en el posoperatorio de cirugía cardíaca","authors":"G. Tortajada, Zuly Cortellezzi, Romina Roif, Gonzalo Varela","doi":"10.29277/cardio.35.3.22","DOIUrl":"https://doi.org/10.29277/cardio.35.3.22","url":null,"abstract":"Arrhythmias represent one of the most frequent complications during the postoperative period of cardiac surgery. They may worsen patient evolution, increase the in-hospital length of stay, modify therapeutics and increase health costs. Its proper diagnosis and management improves the long-term prognosis of patients. Atrial fibrillation is the most common arrhythmia in the postoperative period of cardiac surgery, with other supraventricular arrhythmias being less common. Ventricular arrhythmias are cause of increases in morbidity and mortality. Their main characteristics will be discussed in this review.","PeriodicalId":191575,"journal":{"name":"Revista Uruguaya de Cardiología","volume":"07 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127324285","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":"Fibrilación auricular posoperatoria ¿Un lobo con piel de cordero?","authors":"","doi":"10.29277/cardio.35.3.21","DOIUrl":"https://doi.org/10.29277/cardio.35.3.21","url":null,"abstract":"","PeriodicalId":191575,"journal":{"name":"Revista Uruguaya de Cardiología","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125758789","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":"Introducción del Especial 2020","authors":"","doi":"10.29277/cardio.35.3.14","DOIUrl":"https://doi.org/10.29277/cardio.35.3.14","url":null,"abstract":"","PeriodicalId":191575,"journal":{"name":"Revista Uruguaya de Cardiología","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127182733","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":"Adaptándose a las circunstancias","authors":"","doi":"10.29277/cardio.35.3.1","DOIUrl":"https://doi.org/10.29277/cardio.35.3.1","url":null,"abstract":"","PeriodicalId":191575,"journal":{"name":"Revista Uruguaya de Cardiología","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114441255","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}
emphasis will be placed on its impact on hemostasis. Bleeding is one of the most frequent complications and with the highest morbidity and mortality in these patients. Although it is caused by a number of factors, the surgical technique, the cardiopulmonary bypass time and the pre-existing diseases acquire special relevance. The appearance of new procoagulant drugs and systems for monitoring hemostasis, the use of management protocols, with good evidence but low adherence, have so far not been able to reduce the use of blood components. In this review we analyse the current recommendations for the management of bleeding in cardiac surgery, its prevention through the preoperative optimization of the patient, stratify their risk, maintain intraoperative hemostasis and treat postoperative bleeding complications in those patients who suffer them.
{"title":"Prevención y manejo del sangrado en cirugía cardíaca","authors":"F. Delgado, W. Machado, G. Machado","doi":"10.29277/cardio.35.3.16","DOIUrl":"https://doi.org/10.29277/cardio.35.3.16","url":null,"abstract":"emphasis will be placed on its impact on hemostasis. Bleeding is one of the most frequent complications and with the highest morbidity and mortality in these patients. Although it is caused by a number of factors, the surgical technique, the cardiopulmonary bypass time and the pre-existing diseases acquire special relevance. The appearance of new procoagulant drugs and systems for monitoring hemostasis, the use of management protocols, with good evidence but low adherence, have so far not been able to reduce the use of blood components. In this review we analyse the current recommendations for the management of bleeding in cardiac surgery, its prevention through the preoperative optimization of the patient, stratify their risk, maintain intraoperative hemostasis and treat postoperative bleeding complications in those patients who suffer them.","PeriodicalId":191575,"journal":{"name":"Revista Uruguaya de Cardiología","volume":"148 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122834435","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 de la Sociedad Europea de Cardiología sobre cardiología deportiva y ejercicio en pacientes con enfermedad cardiovascular","authors":"","doi":"10.29277/cardio.35.3.7","DOIUrl":"https://doi.org/10.29277/cardio.35.3.7","url":null,"abstract":"","PeriodicalId":191575,"journal":{"name":"Revista Uruguaya de Cardiología","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126652885","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":"El segundo hijo…","authors":"","doi":"10.29277/cardio.35.2.2","DOIUrl":"https://doi.org/10.29277/cardio.35.2.2","url":null,"abstract":"","PeriodicalId":191575,"journal":{"name":"Revista Uruguaya de Cardiología","volume":"2677 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128662202","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}
Gustavo da Silva Cavasin, F. S. Loss, J. Aranda, T. Adame, Alcirley de Almeida Luiz, Kleiton Marcos de Oliveira, A. Schäfer
Cardiac tumors are rare and cardiac lipomas represent a small fraction of them. Most of these tumors differ in clinical manifestations, diagnosis, morphology and size, making them difficult to diagnose. We report the case of an 80 years old female patient, with progressive dyspnea and decompensated heart failure, who developed pericardial effusion and subsequent cardiac tamponade. After transthoracic echocardiography and thoracic computed tomography, pericardial lipoma was evidenced as the cause of low pressure cardiac tamponade.
{"title":"Lipoma pericárdico: tumor benigno como cauda de taponamiento cardíaco a baja presión","authors":"Gustavo da Silva Cavasin, F. S. Loss, J. Aranda, T. Adame, Alcirley de Almeida Luiz, Kleiton Marcos de Oliveira, A. Schäfer","doi":"10.29277/cardio.35.1.17","DOIUrl":"https://doi.org/10.29277/cardio.35.1.17","url":null,"abstract":"Cardiac tumors are rare and cardiac lipomas represent a small fraction of them. Most of these tumors differ in clinical manifestations, diagnosis, morphology and size, making them difficult to diagnose. We report the case of an 80 years old female patient, with progressive dyspnea and decompensated heart failure, who developed pericardial effusion and subsequent cardiac tamponade. After transthoracic echocardiography and thoracic computed tomography, pericardial lipoma was evidenced as the cause of low pressure cardiac tamponade.","PeriodicalId":191575,"journal":{"name":"Revista Uruguaya de Cardiología","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129782100","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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