REC: CardioClinics最新文献

英文中文

Valor pronóstico del conocimiento del perfil lipídico en los pacientes ingresados por un primer síndrome coronario agudo 了解首次急性冠状动脉综合征入院患者血脂情况的预后价值

Q4 Medicine

REC: CardioClinics

Pub Date : 2024-04-01 DOI: 10.1016/j.rccl.2023.09.005

Alberto Cordero , Emilio Flores , David Escribano , María Amparo Quintanilla , José Moreno-Arribas , José María López-Ayala , María Dolores Masiá , Elías Martínez Rey-Rañal , Pilar Zuazola , María Salinas

Introduction and objectives

Low-density lipoprotein cholesterol (LDL-C) values are linearly associated with the incidence of ischemic heart disease, although many people are unaware of whether or not they have dyslipidemia.

Methods

Retrospective study of all patients admitted for a first acute coronary syndrome (ACS). We considered ignorance of the lipid profile when there was no previous diagnosis of dyslipidemia, no lipid-lowering treatment was followed, nor was there laboratory determination of LDL-C in the last 5 years.

Results

A total of 3122 patients were included, aged 67.1 (13.2) years, 73.4% men and 54% admitted for ST-segment elevation acute coronary syndrome (STEACS); 1325 (42.44%) did not know their cholesterol levels and the associated variables were not having high blood pressure or diabetes, age < 55 years, male sex, low burden of comorbidity and presentation as STEACS. A significant interaction was detected between age and knowledge of dyslipidemia (P = .02). Hospital mortality was 6.5% (201 patients) and was the same in patients who knew or did not know their cholesterol levels; However, it was higher in those who did not know their LDL-C and were < 65 years of age (3.8% vs 1.5%; P < .01). The multivariate analysis identified an independent association between ignorance of cholesterol and in-hospital mortality, but only in patients aged < 65 years (OR, 2.39; 95%CI, 1.12-5.27; P = .031).

Conclusions

Cholesterol unawareness is very prevalent in patients admitted for a first acute coronary syndrome and it is associated to higher in-hospital mortality rates for patients < 65 years old.

引言和目的低密度脂蛋白胆固醇（LDL-C）值与缺血性心脏病的发病率呈线性相关，但许多人并不知道自己是否患有血脂异常。如果既往未确诊血脂异常，未接受降脂治疗，也未在过去 5 年中通过实验室测定低密度脂蛋白胆固醇（LDL-C），我们就认为患者不了解血脂情况。结果共纳入 3122 名患者，年龄为 67.1（13.2）岁，73.4% 为男性，54% 因 ST 段抬高急性冠状动脉综合征（STEACS）入院；1325 人（42.44%）不知道自己的胆固醇水平，相关变量包括无高血压或糖尿病、年龄为 55 岁、男性、合并症较少以及表现为 STEACS。年龄与血脂异常知识之间存在明显的交互作用（P = 0.02）。住院死亡率为 6.5%（201 名患者），知道或不知道胆固醇水平的患者死亡率相同；但不知道低密度脂蛋白胆固醇水平且年龄为 65 岁的患者死亡率更高（3.8% vs 1.5%；P = 0.01）。多变量分析发现，不了解胆固醇水平与院内死亡率之间存在独立关联，但仅限于 65 岁的患者（OR，2.39；95%CI，1.12-5.27；P = .031）。

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引用次数: 0

Índice de autores 作者索引

Q4 Medicine

REC: CardioClinics

Pub Date : 2024-04-01 DOI: 10.1016/S2605-1532(24)00071-2

引用次数: 0

Adquisición de competencias en ECV en el grado en Medicina: percepción de médicos residentes de cardiología 医学学位中心血管疾病能力的获得：心脏病学住院医师的看法。

Q4 Medicine

REC: CardioClinics

Pub Date : 2024-04-01 DOI: 10.1016/j.rccl.2023.10.003

Ana Laffond , Martín Negreira Caamaño , Jorge Rodríguez Capitán , Pedro Cepas-Guillén , Pablo Díez-Villanueva , Manuel F. Jiménez-Navarro

Introduction and objectives

University education during the degree in Medicine must ensure the acquisition of essential knowledge and skills necessary for the performance of the medical profession. The objective of this study was to analyze the perception of Cardiology resident doctors in Spain regarding the acquisition of competencies in cardiovascular pathology during their university training, and its usefulness in daily clinical practice.

Methods

A telematic questionnaire was developed targeting 814 cardiology residents in Spain between January and February 2023. The acquisition of competencies during the medicine degree and the implementation of teaching innovations in the subject of cardiovascular diseases were evaluated.

Results

The survey was completed by 69 (8.5%) cardiology residents (mean age of 29, 43% women). The competencies that a larger number of respondents considered acquired during their university training were knowledge of cardiovascular risk factors (91.2%), while the interpretation of major diagnostic tests was considered acquired by a smaller number of respondents (27.9%). The majority of participants stated that university training was only useful for passing the subject. The most commonly implemented teaching innovations were clinical practices (96.2%), and their implementation received positive evaluations from the majority of participants.

Conclusions

Cardiology residents participating in the survey reflected that university education in cardiovascular pathology in Spain primarily emphasizes the acquisition of theoretical knowledge. However, the inclusion of teaching innovations could facilitate the development of practical competencies and skills, which are crucial in the foundational training of a physician.

引言和目标医学专业的大学教育必须确保学生掌握从事医学专业所必需的基本知识和技能。本研究旨在分析西班牙心脏科住院医师对大学培训期间心血管病学能力的掌握情况及其在日常临床实践中的实用性的看法。方法在 2023 年 1 月至 2 月期间，针对西班牙 814 名心脏科住院医师编制了一份远程问卷。结果69名（8.5%）心内科住院医师（平均年龄29岁，女性占43%）完成了调查。较多受访者认为在大学培训期间掌握的能力是心血管危险因素知识（91.2%），而较少受访者（27.9%）认为掌握了主要诊断测试的解释能力。大多数参与者表示，大学培训只对通过该科目有用。最常见的教学创新是临床实践（96.2%），其实施得到了大多数参与者的积极评价。结论参与调查的心内科住院医师反映，西班牙心血管病学的大学教育主要强调理论知识的学习。然而，将教学创新纳入其中可促进实践能力和技能的发展，这对医生的基础培训至关重要。

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引用次数: 0

Experiencia inicial de la donación cardiaca en asistolia controlada en una región ultraperiférica y multinsular 在最外围的多岛地区，对心跳骤停者进行控制性心脏捐献的初步经验

Q4 Medicine

REC: CardioClinics

Pub Date : 2024-04-01 DOI: 10.1016/j.rccl.2024.01.003

Mario Galván Ruiz , María del Val Groba Marco , Vicente Peña Morant , Francisco Portela Torrón , Miguel Fernández de Sanmamed Girón , Antonio García Quintana

引用次数: 0

Registro de actividad y recursos de las unidades de cuidados intensivos cardiológicos dependientes de servicios de cardiología 依赖于心脏病学服务的心脏病学重症监护室的活动和资源登记。

Q4 Medicine

REC: CardioClinics

Pub Date : 2024-04-01 DOI: 10.1016/j.rccl.2023.10.006

Pablo Jorge-Pérez , Ricardo Pinto-Plasencia , Martín J. García-González , Ana Viana-Tejedor , Miguel Corbí-Pascual , Miriam Juárez-Fernández , Aitor Uribarri , Marta M. Martín-Cabeza , Albert Ariza-Solé

Introduction and objectives

Despite advances in the definition of the cardiovascular critical care subspecialty, acute cardiovascular care in Europe remains highly variable in terms of resources, specialty status and training of medical and nursing staff, processes, and outcomes of care. For this reason, it is advisable to establish circuits and records for the collection and analysis of data on bed occupancy, diagnosis, mortality, and morbidity. The spectrum of the different cardiovascular pathologies of the patients treated in the cardiac intensive care unit (CICU) has changed profoundly.

Methods

The objective of this study was to analyze the current volume and activity data of the different CICU depending on Cardiology Departments in Spain, in order to identify indicators for continuous improvement in all participating centers.

Results

Twenty-two UCICs participated in the registry, with a median of 1024 (763-1264) admissions. The median number of beds in the CICU is 8 (8-9) and 8 (4-11.5) in the Intermediate Units. The ratio of physicians on weekdays to the number of beds was 0.29 ± 0.1 in type III CICU and 0.2 ± 0.1 in intermediate units. On the other hand, on weekends the ratio was 0.10 ± 0.05. Overall hospital mortality was 4.34% ± 1.9%.

Conclusions

In this exploratory and cross-sectional analysis of CICU dependent on Cardiology Services in Spain, great variability in the level and coexistence of Units between centers can be seen. The number of medical personnel in the CICU is much lower than current recommendations, especially during shifts or weekends.

导言和目标尽管心血管危重症护理亚专科的定义有了进步，但欧洲的心血管危重症护理在资源、专科地位、医护人员培训、流程和护理效果等方面仍存在很大差异。因此，建立收集和分析病床占用率、诊断、死亡率和发病率数据的回路和记录是明智之举。心脏重症监护病房（CICU）收治的心血管病患者的病理类型发生了深刻变化。方法本研究的目的是分析西班牙心脏科不同 CICU 目前的收治量和活动数据，以确定所有参与中心的持续改进指标。CICU床位数中位数为8（8-9）张，中级病房床位数中位数为8（4-11.5）张。工作日的医生人数与床位数之比，三类 CICU 为 0.29 ± 0.1，中间病房为 0.2 ± 0.1。另一方面，周末的比例为 0.10 ± 0.05。结论在这项对西班牙心脏病学服务机构下属 CICU 进行的探索性横断面分析中，可以看出不同中心的 CICU 在级别和共存方面存在很大差异。CICU的医务人员数量远低于当前的建议水平，尤其是在轮班或周末。

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引用次数: 0

Modelo predictivo de recuperación en la taquimiocardiopatía 心动过速肌病康复预测模型

Q4 Medicine

REC: CardioClinics

Pub Date : 2024-04-01 DOI: 10.1016/j.rccl.2023.12.005

Noelia Bouzas-Cruz

引用次数: 0

Ojos que no ven, corazón que sí siente 看不见的眼睛，感受得到的心

Q4 Medicine

REC: CardioClinics

Pub Date : 2024-04-01 DOI: 10.1016/j.rccl.2023.11.003

Almudena Castro Conde

引用次数: 0

Sarcoma intimal primario cardiaco 原发性心脏内膜肉瘤

Q4 Medicine

REC: CardioClinics

Pub Date : 2024-04-01 DOI: 10.1016/j.rccl.2023.12.001

Cristina Helguera Amezua , Francisco Callejo Magaz , Luis Gutiérrez de la Varga

引用次数: 0

Prevalencia de fibrilación auricular y hallazgos ecocardiográficos en pacientes con enfermedad renal crónica en diálisis 接受透析的慢性肾病患者心房颤动的患病率和超声心动图检查结果

Q4 Medicine

REC: CardioClinics

Pub Date : 2024-04-01 DOI: 10.1016/j.rccl.2023.12.003

Maricely Reina , Rodolfo Torres , Alejandra Montealegre , Edwin Núñez , Orlando Zabaleta , John Liévano

引用次数: 0

Junta Directiva, Comité Organizador, Comité Científico y Comité Evaluador 董事会、组织委员会、科学委员会和评估委员会

Q4 Medicine

REC: CardioClinics

Pub Date : 2024-04-01 DOI: 10.1016/S2605-1532(24)00069-4

引用次数: 0

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