REC: CardioClinics最新文献

英文中文

Impacto de la obstrucción en la conexión venosa pulmonar anómala total: morbimortalidad quirúgica y supervivencia 阻塞对完全异常的肺静脉连接的影响：手术死亡率和存活率

Q4 Medicine

REC: CardioClinics

Pub Date : 2025-04-01 DOI: 10.1016/j.rccl.2025.01.007

Claudia Flórez Rodríguez , Javier Castro Monsalve , Felipe Rubio Duarte , Silvia Plata , Claudia C. Colmenares-Mejía , Diana Laverde , Diana Fajardo , Sara Mendoza Crespo

Introduction and objectives

Total anomalous pulmonary venous connection is a rare condition with a wide anatomical spectrum and a favorable prognosis, except in the presence of pulmonary venous obstruction. The objective was to identify factors associated with operative mortality in patients undergoing surgical correction.

Methods

A retrospective analysis was conducted on patients operated on between 2013 and 2022. The primary outcome was operative mortality, while the secondary outcome was the presence of major complications. Survival at 1 and 5 years after discharge was also evaluated. Logistic regression was used to identify preoperative and intraoperative risk factors for operative mortality, and Kaplan-Meier survival curves and a Cox model were employed to assess factors associated with 1-year survival.

Results

A total of 74 patients were included (56.8% male, 59.5% with supracardiac drainage). Operative mortality was 16.2% (95%CI, 8.7-26.6), higher in patients with obstruction at diagnosis (36.6% vs 4.5%). Patients with obstruction more frequently had infracardiac drainage, lower age and weight, increased need for mechanical ventilation and vasoactive support, and longer extracorporeal circulation times. The reintervention rate was 21.6%. Overall survival was 88.7% at one year (95%CI, 77.7-94.4) and 85.4% at 5 years (95%CI, 73.9-92.1). Survival was lower in patients with residual obstruction (37.5% at 1 year, 95%CI, 8.7-67.4; 25% at 5 years, 95%CI, 3.7-55.8; HRa, 47.4, 95%CI, 3.77-594.9).

Conclusions

Survival in patients with surgically corrected total anomalous pulmonary venous connection at our institution is comparable to international data, but outcomes are worse in those with obstruction at diagnosis.

前言与目的除肺静脉梗阻外，体位肺静脉异常连接是一种少见的疾病，解剖谱广泛，预后良好。目的是确定与手术矫正患者手术死亡率相关的因素。方法回顾性分析2013 ~ 2022年我院手术患者的临床资料。主要结局是手术死亡率，次要结局是主要并发症的出现。出院后1年和5年的生存率也进行了评估。采用Logistic回归分析术前和术中影响手术死亡率的危险因素，采用Kaplan-Meier生存曲线和Cox模型评估与1年生存率相关的因素。结果共纳入74例患者，其中男性56.8%，心上引流患者59.5%。手术死亡率为16.2% (95%CI, 8.7-26.6)，诊断为梗阻的患者更高（36.6%对4.5%）。梗阻患者发生心下引流的频率更高，年龄和体重更低，机械通气和血管活性支持的需求增加，体外循环时间更长。再干预率为21.6%。1年总生存率为88.7% (95%CI, 77.7-94.4)， 5年总生存率为85.4% （95%CI, 73.9-92.1）。残留梗阻患者的生存率较低(1年时为37.5%,95%CI, 8.7-67.4；5年25%，95%CI, 3.7-55.8；HRa, 47.4, 95%CI, 3.77-594.9)。结论我院手术矫正的全肺静脉异常连接患者的生存率与国际数据相当，但诊断为梗阻的患者预后更差。

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引用次数: 0

Heart and mind: Depressive symptoms in acute myocardial infarction 心与脑急性心肌梗死患者的抑郁症状

Q4 Medicine

REC: CardioClinics

Pub Date : 2025-04-01 DOI: 10.1016/j.rccl.2024.10.003

Edgar Fabián Manrique-Hernández , Alexandra Hurtado-Ortiz , Maricel Licht-Ardila , Diana Ortega , Alejandra Mendoza-Monsalve , Diana Cañon

引用次数: 0

Presentación 提交

Q4 Medicine

REC: CardioClinics

Pub Date : 2025-02-01 DOI: 10.1016/S2605-1532(25)00048-2

引用次数: 0

Comunicaciones 通信

Q4 Medicine

REC: CardioClinics

Pub Date : 2025-02-01 DOI: 10.1016/S2605-1532(25)00049-4

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Índice de autores 作者索引

Q4 Medicine

REC: CardioClinics

Pub Date : 2025-02-01 DOI: 10.1016/S2605-1532(25)00050-0

引用次数: 0

Junta Directiva y Comité Organizador - Científico 理事会和组织委员会-科学

Q4 Medicine

REC: CardioClinics

Pub Date : 2025-02-01 DOI: 10.1016/S2605-1532(25)00047-0

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Atención primaria: superpoderes en prevención 初级保健：预防中的超级大国

Q4 Medicine

REC: CardioClinics

Pub Date : 2025-01-01 DOI: 10.1016/j.rccl.2024.08.002

Raquel Campuzano Ruiz , Vicente Arrarte Esteban

引用次数: 0

Utilidad del estudio genético en la fibrilación auricular de inicio precoz 基因研究在早期耳部纤颤中的作用

Q4 Medicine

REC: CardioClinics

Pub Date : 2025-01-01 DOI: 10.1016/j.rccl.2024.08.001

Carlos Gómez Navarro , Beatriz Girela Pérez , José Gregorio Soto Rojas , Francisco José Bermúdez Jiménez , Antonio Bonilla López , Juan Jiménez-Jaimez

引用次数: 0

IV informe de actividad y recursos de la Asociación de Imagen Cardiaca de la Sociedad Española de Cardiología (2022) 四西班牙心脏学会心脏影像协会活动和资源报告（2022年）

Q4 Medicine

REC: CardioClinics

Pub Date : 2025-01-01 DOI: 10.1016/j.rccl.2024.10.010

Jaume Agüero Ramón-Llin , Amparo Martínez-Monzonís , Covadonga Fernández-Golfín , Marta Alamar Cervera , Manuel Barreiro-Pérez

Introduction and objectives

The 2022 Registry of the Cardiovascular Imaging Association of the Spanish Society of Cardiology is presented.

Methods

67 Spanish hospitals were invited to participate in the registry. Participation was voluntary and data collection was carried out through an online questionnaire. The questionnaire focused on data on resource endowment and activity.

Results

53 hospitals participated, most of them public (88.9%) and of typologies 3 or 4. The average number of cardiologists with preferential dedication to cardiac imaging was 4.2. A 38.9% of centers have imaging technicians. The availability of ultrasound machines and age indicates a trend towards better equipment and renewal. In 25.9% of centers, cardiologists only perform echocardiography, and 74.1% participate in at least one other modality (computed tomography [CT], magnetic resonance imaging, or nuclear medicine). The average annual activity was: 9590 echocardiograms, 516 magnetic resonance imaging, 631 CT scans and 607 nuclear medicine studies, with marked inter-center variability despite stratifying by hospital type. An increase in stress echo, transthoracic echocardiography in intervention and CT is observed. In 90% of centers, echocardiograms are performed by other specialties, especially in the form of echocardioscopy by the ICU and emergency services, and to a lesser extent internal medicine, anesthesiology and neurology.

Conclusions

The Spanish Cardiac Imaging Registry of 2022 allows us to know the current situation and temporal trend in terms of resources and activity, the differences between centers and identify potential areas of improvement for the future.

介绍和目标介绍西班牙心脏病学会心血管成像协会2022年注册表。方法邀请西班牙67家医院参与登记。参与是自愿的，数据收集是通过在线问卷进行的。调查问卷的重点是关于资源禀赋和活动的数据。结果共有53家医院参与调查，其中公立医院居多（88.9%），分型3、4种。优先从事心脏成像的心脏病专家平均人数为4.2人。38.9%的中心有成像技术人员。超声设备的可用性和年龄表明了一种向更好的设备和更新的趋势。在25.9%的中心，心脏病专家只进行超声心动图检查，74.1%的中心至少进行一种其他检查（计算机断层扫描[CT]、磁共振成像或核医学）。年平均活动为：超声心动图9590张，磁共振成像516张，CT扫描631张，核医学研究607张，尽管按医院类型分层，但中心间差异明显。经胸超声心动图、介入检查和CT检查均可见应激回声增高。在90%的中心，超声心动图由其他专业进行，特别是由ICU和急诊部门以超声心动图的形式进行，在较小程度上由内科、麻醉科和神经内科进行。西班牙2022年心脏成像登记使我们能够了解资源和活动方面的现状和时间趋势，中心之间的差异，并确定未来可能改进的领域。

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引用次数: 0

Perforación coronaria espontánea complicada con un hemotórax masivo 自发性冠状动脉穿孔并伴有大量血栓形成

Q4 Medicine

REC: CardioClinics

Pub Date : 2025-01-01 DOI: 10.1016/j.rccl.2024.07.005

Adrián Costa Santos , Ane Elorriaga Madariaga , Abel Andrés Morist , Iván García Díaz

引用次数: 0

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