Pub Date : 2022-09-02DOI: 10.24875/rccar.m22000171
Francisco J. Guerrero-Márquez, Pablo Cristobo-Sáinz
{"title":"Intervencionismo coronario percutáneo en paciente con anomalía coronaria","authors":"Francisco J. Guerrero-Márquez, Pablo Cristobo-Sáinz","doi":"10.24875/rccar.m22000171","DOIUrl":"https://doi.org/10.24875/rccar.m22000171","url":null,"abstract":"","PeriodicalId":39975,"journal":{"name":"Revista Colombiana de Cardiologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41348190","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 : 2022-09-01DOI: 10.24875/rccar.m22000165
D. Grados-Saso, Ainhoa Pérez-Guerrero, Carlos R. López-Perales, J. M. Salvador-Casabón, Borja Simó-Sánchez
{"title":"Cardiopatía asociada a infección por VIH","authors":"D. Grados-Saso, Ainhoa Pérez-Guerrero, Carlos R. López-Perales, J. M. Salvador-Casabón, Borja Simó-Sánchez","doi":"10.24875/rccar.m22000165","DOIUrl":"https://doi.org/10.24875/rccar.m22000165","url":null,"abstract":"","PeriodicalId":39975,"journal":{"name":"Revista Colombiana de Cardiologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48893345","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 : 2022-09-01DOI: 10.24875/rccar.m22000158
Rosa Macías-Ruiz, Juan Jiménez-Jáimez, Manuel Molina-Lerma, Pablo J. Sánchez-Millán, M. Álvarez-López, R. Wangensteen, Andrés Quesada, Antonio Osuna-Ortega, Luis Tercedor-Sánchez
{"title":"Efecto de la cardioversión eléctrica programada de fibrilación auricular sobre la función renal","authors":"Rosa Macías-Ruiz, Juan Jiménez-Jáimez, Manuel Molina-Lerma, Pablo J. Sánchez-Millán, M. Álvarez-López, R. Wangensteen, Andrés Quesada, Antonio Osuna-Ortega, Luis Tercedor-Sánchez","doi":"10.24875/rccar.m22000158","DOIUrl":"https://doi.org/10.24875/rccar.m22000158","url":null,"abstract":"","PeriodicalId":39975,"journal":{"name":"Revista Colombiana de Cardiologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42886750","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 : 2022-09-01DOI: 10.24875/rccar.m22000157
I. C. Marín-Orozco, Juan G. Zapata-Duque, James S. Díaz-Betancur
{"title":"Troponina I de alta sensibilidad para el descarte temprano del infarto agudo de miocardio","authors":"I. C. Marín-Orozco, Juan G. Zapata-Duque, James S. Díaz-Betancur","doi":"10.24875/rccar.m22000157","DOIUrl":"https://doi.org/10.24875/rccar.m22000157","url":null,"abstract":"","PeriodicalId":39975,"journal":{"name":"Revista Colombiana de Cardiologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42075475","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 : 2022-09-01DOI: 10.24875/rccar.m22000169
Ángel García-Peña, D. Achury-Saldaña, R. A. González, Alejandro Mariño, L. Aponte, Ricardo Bohórquez
Introduction: Mobile phone based remote monitoring systems for heart failure patients could become simple and affordable tools to improve home management. Objective: to identify utility and acceptance of ControlVit ® in heart failure patients. Method: descriptive observational pilot study in 20 outpatients with reduced ejection fraction, attending at hospital heart failure program. For six months, patients use the ControlVit ® application, which supplies patient information to improve self-ca-re and allows daily recording of specific medical variables. The data was recorded in the system log to verify frequency and data transmission. A technological acceptance questionnaire (TAM) was applied to all patients and professionals. A descriptive analysis with absolute and relative frequency distribution was also performed. Results: 100% of patients recognized the Contiene información para mejorar el autocuidado y permite al paciente registrar biomedidas (peso, presión arterial, frecuencia cardiaca) y síntomas de descompensación que generan alertas al profesional encargado. iniciales usefulness of the compared to self-care, 90 deny technological anxiety or of using due to the of Overall, 164 real-time alerts were detected, weight gain was the most frequent (49 %) and 91 % of patients had no hospital readmissions. Conclusion: The ControlVit ® application is useful for the early detection of symptoms that allow timely detection of complications and early modification of treatment. The excellent acceptance of the application by patients and its ease of use, raise the possibility of implementing it as a complementary monitoring strategy in patients with heart failure.
导言:基于手机的心力衰竭患者远程监测系统可以成为简单和负担得起的工具，以改善家庭管理。目的:确定ControlVit®在心力衰竭患者中的效用和接受度。方法:描述性观察性先导研究，对20例参加医院心力衰竭项目的射血分数降低的门诊患者进行研究。在六个月的时间里，患者使用ControlVit®应用程序，该应用程序提供患者信息以改善自我诊断，并允许每天记录特定的医疗变量。将数据记录在系统日志中，以验证频率和数据传输。采用技术接受问卷(TAM)对所有患者和专业人员进行调查。对绝对频率分布和相对频率分布进行了描述性分析。结果:100%的患者通过允许的生物医学注册器(peso, presión动脉，高频心脏)和síntomas de descompensación que generan alertas all专业注册器识别出continene información para mejorar el autocuidado。总体而言，检测到164个实时警报，体重增加是最常见的(49%)，91%的患者没有再入院。结论:ControlVit®应用程序有助于早期发现症状，从而及时发现并发症和早期修改治疗方案。患者对应用的良好接受度及其易用性，提高了将其作为心力衰竭患者补充监测策略实施的可能性。
{"title":"Modelo de aceptación tecnológica de la aplicación móvil de seguimiento ControlVit® en pacientes con falla cardiaca","authors":"Ángel García-Peña, D. Achury-Saldaña, R. A. González, Alejandro Mariño, L. Aponte, Ricardo Bohórquez","doi":"10.24875/rccar.m22000169","DOIUrl":"https://doi.org/10.24875/rccar.m22000169","url":null,"abstract":"Introduction: Mobile phone based remote monitoring systems for heart failure patients could become simple and affordable tools to improve home management. Objective: to identify utility and acceptance of ControlVit ® in heart failure patients. Method: descriptive observational pilot study in 20 outpatients with reduced ejection fraction, attending at hospital heart failure program. For six months, patients use the ControlVit ® application, which supplies patient information to improve self-ca-re and allows daily recording of specific medical variables. The data was recorded in the system log to verify frequency and data transmission. A technological acceptance questionnaire (TAM) was applied to all patients and professionals. A descriptive analysis with absolute and relative frequency distribution was also performed. Results: 100% of patients recognized the Contiene información para mejorar el autocuidado y permite al paciente registrar biomedidas (peso, presión arterial, frecuencia cardiaca) y síntomas de descompensación que generan alertas al profesional encargado. iniciales usefulness of the compared to self-care, 90 deny technological anxiety or of using due to the of Overall, 164 real-time alerts were detected, weight gain was the most frequent (49 %) and 91 % of patients had no hospital readmissions. Conclusion: The ControlVit ® application is useful for the early detection of symptoms that allow timely detection of complications and early modification of treatment. The excellent acceptance of the application by patients and its ease of use, raise the possibility of implementing it as a complementary monitoring strategy in patients with heart failure.","PeriodicalId":39975,"journal":{"name":"Revista Colombiana de Cardiologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47287933","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}
Introduction: Heart failure is a global health problem. In Ecuador it is estimated that between 1% and 2% of the population suffers this disease. Objective: To determine mortality markers in outpatients with a diagnosis of heart failure in the Ecuadorian Andean population. Methods: A cross-sectional and monocentric study was carried out in 230 mestizo, indigenous and Afro-descendant patients diagnosed with heart failure. The differences between the three ethnic groups were statistically analyzed by one-way ANOVA and Crammer’s V test. Additionally, a logistic regression analysis was performed. Results: The predominant ethnic group was mestizo (73.5%), followed by indigenous people (15.5%) and afro-descendants (10.5%). The logistic regression analysis showed that age (OR: 1.046; 95% CI: 1.014-1.078; p = 0.04), ethnicity (OR: 1.713; 95% CI: 1.053-2.78; p = 0.030), the presence of atrial fibrillation (OR: 2.711; 95% CI: 1.03-7.12; p = 0.042) and the number of hospitalizations (OR: 3.026; 95% CI: 1.85-4.94; p = 0.000), were markers of poor prognosis. On the other hand, mean arterial pressure (OR: 0.969; 95% CI: 0.94-0.99; p = 0.010), absence of ischemic cerebrovascular event (OR: 0.15; 95% CI: 0.48-0.527; p = 0.03) and total cholesterol levels (OR: 0.991; 95% CI: 0.987-0.996; p = 0.000) were protection markers. Conclusions: In this population, ethnicity, atrial fibrillation, mean arterial pressure, ischemic cerebrovascular event, total cholesterol levels and the number of hospitalizations were established as mortality markers in outpatients diagnosed with heart failure.
{"title":"Mortality markers in outpatients diagnosed with heart failure","authors":"A. F. Gudiño-Gomezjurado, René Buitrón-Andrade","doi":"10.24875/rccar.20000002","DOIUrl":"https://doi.org/10.24875/rccar.20000002","url":null,"abstract":"Introduction: Heart failure is a global health problem. In Ecuador it is estimated that between 1% and 2% of the population suffers this disease. Objective: To determine mortality markers in outpatients with a diagnosis of heart failure in the Ecuadorian Andean population. Methods: A cross-sectional and monocentric study was carried out in 230 mestizo, indigenous and Afro-descendant patients diagnosed with heart failure. The differences between the three ethnic groups were statistically analyzed by one-way ANOVA and Crammer’s V test. Additionally, a logistic regression analysis was performed. Results: The predominant ethnic group was mestizo (73.5%), followed by indigenous people (15.5%) and afro-descendants (10.5%). The logistic regression analysis showed that age (OR: 1.046; 95% CI: 1.014-1.078; p = 0.04), ethnicity (OR: 1.713; 95% CI: 1.053-2.78; p = 0.030), the presence of atrial fibrillation (OR: 2.711; 95% CI: 1.03-7.12; p = 0.042) and the number of hospitalizations (OR: 3.026; 95% CI: 1.85-4.94; p = 0.000), were markers of poor prognosis. On the other hand, mean arterial pressure (OR: 0.969; 95% CI: 0.94-0.99; p = 0.010), absence of ischemic cerebrovascular event (OR: 0.15; 95% CI: 0.48-0.527; p = 0.03) and total cholesterol levels (OR: 0.991; 95% CI: 0.987-0.996; p = 0.000) were protection markers. Conclusions: In this population, ethnicity, atrial fibrillation, mean arterial pressure, ischemic cerebrovascular event, total cholesterol levels and the number of hospitalizations were established as mortality markers in outpatients diagnosed with heart failure.","PeriodicalId":39975,"journal":{"name":"Revista Colombiana de Cardiologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47791094","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":"Delirium en los pacientes con insuficiencia cardíaca","authors":"F. Formiga, Jonathan Franco","doi":"10.24875/rccar.21000162","DOIUrl":"https://doi.org/10.24875/rccar.21000162","url":null,"abstract":"","PeriodicalId":39975,"journal":{"name":"Revista Colombiana de Cardiologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45392949","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 : 2022-09-01DOI: 10.24875/rccar.m22000163
Christian O. Chávez, O. Centurión, K. Scavenius, L. B. García
Several studies suggest that gene mutations from thrombophilia may constitute a significant risk factor for coronary artery disease, especially in young patients with normal coronaries and non-significant lesions. It is presented a case of a 42-year-old male patient who arrived at the emergency room due to an acute myocardial infarction. The electrocardiogram showed an ST elevation with upward convexity of 4 mm from V1 to V4 and of 1 mm at V5 and V6. Cardiac enzymes were positive (troponin I 8.4 ng/dl, normal range < 1 ng/dl). It was found septum and apical hypokinesia, with an ejection fraction of 44%. The culprit lesion of the infarction was treated with primary angioplasty, successfully dilating the left anterior descending coronary artery. However, spontaneous thrombi appeared at the middle third of the circumflex artery, an area without occlusive lesions previously. A full laboratory assessment for prothrombotic state diseases revealed positivity for gene mutations at A1298C from the methylene tetrahydropholate reductase (MTHFR) and plasminogen activator inhibitor-1 (PAI-1). Gene mutations at A1298C from the MTHFR and PAI-1 should be considered in young patients with acute coronary syndrome, mainly when thrombi are found in non-culprit arteries with no or non-significant coronary lesions.
{"title":"Multivessel coronary thrombosis and acute myocardial infarction associated to two genetic mutations for thrombophilia","authors":"Christian O. Chávez, O. Centurión, K. Scavenius, L. B. García","doi":"10.24875/rccar.m22000163","DOIUrl":"https://doi.org/10.24875/rccar.m22000163","url":null,"abstract":"Several studies suggest that gene mutations from thrombophilia may constitute a significant risk factor for coronary artery disease, especially in young patients with normal coronaries and non-significant lesions. It is presented a case of a 42-year-old male patient who arrived at the emergency room due to an acute myocardial infarction. The electrocardiogram showed an ST elevation with upward convexity of 4 mm from V1 to V4 and of 1 mm at V5 and V6. Cardiac enzymes were positive (troponin I 8.4 ng/dl, normal range < 1 ng/dl). It was found septum and apical hypokinesia, with an ejection fraction of 44%. The culprit lesion of the infarction was treated with primary angioplasty, successfully dilating the left anterior descending coronary artery. However, spontaneous thrombi appeared at the middle third of the circumflex artery, an area without occlusive lesions previously. A full laboratory assessment for prothrombotic state diseases revealed positivity for gene mutations at A1298C from the methylene tetrahydropholate reductase (MTHFR) and plasminogen activator inhibitor-1 (PAI-1). Gene mutations at A1298C from the MTHFR and PAI-1 should be considered in young patients with acute coronary syndrome, mainly when thrombi are found in non-culprit arteries with no or non-significant coronary lesions.","PeriodicalId":39975,"journal":{"name":"Revista Colombiana de Cardiologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43962928","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 : 2022-09-01DOI: 10.24875/rccar.m22000150
Dora I. Molina de Salazar
{"title":"El doctor Matiz: un médico incluyente y líder generoso","authors":"Dora I. Molina de Salazar","doi":"10.24875/rccar.m22000150","DOIUrl":"https://doi.org/10.24875/rccar.m22000150","url":null,"abstract":"","PeriodicalId":39975,"journal":{"name":"Revista Colombiana de Cardiologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48443006","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 presente de la exploración física potenciada por ecografía: a propósito de un caso de tromboembolia pulmonar","authors":"Beatriz Álvarez-Zapatero, Y. Tung-Chen","doi":"10.24875/rccar.21000045","DOIUrl":"https://doi.org/10.24875/rccar.21000045","url":null,"abstract":"","PeriodicalId":39975,"journal":{"name":"Revista Colombiana de Cardiologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47186685","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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