Rodrigo Gopar-Nieto, Mariana García-Villarejo, Romeo Arias-Escarpulli, Daniel Manzur-Sandoval, Jorge A Ortega-Hernández, Héctor González-Pacheco, Daniel Sierra-Lara-Martínez, Diego Araiza-Garaygordobil, Alexandra Arias-Mendoza
Cardiogenic shock refers to the reduction in cardiac output caused by myocardial dysfunction, which results in biochemical and clinical manifestations of hypoperfusion. It is mostly due to acute coronary syndromes and less frequently to heart failure. Cardiogenic shock is the most critical state in cardiovascular patients, making timely recognition essential for initiating appropriate treatment. This involves identifying three phases of treatment: rescue, optimization, and weaning off support. The current treatment paradigm involves unloading the left ventricle and providing hemodynamic support, either through medications or ventricular or circulatory assist devices. However, none of these therapies have demonstrated short-term benefits in outcomes. Despite advancements in cardiovascular disease treatment, cardiogenic shock remains highly lethal, so understanding its pathophysiology and current therapeutic options is vital.
{"title":"[¿Cómo abordar y tratar el choque cardiogénico? Actualización y perspectivas sobre el tratamiento farmacológico y mecánico].","authors":"Rodrigo Gopar-Nieto, Mariana García-Villarejo, Romeo Arias-Escarpulli, Daniel Manzur-Sandoval, Jorge A Ortega-Hernández, Héctor González-Pacheco, Daniel Sierra-Lara-Martínez, Diego Araiza-Garaygordobil, Alexandra Arias-Mendoza","doi":"10.24875/ACM.25000031","DOIUrl":"https://doi.org/10.24875/ACM.25000031","url":null,"abstract":"<p><p>Cardiogenic shock refers to the reduction in cardiac output caused by myocardial dysfunction, which results in biochemical and clinical manifestations of hypoperfusion. It is mostly due to acute coronary syndromes and less frequently to heart failure. Cardiogenic shock is the most critical state in cardiovascular patients, making timely recognition essential for initiating appropriate treatment. This involves identifying three phases of treatment: rescue, optimization, and weaning off support. The current treatment paradigm involves unloading the left ventricle and providing hemodynamic support, either through medications or ventricular or circulatory assist devices. However, none of these therapies have demonstrated short-term benefits in outcomes. Despite advancements in cardiovascular disease treatment, cardiogenic shock remains highly lethal, so understanding its pathophysiology and current therapeutic options is vital.</p>","PeriodicalId":93885,"journal":{"name":"Archivos de cardiologia de Mexico","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145960831","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}
Federico D'Antonio, Érica V Stelmaszewski, Analía Martín, José L Alonso, Pablo García-Delucis, Diana M Mouratian
{"title":"[Coronary sinus ostium obstruction in patients with univentricular physiology: case series].","authors":"Federico D'Antonio, Érica V Stelmaszewski, Analía Martín, José L Alonso, Pablo García-Delucis, Diana M Mouratian","doi":"10.24875/ACM.25000162","DOIUrl":"https://doi.org/10.24875/ACM.25000162","url":null,"abstract":"","PeriodicalId":93885,"journal":{"name":"Archivos de cardiologia de Mexico","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145960860","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}
Antonio Cabodevila-Maldonado, Laura V Torres-Araujo, Celso Mendoza-González, Gabriela Meléndez-Ramírez
{"title":"[Myocardial infarction without obstructive coronary lesions in a patient with pre-excitation syndrome].","authors":"Antonio Cabodevila-Maldonado, Laura V Torres-Araujo, Celso Mendoza-González, Gabriela Meléndez-Ramírez","doi":"10.24875/ACM.25000115","DOIUrl":"https://doi.org/10.24875/ACM.25000115","url":null,"abstract":"","PeriodicalId":93885,"journal":{"name":"Archivos de cardiologia de Mexico","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145960897","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}
Federico Arredondo-Aragón, Luis A Marroquin-Donday, Fernando Arellano-Juvera, Miguel F Barrera-Colin, Francisco Castillo-Castellón, Óscar A Lozano-Cruz
{"title":"[ST-elevation myocardial infraction in coronary artery anomaly].","authors":"Federico Arredondo-Aragón, Luis A Marroquin-Donday, Fernando Arellano-Juvera, Miguel F Barrera-Colin, Francisco Castillo-Castellón, Óscar A Lozano-Cruz","doi":"10.24875/ACM.25000088","DOIUrl":"https://doi.org/10.24875/ACM.25000088","url":null,"abstract":"","PeriodicalId":93885,"journal":{"name":"Archivos de cardiologia de Mexico","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145960923","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}
Cristina Villarreal-Guerrero, Nancy N Suárez-Lara, José A Arias-Godínez, Edith L Posada-Martínez
{"title":"[Three-dimensional imaging to understand a common congenital anomaly].","authors":"Cristina Villarreal-Guerrero, Nancy N Suárez-Lara, José A Arias-Godínez, Edith L Posada-Martínez","doi":"10.24875/ACM.25000130","DOIUrl":"https://doi.org/10.24875/ACM.25000130","url":null,"abstract":"","PeriodicalId":93885,"journal":{"name":"Archivos de cardiologia de Mexico","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145960928","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}
Marta Merelo-Nicolás, Roberto Castro-Arias, Pilar Egea-Serrano
{"title":"[Scar with aneurysm and thrombus in the hyperacute phase after ventricular tachycardia ablation].","authors":"Marta Merelo-Nicolás, Roberto Castro-Arias, Pilar Egea-Serrano","doi":"10.24875/ACM.25000236","DOIUrl":"https://doi.org/10.24875/ACM.25000236","url":null,"abstract":"","PeriodicalId":93885,"journal":{"name":"Archivos de cardiologia de Mexico","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145960942","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}
Daniel Piskorz, Ricardo López-Santi, Gonzalo Piskorz, Melina Pérez, Jorge Juárez-Lloclla, Silvia Palomo-Piñón, Claudia Anchique-Santos, Juan Cárdenas-Castellanos, Patricia Nuriulú, Henry De Las Salas-Pérez, Mauro Ruise, Sofía Brondello, Mildren Del Sueldo, Yan Duarte-Vera, Ana Múnera-Echeverri, Diego Celis, Gonzalo Miranda, Luis Norabuena-Rossel, Mónica Marino, Humberto Alvarez-López, María J Cedeño-Zambrano, Luis Rocha-Enciso, Héctor Galván-Oseguera, Francisco Ramos-Carrillo, Miguel Peñaherrera-Oviedo
Objective: To determine the usefulness of home blood pressure (BP) and heart rhythm monitoring strategies in the detection of subclinical atrial fibrillation (AF) to build a predictive risk score through deep learning.
Methods: Observational, cohort, prospective, multicenter study involving 25 researchers from six Latin American countries. Home BP monitoring and single-lead electrocardiogram (ECG) recording will be performed in a population at moderate-to-high risk of developing AF.
Results: A minimum of twenty 30-s electrocardiographic and BP recordings over 7 days using an Omron Complete Hem-7530 T ECG device will be uploaded from a mobile phone app and then sent to a database for analysis.
Conclusions: The results of this study can provide a simple and accessible home monitoring system for detecting subclinical AF and for optimizing the predictive capacity of arrhythmia risk scores through deep learning. ClinicalTrials.gov identifier: NCT07058831.
{"title":"Home monitoring for the detection of atrial fibrillation in hypertensive patients. BP/AF MODE study.","authors":"Daniel Piskorz, Ricardo López-Santi, Gonzalo Piskorz, Melina Pérez, Jorge Juárez-Lloclla, Silvia Palomo-Piñón, Claudia Anchique-Santos, Juan Cárdenas-Castellanos, Patricia Nuriulú, Henry De Las Salas-Pérez, Mauro Ruise, Sofía Brondello, Mildren Del Sueldo, Yan Duarte-Vera, Ana Múnera-Echeverri, Diego Celis, Gonzalo Miranda, Luis Norabuena-Rossel, Mónica Marino, Humberto Alvarez-López, María J Cedeño-Zambrano, Luis Rocha-Enciso, Héctor Galván-Oseguera, Francisco Ramos-Carrillo, Miguel Peñaherrera-Oviedo","doi":"10.24875/ACM.25000149","DOIUrl":"https://doi.org/10.24875/ACM.25000149","url":null,"abstract":"<p><strong>Objective: </strong>To determine the usefulness of home blood pressure (BP) and heart rhythm monitoring strategies in the detection of subclinical atrial fibrillation (AF) to build a predictive risk score through deep learning.</p><p><strong>Methods: </strong>Observational, cohort, prospective, multicenter study involving 25 researchers from six Latin American countries. Home BP monitoring and single-lead electrocardiogram (ECG) recording will be performed in a population at moderate-to-high risk of developing AF.</p><p><strong>Results: </strong>A minimum of twenty 30-s electrocardiographic and BP recordings over 7 days using an Omron Complete Hem-7530 T ECG device will be uploaded from a mobile phone app and then sent to a database for analysis.</p><p><strong>Conclusions: </strong>The results of this study can provide a simple and accessible home monitoring system for detecting subclinical AF and for optimizing the predictive capacity of arrhythmia risk scores through deep learning. ClinicalTrials.gov identifier: NCT07058831.</p>","PeriodicalId":93885,"journal":{"name":"Archivos de cardiologia de Mexico","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145960989","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}
Gardenia L Chango-Acurio, Cristhian E Scatularo, Sofía Corzo, Diana M Miserendino, Hugo O Grancelli
{"title":"[Bloqueo auriculoventricular completo como manifestación clínica de sarcoidosis cardiaca].","authors":"Gardenia L Chango-Acurio, Cristhian E Scatularo, Sofía Corzo, Diana M Miserendino, Hugo O Grancelli","doi":"10.24875/ACM.25000071","DOIUrl":"https://doi.org/10.24875/ACM.25000071","url":null,"abstract":"","PeriodicalId":93885,"journal":{"name":"Archivos de cardiologia de Mexico","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145673086","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}
Juan P Costabel, Lucas L Suárez, M Cecilia Escalante-Seyffert, Juan D López-Ponce de León, Fabio Fernándes, Enrique A Berrios-Bárcenas
Transthyretin cardiac amyloidosis is a recently recognized disease, still significantly underdiagnosed. It is characterized by infiltration of amyloid proteins resulting from the destabilization of the transthyretin protein produced in the liver. There are two predominant presentations, the hereditary form and the wild-type form, both with cardiac involvement leading to heart failure and reducing life expectancy. In recent years, multiple treatment options targeting the cause of the disease, known as disease-modifying therapies, have emerged, and the use of traditional heart failure treatments has become necessary. This review addresses traditional and disease-modifying therapies for this disease, addressing their mechanisms of action, efficacy, safety, and real-world implementation.
{"title":"[Terapias dirigidas en amiloidosis cardíaca por transtiretina: una revisión del contexto clínico contemporáneo].","authors":"Juan P Costabel, Lucas L Suárez, M Cecilia Escalante-Seyffert, Juan D López-Ponce de León, Fabio Fernándes, Enrique A Berrios-Bárcenas","doi":"10.24875/ACM.25000099","DOIUrl":"https://doi.org/10.24875/ACM.25000099","url":null,"abstract":"<p><p>Transthyretin cardiac amyloidosis is a recently recognized disease, still significantly underdiagnosed. It is characterized by infiltration of amyloid proteins resulting from the destabilization of the transthyretin protein produced in the liver. There are two predominant presentations, the hereditary form and the wild-type form, both with cardiac involvement leading to heart failure and reducing life expectancy. In recent years, multiple treatment options targeting the cause of the disease, known as disease-modifying therapies, have emerged, and the use of traditional heart failure treatments has become necessary. This review addresses traditional and disease-modifying therapies for this disease, addressing their mechanisms of action, efficacy, safety, and real-world implementation.</p>","PeriodicalId":93885,"journal":{"name":"Archivos de cardiologia de Mexico","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145673089","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}
José M Alanís-Naranjo, Ana Ma Rosas-Vázquez, Aloha Meave-González
{"title":"Left main coronary artery compression by pulmonary artery aneurysm in a patient with atrial septal defect.","authors":"José M Alanís-Naranjo, Ana Ma Rosas-Vázquez, Aloha Meave-González","doi":"10.24875/ACM.25000060","DOIUrl":"https://doi.org/10.24875/ACM.25000060","url":null,"abstract":"","PeriodicalId":93885,"journal":{"name":"Archivos de cardiologia de Mexico","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145673106","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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