Justo J Santiago-Peña, José F Saaibi-Solano, Andrés F Rubio-Duarte, Iván A Pinto-Martínez, Yudisay Molina-Mora, María I Díaz-Caraballo
{"title":"[Endovascular closure of coronary fistula in the infant].","authors":"Justo J Santiago-Peña, José F Saaibi-Solano, Andrés F Rubio-Duarte, Iván A Pinto-Martínez, Yudisay Molina-Mora, María I Díaz-Caraballo","doi":"10.24875/ACM.23000216","DOIUrl":"10.24875/ACM.23000216","url":null,"abstract":"","PeriodicalId":93885,"journal":{"name":"Archivos de cardiologia de Mexico","volume":" ","pages":"515-518"},"PeriodicalIF":0.0,"publicationDate":"2024-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140892495","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}
Diego S Vanella, Federico D'Antonio, José L Alonso, José L Pibernus, Francisco Comas, Antonio Cannata, Gladys H Salgado, Alberto Sciegata
Objective: To describe and evaluate the outcomes of ductal angioplasty with stent placement at a single high-complexity center during the period 2016-2022.
Method: A retrospective descriptive cross-sectional study was conducted, including patients under 3 months of age who underwent ductal stent implantation as initial palliative treatment. Demographic, clinical, and anatomical data were collected before the intervention. Mortality, intra- and post-procedural complications, need for re-intervention, intensive care requirements, and hospital stay were recorded. The characteristics at the time of definitive surgery are described. Discrete variables are presented as percentages, and continuous variables are presented with their medians and respective interquartile ranges.
Results: Twenty patients who underwent this treatment were reviewed, revealing a success rate of 80%. Complications due to stent dysfunction required surgical resolution. 95% of patients were dischargedfrom the institution after the procedure, and 17 patients reached a second definitive surgical stage. Three patients died afterthe procedure, but with no direct relation to it.
Conclusions: Indications for ductal angioplasty with stent as an alternative treatment to systemic-pulmonary anastomosis by surgery are not yet fully defined; the strategy represents a valid alternative in appropriately selected patients. The presented experience shows results similar to international reference centers.
{"title":"[Angioplasty with ductal stent: experience at Garrahan Hospital].","authors":"Diego S Vanella, Federico D'Antonio, José L Alonso, José L Pibernus, Francisco Comas, Antonio Cannata, Gladys H Salgado, Alberto Sciegata","doi":"10.24875/ACM.23000235","DOIUrl":"10.24875/ACM.23000235","url":null,"abstract":"<p><strong>Objective: </strong>To describe and evaluate the outcomes of ductal angioplasty with stent placement at a single high-complexity center during the period 2016-2022.</p><p><strong>Method: </strong>A retrospective descriptive cross-sectional study was conducted, including patients under 3 months of age who underwent ductal stent implantation as initial palliative treatment. Demographic, clinical, and anatomical data were collected before the intervention. Mortality, intra- and post-procedural complications, need for re-intervention, intensive care requirements, and hospital stay were recorded. The characteristics at the time of definitive surgery are described. Discrete variables are presented as percentages, and continuous variables are presented with their medians and respective interquartile ranges.</p><p><strong>Results: </strong>Twenty patients who underwent this treatment were reviewed, revealing a success rate of 80%. Complications due to stent dysfunction required surgical resolution. 95% of patients were dischargedfrom the institution after the procedure, and 17 patients reached a second definitive surgical stage. Three patients died afterthe procedure, but with no direct relation to it.</p><p><strong>Conclusions: </strong>Indications for ductal angioplasty with stent as an alternative treatment to systemic-pulmonary anastomosis by surgery are not yet fully defined; the strategy represents a valid alternative in appropriately selected patients. The presented experience shows results similar to international reference centers.</p>","PeriodicalId":93885,"journal":{"name":"Archivos de cardiologia de Mexico","volume":" ","pages":"459-466"},"PeriodicalIF":0.0,"publicationDate":"2024-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140892279","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}
Jesús De Rubens-Figueroa, Paulina Villamar-García, Diana G Ruiz-Meléndez, Carlos González-Rebeles, Alexis Palacios-Macedo
Objective: The atrio-ventricular and ventricle-arterial double discordance (DD) or corrected transposition of the great arteries is a rare heart disease, it occurs in 0.02-0.07 of every 1,000 live newborns. The objective of the study is to describe the diagnosis, treatment and evolution of a series of patients with DD.
Method: A retrospective and descriptive study was carried out, reviewing the records of patients diagnosed with DD in the last 22 years. Descriptive statistics were performed. Numerical variables were obtained using means and standard deviation and categorical variables using frequencies and percentages.
Results: Thirty patients were studied in 22 years with a ratio of 1.5:1 for men, with a mean age of 20 months. The situs was solitus in 24/29 patients (82.7%). Ventricular septal defect was the most frequent lesion in 25/29 (86.2%) Tricuspid insufficiency in 70%. Four patients diagnosed with pulmonary atrial hypertension. With atrio-ventricular block 20%. One with Wolff-Parkinson-White syndrome. Surgical treatment was carried out in 70% of patients. Eight with Glenn procedure (26.6%) and 4 with Fontan surgery (13.3%). Follow-up ranged from 1 month to 17 years. Five died (16.6%). Of the 25 patients in follow-up, 18 patients (72%) had normal ventricular function, 5 with Grade II Ross classification (20%) and 2 in Grade III (8%).
Conclusions: The quality of life of these patients is improving and there is still controversy in the literature about the ideal time to perform the most appropriate surgical procedure.
{"title":"[Diagnosis and treatment in a series of patients with cardiac corrected transposition of the great arteries (double discordance)].","authors":"Jesús De Rubens-Figueroa, Paulina Villamar-García, Diana G Ruiz-Meléndez, Carlos González-Rebeles, Alexis Palacios-Macedo","doi":"10.24875/ACM.23000262","DOIUrl":"10.24875/ACM.23000262","url":null,"abstract":"<p><strong>Objective: </strong>The atrio-ventricular and ventricle-arterial double discordance (DD) or corrected transposition of the great arteries is a rare heart disease, it occurs in 0.02-0.07 of every 1,000 live newborns. The objective of the study is to describe the diagnosis, treatment and evolution of a series of patients with DD.</p><p><strong>Method: </strong>A retrospective and descriptive study was carried out, reviewing the records of patients diagnosed with DD in the last 22 years. Descriptive statistics were performed. Numerical variables were obtained using means and standard deviation and categorical variables using frequencies and percentages.</p><p><strong>Results: </strong>Thirty patients were studied in 22 years with a ratio of 1.5:1 for men, with a mean age of 20 months. The situs was solitus in 24/29 patients (82.7%). Ventricular septal defect was the most frequent lesion in 25/29 (86.2%) Tricuspid insufficiency in 70%. Four patients diagnosed with pulmonary atrial hypertension. With atrio-ventricular block 20%. One with Wolff-Parkinson-White syndrome. Surgical treatment was carried out in 70% of patients. Eight with Glenn procedure (26.6%) and 4 with Fontan surgery (13.3%). Follow-up ranged from 1 month to 17 years. Five died (16.6%). Of the 25 patients in follow-up, 18 patients (72%) had normal ventricular function, 5 with Grade II Ross classification (20%) and 2 in Grade III (8%).</p><p><strong>Conclusions: </strong>The quality of life of these patients is improving and there is still controversy in the literature about the ideal time to perform the most appropriate surgical procedure.</p>","PeriodicalId":93885,"journal":{"name":"Archivos de cardiologia de Mexico","volume":" ","pages":"420-428"},"PeriodicalIF":0.0,"publicationDate":"2024-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140892346","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}
Ezequiel Lerech, Jean P Carrión-Arcela, Cristhian E Scatularo, Franklin Cueva-Torres, Melisa Antoniolli, Rodrigo Núñez-Méndez, Sebastián García-Zamora, Álvaro Sosa-Liprandi, Adrián Baranchuk, Ezequiel J Zaidel
Objectives: Describe the characteristics of the different cardiology medical residencies in Latin America.
Method: Cross-sectional study that aims to evaluate the characteristics of cardiology residencies in Spanish-speaking countries of Latin America, through self-administered electronic surveys.
Results: Three hundred seven residents of 147 residences were surveyed. Mean age was 31 years and 63% were male. Ninety eight percent carry out their training in the capital city. The average total training time is 4.8 years. Forty four percent complete their residency in internal medicine prior to starting cardiology, and 10% have no prior training. In cardiology training is 3 years in most countries. Fifty four percent present academic activities every day and 16% only once or less, consisting of theoretical classes (93%), clinical cases (85%), bibliographic workshops (69%), and writing scientific papers (68%). Supervision is carried out by the chief resident (45%), resident coordinator (44%), resident instructor (27%) or the department head (54%), while 2.6% do not present supervision. The main rotations were echocardiography (99%), hemodynamics (96%), coronary unit (93%), and electrophysiology (92%). Residents highlighted the need to improve academic activities (23%) and scientific production (12%).
Conclusions: There are important differences in the academic and practical training between the residences of the different countries of America.
{"title":"[Characteristics of cardiologist training in Latin America: a survey of the Interamerican Society of Cardiology].","authors":"Ezequiel Lerech, Jean P Carrión-Arcela, Cristhian E Scatularo, Franklin Cueva-Torres, Melisa Antoniolli, Rodrigo Núñez-Méndez, Sebastián García-Zamora, Álvaro Sosa-Liprandi, Adrián Baranchuk, Ezequiel J Zaidel","doi":"10.24875/ACM.23000215","DOIUrl":"10.24875/ACM.23000215","url":null,"abstract":"<p><strong>Objectives: </strong>Describe the characteristics of the different cardiology medical residencies in Latin America.</p><p><strong>Method: </strong>Cross-sectional study that aims to evaluate the characteristics of cardiology residencies in Spanish-speaking countries of Latin America, through self-administered electronic surveys.</p><p><strong>Results: </strong>Three hundred seven residents of 147 residences were surveyed. Mean age was 31 years and 63% were male. Ninety eight percent carry out their training in the capital city. The average total training time is 4.8 years. Forty four percent complete their residency in internal medicine prior to starting cardiology, and 10% have no prior training. In cardiology training is 3 years in most countries. Fifty four percent present academic activities every day and 16% only once or less, consisting of theoretical classes (93%), clinical cases (85%), bibliographic workshops (69%), and writing scientific papers (68%). Supervision is carried out by the chief resident (45%), resident coordinator (44%), resident instructor (27%) or the department head (54%), while 2.6% do not present supervision. The main rotations were echocardiography (99%), hemodynamics (96%), coronary unit (93%), and electrophysiology (92%). Residents highlighted the need to improve academic activities (23%) and scientific production (12%).</p><p><strong>Conclusions: </strong>There are important differences in the academic and practical training between the residences of the different countries of America.</p>","PeriodicalId":93885,"journal":{"name":"Archivos de cardiologia de Mexico","volume":" ","pages":"341-348"},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11259424/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140878149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Christian I Merubia-Navia, Yuritzi Ávalos-García, Elio T Flores-Méndez, Martha Morelos-Guzmán
{"title":"[Endomyocardial fibrosis: case report].","authors":"Christian I Merubia-Navia, Yuritzi Ávalos-García, Elio T Flores-Méndez, Martha Morelos-Guzmán","doi":"10.24875/ACM.23000127","DOIUrl":"10.24875/ACM.23000127","url":null,"abstract":"","PeriodicalId":93885,"journal":{"name":"Archivos de cardiologia de Mexico","volume":" ","pages":"511-514"},"PeriodicalIF":0.0,"publicationDate":"2024-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140871759","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}
M. F. Grande-Ratti, María C Llamedo, Agustina B Pires, María V Giuffre, Brenda N Garrido, Agustina Saldarini, Pedro Touzas, Bernardo Martínez, Ignacio M Bluro
Objective Clinical practice guidelines suggest performing an electrocardiogram (EKG) in patients with chest pain within the first 10 minutes in the emergency department, warning about subdiagnosis in women. Possible differences based on sex were analyzed. Method An observational and retrospective study in an Emergency Department, with adult patients admitted to the Chest Pain Unit in 2021. Results There were 1,469 patients, of whom 774 were men (52.7%). The men were younger (60 vs. 65 years), were less overweight (17.18 vs. 22.16%), and had more previous admissions to the Coronary Unit (12 vs. 7%), compared to women. No gender differences were observed in EKG performance (91 vs. 90%), EKG time (median 4.1 vs. 4.5 minutes), or delay in care attention (median 25 vs. 26 minutes). In terms of healthcare resources, men underwent more biomarkers: troponins (63 vs. 55%; odds ratio [OR]: 1.35; 95% confidence interval [95%CI]: 1.10-1.67) and creatine phosphokinase (24.8 vs. 19.1%), received more aspirin (6.7 vs. 3.1%), nitrates/nitrites (6 vs. 3%), and hospitalization (17.18 vs. 10.50%; OR: 1.76; 95%CI; 1.30-2.40). Of 206 hospitalized, 112 had a final diagnosis of acute coronary syndrome (54%), more men than women (81 vs. 31). There were no significant differences in revascularization time, medication schedule at discharge, hospital stay, or mortality. Conclusions Gender did not affect precordial pain care, diagnosis, and treatment times, highlighting the quality of hospital care.
{"title":"[Gender perspective in the care experience and in the results of patients who consult for chest pain in an emergency department].","authors":"M. F. Grande-Ratti, María C Llamedo, Agustina B Pires, María V Giuffre, Brenda N Garrido, Agustina Saldarini, Pedro Touzas, Bernardo Martínez, Ignacio M Bluro","doi":"10.24875/ACM.23000212","DOIUrl":"https://doi.org/10.24875/ACM.23000212","url":null,"abstract":"Objective\u0000Clinical practice guidelines suggest performing an electrocardiogram (EKG) in patients with chest pain within the first 10 minutes in the emergency department, warning about subdiagnosis in women. Possible differences based on sex were analyzed.\u0000\u0000\u0000Method\u0000An observational and retrospective study in an Emergency Department, with adult patients admitted to the Chest Pain Unit in 2021.\u0000\u0000\u0000Results\u0000There were 1,469 patients, of whom 774 were men (52.7%). The men were younger (60 vs. 65 years), were less overweight (17.18 vs. 22.16%), and had more previous admissions to the Coronary Unit (12 vs. 7%), compared to women. No gender differences were observed in EKG performance (91 vs. 90%), EKG time (median 4.1 vs. 4.5 minutes), or delay in care attention (median 25 vs. 26 minutes). In terms of healthcare resources, men underwent more biomarkers: troponins (63 vs. 55%; odds ratio [OR]: 1.35; 95% confidence interval [95%CI]: 1.10-1.67) and creatine phosphokinase (24.8 vs. 19.1%), received more aspirin (6.7 vs. 3.1%), nitrates/nitrites (6 vs. 3%), and hospitalization (17.18 vs. 10.50%; OR: 1.76; 95%CI; 1.30-2.40). Of 206 hospitalized, 112 had a final diagnosis of acute coronary syndrome (54%), more men than women (81 vs. 31). There were no significant differences in revascularization time, medication schedule at discharge, hospital stay, or mortality.\u0000\u0000\u0000Conclusions\u0000Gender did not affect precordial pain care, diagnosis, and treatment times, highlighting the quality of hospital care.","PeriodicalId":93885,"journal":{"name":"Archivos de cardiologia de Mexico","volume":"8 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140671637","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}
One of the complications during an acute coronary syndrome event is the presence of arrhythmias. Among them, those of the supraventricular type, especially atrial fibrillation, carry a poor prognosis both in the short and long term, being the cause of situations such as cerebrovascular event, ventricular arrhythmias, and increased mortality. The arrhythmia tends to appear in a certain population group with particular risk factors during the index event in approximately 10% of cases. Appropriate treatment at the time of its onset, thanks to the use of drugs that modulate heart rate, rhythm, and anticoagulant management in the most vulnerable groups, will lead to a less bleak outcome for these patients.
{"title":"Atrial fibrillation de novo in acute coronary syndrome.","authors":"David Trujillo-Flores, José de J. García-Mendoza","doi":"10.24875/acm.23000008","DOIUrl":"https://doi.org/10.24875/acm.23000008","url":null,"abstract":"One of the complications during an acute coronary syndrome event is the presence of arrhythmias. Among them, those of the supraventricular type, especially atrial fibrillation, carry a poor prognosis both in the short and long term, being the cause of situations such as cerebrovascular event, ventricular arrhythmias, and increased mortality. The arrhythmia tends to appear in a certain population group with particular risk factors during the index event in approximately 10% of cases. Appropriate treatment at the time of its onset, thanks to the use of drugs that modulate heart rate, rhythm, and anticoagulant management in the most vulnerable groups, will lead to a less bleak outcome for these patients.","PeriodicalId":93885,"journal":{"name":"Archivos de cardiologia de Mexico","volume":" 17","pages":"181-190"},"PeriodicalIF":0.0,"publicationDate":"2024-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140687363","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}
Abel A. Pavía-López, J. A. Magaña-Serrano, José A. Cigarroa-López, Adolfo Chávez-Mendoza, J. L. Mayorga-Butrón, Diego Araiza-Garaygordobil, J. B. Ivey-Miranda, Gustavo F. Méndez-Machado, Héctor González-Godínez, L. F. Aguilera-Mora, Antonio Jordán-Ríos, Luis Olmos-Domínguez, Marcos J. Olalde-Román, Emma M. Miranda-Malpica, Zuilma Vázquez-Ortiz, Jorge Rayo-Chávez, A. Mendoza, Manlio F. Márquez-Murillo, Sergio A. Chávez-Leal, Amada Álvarez San Gabriel, Marissa A. Silva-García, Alex D. Pacheco-Bouthiller, Jorge A. Aldrete-Velazco, Carlos A. Guizar-Sánchez, Efraín Gaxiola-López, Arturo Guerra-López, Lourdes Figueiras-Graillet, G. Sánchez-Miranda, G. H. Mendoza-Zavala, Moisés Aceves-García, Adolfo Chávez-Negrete, Marisol Arroyo-Hernández, B. B. Montaño-Velázquez, L. F. Romero-Moreno, María M. Baquero-Hoyos, Liliana Velasco-Hidalgo, A. L. Rodríguez-Lozano, N. E. Aguilar-Gómez, Mario Rodríguez-Vega, Jorge E. Cossío-Aranda
Chronic heart failure continues to be one of the main causes of impairment in the functioning and quality of life of people who suffer from it, as well as one of the main causes of mortality in our country and around the world. Mexico has a high prevalence of risk factors for developing heart failure, such as high blood pressure, diabetes, and obesity, which makes it essential to have an evidence-based document that provides recommendations to health professionals involved in the diagnosis and treatment of these patients. This document establishes the clinical practice guide (CPG) prepared at the initiative of the Mexican Society of Cardiology (SMC) in collaboration with the Iberic American Agency for the Development and Evaluation of Health Technologies, with the purpose of establishing recommendations based on the best available evidence and agreed upon by an interdisciplinary group of experts. This document complies with international quality standards, such as those described by the US Institute of Medicine (IOM), the National Institute of Clinical Excellence (NICE), the Intercollegiate Network for Scottish Guideline Development (SIGN) and the Guidelines International Network (G-I-N). The Guideline Development Group was integrated in a multi-collaborative and interdisciplinary manner with the support of methodologists with experience in systematic literature reviews and the development of CPG. A modified Delphi panel methodology was developed and conducted to achieve an adequate level of consensus in each of the recommendations contained in this CPG. We hope that this document contributes to better clinical decision making and becomes a reference point for clinicians who manage patients with chronic heart failure in all their clinical stages and in this way, we improve the quality of clinical care, improve their quality of life and reducing its complications.
{"title":"Clinical practice guidelines for diagnostic and treatment of the chronic heart failure.","authors":"Abel A. Pavía-López, J. A. Magaña-Serrano, José A. Cigarroa-López, Adolfo Chávez-Mendoza, J. L. Mayorga-Butrón, Diego Araiza-Garaygordobil, J. B. Ivey-Miranda, Gustavo F. Méndez-Machado, Héctor González-Godínez, L. F. Aguilera-Mora, Antonio Jordán-Ríos, Luis Olmos-Domínguez, Marcos J. Olalde-Román, Emma M. Miranda-Malpica, Zuilma Vázquez-Ortiz, Jorge Rayo-Chávez, A. Mendoza, Manlio F. Márquez-Murillo, Sergio A. Chávez-Leal, Amada Álvarez San Gabriel, Marissa A. Silva-García, Alex D. Pacheco-Bouthiller, Jorge A. Aldrete-Velazco, Carlos A. Guizar-Sánchez, Efraín Gaxiola-López, Arturo Guerra-López, Lourdes Figueiras-Graillet, G. Sánchez-Miranda, G. H. Mendoza-Zavala, Moisés Aceves-García, Adolfo Chávez-Negrete, Marisol Arroyo-Hernández, B. B. Montaño-Velázquez, L. F. Romero-Moreno, María M. Baquero-Hoyos, Liliana Velasco-Hidalgo, A. L. Rodríguez-Lozano, N. E. Aguilar-Gómez, Mario Rodríguez-Vega, Jorge E. Cossío-Aranda","doi":"10.24875/acm.m24000095","DOIUrl":"https://doi.org/10.24875/acm.m24000095","url":null,"abstract":"Chronic heart failure continues to be one of the main causes of impairment in the functioning and quality of life of people who suffer from it, as well as one of the main causes of mortality in our country and around the world. Mexico has a high prevalence of risk factors for developing heart failure, such as high blood pressure, diabetes, and obesity, which makes it essential to have an evidence-based document that provides recommendations to health professionals involved in the diagnosis and treatment of these patients. This document establishes the clinical practice guide (CPG) prepared at the initiative of the Mexican Society of Cardiology (SMC) in collaboration with the Iberic American Agency for the Development and Evaluation of Health Technologies, with the purpose of establishing recommendations based on the best available evidence and agreed upon by an interdisciplinary group of experts. This document complies with international quality standards, such as those described by the US Institute of Medicine (IOM), the National Institute of Clinical Excellence (NICE), the Intercollegiate Network for Scottish Guideline Development (SIGN) and the Guidelines International Network (G-I-N). The Guideline Development Group was integrated in a multi-collaborative and interdisciplinary manner with the support of methodologists with experience in systematic literature reviews and the development of CPG. A modified Delphi panel methodology was developed and conducted to achieve an adequate level of consensus in each of the recommendations contained in this CPG. We hope that this document contributes to better clinical decision making and becomes a reference point for clinicians who manage patients with chronic heart failure in all their clinical stages and in this way, we improve the quality of clinical care, improve their quality of life and reducing its complications.","PeriodicalId":93885,"journal":{"name":"Archivos de cardiologia de Mexico","volume":"89 1","pages":"1-74"},"PeriodicalIF":0.0,"publicationDate":"2024-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140693675","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}
Ulises Rojel-Martínez, Carlos De-la-Fuente-Macip, Arturo Enríquez-Silverio, Karla Bozada-Nolasco, P. A. Reatiga-Vega, Flor M Marquez Marquez-Maldonado
Objective To describe the initial experience of cardiac contractility modulation (CCM) implantation in Latin America. Method We present the first two cases in Latin America of patients with heart failure with reduced left ventricular ejection fraction (LVEF) not candidates for cardiac resynchronization therapy in whom a CCM device was implanted. Results. Results In both patients we described improvement of the 6-minute walk test, functional class according to the NYHA and LVEF. Conclusions The modulation of cardiac contractility is currently a treatment option for patients with heart failure in functional class III-IV, with LVEF 25-45%, and a QRS < 130 ms who are not candidates for cardiac resynchronization therapy.
方法我们介绍了拉丁美洲首例植入 CCM 设备的左室射血分数（LVEF）降低且不适合心脏再同步治疗的心力衰竭患者。结论对于功能分级为 III-IV 级、LVEF 为 25-45%、QRS < 130 ms 且不适合心脏再同步治疗的心衰患者，调节心脏收缩力是目前的一种治疗选择。
{"title":"[Initial experience with cardiac contractility modulation devices in Latin America for the treatment of heart failure].","authors":"Ulises Rojel-Martínez, Carlos De-la-Fuente-Macip, Arturo Enríquez-Silverio, Karla Bozada-Nolasco, P. A. Reatiga-Vega, Flor M Marquez Marquez-Maldonado","doi":"10.24875/ACM.24000021","DOIUrl":"https://doi.org/10.24875/ACM.24000021","url":null,"abstract":"Objective\u0000To describe the initial experience of cardiac contractility modulation (CCM) implantation in Latin America.\u0000\u0000\u0000Method\u0000We present the first two cases in Latin America of patients with heart failure with reduced left ventricular ejection fraction (LVEF) not candidates for cardiac resynchronization therapy in whom a CCM device was implanted. Results.\u0000\u0000\u0000Results\u0000In both patients we described improvement of the 6-minute walk test, functional class according to the NYHA and LVEF.\u0000\u0000\u0000Conclusions\u0000The modulation of cardiac contractility is currently a treatment option for patients with heart failure in functional class III-IV, with LVEF 25-45%, and a QRS < 130 ms who are not candidates for cardiac resynchronization therapy.","PeriodicalId":93885,"journal":{"name":"Archivos de cardiologia de Mexico","volume":"134 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140693553","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}
Guillermo Moreno, Adrián Arranz-Escudero, Noelia de la Torre-Lomas, Catalina Munera-Jiménez, Gracia Fernández-Casado, Rocío Tello de Meneses-Becerra, M. P. Sanz-Ayán, Juan Izquierdo-García
Objective To evaluate the efficacy of a cardiac rehabilitation program (CRP) in improving adherence to non-pharmacological secondary prevention in patients with acute coronary syndrome (ACS). Method Retrospective study of patients with ACS referred to CRP in a tertiary hospital from 2018 to 2021. Pre-post differences in adherence to physical activity, Mediterranean diet, smoking, and motivation to change were analyzed. Age, sex, and baseline motivation were analyzed in predicting change in adherence. Results 418 patients were included. At the end of the CRP, the adherence to the mediterranean diet increased (p < 0.05; d = 0.83), frequency of physical activity increased by 2.16 (p < 0.05), and motivation to change remained constant (p = 0.94). Both women and men improved their adherence to the mediterranean diet. Both sexes performed more physical activity at the end of the CRP (1.89 times more in men and 4 times more in women; p < 0.05). An association was found between initial motivation and greater changes in adherence to the mediterranean diet (p < 0.05). An inversely proportional difference was observed between age and adherence to the mediterranean diet (p < 0.05). Conclusions The CRP, in our hospital environment, has an effect of improving adherence to the mediterranean diet and physical exercise in patients with ACS. The change in adherence to the diet increases as the motivation to change the baseline increases, and age is inversely related to the change in adherence.
{"title":"[Impact of a cardiac rehabilitation program on adherence to the mediterranean diet and physical activity in acute coronary syndrome].","authors":"Guillermo Moreno, Adrián Arranz-Escudero, Noelia de la Torre-Lomas, Catalina Munera-Jiménez, Gracia Fernández-Casado, Rocío Tello de Meneses-Becerra, M. P. Sanz-Ayán, Juan Izquierdo-García","doi":"10.24875/ACM.23000219","DOIUrl":"https://doi.org/10.24875/ACM.23000219","url":null,"abstract":"Objective\u0000To evaluate the efficacy of a cardiac rehabilitation program (CRP) in improving adherence to non-pharmacological secondary prevention in patients with acute coronary syndrome (ACS).\u0000\u0000\u0000Method\u0000Retrospective study of patients with ACS referred to CRP in a tertiary hospital from 2018 to 2021. Pre-post differences in adherence to physical activity, Mediterranean diet, smoking, and motivation to change were analyzed. Age, sex, and baseline motivation were analyzed in predicting change in adherence.\u0000\u0000\u0000Results\u0000418 patients were included. At the end of the CRP, the adherence to the mediterranean diet increased (p < 0.05; d = 0.83), frequency of physical activity increased by 2.16 (p < 0.05), and motivation to change remained constant (p = 0.94). Both women and men improved their adherence to the mediterranean diet. Both sexes performed more physical activity at the end of the CRP (1.89 times more in men and 4 times more in women; p < 0.05). An association was found between initial motivation and greater changes in adherence to the mediterranean diet (p < 0.05). An inversely proportional difference was observed between age and adherence to the mediterranean diet (p < 0.05).\u0000\u0000\u0000Conclusions\u0000The CRP, in our hospital environment, has an effect of improving adherence to the mediterranean diet and physical exercise in patients with ACS. The change in adherence to the diet increases as the motivation to change the baseline increases, and age is inversely related to the change in adherence.","PeriodicalId":93885,"journal":{"name":"Archivos de cardiologia de Mexico","volume":"5 S1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140741869","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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