A5087052506- Ultrasound in Clinical Applications
- Congenital Heart Disease Studies
- Cardiac Structural Anomalies and Repair
- Hemodynamic Monitoring and Therapy
- Mechanical Circulatory Support Devices
- Pulmonary Hypertension Research and Treatments
- Cardiac Valve Diseases and Treatments
- Respiratory Support and Mechanisms
- Cardiac, Anesthesia and Surgical Outcomes
- COVID-19 Clinical Research Studies
- Pericarditis and Cardiac Tamponade
- Phonocardiography and Auscultation Techniques
- Takotsubo Cardiomyopathy and Associated Phenomena
- Infective Endocarditis Diagnosis and Management
- Thermal Regulation in Medicine
- Vector-borne infectious diseases
- Cardiovascular Issues in Pregnancy
- Renal and Vascular Pathologies
- Long-Term Effects of COVID-19
- Cardiovascular Function and Risk Factors
- Viral Infections and Vectors
- Dermatological diseases and infestations
- Thyroid and Parathyroid Surgery
- Sexual function and dysfunction studies
- Radiation Dose and Imaging
Instituto Nacional de Cardiología
2016-2025
Universidad Nacional Autónoma de México
2024
Instituto Nacional de Enfermedades Respiratorias
2023
Intensive Care Society
2021
Sociedad Española de Cuidados Intensivos Pediátricos
2021
Instituto Nacional de Cardiologia
2019-2020
Secretaria de Salud
2010-2011
Coronavirus disease 2019 (COVID-19) is characterized by severe lung involvement and hemodynamic alterations. Critical care ultrasonography vital because it provides real time information for diagnosis treatment. Suggested protocols image acquisition measurements have not yet been evaluated.This cross-sectional study was conducted at two centers from 1 April 2020 to 30 May in adult patients with confirmed COVID-19 infection admitted the critical unit. Cardiac pulmonary evaluations were...
Abstract Background Haemodynamic monitoring of patients after cardiac surgery using echocardiographic evaluation fluid responsiveness is both challenging and increasingly popular. We evaluated in the first hours by determining variability velocity–time integral left ventricular outflow tract (VTI-LVOT). Methods conducted a cross-sectional study 50 consecutive adult who underwent whom it was possible to obtain VTI-LVOT measurements. then determined correlations with our pulse pressure...
Latin American registries of clinical and demographic profiles ACHD are scarce. International guidelines classify disease complexity with different approaches. With these two regards, a registry was carried out to examine factors associated mortality compare severity classifications in our population.
<b><i>Background:</i></b> Acute kidney injury (AKI) in patients with COVID-19 can be caused by multiple mechanisms. Renal resistive index (RRI) is a noninvasive instrument to evaluate hemodynamics, and it obtained analysis of intrarenal arterial waves using Doppler ultrasound. This study aimed determine the role RRI predicting AKI adverse outcomes critically ill COVID-19. <b><i>Methods:</i></b> cross-sectional included 65 confirmed SARS-CoV-2...
Evaluation of the venous system has long been underestimated as an important component circulatory system. As systemic pressure increases, perfusion to tissues is compromised. During initial resuscitation in cardiac surgery, excessive fluid administration associated with increased morbidity and mortality.We conducted a cross-sectional study 60 consecutive adult patients who underwent surgery whom it was possible obtain excess ultrasound (VExUS) grading mean filling (Pmsf) postoperative...
Acute Respiratory Distress Syndrome (ARDS) due tocoronavirus disease (COVID-19) infection has a unique phenotype generating growing need to determine the existing differences that can alter evidence-based management strategies for ARDS.What does clinical profile of patients with ARDS COVID 19 and Non-COVID have?We conducted comparative, observational, retrospective study in Intensive Care Unit (ICU)of third-level hospital Mexico City, from March 2020 through 2022. Clinical,...
The current coronavirus disease 2019 (COVID-19 outbreak) demands an increased need for hospitalizations in emergency departments (EDs) and critical care units. Owing to refractory hypoxemia, prone position ventilation has been used more frequently patients will repeated hemodynamic assessments. Our main objective was show the feasibility of obtaining images measure multiple parameters with transthoracic echocardiography during ventilation.We enrolled 15 consecutive mechanically ventilated...
Background Coronavirus disease 2019 (COVID-19) frequently involves cardiovascular manifestations such as right ventricular (RV) dysfunction and alterations in pulmonary hemodynamics. We evaluated the application of critical care ultrasonography ORACLE protocol to identify most frequent their influence on adverse outcomes, especially those involving RV (dilatation dysfunction). Methods This cross-sectional study included 204 adult patients with confirmed COVID-19 admitted at three centers....
Summary Background B-lines have been associated with adverse clinical outcomes in patients heart failure (HF) when found at hospital discharge or during outpatient visits. Whether lung ultrasound (LUS) assessed may predict in-hospital mortality acute HF is still undetermined. Aim To evaluate the association between on admission and among admitted HF. Methods Hand-held LUS was used to examine performed eight chest zones a pocket device analyzed offline. The using Cox regression models....
In recent decades, adults living with congenital heart disease (ACHD) have improved their survival, thus increasing predisposition to the onset of cardiometabolic risk factors and chronic health conditions.
BACKGROUND The association between congenital heart disease and chronic kidney is well known. Various mechanisms of damage associated with have been established. etiology kidneydisease has commonly considered to be secondary focal segmental glomerulosclerosis (FSGS), however, this only demonstrated in case reports not observational or clinical trials. AIM To identify baseline characteristics, as the findings biopsies patients our hospital. METHODS This a retrospective study conducted at...
We present the case of a patient with myocardial infarction and COVID-19 disease who developed hemorrhagic pericardial effusion cardiac tamponade. The differential diagnosis included post-infarction pericarditis mechanical complications, thrombolysis, Dressler syndrome, viral pericarditis. histopathologic examination tissue sample electron microscopic established diagnosis. (Level Difficulty: Advanced.).
A 54-year-old woman with a history of type 2 diabetes and hypertension was admitted dry cough 3-day fever. She dyspneic, Sao2 82%, pulse rate 75 beats/min, blood pressure 100/60 mm Hg. Diffuse pulmonary rales were found. Laboratory results (normal range in parentheses) reported lymphopenia (total lymphocytes 900/μL), ferritin 717.5 ng/mL (23.9 to 336.2 ng/mL), albumin 3.3 g/dL (3.5 5 g/dL), D-dimer 1.6 μg/mL (0 0.24 μg/mL), C-reactive protein 33.2 mg/L (1 3 mg/L). Chest radiograph showed...
Background: Echocardiographic cardiac parameters in the prone position are usually obtained with an esophageal probe.The feasibility of obtaining them by means a transthoracic approach is unknown.Objective: Estimating to obtain right ventricle echocardiography on subject.Methods: Pilot design consecutive case series without cardiopulmonary disease.Demographic, vital signs and echocardiographic variables were defined ventral initial, final decubitus positions.The data shown averages standard...
The use of transesophageal echocardiography (TEE) is controversial in patients with COVID-19. aim this case series was to demonstrate the usefulness acute cardiovascular care settings COVID-19 infection.We enrolled 13 confirmed SARS-CoV-2 infection admitted critical unit our center from April 1, 2020, July 30, which performed. TOE performed by three cardiologists training echocardiography.The main indication suspected infective endocarditis four cases, venovenous extracorporeal membrane...
Lung ultrasound (LUS) implementation in patients with COVID-19 can help to establish the degree of pulmonary involvement, evaluate treatment response and estimate in-hospital outcome.To application a LUS protocol infection predict mortality.The study was carried out from April 1 August 1, 2020 admitted Intensive Care Unit. evaluation by physicians trained critical care ultrasonography.Most were males, median age 56 years, 59 % required mechanical ventilation. In-hospital mortality 39.4 %,...
Mechanical circulatory and/or respiratory assistance with extracorporeal membrane oxygenation (ECMO) has become a standard of care for patients (venoarterial) (venovenous) failure refractory to therapies. Adult congenital heart disease are an increasingly recognized and growing population include various groups, such as undiagnosed cases in childhood palliated corrected cases, which require subsequent because residual lesions, cardiac arrest/insufficiency, arrhythmias, among other...
Chronic thromboembolic pulmonary hypertension (CTEPH) is a subtype of characterized by the obstruction arteries secondary to chronic thromboembolism. Pulmonary thromboendarterectomy surgery (PTE) main treatment for patients with CTEPH, as it removes thrombi from arteries. reperfusion syndrome common complication surgery, which involves development edema in area where blood perfusion improves after surgery. The incidence this varies 8 91% depending on criteria used diagnosis, and one most...