A5052085357- Acute Myocardial Infarction Research
- Cardiac Imaging and Diagnostics
- Ultrasound in Clinical Applications
- Cardiac Structural Anomalies and Repair
- Mechanical Circulatory Support Devices
- Cardiac Valve Diseases and Treatments
- Heart Failure Treatment and Management
- Cardiac Arrest and Resuscitation
- Cardiovascular Function and Risk Factors
- Coronary Interventions and Diagnostics
- Hemodynamic Monitoring and Therapy
- Cardiovascular Issues in Pregnancy
- Pericarditis and Cardiac Tamponade
- Cardiac, Anesthesia and Surgical Outcomes
- Kawasaki Disease and Coronary Complications
- Cardiac Arrhythmias and Treatments
- COVID-19 Clinical Research Studies
- Infective Endocarditis Diagnosis and Management
- Coronary Artery Anomalies
- Phonocardiography and Auscultation Techniques
- COVID-19 and healthcare impacts
- Cardiac electrophysiology and arrhythmias
- Aortic Disease and Treatment Approaches
- Congenital Heart Disease Studies
- Takotsubo Cardiomyopathy and Associated Phenomena
Instituto Nacional de Cardiología
2018-2025
Ospedale Santa Corona
2021-2024
Instituto Nacional de Cardiologia
2019-2024
Digestive Care (United States)
2021-2023
Corona (Poland)
2021-2023
Mental Illness Fellowship
2021-2022
Institute for Social Security and Services for State Workers
2015-2016
Centro Medico Nacional Siglo XXI
2015
Mexican Social Security Institute
2015
Systemic venous congestion is associated with an increased risk of acute kidney injury (AKI) in critically ill patients. Venous Excess Ultrasound Score (VExUS) has been proposed as a non-invasive score to assess systemic congestion. We aimed evaluate the association between VExUS and AKI patients coronary syndrome (ACS).This prospective study including diagnosis ACS (both ST elevation non-ST ACS). was performed during first 24 h hospital stay. Patients were classified according presence...
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 Left atrial electrical and mechanical remodelling (LAr) is a complex process attributable to multiple cardiovascular risk factors, it occurs as early common factors are established it’s time-dependent response of the cardiomyocytes. Early reperfusion, cornerstone in STEMI management, prevents microvascular injury. Pharmacoinvasive strategy (PhI) via networks rapidly gaining momentum achieve optimal total ischemic time. Purpose To determine importance left strain (LAS)...
Abstract Background Global Longitudinal Strain (GLS) and left ventricular-arterial coupling (VAC), calculated as the ratio between arterial elastance (Ea) ventricular end-systolic (Ees), are part of modern non-invasive indices (LV) system function. Their interaction in determining prognosis post-STEMI patients with acute coronary syndrome (ACS) is not well established, particularly relation to reperfusion strategies. Purpose It aims demonstrate through multiple mechanisms (and advanced...
Abstract Background Left ventricular-arterial coupling (VAC), calculated as the ratio between arterial elastance (Ea) and left ventricular end-systolic (Ees), is part of contemporary non-invasive indices (LV) system function. It may assist in identifying post-STEMI patients at risk major adverse cardiovascular events, including heart failure. Purpose To analyse development applicability routine clinical practice simplified echocardiographic methods for calculating VAC predicting failure...
Background Cardiogenic shock (CS) is a severe complication of acute myocardial infarction (AMI) with high mortality. Few studies have examined the selection and subsequent choice vasoactive agents in CS. This study investigates impact drug use in-hospital outcomes among AMI-CS. Materials methods A total 309 patients who underwent pulmonary artery catheterization between 2006 2021 were categorized by number drugs used (0–1, 2, or >2). Clinical 24 h hemodynamic data analyzed. Primary...
We aimed to assess the performance of an artificial intelligence-electrocardiogram (AI-ECG)-based model capable detecting acute coronary occlusion myocardial infarction (ACOMI) in setting patients with syndrome (ACS). This was a prospective, observational, longitudinal, and single-center study including initial diagnosis ACS (both ST-elevation [STEMI] & non-ST-segment elevation [NSTEMI]). To train deep learning recognizing ACOMI, manual digitization patient's ECG conducted using smartphone...
Take home messages 1. Despite being considered a benign tumor, the high reported incidence of embolic events increasingly warrants surgical resection, regardless size, especially in patients with history cardiovascular risk factors. 2. Multimodal imaging evaluation plays crucial role distinguishing intracardiac masses, relying on physician's ability to discern characteristic findings. Proper assessment leads appropriate management decisions based suggestive Cardiac tumors are rare and should...
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...
BackgroundA low proportion of patients with ST-elevation myocardial infarction (STEMI) in low- to middle-income countries receive reperfusion therapy. Although primary percutaneous coronary intervention (PCI) is the method choice, a pharmacoinvasive strategy (PIs) reasonable when PCI cannot be delivered on timely basis. The aim our study was assess efficacy and safety PIs compared real-world setting.MethodsThis prospective registry that included STEMI who received during first 12 hours from...
Abstract Background COVID-19 has challenged the health system organization requiring a fast reorganization of diagnostic/therapeutic pathways for patients affected by time-dependent diseases such as acute coronary syndromes (ACS). Aim To describe ACS hospitalizations, management, and complication rate before after pandemic was declared. Design Ecological retrospective study. Methods: We analyzed aggregated epidemiological data all > 18 years old admitted in twenty-nine hub cardiac...
Abstract Aims Little is known regarding acute heart failure (AHF) clinical characteristics and its hospital outcome in Latin America. This study sought to assess the prevalence of, identify differences among, in‐hospital outcomes patients hospitalized for AHF who were stratified by phenotype at a Methods results retrospective cohort of with coronary care unit American teaching from January 2006 December 2018. Cox regression analysis was used predictors mortality. Of 21 042 admitted, 7759...
<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...