A5087904138- Mechanical Circulatory Support Devices
- Cardiac Structural Anomalies and Repair
- Ultrasound in Clinical Applications
- Pericarditis and Cardiac Tamponade
- Cardiac, Anesthesia and Surgical Outcomes
- Hemodynamic Monitoring and Therapy
- Cardiac Valve Diseases and Treatments
- Takotsubo Cardiomyopathy and Associated Phenomena
- COVID-19 Clinical Research Studies
- Congenital Heart Disease Studies
- Pulmonary Hypertension Research and Treatments
- Cardiac Arrest and Resuscitation
- Long-Term Effects of COVID-19
- Infective Endocarditis Diagnosis and Management
- Venous Thromboembolism Diagnosis and Management
- COVID-19 and healthcare impacts
- Cardiac Arrhythmias and Treatments
- Cardiovascular Effects of Exercise
- Complement system in diseases
- Cardiovascular Disease and Adiposity
- Neurosurgical Procedures and Complications
- Cardiovascular Function and Risk Factors
- Cerebrovascular and Carotid Artery Diseases
- Heart Failure Treatment and Management
- Intracranial Aneurysms: Treatment and Complications
Instituto Nacional de Cardiología
2020-2024
Instituto Nacional de Cardiologia
2024
Instituto Nacional de Rehabilitación
2023
American Society of Echocardiography
2021
Sociedad Española de Cardiología
2019
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.
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...
Latin America has limited information about the full spectrum cardiogenic shock (CS) and its hospital outcome. This study sought to examine temporal trends, clinical features outcomes of patients with CS in a coronary care unit single Mexican institution.This was retrospective consecutive hospitalized teaching between 2006-2019. Patients were classified according presence or absence acute myocardial infarction (AMI).Of 22,747 admissions, 833 (3.7%) exhibited CS. Among AMI (n = 12,438), 5%...
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....
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.).
Venovenous extracorporeal membrane oxygenation (ECMO) has become a rescue therapy for acute respiratory distress syndrome (ARDS) secondary to COVID-19 patients who are refractory conventional therapy. However, this comes with complications, and alternative cannulation strategies needed overcome these difficulties. In article, we present case of venovenous ECMO presenting hypoxemia right ventricular dysfunction, which were corrected by cannulating the pulmonary artery. This situation is...
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...
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...
A 48-year-old woman presented to the emergency department with a one-week history of progressive dyspnea. During her hospitalization, diagnosis diffuse alveolar hemorrhage was made. She subsequently developed respiratory failure and acute right ventricular failure. Despite medical treatment, she continued experience distributive shock due generalized inflammatory response. Circulatory support ECMO needed. We opted for triple cannulation manage multiorgan as bridge recovery. describe our an...
<title>Abstract</title> We present the case of a 19-year-old patient with history Ebstein’s anomaly who underwent Da Silva’s cone repair. However, as an immediate complication, she developed post-cardiotomy cardiogenic shock syndrome, requiring venoarterial ECMO circulatory support. She remained completely dependent on support due to right ventricular (RV) dilation and akinesia, which caused compression left ventricle (LV). Therefore, decision was made exclude RV Starnes surgery in order...
Abstract Using an ultrasound‐enhancing agent (UEA) has several indications, especially in diagnosing left ventricular thrombus. Herein, we present three cases of patients who were candidates for venous–arterial extracorporeal membrane oxygenation, among whom thrombus was ruled out via contrast echocardiography. The use a UEA these novel approach.
Echocardiographic monitoring during the postoperative period following cardiac surgery is essential because patients often develop hemodynamic instability from hypovolemia and other causes. Therefore, predicting fluid responsiveness by measuring respirophasic variation in inferior vena cava (IVC) this population. Yet it not always possible to evaluate using traditional subcostal view.This cross-sectional study of 36 consecutive adult who underwent included those whom was adequately visualize...
La cardiomiopatía de Takotsubo es una entidad caracterizada por disfunción ventricular aguda y transitoria, la cual está generalmente relacionada a un evento desencadenante (estrés emocional o físico) que, lo general, se presenta con sistólica regional del ventrículo izquierdo, aunque hasta en 30% puede ser biventricular. Según su severidad, algunos casos condicionar choque cardiogénico refractario manejo inotrópicos vasopresores, que para estos deben considerarse los dispositivos asistencia...
Background: Cardiac involvement and the consequences of inflammation induced by SARS-CoV2 infection could have catastrophic long-term consequences. Left ventricular mechanics identify a specific pattern myocardial fiber damage in patients infected with COVID-19. To our knowledge there are no publications referring to global description Objective: describe left hospitalized Methods: In this cross-sectional study, we included 40 confirmed diagnostic COVID-19, from April 11, 2020, September 6,...
RESUMEN.La estenosis carotídea (EC) ocurre en 13% de los pacientes con valvular aórtica (EVA).El riesgo evento vascular cerebral (EVC), EC significativa sometidos a cirugía cardíaca, puede aumentar hasta 11%.Someter un paciente EVA crítica y fracción eyección del ventrículo izquierdo (FEVI) disminuida endarterectomía es todo reto anestésico, cuyo principal objetivo evitar la hipotensión el bajo gasto cardíaco.La anestesia regional una opción para estos pacientes.Presentamos caso hombre 70...
Since the discovery of right ventricular infarction, interest in characteristics ventricle has been increasing. Right function is now known to be a predictor mortality different settings. The low-pressure, high-compliance, high-volume chamber. To carry out its normal function, it coupled pulmonary circulation and left ventricle. In face acute changes pressure, volume overload ischemia, dilates adapt new load. Its manifestation may dysfunction and/or failure that will progress cardiogenic...
We present the case of a 34-year-old male patient with history Marfan syndrome who was admitted to emergency room for acute aortic regurgitation secondary aneurysmal dilation ascending thoracic aorta. In postoperative period, post-cardiotomy cardiogenic shock documented, so circulatory support initiated peripheral Veno-Arterial ECMO, which developed hypoxemia due bacterial pneumonia and data compatible North-South syndrome. review, non-conventional cannulation strategies diagnostic...
Abstract Introduction The TRY64ARG polymorphism of the beta-3 adrenergic receptor has been associated with onset and maintenance hypertension, diabetes obesity, its role in heart failure not studied. Objectives To examine improvement left ventricular ejection fraction (LVEF) patients Heart Failure due to ischemic disease. Methods This study is a retrospective analysis based on 5-year follow-up decreased LVEF Results We studied sample 338 collected from our Genetic database during period time...
Utility of Balik's formula for the quantification pleural effusion by
El síndrome de takotsubo (STT) es una entidad importante que simula un infarto agudo miocardio.Existen cuatro variantes anatómicas descritas esta entidad, importantes reconocer.Ocurre mayormente en mujeres posmenopáusicas, generalmente se caracteriza por hipocinesia transitoria del ápex ventrículo izquierdo, los cuales resuelven días a semanas, y asocia con estrés emocional o físico.Su pronóstico bueno.Sin embargo, pueden existir complicaciones graves como estado choque insuficiencia...