المؤلفون: Andrea Camblor‐Blasco, Ivan J. Nuñez‐Gil, Albert Duran Cambra, Manuel Almendro‐Delia, Eduard Ródenas‐Alesina, Clara Fernández‐Cordon, Oscar Vedia, Miguel Corbí‐Pascual, Emilia Blanco‐Ponce, Sergio Raposeiras‐Roubin, Marta Guillén Marzo, Alejandro Sanchez Grande Flecha, Jose Maria Garcia Acuña, Jorge Salamanca, Juan M. Escudier‐Villa, Agustin C. Martin‐Garcia, Marco Tomasino, Ravi Vazirani, Alberto Perez‐Castellanos, Aitor Uribarri

المصدر: Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease, Vol 13, Iss 6 (2024)

مصطلحات موضوعية: cardiogenic shock, extracorporeal membrane oxygenation, heart failure, SCAI, Takotsubo syndrome, Diseases of the circulatory (Cardiovascular) system, RC666-701

الوصف: Background Cardiogenic shock (CS) is a significant complication of Takotsubo syndrome (TTS), contributing to heightened mortality and morbidity. Despite this, the Society for Cardiovascular Angiography and Interventions (SCAI) staging system for CS severity lacks validation in patients with TTS and CS. This study aimed to characterize a patient cohort with TTS using the SCAI staging system and assess its utility in cases of TTS complicated by CS. Methods and Results From a TTS national registry, 1591 consecutive patients were initially enrolled and stratified into 5 SCAI stages (A through E). Primary outcome was all‐cause in‐hospital mortality; secondary end points were TTS‐related in‐hospital complications and 1‐year all‐cause mortality. After exclusions, the final cohort comprised 1163 patients, mean age 71.0±11.8 years, and 87% were female. Patients were categorized across SCAI shock stages as follows: A 72.1%, B 12.2%, C 11.2%, D 2.7%, and E 1.8%. Significant variations in baseline demographics, comorbidities, clinical presentations, and in‐hospital courses were observed across SCAI shock stages. After multivariable adjustment, each higher SCAI shock stage showed a significant association with increased in‐hospital mortality (adjusted odds ratio: 1.77–29.31) compared with SCAI shock stage A. Higher SCAI shock stages were also associated with increased 1‐year mortality. Conclusions In a large multicenter patient cohort with TTS, the functional SCAI shock stage classification effectively stratified mortality risk, revealing a continuum of escalating shock severity with higher stages correlating with increased in‐hospital mortality. This study highlights the applicability and prognostic value of the SCAI staging system in TTS‐related CS.

وصف الملف: electronic resource

Relation: https://doaj.org/toc/2047-9980

URL الوصول: https://doaj.org/article/59351ca32fbe488ca14dd65ffe621c64

Alternate Title: A terapia antiplaquetária na alta hospitalar e prognóstico a longo prazo na síndrome de Takotsubo: dados do Registro Nacional Espanhol (RETAKO) (Portuguese)

المؤلفون: Pereyra, Eduardo, Fernández-Rodríguez, Diego, González-Sucarrats, Silvia, Almendro-Delia, Manuel, Martín, Agustín, de Miguel, Irene Martin, Andrés, Mireia, Duran-Cambra, Alberto, Sánchez-Grande-Flecha, Alejandro, Worner-Diz, Fernando, Núñez-Gil, Iván J.

المصدر: In Revista Portuguesa de Cardiologia November 2022 41(11):919-927

المؤلفون: Figueras, J., Barrabes, J.A., Andrés, M., Núñez Gil, I.J., Mejía, H.D., Vedia, O., Feltes, Gisela, Worner, F., Bascompte Claret, R., Pereyra, E., Jiménez Candil, J., García Sánchez, M.J., Martín García, A.C., Martín García, A., Bodi, V., Bonanad, C., Bastante, T., Cruz Aguilera, M., Palazuelos, J., Sancho Carmona, D., López Pais, J., Alonso, J.J., Almendro Delia, M., Lobo, M., Rodríguez de Leiras, S., García Rubira, J.C., Corbí-Pascual, M., Córdoba Soriano, J.G., De Mora Martín, M., Pérez, B., Martín Asensio, R., Rueda Sobella, F., Santos Pardo, I., Manzano Nieto, M.C., Escudier Villa, J.M., Fabregat Andrés, O., Ridocci-Soriano, F., Parias Ángel, M.N., Gaebelt, H.P., Aceña, A., Martin Reyes, R., Bergua, C., Sanz Puértolas, P., Echeverria Lucotti, I., Vidal Pérez, R., Sionis, A., Duran Cambra, A., Tómas Ortiz, J., Bosch Genover, X., Guillen Marzo, M., Bardají, R.A., García Acuña, J.M., Sánchez Grande Flecha, A., García González, M.J., García de la Villa Redondo, G., Pérez Castellanos, A., Piqueras-Flores, J., Ruíz Valdepeas Herrero, L., Linares Vicente, J.A., Ruiz Arroyo, J.R., García, J., Giner Caro, J.A., Martínez Selles, M., Martín de Miguel, I., Almendro-Delia, Manuel, Núñez-Gil, Iván J., Lobo, Manuel, Andrés, Mireia, Vedia, Oscar, Sionis, Alessandro, Martin-García, Ana, Cruz Aguilera, María, Pereyra, Eduardo, Martín de Miguel, Irene, Linares Vicente, José A., Corbí-Pascual, Miguel, Bosch, Xavier, Fabregat Andrés, Oscar, Sánchez Grande Flecha, Alejandro, Pérez-Castellanos, Alberto, Pais, Javier López, De Mora Martín, Manuel, Escudier Villa, Juan María, Martín Asenjo, Roberto, Guillen Marzo, Marta, Rueda Sobella, Ferrán, Aceña, Álvaro, García Acuña, José María, García-Rubira, Juan C.

المصدر: In JACC: Heart Failure November 2018 6(11):928-936

المؤلفون: Alberto Dominguez-Rodriguez, Pablo Avanzas, Pedro Abreu-Gonzalez, Alejandro Sanchez Grande-Flecha, María del Carmen García-Baute, María Ángeles Gómez

المصدر: Archivos de Cardiología de México, Vol 88, Iss 5, Pp 386-390 (2018)

مصطلحات موضوعية: Diseases of the circulatory (Cardiovascular) system, RC666-701

الوصف: Resumen: Objetivo: Durante el período de formación, el residente de cardiología ha de entrenarse en todo lo relacionado con la indicación, la interpretación y realización de imágenes en cardiología nuclear que usan la tomografía computarizada por emisión de fotón simple (SPECT). El objetivo del presente estudio fue analizar la relación existente entre la adecuación de las indicaciones del gated-SPECT de perfusión miocárdica y los años de experiencia desde la finalización de la residencia de cardiología. Método: Registro descriptivo, retrospectivo y unicéntrico, en el que se analizaron las indicaciones (uso adecuado e inadecuado), según las guías de la gated-SPECT de perfusión miocárdica, prescritas por cardiólogos de un hospital universitario. Resultados: Se analizaron un total de 950 pruebas de gated-SPECT de acuerdo a la indicación adecuada e inadecuada y se distribuyeron por cuartiles los años de finalización de la residencia del cardiólogo prescriptor. Los cardiólogos de menos de 10 años de experiencia clínica indican de forma inadecuada una mayor proporción de pruebas de gated-SPECT que los cardiólogos de mayor experiencia (87,6 vs. 9,3%: p

وصف الملف: electronic resource

Relation: http://www.sciencedirect.com/science/article/pii/S1405994017301192; https://doaj.org/toc/1405-9940

URL الوصول: https://doaj.org/article/e1581ea097b24e40ab6d2d31184532b7

Alternate Title: Evaluación prospectiva del desarrollo de nefropatía inducida por contraste en pacientes con síndrome coronario agudo tratados con angiografía coronaria rotacional vs. angiografía coronaria convencional: Estudio CINERAMA (Spanish; Castilian)

المؤلفون: Fernández-Rodríguez, Diego, Grillo-Pérez, José J., Pérez-Hernández, Horacio, Rodríguez-Esteban, Marcos, Pimienta, Raquel, Acosta-Materán, Carlos, Rodríguez, Sara, Yanes-Bowden, Geoffrey, Vargas-Torres, Manuel J., Sánchez-Grande Flecha, Alejandro, Hernández-Afonso, Julio, Bosa-Ojeda, Francisco

المصدر: In NEFROLOGIA (English Edition) March-April 2018 38(2):169-178

Alternate Title: Prospective evaluation of the development of contrast-induced nephropathy in patients with acute coronary syndrome undergoing rotational coronary angiography vs. conventional coronary angiography: CINERAMA study (English)

المؤلفون: Fernández-Rodríguez, Diego, Grillo-Pérez, José J., Pérez-Hernández, Horacio, Rodríguez-Esteban, Marcos, Pimienta, Raquel, Acosta-Materán, Carlos, Rodríguez, Sara, Yanes-Bowden, Geoffrey, Vargas-Torres, Manuel J., Sánchez-Grande Flecha, Alejandro, Hernández-Afonso, Julio, Bosa-Ojeda, Francisco

المصدر: In NEFROLOGÍA March-April 2018 38(2):169-178

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Alternate Title: Caracterización del síndrome de tako-tsubo en España: resultados del registro nacional RETAKO (Spanish; Castilian)

المؤلفون: Núñez Gil, Iván J., Andrés, Mireia, Almendro Delia, Manuel, Sionis, Alessandro, Martín, Ana, Bastante, Teresa, Córdoba Soriano, Juan Gabriel, Linares Vicente, José A., González Sucarrats, Silvia, Sánchez-Grande Flecha, Alejandro

المصدر: In Revista Española de Cardiología (English Edition) June 2015 68(6):505-512

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المؤلفون: A. Sanchez‐Grande Flecha, R Munoz Rodriguez, F Bosa Ojeda, AT Igareta Herraiz, C Mendez Vargas, M. Garcia Gonzalez, P Jorge Perez, M Leiva Gordillo, MM Martin Cabeza, G. Yanes Bowden

المصدر: Eur Heart J Acute Cardiovasc Care

مصطلحات موضوعية: medicine.medical_specialty, biology, business.industry, medicine.medical_treatment, Low dose, Hemodynamics, General Medicine, Critical Care and Intensive Care Medicine, medicine.disease, Pulmonary hypertension, Troponin, Pulmonary embolism, Catheter, Internal medicine, Infusion Procedure, Fibrinolysis, biology.protein, Cardiology, Medicine, Cardiology and Cardiovascular Medicine, business, 26.4.2 - Intervention

الوصف: Funding Acknowledgements Type of funding sources: None. BACKGROUND Intermediate-high risk (IHR) Pulmonary Embolism (PE) are a common disease witch could have a high mortality. Anticoagulation remains the first therapeutic option, but Catheter-directed therapies are being investigated as a safe and effective treatment option. PURPOSE To evaluate the safety and efficacy of Catheter-directed low-dose fibrinolysis infusion to treat IHR-PE. METHODS Retrospective analysis of 16 patients IHR-PE treated. After performing Right catheterization (RC) and angiogram, Pigtail catheters were located for intrapulmonary infusion of Alteplase 1mg/h/catheter for 24 h (25-30mg/day). Baseline and clinical characteristics, inicial and evolutive echocardiography, also clinical evaluation and echocardiography 6 months after discharge were evaluated. RESULTS The majority were women (11) and obese (93.8%), aged 22-74 years with cardiovascular risk factors: 5 hypertension, 3 Dyslipidemia, 2 smokers and 3 severe CKD . At admission 11 patients consulted for dyspnea and 5 for syncope; all were hemodynamic stable. 68.8% presented respiratory failure. All had bilateral PE (angiography) and elevation of Nt-proBNP and troponins. The echocardiographic at admission, and its evolution are shown in Table 1. The invasive measurement of pulmonary hypertension (PH) reflected greater severity than the estimated by echo: 5 (31.3%) Severe PH, 5 (31.3%) Moderate PH and 2 (12.5%) mild PH. At discharge all presented a decrease in PH and 15 (93.8%) improved RV function. 2 patients suffered bleeding complications (relation with femoral access): 1 not severe, 1 severe without mortality; none suffered intracranial hemorrhage. In the evaluation at 6-months: 13 patients (81.3%) where on functional Class I and without PH, 3 patients (18.8%) where in Class II and with mild-PH. CONCLUSION In short-term follow-up, intrapulmonary low-dose fibrinolysis reduces PA pressures and improves RV function, without an increased bleeding complications, especially if femoral access is avoided. However impact on long-term remains unclear. Table 1: Echocardiography evolution.RV function admissionNormal Function1 (6.3%)Mild Dysfunction9 (56.3%)Moderate Dysfunction6 (37.5%)RV Dilatation admissionDilatation 16 (100%)Not dilatation 0 (0%)PH Degree admissionMild PH6 (37.5%)Moderate PH5 (31.3%)Severe PH5 (31.3%)PH Degree 24h-postNot PH1 (6.3%)Mild PH10 (62.5%)Moderate/severe PH5 (31.3%)Improvement RV 24h-postYes14 (87.5%)Not2 (12.5%)RV function dischargeNormal Function16 (100%)Mild Dysfunction0 (0%)Moderate Dysfunction0 (0%)RV Dilatation dischargeDilatation 5 (31.3%)Not dilatation 11 (68.8%)PH Degree dischargeNot PH 9 (56.3%)Mild PH7 (43.8%)Moderate/severe PH0 (0%)RV Right Ventricular; PH: Pulmonary Hypertension

URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d4301c0f52cad395cc280e2d2d306e62
https://europepmc.org/articles/PMC8263957/