Objective: to determine the factors related to left ventricular hypertrophy (LVH) in adults living high. Methods: An observational, cross-sectional and analytical study was carried out in the Echocardiography Laboratory of the Hospital Regional Docente Clínico (HRDCQ) Daniel Alcides Carrión (HRDCQ) of Huancayo, Peru at 3,259 m.s.n.m. The sample was determined with a formula and the sampling was simple random. The inclusion criteria were: be 18 years of age or older; have an echocardiography study with a diagnosis of LVH. The exclusion criteria were: having valvular disease, congenital heart disease, dilated cardiomyopathy, acute cardiovascular event, and cardiac arrhythmia. The data were collected in a file. For the statistical analysis, the X2 test, student's t test, binary and multivariate logistic regression, odds ratio, 95% confidence interval were applied. P <0.050 was consider...

Deep vein thrombosis of the upper extremities is a rare clinical entity. The secondary causes associated with more frequency are: the presence of central venous catheter and cancer. A case of deep vein thrombosis of the upper extremities was reported that was related to the fall suffered with probable trauma of the subclavian vein and the excessive erythrocytosis he suffered. The diagnosis was made with duplex ultrasound. The  anticoagulant treatment used was with low molecular weight heparin at the beginning and subsequently with warfarin. The patient evolved favorably. In people who live in height, and develop excessive erythrocytosis, this could be an important factor in the genesis of deep vein thrombosis of the upper extremities.

Objective. to describe the histopathological features of gastric cancer from a tertiary care hospital. Methods. a descriptive, retrospective, cross-sectional study was conducted in 103 patients. The inclusion criteria were: being 18 years of age or older, have upper digestive endoscopy study and pathological study with a diagnosis of adenocarcinoma. Exclusion criteria: not having and examination and/or a gastric biopsy result, having a diagnosis compatible with other types of malignancies. The data were drained in a questionnaire from the epidemiological surveillance registry of the Hospital’s oncology service. Results. the average was 67 years. Gastric cancer presented in 83,5 % in over 50 years of age. The most affected age group was between the sixth and eighth decade (54, 6 %), with a similar frequency of presentation in men (50,5 %) and women (49,5 %). The sites of gastric involve...

Objetivo: Determinar los factores pronósticos de mortalidad hospitalaria en pacientes con insuficiencia cardíaca congestiva (ICC) en un hospital a 3,250 m.s.n.m. Material y Métodos: Se realizó un estudio observacional de cohortes prospectivo y analítico entre Noviembre del 2012 a Octubre del 2013. Los datos fueron recolectados al ingreso del paciente, durante su hospitalización y al egreso. Resultados: La muestra incluyó 92 pacientes con diagnóstico de ICC, con un promedio de edad de 67.8 años (rango: 23-95). 49 (52.26%) fueron varones. 24 (26.09%) fallecieron durante el estudio, 19 de los cuales (79.2%) tuvieron más de 60 años de edad. Los síntomas más frecuentes fueron: disnea al esfuerzo (90.2%), cardiomegalia (82.6%), crepitantes (69.5%), tos nocturna (72.8%) e ingurgitación yugular (63.04%). Los factores de riesgo asociados a mortalidad hospitalaria fueron: hipoxemia, ...

Objective: to determine the factors related to left ventricular hypertrophy (LVH) in adults living high. Methods: An observational, cross-sectional and analytical study was carried out in the Echocardiography Laboratory of the Hospital Regional Docente Clínico (HRDCQ) Daniel Alcides Carrión (HRDCQ) of Huancayo, Peru at 3,259 m.s.n.m. The sample was determined with a formula and the sampling was simple random. The inclusion criteria were: be 18 years of age or older; have an echocardiography study with a diagnosis of LVH. The exclusion criteria were: having valvular disease, congenital heart disease, dilated cardiomyopathy, acute cardiovascular event, and cardiac arrhythmia. The data were collected in a file. For the statistical analysis, the X2 test, student's t test, binary and multivariate logistic regression, odds ratio, 95% confidence interval were applied. P <0.050 was consider...

El objetivo fue determinar la relación que existe entre el error de diagnóstico y la responsabilidad civil médica en el Hospital Regional Docente Clínico Quirúrgico Daniel Alcides Carrión de Huancayo 2015.La hipótesis formulada fue si existe relación entre el error de diagnóstico y la responsabilidad civil médica. La población de estudio estuvo conformada por 132 médicos y la muestra estuvo constituida por 64 médicos. Para la selección de la muestra se empleó el muestreo probabilístico aleatorio simple. Para la recolección de los datos se usó la técnica de la encuesta y el instrumento utilizado fue un cuestionario de 30 items con respuestas politómicas en escala de Likert. Los datos se procesaron con el programa Excel y el SPSS 22. Los resultados se muestran en tablas y gráficos considerándose una escala ordinal de alto, medio y bajo. Se obtuvo un relación negativa...

Objective. to describe the histopathological features of gastric cancer from a tertiary care hospital. Methods. a descriptive, retrospective, cross-sectional study was conducted in 103 patients. The inclusion criteria were: being 18 years of age or older, have upper digestive endoscopy study and pathological study with a diagnosis of adenocarcinoma. Exclusion criteria: not having and examination and/or a gastric biopsy result, having a diagnosis compatible with other types of malignancies. The data were drained in a questionnaire from the epidemiological surveillance registry of the Hospital’s oncology service. Results. the average was 67 years. Gastric cancer presented in 83,5% in over 50 years of age. The most affected age group was between the sixth and eighth decade (54, 6 %), with a similar frequency of presentation in men (50,5 %) and women (49,5 %). The sites of gastric involvem...

The purpose of this article is to review the pathogenesis and management of altitude pulmonary hypertension (APH), which is a disease resulting from chronic exposure to altitude and, at present, it is not defined whether it is a public health problem or a rare disease. The prevalence of APH varies according to geographic, environmental and genetic location. The population living at high altitude is chronically exposed to alveolar hypoxia; this causes vasoconstriction and then pulmonary vascular remodeling. APH is usually asymptomatic; only in advanced stages does it produce symptoms characterized by exertional dyspnea and fatigue. The accurate diagnosis is right heart catheterization with mean arterial pressure values greater than 30 mmHg or systolic pulmonary artery pressure greater than 50 mmHg. The ideal treatment is the descent of the patient to low places. Prognosis is good in most ...

The generation of scientific production (SP) requires a personal and institutional motivational culture. Objective. To determine the factors related to SP made by teachers of a School of Medicine. Methods. The design was descriptive, prospective and transversal. The sample consisted of 65 teachers and it was collected in November 2014. They were surveyed with informed consent. The data was collected in a questionnaire. Results. 65 (100 %) teachers were included, average age 47 + - 8 years (range: 33-62). There were 60 (92.3 %) males. 98.5 %(64) consider that communication of research results is important, and 6.1 % publish in indexed journals. Teachers aged 30-49 years (80 %) performed the highest number of publications compared to those who were 50 years of ageor older (20 %) (OR = 5.0, 95 % CI: 1.4-17.3; p < 0.011). The main motivational factors with SP were: the increase in profess...

The development of scientific publication, from the undergraduate level, is of vital importance to increase the scientific production of the Universities, especially in medical schools, and thus achieve greater visibility. The stimulus for the realization of research should be permanent, until it is published in an indexed scientific journal; since only in this way the process of scientific research is completed.

OBJETIVO: Determinar la relación entre el proceso de enseñanza aprendizaje (PEA) y el rendimiento académico (RA) en los estudiantes de la Escuela de Medicina Humana de la Universidad Peruana Los Andes de Huancayo durante el año 2016. METODOLOGIA: El tipo de estudio fue observacional, transversal, entre 2016 y 2017. La población fue 81 estudiantes. La muestra se determinó con criterios de inclusión y exclusión. Se utilizó la encuesta y un cuestionario para recolectar los datos. Para el análisis estadístico se empleó la X2, t de student, regresión lineal simple y la correlación de Spearman. RESULTADOS: Se incluyeron 65 (100%) estudiantes; con edad media de 24.7 años (rango: 21-30), 35 (53.8%) fueron mujeres. La percepción de los estudiantes sobre el nivel de enseñanza y aprendizaje es regular en 61.5%(40) y 63.1%(41) respectivamente. La percepción es buena sobre el PEA en...

A clinically significant case is reported, as it is the first to be published in the region. It refers to a patient who was admitted to the hospital through the emergency department after four days ofillness. The initial clinical presentation included lower limb edema and functional class II dyspnea, which progressed to class IV. A 12-lead electrocardiogram showed atrial tachycardia with a heart rate of 187 bpm. Sequential administration of adenosine, verapamil and electrical cardioversion was unsuccessful. Subsequently, amiodarone was given, leading to the restoration of sinus rhythm. On the second day of hospitalization, the patient developed frequent ventricular ectopic beats and episodes of supraventricular ectopic beats, for which amiodarone was continued. On the third day, he presented with an increased frequency of ventricular ectopy and non-sustained ventricular tachycardia, whic...

Objectives: To determine the association between left ventricular diastolic dysfunction (LVDD) and pulmonary hypertension (PH) in rural Andean patients living at high altitude. Material and methods: observational, cross-sectional analytical study. PH and LVDD were defined and evaluated according to the guidelines of the American Society of Echocardiography. To evaluate the association, the generalized linear Poisson model with robust estimation was used. A value of p < 0.05 is significantly estimated. Results: 528 (100%) people with echocardiographic reports were included, with a median age of 67 years (interquartile range: 19 and 98), 58.71% (310) were women. LVDD was found in 20.5% (108) of the cases. The frequency of PH was 29.5% (154), corresponding to a mild, moderate and severe degree in 76.0%; 14.3% and 9.7% respectively. Simple regression analysis reported that people with LVD...

Objetivo: Determinar los factores pronósticos de mortalidad hospitalaria en pacientes con insuficiencia cardíaca congestiva (ICC) en un hospital a 3,250 m.s.n.m. Material y Métodos: Se realizó un estudio observacional de cohortes prospectivo y analítico entre Noviembre del 2012 a Octubre del 2013. Los datos fueron recolectados al ingreso del paciente, durante su hospitalización y al egreso. Resultados: La muestra incluyó 92 pacientes con diagnóstico de ICC, con un promedio de edad de 67.8 años (rango: 23-95). 49 (52.26%) fueron varones. 24 (26.09%) fallecieron durante el estudio, 19 de los cuales (79.2%) tuvieron más de 60 años de edad. Los síntomas más frecuentes fueron: disnea al esfuerzo (90.2%), cardiomegalia (82.6%), crepitantes (69.5%), tos nocturna (72.8%) e ingurgitación yugular (63.04%). Los factores de riesgo asociados a mortalidad hospitalaria fueron: hipoxemia, ...

Objective: To determine factors associated to sigmoidal hypertrophy (SH) in adults living at high altitude. Methods: A case-control study was carried-out in the Ultrasound laboratory at Hospital Regional Docente Clínico Quirúrgico Daniel Alcides Carrión, Huancayo from January 2017 to July 2019. 74 persons were included who lived at altitudes above 3000 m.a.s.l. SH was defined considering the septal thickening (> 13 mm for males and > 12 mm for females) and having a septal median thickening > a 50%. Data were collected in a questionnaire, chi-square and student´s t-test were performed and a logistic regression analysis was carried-out including variables with statistical significance at <0.05. Results: Mean age was 63 ± 16 years (range: 23-94); 41 (55.4%) were females. SH type 2 was twice more common than SH type 1; 37 patients were cases and 37 were controls. The multiva...

Objective. To determine the clinical-epidemiological characteristics of stroke and the dominant hemisphere in people living at high altitude. Method. A descriptive, prospective, cross-sectional study was conducted from april to july 2016. 28(100%) patients with stroke diagnosed by imaging tests were included. Results. 19 patients (67.8 %) were women and 24 (85.7 %) were over 60 years old. 15 (53.5 %) had ischemic stroke and 13 (47.5%) had hemorrhagic stroke. the factors associated with the stroke were: age over 60 years old, low socioeconomic level, high blood pressure and being a woman. in 20 patients (71.4 %) the right hemisphere was involved, while in 8 patients (28.6 %) the left hemisphere was involved. in almost half of the patients the anatomical location was in the basal ganglia (42.9 %). right-handed manual preference was found in 75%, followed by ambidextrous manual preference (...

In the 2019 coronavirus disease pandemic (COVID-19) caused by the SARS-CoV2 virus, the majority of patients present general and respiratory symptoms, some atypical gastrointestinal, cardiovascular, dermatological or neurological symptoms. In the case report of a 40-year-old male patient, without any important epidemiological history, diagnosed with COVID-19 by rapid immunological test, who presents with a sudden ischemic stroke. In the CT scan of the brain without contrast, a large ischemic area is evident in the left cerebral hemisphere in the middle cerebral artery territory,accompanied by edema. In patients with COVID-19, infected with the SARSCoV2 coronavirus, the possibility of the patient having a cerebrovascular accident (CVA) should be taken into account, to allow adequate and timely management.

Objective. To determine the risk factors for the first episode of cerebral cerebrovascular accident (CVA) in people living at different levels of altitude. Methods. An observational, cross-sectional and analytical study was carried out in two hospitals located at 150 meters above sea level and 3250 meters above sea level, between 2012 and 2018, the sample was selected according to inclusion and exclusion criteria. The diagnosis of stroke was determined by tomography and / or brain resonance. Results. 72 (100 %) patients were included, 40 (55.5 %) lived at 150 meters above sea level and 32 (44.5 %) at 3250 meters above sea level; the averages of ages were 64.3 + -13.9 and 71.6 + - 14,0 years respectively (p = 0.033). The most affected age group was between 70 and 79 years, the highest percentage in height (43.7 % vs 27.5 %). The most frequent risk factors for stroke at sea level were arte...

Objectives. To determine the clinical and personal characteristics of the metabolic syndrome (MS) in insured patients attached to the ESSALUD Assistance Network (Social Health Insurance) in Tambo, Huancayo. Methods. Descriptive, observational and retrospective study, conducted from January to October 2015. 101 patients participated using inclusion criteria: age between 18 and 60 years, meeting 3 of the 5 criteria of MS according to the International Diabetes Federation(IDF) 2009 and Association Latinoamericana de Diabetes (ALAD), complete medical records and surveys, and exclusion criteria: having a previous disease such as diabetes and high blood pressure. Results. The frequency of SM was 14.98 %. 62.4 % were women and the mean age was 47 y 51 years. 66.4 % comes from the urban area. 54.5% were classified as overweight and 23.6 % with grade I obesity. The mean abdominal circumference in...

In the 2019 coronavirus disease pandemic (COVID-19) caused by the SARS-CoV2 virus, the majority of patients present general and respiratory symptoms, some atypical gastrointestinal, cardiovascular, dermatological or neurological symptoms. In the case report of a 40-year-old male patient, without any important epidemiological history, diagnosed with COVID-19 by rapid immunological test, who presents with a sudden ischemic stroke. In the CT scan of the brain without contrast, a large ischemic area is evident in the left cerebral hemisphere in the middle cerebral artery territory, accompanied by edema. In patients with COVID-19, infected with the SARS-CoV2 coronavirus, the possibility of the patient having a cerebrovascular accident (CVA) should be taken into account, to allow adequate and timely management.