Objective. Determine the effectiveness of cardiac rehabilitation (CR) as a tertiary prevention strategy in the quality of life and control of risk factors of patients with  ischemic coronary heart disease (ICC) of the National Cardiovascular Institute (INCOR) of EsSalud- Lima during  the year 2018. Materials and methods. A retrospective cohort of 280 patients with a diagnosis of CCI was studied  who, after medical, interventional, or surgical treatment, were referred to the INCOR CR program for tertiary prevention (PT) in 2018. The program was developed according to the institutional guide for eight weeks with  exercise sessions and educational, psychological, nutritional, and recreational workshops. At the beginning and at the end of this, the QLMI-2 quality of life test was applied, and anthropometric, laboratory, and risk factor  control measurements were performed. Results. Qual...

Objective. Determine the effectiveness of cardiac rehabilitation (CR) as a tertiary prevention strategy in the quality of life and control of risk factors of patients with ischemic coronary heart disease (ICC) of the National Cardiovascular Institute (INCOR) of EsSalud- Lima during the year 2018. Materials and methods. A retrospective cohort of 280 patients with a diagnosis of CCI was studied who, after medical, interventional, or surgical treatment, were referred to the INCOR CR program for tertiary prevention (PT) in 2018. The program was developed according to the institutional guide for eight weeks with exercise sessions and educational, psychological, nutritional, and recreational workshops. At the beginning and at the end of this, the QLMI-2 quality of life test was applied, and anthropometric, laboratory, and risk factor control measurements were performed. Results. Quality of lif...

Objective. Determine the effectiveness of cardiac rehabilitation (CR) as a tertiary prevention strategy in the quality of life and control of risk factors of patients with  ischemic coronary heart disease (ICC) of the National Cardiovascular Institute (INCOR) of EsSalud- Lima during  the year 2018. Materials and methods. A retrospective cohort of 280 patients with a diagnosis of CCI was studied  who, after medical, interventional, or surgical treatment, were referred to the INCOR CR program for tertiary prevention (PT) in 2018. The program was developed according to the institutional guide for eight weeks with  exercise sessions and educational, psychological, nutritional, and recreational workshops. At the beginning and at the end of this, the QLMI-2 quality of life test was applied, and anthropometric, laboratory, and risk factor  control measurements were performed. Results. Qual...

Introduction. The cardiovascular rehabilitation programs (CRP) represent an effective multidisciplinary medical-health strategy in prevention and control of cardiovascular problems. Objective. To assess the impact of a CRP carried out in the workplace, in reducing absolute cardiovascular risk in INCOR workers. Methods. An experimental study. 41 workers with different levels of cardiovascular risk were included and were evaluated before and after their participation in the CRP on their functional capacity, cardiovascular risk factors and stress levels. The work intervention program consisted of 36 sessions of controlled physical activity, nutritional counseling, psychological counseling and laboratory evaluation. Results. The intervention get a reduction of the overall cardiovascular risk to the low level in all workers (100%), measured by the Frami...

Objetivo: Determinar la influencia de la prevención terciaria (PT) y rehabilitación cardiaca (RC) en la calidad de vida de pacientes con cardiopatía coronaria isquémica del Instituto Nacional Cardiovascular (INCOR) de EsSalud- Lima 2020. Material y métodos: 280 pacientes con diagnóstico de cardiopatía coronaria, en tratamiento médico, post operados o post intervencionismo coronario fueron quienes participaron del programa de prevención terciaria-rehabilitación cardiaca (PT-RC) en el INCOR durante el año 2018. A todos los pacientes se les realizó el test de calidad de vida QLMI-2 al inicio y al final del programa. Resultados: La intervención fue efectiva y estadísticamente significativa sobre la Calidad de vida global con un incremento de 28,7%. En los componentes emocional, físico y social, se observó un incremento en 29,3%, 31,9% y 29,3% respectivamente. El efecto de la ...

Objetivo: Determinar la influencia de la calidad de atención sobre la satisfacción del paciente cardiópata transferido a la consulta externa de Cardiología del Instituto Nacional del Corazón - INCOR en 2009.Diseño: observacional, descriptivo, transversal y de correlación. Lugar: Consultorio Externo de Cardiología del Instituto Nacional del Corazón-INCOR, Lima, Perú. Participantes: La población la constituyen todos los pacientes cardiópatas mayores de 15 años, referidos de provincias al consultorio externo de Cardiología del Instituto Nacional del corazón en el 2009. Intervenciones: Cuestionario de investigación SERVQUAL administrado a través de una entrevista. Los datos obtenidos se procesaron mediante una base de Datos en el paquete estadístico SPSS 15.0 para Windows. El alpha de Cronbach's del instrumento aplicado tiene un valor de 0.821. Valor que garantiza que los d...

Objective. To describe the perceptions of resident doctors about the development of their training program during the pandemic in the city of Lima - Peru. Materials and methods. Through a cross- sectional study, a questionnaire was applied to seventy-eight cardiology residents in the last two years of training in the specialty. The perceptions about the accompaniment and support of the universities in the educational venues, for the development of the training program in cardiology during the pandemic, were evaluated. Results. Regarding the support provided for their training, the items evaluated showed shortcomings above 60%, where permanent supervision was lacking in 90.0% of the residents. Regarding compliance with the rotations, the residents only received supervision in 24.4%, observing that they did not manage to carry out adequate rotations in 80.8% of the cases. The courses of th...

Objective. To describe the perceptions of resident doctors about the development of their training program during the pandemic in the city of Lima - Peru. Materials and methods. Through a cross- sectional study, a questionnaire was applied to seventy-eight cardiology residents in the last two years of training in the specialty. The perceptions about the accompaniment and support of the universities in the educational venues, for the development of the training program in cardiology during the pandemic, were evaluated. Results. Regarding the support provided for their training, the items evaluated showed shortcomings above 60%, where permanent supervision was lacking in 90.0% of the residents. Regarding compliance with the rotations, the residents only received supervision in 24.4%, observing that they did not manage to carry out adequate rotations in 80.8% of the cases. The courses of th...

Introduction: Myocardial infarction continues with high mortality rates, from 4.6% to 13.1%. There are predictive risk stratification models, such as the Grace Score, which does not include glycemia as a variable. Patients hospitalized for myocardial infarction with hyperglycemia on admission may have higher mortality, in ST elevated and non-elevated infarcts. Objectives: The objective of this review is to identify and systematize the evidence on hyperglycemia on admission as a biomarker of mortality and heart failure in acute myocardial infarction. Materials and Methods: The search was carried out in the MEDLINE database including the MeSH terms hyperglycemia and hospital mortality or heart failure in myocardial infarction, selecting 12 articles. Results: Hospital mortality was calculated in 11 articles, in 9 of them a significant association was found between hyperglycemia and hospital...

Objective. To characterize compliance with the annual curricular program of second and third-year cardiology residents in hospital of Lima—Peru during the COVID-19 pandemic. Materials and methods. A cross-sectional study was conducted, through a questionnaire applied to seventy-eight cardiology residents from the second and third year of specialty. We evaluated the compliance with rotations in clinical fields, individual compliance with the annual program, and the achievement of minimum training standards. Results. Compliance with rotations in clinical fields was highly variable (from 7.9% in Cardiac Rehabilitation for the second year to 90.9% for imaging in cardiology). Regarding individual compliance, 98.7% did not manage to comply with the annual program. Finally, only the standard of evaluation by radionuclides of myocardial function and perfusion was achieved by all residents, con...

Objective. To characterize compliance with the annual curricular program of second and third-year cardiology residents in hospital of Lima—Peru during the COVID-19 pandemic. Materials and methods. A cross-sectional study was conducted, through a questionnaire applied to seventy-eight cardiology residents from the second and third year of specialty. We evaluated the compliance with rotations in clinical fields, individual compliance with the annual program, and the achievement of minimum training standards. Results. Compliance with rotations in clinical fields was highly variable (from 7.9% in Cardiac Rehabilitation for the second year to 90.9% for imaging in cardiology). Regarding individual compliance, 98.7% did not manage to comply with the annual program. Finally, only the standard of evaluation by radionuclides of myocardial function and perfusion was achieved by all residents, con...

Objetivo. Caracterizar el cumplimiento del programa curricular anual de los médicos residentes de cardiología de segundo y tercer año en hospitales de la ciudad de Lima - Perú durante la pandemia COVID-19. Materiales y métodos. Se realizó un estudio transversal, mediante un cuestionario aplicado a 78 residentes de cardiología del segundo y tercer año de especialidad. Se evaluó el cumplimiento de rotaciones en campos clínicos, cumplimiento individual del programa anual de rotaciones y el logro de estándares mínimos de formación. Resultados. El cumplimiento de las rotaciones en campos clínicos fue muy variable (desde 7,9% en rehabilitación cardiaca para segundo año, hasta un 90,9% para imágenes en cardiología). En cuanto al cumplimiento individual, el 98,7% no alcanzó a cumplir el programa anual. Finalmente, solo el estándar de evaluación mediante radionúclidos de la ...

Objective. Cardiac Rehabilitation (CR) programs based on telehealth are an alternative in the context of a pandemic and represent an opportunity to continue in the intervention of cardiovascular diseases (CVD). The present study aims to evaluate the effect of a Cardiac Tele-Rehabilitation (CTR) program on quality of life, anxiety/depression index, exercise safety and Level Of disease awareness in patients discharged from a national referral institute in times of pandemic. Methods. A pre-experimental study in cardiac patients who entered the cardiac rehabilitation program at INCOR from August to December 2020. The study included low-risk patients who were administered a questionnaire (on cardiovascular disease, exercise safety, anxiety/depression, and quality of life) at the beginning and end of the program, which was applied through a virtual platform. Descriptive and comparative before-...

Objetivo. Los programas de rehabilitación cardiaca (RC) basados en telesalud son una alternativa en el contexto de pandemia y representa una oportunidad para continuar en la intervención de las enfermedades cardiovasculares (ECV). El presente estudio pretende evaluar el efecto de un programa de telerrehabilitación cardiaca (TRC) en la calidad de vida, índice de ansiedad/depresión, seguridad del ejercicio y nivel de conocimiento de la enfermedad en pacientes dados de alta de un instituto de referencia nacional en tiempos de pandemia. Metodología. Estudio pre-experimental en pacientes cardiópatas que ingresaron al programa de rehabilitación cardíaca en el INCOR durante agosto a diciembre del 2020. Se incluyó pacientes de bajo riesgo en quienes se aplicó un cuestionario (sobre enfermedades cardiovasculares, seguridad del ejercicio, ansiedad/depresión y calidad de vida) al inicio...

Objective. Cardiac Rehabilitation (CR) programs based on telehealth are an alternative in the context of a pandemic and represent an opportunity to continue in the intervention of cardiovascular diseases (CVD). The present study aims to evaluate the effect of a Cardiac Tele-Rehabilitation (CTR) program on quality of life, anxiety/depression index, exercise safety and Level Of disease awareness in patients discharged from a national referral institute in times of pandemic. Methods. A pre-experimental study in cardiac patients who entered the cardiac rehabilitation program at INCOR from August to December 2020. The study included low-risk patients who were administered a questionnaire (on cardiovascular disease, exercise safety, anxiety/depression, and quality of life) at the beginning and end of the program, which was applied through a virtual platform. Descriptive and comparative before-...