Mujer de 44 años de edad que, durante el posoperatorio inmediato de una cirugía de reemplazo de válvula mitral presentó súbitamente elevación del segmento ST en las derivadas precordiales V4, V5 y V6 del electrocardiograma, elevación de enzimas cardiacas y disminución de la contractilidad del ventrículo izquierdo con FEVI 24%; ante la sospecha de infarto agudo de miocardio peri-operatorio se realizó el cateterismo cardiaco evidenciándose ausencia de lesiones en arterias coronarias, hallazgos compatibles con miocardiopatía de Takotsubo. La paciente evolucionó con choque cardiogénico, patrón hemodinámico confirmado por catéter en arteria pulmonar y requerimiento de altas dosis de inotrópicos, que incluyó levosimendán, soporte vasopresor y mecánico mediante balón de contra pulsación intra-aórtico; la respuesta al soporte instalado fue favorable y a 6 días del evento...

Objective. To know the most frequent acute cardiovascular complications in a Peruvian population of oncologic patients. Materials and methods. Retrospective, descriptive study of oncologic patients treated at Clinica Delgado between January 2014 and December 2019, from which the subgroup with the seven most prevalent cancers at the national level was selected according to information from Globocan 2018. Additionally, we evaluated the epidemiology of patients with cardiovascular complications that conditioned their hospitalization or were detected during this, calculating their cardiovascular risk according to Hermann and SCORE risk scales. Results. Forty-four patients had complications; 27 (61.4%) were hospitalized due to acute cardiovascular causes. The mean age of this subgroup was 69.88 years (SD 12.77), and 22 (81.5%) were older than 60 years. Fourteen (51.9%) were male. According to...

Objetivo. Conocer las complicaciones cardiovasculares agudas más frecuentes en una población peruana de pacientes oncológicos. Materiales y métodos. Estudio retrospectivo, descriptivo de pacientes oncológicos atendidos en la Clínica Delgado entre enero de 2014 a diciembre de 2019, de los cuales se seleccionó el subgrupo con los siete cánceres más prevalentes a nivel nacional según la información de Globocan 2018. Adicionalmente, se evaluó la epidemiología de los pacientes con complicaciones cardiovasculares que condicionaron su hospitalización o que se detectaron en ella, ponderándose su riesgo cardiovascular según las escalas de Hermann y SCORE. Resultados. Cuarenta y cuatro pacientes tuvieron complicaciones; 27 (61,4%) se hospitalizaron debido a causas cardiovasculares agudas. La edad promedio de este subgrupo fue 69,88 años (DS 12,77) y 22 (81,5%) fueron mayores de 60...

Objective. To know the most frequent acute cardiovascular complications in a Peruvian population of oncologic patients. Materials and methods. Retrospective, descriptive study of oncologic patients treated at Clinica Delgado between January 2014 and December 2019, from which the subgroup with the seven most prevalent cancers at the national level was selected according to information from Globocan 2018. Additionally, we evaluated the epidemiology of patients with cardiovascular complications that conditioned their hospitalization or were detected during this, calculating their cardiovascular risk according to Hermann and SCORE risk scales. Results. Forty-four patients had complications; 27 (61.4%) were hospitalized due to acute cardiovascular causes. The mean age of this subgroup was 69.88 years (SD 12.77), and 22 (81.5%) were older than 60 years. Fourteen (51.9%) were male. According to...

Objective. To determine the clinical and epidemiological characteristics of patients with short-term mechanical circulatory support devices (MCSD) after myocardial infarction (MI) at a national referral hospital. Materials and methods. Descriptive, retrospective study of post-MI patients in whom short-term mechanical circulatory support devices were implanted from 2015 to 2020. Results. Nine mechanical support devices were implanted, in the same number of patients due to cardiogenic shock post MI. All patients were men with ST-elevation myocardial infarction (STEMI). Eight extracorporeal membrane oxygenation devices (ECMO) and one centrifugal flow pump (in LVAD configuration) were implanted. The median time of use of the devices was eight days. The most frequent complications were non-fatal bleeding (55.6%), acute kidney injury (44.4%) and sepsis (44.4%).In-hospital mortality was 55.6 %....

Objetivo. Determinar las características clínicas y epidemiológicas de los pacientes con dispositivos de soporte mecánico circulatorio (DSMC) de corta duración, posinfarto de miocardio (IAM) en un hospital de referencia nacional. Materiales y métodos. Estudio descriptivo, retrospectivo, de pacientes post IAM en los que se implantó dispositivos de soporte mecánico circulatorio de corta duración desde el año 2015 al 2020. Resultados. Se implantaron nueve dispositivos de asistencia en igual número de pacientes debido a choque cardiogénico post-IAM. Todos los pacientes fueron varones con IAM con elevación del segmento ST (IAMCEST). Se implantaron ocho dispositivos de oxigenación por membrana extracorpórea (ECMO) y una bomba de flujo centrífugo (en configuración LVAD). La mediana de tiempo de uso del dispositivo fue de ocho días. Las complicaciones más frecuentes fueron la ...

Objective. To determine the clinical and epidemiological characteristics of patients with short-term mechanical circulatory support devices (MCSD) after myocardial infarction (MI) at a national referral hospital. Materials and methods. Descriptive, retrospective study of post-MI patients in whom short-term mechanical circulatory support devices were implanted from 2015 to 2020. Results. Nine mechanical support devices were implanted, in the same number of patients due to cardiogenic shock post MI. All patients were men with ST-elevation myocardial infarction (STEMI). Eight extracorporeal membrane oxygenation devices (ECMO) and one centrifugal flow pump (in LVAD configuration) were implanted. The median time of use of the devices was eight days. The most frequent complications were non-fatal bleeding (55.6%), acute kidney injury (44.4%) and sepsis (44.4%).In-hospital mortality was 55.6 %....

Objective. To evaluate the epidemiological, clinical, surgical, pathological characteristics and outcomes in the follow-up of heart transplant recipients at the National Cardiovascular Institute during 2010-2020. Material and methods. A retrospective descriptive study was performed by reviewing the medical records of patients undergoing heart transplantation at a national referral center, describing the clinical, surgical, laboratory, pathology characteristics and survival of patients up to 10 years of follow-up. Results. Eightysix patients were transplanted in 10 years, the median age was 41 years (RIQ 28-56), being predominantly male (66.3%). The three leading causes of indication for heart transplantation were: dilated cardiomyopathy (48.9%), ischemic heart disease (17.4%), and myocarditis (6.9%). Total ischemia time was 160 minutes (RIQ 129.7-233.5). Survival at one, five, and ten ye...

Objetivo. Evaluar las características epidemiológicas, clínicas, quirúrgicas, patológicas y desenlaces en el seguimiento de los pacientes receptores de trasplante cardiaco en el Instituto Nacional Cardiovascular durante 2010-2020. Materiales y métodos. Estudio retrospectivo descriptivo de pacientes sometidos a trasplante cardiaco en un centro de referencia nacional, se describen las características clínicas, quirúrgicas, de laboratorio, de patología y la supervivencia de los pacientes hasta los 10 años de seguimiento. Resultados. Ochenta y seis pacientes fueron trasplantados en 10 años, la mediana de edad fue de 41 años (RIQ 28-56), con predominancia de varones (66,3%). Las tres primeras causas de indicación de trasplante cardiaco fueron: cardiomiopatía dilatada (48,9%), cardiopatía isquémica (17,4%) y miocarditis (6,9%). El tiempo de isquemia total fue de 160 min (RIQ 1...

Objective. To evaluate the epidemiological, clinical, surgical, pathological characteristics and outcomes in the follow-up of heart transplant recipients at the National Cardiovascular Institute during 2010-2020. Material and methods. A retrospective descriptive study was performed by reviewing the medical records of patients undergoing heart transplantation at a national referral center, describing the clinical, surgical, laboratory, pathology characteristics and survival of patients up to 10 years of follow-up. Results. Eightysix patients were transplanted in 10 years, the median age was 41 years (RIQ 28-56), being predominantly male (66.3%). The three leading causes of indication for heart transplantation were: dilated cardiomyopathy (48.9%), ischemic heart disease (17.4%), and myocarditis (6.9%). Total ischemia time was 160 minutes (RIQ 129.7-233.5). Survival at one, five, and ten ye...