From January 1980 to December 1986 we carried out the study of seven pregnancies in six patients anticoagulants (Warfarin Sodium) who suffered mechanical valve replacement between January 1980 and December 1986 was conducted: to determine the risk of the mother and fetus by the use of coumarin throughout pregnancy . He was considered: the start of treatment, Gynecology and obstetrics prior history, duration of treatment, drugs used, adequate control and termination of pregnancy, as well as monitoring newborns. Two spontaneous abortions (28.57%) presented; fetal death (14.28%), the birth of 2 children and 2 with congenital anomalies in pregnancies more current developments. In all pregnancies she is presented ginecorragia, increasing the risk of Abortion by 100%. Associations of anticoagulant therapy during pregnancy with congenital anomalies, demonstrating their tetratógenos effects. It...

A 31- year-old woman in the thirty-four week of her second pregnancy was admitted with diffuse sudden-onset abdominal pain. Examination revealed cervical dilation to 7 cm and transverse presentation of the fetus,indications for emergency cesarean section, which was performed uneventfully under spinal anesthesia. Two days after surgery the patient presented signs consistent with acute pulmonary edema. Echocardiography demonstrated left ventricular systolic dysfunction with an ejection fraction of 32%. The diagnosis was peripartum myocardiopathy with acute respiratory insufficiency due to heart failure. Furosemide and captopril were prescribed and the outcome was satisfactory. The discharge echocardiogram showed a left ventricle of normal size and thickness, and the ejection fraction was 50%. Peripartum myocardiopathy is a type of heart failure that develops during the third trimester or d...

In Western countries, cardiovascular disease is the leading cause of death in both women and men. Half of these deaths are attributable to coronary heart disease, mainly caused by atherosclerosis, an obstructive process that begins early in humans and persists through the life of patients who suffer. Previous retrospective studies showed an increase of approximately 4 times in myocardial infarction in women who took oral contraceptives. This review aims to upgrade the relationship may have on the cardiovascular system using oral contraceptives.

Estudio que tiene como objetivo conocer la frecuencia de entidades clínicas cardiovasculares asociadas al empleo de cocaína por vía nasal en consumidores peruanos. Se hizo un estudio prospectivo, descriptivo, tipo serie de casos, con pacientes del Hospital Edgardo Rebagliati Martins de EsSalud y de la Clínica San Felipe, atendidos entre los años 1991 y 2006. En los 63 pacientes evaluados, 86% afirmó haber ingerido cocaína previamente. Los síntomas reportados fueron dolor torácico (59%), palpitaciones (27%), convulsiones (5%), hipertermia (3%) y cefalea (6%). Las entidades clínicas asociadas fueron: síndromes coronarios agudos, arritmia ventricular, infarto agudo de miocardio, crisis hipertensiva y muerte súbita. En conclusión: El empleo de cocaína intranasal se asocia a importantes entidades clínicas cardiovasculares, la mayoría de ellas graves.

Objetivos: Conocer la frecuencia de entidades clínicas cardiovasculares asociadas al empleo de cocaína por vía nasal en consumidores peruanos. Diseño: Estudio prospectivo, descriptivo, tipo serie de casos. Lugar: Hospital Edgardo Rebagliati Martins, EsSalud, hospital docente, y Clínica San Felipe. Participantes: Pacientes atendidos entre los años 1991 y 2006. Principales medidas de resultados: Síntomas y entidades clínicas asociadas al consumo de cocaína vía nasal. Resultados: En los 63 pacientes evaluados, la mediana de edad fue 35 años, 53 (84%) eran de sexo masculino, 86% afirmó haber ingerido cocaína previamente. Los síntomas aparecieron antes de las 2 horas en 78% de los pacientes y 81% presentó trastornos del electrocardiograma. Los síntomas reportados fueron dolor torácico (59%), palpitaciones (27%), convulsiones (5%), hipertermia (3%) y cefalea (6%). Las entidade...

In Western countries, cardiovascular disease is the leading cause of death in both women and men. Half of these deaths are attributable to coronary heart disease, mainly caused by atherosclerosis, an obstructive process that begins early in humans and persists through the life of patients who suffer. Previous retrospective studies showed an increase of approximately 4 times in myocardial infarction in women who took oral contraceptives. This review aims to upgrade the relationship may have on the cardiovascular system using oral contraceptives.

A 31- year-old woman in the thirty-four week of her second pregnancy was admitted with diffuse sudden-onset abdominal pain. Examination revealed cervical dilation to 7 cm and transverse presentation of the fetus,indications for emergency cesarean section, which was performed uneventfully under spinal anesthesia. Two days after surgery the patient presented signs consistent with acute pulmonary edema. Echocardiography demonstrated left ventricular systolic dysfunction with an ejection fraction of 32%. The diagnosis was peripartum myocardiopathy with acute respiratory insufficiency due to heart failure. Furosemide and captopril were prescribed and the outcome was satisfactory. The discharge echocardiogram showed a left ventricle of normal size and thickness, and the ejection fraction was 50%. Peripartum myocardiopathy is a type of heart failure that develops during the third trimester or d...

From January 1980 to December 1986 we carried out the study of seven pregnancies in six patients anticoagulants (Warfarin Sodium) who suffered mechanical valve replacement between January 1980 and December 1986 was conducted: to determine the risk of the mother and fetus by the use of coumarin throughout pregnancy . He was considered: the start of treatment, Gynecology and obstetrics prior history, duration of treatment, drugs used, adequate control and termination of pregnancy, as well as monitoring newborns. Two spontaneous abortions (28.57%) presented; fetal death (14.28%), the birth of 2 children and 2 with congenital anomalies in pregnancies more current developments. In all pregnancies she is presented ginecorragia, increasing the risk of Abortion by 100%. Associations of anticoagulant therapy during pregnancy with congenital anomalies, demonstrating their tetratógenos effects. It...