El Lupus Eritematoso Sistémico (LES) es una enfermedad sistémica autoinmune. La verdadera incidencia de miocarditis es difícil de determinar; se encuentra en 1 a 9% de las autopsias de rutina y de 5 a 12% de las muertes súbitas no explicadas. La miocarditis debe ser diagnosticada por la combinación de criterios clínicos y patológicos, por su presentación heterogénea. La miocarditis es una manifestación rara, pero potencialmente fatal; por ese motivo su reconocimiento temprano y el manejo de soporte e inicio temprano de terapia inmunosupresora pueden lograr resultados favorables. Reportamos el primer caso documentado de miopericarditis lúpica en una mujer joven sin evidencia de infección viral asociada, realizándose el diagnóstico por la evolución y la respuesta terapéutica. Destacamos además la secuencia de los eventos; inicialmente como pericarditis efusiva masiva y que...

Shaggy aorta (SA) is characterized by a critical and extensive atheromatous disease of the thoracic and abdominal aorta. This degenerative and dangerous pathology is the result of the confluence of multiple modifiable and non-modifiable risk factors. The clinical importance of this pathology relies on the various syndromes that can develop from its etiopathogenesis, which generates great morbidity and mortality in the affected patients. In this document, we present an updated and detailed review of this entity, developing aspects of its pathophysiology, diagnosis, including the importance of multimodal imaging, and its therapeutic approach. Finally, we present the clinical settings of patients with SA in different aortic scenarios (aortic dissection, ulcerated plaques, and thrombosed aneurysms) that denote the nature of this disease and its high mortality.

Shaggy aorta (SA) is characterized by a critical and extensive atheromatous disease of the thoracic and abdominal aorta. This degenerative and dangerous pathology is the result of the confluence of multiple modifiable and non-modifiable risk factors. The clinical importance of this pathology relies on the various syndromes that can develop from its etiopathogenesis, which generates great morbidity and mortality in the affected patients. In this document, we present an updated and detailed review of this entity, developing aspects of its pathophysiology, diagnosis, including the importance of multimodal imaging, and its therapeutic approach. Finally, we present the clinical settings of patients with SA in different aortic scenarios (aortic dissection, ulcerated plaques, and thrombosed aneurysms) that denote the nature of this disease and its high mortality.

Shaggy aorta (SA) is characterized by a critical and extensive atheromatous disease of the thoracic and abdominal aorta. This degenerative and dangerous pathology is the result of the confluence of multiple modifiable and non-modifiable risk factors. The clinical importance of this pathology relies on the various syndromes that can develop from its etiopathogenesis, which generates great morbidity and mortality in the affected patients. In this document, we present an updated and detailed review of this entity, developing aspects of its pathophysiology, diagnosis, including the importance of multimodal imaging, and its therapeutic approach. Finally, we present the clinical settings of patients with SA in different aortic scenarios (aortic dissection, ulcerated plaques, and thrombosed aneurysms) that denote the nature of this disease and its high mortality.

Rheumatic heart disease is the leading cause of cardiovascular disease in young adults under 25 years of age worldwide, with the highest prevalence in low-income countries. The usual and distinctive finding of rheumatic aggression is mitral stenosis, which leads to serious cardiovascular consequences. International guidelines establish transthoracic echocardiography (TTE) as the diagnostic test for rheumatic heart disease; however, it has limitations in the measurement of planimetry and those inherent to Doppler. Transesophageal 3D echocardiography (TTE-3D) is a new modality that shows realistic images of the mitral valve and has the added value of accurately locating the plane of maximum stenosis and better determining commissural involvement.

La cardiopatía reumática es la causa líder de enfermedad cardiovascular en menores de 25 años en el mundo, con una mayor prevalencia en países de bajos ingresos. El hallazgo habitual y distintivo de agresión reumática es la estenosis mitral, lo cual conlleva a graves consecuencias cardiovasculares. Las guías internacionales establecen la ecocardiografía transtorácica (ETT) como prueba diagnóstica de la cardiopatía reumática; sin embargo, presenta limitaciones en la medición de la planimetría y las inherentes al Doppler. La ecocardiografía transesofágica 3D (ETE-3D) es una novel modalidad que muestra imágenes realísticas de la válvula mitral y que presenta como valor agregado el localizar con precisión el plano de máxima estenosis y determinar mejor el compromiso comisural.

Rheumatic heart disease is the leading cause of cardiovascular disease in young adults under 25 years of age worldwide, with the highest prevalence in low-income countries. The usual and distinctive finding of rheumatic aggression is mitral stenosis, which leads to serious cardiovascular consequences. International guidelines establish transthoracic echocardiography (TTE) as the diagnostic test for rheumatic heart disease; however, it has limitations in the measurement of planimetry and those inherent to Doppler. Transesophageal 3D echocardiography (TTE-3D) is a new modality that shows realistic images of the mitral valve and has the added value of accurately locating the plane of maximum stenosis and better determining commissural involvement.

Objectives. During acute infection by the SARS-CoV-2 virus, myocardial involvement has been demonstrated; it is unknown if cardiovascular sequelae in patients recovered from this infection and if these are associated with global morbidity and mortality. The objective of this study was to compare myocardial deformation in patients recovered from mild SARS-CoV-2 virus infection with healthy controls. Materials and methods. This was a cross-sectional observational study that included 33 subjects recovered from mild SARS-CoV-2 infection, who were diagnosed in the previous three to six months, and 31 healthy volunteers, both groups free of cardiovascular risk factors. The study of myocardial deformation was performed using echocardiography with the speckle tracking modality. Clinical and anthropometric variables were compared. Results. The 2D global longitudinal strain of the left ventricle w...

Objetivos. Durante la infección aguda por el virus SARS-CoV-2 se ha demostrado una afectación miocárdica, se desconoce si existen secuelas cardiovasculares en pacientes recuperados de esta infección y si estas se asocian a un incremento en la morbilidad y mortalidad global. El objetivo de este estudio fue comparar la deformación miocárdica en pacientes recuperados de infección leve por SARS-CoV-2 con controles sanos. Materiales y métodos. Estudio observacional transversal que incluyó 33 sujetos recuperados de infección leve por SARS-CoV-2, quienes fueron diagnosticados en los tres a seis meses previos, y 31 voluntarios sanos, ambos grupos libres de factores de riesgo cardiovascular. El estudio de deformación miocárdica se realizó mediante ecocardiografía con modalidad speckle tracking. Se compararon variables clínicas y antropométricas. Resultados. El strain longitudinal ...

Objectives: To determine structural or functional echocardiographic findings in patients recovered from SARS-CoV-2 infection. Materials and methods: Cross-sectional observational study, which included worker patients of a national COVID hospital, who were studied between 3 to 6 months after the diagnosis of SARS-CoV-2 infection. The echocardiographic examination was carried out systematically and included conventional modalities. Results: 65 cases with CoV-2 infection were included, the average age was 37.7 years, obesity was the most frequent comorbidity (13.8%) and the mild clinical presentation was the one with the highest prevalence (84.6%). The mean diastolic diameter and left ventricular eyection fraction were 42mm and 57%, respectively. Likewise, the mean basal diameter of the right ventricle was 31mm, the shortening fraction was 44%, and the probability of pulmonary hypertension ...

Objetivos: Determinar hallazgos estructurales o funcionales ecocardiográficos en pacientes recuperados de infección SARS-CoV-2. Materiales y métodos: Estudio observacional transversal, que incluyó pacientes trabajadores de un hospital nacional COVID, estudiados entre 3 a 6 meses luego del diagnostico de infección SARS-CoV-2. La exploración ecocardiográfica se desarrolló de forma sistemática e incluyó las modalidades convencionales. Resultados: Se incluyeron 65 casos con infección-CoV-2, la edad promedio fue 37.7 años, la obesidad resultó la comorbilidad mas frecuente (13.8%) y la presentación clínica leve fue la de mayor prevalencia (84.6%). Las medias del diámetro diastólico y la fracción de eyección ventrículo izquierdo fueron 42mm y 57% respectivamente. Así mismo la media del diámetro basal del ventrículo derecho fue de 31mm, de la fracción de acortamiento 44% ...

Objetivos: Determinar hallazgos estructurales o funcionales ecocardiográficos en pacientes recuperados de infección SARS-CoV-2. Materiales y métodos: Estudio observacional transversal, que incluyó pacientes trabajadores de un hospital nacional COVID, estudiados entre 3 a 6 meses luego del diagnostico de infección   SARS-CoV-2. La exploración ecocardiográfica se desarrolló de forma sistemática e incluyó las modalidades convencionales. Resultados: Se incluyeron 65 casos con infección-CoV-2, la edad promedio fue 37.7 años, la obesidad resultó la comorbilidad mas frecuente (13.8%) y la presentación clínica leve fue la de mayor prevalencia (84.6%).  Las medias del diámetro diastólico y la fracción de eyección ventrículo izquierdo fueron 42mm y 57% respectivamente. Así mismo la media del diámetro basal del ventrículo derecho fue de 31mm, de la fracción de...

Objectives. During acute infection by the SARS-CoV-2 virus, myocardial involvement has been demonstrated; it is unknown if cardiovascular sequelae in patients recovered from this infection and if these are associated with global morbidity and mortality. The objective of this study was to compare myocardial deformation in patients recovered from mild SARS-CoV-2 virus infection with healthy controls. Materials and methods. This was a cross-sectional observational study that included 33 subjects recovered from mild SARS-CoV-2 infection, who were diagnosed in the previous three to six months, and 31 healthy volunteers, both groups free of cardiovascular risk factors. The study of myocardial deformation was performed using echocardiography with the speckle tracking modality. Clinical and anthropometric variables were compared. Results. The 2D global longitudinal strain of the left ventricle w...