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1
artículo
Publicado 2021
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El texto completo de este trabajo no está disponible en el Repositorio Académico UPC por restricciones de la casa editorial donde ha sido publicado.
2
artículo
Publicado 2024
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Geriatric Cardiology was born as a need for the comprehensive, individualized, holistic, strategic evaluation of the elderly, in itself heterogeneous; in conjunction with their geriatric syndromes such as frailty, cognitive impairment, sarcopenia, physical dysfunction, falls; in addition to its multimorbidity, its polypharmacy; with respect to cardiovascular diseases such as heart failure, atrial fibrillation, coronary disease, valvular disorders; ethereal population, which in many clinical trials have been excluded, and do not have a representativeness in the development of the current clinical guidelines for the correct diagnosis, evaluation and treatment of said cardiovascular diseases; Geriatric cardiology is therefore collaborative, it is multidisciplinary, it prioritizes quality of life more than longevity in the patient, based on geriatric principles with the implementation of sca...
3
artículo
As we commemorate this year the Bicentennial of the Independence of Peru, we cannot fail to mention aspects of the history of cardiology and cardiovascular surgery in the country, and the contributions that these specialties have made to society.
4
artículo
As we commemorate this year the Bicentennial of the Independence of Peru, we cannot fail to mention aspects of the history of cardiology and cardiovascular surgery in the country, and the contributions that these specialties have made to society.
5
artículo
Publicado 2021
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Objective. To determine the characteristics and trend of the articles published on cardiology and cardiovascular medicine in the Peruvian context, and to understand how it has changed over the years. Materials and methods. A bibliometric study of original articles published up to 2020 by Peruvian authors in journals indexed under the category “Cardiac & Cardiovascular Systems” in Web of Science (WOS) was performed. The articles were included according to the selection criteria in the Rayyan web application and the bibliometric analysis was performed using the Bibliometrix package in the R programming language and VOSviewer. Results. A total of 159 published articles were included, and an increase in the number of publications since 2015 was observed. The most cited article was a clinical trial by Fitchett et al. and published in 2016. Miranda JJ was the Peruvian author with the h...
6
artículo
Publicado 2024
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Cardiovascular diseases stand as the leading cause of mortality among adults globally. For decades, comprehensive evidence has underscored the correlation between infections, particularly those involving the respiratory system, and an elevated risk of cardiovascular and cerebrovascular events, as well as all-cause mortality. The mechanisms through which infections heighten cardiovascular events are intricate, encompassing immune system activation, systemic inflammation, hypercoagulable states, sympathetic system activation, and increased myocardial oxygen demand. Respiratory infections further contribute hypoxemia to this complex interplay. These mechanisms intertwine, giving rise to endothelial dysfunction, plaque ruptures, myocardial depression, and heart failure. They can either instigate de novo cardiovascular events or exacerbate pre-existing conditions. Compelling evidence supports...
7
artículo
Publicado 2021
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Objective. To determine the characteristics and trend of the articles published on cardiology and cardiovascular medicine in the Peruvian context, and to understand how it has changed over the years. Materials and methods. A bibliometric study of original articles published up to 2020 by Peruvian authors in journals indexed under the category “Cardiac & Cardiovascular Systems” in Web of Science (WOS) was performed. The articles were included according to the selection criteria in the Rayyan web application and the bibliometric analysis was performed using the Bibliometrix package in the R programming language and VOSviewer. Results. A total of 159 published articles were included, and an increase in the number of publications since 2015 was observed. The most cited article was a clinical trial by Fitchett et al. and published in 2016. Miranda JJ was the Peruvian author with the h...
8
artículo
Publicado 2024
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Las enfermedades cardiovasculares representan la primera causa de muerte en adultos de todo el mundo. Desde hace décadas se ha documentado que las infecciones en general, y particularmente las que involucran el aparato respiratorio, incrementan el riesgo de eventos cardiovasculares, cerebrovasculares y la mortalidad por todas las causas. Los mecanismos por los que las infecciones incrementan los eventos cardiovasculares son complejos, e incluyen la activación del sistema inmune, la inflamación sistémica, estados de hipercoagulabilidad, activación del sistema simpático y el aumento de la demanda miocárdica de oxígeno. En las infecciones respiratorias se agrega la hipoxemia. Estos mecanismos se interrelacionan, generando disfunción endotelial y accidentes de placa, y/o depresión miocárdica e insuficiencia cardíaca. Estos mecanismos pueden producir eventos cardiovasc...
9
artículo
Publicado 2020
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Heart failure with preserved ejection fraction (HFpEF) is a frequent and overlooked medical condition that represents a great challenge for diagnosis and treatment. Current data shows a temporal trend towards a higher prevalence of HFpEF, even above heart failure with reduced ejection frac- tion (HFrEF). The pathophysiology of HFpEF is heterogeneous and involves several factors such as genetics, lifestyle, and cardiac and non-cardiac comorbidities. These factors result in remodeling, maladaptation and cardiac stiffness, that later on cause dyspnea, exercise intolerance, and fatigue. Although the mortality outcome of HFpEF is as high as HFrEF, no speci c therapy has demonstrat- ed overall bene t in these patients; which is why future therapies will bet on an individualized approach according to the patients phenotype.
10
artículo
Publicado 2023
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Objective. To evaluate the self-perception of cardiology residents in Argentina regarding their abilities to help their patients stop smoking, as well as their opinions about their knowledge and skills in this area. Materials and methods. A cross-sectional study was carried out using secondary data from a study carried out in five Latin American countries and Spain, focusing on the information provided by cardiology residents in Argentina. Discrete variables were expressed as median and interquartile range, and categorical variables were expressed as percentages, and were analyzed using the chi-square test or Fisher’s exact test, depending on the relative frequency of the expected values. Results. 447 residents participated; 87.5% routinely provided brief advice to quit smoking, and 11.6% used validated questionnaires to assess the degree of addiction. Furthermore, 32.1% stated that th...
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12
artículo
Publicado 2020
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Heart failure with preserved ejection fraction (HFpEF) is a frequent and overlooked medical condition that represents a great challenge for diagnosis and treatment. Current data shows a temporal trend towards a higher prevalence of HFpEF, even above heart failure with reduced ejection frac- tion (HFrEF). The pathophysiology of HFpEF is heterogeneous and involves several factors such as genetics, lifestyle, and cardiac and non-cardiac comorbidities. These factors result in remodeling, maladaptation and cardiac stiffness, that later on cause dyspnea, exercise intolerance, and fatigue. Although the mortality outcome of HFpEF is as high as HFrEF, no speci c therapy has demonstrat- ed overall bene t in these patients; which is why future therapies will bet on an individualized approach according to the patients phenotype.
13
artículo
Publicado 2022
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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...
14
artículo
Publicado 2022
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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...
15
artículo
Publicado 2022
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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...
16
artículo
Publicado 2022
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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...
17
artículo
Publicado 2021
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Objective. The objective of the study was to describe the clinical characteristics and the evolution of the severity of pulmonary arterial hypertension (PAH) and the degree of renal failure. Material and methods. A retrospective observational study was carried out in which the physical and electronic medical records of 60 patients older than 18 years with a diagnosis of pulmonary arterial hypertension were analyzed. Results. In our study, 11.4% of the severe PAH group worsened renal function at six months, and 13.6% of the participants worsened it at one year. In contrast, in the group with moderate PAH, 18.8% worsened at six months, and 12.5% worsened at one year. Also, the GFR at one year was 54.15 mL/min/1.73 m2 in the moderate PAH group and in the severe PAH group was 73.55 mL/min/1.73 m2. Conclusion. The results of this research suggest that the deterioration of kidney function is r...
18
artículo
Publicado 2021
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Objective. The objective of the study was to describe the clinical characteristics and the evolution of the severity of pulmonary arterial hypertension (PAH) and the degree of renal failure. Material and methods. A retrospective observational study was carried out in which the physical and electronic medical records of 60 patients older than 18 years with a diagnosis of pulmonary arterial hypertension were analyzed. Results. In our study, 11.4% of the severe PAH group worsened renal function at six months, and 13.6% of the participants worsened it at one year. In contrast, in the group with moderate PAH, 18.8% worsened at six months, and 12.5% worsened at one year. Also, the GFR at one year was 54.15 mL/min/1.73 m2 in the moderate PAH group and in the severe PAH group was 73.55 mL/min/1.73 m2. Conclusion. The results of this research suggest that the deterioration of kidney function is r...
19
artículo
Publicado 1996
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Myocardial infarction is one the most important causes of admission and death at the Department of Cardiology of "Edgardo Rebagliati Martins" Hospital. This study reviews the complications of 536 patients admitted to our deoartment with the diagnosis of Q wave acute myocardial infarction from 1989 to 1993. Out of these, 234 patients (43.6%) had a complication, in 45 cases it was fatal, and total mortality was 8,4%. Pump failure was the most frequent complication, occurred in 106 cases (19,7%), and turned to cardiogenic shock in 28 patients (5,2%). Sinus tachycardia was the most frequent arrhytmia, in 152 cases (28,3%), followed by sinus bradycardia with 88 cases (16,4%), premature ventricular contractions in 58 cases (10,8%), atrial fibrillation in 40 cases (7,5%) and ventricular tachycardia and ventricular fibrillation in 8 (1,5%) and 9 cases (1,6%) respectively. Is at this paper "quant...
20
revisión
Publicado 2017
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The epidemiologic transition theory, since it was first proposed, gave an intellectual boost to understanding the changing dynamics of epidemiologic profiles. The epidemiologic transition provided a complement to the discourse of demographic change. Despite its criticisms and revisions, it is still a useful concept that influences public health debates, and has proved to be influential, particularly in changing societies. Most countries are facing the rapidly emerging needs of populations
