2024-03-28T23:29:58Zhttps://repository.urosario.edu.co/oai/requestoai:repository.urosario.edu.co:10336/29872021-06-03T00:45:27Zcom_10336_569com_10336_561col_10336_2564
Morbimortalidad, función ventricular e incidencia del rechazo celular en el trasplante cardíaco en la Clínica Abood Shaio
Páez Lesmes, Guillermo
Melgarejo, Iván
Trasplante cardiaco
Mortalidad
Rechazo
Sobrevida
INTRODUCTION: Heart transplantation in an effective therapy for patients with terminal heart failure. There are currently no Colombian records updated and published in morbidity and mortality of heart transplantation in relation to episodes of cellular rejection.
MATERIALS AND METHODS: A descriptive retrospective study of patients older than 18 years transplanted in Shaio Clinic. Frequency calculations were performed, averages, and Kaplan Meier survival.
RESULTS: The average age was 46.7 years + / - 13.The indications were idiopathic cardiomyopathy with 45%, coronary 30%, myocarditis 9%, Chagas 9% valvular 7%. The cellular in the first three years : 57%, 54% 41% decrease to 25% between three and five years . The causes of death were failure of transplantation 46%, infections and heart failure 23%, reject 8 %. The first year the mortality rate was 65%, mainly the graft failure. Mortality at 30 Days 29.5% and survival was 90 % at 1 year, 64% at 5 years, 48% at 10 years and 15% at age of 13. The median survival was 8 years old. The vascular disease was 33%. Left ventricular function 53.5% +/-12.6 the first year; 58.4 +/-5.4% in the third year; 51.7 +/-11.9% the fifth year 46% +/-15.8 to the tenth year.
DISCUSSION: Note increased frequency of cellular rejection, causing more cardiac failure and death.
2012-05-02T12:26:35Z
2012-05-02T12:26:35Z
2012-05-02T12:26:35Z
2012
bachelorThesis
https://doi.org/10.48713/10336_2987
TEME 0080 2011
http://repository.urosario.edu.co/handle/10336/2987
spa
info:eu-repo/semantics/openAccess
Abierto (Texto completo)
Atribución-NoComercial-SinDerivadas 2.5 Colombia
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
http://creativecommons.org/licenses/by-nc-nd/2.5/co/
Universidad del Rosario
Facultad de medicina
instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/201822021-06-03T00:49:38Zcom_10336_569com_10336_561col_10336_2564
Criterios ecocardiográficos en pacientes con falla cardiaca candidatos a implante de Mitraclip : experiencia clínica de 3 años
Juan Guardela, Marietta Luz
Idrovo Turbay, Álvaro
Sánchez Casas., Carolina
Zuluaga Rojas, José Fernando
Falla cardiaca
Mitraclip
Insuficiencia mitral
Background: The introduction of percutaneous therapies in the management of severe mitral regurgitation has opened a new approach in the treatment of heart failure. We describe the echocardiographic profile of potential patient candidates for Mitraclip implantation at the Shaio Clinic. Methods: Retrospective and descriptive study from January 2016 to March 2019 that included adults with advanced heart failure and moderate to severe or severe symptomatic functional mitral regurgitation that were not deemed good surgical candidates. Results: 64 patients were evaluated, 23 were eligible for Mitraclip implantation. Out of the eligible, the average age was 69±7.5 years, 56.5% were male, 17% of them belonged to the functional class NYHA (New York Heart Association) IV, and the average left ventricular ejection fraction was 23% (RIQ 16-28%). 91.3% had severe mitral regurgitation (100% functional etiology). Average tenting height was 12.7±2.75mm with coaptation surface of 3.74±0.96 mm and posterior leaflet length of 11.8±2.16mm. Average valve area and mitral annulus were 6.45 cm2 (RIQ 4.3 - 8.6 cm2) and 36mm (RIQ 30–40mm) respectively. Left ventricle end diastolic volume was 112/ml/sc (RIQ 98–165ml/m2). After procedure, 86.96% of the patients showed residual mild mitral regurgitation, 8.7% exhibited moderate and 4.35% severe. Conclusion: Patients candidates to Mitraclip implantation at the Shaio Clinic had severe left ventricle dysfunction and severe mitral regurgitation in most cases, with “disproportionate” mitral regurgitation according to the severity of left ventricular dilatation, similar to what was reported in the COAPT study, which showed good results when properly choosing patients for the procedure. A percentage of the group of patients not candidates for implantation of the device presented primary mitral regurgitation; on the other hand, all patients eligible for Mitraclip implantation presented secondary mitral regurgitation, this being the only significant echocardiographic difference between the two patient groups.
2019-08-29T14:47:58Z
2019-08-29T14:47:58Z
2019-08-29T14:47:58Z
2019
bachelorThesis
https://doi.org/10.48713/10336_20182
http://repository.urosario.edu.co/handle/10336/20182
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
Universidad del Rosario
Facultad de medicina
Zoghbi WA, Adams D, Bonow RO, Enriquez-sarano M, et al. Recommendations for Noninvasive Evaluation of Native Valvular Regurgitation A Report from the American Society of Echocardiography Developed in Collaboration with the Society for Cardiovascular Magnetic Resonance. J Am Soc Echocardiogr . 2017;30(4):303–71.
Fail PS, Smalling RW, Ph D, Siegel R et al. Percutaneous Repair or Surgery for Mitral Regurgitation. N Engl J Med. 2011;364(15):1395–406.
G.W. Stone, J.A. Lindenfeld, W.T. Abraham, et al. Transcatheter Mitral-Valve Repair in Patients with Heart Failure. N Engl J Med. 2018;379(24):2307–18.
Eacts CS, Germany CH, Rosenhek R et al. 2017 ESC / EACTS Guidelines for the management of valvular heart disease The Task Force for the Management of Valvular Heart Disease of the European Society of Cardiology ( ESC ) and the European. Eur Heart J. 2017;38:2739–91.
Nyman CB, Mackensen GB, Jelacic S et al. Transcatheter Mitral Valve Repair Using the Edge-to-Edge Clip. J Am Soc Echocardiogr. 2018;31(4):434–53.
Fonseca J, Benítez LM, Arana C, Hurtado E et al. Reparo endovascular de la válvula mitral con el dispositivo MitraClip®. Rev Colomb Cardiol. 2017;24(S3):18–23.
Borer JS, Bax JJ, Schofer J et al. Clinical Trial Design Principles and Endpoint De fi nitions for Transcatheter Mitral Valve Repair and Replacement: Part 1: Clinical Trial Design Principles. J Am Coll Cardiol. 2015;66(3):278–307.
Arturo Rodriguez, Henry Borja, Andres Fernandez, Victor Aldana JS. Regurgitación mitral funcional severa Severe functional mitral regurgitation. Acta Médica Colomb. 2017;42(5):59–63.
Feldman T, Kar S, Elmariah S et al. Randomized Comparison of Percutaneous Repair and Surgery for Mitral Regurgitation. J Am Coll Cardiol. 2015;66(25):2844–54
Katz WE, Smith AJC, Crock FW, Cavalcante JL. Echocardiographic evaluation and guidance for MitraClip procedure. Cardiovasc Diagn Ther. 2017;7(I):616–32.
Nishimura RA, Otto CM, Guyton RA et al. 2014 AHA / ACC Guideline for the Management of Patients With Valvular Heart Disease. J Am Coll Cardiol. 2014;63(22):57–187.
Généreux P, Vranckx P, Mehran R, Kuck K. Clinical Trial Design Principles and Endpoint Definitions for Transcatheter Mitral Valve Repair and Replacement: Part 2: Endpoint De fi nitions. J Am Coll Cardiol. 2015;66(3):308–21.
J.-F. Obadia, D. Messika-Zeitoun, G. Leurent, B. Iung et al. N Engl J Med. 2018;379(24):2297–306.
Grayburn PA, Sannino A, Packer M. Proportionate and Disproportionate Functional Mitral Regurgitation. JACC Cardiovasc Imaging [Internet]. 2018;353–62. Available from: https://doi.org/10.1016/j.jcmg.2018.11.006
instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/208322020-03-10T17:18:58Zcom_10336_569com_10336_561col_10336_2564
Correlación ecocardiográfica tridimensional de las mediciones del aparato valvular tricuspídeo en una cohorte de pacientes de un hospital universitario
Paz Meneses, Manuel Agustin
Manrique Espinel, Frida Tatiana
Moreno Medina, Karen Julieth
válvula tricúspide
Ecocardiografía tridimensional
Transtorácica
Transesofágica
The objective of our study was to evaluate the relationship between echocardiographic measurements of the tricuspid valve apparatus according to the type of procedure (transthoracic echocardiography and three-dimensional transesophageal echocardiography) in a group of patients referred to the Echocardiography Laboratory of a high complexity hospital in Bogotá . The correlation of the measurements by both techniques was analyzed and adjusted for the confounding variables. 107 participants were included. Both the measurements repeated by the same evaluator and the measurements between the two echocardiographic techniques showed correlation using the Pearson statistic (p <0.001). The diameter of the posterior leaflet was the measure with the highest correlation between the two techniques (Pearson's correlation: 0.974; 95% CI: 0.956-0.986). No differences were found between the population with a pathological history and those without no background The measurements of the tricuspid valve apparatus performed with three-dimensional transthoracic echocardiography correlate with the measurements made with three-dimensional transesophageal echocardiography in the population studied.
2020-02-07T14:33:48Z
2020-02-07T14:33:48Z
2020-02-07T14:33:48Z
bachelorThesis
https://doi.org/10.48713/10336_20832
https://repository.urosario.edu.co/handle/10336/20832
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
FUNDACION CARDIOINFANTIL - INSTITUO DE CARDIOLOGIA
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by-nc-nd/2.5/co/
Atribución-NoComercial-SinDerivadas 2.5 Colombia
Universidad del Rosario
Facultad de medicina
Lamers W, Viragh S, Wessels, et al. Formation of the tricuspid valve in the human heart. Circulation 1995;91:111–21.
Maslow AD, Schwartz C, Singh AK. Assessment of the tricuspid valve: a comparison of four transesophageal echocardiographic windows. J Cardiothorac Vasc Anesth 2004;18:719–24
Fawzy H, Fukamachi K, et al. Complete mapping of the tricuspid valve apparatus using three-dimensional sonomicrometry. J Thorac Cardiovasc Surg 2011;141:1037–43
Schnabel R, Khaw AV, von Bardeleben RS, et al. Assessment of the tricuspid valve morphology by transthoracic real-time-3D-echocardiography. Echocardiography 2005;22:15–23.
Patel V, Nanda NC, Rajdev S, et al. Live/real time three- dimensional transthoracic echocardiographic assessment of Ebstein’s anomaly. Echocardiography 2005;22:847—54
Addetia K, Maffessanti F, et al. Impact of implantable transvenous device lead location on severity of tricuspid regurgitation. J Am Soc Echocardiogr 2014;27: 1164—75.
Assessment of normal tricuspid valve anatomy in adults by real-time threedimensional echocardiography. J Cardiovasc Imaging 2007 (23): 717-724
Mertens LL, Friedberg MK. Imaging the right ventricle—current state of the art. Nat Rev Cardiol 2010;7:551-63.
Mangion JR. Right ventricular imaging by two-dimensional and threedimensional echocardiography. Curr Opin Cardiol 2010;25:423-9
Lang R, Mor-Avi V, Dent J. 3-Dimensional echocardiography: is it ready for everyday clinical use? J Am Coll Cardiol Imaging 2009; 2:114–117.
Hahn RT, Abraham T, Adams MS, et al. Guidelines for performing a comprehensive transesophageal echocardiographic examination: recommendations from the American Society of Echocardiography and The Society of Cardiovascular Anesthesiologists. J Am Soc Echocardiogr. 2013;26:921–964
Bruce CJ, Connolly HM. Right-sided valve disease deserves a little more respect. Circulation2009;119:2726-34
Fox H, Hemmann K, Lehmann R. Comparison of transthoracic and transesophageal echocardiography for transcatheter aortic valve replacement sizing in high-risk patients. J Echocardiogr. 2019. Oct 19. doi: 10.1007/ s12574-019-00448-7
instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/103052021-06-03T00:45:40Zcom_10336_569com_10336_561col_10336_2564
Strain longitudinal global para la detección de estenosis coronaria significativa en pacientes con infarto agudo del miocardio
Acosta, Rafael
Salazar Castro, Gabriel
detección de estenosis coronaria significativa
strain global bidimensional
infarto del miocardio.
Introduction : Evaluation of global and regional myocardial function Playing a critical role in the diagnosis and management of patients with coronary artery disease with important prognostic implications , new echocardiographic techniques such as assessment and GLOBAL STRAIN have been validated as a tool objective , comprehensive and accurate to evaluate these parameters.
Objective: Determine the capacity of global longitudinal strain for the detection of significant coronary stenosis, number of involved territories and anatomical territory of the culprit vessel; in patients with no history of coronary disease with acute myocardial infarction.
Design: Retrospective study of diagnostic tests in which was used as gold standard coronary angiography, 64 patients were selected and took an echocardiography previous to coronary angiography.
Results: an intermediate accuracy of global longitudinal strain was demonstrated to detect coronary stenosis by ROC curve analysis , with an area under the curve of 0.78 p = 0.000 (CI 0.6 , 1.0 ), a sensitivity of 96.5 % ( 91.7 % , 101.3 % ) , Specificity 40.0% ( 9.6 % , 70.4% ) and an actual prevalence of coronary artery disease of 85.1 % ( 76.5 % , 93.6 % )
Conclusions: The measurement of global and regional function by means of global longitudinal strain identifies patients with acute myocardial infarction who have significant coronary stenosis also discriminates the number of affected territories, and the anatomical distribution of possible vessels guilty, however should be careful in his use, using it only limited scenarios where it can be interpreted properly
2015-03-25T17:09:16Z
2015-03-25T17:09:16Z
2015-03-25T17:09:16Z
2015
bachelorThesis
https://doi.org/10.48713/10336_10305
http://repository.urosario.edu.co/handle/10336/10305
spa
info:eu-repo/semantics/openAccess
Abierto (Texto completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
Universidad del Rosario
Facultad de medicina
1. Ezra A. Amsterdam, Nanette K. Wenger, Ralph G. Brindis, Donald E. Casey. 2014 AHA/ACC Guideline for the Management of Patients With Non-ST-Elevation Acute Coronary Syndromes: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation. published online September 23, 2014;
2. Gabriel Steg (Chairperson) (France)*,Stefan K. James (Chairperson) (Sweden)*, Dan Atar (Norway), Luigi P. Badano. ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation. European Heart Journal (2012) 33, 2569–2619
3. Kashif Kalam, Petr Otahal, Thomas H Marwick. Prognostic implications of global LV dysfunction: a systematic review and meta-analysis of global longitudinal strain and ejection fraction. Heart 2014;100:1673–1680
4. Eak Chirstian , Grenne bjornar, Brunvand Harald. Strain echocardiography predicts acute coronary occlusion in patients with non – ST – segment elevation acute coronary syndrome. European Journal Echocardiography 2010: 11 501 – 1508.
5. Sarvari SI1, Haugaa KH, Zahid W, Bendz B, Aakhus S, Aaberge L, Edvardsen T. Layer-specific quantification of myocardial deformation by strain echocardiography may reveal significant CAD in patients with non-ST-segment elevation acute coronary síndrome. JACC Cardiovasc Imaging. 2013 May;6(5):535-44..
6. Dahlslett Thomas, Karlsen Sigve, Greene Bjornar , Eek Christian. Early assessment of Strain Echocardiography can Accurately Exclude significant Coronary Artery Stenosis in Suspected Non segmente Elevation Acute Coronary síndrome. J Am Soc Echocardiog 2014 Vol 25 N: 5
7. Cole Graham , Jamil Mayet, Ilbac Malik. Diagnosis coronary artery occlusion in NSTEACS with strain echocardiography. Heart 2010 96: 1516 – 1517.
8. Alejandro Cortella, Juan Sanchisa, Vicente Bodía, Julio Núñez. Infarto de miocardio sin elevación del ST con coronarias normales: predictores y pronóstico. Rev Esp Cardiol. 2009;62(11):1260-6 - Vol. 62 Núm.11
9. Otto Catherine, MD. Ecocardiografía clínica práctica. Tercera edición. Elsevier.
10. James D. Thomas, MD, Zoran B. Popovic ́, MD, PHD. Assessment of Left Ventricular Function by Cardiac Ultrasound. (J Am Coll Cardiol 2006;48: 2012–25)
11. Olaya Pastor, Sanchez Jairo, Osio Luis Fernando. Strain and Strain Rate for Dummis. Rev Colomb Cardiol 2011;18: 340 – 344.
12. Kazuaki Negishi, MD, PHD,* Tomoko Negishi, MD,* Koji Kurosawa, MD. Practical Guidance in Echocardiographic Assessment of Global Longitudinal Strain. JACC: CARDIOVASCULAR IMAGING, VOL. -, NO. -, 2014
13. Ashraf M. Anwar, MD, PhD. Accuracy of Two-Dimensional Speckle Tracking Echocardiography
for the Detection of Significant Coronary Stenosis. J Cardiovasc Ultrasound 2013;21(4):177-182
14. Hoit Brian. Strain and Strain rate echocardiography and Coronary Artery Disease. Circ Cardiovasc Imagining 2011;4: 179 – 190.
15. Bjørnar Grenne, Christian Eek, Benthe Sjøli, et al.Acute Coronary occlussion in Non ST elevation Acute Coronary síndrome : Outcome and Early identification by Strain Echocardiography. Heart 2010 96: 1550-1556
16. Sara Shimoni, MD, Gera Gendelman, MD, Oded Ayzenberg, MD, Nahum Smirin, PhD, Peter Lysyansky, PhD. Differential Effects of Coronary Artery Stenosis on Myocardial Function: The Value of Myocardial Strain Analysis for the Detection of Coronary Artery Disease. J Am Soc Echocardiogr 2011;24:748-57.
Catherine Szymanski,1,2 Franck Lévy,1 Christophe Tribouilloy. Should LVEF be replaced by global longitudinal strain?. HEART: 2014;100:1655–1656.
18. Harvey Feigenbaum, MD; Ronald Mastouri, MD; Stephen Sawada, MD. A Practical Approach to Using Strain Echocardiography to Evaluate the Left Ventricle. (Circ J 2012; 76: 1550 – 1555)
instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/118242021-06-03T00:46:10Zcom_10336_569com_10336_561col_10336_2564
Mecánica ventricular izquierda en pacientes con infarto agudo del miocardio
Zuluaga Rojas, Jose Fernando
Rojas Arenas, Andrés Orlando
Salazar Castro, Gabriel
Strain longitudinal global
strain longitudinal regional
infarto agudo del miocardio con elevación del segmento ST
infarto agudo del miocardio sin elevación del segmento ST
enfermedad coronaria
SUMARY
Introduction
The role of the new ecocardiographic techniques in patients with acute myocardial infarction is under development, and the measurement of left ventricular mechanics could predict the presence of significant coronary artery disease.
Objectives
To determine if the measure of global longitudinal and regional strain is useful to predict the presence of hemodinamically significant coronary artery disease.
Methods
It is a diagnostic test study, aimed to determine the operative characteristics of left ventricular mechanics compared to cardiac catheterism, which was considered the gold standard. 54 patients with a diagnosis of acute myocardial infarction who underwent cardiac catheterization were analyzed; transthoracic echocardiography was performed with measurement of global and regional longitudinal strains.
Results
Of 54 patients studied, 83% had hemodynamically significant coronary artery disease. The finding of a global longitudinal strain <-17.5 had a sensitivity of 85% and a specificity of 78% for predicting the presence of coronary artery disease; the left anterior descending artery regional longitudinal strain <- 17.4 had a sensitivity of 82% and a specificity of 44%; the circumflex artery strain had a sensitivity of 87% and a specificity of 37%, and for the right coronary artery a sensitivity of 73% and a specificity of 32% was found.
Conclusions
Echocardiography with measurement of ventricular mechanics in patients with acute myocardial infarction is useful for predicting the presence of hemodynamically significant coronary disease.
2016-03-07T21:45:05Z
2016-03-07T21:45:05Z
2016-03-07T21:45:05Z
2015
bachelorThesis
https://doi.org/10.48713/10336_11824
http://repository.urosario.edu.co/handle/10336/11824
spa
info:eu-repo/semantics/openAccess
Abierto (Texto completo)
Atribución-NoComercial-SinDerivadas 2.5 Colombia
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by-nc-nd/2.5/co/
Universidad del Rosario
Facultad de medicina
Armstrong W, Ryan T. Ecocardiografía de Feigenbaum. Séptima edición. Barcelona: Lippincott Williams & Wilkins; 2011.
Otto C. Ecocardiografía clínica práctica. Barcelona: Elsevier 2010.
Restrepo G, Lowenstein J, Gutiérrez P, Vieira M. Ecocardiografía e imagen cardiovascular en la práctica clínica. Bogotá: Distribuna 2015.
Feigenbaum H, Mastouri R, Sawada S. A practical approach to using strain echocardiography to evaluate the left ventricle. Circulation Journal. 2012; 76: 1550 – 1555.
Dahlslett T, Karlsen S, Grenne B, Eek C, Sjoli B, Skulstad H, et al. Early assessment of echocardiography can accurately exclude significant coronary artery stenosis in suspected non ST segment elevation acute coronary syndrome. Journal of the american society of echocardiography. 2014; 27: 512 – 9
Zahid W, Eek C, Remme E, Skulstad H, Fosse E, Edvardsen T. Early sistolic lengthening may identify minimal myocardial damage in patients with non ST elevation acute coronary syndrome. European heart journal – Cardiovascular imaging. 2014; 15: 1152 – 1160.
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Yang B, Daimon M, Ishii K, Kawata T, Miyazaki S, Hiros K. Prediction of coronary artery stenosis at rest in patients with normal left ventricular wall motion. Segmental analyses using strain imaging diastolic index. International Heart Journal. 2013; 54: 266 – 272.
Negishi K, Negishi T, Kurosawa K, Hristova K, Popescu B, Vinereanu D, et al. Practical guidance in echocardiographic assessment of global longitudinal strain. Journal of The American College of Cardiology: Cardiovascular Imaging. 2014.
Grenne B, Eek C, Sjoli B. Acute coronary oclussion in non ST elevation acute coronary syndrome: outcome and early identification by strain echocardiography. Heart, British Medical Journal. 2010; 96: 1550 – 1556
Hoit B. Strain and strain rate echocardiography and coronary artery disease. Circulation: Cardiovascular Imaging. 2011; 4: 179 – 190.
Ersboll M. Left ventricular global longitudinal strain in acute myocardial infarction. Danish Medical Journal. 2013; 60 (8): B4697.
Xiao-Hua Zhou , Nancy A. Obuchowski, Donna K.Mcclish. Statistical Methods In Diagnostic Medicine, Sample Size Calculation, The sample Size for the Accuracy of Two Tests The Sample Size for determinating a Suitable cutoff Value. 2002, John Wiley & Sons,Inc NY. Page
instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/186632019-09-19T07:37:54Zcom_10336_569com_10336_561col_10336_2564
Cardiac Paraganglioma : Advantages of Cardiovascular Multimodality Imaging
Arcos, Laura Catalina
Bustos, Jorge
Acuña, Jairo
Cely, Alexander
Forero Melo, Julian Francisco
Jaimes, Claudia
Jaimes, Claudia
Mediastinal paraganglioma
Echocardiography
Magnetic resonance
Cardiac tumor
Primary cardiac tumors are very rare. The reported prevalence ranges from 0.001% to 0.03%. Cardiac paragangliomas are among the most infrequent tumors, making up <1% of all primary cardiac tumors. They are chromaffin cell tumors that produce and secrete catecholamines and are located in the adrenal medulla in 90% of cases and in the mediastinum in <2%.
2018-10-29T17:41:39Z
2018-10-29T17:41:39Z
2018-10-29T17:41:39Z
2018
bachelorThesis
https://doi.org/10.48713/10336_18663
http://repository.urosario.edu.co/handle/10336/18663
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
Universidad del Rosario
Facultad de medicina
1. Tomasian A, Lai C, Ruehm S, KrishnamMS. Cardiovascular magnetic resonance and PET-CT of left atrial paraganglioma. J Cardiovasc Magn Reson 2010;12:1.
2. Mandak J, Benoit C, Starkey R, Nassef L. Echocardiography in the evaluation of cardiac pheochromocytoma. Am Heart J 1996;132:1063-6.
3. van Berkel A, Lenders JWM, Timmers HJLM. Biochemical diagnosis of phaeochromocytoma and paraganglioma. Eur J Endocrinol 2014;170: R109-19.
4. Saththasivam P, Herrera E, Jabbari O, Reardon M, Sheinbaum R. Cardiac paraganglioma resection with ensuing left main coronary artery compromise. J Cardiothorac Vasc Anesth 2016;31:236-9.
5. SinclairAM, IslesCG,BrownI,MurrayGD,Robertson JWK,Cameron H.Secondary hypertension in a blood pressure clinic. Arch Inter Med 1987;147:1289-93.
6. Lenders JWM, Duh Q, Eisenhofer G, Gimenez-Roqueplo AP, Grebe SKG, MuradMH, et al. Pheochromocytoma and paraganglioma: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab 2014;99:1915-42.
7. Eisenhofer G,WaltherMCCM, Huynh T, Li S, Bornstein SR, Vortmeyer A, et al. Pheochromocytomas in von Hippel-Lindau syndrome and multiple endocrine neoplasia type 2 display distinct biochemical and clinical phenotypes. J Clin Endocrinol Metab 2001;86:1999-2008.
8. Lumachi F, Tregnaghi A, Zucchetta P, Cristina M, Cecchin D, Grassetto G, et al. Sensitivity and positive predictive value of CT,MRI and I-MIBG scintigraphy in localizing pheochromocytomas: a prospective study. Nucl Med Commun 2006;27:583-7.
9. Jebara VA, Uva MS, Farge A, Acar C, Azizi M, Plouin PF, et al. Cardiac pheochromocytomas. Ann Thoruc Surg 1992;53:356-61.
10. Milardovic R, Corssmit PM, Stokkel M. Value of 123 I-MIBG scintigraphy in paraganglioma. Neuroendocrinology 2010;91:94-100.
11. Gimenez-Roqueplo AP, Dahia PL, Robledo M. An update on the genetics of paraganglioma, pheochromocytoma, and associated hereditary syndromes. Horm Metab Res 2012;44:328-33.
12. Rakovich G, Ferraro P, Therasse E, Duranceau A. Preoperative embolization in the management of a mediastinal paraganglioma. Ann Thorac Surg 2001;72:601-3.
13. Jeevanandam V, Mehmet C, Shapiro B, Barr M, Marboe C, Rose E. Surgical management of cardiac pheochromocytoma. Resection versus transplantation. Ann Surg 1995;221:415-9.
14. Brown ML, Zayas GE, Abel MD, Young WF, Schaff HV. Mediastinal paragangliomas: the Mayo Clinic experience. Ann Thorac Surg 2008;86: 946-51.
15. TimmersHJLM, Chen CC, Carrasquillo JA,Whatley M, Ling A, Havekes B, et al. Comparison of 18F-fluoro-L-DOPA, 18F-fluoro-deoxyglucose, and 18F-fluorodopamine PET and 123I-MIBG scintigraphy in the localization of pheochromocytoma and paraganglioma. J Clin Endocrinol Metab 2009;94:4757-67.
instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/332302022-03-08T11:21:00Zcom_10336_569com_10336_561col_10336_2564
Multimodality imaging in endomyocardial fibrosis: An unusual etiology of heart failure
Velandia Carrillo, Carlos
Zuluaga, Jose F.
Zuluaga, Jose F.
Endomyocardial fibrosis
Diastolic dysfunction
Obliteration of left ventricular apex
Cardiac magnetic resonance
Endomyocardial fibrosis (EMF) is a condition that was first reported in 1948 in Africa, and its geographical distribution is strongly related to socioeconomic, cultural, and environmental status. More than half of the cases are reported in countries in sub-Saharan Africa; however, this condition has been described in various parts of the world. The associated factors have been previously described and include malnutrition, parasitic infection, noninfectious systemic diseases, and genetic conditions.
The presence of fibrotic thickening of the endocardium secondary to inflammation generates functional alterations, which are detected by noninvasive methods such as echocardiography, with characteristic findings of a restrictive syndrome and an alteration of the ventricular chamber in the presence of dilated atria. We describe the case of a patient with decompensated heart failure and imaging findings consistent with EMF.
2021-12-01T21:16:13Z
2021-12-01T21:16:13Z
2021-12-01T21:16:13Z
bachelorThesis
https://doi.org/10.48713/10336_33230
https://repository.urosario.edu.co/handle/10336/33230
spa
https://www.cvcasejournal.com/article/S2468-6441(21)00069-4/fulltext
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
Universidad del Rosario
Escuela de Medicina y Ciencias de la Salud
Especialización en Ecocardiografía
Davies JNP. Endomyocardial fibrosis in Uganda. East Afr Med J 1948;25:10.
Mocumbi AO, Stothard JR, Correia-de-S a P, Yacoub M. Endomyocardial fibrosis: an update after 70 years. Curr Cardiol Rep 2019;21:1-10.
Grimaldi A, Mocumbi AO, Freers J, Lachaud M, Mirabel M, Ferreira B, et al. Tropical endomyocardial fibrosis. Circulation 2016;133:2503-15.
Mocumbi AO, Carrilho C, Sarathchandra P, Ferreira MB, Yacoub M, Burke M. Echocardiography accurately assesses the pathological abnormalities of chronic endomyocardial fibrosis. Int J Cardiovasc Imaging 2011;27:955-64.
Vijayaraghavan G, Sivasankaran S. Tropical endomyocardial fibrosis in India: a vanishing disease!. Indian J Med Res 2012;136:729-38.
Williams A, Ball J, Davies JN. Paper: endomyocardial fibrosis in Africa: its diagnosis, distribution and nature. Trans R Soc Trop Med Hyg 1954;48: 290-311.
Bukhman G, Ziegler J, Parry E. Endomyocardial fibrosis: still a mystery after 60 years. PLoS Negl Trop Dis 2008;2:1-7.
Rutakingirwa M, Ziegler JL, Newton R, Freers J. Poverty and eosinophilia are risk factors for endomyocardial fibrosis (EMF) in Uganda. Trop Med Int Heal 1999;4:229-35.
Sato T, Matsuyama TA, Seguchi O, Murata Y, Sunami H, Yanase M, et al. Restrictive myocardium with an unusual pattern of apical hypertrophic cardiomyopathy. Cardiovasc Pathol 2015;24:254-7.
Hassan WM, FawzyME, Al Helaly S, Hegazy H, Malik S. Pitfalls in diagnosis and clinical, echocardiographic, and hemodynamic findings in endomyocardial fibrosis. Chest 2005;128:3985-92.
Mocumbi AO, FerreiraMB, Sidi D, YacoubMH. A population study of endomyocardial fibrosis in a rural area of Mozambique. N Engl J Med 2008; 359:43-9.
Le on D, Mart ın M, Corros C, Santamarta E, Costilla S, Lambert JL. Usefulness of cardiac MRI in the early diagnosis of endomyocardial fibrosis. Rev Port Cardiol 2012;31:401-2.
Gupta PN, Kunju SM, Rajan B, Koshy AG, Vishwanathan S, George PS, et al. Geographical variation in the clinical presentation of endomyocardial fibrosis in India? Indian Heart J 2018;70:56-65.
Barretto AC, da Luz PL, de Oliveira SA, Stolf NA, Mady C, Bellotti G, et al. Determinants of survival in endomyocardial fibrosis. Circulation 1989; 80(3 Pt 1):I177-82.
D’arbela PG, Mutazindwa T, Patel AK, Somers K. Survival after first presentation with endomyocardial fibrosis. Br Heart J 1972;34:403-7.
instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/209162020-03-09T07:41:14Zcom_10336_569com_10336_561col_10336_2564
Pericarditis constrictiva en un paciente con mesotelioma primario de pericardio, Clínica Shaio, 2019
Acuña Turbay, Paola Andrea
Juan Guardela, Marietta Luz
Zuluaga Rojas, Jose Fernando
Zuluaga Rojas, José Fernando
Perez-Fernandez, Oscar-Mauricio
Pericarditis constrictiva
Mesotelioma primario de pericardio
Disfunción diastólica
Falla cardíaca derecha
Disnea
Primary pericardial mesothelioma is a rare malignant tumor, of unknown etiology, and detected in advanced stages of the disease. This is due to the fact that clinically it debuts with signs and symptoms that are not specific for this pathology, all of them result from a thickened and uncomfortable pericardium that progressively limits ventricular filling producing right heart failure, diastolic dysfunction, dyspnea, and a picture of constrictive pericarditis, among others. The advanced stages of the disease at the time of diagnosis give it high morbidity and mortality, poor response to medical surgical interventions, and poor short-term prognosis. Through this case report, we seek to increase the available literature, and over time, the sensitivity of health personnel to this type of rare diseases, with the objective of contributing with our experience, and providing tools to the doctor, who, Supported by the multimodal image approach, you can achieve an early diagnosis, which provides in the future, the opportunity to improve the quality of life and eventually change the course of the disease, its deterioration, its prognosis and the survival of this group of patients
2020-02-21T15:46:36Z
2020-02-21T15:46:36Z
2020-02-21T15:46:36Z
bachelorThesis
https://doi.org/10.48713/10336_20916
https://repository.urosario.edu.co/handle/10336/20916
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
Universidad del Rosario
Facultad de medicina
Welch TD. Constrictive pericarditis : diagnosis , management and clinical outcomes. Heart. 2017;0:1–7.
Guazzy M, Bandera F. The Incidence and Clinical Outcome of Constrictive Physiology After Coronary Artery Bypass Graft Surgery. J Am Coll Cardiol. 2013;61(20):20–2.
Imazio M, Brucato A, Maestroni S, Cumetti D, Belli R, Trinchero R, et al. Risk of Constrictive Pericarditis After Acute Pericarditis. Circulation. 2011;124:1270–5.
Klein AL, Abbara S, Agler DA, Appleton CP, Asher CR, Hoit B, et al. American Society of Echocardiography Clinical Recommendations for Multimodality Cardiovascular Imaging of Patients with Pericardial Disease Endorsed by the Society for Cardiovascular Magnetic Resonance and Society of Cardiovascular Computed Tomography. J Am Soc Echocardiogr. 2013;26(9):965–1012.e15.
Neyyir E, Ruchan AA. Primary Pericardial Mesothelioma. Curr Treat Options Oncol. 2002;3:369–73.
Gong W, Ye X, Shi K, Zhao Q. Primary malignant pericardial mesothelioma — a rare cause of superior vena cava thrombosis and constrictive pericarditis. J Thorac Dis. 2014;1(12):272–5.
Kim JS, Lim SY. A Case Report of Primary Pericardial Malignant Mesothelioma Treated with Pemetrexed and Cisplatin. J Korean Med Sci. 2017;32:1879–84.
S S, P S, S L. Primary pericardial mesothelioma presenting as pericardial constriction: a case report. Heart. 2004;90:8–11
Zangeneh M, Neuhold A, Herold C, Schmoliner R. Magnetic resonance imaging findings in a patient with pericardial mesothelioma. Am Heart J. 1988;115(6):1321–2
Godar M, Liu J, Zhang P, Xia Y, Yuan Q. Case Report Primary Pericardial Mesothelioma : A Rare Entity. Case Rep Oncol Med. 2013;2013:1–4.
Molina M, Mora A, Rodríguez-Lescure Á, Cascón J, Ardoy F, Guillén P, et al. Recurrent pericardial effusion as initial manifestation of primary diffuse pericardial malignant mesothelioma. Clin Transl Oncol. 2006;8(9):694–6.
Bergman M, Vitrai J, Salman H. Constrictive pericarditis : A reminder of a not so rare disease. Eur J Intern Med. 2006;17:457–64.
Walker C, Chung J, Reddy G. ‘“ Septal Bounce ”’ Septal bounce. J Thorac Imaging. 2012;27(1):2012.
Lieng L, Oh J, Breen J, Schaff H, Danielson G, Mahoney D, et al. Calcific Constrictive Pericarditis: Is It Still with Us? Ann Emerg Med. 2000;132:444–50.
Welch TD, Ling LH, Espinosa RE, Anavekar NS, Wiste HJ, Lahr BD, et al. Echocardiographic diagnosis of constrictive pericarditis Mayo Clinic Criteria. Circulation. 2014;7:526–34.
Nagueh SF, Smiseth OA, Appleton CP, Byrd BF, Dokainish H, Edvardsen T, et al. Recommendations for the Evaluation of Left Ventricular Diastolic Function by Echocardiography : An Update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. J Am Soc Echocardiogr [Internet]. 2016;29(4):277–314. Available from: http://dx.doi.org/10.1016/j.echo.2016.01.011
Manzini JL. Declaración de Helsinki : Principios éticos para la investigación. Acta Bioeth. 2000;2:321–34
Salud MDE, Salud ELMDE. Ministerio de salud, resolución número 8430 de 1993. 1993 p. 1–19.
Quintero V., Munera AG, Arroyave JA, Mesotelioma pericárdico primario manifestado como derrame pericárdico severo, Rev. Colombiana de Cardiología 2015;22(1): 44-48.
instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/26132021-06-03T00:47:01Zcom_10336_569com_10336_561col_10336_2564
Anatomia de la auriculilla izquierda: análisis comparativo por ecocardiografia transesofagica bidimensional y tridimensional
Ruiz Pla, Fabián Alberto
Montenegro, Edison
Salazar Castro, Gabriel
Auriculilla izquierda
Ecocardiografía transesofagica bidimensional
Ecocardiografía transesofagica tridimensional
Introduction The left atrial appendage is a heart structure that facilitates the generation of thrombus within it, which favors the appearance of embolic events. Therefore, its analysis from bidimensional and more recent three-dimensional images acquire more relevance every day.
Objective To compare the anatomical findings of the left atrial appendage obtained through three-dimensional echocardiography with the findings achieved by echocardiography bi-dimensional in a group of patients with sinus rhythm and auricular fibrillation.
Method This is a transversal, analytical and observational study that compares the results in the anatomical measurements obtained by two-dimensional echocardiography in patients with auricular fibrillation and sinus rhythm with the results of such measurements obtained through three-dimensional echocardiography with the same group of patients.
Results 48 patients were evaluated in total of which 32 patients of the group (66%) were evaluated in sinus rhythm. The average age was 58.2 years old. The 41.7% of the group was women (the majority). Besides, 32 patients (66.7%) had one or several ccomorbilities with major cardiovascular risk and evidence of compromise of systolic function in 20 patients. A great homogeneity in the variables area and depth of left atrial appendage was found.
Discussion The results triggered in this study help us to support the concept that three-dimensional images offers a more evaluation of left atrial appendage, obtain homogeneity in the variables area and depth can be comparable to two-dimensional images. Also, there existed heterogeneity in the length variable.
Conclusion This research showed that three-dimensional echocardiography is an important contribution from the diagnostic perspective in both qualitative and quantitative analysis of the left atrial appendage, which permits an easy acquisition of images in real time and comparable with two-dimensional images.
2011-10-14T16:55:45Z
2011-10-14T16:55:45Z
2011-10-14T16:55:45Z
2011
bachelorThesis
https://doi.org/10.48713/10336_2613
TEME 0059 2011
http://repository.urosario.edu.co/handle/10336/2613
spa
info:eu-repo/semantics/openAccess
Abierto (Texto completo)
Atribución-NoComercial-SinDerivadas 2.5 Colombia
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
http://creativecommons.org/licenses/by-nc-nd/2.5/co/
Universidad del Rosario
Facultad de medicina
instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/89002021-06-03T00:46:07Zcom_10336_569com_10336_561col_10336_2564
Análisis ecocardiográfico de la función sistólica del ventrículo izquierdo por médicos no cardiólogos con un dispositivo de bolsillo
Burgos Medina, César Augusto
Cuartas González, Paula
Salazar Castro, Gabriel
Morón Duarte, Lina Sofía
Concordancia entre experto y no experto.
valoración de la función sistólica del ventrículo izquierdo.
Dispositivo ecocardiográfico de bolsillo.
Formación básica en ecocardiografía.
A cross-sectional study, three residents not included cardiologists and were given basic training in echocardiography (theoretical hours 22 hours 65 practices), with recommendations of the American Society of Echocardiography and contributions of problem-based learning, with the development of technical competence and necessary diagnostic, analysis of agreement between residents and experts echocardiography was performed, 122 hospitalized patients who met the inclusion and exclusion criteria were collected, they were performed by conventional echocardiography and echocardiographic assessment expert by the resident, the acoustic window, contractility and left ventricular function, pericardial effusion was assessed. The hypothesis was to obtain a moderate agreement.
Results: The inter observer agreement for myocardial contractility (Kappa: 0.57 p = 0.000) was analyzed left ventricular systolic function (Kappa 0.54 p = 0.000) where this moderate to be between 0.40 to 0.60 and with high statistical significance for the quality of the acoustic window (Kappa: 0.22 p = 0.000) and presence of pericardial effusion (Kappa: 0.26 p = 0.000) was found poor concordance was reaching between 0.20 - 0.40. A sensitivity of 90%, specificity 67%, positive predictive value of 80% and a negative predictive value of 85% for the diagnosis of left ventricular systolic dysfunction performed by residents was established.
2014-09-18T13:22:35Z
2014-09-18T13:22:35Z
2014-09-18T13:22:35Z
2014
bachelorThesis
https://doi.org/10.48713/10336_8900
http://repository.urosario.edu.co/handle/10336/8900
spa
info:eu-repo/semantics/openAccess
Abierto (Texto completo)
Atribución-NoComercial 2.5 Colombia
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by-nc/2.5/co/
Universidad del Rosario
Facultad de medicina
1. Albanese, M. A y Mitchell, S. (1993). Problem-based learning: a review of literature on its outcomes and implementation issues. Academic Medicine, 68, 52-81.
2. Arias-Gundín, O., Fidalgo, R., Robledo, P. y Álvarez, L. (2009). Análisis de la efectividad del aprendizaje basado en problemas en el desarrollo de competencias. Actas do X Congreso
3. Internacional Galego-Português de Psicopedagogia. Braga: Universidade do Minho. Capon, N. y Kuhn, D. (2004). What’s so good about problem-based learning? Cognition and Instruction, 22, 61-79.
4. Colliver, J. A y Markwell, S. J. (2007). Research on problem-based learning: the need for critical analysis of methods and findings. Medical Education, 41, 533-535.
5. Colliver, J. A. (2000). Effectiveness of problem-based learning curricula: research and theory. Academic Medicine, 75, 259-266.
6. Colliver, J. A. y Robbs, R. S. (1999). Evaluating the effectiveness of major educational interventions. Academic Medidicine, 74, 859-60.
7. Derry, S. J., Hmelo-Silver, C. E., Nagarajan, A., Chernobilsky, E. y Beitzel, B. (2006). Cognitive transfer revisited: Can we exploit new media to solve old problems on a large scale? Journal of Educational Computing Research, 35, 145-162.
8. Dochy, F., Segers, M., Van den Bossche, P. y Gijbels, D. (2003). Effects of problem-based learning: a meta-analysis. Learning and Instruction, 13, 533-568.
9. Dolmans, D. (2003). The effectiveness of PBL: the debate continues. Some concerns about the BEME movement. Medical Education, 37, 1129-1130.
10. Dolmans, D., De Grave, W., Wolfhagen, I. y van der Vleuten, C. P. M. (2005). Problem-based learning: Future challenges for educational practice and research. Medical Education, 39, 732-741
11. Fernández, M., García, J. N., De Caso, A., Fidalgo, R. y Arias, O. (2006). El aprendizaje basado en problemas: revisión de estudios empíricos internacionales. Revista de Educación, 341, 397-418.
12. Hmelo, C. E. (1998). Cognitive consequences of PBL for the early development of medicalexpertise. Teaching and Learning in Medicine, 10, 92-100
13. Hmelo, C. E., Gotterer, G. S., Bransford, J. D. (1997). A Theory-Driven Approach to Assessing the Cognitive Effects of PBL. Instructional Science, 25, 387-408
14. Hmelo-Silver, C. E. (2004). Problem-based learning: What and how do students learn? Educational Psychology Review, 16, 235-266
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instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/376072023-01-20T07:22:24Zcom_10336_569com_10336_561col_10336_2564
Risk of complications after a non-ST segment elevation acute myocardialinfarction in a Latin-American cohort: An application of the ACTION ICU score
Vasquez-Rodriguez, Juan Felipe
Navarro, Alberto
Ramirez-Lovera, Valeria
Giraldo, Luis Enrique
Ariza, Nicolas
Carreno-Jaimes, Marisol
Isaza, Daniel
Vásquez Rodríguez, Juan Felipe
Idrovo-Turbay, Carolina
Perez-Fernandez, Oscar M
Cruz-Tapias, Paola
Isaza, Nicolas
Navarro, Alberto
Medina-Mur, Ramon
Ramirez Lovera, Valeria
Giraldo-Peniche, Luis E.
Ariza, Nicolas
Carreño Jaimes, Marisol
Isaza Restrepo, Andrés
Isaza Restrepo, Andrés
Perez-Fernandez, Oscar M
Infarto Agudo de Miocardio Sin Elevación del ST
Unidad de Cuidado Intensivo Coronario
Choque Cardiogénico
Background: European Society of Cardiology (ESC) guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation (NSTEMI) recommend Intensive Care Unit (ICU) surveillance during the first 24 48 h. Interestingly, the in-hospital mortality of NSTEMI patients has consistently decreased, giving some patients the option to be managed in general hospital wards. The ACTION ICU score has been proposed to identify high-risk patients with NSTEMI and guide the selective risk-based need for ICU care. Objective: To evaluate the usefulness of the ACTION ICU score to predict patients’ risk of developing complications requiring ICU care in a Latin-American cohort with NSTEMI. Methods: We applied the ACTION ICU score in a retrospective cohort. A composite primary outcome included: cardiorespiratory arrest, shock, high-grade atrio-ventricular block, respiratory failure, stroke, or death. The predictive performance of this model was estimated with a conditional multivariable logistic regression analysis. Results: Of 1,062 patients with NSTEMI, the primary outcome was present in 75 patients (7.1%), and 1,019 (96%) were admitted to ICU. The most common event was respiratory failure (4.0%), followed by cardiogenic shock (3.7%), and cardiac arrest (1.7%). The presence of heart failure signs or symptoms had the highest association with the primary outcome (OR:2.16; 95%CI:1.61 2.92). The best cut-off point for this population was 3 (complications risk: 4.0%, SEN:96%, SP:15.4%, NPV:98.1%, PPV:7.9%). Conclusion: The ACTION ICU score may be a promising tool to identify the need for ICU care in Latin-American patients with NSTEMI. Furthermore, additional research is needed to evaluate the cost-effectiveness of this strategy.
2022-12-12T13:42:13Z
2022-12-12T13:42:13Z
2022-12-12T13:42:13Z
bachelorThesis
https://doi.org/10.48713/10336_37607
https://repository.urosario.edu.co/handle/10336/37607
eng
https://pubmed.ncbi.nlm.nih.gov/36183629/
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by-nc-nd/2.5/co/
Atribución-NoComercial-SinDerivadas 2.5 Colombia
Universidad del Rosario
Escuela de Medicina y Ciencias de la Salud
Especialización en Ecocardiografía
Roth GA, Huffman MD, Moran AE, et al. Global and regional patterns in cardiovascular mortality from 1990 to 2013. Circulation. 2015;132(17):1667–1678. https:// doi.org/10.1161/CIRCULATIONAHA.114.008720.
Virani SS, Alonso A, Benjamin EJ, et al. Heart disease and stroke statistics-2020 update a report from the American Heart Association writing group members on behalf of the American Heart Association Council on Epidemiology and Prevention Statistics Committee and Stroke Statistics Subcommittee. Circulation. 2020;141:139–596. https://doi.org/10.1161/CIR.0000000000000757
Chi GC, Kanter MH, Li BH, et al. Trends in acute myocardial infarction by race and ethnicity. J Am Heart Assoc. 2020;9(5). https://doi.org/10.1161/JAHA.119.013542.
Cohen M, Visveswaran G. Defining and managing patients with non-ST-elevation myocardial infarction: sorting through type 1vs other types. Clin Cardiol. 2020;43 (3):242–250. https://doi.org/10.1002/CLC.23308.
Corcoran D, Grant P, Berry C. Risk stratification in non-ST elevation acute coronary syndromes: risk scores, biomarkers and clinical judgment. IJC Heart Vasc. 2015;8:131–137. https://doi.org/10.1016/j.ijcha.2015.06.009
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Bramkamp M, Radovanovic D, Erne P, Szucs TD. Determinants of costs and the length of stay in acute coronary syndromes: a real life analysis of more than 10 000 patients. Cardiovasc Drugs Ther. 2007;21(5):389–398. https://doi.org/10.1007/ s10557-007-6044-0
Fanaroff AC, Chen AY, Thomas LE, et al. Risk score to predict need for intensive care in initially hemodynamically stable adults with non-ST-segment-elevation myocardial infarction. J Am Heart Assoc. 2018;7(11). https://doi.org/10.1161/ JAHA.118.008894.
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Guimaraes PO, Sampaio MC, Malafaia FL, et al. Clinical outcomes and need for ~ intensive care after non-ST-segment-elevation myocardial infarction. Eur J Intern Med. 2020;76:58–63. https://doi.org/10.1016/j.ejim.2020.02.008.
Jr A.F., Berg D.D., Park J gun, et al. Admitted to contemporary cardiac intensive care units : insights from the CCCTN registry. 2022;(August):1 10. https://doi.org/ 10.1161/CIRCOUTCOMES.121.008652.
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El-Menyar A, Habib KF, Zubaid M, et al. Utility of shock index in 24,636 patients presenting with acute coronary syndrome. Eur Heart J Acute Cardiovasc Care. 2020;9(6):546–556. https://doi.org/10.1177/2048872619886307.
Hospital beds (per 1,000 people) - United States | Data. Accessed November 16, 2021. worldbank.org/indicator/SH.MED.BEDS.ZS?locations=US.
Hospital beds (per 1,000 people) - Latin America & Caribbean | Data. Accessed November 16, 2021. worldbank.org/indicator/SH.MED.BEDS.ZS?locations=ZJ.
instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/182242019-09-19T07:37:54Zcom_10336_569com_10336_561col_10336_2564
Transesophageal Echocardiogram as a Diagnostic Tool for Cardioembolic Cerebrovascular Event Secondary to Thrombus into Valsalva Sinus Aneurysm
Somoza, César Fernando
Zuluaga, José Fernando
Rodriguez, Jaime
Rodríguez, Jaime
Aneurisma de senos de Valsalva
Stroke
Trombos
Transesophageal echocardiogram as a diagnostic tool for cardioembolic cerebrovascular event secondary to thrombus into Valsalva sinus aneurysm. This is a case report of a 54-years-old female with a history of systemic arterial hypertension treated with enalapril 20 mg and amlodipine 5 mg both once daily. She was admitted 15 days ago in a Hospital Center of Bogotá for having presented sudden loss of consciousness followed by complex focal seizure pisodes. She presented with motor and sensory aphasia and left hemiparesis, atrial fibrillation was documented in electrocardiogram and an ischemic cardiovascular event was documented in a brain computer tomography. A cardioembolic event due atrial fibrillation was considered and for that reason the patient was referred to the Shaio Clinic Foundation for a transesophageal echocardiography, finding in the aortic root to the posterior aspect a mass with cystic appearance, trabeculated, with dynamic flow and inside it the presence of thrombus, with an aortic valve sclerosis with mild insufficiency, without stenosis, The patient was remitted for a multidisciplinary management by cardiology, neurology and cardiovascular surgery. During the hospitalization, a chest angiography was performed, reporting multilobed dilatation of the non-coronary Valsalva sinus with a mobile thrombus inside. On the 22nd day of admission surgical correction of the aneurysm was performed through aortotomy, locating an orifice that feeds it below the commissure. The coronary and right coronary valves without communication with the right atrium with a Dacron patch. During the postoperative period she presented signs of low cardiac output and myoclonus the patient was managed with inotropes, levosimendan and levetiracetam, 48 hours after surgery she was extubated and 12 days after surgery she is discharged without complications.
2018-07-23T20:19:22Z
2018-07-23T20:19:22Z
2018-07-23T20:19:22Z
2018
bachelorThesis
https://doi.org/10.48713/10336_18224
http://repository.urosario.edu.co/handle/10336/18224
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by-nc-nd/2.5/co/
Atribución-NoComercial-SinDerivadas 2.5 Colombia
Universidad del Rosario
Facultad de medicina
Sacco RL, Kasner SE, Broderick JP, Caplan LR, Connors JJ, et al. (2013) An updated definition of stroke for the 21st century: A statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 44: 2064-2089
Easton JD, Saver JL, Albers GW, Alberts MJ, Chaturvedi S, et al. (2009) Definition and evaluation of transient ischemic attack: A scientific statement for healthcare professionals from the American Heart Association/American Stroke Association Stroke Council; Council on Cardiovascular Surgery and Anesthesia; Council on Cardio. Stroke 40: 2276-2293.
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Saric M, Armour AC, Arnaout MS, Chaudhry FA, Grimm RA, et al. (2016) Guidelines for the use of echocardiography in the evaluation of a cardiac source of embolism. J Am Soc Echocardiogr 29: 1-29.
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Chugh SS, Havmoeller R, Narayanan K, Singh D, Rienstra M, et al. (2014) Worldwide epidemiology of atrial fibrillation: A global burden of disease 2010 Study. Circulation 129: 837-847.
Sarıkaya S, Adademir T, Elibol A, Büyükbayrak F, Onk A, et al. (2012) Surgery for ruptured sinus of Valsalva aneurysm: 25-year experience with 55 patients. Eur J Cardiothorac Surg 43: 591.
Moustafa S, Mookadam F, Cooper L, Adam G, Zehr K, et al. (2007) Sinus of Valsalva aneurysms: 47 years of a single center experience and systematic overview of published reports. Am J Cardiol 99: 1159-1164.
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Batiste C, Banzal RC, Razzouk AJ (2004) Echocardiographic features of an unruptured mycotic aneurysm of the right aortic sinus of Valsalva. J Am Soc Echocardiogr 17: 474-477.
Greiss I, Ugolini P, Joyal M, Bouchard D, Mercier LA (2004) Ruptured aneurysm of the left sinus of valsalva discovered 41 years after a decelerational injury. J Am Soc Echocardiogr 17: 906-909.
Weinreich M, Yu PJ, Trost B (2015) Sinus of Valsalva Aneurysms: Review of the literature and an update on management. Clin Cardiol 38: 185-189.
Bricker AO, Avutu B, Mohammed THL, Williamson EE, Syed IS, et al. (2010) Valsalva sinus aneurysms: Findings at CT and MR imaging. Radiographics 30: 99-110.
Hoda M, Verma A, Alapati S, Alapati S, Yarrabolu TR (2017) Diagnostic paradox: Ruptured aneurysm of sinus of Valsalva simulating tricuspid valve endocarditis. Echocardiography 34: 465-467.
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instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/381122023-02-19T03:01:26Zcom_10336_569com_10336_561col_10336_2564
Descripción de los parámetros de evaluación de la función ventricular derecha por ecocardiografía 2D
Calderón Miranda, Camilo Andrés
Salazar Castro, Gabriel
Pérez, Oscar Mauricio
Ventrículo derecho
Ecocardiografía
Hipertensión pulmonar
Resonancia magnética cardiaca
Fracción de eyección ventricular derecha
The functional and structural evaluation of the right ventricle (RV) is a fundamental aspect of the echocardiographic study given its prognostic value. Until now, the guidelines establish the assessment based on qualitative, semiquantitative and quantitative parameters with the indication of reporting the dysfunction in a dichotomous manner: Present or absent, with normality cut-off points that are not absolute at an echocardiographic value, but at their interpretation given by the cardiologist. A study has shown that when dysfunction is classified into degrees of severity (mild, moderate, severe) the prognosis in relation to cardiovascular outcomes (MACE) is different. Creating an evaluation system based on 2D-Echocardiography variables that allows RV function to be classified and that is comparable with cardiac magnetic resonance imaging (cMRI), which is the gold standard for RV evaluation, will improve the prognostic evaluation of patients. patients. Objective: to perform a correlation between the evaluation parameters of the right ventricle by echocardiography and cMRI based on 3 staging levels that take the ejection fraction of the right ventricle (FEVD) by cMRI (mild, moderate and severe). Methods: Historical cohort study of patients undergoing 2D-echocardiography and cMRI during the period 2017–2021. The studies were reviewed from the image storage systems and post-processed (by two trained cardiologists blinded to the findings) to obtain right ventricular function values in each of the two imaging techniques, taking FEVD as the reference value. mcRN. Each 2D-Echocardiography parameter was independently analyzed and correlated with the RV ejection fraction by cMRI. Results and conclusions: The classic parameters of quantitative and semiquantitative evaluation of the right ventricle (TAPSE, TAVSE, diastolic area of the RA, CAF%, TAPSE/PsAP, PsAP) showed a staggered behavior (positive or negative) with respect to the fraction of RV ejection measured by cMRI. The correlation of RV evaluation parameters (TAPSE, TAVSE, RA diastolic area, CAF%, TAPSE/PsAP, PsAP) by 2D echocardiography was moderate with respect to FEVD measured by MRI. The TAPSE / PsAP ratio was shown to be the parameter with the best linear behavior (correlation) with the FEVD measured by cMRI
2023-02-17T16:49:50Z
2023-02-17T16:49:50Z
2023-02-17T16:49:50Z
bachelorThesis
https://doi.org/10.48713/10336_38112
https://repository.urosario.edu.co/handle/10336/38112
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/publicdomain/zero/1.0/
CC0 1.0 Universal
Universidad del Rosario
Escuela de Medicina y Ciencias de la Salud
Especialización en Ecocardiografía
Raina A, Meeran T. Right Ventricular Dysfunction and Its Contribution to Morbidity and Mortality in Left Ventricular Heart Failure. Curr Heart Fail Rep. 2018;15(2):94-105. doi:10.1007/S11897-018-0378-8
Mathew J, Dipchand AI. Right Ventricular Dysfunction Post-Heart Transplantation. Right Ventricular Physiology, Adaptation and Failure in Congenital and Acquired Heart Disease. Published online December 19, 2018:193-216. doi:10.1007/978-3-319-67096-6_15
Towheed A, Sabbagh E, Gupta R, et al. Right ventricular dysfunction and short-term outcomes following left-sided valvular surgery: An echocardiographic study. J Am Heart Assoc. 2021;10(4):1-13. doi:10.1161/JAHA.120.016283
Puchalski MD, Williams R v., Askovich B, Minich LLA, Mart C, Tani LY. Assessment of right ventricular size and function: Echo versus magnetic resonance imaging. Congenit Heart Dis. 2007;2(1):27-31. doi:10.1111/j.1747-0803.2007.00068.x
Schneider M, Ran H, Aschauer S, et al. Visual assessment of right ventricular function by echocardiography: how good are we? Int J Cardiovasc Imaging. 2019;35:2001-2008. doi:10.1007/s10554-019-01653-2
Rudski LG, Lai WW, Afilalo J, et al. Guidelines for the Echocardiographic Assessment of the Right Heart in Adults: A Report from the American Society of Echocardiography. Endorsed by the European Association of Echocardiography, a registered branch of the European Society of Cardiology, and . Journal of the American Society of Echocardiography. 2010;23(7):685-713. doi:10.1016/j.echo.2010.05.010
Kavurt AV, Paç FA, Koca S, Mutlu Mıhçıoğlu A, Yiğit H. The evaluation of right ventricular systolic function in patients with repaired Tetralogy of Fallot by conventional echocardiographic methods and speckle tracking echocardiography: Compared with the gold standard cardiac mangenetic resonance. Echocardiography. 2019;36(12):2251-2258. doi:10.1111/ECHO.14532
Agasthi P, Chao CJ, Siegel RJ, et al. Comparison of echocardiographic parameters with cardiac magnetic resonance imaging in the assessment of right ventricular function. Echocardiography. 2020;37(11):1792-1802. doi:10.1111/ECHO.14877
Muraru D, Badano LP, Nagata Y, et al. Development and prognostic validation of partition values to grade right ventricular dysfunction severity using 3D echocardiography. Eur Heart J Cardiovasc Imaging. 2020;21(1):10-21. doi:10.1093/ehjci/jez233
Lang RM, Badano LP, Mor-Avi V, et al. Recommendations for Cardiac Chamber Quantification by Echocardiography in Adults: An Update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. doi:10.1093/ehjci/jev014
Schneider M, Aschauer S, Mascherbauer J, et al. Echocardiographic assessment of right ventricular function: current clinical practice. International Journal of Cardiovascular Imaging. 2019;35(1):49-56. doi:10.1007/s10554-018-1428-8
Zornoff LAM, Skali H, Pfeffer MA, et al. Right ventricular dysfunction and risk of heart failure and mortality after myocardial infarction. J Am Coll Cardiol. 2002;39(9):1450-1455. doi:10.1016/S0735-1097(02)01804-1
Raina A, Meeran T. Right Ventricular Dysfunction and Its Contribution to Morbidity and Mortality in Left Ventricular Heart Failure. Curr Heart Fail Rep. 2018;15(2):94-105. doi:10.1007/S11897-018-0378-8
Towheed A, Sabbagh E, Gupta R, et al. Right ventricular dysfunction and short-term outcomes following left-sided valvular surgery: An echocardiographic study. J Am Heart Assoc. 2021;10(4):1-13. doi:10.1161/JAHA.120.016283
Ravis E, Theron A, Mancini J, et al. Severe right ventricular dysfunction is an independent predictor of pre- and post-transplant mortality among candidates for heart transplantation. Arch Cardiovasc Dis. 2017;110(3):139-148. doi:10.1016/J.ACVD.2016.06.002
Hamilton-Craig CR, Stedman K, Maxwell R, et al. Accuracy of quantitative echocardiographic measures of right ventricular function as compared to cardiovascular magnetic resonance-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). IJCHA. 2016;12:38-44. doi:10.1016/j.ijcha.2016.05.007
Smolarek D, Gruchała M, Sobiczewski W. Echocardiographic evaluation of right ventricular systolic function: The traditional and innovative approach. Cardiol J. 2017;24(5):563-572. doi:10.5603/CJ.a2017.0051
Todaro MC, Carerj S, Zito C, Trifirò MP, Consolo G, Khandheria B. Echocardiographic evaluation of right ventricular-arterial coupling in pulmonary hypertension. Am J Cardiovasc Dis. 2020;10(4):272-283. http://www.ncbi.nlm.nih.gov/pubmed/33224574%0Ahttp://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=PMC7675169
Tello K, Wan J, Dalmer A, et al. Validation of the Tricuspid Annular Plane Systolic Excursion/Systolic Pulmonary Artery Pressure Ratio for the Assessment of Right Ventricular-Arterial Coupling in Severe Pulmonary Hypertension. Circ Cardiovasc Imaging. 2019;12(9):9047. doi:10.1161/CIRCIMAGING.119.009047/FORMAT/EPUB
Bech-Hanssen O, Astengo M, Fredholm M, et al. Grading right ventricular dysfunction in left ventricular disease using echocardiography: a proof of concept using a novel multiparameter strategy. ESC Heart Fail. 2021;8(4):3223-3236. doi:10.1002/ehf2.13448
Muraru D. 22nd Annual Feigenbaum Lecture: Right Heart, Right Now: The Role of Three-Dimensional Echocardiography. Journal of the American Society of Echocardiography. 2022;35(9):893-909. doi:10.1016/J.ECHO.2022.05.011
Haddad F, Hunt SA, Rosenthal DN, Murphy DJ. Right Ventricular Function in Cardiovascular Disease, Part I. Circulation. 2008;117(11):1436-1448. doi:10.1161/CIRCULATIONAHA.107.653576
Genovese D, Mor-Avi V, Palermo C, et al. Comparison Between Four-Chamber and Right Ventricular-Focused Views for the Quantitative Evaluation of Right Ventricular Size and Function. J Am Soc Echocardiogr. 2019;32(4):484-494. doi:10.1016/J.ECHO.2018.11.014
Wu CC, Takeuchi M. Echocardiographic assessment of right ventricular systolic function. Cardiovasc Diagn Ther. 2018;8(1):70-79. doi:10.21037/CDT.2017.06.05
Grover SK, Leong DP, Molaee P, et al. Validation of echocardiographic indices of right ventriclular systolic function with cardiac magnetic resonance: a comparative study. Journal of Cardiovascular Magnetic Resonance 2011 13:1. 2011;13(1):1-2. doi:10.1186/1532-429X-13-S1-O75
Morcos P, Vick GW, Sahn DJ, Jerosch-Herold M, Shurman A, Sheehan FH. Correlation of right ventricular ejection fraction and tricuspid annular plane systolic excursion in tetralogy of Fallot by magnetic resonance imaging. Int J Cardiovasc Imaging. 2009;25(3):263-270. doi:10.1007/S10554-008-9387-0
Evaldsson AW, Lindholm A, Jumatate R, et al. Right ventricular function parameters in pulmonary hypertension: Echocardiography vs. cardiac magnetic resonance. BMC Cardiovasc Disord. 2020;20(1):1-12. doi:10.1186/S12872-020-01548-4/FIGURES/4
Kresoja KP, Rommel KP, Lücke C, et al. Right Ventricular Contraction Patterns in Patients Undergoing Transcatheter Tricuspid Valve Repair for Severe Tricuspid Regurgitation. JACC Cardiovasc Interv. 2021;14(14):1551-1561. doi:10.1016/J.JCIN.2021.05.005
Bleeker GB, Steendijk P, Holman ER, et al. Assessing right ventricular function: the role of echocardiography and complementary technologies. Heart. 2006;92(Suppl 1):i19. doi:10.1136/HRT.2005.082503
instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/48052021-06-03T00:45:45Zcom_10336_569com_10336_561col_10336_2564
Frecuencia de presentación de cardiopatía estructural detectada por ecocardiografía en pacientes que consultan a urgencias por síncope
Cabrera Arboleda, Santiago
Rodriguez, Jaime
síncope
ecocardiografía
cardiopatía estructural
Introduction. Syncope is a frequent condition in emergency rooms, hospitals, and outpatient facilities. It affects mainly teenagers and mature adults. It can be often associated with structural cardiomyopathy and adverse cardiovascular complications. Echocardiogram plays a very important role in the detection of potentially fatal pathology.
Objective. To establish the frequency of structural cardiomyopathies by means of an echocardiogram in patients who were admitted into the Shaio Clinic’s emergency room with signs of syncope.
Methods. A retrospective, descriptive study. Clinical charts of adult patients with syncope, who consulted the emergency room services at the Shaio Clinic, were reviewed. An echocardiogram was performed to evaluate their illness and to establish the frequency of the most important structural cardiomyopathies.
Results. A total of 149 patients were evaluated, the average age of the patients was 65.93 years old. 60 patients had a normal echocardiogram (40%); 89 patients had an abnormal result and the most frequent structural cardiomyopathies documented were as follows: contractile alterations of the left ventricle (35%), severe concentric hypertrophy (27.5%), dilated cardiomyopathy(15.0%), ejection fraction of the left ventricle < 40% (12.5%) , eccentric severe hypertrophy (7.5%) and severe aortic stenosis (2.5%).
Discussion. The results obtained in this study show that most of the patients diagnosed with syncope, which consulted to the emergency room services at the Shaio Clinic were over the age of 60. In most of the studies conducted a significant structural echocardiographic finding was present, mainly associated with the advanced age of the patient, multiple previous comorbidities. A low frequency of conditions classically accepted as the cause of cardiogenic syncope was found.
Conclusion. An echocardiogram is a useful tool in the detection of the cardiogenic causes of syncope. It should be requested once the patient’s medical history and physical condition have been reviewed, otherwise, it might not reveal any relevant information. The structural cardiomyopathies more frequently found are not necessarily linked to the classic causes of syncope, but are possibly related to the prevailing cardiovascular diseases present in the population that was examined. The study should be conducted just as long as the opinion of the treating physician is justified.
2013-11-27T18:45:13Z
2013-11-27T18:45:13Z
2013-11-27T18:45:13Z
2013
bachelorThesis
https://doi.org/10.48713/10336_4805
http://repository.urosario.edu.co/handle/10336/4805
spa
info:eu-repo/semantics/openAccess
Abierto (Texto completo)
Atribución-NoComercial-SinDerivadas 2.5 Colombia
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
http://creativecommons.org/licenses/by-nc-nd/2.5/co/
Universidad del Rosario
Facultad de medicina
instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/134482021-06-03T00:48:13Zcom_10336_569com_10336_561col_10336_2564
Insuficiencia cardiaca en un adulto joven con Síndrome de ALCAPA (origen anómalo de la arteria coronaria izquierda del tronco de la arteria pulmonar) y válvula mitral asimétrica similar al paracaídas (Parachute like asymmetric mitral valve). Utilidad de la ecocardiografía, reporte de un caso
Cordero Díaz, Luis
Zuluaga Rojas, José
Mendoza Beltrán, Fernán
Rodríguez Martín, Jaime
Insuficiencia cardíaca
Insuficiencia mitral
Coronaria izquierda
Cardiopatía congénita
Objective: To describe a case of a young patient with heart failure, secondary to two infrequent cardiac malformations, ALCAPA Syndrome and asymmetric mitral valve, similar to the parachute, Highlighting the usefulness of echocardiography. Methods: The case is analyzed in the light of medical literature. Conclusions: The anomalous origin of the left coronary artery from the pulmonary artery trunk and the asymmetric mitral valve similar to the parachute are rare malformations associated with severe mitral regurgitation and heart failure. There were no reports in the literature of the coexistence of the two pathologies in a patient
2017-05-31T13:14:08Z
2017-05-31T13:14:08Z
2017-05-31T13:14:08Z
2017
bachelorThesis
https://doi.org/10.48713/10336_13448
http://repository.urosario.edu.co/handle/10336/13448
spa
info:eu-repo/semantics/openAccess
Abierto (Texto completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
Universidad del Rosario
Facultad de medicina
Baumgartner H, Bonhoeffer P, De Groot NM, de Haan F, Deanfield JE, Galie N et al. Guía de Práctica Clínica de la ESC para el manejo de cardiopatías congénitas en el adulto (nueva versión 2010). Rev Esp Cardiol. 2010;63(12):1484.e1-e59.
Bhatt AB, Foster E, Kuehl K, Alpert J, Brabeck S, Crumb S et al. Congenital heart disease in the older adult: a scientific statement from the American Heart Association. Circulation. 2015;131(21):1884-931
Motoda H, Murata M, Iwanaga S, Matsushita K, Nakamizo H, Wakino S et al. Parachute mitral valve incidentally diagnosed in an adult patient with hypertension. J Echocardiogr. 2010;8(1):28-9.
Lorenzana J. R. P., Rodríguez J. A. L., Garrido E. H. N., Perezgrovas M. A. C., Martínez J. A. S., Alanís, E. A. et al. Origen anómalo de la arteria coronaria izquierda del tronco de la arteria pulmonar de un paciente adulto. Rev Esp Méd Quir 2012;17(1):51-55.
Mungan U, Ozeke O, Mavioglu L, Sarisahin M, Ertan C, Demir AD et al. Adult type anomalous left coronary artery arising from the pulmonary artery (ALCAPA) : complementary role of multimodality cardiac imaging. Herz. 2014;39(8):1010-2.
Safaa AM, Du LL, Batra R, Essack N. A rare case of adult type ALCAPA syndrome: presentation, diagnosis and management. Heart Lung Circ. 2013;22(6):444-6.
Feng TY, Li ZA, He YH, Han JC, Luan SR, Wang LL. Parachute mitral valve accompanied by bicuspid aortic valve on three-dimensional transesophageal echocardiography. Kaohsiung J Med Sci. 2012;28(9):506-8.
Marino BS, Kruge LE, Cho CJ, Tomlinson RS, Shera D, Weinberg PM et al. Parachute mitral valve: morphologic descriptors, associated lesions, and outcomes after biventricular repair. J Thorac Cardiovasc Surg. 2009;137(2):385-393.e4.
Gunturiz-Beltrán C, Rodríguez-Ortega J. Á., Quiles-Granado J, Franco- López Á. (). Válvula mitral en paracaídas. Complejo de Shone atípico. Cardiocore 2016;51(2):83-86
Mamaladze V, Capdeville M, Navia J, Vivacqua A. Parachute-like asymmetric mitral valve associated with mitral valve cleft and atrial septal defect in an adult. J Cardiothorac Vasc Anesth. 2011;25(6):1106-8.
Hakim FA, Kendall CB, Alharthi M, Mancina JC, Tajik JA, Mookadam F. Parachute mitral valve in adults-a systematic overview. Echocardiography. 2010;27(5):581-6.
Kilner PJ. Imaging congenital heart disease in adults. Br J Radiol. 2011;84 Spec No 3:S258-68.
Stout KK, Broberg CS, Book WM, Cecchin F, Chen JM, Dimopoulos K et al. Chronic Heart Failure in Congenital Heart Disease: A Scientific Statement From the American Heart Association. Circulation. 2016;133(8):770-801.
Zomer AC, Vaartjes I, van der Velde ET, de Jong HM, Konings TC, Wagenaar LJ et al. Heart failure admissions in adults with congenital heart disease; risk factors and prognosis. Int J Cardiol. 2013;168(3):2487-93
Mohan JC, Shukla M, Mohan V, Sethi A. Parachute mitral valve and Pacman deformity of the ventricular septum in a middle-aged male. Indian Heart J. 2016;68 Suppl 2:S126-S130.
Rim Y, McPherson DD, Kim H. Effect of Congenital Anomalies of the Papillary Muscles on Mitral Valve Function. J Med Biol Eng. 2015;35(1):104- 112.
Séguéla PE, Houyel L, Acar P. Congenital malformations of the mitral valve. Arch Cardiovasc Dis. 2011;104(8-9):465-79.
Quah JX, Hofmeyr L, Haqqani H, Clarke A, Rahman A, Pohlner P et al. The management of the older adult patient with anomalous left coronary artery from the pulmonary artery syndrome: a presentation of two cases and review of the literature. Congenit Heart Dis. 2014;9(6):E185-94.
Kothari J, Lakhia K, Solanki P, Parmar D, Boraniya H, Patel S. Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery in Adulthood: Challenges and Outcomes. Korean J Thorac Cardiovasc Surg. 2016;49(5):383-386.
Boris JR, Brothers JA. Primary-care management of patients with congenital anomalies of the coronary arteries. Cardiol Young. 2015;25(8):1540-5.
Silverman NH. Echocardiographic presentation of anomalous origin of the left coronary artery from the pulmonary artery. Cardiol Young. 2015;25(8):1512-23.
instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/136152021-06-03T00:48:17Zcom_10336_569com_10336_561col_10336_2564
Recurrent Undifferentiated Pleomorphic Sarcoma in the Left Atrium
Carrero Rojas, Nubia
Salazar, Gabriel
Guerrero, Albert
Mugnier, Jaqueline
Medina Zuluaga, Héctor Manuel
Sarcoma cardíaco recurrente
Estenosis mitral
Hipertensión pulmonar
Hipertensión pulmonar
We present the case of a young man with constitutional symptoms and dyspnea lasting 9 months, with evidence of a giant mass located at the left atrium obstructing the outflow tract of the mitral valve requiring resection. Pathology showed poorly differentiated pleomorphic sarcoma with very aggressive recurrence shortly after surgery. This pathology is un-frequent and has an ominous short-term prognosis. Its treatment is surgical resection and adjuvant chemotherapy and radiotherapy is not yet clearly defined.
2017-08-09T11:50:33Z
2017-08-09T11:50:33Z
2017-08-09T11:50:33Z
2017
bachelorThesis
https://doi.org/10.48713/10336_13615
http://repository.urosario.edu.co/handle/10336/13615
spa
info:eu-repo/semantics/openAccess
Abierto (Texto completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
Universidad del Rosario
Facultad de medicina
Shanmugam G. Primary cardiac sarcoma. Eur J Cardiothorac Surg. 2006;29(6):925-32.
Simpson L, Kumar SK, Okuno SH, Schaff HV, Porrata LF, Buckner JC, et al. Malignant primary cardiac tumors: review of a single institution experience. Cancer. 2008;112(11):2440-6.
Isambert N, Ray-Coquard I, Italiano A, Rios M, Kerbrat P, Gauthier M, et al. Primary cardiac sarcomas: a retrospective study of the French Sarcoma Group. Eur J Cancer. 2014;50(1):128-36.
Donsbeck AV, Ranchere D, Coindre JM, Le Gall F, Cordier JF, Loire R. Primary cardiac sarcomas: an immunohistochemical and grading study with long-term follow-up of 24 cases. Histopathology. 1999;34(4):295-304.
Agaimy A, Rösch J, Weyand M, Strecker T. Primary and metastatic cardiac sarcomas: a 12-year experience at a German heart center. Int J Clin Exp Pathol. 2012;5(9):928-38.
Bossert T, Gummert JF, Battellini R, Richter M, Barten M, Walther T, et al. Surgical experience with 77 primary cardiac tumors. Interact Cardiovasc Thorac Surg. 2005;4(4):311-5.
Lestuzzi C. Primary tumors of the heart. Curr Opin Cardiol. 2016;31(6):593-8.
instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/340052023-07-24T16:09:37Zcom_10336_569com_10336_561col_10336_2564
Correlación ecocardiográfica entre la Integral Velocidad Tiempo del tracto de salida del ventrículo izquierdo y la Fracción de Eyección en un hospital de cuarto nivel en Bogotá
Avila Cortés, Yeisson Danilo
Velandia Carrillo, Carlos Alberto
Molano González, Nicolas
Cely Cely, Wilmer Alexander
Integral velocidad tiempo del tracto de salida del ventrículo izquierdo
Fracción de eyección del ventrículo izquierdo
Correlación
Introduction: The evaluation of the left ventricular function can be assessed by quantifying the ventricular volumes and represents an important value in the diagnosis, management, follow-up, and prognosis of the patients in a variety of clinical settings. However, in some patients could have technical limitations in order to evaluate these volumes, so additional methods may be required in order to help estimate them. Objective: To evaluate the correlation between the left ventricular outflow tract velocity time integral (LVOT VTI) and the left ventricular ejection fraction (LVEF) of patients admitted to an echocardiography study. Methods: Study of diagnostic tests to evaluate the retrospective correlation between LVOT VTI and LVEF. Results: The correlation between the LVOT VTI and LVEF showed in this Study a strong correlation, estimated by a Pearson correlation coefficient of 0.671 (95% CI 0.604-0.729) and statistical significance p < 0.0001. Conclusion and discussion: LVOT IVT presents a good correlation with LVEF determined by the Simpson method, which is proposed as a useful tool for the approximation in the echocardiography services to estimate an approximate of the LVEF in cases where there may be limitations for its estimation.
2022-04-08T20:51:29Z
2022-04-08T20:51:29Z
2022-04-08T20:51:29Z
bachelorThesis
https://doi.org/10.48713/10336_34005
https://repository.urosario.edu.co/handle/10336/34005
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by/2.5/co/
Atribución 2.5 Colombia
Universidad del Rosario
Escuela de Medicina y Ciencias de la Salud
Especialización en Ecocardiografía
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instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/143942021-06-03T00:48:09Zcom_10336_569com_10336_561col_10336_2564
Fibrilación ventricular asociada a uso de anestesia local de aplicación nasal. Informe de caso
Sánchez Solanilla, Luis Fernando
Mora Pabon, Guillermo
Fibrilación Ventricular
Anestesia
Arritmias Cardiacas
Epinefrina
Ventricular fibrillation associated with the administration of local anesthetics has been described in medical literature as an uncommon adverse reaction. The use of local anesthesics, is a widely used technique and it is cardiovascular complications are rare. We report a case of ventricular fibrillation secondary to the administration of local anesthesics.
2018-02-16T17:57:10Z
2018-02-16T17:57:10Z
2018-02-16T17:57:10Z
2017
bachelorThesis
https://doi.org/10.48713/10336_14394
http://repository.urosario.edu.co/handle/10336/14394
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
Universidad del Rosario
Facultad de medicina
Atlee JL. Perioperative cardiac dysrhythmias: Diagnosis and management. Anesthesiology. 1997;86:1397-424.
Lorentz MN, Vianna BSB. Arritmias Cardiacas y Anestesia. Rev Bras Anestesiol. 2011;61:6:440-48.
Valencia R, Garcia H. Toxicidad por anestésicos locales: Revisión de la literatura. Rev Col Anest. 2011;39(1):40-54.
Kindler CH, Yost CE. Two-pore domain potassium channels: new sites of local anesthetic action and toxicity. Reg Anesth Pain Med. 2005;30:260-74.
Mulroy MF. Sistemic toxicity and cardiotoxicity from local anesthetics: incidence and preventive measures. Reg Anesth Pain Med. 2002;27(6):556–61.
Reynolds F. Maximum Recommended Doses of Local Anesthetics: A Constant Cause of Confusion. To the editor. Reg Anesth Pain Med. 2005;30(3):314-6.
Mille JE, Portela JM, Aréchiga G. Manejo de la toxicidad por anestésicos locales. Rev Mex Anest. 2011;34(1):90-4.
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instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/40942021-06-03T00:47:22Zcom_10336_569com_10336_561col_10336_2564
Dinámica del anillo mitral en pacientes con insuficiencia mitral isquemica
Jaimes Castellanos, Claudia Patricia
Salazar, Gabriel
Anillo Mitral
Dinámica Mitral
Insuficiencia Mitral
Cardiopatía isquémica
OBJECTIVES: To describe and compare the dynamic changes in the geometry of the mitral ring in patients with ischemic mitral regurgitation and normal mitral valve. MATERIALS AND METHODS: 37 studies were analyzed, 23 with ischemic mitral regurgitation and 14 without mitral regurgitation. The mitral ring reconstruction was performed in Xcelera workstation (Philips Medial Systems, Andover, Massachusetts) with a mitral analysis tool (MVQ), in 5 different times of the cardiac cycle: Early systole, middle systole, late systole, middle diastolic and late diastole. RESULTS: The mitral ring of the control group, was more dynamic, with its smaller size in the late diastole, with a progressive increase during systole. Changes in the perimeter and area were significant between the early and middle of systole (p: 0. 087 and p: 0. 055, respectively). In the group with ischemic mitral regurgitation, the ring was more static. All dimensions were larger in this group, with a significant difference in every dimension (p < 0. 1). The annular morphological index was lower is this group, than in the control group. DISCUSSION AND CONCLUSIONS: The mitral ring is a dynamic structure in patients without mitral regurgitation. During systole, the smaller dimensions occurred at the beginning of this period and the saddle shape remained during the whole cardiac cycle, protecting against mitral regurgitation. The mitral ring was static and flat in patients with ischemic mitral regurgitation, losing the protective mechanisms described in the control group.
2013-01-16T05:50:22Z
2013-01-16T05:50:22Z
2013-01-16T05:50:22Z
2012
bachelorThesis
https://doi.org/10.48713/10336_4094
http://repository.urosario.edu.co/handle/10336/4094
spa
info:eu-repo/semantics/openAccess
Abierto (Texto completo)
Atribución-NoComercial-SinDerivadas 2.5 Colombia
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
http://creativecommons.org/licenses/by-nc-nd/2.5/co/
Universidad del Rosario
Facultad de medicina
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instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/105752021-06-03T00:46:21Zcom_10336_569com_10336_561col_10336_2564
Evaluación de la mecánica ventricular izquierda mediante speckle tracking en pacientes sanos en la Clínica Shaio
Romero Vanegas, Nohra Piedad
Rodriguez Martin, Jaime
Función cardiovascular
ecocardiografía bidimensional.
Introduction: Echocardiography is currently the diagnostic imaging technique more often used to evaluate cardiovascular anatomy and function. Nowadays speckle tracking echocardiography is being used, which allows a more accurate and objective evaluation of ventricular function, but nevertheless, reference values are needed to make obtained measurements more valid and useful, to determine in an opportunistic way which decisions are needed to make, prior to function deterioration. Main Objective: To determine reference values for left ventricular mechanics, using Speckle Tracking Two-Dimensional Echocardiography with Toshiba Artida equipment and a 3-megahertz multi-frequency transducer, in patients without any known cardiac pathology at Fundacion Clinica Shaio in 2014. Methods: Prospective cohort analysis of every patient admitted at Fundacion Clinica Shaio for echocardiographic evaluation without any known cardiac pathology from August to December 2014. Results: This study about left ventricular mechanics evaluation in healthy adults is presented; the results are similar to those obtained in reference trials, however these are considered of great importance since current guidelines for Strain Rate ventricular mechanics evaluation state that every equipment needs to be standardized to obtain valid results according to our population and all of the different pathologies where this technique can be applied.
2015-07-09T16:13:47Z
2015-07-09T16:13:47Z
2015-07-09T16:13:47Z
2015
bachelorThesis
https://doi.org/10.48713/10336_10575
http://repository.urosario.edu.co/handle/10336/10575
spa
info:eu-repo/semantics/openAccess
Abierto (Texto completo)
Atribución-NoComercial-SinDerivadas 2.5 Colombia
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by-nc-nd/2.5/co/
Universidad del Rosario
Facultad de medicina
Marcus K. Reference values for myocardial two-dimensional strain echocardiography in a healthy pediatric and young adult cohort. J Am Soc Echocardiogr. 2011; 24: p. 625–36.
Zaca V. Echocardiography in the assessment of left ventricular longitudinal systolic function: current methodology and clinical ap plications. Heart Fail Rev. 2010; 15: p. 23-27.
Pinto M. Strain: Una ventana a la mecánica ventricular. Rev Chil Cardiol. 2011; 31(1): p. 95-102.
Reisner SA. Global longitudinal strain: a novel index of left ventricular systolic function. J Am Soc Echocardiogr. 2004;(17): p. 630–633.
Nelson MR. Echocardiographic measures of myocardial deformation by speckle-tracking technologies: the need for standardization? J Am Soc Echocardiogr. 2012; 25: p. 1189–94.
Mor-Avi V. Current and evolving echocardiographic techniques for the quantitative evaluation of cardiac mechanics: ASE/EAE consensus statement on methodology and indications endorsed by the Japanese Society of Echocardiography. Eur J Echocardiogr. 2011;(12): p. 167-205.
Geyer H C. Assesment of myocardial mechanics using speckle tracking echocardiography: fundamentals anf clinical applications. J Am Soc Echocardiogr. 2010;(23): p. 351-69.
Mondillo S. Speckle tracking echocardiography: a new technique for asessing myocardial function. J Ultrasound Med. 2011;(30): p. 71-83.
Takigiku K. Normal range of ventricular 2 dimensional strain. Japanese Ultrasound Speckle Tracking of the left ventricle (JUSTICE) study. Circ J. 2012;(76): p. 262-332.
D´hooge J. Regional strain and strain rate mesaurements by cardiac ultrasound: principles, implementation and limitations. Eur J Echocardiogr. 2000;(1): p. 154-70.
Notomi Y. Measurement of ventricular torsion bt two-dimensional ultrasound speckle tracking imaging. J Am Coll Cardiol. 2005;(45): p. 2034-41.
Kuznetsova T, Herbots L, Richart T, D’hooge J, Thijs L, Fagard RH, et al. Left ventricular strain and strain rate in a general population. Eur Heart J. 2008; 29:2014-23.
Dalen H, Thorstensen A, Aase SA, Ingul CB, Torp H, Vatten LJ, et al. Segmental and global longitudinal strain and strain rate based on echocardiography of healthy individuals: the HUNT study in Norway. Eur J Echocardiogr. 2010; 11:176-83.
Yingchoncharoen T, Agarwal S, Popovic ZB, Marwick TH. Normal ranges of left ventricular strain: a meta-analysis. J Am Soc Echocardiogr. 2013; 26:185-91.
Marwick TH, Leano RL, Brown J, Sun JP, Hoffmann R, Lysyansky P, et al. Myocardial strain measurement with 2-dimensional speckle-tracking echocardiography: definition of normal range. JACC Cardiovasc Imaging. 2009; 2:80-4.
Parma G, Florio L, Dayan V et al. Strain longitudinal apical 4 cámaras por vector velocity imaging: prometedor predictor de fracción de eyección de ventrículo izquierdo en sujetos sanos. Rev Esp Cardiol. 2015;68:351-2
Thomas JD, Badano LP. EACVI-ASE-industry initiative to standardize deformation imaging: a brief update from the co-chairs. Eur Heart J Cardiovasc Imag. 2013; 14:1039-40.
instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/183752020-08-29T01:01:02Zcom_10336_569com_10336_561col_10336_2564
Insuficiencia tricuspídea : técnicas ecocardiográficas para evaluar la valvulopatía olvidada
Gelves, Julian
Salazar, Gabriel
Salazar, Gabriel
Insuficiencia tricuspídea
Ecocardiografía 3D
The tricuspid valve is traditionally known as the forgotten valve because of the least importance in the published literature and clinical trials available until a few years ago. Echocardiography with its different imaging modalities remains the gold standard to determine the mechanism and severity of tricuspid regurgitation. In recent years, research permits 3D technique to be implemented both in the transthoracic (TT) and transesophageal (TE) echocardiogram, to evaluate the tricuspid valve anatomy from its atrial or ventricular aspect, allowing the structure of its leaflets to be analyzed, its anatomical variations and the different mechanisms or lesions that can affect its proper functioning generating tricuspid regurgitation with the consequences in morbidity and mortality.
2018-08-28T13:25:35Z
2018-08-28T13:25:35Z
2018-08-28T13:25:35Z
2018
bachelorThesis
https://doi.org/10.48713/10336_18375
http://repository.urosario.edu.co/handle/10336/18375
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by-nc-nd/2.5/co/
Atribución-NoComercial-SinDerivadas 2.5 Colombia
Universidad del Rosario
Facultad de medicina
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instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR