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1.
Rev. méd. Maule ; 37(1): 61-66, jun. 2022. ilus
Artículo en Español | LILACS | ID: biblio-1397635

RESUMEN

Congenital mitral valve disease is a rare form of mitral regurgitation. The etiological diagnosis is often challenging. The transthoracic echocardiogram is presented as a good initial approach method. The case of a 29-year-old patient referred for the diagnosis of severe congenital mitral regurgitation in parachute is presented. This report aims to illustrate the clinical and echocardiographic presentation of congenital mitral regurgitation.


Asunto(s)
Humanos , Femenino , Adulto , Cardiopatías Congénitas/diagnóstico , Cardiopatías Congénitas/epidemiología , Insuficiencia de la Válvula Mitral/cirugía , Insuficiencia de la Válvula Mitral/diagnóstico por imagen , Ecocardiografía , Prevalencia , Válvula Mitral/cirugía , Válvula Mitral/diagnóstico por imagen
2.
Rev. méd. Maule ; 37(1): 75-80, jun. 2022. ilus
Artículo en Español | LILACS | ID: biblio-1397652

RESUMEN

Sudden death is the most serious complication of acute coronary syndromes. The highest percentage occurs at home with a very low survival rate. The highest risk group are patients with ejection fraction under 40% after an acute myocardial infarction. So far the indication of the clinical practice guides are the implantation of ICD as a secondary prevention, and as a primary prevention when the systolic function is severely diminished, however there is an interval of 40 days in which the implant has not managed to demonstrate benefits. In this critical period patients should be managed with beta-blockers. So far, the absolute benefit of using portable cardioverter-defibrillators as a prophylactic bridge to the ICD implant has not been demonstrated. The following revision is based on the most relevant clinical practice guides in the field carried out in relation to a clinical case


Asunto(s)
Humanos , Masculino , Persona de Mediana Edad , Muerte Súbita Cardíaca/etiología , Muerte Súbita Cardíaca/epidemiología , Infarto del Miocardio/complicaciones , Infarto del Miocardio/diagnóstico , Angiografía Coronaria , Desfibriladores Implantables
3.
Rev. méd. Maule ; 37(1): 81-88, jun. 2022. ilus
Artículo en Español | LILACS | ID: biblio-1397711

RESUMEN

Congenital heart disease includes a wide range of heart defects that appear at birth, corresponding to the most frequent group of genetic alterations. They represent the most frequent birth defects in the world, affecting millions of newborns annually. Chile is not exempt from this public health problem, estimating a prevalence of 8-10 per 1,000 live births, similar to international figures. Some of these defects are not diagnosed in a timely manner due to various causes, including causes such as poor clinical translation and limited accessibility to the Public Health system. Thanks to the improvement of technological resources, more cases of congenital heart disease are diagnosed every day and the time of diagnosis is getting earlier. The case presented below refers to a 47-year-old male patient with several comorbidities, who underwent a Doppler echocardiogram during his hospitalization due to acute respiratory failure, where a systodiastolic flow was detected in one of the compatible pulmonary arteries, with a patent ductus arteriosus.


Asunto(s)
Humanos , Masculino , Persona de Mediana Edad , Cateterismo Cardíaco/métodos , Conducto Arterioso Permeable/terapia , Dispositivo Oclusor Septal , Ecocardiografía , Cardiopatías Congénitas/diagnóstico
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