ABSTRACT
Objective: To describe the initial experience in ablation of cardiac arrhythmias using 3D mapping at the Instituto Nacional Cardiovascular INCOR (Lima, Peru). Methods: A retrospective descriptive study was carried out. During February 2020, data was collected from the medical records of all patients in whom ablation was performed using 3D mapping from July 2017 to December 2019. This procedure was performed in patients with symptomatic arrhythmia refractory to antiarrhythmic therapy. Results: Data were collected from 123 patients (median age: 46 years, 64.2% male), who had a median time of illness of 6 years. Among the arrhythmias treated, 19% had atrial fibrillation, 17.5% atrial tachycardia, 17.5% idiopathic ventricular arrhythmias, 16.6% Wolf Parkinson White syndrome / Atrioventricular reentrant tachycardia, 11.1% ventricular arrhythmias of the His-Purkinje conduction system, 9.5% scar related ventricular tachycardia associated, 6.4% atrial flutter and 2.4% intranodal tachycardia. The median fluoroscopy time was 26 minutes. Ablation was acutely successful in 95.9% of cases, acute complications were observed in 4.8%, and recurrence-free survival during the first year of follow-up was 74%. Conclusions: Our experience in ablation of cardiac arrhythmias using 3D mapping had a high acute success rate, low frequency of complications, and one-year recurrence-free survival of 74 %.
ABSTRACT
Objetivo: Determinar la prevalencia y los factores asociados al síndrome de burnout en el personal de salud del Hospital Santa María del Socorro de Ica (HSMSI) durante el año 2013. Materiales y métodos: Se realizó un estudio transversal en una muestra de 238 trabajadores seleccionados por muestreo aleatorio simple, del HSMSI y que aceptaron participar en el estudio mediante consentimiento informado. Se usó la Escala de Maslach Burnout Inventory (MBI). Resultados: La prevalencia de síndrome de burnout fue de 3,78% (9 casos) y 229 casos (96,22%) se encuentran en riesgo de tener este problema. Se halló diferencia estadísticamente significativa entre los puntajes promedio en relación con la ingesta de medicamentos (p<0,05)(p=0,045). No se hallaron diferencias estadísticamente significativas entre los promedios obtenidos en la puntuación total según sexo (p=0,815), morbilidad crónica (p=0,167), estado civil (p=0,773), grado de instrucción (p=0,174), profesión (p=0,406), grupo ocupacional (p=0,063), condición laboral (p=0,595), las diferentes áreas de trabajo (p>0,05) ni la percepción del ambiente laboral por parte del personal del nosocomio (p=0,155). Conclusiones: Existe baja prevalencia de síndrome de burnout en el personal; sin embargo, la mayoría está en riesgo de padecerlo. La ingesta de medicamentos se asocia a la presencia de este síndrome. (AU)
Objective: To determine the factors associated with burnout syndrome in health personnel of the Santa Maria del Socorro Hospital from Ica in 2013. Materials and methods: An observational, descriptive and prospective study was conducted on a sample of 238 workers selected by simple random sampling, who worked in the facility and agreed to participate in the study through informed consent. Maslash Burnout Inventory was used. Results: The prevalence of burnout syndrome is 3.78% (9 cases) and 229 (96.22%) are at risk for this problem. Statistically significant difference between the mean scores in relation to drug intake (p=0.045) was found. No statistically significant differences between the averages for the total score by sex (p=0.815), chronic morbidity (p=0.167), marital status (p=0.773), education level (p=0.174), occupation was found (p=0.406) occupational group (p=0.063), employment status (p=0.595), the different work areas (p>0.05) or the perception of the work environment by the staff of the hospital(p=0.155). Conclusions: There is low prevalence of burnout syndrome in staff; however, most of them are at risk of suffering it. Medication intake is associated with the presence of this syndrome. (AU)
