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Lira-Silva E, del Valle Mondragón L, Pérez-Torres I, Posadas-Sánchez R, Roldán Gómez FJ, Posadas-Romero C, Vargas-Barrón J, Pavón N. Possible implication of estrogenic compounds on heart disease in menopausal women. Biomed Pharmacother 2023; 162:114649. [PMID: 37023620 DOI: 10.1016/j.biopha.2023.114649] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2023] [Revised: 03/28/2023] [Accepted: 03/31/2023] [Indexed: 04/07/2023] Open
Abstract
Epidemiological studies imply there is a higher risk of cardiovascular disease in menopausal women. Some explanations suggest a lack of estrogens as the cause, but estrogens do not disappear completely and are just transformed into different products called estrogenic degradation metabolites (EDMs). When estrogens are metabolized, reactive oxygen species (ROS) increase, causing DNA damage and increasing oxidative stress. These conditions are associated to neurodegenerative diseases and different types of cancer. However, their effect on the cardiovascular system remains unknown. This paper compares estrogenic metabolite levels in serum from post-menopausal women with cardiovascular risk (CAC>1) and with establish cardiovascular disease (CVD), against levels in healthy women (Ctrl). Sample sera were obtained from the Genetics of Atherosclerotic Disease (GEA) Mexican Study. Serum levels of eleven estrogenic metabolites were quantified by High performance liquid chromatography (HPLC) and oxidative stress markers such as ROS, lipoperoxidation levels (TBARS), total antioxidant capacity (TAC), super oxide dismutase activity (SOD) and cytokine levels were evaluated. 8-hydroxy-2-deoxyguanosine (8-OHdG) was also determined as a marker of nuclear damage.There were significant differences between serum levels of some EDMs in CAC> 1 and CVD vs. serum levels in Ctrl women. Results also revealed an increase in oxidative stress and a diminished capacity to manage oxidative stress. These findings provide an overview, and suggest that some estrogenic metabolites may be associated with an increased risk of CVD in menopausal women. However, additional studies are needed to evaluate the impact of these EDMs directly on cardiovascular function.
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Saucedo-Orozco H, Vargas-Barrón J, Vázquez-Antona CA, Castillo-Castellón F. Echocardiographic findings in patent ductus arteriosus-associated infective endarteritis. Anatol J Cardiol 2021; 25:774-780. [PMID: 34734810 DOI: 10.5152/anatoljcardiol.2021.36156] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
BACKGROUND Infectious endarteritis associated with patent ductus arteriosus (PDA-IE) is an uncommon complication in the era of antibiotics. However, it implies a clinical challenge in patients with a fever of undetermined origin; Two-dimensional transthoracic echocardiography (TTE) performs a fundamental role in diagnosis and follow-up. METHODS A retrospective analysis was then made of the data of all patients admitted at our center with PDA-IE within 15 years, and a review of the literature regarding diagnosis, TTE findings, and treatment was performed. RESULTS A total of 17 patients were identified. The mean age was 17.8 years. The TTE done in all patients confirmed the PDA and PA vegetations diagnosis; in five cases, one vegetation was present; in three cases, two vegetations were found, and in the nine remaining cases, three or more vegetations were observed. In two-thirds of the cases, the vegetations' size was 3 to 28 mm, and the principal morphology was filiform. In all cases, at least one of the vegetations was developed in the DA's lateral wall. Pulmonary valve (PV) was affected in 41% of the patients and caused low to moderate valvular regurgitation. Pulmonary embolism was present in 7 cases and pulmonary aneurism in one case. CONCLUSIONS Decreased incidence of PDA-IE has been currently achieved with early antibiotic therapy. However, today, this complication carries a significant risk of valve damage and other cardiac structures' involvement.
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Affiliation(s)
- Huitzilihuitl Saucedo-Orozco
- Department of Cardioneumology, Centro Médico Nacional La Raza, Instituto Mexicano del Seguro Social; Mexico City-México
| | - Jesús Vargas-Barrón
- Department of Pharmacology, Instituto Nacional de Cardiología Ignacio Chávez; Mexico City-México
| | - Clara A Vázquez-Antona
- Department of Pediatric Echocardiography, Instituto Nacional de Cardiología Ignacio Chávez; Mexico City-México
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García-López ZY, Vargas-Barrón J. Evaluation of the global longitudinal strain and segmental strain of the right ventricle with two-dimensional speckle-tracking echocardiography with elevation of the legs. Arch Cardiol Mex 2020; 89:20-24. [PMID: 30932079 DOI: 10.24875/acm.m19000001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Introduction Speckle-tracking echocardiography has shown its usefulness in the evaluation of the right ventricle (RV) in healthy subjects and in pulmonary hypertension. It is unknown whether this technique could be sensitive to assess healthy RV with increases in preload. Methods Consecutive subjects were studied without evidence of cardiopulmonary disease. They underwent speckle-tracking echocardiography in General Electric Vivid 7® equipment. The "segmental longitudinal strain" (SLS) and "global longitudinal strain" (GLS) of the RV was determined at rest and with an increase in the preload through elevation the legs to 45°. Results We analyzed 31 subjects, 16 men and 15 women, aged 16-53 years, in which were measured SLS and GLS. Basal of the RV free wall: -29.1 ± 3.3 versus -32.7 ± 5.5%, p = 0.0002. Mid of the RV free wall: -28.6 ± 6.4 versus -31.5 ± 4.9%, p = 0.001. Apical of the free wall of the RV: -21.9 ± 6.5 versus -23.3 ± 6.1%, p = 0.118. Basal inferoseptum: -19.40 ± 3.2 versus -18.9 ± 3.0%, p = 0.204. Mid inferoseptum: -19.3 ± 3.2 versus -19 ± 3.1%, p = 0.249. Apical septum: -17.1 ± 5.1 versus -17 ± 5.4%, p = 0.457. GLS of the RV: -23.06 ± 3.4 versus -24.5 ± 2.9%, p = 0.002. ICC: 0.773, 95% CI: 0.534-0.890, p < 0.001. Conclusions This method was sensitive to detect differences in the GLS and SLS basal and mid of the RV free wall.
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Affiliation(s)
- Zaira Y García-López
- Departamento de Hospitalización, Unidad Médica de Alta Especialidad, Hospital de Cardiología del Centro Médico Nacional Siglo XXI, IMSS
| | - Jesús Vargas-Barrón
- Departamento de Ecocardiografía, Instituto Nacional de Cardiología Dr. Ignacio Chávez, Ciudad de México, México
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Rodríguez-Morales O, Roldán FJ, Vargas-Barrón J, Parra-Benítez E, Medina-García MDL, Vergara-Bello E, Arce-Fonseca M. Echocardiographic Findings in Canine Model of Chagas Disease Immunized with DNA Trypanosoma cruzi Genes. Animals (Basel) 2020; 10:E648. [PMID: 32283649 PMCID: PMC7222844 DOI: 10.3390/ani10040648] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2020] [Revised: 04/03/2020] [Accepted: 04/03/2020] [Indexed: 02/06/2023] Open
Abstract
Chagas disease (ChD) is considered an emerging disease in the USA and Europe. Trypanosoma cruzi genes encoding a trans-sialidase protein and an amastigote-specific glycoprotein were tested as vaccines in canine model. The aim for this study was determining the prophylactic effect of these genes in experimentally infected dogs by echocardiography evaluation to compare with our findings obtained by other techniques published previously. Low fractional-shortening values of non-vaccinated dogs suggested an impairment in general cardiac function. Low left ventricular ejection fraction values found in infected dogs suggested myocardial injury regardless of whether they were vaccinated. Low left ventricular diastolic/systolic diameters suggested that progressive heart damage or heart dilation could be prevented by DNA vaccination. Systolic peak time was higher in non-vaccinated groups, increasing vulnerability to malignant arrhythmias and sudden death. High left ventricular volume suggested a decrease in wall thickness that might lead to increased size of the heart cavity, except in the pBCSP plasmid-vaccinated dogs. There was an echocardiographic evidence of left ventricular dilation and reduction in systolic function in experimental chagasic dogs. Echocardiography allowed a more complete follow-up of the pathological process in the living patient than with other techniques like electrocardiography, anatomopathology, and histopathology, being the method of choice for characterizing the clinical stages of ChD.
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Affiliation(s)
- Olivia Rodríguez-Morales
- Department of Molecular Biology, National Institute of Cardiology “Ignacio Chávez”, Juan Badiano No. 1, Col. Sección XVI, Tlalpan, Mexico City 14080, Mexico; (O.R.-M.); (E.P.-B.); (M.d.L.M.-G.); (E.V.-B.)
| | - Francisco-Javier Roldán
- Department of Echocardiography, National Institute of Cardiology “Ignacio Chávez”, Juan Badiano No. 1, Col. Sección XVI, Tlalpan, Mexico City 14080, Mexico; (F.-J.R.); (J.V.-B.)
| | - Jesús Vargas-Barrón
- Department of Echocardiography, National Institute of Cardiology “Ignacio Chávez”, Juan Badiano No. 1, Col. Sección XVI, Tlalpan, Mexico City 14080, Mexico; (F.-J.R.); (J.V.-B.)
| | - Enrique Parra-Benítez
- Department of Molecular Biology, National Institute of Cardiology “Ignacio Chávez”, Juan Badiano No. 1, Col. Sección XVI, Tlalpan, Mexico City 14080, Mexico; (O.R.-M.); (E.P.-B.); (M.d.L.M.-G.); (E.V.-B.)
| | - María de Lourdes Medina-García
- Department of Molecular Biology, National Institute of Cardiology “Ignacio Chávez”, Juan Badiano No. 1, Col. Sección XVI, Tlalpan, Mexico City 14080, Mexico; (O.R.-M.); (E.P.-B.); (M.d.L.M.-G.); (E.V.-B.)
| | - Emilia Vergara-Bello
- Department of Molecular Biology, National Institute of Cardiology “Ignacio Chávez”, Juan Badiano No. 1, Col. Sección XVI, Tlalpan, Mexico City 14080, Mexico; (O.R.-M.); (E.P.-B.); (M.d.L.M.-G.); (E.V.-B.)
| | - Minerva Arce-Fonseca
- Department of Molecular Biology, National Institute of Cardiology “Ignacio Chávez”, Juan Badiano No. 1, Col. Sección XVI, Tlalpan, Mexico City 14080, Mexico; (O.R.-M.); (E.P.-B.); (M.d.L.M.-G.); (E.V.-B.)
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Luna-Luna M, Criales-Vera S, Medina-Leyte D, Díaz-Zamudio M, Flores-Zapata A, Cruz-Robles D, López-Meneses M, Olvera-Cruz S, Ramírez-Marroquín S, Flores-Castillo C, Fragoso JM, Carreón-Torres E, Vargas-Barrón J, Vargas-Alarcón G, Pérez-Méndez Ó. Bone Morphogenetic Protein-2 and Osteopontin Gene Expression in Epicardial Adipose Tissue from Patients with Coronary Artery Disease Is Associated with the Presence of Calcified Atherosclerotic Plaques. Diabetes Metab Syndr Obes 2020; 13:1943-1951. [PMID: 32606854 PMCID: PMC7295210 DOI: 10.2147/dmso.s253632] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/18/2020] [Accepted: 06/04/2020] [Indexed: 12/25/2022] Open
Abstract
PURPOSE It has been proposed that the cardiovascular effects of obesity are related to epicardial adipose tissue (EAT), which seems to play an active role on the development and calcification of atherosclerotic plaques, but the mechanisms are still unknown. Therefore, the aim of this study was to determine whether the EAT expresses the genes of calcifying factors and whether such expression is associated with the body mass index (BMI) and with the presence of coronary artery calcium (CAC) in patients with coronary artery disease (CAD). PATIENTS AND METHODS Forty-three patients with CAD were enrolled specifically for this study, and their CAC score and EAT volume were determined by computed tomography. As the group of comparison, 41 patients with aortic valve stenosis and CAC = 0 were included (control group). A representative subgroup of 16 CAD patients and 23 controls were selected to obtain EAT biopsies during the chirurgical procedure from the atrio-interventricular groove. The mRNA expression of bone morphogenetic protein-2 and -4 (BMP-2, BMP-4), osteopontin (OPN), osteonectin (ON), and osteoprotegerin (OPG) in EAT was determined by qPCR. RESULTS The gene expression of OPN and BMP-2 was 70% and 52% higher in the EAT from CAD patients than that in controls, respectively, whereas the expression of OPG, ON, and BMP-4 was similar in both groups. The EAT volume positively correlated with OPG and with the BMI, suggesting a relationship of obesity with local higher expression of calcifying genes in the coronary territory. The logistic regression analysis showed that high levels of both OPN and BMP-2 increased about 6 and 8 times the odds of coronary calcification (CAC score > 0), respectively. CONCLUSION EAT correlated with BMI and expressed the mRNA of calcifying genes but only OPN and BMP-2 expression was higher in CAD patients. Higher levels of both OPN and BMP-2 statistically determined the presence of calcium in coronary arteries of CAD patients.
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Affiliation(s)
- María Luna-Luna
- Molecular Biology, National Institute of Cardiology “Ignacio Chávez”, Mexico City, Mexico
| | - Sergio Criales-Vera
- Radiology, National Institute of Cardiology “Ignacio Chávez”, Mexico City, Mexico
| | - Diana Medina-Leyte
- Molecular Biology, National Institute of Cardiology “Ignacio Chávez”, Mexico City, Mexico
| | - Mariana Díaz-Zamudio
- Radiology, National Institute of Cardiology “Ignacio Chávez”, Mexico City, Mexico
| | - Adriana Flores-Zapata
- Molecular Biology, National Institute of Cardiology “Ignacio Chávez”, Mexico City, Mexico
| | - David Cruz-Robles
- Molecular Biology, National Institute of Cardiology “Ignacio Chávez”, Mexico City, Mexico
| | - Mauricio López-Meneses
- Adult Cardiology, National Institute of Cardiology “Ignacio Chávez”, Mexico City, Mexico
| | - Sergio Olvera-Cruz
- Adult Cardiology, National Institute of Cardiology “Ignacio Chávez”, Mexico City, Mexico
| | | | | | - José Manuel Fragoso
- Molecular Biology, National Institute of Cardiology “Ignacio Chávez”, Mexico City, Mexico
| | | | - Jesús Vargas-Barrón
- Research Direction, National Institute of Cardiology “Ignacio Chávez”, Mexico City, Mexico
| | | | - Óscar Pérez-Méndez
- Molecular Biology, National Institute of Cardiology “Ignacio Chávez”, Mexico City, Mexico
- School of Engineering and Sciences, Tecnológico de Monterrey, Campus Monterrey, Mexico City, Mexico
- Correspondence: Óscar Pérez-Méndez Molecular Biology Department, National Institute of Cardiology “Ignacio Chávez”, Mexico City, MexicoTel +52 55 55732911 ext 26300 Email
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Estrada-Luna D, Carreón-Torres E, Bautista-Pérez R, Betanzos-Cabrera G, Dorantes-Morales A, Luna-Luna M, Vargas-Barrón J, Mejía AM, Fragoso JM, Carvajal-Aguilera K, García-Trejo JJ, Vargas-Alarcón G, Pérez-Méndez Ó. Microencapsulated Pomegranate Reverts High-Density Lipoprotein (HDL)-Induced Endothelial Dysfunction and Reduces Postprandial Triglyceridemia in Women with Acute Coronary Syndrome. Nutrients 2019; 11:nu11081710. [PMID: 31349559 PMCID: PMC6722536 DOI: 10.3390/nu11081710] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2019] [Revised: 07/18/2019] [Accepted: 07/22/2019] [Indexed: 12/14/2022] Open
Abstract
(1) Background: the composition of high-density lipoproteins (HDL) becomes altered during the postprandial state, probably affecting their functionality vis-à-vis the endothelium. Since acute coronary syndrome (ACS) in women is frequently associated with endothelial dysfunction, it is likely that HDL are unable to improve artery vasodilation in these patients. Therefore, we characterized HDL from women with ACS in fasting and postprandial conditions. We also determined whether microencapsulated pomegranate (MiPo) reverts the HDL abnormalities, since previous studies have suggested that this fruit improves HDL functionality. (2) Methods: Eleven women with a history of ACS were supplemented daily with 20 g of MiPo, for 30 days. Plasma samples were obtained during fasting and at different times, after a lipid load test to determine the lipid profile and paraoxonase–1 (PON1) activity. HDL were isolated by sequential ultracentrifugation to determine their size distribution and to assess their effect on endothelial function, by using an in vitro model of rat aorta rings. (3) Results: MiPo improved the lipid profile and increased PON1 activity, as previously reported, with fresh pomegranate juice. After supplementation with MiPo, the incremental area under the curve of triglycerides decreased to half of the initial values. The HDL distribution shifted from large HDL to intermediate and small-size particles during the postprandial period in the basal conditions, whereas such a shift was no longer observed after MiPo supplementation. Consistently, HDL isolated from postprandial plasma samples hindered the vasodilation of aorta rings, and this endothelial dysfunction was reverted after MiPo consumption. (4) Conclusions: MiPo exhibited the same beneficial effects on the lipid profile and PON1 activity as the previously reported fresh pomegranate. In addition, MiPo supplementation reverted the negative effects of HDL on endothelial function generated during the postprandial period in women with ACS.
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Affiliation(s)
- Diego Estrada-Luna
- Department of Molecular Biology, Instituto Nacional de Cardiología "Ignacio Chávez", 14080 Mexico City, Mexico
| | - Elizabeth Carreón-Torres
- Department of Molecular Biology, Instituto Nacional de Cardiología "Ignacio Chávez", 14080 Mexico City, Mexico
| | - Rocío Bautista-Pérez
- Department of Molecular Biology, Instituto Nacional de Cardiología "Ignacio Chávez", 14080 Mexico City, Mexico
| | - Gabriel Betanzos-Cabrera
- School of Engineering and Sciences Campus Queretaro, Tecnologico de Monterrey, 76130 Queretaro, Mexico
| | - Alan Dorantes-Morales
- Department of Molecular Biology, Instituto Nacional de Cardiología "Ignacio Chávez", 14080 Mexico City, Mexico
| | - María Luna-Luna
- Department of Molecular Biology, Instituto Nacional de Cardiología "Ignacio Chávez", 14080 Mexico City, Mexico
| | - Jesús Vargas-Barrón
- Department of Molecular Biology, Instituto Nacional de Cardiología "Ignacio Chávez", 14080 Mexico City, Mexico
| | - Ana María Mejía
- Blood Bank, Instituto Nacional de Cardiología "Ignacio Chávez", 14080 Mexico City, Mexico
| | - José Manuel Fragoso
- Department of Molecular Biology, Instituto Nacional de Cardiología "Ignacio Chávez", 14080 Mexico City, Mexico
| | - Karla Carvajal-Aguilera
- Laboratory of Experimental Nutrition, Instituto Nacional de Pediatría, 04530 Mexico City, Mexico
| | - José J García-Trejo
- Department of Biology, School of Chemistry, Universidad Nacional Autónoma de México (U.N.A.M.), 04510 Mexico City, Mexico
| | - Gilberto Vargas-Alarcón
- Department of Molecular Biology, Instituto Nacional de Cardiología "Ignacio Chávez", 14080 Mexico City, Mexico
| | - Óscar Pérez-Méndez
- Department of Molecular Biology, Instituto Nacional de Cardiología "Ignacio Chávez", 14080 Mexico City, Mexico.
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Ibarra-Lara L, Sánchez-Aguilar M, Soria-Castro E, Vargas-Barrón J, Roldán FJ, Pavón N, Torres-Narváez JC, Cervantes-Pérez LG, Pastelín-Hernández G, Sánchez-Mendoza A. Clofibrate Treatment Decreases Inflammation and Reverses Myocardial Infarction-Induced Remodelation in a Rodent Experimental Model. Molecules 2019; 24:molecules24020270. [PMID: 30642049 PMCID: PMC6359129 DOI: 10.3390/molecules24020270] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2018] [Revised: 01/04/2019] [Accepted: 01/08/2019] [Indexed: 01/08/2023] Open
Abstract
Myocardial infarction (MI) initiates an inflammatory response that promotes both beneficial and deleterious effects. The early response helps the myocardium to remove damaged tissue; however, a prolonged later response brings cardiac remodeling characterized by functional, metabolic, and structural pathological changes. Current pharmacological treatments have failed to reverse ischemic-induced cardiac damage. Therefore, our aim was to study if clofibrate treatment was capable of decreasing inflammation and apoptosis, and reverse ventricular remodeling and MI-induced functional damage. Male Wistar rats were assigned to (1) Sham coronary artery ligation (Sham) or (2) Coronary artery ligation (MI). Seven days post-MI, animals were further divided to receive vehicle (V) or clofibrate (100 mg/kg, C) for 7 days. The expression of IL-6, TNF-α, and inflammatory related molecules ICAM-1, VCAM-1, MMP-2 and -9, nuclear NF-kB, and iNOS, were elevated in MI-V. These inflammatory biomarkers decreased in MI-C. Also, apoptotic proteins (Bax and pBad) were elevated in MI-V, while clofibrate augmented anti-apoptotic proteins (Bcl-2 and 14-3-3ε). Clofibrate also protected MI-induced changes in ultra-structure. The ex vivo evaluation of myocardial functioning showed that left ventricular pressure and mechanical work decreased in infarcted rats; clofibrate treatment raised those parameters to control values. Echocardiogram showed that clofibrate partially reduced LV dilation. In conclusion, clofibrate decreases cardiac remodeling, decreases inflammatory molecules, and partly preserves myocardial diameters.
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Affiliation(s)
- Luz Ibarra-Lara
- Department of Pharmacology, National Institute of Cardiology Ignacio Chávez, Juan Badiano No.1, Col. Sección XVI, Tlalpan, Z.C., Mexico City 14080, Mexico.
| | - María Sánchez-Aguilar
- Department of Pharmacology, National Institute of Cardiology Ignacio Chávez, Juan Badiano No.1, Col. Sección XVI, Tlalpan, Z.C., Mexico City 14080, Mexico.
| | - Elizabeth Soria-Castro
- Department of Pathology, National Institute of Cardiology Ignacio Chávez, Juan Badiano No.1, Col. Sección XVI, Tlalpan, Z.C., Mexico City 14080, Mexico.
| | - Jesús Vargas-Barrón
- Department of Haemodynamics, National Institute of Cardiology Ignacio Chávez, Juan Badiano No.1, Col. Sección XVI, Tlalpan, Z.C., Mexico City 14080, Mexico.
| | - Francisco J Roldán
- Department of Haemodynamics, National Institute of Cardiology Ignacio Chávez, Juan Badiano No.1, Col. Sección XVI, Tlalpan, Z.C., Mexico City 14080, Mexico.
| | - Natalia Pavón
- Department of Pharmacology, National Institute of Cardiology Ignacio Chávez, Juan Badiano No.1, Col. Sección XVI, Tlalpan, Z.C., Mexico City 14080, Mexico.
| | - Juan C Torres-Narváez
- Department of Pharmacology, National Institute of Cardiology Ignacio Chávez, Juan Badiano No.1, Col. Sección XVI, Tlalpan, Z.C., Mexico City 14080, Mexico.
| | - Luz G Cervantes-Pérez
- Department of Pharmacology, National Institute of Cardiology Ignacio Chávez, Juan Badiano No.1, Col. Sección XVI, Tlalpan, Z.C., Mexico City 14080, Mexico.
| | - Gustavo Pastelín-Hernández
- Department of Pharmacology, National Institute of Cardiology Ignacio Chávez, Juan Badiano No.1, Col. Sección XVI, Tlalpan, Z.C., Mexico City 14080, Mexico.
| | - Alicia Sánchez-Mendoza
- Department of Pharmacology, National Institute of Cardiology Ignacio Chávez, Juan Badiano No.1, Col. Sección XVI, Tlalpan, Z.C., Mexico City 14080, Mexico.
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8
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García-López ZY, Vargas-Barrón J. Evaluation of the global longitudinal strain and segmental strain of the right ventricle with two-dimensional speckle-tracking echocardiography with elevation of the legs. Arch Cardiol Mex 2019; 89:15-19. [PMID: 31448760 DOI: 10.24875/acme.m19000003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2018] [Accepted: 10/10/2018] [Indexed: 06/10/2023] Open
Abstract
INTRODUCTION Speckle-tracking echocardiography has shown its usefulness in the evaluation of the right ventricle (RV) in healthy subjects and in pulmonary hypertension. It is unknown whether this technique could be sensitive to assess healthy RV with increases in preload. METHODS Consecutive subjects were studied without evidence of cardiopulmonary disease. They underwent speckle-tracking echocardiography in General Electric Vivid 7® equipment. The "segmental longitudinal strain" (SLS) and "global longitudinal strain" (GLS) of the RV was determined at rest and with an increase in the preload through elevation the legs to 45°. RESULTS We analyzed 31 subjects, 16 men and 15 women, aged 16-53 years, in which were measured SLS and GLS. Basal of the RV free wall: -29.1 ± 3.3 versus -32.7 ± 5.5%, p = 0.0002. Mid of the RV free wall: -28.6 ± 6.4 versus -31.5 ± 4.9 %, p = 0.001. Apical of the free wall of the RV: -21.9 ± 6.5 versus -23.3 ± 6.1 %, p = 0.118. Basal inferoseptum: -19.40 ± 3.2 versus -18.9 ± 3.0 %, p = 0.204. Mid inferoseptum: -19.3 ± 3.2 versus -19 ± 3.1 %, p = 0.249. Apical septum: -17.1 ± 5.1 versus -17 ± 5.4 %, p = 0.457. GLS of the RV: -23.06 ± 3.4 versus -24.5 ± 2.9 %, p = 0.002. ICC: 0.773, 95 % CI: 0.534-0.890, p < 0.001. CONCLUSIONS This method was sensitive to detect differences in the GLS and SLS basal and mid of the RV free wall.
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Affiliation(s)
- Zaira Y García-López
- Department of Hospitalization, High Specialty Medical Unit, Cardiology Hospital, Centro Médico Nacional Siglo XXI, IMSS
| | - Jesús Vargas-Barrón
- Department of Echocardiography, Instituto Nacional de Cardiología Dr. Ignacio Chávez. Mexico City, Mexico
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Ponce-Martínez X, Colin-Ramirez E, Sánchez-Puerto P, Rivera-Mancía S, Cartas-Rosado R, Infante-Vázquez O, Vallejo-Allende M, Vargas-Barrón J. Bread Consumption Is Associated with Elevated Blood Pressure among Adults Living in Mexico City⁻A Sub-Analysis of the Tlalpan 2020 Study. Nutrients 2018; 10:nu10121969. [PMID: 30551575 PMCID: PMC6316157 DOI: 10.3390/nu10121969] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2018] [Revised: 12/03/2018] [Accepted: 12/11/2018] [Indexed: 01/19/2023] Open
Abstract
Excessive dietary sodium is associated with elevated blood pressure (EBP). Bread products are identified as one of the main sources of daily sodium intake. The objective of this cross-sectional study was to evaluate the association between bread and others cereal products consumption with EBP. Frequency intake of a standard serving of bread and other cereal products was recorded and categorized as: ≤3 times/month or never (reference category group) and ≥ once/week. EBP was defined as systolic blood pressure (SBP) ≥120 mmHg and/or diastolic blood pressure (DBP) ≥80 mmHg. Raw and adjusted odds ratios (OR) for the association between consumption of the studied food products and blood pressure status were estimated. Overall, 2011 participants aged 37.3 ± 9.1 years old were included. In the models adjusted for relevant covariates, consumption of one piece of bolillo or telera (OR = 1.39; 95% CI = 1.01–1.89) ≥ once/week was associated with an increased risk of EBP, compared to the reference category. Also, participants consuming one bowl of high-fiber breakfast cereal once/week were less likely to have EBP (OR = 0.73; 95% CI = 0.53–0.98). Initiatives to reduce sodium levels in bread products such as bolillo and telera are needed in Mexico to help manage the cardiovascular risk at the population level.
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Affiliation(s)
- Xochitl Ponce-Martínez
- Sociomedical Research Department, National Institute of Cardiology Ignacio Chávez, Mexico City 14080, Mexico.
| | - Eloisa Colin-Ramirez
- Sociomedical Research Department, National Institute of Cardiology Ignacio Chávez, Mexico City 14080, Mexico.
- Cátedras CONACYT, National Council of Science and Technology, Mexico City 03940, Mexico.
| | - Paulina Sánchez-Puerto
- Sociomedical Research Department, National Institute of Cardiology Ignacio Chávez, Mexico City 14080, Mexico.
| | - Susana Rivera-Mancía
- Sociomedical Research Department, National Institute of Cardiology Ignacio Chávez, Mexico City 14080, Mexico.
- Cátedras CONACYT, National Council of Science and Technology, Mexico City 03940, Mexico.
| | - Raúl Cartas-Rosado
- Electromechanical Instrumentation Department, National Institute of Cardiology Ignacio Chávez, Mexico City 14080, Mexico.
| | - Oscar Infante-Vázquez
- Electromechanical Instrumentation Department, National Institute of Cardiology Ignacio Chávez, Mexico City 14080, Mexico.
| | - Maite Vallejo-Allende
- Sociomedical Research Department, National Institute of Cardiology Ignacio Chávez, Mexico City 14080, Mexico.
| | - Jesús Vargas-Barrón
- Division of Research, National Institute of Cardiology Ignacio Chávez, Mexico City 14080, Mexico.
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10
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Rivera-Mancía S, Jiménez-Osorio AS, Medina-Campos ON, Colín-Ramírez E, Vallejo M, Alcántara-Gaspar A, Cartas-Rosado R, Vargas-Barrón J, Pedraza-Chaverri J. Activity of Antioxidant Enzymes and Their Association with Lipid Profile in Mexican People without Cardiovascular Disease: An Analysis of Interactions. Int J Environ Res Public Health 2018; 15:ijerph15122687. [PMID: 30487467 PMCID: PMC6313725 DOI: 10.3390/ijerph15122687] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/22/2018] [Revised: 11/17/2018] [Accepted: 11/24/2018] [Indexed: 12/22/2022]
Abstract
Dyslipidemia and oxidative stress are both considered to be factors involved in cardiovascular disease; however, the relationship between them has been little explored. In this work, we studied the association between the lipid profile and the activity of antioxidant enzymes such as paraoxonase-1 (PON1), superoxide dismutase 1 (SOD1), ceruloplasmin, and catalase, as well as total antioxidant capacity (the ferric-reducing ability of plasma (FRAP)), in 626 volunteers without cardiovascular disease. Their lipid profile was evaluated, and they were classified as having or not having high triglycerides (↑TG), high low-density cholesterol (↑LDLC), and low high-density cholesterol (↓HDLC), resulting in eight groups: Without dyslipidemia, ↑TG, ↑LDLC, ↓HDLC, ↑TG↑LDLC, ↑TG↓HDLC, ↑LDLC↓HDLC, and ↑TG↑LDLC↓HDLC. When comparisons by group were made, no significant differences in the activity of antioxidant enzymes were obtained. However, the linear regression analysis considering the potential interactions between ↑TG, ↑LDLC, and ↓HDLC suggested a triple interaction between the three lipid profile alterations on the activity of PON1 and a double interaction between ↑TG and ↑LDLC on ferroxidase-ceruloplasmin activity. The analysis presented in this work showed an association between the lipid profile and antioxidant-enzyme activity and highlighted the importance of considering the interactions between the components of a phenomenon instead of studying them individually. Longitudinal studies are needed to elucidate the nature of these associations.
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Affiliation(s)
- Susana Rivera-Mancía
- CONACYT-Instituto Nacional de Cardiología 'Ignacio Chávez', Juan Badiano 1, Sección XVI, Tlalpan, Ciudad de México 14080, Mexico.
| | - Angélica Saraí Jiménez-Osorio
- Laboratorio de Medicina Genómica del Hospital Regional Lic. Adolfo López Mateos, ISSSTE, Av. Universidad 1321, Florida, Álvaro Obregón, Ciudad de México 01030, Mexico.
| | - Omar Noel Medina-Campos
- Departamento Biología, Facultad de Química, Universidad Nacional Autónoma de México, Ciudad de México 04510, Mexico.
| | - Eloísa Colín-Ramírez
- CONACYT-Instituto Nacional de Cardiología 'Ignacio Chávez', Juan Badiano 1, Sección XVI, Tlalpan, Ciudad de México 14080, Mexico.
| | - Maite Vallejo
- Departamento de Investigación Sociomédica, Instituto Nacional de Cardiología 'Ignacio Chávez' Juan Badiano 1, Sección XVI, Tlalpan, Ciudad de México 14080, Mexico.
| | - Ariadna Alcántara-Gaspar
- Departamento de Investigación Sociomédica, Instituto Nacional de Cardiología 'Ignacio Chávez' Juan Badiano 1, Sección XVI, Tlalpan, Ciudad de México 14080, Mexico.
| | - Raúl Cartas-Rosado
- CONACYT-Instituto Nacional de Cardiología 'Ignacio Chávez', Juan Badiano 1, Sección XVI, Tlalpan, Ciudad de México 14080, Mexico.
| | - Jesús Vargas-Barrón
- Dirección de Investigación, Instituto Nacional de Cardiología 'Ignacio Chávez' Juan Badiano 1, Sección XVI, Tlalpan, Ciudad de México 14080, Mexico.
| | - José Pedraza-Chaverri
- Departamento Biología, Facultad de Química, Universidad Nacional Autónoma de México, Ciudad de México 04510, Mexico.
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11
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Rivera-Mancía S, Colín-Ramírez E, Cartas-Rosado R, Infante O, Vargas-Barrón J, Vallejo M. Indicators of accumulated fat are stronger associated with prehypertension compared with indicators of circulating fat: A cross-sectional study. Medicine (Baltimore) 2018; 97:e11869. [PMID: 30142781 PMCID: PMC6113050 DOI: 10.1097/md.0000000000011869] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/15/2022] Open
Abstract
Recently, prehypertension has been considered as a risk factor for cardiovascular disease because it can progress to hypertension. The association between obesity and dyslipidemia with raised blood pressure has been reported in some studies; however, the ability of indicators of such conditions to predict prehypertension has been scarcely explored. In this cross-sectional study, we compared the ability of indicators of accumulated and circulating fat to discriminate between prehypertensive and normotensive Mexico City residents (n = 1377). The indicators were classified based on the parameters needed for their calculation: including only circulating fat (IOCFi) (e.g., Castelli risk indexes), including only accumulated fat (IOAFi) (e.g., waist circumference [WC]), and mixed (e.g., lipid accumulation product [LAP]). We compared the areas under the receiving operating characteristic curves (AURCs) and estimated the cutoff points for each indicator and their associated risk of prehypertension. The IOAFi had the greatest AURCs, followed by mixed and IOCFi; the AURCs for WC were the highest (AURC = 0.688 and 0.666 for women and men, respectively). The highest odds ratios for prehypertension were those associated with the cutoff points for IOAFi and LAP (e.g., OR = 2.8 for women with WC > 83.5 cm and OR = 2.6 for men with WC > 87.5 cm). Early detecting people at risk of cardiovascular disease is a necessity and given that WC had a better performance than the other indexes and it is relatively easy to measure, it has the potential of being used as a complementary measure in routine clinical examinations and by the general population as an auto-screening measurement to detect prehypertension.
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Affiliation(s)
| | | | | | | | | | - Maite Vallejo
- Department of Social Medicine Research, National Institute of Cardiology “Ignacio Chávez,” Mexico City, Mexico
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12
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Martínez-García M, Vargas-Barrón J, Bañuelos-Téllez F, González-Pacheco H, Fresno C, Hernández-Lemus E, Martínez-Ríos MA, Vallejo M. Public insurance program impact on catastrophic health expenditure on acute myocardial infarction. Public Health 2018; 158:47-54. [PMID: 29547759 DOI: 10.1016/j.puhe.2018.01.025] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2017] [Revised: 12/07/2017] [Accepted: 01/23/2018] [Indexed: 10/17/2022]
Abstract
OBJECTIVE ST-segment elevation myocardial infarction (STEMI) has an important economic burden that poised the urgent need to evaluate its catastrophic medical expense. This study evaluates the first 5 years of the national health initiative called Popular Insurance (PI) at the National Institute of Cardiology in Mexico. STUDY DESIGN Retrospective data analysis. METHODS STEMI patients with (n=317) and without (n=260) PI were selected. Analysed variables included socio-economical context, management care, cost evaluation and three outcomes (mortality, hospital readmission and therapeutic adherence). Descriptive statistical analyses, Kaplan-Meier survival and Support Vector Machine models were used accordingly. RESULTS Treatment costs were higher for PI-covered individuals (P=0.022) and only 1.89% of them remained in debt, in contrast to 16.15% of those without PI. Statistically significant differences were found in relation to days in hospital wards (P<0.001), imaging studies (P<0.001) and surgical materials (P=0.04). Survival analysis (P=0.44) and therapeutic adherence (P=0.38) showed no differences. Hospital readmission was predicted with an 81.97% accuracy. The most important predictive variables included were stent type, number of days at the coronary care unit and hospital wards. CONCLUSIONS The PI has proven to be a successful program where no differences were found in terms of health care and survival, whereas it provides timely financial support for families facing catastrophic health challenging events.
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Affiliation(s)
- M Martínez-García
- Sociomedical Research Department, National Institute of Cardiology, Mexico City, Mexico; Ph.D. Programme in Collective Health, Practices and Policies in Healthcare, Metropolitan Autonomous University, Xochimilco, Mexico City, Mexico
| | | | - F Bañuelos-Téllez
- Planning Division, National Institute of Cardiology, Mexico City, Mexico
| | - H González-Pacheco
- Coronary Care Unit, National Institute of Cardiology, Mexico City, Mexico
| | - C Fresno
- Computational Genomics Division, National Institute of Genomic Medicine, Mexico City, Mexico
| | - E Hernández-Lemus
- Computational Genomics Division, National Institute of Genomic Medicine, Mexico City, Mexico
| | | | - M Vallejo
- Sociomedical Research Department, National Institute of Cardiology, Mexico City, Mexico.
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13
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Luna-Luna M, Cruz-Robles D, Ávila-Vanzzini N, Herrera-Alarcón V, Martínez-Reding J, Criales-Vera S, Sandoval-Zárate J, Vargas-Barrón J, Martínez-Sánchez C, Tovar-Palacio AR, Fragoso JM, Carreón-Torres E, Vargas-Alarcón G, Pérez-Méndez Ó. Differential expression of osteopontin, and osteoprotegerin mRNA in epicardial adipose tissue between patients with severe coronary artery disease and aortic valvular stenosis: association with HDL subclasses. Lipids Health Dis 2017; 16:156. [PMID: 28821297 PMCID: PMC5563041 DOI: 10.1186/s12944-017-0550-2] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2017] [Accepted: 08/14/2017] [Indexed: 12/18/2022] Open
Abstract
BACKGROUND Previous studies suggest a relationship of the epicardial adipose tissue (EAT) with progression and calcification of the atherosclerotic plaque; however, it is unknown if this tissue expresses genes that may participate on these processes and if the expression of these genes is regulated by high-density lipoprotein (HDL) subclasses. METHODS To explore this possibility, we determined the mRNA expression by qPCR of a pro-calcifying gene (osteopontin (OPN)), and two anti-calcifying genes (osteoprotegerin (OPG) and osteonectin (ON)), in biopsies of EAT obtained from 15 patients with coronary artery disease (CAD) determined by angiography, and 15 patients with diagnostic of aortic valve stenosis but without CAD as control group. We determined the distribution and composition of HDL subclasses by electrophoresis and their statistical relationship with the gene expression in EAT. RESULTS EAT from CAD patients showed a higher expression level of OPN and OPG than control group, whereas ON expression was similar between groups. Large HDL subclasses were cholesterol-poor in CAD patients as estimated by the cholesterol-to-phospholipid ratio. A linear regression model showed an independent association of OPN expression with HDL3a-cholesterol, and OPG expression with the relative proportion of HDL3b protein. Logistic analysis determined that OPN expression was positively associated with the presence of atherosclerotic plaque CONCLUSION: OPN, ON, and OPG genes are transcribed in EAT; to the exception of ON, the level of expression was different in CAD patients and control group, and correlated with some HDL subclasses, suggesting a new role of these lipoproteins.
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Affiliation(s)
- María Luna-Luna
- Department of Molecular Biology, Instituto Nacional de Cardiología "Ignacio Chávez", Juan Badiano 1, Sección XVI, 14080, México City, D.F., Mexico
| | - David Cruz-Robles
- Department of Molecular Biology, Instituto Nacional de Cardiología "Ignacio Chávez", Juan Badiano 1, Sección XVI, 14080, México City, D.F., Mexico
| | - Nydia Ávila-Vanzzini
- Department of Echocardiography, Instituto Nacional de Cardiología "Ignacio Chávez", México City, Mexico
| | - Valentín Herrera-Alarcón
- Department of Cardiothoracic Surgery, Instituto Nacional de Cardiología "Ignacio Chávez", México City, Mexico
| | - Jesús Martínez-Reding
- Department of Adult Cardiology, Instituto Nacional de Cardiología "Ignacio Chávez", México City, Mexico
| | - Sergio Criales-Vera
- Department of Radiology, Instituto Nacional de Cardiología "Ignacio Chávez", México City, Mexico.,Study Group of Atherosclerosis, Instituto Nacional de Cardiología "Ignacio Chávez", México City, Mexico
| | - Julio Sandoval-Zárate
- Department of Cardiopulmonary, Instituto Nacional de Cardiología "Ignacio Chávez", México City, Mexico.,Study Group of Atherosclerosis, Instituto Nacional de Cardiología "Ignacio Chávez", México City, Mexico
| | - Jesús Vargas-Barrón
- Department of Echocardiography, Instituto Nacional de Cardiología "Ignacio Chávez", México City, Mexico.,Study Group of Atherosclerosis, Instituto Nacional de Cardiología "Ignacio Chávez", México City, Mexico
| | - Carlos Martínez-Sánchez
- Department of Emergency, Instituto Nacional de Cardiología "Ignacio Chávez", México City, Mexico.,Study Group of Atherosclerosis, Instituto Nacional de Cardiología "Ignacio Chávez", México City, Mexico
| | - Armando Roberto Tovar-Palacio
- Department of Physiology of Nutrition, Instituto Nacional de Ciencias Médicas y Nutrición "Salvador Zubirán", México City, Mexico
| | - José Manuel Fragoso
- Department of Molecular Biology, Instituto Nacional de Cardiología "Ignacio Chávez", Juan Badiano 1, Sección XVI, 14080, México City, D.F., Mexico.,Study Group of Atherosclerosis, Instituto Nacional de Cardiología "Ignacio Chávez", México City, Mexico
| | - Elizabeth Carreón-Torres
- Department of Molecular Biology, Instituto Nacional de Cardiología "Ignacio Chávez", Juan Badiano 1, Sección XVI, 14080, México City, D.F., Mexico.,Study Group of Atherosclerosis, Instituto Nacional de Cardiología "Ignacio Chávez", México City, Mexico
| | - Gilberto Vargas-Alarcón
- Department of Molecular Biology, Instituto Nacional de Cardiología "Ignacio Chávez", Juan Badiano 1, Sección XVI, 14080, México City, D.F., Mexico.,Study Group of Atherosclerosis, Instituto Nacional de Cardiología "Ignacio Chávez", México City, Mexico
| | - Óscar Pérez-Méndez
- Department of Molecular Biology, Instituto Nacional de Cardiología "Ignacio Chávez", Juan Badiano 1, Sección XVI, 14080, México City, D.F., Mexico. .,Study Group of Atherosclerosis, Instituto Nacional de Cardiología "Ignacio Chávez", México City, Mexico.
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14
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Colín-Ramírez E, Rivera-Mancía S, Infante-Vázquez O, Cartas-Rosado R, Vargas-Barrón J, Madero M, Vallejo M. Protocol for a prospective longitudinal study of risk factors for hypertension incidence in a Mexico City population: the Tlalpan 2020 cohort. BMJ Open 2017; 7:e016773. [PMID: 28760800 PMCID: PMC5642768 DOI: 10.1136/bmjopen-2017-016773] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/16/2022] Open
Abstract
INTRODUCTION Systemic hypertension (HTN) is a common risk factor for cardiovascular disease. In Mexico, HTN prevalence has increased over time and is currently 31%. Nonetheless, information about the country's HTN incidence and its associated risk factors is scarce. Understanding this condition is a priority for identifying the scope of primary prevention. The main objective of this study is to evaluate the effect of traditional and non-traditional risk factors on the incidence of HTN in a cohort of healthy Mexico City residents under biannual follow-up for 10 years. METHODS AND ANALYSIS A prospective longitudinal study is proposed in which clinically healthy residents of Mexico City between 20 and 50 years old will be recruited; the participants will be evaluated every 2 years over a period of 10 years or until they develop HTN. Evaluations regarding sociodemographic, clinical, anthropometric, biochemical, diet, physical activity, stress, sleep quality, alcohol and tobacco consumption factors will be performed. The participants will be recruited from the 16 municipalities of Mexico City through promotional strategies aimed at the community and will be clinically evaluated at a tertiary care institution, Instituto Nacional de Cardiología Ignacio Chávez (National Institute of Cardiology Ignacio Chavez), located in Mexico City, Mexico. Sample size estimated for this study is 3436, and the Cox proportional hazards model will be used to estimate HRs for the association between explanatory variables and HTN using both raw and adjusted data. ETHICS AND DISSEMINATION This study was approved by the Institutional Bioethics Committee of the Instituto Nacional de Cardiología Ignacio Chávez (National Institute of Cardiology Ignacio Chavez) under number 13-802. Findings from this study will be disseminated through scientific papers and research conferences.
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Affiliation(s)
- Eloisa Colín-Ramírez
- National Council for Science and Technology (CONACYT) – National Institute of Cardiology ‘Ignacio Chávez’, Juan Badiano 1, Sección XVI, Mexico City, Mexico
| | - Susana Rivera-Mancía
- National Council for Science and Technology (CONACYT) – National Institute of Cardiology ‘Ignacio Chávez’, Juan Badiano 1, Sección XVI, Mexico City, Mexico
| | - Oscar Infante-Vázquez
- Department of Electromechanical Instrumentation, National Institute of Cardiology ‘Ignacio Chávez’ Juan Badiano 1, Sección XVI, Mexico City, Mexico
| | - Raúl Cartas-Rosado
- National Council for Science and Technology (CONACYT) – National Institute of Cardiology ‘Ignacio Chávez’, Juan Badiano 1, Sección XVI, Mexico City, Mexico
| | - Jesús Vargas-Barrón
- Division of Research, National Institute of Cardiology ‘Ignacio Chávez’ Juan Badiano 1, Sección XVI, Mexico City, Mexico
| | - Magdalena Madero
- Department of Nephrology, National Institute of Cardiology ‘Ignacio Chávez’ Juan Badiano 1, Sección XVI, Mexico City, Mexico
| | - Maite Vallejo
- Department of Social Medicine Research, National Institute of Cardiology ‘Ignacio Chávez’, Juan Badiano 1, Sección XVI, Mexico City, Mexico
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15
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Vallejo M, Colín-Ramírez E, Rivera Mancía S, Cartas Rosado R, Madero M, Infante Vázquez O, Vargas-Barrón J. Assessment of Sodium and Potassium Intake by 24 h Urinary Excretion in a Healthy Mexican Cohort. Arch Med Res 2017. [DOI: 10.1016/j.arcmed.2017.03.012] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
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16
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Colin-Ramirez E, Vallejo M, Rivera-Mancía S, Cartas-Rosado R, Infante O, Madero M, Aguilar T, Amador R, Sandoval J, Vargas-Barrón J. PM037 Twenty-Four-Hour Urinary Sodium Excretion and Adherence to the World Health Organization Recommendations For Sodium Intake in a Mexican Population. Glob Heart 2016. [DOI: 10.1016/j.gheart.2016.03.266] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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17
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Martínez-Ramírez M, Madero M, Vargas-Alarcón G, Vargas-Barrón J, Fragoso JM, Rodríguez-Pérez JM, Martínez-Sánchez C, González-Pacheco H, Bautista-Pérez R, Carreón-Torres E, Pérez-Méndez O. HDL-sphingomyelin reduction after weight loss by an energy-restricted diet is associated with the improvement of lipid profile, blood pressure, and decrease of insulin resistance in overweight/obese patients. Clin Chim Acta 2016; 454:77-81. [PMID: 26751808 DOI: 10.1016/j.cca.2015.12.039] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2015] [Revised: 12/22/2015] [Accepted: 12/30/2015] [Indexed: 10/22/2022]
Abstract
BACKGROUND Sphingomyelin (SM) diminishes the fluidity of the surface monolayer of high-density lipoproteins (HDL), affecting their intravascular metabolism and antiatherogenic properties. Since overweight is associated with an altered HDL structure, weight loss may result in changes in HDL subclasses, particularly in their SM content. Therefore, we determined the plasma SM concentrations associated to both total HDL and HDL subclasses after weight loss in obese patients. METHODS Fifty overweight patients, 40 women and 10 men, aged 38.6±6.4 y, were given an energy-restricted diet according to their sex, age, and height. No physical activity was prescribed. Plasma SM concentrations of HDL subclasses were determined by a gel surface method developed for this study. Cholesterol of HDL subclasses was also determined by enzymatic methods performed on a gel surface. RESULTS Mean weight lost was 3.5±0.4 kg after 6 weeks of dietary intervention. As expected, insulin resistance and blood pressure decreased whereas lipid profile improved, except for HDL-cholesterol. SM in plasma and in all HDL subclasses significantly decreased after intervention. The magnitude of HDL-SM reduction was statistically associated with the amelioration of the components of the metabolic syndrome; the reduction of BMI explained the decrement of HDL-SM in a multivariate analysis. CONCLUSION HDL-SM decreased after weight loss by an energy-restricted diet. Further, the association of this decrement with the improvement of blood pressure, lipid profile and the decrease of insulin resistance, was statistically significant; all HDL subclasses were similarly affected. Whether a reduction in HDL-SM contributes to the cardiovascular benefits of weight loss remains to be elucidated.
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Affiliation(s)
| | - Magdalena Madero
- Nephrology, Instituto Nacional de Cardiología "Ignacio Chávez", D.F., Mexico
| | - Gilberto Vargas-Alarcón
- Molecular Biology, Instituto Nacional de Cardiología "Ignacio Chávez", D.F., Mexico; Atherosclerosis Study Group, Instituto Nacional de Cardiología "Ignacio Chávez", D.F., Mexico
| | - Jesús Vargas-Barrón
- Atherosclerosis Study Group, Instituto Nacional de Cardiología "Ignacio Chávez", D.F., Mexico
| | - José Manuel Fragoso
- Molecular Biology, Instituto Nacional de Cardiología "Ignacio Chávez", D.F., Mexico; Atherosclerosis Study Group, Instituto Nacional de Cardiología "Ignacio Chávez", D.F., Mexico
| | | | - Carlos Martínez-Sánchez
- Atherosclerosis Study Group, Instituto Nacional de Cardiología "Ignacio Chávez", D.F., Mexico
| | - Héctor González-Pacheco
- Atherosclerosis Study Group, Instituto Nacional de Cardiología "Ignacio Chávez", D.F., Mexico
| | - Rocío Bautista-Pérez
- Molecular Biology, Instituto Nacional de Cardiología "Ignacio Chávez", D.F., Mexico; Atherosclerosis Study Group, Instituto Nacional de Cardiología "Ignacio Chávez", D.F., Mexico
| | - Elizabeth Carreón-Torres
- Molecular Biology, Instituto Nacional de Cardiología "Ignacio Chávez", D.F., Mexico; Atherosclerosis Study Group, Instituto Nacional de Cardiología "Ignacio Chávez", D.F., Mexico
| | - Oscar Pérez-Méndez
- Molecular Biology, Instituto Nacional de Cardiología "Ignacio Chávez", D.F., Mexico; Atherosclerosis Study Group, Instituto Nacional de Cardiología "Ignacio Chávez", D.F., Mexico.
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18
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Morales-Alvarez R, Martínez-Memije R, Becerra-Luna B, García-Paz P, Infante O, Palma-Ramírez A, Caviedes-Aramburu A, Vargas-Barrón J, Lerma C, Pérez-Grovas H. Hemodynamic Response to Hemodialysis With Ultrafiltration Rate Profiles Either Gradually Decreasing or Gradually Increasing. Artif Organs 2015; 40:684-91. [DOI: 10.1111/aor.12628] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Ricardo Morales-Alvarez
- Departamento de Nefrología; Instituto Nacional de Cardiología Ignacio Chávez; México City México
| | - Raúl Martínez-Memije
- Departamento de Instrumentación Electromecánica; Instituto Nacional de Cardiología Ignacio Chávez; México City México
| | - Brayans Becerra-Luna
- Departamento de Instrumentación Electromecánica; Instituto Nacional de Cardiología Ignacio Chávez; México City México
| | - Paola García-Paz
- Departamento de Instrumentación Electromecánica; Instituto Nacional de Cardiología Ignacio Chávez; México City México
| | - Oscar Infante
- Departamento de Instrumentación Electromecánica; Instituto Nacional de Cardiología Ignacio Chávez; México City México
| | - Alfredo Palma-Ramírez
- Departamento de Nefrología; Instituto Nacional de Cardiología Ignacio Chávez; México City México
| | - Amaya Caviedes-Aramburu
- Departamento de Nefrología; Instituto Nacional de Cardiología Ignacio Chávez; México City México
| | - Jesús Vargas-Barrón
- Dirección de Investigación; Instituto Nacional de Cardiología Ignacio Chávez; México City México
| | - Claudia Lerma
- Departamento de Instrumentación Electromecánica; Instituto Nacional de Cardiología Ignacio Chávez; México City México
| | - Héctor Pérez-Grovas
- Departamento de Nefrología; Instituto Nacional de Cardiología Ignacio Chávez; México City México
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19
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Castillo-Martínez D, Marroquín-Fabián E, Lozada-Navarro AC, Mora-Ramírez M, Juárez M, Sánchez-Muñoz F, Vargas-Barrón J, Sandoval J, Amezcua-Guerra LM. Levels of uric acid may predict the future development of pulmonary hypertension in systemic lupus erythematosus: a seven-year follow-up study. Lupus 2015; 25:61-6. [PMID: 26306740 DOI: 10.1177/0961203315600539] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2015] [Accepted: 07/08/2015] [Indexed: 11/15/2022]
Abstract
OBJECTIVE The objective of this paper is to assess whether pulmonary hypertension (PH) may be detected at one point in time or longitudinally predicted by serum uric acid (sUA) levels in systemic lupus erythematosus (SLE). METHODS We conducted a post-hoc analysis of a long-term followed cohort of Mexican SLE patients. Echocardiography-based definitions of PH by the ESC/ERS/ISHLT and its associations with clinical and laboratory data on enrollment were studied. Especially, the impact that sUA levels at baseline may have on the future development of PH in patients with normal pulmonary artery systolic pressure (PASP) was explored. RESULTS Out of the 156 SLE patients originally enrolled in the cohort, 44 met the inclusion criteria for the present study and were grouped as having (n =10) or not having (n = 34) PH. At baseline, sUA levels of 5.83 ± 1.79 and 5.82 ± 1.97 mg/dl (p = ns) were found in patients with and without PH, respectively. No association between PASP and other markers was found. In patients with normal PASP, the presence of sUA ≥ 7 mg/dl at baseline predicted future development of PH (relative risk 8.5, 1.0009 to 72; p = 0.04). CONCLUSION In SLE, sUA levels at one point in time are useless to detect PH. However, steady hyperuricemia may predict the future development of PH in patients with normal PASP at baseline.
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Affiliation(s)
- D Castillo-Martínez
- Department of Dermatology, Hospital General de Zona 32 Villa Coapa, Instituto Mexicano del Seguro Social, Mexico City, Mexico
| | - E Marroquín-Fabián
- Department of Rheumatology, Instituto Nacional de Cardiología Ignacio Chávez, Mexico City, Mexico
| | - A C Lozada-Navarro
- Department of Rheumatology, Instituto Nacional de Cardiología Ignacio Chávez, Mexico City, Mexico
| | - M Mora-Ramírez
- Department of Immunology, Instituto Nacional de Cardiología Ignacio Chávez, Mexico City, Mexico
| | - M Juárez
- Department of Rheumatology, Instituto Nacional de Cardiología Ignacio Chávez, Mexico City, Mexico
| | - F Sánchez-Muñoz
- Department of Immunology, Instituto Nacional de Cardiología Ignacio Chávez, Mexico City, Mexico
| | - J Vargas-Barrón
- Division of Research, Instituto Nacional de Cardiología Ignacio Chávez, Mexico City, Mexico
| | - J Sandoval
- Division of Research, Instituto Nacional de Cardiología Ignacio Chávez, Mexico City, Mexico
| | - L M Amezcua-Guerra
- Department of Immunology, Instituto Nacional de Cardiología Ignacio Chávez, Mexico City, Mexico Department of Health Care, Universidad Autónoma Metropolitana-Xochimilco, Mexico City, Mexico LaSalle University School of Medicine, Mexico City, Mexico
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20
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Luna-Luna M, Medina-Urrutia A, Vargas-Alarcón G, Coss-Rovirosa F, Vargas-Barrón J, Pérez-Méndez Ó. Adipose Tissue in Metabolic Syndrome: Onset and Progression of Atherosclerosis. Arch Med Res 2015; 46:392-407. [PMID: 26009250 DOI: 10.1016/j.arcmed.2015.05.007] [Citation(s) in RCA: 71] [Impact Index Per Article: 7.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2015] [Accepted: 05/12/2015] [Indexed: 12/25/2022]
Abstract
Metabolic syndrome (MetS) should be considered a clinical entity when its different symptoms share a common etiology: obesity/insulin resistance as a result of a multi-organ dysfunction. The main interest in treating MetS as a clinical entity is that the addition of its components drastically increases the risk of atherosclerosis. In MetS, the adipose tissue plays a central role along with an unbalanced gut microbiome, which has become relevant in recent years. Once visceral adipose tissue (VAT) increases, dyslipidemia and endothelial dysfunction follow as additive risk factors. However, when the nonalcoholic fatty liver is present, risk of a cardiovascular event is highly augmented. Epicardial adipose tissue (EAT) seems to increase simultaneously with the VAT. In this context, the former may play a more important role in the development of the atherosclerotic plaque than the latter. Hence, EAT may act as a paracrine tissue vis-à-vis the coronary arteries favoring the local inflammation and the atheroma calcification.
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Affiliation(s)
- María Luna-Luna
- Department of Molecular Biology, Instituto Nacional de Cardiología, Mexico City, Mexico
| | | | - Gilberto Vargas-Alarcón
- Department of Molecular Biology, Instituto Nacional de Cardiología, Mexico City, Mexico; Study Group of Atherosclerosis, Instituto Nacional de Cardiología, Mexico City, Mexico
| | | | - Jesús Vargas-Barrón
- Echocardiography, Instituto Nacional de Cardiología, Mexico City, Mexico; Study Group of Atherosclerosis, Instituto Nacional de Cardiología, Mexico City, Mexico
| | - Óscar Pérez-Méndez
- Department of Molecular Biology, Instituto Nacional de Cardiología, Mexico City, Mexico; Study Group of Atherosclerosis, Instituto Nacional de Cardiología, Mexico City, Mexico.
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21
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González-Pacheco H, Vargas-Barrón J, Vallejo M, Piña-Reyna Y, Altamirano-Castillo A, Sánchez-Tapia P, Martínez-Sánchez C. Prevalence of conventional risk factors and lipid profiles in patients with acute coronary syndrome and significant coronary disease. Ther Clin Risk Manag 2014; 10:815-23. [PMID: 25328397 PMCID: PMC4199556 DOI: 10.2147/tcrm.s67945] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023] Open
Abstract
BACKGROUND Among patients with coronary artery disease (CAD), 80%-90% present at least one conventional risk factor. On the other hand, lipid profile modification after a cardiovascular event related to acute coronary syndrome (ACS) has been recognized. The prevalence of conventional risk factors and the lipid profile at the time of admission in patients with ACS and significant CAD (stenosis ≥50%) determined through coronary angiography is not well described. METHODS We studied 3,447 patients with a diagnosis of ACS and significant CAD with stenosis ≥50%, as shown o n angiography. We recorded the presence of conventional risk factors, including smoking, hypertension, dyslipidemia, and diabetes. In addition, we analyzed the lipid profiles within the first 24 hours of admission. We analyzed the studied population and compared findings according to sex. RESULTS Most patients (81.7%) were male. ST-elevation myocardial infarction was present in 51.3% of patients, and non-ST-elevation acute coronary syndrome was present in 48.7%. The most frequent risk factor was smoking, which was present in 68% of patients, followed by hypertension (57.8%), dyslipidemia (47.5%), and diabetes (37.7%). In women, the most frequent risk factors were hypertension, diabetes, and dyslipidemia, whereas in men, smoking was the most frequent. We identified at least one risk factor in 95.7% of all patients, two or three risk factors in 62%, and four risk factors in 8.6% of patients. The lipid profile analysis revealed that 85.1% of patients had some type of dyslipidemia, and the most frequent was low levels of high-density lipoprotein cholesterol (68.6% of cases). CONCLUSION We found at least one conventional risk factor in 95.7% of patients with ACS and significant CAD. The lipid profile analysis revealed that two thirds of cases had low high-density lipoprotein cholesterol levels.
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Affiliation(s)
| | - Jesús Vargas-Barrón
- Department of Clinical Research, National Institute of Cardiology in Mexico City, Mexico City, Mexico
| | - Maite Vallejo
- Department of Clinical Research, National Institute of Cardiology in Mexico City, Mexico City, Mexico
| | - Yigal Piña-Reyna
- Catheterization Laboratory, National Institute of Cardiology in Mexico City, Mexico City, Mexico
| | | | - Pedro Sánchez-Tapia
- Coronary Care Unit, National Institute of Cardiology in Mexico City, Mexico City, Mexico
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22
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Vargas-Barrón J, González-Pacheco H, Meléndez-Ramírez G, Roldán FJ, Damas-De los Sasntos F, Meave-González A, Martínez-Sánchez C. Intramyocardial hemorrhage in spontaneously reperfused myocardial infarction. Rev Invest Clin 2014; 66:107-112. [PMID: 24960319] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Received: 08/14/2013] [Accepted: 01/28/2014] [Indexed: 06/03/2023]
Abstract
OBJECTIVE. The presence of intramyocardial hemorrhage (IMH) is frequent in patients with acute myocardial infarction (AMI) undergoing primary percutaneous coronary intervention (PPCI). We aim for the presence IMH using cMRI in patients who presented AMI and did not undergo PPCI or thrombolysis. Cardiac magnetic resonance has proven to be a highly sensitive method for detect its presence in the ischemic damaged tissue. MATERIAL AND METHODS. Patients admitted with diagnosis of ST elevation myocardial infarction > 24 h after initial presentation and without reperfusion therapy were enrolled in the study. All patients underwent cardiac magnetic resonance for detecting edema, microvascular obstruction and intramyocardial hemorrhage, followed by coronary angiography. RESULTS. Seven male patients, with median age of 53 years, were enrolled. Cardiac magnetic resonance showed that all patients had microvascular obstruction and edema. Two of them had intramyocardial hemorrhage in association with spontaneous reperfusion demonstrated by angiography. CONCLUSION. The results of our study show that in patients with acute myocardial infarction, intramyocardial hemorrhage occurs not only after therapeutic, but also after spontaneous reperfusion. This is the first time that its presence is demonstrated by cardiac magnetic resonance.
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Affiliation(s)
- Jesús Vargas-Barrón
- Dirección de Investigación. Instituto Nacional de Cardiología Ignacio Chávez
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23
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Bautista R, Carreón-Torres E, Luna-Luna M, Komera-Arenas Y, Franco M, Fragoso JM, López-Olmos V, Cruz-Robles D, Vargas-Barrón J, Vargas-Alarcón G, Pérez-Méndez O. Early endothelial nitrosylation and increased abdominal adiposity in Wistar rats after long-term consumption of food fried in canola oil. Nutrition 2014; 30:1055-60. [PMID: 24958674 DOI: 10.1016/j.nut.2014.01.010] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2013] [Revised: 01/07/2014] [Accepted: 01/11/2014] [Indexed: 01/30/2023]
Abstract
OBJECTIVE The aim of this study was to establish whether the long-term consumption of reused canola oil contributes to the development of dyslipidemia, obesity, and endothelial function. METHODS Canola oil was used for one frying cycle (1 FC) of corn flour dough or reused 10 times (10 FC). Rats received chow diet (control) or supplemented with 7% raw oil (RO), 1 FC or 10 FC oil (n = 10 per group). Food consumption, blood pressure (BP), and body weight plasma glucose, plasma lipids were monitored. Vascular reactivity was analyzed using aorta rings stimulated with phenylephrine and acetylcholine. Nitrotyrosine presence in aorta rings was analyzed by immunohistochemistry. RESULTS After 10 wk of follow-up, visceral adipose tissue was significantly more abundant in 1 FC (7.4 ± 0.6 g) and 10 FC (8.8 ± 0.7 g) than the RO (5.0 ± 0.2 g; P = 0.05 versus 10 FC group) or control group (2.6 ± 0.3 g; P = 0.05 versus all groups). Despite similar plasma cholesterol, triglycerides, and BP among groups, a significantly reduced acetylcholine-induced vascular relaxation was observed in the three groups receiving the oil-supplemented diet (47.2% ± 3.6%, 27.2% ± 7.7%, and 25.9% ± 7.6% of relaxation, for the RO, 1 FC, and 10 FC, respectively; P < 0.05 for all versus 62.4% ± 9.7% of the control group). Endothelial dysfunction was concomitant with the presence of nitrotyrosine residues at a higher extent in the groups that received heated oils compared with the RO group. CONCLUSION High canola oil intake over 10 wk was associated with increased adipose tissue and early endothelial dysfunction probably induced by peroxinitrite formation. Such deleterious effects were significantly potentiated when the consumed oil had been used repeatedly for frying.
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Affiliation(s)
- Rocío Bautista
- Nephrology Department, Instituto Nacional de Cardiología "Ignacio Chávez," Mexico, Distrito Federal, Mexico
| | - Elizabeth Carreón-Torres
- Molecular Biology Department, Instituto Nacional de Cardiología "Ignacio Chávez," Mexico, Distrito Federal, Mexico
| | - María Luna-Luna
- Molecular Biology Department, Instituto Nacional de Cardiología "Ignacio Chávez," Mexico, Distrito Federal, Mexico
| | - Yukari Komera-Arenas
- Molecular Biology Department, Instituto Nacional de Cardiología "Ignacio Chávez," Mexico, Distrito Federal, Mexico
| | - Martha Franco
- Nephrology Department, Instituto Nacional de Cardiología "Ignacio Chávez," Mexico, Distrito Federal, Mexico
| | - José-Manuel Fragoso
- Molecular Biology Department, Instituto Nacional de Cardiología "Ignacio Chávez," Mexico, Distrito Federal, Mexico
| | - Victoria López-Olmos
- Molecular Biology Department, Instituto Nacional de Cardiología "Ignacio Chávez," Mexico, Distrito Federal, Mexico
| | - David Cruz-Robles
- Molecular Biology Department, Instituto Nacional de Cardiología "Ignacio Chávez," Mexico, Distrito Federal, Mexico
| | - Jesús Vargas-Barrón
- Echocardiography Department, Instituto Nacional de Cardiología "Ignacio Chávez," Mexico, Distrito Federal, Mexico
| | - Gilberto Vargas-Alarcón
- Molecular Biology Department, Instituto Nacional de Cardiología "Ignacio Chávez," Mexico, Distrito Federal, Mexico
| | - Oscar Pérez-Méndez
- Molecular Biology Department, Instituto Nacional de Cardiología "Ignacio Chávez," Mexico, Distrito Federal, Mexico.
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Roldán-Gómez FJ, Pavón-Martínez N, Gálvez-Pérez F, Vargas-Barrón J. [Inhibiting contractility without necrosis: would it be helpful for hypertrophic cardiomyopathy? Experimental model of intramyocardial botulinum toxin and wortmannin]. Arch Cardiol Mex 2012; 82:320-3. [PMID: 23164738 DOI: 10.1016/j.acmx.2012.06.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2012] [Revised: 06/22/2012] [Accepted: 06/28/2012] [Indexed: 10/27/2022] Open
Abstract
The purpose of this paper is to introduce a new idea: local inhibition of contractility without necrosis. It's potential usefulness in hypertrophic cardiomyopathy treatment is discussed and 2 pharmacological models, administrating botulinum toxin and wortmannin directly in the myocardium are disclosed.
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25
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Vargas-Barrón J, Roldán FJ, Romero-Cárdenas Á, Vázquez-Antona CA. Intramyocardial Dissecting Hematoma and Postinfarction Cardiac Rupture. Echocardiography 2012; 30:106-13. [DOI: 10.1111/echo.12017] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Affiliation(s)
- Jesús Vargas-Barrón
- Echocardiography Department; National Institute of Cardiology “Ignacio Chávez”; México City; D.F.; México
| | - Francisco-Javier Roldán
- Echocardiography Department; National Institute of Cardiology “Ignacio Chávez”; México City; D.F.; México
| | - Ángel Romero-Cárdenas
- Echocardiography Department; National Institute of Cardiology “Ignacio Chávez”; México City; D.F.; México
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26
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Paz Soldán-Patiño CP, Rojas-Velasco G, Arias-Mendoza MA, Enríquez-Gómez E, Meave-González A, Álvarez-Sangabriel A, Amigo MC, Vargas-Barrón J, Martínez-Sánchez CR. [Left main coronary aneurysm and antiphospholipid syndrome: survival at 12 years. A case report and literature review]. Arch Cardiol Mex 2012; 82:120-124. [PMID: 22735652] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/01/2023] Open
Abstract
Coronary artery aneurysms are a relatively infrequent finding with an incidence of 1% to 2% per year. Its cause can be atherosclerosis, congenital or due to other causes less common. Its initial manifestation can be myocardial infarction and sudden death as a result of rupture or distal embolization. The large coronary aneurysms, non-atherosclerotic, located in the common part of the left main coronary artery are exceptional. The diagnostic method of choice is the coronary angiography; however, non-invasive techniques such as transthoracic including tridimensional mode and transesophageal echocardiography, magnetic resonance imaging and computed tomography may have an important role in the detection and follow-up of these anomalies. The natural history of coronary aneurysm is not quite known. We present the case of a patient of 44 years, following an acute coronary event was diagnosed with an aneurysm in the left main and antiphospholipid syndrome. The patient received conservative treatment on the basis of antiplatelet and anticoagulant without presenting major cardiovascular events or other complications in 12 years of follow-up.
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27
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Arauz A, Murillo L, Márquez JM, Tamayo A, Cantú C, Roldan FJ, Vargas-Barrón J, Barinagarrementeria F. Long-Term Risk of Recurrent Stroke in Young Cryptogenic Stroke Patients with and without Patent Foramen Ovale. Int J Stroke 2011; 7:631-4. [DOI: 10.1111/j.1747-4949.2011.00641.x] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Background Among patients with a patent foramen ovale and cryptogenic ischemic stroke, the long-term prognosis is unclear. Aims This study aims to estimate the recurrence rate in young cryptogenic stroke patients with and without patent foramen ovale. Patients and methods One hundred eighty-six cryptogenic stroke patients (aged 18–45 years) were prospectively followed for up to five-years. They were divided into two groups according to the echocardiographic presence of patent foramen ovale. All patients received aspirin (100mg/day) for secondary prevention. Results Mean age was 32·3 (standard deviation 7·9) years. During the mean follow-up of 66 months five patients with patent foramen ovale had recurrent strokes compared with 11 patients without patent foramen ovale. The average annual rate of recurrent cerebral ischemia was 1·1% and 1·6% for patients with and without patent foramen ovale, respectively. The recurrence rate did not increase with the presence of patent foramen ovale, atrial septal aneurysm or other variables. More than 60% of the reported cases achieved a good functional outcome. Conclusions Young patients with cryptogenic ischemic stroke with and without patent foramen ovale have a low recurrence rate in a long-term follow-up and most present a favorable outcome. Patent foramen ovale with or without atrial septal aneurysm did not increase the risk of recurrence.
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Affiliation(s)
- Antonio Arauz
- Stroke Clinic, National Institute of Neurology and Neurosurgery, ‘Manuel Velasco Suárez,’ Mexico City (DF)
| | - Luis Murillo
- Facultad de Medicina de la Universidad Autónoma de Guadalajara
| | - Juan Manuel Márquez
- Stroke Clinic, National Institute of Neurology and Neurosurgery, ‘Manuel Velasco Suárez,’ Mexico City (DF)
| | - Arturo Tamayo
- Stroke Prevention Clinic, Brandon Regional Health Centre, Brandon Manitoba, Canada and Neurology Service, Department of Medicine, University of Manitoba
| | - Carlos Cantú
- Servicio de Neurologia, National Institute of Nutrition and Medical Sciences ‘Salvador Zubiran,’ Mexico City, Mexico
| | - Francisco-Javier Roldan
- Department of Echocardiography, National Institute of Cardiology ‘Ignacio Chavez,’ Mexico City, Mexico
| | - Jesús Vargas-Barrón
- Department of Echocardiography, National Institute of Cardiology ‘Ignacio Chavez,’ Mexico City, Mexico
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28
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Arauz A, Merlos-Benítez M, Roa L, Hernández-Curiel B, Cantú C, Murillo L, Roldán J, Vargas-Barrón J, Barinagarrementeria F. Infarto cerebral criptogénico en pacientes jóvenes. Pronóstico y recurrencia a largo plazo. Neurologia 2011; 26:279-84. [DOI: 10.1016/j.nrl.2010.10.010] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2010] [Revised: 09/30/2010] [Accepted: 10/12/2010] [Indexed: 10/18/2022] Open
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29
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Ruiz-Esparza E, Roldán FJ, Vargas-Barrón J, Romero-Cárdenas A, Vázquez-Antona C, Erdmenger-Orellana J. [Echocardiographic assessment of ventricular synchrony. Implications to patient selection and treatment outcome]. Arch Cardiol Mex 2009; 79 Suppl 2:63-70. [PMID: 20361486] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/29/2023] Open
Abstract
Heart failure is one of the most prevalent diseases in industrialized countries. Up to 30% of the patients with advanced heart failure present disturbances in intra-ventricular conduction, and this produce asynchrony of ventricular contractility, leading to further deterioration in heart function. Cardiac resynchronization (TRC) is an increasingly important therapeutic option for a subgroup of patients with heart failure. Several methods have been show to be useful in study the mechanical asynchrony. However, there are discrepancies between the results of the different methods. The echocardiography provides the best parameters in predicting a good response.
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30
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Roldán FJ, Vargas-Barrón J, Aguirre-Espìnosa M, Romero-Cárdenas A, Vázquez-Antona C, Erdmenger-Orellana J, Exaire JE, Martínez-Ríos MA. Subepicardial aneurysm: echocardiographic evaluation and evolution. Echocardiography 2009; 26:504-7. [PMID: 19438693 DOI: 10.1111/j.1540-8175.2008.00843.x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Abstract
Subepicardial aneurysms (SEA) are an infrequent and serious form of subacute cardiac rupture complicating myocardial infarction. An early diagnosis and surgical repair may be life saving. SEA comprise an abrupt interruption of the myocardium, with a narrow neck and thin wall containing only the epicardium. It may progress to fatal cardiorrhexis. We describe the echocardiographic evolution of this type of cardiac rupture and the contribution of contrast-enhanced echocardiography. A possible pathophysiological mechanism is proposed.
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Affiliation(s)
- Francisco-Javier Roldán
- Department of Echocardiography, Nacional de Cardiología Ignacio Chávez, Mexico City, Mexico.
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31
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Vargas-Barrón J, Roldán FJ, Romero-Cárdenas Á, Molina-Carrión M, Vázquez-Antona CA, Zabalgoitia M, Rios MAM, Pérez JE. Dissecting Intramyocardial Hematoma: Clinical Presentation, Pathophysiology, Outcomes and Delineation by Echocardiography. Echocardiography 2009; 26:254-61. [DOI: 10.1111/j.1540-8175.2008.00804.x] [Citation(s) in RCA: 49] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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32
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Roldán FJ, Vargas-Barrón J, Vázquez-Antona C, Castellanos LM, Erdmenger-Orellana J, Romero-Cárdenas A, Martínez-Ríos MA. Three-dimensional transesophageal echocardiography of the atrial septal defects. Cardiovasc Ultrasound 2008; 6:38. [PMID: 18638394 PMCID: PMC2526079 DOI: 10.1186/1476-7120-6-38] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/12/2008] [Accepted: 07/18/2008] [Indexed: 11/25/2022] Open
Abstract
Transesophageal echocardiography has advantages over transthoracic technique in defining morphology of atrial structures. Even though real time three-dimensional echocardiographic imaging is a reality, the off-line reconstruction technique usually allows to obtain higher spatial resolution images. The purpose of this study was to explore the accuracy of off-line three-dimensional transesophageal echocardiography in a spectrum of atrial septal defects by comparing them with representative anatomic specimens.
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Affiliation(s)
- Francisco-Javier Roldán
- Echocardiography department, Instituto Nacional de Cardiología Ignacio Chávez, Mexico City, Mexico.
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33
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Vargas-Alarcón G, Vargas-Barrón J, Cruz-Robles D, Pérez-Vielma N, García-Trejo JJ, Aguilar-Gaytán R, Cortés-Hernández P, Vazquez-Ortíz ZY, Romero-Cardenas A. A deletion in the PRKAR1A gene is associated with Carney complex. J Pediatr Endocrinol Metab 2008; 21:705-9. [PMID: 18780607 DOI: 10.1515/jpem.2008.21.7.705] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Mutations of the PRKAR1A gene are an important cause of Carney complex (CC). The PRKAR1A gene encodes the type 1A regulatory subunit of cAMP-dependent protein kinase A. We have identified one mutation of PRKAR1A (553delG) in three members of the same family affected by CC. This mutation was not identified in six unaffected family members, 12 patients with sporadic cardiac myxoma and 100 non-related healthy individuals. The novel mutation (553delG) is predicted to produce a frameshift leading to a premature stop codon. RNA analysis in the index patient showed normal size transcripts in RT-PCR amplicons of several exons, but an overall tendency to lower amounts of transcripts in relation to GAPDH controls. In Western blot analyses only full-length protein was present without any evidence of truncated product. These data suggest that the mutant allele might be a null allele due to degradation of the mutant mRNA via nonsense-mediated decay.
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Affiliation(s)
- Gilberto Vargas-Alarcón
- Department of Physiology, Instituto Nacional de Cardiología Ignacio Chávez, Mexico City, DF Mexico.
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34
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Vázquez-Antona CA, Muñoz-Castellanos L, Roldan GFJ, Orellana JE, Cárdenas AR, Vargas-Barrón J. [Anatomic spectrum between complete and partial atrioventricular septal defect. Two and three-dimensional echocardiography approach]. Arch Cardiol Mex 2008; 78:40-51. [PMID: 18581712] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/26/2023] Open
Abstract
INTRODUCTION It has been postulated that there is a morphogenetic relation between the atrioventricular septal defect (AVSD) type A of Rastelli and the type of two separated orifices, this so called partial forms, existent between both types a spectrum of anatomical forms in which interchordal spaces determinate the ventricular septal defects (VSD) size to forms in which the VSD is closed by fusion of the left septal valves to the crest of ventricular septum. METHODS We present five patients which illustrates the variability of the atrioventricular defect by means of two dimensional and three-dimensional echocardiography. In each case was made a transesophagic echocardiogram using three-dimensional reconstruction with an Echo-Scan system (4.0 TomTec Gmb version, Munich, Germany). RESULTS It was observed the following spectrum of atrioventricular defect: one patient had a complete closure of the VSD by the insertion of the left septal valves to the interventricular septal crest. One patient has a partially closed VSD. The last 3 patients had a large VSD with a large shunt and high pulmonary pressure. In those patients in whom the VSD was completely or partially closed, the hemodynamic behavior depended of the interatrial shunt and the regurgitation of the atrioventricular valve. They didn't present pulmonary hypertension, what allowed them to be less symptomatic. CONCLUSIONS The three-dimensional echocardiographic study of the spectrum of AVSD type A of Rastelli, defines accurately the valve components and septal structures, so we can understand the transition between complete and partial forms. This difference determines the clinical evolution of the patients.
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Affiliation(s)
- Clara A Vázquez-Antona
- Departamento de Ecocardiografía, Instituto Nacional de Cardiología Ignacio Chávez, Mexico.
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Roldán FJ, Vargas-Barrón J, Romero Cárdenas A, Vázquez Antona C, Erdmenger Orellana J. [Echocardiography in valvular heart disease. New perspectives]. Arch Cardiol Mex 2007; 77 Suppl 4:S4-151. [PMID: 18938715] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/26/2023] Open
Abstract
Echocardiography occupies an excellent place in the field of valvular heart disease study. Its presence is being increased in the catheterism and surgery rooms as well as in the intensive cares units. The ultrasound machines development has improved its technology and echocardiographic diagnoses has a greater repercussion in clinical decisions every time. The greater challenge than appears to us is to be able to have prepared enough professionals that know the tool, the physiopathology, the therapeutics modalities, and who can apply and take advantage of the new technological developments for a better cardiological practice.
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Affiliation(s)
- Francisco-Javier Roldán
- Departamento de Ecocardiografía, Institute Nacional de Cardiología "Ignacio Chávez", INCICH, Juan Badiano 1. Colonia Sección XVI, Tlalpan 14080, México, DF.
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Vargas-Barrón J, Romero-Cárdenas A, Roldán FJ, Vázquez-Antona CA. [Acute right atrial and ventricular infarction]. Rev Esp Cardiol 2007; 60:51-66. [PMID: 17288956] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/13/2023]
Abstract
Acute coronary syndromes involving the right side of the heart are associated with increased mortality, a complex clinical course, and lengthy hospitalization, as well as with frequent mechanical and electrical complications. It is important that the signs and symptoms associated with the spread of ischemic disease to the right heart chambers are recognized so that the patient can be given appropriate treatment, which can improve short-term and long-term prognosis. The purpose of this review was to summarize key aspects of the diagnosis, prognosis and treatment of this condition.
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Affiliation(s)
- Jesús Vargas-Barrón
- Departamento de Ecocardiografía, Instituto Nacional de Cardiología Ignacio Chávez, México.
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Vázquez-Antona CA, Lomelí C, Buendía A, Vargas-Barrón J. [Pulmonary hypertension in children with Down's syndrome and congenital heart disease. Is it really more severe?]. Arch Cardiol Mex 2006; 76:16-27. [PMID: 16749498] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/10/2023] Open
Abstract
OBJECTIVE To compare the hemodynamic state, the severity and reversibility of pulmonary arterial hypertension (PAH) in patients with Down's syndrome and congenital heart disease (CHD) with respect to those without chromosomal pathologies. MATERIAL AND METHODS 30 patients with congenital heart disease and left to right shunt were studied, corroborated by echocardiography; 16 patients had Down's syndrome and CHD and the control group was constituted by 14 patients without chromosomal abnormalities and with CHD. The age was R = 4.7 +/- 5.8 years for the Down's syndrome group and x = 5.3 +/- 4.5 years for the control group. All patients were subjected to a complete hemodynamic study, as well as to structural analysis by pulmonary wedge angiography (PWA), tested with oxygen administration. RESULTS The most frequent diagnosis was ventricular septal defect for the control group and common atrioventricular canal for the Down's group. The systolic and mean pulmonary pressure depicted very similar values in both groups, with an average of 84.87 +/- 13.16 mm Hg for the Down's group and 84.21 +/- 22.05 for the control group. After oxygen administration, a tendency of increased Qp/Qs was found with a drop in pulmonary resistance in both groups, but being more important in the control group. During PWA assessment no quantitative differences were observed in PAH between both groups nor after the angiography with oxygen administration. CONCLUSIONS Although patients with Down's syndrome present CHD with greater predisposition to develop irreversible pulmonary arterial hypertension like common atrioventricular canal, the hemodynamic behavior of pulmonary hypertension and during the challenge with oxygen was similar in both groups.
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Affiliation(s)
- Clara A Vázquez-Antona
- Departamento de Ecocardiografía, Instituto Nacional de Cardiología "Ignacio Chávez" (INCICH Juan Badiano Núm. 1. Col. Sección XVI, Tlalpan 14080 México, DF.
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Vargas-Barrón J, Romero-Cárdenas A, Roldán FJ, Molina-Carrión M, Avila-Casado C, Villavicencio R, Martínez-Sánchez C, Lupi-Herrera E, Zabalgoitia M. Long-term Follow-up of Intramyocardial Dissecting Hematomas Complicating Acute Myocardial Infarction. J Am Soc Echocardiogr 2005; 18:1422. [PMID: 16376777 DOI: 10.1016/j.echo.2005.03.010] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/07/2004] [Indexed: 11/24/2022]
Abstract
Intramyocardial dissecting hematoma is a form of subacute cardiac rupture complicating acute myocardial infarction. Initially contained within the myocardial wall, the hematoma may expand, rupture into adjacent structures, or spontaneously resolve. However, long-term follow-up is unknown because clinical and serial imaging data are lacking. The purpose of this study was to characterize the early and late myocardial wall changes after transmural myocardial infarction using serial ultrasound examinations of the infarct-related segments. Clinical, electrocardiographic, and echocardiographic features of 8 patients (7 men, mean age 59 years) who presented with acute myocardial infarction and echocardiographically documented intramyocardial dissecting hematoma were analyzed. All patients had precordial echocardiography and 6 underwent transesophageal echocardiography. Differentiating hematoma from trabeculations, thrombus, or pseudoaneurysm was done with contrast and color flow Doppler. Seven patients presented with S-T elevation in V1 to V4, and in 3 the elevation extended to V5, V6, I, and aVL. One patient presented with S-T elevation in II, III, aVF, V3R, and V4R. The most striking feature was persistent S-T elevation of more than 72 hours in all patients. Hematoma consisted of a cysticlike, echolucent cavity variable in size, adjacent to severely hypokinetic or dyskinetic infarct-related segments. Hematoma acoustic characteristics depended on time of evolution. Two patients underwent elective revascularization and the rest were medically treated. Two patients died and 6 were alive at the mean follow-up of 12 months. In conclusion, persistent S-T elevation is an important clue in suggesting intramyocardial dissecting hematoma, which is confirmed by its unique ultrasound appearance. Serial echocardiography is useful in determining its evolving nature, and may guide outcome.
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Vázquez-Antona CA, Roldán FJ, Erdmenger Orellana J, Romero-Cárdenas A, Buendía A, Vargas-Barrón J. [Recurrent myxoma. Bi and three-dimensional echocardiography approach]. Arch Cardiol Mex 2005; 75:463-6. [PMID: 16544774] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/07/2023] Open
Abstract
The case of a 16-years old female patient with left atrial myxoma and cerebral embolism is reported. She was subjected to surgical excision of the mass. At 40 months of follow-up she initiates with dyspnea and an aortic murmur is detected. The transthoracic and transesophageal echocardiographic analysis revealed the presence of three tumors: in the left atrium, left and right ventricle. The myxoma of the left ventricle obstructs the aortic valve. We discuss the usefulness of bi-and three-dimensional echocardiography as initial diagnostic method.
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Affiliation(s)
- Clara A Vázquez-Antona
- Departamento de Ecocardiografía del Instituto Nacional de Cardiología, Ignacio Chávez, Tlalpan, México, DF.
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Erdmenger J, Vázquez-Antona C, Becerra R, Romero A, Roldan J, Buendía A, Vargas-Barrón J. [Quadricuspid aortic valve in a patient with d-transposition of the great arteries]. Arch Cardiol Mex 2005; 75:460-2. [PMID: 16544773] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/07/2023] Open
Abstract
In this report we present the case of a patient with ventricular-arterial discordance in which a QAV was diagnosed by bidimensional echocardiogram with the purpose of expanding the anatomical spectrum of the anomalies associated with d-TGA and to manifest the clinical awareness of the consequence that the QAV has on the evolution of the patients that undergo to anatomic correction.
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Affiliation(s)
- Julio Erdmenger
- Instituto Nacional de Cardiología, Departamento de Ecocardiografía, Tlalpan, México, DF
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Vargas-Barrón J, Molina-Carrión M, Romero-Cárdenas A, Roldán FJ, Medrano GA, Avila-Casado C, Martínez-Ríos MA, Lupi-Herrera E, Zabalgoitia M. Risk factors, echocardiographic patterns, and outcomes in patients with acute ventricular septal rupture during myocardial infarction. Am J Cardiol 2005; 95:1153-8. [PMID: 15877985 DOI: 10.1016/j.amjcard.2005.01.041] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/03/2004] [Revised: 01/03/2005] [Accepted: 01/03/2005] [Indexed: 11/30/2022]
Abstract
Ventricular septal rupture (VSR), which can complicate an acute myocardial infarction (MI), carries a high mortality rate. Because precordial and transesophageal echocardiography can identify the type of rupture and assess right ventricular (RV) function at the patient's bedside, we examined the prognostic significance of echocardiographic patterns in postinfarct VSR by postulating that complex rupture and RV involvement carry a worse prognosis. Seventeen patients (10 men; mean age 66 years) who had confirmed postinfarct VSR underwent precordial and transesophageal echocardiography followed by coronary angiography. Serial 12-lead and right precordial leads were also available. Type of septal rupture was classified as simple or complex based on autopsy-proved echocardiographic criteria. Three patients had inferior wall MI and 14 had anterior wall MI. ST-segment elevation persisted >72 hours in all 3 patients who had inferior wall MI and in 12 who had anterior wall MI. Segmental wall motion abnormalities helped in detecting the left ventricular entry site, and use of unconventional views superimposed with color flow Doppler provided the RV exit site. RV function was better appreciated with transesophageal echocardiography. Two patients who had inferior wall MI and 7 who had anterior wall MI had complex ruptures. All 3 patients who had inferior wall MI and 7 who had anterior wall MI had electrocardiographic and echocardiographic evidence of RV involvement. Mortality rate was higher in patients who had complex rupture (78% vs 38%, p <0.001) and in those who had RV extension (71% vs 29%, p <0.001). In conclusion, persistent ST elevation is a common finding in patients who have postinfarct VSR. Complex VSR and RV involvement are significant determinants of clinical outcome.
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Vázquez-Antona CA, Erdmenger Orellana J, Javier Roldán F, Romero-Cárdenas A, Vargas-Barrón J. [Unruptured sinus of Valsalva aneurysm. Bi and three-dimensional echocardiography approach]. Arch Cardiol Mex 2005; 75:148-53. [PMID: 16138697] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/04/2023] Open
Abstract
Aneurysm of the sinus of Valsalva is a rare anomaly that can be congenital or acquire. The most common among the acquire is aortic endocarditis. At the present time echocardiography has be come the election diagnostic method. We present two pediatric patients with unrupture aneurysm of the sinus of Valsalva and cardiac failure secondary to a acute aortic insufficiency manifestations. Transthoracic and transesophageal bidimensional images were compared, in one of them also three-dimensional image. Assessing the quality of images, localization and anatomical morphology of aneurysm, obstruction or compression and presence of associated defects. The usefulness of the three dimensional echocardiography assessment for these congenital malformations is demonstrated.
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Affiliation(s)
- Clara A Vázquez-Antona
- Departamento de Ecocardiografía, Instituto Nacional de Cardiología Ignacio Chávez, Tlalpan, México.
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Molina-Carrión M, Romero-Cárdenas A, Gómez FJR, Vargas-Barrón J. [Severe aortic regurgitation, contractile reserve and tissue Doppler]. Arch Cardiol Mex 2004; 74:327-9. [PMID: 15709511] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/01/2023] Open
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Erdmenger Orellana J, Vázquez-Antona C, Becerra Becerra R, Ramírez Marroquín S, Soulé M, Romero-Cárdenas A, Roldán FJ, Buendía Hernández A, Vargas-Barrón J. [Intracardiac echocardiography (ICE) in the operating room as a support measure in the evaluation of immediate surgical results in congenital cardiopathies]. Arch Cardiol Mex 2004; 74:126-30. [PMID: 15291041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/30/2023] Open
Abstract
The utilization of intracardiac echocardiography (ICE) is a recent alternative in the control of procedures in the Cath Lab. In this paper we presents the results of a pilot study, in 10 patients submitted to total correction of its congenital heart disease, in who the analysis of the surgical results was done in base to the application of intracardiac echocardiography in operations room. In all the patients it was possible to obtain adequate images with ICE, there was a case false negative, a Total anomalous return Pulmonary Veins, in whom there not indentified a obstruction in right pulmonary veins flow. We conclude that ICE is a good alternative in the evaluation of surgical results.
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Affiliation(s)
- Julio Erdmenger Orellana
- Departamento de Ecocardiografía, Instituto Nacional de Cardiología Ignacio Chávez, Tlalpan, México, DF
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Roldán FJ, Romero-Cárdenas A, Vázquez-Antona C, Vargas-Barrón J. [Images in cardiology. Endothelial dynamics in aortic root dissection. Study with three-dimensional echocardiography]. Arch Cardiol Mex 2003; 73:230-1. [PMID: 14635484] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/27/2023] Open
Affiliation(s)
- Francisco-Javier Roldán
- Departamento de Ecocardiografía, Instituto Nacional de Cardiología Ignacio Chávez, INCICH, Juan Badiano No. 1 Col. Sección XVI, Tlalpan 14080 México D.F.
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Vázquez-Antona CA, Muñoz-Castellanos L, Kuri-Nivón M, Vargas-Barrón J. [Left ventricular outflow tract obstruction in transposition of the great arteries. Correlation between anatomic and echocardiographic findings]. Rev Esp Cardiol 2003; 56:695-702. [PMID: 12855153 DOI: 10.1016/s0300-8932(03)76941-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
INTRODUCTION AND OBJECTIVES Left ventricle outflow tract obstructions in transposition of the great arteries are frequent. We report the correlations between two-dimensional echocardiographic and autopsy findings to draw attention to the usefulness of this diagnostic method in the preoperative evaluation of these anomalies. MATERIAL AND METHODS Of 73 hearts with transposition of great arteries, 26 specimens (38%) with different types of left ventricular outflow tract obstruction were selected to establish the relationship between an anatomical substrate of obstruction and echocardiographic findings in equivalent hearts. Pulsed-wave Doppler studies of velocities at the site of stenosis were done with high-pulse-rate frequency and continuous wave techniques. Eight echocardiographic studies of anatomical specimens and 10 studies in equivalent hearts used for comparison were analyzed to determine correlations. RESULTS Twenty-eight obstructions were found; the most frequent type being left ventricular outflow tract alteration (77%). The most frequent anomalies were posterior deviation of the infundibular septum, cone-like obstruction, pulmonary valve stenosis and septal hypertrophy, followed by congenital mitral valve anomalies (15 %) and anomalies of the tricuspid valve (8%). Two-dimensional echocardiographic studies revealed different types anatomical obstruction. CONCLUSIONS We found precise correlations between the anatomical obstruction and its echocardiographic image. Evaluating electrocardiographic findings is important because these findings can affect the choice of surgical treatment or even the decision to use surgery.
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Affiliation(s)
- Clara A Vázquez-Antona
- Departamento de Ecocardiografía. Instituto Nacional de Cardiología Ignacio Chávez. México.
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Espinola-Zavaleta N, Muñoz-Castellanos L, Attié F, Hernández-Morales G, Zamora-González C, Dueñas-Carbajal R, Granados N, Keirns C, Vargas-Barrón J. Anatomic three-dimensional echocardiographic correlation of bicuspid aortic valve. J Am Soc Echocardiogr 2003; 16:46-53. [PMID: 12514634 DOI: 10.1067/mje.2003.30] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
This study was undertaken to verify the echocardiographic characteristics of bicuspid aortic valve (AV) using 3-dimensional transesophageal echocardiography by comparing the findings with anatomic examination of autopsy specimens from carriers of this condition. Three-dimensional reconstructions of transesophageal echocardiograms were performed on 14 patients with bicuspid AV, and 20 autopsy specimens of bicuspid AVs were analyzed. Echocardiographic images and autopsy material were correlated. Two variants of bicuspid aorta were identified. In group I the AV had 2 leaflets. This group included 9 (9/14) 3-dimensional echocardiographic studies and 13 (13/20) necropsies. In group II 3 sigmoid leaflets had originally developed and 2 underwent dysplastic fusion, resulting in functionally bicuspid valves. Five (5/14) echocardiographic studies and 7 (7/20) anatomic specimens fell into this category. There was a clear correspondence between anatomic and echocardiographic findings, which leads to the conclusion that 3-dimensional echocardiography is a technique that reliably defines the morphological details of bicuspid AV with the precision of anatomopathologic examination.
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Affiliation(s)
- Nilda Espinola-Zavaleta
- Instituto Nacional de Cardiología Ignacio Chávez, Juan Badiano No. 1, Colonia Sección XVI, 14080 Tlalpan, Mexico City, Mexico
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Abstract
Three-dimensional echocardiography was used to study 5 women, 4 with intracardiac tumors and 1 with a paracardial neoplasia. Three-dimensional transesophageal echocardiography was found to be a valuable way to define the morphologic and spatial characteristics of cardiac and paracardial tumors in vivo, establish their relationships with adjacent structures, and assess the hemodynamic effects they can produce.
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Affiliation(s)
- Nilda Espinola-Zavaleta
- Department of Echocardiography, Insituto Nacional de Cardiologia Ignacio Chávez, Juan Badiano No. 1, Colonia Sección XVI, Tlalpan, 14080 México, DF, México
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Vargas-Barrón J, Castillo-Mora G, López-Meneses M, Roldán FJ, Romero-Cardenas A, Keirns C, Espinola-Zavaleta N, Zabalgoitia M. Comparison of short- and long-term benefits of reperfusion in single-vessel inferior wall acute myocardial infarction with and without right ventricular wall infarction. Am J Cardiol 2002; 90:144-7. [PMID: 12106844 DOI: 10.1016/s0002-9149(02)02437-2] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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