Publications by authors named "Bernardo Lombo"
Article Synopsis
- Doctors use echocardiograms to check aortic valve stenosis, which is when the heart's valve doesn’t open properly.
- Researchers studied 220 patients suspected of having severe stenosis and looked at things like valve calcium scores and angles to understand their condition better.
- They found that patients with low-gradient stenosis had narrower angles than those with high-gradient stenosis, which can make it harder to figure out how serious the condition is.
Article Synopsis
- Guidelines recommend using 3D echocardiography (3DE) for assessing left ventricular ejection fraction (LVEF) in transthoracic echocardiograms (TTE), but actual reporting rates depend on various factors.
- In a study analyzing 35,641 TTEs performed at a medical center, 51.6% reported 3DE LVEF, with outpatient TTEs showing higher rates than portable inpatient exams.
- The study found that the performing sonographer plays a crucial role in reporting rates, highlighting the need for improved training and initiatives to boost 3DE usage in diverse clinical settings.
Background: Many obstacles exist for adequate hypertension control, including low individual awareness and clinical inertia (CI). In this study, we aimed to determine hypertension prevalence, awareness, treatment, and control among community residents of rural areas of Peravia in Dominican Republic (DR), followed by an assessment of CI in their primary care clinics (PCCs).
Methods: We interviewed 827 adults from 8 rural communities of Peravia.
Understanding Non-P2 Mitral Regurgitation Using Real-Time Three-Dimensional Transesophageal Echocardiography: Characterization and Factors Leading to Underestimation.
J Am Soc Echocardiogr
July 2020
Background: P2 prolapse is a common cause of degenerative mitral regurgitation (MR); echocardiographic characteristics of non-P2 prolapse are less known. Because of the eccentric nature of degenerative MR jets, the evaluation of MR severity is challenging. The aim of this study was to test the hypotheses that (1) the percentage of severe MR determined by transthoracic echocardiography (TTE) would be lower compared with that determined by transesophageal echocardiography (TEE) in patients with non-P2 prolapse and also in a subgroup with "horizontal MR" (a horizontal jet seen on TTE that hugs the leaflets without reaching the atrial wall, particularly found in non-P2 prolapse) and (2) the directions of MR jets between TTE and real-time (RT) three-dimensional (3D) TEE would be discordant.
View Article and Find Full Text PDFThe accurate identification of thrombus in the left atrial appendage with transesophageal echocardiogram (TEE) in patients with atrial fibrillation (AF) before cardioversion is essential. Most of these patients have some grade of spontaneous echo contrast (SEC). Severe SEC is often called "sludge," and its prognosis and treatment are still controversial.
View Article and Find Full Text PDFBackground: Little is known about the role of serum uric acid in cardiovascular events. We studied the prevalence of hyperuricemia and the association between uric acid level and various cardiovascular risk factors.
Methods: This cross-sectional study was based on a population of patients with hypertension who attended a hypertension clinic in a university hospital in Bogotá, Colombia.
Objectives: Since the introduction of combination antiretroviral therapy (cART) as the standard of care for HIV disease, there has been a precipitous decline in the death rate due to HIV/ AIDS. The purpose of this study was to report the prevalence of metabolic syndrome in HIV infected patients.
Methods: Retrospective, cross-sectional, observational study of 259 patients with HIV infection treated with cART from an urban community hospital.
Introduction: Ticagrelor, the first direct-acting, reversibly binding oral P2Y12 receptor antagonist, appears to have a favorable efficacy and safety profile.
Aims: To update the evidence and provide an overview of the available data on ticagrelor.
Evidence Review: Peer reviewed articles published and listed under Medline Search, and published updated guidelines for pharmacotherapies in acute coronary syndromes were reviewed.