Publications by authors named "Carlos A Guizar-Sanchez"

Chronic heart failure continues to be one of the main causes of impairment in the functioning and quality of life of people who suffer from it, as well as one of the main causes of mortality in our country and around the world. Mexico has a high prevalence of risk factors for developing heart failure, such as high blood pressure, diabetes, and obesity, which makes it essential to have an evidence-based document that provides recommendations to health professionals involved in the diagnosis and treatment of these patients. This document establishes the clinical practice guide (CPG) prepared at the initiative of the Mexican Society of Cardiology (SMC) in collaboration with the Iberic American Agency for the Development and Evaluation of Health Technologies, with the purpose of establishing recommendations based on the best available evidence and agreed upon by an interdisciplinary group of experts.

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Background: In Mexico, the epidemiology of heart failure is still not well understood. However, it is known that the primary cause of hospital admissions in patients with heart failure is pulmonary and systemic congestion.

Objective: To estimate congestion status and assess cardiac function using portable ultrasound in patients with heart failure.

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Article Synopsis
  • The study investigates the relationship between T-wave alterations, specifically pseudo-normalization during stress tests, and the presence of ischemia diagnosed by myocardial perfusion SPECT using Tc-99.
  • A total of 81 patients were analyzed: 50 showed pseudo-normalization of T-waves, while 31 did not, aiming to determine how this relates to different degrees of ischemia.
  • Although there was a trend suggesting a link between T-wave pseudo-normalization and moderate to severe ischemia, the results were not statistically significant due to the limited sample size.
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