ARGEN SHOCK: Mortality related to the use of Swan Ganz and to the hemodynamic pattern found in patients with AMICS.

Unlabelled: The Swan Ganz Catheter (SGC) allows us to diagnose different types of cardiogenic shock (CS).

Objectives: 1) Determine the frequency of use of SGC, 2) Analyze the clinical characteristics and mortality according to its use and 3) Analyze the prevalence, clinical characteristics and mortality according to the type of Shock.

Methods: The 114 patients (p) from the ARGEN SHOCK registry were analyzed.

Consensus document on anemia and iron deficiency in heart failure: Consejo Interamericano de Falla Cardiaca e Hipertensión Pulmonar (CIFACAH) of the Interamerican Society of Cardiology (IASC).

Heart failure is a pathology that affects 1% of the population and is accompanied by iron deficiency as a comorbidity in 50% of cases. Anemia, meanwhile, is present between 22-37%. This is a consensus document that seeks to synthesize the information available on anemia and iron deficiency and its behavior in patients with HF, which is divided into pathophysiology, classification, clinical scenarios and algorithms (clinical pathways), treatment, and follow-up.

Shock Index, Modified Shock Index, and Age-adjusted Shock Index as Predictors of In-hospital Death in Acute Heart Failure. Sub Analysis of the ARGEN IC.

Decompensated heart failure (DHF) is an important cause of in-hospital death in the coronary care unit. Estimating this risk becomes a clinical challenge. The shock index (IShock) and its variances have proven to be useful in predicting mortality in other pathologies and are easily obtained at admission.

Prognostic Value of Insulin Resistance Assessed by HOMA-IR in Non-Diabetic Patients with Decompensated Heart Failure.

The predictive value of insulin resistance in patients hospitalized with heart failure is unknown. To evaluate prognostic value of insulin resistance (defined by a HOMA IR ≥ 2.5) for the combined event of death and readmission at 90 and 365 days post discharge and to determine if there are differences according to ejection fraction.

Care bundle to reduce readmission in patients with heart failure: a modified Delphi consensus panel in Argentina.

Objectives: The aim of this study was to develop consensus among Argentine cardiologists on a care bundle to reduce readmissions of patients with heart failure (HF).

Setting: Hospitals and cardiology clinics in Argentina that provide in-hospital care for patients with HF.

Participants: Twenty-four cardiology experts participated in the two online rounds and 18 (75%) of them participated in the third-round meeting.

Association between hypo- and hyperkalemia and outcome in acute heart failure patients: the role of medications.

Background: The interaction between chronic medications on admission and the association between serum potassium level and outcome in patients with acute heart failure (AHF) are unknown.

Methods: Observational intercontinental study of patients admitted with AHF. 15954 patients were included from 12 cohorts in 4 continents.

Clinical presentation and outcome by age categories in acute heart failure: results from an international observational cohort.

Aims: To assess, according to age groups, patients' characteristics according to region of origin, the chronic therapeutic management, prognostic utility of clinical variables, and natriuretic peptides.

Methods And Results: The GREAT registry consisted of patients identified as presenting with acute heart failure at the emergency department. Four groups of patients were defined according to age: the young patient group (<65 years); 'middle-old' (65-74 years), 'old-old' (75-84 years) and the 'oldest-old' (85-94 years).

Body mass index and mortality in acutely decompensated heart failure across the world: a global obesity paradox.

Objectives: This study sought to define the relationship between body mass index (BMI) and mortality in heart failure (HF) across the world and to identify specific groups in whom BMI may differentially mediate risk.

Background: Obesity is associated with incident HF, but it is paradoxically associated with better prognosis during chronic HF.

Methods: We studied 6,142 patients with acute decompensated HF from 12 prospective observational cohorts followed-up across 4 continents.

[Continuous monitoring of cardiac surgery quality indicators].

Background And Objective: Although usage of variable life-adjusted display (VLAD) in medicine was proposed a decade ago, there is only little experience in mortality and morbidity monitoring with this method. The work objective was to study the utility of VLAD for continuous monitoring of cardiac surgery quality indicators.

Methods: A continuous monitoring of morbidity and mortality with VLADs, was performed in a prospective series of 502 cardiac surgeries.

Acute supravalvular aortic stenosis following the replacement of the ascending aorta.

We report a very rare case of ascending aortic replacement complicated by acute supravalvular aortic stenosis. A 53-year-old man was referred to our Institution for evaluation of a systolic murmur and congestive heart failure. He had undergone elective ascending aortic replacement one month previously due to acute type A aortic dissection.

Dobutamine stress echocardiography can predict reversible ventricular dysfunction after acute myocardial infarction.

Background: The aim of early treatment of acute myocardial infarction (AMI) is to achieve the rapid reperfusion of the culprit artery, which correlates with improvement in ventricular function and survival. With the widespread use of thrombolytic agents or coronary angioplasty as reperfusion strategies for AMI, it is possible to reduce the amount of myocardial necrosis.

Hypothesis: The assessment of residual viability with dobutamine stress echocardiography (DSE) in the infarcted area after AMI is relevant to subsequent management and prognosis.

Liposarcoma causing left ventricular outflow tract obstruction and syncope: a case report and review of the literature.

Metastatic cardiac myxoid liposarcoma is rare. We present the case of a 56-year-old woman who was admitted for angina and syncope, and in whom a mobile intracardiac mass obstructing the left ventricular outflow tract and protruding into the aortic root during systole was detected by transesophageal echocardiography (TEE). She reported an antecedent of the complete excision of a myxoid liposarcoma of the thigh 12 years before.

A new scoring system to stratify risk in unstable angina.

Background: We performed this study to develop a new scoring system to stratify different levels of risk in patients admitted to hospital with a diagnosis of unstable angina (UA), which is a complex syndrome that encompasses different outcomes. Many prognostic variables have been described but few efforts have been made to group them in order to enhance their individual predictive power.

Methods: In a first phase, 473 patients were prospectively analyzed to determine which factors were significantly associated with the in-hospital occurrence of refractory ischemia, acute myocardial infarction (AMI) or death.