Publications by authors named "Juan Manuel Escudier Villa"
Unlabelled: Introduction y objectives: Tako-tsubo syndrome (TTS) is a cardiac condition that mimics acute coronary syndrome, characterized by transient left ventricular dysfunction in the absence of culprit coronary artery stenosis. Although its etiology remains unknown, reversible microvascular dysfunction secondary to an adrenergic surge is thought to play a role. Treatment is empirical, although most patients receive beta-blockers (BB) in clinical practice.
View Article and Find Full Text PDFA 46-year-old woman presented for a routine echocardiogram, which revealed a giant atrial septal aneurysm (ASA) with an atrial septal defect (ASD). We surgically excised the ASA and closed the ASD with a pericardial patch. ASA, although rare, poses embolic risks, thus necessitating closure when associated with shunts.
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- There is limited understanding of how gender affects the clinical presentation, treatment, and outcomes of patients experiencing cardiogenic shock (CS), particularly in a hospital setting.
- The study aimed to explore gender-related differences in characteristics, management, and in-hospital mortality among CS patients, while also evaluating the prognostic accuracy of the SCAI classification for predicting mortality by sex.
- An analysis of 163 CS patients showed that women were less likely to smoke and had lower rates of certain conditions compared to men, but in-hospital survival rates were similar across genders, indicating no significant differences in outcomes.
Article Synopsis
- The study focuses on improving outcomes for patients with cardiogenic shock (CS), particularly those requiring mechanical circulatory support (MCS), by analyzing a care program implemented by a multidisciplinary team in a regional hospital network from 2014 to 2019.
- A total of 130 patients were examined, with a majority being middle-aged men; most cases were due to heart failure or myocardial infarction, and 81% of patients used MCS, primarily extracorporeal membrane oxygenation (ECMO).
- The program achieved a 57% survival rate to discharge, suggesting that a coordinated approach with specialized teams significantly benefits patients in critical conditions like refractory CS.
A ventricular septal defect (VSD) is a rare complication of blunt chest trauma. This report presents the case of a 44-year-old man who developed a VSD as a result of high-energy closed chest trauma. We describe the initial surgical and medical management of the cardiac rupture.
View Article and Find Full Text PDFWe report a case of a 60-year-old male patient presenting with anaphylactic response to anchovies associated with an acute coronary syndrome. His history was remarkable for coronary artery disease treated with a drug eluting stent to the right coronary artery six years before and stent fracture documented by coronary angiography four years prior to the event. Coronary angiography on admission revealed a very late stent thrombosis (VLST) in the right coronary artery.
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