Publications by authors named "Maria Jose Cristo Ropero"

Article Synopsis
  • The study aimed to evaluate how well Spanish physicians, divided by sex, accept the European Clinical Practice Guidelines on heart failure, using a survey distributed to healthcare professionals in Madrid.
  • A total of 387 physicians participated, with women being younger and having fewer years of clinical practice than their male counterparts, but both expressed a positive view on the guidelines and the feasibility of implementing quadruple therapy quickly.
  • Women demonstrated a stronger adherence to the new treatment paradigm of "4 pillars at lowest doses," showed more willingness to establish quadruple therapy before cardiac device implantation, and were more proactive in starting SGLT2 inhibitors compared to men, indicating potential sex-related differences in guideline compliance that warrant further investigation.
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The coronavirus 2019 disease (COVID-19) pandemic threatened the Spanish health-care system. Patients with demanding conditions such as precapillary pulmonary hypertension (PH) faced a potentially severe infection, while their usual access to medical care was restricted. This prospective, unicentric study assessed the impact of COVID-19 on PH patients' outcomes and the operational changes in the PH network.

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The objectives of this study are to establish the usefulness of lung ultrasound with a handheld device to predict the risk of developing heart failure with the need for mechanical ventilation (MV) in acute coronary syndrome (ACS). This is a prospective study of consecutive patients admitted because of ACS-type myocardial infarction, without data of HF at admission in a tertiary hospital, between February 2017 and February 2018. Lung ultrasounds were performed with a handheld cardiologic device in the first 24 h, and defined as echo-positive (PE+) when exams revealed 3 or more B-lines in 2 or more bilateral quadrants.

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Background: Pulmonary veno-occlusive disease (PVOD) is a subgroup of pulmonary arterial hypertension (PAH) where vascular remodelling affects mainly the post-capillary vessels. It is characterized by a particularly worse prognosis and by the risk of developing life-threatening pulmonary oedema, especially after PAH-targeted therapy. Therefore, suspicion of PVOD is crucial to guide the patient's management.

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To assess severity markers and outcomes of patients with systemic sclerosis (SSc) with or without pulmonary arterial hypertension (PAH-SSc/non-PAH-SSc), and the impact of interstitial lung disease (ILD) on PAH-SSc. Non-PAH-SSc patients from the Spanish SSc registry and PAH-SSc patients from the Spanish PAH registry were included. A total of 364 PAH-SSc and 1589 non-PAH-SSc patients were included.

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Article Synopsis
  • A study was conducted to compare the complications of using peripherally inserted central catheters (PICC) and tunneled central catheters (Hickman) in patients with pulmonary hypertension (PH) receiving continuous epoprostenol treatment over a period from January 2010 to July 2020.
  • The research involved 109 patients and analyzed 175 catheter placements, finding no significant difference in infection rates between PICC and Hickman catheters, but PICC catheters had a notably higher rate of mechanical complications such as catheter occlusion and venous thrombosis.
  • Despite the mechanical complications leading to more hospitalizations for patients with PICC, there was no significant
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(1) Background: Clinical presentation, disease distribution, or treatment received may provide insights into the reasons contributing to sex differences in chronic thromboembolic pulmonary hypertension (CTEPH). (2) Methods: We evaluated 453 patients (56% women) between 2007-2019. Data was collected from REHAP (Registro Español de Hipertensión Arterial Pulmonar) registry.

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: Pulmonary arterial hypertension (PAH) is a rare, progressive, and severe disease. Since the first demonstration of survival benefit of intravenous epoprostenol in monotherapy in 1996, prostanoids remain the cornerstone for PAH patients at high risk. This review is essential to understand the current situation of this drug among all the therapeutic possibilities concerning this entity.

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