RESUMO
INTRODUCTION: In this report we describe the clinical presentation, laboratory findings and outcomes of four patients that were referred for urgent cardiothoracic intervention and tested positive for COVID-19. METHODS: The St. Elizabeth's Medical Center Institutional Review Board exempted the study from review (waived review). In each case, verbal informed consent was obtained by the study participant or health care proxy. RESULTS: The majority of the patients undergoing surgery had low Society of Thoracic Surgeons score and uneventful operating time. The mortality was very high and driven primarily by the viral syndrome. Laboratory markers that have been associated with disease severity in the general population were also prognostic in our population. CONCLUSION: Our study shows that these patients have very high mortality, whereas prevention and preoperative screening is required in preventing nosocomial spreading of the disease.
Assuntos
COVID-19/epidemiologia , Procedimentos Cirúrgicos Cardíacos/métodos , Cardiopatias/cirurgia , Pandemias , Idoso , Idoso de 80 Anos ou mais , Comorbidade , Evolução Fatal , Feminino , Cardiopatias/epidemiologia , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
La taquicardia ventricular incesante es una patología poco frecuente que habitualmente se presenta en pacientes con cardiopatía estructural, principalmente en aquellos con antecedentes de infarto al miocardio, sin embargo puede presentarse también en enfermos con miocardiopatía dilatada. La amiodarona puede controlar con éxito un 75% de los casos y en aquellos pacientes refractarios al tratamiento antiarrítmico la ablación por radiofrecuencia debe considerarse la terapia de primera elección.
Incessant ventricular tachycardia is a rare disorder that usually occurs in patients with structural heart disease, mainly in those with history of myocardial infarction, but may also occur in patients with dilated cardiomyopathy. Amiodarone can successfully treat 75% cases and in patients refractory to antiarrhythmic therapy, radiofrequency ablation should be considered first-line therapy.
Assuntos
Humanos , Feminino , Idoso , Ablação por Cateter/métodos , Cardiomiopatia Dilatada/diagnóstico , Taquicardia Ventricular/patologia , CardiologiaRESUMO
Se presenta el caso de un paciente que ingresa a nuestro servicio presentando terapias inapropiadas e infección del bolsillo, posterior al implante de un desfibrilador automático implantable con un electrodo Sprint Fidelis 6949 en estado de alerta del fabricante...
A case of a patient who was admitted to our department with inappropriate therapies and infection of the pocket, after implantation of an implantable defibrillator with a Sprint Fidelis 6949 electrode on alert of the manufacturer...