Evacuaciones estratégicas por motivo cardiovascular en personal militar español (2007-2020) / Strategic evacuations for cardiovascular reasons in Spanish military personnel (2007-2020)

Introducción y Objetivos: Las evacuaciones estratégicas por razones médicas son aquellas que se realizan cuando la baja no se puederecuperar para el desempeño de la misión y es transportada hasta territorio nacional. El objetivo de este estudio es describir las bajasespañolas evacuadas estratégicamente por causas cardiovasculares, así como describir el personal militar español fallecido por causacardíaca en zona de operaciones. Material y Métodos. Estudio transversal retrospectivo en el que se incluyen a todos los militaresespañoles evacuados por razones médicas desde zona de operaciones hasta el Hospital Central de la Defensa “Gómez Ulla” (Role 4)durante los años 2007 y 2020. Resultados. Treinta y seis bajas fueron evacuadas sobre el Role 4 español por causas cardiovasculares,de las cuales 25% fueron diagnosticadas de fibrilación auricular, 22,2% de infarto de miocardio, 11,1% de trombosis venosa aguda,y 5,5% de crisis hipertensiva, flutter auricular y bloqueo auriculoventricular, respectivamente. La zona de operaciones desde dondese originaron más evacuaciones fue Afganistán (31%), seguido por Líbano (28%) y las navegaciones internacionales (14%). Un totalde 13 militares españoles han fallecido en zona de operaciones por motivo cardiovascular. Conclusiones. La fibrilación auricular y elsíndrome coronario agudo han sido los principales diagnósticos entre las bajas evacuadas por motivos cardiovasculares. Los autoresconsideramos imprescindible que las Fuerzas Armadas españolas cuenten con un servicio de Cardiología en Role 4, que ademásde realizar labores asistenciales, sirva de órgano de reconocimiento médico previo a misión y forme parte del apoyo sanitario a lasoperaciones internacionales. (AU)

Introduction and Objectives: Strategic evacuations for medical causes are those that are carried out when the casualty cannot berecovered for the mission and is transported to national territory. The objective of this study is to describe the Spanish casualtiesstrategically evacuated due to cardiovascular causes, as well as to describe the Spanish military personnel who died due to cardiaccauses in the area of operations. Material and methods. Retrospective cross-sectional study in which all Spanish military personnelevacuated for medical reasons from the area of operations to the Central Defense Hospital “Gómez Ulla” (Role 4) during the years2007 and 2020 were included. Results. Thirty-six casualties were evacuated on Spanish Role 4 due to cardiovascular causes, of which25% were diagnosed with atrial fibrillation, 22,2% with myocardial infarction, 11,1% with acute venous thrombosis, and 5.5% ofhypertensive crisis, atrial flutter, and atrioventricular block, respectively. The area of operations from where the most evacuations originated was Afghanistan (31%), followed by Lebanon (28%) and international navigations (14%). A total of 13 Spanish soldiers havedied in the area of operations for cardiovascular reasons. Conclusions. Atrial fibrillation and acute coronary syndrome have been themain diagnoses among the casualties evacuated for cardiovascular reasons. The authors consider it essential that the Spanish ArmedForces have a Role 4 - Cardiology department that, in addition to performing care tasks, serves as a unit for medical examinationprior deployment and take part into the medical support for international military operations. (AU)

Macrodislocación de electrodos de marcapasos cardiaco previo a cirugía por tumor renal / Macrodislocation of cardiac pacemaker electrodes prior to surgery for renal tumour

No disponible

Pericarditis aguda en Puesto Avanzado de Combate (Afganistán): cuando un diagnóstico sencillo se convierte en complicado / Acute pericarditis in Combat Out Post (Afghanistan): when a simple diagnostic becomes complicate

Se presenta un caso de pericarditis aguda diagnosticado en el Puesto Avanzado de Combate ≪Ricketts≫ (Muqur, Afganistan), con las limitaciones logisticas y sanitarias presentes en Zona de Operaciones, que curso con buena evolucion hasta su curación (AU)

We present a case of acute pericarditis diagnosed in Combat Out Post ≪Ricketts≫ (Muqur, Afghanistan), showing the logistic and medical limitations that we can come across in-theatre, and that had a favourable evolution until complete recovery (AU)

[2 cases of transposition corrected in adulthood. The value of computed tomography and isotopic angiography and a review of the literature]. / Dos casos de transposición corregida en la edad adulta. Interés de la tomografía computadorizada y la angiografía isotópica y revisión de la literatura.

Corrected transposition of the great arteries is an unusual congenital heart defect, above all at ages over 40. Echocardiography and invasive angiography are still cornerstones for its diagnosis. However other non-invasive techniques, such radionuclide angiocardiography and computed tomography, not so used in this malformation, can help us in its detection. We present 2 cases of corrected transposition of the great arteries in adults in which these methods were used and review the literature.

[Percutaneous transluminal valvuloplasty in severe pulmonary stenosis in an aged patient. Presentation of a case]. / Valvuloplastia transluminal percutánea en la estenosis pulmonar severa del paciente anciano. Presentación de un caso.

We report a case of severe pulmonary stenosis in a 74 year old patient who was successfully treated by means of percutaneous transluminal valvuloplasty. This relatively simple technique is extensively used in children. However, its use is considered exceptional in old patients.