Update on Heart Failure, Heart Transplant, Congenital Heart Disease, and Clinical Cardiology
Por:
Almenar, L, Zunzunegui, JL, Baron, G, Carrasco, JI, Gomez-Doblas, JJ, Comin, J, Barrios, V, Subirana, MT, Diaz-Molina, B
Publicada:
1 abr 2013
Resumen:
In the year 2012, 3 scientific sections-heart failure and transplant, congenital heart disease, and clinical cardiology-are presented together in the same article. The most relevant development in the area of heart failure and transplantation is the 2012 publication of the European guidelines for heart failure. These describe new possibilities for some drugs (eplerenone and ivabradine); expand the criteria for resynchronization, ventricular assist, and peritoneal dialysis; and cover possibilities of percutaneous repair of the mitral valve (MitraClip (R)). The survival of children with hypoplastic left heart syndrome in congenital heart diseases has improved significantly. Instructions for percutaneous techniques and devices have been revised and modified for the treatment of atrial septal defects, ostium secundum, and ventricular septal defects. Hybrid procedures for addressing structural congenital heart defects have become more widespread. In the area of clinical cardiology studies have demonstrated that percutaneous prosthesis implantation has lower mortality than surgical implantation. Use of the CHA(2)DS(2)-VASc criteria and of new anticoagulants (dabigatran, rivaroxaban and apixaban) is also recommended. In addition, the development of new sequencing techniques has enabled the analysis of multiple genes. (C) 2012 Sociedad Espanola de Cardiologia. Published by Elsevier Espana, S.L. All rights reserved.
Filiaciones:
Almenar, L:
Hosp Univ & Politecn La Fe, Serv Cardiol, Unidad Insuficiencia Cardiaca & Trasplante, Valencia, Spain
Zunzunegui, JL:
Hosp Gen Gregorio Maranon, Serv Maternoinfantil, Madrid, Spain
Baron, G:
Hosp Univ Virgen del Rocio, Serv Cardiol, Seville, Spain
Carrasco, JI:
Hosp Univ & Politecn La Fe, Serv Cardiol Pediat, Valencia, Spain
Gomez-Doblas, JJ:
Hosp Univ Virgen de la Victoria, Serv Cardiol, Malaga, Spain
Comin, J:
Hosp Mar, Serv Cardiol, Barcelona, Spain
Barrios, V:
Hosp Univ Ramon & Cajal, Serv Cardiol, Madrid, Spain
Subirana, MT:
Univ Autonoma Barcelona, Hosp Sta Creu & St Pau, Serv Cardiol, Unidad Integrada Cardiopatias Congenitas Adolesce, E-08193 Barcelona, Spain
Diaz-Molina, B:
Hosp Univ Cent Asturias, Unidad Insuficiencia Cardiaca Avanzada & Trasplan, Oviedo, Asturias, Spain
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