Browsing by Author "Moreira Vera, Wisthon Xavier"

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Caracterización de pacientes hospitalizados con insuficiencia cardiaca e insuficiencia renal. Hospital Homero Castanier Crespo. Azogues. 2012-2017
(2019-03-08) Rosero Moreno, Michele Estephania; Zeas Villalba, Carlos Iván; Moreira Vera, Wisthon Xavier
Background: In inpatients with cardiac insufficiency dysfunction is very frequent renal since around the 50 % they present light dysfunction and the 30 % presents renal moderate harsh dysfunction. This deterioration of the renal function produces a longer time of hospitalization, bigger mortality and hospitable income. Objective: Characterizing 2012-2017 in the Hospital Homero Castanier Crespo, Quicksilvers to the population with heart failure and renal insufficiency in inpatients during the period. Methodology: A retrospective study was conducted, descriptive in 453 patients with cardiac insufficiency in the service of clinic during the period 2012-2017.The data of the case histories in a fill-out form took shelter. The statistical analysis v19.0 came true with SPSS.OR to evaluate the risk of decease and Chi-Square for the relation with the ailment of CI and CRI was used. Results: Patients were predominantly older adults, women in a bigger frequency and principally of mixed racial ancestry, generally of the province of Cañar and something more frequent of urban areas, with low level of instruction. The 60 % were deposited more of 5 days.48 patients perished (10.6 %), being the rate of 8 yearly deceases. The same ones ailment of both pathologies, as well as the aggravation of them, increase the risk of decease considerably, in the first case 2.5 times and in the second 4.6 times. Findings: Of the 453 patients, 174 (38.4 %) suffered Chronic Renal Insufficiency. The studied patients presented Degree principally II or I of Cardiac Insufficiency. In relation to the IR the Benignant stay predominated.
Complicaciones agudas del infarto agudo de miocardio en pacientes del Hospital Vicente Corral Moscoso de Cuenca. 2010-2015
(2017) Astudillo Balarezo, Carlos Xavier; Tinitana Jumbo, Carlos Stalin; Moreira Vera, Wisthon Xavier; García Alvear, Jorge Luis
Fibrilación auricular: comorbilidades, índice tromboembólico y estrategia terapéutica. Hospital de Especialidades José Carrasco Arteaga. 2017
(2019-05-13) Anilema Cóndor, Raúl Daniel; Balarezo Arias, Fernando Xavier; Moreira Vera, Wisthon Xavier; Parra Parra, Jorge Leonidas
Introduction: Atrial fibrillation represents a serious health problem worldwide. It has been estimated that approximately 1.5-2% of the world population suffers from this arrhythmia. It has a great socioeconomic impact due to its high morbidity and mortality. General objective: to determine the frequency of the main comorbidities of atrial fibrillation, the thromboembolic risk and the main therapeutic strategy in adult patients of the cardiology department of the Hospital "José Carrasco Arteaga" of the city of Cuenca. Methodology: Descriptive and retrospective study with 297 clinical histories of patients diagnosed with atrial fibrillation, at the Hospital José Carrasco Arteaga, during the year 2017. The information was collected in an elaborated form by the authors, and analyzed with the programs PSPP Free Software Foundation, Epidat 4,1 and Excel 2016 through distributions frequency, percentages and average. The results are presented in relevant tables. Results: The 52.5% of the population studied were men; non-valvular atrial fibrillation accounted for 82.5% of cases; the most frequent comorbiditie was arterial hypertension in 50.5% of the cases; thromboembolic risk was high in 77.1% of patients with non-valvular atrial fibrillation; anticoagulation was the therapeutic strategy in 67% of patients. Conclusion: The distribution by sex was presented in similar proportions; arterial hypertension was the most frequent comorbidity; a high thromboembolic risk was determined in patients with non-valvular atrial fibrillation, the priority therapeutic strategy was anticoagulation.67.3% of patients.
Prevalencia de infarto agudo de miocardio en pacientes menores de 50 años y factores de riesgo asociados. Hospitales José Carrasco Arteaga y Vicente Corral Moscoso. Cuenca. 2010-2016
(2019-03-07) Pullopaxi Jaramillo, Jessica Judith; Moreira Vera, Wisthon Xavier; Parra Parra, Jorge Leonidas
Background: Ischemic heart disease is the leading cause of death in Ecuador, reaching 7,82% in 2015 according to the MSP. Among these, acute myocardial infarction is the biggest health problem and the main cause of death. Currently affecting to young patients, which represents a challenge in the diagnostics due to its psychological, economic and social impact. Objective: to determine the prevalence of acute myocardial infarction in patients under of 50 years and associated risk factors in the Hospitals José Carrasco Arteaga and Vicente Corral Moscoso of Cuenca, between January 2010 and December 2016. Methodology: it has been made a retrospective-descriptive and cross-sectional study, in a universe of 71 patients under of 50 years with diagnostics of AMI, from Hospitals José Carrasco Arteaga and Vicente Corral Moscoso; it was studied sociodemographic and clinical variables. The data collection was based on the information obtained from the medical histories and analyzed using the SPSS statistical package, frequencies, percentages, measures of central tendency and dispersion, and chi square were calculated. Results: 71 cases of premature AMI were identified in the study, the presentation rate per million inhabitants was 2010 7,02; 2011 16,85; 2012 21,06; 2013 12,63; 2014 15,44; 2015 12,63 and 2016 14,04. The average age was 43.94; men being more affected in 90,14% of the cases; the prevalence of family history of cardiovascular disease was 4,23%. The prevalence of risk factors was: smoking 49.30%; alcohol consumption 47.88%; HTA 43.66%; dyslipidemia 32,39%; obesity 25.35%; diabetes 15.49 and drug use 2.82%. 87,3% of the cases presented between 1 to 4 accumulated risk factors. Finally, the probability of coronary disease was assessed using the Framingham scale, obtaining a low cardiovascular risk in 61.97%, moderate in 36.61% and high in 1.40%. Conclusions: AMI in young patients has been increasing annually, it is presented mostly in men and is associated with preventable risk factors by promoting healthy lifestyles from early age.
Prevalencia de reingreso por Insuficiencia Cardiaca y factores asociados en los pacientes mayores de 40 años del “Hospital Vicente Corral Moscoso”. Cuenca 2018-2020
(Universidad de Cuenca, 2023-04-03) López Valencia, Jessica Anabel; Moreira Vera, Wisthon Xavier
Heart Failure (HF) is the inability to satisfy the peripheral metabolic demands of the organism. Its decompensation is influenced by factors that determine hospital readmissions, raising morbidity and mortality rates. Objective: to determine the prevalence of readmission due to HF and associated factors in patients older than 40 years at the “Vicente Corral Moscoso Hospital”. Basin 2018-2020. Methodology: study in 120 medical records of patients over 40 years of age, of Internal Medicine, with a diagnosis of HF who were readmitted due to decompensation during the period 2018-2020. The information was collected in a form prepared by the authors and was analyzed in the SPSS v15 statistical program using descriptive statistics such as frequency and percentage, measures of central tendency as means, and dispersion as standard deviation (SD); odds ratio (OR) with an interval 95% confidence, for statistical significance, the Chi square test with was used with its value p < 0.005. Results: the prevalence of readmission for heart failure was 33.3%, with a mean age of 72 years and a standard deviation of ±13.69; 57.5% were women, readmission was associated with pathologies such as Diabetes mellitus type 2 (2DM), OR 3 (95% CI, 1.16-7.73, p= 0.02), use of antiplatelet agents, OR 8.78 (95% CI 0.95-81.34, p =0.02) and use diuretics, OR 3.16 (95% CI 1.41-7.09, p=0.04). Conclusions: the prevalence of readmission of patients due to heart failure was higher in older adults, with a predominance of females, associated with 2DM and consumption of diuretics and antiaggregants.
Prevalencia de valvulopatías en pacientes mayores de 18 años atendidos en el Hospital José Carrasco Arteaga. Cuenca. Periodo Julio 2013 –Junio 2018
(Universidad de Cuenca, 2020-05-07) Astudillo Sacoto, Ana Elisa; Machuca Altamirano, Mauricio José; Moreira Vera, Wisthon Xavier
Background: The worldwide prevalence of valvular disease is unknown. In the United States it is present in 2.5% of the general population. At the level of Latin America there is little information about it. According to the Pontifical Catholic University of Chile, the prevalence at the population level is: 1.7% mitral insufficiency, 0.5% aortic insufficiency, 0.4% aortic stenosis, 0.1% mitral stenosis. However, we have not found research papers regarding the prevalence in Ecuador. General objective: To determine the prevalence of confirmed valvulopathies in patients over 18 years of age, treated at the José Carrasco Arteaga Hospital, Cuenca, in the period from july 2013 to june 2018. Methodology: A quantitative, observational, descriptive and retrospective investigation was conducted whose universe will be the totality of patients older than 18 years with confirmed valvulopathy treated by the Cardiology Unit of the José Carrasco Arteaga Hospital in Cuenca during the period July 2013 – June 2018. Your Incorporation into the study will be through access to the database of said hospital. Once the data has been collected, they will be entered into a database, designed for the purpose in the statistical software IBM SPSS version 24. For the analysis, absolute and relative frequency statistics translated into percentages, Chi-square association tests and the presentation in tables. Results: The general prevalence of valvulopathies is 2.8%. Among the most frequent valvulopathies are aortic stenosis (57.4%), aortic insufficiency (43.3%) and mitral insufficiency (40.1%). Arterial hypertension was significant in the analysis of association with pulmonary stenosis. Conclusions: Valvulopathies continue to represent one of the biggest health problems in people 65 years of age or older.
Seguimiento clínico postrombectomia mecánica en infarto agudo de miocardio con elevación del segmento st, Hospital José Carrasco Arteaga, 2012 – 2014
(2017) Soto Andrade, Gabriela Estefanía; Galindo Sarmiento, Pedro Francisco; Moreira Vera, Wisthon Xavier; Roldán Fernández, José Vicente
Background: Thrombectomy was an important treatment tool for simple, rapid percutaneous coronary intervention (PCI) at a reduced cost. It has been shown to improve coronary blood flow and to resolve ST segment elevation. The single-centered Thrombus Aspiration during Percutaneous Coronary Intervention in Acute Myocardial Infarction Study of 1,071 patients showed some benefit in survival after thrombectomy; however, there has been an increase in risk in some published studies. Objective: To determine post - thrombectomy clinical follow - up in patients with acute myocardial infarction with ST segment elevation, through mortality; complications; stay. Material and methods: This is a quantitative, observational, cross-sectional research. The universe was constituted by 115 clinical histories of patients postrombectomia mecánica of the Hospital José Carrasco Arteaga (HJCA). A form with variables related to socio demographic and clinical data was used. Statistical tabulation was done with the SPSS program. Results: The study demonstrated a death rate of 6.1%, similar to those found in the international literature. Of the 115 patients, 81.7% were males, with an average age of 62, 99 years. 25.2% presented complications after the technique, with a hospitalization time in 44.3% less than 3 days. Conclusions: It was determined that the mortality rate (6.1%) was similar to that of other studies, with men being more affected, those with a functional class I, and a positive association between older age and the development of mostly immediate complications and longer hospitalization time