Imagenología-Pregrado

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Browsing Imagenología-Pregrado by Subject "Angiotomografia"

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    Incidencia de lesiones en arterias coronarias diagnosticada mediante angiotomografía, en pacientes de 30 a 70 años, en el Hospital José Carrasco Arteaga, en el periodo noviembre 2017- abril 2018
    (2018-11-11) Alvear Morocho, Erika Andrea; López Ayora, Juan Diego; Salazar Alvarado, Xavier Miguel
    Background: Despite the decrease in the mortality rate due to ischemic heart disease in the last four decades in developed countries, it remains the cause of death of one third of all deaths in patients older than 35 years. It is estimated that half of the male population and a third of the female population in middle age in the United States will suffer some symptom of ischemic heart disease. In Europe, cardiovascular disease causes around 4 million deaths per year and 1.9 million in the European Union, mostly due to coronary heart disease (1). In Ecuador, in 2014 there were 4,430 deaths from ischemic heart disease, 2,643 were men and 1,787 were women, where a higher incidence was found in ages over 65 with 3,212 deaths (35). According to the Basic Indicators of Health of Ecuador in 2012, cardiovascular diseases have a mortality rate according to gender of 15.8 in men and 10.6 in women (x 100,000 inhabitants), in addition to being the third cause of death (36). Objective: To determine the incidence of coronary artery lesions diagnosed by Angiotomography, in patients aged 30 to 70 years, at the Hospital José Carrasco Arteaga, in November 2017 - April 2018. Method and materials. Authorization was requested to carry out a prospective descriptive investigation in the José Carrasco Arteaga Hospital. The data were obtained in the medical records and tabulated with the SPSS 25 computer program, the results are presented as tables and graphs. Results. Of 60 patients that make up the population 25% of the coronary artery lesion, 73.33% belongs to the male sex. The age range with greater affectation is 60 to 70 years with 66.67%. The coronary artery with the most involvement was the anterior descending artery with 53.33% followed by the right coronary artery with 46.66%. Conclusions. With this research, the incidence of coronary artery lesions diagnosed by coronary angiotomography was determined
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    Incidencia de tromboembolismo pulmonar diagnosticado por angiotomografía computarizada, Hospital José Carrasco Arteaga, Cuenca. Octubre 2017 - marzo 2018
    (2018-11-11) Quito Gordillo, Pablo Andrés; Solano Brito, Pablo José
    BACKGROUND The pulmonary embolism (PE) is considered to be the third cause of death at a cardiovascular level only after coronary artery disease and strokes; at a global level it appears in approximately 1 in every 1000 habitants a year. Autopsy studies indicate that PE is a 15% contributor or principal cause of death; in fatal cases more than half occur during the first hour of presentation. CT Angiography is considered to be the “gold standard” for the diagnostic of this pathology. OBJECTIVE Determine the incidence of pulmonary embolism diagnosed by CT Angiography in patients that attend to the Hospital Jose Carrasco Arteaga, Cuenca, October 2017 - March 2018. METHODOLOGY A prospective descriptive study was carried out based on data obtained from a universe conformed by 61 patients. The recollected information was tabulated and analyzed with accordance to the variables, utilizing the programs SPSS V23 and Microsoft Excel 2016. RESULTS Of the 61 evaluated patients, 32 (52.5%) were diagnosed with PE, of this group 59.4% are female. The incidence was major in adults older than 70 years (62%). Half of the patients were issued from the emergency area, followed by hospitalized patients that represent 31.3%. In 65.6% of the patients the thrombus was found occluding both pulmonary arteries, those of which in their majority were classified as an acute type with 17 cases (53.1%). Dyspnoea was the motive of the more recurring query being present in 50% of the cases.