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Article ; Online: Vieussens' ring fistula to pulmonary artery: embolization with grandmother-mother-child technique.

Farjat-Pasos, Julio I / Rivera-Rodríguez, Agustín / Loáisiga-Sáenz, Arnoldo E / Herrera-Méndez, Roberto F / Jiménez-Santos, Moises / Piña-Reyna, Yigal

Archivos de cardiologia de Mexico

2022 Volume 92, Issue 4, Page(s) 541–544

Abstract: A 53-year-old man with an asymptomatic fistula from the Vieussens ring to the pulmonary artery presented with progressive respiratory distress. Coil embolization of this type of fistula has been described by femoral access. The advanced transradial " ... ...

Title translation	Fístula del anillo de Vieussens a arteria pulmonar: embolización con técnica abuela-madre-hijo.
Abstract	A 53-year-old man with an asymptomatic fistula from the Vieussens ring to the pulmonary artery presented with progressive respiratory distress. Coil embolization of this type of fistula has been described by femoral access. The advanced transradial "grandmother-mother-son" technique for high active support safely allows successful embolization of this type of coronary fistulae.
MeSH term(s)	Male ; Humans ; Middle Aged ; Pulmonary Artery ; Coronary Vessel Anomalies ; Grandparents ; Coronary Angiography/methods ; Fistula ; Mother-Child Relations
Language	English
Publishing date	2022-11-22
Publishing country	Mexico
Document type	Case Reports ; Journal Article
ZDB-ID	2059019-2
ISSN	1665-1731 ; 1665-1731
ISSN (online)	1665-1731
ISSN	1665-1731
DOI	10.24875/ACM.21000118
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Article ; Online: Índice de revascularización SYNTAX y eventos cardiovasculares mayores en pacientes con enfermedad coronaria multiarterial en el Instituto Nacional de Cardiología Ignacio Chávez - México.

Vásquez Loarte, Tania / Piña Reyna, Yigal / Peña Duque, Marco / Ortiz Zegarra, César Antonio

Archivos peruanos de cardiologia y cirugia cardiovascular

2023 Volume 4, Issue 1, Page(s) 7–12

Abstract: Objective: To evaluate the degree of incomplete revascularization in patients with multiarterial coronary artery disease who underwent percutaneous coronary intervention (PCI) or coronary artery bypass surgery (CABG) using the Syntax revascularization ... ...

Title translation	The SYNTAX Revascularization Index and major cardiovascular events in patients with multivessel coronary artery disease in the Instituto Nacional de Cardiología Ignacio Chávez - Mexico.
Abstract	Objective: To evaluate the degree of incomplete revascularization in patients with multiarterial coronary artery disease who underwent percutaneous coronary intervention (PCI) or coronary artery bypass surgery (CABG) using the Syntax revascularization index (SRI) and its relationship to major cardiovascular events during follow-up. Materials and methods: Observational, retrospective study with 4-year follow-up of patients with multiarterial coronary artery disease who underwent surgical or percutaneous coronary revascularization, in whom the baseline Syntax score (SSb) and the residual Syntax score (SSr) were calculated. The Syntax Revascularization Index (SRI) was determined with the following formula: SRI = (1- [SSr/SSb]) x 100, and major cardiovascular events at 4-year follow-up were compared. Results: Two hundred patients (100 in each group) were evaluated. Mean SSr in group 1 was 83.2%, and in group 2, 79.0% (p=0.88). Mean complete revascularization was 41% in the first group and 35% in the second. A cutoff point of ≤90% of IRS had the best accuracy for predicting major cardiovascular events (area under the curve of 0.60; 95% CI: 0.49-0.71, p<0.05). In multivariate analysis IRS was an independent predictor of major cardiovascular events (HR 2.6; 95%CI: 1.32-3.22, p= 0.043). Conclusions: The Syntax Revascularization Index may be useful for measuring the degree of revascularization in patients with multiarterial coronary artery disease treated percutaneously or surgically. An SRI ³90% may be an acceptable target for revascularization
Language	Spanish
Publishing date	2023-03-31
Publishing country	Peru
Document type	English Abstract ; Journal Article
ISSN	2708-7212
ISSN (online)	2708-7212
DOI	10.47487/apcyccv.v4i1.282
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Article ; Online: Care of acute coronary syndromes during the health contingency due to a SARS-CoV-2 outbreak.

Piña-Reyna, Yigal / García-Rincón, Andrés / Ortiz-Fernández P, Patricio H / Alcocer-Gamba, Marco A / Gutiérrez-Fajardo, Pedro / Merino-Rajme, José A / Reyes-Terán, Gustavo

Archivos de cardiologia de Mexico

2020 Volume 90, Issue Supl, Page(s) 33–35

Abstract: The communications accumulated in the last weeks make it clear that there is no agreement to define the best treatment strategy in patients with acute coronary syndrome (SICA). In patients presenting with an acute myocardial infarction with ST-segment ... ...

Title translation	Atención de los síndromes coronarios agudos durante la contingencia sanitaria por brote de SARS-CoV-2.
Abstract	The communications accumulated in the last weeks make it clear that there is no agreement to define the best treatment strategy in patients with acute coronary syndrome (SICA). In patients presenting with an acute myocardial infarction with ST-segment elevation (IAMCESST), it has been suggested to favor fibrinolysis (FL) over primary percutaneous coronary intervention (PCI), reserving ICP for cases of failed FL
MeSH term(s)	Acute Coronary Syndrome/physiopathology ; Acute Coronary Syndrome/therapy ; COVID-19 ; Cardiac Catheterization ; Coronavirus Infections/epidemiology ; Coronavirus Infections/prevention & control ; Disease Outbreaks ; Humans ; Mexico/epidemiology ; Non-ST Elevated Myocardial Infarction/physiopathology ; Non-ST Elevated Myocardial Infarction/therapy ; Pandemics/prevention & control ; Percutaneous Coronary Intervention/methods ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/prevention & control ; ST Elevation Myocardial Infarction/physiopathology ; ST Elevation Myocardial Infarction/therapy
Keywords	covid19
Language	English
Publishing date	2020-06-10
Publishing country	Mexico
Document type	Journal Article
ISSN	1665-1731
ISSN (online)	1665-1731
DOI	10.24875/ACM.M20000062
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Article ; Online: Dual Antiplatelet Therapy Versus Antiplatelet Monotherapy Plus Oral Anticoagulation in Patients with Acute Coronary Syndrome and Coronary Artery Ectasia: Design and Rationale of OVER-TIME Randomized Clinical Trial.

Araiza-Garaygordobil, Diego / Gopar-Nieto, Rodrigo / Sierra-Lara Martínez, Daniel / Belderrain-Morales, Nallely / Sarabia-Chao, Vianney / Alfaro-Ponce, Diana Laura / Ontiveros-Mercado, Heriberto / Mendoza-García, Salvador / Altamirano-Castillo, Alfredo / Martinez-Amezcua, Pablo / Cabello-López, Alejandro / Briseño-De la Cruz, Jose Luis / Ruiz-Beltrán, Maximiliano / Martínez-Ríos, Marco Antonio / Piña-Reyna, Yigal / Gonzalez-Pacheco, Hector / Arias-Mendoza, Alexandra

High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension

2022 Volume 29, Issue 5, Page(s) 463–468

Abstract: Introduction: The optimal anti-thrombotic therapy to prevent recurrent ischemic events in patients with acute coronary syndrome and coronary artery ectasia (CAE) remains unclear.: Aim: To assess the efficacy and safety of antiplatelet plus ... ...

Abstract	Introduction: The optimal anti-thrombotic therapy to prevent recurrent ischemic events in patients with acute coronary syndrome and coronary artery ectasia (CAE) remains unclear. Aim: To assess the efficacy and safety of antiplatelet plus anticoagulant therapy versus dual antiplatelet therapy in patients with acute coronary syndromes and coronary artery ectasia. Methods: OVER-TIME is an investigator initiated, exploratory, open label, single center, randomized clinical trial comparing dual antiplatelet therapy (acetyl-salicylic acid plus a P2Y12 inhibitor) with the combination of an antiplatelet monotherapy (a P2Y12 inhibitor) plus a low dose anticoagulant (rivaroxaban, 15mg oral dose) for the prevention of recurrent ischemic events among patients with CAE. We aim to enroll approximately 60 patients with CAE and acute coronary syndromes. After recruitment, patients are randomized to (a) standard of care (dual antiplatelet regimen) or (b) the combination of antiplatelet monotherapy and low dose anticoagulant. Patients will be followed for at least 12 months. The OVER-TIME study aims to assess the efficacy of the regimen in prevention of major cardiovascular events and its security in bleeding events in acute coronary syndromes among patients with CAE. Expected results and conclusions: OVER-TIME is the first randomized controlled trial to assess different antithrombotic strategies in patients with CAE and acute coronary syndrome, and its results will offer preliminary data for the prevention of major cardiovascular events and bleeding events in this group of patients. Trial registration number: NCT05233124 (ClinicalTrials.gov), date of registration: February 10, 2022.
MeSH term(s)	Acute Coronary Syndrome/diagnosis ; Acute Coronary Syndrome/drug therapy ; Anticoagulants/adverse effects ; Coronary Vessels ; Dilatation, Pathologic/chemically induced ; Dilatation, Pathologic/drug therapy ; Drug Therapy, Combination ; Fibrinolytic Agents/adverse effects ; Hemorrhage/chemically induced ; Humans ; Percutaneous Coronary Intervention/adverse effects ; Percutaneous Coronary Intervention/methods ; Platelet Aggregation Inhibitors/adverse effects ; Rivaroxaban ; Salicylic Acid/therapeutic use ; Treatment Outcome
Chemical Substances	Anticoagulants ; Fibrinolytic Agents ; Platelet Aggregation Inhibitors ; Rivaroxaban (9NDF7JZ4M3) ; Salicylic Acid (O414PZ4LPZ)
Language	English
Publishing date	2022-07-29
Publishing country	New Zealand
Document type	Journal Article ; Randomized Controlled Trial
ZDB-ID	1236337-6
ISSN	1179-1985 ; 1120-9879
ISSN (online)	1179-1985
ISSN	1120-9879
DOI	10.1007/s40292-022-00535-4
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Atención de la cardiopatía isquémica en salas de cateterismo durante la contingencia sanitaria por pandemia de COVID-19. Recomendaciones de la Sociedad de Cardiología Intervencionista de México (SOCIME)

Yigal Piña-Reyna / Andrés García-Rincón / Patricio Heriberto Ortiz-Fernández / Marco Antonio Alcocer-Gamba / Pedro Gutiérrez-Fajardo / José Alfredo Merino-Rajme / Gustavo Reyes-Terán

REC: Interventional Cardiology, Vol 2, Iss 3, Pp 199-

2020 Volume 205

Abstract: RESUMEN En México, el número de casos confirmados y estimados de COVID-19 inició su ascenso progresivo a partir de la segunda semana de marzo de 2020, lo que alteró de forma directa e indirecta la atención habitual de los pacientes con cardiopatía ... ...

Abstract	RESUMEN En México, el número de casos confirmados y estimados de COVID-19 inició su ascenso progresivo a partir de la segunda semana de marzo de 2020, lo que alteró de forma directa e indirecta la atención habitual de los pacientes con cardiopatía isquémica. Este documento es un consenso de la Sociedad de Cardiología Intervencionista de México (SOCIME), la Sociedad Mexicana de Cardiología (SMC), la Asociación Nacional de Cardiólogos de México (ANCAM), la Asociación Nacional de Cardiólogos al Servicio de los Trabajadores del Estado (ANCISSSTE) y la Comisión Coordinadora de Institutos Nacionales de Salud y Hospitales de Alta Especialidad (CCINSHAE) que tiene como objetivo prioritario orientar las decisiones de revascularización coronaria, en particular en los pacientes con síndrome coronario agudo, en las salas de cateterismo, durante el tiempo que dure la urgencia sanitaria por la pandemia de SARS-CoV-2.
Keywords	Infarto de miocardio ; Síndrome coronario agudo ; Intervención coronaria percutánea ; COVID-19 ; SARS-CoV-2 ; Pandemia ; Internal medicine ; RC31-1245
Language	English
Publishing date	2020-08-01T00:00:00Z
Publisher	Permanyer
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Management of ischemic heart disease in catheterization laboratories during the health contingency generated by the COVID-19 pandemic. Recommendations of the Mexican Interventional Cardiology Society (SOCIME)

Yigal Piña-Reyna / Andrés García-Rincón / Patricio Heriberto Ortiz-Fernández / Marco Antonio Alcocer-Gamba / Pedro Gutiérrez-Fajardo / José Alfredo Merino-Rajme / Gustavo Reyes-Terán

REC: Interventional Cardiology (English Ed.), Vol 2, Iss 3, Pp 199-

2020 Volume 205

Abstract: Abstract In Mexico, the number of confirmed and estimated cases of COVID-19 has been going up gradually from the second week of March 2020. This directly and indirectly altered the normal care of patients with ischemic heart disease. This is a consensus ... ...

Abstract	Abstract In Mexico, the number of confirmed and estimated cases of COVID-19 has been going up gradually from the second week of March 2020. This directly and indirectly altered the normal care of patients with ischemic heart disease. This is a consensus document achieved by different societies (the Mexican Society of Interventional Cardiology [SOCIME], the Mexican Society of Cardiology [SMC], the Mexican National Association of Cardiologists [ANCAM], the National Association of Cardiologists at the Service of State Workers [ANCISSSTE]), and the Coordinating Commission of National Institutes of Health and High Specialty Hospitals [CCINSHAE]). Its main objective is to guide the decision-making process on coronary revascularization procedures for the management of patients with acute coronary syndrome in catheterization laboratories during the current health emergency generated by the SARS-CoV-2 pandemic.
Keywords	Myocardial infarction ; Acute coronary syndrome ; Percutaneous coronary intervention ; COVID-19 ; SARS-CoV-2 ; Pandemic ; Medicine ; R
Subject code	306
Language	English
Publishing date	2020-08-01T00:00:00Z
Publisher	Permanyer
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Intervención coronaria percutánea del tronco no protegido de la coronaria izquierda comparada con cirugía de revascularización coronaria; experiencia de 3 años en el Instituto Nacional de Cardiología.

López-Aguilar, Carlos / Abundes-Velasco, Arturo / Eid-Lidt, Guering / Piña-Reyna, Yigal / Gaspar-Hernández, Jorge

Archivos de cardiologia de Mexico

2016 Volume 88, Issue 2, Page(s) 83–92

Abstract: Background: The best revascularisation method of the unprotected left main artery is a current and evolving topic.: Methods: A total of 2439 percutaneous coronary interventions (PCI) were registered during a 3-year period. The study included all the ... ...

Title translation	Percutaneous coronary intervention of unprotected left main coronary compared with coronary artery bypass grafting; 3 years of experience in the National Institute of Cardiology, Mexico.
Abstract	Background: The best revascularisation method of the unprotected left main artery is a current and evolving topic. Methods: A total of 2439 percutaneous coronary interventions (PCI) were registered during a 3-year period. The study included all the patients with PCI of the unprotected left main coronary (n=48) and matched with patients who underwent coronary artery bypass graft (CABG) (n=50). Major adverse cerebral and cardiac events (MACCE) were assessed within the hospital and in outpatients during a 16 month follow up. Results: The cardiovascular risk was greater in the PCI group; logEuroSCORE 16±21 vs. 5±6, P=.001; clinical Syntax 77±74 vs 53±39, P=.04. On admission, the PCI group of patients had a higher frequency of ST segment elevation myocardial infarction (STEMI) and cardiogenic shock. The MACCE were similar in both groups (14% vs. 18%, P=.64). STEMI was less frequent in the PCI group (0% vs. 10%, P=.03). Cardiovascular events were lower in the PCI group (2.3% vs. 18%, P=.01), and there was a decrease in general and cardiac mortality (2.3% vs. 12%, P=.08 y 2.3% vs. 8%, P=.24), on excluding the patients with cardiogenic shock as a presentation. MACCE were similar in both groups in the out-patient phase (15% vs. 12%, P=.46). Survival without MACCE, general and cardiac death were comparable between groups (log rank, P=.38, P=.44 and P=.16, respectively). Conclusion: Even though the clinical and peri-procedural risk profile of the PCI patients were higher, the in-hospital and out-hospital efficacy and safety were comparable with CABG.
MeSH term(s)	Aged ; Case-Control Studies ; Coronary Artery Bypass ; Coronary Artery Disease/surgery ; Female ; Humans ; Longitudinal Studies ; Male ; Mexico ; Percutaneous Coronary Intervention/methods ; Retrospective Studies ; Time Factors ; Treatment Outcome
Language	Spanish
Publishing date	2016-08-21
Publishing country	Mexico
Document type	Comparative Study ; Journal Article ; Observational Study
ISSN	1665-1731
ISSN (online)	1665-1731
DOI	10.1016/j.acmx.2016.07.003
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Article: Atención de los síndromes coronarios agudos durante la contingencia sanitaria por brote de SARS-CoV-2./ Care of acute coronary syndromes during the health contingency due to a SARS-CoV-2 outbreak

Piña-Reyna, Yigal / García-Rincón, Andrés / Ortiz-Fernández P, Patricio H / Alcocer-Gamba, Marco A / Gutiérrez-Fajardo, Pedro / Merino-Rajme, José A / Reyes-Terán, Gustavo

Arch Cardiol Mex

Abstract	The communications accumulated in the last weeks make it clear that there is no agreement to define the best treatment strategy in patients with acute coronary syndrome (SICA). In patients presenting with an acute myocardial infarction with ST-segment elevation (IAMCESST), it has been suggested to favor fibrinolysis (FL) over primary percutaneous coronary intervention (PCI), reserving ICP for cases of failed FL1,2; however, some societies have maintained the indication of the ICPp as the repercussion method of choice3. In SICAs without ST segment elevation (SICASESST) the recommendations are very similar, favoring medical treatment over percutaneous coronary intervention in this subgroup of patients1. Several companies consider the contagion status, particularly in the SICASESST, to decide which repercussion follow3. Anticipating that the epidemiological curve in Mexico will be similar to that observed in most countries, we recommend continuing the care of patients with SICA, the catheterization rooms must maintain their operation.
Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #32523135
Database	COVID19

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Article: Atención de los síndromes coronarios agudos durante la contingencia sanitaria por brote de SARS-CoV-2

Piña-Reyna, Yigal / García-Rincón, Andrés / Ortiz-Fernández P, Patricio H. / Alcocer-Gamba, Marco A. / Gutiérrez-Fajardo, Pedro / Merino-Rajme, José A. / Reyes-Terán, Gustavo

Arch Cardiol Mex

Abstract: The communications accumulated in the last weeks make it clear that there is no agreement to define the best treatment strategy in patients with acute coronary syndrome (SICA) In patients presenting with an acute myocardial infarction with ST-segment ... ...

Abstract	The communications accumulated in the last weeks make it clear that there is no agreement to define the best treatment strategy in patients with acute coronary syndrome (SICA) In patients presenting with an acute myocardial infarction with ST-segment elevation (IAMCESST), it has been suggested to favor fibrinolysis (FL) over primary percutaneous coronary intervention (PCI), reserving ICP for cases of failed FL1,2;however, some societies have maintained the indication of the ICPp as the repercussion method of choice3 In SICAs without ST segment elevation (SICASESST) the recommendations are very similar, favoring medical treatment over percutaneous coronary intervention in this subgroup of patients1 Several companies consider the contagion status, particularly in the SICASESST, to decide which repercussion follow3 Anticipating that the epidemiological curve in Mexico will be similar to that observed in most countries, we recommend continuing the care of patients with SICA, the catheterization rooms must maintain their operation
Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #603309
Database	COVID19

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Article ; Online: Acute left main coronary artery thrombosis as the first manifestation of systemic lupus erythematosus and catastrophic antiphospholipid syndrome.

González-Pacheco, Héctor / Eid-Lidt, Guering / Piña-Reyna, Yigal / Amezcua-Guerra, Luis M / Aldana-Sepúlveda, Natalia / Martínez-Sánchez, Carlos

The American journal of emergency medicine

2014 Volume 32, Issue 2, Page(s) 197.e3–5

Abstract: Most coronary events in young adults are related to atherosclerosis; however, approximately 20% of coronary heart disease in young adults is related to nonatherosclerotic factors such as coronary abnormalities, connective tissue disorders, and autoimmune ...

Abstract	Most coronary events in young adults are related to atherosclerosis; however, approximately 20% of coronary heart disease in young adults is related to nonatherosclerotic factors such as coronary abnormalities, connective tissue disorders, and autoimmune diseases. Different initial manifestations of systemic lupus erythematosus (SLE) and antiphospholipid syndrome (APS) have been reported. Myocardial infarction is observed in patients with SLE in all age groups; it appears during the course of the disease; and it is unusual in the APS. We present a unique case of a 28-year-old young man previously healthy who has an ST-elevation myocardial infarction by total acute thrombosis of the left main coronary artery. Laboratory studies demonstrated the presence of antibodies for SLE and APS. The patient was treated successfully with percutaneous coronary intervention. He developed catastrophic APS despite an adequate anticoagulation and was treated with intravenous steroids and plasmapheresis. Clinical evolution was satisfactory, and he discharged from the hospital. This case highlights the importance of considering in the emergency department, the prothrombotic states such as SLE and APS in young patients presenting with acute myocardial infarction caused by an unexplained intracoronary thrombosis. Early diagnosis of catastrophic APS and aggressive therapies are essential to help such patients from succumbing to this potentially fatal condition.
MeSH term(s)	Acute Disease ; Adult ; Antiphospholipid Syndrome/complications ; Coronary Thrombosis/diagnostic imaging ; Coronary Thrombosis/etiology ; Emergency Service, Hospital ; Humans ; Lupus Erythematosus, Systemic/complications ; Magnetic Resonance Imaging ; Male ; Myocardial Infarction/etiology ; Neuroimaging ; Radiography ; Stroke/diagnosis ; Stroke/etiology
Language	English
Publishing date	2014-02
Publishing country	United States
Document type	Case Reports ; Journal Article
ZDB-ID	605890-5
ISSN	1532-8171 ; 0735-6757
ISSN (online)	1532-8171
ISSN	0735-6757
DOI	10.1016/j.ajem.2013.09.032
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