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Article ; Online: Toward a Better Understanding of Cardiovascular Risk in the Transgender and Gender-Diverse Community: A Global Call to Action.

Cossío Aranda, Jorge Eduardo / Jain, Viveka / Figueiras-Graillet, Lourdes M / Arias-Mendoza, Alexandra / Cuéllar, Julio López / Berni Betancourt, Ana / Liprandi, Álvaro Sosa / Pinto, Fausto / Eiselé, Jean-Luc / Pineiro, Daniel José

Global heart

2024 Volume 19, Issue 1, Page(s) 27

Abstract: On World Heart Day 2022, the Mexican Society of Cardiology, the Inter-American Society of Cardiology, and the World Heart Federation collaborated on a public call to action regarding the increased risk of adverse cardiovascular health outcomes in ... ...

Abstract	On World Heart Day 2022, the Mexican Society of Cardiology, the Inter-American Society of Cardiology, and the World Heart Federation collaborated on a public call to action regarding the increased risk of adverse cardiovascular health outcomes in transgender and gender diverse (TGD) individuals. The aim of this article is to unpack the numerous factors that contribute to this, such as the social stigma faced by members of the TGD community, their reduced access to clinical care, and the scarcity of research regarding the unique needs of their community, which makes it difficult for clinicians to provide individualized medical care. Decreasing the incidence of adverse cardiovascular events among TGD individuals requires interventions such as educational reform in the medical community, an increase in inclusive research studies, and broader social initiatives intended to reduce the stigma faced by TGD individuals.
MeSH term(s)	Humans ; Transgender Persons ; Cardiovascular Diseases/epidemiology ; Cardiovascular Diseases/etiology ; Risk Factors ; Heart Disease Risk Factors ; Cardiology
Language	English
Publishing date	2024-02-29
Publishing country	England
Document type	Journal Article ; Review
ZDB-ID	2629633-0
ISSN	2211-8179 ; 2211-8160
ISSN (online)	2211-8179
ISSN	2211-8160
DOI	10.5334/gh.1300
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Article ; Online: Modificaciones en el estilo de vida y control de los factores de riesgo en la prevención y el tratamiento de la fibrilación auricular.

Rodríguez-Reyes, Humberto / Asensio-Lafuente, Enrique / Cossío-Aranda, Jorge E / Borrayo-Sánchez, Gabriela / Alcocer-Gamba, Marco / Berni-Betancourd, Ana / Picos-Bovio, Eva M / Gallegos-De Luna, Carlos F / Laguna-Muñoz, César I / Corona-Martínez, Víctor A / Muñoz-Gutiérrez, Luz M / Rodríguez-Muñoz, Karla M

Archivos de cardiologia de Mexico

2024

Abstract: Atrial fibrillation (AF) is the most prevalent arrhythmia and is related with significant morbidity, mortality and costs. In spite of relevant advances in the prevention of embolic events and rhythm control, little has been done to reduce its prevalence, ...

Title translation	Lifestyle modification and risk factor control in the prevention and treatment of atrial fibrillation.
Abstract	Atrial fibrillation (AF) is the most prevalent arrhythmia and is related with significant morbidity, mortality and costs. In spite of relevant advances in the prevention of embolic events and rhythm control, little has been done to reduce its prevalence, progression and impact, since it increases with ageing as well as with common risk factors such as alcohol intake, tobacco use and stress as well as with arterial hypertension, diabetes mellitus, heart failure, sleep apnea, kidney failure, chronic pulmonary obstructive disease, ischemic heart disease and stroke, among other important comorbidities. Fortunately, new evidence suggests that lifestyle modifications and adequate risk factors and comorbidities control could be effective in primary and secondary AF prevention, especially in its paroxysmal presentations. This is why a multidisciplinary approach integrating lifestyle modifications, risk factors and comorbidities control, is necessary in conjunction with rhythm or rate control and anticoagulation. Unfortunately, that holistic approach strategy is not considered, is scarcely studied or is subtilized in general clinical practice. The present statement's objectives are to: 1) review the relationship between habits, risk factors and illnesses with AF, 2) review the individual and common physiopathology mechanisms of each one of those conditions that may lead to AF, 3) review the effect of control of habits, risk factors and co-morbidities on the control and impact of AF, and 4) supply guidelines and recommendations to start multidisciplinary and integrative AF treatment.
Language	Spanish
Publishing date	2024-02-21
Publishing country	Mexico
Document type	English Abstract ; Journal Article
ZDB-ID	2059019-2
ISSN	1665-1731 ; 1665-1731
ISSN (online)	1665-1731
ISSN	1665-1731
DOI	10.24875/ACM.22000236
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Article ; Online: Toward a better understanding of cardiovascular risk in the transgender and gender-diverse community: a supplement to the Tijuana Declaration.

Cossío-Aranda, Jorge E / Jain, Viveka / Figueiras-Graillet, Lourdes M / Arias-Mendoza, Alexandra / López-Cuéllar, Julio / Betancourt-Alvara, Ana B / Sosa-Liprandi, Álvaro / Pinto, Fausto / Eiselé, Jean-Luc / Pineiro, Daniel

Archivos de cardiologia de Mexico

2023 Volume 93, Issue Supl, Page(s) 1–4

Abstract: On World Heart Day 2022, the Mexican Society of Cardiology, the Inter-American Society of Cardiology, and the World Heart Federation collaborated on a communication regarding the increased risk of adverse cardiovascular health outcomes in transgender and ...

Title translation	El camino hacia una mejor comprensión del riesgo cardiovascular en la comunidad transgénero y diferentes géneros: un suplemento a la Declaración de Tijuana.
Abstract	On World Heart Day 2022, the Mexican Society of Cardiology, the Inter-American Society of Cardiology, and the World Heart Federation collaborated on a communication regarding the increased risk of adverse cardiovascular health outcomes in transgender and gender-diverse (TGD) individuals. This document, called the Tijuana Declaration, urged the global cardiovascular community to work toward understanding and mitigating this problem. This article aims to unpack the numerous factors that lead to it. An example is the social stigma faced by members of the TGD community, which leads to increased stress and risk for cardiovascular complications. TGD patients are also more likely to have insufficient access to health care, and those that do receive care are often faced with providers that are not adequately educated about the unique needs of their community. Finally, there is some evidence to suggest that gender-affirming hormone therapies have an impact on cardiovascular health, but studies on this subject often have methodological concerns and contradictory findings. Decreasing the incidence of adverse cardiovascular events in this community requires interventions such as educational reform in the medical community, an increase in research studies on this topic, and broader social initiatives intended to reduce the stigma faced by TGD individuals.
MeSH term(s)	Humans ; Transgender Persons ; Cardiovascular Diseases/epidemiology ; Cardiovascular Diseases/etiology ; Cardiovascular Diseases/prevention & control ; Risk Factors ; Heart ; Heart Disease Risk Factors
Language	English
Publishing date	2023-11-22
Publishing country	Mexico
Document type	Journal Article
ZDB-ID	2059019-2
ISSN	1665-1731 ; 1665-1731
ISSN (online)	1665-1731
ISSN	1665-1731
DOI	10.24875/ACME.M23000422
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Article: Hipertensión pulmonar secundaria a enfermedad de Rendu-Osler-Weber. Reporte de caso.

Araiza-Garaygordobil, Diego / Lomelí-Estrada, Catalina / Cossío-Aranda, Jorge

Archivos de cardiologia de Mexico

2017 Volume 87, Issue 3, Page(s) 255–257

Title translation	Pulmonary hypertension in Rendu-Osler-Weber disease. A case report.
Language	Spanish
Publishing date	2017-07
Publishing country	Mexico
Document type	Journal Article
ZDB-ID	2047800-8
ISSN	1405-9940
ISSN	1405-9940
DOI	10.1016/j.acmx.2016.05.004
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Article ; Online: Clinical Spectrum and Long-term Outcome of 183 Cases of Ebstein's Anomaly, Experience of Mexican Population.

Herrera-Bello, Héctor / Ávila-Vanzzini, Nydia / Fritche-Salazar, Juan Francisco / Kuri-Alfaro, Jorge / Gaxiola-Macias, Manuel B A / Cossio-Aranda, Jorge E

Archives of medical research

2020 Volume 51, Issue 4, Page(s) 336–342

Abstract: Background: Ebstein's anomaly (EA) is a myopathy of the right ventricle that causes a variable spectrum of tricuspid valve delamination failure with diverse clinical and anatomical presentation. We reviewed our data of EA to establish an association ... ...

Abstract	Background: Ebstein's anomaly (EA) is a myopathy of the right ventricle that causes a variable spectrum of tricuspid valve delamination failure with diverse clinical and anatomical presentation. We reviewed our data of EA to establish an association between clinical and echocardiographic findings with mortality. Methods: We divided patients in infants, Children/adolescents (Ch/A), and adults, according to age of presentation. Clinical and echocardiographic parameters were compared among groups. Multivariate analysis was performed for mortality. Survival analysis was plotted using Kaplan Meier curves. Results: Cyanosis, severe forms of AE and heart failure were more frequent among infants, arrhythmias in Ch/A and stroke among adults. Surgery was performed in 71 patients; infants had higher mortality and early complications. We found that the predicted mortality at 40 years of age in the three groups was significantly different (log rank test, p <0.0001): Infants: 38%, Ch/A 16 and 4% in adults. Multivariate model in surgical group showed that progressive drop of right ventricular fractional shortening (RVFS) predicts a higher mortality risk. In the non-surgical group, low RVFS and cyanosis were significantly associated with mortality. Conclusion: EA in infants is linked to higher morbidity and mortality, while arrhythmias predominate in Ch/A and stroke in adults. In general, stroke is frequent in patients with EA, some prevention alternative must be implemented. Right ventricular dysfunction is very important in EA and is associated with high mortality. It must be subject of discussion the planning of the type of surgery or even in the decision of to preclude surgical treatment.
MeSH term(s)	Adolescent ; Adult ; Child ; Child, Preschool ; Ebstein Anomaly/ethnology ; Female ; Humans ; Infant ; Male ; Mexico ; Treatment Outcome ; Young Adult
Language	English
Publishing date	2020-04-03
Publishing country	United States
Document type	Journal Article
ZDB-ID	1156844-6
ISSN	1873-5487 ; 0188-4409 ; 0188-0128
ISSN (online)	1873-5487
ISSN	0188-4409 ; 0188-0128
DOI	10.1016/j.arcmed.2020.03.008
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Article: Right Heart Chambers Longitudinal Strain Provides Enhanced Diagnosis and Categorization in Patients With Pulmonary Hypertension.

Espinola-Zavaleta, Nilda / Antonio-Villa, Neftali Eduardo / Guerra, Enrique C / Nanda, Navin C / Rudski, Lawrence / Alvarez-Santana, Ricardo / Camacho-Camacho, Gyssele / Aranda-Fraustro, Alberto / Cossio-Aranda, Jorge / Zamora, Karina / Oregel-Camacho, Diego / Armenta-Moreno, Javier Ivan / Berarducci, Joaquin / Alexanderson-Rosas, Erick

Frontiers in cardiovascular medicine

2022 Volume 9, Page(s) 841776

Abstract: Background: Increased systolic pulmonary arterial pressure (sPAP) could lead to the mechanical dysfunction and myocardial fibrosis of the right heart chambers. Echocardiographic strain analysis has not been adequately studied in patients with pulmonary ... ...

Abstract	Background: Increased systolic pulmonary arterial pressure (sPAP) could lead to the mechanical dysfunction and myocardial fibrosis of the right heart chambers. Echocardiographic strain analysis has not been adequately studied in patients with pulmonary hypertension (PH). Study design and methods: A cross-sectional cohort of patients with suspected PH and echocardiographic strain evaluation was recruited. The cut-off values of peak tricuspid regurgitation velocity (TRV) with the low probability of PH (≤2.8 m/s), intermediate probability (2.9-3.4 m/s, without other echo PH signs), and high probability of PH (2.9-3.4 m/s with other echo PH signs and >3.4 m/s) categories were studied by right ventricular and right atrial (RA) strain analysis in a sample of 236 patients. Results: The results showed that 58 (56.9%) patients had low, 15 (14.7%) had intermediate, and 29 (28.4%) had a high probability of PH. We observed a negative association between right ventricular free wall strain (RV-FWS) and atrial global strain with sPAP. With the increase in PH severity, RA reservoir, conduit, and contraction (booster) strain values decreased. The identified cut-off values of strain parameters had an adequate ability to detect PH severity categories. In addition, the post-mortem biopsies of right heart chambers from subjects with known severe PH were analyzed to quantify myocardial fibrosis. Our sample of right heart biopsies ( Conclusion: Mechanical dysfunction and fibrosis in the right chambers are associated with increased sPAP. Right ventricular and atrial strain could provide enhancement in the diagnosis and categorization of subjects with suspected PH.
Language	English
Publishing date	2022-03-31
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2781496-8
ISSN	2297-055X
ISSN	2297-055X
DOI	10.3389/fcvm.2022.841776
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Article: Case Report: A Rare Case of a Ventricular Perivascular Epithelioid Cell Tumor With Histologic Characteristics That Resembled a Primary Cardiac Rhabdomyoma.

Cossío-Aranda, Jorge / Aranda-Frausto, Alberto / Berarducci, Joaquin / Espinola-Zavaleta, Nilda / González-Melchor, Laila / Vázquez-Antona, Clara / Meléndez-Ramirez, Gabriela / Armenta-Moreno, Javier Ivan / Keirns, Candace

Frontiers in cardiovascular medicine

2021 Volume 8, Page(s) 709328

Abstract: We present the case of a young male patient with an initial diagnosis of a rhabdomyoma that was surgically treated at a different hospital when he was 17. After a 2-year disease-free period, the patient presented another intra-cardiac mass. He refused ... ...

Abstract	We present the case of a young male patient with an initial diagnosis of a rhabdomyoma that was surgically treated at a different hospital when he was 17. After a 2-year disease-free period, the patient presented another intra-cardiac mass. He refused surgical treatment and died 5 years later. Post-mortem immunochemistry studies of both tumors led to the diagnosis of a primary malignant cardiac PEComa with histopathologic characteristics that resembled a rhabdomyoma with abundant "spider cells."
Language	English
Publishing date	2021-10-25
Publishing country	Switzerland
Document type	Case Reports
ZDB-ID	2781496-8
ISSN	2297-055X
ISSN	2297-055X
DOI	10.3389/fcvm.2021.709328
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Article: Cardiac Autonomic Response to Active Standing in Calcific Aortic Valve Stenosis.

Torres-Arellano, José M / Echeverría, Juan C / Ávila-Vanzzini, Nydia / Springall, Rashidi / Toledo, Andrea / Infante, Oscar / Bojalil, Rafael / Cossío-Aranda, Jorge E / Fajardo, Erika / Lerma, Claudia

Journal of clinical medicine

2021 Volume 10, Issue 9

Abstract: Aortic stenosis is a progressive heart valve disorder characterized by calcification of the leaflets. Heart rate variability (HRV) analysis has been proposed for assessing the heart response to autonomic activity, which is documented to be altered in ... ...

Abstract	Aortic stenosis is a progressive heart valve disorder characterized by calcification of the leaflets. Heart rate variability (HRV) analysis has been proposed for assessing the heart response to autonomic activity, which is documented to be altered in different cardiac diseases. The objective of the study was to evaluate changes of HRV in patients with aortic stenosis by an active standing challenge. Twenty-two volunteers without alterations in the aortic valve (NAV) and twenty-five patients diagnosed with moderate and severe calcific aortic valve stenosis (AVS) participated in this cross-sectional study. Ten minute electrocardiograms were performed in a supine position and in active standing positions afterwards, to obtain temporal, spectral, and scaling HRV indices: mean value of all NN intervals (meanNN), low-frequency (LF) and high-frequency (HF) bands spectral power, and the short-term scaling indices (α
Language	English
Publishing date	2021-05-07
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2662592-1
ISSN	2077-0383
ISSN	2077-0383
DOI	10.3390/jcm10092004
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Article: Manejo conservador de seroma periaórtico en recoartación de aorta. Reporte de un caso y revisión de la literatura.

Zamora, Karina / Criales-Vera, Sergio / Trevethan-Cravioto, Sergio / Cossio-Aranda, Jorge / Espinola-Zavaleta, Nilda

Archivos de cardiologia de Mexico

2016 Volume 86, Issue 4, Page(s) 378–380

Title translation	Conservative management of periaortic seroma in recoarctation of the aorta. Case report and literature review.
MeSH term(s)	Aorta, Thoracic ; Aortic Coarctation/complications ; Conservative Treatment ; Humans ; Male ; Middle Aged ; Recurrence ; Seroma/etiology ; Seroma/therapy
Language	Spanish
Publishing date	2016-10
Publishing country	Mexico
Document type	Case Reports ; Journal Article ; Review
ZDB-ID	2047800-8
ISSN	1405-9940
ISSN	1405-9940
DOI	10.1016/j.acmx.2015.07.003
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Article ; Online: COVID-19 and the renin, angiotensin, aldosterone system. A complex relationship.

Alcocer-Díaz-Barreiro, Luis / Cossio-Aranda, Jorge / Verdejo-Paris, Juan / Odin-de-Los-Ríos, Manuel / Galván-Oseguera, Héctor / Álvarez-López, Humberto / Alcocer-Gamba, Marco A

Archivos de cardiologia de Mexico

2020 Volume 90, Issue Supl, Page(s) 19–25

Abstract: The COVID-19 pandemic has had major negative health, psychological, social and economic repercussions for individuals, families, communities, countries and for humanity in general. The interrelation with age and the presence of chronic non-communicable ... ...

Title translation	COVID-19 y el sistema renina, angiotensina, aldosterona. Una relación compleja.
Abstract	The COVID-19 pandemic has had major negative health, psychological, social and economic repercussions for individuals, families, communities, countries and for humanity in general. The interrelation with age and the presence of chronic non-communicable diseases (hypertension, diabetes, obesity, smoking) seems to go further than what would be explained by the prevalence and distribution of both. The drugs that act on the renin-angiotensin-aldosterone system are in many cases the backbone for the management of these diseases, it has been known for a long time that these drugs significantly increase the expression of receptors for angiotensin conversion enzyme type 2 in the lung tissue. This fact, together with the knowledge that the route of entry of the virus into the cell is precisely the ACE-2 receptor, initiated a hypothesis, based on very low-quality evidence, which quickly became generalized in the media, that the use of these drugs could be negative and that they should be interrupted immediately. The response of practically all Scientific Societies was almost immediate, with the precise indication that treatment with these drugs should not be discontinued, since the evidence of their usefulness is based on very solid and high-quality evidence. Simultaneously, a different hypothesis also appeared, also based on very preliminary evidence, that these drugs are not only harmful but also beneficial, however these medicaments are not yet accepted as agents for the prevention or treatment of this disease or its complications. This review reports current knowledge on the relationship between COVID-19 and SRAA.
MeSH term(s)	Animals ; Coronavirus Infections/drug therapy ; Coronavirus Infections/epidemiology ; Coronavirus Infections/virology ; Drug-Related Side Effects and Adverse Reactions/epidemiology ; Humans ; Pandemics ; Peptidyl-Dipeptidase A/metabolism ; Pneumonia, Viral/drug therapy ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/virology ; Renin-Angiotensin System/drug effects ; Renin-Angiotensin System/physiology ; Risk Factors
Chemical Substances	Peptidyl-Dipeptidase A (EC 3.4.15.1) ; angiotensin converting enzyme 2 (EC 3.4.17.-)
Keywords	covid19
Language	English
Publishing date	2020-05-06
Publishing country	Mexico
Document type	Journal Article ; Review
ISSN	1665-1731
ISSN (online)	1665-1731
DOI	10.24875/ACM.M20000063
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