Clinical & Experimental Cardiology
Open Access

Carlos Daniel Higuera Medina

Publications

• Research Article
  Ventricular Septal Defect in Adults: Analysis of Survival with and Without Interventional Procedures. The Relevant Role of Echocardiography
  Author(s): Nilda Espinola-Zavaleta, Maria Elena Soto, Reema Chugh, Christian Buelna-Cano, Carlos Daniel Higuera Medina, Paola Romano Albornoz and Eulo Lupi-HerreraNilda Espinola-Zavaleta, Maria Elena Soto, Reema Chugh, Christian Buelna-Cano, Carlos Daniel Higuera Medina, Paola Romano Albornoz and Eulo Lupi-Herrera
  
  Background: Ventricular septal defects (VSDs) are one of the most common congenital heart defects, although many close spontaneously by adulthood. The main aim of this investigation was a) to investigate by echo the best cut-off value of pulmonary artery systolic pressure (PASP) in relation to VSD size, for defining the surgical or interventional treatment (SIT), b) to compare medical versus SIT results and c) to analyze morbidity and mortality of adults with VSDs. Material: 193 patients aged ≥16 years with VSDs were studied. All had a complete clinical examination, electrocardiogram, chest x-ray and transthoracic echocardiography. Fifty three (27.5%) patients underwent cardiac catheterization. Results: Seventy (36.3%) were asymptomatic, 119 (61.7%) had cardiomegaly, and 124 (64.2%) pulmonary artery hyper.. View More»
  DOI: 10.4172/2155-9880.1000192

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