Nurys Bárbara Armas

Instituto de Cardiología y Cirugía Cardiovascular | ICCC · Epidemiología

Background Although socioeconomic status is a major determinant of premature mortality in many populations, the impact of social inequalities on premature mortality in Cuba, a country with universal education and health care, remains unclear. We aimed to assess the association between educational level and premature adult mortality in Cuba. Method...

La Organización Panamericana de la Salud llega a su aniversario 120 y, desde todos los rincones de nuestra región, se impulsan iniciativas para celebrar el acontecimiento. Con este fin, en Cuba se desarrolla un amplio plan de actividades de conjunto con el Ministerio de Salud Pública (MINSAP), que incluye la publicación de cinco libros sobre temas...

Background The average age at which people start smoking has been decreasing in many countries, but insufficient evidence exists on the adult hazards of having started smoking in childhood and, especially, in early childhood. We aimed to investigate the association between smoking habits (focusing on the age when smokers started) and cause-specific...

Background Cardiovascular disease (CVD) is a leading cause of premature death in Cuba, accounting for about one third of all deaths under age 70 years. Substantial uncertainty remains, however, about the relevance of major metabolic risk factors to CVD mortality in this population. Purpose To relate body-mass index (BMI), systolic blood pressure (...

Increased blood pressure is the leading risk factor for death worldwide, leads to the greatest disease burden in low-income to middle-income countries (LMICs), and prevalence is increasing. 1,2 By contrast, the age-adjusted prevalence of hypertension is decreasing in high-income countries. 2 The global data on hypertension are daunting: four in ten...

Introduction: The reduction of cholesterol with statins prevents cardiovascular events. Objectives: To determine the reduction of cholesterol linked to low density lipoproteins with statins and its effect on the presence of adverse cardiovascular events. Methodology: Descriptive, ambispective study. Universe: 827 patients with indication of statins...

Prevalencia del efecto bata blanca en pacientes hipertensos Prevalence of the white coat effect in hypertensive patients RESUMEN Introducción: El Efecto Bata Blanca resulta de gran importancia en la práctica médica, ya que conlleva a sobrevalorar el grado o la intensidad de las cifras de presión arterial, en Cuba no se conoce su prevalencia. Objeti...

ABSTRACT Introduction: Hypertension (HBP) in the adult population is the most prevalent cardiovascular risk factor (CVRF) and one of the reasons for a greater number of requests for medical care. Objective: To determine the prevalence of arterial hypertension in workers Of the Institute of Cardiology and Cardiovascular Surgery. Method: Descriptive...

Introducción: Las enfermedades cardiovasculares continúan siendo la primera causa de muerte en Cuba, para predecir la probabilidad de padecerlas se han propuesto diferentes tablas, entre ellas las de Gaziano. Objetivo: Determinar los niveles de riesgo cardiovascular global en la población del municipio Colón, Matanzas, año 1999. Método: Estudio de...

Introduction: ApoB/ApoA1 Raio and intima-media thickness are markers of atherosclerosis and cardiovascular risk. Objetives: To determinate the ApoB/ApoA1 ratio intima-media thickness and its possible relationship in the Moncada Heroes Health Area 2011-2013 Methods: Cross sectional descriptive study . Universe: 1004 individuals 40 to 70 years Sample...

RESUMEN Introducción: La cesación tabáquica es una prioridad en la prevención de enfermedades cardiovasculares, pero existe poca evidencia de intervenciones dirigidas hacia estos pacientes. Objetivo: Evaluar el impacto de un Programa de Cesación Tabáquica en términos de efectividad en pacientes con enfermedades cardiovasculares a los 12 meses de la...

Persons with a systolic blood pressure of 130-139 mm/Hg and/or diastolic blood pressure of 80-89 mm/hg must be considered as prehypertensive. Persons with prehypertension have a higher risk of becoming hypertensive. Prehypertension doubles the risk of becoming hypertensive. Normotensive: No history of hypertension and blood pressure of < 120-80 mm/...

Introduction: Smoking cessation is a priority in the prevention of cardiovascular disease, but there is little evidence of interventions aimed at these patients. Objective: To evaluate the impact of a Smoking Cessation Program in terms of effectiveness in patients with cardiovascular at 12 months postoperatively diseases. Methods: Uncontrolled comm...

Introduction: Over the last decade, total cardiovascular risk assessment and management has been recommended by cardiovascular prevention guidelines in most high-income countries and by WHO. Cardiovascular risk prediction charts have been developed based on multivariate equations of values of some well-known risk factors such as age, sex, smoking,...

Background: it is described that the first fasting glycemia in people hospitalized with acute myocardial infarction is associated to a bad prognosis. Objective: to determine the possible influence of hyperglycemia, particularly in the first fasting glycemia, for the prognosis of acute myocardial infarction. Methods: a transversal and descriptive st...

Objective: to determine the cardiovascular risk and risk factor table that is most associated with the insulin resistance in overweight and obese patients. Methods: three hundred fifty overweight and obese patients, aged 19 to 70 years, were studied. They were questioned about age, sex, race, toxic habits, physical exercising and pharmaceutical con...

Relación de la resistencia a la insulina con el riesgo cardiovascular, según diferentes tablas y factores de riesgo cardiovascular en sujetos sobrepesos y obesos Association of the insulin resistance with the cardiovascular risk in overweight and obese persons, according to several cardiovascular risk tables and risk factors RESUMEN Objetivo: deter...

Relación de la resistencia a la insulina con el riesgo cardiovascular, según diferentes tablas y factores de riesgo cardiovascular en sujetos sobrepesos y obesos Association of the insulin resistance with the cardiovascular risk in overweight and obese persons, according to several cardiovascular risk tables and risk factors RESUMEN Objetivo: deter...

Background: it is described that the first fasting glycemia in people hospitalized with acute myocardial infarction is associated to a bad prognosis. Objective: to determine the possible influence of hyperglycemia, particularly in the first fasting glycemia, for the prognosis of acute myocardial infarction. Methods: a transversal and descriptive st...

Introduction: Acute myocardial infarction is one of the leading causes of death in the world. This is also true in Cuba, where no national-level epidemiologic studies of related mortality have been published in recent years. Objective: Describe acute myocardial infarction mortality in Cuba from 1999 through 2008. Methods: A descriptive study w...

Introducción. El Sistema Movicorde fue diseñado para ayudar a los cardiólogos, y fisioterapeutas en las sesiones de entrenamiento físico, donde se necesita una vigilancia constante de parámetros relevantes mientras el paciente realiza ejercicios. Objetivo: Evaluar el Movicorde en pacientes de alto riesgo cardiaco teniendo en cuenta desniveles del S...

INTRODUCTION In 2006, WHO estimated 7.2 million deaths—all preventable— from ischemic heart disease (IHD), with acute myocardial infarc-tion (AMI) the major contributor.[1] Mortality rates and trends vary by country[2–9] and even within countries,[9–11] with differences attributed to both medical determinants (health system charac-teristics and cov...

La hipertensión arterial es un problema mundial, afecta a 1/3 de la población adulta cubana y constituye un factor de riesgo de otras enfermedades de elevada letalidad.Objetivo: Incrementar la detección, tratamiento y control del paciente hipertenso, reducir la mortalidad por enfermedades cardiovasculares en el área de estudio. El estudio se llevó...

Background Epicardial fat has been shown to be strongly associated with several markers of subclinical atherosclerosis. However, few studies have been performed in patients with metabolic syndrome and none has been carried out in Hispanic patients. The purpose of our study was to determine the relationship between epicardial fat and markers of subc...

INTRODUCTION: The myocardial acute infarction is one the first death causes in the world and in Cuba; in past years its distribution is unknown in our country. OBJECTIVE: To describe the morbidity of myocardial acute infarction in Cuba: 1999-2008. METHODS: A descriptive and cross-sectional study was conducted. Universe included persons aged e» 25 d...

INTRODUCTION: The myocardial acute infarction is one the first death causes in the world and in Cuba; in past years its distribution is unknown in our country. OBJECTIVE: To describe the morbidity of myocardial acute infarction in Cuba: 1999-2008. METHODS: A descriptive and cross-sectional study was conducted. Universe included persons aged e» 25 d...

Introducción: Las Enfermedades Cardiovasculares constituyen la primera causa de muerte en Cuba. Para evaluar el riesgo de padecerlas se han creado múltiples tablas de riesgo; una de ellas es la propuesta recientemente por la Organización Mundial de la Salud. (OMS) Objetivo: Determinar el Riesgo Cardiovascular Global en una población del Área de Sal...

Introducción: El infarto agudo del miocardio constituye una de las primeras causas de muerte en el mundo y en Cuba, su distribución y tendencia se desconocen en el país en los últimos años. Objetivos: Determinar la letalidad del infarto agudo del miocardio en Cuba, 1999-2008. Método: Se realizó un estudio transversal descriptivo. Universo el total...

RESUMEN Introducción El infarto agudo del miocardio constituye una de las primeras causas de muerte en el mundo y en Cuba, su distribución y tendencia se desconocen en el país en los últimos años. Objetivos Determinar la letalidad del infarto agudo del miocardio en Cuba, 1999 -2008. Método Se realizó un estudio transversal descriptivo. Universo el...

A review of current bibliography was carried out related to the subject of lipoproteins and the cardiovascular risk factors. To offer a approximation to the understanding of the risk factors related to cardiovascular diseases. The cardiovascular risk profile has been estimated, mainly by WHO, the Framingham study and through ApoB/Apo1 reason. The W...

A review of current bibliography was carried out related to the subject of lipoproteins and the cardiovascular risk factors. To offer a approximation to the understanding of the risk factors related to cardiovascular diseases. The cardiovascular risk profile has been estimated, mainly by WHO, the Framingham study and through ApoB/Apo1 reason. The W...

The epicardial fat evaluated by echocardiography clearly reflects the grade of visceral adiposity more than general obesity, and it has been recently recognizedas a source of bioactive molecules as well as free fatty acids,adiponectin, and inflammatory cytokines. Therefore, it plays a fundamental role in the cardiovascular diseases, with a direct r...

The epicardial fat evaluated by echocardiography clearly reflects the grade of visceral adiposity more than general obesity, and it has been recently recognized as a source of bioactive molecules as well as free fatty acids, adiponectin, and inflammatory cytokines. Therefore, it plays a fundamental role in the cardiovascular diseases, with a direct...

Introduction Since the triumph of the revolution, Cuban social welfare assures overall coverage to the whole population. Temporary work disability is an issue that the present social welfare system takes into account. Annex 2 to the ministerial resolution no.176 of 1989 stipulates the prescription by physicians of the number of days that an individ...

Introducción: La presencia de calcio en las coronarias es prácticamente patognomónica de aterosclerosis. En el año 1990, Agatston diseñó un método para cuantificar el calcio mediante la tomografía. El objetivo del presente trabajo fue determinar la presencia de asociación entre puntaje de calcio coronario y la severidad de la enfermedad coronaria.M...

Introducción: Medir la calidad de vida relacionada con la salud resulta útil para conocer la percepción del individuo en relación con su propia salud.Objetivos: Describir la calidad de vida relacionada con la salud de los enfermos por cardiopatía isquémica a los que se les realizó una angioplastia coronaria, que integraron este estudio.Métodos: Inv...

Introducción: La hipertensión arterial es un problema mundial, afecta a 1/3 de la población adulta cubana y constituye un factor de riesgo de otras enfermedades de elevada letalidad.Objetivos: Incrementar la detección, tratamiento y control del paciente hipertenso, reducir la mortalidad por enfermedades cardiovasculares en el área de estudio.Método...

Introducción: La cardiopatía isquémica constituye uno de los problemas más importantes de la medicina contemporánea. OBJETIVO: Caracterizar a los pacientesque ingresaron por síndrome coronario agudo en el Servicio de Urgenciasdel Instituto de Cardiología y Cirugía Cardiovascular de La Habana desdeabril del 2009 hasta marzo del 2010.Método: Se reali...

Introduction: A great number of cardiovascular diseases evolve to chronic and causedeath and discapacity. Several patients reach a stage of terminal diseasewith a high expectation of imminent death. The cardiologist must beprepared ethically and scientifically to handle this problems.Objective: Bring out ethical considerations in the form of princi...

Background: Heart diseases in Cuba have been the first cause of death for more than 40 years. There are not studies available that show the prevalence of heart diseases at population scale in the country. Objective: To determine the magnitude of heart disease morbidity in Cuba. Methods: A crosswise study was carried out in the Cuban population aged...

Background: Heart diseases in Cuba have been the first cause of death for more than 40 years. There are not studies available that show the prevalence of heart diseases at population scale in the country. Objective: To determine the magnitude of heart disease morbidity in Cuba. Methods: A crosswise study was carried out in the Cuban population aged...

Introduction The final evolution of most of cardiovascular diseases is the heart failure syndrome and there are several ways to treat it. For those patients refractory to drug therapy, one of the most recent methods is biventricular resyncronization. Objectives To identify costs and level of effectiveness of biventricular resynchronization as a cho...

Introducción: En Cuba la enfermedad isquémica del corazón es la principal fuente de mortalidad. La angioplastia coronaria transluminal percutánea y la revascularización quirúrgica aorto miocárdica son dos opciones de tratamiento de aquella. Determinar el costo y las utilidades de cada una de las intervenciones es el propósito de esta investigación....

Introduction The final evolution of most of cardiovascular diseases is the heart failure syndrome and there are several ways to treat it. For those patients refractory to drug therapy, one of the most recent methods is biventricular resyncronization. Objectives To identify costs and level of effectiveness of biventricular resynchronization as a cho...

Introduction Measuring the health-related quality of life and obtaining the amount of pesos and tariffs for each state that is generated is essential in the economic cost-benefit evaluations. Objectives To submit an instrument to make these evaluations in Cuban healthcare institutions. Methods A literature review on the health-related quality of li...

Introduction Measuring the health-related quality of life and obtaining the amount of pesos and tariffs for each state that is generated is essential in the economic cost-benefit evaluations. Objectives To submit an instrument to make these evaluations in Cuban healthcare institutions. Methods A literature review on the health-related quality of li...

INTRODUCCIÓN. La calidad de vida relacionada con la salud es un indicador que incorpora la apreciación del individuo sobre su enfermedad. En la revisión bibliográfica se encontró que en Cuba no hay experiencia en el uso del WHOQOL _ BREF como instrumento de medición de esta, por lo que se pretende describirlo en personas que presentan enfermedades...

Introduction: The quality of life related to health is an indicator that incorporates the individual's appreciation of his illness. In the bibliographical review it was found that in Cuba there is no experience in the use of the WHOQOL_BREF as an instrument to measure it. That's why, it is intended to describe it in persons with chronic degenerativ...

BACKGROUND: ischemic heart disease is one of the first causes of death in the world. To assess the quantitative risk of suffering from it, risk tables have been created and Framingham's cardiovascular risk table has been one of the most used so far. In Cuba, a few studies on the assessment of total cardiovascular risk have been conducted. OBJECTIVE...

Unlabelled: Introduction Cardiovascular morbidity and mortality increase in women after menopause. Various scoring models assess qualitative risk of cardiovascular disease. The Framingham Heart Study global risk score is among the most widely used. Objective Determine level of coronary heart disease risk among women aged ≥60 years in a Havana heal...

Resumen Introducción: Los radicales libres juegan un papel fundamental en la patología de diferentes enfermedades degenerativas, entre las que se encuentra el infarto del miocardio. Tanto la disponibilidad alimentaria como inadecuados hábitos dietéticos sobre el consumo de frutas y vegetales han provocado una ingestión limitada de diversos antioxid...

Background: Free radicals play an important role in the development of degenerative diseases, among those myocardial infarction. Both food availability and inadequate dietary habits related to low consumption of fruit and vegetables have influenced a limited intake of several antioxidants. Objetive: To analyze anthropometical and vitamin nutritiona...

An educative intervention was conducted to increase the level of knowledge on biosafety of the nursing staff of the Institute of Cardiology and Cardiovascular Surgery. The universe was composed of 103 nurses, to whom an initial or diagnostic survey was applied to identify their knowledge on biosafety. Afterwards, a teaching educational program was...

An educative intervention was conducted to increase the level of knowledge on biosafety of the nursing staff of the Institute of Cardiology and Cardiovascular Surgery. The universe was composed of 103 nurses, to whom an initial or diagnostic survey was applied to identify their knowledge on biosafety. Afterwards, a teaching educational program was...

Smoking is an important cause of damage for health that may be prevented and avoided. Both, the physician and the nurse play a significant role as modulating agents of the health improvements and their advices are milestones in the changes occurred in the life style of the sick and healthy subjects. A descriptive cross-sectional study was undertake...

Se realizó un estudio descriptivo transversal en el municipio Plaza en el año 2001, con el objetivo de determinar la prevalencia de la HTA , así como la calidad de la atención médica brindada a los pacientes hipertensos. Para ello se aplicó una encuesta de prevalencia (n=1 348), y otra de validación de la calidad de asistencia médica brindada al hi...

A descriptive cross-sectional study was conducted in "Plaza" municipality to determine the prevalence of arterial hypertension, as well as the quality of the medical attention received by the hypertensive patients. To this end, it was applied a survey of prevalence (n = 1 348) and another one of validation of the quality of the medical care given t...

A full cost-effectiveness-type economic evaluation aimed at determining the most effective and less costly treatment for mitral stenosis was made. The research study was performed in the Cardiology and Cardiovascular Surgery Institute. Data was taken from literature reviews, non-structured interviews to health care staff, medical histories, pharmac...

del proceso de remisión del subsistema de urgencia de la atención primaria al hospitalario. Ciudad de la habana, 2000 http://indexmedico.com/publicaciones/indexmed_journal/edicion2/urgencias/armas _rojas.htm Instituto Nacional de Higiene, Epidemiología y Microbiología INFANTA 1158 entre LLINAS y CLAVEL. Código Postal: 10 300 Ciudad de la Habana, CU...

A cross-sectional descriptive study was conducted aimed at characterizing those home accidents that occurred among children under 10 during the 90 days previous to the interview (between December, 1996, and March, 1997). A sample of 1 156 children was selected in a sampling by single-stage conglomerates. The family physician offices were considered...