Ricardo Gabriel Lopez Santi

• Coordinator of promotion of health and prevention at Hospital Italiano La Plata

The diagnostic criteria, treatments at the time of admission, and drugs used in patients with acute coronary syndrome are well defined in countless guidelines. However, there is uncertainty about the measures to recommend during patient discharge planning. This document brings together the most recent evidence and the standardized and optimal treat...

Chagas disease poses a public health problem in Latin America, and the electrocardiogram is a crucial tool in the diagnosis and monitoring of this pathology. In this context, the aim of this study was to quantify the change in the ability to detect electrocardiographic patterns among healthcare professionals after completing a virtual course. Mater...

Objective Chagas disease poses a public health problem in Latin America, and the electrocardiogram is a crucial tool in the diagnosis and monitoring of this pathology. In this context, the aim of this study was to quantify the change in the ability to detect electrocardiographic patterns among healthcare professionals after completing a virtual cou...

Purpose: To share a Latin-American perspective of the use of telemedicine, together with blood pressure measurements outside the medical office, as a potential contribution to improving access to the health system, diagnosis, adherence, and persistence in hypertension treatment. Material and methods: A document settled by a Writing Group of Mexico...

Introducción: La violencia contra el personal de salud es un problema complejo, que parece haberse incrementado por la pandemia de COVID-19. Nos propusimos explorar las diferencias de estos hechos entre cardiólogos y otros médicos de Latinoamérica. Método: Encuesta electrónica con un muestreo no probabilístico por conveniencia al personal médico y...

Introduction During the Coronavirus (COVID‐19) pandemic, healthcare providers have overcome difficult experiences such as workplace violence. Nurses are particularly vulnerable to workplace violence. The objective of this study was to characterize violence and aggression against nurses during the COVID‐19 pandemic in Latin America. Methods An elec...

Purpose To share a Latin-American perspective of the use of telemedicine, together with blood pressure measurements outside the medical office, as a potential contribution to improving access to the health system, diagnosis, adherence, and persistence in hypertension treatment. Material and methods A document settled by a Writing Group of Mexico H...

Comparación de la violencia y agresiones sufridas por el personal de salud durante la pandemia de COVID-19 en Argentina y el resto de Latinoamérica. ÍNDICE Encuesta utilizada durante el estudio Tabla S1: Definiciones de violencia (basadas en las guías de la Organización Mundial de la Salud) Tabla S2: Distribución de los participantes por países...

Objetivos. Explorar la frecuencia e impacto de la violencia contra los trabajadores de salud de Argentina y compararlo con el resto de sus pares de Latinoamérica en el contexto de la pandemia por COVID-19. Materiales y métodos. Estudio de corte transversal a través de una encuesta electrónica al personal médico y no médico de Latinoamérica que dese...

Introduction COVID-19 pandemic brought multiple negative consequences that go beyond the direct damage caused by the disease and that affect health systems as well. Complaints of attacks against health care workers became frequent and concerning. The objective of this survey was to characterize the frequency and type of violent behavior against fro...

Background and objectives: A cross-sectional survey including 38 questions about demography, clinical condition, changes in health habits, and medical treatments for cardiometabolic patients in outpatient follow-up was conducted. From June 15 to July 15, 2020, a total of 13 Latin-American countries participated in enrolling patients. Methods: Th...

Introduction COVID-19 pandemic brought multiple negative consequences that go beyond the direct damage caused by the disease and that affect health systems as well. Complaints of attacks against health care workers became frequent and concerning. The objective of this survey was to characterize the frequency and type of violent behavior against fro...

The aim of this study was to explore the different attitudes of physicians regarding international recommendations for the management of dyslipidemia in routine medical practice. Seven clusters of questions were designed to characterize the surveyed population. Eight hundred ninety-eight physicians answered the survey, 68.3% cardiologists and 40.0%...

Purpose To assess the opinion of Latin–American physicians on remote blood pressure monitoring and telehealth for hypertension management. Material and methods Cross-sectional survey of physicians residing in Latin–America. The study was conducted by the Mexico Hypertension Experts Group, Interamerican Society of Hypertension, Interamerican Societ...

RESUMEN El adecuado diagnóstico, tratamiento y control de la hipertensión arterial (HTA) continúa siendo una asignatura pendiente en nuestro intento de reducir la incidencia de mortalidad cardiovascular prematura y discapacidades, siendo esta una realidad a nivel mundial y particularmente cierta en la región de las Américas. A pesar de contar con a...

The COVID-19 pandemic has had tremendous consequences globally. Notably, increasing complaints of verbal and physical violence against health care providers have been reported. A cross-sectional electronic survey was conducted between January 11th and February 28th, 2022 to delineate the violent behavior against front-line health professionals in L...

Cysticercosis is a parasitic tissue infection caused by larval cysts of the tapeworm Taenia solium. These larval cysts infect brain, muscle, or other tissue, and are a major cause of adult-onset seizures in most low-income countries with tropical climate. Prevalence it's around 50 million people. Although cardiovascular system is not the most affec...

Patients and physicians rely on evidence-based guidelines to guide alcohol consumption recommendations, but significant discrepancies in alcohol consumption limits are found between different international societies. Current American Heart Association (AHA) preventive management guidelines on hypertension, transient ischemic attack, stroke, and sta...

Introduction The COVID-19 pandemic has had tremendous consequences globally. Notably, increasing complaints of verbal and physical violence against health care providers have been reported. Objective The aim of our study was to characterize the frequency and type of violent actions against front-line health professionals in Latin America. Methods...

Toxoplasmosis is a common disease caused by Toxoplasma gondii, a parasite with high prevalence in tropical regions. Most infections show minimal symptoms, but immunocompromised patients tend to have a poor prognosis. Cardiovascular manifestations in toxoplasmosis are rare and reported in a limited number of patients. As part of the "Neglected Tropi...

Background COVID-19 pandemic and lockdown measures have disrupted lifestyle habits and self-care. Gender differences in health behavior during the pandemic have not yet been fully elucidated. Aim To evaluate gender-related differences in the impact of COVID-19 pandemic on patients with cardiometabolic diseases. Methods A cross-sectional survey wa...

Background: Cardiovascular mortality is decreasing but remains the leading cause of death world-wide. Respiratory infections such as influenza significantly contribute to morbidity and mortality in patients with cardiovascular disease. Despite of proven benefits, influenza vaccination is not fully implemented, especially in Latin America. Objecti...

As one of the neglected tropical diseases, leishmaniasis is defined as a parasitic communicable disease that is most prevalent in tropical and subtropical regions, affecting especially populations living in poverty. It has a profound negative impact on developing economies. It represents a group of heterogeneous syndromes with a wide spectrum of se...

Cardiovascular diseases (CVDs) remain the leading cause of death worldwide, particularly in low- and middle-income regions such as Latin America. This is because of the combination and interaction in different proportions of a high prevalence of cardiometabolic risk factors and socio-economic and cultural characteristics. This reality brings about...

Dyslipidaemia plays a major role in the pathogenesis of atherosclerosis. Every year, scientific institutions publish cardiovascular prevention guidelines with updated goals and recommendations based on new evidence. However, medical barriers exist that make achieving these goals difficult and gaps between guidelines and best daily clinical practice...

As one of the neglected diseases, rabies is as a highly fatal viral infection, most prevalent in low- and middle-income regions, which produces a substantial health and economic burden. It mainly affects the central nervous system causing encephalitis, however extraneuronal involvement has been documented. Cardiac structures may be involved and can...

Snakebite envenomation is a neglected tropical disease which can result in morbidity and mortality. Cardiac implications are poorly understood due to the low frequency of cardiotoxicity combined with a lack of robust information, as snakebites commonly occur in remote and rural areas. This review aims to assess cardiovascular implications of snakeb...

Objective Background The purpose of the study was to evaluate regional related differences in Latin America on the impact of the pandemic in cardiometabolic patients without evidence of SARS-CoV-2 infection. Methods A cross-sectional survey was conducted which included 38 questions about demography, clinical condition, change of health habits, med...

As one of the tropical diseases, malaria is endemic in developing countries. Severe malaria, mainly caused by the Plasmodium falciparum parasite, can result in life-threatening complications. Traditionally, cardiac involvement has not been included as a frequent cause of morbidity and mortality. This could be due to under-reporting or underdiagnosi...

Background: SARS-CoV-2 pandemic has modified the cardiovascular care of ambulatory patients. The aim of this survey was to study changes in lifestyle habits, treatment adherence, and mental health status in patients with cardiometabolic disease, but no clinical evidence of COVID-19. Methods: A cross-sectional survey was conducted in ambulatory pati...

Background: Influenza vaccination (IV) and Pneumococcus vaccination (PV) are recommended for patients with cardiometabolic diseases. This study aimed to evaluate the immunization rate of ambulatory cardiometabolic patients during the COVID-19 pandemic in the Americas. Methods: Electronic surveys were collected from 13 Spanish speaking countries...

Background The COVID-19 pandemic's mental health consequences remain unknown. Aim to assess the mental health status of ambulatory cardiometabolic patients during COVID-19 pandemic lockdown in Spanish speaking Latin American countries. Methods Cardiometabolic patients without COVID-19 evidence in 13 Latin American countries answered a survey betw...

Toxoplasmosis is a common disease caused by Toxoplasma gondii, a parasite with high prevalence in tropical regions. Most infections show minimal symptoms, but immunocompromised patients tend to have a poor prognosis. Cardiovascular manifestations in toxoplasmosis are rare and reported in a limited number of patients. As part of the “Neglected Tropi...

Alcohol consumption constitutes a major part of Western culture1. The World Health Organization estimated that alcohol is consumed by more than half of the population in the Americas, Europe, and the West Pacific2. Although the adverse effects of alcohol abuse related to physical, mental, and specifically cardiovascular health are well-established,...

Background The first case of COVID-19 was detected in Latin America on February 26th, 2020, in Brazil. Later in June, the World Health Organization announced that the focus of the outbreak had shifted to Latin America, where countries already had poor control indicators of Non-Communicable Diseases (NCD). Concerns about coronavirus infection led to...

Three different glucagon-like peptide-1 (GLP-1) receptor agonists reduce cardiovascular outcomes in people with type 2 diabetes at high cardiovascular risk with high glycated haemoglobin A 1c (HbA 1c) concentrations. We assessed the effect of the GLP-1 receptor agonist dulaglutide on major adverse cardiovascular events when added to the existing an...

Background and aims: Heavy alcohol use is a risk factor for disease and mortality; however, epidemiological findings have demonstrated protective effects of a light-to-moderate intake of alcohol on cardiovascular health. There are many misconceptions regarding appropriate levels of alcohol intake and the risks and benefits of consumption. We sough...

Despite epidemiological findings of improvements in cardiovascular risk factors with a light-to-moderate intake of alcohol, many misconceptions remain regarding alcohol intake and the risks and benefits of consumption. We sought to examine physician attitudes and recommendations regarding alcohol intake in a cohort of Argentine physicians and to es...

Despite epidemiological findings of improvements in cardiovascular risk factors with a light-to-moderate intake of alcohol, many misconceptions remain regarding alcohol intake and the risks and benefits of consumption. We sought to examine physician attitudes and recommendations regarding alcohol intake in a cohort of Argentine physicians and to es...

Alcoholic beverages, specifically wine, have been consumed for many years. Wine is postulated to play an important role in the improvement of cardiovascular risk factors. Most epidemiological studies have found sustained consumption at light-to-moderate amounts to increase HDL cholesterol, reduce platelet aggregation, and promote fibrinolysis. Wine...

Diabetes mellitus type 2 (DBT2) and hypertension are two entities that are closely related since pathophysiological, clinical and epidemiological view. Although clinical practice guidelines have incorporated the concept that diabetics could present a target blood pressure lower than the general population, since recent researches such as the ACCORD...

Introduction: Type 2 Diabetes impacts greatly on public health: both on the morbidity and mortality analysis and the economic indicators. Objectives: To establish risk factors with the ability to predict mortality in a population of type 2 diabetic patients treated with insulin. Methods: Patients with type 2 diabetes were included in the PRODIABA p...

Background: Previous studies have demonstrated that Losartan does not have 24-h action. Losartan Cronos is a new pharmaceutical form containing in a single tablet 50 mg of Losartan immediate release and 50 mg extended release. Objectives: Assess Losartan Cronos efficacy and duration of action with ABPM:Trough-to-peak ratio (T/P), changes in nocturn...

La remodelación cardíaca es la principal causa de progresión de la insuficiencia cardíaca (IC) y muerte luego de un infarto agudo de miocardio (IAM). Las estrategias terapéuticas dirigidas a los mecanismos fisiopatológicos de cicatrización y remodelación parecen ser herramientas útiles para prevenir el deterioro progresivo funcional, las arritmias...

Unlabelled: Antihypertensive drugs action should last at least 24 h in order to enhance adherence, with positive impact on CV morbimortality. ABPM allow us to evaluate duration of action of drugs, against placebo, using Trough:Peak Ratio, antihypertensive effect in the last 4 h interdosis, and calculating the rate of BP morning surge. Losartán is...

Cardiac remodeling remains the leading cause of heart failure (HF) progression and death after an acute myocardial infarction (AMI). Therapeutic strategies directed towards physiopathologic mechanisms of healing and remodeling seems to be useful means to prevent progressive functional impairment, arrhythmias and congestive heart failure. In two con...

La necesidad de colaboración entre las diferentes revis¬tas cardiológicas de Iberoamérica es evidente. Por ello, en 2009 se conformó la Red de Revistas Cardiovasculares Iberoamericanas (RCVIB) con el auspicio de la Sociedad Española de Cardiología y con el liderazgo del Dr. Fernan¬do Alfonso, entonces Editor-Jefe de la Revista Española de Cardiolog...

To evaluate the hypothesis that angiotensin-converting enzyme inhibitor therapy with ramipril reduces baseline levels of C-reactive protein in patients at high cardiovascular risk. Secondary prevention patients were screened for eligibility and treated with ramipril for 6 month. Baseline and 6-month highly sensitive C-reactive protein levels were d...