Patricia Mahia
Cardiovascular Institute of the South
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Publication
Featured researches published by Patricia Mahia.
International Journal of Cardiology | 2016
Jose Alberto de Agustin; Pedro Martínez-Losas; Jose Juan Gomez de Diego; Patricia Mahia; Pedro Marcos-Alberca; Iván J. Núñez-Gil; Jose Luis Rodrigo; María Luaces; Fabián Islas; Miguel Angel Garcia-Fernandez; Carlos Macaya; Leopoldo Perez de Isla
OBJETIVES The clinical and prognostic usefulness of tricuspid annular plane systolic excursion (TAPSE) is well established. However, the ability of TAPSE to assess right ventricular (RV) function in patients with previous tricuspid valve annulopasty is controversial. This study examined the TAPSE suitability in patients with previous tricuspid valve annuloplasty using right ventricular fractional area change (RVFAC) as reference method. METHODS We retrospectively analyzed 53 patients who underwent tricuspid valve annuloplasty at our hospital between 2013 and 2016. TAPSE and RVFAC were obtained in preoperative and postoperative periods using standard methodology. RESULTS Mean age was 68±12years and 34 patients (64.1%) were women. TAPSE decreased significantly after surgery in comparison with pre-surgical values (17±4.2 Vs 12.9±4.1mm, p<0.001). On the contrary, RVFAC did not change significantly after surgery (37±9.2 Vs 36.2.9, p=0.25). The correlation between RVFAC and TAPSE was better in the preoperative (r=0.63, p<0.0001) than in the postoperative period (r=0.38, P=0.005). Good intra- and interobserver agreement for TAPSE and RVFAC was obtained, with intraclass correlation coefficients of 0.97 and 0.92 for TAPSE; and 0.90 and 0.85 for RVFAC, respectively. CONCLUSIONS These findings suggest that TAPSE is not suitable after tricuspid valve annuloplasty and it leads to an underestimation of RV systolic function. It seems to be appropriate to rely on echocardiographic parameters of global RV function such as RVFAC in this context.
Circulation | 2016
Jose Alberto de Agustin; Pilar Jimenez-Quevedo; Luis Nombela-Franco; Carlos Almería; Jose Juan Gomez de Diego; Jose Luis Rodrigo; Pedro Marcos-Alberca; Patricia Mahia; Iván J. Núñez-Gil; Leopoldo Perez de Isla; Antonio Fernández-Ortiz; Carlos Macaya
A 88-year-old woman with a permanent VDD pacemaker and severe aortic stenosis underwent elective transcatheter aortic valve replacement because of high surgical risk (logistic Euroscore of 35.3%). Aortic valve area was 0.5 cm2, mean gradient was 86 mm Hg, and left ventricular ejection fraction was 64% on transthoracic echocardiography. Aortic annulus sizing was 23.5 and 23.7 mm by transesophageal echocardiography and multidetector computed tomography, respectively. Femoral and iliac arteries evaluated by angiography and computed tomography were straight with mild calcification and had adequate internal diameters. Great tortuosity of the aorta was also observed in computed tomography, with the presence of a double angle in the descending thoracic aorta and a very pronounced curve in the distal part of the aortic arch (Figure 1). The procedure took place via right transfemoral access with the use of a percutaneous closure device. A self-expandable 29-mm Core Valve prosthesis (Medtronic, Inc., Minneapolis, MN) was advanced, encountering a high resistance at the level of the distal part of the aortic arch that precluded the progress. When advancement …
International Journal of Cardiology | 2014
Jose Alberto de Agustin; Jose Juan Gomez de Diego; Pedro Marcos-Alberca; Agustin Carlos Martin Garcia; Jose Luis Rodrigo; Carlos Almería; Iván J. Núñez-Gil; María Luaces; Patricia Mahia; Miguel Angel Garcia-Fernandez; Carlos Macaya; Leopoldo Perez de Isla
International Journal of Cardiology | 2015
Jose Alberto de Agustin; Jose Luis Rodrigo; Pedro Marcos-Alberca; Carlos Almería; Iván J. Núñez-Gil; Patricia Mahia; María Luaces; Miguel Angel Garcia-Fernandez; Carlos Macaya; Leopoldo Perez de Isla
European Heart Journal | 2018
J. A. De Agustin Loeches; Fabián Islas; Luis Nombela-Franco; Pilar Jimenez-Quevedo; Patricia Mahia; A. Rueda Linares; Pedro Marcos-Alberca; Eduardo Pozo; J.J. Gomez De Diego; María Luaces; Iván J. Núñez-Gil; Antonio Fernández-Ortiz; Carlos Macaya; L. Perez De Isla
European Heart Journal | 2018
J. A. De Agustin Loeches; H Mejia; Patricia Mahia; Fabián Islas; Pedro Marcos-Alberca; J.J. Gomez De Diego; María Luaces; Eduardo Pozo; Miguel A. Cobos; Iván J. Núñez-Gil; Antonio Fernández-Ortiz; Carlos Macaya; L. Perez De Isla
Circulation | 2018
Jose Alberto de Agustin; Fabián Islas; Pilar Jimenez-Quevedo; Luis Nombela-Franco; Andrea Rueda Liñares; Patricia Mahia; Pedro Marcos-Alberca; Eduardo Pozo; Jose Juan Gomez de Diego; María Luaces; Ivan-Javier Nuñez-Gil; Miguel Angel Garcia-Fernandez; Antonio Fernández-Ortiz; Carlos Macaya; Leopoldo Perez de Isla
European Heart Journal | 2017
A. Rueda; L. Lopez De Isla; L.E. Enriquez; C. Espejo; M. Jimenez; A.C. Alcantar; Fabián Islas; J.C. Gomez; V. Ruiz; D. Carballeira; J.A. De Agustin; Patricia Mahia; P. Marcos Alberca; J. Perez Villacastin; Carlos Macaya
European Heart Journal | 2017
Fabián Islas; Carmen Olmos; J.A. De Agustin; Pedro Marcos-Alberca; Pilar Jimenez-Quevedo; Luis Nombela-Franco; María Luaces; A. Cruz-Utrilla; D. Garcia-Arribas; Patricia Mahia; E. Pozo-Osinalde; L. Perez De Isla
International Journal of Cardiology | 2016
Jose Alberto de Agustin; Jose Luis Rodrigo; Pedro Marcos-Alberca; Carlos Almería; Iván J. Núñez-Gil; Patricia Mahia; María Luaces; Miguel Angel Garcia-Fernandez; Carlos Macaya; Leopoldo Perez de Isla