Browsing by Author "Oyonarte, Miguel"

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    Endocarditis infecciosa: características clínicas, complicaciones y mortalidad en 506 pacientes y factores pronósticos de sobrevida a 10 años (1998-2008). Estudio cooperativo nacional en endocarditis infecciosa en Chile (ECNEI-2)
    (Sociedad Medica de Santiago, 2012) Oyonarte, Miguel; Montagna, Rodrigo; Braun, Sandra; Rojo, Pamela; Lara, Jose; Cereceda, Mauricio; Morales, Marcelo; Nazal, Carolina; Alonso, Faustino
    Background: Rates ofmorbidity and mortality in Infective Endocarditis (IE) remain high and prognosis in this disease is still difficult and uncertain. Aim: To study IE in Chile in its active phase during inpatient hospital stay and long term survival rates. Material and Methods: Observational prospective national cohort study of 506 consecutive patients included between June 1,1998 and July 31, 2008, from 37 Chilean hospitals (secondary and tertiary centers) nationwide. Results: The main findings were the presence of Rheumatic valve disease in 22.1 % of patients, a history of intravenous drug abuse (IVDA) only in 0.7%, the presence of Staphylo-coccus aureus in 29.2% of blood cultures, negative blood cultures in 33.2%, heart failure in 51.7% and native valve involvement in 86% ofpatients. Echocardiographic diagnosis was achieved in 94% of patients. Hospital mortality was 26.1% and its prognostics factors were persisting infection (Odds ratio (OR) 6.43, Confidence Interval (CI) 1.45-28.33%), failure of medical treatment and no surgical intervention (OR 48.8; CI 6.67-349.9). Five and 10 years survival rates were 75.6 and 48.6%, respectively. The significant prognostic factors for long term mortality, determined by multivariate analysis were the presence of diabetes, Staphylococcus aureus infection, sepsis, heart failure, renal failure and lack of surgical treatment during the IE episode. Conclusions: The microbiologic diagnosis of IE must be urgently improved in Chile. Mortality rates are still high (26.1%) partly because of a high incidence of negative blood cultures and the need for more surgical valve interventions during in-hospital period. Long term prognostic factors for mortality should be identified early to improve outcome.
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    Formación del cardiólogo en Chile y contribuciones desde la Sociedad Chilena de Cardiología y Cirugía Cardiovascular
    (2024) Rossel, Víctor; Gajardo, Jorge; Miranda, Rodrigo; Nauhm, Yalile; Larrea, Ricardo; Greig, Douglas; Fernández, Flor; Bittner, Alex; Aguayo, Rubén; Varleta, Paola; Sanhueza, Gonzalo; Bugueño, Claudio; Quiñiñir, Luis; Llancaqueo, Marcelo; Pedemonte, Oneglio; Julio, Patricio; Sepúlveda, Luis; Oyonarte, Miguel; Sociedad Chilena de Cardiología y Cirugía Cardiovascular
    La Sociedad Chilena de Cardiología y Cirugía Cardiovascular (SOCHICAR) es una entidad científica cuya misión es mejorar la salud cardiovascular del país y entre sus objetivos principales está el debatir los problemas de la especialidad y realizar diferentes actividades que tiendan a fomentar su progreso. Para cumplir con ellos se realizan diversas actividades de educación dirigidas a profesionales de la salud, entre los cuales se encuentran los médicos en programas de formación de cardiología. La formación de especialistas en Chile es responsabilidad de las Universidades, quienes diseñan la malla curricular y planifican las distintas actividades del programa de acuerdo con el perfil de egreso. La SOCHICAR busca integrar a estas nuevas generaciones de cardiólogos, implementando una serie de actividades dirigidas a ellos que contribuyan en su período de formación. Nos pareció relevante entregar nuestra posición como Sociedad Científica en importantes aspectos relacionados con este proceso: el perfil de egreso del cardiólogo clínico, las competencias necesarias para su desempeño en el país, la identificación de áreas deficitarias en su etapa formativa y las contribuciones desde la Sociedad a este proceso dependiente de las universidades. Se convocó a cardiólogos de SOCHICAR, en distintas etapas de desarrollo profesional, diferentes áreas geográficas y ámbitos de desempeño y funciones, en total, 15 cardiólogos (as), distribuidos en tres grupos de trabajo. Esta declaración de posición de la SOCHICAR puede ser de utilidad y una fuente de información importante a considerar por autoridades, entidades acreditadoras, centros formadores y la Sociedad Chilena de Cardiología. The Chilean Society of Cardiology and Cardiovascular Surgery (SOCHICAR) is a scientific society whose mission is to improve the nation's cardiovascular health. Its primary goals include discussing issues affecting the specialty and engaging in various activities that support its advancement. To achieve these goals, numerous educational initiatives are undertaken for health professionals, including physicians in cardiology training programs. Training specialists in Chile is the responsibility of the universities, which design the curriculum and plan the program according to the graduate profile. SOCHICAR seeks to integrate these new generations of cardiologists, setting up tasks that contribute to their training. It seemed relevant to us to state our position as a Scientific Society in importants aspects related to this process: the graduate profile of the clinical cardiologist, the necessary competencies for their performance nationally, the identification of deficient areas in their training period, and the Society's contributions to this university-dependent process. A total of 15 cardiologists from SOCHICAR, at different stages of professional development, various geographic areas, and areas of performance and functions, were invited to participate in three working groups. This SOCHICAR position statement may be useful and an important source of information to be considered by authorities, accrediting entities, training centers, and the Chilean Society of Cardiology.

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