Raimundo

@ucateci.edu.do

Vice-Chancellorship of Research and Postgrade Affairs
Catholic University of Cibao



              

https://researchid.co/electrofisiologia1975

RESEARCH, TEACHING, or OTHER INTERESTS

Medicine, Cardiology and Cardiovascular Medicine

31

Scopus Publications

540

Scholar Citations

10

Scholar h-index

11

Scholar i10-index

Scopus Publications

  • Associated factors with the occurrence of in-hospital cardiac arrest in patients admitted to internal medicine wards for non-cardiovascular causes
    Raimundo Carmona-Puerta, José Luis Choque-Laura, Elibet Chávez-González, Joel Peñaló-Batista, Marielys del Carmen Martínez-Sánchez, and Elizabeth Lorenzo-Martínez
    Elsevier BV

  • The cardiovascular effects of large hiatal hernias: a narrative review of cases and studies
    Raimundo Carmona-Puerta, Denise Pérez-Sanchez, Jorge M. Pichardo-Ureña, José L. Rodríguez-Monteagudo, and Elizabeth Lorenzo-Martínez
    Informa UK Limited
    ABSTRACT Hiatal hernia (HH) is a common disease in the general population. It is often asymptomatic, but if it does present clinical manifestations, these are usually gastrointestinal. Gastroesophageal reflux is the main symptom that accompanies it. Depending on the severity of the hernia, it is classified into several subtypes from I–IV. Especially, IV type (giant HH) can lead to various cardiopulmonary symptoms with several degrees of severity. It is necessary to keep this possibility in mind among the various differential diagnoses that may occur in this clinical setting. The current paper aims to review the literature on classic and novel information on the HH – cardiovascular system relationship. Epidemiological data, physiological aspects of the heart compressed by HH, cardiovascular symptoms, electrocardiographic changes, echocardiographic alterations and clinical implications are discussed. Plain language summary Normally, the stomach and the heart are not in direct contact because they are in different cavities, the thorax and the abdomen, respectively. When part of the stomach moves toward the chest through the diaphragm, we say there is a hiatal hernia (HH). Most of the time the HH symptoms are mild and clearly digestive. In severe cases, surgical repair of the HH is required. Even in these circumstances, digestive symptoms continue to be the most frequent. However, some patients present cardiovascular symptoms and few or no digestive symptoms. This easily creates diagnostic confusion, which leads to incorrect treatments and unnecessary expenses. In extreme cases, as seen in giant HH, the degree of cardiovascular involvement is very serious. There are documented cases that have suffered cardiac arrest, arrhythmias of different types and symptoms like classic acute myocardial infarction. It is required that clinical doctors and surgeons are aware that this complication exists. Only with this in mind can a timely diagnosis be achieved. Some emergency measures have been saving, gastric decompression with a tube being the most important. The main mechanism that explains the serious cardiovascular consequences of giant HH is cardiac compression. The dissemination of this knowledge can help save lives.

  • Would a complete electrophysiological study allow us to make a correct diagnosis? Case report
    Elibet Chávez-González, Raimundo Carmona-Puerta, Fernando Rodríguez-González, Juan Miguel Cruz-Elizundia, and Cynthia Torres-Acosta
    Springer Science and Business Media LLC
    Abstract Background Oblique course of some left accessory pathways is rare An incomplete electrophysiological study may confuse us between an oblique accessory pathway or the presence of two accessory pathways. The proximity of all atrial and ventricular electrograms, at each pole of the catheter, within the coronary sinus may be a novel finding. Case presentation A 68-year-old woman patient presented arrhythmias with hypotension requiring electrical cardioversion. Her electrocardiogram (ECG) was interpreted as atrial fibrillation by accessory pathway. We performed with the protocol of ablation stablished in our laboratory: two punctures on the right femoral vein with placement of introducers (8F and 7F) by Seldigner technique and one puncture on the left femoral vein (7F). The study was performed with BIOTRONIK technology (Multicath study catheter), a non-deflectable 7F quadripolar catheter with 2 mm tip electrode to record the His electrogram, a non-deflectable decapolar catheter with 5 pairs of coronary sinus (CS) electrodes. Accessory pathway mapping was performed in right and left cavities and within the CS. All electrograms into CS showed short AV from proximal to distal CS. Finally, ablation of two accessory pathway recordings was achieved at two distant epicardial points within the CS. Conclusions Ablation at two distant sites, one on the ventricular side and the other on the mitral annulus, suggests the presence of an oblique accessory pathway and at the same time the differential diagnosis of the presence of two accessory pathways. In our point of view according the above, we consider this is a very rare case of oblique AP with epicardial trajectory. The sequence of electrograms (in this case) along the CS has not been seen before in the literature reviewed. It is important, regardless of the urgency, to follow diagnostic and therapeutic protocols in invasive electrophysiology.

  • P-wave Dispersion: Why Should we Turn the Page?


  • QRS dispersion to determine electromechanical synchrony in patients undergoing permanent cardiac stimulation


  • P-wave dispersion is a vectorial phenomenon: Is it time to change minds?
    Raimundo Carmona Puerta, Elizabeth Lorenzo Martínez, Ionut Donoiu, and Elibet Chávez González
    Wiley

  • Nonspecific ventricular repolarization abnormalities: A wolf in sheep's clothing
    R. Carmona-Puerta and E. Lorenzo-Martínez
    Elsevier BV

  • Uneven vectorial projection is the best explanation for QRS dispersion, not the asynchronic ventricular activation
    Raimundo Carmona-Puerta, Elibet Chávez-González, Gustavo Padrón-Peña, Juan Miguel Cruz-Elizundia, Fernando Rodríguez-González, and Elizabeth Lorenzo-Martínez
    Elsevier BV

  • New Parameter of the Second Half of the P-Wave, P-Wave Duration, and Atrial Conduction Times Predict Atrial Fibrillation during Electrophysiological Studies
    Raimundo Carmona Puerta, Elizabeth Lorenzo Martínez, Magda Alina Rabassa López-Calleja, Gustavo Padrón Peña, Yaniel Castro Torres, Juan Miguel Cruz Elizundia, Fernando Rodríguez González, Luis Ángel García Vázquez, and Elibet Chávez González
    S. Karger AG
    <b><i>Objective:</i></b> Several P-wave parameters reflect atrial conduction characteristics and have been used to predict atrial fibrillation (AF). The aim of this study was to determine the relationship between maximum P-wave duration (PMax) and new P-wave parameters, with atrial conduction times (CT), and to assess their predictive value of AF during electrophysiological studies (AF-EPS). <b><i>Subjects and Methods:</i></b> This was a cross-sectional study in 153 randomly selected patients aged 18–70 years, undergoing EPS. The patients were divided into 2 groups designated as no AF-EPS and AF-EPS, depending on whether AF occurred during EPS or not. Different P-wave parameters and atrial CT were compared for both study groups. Subsequently, the predictive value of the P-wave parameters and the atrial CT for AF-EPS was evaluated. <b><i>Results:</i></b> The values of CT, PMax, and maximum Ppeak-Pend interval (Pp-eMax) were significantly higher in patients with AF-EPS. Almost all P-wave parameters were correlated with the left CT. PMax, Pp-eMax, and CT were univariate and multivariate predictors of AF-EPS. The largest ROC area was presented by interatrial CT (0.852; <i>p</i> < 0.001; cutoff value: ≥82.5 ms; sensitivity: 91.1%; specificity: 81.1%). Pp-eMax showed greater sensitivity (79.5%) to discriminate AF-EPS than PMax (72.7%), but the latter had better specificity (60.4% vs. 41.5%). <b><i>Conclusions:</i></b> Left atrial CT were directly and significantly correlated with PMax and almost all the parameters of the second half of the P-wave. CT, PMax, and Pp-eMax (new parameter) were good predictors of AF-EPS, although CT did more robustly.

  • Vectorial theory surpasses the local theory in explaining the origin of P-wave dispersion
    Raimundo Carmona Puerta, Elizabeth Lorenzo Martínez, Magdalina Rabassa López-Calleja, Gustavo Padrón Peña, Juan Miguel Cruz Elizundia, Fernando Rodríguez González, and Elibet Chávez González
    Elsevier BV
    BACKGROUND Local theory and the vectorial theory are used to explain the origin of P-wave dispersion (PWD). There are no previous studies that analyze both at the same time. OBJECTIVES We set out to determine the implication of local and vectorial theories in the origin of PWD. METHODS Cross-sectional study in 153 randomly selected patients aged 18-70 years, undergoing electrophysiological study. Inhomogeneous atrial conduction was evaluated by atrial electrogram dispersion in terms of duration (EGMdurdis) and morphology (EGMmorph dis). P-distal coronary sinus interval (P-DCS) was also measured. P-wave was measured twice, firstly at a calibration of 20 mm/mV and a sweep speed of 50 mm/s, enhancement 10× (basic measurement [BM]), and second time at sweep speed of 150 mm/s, enhancement 80-160× (high precision measurement [HPM]). RESULTS PWD with BM was 48 ms [36-54 ms] while with HPM it was 4 ms [0-10 ms], p < 0.001. With BM, maximum and minimum P- wave duration presented a moderate correlation (r = 0.342; p < 0.001), using HPM it becomes strong (r = 0.750; p < 0.001). In cases with P-DCS < 80 ms (r = 0.965; p < 0.001), but not with P-DCS ≥ 80 ms (r = 0.649; p < 0.001), the previous correlation became almost perfect with HPM. EGMdurdis and EGMmorphdis were weak but significantly correlated with PWD. This correlation became moderate in patients with P-DCS ≥ 80 ms and disappeared in those with P-DCS, using BM and HPM. CONCLUSION Vectorial theory explains almost entirely the PWD phenomenon. Inhomogeneous conduction could be an additional mechanism to explain PWD, but its contribution is small.

  • P wave dispersion over two decades after its discovery. What the cardiologist should know
    Raimundo Carmona Puerta and Elizabeth Lorenzo Martínez
    Elsevier BV
    Abstract For years, there has been an increase in cases of atrial fibrillation, reaching alarming levels. This is why intense work is done to find predictors of this arrhythmia. The electrocardiogram has shown to be useful for this purpose, and multiple indices derived from the P wave have been developed. Among the most notable is the P wave dispersion (PWD). It has been verified that PWD can predict the occurrence of paroxysmal atrial fibrillation in the absence of diseases as well as in the context of multiple cardiovascular pathologies or other systems. PWD is considered by most researchers to be the result of inhomogeneous conduction of the atrial electrical impulse, but a vector explanation may play a role in its genesis. The large body of evidence surrounding PWD supports its use in clinical practice.

  • Atrial conduction explains the occurrence of the P-wave dispersion phenomenon, but weakly
    Raimundo Carmona Puerta, Elibet Chávez González, Magda Alina Rabassa López‐Calleja, Elizabeth Lorenzo Martínez, Juan Miguel Cruz Elizundia, Gustavo Padrón Peña, and Fernando Rodríguez González
    Wiley

  • Interatrial blocks: diagnosis and clinical significance
    Raimundo Carmona Puerta
    Elsevier BV
    In 1979 Bayés de Luna described interatrial blocks (IAB). Following the same principle of classification of blocks in other structures of the heart, he divided them into first (partial IAB), second (atrial aberrancy) and third degree (advanced IAB). Atypical forms of these blocks were recently described. There is evidence that delays or blocks of conduction in the Bachmann bundle constitute the mechanistic basis of these blocks. The association between IAB, mainly those of advanced grade, and atrial tachyarrhythmias is already constituted science, and is referred to by the medical community as Bayés syndrome. IABs are also associated with the occurrence of ischaemic stroke and recurrence of atrial fibrillation in several scenarios. This review presents classical aspects and sheds light on the interpretation of this electrocardiographic pattern in clinical practice.

  • Tpeak-tend, tpeak-tend dispersion and tpeak-tend/QT in children and its relationship with clinical variables
    Yaniel Castro-Torres, Raimundo Carmona-Puerta, Elibet Chávez-González, and Emilio Francisco González-Rodríguez
    Universidad del Valle
    Aim: To characterize the Tpeak-Tend, the Tpeak-Tend dispersion and Tpeak-Tend/QT in children and its relationship with clinical variables. Methods: Cross-sectional study in 126 children between 9 and 12 years of the Camilo Cienfuegos School in Santa Clara, Cuba. Clinical and anthropometric variables were obtained to determine their relationship with electrocardiographic parameters: Tpeak-Tend V5, Tpeak-Tend dispersion and Tpeak-Tend/QT ratio V5. In addition, laboratory tests were conducted. Results: Age and systolic blood pressure are associated with an increased probability of having values ​​of Tpeak-Tend/QT V5 ≥75 percentile for both sexes (OR: 1.72, CI 95%: 1.02-2.91; p= 0.043), (OR: 1.08, CI 95%: 1.01-1.16; p= 0.017) respectively. The body mass index and systolic blood pressure are linearly and significantly correlated with the Tpeak-Tend/QT V5 (r= 0.224; p= 0.012) and (r= 0.220; p= 0.014) respectively. Conclusions: The age of the patients and the systolic blood pressure figures are factors that increase the probability of having values ​​of the Tpeak-Tend/QT V5 ≥75 percentile. There was a significant linear correlation between the Tpeak-Tend/QT V5 with the body mass index and the systolic blood pressure.

  • Atrial fibrillation and cryptogenic stroke. What is the current evidence? role of electrocardiographic monitoring
    Raimundo Carmona-Puerta and Yaniel Castro-Torres
    Wiley
    The diagnosis of cryptogenic stroke is made by exclusion. However, current evidence supports the role of atrial fibrillation episodes as a cause of this condition. Prospective data have demonstrated the benefits of long‐term electrocardiographic monitoring to identify atrial fibrillation in association with cryptogenic stroke. This aim of this article was to analyze the contemporary evidence for the possible relationship between atrial fibrillation and cryptogenic stroke and the role of continuous electrocardiographic monitoring to clarify this hypothesis.

  • Levels of uric acid and increased diastolic blood pressure: Risk factors for atrial fibrillation in patients older than 60 years
    Yaniel Castro-Torres, Nabeel Yar Khan, and Raimundo Carmona-Puerta
    FapUNIFESP (SciELO)
    Summary Objective: To characterize the maximum P-wave duration (Pmax) and P-wave dispersion (PWD) according to blood pressure (BP) and uric acid (UA) levels in geriatric patients. Method: An analytical study was performed in 83 patients aged over 60 years treated at the Family Medical Office 5 of the Aracelio Rodríguez Castellón Polyclinic, in Cienfuegos, Cuba between January and December 2015. The sample was divided into two groups (patients with hyperuricemia and patients with normal UA levels). Results: We found a linear and significant correlation between diastolic BP and Pmax in patients with hyperuricemia (r=0.695; p=0.026), but not in patients with normal UA (r=0.048; p=0.757). A linear and significant correlation was demonstrated between diastolic BP and PWD in patients with hyperuricemia (r=0.657; p=0.039), but not in patients with normal UA (r=0.054; p=0.730). Conclusion: There is correlation between diastolic BP and Pmax plus PWD in elderly patients with hyperuricemia.

  • Increased maximum p wave duration in smoking patients with ST-elevation acute myocardial infarction and its relationship with inflammatory markers
    Yaniel Castro-Torres, Raimundo Carmona-Puerta, and Luis Castañeda-Carsarvilla
    Czech Society of Cardiology
    Abstract Introduction Electrocardiographic markers for atrial fibrillation and the relationship with inflammatory markers have not been evaluated in smoker patients with acute myocardial infarction. Material and methods This is a cross-sectional study developed between January 2012 and July 2014 at Hospital Universitario Celestino Hernandez Robau from Santa Clara, Cuba. One hundred fifteen patients were included finally. The sample was divided into two groups (smokers and non-smokers). We obtained clinical and laboratory data and compared electrocardiographic markers for atrial fibrillation in both groups and with inflammatory markers. Results Maximum p wave duration was significantly higher in smoker than non-smoker patients (102 ± 12 vs. 97 ± 9; p  = 0,020). Minimum p wave duration and p wave dispersion also are higher in smoker patients but not significantly (61 ± 10 vs. 60 ± 7; p  = 0,476 and 41 ± 10 vs. 37 ± 9; p  = 0,050). There is a positive and significant linear correlation between neutrophils count and maximum p wave duration in smokers ( r  = 0,45; p  = 0,004), but not in non-smokers patients ( r  = 0,09; p  = 0,49). There is a negative correlation between lymphocyte count and maximum p wave duration in smokers ( r  = -0,44; p  = 0,004) and in non-smoker patients ( r  = -0,07; p  = 0,62). Conclusion Maximum p wave duration is higher in smoker patients than non-smoker patients during ST-elevation acute myocardial infarction. Neutrophil count is positively associated with maximum p wave duration in smoker patients. Lymphocyte count has a negative association with maximum p wave duration.

  • Negative effects of chlorthalidone on sympathetic nervous system and insulin resistance in hypertensive patients may be avoided with spironolactone: further studies are still needed
    Y. Castro-Torres, A. Fleites-Pérez, R. Carmona-Puerta, and R. G. Jiménez-Garrido
    Springer Science and Business Media LLC
    Chlorthalidone is commonly used for blood pressure control in hypertensive patients. However, it increases sympathetic nervous system activity and insulin resistance. Both conditions are related with an elevated number of complications and worsen patients’ prognosis. Recently has been demonstrated that these adverse effects are avoided with spironolactone administration. Mechanisms to explain increasing sympathetic nervous activity and insulin resistance with chlorthalidone, but not with spironolactone are unclear and under investigation. It should be necessary to continue medical investigation on this field with long-term studies, a larger number of patients and associated comorbidities. The aim should be to establish whether the association of both drugs could be an effective and safety choice to be implemented extensively in clinical practice. That possibility could represent a new alternative for patients’ management.

  • P-wave dispersion, its association with echocardiographic variables and blood pressure in children aged 8 to 11 years


  • Vitamin D deficiency and hypertension. Supporting evidence
    Yaniel Castro Torres, Anamary Fleites Pérez, Raimundo Carmona Puerta, Marlen Vega Valdez, and Indira Santiestebán Castillo
    Elsevier BV
    Resumen El deficit de la vitamina D se ha relacionado con el aumento en las cifras de la presion arterial. Un incremento en la actividad del sistema renina-angiotensina-aldosterona, la disfuncion endotelial, las alteraciones en la homeostasis del calcio, el aumento del estres oxidativo y la disminucion en la sintesis de las prostaglandinas parecen ser los principales mecanismos fisiopatologicos involucrados en los pacientes con deficit de la vitamina D y aumento de la presion arterial. El uso de suplementos de la vitamina D para reducir el riesgo o la progresion de la hipertension arterial puede ser una alternativa en los pacientes con bajos niveles de esta vitamina. El deficit de la vitamina D se ha relacionado con el fallo de la terapeutica antihipertensiva y debe continuar evaluandose la efectividad del tratamiento hipotensor en pacientes con bajos niveles de este compuesto

  • Cardiovascular risk and arrhythmias electrocardiographic markers in hypertensive patients without coronary artery disease


  • Glyburide in preventing sudden cardiac death
    Alejandro Girela
    Revista Argentina de Cardiologia

  • Glibenclamide in preventing death sudden cardiac
    Raimundo Carmona Puerta, Yaniel Castro Torres, Zoila Armada Esmore, César Cáceres Monie, José Estepo, Claudio Higa, Alberto Morales Salinas, Gastón Rodríguez Granillo, Edgardo Schapachnik, Jorge Yanovsky,et al.
    Revista Argentina de Cardiologia

  • Glibenclamide in preventing death sudden cardiac
    Raimundo Carmona Puerta, Yaniel Castro Torres, Zoila Armada Esmore, César Cáceres Monie, José Estepo, Claudio Higa, Alberto Morales Salinas, Gastón Rodríguez Granillo, Edgardo Schapachnik, Jorge Yanovsky,et al.
    Revista Argentina de Cardiologia

  • Masquerading bundle branch block revisited


RECENT SCHOLAR PUBLICATIONS

  • P089 RELATION BETWEEN ISOMETRIC STRESS-INDUCED PRESSURE RESPONSE AND P-WAVE OF THE ELECTROCARDIOGRAM
    HRR Nuez, RC Puerta, EL Martinez, KH Gonzalez, YAF Batista, ...
    Journal of Hypertension 42 (Suppl 3), e88 2024

  • P088 VASCULAR HYPERREACTIVITY IS RELATED TO SHORTENING FRACTION AND LEFT VENTRICULAR MASS IN YOUNG NORMOTENSIVES
    HRR Nuez, RC Puerta, EL Martinez, MCM Sanchez, YAF Batista, ...
    Journal of Hypertension 42 (Suppl 3), e88 2024

  • P133 ALTERED P-WAVE DISPERSION IN NEWLY DIAGNOSED YOUNG HYPERTENSIVES
    HRR Nuez, RC Puerta, EL Martinez, KH Gonzalez, YAF Batista, ...
    Journal of Hypertension 42 (Suppl 3), e106 2024

  • Associated factors with the occurrence of in-hospital cardiac arrest in patients admitted to internal medicine wards for non-cardiovascular causes
    R Carmona-Puerta, JL Choque-Laura, E Chvez-Gonzlez, ...
    Medicina Clnica (English Edition) 162 (12), 574-580 2024

  • Factores asociados a la ocurrencia de paro cardiaco intrahospitalario en pacientes ingresados en salas de medicina interna por causas no cardiovasculares
    R Carmona-Puerta, JL Choque-Laura, E Chvez-Gonzlez, ...
    Medicina clnica 162 (12), 574-580 2024

  • The cardiovascular effects of large hiatal hernias: a narrative review of cases and studies
    R Carmona-Puerta, D Prez-Sanchez, JM Pichardo-Urea, ...
    Postgraduate Medicine 136 (4), 358-365 2024

  • Estrategia diferente para ablacin de taquicardia ventricular fascicular posterior despus del bloqueo mecnico por catteres: A propsito de un caso
    EC Gonzlez, FR Gonzlez, JMC Elizundia, AEH Castelln, RC Puerta
    CorSalud 15 (3) 2023

  • Dispersin de la onda P: por qu debemos pasar la pgina?
    RC Puerta, EL Martnez
    Revista Cubana de Cardiologa y Ciruga Cardiovascular 29 (3), e1406-e1406 2023

  • Caractersticas y evolucin clnica de pacientes con infarto agudo de miocardio y elevacin del segmento ST con y sin bloqueo interauricular
    FJ Valladares Carvajal, VM Carretero Acosta, R Carmona Puerta, ...
    Revista Finlay 13 (3), 282-292 2023

  • Hallazgos electrocardiogrficos sugieren cambio de paradigma en la enfermedad coronaria aguda: A propsito de un caso
    AEH Castelln, FR Gonzlez, LFV Fleites, RC Puerta, EC Gonzlez
    CorSalud 15 (2) 2023

  • MARCADORES ELECTROCARDIOGRFICOS AL INGRESO COMO PREDICTORES DE MORTALIDAD EN LA ENFERMEDAD CEREBROVASCULAR HEMORRGICA NO TRAUMTICA
    CP Raimundo, LM Elizabeth, RF Jess Jasiel, JV Rosa Mstica
    CIBAMANZ-2023 2023

  • Dispersin del QRS para determinar sincrona electromec nica en pacientes sometidos a estimulacin cardiaca permanente
    RC Puerta, AN Concepcin
    Anales de la Academia de Ciencias de Cuba 13 (2), 1309 2023

  • Would a complete electrophysiological study allow us to make a correct diagnosis? Case report
    E Chvez-Gonzlez, R Carmona-Puerta, F Rodrguez-Gonzlez, ...
    The Egyptian Heart Journal 75 (1), 37 2023

  • LA VISION MODERNA DEL ORIGEN DEL LATIDO CARDIACO Y SU PROPAGACIN AURICULAR
    CP Raimundo, LM Elizabeth
    CIBAMANZ-2023 2023

  • El “vetusto” electrocardiograma sigue aportando nuevas variables para la asistencia y educacin mdicas
    F Rodrguez Gonzlez, E Chvez Gonzlez, R Carmona Puerta
    Edumecentro 15 2023

  • Nonspecific ventricular repolarization abnormalities: A wolf in sheep's clothing
    R Carmona-Puerta, E Lorenzo-Martnez
    Revista Clnica Espaola (English Edition) 222 (9), 549-562 2022

  • Dispersin del QRS para determinar sincrona electromecnica en pacientes sometidos a estimulacin cardiaca permanente.
    E Chvez-Gonzalez, R Carmona-Puerta, F Rodrguez-Gonzlez, ...
    Cuba Salud 2022 2022

  • Nuevos conceptos en electrofisiologa cardiaca bsica: origen del impulso elctrico y su propagacin auricular
    R Carmona-Puerta
    Fisiovilla 2022 2022

  • P-wave dispersion is a vectorial phenomenon: Is it time to change minds?
    R Carmona Puerta, E Martnez Lorenzo, I Donoiu, E Chavez Gonzlez
    Journal of Arrhytmia 2022

  • Uneven vectorial projection is the best explanation for QRS dispersion, not the asynchronic ventricular activation
    R Carmona-Puerta, E Chvez-Gonzlez, G Padrn-Pea, ...
    Journal of Electrocardiology 74, 116-121 2022

MOST CITED SCHOLAR PUBLICATIONS

  • Ventricular repolarization markers for predicting malignant arrhythmias in clinical practice
    Y Castro-Torres, R Carmona-Puerta, RE Katholi
    World Journal of Clinical Cases: WJCC 3 (8), 705 2015
    Citations: 192

  • Valor predictivo de muerte y complicaciones intrahospitalarias de los modelos de estratificacin de riesgo en pacientes con infarto miocrdico agudo
    GO Rizo, JI Ramrez, D Prez, L Novo, F Acosta, Q Cordero, E Chvez
    Rev Fed Arg Cardiol 40 (1), 57-64 2011
    Citations: 28

  • Increased P wave dispersion in elite athletes
    RC Puerta, EL Aliz, MAR Lopez-Calleja, RR Ramirez, GP Pena
    Indian Pacing and Electrophysiology Journal 11 (3), 73 2011
    Citations: 25

  • Dficit de la vitamina D e hipertensin arterial. Evidencias a favor
    Y Castro Torres, A Fleites Prez, R Carmona Puerta, M Vega Valdez, ...
    Revista Colombiana de Cardiologa 23 (1), 42-48 2016
    Citations: 14

  • Hipertensin arterial en poblacin peditrica, sus efectos en la dispersin de la onda P y el rea auricular izquierda
    E Chvez, E Gonzlez, J Castro, MC Llanes, M Gari, Y Garca, ...
    Revista chilena de cardiologa 29 (3), 322-327 2010
    Citations: 14

  • Vectorial theory surpasses the local theory in explaining the origin of P-wave dispersion
    R Carmona Puerta, E Martnez Lorenzo, M Lpez-Calleja Rabassa, ...
    Journal of Electrocardiology 66, 152-160 2021
    Citations: 13

  • Aumento da dispersao da onda P dependente da tensao arterial mdia em prhipertensos e hipertensos: Aumento da dispersao da onda P dependente da tensao arterial mdia em
    EC Gonzlez, JC Hevia, EG Rodrguez, MCL Camacho, MG Llanes, ...
    Journal of Cardiac Arrhythmias 23 (2), 75-81 2010
    Citations: 13

  • Increased QRS duration and dispersion are associated with mechanical dyssynchrony in patients with permanent right ventricular apical pacing
    E Chvez-Gonzlez, A Nodarse-Concepcin, I Donoiu, ...
    Discoveries 9 (2), e128 2021
    Citations: 12

  • Dispersin del QRS como ndice de disincrona en el bloqueo de rama izquierda y de sincrona tras la terapia de resincronizacin cardaca, una variable de respuesta exitosa
    EC Gonzlez, AA Herrera, RC Puerta, DP Cabrera, RRR Ramrez, ...
    CorSalud (Revista de Enfermedades Cardiovasculares) 7 (2), 106-116 2015
    Citations: 12

  • Atrial conduction explains the occurrence of the P‐wave dispersion phenomenon, but weakly
    R Carmona Puerta, E Chvez Gonzlez, MA Rabassa Lpez‐Calleja, ...
    Journal of Arrhythmia 36 (6), 1083-1091 2020
    Citations: 11

  • El electrocardiograma del paciente hipertenso. Dispersin de la onda P: nueva medida a tener en cuenta
    E Chvez Gonzlez, E Gonzlez Rodrguez, J Castro Hevia, ...
    Medisur 8 (5), 71-75 2010
    Citations: 10

  • New parameter of the second half of the P-wave, P-wave duration, and atrial conduction times predict atrial fibrillation during electrophysiological studies
    R Carmona Puerta, E Lorenzo Martnez, MA Rabassa Lpez-Calleja, ...
    Medical Principles and Practice 30 (5), 462-469 2021
    Citations: 9

  • Dispersin de la onda P dependiente de la velocidad de la onda A del flujo de entrada mitral y de la presin arterial sistlica
    C Elibet, E Gonzlez, J Castro, MC Llanes, M Gar, Y Garca, R Carmona, ...
    Revista Colombiana de Cardiologa 18 (1), 59-64 2011
    Citations: 9

  • Interatrial blocks: Diagnosis and clinical significance
    R Carmona-Puerta
    Medicina Clnica (English Edition) 2020
    Citations: 8

  • Vitamin D deficiency and hypertension. Supporting evidence
    YC Torres, AF Prez, RC Puerta, MV Valdez, IS Castillo
    Rev Colomb Cardiol 23 (1), 42-8 2016
    Citations: 8

  • P wave dispersion over two decades after its discovery. What the cardiologist should know
    R Carmona-Puerta, E Lorenzo-Martnez
    REC: CardioClinics 2020
    Citations: 7

  • Atrial fibrillation and cryptogenic stroke. What is the current evidence? Role of electrocardiographic monitoring
    R Carmona‐Puerta, Y Castro‐Torres
    Journal of Arrhythmia 34 (1), 1-3 2018
    Citations: 7

  • Riesgo cardiovascular y marcadores electrocardiogrficos de arritmias en pacientes hipertensos sin cardiopata isqumica
    AM Salinas, EL Aliz, RC Puerta, YV Ramos, RP Rodrguez, RL Machado, ...
    Rev Fed Arg Cardiol 42 (3), 189-194 2013
    Citations: 7

  • Tpeak-Tend, Tpeak-Tend dispersion and Tpeak-Tend/QT in children and its relationship with clinical variables
    Y Castro-Torres, R Carmona-Puerta, E Chvez-Gonzlez, ...
    Colombia Medica 50 (4), 252-260 2019
    Citations: 6

  • Levels of uric acid and increased diastolic blood pressure: Risk factors for atrial fibrillation in patients older than 60 years
    Y Castro-Torres, NY Khan, R Carmona-Puerta
    Revista da Associao Mdica Brasileira 63 (07), 600-605 2017
    Citations: 6