Los electores estratégicos

Se ha reforzado el uso del término “Swing Vote”, para definir a aquellos votantes no militantes, que no están ideológica o políticamente comprometidos con un partido, y que pueden oscilar su voto dependiendo del candidato, del programa, de la oferta electoral, del desempeño partidario como opositor o como Gobierno. En el caso de El Salvador, los swing vote representan un número muy amplio e importante de electores. Tanto en las encuestas pasadas como en las presentes estos han basculado entre un 25% y 20% del electorado

Cardiac metastasis from malignant melanoma.

peer reviewe

Successful Tricuspid Valve Replacement and Pulmonary Valvulotomy for Carcinoid Heart Disease

A case of successful tricuspid valve replacement with a mechanical prosthesis and pulmonary valvulotomy for carcinoid heart disease is reported. The patient was a 61 years old women. The primary tumor was in the terminal ileum. Liver metastasis and carcinoid syndrome were present since 8 years. After cardiac surgery, the patient survived 38 months and late death was related to disseminated metastasis. Even in case of metastasis, carcinoid tumor is slow growing. Without cardiac operation for correction of valvular lesions, terminal symptoms and death may often be related to cardiac operation for correction of valvular lesions, terminal symptoms and death may often be related to cardiac failure rather than to tumoral growth. Thus, even in presence of metastasis, cardiac surgery may be mandatory to improve both quality of life and survival

Clinical Case of the Month. Subvalvular Aortic Stenosis

peer reviewedA case of fixed subvalvular aortic stenosis is reported. This clinical observation is the occasion to review the pathophysiology of this lesion and the last developments in the surgical treatment

Isolated tricuspid valve endocarditis as a cause of fever of unknown origin

peer reviewedIsolated tricuspid valve endocarditis is the least common endocarditis with an incidence of 5 to 10% in the literature. It is usually described in drug abusers and as a complication of nosocomial infections (catheter, post-surgery...). We present the case of a 70 year-old patient admitted for a fever of unknown origin lasting for 2 months. He had an isolated tricuspid endocarditis with Enterococcus faecalis. We review the diagnostic criterias predisposing factors and treatment of right-sided valvular endocarditis, particularly the endocarditis produced by Enterococcus faecalis, a rare etiopathogenic agent of tricuspid endocarditis

Hypertrophic obstructive myocardiopathy: surgical therapeutic options

peer reviewedaudience: researcher, professiona

Staphylococcus aureus endocarditis in a diabetic woman treated by continuous subcutaneous insulin infusion.

peer reviewedaudience: researcher, professional, studen

Clinical Case of the Month. Carcinoid Syndrome Due to a Small Intestine Secreting Tumor with a Cardiopathy

peer reviewedUncommon but classically described, intestinal carcinoid tumors represent a variety of neuroendocrine tumors. Able to secrete amines and hormones, they can produce characteristic symptoms called "carcinoid syndrome". A cardiopathy is sometimes associated with the disease and carries a high risk of mortality and morbidity

Systolic and diastolic left and right ventricular function during dobutamine stress testing in conscious healthy dogs: a doppler echocardiographic study

peer reviewe