<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1405-9940</journal-id>
<journal-title><![CDATA[Archivos de cardiología de México]]></journal-title>
<abbrev-journal-title><![CDATA[Arch. Cardiol. Méx.]]></abbrev-journal-title>
<issn>1405-9940</issn>
<publisher>
<publisher-name><![CDATA[Instituto Nacional de Cardiología Ignacio Chávez]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1405-99402019000400393</article-id>
<article-id pub-id-type="doi">10.24875/acm.19000138</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Ecocardiografía funcional como una herramienta de evaluación dinámica del tratamiento en neonatos críticamente enfermos]]></article-title>
<article-title xml:lang="en"><![CDATA[Functional echocardiography as a tool for the dynamic treatment evaluation in critically ill neonates]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Acevedo-Olguín]]></surname>
<given-names><![CDATA[Ana L.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández-Benítez]]></surname>
<given-names><![CDATA[Rodrigo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Iglesias-Leboreiro]]></surname>
<given-names><![CDATA[José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bernárdez-Zapata]]></surname>
<given-names><![CDATA[Isabel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gerardo-del Hoyo]]></surname>
<given-names><![CDATA[Moisés N.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rendón-Macías]]></surname>
<given-names><![CDATA[Mario E.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Cardiología pediátrica  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Cardiología pediátrica  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Español de México  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,IMSS  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<volume>89</volume>
<numero>4</numero>
<fpage>393</fpage>
<lpage>398</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-99402019000400393&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-99402019000400393&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-99402019000400393&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: Aún existe controversia sobre la utilidad de la ecocardiografía funcional (EcoFn) en la valoración cardiovascular de neonatos críticamente enfermos.  Objetivo: Analizar la utilidad de la EcoFn en la modificación de tratamiento en neonatos ingresados a una Unidad de Cuidados Intensivos Neonatales (UCIN).  Material y métodos: Estudio prospectivo en una UCIN durante un año mediante EcoFn realizada por un cardiólogo capacitado en pacientes en sus primeras 72 horas de vida extrauterina, con valoración de la funcionalidad cardiaca y presencia de alteraciones estructurales. Con base en los hallazgos se analizaron las modificaciones al tratamiento.  Resultados: 37 neonatos fueron evaluados con EcoFn en dos ocasiones: una diagnóstica y otra de seguimiento. En 11 (29.7%) se encontró daño estructural y funcional, en 9 (24.3%) solo funcional, en 7 (18.9%) solo estructural y en 10 (27%) no se observaron alteraciones. En el 70% se realizó al menos un cambio de tratamiento. Los cambios más frecuentes fueron modificaciones al apoyo ventilatorio (63%), seguido del apoyo aminérgico (19.5%) y modificaciones en el aporte de líquidos (10.8%). En todos los casos los cambios mejoraron las condiciones clínicas de los neonatos.  Conclusiones: La EcoFn permitió determinar mejor las condiciones estructurales y hemodinámicas de los pacientes y realizar modificaciones terapéuticas más precisas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: It is still controversy about the usefulness of functional echocardiography (FnEC) in critically ill neonates.  Objective: To analyze the usefulness of the FnEC in the treatment decisions in neonates admitted to a Neonatal Intensive Care Unit (NICU).  Materials and methods: A year prospective study in a NICU. A trained cardiologist performed a FnEC to 72 h of life patients to evaluate the cardiac function and heart structure. We analyzed the clinical decisions after the findings.  Results: 37 neonates underwent two FnEC: at the diagnosis and at follow-up. Eleven patients (29.7%) had structural and functional abnormalities, 9 (24.3%) only functional, 7 (18.9%) only structural, and in the rest, 10 (27%), were normal. Al least one change in the management occurred in 70% of the patients. The main changes were to the ventilatory support (63%), followed by inotropic support (19.5%) and fluid intake (10.8%). In all changes, we observed an improvement in the clinical conditions of the neonates.  Conclusions: The FnEC allowed to determinate the cardiovascular structures and hemodynamic conditions of the patients and make a more precise therapeutic modifications.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Neonato]]></kwd>
<kwd lng="es"><![CDATA[Pretérmino]]></kwd>
<kwd lng="es"><![CDATA[EcoFn]]></kwd>
<kwd lng="es"><![CDATA[Ucin]]></kwd>
<kwd lng="es"><![CDATA[Tratamiento]]></kwd>
<kwd lng="es"><![CDATA[México]]></kwd>
<kwd lng="en"><![CDATA[Neonate]]></kwd>
<kwd lng="en"><![CDATA[Preterm]]></kwd>
<kwd lng="en"><![CDATA[EcoFn]]></kwd>
<kwd lng="en"><![CDATA[Treatment]]></kwd>
<kwd lng="en"><![CDATA[NICU]]></kwd>
<kwd lng="en"><![CDATA[Mexico]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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