Serrano C, Alarcón D, Delgado I, García S, Gómez A, Achútegui T, Izquierdo A, Capote ML, López C, García P. Estudio multicéntrico, aleatorizado y prospectivo de las complicaciones vasculares tras el cateterismo cardíaco. Comparación de dos métodos de compresión femoral: C-Clap y neumática. Enferm Cardiol 2000; 21:19:24.

Serrano C, Alarcón D, Delgado I, García S, Gómez A, Achútegui T, Izquierdo A, Capote ML, López C, García P.

Multicentric, randomised and prospective study of vascular complications after cardiac cathetering. Comparison of two methods of femoral compression: C-clamp and pneumatic.

Periferic vascular complications (PVC), though not being very frequent nowadays after diagnostic catheterisms, represent, when they appear, a clinical problem with a great repercussion for the patient and with high implications in terms of social expenditure. The big increase of Interventionist Cardiology Procedures, as well as the use of anticoagulant and anti-adding may have facilitated their rise. It has been described that the rate of PVC oscillates from 0.5% to 1% after the diagnostic procedures (3, 4, 8-13), from 0.9% to 6% after conventional angioplasty with a ball (1, 2, 4, 5, 7), from 2.9% to 4.7% after rotational aterectomy (16, 19) and from 5.7% to 17% after Stent (6, 7, 16, 20). 
Previous research (7, 18) have identified as predictors of such complications a series of clinical factors and others related to the procedure or with the hemos-tasy. In recent years different devices (C-clamp/Femostop®) have been designed for femoral compression which have meant an alternative to manual compression and, in most cases, they have replaced it. Even though some works have been described about the usefulness and effectivity of different mechanical compression techniques, (14, 21, 22, 23, 24, 25) we cannot find any contingent and prospective study which might compare these two methods and their repercussions in relation to the incidence of periferic vascular complications.  
The study was designed as a multicentric and randomised protocol and it was carried out in three terciary hospials, where similar techniques are realised, both diagnostic and therapeutical techniques of cardio-vascular operation, and in which the hemostasy post-catheterism techniques are part of the nurse staff daily work.

Reguera Alonso AI, Habans Sanzberro A, Eiranova Díez BF, García Villafañe MA, González Antón C, Álvarez Díez MT, González de Castro B, García Calabozo R.   Valoración del perfil del paciente coronario en la década de los noventa. Enferm Cardiol 2000; 21:25-29.

Reguera Alonso AI, Habans Sanzberro A, Eiranova Díez BF, García Villafañe MA, González Antón C, Álvarez Díez MT, González de Castro B, García Calabozo R.

The profile of coronary patient’s whach go into the Coronary Unit has varied along the last years.  The present article pretends to analyse the changes which have occurred in this profile, and also the variations in the use of the thrombolitic therapy, whach have taken place during the last decade.
The sample analysed comes from the data base from the Coronary Unit in Leon Hospital and compares 779 patients went into the Coronary Unit during 19991 year with 919 1n 1999.
The most outstanding discoveries that have been discovered are a decrease of half stay, a significative increase in the number of woman with ischemic cardiopathy, an also an increase of the number of patients with ischemic cardiopathy older than 70 years old. We also have found a significative increase in the use of thrombolitic therapy and a disminution in the importance of the age as a criterion to exclude a patient from this treatment.
We way conclude saying there has been a change in the profile taking into account that goes into our unit, in the use of thrombolityc therapy and in the criterion in this treatment from the beginning to the end of the 90s.

Muñoz Izquierdo MA, Peiró Andrés MA.   Introducción, objetivos y otros aspectos a incluir en un artículo científico. Enferm Cardiol 2000; 21:30-32.

Muñoz Izquierdo MA, Peiró Andrés MA.

With this article we would like to retake the series of works which are generally aimed at helping to present the conclusions of our research with a greater scientific rigor.  Articles are documents which Nuria Amat (1994) defines as ‘any knowledge which is materially fixed on a base and which may be used for consultation, study or work’. Thus, as Price (1978) says, the act of investigation in scientific research is completed. With the publication, the new knowledge is communicated and this may be submitted to evaluation as well as to the assessment of the scientific community.  Most scientific publications in our discipline follow the recomendations of the Vancouver Group, which arose in 1978 when a small group of medical journal editors gathered in Vancouver (Canada) with the aim of establishing some guidelines regarding the format of manuscripts sent to their journals. Some years later this group has been widened and developed, becoming the ‘International Committee of Medical Journal Editors’ (ICMJE) which gathers annually. This Committee has presented five editions of ‘Requirements of Uniformity for Manuscripts to be published in Bio-Medical journals’. Because of their interest, the requirements published in 1997 will be our guidance.

introduction, aims, scientific article, scientific manuscript, uniform requirements, biomedical journals.

Piera Orts A. Los sesgos en los formatos de investigación. Un mecanismo de control interno. Enferm Cardiol 2000; 21:33-35.

Piera Orts A.

To approach the aspects related to the research methodology supposes a previous relocation around the paradigm question, that is to say, that personal point of view or "everything is like the color of the crystal through which you gaze". The terms that we used habitually show to us, sometimes, the track of some of the weak arguments more frequent than they occur in the formats of presentation of the works. To so extreme, these tracks they are so evident, that they extend among the research personnel a species of keys of identification of some of them.

Sancho Sánchez MJ, Loro Sancho N. Promoción de la salud. Cursos de reanimación cardiopulmonar básica. Enferm Cardiol 2000; 21:36-40.

Sancho Sánchez MJ, Loro Sancho N.

More than 40% of cardio-pulmonary stop cases occur out from hospitals and they can be successfully revived if the basic cardio-pulmonary resuscitation is initiated as soon as possible (1 to 4 minutes) and it is followed after 8 to 10 minutes by an adequate advanced cardio-pulmonary resuscitation which should be carried out by qualified personnel. We can deduce by this that, although we may be provided with mobile ICUs that may arrive at the place where the patient is in just few minutes, the mesures taken will not be efficient unless somebody present or some person close to the victim initiates the procedures of PCR in the first four minutes. This amounts to saying that the population in general may be considered as the first mobile ICU. Therefore it is the general population that will cover this stretch of vital time until the team of advanced resuscitation arrives. The term ‘Chain of Survival’ has been coined to highlight the fact that the PCR needs everyone’s attention and the delay of any of its elements makes survival unlikely. Being concious of the high percentage of deaths which take place out from hospital together with the obligation of the nursery staff to educate the population, a training programme was initiated in 1996 through formative courses to spread the sequence of action before an episode of cardio-pulmonary stop among the general population. In order to do this a programme was elaborated and our courses were directed to all personnel working at public services and who might be involved in situations of emergency (firemen, security forces, ambulance staff...).

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