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heart attack

The
Myocardial Infarction

typical pain transfixing chest which is at sea level


normal EKG Waves Classic


QS in II, III, aVF old diaphragmatic myocardial


HEIGHT CARDIAC INFARCTION WITHOUT PAIN PRESENTS TYPICAL

Hope Hospital in Cerro de Pasco (now defunct in the mid-90), also called American Hospital having been founded in the time of the Cerro de Pasco Copper Corporation, at 4330 meters, Dr. Fernando Acosta reviewed the issue, drawing on his experience as a cardiologist working at height, where he realized that the prevalence of ischemic heart disease was very low if not rare in contrast to the case at sea level (which is a condition of every day).

be tracked for a decade looking for possible suspects in heart disease patients. In 2014 found 135 cases evaluated different carriers and valvular cardiovascular disease, congenital heart disease, chronic lung cor, conduction disorders, rhythm and others.

Only 6 cases were classified as having sequelae of myocardial infarction by electrocardiographic results found. All were male and ages were 55 to 74 years. All were born at levels greater than 4000 m and permanently residing in Cerro de Pasco.

The evaluation of these 6 cases have been explained at length in the study, and reported that they all refused or did not remember any symptoms related to infarction as acute chest pain transfixing. They used the Rose questionnaire, ECG, biochemical tests and stress test.

One of them was diagnosed in a cardiovascular surgical risk, in whom he detected a typical evolution of Asymptomatic Myocardial Infarction.

Consider that a heart attack pain is the translation of myocardial anoxia due to coronary occlusion. Literature also describes painless heart attacks, but acute myocardial failure associated with acute symptoms such as acute pulmonary edema, arrhythmias, fainting or sudden shock. Thus

description Acosta - supported by our clinical observation (who worked with him, is that the clinical behavior of myocardial infarctions in height is different than described in the literature, are quiet or silent and asymptomatic.

been reported also in this blog in the article " THE HEART IS BIGGER, HEAVIER AND HEIGHT vascularized "(even showing images of the coronary circulation), which at birth, at sea level, many coronary vessels are obliterated, understandable process that there is no pressing need to keep them open enough oxygen. But this process does not occur in those born to great heights as the city of Cerro de Pasco, where the vessels would remain open and channeled during the time they remain in their habitat as a mechanism for adaptation to hypoxia, enzymatic and metabolic changes that occur in the myocardial cell in which oxygen extraction by the myocardium should be increased to what is required an increase in vascularization and intercoronary anastomosis.

These anatomical changes in the coronary vasculature not seem to be met in sea level natives living at high altitude.

have also found low prevalence of hypercholesterolemia in the native high, resulting in low frequency of atheromatous plaques in artery walls at autopsy.

The very low prevalence of 3 per thousand mentioned by Acosta would be a compensatory mechanism for life in this condition, "it would seem that was magnanimous nature with native high as in these frigid lands there coronary risk factors"

Cerro de Pasco with his former lagoon in the old town Patarcocha

(Based on: Silent heart attack at the height, Fernando Acosta Raez, "Proceedings of the Third National Congress High Altitude Medicine, 1985, Cerro de Pasco ")

Dr. Achilles MONROY

Rotel And Velveeta Recipes

SILENT IN THE HEIGHT UNPUBLISHED BIOGRAPHY of Daniel Alcides Carrión

Daniel Alcides Carrión, genuine photos

5 OCTOBER: DAY PERUVIAN MEDICAL

This time, we pay tribute to Daniel Alcides Carrion, martyr of the Peruvian Medicine on who has written many biographies and who have made numerous comments about his sacrifice on October 5, 1885.

However, we have always recognized medical Carrionas his example and sacrifice. All of Peru has also done many institutions, schools, hospitals, medical associations and even a province of Peru has its name and the nation had declared NATIONAL HERO, MARTYR OF THE PERUVIAN MEDICINE 25,342 BY LAW, Oct. 4 1991.
merit
The latter has contributed one of our most illustrious doctors Researchers at the height of the hospital's Hope Chulec Cerro de Pasco and La Oroya, Dr. Fernando Acosta Raez, a cardiologist and he required of all medical activities for the Day of Medicine until he retired, who from the 80's transmitting all its fervor and paid tribute to Carrión making a different profile to know that we're used to hearing, as civil hero, a condition that was gaining ground so that later in 1991 will feed into

Law
share

with you a summary of the unpublished biography.

Dr. Achilles Monroy

Daniel Alcides Carrión TRIBUTE TO THE CENTENARY OF HIS DEATH 1985

UNPUBLISHED SPEECH BY DR. FERNANDO ACOSTA EN CERRO DE PASCO Raez

I make you aware of that undoubtedly there were two circumstances that impacted on the life of Daniel Alcides Carrión, the unfortunate war with Chile from 1979 to 1984 and then participate in two men of medical science, both of Chilean nationality: Sanfurgo and Left. Daniel Alcides Carrión

was born on August 13, 1857 in this affluent city of Cerro de Pasco, under which we are sheltering sky, meeting in tribute to his favorite son, was 22 years old and lived and contemplating contingencies specific to a country shaken by both contemporary social strife, as the high volatility of institutional care of the nation and finally the Chilean invasion Peruvian territory.

Baltazar Carrión, doctor and lawyer Ecuador, Carrion's father


Dolores García Navarro, cerreña of Quilacocha lady, mother of Carrión Carrion

brilliantly after completing high school, had already entered the Faculty of Medicine, San Fernando, when the invader Chilean infighting advantage of Peruvian leaders began to invade the south of our country, until the day comes that does threaten to enter Lima.

As the invading Chilean army had been ravaged and looted the villages of southern Peru and Lima approached, men of all ages were able to organize in the midst of a disorganized government. Those patriots to defend the city of Lima took up stones, sticks, and the few weapons they had.

The country wound his pride had intended for something very sublime Carrión. Students of the Faculty of Medicine San Fernando lived national instability at the same time were encouraging their patriotism. It is then that students were to integrate sanfernandinos Battalion Independence "assigned to the fields of San Juan and Miraflores where there went into action and just in the heat of battle and the whirlwind of bullets found at Carrion heading towards the most advanced in the trenches in support of friends and fellow countrymen, and many others fulfilling their sacred commitment to the motherland with great heroism.

The invader by their numerical superiority and better organization and availability of weapons and harmful following slogans, begins to destroy all evidence of progress and nationalism. Thus Lima's museums destroyed, plundered the National Library of Medicine and the Faculty makes a barracks occupied by the Chileans.

then the break occurs Faculty Carrión Sanfernandina and like his colleagues, he secretly began to attend the address of their teachers to take classes. In these dire circumstances for the country, did his years Carrión second, third and fourth of the Faculty of Medicine.

During the years of medical training, Carrion went to visit his mother lives in this, his hometown Cerro de Pasco, sometimes made it through the crossing of the Cordillera de la Viuda, sometimes by Matucana.

Warts Bridge near Matucana, at the time of the construction of Central Railway

A sadness and nostalgia in the aftermath of the war in the country, Carrion joined the memory of he saw and deep drama unfolding in the construction of the railway from Lima to La Oroya, where many workers died of fever in La Oroya. So many died that it was said that each sleeper to be placed in the building represents a human life.

When in 1883, by the Treaty of Ancon, peace is signed between Peru and Chile, Carrion is integrated into hospital "Two May, where he resumed his university studies and extend their knowledge about the disease that so disturbed him.

happens then the second major event that impacts the soul of Daniel Alcides Carrión patriot. The Left Chilean doctor who had studied in Germany with Virchow, published his work entitled "Microbe of the Peruvian wart" in the "Archiv fur Anatomie und Phisiologic Pathologishe Klinisk Medicin und fur", published in German and translated into Castilian, with large diffusion Lima by the Chileans, with intentions of apparent supremacy.

Against this publication, doctors and medical students were moved in her deepest feelings of patriotism, especially when the country was recovering from a painful war effort had greatly intensified nationalist sentiment of all Peruvians. The reaction was immediate and emphatic Carrion said the following words: "I know it gives me to see guys like Izquierdo Chilean doctor who could barely see a few tumors, is set to give opinions and write about a disease that no better than the Peruvian doctors do their part knowingly "

was already convinced by their studies and detailed histories of two separate nine cases observed in recent years, preparing his bachelor's thesis and was certain etiological unity of La Oroya fever with the wart and the only way to prove it was with an inoculation as conclusive proof. The possibility that nobody would agree or offer to an investigation of this kind, do you germinate the idea of \u200b\u200binoculation as practiced sound evidence and only weapon to show the Chilean defeated on the field of science.

And so an August 27, 1885, despite the pleas of his teachers and fellow students insist inoculation, the same as it is practiced by Dr. Evaristo Chavez, with blood drawn from a patient's verrucous tumor Carmen Walls of the bed of the Board No 5 Our Lady of Mercy Hospital on May 2. Carrión

this action, testified to his heroism and deep love of country. From the date of inoculation, Carrion noted his observations in his diary of sick, which constitutes an exciting reading.

At that day, the same clinical history is not 10, his colleagues noted, step by step and day by day and reading his martyrdom cause such an impact, that all physicians Carrión in each week of Peruvian medicine, attempting to live the passion of the last days of Carrion.

We read in the October 3, 1885: "Today the patient experiences a worsening of all symptoms, it is of weakness that will not allow himself to sit up from his bed. In the morning view was presented to Dr. Flores, who recommended his transfer to a more hygienic. Carrion is concerned, vacillating between leaving the home of her godmother, who assists him with solicitous love and decides not to attend a clinic with its undeniable benefits. But today at 11 am. Is persuaded to move to the French Hospital, Having been made because this medical lords was necessary to perform a blood transfusion Jan that day, fully understood it was better to do at that facility. We proceeded to dress and put on a sofa and as he prepared the table that was to lead, goes to Mr. Izaguirre, first-year student of medicine with these solemn words: I have not killed my friend, now your turn to finish the work already begun following the path that I drew ... Embrace your respectable then godmother, hide their true state asking her beloved mother, then leads a last look at the home hospital, mute witness to their suffering misses an furtive tear, and faints into the arms of his friends. "

French Hospital, where he died Carrión on October 5, 1885

These fragments of the Journal of Carrion's disease show the martyr to a higher ideal, with a deep longing for vindication of national pride and reach the summit in search Indeed, with a deep sense of nationalism and great dignity of science.

at 11 the night of October 5, 1885, without being made and offered blood transfusion after uttering the phrase "est finit" Daniel Alcides Carrión enters immortality. Then it

medical gentlemen, and gentlemen, let us be aware that the best tribute to our Carrión field, will make us be "equipped with large medical moral values \u200b\u200bthat allow us to approach the patient with love and not obligation, to understand the patient who suffers and not the patient difficult or intractable, that our devotion to the sick leave is not victimized by the trouble, that our decisions against the patient are the result of meditation and not the product of routine and fatigue, do not forget that a long sentence of consolation rather than a pill and make sure that the patient sees in us to a friend who confess their anxieties, their sorrows and secrets and we hope to finally understanding and loyalty "

Fulfilling these desires, the Tribute to Carrión, not only will by this date marks the anniversary of his death, but will be daily and permanently in every one of our medical acts. Viva

our national hero and martyr of the Peruvian Medicine Daniel Alcides Carrión!

(Summary biography published in Proceedings of the Third National Congress of Medicine Altura, Cerro de Pasco, October 1985)

photos from last year CM Chulec

Doctors in La Oroya Chulec Hospital, October 2008



Doctors in La Oroya Chulec Hospital, October 2007




Chulec Hospital of La Oroya, which survives and refuses to die anyway.
No year since its founding in 1921, doctors, residents, interns, serum and staff have failed to do a tribute to Carrión.
In 2009 for reasons other is resting and sleepy but the doctors always will honor Carrión October 5







Medical Equipment 2008 Chulec Medical Center in the front of the Hospital