<?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>1727-897X</journal-id>
<journal-title><![CDATA[MediSur]]></journal-title>
<abbrev-journal-title><![CDATA[Medisur]]></abbrev-journal-title>
<issn>1727-897X</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de Cienfuegos, Centro Provincial de Ciencias Médicas, Provincia de Cienfuegos.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1727-897X2021000600900</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Implante de marcapasos permanente. Acceso al ápex del ventrículo derecho usando radioscopia solo en el último momento]]></article-title>
<article-title xml:lang="en"><![CDATA[Permanent pacemaker implantation. Access to the apex of the right ventricle using fluoroscopy only at the last moment]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Torres Acosta]]></surname>
<given-names><![CDATA[Cynthia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General Universitario Dr. Gustavo Aldereguía Lima  ]]></institution>
<addr-line><![CDATA[Cienfuegos ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<volume>19</volume>
<numero>6</numero>
<fpage>900</fpage>
<lpage>906</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1727-897X2021000600900&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1727-897X2021000600900&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1727-897X2021000600900&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN En Cuba, el primer implante de marcapasos se realizó el 6 de julio de 1964, mientras que en Cienfuegos se inicia esta actividad en 1979, por un grupo de profesionales liderados por el Dr. Francisco Riverón Mena, quien se mantuvo durante más de diez años al frente de la estimulación cardíaca, en el Hospital Dr. Gustavo Aldereguía Lima. El presente trabajo se propone describir el método para el implante de marcapasos permanente aplicado en dicha institución, introducido por el Dr. Riverón, como alternativa al modo convencional. Esta técnica requiere muy poca utilización de radiaciones ionizantes; resulta eficaz y más segura, tanto para el paciente como para el personal de salud, pues se emplea radioscopia solo en el último momento del procedimiento, lo cual la diferencia del método convencional. Aunque en la actualidad no se practica, durante la etapa que se aplicó en el hospital, brindó seguridad a pacientes y personal de salud, por lo que debería retomarse su uso.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT In Cuba, the first pacemaker implant was carried out on July 6, 1964, while in Cienfuegos this activity began in 1979, by a group of professionals led by Dr. Francisco Riverón Mena, who stayed for more than ten years in charge of cardiac stimulation, at the Dr. Gustavo Aldereguía Lima Hospital. The present work aims to describe the method for permanent pacemaker implantation applied in said institution, introduced by Dr. Riverón, as an alternative to the conventional mode. This technique requires very little use of ionizing radiation; It is effective and safer, both for the patient and for the health personnel, since fluoroscopy is used only at the last moment of the procedure, which differentiates it from the conventional method. Although it is not currently practiced, during the stage that it was applied in the hospital, it provided security to patients and health personnel, so its use should be resumed.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Estimulación cardiaca artificial]]></kwd>
<kwd lng="es"><![CDATA[marcapaso artificial]]></kwd>
<kwd lng="es"><![CDATA[radiación ionizante]]></kwd>
<kwd lng="en"><![CDATA[Cardiac pacing, artificial]]></kwd>
<kwd lng="en"><![CDATA[pacemaker, artificial]]></kwd>
<kwd lng="en"><![CDATA[radiation, ionizing]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="book">
<collab>Ministerio de Salud Pública</collab>
<source><![CDATA[Anuario estadístico 2019]]></source>
<year>2020</year>
<publisher-loc><![CDATA[La Habana ]]></publisher-loc>
<publisher-name><![CDATA[MINSAP]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Castellanos]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Segura]]></surname>
<given-names><![CDATA[LA]]></given-names>
</name>
<name>
<surname><![CDATA[Sanchén]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Ferrer]]></surname>
<given-names><![CDATA[IM.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Presencia de complicaciones sépticas en marcapasos endocárdicos definitivos.]]></article-title>
<source><![CDATA[AMC]]></source>
<year>2012</year>
<volume>16</volume>
<numero>5</numero>
<issue>5</issue>
</nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cano]]></surname>
<given-names><![CDATA[Ó]]></given-names>
</name>
<name>
<surname><![CDATA[Pombo]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Coma]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Spanish Pacemaker Registry Twelfth Official Report of the Spanish Society of Cardiology Working Group on Cardiac Pacing (2014)]]></article-title>
<source><![CDATA[Rev Esp Cardiol (Engl Ed)]]></source>
<year>2015</year>
<volume>68</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>1138-53</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hall]]></surname>
<given-names><![CDATA[EJ.]]></given-names>
</name>
</person-group>
<source><![CDATA[Radiobiology for the Radiologist]]></source>
<year>1994</year>
<edition>4ª</edition>
<publisher-loc><![CDATA[Philadelphia, PA ]]></publisher-loc>
<publisher-name><![CDATA[Lippincott]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Elmqvist]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Senning]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Implantable pacemaker for the heart.]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Smyth]]></surname>
<given-names><![CDATA[CN]]></given-names>
</name>
</person-group>
<source><![CDATA[Medical electronics. Proceedings of the 2nd International Conference on Medical Electronics.]]></source>
<year>1960</year>
<publisher-loc><![CDATA[London ]]></publisher-loc>
<publisher-name><![CDATA[Iliffe &amp; Sons]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Oter]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Montiel]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Roldán]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Bardají]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Guías de práctica clínica de la Sociedad Española de Cardiología en marcapasos]]></article-title>
<collab>Molinero de Miguel E</collab>
<source><![CDATA[Rev Esp Cardiol]]></source>
<year>2000</year>
<volume>53</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>947-66</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Castro]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Apuntes sobre la historia de los marcapasos en Cuba]]></article-title>
<source><![CDATA[Rev Cubana Cardiol Cir Cardiovasc]]></source>
<year>2011</year>
<volume>17</volume>
<numero>2</numero>
<issue>2</issue>
</nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Echazabal]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Pérez]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Cruz]]></surname>
<given-names><![CDATA[R.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cardioversor-desfibrilador automático implantable a paciente con muerte súbita recuperada.]]></article-title>
<source><![CDATA[Finlay]]></source>
<year>2018</year>
<volume>8</volume>
<numero>2</numero>
<issue>2</issue>
</nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Statkiewicz-Sherer]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Viscanti]]></surname>
<given-names><![CDATA[PJ]]></given-names>
</name>
<name>
<surname><![CDATA[Ritenour]]></surname>
<given-names><![CDATA[ER.]]></given-names>
</name>
</person-group>
<source><![CDATA[Radiation Protection in Medical Radiography]]></source>
<year>1998</year>
<edition>3rd</edition>
<publisher-loc><![CDATA[. St. Louis, MO ]]></publisher-loc>
<publisher-name><![CDATA[Mosby]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<collab>Ministerio de la Presidencia</collab>
<article-title xml:lang=""><![CDATA[Real Decreto 783/2001, de 6 de julio, por el que se aprueba el Reglamento sobre protección sanitaria contra radiaciones ionizantes]]></article-title>
<source><![CDATA[BOE]]></source>
<year>2021</year>
<numero>178</numero>
<issue>178</issue>
</nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Özsürmeli]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Büyükkurt]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Sucu]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Arslan]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Akçabay]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Misirlioglu]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Prenatal diagnosis of persistent left superior vena cava a retrospective study of associated congenital anomalies]]></article-title>
<source><![CDATA[Turk J Obstet Gynecol]]></source>
<year>2019</year>
<volume>16</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>23-8</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Barold]]></surname>
<given-names><![CDATA[SS]]></given-names>
</name>
<name>
<surname><![CDATA[Stroobandt]]></surname>
<given-names><![CDATA[RX]]></given-names>
</name>
<name>
<surname><![CDATA[Sinnaeve]]></surname>
<given-names><![CDATA[AF]]></given-names>
</name>
</person-group>
<source><![CDATA[Cardiac Pacemakers step by step: An illustrated guide]]></source>
<year>2003</year>
<publisher-loc><![CDATA[New York ]]></publisher-loc>
<publisher-name><![CDATA[Futura Publishing]]></publisher-name>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
