Dr. Pujadas Domenech is a renowned expert in cardiology with over 40 years experience in the profession. He specializes in addressing major diseases and cardiological problems. He is currently the director of ICA Advanced Institute of Cardiology and Internal Medicine at the Teknon Medical Center.
*Translated with Google translator. We apologize for any imperfection
• More than 45 years of experience• ICA Director of Institute for Advanced Cardiology and Internal Medicine, based at the Teknon Medical Center (today)
• Head of Cardiology and Internal Medicine Teknon in Barcelona (1994 - 2004) Medical Center• Head of the Department of Medicine and Cardiology Clinic Quirón Barcelona (1980 - 1994) ...
• Graduate in medicine and surgery• Specialist Cardiology and circulatory system (1973)
Publications and conferences
• Author and co-author of numerous papers and communications
• Member of several national and international medical specialty societies
*Translated with Google translator. We apologize for any imperfection
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An arrhythmia is an abnormal heartbeat or perceived by the patient as an abnormality, different from normal normal heartbeat. The rhythmic succession An arrhythmia is an abnormal heartbeat or perceived by the patient as an abnormality, different from normal normal heartbeat. The rhythmic succession of the heartbeats in a resting adult oscillates between 60 and 100 beats per minute, so when these beats are increased sensibly it is spoken of sinus tachycardia, whereas if the beats are slowed, Is treated with sinus bradycardia.
Myocardial infarction occurs when a coronary artery is blocked, dying a portion of the heart muscle. The clogged artery, blood supply to the heart is Myocardial infarction occurs when a coronary artery is blocked, dying a portion of the heart muscle. The clogged artery, blood supply to the heart is suppressed. If prolonged, the tissue dies and does not regenerate.
Heart failure occurs when the body in a permanent obstacle is located in the blood circulation. This may be located within the heart muscle or outsideHeart failure occurs when the body in a permanent obstacle is located in the blood circulation. This may be located within the heart muscle or outside, which causes an increase in blood pressure. There are two types of heart failure: systolic, when the heart muscle can not pump blood and ridding the heart; and diastolic pressure when the heart muscles are stiff and not fill with blood. Both are treatable. First, avoid any effort that work overload of the heart, and then, deliver drugs that provide vitality to exhausted heart muscle. Additionally, when the obstacle is within the coronary arteries of coronary insufficiency talk.
Hypertension is the increase in blood pressure either on a temporary, intermittent or permanent, always above considered a normal values ranging betHypertension is the increase in blood pressure either on a temporary, intermittent or permanent, always above considered a normal values ranging between 160/95mmH, according to the World Health Organization. Clinically, it can not give symptomatology or, conversely, take the form of severe headaches, congestion of the face… Aparate, arterial hypertension (HT ) is associated with significant morbidity and mortality index is one of the most important public health problematic in developed countries. Hypertension is treated with general measures such as a balanced, low-fat diet, and medication treatment. This often avoid complications that can result from poorly controlled hypertension, a heart, eyes and kidneys.
Pericarditis is inflammation of the serous membrane, ie, the outer coat that surrounds the heart sac. It may be due to an infectious origin, or appear without apparent cause or after a general infection like pneumonia, tuberculosis ... All symptoms are cardiocirculatory from dyspnea heart failure, through oppression or symptoms of decompensation; and clinically manifested with choking and intense stabbing chest pain level. In many cases, it is generally a benign condition that refers to own treatment of the symptoms presented by the patient, but in exceptional cases, surgical treatment may be necessary. Pericarditis can give a very similar clinical cardiomyopathy but it is important to differentiate since the treatment is completely different.
AF is the most frequent arrhythmia in daily clinical practice with a high incidence of health in terms of social cost to the point of being considered a health epidemic, representing a very high volume of hospital admissions and increasing up to five times the potential risk of To suffer a stroke in the people who suffer it, therefore requiring in a very high percentage of oral anticoagulation cases. AF is a rapid flutter of the atria, generating a high number of electrical impulses that pass to the ventricles irregularly, producing the perception of a rapid and arrhythmic pulse. As a consequence of this arrhythmia, two other types of phenomena of enormous transcendence in the individual and potentially in society and in their surroundings occur in addition to the rapid and irregular pulse. On the one hand, the loss of normal and synchronous atrial contraction with the ventricles implies a significant reduction in the mechanical efficiency of the heart as a pump, contributing to a greater degree of fatigue and fatigue, and on the other hand, this atrial flutter allows the backflow of the heart. Blood in its interior, facilitating the blood coagulation and therefore the formation of thrombi in its interior that if they move to the circulatory torrent, can produce a stroke. However, although the atria is the one that suffers the problem, the initial origin of the onset of this heart rhythm disorder originates predominantly in the pulmonary veins. Patients with this cardiac rhythm disorder are usually born with muscle fibers that abnormally connect the pulmonary veins to the left atrium and are potentially activatable in response to a series of point stimuli or specific clinical conditions, modulated very importantly by the influence Of the autonomic nervous system, which is the visceral nervous system, that of the emotions, (which we can not control), playing this, a role modulator frequently in the abnormal electrical activity of the pulmonary veins that can at a specific moment activate electrically Anomalously and generate between 300 and 600 electric pulses per minute that literally "bombard" the left atrium, causing it to lose normal heart rate and initiating this flutter.
The factors that provide an cardiovascular risk are those who are associated with a greater likelihood of cardiovascular disease such as cholesterol, diabetes, hypertension, smoking, genetic inheritance, stress, obesity and heart rate. These agents affect both the arteries of the heart as the other parts of the body such as the brain, kidney and lower limbs. The most common consequences are myocardial infarction or cardiovascular events such as thrombosis, embolism and cerebral hemorrhage. There are aspects that predispose people to suffer them as age, sex, race and, above all, family history. Also, maintain a balanced diet also prevents the control of blood pressure, cholesterol and blood glucose.
Cholesterol is a sterol (lipid or fat) that the human body needs to function properly, but too much cholesterol in the blood is bad because it can cause heart disease and stroke, among other problems. The cholesterol tends to increase with age but usually causes no symptoms, only detected with a blood test. People with family history of overweight or consuming lots of high-fat meal are very likely to have high cholesterol levels. You can lower cholesterol by performing exercise and consumption of fruits and vegetables.
Coronary angiography or cardiac catheterization or catheter is a diagnostic test in which images are used to study the blood vessels supplying the heart and that are not visible by conventional radiology. Is an invasive cardiology (causing pain to the patient) and is performed by inserting a catheter into an artery, usually the femoral, that through the aorta goes to the heart. whether it is a blood narrowing or blockage of the coronary arteries: With this radiographic images that provide insight into what the specific problem of the patient is obtained. Despite being a very reliable test, coronary angiography can lead to complications, such as the onset of severe arrhythmias, angina pain or heart attack. There are other techniques such as computed tomography where you can inject contrast or without it, also providing information on the location of the vessels of the affected organ.
Dilated cardiomyopathy is a disease that affects the heart and is characterized by being weakened and enlarged. This leads to the result that the heart can not pump to the body enough blood. The main causes of this disease are coronary artery disease and hypertension. Dilated cardiomyopathy symptoms such as pain or pressure in the chest, coughing, fatigue, loss of appetite and swelling of the feet, among others.
The echocardiogram is a diagnostic test based on the use of ultrasonic techniques using ultrasound emission on the chest area, heart reach several structures reflecting on them again to be collected, analyzed and represented through graphics. The echocardiographic analysis or ultrasound of the heart represents a histogram of the mobility of the heart muscle and is especially useful for the study of the functioning of heart valves and their pathology. Also, this diagnostic test is useful for post-surgical follow-metal stents them. Furthermore, the development of B-scan is a plane scanning ultrasonic viewing images in real time that allows calculation of volumes and areas of valvular orifices, which serves to complete medical diagnostics.
The electrocardiogram (ECG) is a diagnostic test that is a record, with special tools (electrocardiogram) of the electrical activity of normal heart and presenting pathology. It also constitutes one of the most important knowledge and appreciation of most of the heart techniques. Also, electrocardiography provides an invaluable diagnostic aid growth of different heart chambers (atria and ventricles). In many cases, the diagnosis of congenital heart disease is known from the characteristic plot of this. In fact, the ECG provides important data for the evaluation of more than 80% of heart disease.
Angina is a medical pathology manifested clinically by intense thoracic pain, because of insufficient blood flow that supplies the heart through the coronary arteries usually appears abruptly and lasts a short time. Also characteristic is the feeling of constriction in chest level, often radiating to the left arm or jaw. Also, the anginal attack can cause symptoms to generalized level, as paleness, cold sweats, anxiety and strong sense of immediate death, but usually lasts a couple of minutes. Always it is a medical emergency and the medical performance in the first time is critical. Myocardial infarction would be the ultimate expression of angina.
A heart murmur is a noise comparable to that makes the air in a torch, which is usually pathological, although young children may be normal. You can listen using a device called phonendoscope, which is placed at chest level. The heart murmurs are always indicative that there is increased blood flow to heart level, either by an alteration to the level of a heart valve or a noncardiac cause. Besides, the situation blow, the sonic character, location, irradiation, and the variation by reference to the effort and the change of position, are always data to take into account because they offer a lot of information regarding the pathology that He has caused.
Hypercholesterolemia is the presence of blood cholesterol above normal levels. This increase is often associated with heart problems, diet, sex, lifestyle and endogenous synthesis. Thus the concentration of blood cholesterol hereditary and dietary factors involved, along with other related physical activity. We can distinguish two types of hypercholesterolemia. Primary, derived from problems with cholesterol transporters systems and genetic factors, and the secondary, where the increase in cholesterol is associated with certain liver, endocrine and kidney disease.
Hypertension is the increase in blood pressure either transiently, intermittent or permanent, always above a level considered normal values ranging from 160 / 95mmH, according to the World Health Organization. Clinically, it can not give symptoms or, conversely, manifested in the form of severe headaches, congestion face ... Aparate, high blood pressure (hypertension) is associated with high morbidity and mortality rate is one of the problems most important public health in developed countries. Hypertension is treated with general measures such as a balanced, low-fat diet and drug therapy. This will prevent in many cases the complications that can result from poorly controlled hypertension, a heart, eyes and kidneys.
Ischemic heart disease is a disease caused by narrowing of the coronary arteries, atherosclerosis. Al narrowed arteries less oxygen reaches the heart and seriously affects your balance. Can produce a mild angina pectoris or acute myocardial infarction.
Myocarditis is inflammation of the heart muscle. It is a rare disease and can be caused by several factors: infections, allergic reactions, diseases with an immunological basis, etc. In some patients, there are no symptoms, but in most the disease is manifested by chest pain, fatigue, fever, joint pain, or shortness of breath, among other symptoms. For diagnosis, it is necessary to perform a series of tests (general analytic, an ultrasound of the heart and an electrocardiogram), and treatment aims to eradicate what caused the inflammation of the heart muscle by prescribing antibiotics or anti-inflammatory and recommendation salt diet or decreased physical activity. In many cases, recovery with proper treatment may involve the complete cure of the patient, preventing further complications such as heart failure.
Palpitations are heartbeat of sudden onset and violent, sensitive and annoying. Normally the heart action is perceived only in a situation of stress, strong emotion or after the completion of an important exercise. But heart palpitations can occur in certain pathological states in which the heartbeat increase in intensity and frequency, as in the case of tachycardia, which can be a symptom of cardiac or noncardiac disease, such as: a significant anemia , an increase of thyroid function, liver disease, or other conditions; but they can also occur after drinking alcohol, tea, coffee and other stimulants. ...
Preventive cardiology is the set of measures intended to protect the person of the possibility of developing a specific medical condition. The high incidence and high mortality from ischemic heart disease have been raising awareness in the society for prevention campaigns, awareness and mentation, with the aim of trying to prevent and combat the so-called risk factors: obesity, snuff, hypertension, sedentary lifestyle, hypercholesterolemia ... This type of action prior to the onset of the disease is called primary prevention, while in high even certain medical or surgical guidelines, such as bypass surgery would be used to improve the quality and survival.
It is known as stress test or treadmill test electrocardiographic medical examination which is generally used for diagnosis and assessment of heart failure or angina. Over the years, its use has expanded the use of this test but can not be performed on all patients suffering from heart diseases because it can pose some risks for the efforts involved in their implementation. To realize this, a static or ergonometric bicycle is used, following a methodology of progression overload thereof as a strong official protocol. The patient is monitored to control the test pulse rate, blood pressure, oxygen consumption and electrocardiographic changes and clinical response to stress (pain, fatigue ...).
A sudden and transient loss of consciousness is defined as syncope, with absence of postural tone and falling to the floor (if the patient is standing), but with spontaneous recovery, which does not require cardiopulmonary resuscitation maneuvers to recover normality
The chest pain is a pain in the front of the chest that may be a symptom of many diseases: heart disease, such as acute myocardial infarction, heart failure, or pericarditis; respiratory infectious type, such as influenza, pneumonia; nerve, such as anxiety attacks; osteoarticular and muscle u. However, keep in mind that despite the feeling severe pain in the chest, often the causes are not dangerous to the health of the individual. Since the cause of chest pain can be multiple, to avoid any mishap, it is essential quick reference to specialist for immediate treatment, in case it is needed.
The test tilt or tilt-table test is used to find the cause of syncope suffered by the patient. To perform the test, the subject must be tied by the arms and feet reclining on a special table, and will insert an intravenous catheter in one arm while the other will be placed a bracelet to control blood pressure. In addition, to analyze heart rate, you put a set of electrodes connected to an electrocardiograph for electrocardiograms constant during the time of performing the test. The individual will upset your heart rate to the point where eventually lose consciousness, emulating syncope. Thus, the detailed results of the test will start drug treatment to prevent the patient to return to fainting.
It means venous insufficiency difficulties in the venous return of blood flow through the veins, either by the presence of a stenosis in the vessel, by an insufficiency of valves therein, or because they have lost the elasticity of its walls, expanding and leading to varicose veins. Risk factors that predispose to this disease are obesity, age, genetic factors, multiple pregnancies, remain standing long hours ... Venous insufficiency is manifested by symptoms such as itching, redness of the skin at the ankles and distal part of the foot, swelling, discoloration in the area, superficial varicose veins and leg ulcers, among others. Treatment consists of the use of elastic stockings and avoid spending long hours in one position, and other factors that predispose to its formation. If these measures prove insufficient, the drug treatment will be necessary and / or surgery.
Source: All information contained on this page as well as office hours available, are provided directly by the doctor who has the ability to update them at all times in order to keep the information as accurate as possible.
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