Dr. Rafael García de la Borbolla Fernández

Dr. Rafael García de la Borbolla Fernández
Cardiovascular Disease
Sevilla


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Dr. Rafael García de la Borbolla Fernández Cardiovascular surgeon in
Sevilla


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Dr. Rafael García de la Borbolla Fernández areas of expertise:

Professional statement

Dr. Rafael Garcia de la Borbolla Fernández is a leader in Cardiac Surgery and Cardiology. His extensive training in both medical specialties includes training stays at internationally renowned as the Heart Center Leipzig (Germany), the Lenox Hill New York clinic or clinic Pasteur Toulouse (France). Dr. Rafael Garcia de la Borbolla Fernandez has been awarded the prize for the best record Resident Medical Intern (MIR), and has authored numerous book chapters and specialty publications.

*Translated with Google translator. We apologize for any imperfection


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 Credentials

GMC: 411108490

 Professional experience

• More than 10 years of experience
• Cardiac Surgeon at Capuchin Cardiological Center (today)
• Cardiac Surgeon at Infanta Luisa Hospital (today)
• Specialist in Cardiac Surgery at the Victoria Eugenia Hospital (today)
• Specialist in Cardiac Surgery at the Viamed-Santa Ángela de la Cruz Hospital (today)
• Specialist in Cardiology of reference for the Andalusian Center for Sports Medicine of Cádiz (2008-2011)
• Heart Surgeon at the Heart Center in Leipzig, Germany
• Head of the Hemodynamics and Interventional Cardiology Unit of the Viamed-Santa Ángela de la Cruz Hospital (present)
• Interventional Cardiologist at Infanta Luisa Hospital (today)

 ...

 Sub-specialties

• Accreditation for the practice of Hemodynamics and Interventional Cardiology

 Positions in public associations

• Member of Seville of the Andalusian Society of Cardiology

 Teaching posts

• Associate professor

 Education

• Graduate in medicine and surgery
• Specialist in Cardiology
• Specialist in Cardiac Surgery
• Training stay at Donostia Hospital, San Sebastián
• Training stay at the Heart Center, Leipzig, Germany
• Official researcher in six research projects
• Training stay at the Pasteur Clinic, Toulouse, France
• Formative stay at Lenox Hill Hospital, New York

 ...

 Publications and conferences

• He has published several articles in impact medical journals
• He is the author and collaborator of numerous chapters of books on his specialty
• He has participated in numerous communications and conferences at national and international level

 ...

 Prizes and awards

• Award to the best resident Internal Medical Record (MIR) by the Andalusian Council of Medical Associations (CACM) and Barclays (2014)
• Extraordinary prize for his doctoral thesis
• Award to the best MIR file of the Medical Association (2008)
• Award for the best article published by an MIR (2008)

 ...

Languages spoken

  • Spanish
  • English

*Translated with Google translator. We apologize for any imperfection

Diseases, Medical Tests and Treatments

Aortic Surgery

Aorta surgery is surgery that removes aortic aneurysm, a widening out of the ordinary portion of an artery. Aortic aneurysm is in the higher part of t ...

Heart Failure

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 outside ...

Ictus

  Stroke means the sudden cessation of cerebral circulation after injury of cerebral vessels, which starts unexpectedly and can develop within minu ...

Minimally Invasive Cardiac Surgery

  Minimally invasive cardiac surgery is to reach the heart from small incisions are made intercostal level. The advantages of this type of surgery ...

Placing Port-a-Cath (Cath)

The catheter is a tube inserted into a patient's body cavity and used in subministración of drugs or fluids or foods for ejecting body, fluids such as urine. A catheter ranking is based are based on whether external or subcutaneous, below the skin. Among them, there are vascular access devices or intravenous catheters, urinary drainage catheters and chest tubes. The application of a catheter externally is the implementation of one of the ends in a large vein located near the heart, superior vena cava. Moreover, by subcutaneous way catheters are inserted under the skin completely, also standing on a large vein. ...

Stent

  A stent is a tube-shaped device that is placed inside blood vessels in order to get strengthen and keep open the concrete wall of glass that is damaged or required. A stent (cardiac, coronary or aorta) has a composition and mesh-like plastic or metal look: a coronary stent or cardiac stent is the one that is placed into an artery after performing balloon angioplasty to prevent conclusion thereof; aortic stents are used to treat aneurysms or aortic dilation. To place an operation in which a flexible tube is inserted through a small incision in the groin, advancing it through the femoral artery into the aorta, and then to the aneurysm where the stent is placed is performed. ...

Arrhythmias

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. ...

Atrial fibrillation

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. ...

Coronary Surgery

  Coronary artery bypass surgery or coronary artery bypass graft surgery is the treatment of coronary artery blockages aimed at creating a step to allow the arrival of oxygen and blood to the heart. To restore circulation connects a blood vessel or from the graft and aorta joins area around the blocked coronary artery. In many cases, surgeons may choose to create such graft arteries or veins from elsewhere in the body, usually the leg or arm. Furthermore, in coronary surgery can be used or not extracorporeal circulation. In the first case, cardiac arrest is caused while a machine does the work of the heart to maintain circulation and oxygenation of the patient. But you can also perform the same operation without cardiopulmonary bypass when there is the potential for the patient. ...

Heart attack / angina

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. ...

Heart attack / angina pectoris

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. ...

Hypertrophic Cardiomyopathy

Hypertrophic cardiomyopathy is a disease caused by the inability of relaxation of the heart, altering pumping blood into the bloodstream. The cause of this disease is hypertrophy (enlargement) of the walls of the ventricles. In general, patients show dyspnea (breathlessness) in response to heart failure but in many cases may be asymptomatic, and is considered one of the most common causes of sudden death in young people. Among other complications of hypertrophic cardiomyopathy include arrhythmias, angina pectoris or myocardial infarction. Your treatment is based on the use of drugs that enhance arrhythmias and heart contractility although the use of the ICD (defibrillator autoimplantable) in cases where the risk of sudden death is important may also be necessary. In addition, cardiomyopathy is an inherited disease, so it is highly advisable to visit a cardiologist when there is a family history of this disease. ...

Myocarditis

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. ...

Pacemaker surgery

  A pacemaker is a small electronic device that is inserted subcutaneously within the body whose function is to maintain the proper heart rate when a problem is detected in the electrical system of the heart. It comprises a generator to send electrical signals when necessary, so corrects the electrical signal sending heart when required. Several types of pacemaker function arrhythmias by a patient, and placing a simple and involves little risk of surgical technique. It involves making an incision in the skin below the collarbone to create a small space as a pocket, which the cable is inserted pacemaker and leads up into a vein in the upper chest. Since that area is guided to the heart chambers and the pacemaker generator is connected to the cable. Finally, in order to regulate the heart rate most suitable for each patient, the pacemaker controls are programmed. ...

Pericarditis

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. ...

Valvular

The valve disease is a typical disease of the heart valves. The valves can be damaged for various reasons, for example infections or aging.

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Other information: of Dr. Rafael García de la Borbolla Fernández

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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