{"id":3431,"date":"2024-04-02T12:43:24","date_gmt":"2024-04-02T17:43:24","guid":{"rendered":"https:\/\/expatsmags.com\/?p=3431"},"modified":"2024-06-14T15:58:15","modified_gmt":"2024-06-14T20:58:15","slug":"cover-story-revolutionizing-cardiac-care-cima-sinai","status":"publish","type":"post","link":"https:\/\/expatsmags.com\/index.php\/2024\/04\/02\/cover-story-revolutionizing-cardiac-care-cima-sinai\/","title":{"rendered":"COVER STORY &#8211; Revolutionizing Cardio Care: CIMA-SINA\u00cd"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"3431\" class=\"elementor elementor-3431\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7332c8b e-flex e-con-boxed e-con e-parent\" data-id=\"7332c8b\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;boxed&quot;}\" data-core-v316-plus=\"true\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2714dc0 elementor-widget elementor-widget-image\" data-id=\"2714dc0\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.19.0 - 29-01-2024 *\/\n.elementor-widget-image{text-align:center}.elementor-widget-image a{display:inline-block}.elementor-widget-image a img[src$=\".svg\"]{width:48px}.elementor-widget-image img{vertical-align:middle;display:inline-block}<\/style>\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"960\" height=\"340\" src=\"https:\/\/expatsmags.com\/wp-content\/uploads\/2024\/03\/CIMA.png\" class=\"attachment-full size-full wp-image-3436\" alt=\"CIMA\" srcset=\"https:\/\/expatsmags.com\/wp-content\/uploads\/2024\/03\/CIMA.png 960w, https:\/\/expatsmags.com\/wp-content\/uploads\/2024\/03\/CIMA-300x106.png 300w, https:\/\/expatsmags.com\/wp-content\/uploads\/2024\/03\/CIMA-768x272.png 768w\" sizes=\"(max-width: 960px) 100vw, 960px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-038416e e-flex e-con-boxed e-con e-parent\" data-id=\"038416e\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;boxed&quot;}\" data-core-v316-plus=\"true\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-7da6461 e-con-full e-flex e-con e-child\" data-id=\"7da6461\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;full&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-739300a elementor-widget elementor-widget-image\" data-id=\"739300a\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"687\" height=\"330\" src=\"https:\/\/expatsmags.com\/wp-content\/uploads\/2024\/03\/CIMA-LOGO.png\" class=\"attachment-full size-full wp-image-3437\" alt=\"CIMA LOGO\" srcset=\"https:\/\/expatsmags.com\/wp-content\/uploads\/2024\/03\/CIMA-LOGO.png 687w, https:\/\/expatsmags.com\/wp-content\/uploads\/2024\/03\/CIMA-LOGO-300x144.png 300w\" sizes=\"(max-width: 687px) 100vw, 687px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-61e9a64 elementor-widget elementor-widget-text-editor\" data-id=\"61e9a64\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.19.0 - 29-01-2024 *\/\n.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#69727d;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#69727d;border:3px solid;background-color:transparent}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap{margin-top:8px}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap-letter{width:1em;height:1em}.elementor-widget-text-editor .elementor-drop-cap{float:left;text-align:center;line-height:1;font-size:50px}.elementor-widget-text-editor .elementor-drop-cap-letter{display:inline-block}<\/style>\t\t\t\t<p><em>Cuenca Expats Magazine, Issue 45<\/em><\/p><p><em>Photos Courtesy of CIMA<\/em><\/p><h4 style=\"text-align: left;\"><span style=\"color: #800000;\">Leading the Fight Against Arrhythmias in Ecuador<\/span><\/h4><p>Cardiovascular diseases continue to be a global health challenge, claiming the top spot as the leading cause of illness and death. Cardiac arrhythmias, accounting for almost half of these cases, represent a significant health concern. Regrettably, Ecuador had yet to witness a corresponding surge in specialized facilities dedicated to addressing cardiac arrhythmias.<\/p><p>Recognizing this gap and driven by a steadfast commitment to alter this national narrative, the Comprehensive Center for Pacemakers and Cardiac Arrhythmias at Monte Sinai Hospital, known as CIMA SINAI, emerged in Cuenca in March 2023.<\/p><p><strong>Addressing the Gap:<\/strong> The absence of a dedicated center for cardiac arrhythmias in the country spurred the establishment of CIMA SINAI.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-c241b77 e-con-full e-flex e-con e-child\" data-id=\"c241b77\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;full&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5f12dba elementor-widget elementor-widget-text-editor\" data-id=\"5f12dba\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>In contrast to the global trend of industrial and hospital development to combat cardiac arrhythmias, Ecuador had not reflected this progress until now. CIMA SINAI represents the first specialized center in the country devoted to the comprehensive treatment of cardiac arrhythmias.<\/p><p><strong>\u00a0<\/strong><\/p><p><strong>CIMA SINAI&#8217;s Inauguration:<\/strong> Since March 2023, CIMA SINAI has been operational in Cuenca, positioning itself as the first specialized center for cardiac arrhythmias and pacemakers in Ecuador. The primary objective of CIMA-SINAI is to provide timely and comprehensive management of all types of cardiac arrhythmias, from prevention to definitive treatment. Equipped with state-of-the-art international technology, including the nation&#8217;s inaugural and sole Invasive Electrophysiology Lab, CIMA-SINAI ensures secure and efficient procedures such as ablations or pacemaker implants.<\/p><p><strong>Infrastructure Overview:<\/strong> CIMA-SINAI is situated in the main tower of Monte Sinai Hospital: Tower 1, which is strategically placed adjacent to modern operating rooms, the Intensive Care Unit, and the hospital&#8217;s Emergency Department. This prime location enables the center to conduct both invasive and non-invasive procedures with the necessary agility, efficiency, and, most importantly, safety.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-576a24e e-flex e-con-boxed e-con e-parent\" data-id=\"576a24e\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;boxed&quot;}\" data-core-v316-plus=\"true\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-1d71493 e-con-full e-flex e-con e-child\" data-id=\"1d71493\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;full&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9fcc825 elementor-widget elementor-widget-text-editor\" data-id=\"9fcc825\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"color: #000000;\"><strong>\u00a0Structurally and functionally, CIMA SINAI is divided into five units:<\/strong><\/span><\/p><p><span style=\"color: #ff0000;\"><strong>1. Clinical Unit for Cardiac Stimulation and Pacemakers:<\/strong><\/span><\/p><ul><li>Home to the country&#8217;s first and only Invasive Electrophysiology Lab, designed exclusively for the definitive treatment of cardiac arrhythmias.<\/li><\/ul><p><span style=\"color: #ff0000;\"><strong>2. Clinical Unit for Cardiac Stimulation and Pacemakers:<\/strong><\/span><\/p><ul><li><p>Specialized in the placement and management of pacemakers.<\/p><\/li><\/ul><p><span style=\"color: #ff0000;\"><strong>3. <\/strong><strong>Holter and Remote Monitoring Unit:<\/strong><\/span><\/p><ul><li>Focused on long-term electrocardiographic monitoring using external Holter monitors for 24-hour observations and subcutaneously implanted monitors for up to two years.<\/li><\/ul><p><span style=\"color: #ff0000;\"><strong>4. <\/strong><strong>Syncope and Complementary Methods Unit:<\/strong><\/span><\/p><ul><li><p>The first and only unit in the country dedicated to diagnosing and treating fainting episodes, utilizing methods such as the tilt table test and continuous monitoring through implantable loop recorders.<\/p><\/li><\/ul><p><span style=\"color: #ff0000;\"><strong>5. Clinical Arrhythmias Unit:<\/strong><\/span><\/p><ul><li>Equipped with three clinical consultation rooms, ensuring accurate electrocardiographic analysis.\u00a0<\/li><\/ul>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-bb226de e-con-full e-flex e-con e-child\" data-id=\"bb226de\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;full&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a579318 elementor-widget elementor-widget-text-editor\" data-id=\"a579318\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><strong><span style=\"color: #ff0000;\">Human Team at CIMA-SINAI<\/span>:<\/strong> CIMA SINAI distinguishes itself by maintaining a complete team of seven cardio electrophysiologists ensuring a high success rate and minimal complications. In addition to providing comprehensive care, the team includes clinical cardiologists, echocardiologists, internists, nutritionists, and psychologists. All staff undergo training in the management of cardiac emergencies through official courses from the American Heart Association (AHA).<\/p><p>CIMA SINAI&#8217;s commitment to holistic patient care is further exemplified by the inclusion of a clinical cardiologist, two echocardiologists, an internist, a nutritionist, and a psychologist. The collaborative efforts of the medical, nursing, and administrative staff\u2014all trained in the management of cardiac emergencies\u2014ensure a well-rounded approach to patient care.<\/p><p><span style=\"color: #ff0000;\"><strong>Mission and Vision of CIMA-SINAI:<\/strong><\/span><\/p><p><span style=\"color: #ff0000;\"><strong><em>Mission<\/em><\/strong><\/span><em>:<\/em> To provide comprehensive and subspecialized medical care through a team of individuals for whom ethics and solidarity are primary values. The mission is to seek timely management of all types of cardiac arrhythmias, from prevention to definitive treatment.<\/p><p><span style=\"color: #ff0000;\"><strong><em>Vision<\/em><\/strong><\/span><em>:<\/em> To achieve leadership and become the national and international reference site for addressing and treating cardiac arrhythmias, relying on qualified personnel to meet the needs of our users<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-3d2e653 e-flex e-con-boxed e-con e-parent\" data-id=\"3d2e653\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;boxed&quot;}\" data-core-v316-plus=\"true\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6769caa elementor-widget elementor-widget-image\" data-id=\"6769caa\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"2560\" height=\"1707\" src=\"https:\/\/expatsmags.com\/wp-content\/uploads\/2024\/03\/PARA-CAMBIAR-PAGINA-6-scaled.jpg\" class=\"attachment-full size-full wp-image-3445\" alt=\"PARA CAMBIAR PAGINA 6\" srcset=\"https:\/\/expatsmags.com\/wp-content\/uploads\/2024\/03\/PARA-CAMBIAR-PAGINA-6-scaled.jpg 2560w, https:\/\/expatsmags.com\/wp-content\/uploads\/2024\/03\/PARA-CAMBIAR-PAGINA-6-300x200.jpg 300w, https:\/\/expatsmags.com\/wp-content\/uploads\/2024\/03\/PARA-CAMBIAR-PAGINA-6-1024x683.jpg 1024w, https:\/\/expatsmags.com\/wp-content\/uploads\/2024\/03\/PARA-CAMBIAR-PAGINA-6-768x512.jpg 768w, https:\/\/expatsmags.com\/wp-content\/uploads\/2024\/03\/PARA-CAMBIAR-PAGINA-6-1536x1024.jpg 1536w, https:\/\/expatsmags.com\/wp-content\/uploads\/2024\/03\/PARA-CAMBIAR-PAGINA-6-2048x1365.jpg 2048w\" sizes=\"(max-width: 2560px) 100vw, 2560px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-e094c74 e-flex e-con-boxed e-con e-parent\" data-id=\"e094c74\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;boxed&quot;}\" data-core-v316-plus=\"true\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6df84f8 elementor-widget elementor-widget-image\" data-id=\"6df84f8\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"960\" height=\"340\" src=\"https:\/\/expatsmags.com\/wp-content\/uploads\/2024\/03\/CIMA-2.png\" class=\"attachment-full size-full wp-image-3434\" alt=\"CIMA 2\" srcset=\"https:\/\/expatsmags.com\/wp-content\/uploads\/2024\/03\/CIMA-2.png 960w, https:\/\/expatsmags.com\/wp-content\/uploads\/2024\/03\/CIMA-2-300x106.png 300w, https:\/\/expatsmags.com\/wp-content\/uploads\/2024\/03\/CIMA-2-768x272.png 768w\" sizes=\"(max-width: 960px) 100vw, 960px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-e4ce990 e-flex e-con-boxed e-con e-parent\" data-id=\"e4ce990\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;boxed&quot;}\" data-core-v316-plus=\"true\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-55f31ea e-con-full e-flex e-con e-child\" data-id=\"55f31ea\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;full&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-47b98ff elementor-widget elementor-widget-text-editor\" data-id=\"47b98ff\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p style=\"text-align: left;\"><strong><span style=\"color: #ff0000;\">CIMA-SINAI&#8217;s Academic\/Scientific Commitment<\/span>:<\/strong> Monte Sinai Hospital, serving as an AHA Training Center, aligns with CIMA-SINAI&#8217;s commitment to training in cardiovascular emergencies and CPR. This commitment contributes significantly to the &#8220;Cuenca Cardioprotected City&#8221; program, initiated in 2021 by Dr. Diego Serrano, founder of CIMA-SINAI and then-ex-president of the Sociedad Ecuatoriana de Cardiolog\u00eda.<\/p><p><span style=\"color: #ff0000;\"><strong>Prehospital Care at CIMA-SINAI:<\/strong><\/span> Recognizing the critical importance of prompt attention to cardiovascular pathologies, especially cardiac arrhythmias, CIMA-SINAI operates a 24\/7 ambulance service. The ambulance is equipped with electrocardiography and a cardiac laboratory, ensuring early treatment and preventing complications. The medical and paramedical staff of the CIMA-SINAI ambulance, in addition to being trained for these treatments, are mostly instructors in cardiovascular emergency training courses. This extensive training instills confidence and ensures the highest level of care, both locally and nationally.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-371c530 e-con-full e-flex e-con e-child\" data-id=\"371c530\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;full&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ee55187 elementor-widget elementor-widget-text-editor\" data-id=\"ee55187\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><strong><span style=\"color: #ff0000;\">Community Partnerships<\/span>:<\/strong>\u00a0In its first year of operation, CIMA-SINAI forged partnerships with institutions that share its ethical and solidary philosophy. Key collaborators include the Humanitarian Hospital Pablo Jaramillo Foundation, Social Vision Foundation, and the Physio-Gym Physical Rehabilitation Center.<\/p><p>These collaborations, along with contributions from individuals and doctors across the country, enabled the treatment of patients with limited resources.<\/p><p>CIMA-SINAI&#8217;s commitment to the community extends to its contribution to the &#8220;Cuenca Cardioprotected City&#8221; program. Through the training of both medical and non-medical personnel in cardiovascular emergencies and CPR, the center actively participates in building a cardioprotected environment within the city. Additionally, CIMA-SINAI has recently signed a partnership agreement with Social Vision, a local community charity dedicated to aiding Cuenca\u2019s medically vulnerable, in collaboration with Asistencia en Emergencias M\u00e9dicas (ASSISTEM)<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-3980dbf e-flex e-con-boxed e-con e-parent\" data-id=\"3980dbf\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;boxed&quot;}\" data-core-v316-plus=\"true\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-662a7f5 elementor-widget elementor-widget-image\" data-id=\"662a7f5\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"960\" height=\"340\" src=\"https:\/\/expatsmags.com\/wp-content\/uploads\/2024\/03\/CIMA-3.png\" class=\"attachment-full size-full wp-image-3433\" alt=\"CIMA 3\" srcset=\"https:\/\/expatsmags.com\/wp-content\/uploads\/2024\/03\/CIMA-3.png 960w, https:\/\/expatsmags.com\/wp-content\/uploads\/2024\/03\/CIMA-3-300x106.png 300w, https:\/\/expatsmags.com\/wp-content\/uploads\/2024\/03\/CIMA-3-768x272.png 768w\" sizes=\"(max-width: 960px) 100vw, 960px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-e308ef4 e-flex e-con-boxed e-con e-parent\" data-id=\"e308ef4\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;boxed&quot;}\" data-core-v316-plus=\"true\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-c1bc888 e-con-full e-flex e-con e-child\" data-id=\"c1bc888\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;full&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-27556f8 elementor-widget elementor-widget-text-editor\" data-id=\"27556f8\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"color: #ff0000;\"><strong>CIMA SINAI&#8217;s First Year:<\/strong><\/span> Since its foundation, CIMA SINAI has attended to 3148 patients, conducting 1273 non-invasive procedures and 116 invasive procedures with excellent results and zero complications. This track record underscores the center&#8217;s dedication to providing high-quality care while minimizing potential risks associated with complex procedures.In essence, CIMA-SINA\u00cd stands as a beacon of hope, revolutionizing cardiac care in Ecuador and paving the way towards a future where cardiac arrhythmias are met with the expertise and resources they demand, sparing countless lives from the clutches of this formidable ailment. Cuenca expats are fortunate to have this world-class cardo center near them.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-78e987f elementor-widget elementor-widget-image\" data-id=\"78e987f\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"482\" height=\"202\" src=\"https:\/\/expatsmags.com\/wp-content\/uploads\/2024\/03\/CIMA-1.png\" class=\"attachment-full size-full wp-image-3435\" alt=\"CIMA 1\" srcset=\"https:\/\/expatsmags.com\/wp-content\/uploads\/2024\/03\/CIMA-1.png 482w, https:\/\/expatsmags.com\/wp-content\/uploads\/2024\/03\/CIMA-1-300x126.png 300w\" sizes=\"(max-width: 482px) 100vw, 482px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-bc51df3 e-con-full e-flex e-con e-child\" data-id=\"bc51df3\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;full&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f0ad0d4 elementor-widget elementor-widget-image\" data-id=\"f0ad0d4\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1300\" height=\"2000\" src=\"https:\/\/expatsmags.com\/wp-content\/uploads\/2024\/03\/info-box-tall-4-1.png\" class=\"attachment-full size-full wp-image-3455\" alt=\"CIMA 4\" srcset=\"https:\/\/expatsmags.com\/wp-content\/uploads\/2024\/03\/info-box-tall-4-1.png 1300w, https:\/\/expatsmags.com\/wp-content\/uploads\/2024\/03\/info-box-tall-4-1-195x300.png 195w, https:\/\/expatsmags.com\/wp-content\/uploads\/2024\/03\/info-box-tall-4-1-666x1024.png 666w, https:\/\/expatsmags.com\/wp-content\/uploads\/2024\/03\/info-box-tall-4-1-768x1182.png 768w, https:\/\/expatsmags.com\/wp-content\/uploads\/2024\/03\/info-box-tall-4-1-998x1536.png 998w\" sizes=\"(max-width: 1300px) 100vw, 1300px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-9ab5e25 e-flex e-con-boxed e-con e-parent\" data-id=\"9ab5e25\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;boxed&quot;}\" data-core-v316-plus=\"true\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-dcce5bc elementor-widget elementor-widget-heading\" data-id=\"dcce5bc\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.19.0 - 29-01-2024 *\/\n.elementor-heading-title{padding:0;margin:0;line-height:1}.elementor-widget-heading .elementor-heading-title[class*=elementor-size-]>a{color:inherit;font-size:inherit;line-height:inherit}.elementor-widget-heading .elementor-heading-title.elementor-size-small{font-size:15px}.elementor-widget-heading .elementor-heading-title.elementor-size-medium{font-size:19px}.elementor-widget-heading .elementor-heading-title.elementor-size-large{font-size:29px}.elementor-widget-heading .elementor-heading-title.elementor-size-xl{font-size:39px}.elementor-widget-heading .elementor-heading-title.elementor-size-xxl{font-size:59px}<\/style><h4 class=\"elementor-heading-title elementor-size-default\">Check CIMA's media and network by clicking the icons bellow \ud83d\udc47<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-9e7417d e-flex e-con-boxed e-con e-parent\" data-id=\"9e7417d\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;boxed&quot;}\" 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width=\"387\" height=\"551\" src=\"https:\/\/expatsmags.com\/wp-content\/uploads\/2024\/03\/CIMA-COVER.png\" class=\"attachment-full size-full wp-image-3465\" alt=\"CIMA COVER\" srcset=\"https:\/\/expatsmags.com\/wp-content\/uploads\/2024\/03\/CIMA-COVER.png 387w, https:\/\/expatsmags.com\/wp-content\/uploads\/2024\/03\/CIMA-COVER-211x300.png 211w\" sizes=\"(max-width: 387px) 100vw, 387px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-3373aab e-con-full e-flex e-con e-child\" data-id=\"3373aab\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;full&quot;}\">\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-5a70f54 e-flex e-con-boxed e-con e-parent\" data-id=\"5a70f54\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;boxed&quot;}\" 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And, be the first to know about FREE reader benefits.<br \/>Just click the VIP icon and add your email. That\u2019s all you need to do.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1e3b2a8 elementor-widget elementor-widget-text-editor\" data-id=\"1e3b2a8\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><!-- wp:paragraph --><\/p>\n<p><span style=\"color: #50575e; font-family: system-ui, -apple-system, 'Segoe UI', Roboto, 'Helvetica Neue', Arial, 'Noto Sans', 'Liberation Sans', sans-serif, 'Apple Color Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol', 'Noto Color Emoji'; font-size: 13px; background-color: #f6f7f7;\">[sibwp_form id=1]<\/span><\/p>\n<p><!-- \/wp:paragraph --><!-- wp:spacer --><\/p>\n<div class=\"wp-block-spacer\" style=\"height: 100px;\" aria-hidden=\"true\">\u00a0<\/div>\n<p><!-- \/wp:spacer --><!-- wp:shortcode --><\/p>\n<p><div class=\"random-posts post-by-category shortcode\"><div class=\"section-title side-pattern\"><h4>Featured Posts<\/h4><\/div><div class=\"random-items three-fr\"><div class=\"item-random\"><div class=\"random-image\">\r\n              <div class=\"overlay\"><\/div>\r\n              <a href=\"https:\/\/expatsmags.com\/index.php\/2024\/10\/20\/discovering-cuencas-top-rental-agent-jurgen-gorcke\/\"><img loading=\"lazy\" decoding=\"async\" width=\"480\" height=\"550\" src=\"https:\/\/expatsmags.com\/wp-content\/uploads\/2024\/11\/Jurgen-Gorcke-e1730492863483-480x550.jpg\" class=\"attachment-anymag-misc size-anymag-misc wp-post-image\" alt=\"Discovering Cuenca\u2019s Top Rental Agent: Jurgen Gorcke\" \/><\/a>\r\n            <\/div><div class=\"random-ttl\">\r\n              <h5><a href=\"https:\/\/expatsmags.com\/index.php\/2024\/10\/20\/discovering-cuencas-top-rental-agent-jurgen-gorcke\/\">Discovering Cuenca\u2019s Top Rental Agent: Jurgen Gorcke<\/a><\/h5><\/div><\/div><div class=\"item-random\"><div class=\"random-image\">\r\n              <div class=\"overlay\"><\/div>\r\n              <a href=\"https:\/\/expatsmags.com\/index.php\/2024\/04\/03\/citizen-journalism-glamping-in-the-amazon-jungle\/\"><img loading=\"lazy\" decoding=\"async\" width=\"490\" height=\"550\" src=\"https:\/\/expatsmags.com\/wp-content\/uploads\/2024\/03\/th-1-490x550.png\" class=\"attachment-anymag-misc size-anymag-misc wp-post-image\" alt=\"safari tent glamping\" \/><\/a>\r\n            <\/div><div class=\"random-ttl\">\r\n              <h5><a href=\"https:\/\/expatsmags.com\/index.php\/2024\/04\/03\/citizen-journalism-glamping-in-the-amazon-jungle\/\">CITIZEN JOURNALISM &#8211; Glamping in the Amazon Jungle<\/a><\/h5><\/div><\/div><div class=\"item-random\"><div class=\"random-image\">\r\n              <div class=\"overlay\"><\/div>\r\n              <a href=\"https:\/\/expatsmags.com\/index.php\/2024\/04\/03\/travel-adventure-hopping-adventures-in-the-galapagos-island\/\"><img loading=\"lazy\" decoding=\"async\" width=\"490\" height=\"550\" src=\"https:\/\/expatsmags.com\/wp-content\/uploads\/2024\/03\/SCII-SEPT-08-12-2022-286-490x550.jpg\" class=\"attachment-anymag-misc size-anymag-misc wp-post-image\" alt=\"SCII SEPT\" \/><\/a>\r\n            <\/div><div class=\"random-ttl\">\r\n              <h5><a href=\"https:\/\/expatsmags.com\/index.php\/2024\/04\/03\/travel-adventure-hopping-adventures-in-the-galapagos-island\/\">TRAVEL &#038; ADVENTURE &#8211; Hopping Adventures In the Galapagos Island<\/a><\/h5><\/div><\/div><div class=\"item-random\"><div class=\"random-image\">\r\n              <div class=\"overlay\"><\/div>\r\n              <a href=\"https:\/\/expatsmags.com\/index.php\/2025\/06\/25\/business-spotlight-visit-first-then-decide\/\"><img loading=\"lazy\" decoding=\"async\" width=\"490\" height=\"550\" src=\"https:\/\/expatsmags.com\/wp-content\/uploads\/2025\/06\/foto-retocada-corregida-1024x763-1-490x550.webp\" class=\"attachment-anymag-misc size-anymag-misc wp-post-image\" alt=\"Visit First. Then Decide -World Citizen Solutions\" \/><\/a>\r\n            <\/div><div class=\"random-ttl\">\r\n              <h5><a href=\"https:\/\/expatsmags.com\/index.php\/2025\/06\/25\/business-spotlight-visit-first-then-decide\/\">BUSINESS SPOTLIGHT &#8211; Visit First. Then Decide.<\/a><\/h5><\/div><\/div><\/div><\/div><\/p>\n<p><!-- \/wp:shortcode --><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Cuenca Expats Magazine, Issue 45 Photos Courtesy of CIMA Leading the Fight Against Arrhythmias in Ecuador Cardiovascular diseases continue to be a global health challenge, claiming the top spot as the leading cause of illness and death. Cardiac arrhythmias, accounting for almost half of these cases, represent a significant health concern. 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