keyword
https://read.qxmd.com/read/38493062/temperature-management-in-acute-brain-injury-a-narrative-review
#1
REVIEW
Eva Esther Tejerina Álvarez, José Ángel Lorente Balanza
Temperature management has been used in patients with acute brain injury resulting from different conditions, such as post-cardiac arrest hypoxic-ischaemic insult, acute ischaemic stroke, and severe traumatic brain injury. However, current evidence offers inconsistent and often contradictory results regarding the clinical benefit of this therapeutic strategy on mortality and functional outcomes. Current guidelines have focused mainly on active prevention and treatment of fever, while therapeutic hypothermia (TH) has fallen into disuse, although doubts persist as to its effectiveness according to the method of application and appropriate patient selection...
March 15, 2024: Medicina intensiva
https://read.qxmd.com/read/38065431/high-frequency-of-endoluminal-thrombus-in-patients-with-ischaemic-stroke-following-aars-cov-2-infection
#2
JOURNAL ARTICLE
P Gómez-Porro, B Cabal-Paz, S Valenzuela-Chamorro, Z Desanvicente-Celis, J Sabin-Muñoz, C Ochoa-López, C Flórez, S Enríquez-Calzada, R Martín-García, Í Esain-González, B García-Fleitas, L Silva-Hernández, Á Ruiz-Molina, E Gamo-González, A Durán-Lozano, R Velasco-Calvo, L Alba-Alcántara, R González-Santiago, A Callejas-Díaz, B Brea-Álvarez, J-C Salazar-Uribe, C Escamilla-Crespo, J Carneado-Ruiz
BACKGROUND: Ischaemic stroke may be a major complication of SARS-CoV-2 infection. Studying and characterising the different aetiological subtypes, clinical characteristics, and functional outcomes may be valuable in guiding patient selection for optimal management and treatment. METHODS: Data were collected retrospectively on consecutive patients with COVID-19 who developed acute focal brain ischaemia (between 1 March and 19 April 2020) at a tertiary university hospital in Madrid (Spain)...
December 6, 2023: Neurología
https://read.qxmd.com/read/38016097/-atherogenic-index-and-its-association-with-acute-coronary-ischemic-syndrome-mortality
#3
JOURNAL ARTICLE
Braulio Sinhué Rodríguez-Martínez, Martha Alicia Hernández-González, Gabriela Borrayo-Sánchez, Sergio Eduardo Solorio-Meza, Óscar Manuel Medina-Torres, Maraí Xóchitl Gutiérrez-Galván, Jose María De La Roca-Chiapas, Iván Cruz-Aceves, Juan Pablo Fernández-Hernández
BACKGROUND: Several indexes have been developed to define the risk attributable to lipid metabolism with a single value. The total cholesterol/high-density lipoprotein (TC/HDL-C) and low-density lipoprotein/high-density lipoprotein (LDL-C/HDL-C) ratios are the most used. The higher the value of these ratios, the greater the probability of cardiovascular events. OBJECTIVE: To identify whether the TC/HDL-C and LDL-C/HDL-C ratios are early prognostic markers of mortality and major cardiovascular events in patients with ST-elevation acute coronary syndrome...
September 18, 2023: Revista Médica del Instituto Mexicano del Seguro Social
https://read.qxmd.com/read/37094201/-floating-thrombus-in-the-aortic-arch-a-rare-cause-of-lower-limb-ischemia
#4
Charlotte Licops, Deeba Ali, Arnaud Kerzmann, Noel Lorenzo-Villalba, Yilmaz Gorur
Acute arterial occlusion of the lower limbs is a medical and surgical emergency due to its morbi-mortality. We present the case of a 59-year-old man admitted to the emergency department for acute and diffuse pain in the left lower limb caused by extensive obstructive clots in the arteries of this limb. Since atheromatous cause was unlikely after angioscopy of the lower limbs, a cardiac origin was suspected. Echocardiogram was normal, however, thoracic angiotomography revealed a floating thrombus in the aortic arch...
2023: Medicina
https://read.qxmd.com/read/36849315/mesenteric-venous-thrombosis
#5
REVIEW
Pablo Demelo-Rodríguez, Lucía Ordieres-Ortega, Crhistian-Mario Oblitas
Mesenteric vein thrombosis (MVT) is a rare condition that can present acutely, subacutely, or chronically. MVT can be isolated or within a splanchnic thrombosis (spleno-porto-mesenteric). Symptomatic cases usually present as nonspecific abdominal pain, with or without signs of intestinal ischemia, and the diagnosis is usually made by imaging test (abdominal CT or MRI) in patients with high clinical suspicion. An early clinical-surgical approach is recommended to screen those patients with warning signs and who benefit from an exploratory laparotomy in addition to anticoagulant treatment, which is the cornerstone of medical treatment...
May 12, 2023: Medicina Clínica
https://read.qxmd.com/read/36427116/-tako-tsubo-syndrome-in-a-patient-with-acute-arterial-ischemia-of-the-lower-limbs
#6
JOURNAL ARTICLE
Laura Escolano-González, Ma Isabel Rivera-Rodríguez, Pilar Lapuente-González, Young Woon Ki, Laura Pastor-Alconche, Irene Soguero-Valencia
No abstract text is available yet for this article.
November 25, 2022: Archivos de Cardiología de México
https://read.qxmd.com/read/36086677/sclerosing-mesenteritis-due-to-mycobacterium-genavense-infection-a-case-report
#7
JOURNAL ARTICLE
Francisca Artigues Serra, Mercedes García-Gasalla, Antoni Campins, Miguel González de Cabo, Rafael Morales, Rebecca Rowena Peña, María Carmen Gallegos, Melchor Riera
RATIONALE: Since its first identification in the early 1990s, Mycobacterium genavense has been considered and opportunistic pathogen. It mainly causes gastrointestinal symptoms, but also disseminated infections in severely immunosuppressed patients. Sclerosing mesenteritis is a long-term complication with high morbidity and mortality. As it is a rare condition, there are no specific guidelines for its management. We report a challenging case of persistent M. genavense infection, and propose surgery as an alternative treatment strategy...
September 9, 2022: Medicine (Baltimore)
https://read.qxmd.com/read/34400118/severe-bowel-complications-in-sars-cov-2-patients-receiving-protocolized-care
#8
JOURNAL ARTICLE
S C Estevez-Cerda, J A Saldaña-Rodríguez, A G Alam-Gidi, A Riojas-Garza, M Rodarte-Shade, J Velazco-de la Garza, A Leyva-Alvizo, R Gonzalez-Ruvalcaba, M F Martinez-Resendez, J I Ortiz de Elguea-Lizarraga
INTRODUCTION AND AIMS: A case series of ten patients that received protocolized care for SARS-CoV-2 infection and developed severe gastrointestinal complications, is presented. The aim of our study was to contribute to the ongoing discussion regarding gastrointestinal complications related to SARS-CoV-2 infection. After reviewing the current literature, ours appears to be the first detailed case series on the topic. MATERIALS AND METHODS: A retrospective filtered search of all patients admitted to our hospital for SARS-CoV-2 infection, who developed severe gastrointestinal complications, was performed...
October 2021: Revista de Gastroenterología de México
https://read.qxmd.com/read/34148854/postoperative-lactate-elevation-as-a-marker-of-underlying-acute-mesenteric-ischemia-description-of-two-cases
#9
JOURNAL ARTICLE
A Prado Rodríguez, R Mato Búa, L Mera Mujico, J Arca Suárez, M López Sánchez, L Sampayo Rodríguez, P Rama-Maceiras
Serum lactate is a non-specific marker of tissue hypoperfusion. Elevated serum lactate is used in the differential diagnosis of acute intestinal ischemia. Although this practice is controversial, in the absence of other validated markers lactate is still used because of its high sensitivity. We present the cases of two patients who developed acute mesenteric ischemia as a post-surgical complication. The patients reported moderate abdominal pain -a non-specific symptom in the postoperative context- and tests showed progressively increasing serum lactate levels, which facilitated suspicion and subsequent diagnostic confirmation through an imaging test...
June 2021: Revista española de anestesiología y reanimación
https://read.qxmd.com/read/34103174/high-frequency-of-endoluminal-thrombus-in-patients-with-ischaemic-stroke-following-sars-cov-2-infection
#10
JOURNAL ARTICLE
P Gómez-Porro, B Cabal-Paz, S Valenzuela-Chamorro, Z Desanvicente, J Sabin-Muñoz, C Ochoa-López, C Flórez, S Enríquez-Calzada, R Martín-García, Í Esain-González, B García-Fleitas, L Silva-Hernández, Á Ruiz-Molina, E Gamo-González, A Durán-Lozano, R Velasco-Calvo, L Alba-Alcántara, R González-Santiago, A Callejas-Díaz, B Brea-Álvarez, J C Salazar-Uribe, C Escamilla-Crespo, J Carneado-Ruiz
BACKGROUND: Ischaemic stroke may be a major complication of SARS-CoV-2 infection. Studying and characterising the different aetiological subtypes, clinical characteristics, and functional outcomes may be valuable in guiding patient selection for optimal management and treatment. METHODS: Data were collected retrospectively on consecutive patients with SARS-CoV-2 infection who developed acute focal brain ischaemia (between 1 March and 19 April 2020) at a tertiary university hospital in Madrid (Spain)...
May 11, 2021: Neurología
https://read.qxmd.com/read/34099241/acute-arterial-ischemia-due-to-sars-cov-2-infection
#11
JOURNAL ARTICLE
Francisco de Borja Quero Espinosa, Águeda María Jiménez Aguilar, Francisco Javier Montero-Pérez
No abstract text is available yet for this article.
May 11, 2021: Medicina Clínica
https://read.qxmd.com/read/34092537/mechanical-thrombectomy-beyond-6-hours-in-acute-ischaemic-stroke-with-large-vessel-occlusion-in-the-carotid-artery-territory-experience-at-a-tertiary-hospital
#12
JOURNAL ARTICLE
E Natera-Villalba, A Cruz-Culebras, S García-Madrona, R Vera-Lechuga, A de Felipe-Mimbrera, C Matute-Lozano, A Gómez-López, V Ros-Castelló, A Sánchez-Sánchez, J Martínez-Poles, V Nedkova-Hristova, J B Escribano-Paredes, I García-Bermúdez, J Méndez, E Fandiño, J Masjuan
INTRODUCTION: Thrombectomy in the carotid artery territory was recently shown to be effective up to 24 hours after symptoms onset. METHODS: We conducted a retrospective review of a prospective registry of patients treated at our stroke reference centre between November 2016 and April 2019 in order to assess the safety and effectiveness of mechanical thrombectomy performed beyond 6 hours after symptoms onset in patients with acute ischaemic stroke and large vessel occlusion in the carotid artery territory...
June 3, 2021: Neurología
https://read.qxmd.com/read/33908620/-intraparenchymal-hemorrhage-related-to-cerebral-venous-air-embolism-secondary-to-mesenteric-ischemia
#13
M T Alba-Isasi, J Vázquez-Lorenzo, I Sánchez-Serrano, B Escribano-Paredes
INTRODUCTION: The presence of air in vascular structures of the brain can lead to neurological symptoms and significant morbidity. It usually occurs as a consequence of invasive therapeutic procedures and is very rarely triggered by any other cause. CASE REPORT: We report the case of a 76-year-old woman with a history of atrial fibrillation anticoagulated with acenocoumarol who visited the Emergency department because of sudden-onset abdominal pain, vomiting and diarrhoea...
May 1, 2021: Revista de Neurologia
https://read.qxmd.com/read/33818429/the-diagnostic-role-of-testicular-fatty-acid-binding-protein-in-testicular-ischemia-a-randomized-controlled-experimental-study
#14
RANDOMIZED CONTROLLED TRIAL
Selman Yeniocak, Fatma Sarac, Akif Erbin, Mustafa Yazicioglu, Vakur Olgac, Macit Koldas, Ozlem Uzun, Ibrahim Akkoc
To investigate the diagnostic value of testicular fatty acid-binding protein (T-FABP) in acute testicular ischemia and prolonged ischemia. METHODS: The study included a total of 28 prepubertal male Wistar-Hannover rats. The animals were randomly divided into 4 groups as torsion groups (group I; min 30; 7 rats, group II; min 120; 7 rats, group III; min 240; 7 rats) and control group (group IV; 7 rats). In each group, the left testis was separated from the gubernaculum by blunt dissection together with the tunica vaginalis and spermatic cord, and then exposed...
April 2021: Archivos Españoles de Urología
https://read.qxmd.com/read/33632511/-sars-cov-2-infection-a-predisposing-factor-for-acute-coronary-syndrome
#15
MULTICENTER STUDY
Cristina de Cortina Camarero, Eloy Gómez Mariscal, Victoria Espejo Bares, Alberto Núñez Garcia, Roberto Muñoz Aguilera, Javier Botas Rodriguez
INTRODUCTION: Several case series of ACS have been reported in COVID 19 patients. We aim to study its incidence, characteristics, and three-month prognosis. To put this incidence in perspective we compared it with the incidence of in-hospital ACS during the same period of 2019. METHODS: Observational multicenter cohort study of 3,108 COVID-19 patients admitted to two hospitals in Madrid between March 1st and May 15th, 2020. Ten patients suffered an ACS while being hospitalized for COVID 19 and were followed for three months...
August 13, 2021: Medicina Clínica
https://read.qxmd.com/read/33551125/mechanical-thrombectomy-beyond-6hours-in-acute-ischaemic-stroke-with-large-vessel-occlusion-in-the-carotid-artery-territory-experience-at-a-tertiary-hospital
#16
JOURNAL ARTICLE
E Natera-Villalba, A Cruz-Culebras, S García-Madrona, R Vera-Lechuga, A de Felipe-Mimbrera, C Matute-Lozano, A Gómez-López, V Ros-Castelló, A Sánchez-Sánchez, J Martínez-Poles, V Nedkova-Hristova, J B Escribano-Paredes, I García-Bermúdez, J Méndez, E Fandiño, J Masjuan
INTRODUCTION: Thrombectomy in the carotid artery territory was recently shown to be effective up to 24hours after symptoms onset. METHODS: We conducted a retrospective review of a prospective registry of patients treated at our stroke reference centre between November 2016 and April 2019 in order to assess the safety and effectiveness of mechanical thrombectomy performed beyond 6hours after symptoms onset in patients with acute ischaemic stroke and large vessel occlusion in the carotid artery territory...
February 4, 2021: Neurología: Publicación Oficial de la Sociedad Española de Neurología
https://read.qxmd.com/read/33551121/bowel-ultrasonography-in-acute-abdomen-beyond-acute-appendicitis
#17
JOURNAL ARTICLE
J Vizuete Del Río, G Martín Benítez, T Ripollés González, J A Merino Bonilla, T San-Miguel
Acute abdomen is a common reason for consultation in the emergency department. A broad spectrum of entities, including diverse diseases of the gastrointestinal tract, can cause acute abdomen. Although computed tomography is the technique most widely used to evaluate acute abdomen in the emergency department, abdominal ultrasound is often performed first and allows bowel disease to be suspected. This article describes the ultrasound features of diverse bowel diseases that can cause acute abdomen, such as acute diverticulitis, bowel obstruction, gastrointestinal perforation, bowel ischemia, intraabdominal fat necrosis, and miscellaneous processes such as endometriosis, foreign bodies, or vasculitis...
March 2021: Radiología
https://read.qxmd.com/read/33168179/postoperative-lactate-elevation-as-a-marker-of-underlying-acute-mesenteric-ischemia-description-of-two-cases
#18
A Prado Rodríguez, R Mato Búa, L Mera Mujico, J Arca Suárez, M López Sánchez, L Sampayo Rodríguez, P Rama-Maceiras
Serum lactate is a non-specific marker of tissue hypoperfusion. Elevated serum lactate is used in the differential diagnosis of acute intestinal ischemia. Although this practice is controversial, in the absence of other validated markers lactate is still used because of its high sensitivity. We present the cases of two patients who developed acute mesenteric ischemia as a post-surgical complication. The patients reported moderate abdominal pain -a non-specific symptom in the postoperative context- and tests showed progressively increasing serum lactate levels, which facilitated suspicion and subsequent diagnostic confirmation through an imaging test...
June 2021: Revista española de anestesiología y reanimación
https://read.qxmd.com/read/30020314/cardioprotective-effect-of-lipstatin-derivative-orlistat-on-normotensive-rats-submitted-to-cardiac-ischemia-and-reperfusion
#19
JOURNAL ARTICLE
Francisco Sandro Menezes-Rodrigues, Paolo Ruggero Errante, Regiane Miranda Ferreira, José Gustavo Padrão Tavares, Luciana de Paula, Erisvaldo Amarante Araújo, Tânia Carmem Peñaranda Govato, Eduardo Hiroshi Tikazawa, Maria do Carmo Maia Reis, Bráulio Luna-Filho, Renato Ribeiro Nogueira Ferraz, Itamar de Souza Oliveira-Júnior, Murched Omar Taha, Afonso Caricati-Neto
PURPOSE: To evaluate in vivo animal model of cardiac ischemia/reperfusion the cardioprotective activity of pancreatic lipase inhibitor of the orlistat. METHODS: Adult male Wistar rats were anesthetized, placed on mechanical ventilation and underwent surgery to induce cardiac I/R by obstructing left descending coronary artery followed by reperfusion to evaluation of ventricular arrhythmias (VA), atrioventricular block (AVB) and lethality (LET) with pancreatic lipase inhibitor orlistat (ORL)...
June 2018: Acta Cirúrgica Brasileira
https://read.qxmd.com/read/29103861/public-and-private-hospital-care-disparities-of-ischemic-stroke-in-mexico-results-from-the-primer-registro-mexicano-de-isquemia-cerebral-premier-study
#20
MULTICENTER STUDY
José Luis Ruiz-Sandoval, María Eugenia Briseño-Godínez, Erwin Chiquete-Anaya, Antonio Arauz-Góngora, Rogelio Troyo-Sanromán, Juan Didier Parada-Garza, Alma Ramos-Moreno, Fernando Barinagarrementería, Luis Manuel Murillo-Bonilla, Carlos Cantú-Brito
BACKGROUND AND AIMS: Mortality and bad outcome by stroke are higher in developing countries than in industrialized countries. Health-care system efficiency could explain these disparities. Our objective was to identify the impact on short- and middle-term outcomes of patients with acute ischemic stroke (AIS) among public and private Mexican medical care. METHODS: We analyzed data from patients with AIS included in the Primer Registro Mexicano de Isquemia Cerebral (PREMIER) study...
February 2018: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
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