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acute isquemia

Ángela Sala Hernández, Salvador Pous-Serrano, Elí Lucas Mera, Nicolás Carvajal Amaya
Acute colonic volvulus accounts for 10% of all intestinal obstructions being the transverse colon volvulus an exceptional localization (2-4%). Late diagnosis is made as there are no pathognomonic clinical or radiological findings for this pathology. We present the case of an 81 year-old male with acute transverse colon volvulus that involved the gastric antrum causing irreversible ischemia. Subtotal gastrectomy, subtotal colectomy and reconstruction with Y en Roux gastrojejunostomy and ileosigmoid anastomosis was performed given the good overall status of the patient...
March 2016: Revista Española de Enfermedades Digestivas
Pedro Elias Marques, André Gustavo Oliveira, Lynne Chang, Heitor Affonso Paula-Neto, Gustavo Batista Menezes
The liver has come a long way since it was considered only a metabolic organ attached to the gastrointestinal tract. The simultaneous ascension of immunology and intravital microscopy evidenced the liver as a central axis in the immune system, controlling immune responses to local and systemic agents as well as disease tolerance. The multiple hepatic cell populations are organized in a vascular environment that promotes intimate cellular interactions, including initiation of innate and adaptive immune responses, rapid leukocyte recruitment, pathogen clearance and production of a variety of immune mediators...
September 2015: Journal of Hepatology
Ana Carla Pereira de Araujo, Bruno F de Oliveira Santos, Flavia Ricci Calasans, Ibraim M Francisco Pinto, Daniel Pio de Oliveira, Luiza Dantas Melo, Stephanie Macedo Andrade, Irlaneide da Silva Tavares, Antonio Carlos Sobral Sousa, Joselina Luzia Menezes Oliveira
Background: Studies have demonstrated the diagnostic accuracy and prognostic value of physical stress echocardiography in coronary artery disease. However, the prediction of mortality and major cardiac events in patients with exercise test positive for myocardial ischemia is limited. Objective: To evaluate the effectiveness of physical stress echocardiography in the prediction of mortality and major cardiac events in patients with exercise test positive for myocardial ischemia. Methods: This is a retrospective cohort in which 866 consecutive patients with exercise test positive for myocardial ischemia, and who underwent physical stress echocardiography were studied...
October 28, 2014: Arquivos Brasileiros de Cardiologia
C León-Jiménez, J L Ruiz-Sandoval, E Chiquete, M Vega-Arroyo, A Arauz, L M Murillo-Bonilla, A Ochoa-Guzmán, K Carrillo-Loza, A Ramos-Moreno, F Barinagarrementeria, C Cantú-Brito
INTRODUCTION: Information regarding hospital arrival times after acute ischaemic stroke (AIS) has mainly been gathered from countries with specialised stroke units. Little data from emerging nations is available. We aim to identify factors associated with achieving hospital arrival times of less than 1, 3, and 6 hours, and analyse how arrival times are related to functional outcomes after AIS. METHODS: We analysed data from patients with AIS included in the PREMIER study (Primer Registro Mexicano de Isquemia Cerebral) which defined time from symptom onset to hospital arrival...
May 2014: Neurología: Publicación Oficial de la Sociedad Española de Neurología
B Tarazona, W Ramos, J Arce, J Yarinsueca, S Morales, G Ronceros, C Galarza, J Pérez
INTRODUCTION: To determinate the etiology and risk factors for a first episode of cerebral ischemia in young adults at three hospitals of Lima and Callao-Peru. METHODS: Multicentric study carried out at three national hospitals in Lima. The sample included 30 patients with a first episode of stroke and 60 controls matched by age and sex 2:1 with the patients. Serum biochemistry studies, EKGs and echocardiograms were done. Etiologies were classified based on the classification of Baltimore-Washington Cooperative Young Stroke Study...
October 2010: Neurología: Publicación Oficial de la Sociedad Española de Neurología
Jaume Marrugat, Roberto Elosua, Elena Aldasoro, María José Tormo, Hermelinda Vanaclocha, Antonio Segura, Miquel Fiol, Concepción Moreno-Iribas, Gloria Pérez, José María Arteagoitia, Lluis Cirera, Adolfo Cabadés, Gema Vega, José Ignacio Ayestarán, Vega García, Iraida Hurtado-de-Saracho, José García, Oscar Zurriaga, Javier Muñiz, Joan Sala, et al.
BACKGROUND: Myocardial infarction (MI) incidence and mortality display a high geographic variation. AIMS: The objective of the present study was to analyze MI mortality, cumulative incidence rate variability in seven regions of Spain from 1997 to 1998. METHODS AND RESULTS: Standardized methods were used to identify, find, register, and classify MI cases that were classified as definite, possible, insufficient-data MI, and non-MI. The total population of the seven monitored regions was 7,364,682 inhabitants...
2004: European Journal of Epidemiology
M Fiol, A Cabadés, J Sala, J Marrugat, R Elosua, G Vega, M José Tormo Díaz, A Segura, E Aldasoro, C Moreno-Iribas, J Muñiz, I Hurtado de Saracho, J García
Introduction and objective. Although some in-hospital studies have described the management of acute myocardial infarction (MI) patients in Spain, none has been able to guarantee the exhaustiveness of patient registry. This study sought to determine the clinical characteristics and in-hospital management of patients with MI in eight Spanish population registries.Methods. The IBERICA study is a population-based MI registry carried out in the 25 to 74 year-old population, in eight Spanish regions in 1997. A standardized methodology was used to register and investigate all MI arriving alive to a hospital...
April 2001: Revista Española de Cardiología
R Kauffmann
For patients with acute myocardial infarction intravenous thrombolytic therapy has become the standard care in restoring patency of the infarct-related coronary artery. Nearly 200.000 patients have been involved in thrombolytic trials over the last decade. A significant decreases in short-term mortality has been shown for those patients who are eligible for treatment with thrombolytics. However, in approximately 20% of patients patency is not achieved, a high-grade residual coronary stenosis is left, reocclusion of the open vessel, an increased incidence of recurrent ischemia and serious bleeding complications can occur with this therapeutic modality, resulting in increased morbidity and mortality...
June 1995: Revista Médica de Chile
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