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insuficiencia renal

Suzana Greffin, Mauro Barros André, Jorge Paulo Strogoff de Matos, Hye Chung Kang, Antonio José Lagoeiro Jorge, Maria Luiza Garcia Rosa, Jocemir Ronaldo Lugon
Introduction: Cardiovascular disease (CVD) is especially prevalent in patients with chronic kidney disease (CKD). Objective: To evaluate the role of CKD and metabolic syndrome (MS), which is a cluster of risk factors for CVD, as predictors of CVD. Methods: Observational, cross-sectional study with a random sample aged 45 or more years extracted from the population assisted by the primary care program in Niterói city in the state of Rio de Janeiro, Brazil...
August 28, 2017: Jornal Brasileiro de Nefrologia: ʹorgão Oficial de Sociedades Brasileira e Latino-Americana de Nefrologia
T Katrien J Groenhof, Bas B van Rijn, Arie Franx, Jeanine E Roeters van Lennep, Michiel L Bots, A Titia Lely
Background Women with a history of a hypertensive disorder during pregnancy (HDP) have an increased risk of cardiovascular events. Guidelines recommend assessment of cardiovascular risk factors in these women later in life, but provide limited advice on how this follow-up should be organized. Design Systematic review and meta-regression analysis. Methods The aim of our study was to provide an overview of existing knowledge on the changes over time in three major modifiable components of cardiovascular risk assessment after HDP: blood pressure, glucose homeostasis and lipid levels...
November 2017: European Journal of Preventive Cardiology
Thaila Oliveira Zatiti Brasileiro, Andressa Anunciação de Oliveira Prado, Bianca Bacelar de Assis, Denismar Alves Nogueira, Rogério Silva Lima, Erika de Cassia Lopes Chaves
OBJECTIVE: To assess the effect of prayer on blood pressure, heart rate and respiratory rate in patients with chronic kidney disease and learn their perception of the intervention. METHOD: A randomized controlledtrial, double blind with a sample of volunteers, randomized into an intervention group (n=42) and a control group (n=37). Questionnaires addressing socio-demographic, clinical and spiritual characteristics and the Duke University Religious Index were applied...
July 20, 2017: Revista da Escola de Enfermagem da U S P
Evandro Tinoco Mesquita, Antonio José Lagoeiro Jorge, Celso Vale Souza, Thais Ribeiro de Andrade
Heart failure with preserved ejection fraction (HFpEF) is now an emerging cardiovascular epidemic, being identified as the main phenotype observed in clinical practice. It is more associated with female gender, advanced age and comorbidities such as hypertension, diabetes, obesity and chronic kidney disease. Amyloidosis is a clinical disorder characterized by the deposition of aggregates of insoluble fibrils originating from proteins that exhibit anomalous folding. Recently, pictures of senile amyloidosis have been described in patients with HFpEF, demonstrating the need for clinical cardiologists to investigate this etiology in suspect cases...
July 2017: Arquivos Brasileiros de Cardiologia
Gonzalo A Bravo-Soto, Valentina Llovet-Gutiérrez, Gabriel Rada
The use of perioperative statins has been proposed as a measure to reduce morbidity and mortality in cardiac surgery. However, their clinical role is controversial. Searching in Epistemonikos database, which is maintained by screening multiple databases, we identified 36 systematic reviews comprising 92 primary studies addressing the question of this article, including 22 randomized trials. We extracted data, combined the evidence using meta-analysis and generated a summary of findings following the GRADE approach...
January 16, 2017: Medwave
Rafael Coimbra Ferreira Beltrame, Maurício Friderichs, Bárbara Rayanne Fior, Pedro Guilherme Schaefer, Gustavo Gomes Thomé, Dirceu Reis da Silva, Elvino José Guardão Barros, Renato Seligman, Francisco Veríssimo Veronese
The IgG4-related disease has a wide clinical spectrum where multiple organs can be affected, and the diagnosis depends on typical histopathological findings and an elevated IgG4 expression in plasma cells in the affected tissue. We describe the clinical presentation and evolution of a patient with acute tubulointerstitial nephritis, severe kidney failure and systemic manifestations such as lymphadenomegaly and chronic pancreatitis. The diagnosis was confirmed by the clinical picture and kidney and lymph node histopathology, in which immunohistochemistry of the lymphoid tissue showed policlonality and increased expression of IgG4, with a IgG4/total IgG ratio > 80%...
July 2016: Jornal Brasileiro de Nefrologia: ʹorgão Oficial de Sociedades Brasileira e Latino-Americana de Nefrologia
R C Maia, W M Monteiro, M G Silva, I R Zimmermann
No abstract text is available yet for this article.
November 2015: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
Antoni Bayes-Genis, Yuhui Zhang, Bonnie Ky
Biomarkers of cardiovascular diseases are indispensable tools for diagnosis and prognosis, and the use of several biomarkers is now considered the standard of care. New markers continue to be developed, but few prove to be substantially better than established markers. Suppression of tumorigenicity 2 (ST2) is a marker of cardiomyocyte stress and fibrosis that provides incremental value to natriuretic peptides for risk stratification of patients with a wide spectrum of cardiovascular diseases. On the basis of all available data, the 2013 American College of Cardiology and American Heart Association guidelines now recommend measurement of ST2 for additive risk stratification in patients with acute or chronic ambulatory heart failure (HF)...
April 2, 2015: American Journal of Cardiology
Gilberto Campos Guimarães Filho, Ana Luiza Lima Sousa, Thiago de Souza Veiga Jardim, Weimar Sebba Barroso Souza, Paulo César Brandão Veiga Jardim
Background: Hypertension is a public health problem, considering its high prevalence, low control rate and cardiovascular complications. Objective: Evaluate the control of blood pressure (BP) and cardiovascular outcomes in patients enrolled at the Reference Center for Hypertension and Diabetes, located in a medium-sized city in the Midwest Region of Brazil. Methods: Population-based study comparing patients enrolled in the service at the time of their admission and after an average follow-up of five years. Participants were aged ≥18 years and were regularly monitored at the Center up to 6 months before data collection...
February 3, 2015: Arquivos Brasileiros de Cardiologia
F-J Ruiz-Laiglesia, M Sánchez-Marteles, J-I Pérez-Calvo, F Formiga, J A Bartolomé-Satué, A Armengou-Arxé, R López-Quirós, J Pérez-Silvestre, A Serrado-Iglesias, M Montero-Pérez-Barquero
BACKGROUND: We sought to identify the comorbidities associated with heart failure (HF) in a non-selected cohort of patients, and its influence on mortality and rehospitalization. DESIGN AND METHODS: Data were obtained from the 'Registro de Insuficiencia Cardiaca' (RICA) of the Spanish Society of Internal Medicine. The registry includes patients prospectively admitted in Internal Medicine units for acute HF. Variables included in Charlson Index (ChI) were collected and analysed according to age, gender, left ventricular ejection fraction (LVEF) and Barthel Index...
December 2014: QJM: Monthly Journal of the Association of Physicians
Francisco Javier Carrasco-Sánchez, Ricardo Gomez-Huelgas, Francesc Formiga, Alicia Conde-Martel, Joan Carles Trullàs, Paulo Bettencourt, José Carlos Arévalo-Lorido, Manuel Montero Pérez-Barquero
AIMS: Heart failure (HF) and diabetes are common clinical conditions that may coexist. The main objective was to analyze the association of type-2 diabetes mellitus (T2DM) on prognosis in hospitalized patients with HF. METHODS: We evaluated the association between T2DM with all-cause mortality and readmissions in the Spanish National Registry on Heart Failure-"Registro Nacional de Insuficiencia Cardiaca" (RICA). This is a multi-center and prospective cohort study that includes patients admitted for decompensated HF from 2008 to 2011...
June 2014: Diabetes Research and Clinical Practice
D Pestaña, N Ojeda, O M Padrón, E Higuera, T Rey, C Aldecoa
Haemoperfusion is an extracorporeal technique that removes endotoxin and/or inflammatory mediators by means of an adsorptive mechanism during the passage of the blood through a porous filter. Most of the studies in the literature use polymyxin B as the adsorptive agent. This treatment is based on the assumption that the removal of endotoxin and inflammatory mediators from the circulation attenuates the inflammatory response in sepsis. This review summarizes the theoretical basis, and the experimental and clinical results published to date with the use of haemoperfusion...
June 2013: Revista Española de Anestesiología y Reanimación
Gustavo Díaz-Arrieta, María Elsa Mendoza-Hernández, Erika Pacheco-Aranda, Miguel Rivas-Duro, Héctor Manuel Robles-Parra, Raúl Arturo Espinosa-Vázquez, Jorge Hernández-Cabrera
BACKGROUND: In diabetic patients with chronic renal failure (CRF) treated with dialysis, the diastolic and systolic left ventricular dysfunction is frequent. The aim was to assess by echocardiography the prevalence of diastolic and systolic ventricular dysfunction in diabetic patients with CRF treated with continuous ambulatory peritoneal dialysis (CAPD). METHODS: Sixty diabetic patients with CRF in CAPD were studied. The mean age was 54.5 +/- 12 years (27-78 years)...
January 2010: Revista Médica del Instituto Mexicano del Seguro Social
J Arrieta, P Castro, G Gutiérrez Avila, I Moreno Alía, T Sierra, C Estébanez, A M Olmos, R González, C Fernández Renedo, M Arias, J Cotorruelo, A L Martín de Francisco, O Zurriaga, M J García Blasco, M Clèries, E Vela, M de los A García Bazaga, J M Ramos, A Gil Paraíso, A Sánchez Casajús, J J Unzue, A Purroy, J Arteaga, J L Asín, G Gorostiza, A Torralba, C Vázquez, A Magaz
No abstract text is available yet for this article.
2007: Nefrología: Publicación Oficial de la Sociedad Española Nefrologia
Rafael Marín, Francisco Fernández-Vega, Manuel Gorostidi, Luis M Ruilope, Javier Díez, Manuel Praga, Pablo Herrero, Jose M Alcázar, Concepción Laviades, Pedro Aranda
OBJECTIVE: Despite therapeutic advances, strict control of hypertension remains elusive in patients with chronic renal insufficiency (CRI). The present study was designed for assessment of control rates of blood pressure in patients with CRI. Secondary objectives included evaluation of the control rates of proteinuria and cardiovascular comorbidities. METHODS: A multicenter and cross-sectional survey of unselected patients with CRI attending outpatient nephrology clinics in Spain between April and September 2003 was performed...
February 2006: Journal of Hypertension
Alfonso Otero, Pilar Gayoso, Fernando Garcia, Angel L de Francisco
BACKGROUND: Chronic kidney disease (CKD) is a major social health problem because of the aging of the population, the high incidence of diabetes mellitus, and the epidemic of silent CKD resulting from inadequate diagnosis of early chronic renal insufficiency METHODS: The sociodemographic, baseline characteristics and CKD prevalence measured by the Modification of Diet in Renal Disease formula were studied in a randomly selected sample of people aged 20 years or older in the general population...
December 2005: Kidney International. Supplement
R Marín, A Coca, S Tranche, L Rodríguez Mañas, J Abellán, A Moyá
UNLABELLED: Patients with type 2 diabetes use to be managed in their primary care settings during the early stages of the disease. The main objective of the study was to determine renal impairment prevalence, and to assess its significance, within type 2 diabetics controlled by their family physicians. PATIENTS AND METHOD: Transverse observation of patients with type 2 diabetes who were the first 20 unselected cases seen by 183 family physicians from 16 of the 17 Autonomic Communities of our country...
2002: Nefrología: Publicación Oficial de la Sociedad Española Nefrologia
R Marin, L M Ruilope, P Aljama, P Aranda, J Segura, J Diez
OBJECTIVE: To investigate in a random comparison the capacity of an angiotensin converting enzyme inhibitor (fosinopril), and that of a long-acting dihydropiridine (nifedipine GITS) to modify the decay in renal function in patients with primary renal disease, exhibiting a progressive increase in serum creatinine during the previous 2 years. METHODS: A randomized, open-label, multicenter study with a minimum follow-up of 3 years. A total of 241 patients were included in the study...
October 2001: Journal of Hypertension
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