Medicina Clinica最新文献

Evolution of arterial stiffness and association with cardiovascular risk factors in the Spanish population. Follow-up EVA.

IF 2.6 4区医学

Medicina Clinica Pub Date : 2025-01-11 DOI: 10.1016/j.medcli.2024.11.008

David González Falcón, Leticia Gómez-Sánchez, Marta Gómez-Sánchez, Emiliano Rodríguez-Sánchez, Olaya Tamayo-Morales, Cristina Lugones-Sánchez, Susana González-Sánchez, Moises Diaz, Manuel A Gómez-Marcos

{"title":"Evolution of arterial stiffness and association with cardiovascular risk factors in the Spanish population. Follow-up EVA.","authors":"David González Falcón, Leticia Gómez-Sánchez, Marta Gómez-Sánchez, Emiliano Rodríguez-Sánchez, Olaya Tamayo-Morales, Cristina Lugones-Sánchez, Susana González-Sánchez, Moises Diaz, Manuel A Gómez-Marcos","doi":"10.1016/j.medcli.2024.11.008","DOIUrl":"https://doi.org/10.1016/j.medcli.2024.11.008","url":null,"abstract":"Introduction and objectives: To analyse the increase of arterial stiffness over a five-year period and its relationship with cardiovascular risk factors and sex-based differences in a Spanish population without cardiovascular disease.Methods: Longitudinal study. Analysis of the increase in arterial stiffness measures evaluated with SphygmoCor and Vasera of 480 subjects followed for 5 years of the 501 subjects included in the baseline evaluation, selected through random sampling stratified by age and sex, mean age of 55.9 years, 50.3% women.Results: Increases per year: carotid-femoral pulse wave velocity (cf-PWV), 0.22 (SD 0.36) m/sec, brachial-ankle pulse wave velocity (ba-PWV), 0.18 (SD 0.30) m/sec, Cardio-Ankle Vascular Index (CAVI), 0.04 (SD 0.18) and Central Augmentation Index (CAI), 0.38 (SD 2.66). Multiple regression, increases in cf-PWV and ba-PWV showed an association with mean arterial pressure in global (β=0.02; β=-0.02) and in men (β=0.02; β=-0.03). In women, increases in ba-PWV and CAVI showed a negative association with BMI (β=-0.06; β=--0.03).Conclusions: The four measures of arterial stiffness increase over five years globally and by sex. These increases differ according to the measure used, age, sex and associated cardiovascular risk factors. Hypertensive people has greater increases in ba-PWV in global and by sex. The average blood pressure is associated with increases in cf-PWV and ba-PWV in global and in men. BMI is negatively associated with increases in ba-PWV and CAVI in women. Study registered at ClinicalTrials.gov. (NCT02623894).","PeriodicalId":18578,"journal":{"name":"Medicina Clinica","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142971597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Pyoderma gangrenosum and IgA Myeloma]. 脓皮病和 IgA 骨髓瘤。

IF 2.6 4区医学

Medicina Clinica Pub Date : 2025-01-10 Epub Date: 2024-06-25 DOI: 10.1016/j.medcli.2024.03.031

Javier de la Iglesia Martin, Marta Alegre, Jose Manuel Mascaró Galy

引用次数: 0

[Phenotype of severe tricuspid regurgitation induced by intracardiac pacing devices]. 心内起搏装置诱发严重三尖瓣反流的表型。

IF 2.6 4区医学

Medicina Clinica Pub Date : 2025-01-10 Epub Date: 2024-10-15 DOI: 10.1016/j.medcli.2024.08.002

Jose Alberto de Agustín, Orlando Figueroa, Carmen Olmos Blanco, Eduardo Pozo Osinalde, Patricia Mahia Casado, María Luaces, María Rivadeneira, Pedro Marcos-Alberca, Jose Juan Gómez de Diego, Luis Collado Yurrita, Antonio Fernández-Ortiz, Julián Villacastín

{"title":"[Phenotype of severe tricuspid regurgitation induced by intracardiac pacing devices].","authors":"Jose Alberto de Agustín, Orlando Figueroa, Carmen Olmos Blanco, Eduardo Pozo Osinalde, Patricia Mahia Casado, María Luaces, María Rivadeneira, Pedro Marcos-Alberca, Jose Juan Gómez de Diego, Luis Collado Yurrita, Antonio Fernández-Ortiz, Julián Villacastín","doi":"10.1016/j.medcli.2024.08.002","DOIUrl":"10.1016/j.medcli.2024.08.002","url":null,"abstract":"Introduction and aims: Tricuspid regurgitation (TR) induced by the implantation of cardiac implantable electronic devices (CIED) is an increasingly common cause of severe TR. Our aim was to describe the echocardiographic phenotypic characteristics of CIED-induced severe TR.Methods: Retrospective cohort study that included patients with severe TR related to CIED diagnosed in the cardiac imaging unit of a Spanish tertiary hospital.Results: 37 patients with severe TR induced by lead/electrode interference formed our study group. TR was predominantly severe (68%), followed by massive (21%) and torrential (11%). The leaflet most affected by the interference was the septal. 58% of the sample presented severe dilatation of the right atrium (RA) (mean RA area 28cm2). Mean tricuspid annulus measurement was 42mm. The usual parameters for quantifying RV systolic function were on average within the normal range (TAPSE mean 19mm, S' wave 10mm, FAC 41%), while global RV strain (RVGLS -15%) and free wall strain (RVFWLS -19%) were found reduced. An incipient degree of ventricular/pulmonary arterial uncoupling was evident (mean TAPSE/PSAP 0.34, SGLVD/PSAP 0.27%/mmHg).Conclusions: Our patients with CIED-induced severe TR are characterized by a heterogeneous phenotype with a high prevalence of severe RA and tricuspid annulus dilatation. RVGLS, RVFWLS, and arterial ventricular coupling were the most sensitive parameters for early assessment of RV systolic dysfunction.","PeriodicalId":18578,"journal":{"name":"Medicina Clinica","volume":" ","pages":"10-15"},"PeriodicalIF":2.6,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142469869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Myhre syndrome: case report]. 迈尔综合征：病例报告

IF 2.6 4区医学

Medicina Clinica Pub Date : 2025-01-10 Epub Date: 2024-10-09 DOI: 10.1016/j.medcli.2024.07.014

Juan de Dios García Díaz, Javier Balsa Vázquez

引用次数: 0

Characterization of bone disease in cystic fibrosis. 囊性纤维化骨病的特征。

IF 2.6 4区医学

Medicina Clinica Pub Date : 2025-01-10 Epub Date: 2024-07-16 DOI: 10.1016/j.medcli.2024.05.014

Victoria Contreras-Bolívar, María Carmen Andreo-López, Manuel Muñoz-Torres

引用次数: 0

[Multi-drug resistant (MDR) Pseudomonas aeruginosa ventriculitis associated with external ventricular drain]. 与脑室外引流管相关的耐多药（MDR）铜绿假单胞菌脑室炎。

IF 2.6 4区医学

Medicina Clinica Pub Date : 2025-01-10 Epub Date: 2024-08-21 DOI: 10.1016/j.medcli.2024.06.011

Paloma Albacete Ródenas, Inmaculada de Dios Chacón, Daniela García Huertas

引用次数: 0

Atypical POEMS syndrome: Report of a patient. 非典型 POEMS 综合征：一名患者的报告

IF 2.6 4区医学

Medicina Clinica Pub Date : 2025-01-10 Epub Date: 2024-08-29 DOI: 10.1016/j.medcli.2024.05.020

Shanshan Liang, Li Zhang, Chuanmin Tao

引用次数: 0

[Stercoraceal colitis as a complication of chronic constipation]. 作为慢性便秘并发症的脓肿性结肠炎。

IF 2.6 4区医学

Medicina Clinica Pub Date : 2025-01-10 Epub Date: 2024-10-19 DOI: 10.1016/j.medcli.2024.07.010

Myrian González Álvarez, Ana Latorre Díez, Miguel Ángel Núñez Viejo

引用次数: 0

Kaposi's sarcoma. 卡波西肉瘤

IF 2.6 4区医学

Medicina Clinica Pub Date : 2025-01-10 Epub Date: 2024-06-25 DOI: 10.1016/j.medcli.2024.03.030

Jullio C Salas-Alanís, Mauricio Salas-Garza, María G Moreno-Treviño, Sebastián Márquez-Murillo, Gerardo Rivera-Silva

引用次数: 0

Trends in mortality in Spain, with a special focus on respiratory-related conditions in the midst of the COVID-19 pandemic. 西班牙的死亡率趋势，特别关注 COVID-19 大流行期间与呼吸系统有关的疾病。

IF 2.6 4区医学

Medicina Clinica Pub Date : 2025-01-10 Epub Date: 2024-10-29 DOI: 10.1016/j.medcli.2024.08.004

Adrián Peláez, Joan B Soriano, María Rodrigo-García, José L Peñalvo, Julio Ancochea, Esteve Fernández

{"title":"Trends in mortality in Spain, with a special focus on respiratory-related conditions in the midst of the COVID-19 pandemic.","authors":"Adrián Peláez, Joan B Soriano, María Rodrigo-García, José L Peñalvo, Julio Ancochea, Esteve Fernández","doi":"10.1016/j.medcli.2024.08.004","DOIUrl":"10.1016/j.medcli.2024.08.004","url":null,"abstract":"Background and objective: The COVID-19 pandemic significantly increased the global burden of respiratory morbidity and mortality. In Spain, 2020 saw a 68.5% surge in deaths from respiratory diseases compared to 2019, largely due to COVID-19. This study aims to describe respiratory disease mortality in Spain from 2019 to 2022, focusing on the intersection of COVID-19, pre-existing respiratory conditions, and specific health determinants.Materials and methods: We analyzed mortality data from the Spanish National Institute of Statistics (INE), covering 102 causes of death, including tuberculosis, COVID-19, and lung cancer as respiratory-related conditions. The analysis considered absolute death counts and proportions by sex, age, and region, along with percentage changes in proportional mortality. Logistic regression models were used to identify factors potentially associated with COVID-19 and respiratory-specific mortality.Results: In 2022, Spain reported 98,128 deaths from respiratory diseases, accounting for 21.1% of all deaths and ranking as the second leading cause of death after cardiovascular diseases. Although deaths due to COVID-19 decreased in 2021 and 2022, there was a notable rise in other respiratory causes, indicating a lasting post-pandemic impact. Factors linked to higher mortality included male gender, older age, being divorced, and residing in urban areas, with significant regional variability.Conclusions: Despite overall mortality returning to pre-pandemic levels, this study highlights a significant increase in respiratory disease deaths in Spain in 2022 compared to 2019.","PeriodicalId":18578,"journal":{"name":"Medicina Clinica","volume":" ","pages":"1-9"},"PeriodicalIF":2.6,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142546352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0