Revista Portuguesa De Pneumologia最新文献

{"title":"Genotyping single-nucleotide polymorphism CYP2C19*2, pharmacodynamic evaluation of high on-clopidogrel treatment platelet reactivity and the cardiologist","authors":"C. Barrera-Ramı́rez, L. Pineda-Pompa, H. Ilárraza-Lomelí, Daniel Lira-Lozano","doi":"10.24875/ACME.M20000169","DOIUrl":"https://doi.org/10.24875/ACME.M20000169","url":null,"abstract":"Carlos F. Barrera-Ramírez1*, Luis R. Pineda-Pompa2, Hermes Ilárraza-Lomelí3, and Daniel Lira-Lozano4 1Hospital Medical Teaching, Hospital Universitario de Saltillo; 2Cardiovascular Division, Centro Hospitalario La Concepción. Saltillo, Coahuila; 3Cardiac Rehabilitation and Physical Medicine, Instituto Nacional de Cardiología “Ignacio Chávez”, Mexico City; 4Internal Medicine Service. Hospital Universitario de Saltillo, Coahuila. México SCIENTIFIC LETTER","PeriodicalId":21304,"journal":{"name":"Revista Portuguesa De Pneumologia","volume":"38 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69039255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cardiorenal syndrome: Clinical and echocardiographic aspects","authors":"Paola Alprecht-Quiroz, Byron Zúñiga-Pineda, J. Lara-Terán, Silvia V. Cáceres-Vinueza, Yan C. Duarte-Vera","doi":"10.24875/ACME.M20000156","DOIUrl":"https://doi.org/10.24875/ACME.M20000156","url":null,"abstract":"El sindrome cardiorrenal (SCR) es un trastorno en el que intervienen el corazon y los rinones, interactuando y produciendo una disfuncion entre ellos en forma aguda o cronica. Existen diferentes fenotipos clinicos bien identificados como «desordenes del corazon y rinon en los que la disfuncion aguda o cronica en un organo induce la disfuncion aguda o cronica del otro». La alta incidencia de morbimortalidad cardiovascular presente en los pacientes con enfermedad renal cronica terminal (ERCT), en especial la insuficiencia cardiaca (IC), origina inicialmente una lesion miocardica que conlleva remodelamiento ventricular, lo cual induce a la activacion de mecanismos compensadores, entre los cuales el rinon es pieza fundamental, ya que regula la homeostasis hidroelectrolitica y asi el volumen circulante, siendo esto en la etapa dialitica mas evidente. Los cambios funcionales y anatomicos cardiovasculares que se producen en estos pacientes son muy prevalentes e incluyen las interacciones hemodinamicas del corazon y los rinones en la insuficiencia cardiaca, y el impacto de la enfermedad aterosclerotica en ambos sistemas de organos. Tambien describimos estrategias diagnosticas y terapeuticas aplicables al sindrome cardiorrenal, que determinan la importancia de la ecocardiografia como modelo de diagnostico util. Finalmente, se analizan las posibilidades de tratamiento y la remision de las alteraciones funcionales cardiacas con el trasplante renal en los pacientes con ERCT. Cardiorenal syndrome (CRS) is a disorder in which the heart and kidneys are involved, interacting and producing a dysfunction between them in an acute or chronic way. There are different clinical phenotypes well identified as “heart and kidney disorders in which acute or chronic dysfunction in one organ induces acute or chronic dysfunction in the other”. The high incidence of cardiovascular morbimortality in patients with chronic terminal kidney disease (CKD), especially heart failure (HF), initially causes a myocardial lesion that leads to ventricular remodeling, which induces the activation of compensatory mechanisms, among which the kidney is a fundamental part since it regulates the hydroelectrolytic homeostasis and thus the circulating volume, being this in the dialytic stage more evident. The functional and anatomical changes at cardiovascular level that occur in these patients are very prevalent, and include hemodynamic interactions of the heart and kidneys in heart failure and the impact of atherosclerotic disease in both organ systems. We also describe diagnostic and therapeutic strategies applicable to cardiorenal syndrome, which determine the importance of echocardiography as a useful diagnostic model. Finally, we analyze the possibilities of treatment and remission of cardiac functional alterations with renal transplantation in patients with T-CKD.","PeriodicalId":21304,"journal":{"name":"Revista Portuguesa De Pneumologia","volume":"90 1","pages":"503-510"},"PeriodicalIF":0.0,"publicationDate":"2021-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48556359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cardiac arrhythmias in highlanders with a diagnosis of chronic cor pulmonale","authors":"Ricardo Sosa-Villarreal, José M. Arce-Carreón","doi":"10.24875/ACME.M20000150","DOIUrl":"https://doi.org/10.24875/ACME.M20000150","url":null,"abstract":"Antecedentes El corazon pulmonar cronico (CPC) muestra un incremento en habitantes que viven en grandes altitudes. Objetivo Investigar la frecuencia de arritmias cardiacas y factores de riesgo para su desarrollo. Metodos Estudio descriptivo y transversal; se reviso el registro de pacientes internados del Departamento de Cardiologia del Instituto Nacional de Torax, La Paz, Bolivia, entre enero de 2017 y junio de 2018; se incorporo a todos los individuos con diagnostico de CPC, definido por criterios clinicos, electrocardiograficos y ecocardiograficos; se incluyo a 162 pacientes que cumplieron los criterios en el analisis; se utilizaron la t de Student y ANOVA. Resultados Arritmias: fibrilacion auricular (FA), 125 (75%); aleteo auricular (AA), 17 (10.5%); taquicardia auricular (TA), 17 (10.5%); extrasistoles, 3 (1.9%). Segun el analisis univariado, los factores relacionados con el desarrollo de arritmias fueron: eritrocitosis: FA, RR: 1.33, otras arritmias (RR: 1.67), p = 0.0001; hipertension arterial pulmonar: FA, RR: 3.10, otras arritmias (RR: 3.21), p = 0.0001; dilatacion de auricula derecha (AD): FA, RR: 1.92, otras arritmias (RR: 2.13), p = 0.0001; obesidad: FA, RR: 3.47, p = 0.001, otras arritmias (RR: 3.70), p = 0.001; hipertension arterial sistemica: FA, RR: 3.10, p = 0.001, otras arritmias (RR: 3.21), p = 0.001. Segun el analisis multivariado: eritrocitosis (RR: 2.2), dilatacion de AD (RR: 1.2), p = 0.0001. Conclusiones Se encontro FA con mayor frecuencia en los pacientes con CPC; los factores de riesgo con mayor significancia estadistica para su presentacion fueron la eritrocitosis y la dilatacion de la AD. Background Chronic cor pulmonale (CPC), with increased presentation in high-altitude inhabitants. Objectives Investigating the frequency of cardiac arrhythmias, and risk factors for its development. Methods Descriptive, cross-sectional study, the inpatient registry of the Department of Cardiology of the National Institute of Torax, La Paz-Bolivia, from January 2017 to June 2018 was reviewed, all were incorporated with the diagnosis of CPC, defined by clinical criteria, electrocardiographic and echocardiographic, 162 patients who met the criteria were taken, the student’s t-test and ANOVA were used for the analysis. Results Arrhythmias: atrial fibrillation (AF) 125 (75%), atrial flutter (AA) 17 (10.5%), atrial tachycardia (AT) 17 (10.5%), extrasystoles 3 (1.9%). Univariate analysis of factors related to the development of arrhythmias: erythrocytosis: FA, RR: 1.33, other arrhythmias RR: 1.67, p = 0.0001, pulmonary arterial hypertension: FA, RR: 3.10, other arrhythmias RR: 3.21, p = 0.0001, right atrial dilation (AD): FA, RR: 1.92, other arrhythmias RR: 2.13, p = 0.0001, obesity: FA, RR: 3.47, p = 0.001, other arrhythmias RR: 3.70, p = 0.001, systemic arterial hypertension: FA: RR: 3.10, p = 0.001, other arrhythmias RR: 3.21, p = 0.001. Multivariate analysis: erythrocytosis (RR: 2.2), AD dilation (RR: 1.2), p = 0.0001. Conclusions AF was ","PeriodicalId":21304,"journal":{"name":"Revista Portuguesa De Pneumologia","volume":"90 1","pages":"415-419"},"PeriodicalIF":0.0,"publicationDate":"2021-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41583396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Universal definition of perioperative bleeding in cardiac surgery adults and association with mortality in a Mexican Cardiovascular Critical Care Unit","authors":"D. Gutiérrez-Zárate, E. Bucio-Reta, F. Baranda-Továr","doi":"10.24875/ACME.M20000161","DOIUrl":"https://doi.org/10.24875/ACME.M20000161","url":null,"abstract":"Background Bleeding as a complication is associated with poorer results in cardiac surgery. There is increasing evidence that the use of blood products is an independent factor of increased morbidity, mortality, and hospital costs. Dyke et al. established the universal definition of perioperative bleeding (UDPB). This classification is more precise defining mortality in relation to the degree of bleeding. Methods A descriptive and analytical retrospective study of a database of patients underwent cardiac surgery from January 1, 2016, to December 31, 2017, was performed. The primary objective of the study was to look at mortality associated with the degree of bleeding using the UDPB. Results A total of 918 patients who went to cardiac surgery were obtained. Most of the population was classified as insignificant bleeding class (n = 666, 72.9%), and for massive bleeding the lowest proportion (n = 25, 2.7%). For the primary outcome of 30-day mortality, a significant difference was found between the groups, observing that it increased to a higher degree of bleeding. This was corroborated by multivariate logistic regression analysis that was adjusted to EuroScore II and cardiopulmonary bypass (CPB) duration, finding an independent association of the bleeding class with 30-day mortality (OR, 95%, 5.82 [2.22-15.26], p = 0.0001). Conclusions We found that the higher the degree in UDPB was associated with higher mortality independently to EuroScore II and CPB duration for adult patients undergoing cardiac surgery.","PeriodicalId":21304,"journal":{"name":"Revista Portuguesa De Pneumologia","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69039212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Revista Andaluza de Medicina del Deporte: Balance 2020","authors":"C. L. López, C. R. Sorroche, L. J. López","doi":"10.33155/J.RAMD.2021.02.002","DOIUrl":"https://doi.org/10.33155/J.RAMD.2021.02.002","url":null,"abstract":"For yet another year, the Editorial Committee of the Revista Andaluza de Medicina del Deporte (RAMD) takes stock of the evolution of the journal over the past year and presents to its readers its expectations for the year that begins.","PeriodicalId":21304,"journal":{"name":"Revista Portuguesa De Pneumologia","volume":"14 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2021-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45371662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Causas de la lesión de isquiosurales en fútbol: Una revisión bibliográfica desde las etapas formativas hasta la profesional","authors":"Hodei Jiménez-Sánchez, Bruno Bazuelo Ruiz","doi":"10.33155/J.RAMD.2021.02.001","DOIUrl":"https://doi.org/10.33155/J.RAMD.2021.02.001","url":null,"abstract":"Objectives: to identify the main causes of hamstring injury in the different training stages, from the under-12 stage to the professional stage, and to establish the influence of the previous hamstring injury as the main cause of suffering a new injury. \u0000Method: the bibliographic search was carried out in Dialnet, Pubmed, Web of Science, Scopus and SportDISCUS, between the dates of January 2010 to May 2020. \u0000Results: the search concluded that the most frequent hamstring injury pattern is that of an elderly player, with higher strength values ​​and lower flexibility values, and a higher degree of pelvic anteversion. Aging, compensatory movements in fundamental motor patterns and other factors of the competition were presented as the main causes of injury in professional players. \u0000Conclusions: previous injury, with the highest number of recorded cases of injury incidence, was established as the main risk factor for hamstring injury.","PeriodicalId":21304,"journal":{"name":"Revista Portuguesa De Pneumologia","volume":"14 1","pages":"45-52"},"PeriodicalIF":0.0,"publicationDate":"2021-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45633253","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Significance of exosomes in Cardiology: Heralds of cardioprotection","authors":"Miguel Arroyo-Campuzano, C. Zazueta","doi":"10.24875/ACME.M21000179","DOIUrl":"https://doi.org/10.24875/ACME.M21000179","url":null,"abstract":"Los exosomas tienen un papel clave en la comunicacion intercelular. Debido a sus multiples interacciones, estas estructuras cumplen con el papel de «mensajeros» de forma dinamica, transportando su contenido a celulas blanco especificas y generando nuevas senales celulares. En este articulo se describen algunas de las proteinas, lipidos y acidos nucleicos que son transportados por estas vesiculas y que se han relacionado con cardioproteccion, con la finalidad de proporcionar informacion y generar interes sobre la relevancia de los exosomas como posibles blancos diagnosticos y terapeuticos. Exosomes have a key role in intercellular communication. Due to their multiple interactions, these structures fulfill the role of “messengers” in a dynamic way, transporting their content to target-specific cells and generating new cellular signals. This article describes some of the proteins, lipids and nucleic acids that are transported by these vesicles and that have been related to cardioprotection, in order to provide information and generate interest in the relevance of exosomes as possible diagnostic and therapeutic targets.","PeriodicalId":21304,"journal":{"name":"Revista Portuguesa De Pneumologia","volume":"91 1","pages":"105-113"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69039239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unusual presentation of aortopulmonary septal defect and aortic arch interruption","authors":"R. A. Peña-Juárez, M. A. Medina-Andrade, C. Corona-Villalobos, Juan P. Abarca-De la Paz","doi":"10.24875/ACME.M21000182","DOIUrl":"https://doi.org/10.24875/ACME.M21000182","url":null,"abstract":"","PeriodicalId":21304,"journal":{"name":"Revista Portuguesa De Pneumologia","volume":"91 1","pages":"128-129"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69039294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acute eosinophilic myocarditis as debut of a vasculitis","authors":"Alejandro Junco-Vicente, L. Caminal-Montero, Jose Rozado-Castano","doi":"10.24875/ACME.M21000181","DOIUrl":"https://doi.org/10.24875/ACME.M21000181","url":null,"abstract":"","PeriodicalId":21304,"journal":{"name":"Revista Portuguesa De Pneumologia","volume":"91 1","pages":"121-122"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69039251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Propuesta del Centro Andaluz de Medicina del Deporte para la realización de pruebas de esfuerzo con análisis de gases a deportistas de élite durante la pandemia por SARS-CoV-2","authors":"J. D. D. Beas-Jiménez, María del Carmen Vaz Pardal, Adela Cristina Cis Spoturno, Ana María Ortiz Bish, María del Carmen Fernández de Alba Sánchez, Ramón Antonio Centeno Prada","doi":"10.33155/j.ramd.2020.11.005","DOIUrl":"https://doi.org/10.33155/j.ramd.2020.11.005","url":null,"abstract":"The current pandemic situation, produced by SARS-CoV-2, forces exercise physiology laboratories to take a series of additional measures for the safe performance of stress tests, both diagnostic and performance.The objective of this report is to present preventive measures to be taken to avoid contagion by SARS-CoV-2 during exercise tests on athletes, proposed by the professionals of the Andalusian Center for Sports Medicine, based on scientific evidence available, and oriented towards its application in the laboratory itself, to athletes and to all professionals who participate in its evaluation.","PeriodicalId":21304,"journal":{"name":"Revista Portuguesa De Pneumologia","volume":"13 1","pages":"257-260"},"PeriodicalIF":0.0,"publicationDate":"2020-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42005284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}