Medicina clinica (English ed.)最新文献_第4页

Which patients need thromboprophylaxis for venous thromboembolism prevention after hospitalization due to COVID-19? A sub-analysis from the CV COVID-19 registry 哪些患者因COVID-19住院后需要血栓预防来预防静脉血栓栓塞？来自CV COVID-19注册表的子分析

Medicina clinica (English ed.) Pub Date : 2025-04-04 DOI: 10.1016/j.medcle.2024.10.022

Andrea Ruberti , Luis Ortega-Paz , Salvatore Brugaletta , on behalf of the CV COVID-19 Registry Investigators

引用次数: 0

Carotid Plaque-Burden scale and outcomes: A real-life study 颈动脉斑块负荷量表和结果：一项现实生活研究

Medicina clinica (English ed.) Pub Date : 2025-04-04 DOI: 10.1016/j.medcle.2024.10.020

Carmen Sánchez-Bacaicoa , Sergio Rico-Martin , Clara Costo-Muriel , Eduardo Ortega-Collazos , Marta Sánchez-Lozano , Marisol Sánchez-Bacaicoa , Javier Galán-González , Julián F. Calderón-García , Juan Francisco Sánchez Muñoz-Torrero

{"title":"Carotid Plaque-Burden scale and outcomes: A real-life study","authors":"Carmen Sánchez-Bacaicoa , Sergio Rico-Martin , Clara Costo-Muriel , Eduardo Ortega-Collazos , Marta Sánchez-Lozano , Marisol Sánchez-Bacaicoa , Javier Galán-González , Julián F. Calderón-García , Juan Francisco Sánchez Muñoz-Torrero","doi":"10.1016/j.medcle.2024.10.020","DOIUrl":"10.1016/j.medcle.2024.10.020","url":null,"abstract":"<div><h3>Background</h3><div>The value of carotid ultrasound in real-world practice remains controversial. We investigated the outcomes of people with vascular risk factors according to an easy carotid-plaque burden scale (CPB-scale). Predictive yield of the addition CPB-scale to ESC-SCORE2 (CPB-SCORE2 table) was assessed.</div></div><div><h3>Methods</h3><div>A cohort of participants without preexisting cardiovascular disease (CVD) was evaluated for clinical outcomes according to the number of plaques by segment. The usefulness of the CPB-SCORE2 table was investigated.</div></div><div><h3>Results</h3><div>A total of 1004 patients were followed for a mean of 12.5 years for major adverse cardiovascular events (MACEs) and death. The CPB-scale was independently associated with MACEs; compared to those in the low-risk group, the corresponding adjusted hazard ratios (95% confidence intervals) for MACEs among the intermediate and high-risk groups were 13.1 (4.87–35.5) and 19.4 (7.27–51.9), respectively. Similarly, the risk of death was greater for participants stratified as high-risk than for those in the low-risk group (adjusted HR 3.36 [1.58–7.15]). According to our CPB-SCORE2 table, 149 of 178 (84%) CV events were detected in the high-risk group and exhibited greater sensitivity than did the SCORE2 Table, 84%; vs. 62%; but slightly less specificity, 62%; vs. 68%. Our table shows the improved performance of SCORE2; <em>c</em>-statistics: 0.74 vs. 0.68; <em>p</em>  <!-->0.001 for net reclassification index and integrated discrimination index.</div></div><div><h3>Conclusions</h3><div>A simple prognostic CPB-scale was strongly associated with the long-term risk of developing a first MACE and all-cause death. Adding the CPB-scale to the SCORE2 may improve risk prediction with easy applicability in clinical practice.</div></div>","PeriodicalId":74154,"journal":{"name":"Medicina clinica (English ed.)","volume":"164 7","pages":"Pages 325-333"},"PeriodicalIF":0.0,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143768969","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}

引用次数: 0

Decisions at the end of life in health professionals 医疗专业人员临终时的决定

Medicina clinica (English ed.) Pub Date : 2025-03-28 DOI: 10.1016/j.medcle.2024.11.013

Yanira Aranda Rubio , Beatriz Corrales González

引用次数: 0

Pyoderma gangrenosum, acne and hidradenitis suppurativa (PASH syndrome) treated with dapsone monotherapy 氨苯砜单药治疗坏疽性脓皮病、痤疮和化脓性汗腺炎（PASH综合征）

Medicina clinica (English ed.) Pub Date : 2025-03-28 DOI: 10.1016/j.medcle.2024.11.014

Juan Pablo Velasco-Amador, David Moyano-Bueno, Ricardo Ruiz-Villaverde

引用次数: 0

Carpal tunnel syndrome: Ulcerative-mutilating variant 腕管综合征：溃疡致残变种

Medicina clinica (English ed.) Pub Date : 2025-03-28 DOI: 10.1016/j.medcle.2024.11.016

Antonio Bustos-Merlo, María Martín-Armada

引用次数: 0

Harm reduction of tobacco: Mith or reality? 减少烟草危害：史密斯还是现实？

Medicina clinica (English ed.) Pub Date : 2025-03-28 DOI: 10.1016/j.medcle.2024.12.006

Rodrigo Córdoba , Vidal Barchilón , Francisco Pascual , Joan B. Soriano

引用次数: 0

Acute coronary syndrome due to coronary aneurysm thrombosis as a late complication of Kawasaki disease 川崎病晚期并发症冠状动脉瘤血栓形成所致急性冠状动脉综合征

Medicina clinica (English ed.) Pub Date : 2025-03-28 DOI: 10.1016/j.medcle.2024.11.015

Juan Manuel Aragón González, Nieves Romero Rodríguez, José Francisco Díaz Fernández

引用次数: 0

Evolution of arterial stiffness and association with cardiovascular risk factors in the Spanish population. Follow-up to the study EVA 西班牙人群动脉僵硬度的演变及其与心血管危险因素的关系EVA的后续研究

Medicina clinica (English ed.) Pub Date : 2025-03-27 DOI: 10.1016/j.medcle.2025.03.004

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 , on behalf of the EVA Study Investigators

{"title":"Evolution of arterial stiffness and association with cardiovascular risk factors in the Spanish population. Follow-up to the study 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 , on behalf of the EVA Study Investigators","doi":"10.1016/j.medcle.2025.03.004","DOIUrl":"10.1016/j.medcle.2025.03.004","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>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.</div></div><div><h3>Methods</h3><div>Longitudinal study. Analysis of the increase in arterial stiffness measures evaluated with <em>SphygmoCor</em> and <em>Vasera</em> 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.</div></div><div><h3>Results</h3><div>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).</div></div><div><h3>Conclusions</h3><div>The four measures of RA increase over five years globally and by sex. These increases differ according to the measure used, age, sex and associated CRF. 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.</div><div>Study registered at ClinicalTrials.gov. (<span><span>NCT02623894</span><svg><path></path></svg></span>).</div></div>","PeriodicalId":74154,"journal":{"name":"Medicina clinica (English ed.)","volume":"164 9","pages":"Pages 461-469"},"PeriodicalIF":0.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143900216","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}

引用次数: 0

Intestinal intussusception secondary to colon lipoma: A rare cause of gastrointestinal bleeding 继发于结肠脂肪瘤的肠套叠：一种罕见的消化道出血原因

Medicina clinica (English ed.) Pub Date : 2025-03-26 DOI: 10.1016/j.medcle.2024.10.032

Patricia de Miguel Mancebo, Leire Villalonga Lopez-Uribarri, David Ruiz-Clavijo García

引用次数: 0

Self-perceived quality of life in celiac patients 乳糜泻患者自我感知的生活质量

Medicina clinica (English ed.) Pub Date : 2025-03-26 DOI: 10.1016/j.medcle.2024.11.012

Javier Blasco-Alonso , Alfonso Lendínez-Jurado , Ana García-Ruiz

引用次数: 0