Alberto Elpidio Calvo-Elías , Manuel Méndez-Bailón , Francisco Javier Martín-Sánchez , Rubén Ángel Martín-Sánchez , Elpidio Calvo-Manuel , Prado Salamanca-Bautista , José Pérez-Silvestre , Manuel Montero-Pérez-Baquero , on behalf of the RICA registry researchers
{"title":"Cardiovascular death in patients with acute heart failure in sinus rhythm: Results from the RICA registry","authors":"Alberto Elpidio Calvo-Elías , Manuel Méndez-Bailón , Francisco Javier Martín-Sánchez , Rubén Ángel Martín-Sánchez , Elpidio Calvo-Manuel , Prado Salamanca-Bautista , José Pérez-Silvestre , Manuel Montero-Pérez-Baquero , on behalf of the RICA registry researchers","doi":"10.1016/j.medcle.2024.10.026","DOIUrl":"10.1016/j.medcle.2024.10.026","url":null,"abstract":"<div><h3>Introduction</h3><div>Patients with heart failure in sinus rhythm may be at significant risk of major cardiovascular events, including cardiovascular death (CV death).</div></div><div><h3>Objective</h3><div>To assess CV mortality at a one-year follow up of those patients with heart failure and sinus rhythm, according to LVEF subgroups.</div></div><div><h3>Methods</h3><div>A prospective and multicentric study was conducted with patients in sinus rhythm included in the National Registry of Heart Failure. Firstly, a demographic, clinical and treatment analysis has been made comparing CV death. Secondly, a multivariate analysis of logistic regression was made including those CV death factors. Lastly, a Kaplan Meyer one year survival was made including LVEF.</div></div><div><h3>Results</h3><div>Of all 2040 patients included 14.8% presented CV death. The mortality predictors were Barthel index (OR 0.987 (0.982−0.992) [<em>p</em> < 0.001]), LVEF < 40% (OR 1.514 (1.144−2.003) [<em>p</em> 0.003]) and Charlson index (OR 1,069 (1.016−1.124) [<em>p</em> 0.01]).</div></div><div><h3>Conclusion</h3><div>According to our results CV death has been shown to be higher in those patients with reduced LVEF in sinus rhythm and worst score in Barthel index and Charlson scale.</div></div>","PeriodicalId":74154,"journal":{"name":"Medicina clinica (English ed.)","volume":"164 8","pages":"Pages 389-395"},"PeriodicalIF":0.0,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143860354","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}
Concepción Prados-Sánchez, Alberto Mangas-Moro, Grupo de trabajo de Contaminación por M. lentiflavum
{"title":"Contamination by Mycobacterium lentiflavum in the bronchoscope washing water","authors":"Concepción Prados-Sánchez, Alberto Mangas-Moro, Grupo de trabajo de Contaminación por M. lentiflavum","doi":"10.1016/j.medcle.2024.09.033","DOIUrl":"10.1016/j.medcle.2024.09.033","url":null,"abstract":"","PeriodicalId":74154,"journal":{"name":"Medicina clinica (English ed.)","volume":"164 7","pages":"Pages 374-375"},"PeriodicalIF":0.0,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143769076","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}
Carmen Teresa Sánchez Guillen, Alfonso Miranda Sánchez, Enrique Santo Bueso
{"title":"Ocular apraxia as the only diagnostic symptom of an occipito-parietal hematoma","authors":"Carmen Teresa Sánchez Guillen, Alfonso Miranda Sánchez, Enrique Santo Bueso","doi":"10.1016/j.medcle.2024.10.014","DOIUrl":"10.1016/j.medcle.2024.10.014","url":null,"abstract":"","PeriodicalId":74154,"journal":{"name":"Medicina clinica (English ed.)","volume":"164 7","pages":"Pages 377-378"},"PeriodicalIF":0.0,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143769078","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}
Antonio Rosales-Castillo, Antonio Bustos-Merlo, Joaquín Escobar Sevilla
{"title":"Experience and results of immediate care consultation in internal medicine","authors":"Antonio Rosales-Castillo, Antonio Bustos-Merlo, Joaquín Escobar Sevilla","doi":"10.1016/j.medcle.2024.10.017","DOIUrl":"10.1016/j.medcle.2024.10.017","url":null,"abstract":"","PeriodicalId":74154,"journal":{"name":"Medicina clinica (English ed.)","volume":"164 7","pages":"Pages 378-380"},"PeriodicalIF":0.0,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143769079","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":"Thyroid cancer","authors":"Jordi L. Reverter","doi":"10.1016/j.medcle.2024.12.003","DOIUrl":"10.1016/j.medcle.2024.12.003","url":null,"abstract":"<div><div>In recent decades, the diagnosis of thyroid cancer, especially the papillary type, has increased significantly due to the use of imaging techniques such as ultrasound. For this reason, it is essential to rationalize diagnosis and treatment, since the behavior of thyroid cancer varies from slow-progressing tumors to highly aggressive ones. The application of risk assessment systems for ultrasound images and the optimization of cytology incorporating molecular studies allows cases to be stratified in order to select therapy on an individual basis. Currently, attempts are being made to avoid overtreatment in low-risk tumors, with active surveillance or minimally invasive techniques. The administration of radioiodine is indicated according to risk, with lower doses, and in advanced cases, oncospecific systemic treatments are being incorporated. The management of thyroid cancer requires a multidisciplinary team and population studies and quality clinical trials are necessary to update treatment guidelines.</div></div>","PeriodicalId":74154,"journal":{"name":"Medicina clinica (English ed.)","volume":"164 8","pages":"Pages 421-428"},"PeriodicalIF":0.0,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143860420","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}