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Coronary levels of angiotensin-II and endothelin-I in diabetic patients with and without coronary artery disease. 伴有和不伴有冠状动脉疾病的糖尿病患者的冠状动脉血管紧张素- ii和内皮素- i水平
Boletin de la Asociacion Medica de Puerto Rico Pub Date : 2015-01-01
Pablo I Altieri, José M Marcial, Héctor L Banchs, Nelson Escobales, María Crespo, Wilma González
{"title":"Coronary levels of angiotensin-II and endothelin-I in diabetic patients with and without coronary artery disease.","authors":"Pablo I Altieri,&nbsp;José M Marcial,&nbsp;Héctor L Banchs,&nbsp;Nelson Escobales,&nbsp;María Crespo,&nbsp;Wilma González","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Two groups of patients were studied to find out the levels of angiotensin-II and endothelin-I in the coronary and peripheral circulation. Group A consisted of eight patients with diabetes mellitus type 2 and coronary artery disease; and Group B with diabetes mellitus without coronary artery disease. Significant differences were found between Group A and B in the levels of both peptides peripherally and intracoronary. This shows the importance of these peptides in the origin of coronary artery disease and progression of the disease in diabetics with coronary artery disease.</p>","PeriodicalId":75610,"journal":{"name":"Boletin de la Asociacion Medica de Puerto Rico","volume":"107 1","pages":"5-7"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33356202","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
Celiac trunk and branches dissection due to energy drink consumption and heavy resistance exercise: case report and review of literature. 能量饮料消耗与大阻力运动所致腹腔干、分支解剖:病例报告及文献复习。
Boletin de la Asociacion Medica de Puerto Rico Pub Date : 2015-01-01
Wilma González, Pablo I Altieri, Enrique Alvarado, Héctor L Banchs, Edgar Colón, Nelson Escobales, María Crespo
{"title":"Celiac trunk and branches dissection due to energy drink consumption and heavy resistance exercise: case report and review of literature.","authors":"Wilma González,&nbsp;Pablo I Altieri,&nbsp;Enrique Alvarado,&nbsp;Héctor L Banchs,&nbsp;Edgar Colón,&nbsp;Nelson Escobales,&nbsp;María Crespo","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Higher doses and consumption of energy drinks leads to cardiovascular effects and potential consequences. Principal components found in energy drinks such as caffeine, guarana and taurine has been related to dilatation, aneurysm formation, dissection and ruptures. There is no evidence showing an integration of these components and its effects in endothelium and aortic walls due to higher levels of pressure during exercises. We report a case of a 44 years male with celiac trunk and branches dissection due to long-term consumption of energy drinks and intense exercise routine. Our proposition relates cell and vessel walls alterations including elasticity in endothelial wall due to higher blood pressure, resistance by intense exercise routine and long-term consumption of energy drinks.</p>","PeriodicalId":75610,"journal":{"name":"Boletin de la Asociacion Medica de Puerto Rico","volume":"107 1","pages":"38-40"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33229589","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
Brugada syndrome in Puerto Rico: a case series. 波多黎各的布鲁加达综合征:一个病例系列。
Boletin de la Asociacion Medica de Puerto Rico Pub Date : 2015-01-01
Hector Banchs-Viñas, Norwin Rivera, Héctor Banchs-Pieretti, Pablo Altieri
{"title":"Brugada syndrome in Puerto Rico: a case series.","authors":"Hector Banchs-Viñas,&nbsp;Norwin Rivera,&nbsp;Héctor Banchs-Pieretti,&nbsp;Pablo Altieri","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Brugada syndrome is characterized by ST-segment changes in the right precordial ECG leads and a high incidence of sudden death in patients with strutural norm hearts. Life-threatening ventricular arrhythmias are the hallmark of Brugada syndrome whice incidence and prevalence of BrS in Puerto Rico, to our knowledge, has never been studied and there is only one case report of BrS in Puerto Rico in the literature. We review three cases of BrS in Puerto Rican patients who presented to our institution with syncope reviewing the literature.</p>","PeriodicalId":75610,"journal":{"name":"Boletin de la Asociacion Medica de Puerto Rico","volume":"107 1","pages":"12-5"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33229591","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
Worsening gradient of aortic stenosis with treatment of pulmonary arterial hypertension in scleroderma. 硬皮病患者肺动脉高压治疗导致主动脉狭窄梯度恶化。
Boletin de la Asociacion Medica de Puerto Rico Pub Date : 2015-01-01
Daniel A Pietras, Francisco R Lopez, Reynerio Peréz, Angel López-Candales, Jean Elwing
{"title":"Worsening gradient of aortic stenosis with treatment of pulmonary arterial hypertension in scleroderma.","authors":"Daniel A Pietras,&nbsp;Francisco R Lopez,&nbsp;Reynerio Peréz,&nbsp;Angel López-Candales,&nbsp;Jean Elwing","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Systemic sclerosis (SSc) can cause interstitial lung and pulmonary vascular disease that can induce pulmonary arterial hypertension (PAH). It is well known that severe PAH may reduce left ventricluar preload and decrease diastolic filling with the potential of reducing forward flow. We present a case in which a patient with SSc and symptomatic PAH required direct pulmonary vasodilator therapy for treatment of elevated pulmonary pressures. On follow-up echocardiogram, while improvement in right ventricular function and reduction in estimated pulmonary pressures were noted; worsening of aortic valve gradients was also found. Cardiac hemodynamics of pulmonary vasodilator therapy is discussed and the literature is reviewed.</p>","PeriodicalId":75610,"journal":{"name":"Boletin de la Asociacion Medica de Puerto Rico","volume":"107 1","pages":"41-4"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33229592","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
Should we revisit anticoagulation guidelines during thyroid storm? 甲状腺风暴期间我们是否应该重新审视抗凝指南?
Boletin de la Asociacion Medica de Puerto Rico Pub Date : 2015-01-01
Andrew W Petersen, Gisela D Puig-Carrión, Angel López-Candales
{"title":"Should we revisit anticoagulation guidelines during thyroid storm?","authors":"Andrew W Petersen,&nbsp;Gisela D Puig-Carrión,&nbsp;Angel López-Candales","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Thyroid storm is a rare but potentially catastrophic disease expression of thyrotoxicosis with well-recognized cardiovascular manifestations such as heart failure and atrial fibrillation. Even through some studies have found an increased risk of cardiac thrombus formation and subsequent thromboembolism in these patients, the use of anticoagulation to prevent thromboembolic sequelae of thyrotoxic atrial fibrillation remains unclear. We present a patient presenting with new onset dilated cardiomyopathy and resistant atrial fibrillation with thyroid storm that had a large left atrial appendage clot. Case particulars are discussed and the literature reviewed.</p>","PeriodicalId":75610,"journal":{"name":"Boletin de la Asociacion Medica de Puerto Rico","volume":"107 1","pages":"62-6"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33234606","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
Small cell carcinoma of the uterine cervix: a case report and literature review. 子宫颈小细胞癌1例报告并文献复习。
Boletin de la Asociacion Medica de Puerto Rico Pub Date : 2015-01-01
Pilar E Silva-Meléndez, Pedro F Escobar, Héctor Silva, Sylvia Gutiérrez, Manuel Rodríguez
{"title":"Small cell carcinoma of the uterine cervix: a case report and literature review.","authors":"Pilar E Silva-Meléndez,&nbsp;Pedro F Escobar,&nbsp;Héctor Silva,&nbsp;Sylvia Gutiérrez,&nbsp;Manuel Rodríguez","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Small cell carcinoma of the uterine cervix is a rare and aggressive extra-pulmonary variant of small cell tumors. This carcinoma of the cervix comprises less than 5% of all cervical carcinomas and is know to be highly undifferentiated. It is associated with a poor prognosis and characterized by premature distant nodal involvement. The survival rate at all stages ranges from 17% to 67%. We describe the case of a 41 year old female patient with a rare, and aggressive, clinical stage IB1 small cell neuroendocrine carcinoma of the cervix. The goal of this case report is to describe this rare pathology and contribute information to the scant available data.</p>","PeriodicalId":75610,"journal":{"name":"Boletin de la Asociacion Medica de Puerto Rico","volume":"107 1","pages":"55-7"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33234603","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
Uncommon cause of life-threatening retroperitoneal hemorrhage in a healthy young Hispanic patient: splenic artery aneurysm rupture. 在一个健康的年轻西班牙患者危及生命的腹膜后出血的罕见原因:脾动脉瘤破裂。
Boletin de la Asociacion Medica de Puerto Rico Pub Date : 2015-01-01
Luis A Figueroa-Jiménez, Amy Lee González-Márquez, Luis Negrón-García, Francisco Rosas-Soler, Aixa Dones-Rodríguez, Mayknoll De La Paz-López, Mónica Santiago-Casiano, Edwin Rodríguez-Cruz, William Cáceres-Pérkins, Luis Béez-Díaz
{"title":"Uncommon cause of life-threatening retroperitoneal hemorrhage in a healthy young Hispanic patient: splenic artery aneurysm rupture.","authors":"Luis A Figueroa-Jiménez,&nbsp;Amy Lee González-Márquez,&nbsp;Luis Negrón-García,&nbsp;Francisco Rosas-Soler,&nbsp;Aixa Dones-Rodríguez,&nbsp;Mayknoll De La Paz-López,&nbsp;Mónica Santiago-Casiano,&nbsp;Edwin Rodríguez-Cruz,&nbsp;William Cáceres-Pérkins,&nbsp;Luis Béez-Díaz","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Splenic artery aneurysms (SAA) are a rare life threatening clinical diagnosis. We present a case of a young Hispanic woman with an aneurysm of the middle branch of the splenic artery and active leakage. The defect was embolized with complete resolution of the retroperitoneal bleeding. Physicians should be aware of this rare entity especially when female patients presents complainiing of severe epigastric pain with associated hypovolemic shock.</p>","PeriodicalId":75610,"journal":{"name":"Boletin de la Asociacion Medica de Puerto Rico","volume":"107 1","pages":"45-8"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5344190/pdf/nihms842940.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33234605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Quality of life-in patients with differentiated thyroid cancer at the general endocrinology clinics of the University Hospital of Puerto Rico. 波多黎各大学医院普通内分泌科门诊分化型甲状腺癌患者的生活质量
Boletin de la Asociacion Medica de Puerto Rico Pub Date : 2015-01-01
Mónica A Vega-Vázquez, Loida Gonzalez-Rodriguez, Eduardo J Santiago-Rodríguez, Anette Garcés-Domínguez, Lee-Ming Shum, Maribel Tírado-Gómez, Margarita Ramírez-Vick
{"title":"Quality of life-in patients with differentiated thyroid cancer at the general endocrinology clinics of the University Hospital of Puerto Rico.","authors":"Mónica A Vega-Vázquez,&nbsp;Loida Gonzalez-Rodriguez,&nbsp;Eduardo J Santiago-Rodríguez,&nbsp;Anette Garcés-Domínguez,&nbsp;Lee-Ming Shum,&nbsp;Maribel Tírado-Gómez,&nbsp;Margarita Ramírez-Vick","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Unlabelled: </strong>Differentiated thyroid cancer (DTC) can compromise the quality of life of patients. Our purpose is to investigate if the quality of life, in a cohort of patients in Puerto Rico, is affected by the diagnosis and/or treatment modalities received for DTC.</p><p><strong>Methods: </strong>This is a cross-sectional study of 75 subjects with DTC. A Spanish version of the University of Washington Quality of Life Questionnaire was used, including multiple aspects of physical and social functioning. Descriptive and bivariate analysis between domain scores and variables of interest were performed.</p><p><strong>Results: </strong>82.7% of the patients reported that their health was the same or better than it was before treatment. The mean composite score obtained was 82.3, reflecting an overall little effect on quality of life. Patients diagnosed with DTC at an age of > or =45 years reported a significantly better score on the pain domain when compared with those diagnosed earlier (p < 0.05). Patient who received >150 mCi of radioiodine had a tendency towards a worse score on the same domain (p = 0.05).</p><p><strong>Conclusions: </strong>Our cohort reported an overall minimal effect on the quality of life of patients with DTC. Future treatment strategies should include periodic quality of life evaluations, in order to tailor therapy in this growing population.</p>","PeriodicalId":75610,"journal":{"name":"Boletin de la Asociacion Medica de Puerto Rico","volume":"107 1","pages":"25-31"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4918226/pdf/nihms-792985.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33229588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical and radiological indicators of severity in patients with acute pancreatitis. 急性胰腺炎患者严重程度的临床和影像学指标。
Boletin de la Asociacion Medica de Puerto Rico Pub Date : 2015-01-01
Jorge Álvarez, Pablo Castro, Maria Fernández, Beatriz Mcmullen, Carmen Rodríguez, Jorge Vera
{"title":"Clinical and radiological indicators of severity in patients with acute pancreatitis.","authors":"Jorge Álvarez,&nbsp;Pablo Castro,&nbsp;Maria Fernández,&nbsp;Beatriz Mcmullen,&nbsp;Carmen Rodríguez,&nbsp;Jorge Vera","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Unlabelled: </strong>The purpose of this study was to estimate the degree of association between clinical (Ranson criteria) and radiological variables (Abdominal CT scan) with degree of severity in patients with a diagnosis of acute pancreatitis.</p><p><strong>Method: </strong>All patients discharged with the diagnosis of acute pancreatitis from January 1, 2010 through December 31, 2012 in a community hospital were selected (N=174). The following variables were studied: sex; age; weight; height; admission and discharge dates; presence of several chronic conditions; laboratory results included in Ranson criteria; abdominal CT category; outcome, including fatality surgery, and other complications. Analysis included descriptive statistics and Risk-Ratios for complications for different groups of subjects, using clinical and radiological criteria.</p><p><strong>Results: </strong>The incidence rate of complications, including fatality, surgery and organ failure was 36.2%. Factors that showed significant associations with the risk of complication on crude analysis were gallbladder disease with a RR=1.78 ($95% CI: 1.22, 2.60) and abnormal abdominal CT with a RR=1.85 (95% CI: 1.11, 3.07). with multivariate analysis, gallbladder disease, abnormal abdominal CT, and presence of 3 or more Ranson's criteria showed increased risk for complications, but the results did not reach statistical significance.</p><p><strong>Discussion: </strong>The factors that seemed to be associated with increased rate of complications in subjects with acute pancreatitis were gallbladder disease, abnormal abdominal CT, and 3 or more Ranson's criteria. The Results did not show statistical significance probably because of low statistical power of the study.</p>","PeriodicalId":75610,"journal":{"name":"Boletin de la Asociacion Medica de Puerto Rico","volume":"107 1","pages":"33-7"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33229590","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
Handlebar hernia: case report and literature review. 车把疝1例报告及文献复习。
Boletin de la Asociacion Medica de Puerto Rico Pub Date : 2015-01-01
Luisa Angel Buitrago, Humberto Lugo-Vicente
{"title":"Handlebar hernia: case report and literature review.","authors":"Luisa Angel Buitrago,&nbsp;Humberto Lugo-Vicente","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Handlebar hernia is a rare traumatic abdominal wall hernia occurring after blunt trauma. We report a case of an adolescent patient with a traumatic rectus muscle abdominal wall hernia produced by injury with the bicycle handlebar. The skin abrasion caused by the trauma and a swelling reproduced after a Valsalva maneuver suggested the diagnosis. Traumatic wall hernias after blunt trauma should be repaired primarily to avoid complications.</p>","PeriodicalId":75610,"journal":{"name":"Boletin de la Asociacion Medica de Puerto Rico","volume":"107 1","pages":"58-61"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33234608","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
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