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Search Results: 1 - 10 of 1274 matches for " Domingo Balderramo "
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Displasia arritmogénica del ventrículo derecho y enfermedad del nódulo sinusal
Balderramo,Domingo C.; Caeiro,Andrés A.;
Medicina (Buenos Aires) , 2004,
Abstract: arrhythmogenic right ventricular dysplasia (arvd) involves primarily the right ventricle, and should be considered in young patients presenting with syncope, ventricular tachycardia, cardiac arrest or in adults patients with congestive heart failure. atrial electrical abnormalities due to arvd have been rarely described. we report a case of arvd in a 60-year-old man who developed sick sinus syndrome during evolution (sinus node recovery time of 6113 mseg). atrial arrhythmias may be explained by gradual replacement of right atrium myocytes by adipose tissue.
Displasia arritmogénica del ventrículo derecho y enfermedad del nódulo sinusal Arrhythmogenic right ventricular dysplasia and sick sinus syndrome
Domingo C. Balderramo,Andrés A. Caeiro
Medicina (Buenos Aires) , 2004,
Abstract: La displasia arritmogénica del ventrículo derecho (DAVD) compromete principalmente al ventrículo derecho y debe ser considerada en pacientes jóvenes que presentan síncope, taquicardia ventricular o paro cardíaco y en adultos con insuficiencia cardíaca congestiva. Las alteraciones eléctricas auriculares debidas a DAVD han sido poco descriptas. Informamos el caso de un varón de 60 a os con DAVD que durante la evolución presentó enfermedad del nódulo sinusal (tiempo de recuperación del nódulo sinusal de 6113 mseg). Las arritmias auriculares se podrían explicar por el reemplazo gradual de los miocitos auriculares por tejido adiposo. Arrhythmogenic right ventricular dysplasia (ARVD) involves primarily the right ventricle, and should be considered in young patients presenting with syncope, ventricular tachycardia, cardiac arrest or in adults patients with congestive heart failure. Atrial electrical abnormalities due to ARVD have been rarely described. We report a case of ARVD in a 60-year-old man who developed sick sinus syndrome during evolution (sinus node recovery time of 6113 mseg). Atrial arrhythmias may be explained by gradual replacement of right atrium myocytes by adipose tissue.
Factores de riesgo para osteoporosis primaria en mujeres de Córdoba, Argentina
Balderramo,Domingo C.; Ramacciotti,Constanza F.; Douthat,Walter G.;
Medicina (Buenos Aires) , 2004,
Abstract: risk factors for osteoporosis were evaluated in women from cordoba, argentina. female patients that consulted about diagnosis or treatment of osteoporosis from january 2000 to june 2002 were included. secondary osteoporosis patients were excluded. participants were studied using standardized questionnaire, clinical examination, biochemical analysis, and dual-energy x-ray absorptiometry (dxa). according to lumbar spine dxa results and who criterion, we considered 2 groups: osteoporosis (t score < -2.5 standard deviation, sd) and control (t score ≥ -2.5 sd). one hundred and fifty five women (osteoporosis group: 47; control group: 108) were studied. in univariate analysis age, years from menopause, weight, smoking duration, estrogen replacement therapy duration, bilateral oophorectomy with hysterectomy, alkaline phosphatase levels, and pouteau-colles fractures were different between both groups. after multivariate analysis, including variables that were statistical different in univariate analysis, and considering osteoporosis as dependent variable, body weight (odds ratio, or=0.92; ci 95% 0.87-0.98), alkaline phosphatase (or=1.01; ci 95% 1.00-1.02), years from menopause (or=1.12; ci 95% 1.05-1.21), and pouteau-colles fractures (or=15.15; ci 95% 1.68-135.7) were independent risk factors for osteoporosis.
Factores de riesgo para osteoporosis primaria en mujeres de Córdoba, Argentina Primary osteoporosis risk factors in women from Córdoba, Argentina
Domingo C. Balderramo,Constanza F. Ramacciotti,Walter G. Douthat
Medicina (Buenos Aires) , 2004,
Abstract: Estudiamos una serie de mujeres de la ciudad de Córdoba, Argentina, para definir los factores de riesgo clínicos prevalentes para osteoporosis lumbar. Se analizaron las pacientes que realizaron consulta en relación al diagnóstico o tratamiento de osteoporosis entre enero de 2000 y junio de 2002. Todas las pacientes fueron estudiadas mediante densitometría ósea de doble haz de rayos X, siendo excluidas del análisis aquellas con diagnóstico de osteoporosis secundaria. Según la densidad mineral ósea de columna lumbar se establecieron dos grupos de pacientes utilizando el criterio de la OMS: Grupo Osteoporosis (T score < -2.5 desvíos estándar, DE) y Grupo Control (T score ≥ -2.5 DE). Se incluyeron 155 mujeres (47 en el Grupo Osteoporosis y 108 en el Grupo Control). El análisis univariado mostró diferencias estadísticas entre ambos grupos en: edad, a os de posmenopausia, peso corporal, duración del tabaquismo, tiempo de utilización de terapia estrogénica, anexectomía bilateral con histerectomía, niveles de fosfatasa alcalina y número de fracturas de mu eca (Pouteau-Colles). En el análisis multivariado, incluyendo las variables que mostraron diferencias significativas entre ambos grupos y considerando la presencia de osteoporosis como variable dependiente, el peso corporal (Odds Ratio, OR=0.92; IC 95% 0.87-0.98), la fosfatasa alcalina total (OR=1.01; IC 95% 1.00-1.02), los a os de posmenopausia (OR=1.12; IC 95% 1.05-1.21) y el antecedente de fractura de mu eca (OR=15.15; IC 95% 1.68-135.7) fueron factores independientes que influyeron sobre el riesgo de padecer osteoporosis. Risk factors for osteoporosis were evaluated in women from Cordoba, Argentina. Female patients that consulted about diagnosis or treatment of osteoporosis from January 2000 to June 2002 were included. Secondary osteoporosis patients were excluded. Participants were studied using standardized questionnaire, clinical examination, biochemical analysis, and dual-energy X-ray absorptiometry (DXA). According to lumbar spine DXA results and WHO criterion, we considered 2 groups: Osteoporosis (T score < -2.5 standard deviation, SD) and Control (T score ≥ -2.5 SD). One hundred and fifty five women (Osteoporosis Group: 47; Control Group: 108) were studied. In univariate analysis age, years from menopause, weight, smoking duration, estrogen replacement therapy duration, bilateral oophorectomy with hysterectomy, alkaline phosphatase levels, and Pouteau-Colles fractures were different between both groups. After multivariate analysis, including variables that were statistical different in univariate an
Management of biliary complications after orthotopic liver transplantation: The role of endoscopy
Maria C Londo?o, Domingo Balderramo, Andrés Cárdenas
World Journal of Gastroenterology , 2008,
Abstract: Biliary complications are significant causes of morbidity and mortality after orthotopic liver transplantation (OLT). The estimated incidence of biliary complications after OLT ranges between 10%-25%, however, these numbers continue to decline due to improvement in surgical techniques. The most common biliary complications are strictures (both anastomotic and non-anastomotic) and bile leaks. Most of these problems can be appropriately managed with endoscopic retrograde cholangiography (ERC). Other complications such as bile duct stones, bile casts, sphincter of Oddi dysfunction, and hemobilia, are less frequent and also can be managed with ERC. This article will review the risk factors, diagnosis, and endoscopic management of the most common biliary complications after OLT.
Infeccion urinaria temprana en trasplante renal: Factores de riesgo y efecto en la sobrevida del injerto
Cepeda,Pablo A.; Balderramo,Domingo C.; De Arteaga,Javier; Douthat,Walter G.; Massari,Pablo U.;
Medicina (Buenos Aires) , 2005,
Abstract: the early urinary tract infection (euti) in kidney transplant recipients is an infection develop during the first 3 months post transplant surgery. the effect of euti on graft survival and risk factors have been scarcely studied. our objetives were the evaluation of risk factors to euti, the assessment of the causal agent and graft survival impact. a retrospective analysis of kidney transplantation, period 1997-2000 in hospital privado-centro médico de córdoba was carried out. there were two groups of patients with (euti group) and without euti (control group). cox model was used to analyze risk factors and kaplan-meier method for graft survival. a total of 226 consecutive patients received kidney transplantation. in 55 patients (24.3%) euti was detected. risk factors for euti were: invasive urological maneuvers (rr=4.34, ci 95% 1.42-13.21), diabetes mellitus (rr=3.79, ci 95% 1.42-10.14), cytomegalovirus infection (rr=2.9, ci 95% 1.02-8.24) and previous transplants (rr=2.83, ci 95% 1.08-7.45). delayed graft function was associated with lower incidence of euti (rr=0.38, ci 95% 0.15-0.94). the causal agents were: klebsiella pneumoniae (36%), pseudomonas aeruginosa (24%) and escherichia coli (9%). graft survival at 2 years was similar in euti (87.2%) and control group (81.2%, p= 0.32). this series shows that invasive urological maneuvers were the main risk factors for euti. graft survival was similar. high prevalence of non coli bacteria need further evaluation.
Poliartritis y tenosinovitis grave por Streptococcus agalactiae en un paciente con hipoesplenia funcional Severe polyarthritis and tenosynovitis caused by Streptococcus agalactiae in a patient with functional hyposplenia
Domingo C. Balderramo,Ana M. Bertoli,Miguel A. PaganiniI,Abel Zárate
Medicina (Buenos Aires) , 2002,
Abstract: La artritis por Streptococcus agalactiae es infrecuente. No conocemos publicaciones de casos sobre la afección tendinosa por este microorganismo. Se presenta una mujer de 46 a os que consultó por fiebre, poliartralgias, mialgias, diarrea y vómitos. Como antecedentes presentaba carcinoma papilar de tiroides e hipoesplenia funcional. Al examen se encontraba hemodinámicamente inestable, febril, con artritis de mano izquierda, mu ecas, codos, hombro derecho y tobillo izquierdo. Presentaba tenosinovitis en ambos pies y en la mano izquierda. Los hemocultivos y el cultivo de la bursa olecraniana derecha fueron positivos para S. agalactiae. La ecografía mostró signos de tenosinovitis del tibial anterior izquierdo. Completó 20 días de tratamiento endovenoso con cefazolina y 12 días de cefuroxima oral. El cuadro articular revirtió completamente en 60 días. El Streptococcus agalactiae puede causar, en forma infrecuente, un síndrome de poliartritis, tenosinovitis y fiebre similar al producido por la infección gonocócica. Cases of arthritis caused by Streptococcus agalactiae are infrequent and in our knowledge there are no case reports of tenosynovitis caused by S. agalactiae. A 46-year-old woman presented with fever, polyarthralgia, myalgia, diarrhea and vomiting. She had a history of papillary thyroid carcinoma and functional hyposplenia. She was febrile, with arthritis in hands, wrists, elbows, right shoulder and left ankle joints, and presented tenosynovitis in both feet and left hand. Blood and right olecranon bursa sample cultures were positive for S. agalactiae. An ultrasound scan made at the musculus tibialis anterior of left foot revealed signs of tenosynovitis. She was treated with intravenous cefazolin for 20 days and oral cefuroxime for 12 days. The joint involvement completely subsided in 60 days. Streptococcus agalactiae can cause, infrequently, a polyarthritis and tenosynovitis syndrome similar to disseminated gonococcal infection.
Infeccion urinaria temprana en trasplante renal: Factores de riesgo y efecto en la sobrevida del injerto Early urinary tract infection in kidney transplantation: Risk factors and impact on graft sur-vival
Pablo A. Cepeda,Domingo C. Balderramo,Javier De Arteaga,Walter G. Douthat
Medicina (Buenos Aires) , 2005,
Abstract: La infección urinariatemprana del injerto (IUTI), definida como infección urinaria sintomática en los primeros 3 meses del trasplante, su efecto sobre la sobrevida del injerto y los factores de riesgo han sido poco estudiados. Los objetivos del presente análisis fueron conocer factores de riesgo para IUTI, analizar agentes causantes e impacto en la sobrevida del injerto. En forma retrospectiva se analizaron pacientes que recibieron trasplante renal durante 1997-2000 en el Hospital Privado - Centro Médico de Córdoba. Se dividió en dos grupos de pacientes, según presencia (grupo IUTI) o ausencia (grupo control) de IUTI. Los factores de riesgo se analizaron con el modelo de riesgos proporcionales de Cox y la sobrevida del injerto con el método de Kaplan-Meier. Recibieron trasplante renal 226 pacientes consecutivos. La IUTI se presentó en 55 (24.3%). Factores de riesgo asociados con IUTI: antecedentes de maniobras urológicas invasivas (RR=4.34, IC 95% 1.42-13.21), diabetes mellitus (RR=3.79, IC 95% 1.42-10.14), infección por citomegalovirus (RR=2.9, IC 95% 1.02-8.24) y antecedente de trasplante previo (RR=2.83, IC 95% 1.08-7.45). El retardo en la función del injerto (RR=0.38, IC 95% 0.15-0.94) se asoció con menor incidencia de IUTI. Agentes más frecuentes: Klebsiella pneumoniae (36%), Pseudomonas aeruginosa (24%) y Escherichia coli (9%). La sobrevida del injerto a los 2 a os en el grupo IUTI (87.2%) no fue diferente del control (81.2%, P = 0.32). En esta serie las maniobras urológicas invasivas fueron el principal factor de riesgo asociado a IUTI. No hubo disminución de la sobrevida del injerto asociada a IUTI. La alta prevalencia de uropatógenos no coli requiere mayor evaluación. The early urinary tract infection (EUTI) in kidney transplant recipients is an infection develop during the first 3 months post transplant surgery. The effect of EUTI on graft survival and risk factors have been scarcely studied. Our objetives were the evaluation of risk factors to EUTI, the assessment of the causal agent and graft survival impact. A retrospective analysis of kidney transplantation, period 1997-2000 in Hospital Privado-Centro Médico de Córdoba was carried out. There were two groups of patients with (EUTI group) and without EUTI (control group). Cox model was used to analyze risk factors and Kaplan-Meier method for graft survival. A total of 226 consecutive patients received kidney transplantation. In 55 patients (24.3%) EUTI was detected. Risk factors for EUTI were: invasive urological maneuvers (RR=4.34, CI 95% 1.42-13.21), diabetes mellitus (RR=3.79, CI 95% 1.42
Poliartritis y tenosinovitis grave por Streptococcus agalactiae en un paciente con hipoesplenia funcional
Balderramo,Domingo C.; Bertoli,Ana M.; PaganiniI,Miguel A.; Zárate,Abel; Zlocowski,Juan C.; Alvarellos,Alejandro; Caeiro,Francisco; Caeiro,Juan P.;
Medicina (Buenos Aires) , 2002,
Abstract: cases of arthritis caused by streptococcus agalactiae are infrequent and in our knowledge there are no case reports of tenosynovitis caused by s. agalactiae. a 46-year-old woman presented with fever, polyarthralgia, myalgia, diarrhea and vomiting. she had a history of papillary thyroid carcinoma and functional hyposplenia. she was febrile, with arthritis in hands, wrists, elbows, right shoulder and left ankle joints, and presented tenosynovitis in both feet and left hand. blood and right olecranon bursa sample cultures were positive for s. agalactiae. an ultrasound scan made at the musculus tibialis anterior of left foot revealed signs of tenosynovitis. she was treated with intravenous cefazolin for 20 days and oral cefuroxime for 12 days. the joint involvement completely subsided in 60 days. streptococcus agalactiae can cause, infrequently, a polyarthritis and tenosynovitis syndrome similar to disseminated gonococcal infection.
Obstrucción del tracto de salida gástrico Gastric outlet obstruction
D. C. Balderramo
Revista Espa?ola de Enfermedades Digestivas , 2008,
Abstract:
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