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Search Results: 1 - 10 of 7180 matches for " Yamilé; álvarez Batard "
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Hipertensión arterial secundaria a coartación de la aorta: A propósito de 1 caso Blood hypertension secondary to aorta coarctation: A propos of a case
Manuel Antonio Fernández Arias,Alfredo Vázquez Vigoa,Yamilé Roselló Azcanio,Germinal álvarez Batard
Revista Cubana de Medicina , 2007,
Abstract: Se presentó 1 caso con forma de hipertensión arterial refractaria secundaria a coartación de la aorta diagnósticada a los 41 a os de edad. Se trató de un paciente masculino con historia de hipertensión arterial desde los 19 a os que no lograba control de las cifras tensionales, a pesar de una terapéutica antihipertensiva de más de 3 drogas que incluía un diurético. Al realizar el examen físico se destacó la ausencia de pulso femoral, poplíteo y pedio bilateral y marcada caída de la presión arterial en miembros inferiores, elementos de alta sospecha de coartación aórtica. Se comentó la importancia de medios diagnósticos como el Eco Doppler de miembros inferiores, la radiografía de tórax, el ecocardiograma, la angio-TAC y la aortografía, en el diagnóstico de estos casos. Se concluyó que la coartación de la aorta constituye una causa curable de hipertensión arterial secundaria que, aunque poco frecuente, debemos tener en consideración ante todo paciente joven con cifras elevadas de presión arterial y se enfatizó en la necesidad casi mandatoria de realizar un examen físico minucioso que incluya la palpación de pulsos y toma de presión arterial en miembros inferiores para lograr un diagnóstico precoz y evitar sus complicaciones potenciales. Here is the case of a man with refractory blood hypertension secondary to aorta coarctation diagnosed at the age of 41 years. This patient had had a history of blood hypertension since he was 19 years-old but he had not managed to get his blood pressure figures under control despite hypertensive therapeutics comprising 3 drugs and one diuretic. On physical exam, there were no femoral, popliteal and pedo bilateral pulses and the fall in blood pressure of lower limbs was marked, so these elements strongly indicated aorta coarctation. Comments were made on diagnostic tools like EchoDoppler applied to the lower limbs, thoracic radiography, echocardiogram, angiography and aortography for the diagnosis of these cases. It was concluded that coarctation of the aorta is a curable cause of secondary blood hypertension that, though rare, should be taken into account in the event of a young patient with high blood pressure and that a detailed physical exam including pulse palpation and blood pressure taking in the lower limbs is almost an imperative in order to make an early diagnosis and avoid potential complications.
Utilidad del monitoreo ambulatorio de la presión arterial: Experiencia cubana de 104 casos
Valdés González,Yamilé; álvarez Batard,Germinal; Pérez Caballero,Delfín; Ruso Quintana,Raúl;
Revista Cubana de Medicina , 2007,
Abstract: 152 patients were studied by ambulatory monitoring of arterial pressure (amap) referred to the specialized department of arterial hypertension of "hermanos ameijeiras" hospital because of the unsual behavior of their hypertension, previously diagnosed by the aneroid method. of them, 104 with 90 % or more of effective registries were taken for a prospective, longitudinal and descriptive study with statistical analysis, using independent t tests (p < 0.05). 52.8 % of the patients suspected of mild hypertension were not hypertensive. the appearance of night hypertension was described. it was observed that the initial pressures were higher compared with the rest of the 24-hour study. the normotensive patients differ from the hypertensive. in the latter, there is an important reduction in the appearance of dipper's phenomenon and there is a predominance of hypertension on awakening, with increased risk for the appearance of vascular complications. this monitoring method proved to be effective for the 24-hour monitoring in the study of those hypertensive patients, who have not had the expected clinical evolution after being diagnosed. it also contributes to know how some novel prognostic variables behave in the management of arterial hypertension.
Utilidad del monitoreo ambulatorio de la presión arterial: Experiencia cubana de 104 casos Usefulness of the ambulatory monitoring of arterial pressure: Cuban experience of 104 cases
Yamilé Valdés González,Germinal álvarez Batard,Delfín Pérez Caballero,Raúl Ruso Quintana
Revista Cubana de Medicina , 2007,
Abstract: Se estudiaron 152 pacientes mediante el Monitoreo Ambulatorio de Presión Arterial (MAPA) remitidos de la Consulta Especializada de Hipertensión Arterial del Hospital "Hermanos Ameijeiras" por comportamiento no habitual de su hipertensión, previamente diagnosticada por el método aneroide. De ellos, se tomaron para el estudio 104 con 90 % o más de registros efectivos para un estudio prospectivo, longitudinal y descriptivo, con análisis estadístico empleando pruebas t-test independiente (p<0,05). El 52,8 % de los pacientes sospechosos de hipertensión ligera resultaron no serlo. Se describió la aparición de hipertensión nocturna. Se halló que las presiones iniciales fueron mayores comparadas con las del resto del estudio de 24 h. Los pacientes normotensos difieren de los hipertensos, en que en los últimos hay una disminución importante en la aparición del fenómeno Dipper y predomina la hipertensión al despertar, con riesgo incrementado para la aparición de complicaciones vasculares. Se concluyó que este método de monitoreo resulta efectivo para el monitoreo de 24 h en el estudio de aquellos pacientes hipertensos que no han tenido la evolución clínica esperada después de diagnosticados, además, contribuye al conocimiento de cómo se comportan algunas variables pronósticas novedosas en el ámbito del manejo de la hipertensión arterial. 152 patients were studied by Ambulatory Monitoring of Arterial Pressure (AMAP) referred to the Specialized Department of Arterial Hypertension of "Hermanos Ameijeiras" Hospital because of the unsual behavior of their hypertension, previously diagnosed by the aneroid method. Of them, 104 with 90 % or more of effective registries were taken for a prospective, longitudinal and descriptive study with statistical analysis, using independent t tests (p < 0.05). 52.8 % of the patients suspected of mild hypertension were not hypertensive. The appearance of night hypertension was described. It was observed that the initial pressures were higher compared with the rest of the 24-hour study. The normotensive patients differ from the hypertensive. In the latter, there is an important reduction in the appearance of Dipper's phenomenon and there is a predominance of hypertension on awakening, with increased risk for the appearance of vascular complications. This monitoring method proved to be effective for the 24-hour monitoring in the study of those hypertensive patients, who have not had the expected clinical evolution after being diagnosed. It also contributes to know how some novel prognostic variables behave in the management of arterial h
Hipertensión arterial secundaria a coartación de la aorta: A propósito de 1 caso
Fernández Arias,Manuel Antonio; Vázquez Vigoa,Alfredo; Roselló Azcanio,Yamilé; álvarez Batard,Germinal; Martínez Fernández,Liodelvio; Méndez Rosabal,Annerys;
Revista Cubana de Medicina , 2007,
Abstract: here is the case of a man with refractory blood hypertension secondary to aorta coarctation diagnosed at the age of 41 years. this patient had had a history of blood hypertension since he was 19 years-old but he had not managed to get his blood pressure figures under control despite hypertensive therapeutics comprising 3 drugs and one diuretic. on physical exam, there were no femoral, popliteal and pedo bilateral pulses and the fall in blood pressure of lower limbs was marked, so these elements strongly indicated aorta coarctation. comments were made on diagnostic tools like echodoppler applied to the lower limbs, thoracic radiography, echocardiogram, angiography and aortography for the diagnosis of these cases. it was concluded that coarctation of the aorta is a curable cause of secondary blood hypertension that, though rare, should be taken into account in the event of a young patient with high blood pressure and that a detailed physical exam including pulse palpation and blood pressure taking in the lower limbs is almost an imperative in order to make an early diagnosis and avoid potential complications.
Hipotensión nocturna y enfermedad cerebrovascular silente
Pérez Nellar,Jesús; álvarez Batard,Germinal; Pe?a Casanova,Aisa;
Revista Cubana de Medicina , 2005,
Abstract: the introduction of the techniques for the ambulatory monitoring of arterial pressure has allowed to obtain information about the day variations of arterial pressure. the pattern of accentuated dipper may have a specific causal relation to silent cerebrovascular disease and lesion of the white matter mediated by brain hypoperfusion. a case with lesions of the cerebral white matter without conventional vascular risk factors, was presented. the ambulatory monitoring of the arterial pressure showed a mild hypertension with an accentuated dipper pattern, a physiopathological condition susceptible to be modified. in the future, it seems that this technique will have a wider use in the cerebrovascular disease, specially in the lacunar and hemodynamic ictus, as well as in the chronic vascular lesions of the cerebral white matter.
Hipotensión nocturna y enfermedad cerebrovascular silente Nocturnal hypotension and silent cerebrovascular disease
Jesús Pérez Nellar,Germinal álvarez Batard,Aisa Pe?a Casanova
Revista Cubana de Medicina , 2005,
Abstract: La introducción de técnicas para el monitoreo ambulatorio de la presión arterial ha permitido obtener información acerca de las variaciones diurnas de la presión arterial. El patrón de dipper acentuado que equivale a hipotensión nocturna pudiera tener una relación causal específica con enfermedad cerebrovascular silente y lesión de la sustancia blanca mediada por hipoperfusión cerebral. Se presentó un caso con lesiones de la sustancia blanca cerebral sin factores de riesgo vascular convencionales, en el que el monitoreo ambulatorio de la presión arterial demostró una hipertensión ligera con un patrón de dipper acentuado, una condición fisiopatológica susceptible de ser modificada. En el futuro, esta técnica, al parecer, tendrá un uso más extendido en la enfermedad cerebrovascular, especialmente en los ictus lacunares y hemodinámicos, así como en las lesiones vasculares crónicas de la sustancia blanca cerebral. The introduction of the techniques for the ambulatory monitoring of arterial pressure has allowed to obtain information about the day variations of arterial pressure. The pattern of accentuated Dipper may have a specific causal relation to silent cerebrovascular disease and lesion of the white matter mediated by brain hypoperfusion. A case with lesions of the cerebral white matter without conventional vascular risk factors, was presented. The ambulatory monitoring of the arterial pressure showed a mild hypertension with an accentuated Dipper pattern, a physiopathological condition susceptible to be modified. In the future, it seems that this technique will have a wider use in the cerebrovascular disease, specially in the lacunar and hemodynamic ictus, as well as in the chronic vascular lesions of the cerebral white matter.
Manual clínico del monitoreo ambulatorio de la presión arterial
álvarez Batard,Germinal; Ruso,Raúl; Pérez Caballero,Manuel Delfín; Fernández Arias,Manuel Antonio;
Revista Cubana de Medicina , 2006,
Abstract: the present manual, offers a detailed and practical information of the applications, advantages, contribution to the diagnosis of high blood pressure, prognostic variables, and other interesting data. the bases giving rise to this hypermax equipment, and the study and interpretation method - hypermap - for patients with high blood pressure or with suspicion of it, are dealt with. the values and figures accepted to consider a person as hypertensive, as well as the different conditions that can be detected using this method, on collecting the variations in the daily cycle or circadian rhythm of blood pressure, are exposed. with this special paper we hope to contribute to a better knowledge of the medicine professionals, and to make them understand the practical usefulness of the study of this manual for the care of patients with high blood pressure
Manual clínico del monitoreo ambulatorio de la presión arterial Clinical manual of the ambulatory monitoring of blood pressure
Germinal álvarez Batard,Raúl Ruso,Manuel Delfín Pérez Caballero,Manuel Antonio Fernández Arias
Revista Cubana de Medicina , 2006,
Abstract: Se brindó una información detallada y práctica de las aplicaciones, ventajas, contribución al diagnóstico de la hipertensión arterial, variables pronósticas y otros datos de interés mediante la confección del presente manual. Se expusieron las bases que dieron origen a este equipo -HIPERMAX- y al método de estudio e interpretación -HIPERMAP- para pacientes con hipertensión arterial o con sospecha de presentarla. Se expusieron los valores o cifras aceptadas para considerar a una persona como hipertensa, así como las diferentes condiciones que son capaces de detectarse con este método al recogerse las variaciones en el ciclo diario o ritmo circadiano de la presión arterial. Con este artículo especial se espera contribuir al mejor conocimiento de los profesionales de la medicina, de la utilidad práctica que el estudio mediante MAPA puede aportar a la atención del paciente con hipertensión arterial The present manual, offers a detailed and practical information of the applications, advantages, contribution to the diagnosis of high blood pressure, prognostic variables, and other interesting data. The bases giving rise to this HYPERMAX equipment, and the study and interpretation method - HYPERMAP - for patients with high blood pressure or with suspicion of it, are dealt with. The values and figures accepted to consider a person as hypertensive, as well as the different conditions that can be detected using this method, on collecting the variations in the daily cycle or circadian rhythm of blood pressure, are exposed. With this special paper we hope to contribute to a better knowledge of the medicine professionals, and to make them understand the practical usefulness of the study of this manual for the care of patients with high blood pressure
Algunas variables de interés para un equipo multidisciplinario regional en el nódulo eutiroideo asociado a la gestación
Canciano Chirino,Ernesto; López Silverio Sánchez,Reina M.; álvarez Delgado,Yamilé;
Revista Cubana de Obstetricia y Ginecolog?-a , 2010,
Abstract: the 4.96 % of the population presenting with a thyroid nodule with a great prevalence in fertile women, recognizing the pregnancy as a malignancy accelerator factor. a prospective and longitudinal study was conducted to characterize diagnostic-epidemiological features related to final course of euthyroid nodule associated with pregnancy in patients seen in a regional clinical-obstetrical consultation of the havana's west from january, 2004 to october, 2009, identifying age according to number of previous pregnancies, nodule size by us y pregnancy time, mother/fetal complications and ethnic group and more anatomical-pathological diagnoses. by convenience 90 pregnants were sampled using clinical and ulrasonography criteria of the thyroid normofunctional nodule. there were predominance of patients aged between 25-29 and the 72.5 % had two or more previous pregnancies with a few children and a significant correlation coefficient for age according to previous pregnants. at the second trimester they had nodular echography measures more than 2 cm (33 pregnants) increasing the size according to the gestational time y estimated intra-class correlation coefficient . gestational high blood pressure was significant among the complications, with more black pregnants. the 27.5 % of fine needle aspiration biopsy (fnab) was not conclusive with a diagnostic sensitivity of 72.5 %. although at the end of pregnancy the nodular thyroid disease has not mother/fetal complications, these patients are young without a good control of fertility leading to an increase of thyroid malignancy risk, unlike the methods used for its diagnosis, the glandular functional status is a significant independent risk variable .
Síndrome de ovarios poliquísticos, una mirada desde la ginecología infantojuvenil y el riesgo vascular
Canciano Chirino,Ernesto; López Silvero,Reina M; álvarez Delgado,Yamilé; Río Ponciano,Orlando;
Revista Cubana de Obstetricia y Ginecolog?-a , 2011,
Abstract: introduction: the polycystic ovary syndrome (pos) is a diagnosis dilemma with clinical-metabolic manifestations of high risk. objective: to characterize the vascular risk variables in adolescents with pos from january, 2007 to august, 2020 treated in an infantile-juvenile gynecology consultation of "felipe rodríguez ramos" polyclinic of san antonio de los ba?os municipality. methods: a case-control study was conducted from january, 2007 to august, 2010 in the above mentioned polyclinic with two groups of 6- adolescent each random sampled: a (with pos), b (negative), defining: age at menarche, figures of blood pressure according to abdominal circumference (ac), body mass index (bmi), fsh/lh (carried out the third and the fifth day of menstrual cycle if there was menstruation), glycemia levels, usefulness of transvaginal ultrasound (us) over the abdominal one. results: the global mean was of 13.2 years for menarche, in group a there was a trend to left according to gauss's model. in forty two patients with pos ac was increased, a 54.7 % of them were hypertensive and a correlation of -0,78 between variables. in a group a 81.6 % had increased her bmi, as well as those with a minor rate of fsh/lh (55 %), with a spearmen coefficient near of a -1. only 37 patients of total had figures of altered glycemia, with significant predominance of pre-diabetes (22.5 %) in a with a relative high risk. sensitivity of transvaginal us was high in both groups, higher in the a group (0.55). conclusions: in the pre-hypertensive group with a central distribution of fat and a poor endocrine-metabolic control there is an early onset in the adolescents with pos, strengthening the risk beyond a good ultrasonography diagnosis.
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