1
|
Pérez Jiménez F. Dislipemia aterógena: una entidad que no debe pasar inadvertida. Rev Clin Esp 2014; 214:513-4. [DOI: 10.1016/j.rce.2014.07.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2014] [Accepted: 07/10/2014] [Indexed: 11/28/2022]
|
2
|
Carrillo Fernández L, Dalmau Serra J, Martínez Álvarez J, Solà Alberich R, Pérez Jiménez F. Grasas de la dieta y salud cardiovascular. An Pediatr (Barc) 2011; 74:192.e1-16. [DOI: 10.1016/j.anpedi.2010.12.005] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2010] [Revised: 12/15/2010] [Accepted: 12/15/2010] [Indexed: 12/01/2022] Open
|
3
|
Adarraga Cansino MD, Fernández de la Puebla R, Jiménez Perepérez JA, Pocoví Mieras M, Zambrana García JL, Pérez Jiménez F. [Gaucher's disease. Report of 4 cases]. Rev Clin Esp 2002; 202:635-7. [PMID: 12459090] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/27/2023]
Abstract
Gaucher's disease is a rare condition caused by a deficiency in the lysosomal enzyme called beta-glucocerebrosidase (GBA). The objective of our work was to analyse the clinical, diagnostic and therapeutic characteristics in a group of four patients with Gaucher's disease type 1. The advantages of the new diagnostic and therapeutic techniques are stressed. In all cases the diagnosis was made by means of cyto-histological examination and enzymatic measurement of the beta-glucocerebrosidase activity. A genetic study and genotype determination was made in the four cases. A questionnaire was administered to patients to evaluate their life quality applying the SF36 questionnaire adapted to the Gaucher's disease. All subjects have received enzymatic replacement therapy with the recombinant enzyme imiglucerase (Cerezyme Corporation) with a satisfactory clinical course. Interestingly, eosinophilia was present in one patient, which disappeared after treatment.
Collapse
|
4
|
Jiménez FP, Estévez MP. [Role of cytokines in chronic gastritis by Helicobacter pylori]. Acta Gastroenterol Latinoam 2002; 31:137-41. [PMID: 11577565] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/21/2023]
Abstract
Helicobacter pylori is a curved, gram negative bacterium that inhabits only the gastric mucous membrane. Since its discovery and characterization, it has been related to the physiopathology of gastroduodenal diseases, including gastritis, peptic ulcers, gastric carcinoma and MALT lymphoma. This has resulted in numerous hypotheses that try to explain the different events that take place during the inflammation. The bacterium Settler, characterized by a marked infiltration of inflammatory cells (neutrophils, monocytes, linfocytes, etc.) which, after being activated, liberate locally various chemical mediators, which cause tissue damage. Among these, the cytokines are important mediators in this process. We have revised the literature related to the various biological functions of cytokines in tissue damage of the gastric mucosa.
Collapse
|
5
|
Cansino MDA, de la Puebla RF, Perepérez JAJ, Mieras MP, García JLZ, Jiménez FP. Enfermedad de Gaucher. Aportación de 4 casos. Rev Clin Esp 2002. [DOI: 10.1016/s0014-2565(02)71169-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
|
6
|
Pérez Jiménez F, Quesada Gómez JM. [Statins: an intriguing nexus between osteoporosis and atherothrombosis]. Med Clin (Barc) 2001; 116:696-7. [PMID: 11412682 DOI: 10.1016/s0025-7753(01)71956-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
|
7
|
Fernández de la Puebla Giménez RA, Ceballos P, Pérez Martínez P, Carmona JA, López Miranda J, Jiménez-Perepérez J, Pérez Jiménez F. [Coagulant activity of factor VII (FVIIc) in the elderly with ischemic heart disease]. Med Clin (Barc) 2000; 115:654-7. [PMID: 11141415 DOI: 10.1016/s0025-7753(00)71652-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
BACKGROUND The coagulant activity of factor VII increases with age and is a risk factor in middle aged subjects. Its role in elderly people is still unknown. The aim of this study was to evaluate whether or not FVIIc is a risk factor in such population. PATIENTS AND METHOD STUDY DESIGN cases and controls study. The group of cases consisted of 79 subjects fulfilling the following criteria: a) age between 65 and 85 years, and b) admission in the Valle de los Pedroches Hospital of Pozoblanco (Córdoba, Spain) due to a myocardial infarction and/or unstable angina, 2 or 6 months before their enrollment. The control group consisted of 81 subjects of similar age, chosen at random from the municipal registry, and excluding those with coronary heart disease. Factor VIIc was measured by conventional methods. Plasma samples were diluted with deficient plasma in FVIIc, and coagulation times were measured after adding thromboplastin and calcium. The measures were compared with a <<control>> plasma and the results were presented as a percentage. RESULTS There were no significant differences in the FVIIc between cases (118.3 [SD 22.2]) and controls (116.5 [24.4]; p = 0.630) in the total group. When classified according to their age, it was observed that within the group of more than 75 years old, cases had a higher FVIIc than controls (124.1 [18.2] vs 113.3 [23.5]; p < 0. 05). When the classification was carried out according to sex, male presented similar results than the total group. Bivariable analysis showed, in subjects with coronary diseases, that FVIIc was related to total cholesterol, cLDL, apoprotein B, body mass index, HbA1c, and age. Factors related to FVIIc in the multivariable analysis were basal glucose serum level, body mass index; cHDL was negatively related. CONCLUSIONS FVIIc is higher in very old subjects with coronary diseases so it may be a significant coronary risk factor in this age group.
Collapse
|
8
|
Plaza Pérez I, Villar Alvarez F, Mata López P, Pérez Jiménez F, Maiquez Galán A, Casasnovas Lenguas JA, Banegas Banegas JR, Tomás Abadal L, Rodríguez Artalejo F, Gil López E. [Cholesterolemia control in Spain, 2000: a tool for cardiovascular disease prevention]. Rev Clin Esp 2000; 200:494-515. [PMID: 11111397 DOI: 10.1016/s0014-2565(00)70705-3] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
The document "Cholesterolemia control in Spain, 2000: a tool for cardiovascular disease prevention" reviews the current evidence on cardiovascular disease prevention and the therapeutic advances achieved in recent years, in order to aid risk-based clinical decision-making. Cardiovascular diseases rank as the first cause of death in Spain. Their demographic, health and social impact is increasing and it is likely to continue to do so in the next decades. Appropriate treatment for high blood cholesterol and other major risk factors is crucial in cardiovascular disease prevention. Individual risk stratification is essential to determine follow-up periodicity and treatment. Priorities for the control of cholesterolemia and the consequent cardiovascular risk are based on risk stratification. In primary prevention, the therapeutic objective in high risk patients has been established as LDL-cholesterol < 130 mg/dl. In secondary prevention, drug treatment is indicated when LDL-cholesterol > or = 130 mg/dl and the therapeutic objective is LDL-cholesterol < 100 mg/dl. Statins are first line drugs for treatment of high blood cholesterol. In moderate-severe hypertriglyceridemia or low HDL-cholesterol, fibrates are preferred. In acute coronary syndrome, hypolipemiant treatment, should be started as soon as possible, when indicated. Secondary prevention programmes that continually provide good clinical and risk factor control should be provided to coronary heart disease patients.
Collapse
Affiliation(s)
- I Plaza Pérez
- Unidad Médico-Quirúrgica de Cardiología, Hospital Universitario La Paz, Madrid
| | | | | | | | | | | | | | | | | | | |
Collapse
|
9
|
Moreno Izarra J, Romero López A, Pinillos Villatoro D, Delgado Acosta F, Fernández de la Puebla R, Pérez Jiménez F. [Focal seizures in a young man with long term arthromyalgia and recurrent skin lesions. Cardiac myxoma. Neoplastic aneurysm and multiple cerebral infarct due to tumor embolization]. Rev Clin Esp 2000; 200:487-8. [PMID: 11111394 DOI: 10.1016/s0014-2565(00)70702-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
- J Moreno Izarra
- Servicios de Medicina Interna, Hospital Universitario Reina Sofía, Córdoba
| | | | | | | | | | | |
Collapse
|
10
|
Villar Alvarez F, Mata López P, Plaza Pérez I, Pérez Jiménez F, Maiques Galán A, Casasnovas Lenguas JA, Banegas Banegas JR, Abadal LT, Rodríguez Artalejo F, Gil López E. [Recommendations for the control of cholesterolemia in Spain]. Rev Esp Salud Publica 2000; 74:457-74. [PMID: 11217236] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/19/2023] Open
Abstract
A number of recommendations are provided regarding the detection, assessment and management in primary and secondary prevention, approaching hypercholesterolaemia from a multifactorial standpoint based on cardiovascular risk. Cardiovascular diseases are the leading cause of death in Spain. The major risks involved are coronary heart disease and cerebrovascular disease. The demographic, health-related and social impact thereof will be increasing over the coming decades. Controlling hypercholesterolaemia, in conjunction with eradicating the smoking habit and controlling hypertension, diabetes, obesity and physical inactivity comprise one of the main strategies for preventing cardiovascular diseases. Breaking down the risk of individuals based on the major cardiovascular risk factors is essential, given that these factors condition the frequency with which these individuals must be monitored and the type and degree of treatment entailed. Based on this breakdown, the priorities have been set for taking steps to prevent cardiovascular disease. In primary prevention, the therapeutic objective in high-risk persons (20% risk or higher or those persons involving two or more risk factors) has been established as LDL-cholesterol < 130 mg/dl. In secondary prevention, drug treatment is indicated when LDL-cholesterol (130 mg/dl and the therapeutic objective is LDL-cholesterol < 100 mg/dl. Those patients having coronary heart disease must be included in secondary prevention programs that will ensure good, constant clinical and risk factor-related control.
Collapse
|
11
|
Plaza Pérez I, Villar Alvarez F, Mata López P, Pérez Jiménez F, Maiquez Galán A, Casasnovas Lenguas JA, Banegas Banegas JR, Tomás Abadal L, Rodríguez Artalejo F, Gil López E. [Control of cholesterolemia in Spain, 2000. A tool for cardiovascular prevention]. Rev Esp Cardiol 2000; 53:815-37. [PMID: 10944975 DOI: 10.1016/s0300-8932(00)75163-3] [Citation(s) in RCA: 62] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The document "Cholesterolemia Control in Spain, 2000: A Tool for Cardiovascular Disease Prevention" reviews the current evidence on cardiovascular disease prevention and the therapeutic advances achieved in recent years, in order to aid risk-based clinical decision-making. Cardiovascular diseases rank as the first cause of death in Spain. Their demographic, health and social impact is increasing and it is likely to continue to do so in the next decades. Appropriate treatment for high blood cholesterol and other major risk factors is crucial in cardiovascular disease prevention. Individual risk stratification is essential to determine follow-up periodicity and treatment. Priorities for the control of cholesterolemia and the consequent cardiovascular risk are based on risk stratification. In primary prevention, the therapeutic objective in high risk patients has been established as LDL-cholesterol < 130 mg/dl. In secondary prevention, drug treatment is indicated when LDL-cholesterol > or = 130 mg/dl and the therapeutic objective is LDL-cholesterol < 100 mg/dl. Statins are first line drugs for treatment of high blood cholesterol. In moderate-severe hypertriglyceridemia or low HDL-cholesterol, fibrates are preferred. In acute coronary syndrome, hypolipemiant treatment, should be started as soon as possible, when indicated. Secondary prevention programmes that continually provide good clinical and risk factor control should be provided to coronary heart disease patients.
Collapse
Affiliation(s)
- I Plaza Pérez
- Unidad Médico-Quirúrgica de Cardiología, Hospital Universitario La Paz, Madrid
| | | | | | | | | | | | | | | | | | | |
Collapse
|
12
|
Castro P, Miranda JL, Gómez P, Escalante DM, Segura FL, Martín A, Fuentes F, Blanco A, Ordovás JM, Jiménez FP. Comparison of an oleic acid enriched-diet vs NCEP-I diet on LDL susceptibility to oxidative modifications. Eur J Clin Nutr 2000; 54:61-7. [PMID: 10694774 DOI: 10.1038/sj.ejcn.1600894] [Citation(s) in RCA: 21] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
OBJECTIVE The objective of this trial was to compare the effect on the susceptibility of plasma Low Density Lipoprotein (LDL) to oxidative modifications of consumption of two oleic rich diets, prepared with two different plant oils, virgin olive oil (OL)1 and refined high monounsaturated fatty acids (MUFA sunflower oil (SU)), with the susceptibility of plasma LDL to oxidation after an National Cholesterol Education Program step 1 (NCEP-I) phase diet. DESIGN A randomized crossover design. SUBJECTS AND INTERVENTIONS Twenty-two healthy normolipidemic young males consumed an NCEP-I diet for a 4-week period. Subjects were then assigned to two diets each of 4-weeks duration. Group one was placed on an olive oil enriched diet (40% fat, 22% MUFA) followed by a 4-week period of a MUFA diet enriched in sunflower oil (40% fat, 22% MUFA). In group two, the order of the diets was reversed. RESULTS Both MUFA diets induced a decrease in saturated (14:0, 16:0, and 18:0) and an increase in monounsaturated and polyunsaturated n-6 (18:2, 20:3, and 20:5) plasma LDL-phospholipid fatty acids, compared to the NCEP-I diet (P<0.01). No significant differences in lag times were observed between the olive oil and the NCEP-I diet periods. However there was a greater inhibition time (P<0.001) when subjects consumed the MUFA rich sunflower oil diet compared to the NCEP-I diet. These differences were probably related to the relative enrichment of plasma LDL particles in alpha-tocopherol due to the high vitamin E content of the MUFA-rich sunflower oil. Indeed, the alpha-tocopherol content was positively correlated with lag time (r=0.338; P<0.008). CONCLUSION Our findings suggest that changes in plasma LDL alpha-tocopherol content with practical solid-food diets can decrease its susceptibility to oxidation. SPONSORSHIP This work has been supported by grants from the Investigaciones de la Seguridad Social (FIS 92/0182, to Francisco Pérez Jiménez); and from Koype Co, Andújar, Jaén, Spain. European Journal of Clinical Nutrition (2000) 54, 61-67
Collapse
Affiliation(s)
- P Castro
- Lipids Research Unit, Hospital University Reina Sofia, Medical School, University of Córdoba, Spain
| | | | | | | | | | | | | | | | | | | |
Collapse
|
13
|
Salas J, López Miranda J, Jansen S, Zambrana JL, Castro P, Paniagua JA, Blanco A, López Segura F, Jiménez Perepérez JA, Pérez Jiménez F, Perepérez JA. [The diet rich in monounsaturated fat modifies in a beneficial way carbohydrate metabolism and arterial pressure]. Med Clin (Barc) 1999; 113:765-9. [PMID: 10680139] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/15/2023]
Abstract
OBJECTIVE Two dietary regimens recommended for the reduction of coronary risk, by way of their effects on lipid profile, are the diet low in saturated fat and a diet rich in monounsaturated fats (MUFA). However the effects of these diets on carbohydrate metabolism in healthy subjects are not well known. The objective of this study was to compare the effect of both diets on various parameters of carbohydrate metabolism. METHODS 41 healthy young males were submitted to 3 consecutive diets, each for a duration of 4 weeks. The first diet was rich in saturated fat (SAT) (38% fat, 20% saturated). The second was rich in carbohydrates following the recommendations of the NCEP-I (National Cholesterol Education Program type I) (28% fat, 47% carbohydrates). The last one was a diet rich in monounsaturated fatty acids (38% fat, 22% MUFA). At the end of each dietary period, blood pressure (BP) and blood levels of glucose, insulin and free fatty acids were determined. 29 subjects were also submitted to an oral glucose tolerance test (OGTT) at the end of each diet. RESULTS The SAT diet induced the highest levels of insulin after the OGTT. The consumption of the MUFA diet determined the lowest levels of fasting blood glucose (-0.60 mmol/l [13%], p < 0.0002), insulin (-9 microUl/ml [47%], p < 0.0002) and free fatty acids (-0.11 mmol/l [24%], p = 0.006), compared to the NCEP-I diet. Systolic and diastolic blood pressure were higher in the NCEP-I diet than during the other periods (SBP: +6 mmHg compare with SAT [5%], p = 0.0001; and +5 mmHg compare with MUFA [4%], p = 0.0001; DBP: +20 mmHg compare with MUFA [27%], p = 0.0001) and +6 mmHg compared with SAT [8%], p = 0.0001). CONCLUSION Of the diets most commonly used for the treatment and prevention of arteriosclerosis, a diet rich in monounsaturated fats is the most beneficial for the healthy population from the point of view of carbohydrate metabolism and blood pressure.
Collapse
Affiliation(s)
- J Salas
- Unidad de Lípidos y Arteriosclerosis, Hospital Universitario Reina Sofía, Córdoba. Med023090@.nacom.es
| | | | | | | | | | | | | | | | | | | | | |
Collapse
|
14
|
Zambrana García JL, López Miranda J, Pérez Jiménez F. [Hyperlipidemia following heart transplantation. Pathogenic mechanisms and treatment]. Med Clin (Barc) 1999; 112:303-7. [PMID: 10207848] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
Affiliation(s)
- J L Zambrana García
- Unidad de Lípidos y Arteriosclerosis, Hospital Universitario Reina Sofía, Córdoba
| | | | | |
Collapse
|
15
|
López Miranda J, Ordovás JM, Pérez Jiménez F. [Interaction between genes and diet as a determinant of the plasma levels of cholesterol]. Med Clin (Barc) 1998; 111:546-51. [PMID: 9859082] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/09/2023]
Affiliation(s)
- J López Miranda
- Unidad de Lípidos y Arteriosclerosis, Hospital Universitario Reina Sofía, Córdoba
| | | | | |
Collapse
|
16
|
González Amieva A, Zambrana JL, López-Granados A, Concha M, López Miranda J, Blanco Molina A, Jiménez Perepérez JA, Pérez Jiménez F. [Influence of genetic variation at apoprotein A-1 gene promoter region on plasma lipid levels in heart transplantation patients]. Med Clin (Barc) 1998; 111:321-4. [PMID: 9810532] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/09/2023]
Abstract
BACKGROUND To study if the presence of the G/A polymorphism at the apo A-I gene promoter region could determine the lipid profile in patients with hyperlipidemia after heart transplantation, or if it is related with the type of heart disease that determined the transplantation. PATIENTS AND METHODS This study included 31 patients with hyperlipidemia after heart transplantation. Anthropometric parameters, basic analytic and lipid study were measured in these subjects. Identification of the G/A mutation in the promoter region of the apo A-I gene was performed. RESULTS 22 patients had the G/G genotype and 9 the G/A. 14 were transplanted by coronary heart disease and 17 by non ischemic heart disease. Patients with the A allele had higher cHDL (63 [SD 15] vs 53 [10]; p = 0.034) and apo A-I plasma levels (156 [34] vs 132 [24]; p = 0.040) than G/G subjects. The A allele was present in the 18% of the patients transplanted by ischemic heart disease and in the 43% of the transplanted by another etiology (p = 0.073). CONCLUSIONS The presence of the G/A genotype in the promoter region of the apo A-I gene determines higher plasma levels of cHDL in patients with hyperlipidemia after heart transplantation.
Collapse
Affiliation(s)
- A González Amieva
- Unidad de Lípidos y Arteriosclerosis, Hospital Universitario Reina Sofía, Córdoba
| | | | | | | | | | | | | | | |
Collapse
|
17
|
Zambrana García JL, López Miranda J, Anguita Sánchez M, Blanco Cerrada J, Vallés Belsúe F, Casares Mediavilla J, Muñoz Carvajal I, Jiménez Perepérez JA, Pérez Jiménez F. [A comparison of bezafibrate and lovastatin treatment at the usual doses in post-heart transplant hyperlipemia]. Rev Esp Cardiol 1996; 49:892-8. [PMID: 9026840] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
INTRODUCTION Coronary artery disease is a major limiting factor for long-term survival after heart transplantation. Hyperlipidemia is a probable risk factor for coronary artery disease in this kind of patient. Bezafibrate and lovastatin have proved to be effective in lowering total and low density lipoprotein cholesterol. The present study tested the safety and efficacy of both drugs on lipid levels in 21 patients with post-heart transplantation hyperlipidemia. PATIENTS AND METHODS Patients maintained the same diet for three months. Then, they were randomized to lovastatin (20 mg/day) or bezafibrate (400 mg/day) for 8 weeks, and then, crossovered to an additional 8 weeks of bezafibrate or lovastatin. RESULTS Both drugs were effective in lowering total and low density lipoprotein cholesterol and apoprotein B concentrations, but the effect of lovastatin was significantly greater. Only bezafibrate produced a significant reduction in total triglycerides and a significant rise in high density lipoprotein cholesterol and apoprotein AI. The total cholesterol/high density lipoprotein cholesterol and low density lipoprotein cholesterol/high density lipoprotein cholesterol ratios were decreased under both treatments. CONCLUSION Both drugs, bezafibrate and lovastatin appear to be safe, effective and well-tolerated therapies for hyperlipidemia in cardiac transplant recipients.
Collapse
Affiliation(s)
- J L Zambrana García
- Unidad de Lípidos y Arteriosclerosis, Hospital Universitario Reina Sofía, Córdoba
| | | | | | | | | | | | | | | | | |
Collapse
|
18
|
Zambrana Garćia JL, Torres Serrano F, Jansen Chaparro S, López Rubio F, Jiménez-Perepérez JA, Pérez Jiménez F. [Fever of unknown origin as initial manifestation of Castleman's disease: apropos of 2 cases]. An Med Interna 1996; 13:500-1. [PMID: 9019199] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
Castleman's disease is a rare lymphoproliferative disorder with a great range of clinical presentation and localization. It usually appears in young people and its etiology is unknown. Clinical features are not specific: fever, asthenia, hypochromic anemia and hypergammaglobulinemia. We report here two cases of Castleman's disease whose peculiarity lies in the fact that the first sign was fever of unknown origin. In both cases the use of a CT scan was very important for the diagnosis.
Collapse
|
19
|
Jansen S, Zambrana JL, López Miranda J, Blanco A, Blanco J, Jiménez Perepérez JA, Espino A, Pérez Jiménez F. [Possible relationship between overweightness and prevalence of hyperlipemia in the children of patients with heterozygote familial hypercholesterolemia and combined familial hyperlipemia]. Med Clin (Barc) 1995; 105:85-8. [PMID: 7603116] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
BACKGROUND Heterozygote familial hypercholesterolemia and combined familial hyperlipemia are associated to a greater risk of coronary disease. Combined familial hyperlipemia has classically been indicated to manifest after the second decade in life. The aim of this study was to establish whether a systematic search would demonstrate the existence of combined familial hyperlipemia earlier and analyze whether the antropometric parameters related with the overweightedness accompany the appearance of the lipid disorders of this disease found at an early age. PATIENTS AND METHODS Different lipid parameters were studied in 89 subjects under the age of 18 who were children of patients with heterozygote familial hypercholesterolemia and combined familial hyperlipemia. Likewise the weight, height and waist/hip quotient were evaluated. Hyperlipemia was considered as the presence of cholesterol/LDL and/or triglicerides greater than the 95 percentile for age and sex. RESULTS Hyperlipemia was observed in 51% and 40% of the children of patients with heterozygote familial hypercholesterolemia and combined familial hyperlipemia, respectively. The body mass index and the waist/hip quotient of the latter children significantly correlated with the cholesterol-HDL values and the LDL/HDL quotient. CONCLUSIONS The patients with known combined familial hyperlipemia have a high percentage of children with hyperlipemia during infancy. These data suggest a possible association between obesity in the appearance of hyperlipemia in the children of patients with combined familial hyperlipemia at this age.
Collapse
Affiliation(s)
- S Jansen
- Unidad de Lípidos, Hospital Reina Sofía, Córdoba
| | | | | | | | | | | | | | | |
Collapse
|
20
|
Pérez Jiménez F. [Prevention of arteriosclerosis and consumption of olive oil. Is there more to it than its effect on cholesterol?]. An Med Interna 1995; 12:105-6. [PMID: 7795114] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
|
21
|
Prada Pardal JL, López Miranda J, Torres Gómez A, Gómez García P, Blanco Cerrada J, Trujillo Santos J, Jansen Chaparro S, López Segura F, Pérez Jiménez F. [Effect of cyclosporine on plasma levels of uric acid in patients treated with bone marrow transplantation]. An Med Interna 1994; 11:533-6. [PMID: 7654900] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
In patients treated with cyclosporine, an increase in the incidence of goiter has been demonstrated. This agent produces changes in the lipidic metabolisms, among which the increase in VLDL stands put. Given that the hyperlipemia more frequently associated to hyperuricemia is the increase of such lipoprotein, we decided to study the behaviour of plasmatic uric acid in patients receiving treatment with cyclosporine. The study was conducted in patients with bone marrow transplant undergoing immunosuppressive therapy, considering the effect of cyclosporine as the only drug or following a scheme of mixed immunosuppression associated to prednisone. We observed a reversible increase in the plasmatic levels of uric acid in patients treated with cyclosporine, which was positively correlated to an increase in VLDL triglycerides. Hence, the cyclosporine produced an increase of uric acid which was neither observed when associated to prednisone nor in the group of self-transplanted patients.
Collapse
Affiliation(s)
- J L Prada Pardal
- Unidad de Lípidos y Arteriosclerosis, Hospital Universitario Reina Sofía, Córdoba
| | | | | | | | | | | | | | | | | |
Collapse
|
22
|
Fernández de la Puebla Giménez RA, Pérez Jiménez F, López Miranda J, Torre Cisneros J, Lechuga Varona T, Jiménez Perepérez J. [What do general practitioners think about risk factors in arteriosclerosis?]. Rev Clin Esp 1991; 189:283-5. [PMID: 1763214] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
At present the management of atherosclerosis is still based on the control of risk factors. The role of the general practitioner is very important in this setting and, therefore, we thought it would be useful to know the opinion on the subject of these physicians in our area. In order to find that out, we have polled by mail 286 physicians and have received an answer from 111. The largest number (91%) considered that the most frequent cause of death were cardiovascular diseases. In relation to coronary heart disease, hypercholesterolemia was considered to be the most important risk factor (65%), followed by arterial hypertension (14%). On the other hand arterial hypertension was considered to be the most important risk factor for cerebrovascular disease. There was agreement on low animal fat diet as the initial step in the management of the patient with hypercholesterolemia. Among the fats, olive oil is recommended more than other vegetable oils (64%). Fish was considered as an appropriate for these patients than blue fish, still persist. Seventy two per cent prescribe dietary treatment when total serum cholesterol levels are above 221 mg/dl. Eighty three per cent prescribe drug treatment when serum cholesterol levels are above 251 mg/dl. Fibrates are still the drugs mostly used with a low level of use of resins in our area.
Collapse
|
23
|
López Miranda J, Pérez Jiménez F, Fernández-Puebla Giménez R, Torre-Cisneros J, Hidalgo Rojas L, Jiménez Perepérez JA. [Level of knowledge among medical students about hypercholesterolemia]. Aten Primaria 1990; 7:641-6. [PMID: 2104119] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022] Open
Abstract
The general practitioner plays a fundamental role in the control of hypercholesterolemia as a risk factor of atherosclerosis; therefore, education about this issue should be an important part of the undergraduate curriculum. Thus, we carried out the present study to investigate whether the curriculum in our medical schools provides the necessary knowledge to the primary care physician to carry out this function. To this end, we distributed a questionnaire to 585 medical students of different years in the Córdoba School of Medicine. Most students have a clear idea of the importance of cardiovascular disease as a cause of death. The level of knowledge about basic pathogenetic aspects of plasma lipoproteins is considerable. The students are acquainted with the adequate dietary interventions for the management of the patient with hypercholesterolemia, and they learn the advantages of consuming blue fish and olive oil. However, the level of knowledge about drug therapy is disappointing. Finally, most of them declared to be in favour of a personal approach to the prevention of atherosclerosis with diet. We conclude that the overall level of knowledge and personal approach of the students of that particular School of Medicine permits an optimistic view in the field of prevention of coronary atherosclerosis.
Collapse
Affiliation(s)
- J López Miranda
- Departamento y Servicio de Medicina Interna, Hospital Regional y Universitario Reina Sofía, Facultad de Medicina, Córdoba
| | | | | | | | | | | |
Collapse
|
24
|
Ruiz Moral R, Torre-Cisneros J, Cosano A, López Pujol J, Muñoz R, Pérez Jiménez F. [Usefulness of determining 2 cell membrane enzymes in bronchial aspirate and lung tissue in patients with cancer of the lung]. Rev Clin Esp 1989; 185:291-4. [PMID: 2576147] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
The cell membrane enzymes, Alkaline Phosphatase and Gamma Glutamyl Transferase, have been studied in lung aspirates from healthy subjects and lung cancer patients. These enzymes were studied, in the latter, both in healthy and in neoplastic tissue. The enzymatic activity both in the lung aspirate and in the neoplastic tissue was significantly lower in poorly differentiated cancers when compared to well or moderately differentiated tumors. Similarly, analysis revealed that there was a statistically significant decrease in the activity of both enzymes in lung aspirates from patients with bronchogenic tumors when compared to healthy controls. The results obtained in this present work, together with the easiness of obtaining a lung aspirate suggest that these enzymes should be determined in order to obtain further information about the histological origin of lung cancer. These enzymatic changes could be explained with the "fatalism" theory for neoplastic tissue as we explain in this work.
Collapse
|
25
|
Hens M, Ruiz Moral R, Pérez Jiménez F. [Erythema nodosum: advantages of a study protocol]. Med Clin (Barc) 1987; 89:638-40. [PMID: 3431193] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
|
26
|
Nuño Alvarez E, Blanco Molina A, Calvo de Mora Redondo A, Jiménez Alonso J, Pérez Jiménez F. [Superiority of gammaglutamyl transferase in comparison with alkaline phosphatase in the enzymatic study of granulomatous hepatitis]. Rev Esp Enferm Apar Dig 1987; 72:37-9. [PMID: 2888165] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
|
27
|
Nuño Alvarez E, Benito López P, Pérez Jiménez F, Jiménez Perepérez JA. [Post-traumatic hypothalamic hypopituitarism: abnormal secretion of TSH due to lack of dopaminergic modulation]. Med Clin (Barc) 1985; 85:556-7. [PMID: 4079523] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
|
28
|
Jurado Cobo CM, Benito López P, Pérez Jiménez F, López Rubio F, Jiménez Perepérez JA. [Thyroid actinomycosis]. Med Clin (Barc) 1983; 80:93. [PMID: 6843217] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
|
29
|
Alcántara Torres M, Pérez Jiménez F, Larrauri J. [Intestinal lymphoma with malabsorption syndromes]. Rev Esp Enferm Apar Dig 1978; 52:593-604. [PMID: 653088] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
|
30
|
Segura JM, de Dios JF, Pérez Jiménez F, Muró J, Cano JM, de la Fuente P. [Comparative diagnostic value of arteriography, gammography, echotomography and laparoscopy in metastatic cancer of the liver]. Rev Clin Esp 1975; 138:529-36. [PMID: 128073] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
|
31
|
Segura JM, Jiménez FP, Cano JM, De Dios JF, Muro J. [Acute pancreatitis in the aged. Review of 35 cases]. Rev Esp Enferm Apar Dig 1975; 45:399-408. [PMID: 1135492] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
|
32
|
Hita Pérez J, Muro J, De Dios Vega J, Pérez Jiménez F, Miño Fugarolas G. [Intrahepatic pressure: its study in 40 patients]. Rev Esp Enferm Apar Dig 1974; 43:177-82. [PMID: 4840486] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
|
33
|
Pérez Jiménez F, Muro J, Hitos E. [Abnormal communication between the digestive and biliary tracts (biliodigestive fistula and incompetence of Oddi's sphincter)]. Rev Esp Enferm Apar Dig 1973; 39:119-42. [PMID: 4690379] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
|