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Cortés M, Lorenzo O, Lumpuy-Castillo J, Martínez-Albaladejo S, Taibo-Urquía M, Pello AM, Bollas AJ, Orejas M, Navas MÁ, Macia E, Martínez ME, Rueda A, Tuñón J. Dapagliflozin Improved Cardiac Function and Structure in Diabetic Patients with Preserved Ejection Fraction: Results of a Single Centre, Observational Prospective Study. J Clin Med 2023; 12:6698. [PMID: 37892836 PMCID: PMC10607224 DOI: 10.3390/jcm12206698] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2023] [Revised: 10/10/2023] [Accepted: 10/20/2023] [Indexed: 10/29/2023] Open
Abstract
Sodium-glucose cotransporter inhibitors (SGLT2i) have demonstrated a reduction in cardiovascular events in diabetes and heart failure (HF). The mechanisms underlying this benefit are not well known and data are contradictory. The purpose of this study is to analyse the effect of dapagliflozin on cardiac structure and function in patients with normal ejection fraction. Between October 2020 and October 2021, we consecutively included 31 diabetic patients without prior history of SGLT2i use. In all of them, dapagliflozin treatment was started. At inclusion and during six months of follow-up, different clinical, ECG, analytical, and echocardiographic (standard, 3D, and speckle tracking) variables were recorded. After a follow-up period of 6.6 months, an average reduction of 18 g (p = 0.028) in 3D-estimated left ventricle mass was observed. An increase in absolute left ventricle global longitudinal strain (LV-GLS) of 0.3 (p = 0.036) was observed, as well as an increase in isovolumetric relaxation time (IVRT) of 10.5 ms (p = 0.05). Moreover, dapagliflozin decreased the levels of plasma creatin-kinase (CK-MB) and atrial natriuretic peptide (ANP). In conclusion, our data show that the use of SGLT2i is associated with both structural (myocardial mass) and functional (IVRT, LV-GLS) cardiac improvements in a population of diabetic patients with normal ejection fraction.
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Affiliation(s)
- Marcelino Cortés
- Cardiology Department, Fundación Jiménez Díaz Hospital, 28040 Madrid, Spain; (M.T.-U.); (A.M.P.); (A.J.B.); (M.O.); (M.Á.N.); (E.M.); (M.E.M.); (A.R.); (J.T.)
| | - Oscar Lorenzo
- Laboratory of Diabetes and Vascular Pathology, IIS-Fundación Jiménez Díaz, Universidad Autónoma, 28040 Madrid, Spain; (O.L.); (J.L.-C.); (S.M.-A.)
- Biomedical Research Network on Diabetes and Associated Metabolic Disorders (CIBERDEM), Carlos III National Health Institute, 28029 Madrid, Spain
| | - Jairo Lumpuy-Castillo
- Laboratory of Diabetes and Vascular Pathology, IIS-Fundación Jiménez Díaz, Universidad Autónoma, 28040 Madrid, Spain; (O.L.); (J.L.-C.); (S.M.-A.)
- Biomedical Research Network on Diabetes and Associated Metabolic Disorders (CIBERDEM), Carlos III National Health Institute, 28029 Madrid, Spain
| | - Sacramento Martínez-Albaladejo
- Laboratory of Diabetes and Vascular Pathology, IIS-Fundación Jiménez Díaz, Universidad Autónoma, 28040 Madrid, Spain; (O.L.); (J.L.-C.); (S.M.-A.)
- Biomedical Research Network on Diabetes and Associated Metabolic Disorders (CIBERDEM), Carlos III National Health Institute, 28029 Madrid, Spain
| | - Mikel Taibo-Urquía
- Cardiology Department, Fundación Jiménez Díaz Hospital, 28040 Madrid, Spain; (M.T.-U.); (A.M.P.); (A.J.B.); (M.O.); (M.Á.N.); (E.M.); (M.E.M.); (A.R.); (J.T.)
| | - Ana María Pello
- Cardiology Department, Fundación Jiménez Díaz Hospital, 28040 Madrid, Spain; (M.T.-U.); (A.M.P.); (A.J.B.); (M.O.); (M.Á.N.); (E.M.); (M.E.M.); (A.R.); (J.T.)
| | - Antonio José Bollas
- Cardiology Department, Fundación Jiménez Díaz Hospital, 28040 Madrid, Spain; (M.T.-U.); (A.M.P.); (A.J.B.); (M.O.); (M.Á.N.); (E.M.); (M.E.M.); (A.R.); (J.T.)
| | - Miguel Orejas
- Cardiology Department, Fundación Jiménez Díaz Hospital, 28040 Madrid, Spain; (M.T.-U.); (A.M.P.); (A.J.B.); (M.O.); (M.Á.N.); (E.M.); (M.E.M.); (A.R.); (J.T.)
| | - Miguel Ángel Navas
- Cardiology Department, Fundación Jiménez Díaz Hospital, 28040 Madrid, Spain; (M.T.-U.); (A.M.P.); (A.J.B.); (M.O.); (M.Á.N.); (E.M.); (M.E.M.); (A.R.); (J.T.)
| | - Ester Macia
- Cardiology Department, Fundación Jiménez Díaz Hospital, 28040 Madrid, Spain; (M.T.-U.); (A.M.P.); (A.J.B.); (M.O.); (M.Á.N.); (E.M.); (M.E.M.); (A.R.); (J.T.)
| | - María Esther Martínez
- Cardiology Department, Fundación Jiménez Díaz Hospital, 28040 Madrid, Spain; (M.T.-U.); (A.M.P.); (A.J.B.); (M.O.); (M.Á.N.); (E.M.); (M.E.M.); (A.R.); (J.T.)
| | - Andrea Rueda
- Cardiology Department, Fundación Jiménez Díaz Hospital, 28040 Madrid, Spain; (M.T.-U.); (A.M.P.); (A.J.B.); (M.O.); (M.Á.N.); (E.M.); (M.E.M.); (A.R.); (J.T.)
| | - Jose Tuñón
- Cardiology Department, Fundación Jiménez Díaz Hospital, 28040 Madrid, Spain; (M.T.-U.); (A.M.P.); (A.J.B.); (M.O.); (M.Á.N.); (E.M.); (M.E.M.); (A.R.); (J.T.)
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Jiménez-Castilla L, Opazo-Ríos L, Marin-Royo G, Orejudo M, Rodrigues-Diez R, Ballesteros-Martínez C, Soto-Catalán M, Caro-Ordieres T, Artaiz I, Suarez-Cortés T, Zazpe A, Hernández G, Cortés M, Tuñón J, Briones AM, Egido J, Gómez-Guerrero C. The Synthetic Flavonoid Hidrosmin Improves Endothelial Dysfunction and Atherosclerotic Lesions in Diabetic Mice. Antioxidants (Basel) 2022; 11:antiox11122499. [PMID: 36552707 PMCID: PMC9774734 DOI: 10.3390/antiox11122499] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2022] [Revised: 12/13/2022] [Accepted: 12/14/2022] [Indexed: 12/23/2022] Open
Abstract
In diabetes, chronic hyperglycemia, dyslipidemia, inflammation and oxidative stress contribute to the progression of macro/microvascular complications. Recently, benefits of the use of flavonoids in these conditions have been established. This study investigates, in two different mouse models of diabetes, the vasculoprotective effects of the synthetic flavonoid hidrosmin on endothelial dysfunction and atherogenesis. In a type 2 diabetes model of leptin-receptor-deficient (db/db) mice, orally administered hidrosmin (600 mg/kg/day) for 16 weeks markedly improved vascular function in aorta and mesenteric arteries without affecting vascular structural properties, as assessed by wire and pressure myography. In streptozotocin-induced type 1 diabetic apolipoprotein E-deficient mice, hidrosmin treatment for 7 weeks reduced atherosclerotic plaque size and lipid content; increased markers of plaque stability; and decreased markers of inflammation, senescence and oxidative stress in aorta. Hidrosmin showed cardiovascular safety, as neither functional nor structural abnormalities were noted in diabetic hearts. Ex vivo, hidrosmin induced vascular relaxation that was blocked by nitric oxide synthase (NOS) inhibition. In vitro, hidrosmin stimulated endothelial NOS activity and NO production and downregulated hyperglycemia-induced inflammatory and oxidant genes in vascular smooth muscle cells. Our results highlight hidrosmin as a potential add-on therapy in the treatment of macrovascular complications of diabetes.
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Affiliation(s)
- Luna Jiménez-Castilla
- Renal, Vascular and Diabetes Research Laboratory, IIS-Fundación Jiménez Díaz, Universidad Autónoma de Madrid, 28040 Madrid, Spain
- Spanish Biomedical Research Centre in Diabetes and Associated Metabolic Disorders (CIBERDEM), 28029 Madrid, Spain
| | - Lucas Opazo-Ríos
- Renal, Vascular and Diabetes Research Laboratory, IIS-Fundación Jiménez Díaz, Universidad Autónoma de Madrid, 28040 Madrid, Spain
- Facultad de Ciencias de la Salud, Universidad de Las Américas, Concepción-Talcahuano 4301099, Chile
- Correspondence: (L.O.-R.); (R.R.-D.); (C.G.-G.); Tel.: +56-920463280 (L.O.-R.); +34-686826139 (R.R.-D.); +34-915504800 (ext. 3126) (C.G.-G.)
| | - Gema Marin-Royo
- Renal, Vascular and Diabetes Research Laboratory, IIS-Fundación Jiménez Díaz, Universidad Autónoma de Madrid, 28040 Madrid, Spain
| | - Macarena Orejudo
- Renal, Vascular and Diabetes Research Laboratory, IIS-Fundación Jiménez Díaz, Universidad Autónoma de Madrid, 28040 Madrid, Spain
| | - Raquel Rodrigues-Diez
- Departamento de Farmacología, Universidad Autónoma de Madrid, Instituto de Investigación Hospital La Paz, 28029 Madrid, Spain
- Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV), 28029 Madrid, Spain
- Department of Physiology, School of Medicine, Universidad Complutense de Madrid, 28040 Madrid, Spain
- Correspondence: (L.O.-R.); (R.R.-D.); (C.G.-G.); Tel.: +56-920463280 (L.O.-R.); +34-686826139 (R.R.-D.); +34-915504800 (ext. 3126) (C.G.-G.)
| | - Constanza Ballesteros-Martínez
- Departamento de Farmacología, Universidad Autónoma de Madrid, Instituto de Investigación Hospital La Paz, 28029 Madrid, Spain
| | - Manuel Soto-Catalán
- Renal, Vascular and Diabetes Research Laboratory, IIS-Fundación Jiménez Díaz, Universidad Autónoma de Madrid, 28040 Madrid, Spain
| | - Teresa Caro-Ordieres
- Department of Research, Development, and Innovation, FAES Farma, 48940 Bilbao, Spain
| | - Inés Artaiz
- Department of Research, Development, and Innovation, FAES Farma, 48940 Bilbao, Spain
| | - Tatiana Suarez-Cortés
- Department of Research, Development, and Innovation, FAES Farma, 48940 Bilbao, Spain
| | - Arturo Zazpe
- Department of Research, Development, and Innovation, FAES Farma, 48940 Bilbao, Spain
| | - Gonzalo Hernández
- Department of Research, Development, and Innovation, FAES Farma, 48940 Bilbao, Spain
| | - Marcelino Cortés
- Department of Cardiology, IIS-Fundación Jiménez Díaz, 28040 Madrid, Spain
| | - José Tuñón
- Department of Cardiology, IIS-Fundación Jiménez Díaz, 28040 Madrid, Spain
| | - Ana M. Briones
- Departamento de Farmacología, Universidad Autónoma de Madrid, Instituto de Investigación Hospital La Paz, 28029 Madrid, Spain
- Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV), 28029 Madrid, Spain
| | - Jesús Egido
- Renal, Vascular and Diabetes Research Laboratory, IIS-Fundación Jiménez Díaz, Universidad Autónoma de Madrid, 28040 Madrid, Spain
- Spanish Biomedical Research Centre in Diabetes and Associated Metabolic Disorders (CIBERDEM), 28029 Madrid, Spain
| | - Carmen Gómez-Guerrero
- Renal, Vascular and Diabetes Research Laboratory, IIS-Fundación Jiménez Díaz, Universidad Autónoma de Madrid, 28040 Madrid, Spain
- Spanish Biomedical Research Centre in Diabetes and Associated Metabolic Disorders (CIBERDEM), 28029 Madrid, Spain
- Correspondence: (L.O.-R.); (R.R.-D.); (C.G.-G.); Tel.: +56-920463280 (L.O.-R.); +34-686826139 (R.R.-D.); +34-915504800 (ext. 3126) (C.G.-G.)
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Cristobal I, Cuerva M, Rol M, Cortés M, De La Calle M, Bartha J. Influence of introducing a maneuverable vacuum extractor cup on maternal hospital stay after instrumental birth. Retrospective cohort study. Clínica e Investigación en Ginecología y Obstetricia 2022. [DOI: 10.1016/j.gine.2022.100785] [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: 10/17/2022]
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Garutti I, Cabañero A, Vicente R, Sánchez D, Granell M, Fraile CA, Real Navacerrada M, Novoa N, Sanchez-Pedrosa G, Congregado M, Gómez A, Miñana E, Piñeiro P, Cruz P, de la Gala F, Quero F, Huerta LJ, Rodríguez M, Jiménez E, Puente-Maestu L, Aragon S, Osorio-Salazar E, Sitges M, Lopez Maldonado MD, Rios FT, Morales JE, Callejas R, Gonzalez-Bardancas S, Botella S, Cortés M, Yepes MJ, Iranzo R, Sayas J. Recommendations of the Society of Thoracic Surgery and the Section of Cardiothoracic and Vascular Surgery of the Spanish Society of Anesthesia, Resuscitation and Pain Therapy, for patients undergoing lung surgery included in an intensified recovery program. Rev Esp Anestesiol Reanim (Engl Ed) 2022; 69:208-241. [PMID: 35585017 DOI: 10.1016/j.redare.2021.02.011] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/08/2020] [Accepted: 02/04/2021] [Indexed: 06/15/2023]
Abstract
In recent years, multidisciplinary programs have been implemented that include different actions during the pre, intra and postoperative period, aimed at reducing perioperative stress and therefore improving the results of patients undergoing surgical interventions. Initially, these programs were developed for colorectal surgery and from there they have been extended to other surgeries. Thoracic surgery, considered highly complex, like other surgeries with a high postoperative morbidity and mortality rate, may be one of the specialties that most benefit from the implementation of these programs. This review presents the recommendations made by different specialties involved in the perioperative care of patients who require resection of a lung tumor. Meta-analyzes, systematic reviews, randomized and non-randomized controlled studies, and retrospective studies conducted in patients undergoing this type of intervention have been taken into account in preparing the recommendations presented in this guide. The GRADE scale has been used to classify the recommendations, assessing on the one hand the level of evidence published on each specific aspect and, on the other hand, the strength of the recommendation with which the authors propose its application. The recommendations considered most important for this type of surgery are those that refer to pre-habilitation, minimization of surgical aggression, excellence in the management of perioperative pain and postoperative care aimed at providing rapid postoperative rehabilitation.
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Affiliation(s)
- I Garutti
- Servicio Anestesia y Reanimación, Hospital General Universitario Gregorio Marañón, Madrid, Spain; Departamento de Farmacología y Toxicología, Facultad de Medicina, Universidad Complutense de Madrid, Madrid, Spain.
| | - A Cabañero
- Servicio de Cirugía Torácica, Hospital Universitario Ramón y Cajal, Madrid, Spain
| | - R Vicente
- Servicio de Anestesia y Reanimación, Hospital La Fe, Valencia, Spain
| | - D Sánchez
- Servicio de Cirugía Torácica, Hospital Clínic, Barcelona, Spain
| | - M Granell
- Servicio de Anestesia y Reanimación, Hospital General, Valencia, Spain
| | - C A Fraile
- Servicio de Cirugía Torácica, Hospital Universitari Arnau de Vilanova, Lleida, Spain
| | - M Real Navacerrada
- Servicio de Anestesia y Reanimación, Hospital Universitario 12 de Octubre, Madrid, Spain
| | - N Novoa
- Servicio de Cirugía Torácica, Complejo Asistencial Universitario de Salamanca (CAUS), Instituto de Investigación Biomédica de Salamanca (IBSAL), Salamanca, Spain
| | - G Sanchez-Pedrosa
- Servicio Anestesia y Reanimación, Hospital General Universitario Gregorio Marañón, Madrid, Spain
| | - M Congregado
- Servicio de Cirugía Torácica, Hospital Virgen de la Macarena, Sevilla, Spain
| | - A Gómez
- Unitat de Rehabilitació Cardiorespiratòria, Hospital Universitari Vall d'Hebron, Barcelona, Spain
| | - E Miñana
- Servicio de Anestesia y Reanimación, Hospital de la Ribera, Alzira, Valencia, Spain
| | - P Piñeiro
- Servicio Anestesia y Reanimación, Hospital General Universitario Gregorio Marañón, Madrid, Spain
| | - P Cruz
- Servicio Anestesia y Reanimación, Hospital General Universitario Gregorio Marañón, Madrid, Spain
| | - F de la Gala
- Servicio Anestesia y Reanimación, Hospital General Universitario Gregorio Marañón, Madrid, Spain
| | - F Quero
- Servicio de Cirugía Torácica, Hospital Universitario Virgen de las Nieves, Granada, Spain
| | - L J Huerta
- Servicio de Cirugía Torácica, Hospital General Universitario Gregorio Marañón, Madrid, Spain
| | - M Rodríguez
- Servicio de Cirugía Torácica, Clínica Universidad de Navarra, Madrid, Spain
| | - E Jiménez
- Fisioterapia Respiratoria, Hospital Universitario A Coruña, La Coruña, Spain
| | - L Puente-Maestu
- Servicio de Neumología, Hospital General Universitario Gregorio Marañón, Facultad de Medicina, Universidad Complutense de Madrid, Madrid, Spain
| | - S Aragon
- Servicio de Anestesia, Reanimación y Tratamiento del Dolor, Hospital Clínico Universitario, Valencia, Spain
| | - E Osorio-Salazar
- Servicio de Anestesia y Reanimación, Hospital Universitari Arnau de Vilanova, Lleida, Spain
| | - M Sitges
- Bloc Quirúrgic i Esterilització, Hospital del Mar, Parc de Salut Mar, Barcelona, Spain
| | | | - F T Rios
- Servicio de Anestesia y Reanimación, Hospital La Fe, Valencia, Spain
| | - J E Morales
- Servicio de Anestesia y Reanimación, Hospital General, Valencia, Spain
| | - R Callejas
- Servicio de Anestesia, Reanimación y Tratamiento del Dolor, Hospital Clínico Universitario, Valencia, Spain
| | - S Gonzalez-Bardancas
- Servicio de Anestesia y Reanimación, Complejo Hospitalario Universitario A Coruña, La Coruña, Spain
| | - S Botella
- Servicio de Anestesia y Reanimación, Hospital La Fe, Valencia, Spain
| | - M Cortés
- Servicio de Anestesia y Reanimación, Hospital Universitario 12 de Octubre, Madrid, Spain
| | - M J Yepes
- Servicio de Anestesia y Reanimación, Clínica Universidad de Navarra, Navarra, Pamplona, Spain
| | - R Iranzo
- Servicio de Anestesia y Reanimación, Hospital Universitario Puerta de Hierro, Majadahonda, Madrid, Spain
| | - J Sayas
- Servicio de Neumología, Hospital General Universitario Gregorio Marañón, Facultad de Medicina, Universidad Complutense de Madrid, Madrid, Spain
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Triguero A, Xicoy B, Zamora L, Jiménez MJ, García O, Calabuig M, Díaz-Beyá M, Arzuaga J, Ramos F, Medina A, Bernal T, Talarn C, Coll R, Collado R, Chen TH, Borrás J, Brunet S, Marchante I, Marco V, López F, Calbacho M, Simiele A, Cortés M, Cedena MT, Pedreño M, Aguilar C, Pedró C, Fernández M, Stoica C, Ribera JM, Sanz G. RESPONSE TO AZACITIDINE IN PATIENTS WITH CHRONIC MYELOMONOCYTIC LEUKEMIA ACCORDING TO OVERLAP MYELODYSPLASTIC/MYELOPROLIFERATIVE NEOPLASMS CRITERIA. Leuk Res 2022; 116:106836. [DOI: 10.1016/j.leukres.2022.106836] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2021] [Revised: 03/23/2022] [Accepted: 03/24/2022] [Indexed: 10/18/2022]
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García‐Sancho AM, Izuzquiza M, Bastos‐Oreiro M, Baile M, Nistal S, Cortés M, Jiménez‐Ubieto A, Búa BR, Guillén‐García H, Cannata‐Ortiz J, Novelli S, Gómez‐Roncero MI, Peñalver FJ, Barca EMG, Infante M, Peñarrubia MJ, Franch M, Alonso‐Prieto C, Zeberio I, Sánchez‐González B, Muntañola A, Hernández‐Mohedo F, Martín‐Martitegui X, Arguiñano JM, Campo RD, Escoda L, Roldán‐Pérez A, Ramírez‐Payer Á, Luzardo H, Lorente S, Solé‐Rodríguez M, Abrisqueta P, Sancho JM. OUTCOMES OF PATIENTS WITH LYMPHOMA AND COVID‐19: AN OBSERVATIONAL COHORT STUDY FROM GELTAMO SPANISH GROUP. Hematol Oncol 2021. [PMCID: PMC8426711 DOI: 10.1002/hon.200_2880] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
| | - M. Izuzquiza
- Hospital Vall d’Hebron Hematology Department Barcelona Spain
| | | | - M. Baile
- Hospital Universitario de Salamanca and IBSAL Hematology Department Salamanca Spain
| | - S. Nistal
- Hospital Universitario HLA Moncloa Hematology Department Madrid Spain
| | - M. Cortés
- Hospital Universitario de Salamanca and IBSAL Hematology Department Salamanca Spain
| | | | - B. Rey Búa
- Hospital Universitario de Salamanca and IBSAL Hematology Department Salamanca Spain
| | - H. Guillén‐García
- Hospital Universitario de Guadalajara Hematology Department Guadalajara Spain
| | - J. Cannata‐Ortiz
- Hospital Universitario La Princesa Hematology Department Madrid Spain
| | - S. Novelli
- Hospital de la Santa Creu i Sant Pau Hematology Department Barcelona Spain
| | | | - F. J. Peñalver
- Hospital Universitario Fundación Alcorcón Hematology Department Alcorcón Madrid Spain
| | - E. M. González Barca
- Institut Català d’Oncologia Hospital Duran i Reynals IDIBELL Univertitat de Barcelona Hematology Department Barcelona Spain
| | - M. Infante
- Hospital Infanta Leonor Hematology Department Madrid Spain
| | - M. Jesús Peñarrubia
- Hospital Clínico Universitario de Valladolid Hematology Department Valladolid Spain
| | - M. Franch
- Hospital Germans Trias i Pujol Hematology Department Barcelona Spain
| | | | - I. Zeberio
- Hospital Universitario de Donostia Hematology Department Donostia‐San Sebastian Spain
| | | | - A. Muntañola
- Hospital Universitario Mutua Terrassa Hematology Department Terrassa, Barcelona Spain
| | | | | | | | - R. del Campo
- Hospital Son Llàtzer Hematology Department Palma de Mallorca Spain
| | - L. Escoda
- Institut Català d’Oncologia Hospital Joan XXIII Hematology Department Tarragona Spain
| | - A. Roldán‐Pérez
- Hospital Infanta Sofía San Sebastián de los Reyes Hematology Department Madrid Spain
| | | | - H. Luzardo
- Hospital Doctor Negrín Hematology Department Las Palmas de Gran Canaria Spain
| | - S. Lorente
- Hospital Vithas Xanit Internacional Benalmádena Hematology Department Málaga Spain
| | | | - P. Abrisqueta
- Hospital Vall d’Hebron Hematology Department Barcelona Spain
| | - J. M. Sancho
- Hospital Germans Trias i Pujol Hematology Department Barcelona Spain
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7
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Garutti I, Cabañero A, Vicente R, Sánchez D, Granell M, Fraile CA, Real Navacerrada M, Novoa N, Sanchez-Pedrosa G, Congregado M, Gómez A, Miñana E, Piñeiro P, Cruz P, de la Gala F, Quero F, Huerta LJ, Rodríguez M, Jiménez E, Puente-Maestu L, Aragon S, Osorio-Salazar E, Sitges M, Lopez Maldonado MD, Rios FT, Morales JE, Callejas R, Gonzalez-Bardancas S, Botella S, Cortés M, Yepes MJ, Iranzo R, Sayas J. Recommendations of the Society of Thoracic Surgery and the Section of Cardiothoracic and Vascular Surgery of the Spanish Society of Anesthesia, Resuscitation and Pain Therapy, for patients undergoing lung surgery included in an intensified recovery program. Rev Esp Anestesiol Reanim (Engl Ed) 2021; 69:S0034-9356(21)00102-X. [PMID: 34294445 DOI: 10.1016/j.redar.2021.02.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/08/2020] [Revised: 01/28/2021] [Accepted: 02/04/2021] [Indexed: 11/24/2022]
Abstract
In recent years, multidisciplinary programs have been implemented that include different actions during the pre, intra and postoperative period, aimed at reducing perioperative stress and therefore improving the results of patients undergoing surgical interventions. Initially, these programs were developed for colorectal surgery and from there they have been extended to other surgeries. Thoracic surgery, considered highly complex, like other surgeries with a high postoperative morbidity and mortality rate, may be one of the specialties that most benefit from the implementation of these programs. This review presents the recommendations made by different specialties involved in the perioperative care of patients who require resection of a lung tumor. Meta-analyses, systematic reviews, randomized and non-randomized controlled studies, and retrospective studies conducted in patients undergoing this type of intervention have been taken into account in preparing the recommendations presented in this guide. The GRADE scale has been used to classify the recommendations, assessing on the one hand the level of evidence published on each specific aspect and, on the other hand, the strength of the recommendation with which the authors propose its application. The recommendations considered most important for this type of surgery are those that refer to pre-habilitation, minimization of surgical aggression, excellence in the management of perioperative pain and postoperative care aimed at providing rapid postoperative rehabilitation.
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Affiliation(s)
- I Garutti
- Servicio de Anestesia y Reanimación, Hospital General Universitario Gregorio Marañón, Madrid, España; Departamento de Farmacología y Toxicología, Facultad de Medicina, Universidad Complutense de Madrid, Madrid, España.
| | - A Cabañero
- Servicio de Cirugía Torácica, Hospital Universitario Ramón y Cajal, Madrid, España
| | - R Vicente
- Servicio de Anestesia y Reanimación, Hospital La Fe, Valencia, España
| | - D Sánchez
- Servicio de Cirugía Torácica, Hospital Clínic, Barcelona, España
| | - M Granell
- Servicio de Anestesia y Reanimación, Hospital General, Valencia, España
| | - C A Fraile
- Servicio de Cirugía Torácica, Hospital Universitari Arnau de Vilanova, Lleida, España
| | - M Real Navacerrada
- Servicio de Anestesia y Reanimación, Hospital Universitario 12 de Octubre, Madrid, España
| | - N Novoa
- Servicio de Cirugía Torácica, Complejo Asistencial Universitario de Salamanca (CAUS), Instituto de Investigación Biomédica de Salamanca (IBSAL), Salamanca, España
| | - G Sanchez-Pedrosa
- Servicio de Anestesia y Reanimación, Hospital General Universitario Gregorio Marañón, Madrid, España
| | - M Congregado
- Servicio de Cirugía Torácica, Hospital Virgen de la Macarena, Sevilla, España
| | - A Gómez
- Unitat de Rehabilitació Cardiorespiratòria, Hospital Universitari Vall d'Hebron, Barcelona, España
| | - E Miñana
- Servicio de Anestesia y Reanimación, Hospital de La Ribera, Alzira, Valencia, España
| | - P Piñeiro
- Servicio de Anestesia y Reanimación, Hospital General Universitario Gregorio Marañón, Madrid, España
| | - P Cruz
- Servicio de Anestesia y Reanimación, Hospital General Universitario Gregorio Marañón, Madrid, España
| | - F de la Gala
- Servicio de Anestesia y Reanimación, Hospital General Universitario Gregorio Marañón, Madrid, España
| | - F Quero
- Servicio de Cirugía Torácica, Hospital Universitario Virgen de las Nieves, Granada, España
| | - L J Huerta
- Servicio de Cirugía Torácica, Hospital General Universitario Gregorio Marañón, Madrid, España
| | - M Rodríguez
- Servicio de Cirugía Torácica, Clínica Universidad de Navarra, Madrid, España
| | - E Jiménez
- Fisioterapia Respiratoria, Hospital Universitario de A Coruña, La Coruña, España
| | - L Puente-Maestu
- Servicio de Neumología, Hospital General Universitario Gregorio Marañón, Facultad de Medicina, Universidad Complutense de Madrid, Madrid, España
| | - S Aragon
- Servicio de Anestesia, Reanimación y Tratamiento del Dolor, Hospital Clínico Universitario, Valencia, España
| | - E Osorio-Salazar
- Servicio de Anestesia y Reanimación, Hospital Universitari Arnau de Vilanova, Lleida, España
| | - M Sitges
- Bloc Quirúrgic i Esterilització, Hospital del Mar, Parc de Salut Mar, Barcelona, España
| | | | - F T Rios
- Servicio de Anestesia y Reanimación, Hospital La Fe, Valencia, España
| | - J E Morales
- Servicio de Anestesia y Reanimación, Hospital General, Valencia, España
| | - R Callejas
- Servicio de Anestesia, Reanimación y Tratamiento del Dolor, Hospital Clínico Universitario, Valencia, España
| | - S Gonzalez-Bardancas
- Servicio de Anestesia y Reanimación, Complejo Hospitalario Universitario A Coruña, La Coruña, España
| | - S Botella
- Servicio de Anestesia y Reanimación, Hospital La Fe, Valencia, España
| | - M Cortés
- Servicio de Anestesia y Reanimación, Hospital Universitario 12 de Octubre, Madrid, España
| | - M J Yepes
- Servicio de Anestesia y Reanimación, Clínica Universidad de Navarra, Navarra, Pamplona, España
| | - R Iranzo
- Servicio de Anestesia y Reanimación, Hospital Universitario Puerta de Hierro, Majadahonda, Madrid, España
| | - J Sayas
- Servicio de Neumología, Hospital General Universitario Gregorio Marañón, Facultad de Medicina, Universidad Complutense de Madrid, Madrid, España
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Huguet I, Muñoz M, Cortés M, Romero M, Varsavsky M, Gómez J. Protocolo de diagnóstico y manejo de hipocalcemia en postoperatorio de tiroides. Rev Osteoporos Metab Miner 2020. [DOI: 10.4321/s1889-836x2020000200006] [Citation(s) in RCA: 1] [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] [Indexed: 11/11/2022] Open
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9
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Martínez-Milla J, Maestre Bastardo ÁJ, Cortés M. Seventy-six-year-old man with progressive dyspnoea. Heart 2018; 105:74-88. [PMID: 30282641 DOI: 10.1136/heartjnl-2018-313779] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/28/2018] [Revised: 07/12/2018] [Accepted: 07/26/2018] [Indexed: 11/04/2022] Open
Abstract
CLINICAL INTRODUCTION A 76-year-old man with 50 years of smoking history was diagnosed in 2012 with diffuse interstitial lung disease, with radiological data of usual interstitial pneumonia. He came to the emergency room presenting with progression of dyspnoea for 1 week, concomitant with loss of 5 kg of weight, anorexia and poor general condition. He had tachypnoea at rest (30 breaths/min), peripheral cyanosis, speech interfered by cough and breathlessness, baseline oxygen saturation 90%, heart rate 40 beats/min and blood pressure 130/70 mm Hg. Chest X-ray was performed and there was basal atelectasia of the right lung. ECG and urgent echocardiogram (transthoracic echocardiogram, TTE) were also performed (figure 1). QUESTION Which of the following best explains the patient's situation?heartjnl;105/1/74/F1F1F1Figure 1(A) ECG. (B) Long-axis parasternal view from the transthoracic echocardiogram (TTE). (C) Four-chamber view from the TTE.Acute pulmonary embolismNon-ST elevation myocardial infarctionCardiac lymphomaCardiac myxomaMobitz type II AV block.
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Affiliation(s)
- Juan Martínez-Milla
- Department of Cardiology, University Hospital Fundación Jiménez Díaz, Madrid, Spain
| | | | - Marcelino Cortés
- Department of Cardiology, University Hospital Fundación Jiménez Díaz, Madrid, Spain
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10
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Cortés M, Palfy JA, Lopez M, Martínez J, Rivero AL, Devesa A, Franco-Peláez JA, Briongos S, Taibo-Urquia M, Benezet J, Rubio JM. Comparison of pharmacological treatment alone vs. treatment combined with implantable cardioverter defibrillator therapy in patients older than 75 years. ESC Heart Fail 2018; 5:884-891. [PMID: 29936703 PMCID: PMC6165960 DOI: 10.1002/ehf2.12310] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2018] [Accepted: 05/06/2018] [Indexed: 12/21/2022] Open
Abstract
Aims Implantable cardioverter defibrillator (ICD) reduces mortality in selected patients. However, its role in patients older than 75 years is not well established. Methods and results We performed a retrospective, non‐randomized study using a historical cohort from a single centre. Between January 2008 and July 2014, we assessed patients aged ≥75 years with left ventricular ejection fraction ≤ 35%, identifying 385 patients with a Class I or IIa recommendation for ICD implantation. At the decision of the patient or attending cardiologists, 92 patients received an ICD. To avoid potential confounding factors, we used propensity‐score matching. Finally, 126 patients were included (63 with ICD). The mean age was 79.1 ± 3.1 years (86.5% male). As compared with the medical therapy group, the ICD patients had a lower percentage of chronic obstructive pulmonary disease (19.0% vs. 38.1%, P < 0.05) and more frequent use of beta‐blockers (BBs) (85.7 vs. 70.0%, P < 0.05). Other treatments were otherwise similar in both groups. There were no differences related to age, aetiology, or other co‐morbidities. During follow‐up (39.2 ± 22.4 months), total mortality was 46.0% and cardiovascular events (death or hospitalization) occurred in 66.7% of the patients. A multivariate analysis revealed that only BB therapy was shown to be an independent protective variable with respect to mortality [hazard ratio 0.4 (0.2–0.7)]. ICD therapy did not reduce overall mortality or the rate of cardiovascular events. Conclusions According to our results, the use of ICD, as compared with medical therapy, in patients older than 75 years did not demonstrate any benefit. Well‐designed randomized controlled studies in patients older than 75 years are needed to ascertain the value of ICD therapy.
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Affiliation(s)
- Marcelino Cortés
- Department of Cardiology, Hospital Universitario Fundación Jiménez Díaz-quirónsalud, Universidad Autónoma de Madrid, Avenida Reyes Católicos 2, Madrid, 28040, Spain
| | - Julia Anna Palfy
- Department of Cardiology, Hospital Alvarez Buylla, Mieres, Asturias, Spain
| | - Marta Lopez
- Department of Cardiology, Hospital Universitario Fundación Jiménez Díaz-quirónsalud, Universidad Autónoma de Madrid, Avenida Reyes Católicos 2, Madrid, 28040, Spain
| | - Juan Martínez
- Department of Cardiology, Hospital Universitario Fundación Jiménez Díaz-quirónsalud, Universidad Autónoma de Madrid, Avenida Reyes Católicos 2, Madrid, 28040, Spain
| | - Ana Lucia Rivero
- Department of Cardiology, Hospital Universitario Fundación Jiménez Díaz-quirónsalud, Universidad Autónoma de Madrid, Avenida Reyes Católicos 2, Madrid, 28040, Spain
| | - Ana Devesa
- Department of Cardiology, Hospital Universitario Fundación Jiménez Díaz-quirónsalud, Universidad Autónoma de Madrid, Avenida Reyes Católicos 2, Madrid, 28040, Spain
| | - Juan Antonio Franco-Peláez
- Department of Cardiology, Hospital Universitario Fundación Jiménez Díaz-quirónsalud, Universidad Autónoma de Madrid, Avenida Reyes Católicos 2, Madrid, 28040, Spain
| | - Sem Briongos
- Department of Cardiology, Hospital Universitario Infanta Leonor, Madrid, Spain
| | - Mikel Taibo-Urquia
- Department of Cardiology, Hospital Universitario Fundación Jiménez Díaz-quirónsalud, Universidad Autónoma de Madrid, Avenida Reyes Católicos 2, Madrid, 28040, Spain
| | - Juan Benezet
- Department of Cardiology, Hospital Universitario Fundación Jiménez Díaz-quirónsalud, Universidad Autónoma de Madrid, Avenida Reyes Católicos 2, Madrid, 28040, Spain
| | - Jose-Manuel Rubio
- Department of Cardiology, Hospital Universitario Fundación Jiménez Díaz-quirónsalud, Universidad Autónoma de Madrid, Avenida Reyes Católicos 2, Madrid, 28040, Spain
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11
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Martínez-Milla J, Cortés M, Lara JI, Tomás M, Farre J. Cardiac metastasis of clear cell thyroid cancer. J Nucl Cardiol 2017; 24:2037-2039. [PMID: 27873168 DOI: 10.1007/s12350-016-0729-3] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2016] [Accepted: 10/27/2016] [Indexed: 10/20/2022]
Affiliation(s)
- Juan Martínez-Milla
- Department of Cardiology, University Hospital Fundación Jiménez Díaz, Avda. Reyes Católicos no 2., 28040, Madrid, Spain.
| | - Marcelino Cortés
- Department of Cardiology, University Hospital Fundación Jiménez Díaz, Avda. Reyes Católicos no 2., 28040, Madrid, Spain
| | - José Ignacio Lara
- Department of Endocrinology, University Hospital Fundación Jiménez Díaz, Madrid, Spain
| | - Marta Tomás
- Department of Radiology, University Hospital Fundación Jiménez Díaz, Madrid, Spain
| | - Jerónimo Farre
- Department of Cardiology, University Hospital Fundación Jiménez Díaz, Avda. Reyes Católicos no 2., 28040, Madrid, Spain
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Benezet-Mazuecos J, Iglesias JA, Cortés M, Rubio JM, de la Vieja JJ, del Río A, Sanchez-Borque P, Miracle Á, Farré J. Silent atrial fibrillation in pacemaker early post-implantation period: an unintentionally provoked situation? Europace 2017; 20:758-763. [DOI: 10.1093/europace/eux053] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2016] [Accepted: 02/10/2017] [Indexed: 11/13/2022] Open
Affiliation(s)
- Juan Benezet-Mazuecos
- Unidad de Arritmias. Servicio de Cardiología, Hospital Universitario Fundación Jiménez Díaz-Quironsalud, Avenida Reyes Católicos, 2, 28040 Madrid, Spain
| | - José Antonio Iglesias
- Unidad de Arritmias. Servicio de Cardiología, Hospital Universitario Fundación Jiménez Díaz-Quironsalud, Avenida Reyes Católicos, 2, 28040 Madrid, Spain
| | - Marcelino Cortés
- Unidad de Arritmias. Servicio de Cardiología, Hospital Universitario Fundación Jiménez Díaz-Quironsalud, Avenida Reyes Católicos, 2, 28040 Madrid, Spain
| | - José Manuel Rubio
- Unidad de Arritmias. Servicio de Cardiología, Hospital Universitario Fundación Jiménez Díaz-Quironsalud, Avenida Reyes Católicos, 2, 28040 Madrid, Spain
| | - Juan José de la Vieja
- Unidad de Arritmias. Servicio de Cardiología, Hospital Universitario Fundación Jiménez Díaz-Quironsalud, Avenida Reyes Católicos, 2, 28040 Madrid, Spain
| | - Ana del Río
- Unidad de Arritmias. Servicio de Cardiología, Hospital Universitario Fundación Jiménez Díaz-Quironsalud, Avenida Reyes Católicos, 2, 28040 Madrid, Spain
| | - Pepa Sanchez-Borque
- Unidad de Arritmias. Servicio de Cardiología, Hospital Universitario Fundación Jiménez Díaz-Quironsalud, Avenida Reyes Católicos, 2, 28040 Madrid, Spain
| | - Ángel Miracle
- Unidad de Arritmias. Servicio de Cardiología, Hospital Universitario Fundación Jiménez Díaz-Quironsalud, Avenida Reyes Católicos, 2, 28040 Madrid, Spain
| | - Jerónimo Farré
- Unidad de Arritmias. Servicio de Cardiología, Hospital Universitario Fundación Jiménez Díaz-Quironsalud, Avenida Reyes Católicos, 2, 28040 Madrid, Spain
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Cortés M, Oliva MR, Orejas M, Navas MA, Rábago RM, Martínez ME, Taibo M, Palfy J, Rey M, Farré J. Usefulness of speckle myocardial imaging modalities for differential diagnosis of left ventricular non-compaction of the myocardium. Int J Cardiol 2016; 223:813-818. [PMID: 27575783 DOI: 10.1016/j.ijcard.2016.08.278] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/18/2016] [Accepted: 08/16/2016] [Indexed: 01/01/2023]
Abstract
BACKGROUND/OBJECTIVES Current diagnostic criteria for left ventricular non-compaction (LVNC) may result in over-diagnosis of the disease. We evaluate the role of speckle imaging in differential diagnosis of LVNC. METHODS AND RESULTS We included all patients who, between January 2012 and May 2015, fulfilled currently accepted criteria for LVNC (28 patients). A control group of 28 healthy individuals and a third group of 13 patients with dilated cardiomyopathy (DCM) were created. Speckle-tracking echocardiography was performed in all groups. Thirteen patients with LVNC had an ejection fraction (EF) <50% (33.5%, SD 10). When compared to controls, patients with LVNC and EF<50% had a larger LV, larger left atrial diameter (LA), reduced e', and reduced global longitudinal strain (GLS). All but one patient with LVNC and EF<50% showed an abnormal LV rotation. This abnormal pattern was observed in 4 LVNC patients (27%) with EF≥50% and in none of the controls. In patients with LVNC, EF ≥50%, and abnormal rotation, GLS was lower than in controls, (-17 (SD 3) vs -21 (SD 3)). Rigid body rotation (RBR) was also observed in 2 DCM patients, with significant differences in EF, GLS, LV diameters relative to the rest of the DCM group. CONCLUSIONS In patients who fulfil the morphologic criteria for LVNC, speckle myocardial imaging techniques could be useful in differentiating between healthy individuals (functionally normal LV) and patients with LVNC (with functional abnormalities in the myocardium in spite of a preserved EF).
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Affiliation(s)
- Marcelino Cortés
- Hospital Universitario Fundación Jiménez Díaz - quirónsalud, Universidad Autónoma de Madrid, Madrid, Spain.
| | | | - Miguel Orejas
- Hospital Universitario Fundación Jiménez Díaz - quirónsalud, Universidad Autónoma de Madrid, Madrid, Spain
| | - Miguel Angel Navas
- Hospital Universitario Fundación Jiménez Díaz - quirónsalud, Universidad Autónoma de Madrid, Madrid, Spain
| | - Rosa María Rábago
- Hospital Universitario Fundación Jiménez Díaz - quirónsalud, Universidad Autónoma de Madrid, Madrid, Spain
| | - Maria Esther Martínez
- Hospital Universitario Fundación Jiménez Díaz - quirónsalud, Universidad Autónoma de Madrid, Madrid, Spain
| | - Mikel Taibo
- Hospital Universitario Fundación Jiménez Díaz - quirónsalud, Universidad Autónoma de Madrid, Madrid, Spain
| | - Julia Palfy
- Hospital Universitario Fundación Jiménez Díaz - quirónsalud, Universidad Autónoma de Madrid, Madrid, Spain
| | - Manuel Rey
- Hospital Universitario Fundación Jiménez Díaz - quirónsalud, Universidad Autónoma de Madrid, Madrid, Spain
| | - Jerónimo Farré
- Hospital Universitario Fundación Jiménez Díaz - quirónsalud, Universidad Autónoma de Madrid, Madrid, Spain
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Cortés M, Palfy JA, Farré J, García A, Martín ML, Hernández I, Romero A, Briongos S, López M, Benezet J, Franco JA, Rubio JM. Comparison of Implantable Cardioverter Defibrillator Therapy and Medical Therapy in Individuals Aged 75 and Older. J Am Geriatr Soc 2016; 64:440-2. [DOI: 10.1111/jgs.13978] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Marcelino Cortés
- Department of Cardiology; Hospital Universitario Fundación Jiménez Díaz-Quirónsalud; Universidad Autónoma de Madrid; Madrid Spain
| | - Julia Anna Palfy
- Department of Cardiology; Hospital Universitario Fundación Jiménez Díaz-Quirónsalud; Universidad Autónoma de Madrid; Madrid Spain
| | - Jerónimo Farré
- Department of Cardiology; Hospital Universitario Fundación Jiménez Díaz-Quirónsalud; Universidad Autónoma de Madrid; Madrid Spain
| | - Alvaro García
- Department of Cardiology; Hospital Universitario Fundación Jiménez Díaz-Quirónsalud; Universidad Autónoma de Madrid; Madrid Spain
| | - Maria Luisa Martín
- Department of Cardiology; Hospital Universitario Fundación Jiménez Díaz-Quirónsalud; Universidad Autónoma de Madrid; Madrid Spain
| | - Ignacio Hernández
- Department of Cardiology; Hospital Universitario Fundación Jiménez Díaz-Quirónsalud; Universidad Autónoma de Madrid; Madrid Spain
| | - Angélica Romero
- Department of Cardiology; Hospital Universitario Fundación Jiménez Díaz-Quirónsalud; Universidad Autónoma de Madrid; Madrid Spain
| | - Sem Briongos
- Department of Cardiology; Hospital Universitario Fundación Jiménez Díaz-Quirónsalud; Universidad Autónoma de Madrid; Madrid Spain
| | - Marta López
- Department of Cardiology; Hospital Universitario Fundación Jiménez Díaz-Quirónsalud; Universidad Autónoma de Madrid; Madrid Spain
| | - Juan Benezet
- Department of Cardiology; Hospital Universitario Fundación Jiménez Díaz-Quirónsalud; Universidad Autónoma de Madrid; Madrid Spain
| | - Juan Antonio Franco
- Department of Cardiology; Hospital Universitario Fundación Jiménez Díaz-Quirónsalud; Universidad Autónoma de Madrid; Madrid Spain
| | - José Manuel Rubio
- Department of Cardiology; Hospital Universitario Fundación Jiménez Díaz-Quirónsalud; Universidad Autónoma de Madrid; Madrid Spain
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Oliver C, Valenzuela K, Silva H, Haro R, Cortés M, Sandoval R, Pontigo J, Álvarez C, Figueroa J, Avendaño-Herrera R, Troncoso J, Yáñez A. Effectiveness of egg yolk immunoglobulin against the intracellular salmonid pathogen Piscirickettsia salmonis. J Appl Microbiol 2015; 119:365-76. [DOI: 10.1111/jam.12857] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2015] [Revised: 05/14/2015] [Accepted: 05/18/2015] [Indexed: 11/28/2022]
Affiliation(s)
- C. Oliver
- Instituto de Bioquímica y Microbiología; Facultad de Ciencias; Universidad Austral de Chile; Valdivia Chile
| | - K. Valenzuela
- Instituto de Bioquímica y Microbiología; Facultad de Ciencias; Universidad Austral de Chile; Valdivia Chile
| | - H. Silva
- Instituto de Bioquímica y Microbiología; Facultad de Ciencias; Universidad Austral de Chile; Valdivia Chile
| | - R.E. Haro
- Instituto de Bioquímica y Microbiología; Facultad de Ciencias; Universidad Austral de Chile; Valdivia Chile
| | - M. Cortés
- Instituto de Bioquímica y Microbiología; Facultad de Ciencias; Universidad Austral de Chile; Valdivia Chile
| | - R. Sandoval
- Instituto de Bioquímica y Microbiología; Facultad de Ciencias; Universidad Austral de Chile; Valdivia Chile
| | - J.P. Pontigo
- Instituto de Bioquímica y Microbiología; Facultad de Ciencias; Universidad Austral de Chile; Valdivia Chile
| | - C. Álvarez
- Instituto de Bioquímica y Microbiología; Facultad de Ciencias; Universidad Austral de Chile; Valdivia Chile
| | - J.E. Figueroa
- Instituto de Bioquímica y Microbiología; Facultad de Ciencias; Universidad Austral de Chile; Valdivia Chile
- Interdisciplinary Center for Aquaculture Research (INCAR); Concepción Chile
| | - R. Avendaño-Herrera
- Interdisciplinary Center for Aquaculture Research (INCAR); Concepción Chile
- Laboratorio de Patología de Organismos Acuáticos y Biotecnología Acuícola; Departamento de Ciencias Biológicas; Facultad de Ciencias Biológicas; Universidad Andrés Bello; Viña del Mar Chile
- Centro de Investigación Marina Quintay (CIMARQ); Quintay Chile
| | | | - A.J. Yáñez
- Instituto de Bioquímica y Microbiología; Facultad de Ciencias; Universidad Austral de Chile; Valdivia Chile
- Interdisciplinary Center for Aquaculture Research (INCAR); Concepción Chile
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Chamberlain AT, Seib K, Ault KA, Rosenberg ES, Frew PM, Cortés M, Whitney EAS, Berkelman RL, Orenstein WA, Omer SB. Improving influenza and Tdap vaccination during pregnancy: A cluster-randomized trial of a multi-component antenatal vaccine promotion package in late influenza season. Vaccine 2015; 33:3571-9. [PMID: 26044495 DOI: 10.1016/j.vaccine.2015.05.048] [Citation(s) in RCA: 51] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2015] [Revised: 04/15/2015] [Accepted: 05/19/2015] [Indexed: 10/23/2022]
Abstract
BACKGROUND Evidence-based interventions to improve influenza vaccine coverage among pregnant women are needed, particularly among those who remain unvaccinated late into the influenza season. Improving rates of antenatal tetanus, diphtheria and acellular pertussis (Tdap) vaccination is also needed. PURPOSE To test the effectiveness of a practice-, provider-, and patient-focused influenza and Tdap vaccine promotion package on improving antenatal influenza and Tdap vaccination in the obstetric setting. METHODS A cluster-randomized trial among 11 obstetric practices in Georgia was conducted in 2012-2013. Intervention practices adopted the intervention package that included identification of a vaccine champion, provider-to-patient talking points, educational brochures, posters, lapel buttons, and iPads loaded with a patient-centered tutorial. Participants were recruited from December 2012-April 2013 and included 325 unvaccinated pregnant women in Georgia. Random effects regression models were used to evaluate primary and secondary outcomes. RESULTS Data on antenatal influenza and Tdap vaccine receipt were obtained for 300 (92.3%) and 291 (89.5%) women, respectively. Although antenatal influenza and Tdap vaccination rates were higher in the intervention group than the control group, improvements were not significant (For influenza: risk difference (RD)=3.6%, 95% confidence interval (CI): -4.0%, 11.2%; for Tdap: RD=1.3%, 95% CI: -10.7%, 13.2%). While the majority of intervention package components were positively associated with antenatal vaccine receipt, a provider's recommendation was the factor most strongly associated with actual receipt, regardless of study group or vaccine. CONCLUSIONS The intervention package did not significantly improve antenatal influenza or Tdap vaccine coverage. More research is needed to determine what motivates women remaining unvaccinated against influenza late into the influenza season to get vaccinated. Future research should quantify the extent to which clinical interventions can bolster a provider's recommendation for vaccination. This study is registered with clinicaltrials.gov, study ID NCT01761799.
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Affiliation(s)
- A T Chamberlain
- Department of Epidemiology, Rollins School of Public Health, Emory University, 1518 Clifton Road NE, CNR Room 3040Z, Atlanta, GA 30322, USA.
| | - K Seib
- Division of Infectious Diseases, School of Medicine, Emory University, 1462 Clifton Rd. NE, Room 446, Atlanta, GA 30322, USA.
| | - K A Ault
- Department of Gynecology and Obstetrics, School of Medicine, Emory University, 1365 Clifton Road, Building A, 4th Floor, Atlanta, GA 30322, USA.
| | - E S Rosenberg
- Department of Epidemiology, Rollins School of Public Health, Emory University, 1518 Clifton Road NE, GCR Room 472, Atlanta, GA 30322, USA.
| | - P M Frew
- Department of Medicine, Division of Infectious Diseases, 500 Irvin Court, Decatur, GA 30030, USA.
| | - M Cortés
- Hubert Department of Global Health, Rollins School of Public Health, 1518 Clifton Road NE, Atlanta, GA 30322, USA.
| | - E A S Whitney
- Department of Epidemiology, Rollins School of Public Health, 1518 Clifton Rd. NE, CNR Room 3047, Atlanta, GA 30322, USA.
| | - R L Berkelman
- Department of Epidemiology, Rollins School of Public Health, 1518 Clifton Road NE, CNR Room 3045, Atlanta, GA 30322, USA.
| | - W A Orenstein
- Division of Infectious Diseases, School of Medicine, Emory University, 1462 Clifton Rd. NE, Room 446, Atlanta, GA 30322, USA.
| | - S B Omer
- Hubert Department of Global Health, Rollins School of Public Health, Emory University, 1518 Clifton Road NE, CNR Room 7017, Atlanta, GA 30322, USA.
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Acosta-Jamett G, Surot D, Cortés M, Marambio V, Valenzuela C, Vallverdu A, Ward MP. Epidemiology of canine distemper and canine parvovirus in domestic dogs in urban and rural areas of the Araucanía region in Chile. Vet Microbiol 2015; 178:260-4. [PMID: 26013417 DOI: 10.1016/j.vetmic.2015.05.012] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2015] [Revised: 04/16/2015] [Accepted: 05/18/2015] [Indexed: 11/28/2022]
Abstract
To assess whether the seroprevalence of canine distemper virus (CDV) and canine parvovirus (CPV) in domestic dogs is higher in urban versus rural areas of the Araucanía region in Chile and risk factors for exposure, a serosurvey and questionnaire survey at three, urban-rural paired sites was conducted from 2009 to 2012. Overall, 1161 households were interviewed of which 71% were located in urban areas. A total of 501 blood samples were analysed. The overall CDV and CPV seroprevalences were 61% (CI 90%: 58-70%) and 47% (CI 90%: 40-49%), and 89% (CI 90%: 85-92%) and 72% (CI 90%: 68-76%) in urban and rural areas, respectively. The higher seroprevalence in domestic dogs in urban areas suggests that urban domestic dogs might be a maintenance host for both CDV and CPV in this region. Due to the presence of endangered wild canids populations in areas close to these domestic populations, surveillance and control of these pathogens in urban dog populations is needed a priority.
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Affiliation(s)
- G Acosta-Jamett
- Instituto de Medicina Preventiva Veterinaria y Programa de Investigación Aplicada en Fauna Silvestre, Facultad de Ciencias Veterinarias, Universidad Austral de Chile, Casilla 567, Valdivia, Chile.
| | - D Surot
- Departamento de Ciencias Biológicas Animales, Facultad de Ciencias Veterinarias y Pecuarias, Universidad de Chile, Santiago, Chile
| | - M Cortés
- Instituto de Medicina Preventiva Veterinaria y Programa de Investigación Aplicada en Fauna Silvestre, Facultad de Ciencias Veterinarias, Universidad Austral de Chile, Casilla 567, Valdivia, Chile
| | - V Marambio
- Instituto de Medicina Preventiva Veterinaria y Programa de Investigación Aplicada en Fauna Silvestre, Facultad de Ciencias Veterinarias, Universidad Austral de Chile, Casilla 567, Valdivia, Chile
| | - C Valenzuela
- Instituto de Medicina Preventiva Veterinaria y Programa de Investigación Aplicada en Fauna Silvestre, Facultad de Ciencias Veterinarias, Universidad Austral de Chile, Casilla 567, Valdivia, Chile
| | - A Vallverdu
- Instituto de Medicina Preventiva Veterinaria y Programa de Investigación Aplicada en Fauna Silvestre, Facultad de Ciencias Veterinarias, Universidad Austral de Chile, Casilla 567, Valdivia, Chile
| | - M P Ward
- Faculty of Veterinary Science, The University of Sydney, 425 Werombi Road, Private Mailbag 4003, Narellan NSW 2567, Australia
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Merchan B, Ortega M, Llamas-Poyato M, Cortés M, Arnan M, Cerveró C, Montoro J, Gimenez T, López M, Arenillas L, Valcarcel D. 271 ACQUISITION OF CYTOGENETIC ABNORMALITIES IN PATIENTS WITH IPSS LOW AND INTERMEDIATE-1 RISK. STUDY FROM THE SPANISH GROUP OF MYELODYSPLASTIC SYNDROME. Leuk Res 2015. [DOI: 10.1016/s0145-2126(15)30272-1] [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: 11/25/2022]
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de la Cruz E, Cortés M, Farré J, Palfy J, Ávila P, Hernández I, Romero A, Benezet J, Franco JA, Navas MA, Hernandez JJ, Briongos S, Rubio JM. Comparison of pharmacological treatment alone versus treatment combined with cardiac resynchronization therapy in patients over 75 years. J Interv Card Electrophysiol 2015; 43:13-20. [PMID: 25687979 DOI: 10.1007/s10840-015-9979-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/03/2014] [Accepted: 01/23/2015] [Indexed: 11/27/2022]
Abstract
BACKGROUND The role of cardiac resynchronization therapy (CRT) in patients aged ≥75 years is not well established. METHODS We identified 607 patients aged ≥75 years with left ventricular ejection fraction (LVEF) of ≤35 %, of whom 78 met the guidelines for indication of CRT. Based on the decision of the patients or attending cardiologists, 34 patients received a CRT defibrillator (CRT-D). RESULTS The age of patients with a CRT indication was 80 ± 4 years, and 73 % were males. As compared with patients on medical therapy, CRT-D patients were younger (79 ± 3 vs. 83 ± 4, P < 0.001), had lower LVEF (23 ± 7 vs. 27 ± 7 %, P = 0.008) and higher rate of decompensated heart failure episodes (77 vs. 55 %, P = 0.04), were more frequently New York Heart Association (NYHA) class III-IV (53 vs. 25 %, P = 0.01), and were more likely to be on beta-blockers (88 vs. 66 %, P = 0.023), anticoagulants (61 vs. 32 % P = 0.02), and anti-aldosterone drugs (82 vs. 50 %, P = 0.003). After a median follow-up of 26 months, seven patients in the CRT-D group (21 %) and 20 non-CRT patients (46 %) died (hazard ratio (HR) 0.16 [95 % confidence interval (CI) 0.06-0.46]). The end point of mortality or hospitalization was not reduced because of a similar rate of hospitalizations for heart failure of CRT-D patients. Four CRT-D patients (12 %) had received appropriate device therapy, and one had been inappropriately discharged. During follow-up, 44 % of CRT-D patients improved their LVEF by >40 %. CONCLUSION CRT-D is potentially of benefit in terms of mortality in our population; this effect persists after correction for use of beta-blockers. In patients ≥75 years, CRT indications should be similar to those accepted for younger subjects.
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Affiliation(s)
- Elena de la Cruz
- Hospital Universitario Fundación Jiménez Díaz - idcsalud, Universidad Autónoma de Madrid, Madrid, Spain
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Tuñón J, Oliva-Encabo R, Cortés M. Diagnosis of cardiac amyloidosis by skin lesions. ACTA ACUST UNITED AC 2014; 67:666. [PMID: 25037546 DOI: 10.1016/j.rec.2013.10.022] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2013] [Accepted: 10/18/2013] [Indexed: 10/25/2022]
Affiliation(s)
- José Tuñón
- Servicio de Cardiología, Instituto de Investigación Sanitaria Fundación Jiménez Díaz y Universidad Autónoma, Madrid, Spain.
| | - Reyes Oliva-Encabo
- Servicio de Cardiología, Instituto de Investigación Sanitaria Fundación Jiménez Díaz y Universidad Autónoma, Madrid, Spain
| | - Marcelino Cortés
- Servicio de Cardiología, Instituto de Investigación Sanitaria Fundación Jiménez Díaz y Universidad Autónoma, Madrid, Spain
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Briongos Figuero S, Jiménez-Mena M, Ortega Marcos J, Camino López A, Fernández Santos S, de la Cal Segura T, Cortés M, Sanmartín Fernández M, Zamorano Gómez JL. Dehydration and serum hyperosmolarity as new predictors of mortality after acute coronary syndrome. Int J Cardiol 2014; 172:e472-4. [PMID: 24485614 DOI: 10.1016/j.ijcard.2014.01.033] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/02/2014] [Accepted: 01/06/2014] [Indexed: 11/24/2022]
Affiliation(s)
| | - Manuel Jiménez-Mena
- Acute Cardiac Care Unit, Cardiology Department, Hospital Ramón y Cajal, Madrid, Spain
| | - Javier Ortega Marcos
- Acute Cardiac Care Unit, Cardiology Department, Hospital Universitario Puerta de Hierro, Majadahonda, Spain
| | - Asunción Camino López
- Acute Cardiac Care Unit, Cardiology Department, Hospital Ramón y Cajal, Madrid, Spain
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Cortés M, Gómez E, Vallés E. Electrochemical growth of CoPt nanowires of different aspect ratio and their magnetic properties. J Electroanal Chem (Lausanne) 2013. [DOI: 10.1016/j.jelechem.2012.10.025] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Risco D, Llario PF, Velarde R, García WL, Benítez JM, García A, Bermejo F, Cortés M, Rey J, de Mendoza JH, Gómez L. Outbreak of Swine Erysipelas in a Semi-Intensive Wild Boar Farm in Spain. Transbound Emerg Dis 2011; 58:445-50. [DOI: 10.1111/j.1865-1682.2011.01234.x] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Cortés M, Gómez E, Vallés E. Electrochemical preparation and magnetic properties of submicrometric core–shell CoPt–CoNi particles. J Electroanal Chem (Lausanne) 2010. [DOI: 10.1016/j.jelechem.2010.09.010] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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García-Fernandez MA, Cortés M, García E. Percutaneous Valvular Leak Repair. Curr Cardiovasc Imaging Rep 2010. [DOI: 10.1007/s12410-010-9034-8] [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: 10/19/2022]
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Cortés M, de Miguel M, Belda-Iniesta C, Nistal M, Perona R, Ibanez de Caceres I. 199 IGFBP-3 promoter methylation activates the PI3K/Akt intracellular signaling pathway in CDDP resistant cell lines. EJC Suppl 2010. [DOI: 10.1016/s1359-6349(10)71006-5] [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: 11/25/2022] Open
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Martínez-Sellés M, Martínez E, Cortés M, Prieto R, Gallego L, Fernández-Avilés F. Determinants of long-term survival in patients hospitalized for heart failure. J Cardiovasc Med (Hagerstown) 2010; 11:164-9. [DOI: 10.2459/jcm.0b013e328332ea96] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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Castrejón S, Cortés M, Sánchez PL, Rubio R. Respuesta. Rev Esp Cardiol (Engl Ed) 2010; 63:125. [DOI: 10.1016/s0300-8932(10)70026-9] [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: 10/18/2022]
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Castrejón S, Cortés M, Salto ML, Benittez LC, Rubio R, Juárez M, López de Sá E, Bueno H, Sánchez PL, Fernández Avilés F. Mejora del pronóstico tras parada cardiorrespiratoria de causa cardiaca mediante el empleo de hipotermia moderada: comparación con un grupo control. Rev Esp Cardiol 2009. [DOI: 10.1016/s0300-8932(09)71686-0] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Castrejón S, Cortés M, Salto ML, Benittez LC, Rubio R, Juárez M, de Sá EL, Bueno H, Sánchez PL, Avilés FF. Improved Prognosis After Using Mild Hypothermia to Treat Cardiorespiratory Arrest Due to a Cardiac Cause: Comparison With a Control Group. ACTA ACUST UNITED AC 2009; 62:733-41. [DOI: 10.1016/s1885-5857(09)72353-9] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Richardet E, Mascheroni B, Magri I, Perelli L, Cortés M. New molecular breast cancer classification with adjuvant therapy in our population. J Clin Oncol 2009. [DOI: 10.1200/jco.2009.27.15_suppl.e11624] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
e11624 Background: The molecular classification (Perou) helped to identify new groups of patients with different biological behaviors. A retrospective, descriptive, comparative trial with adjuvant chemotherapy treatment was conducted. Objectives: Analyze the natural history of the subgroups of patients, frequency, site of relapse and Disease-free survival (DFS). Materials and Methods: 200 Medical charts of patients with breast cancer were analyzed from 1997 to 2007, who had received adjuvant treatment without Trastuzumab. The 92, 5 % of Luminal A, 91 % of Luminal B y C, the 75.9 % of Her2 (+) and the 69.2 % of Triple Negative (TN) had received adjuvant therapy with FAC, while 30% of the last two groups were treated with taxanes and anthracyclines. We evaluated the site of the first relapse after adjuvant treatment in relation to the new molecular classification. Log-rank test was used to compare the rates of Disease-free survival (DFS). Results: Frequency: Luminal A (86, 42%) Luminal B y C (65, 33%) Her2 + (33, 17%) TN: (16, 8%) The locoregional relapse in the TN group was 36.4% (P = 0.003), the average of bone relapses were 64.5% on the four groups without statically significance compared to other groups. The CNS had a greater trend in TN groups (16.7%) and Her2+ (13.6%), compared to Luminal Type A-B (0 % y 8.3 %). Disease-free survival (DFS): Luminal A 65.0 ± 5.0 months Luminal B y C 50.3 ± 4.3 months HER2 42.9 ± 5.5 months TN 31.1 ± 7.3 months In the analysis of type A luminal subgroup, a prolonged disease free time was showed when compared with the others subgroups, of major statistical significance Log rank (p = 0.002). Conclusions: Her2 negative and TN tumors have less DFS and a higher locoregional and CNS relapse. No significant financial relationships to disclose.
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Affiliation(s)
- E. Richardet
- Instituto Oncologico Cordoba, Cordoba, Argentina
| | - B Mascheroni
- Instituto Oncologico Cordoba, Cordoba, Argentina
| | - I Magri
- Instituto Oncologico Cordoba, Cordoba, Argentina
| | - L Perelli
- Instituto Oncologico Cordoba, Cordoba, Argentina
| | - M Cortés
- Instituto Oncologico Cordoba, Cordoba, Argentina
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Cortés M, Matencio S, Gómez E, Vallés E. Ternary CoPtP electrodeposition process: Structural and magnetic properties of the deposits. J Electroanal Chem (Lausanne) 2009. [DOI: 10.1016/j.jelechem.2008.12.023] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Pifarré P, Fernández A, Gámez C, Llatjós R, Cortés M, Martínez I. [Bronchiolitis obliterans with organising pneumonia as a false positive for malignacy in a PE study]. ACTA ACUST UNITED AC 2009; 28:34-5. [PMID: 19232178 DOI: 10.1016/s0212-6982(09)70216-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- P Pifarré
- IDI-Institut de Diagnòstic per la Imatge, Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Barcelona, España.
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Pifarré P, Cortés M, Madroñal N, Fernández A, Caresia P, Gámez C. [Tuberculosis in an FDG PET-TC study in a patient with suspected tumour recurrence of a pulmonary neoplasm]. ACTA ACUST UNITED AC 2008; 27:440-1. [PMID: 19094904 DOI: 10.1016/s0212-6982(08)75532-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- P Pifarré
- Unitat PET, Institut de Diagnòstic per la Imatge, Hospital Universitari Bellvitge, L'Hospitalet de Llobregat, Barcelona, España.
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Cortés M, García E, García-Fernandez MA, Gomez JJ, Perez-David E, Fernández-Avilés F. Usefulness of transesophageal echocardiography in percutaneous transcatheter repairs of paravalvular mitral regurgitation. Am J Cardiol 2008; 101:382-6. [PMID: 18237605 DOI: 10.1016/j.amjcard.2007.08.052] [Citation(s) in RCA: 62] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/12/2007] [Revised: 08/07/2007] [Accepted: 08/07/2007] [Indexed: 10/22/2022]
Abstract
This study was conducted to assess the usefulness of transesophageal echocardiography (TEE) as a guide in the percutaneous transcatheter occlusion of paravalvular defects and in subsequent follow-up. In 27 consecutive patients with mitral paravalvular leaks with significant regurgitation considered to be poor surgical candidates who were treated with percutaneous closure of the defects, TEE was performed before and during the procedure. If the device was successfully positioned, a reevaluation was made 1 month later. Events occurring during the procedure and 1-month follow-up were recorded. The device was correctly positioned in 17 of the patients (63%). TEE enabled the detection of complications (intraprosthetic insufficiencies due to passing the guide through the prosthesis, blockade of the prosthesis, etc.). It also confirmed the correct canalization of the leak with the catheter and the position of the device. In 8 patients (47% of patients with successful implantation), the degree of regurgitation was substantially reduced after 1 month. In conclusion, TEE is a fundamental technique when considering the percutaneous treatment of paravalvular leaks in patients with high surgical risk. It provides essential information on the characteristics of the dehiscence during implantation and follow-up.
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Fortes F, Cortés M, Simón M, Cabalín L, Laserna J. Chronocultural sorting of archaeological bronze objects using laser-induced breakdown spectrometry. Anal Chim Acta 2005. [DOI: 10.1016/j.aca.2005.08.081] [Citation(s) in RCA: 60] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Cortés M, Bajén MT, Gil M, Benito E, Moreno A, Gumà A, Ricart Y, Martin-Comín J. Localización simultánea de neoplasias de mama no palpables y estudio del ganglio centinela (GC) mediante técnicas radioisotópicas. ACTA ACUST UNITED AC 2005; 24:101-6. [PMID: 15745680 DOI: 10.1157/13071685] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [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: 11/21/2022]
Abstract
OBJECTIVE To obtain correct location of non-palpable breast lesions, with high suspicion of malignancy and detection of SN by radiosotopic techniques. MATERIAL AND METHODS Thirty-one patients whose ages ranged from 35 to 79 years, with non-palpable breast lesions detected by mammography and/or ultrasonography were studied. All the patients were diagnosed of breast cancer and treated with primary chemotherapy. All the patients underwent total axillary dissection. At 24 hours of the intervention, all patients received one dose of 37 MBq (1 mCi) of 99mTc labeled macroaggregated albumin (MAA) in the center of the lesion by ultrasonographic guide. Scintigraphic images were performed in anterior and lateral projections (in prone decubitus with hanging breast) to verify the correct location of the radiopharmaceutical. After, a study of the SN was performed by subdermal administration of an 18 MBq (0.5 mCi) dose of 99mTc labeled nanocolloid. The SN site was labeled on the skin with indelible ink. The intrasurgical site of the breast lesion and SN was performed using a gamma detector probe. Correct placement of the intralesional radiopharmaceutical, existence of disease free borders and histological study of SN were performed by the pathologist in the surgical act. The differed pathology study was performed with hematoxilin-eosin and immunohistochemistry. RESULT In 29 of the 31 lesion sites, there was good placement of the radiotracer (93.5 %). There was 1 case of contamination of the needle pathway and another that did not coincide with the lesion, due to poor placement. Location of the SN was 96 % in the axilla and 4 % in axilla and internal mammary chain. The SN was located in surgery in 28/31 patients (90 %). CONCLUSION Simultaneous radioguided location of the hidden breast lesions and sentinel node is a simple method, which is well tolerated by the patients and can be done in a single operation act.
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Affiliation(s)
- M Cortés
- Servicio de Medicina Nuclear, Hospital de Bellvitge, L'Hospitalet de Llobregat
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Luna F, Cortés M, Flores M, Hernández B, Trujillo A, Domínguez R. The effects of superior ovarian nerve sectioning on ovulation in the guinea pig. Reprod Biol Endocrinol 2003; 1:61. [PMID: 14561223 PMCID: PMC222920 DOI: 10.1186/1477-7827-1-61] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/16/2003] [Accepted: 09/25/2003] [Indexed: 11/10/2022] Open
Abstract
The effects on spontaneous ovulation associated with the unilateral or bilateral sectioning of the superior ovarian nerves (SON) were analyzed in guinea pigs at different time intervals of the estrous cycle. Day 1 of the estrous cycle was defined as the day when the animal presents complete loss of the vaginal membrane (open vagina). Subsequent phases of the cycle were determined by counting the days after Day 1. All animals were autopsied on the fifth day of the estrous cycle after surgery. Sectioning the right, left, or both SONs on day 5 (early luteal phase) resulted in a significant increase in the number of fresh corpora lutea. Ovulation increased significantly when the left SON (L-SON) was sectioned during late follicular phase (day 1) and medium luteal phase (day 8). When surgery was performed on days 1 or 8, neither sectioning the right SON (R-SON) nor sectioning the SON bilaterally had an apparent effect on ovulation rates. Similarly, ovulation rates were not affected when unilateral (right or left) or bilateral sectioning of the SON was performed during late luteal phase two (day 12). Unilateral or bilateral sectioning of the SON performed during the early luteal phase (day 5) was associated with a significant decrease in uterine weight. A comparable effect was observed when the L-SON was sectioned during late follicular phase (day 1), or medium luteal phase (day 8). No effects on uterine weight were observed when unilateral or bilateral sectioning of the SON was performed during late luteal phase. Our results suggest that in the guinea pig the SON modulates ovulation, and that the degree of modulation varies along the estrous cycle. The strongest influence of the SONs on ovulation occurs during early luteal phase, and decrease thereafter, being absent by late luteal phase. In addition, sectioning the left or the right SON caused different responses by the ovaries of adult guinea pigs. This paper discusses the mechanisms by which ovulation increased when the SON was surgically cut.
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Affiliation(s)
- F Luna
- Facultad de Ciencias Químicas, Universidad Autónoma de Puebla, México
| | - M Cortés
- Facultad de Ciencias Químicas, Universidad Autónoma de Puebla, México
| | - M Flores
- Facultad de Ciencias Químicas, Universidad Autónoma de Puebla, México
| | - B Hernández
- Facultad de Ciencias Químicas, Universidad Autónoma de Puebla, México
| | - A Trujillo
- Facultad de Ciencias Químicas, Universidad Autónoma de Puebla, México
| | - R Domínguez
- Unidad de Investigación en Biología de la Reproducción, FES-Zaragoza, UNAM, México
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Targarona EM, Gracia E, Garriga J, Martínez-Bru C, Cortés M, Boluda R, Lerma L, Trías M. Prospective randomized trial comparing conventional laparoscopic colectomy with hand-assisted laparoscopic colectomy: applicability, immediate clinical outcome, inflammatory response, and cost. Surg Endosc 2002; 16:234-9. [PMID: 11967670 DOI: 10.1007/s00464-001-8168-9] [Citation(s) in RCA: 153] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2001] [Accepted: 06/26/2001] [Indexed: 11/24/2022]
Abstract
BACKGROUND Hand-assisted laparoscopic surgery (HALS) represents a useful alternative to conventional laparoscopic surgery (LS). Its potential advantages--(a quicker, safer procedure and less need to convert to open surgery) are due to the recovery of tactile feedback. However, HALS requires the performance of a mini-laparotomy when surgery commences, and the wound is stretched and compressed throughout the procedure. In addition, it is associated with a more intense manipulation of the intraabdominal viscera. All of these factors increase the surgical trauma, it is not known whether HALS maintains the minimally invasive characteristics of conventional LS. Therefore, we set out to study the applicability, immediate clinical outcome, inflammatory response, and cost of HALS compared with conventional LS using colectomy as a model. METHODS We performed a prospective randomized trial comparing laparoscopic-assisted colectomy with HAL colectomy. The aims of the study were to assess (a) perioperative features, including time, advantages, and conversion; (b) the patient's immediate clinical response, including recovery of bowel sounds, refeeding time, postoperative pain, local and general morbidity, and hospital stay; (c) the effect on the inflammatory response, using interleukin-6 (ILG) and C-reactive protein (CRP) measurements; (d) oncological issues, including intraoperative cytology and features of the specimen; and (d) the relative costs of the two procedures. RESULTS A total of 54 patients were enrolled in the study, 27 laparoscopic and 27 HALS. The operative times were similar, but HALS was associated with a far lower conversion rate--7% vs 23%. Immediate clinical outcomes, oncological features, and costs were similar for the two procedures, but HALS was associated with a significantly greater increase in IL6 and CRP than the conventional laparoscopic procedure. CONCLUSION This comparative study shows that HALS simplifies difficult intraoperative situations, reducing the need for conversion. Although it is a more aggressive procedure, HALS preserves the features of a minimally invasive approach, maintains all of the oncological features of conventional laparoscopic surgery, and does not increase the cost. HALS should therefore be considered as a useful adjunct when difficult situations arise during conventional laparoscopic colectomy.
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Affiliation(s)
- E M Targarona
- Department of General and Digestive Surgery, Hospital de Sant Pau, Autonomous University of Barcelona, C/ Padre Claret 167, 08025 Barcelona, Spain.
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Benítez Segura A, Martín-Comín J, Ricart Y, González MT, Cortés M, Roca M, Díaz MC, Ramos M. [Isotopic renal study in diabetic nephropathy]. Rev Esp Med Nucl 2002; 21:12-6. [PMID: 11820996] [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: 02/23/2023]
Abstract
UNLABELLED This study aimed to evaluate the prognostic value of the kidney split function (KSF), the effective renal plasma flow (ERPF) and glomerular filtration rate (GF) in the evolution of diabetic nephropathy. MATERIAL AND METHODS 125 patients (IDDM:10, NIDDM:115), including 62 men, ages 18-84 years, were studied. In all cases GF (Cr 51 EDTA), ERPF (131I-hippuran), kidney split function (obtained from the 99mTc-MAG3 renogram) and basal serum creatinine (SC) were evaluated at the beginning of the study and patients were clinically followed up for 5 years by SC. Ultrasound and/or intravenous digital angiography were performed in 120 patients. RESULTS In patients with decreased ERPF (76 patients) the SC increased progresively during the 5 years, in both those with elevated PC (N = 54) as well as in those with normal baseline SC (n = 22). In patients with normal ERPF the SC did not change significantly during the study. An asymethric split function (KSF < 40% in one kidney) was found in the renogram of 42 patients; in 32 of them the ERPF was decreased. Of these, ulttrasonography was normal in 9, and vascular and/or obstructive pathology was demonstrated by ultrasonography or digital angiography in only 6 patients. CONCLUSION The ERPF becomes altered earlier than serum creatinine in patients with diabetic nephropaty. ERPF and split function calculation, and FG seems to have higher prognostic value than ultrasounds in the management of diabetic nephropathy. Radionuclides seems to be an accurate test than the ultrasonography to detect renal function abnormalities in patients with diabetic and thus can be an examination of choice in these patients.
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Affiliation(s)
- A Benítez Segura
- Ciutat Sanitària i Universitària de Bellvitge, L'Hospitalet, Barcelona, Spain
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Fernández A, Cortés M, Benito E, Azpeitia D, Prieto L, Moreno A, Ricart Y, Mora J, Escobedo A, Martín Comín J. Gamma probe sentinel node localization and biopsy in breast cancer patients treated with a neoadjuvant chemotherapy scheme. Nucl Med Commun 2001; 22:361-6. [PMID: 11338045 DOI: 10.1097/00006231-200104000-00003] [Citation(s) in RCA: 106] [Impact Index Per Article: 4.6] [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: 02/06/2023]
Abstract
The aim of this study was to analyse the accuracy of scintigraphic and gamma probe sentinel node (SN) localization in breast cancer patients who have been submitted to neoadjuvant chemotherapy (NC). Seventy-six patients with single breast cancer were included in the study, and were classified into two groups. Group 1 consisted of 40 women who had received NC, and Group 2 consisted of 36 women who did not receive NC. All patients received 111 MBq (3 mCi) of 99Tcm-nanocolloid in 3 ml, by peritumoural injection. Anterior and lateral thoracic scans were obtained 2 h post-injection. The following day (18-24 h post-injection) the patients underwent surgery and sentinel nodes were localized by using a gamma probe. Complete axillary lymph node dissection was performed in all patients. Histological analysis included haematoxylin-eosin in all cases and immunohistochemistry in 10 cases. In Group 1, SNs were localized in 36/40 patients, histological analysis was performed in 34 and there were four false negatives (22%). In Group 2, SNs were localized in 32/36 patients, histological analysis was performed in 29 and there were two false negatives (9%). Predictive negative values were 78% and 90% in Groups 1 and 2, respectively. In summary, sentinel node localization in breast cancer patients submitted to previous neoadjuvant chemotherapy is less accurate than in patients who do not receive this therapy. The procedure is not sufficiently accurate to localize the sentinel node, thus it cannot be recommended in these patients.
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Affiliation(s)
- A Fernández
- Servicio de Medicina Nuclear, Hospital de Bellvitge, C/Feixa Llarga s/n, L'Hospitalet de Llobregat 08907, Barcelona, Spain.
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Cortés M, Valderrama JA, Cuellar M, Armstrong V, Preite M. Synthesis of (+)-cyclozonarone and the absolute configuration of naturally occurring (-)-cyclozonarone. J Nat Prod 2001; 64:348-9. [PMID: 11277753 DOI: 10.1021/np0004146] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
Abstract
Synthesis of (+)-cyclozonarone (1) has been achieved using (-)-polygodial (3) as chiral starting material. The absolute configuration of naturally occurring (-)-cyclozonarone was established as 5R,10R by comparison of spectral data and optical rotation with those of (+)-cyclozonarone.
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Affiliation(s)
- M Cortés
- Facultad de Química, Pontificia Universidad Católica de Chile, Casilla 306, Correo 22, Santiago, Chile.
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Cortés M, Mora J, Benítez A, González MJ, Castell M, Martín-Comín J. [Bone metastasis from gastrinoma without hepatic involvement. Utility of the scintigraphy with 111 In-pentetreotide]. Rev Esp Med Nucl 2001; 20:23-6. [PMID: 11181326] [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: 02/19/2023]
Abstract
The case of a 54 year old patient suffering from gastrinoma (within a type I multiple endocrine neoplasm) is presented. In 1990, she underwent a surgical resection. Eight years later, she suffered from a pain in the left thigh. The 99mTc-MDP bone scintigraphy showed bone metastasis. The CT scan did not show any hepatic involvement and the scintigraphy with 111In-Pentetreotide verified bone metastasis of a neuroendocrine tumor as a single expression of the recidive. In this case, the utility of the scintigraphy with octreotide to facilitate the localization and extent of the neuroendocrine tumors is demonstrated.
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Affiliation(s)
- M Cortés
- Servicio de Medicina Nuclear del Hospital de Bellvitge. L'Hospital de Llobregat. Barcelona
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Benítez Segura A, Cortés M, García FJ, Mora J, Castell M, González MJ, Martín-Comín J. [Solitary plasmocytoma of the pelvis. Utility of bone scintigraphy]. Rev Esp Med Nucl 2001; 20:42-3. [PMID: 11181331] [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] [Subscribe] [Scholar Register] [Indexed: 02/19/2023]
Affiliation(s)
- A Benítez Segura
- Servicio de Medicina Nuclear. Hospital Prínceps d'Espanya. Ciutat Sanitària i Universitària de Bellvitge. L'Hospitalet de Llobregat (Barcelona)
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Carrillo C, Cejas S, Cortés M, Ceriani C, Huber A, González NS, Algranati ID. Sensitivity of trypanosomatid protozoa to DFMO and metabolic turnover of ornithine decarboxylase. Biochem Biophys Res Commun 2000; 279:663-8. [PMID: 11118342 DOI: 10.1006/bbrc.2000.3996] [Citation(s) in RCA: 19] [Impact Index Per Article: 0.8] [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: 11/22/2022]
Abstract
alpha-Difluoromethylornithine (DFMO), the specific and irreversible inhibitor of ornithine decarboxylase (ODC), was able to induce the arrest of proliferation in Leishmania mexicana and ODC-transformed Trypanosoma cruzi cultures grown in a semi-defined medium essentially free of polyamines. Conversely, Crithidia fasciculata and Phytomonas 274 were not affected by the inhibitor. The drug-resistance of Crithidia and Phytomonas was neither caused by an impairment of DFMO uptake nor by a decrease of the enzyme affinity for the inhibitor. We were also able to rule out the possibility of ODC overexpression in the drug-tolerant parasites. The measurements of ODC metabolic turnover indicated that the enzymes from Crithidia and Phytomonas have a short half-life of 20-40 min, while ODC from Leishmania and transgenic Trypanosoma cruzi are rather stable with a half-life longer than 6 hours. Analyses of polyamine internal pools under different growth conditions have shown that DFMO was able to markedly decrease the levels of putrescine and spermidine in all parasites, but the depletion of spermidine was higher in trypanosomatids containing an ODC with slow turnover. Our results suggest that in these parasites cultivated in the presence of the drug, spermidine might decrease below critical levels needed to maintain trypanothione concentrations or other conditions essential for normal proliferation.
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Affiliation(s)
- C Carrillo
- Instituto de Investigaciones Bioquímicas "Fundación Campomar,", Facultad de Ciencias Exactas y Naturales, A. Machado 151, Buenos Aires, 1405, Argentina
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