Revista médica de Chile
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Revista médica de Chile · Feb 2020
Review[Inflammation as a common pathogenic factor in coronary artery disease and depression].
A narrative review of the evidence regarding the role of inflammation in the pathophysiology of coronary heart disease and depression is presented. As a common pathogenic factor, inflammation could explain the frequent association of both diseases. We discuss the benefit of exercise and diet modifications in both conditions and the effectiveness and safety of selective serotonin reuptake inhibitors. Finally, we recommend screening for depressive symptoms in coronary patients and the search of cardiovascular risk factors in people with depression.
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A history of child abuse is common and has a significant impact in the clinical course of patients diagnosed with bipolar disorders (BD). ⋯ Our study supports evidence of a common history of child abuse in patients with BD. Although child abuse predicts a worse clinical course, major clinical practice guidelines, as well as research designs, do not highlight this evidence.
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Revista médica de Chile · Feb 2020
Case Reports[Recurrent hypoxemia secondary to a patent foramen ovale. Report of one case].
Patent foramen ovale (PFO) is a prevalent congenital septal atrial defect usually without pathological significance. In certain pathogenic situations, PFO can trigger episodes of recurrent hypoxemia, a specific condition known as platipnea-orthodeoxia syndrome (POS). We report a 73 years old female presenting with dyspnea and low arterial oxygen saturation. ⋯ After breathing 100% a 17% arterial-venous shunt was found (normal: less than 12%). A transesophageal echocardiogram and a cardiac catheterization showed the presence of a PFO. A percutaneous closure was performed.
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Revista médica de Chile · Feb 2020
[Factors associated with sedentary lifestyle and physical inactivity in Chile: a qualitative systematic review].
Sedentary lifestyle and physical inactivity in Chile, has become a major problem and a public health priority in the last decade, as it increases the risk of non-communicable diseases. ⋯ here are independent factors associated with both sedentary lifestyle and physical inactivity in Chile. Some factors are common for the two unhealthy behaviors such as female gender, obesity, type 2 diabetes mellitus and metabolic syndrome.