Revista médica de Chile
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Revista médica de Chile · Mar 2024
Case ReportsTricuspid Regurgitation in a Patient with Heart Transplant: Percutaneous Management.
Tricuspid regurgitation (TR) is the most frequent valvular complication after heart transplantation with different clinical sequelae. In its most severe form, it can cause right heart failure with a poor long-term prognosis. ⋯ The TricValve system, a bicaval system with two self-expanding valves (superior vena cava and inferior vena cava), dedicated to treating symptomatic IT refractory to medical therapy, is safe and effective in improving quality of life. We present the first heart transplant patient with severe symptomatic TR who underwent successful bicaval valve (TricValve) implantation.
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Revista médica de Chile · Mar 2024
Convalescent Plasma Therapy in Severe COVID-19: A Pilot Study at the Beginning of the Pandemic Outbreak in Southern Chile.
Convalescent Plasma (CP) from patients who recovered from COVID-19 may present neutralizing antibodies against viral protein S of SARS-CoV-2 and emerged as a potential therapeutic alternative for patients with severe infection at the beginning of the COVID-19 pandemic breakout. Thus, this study aimed to evaluate the effect and safety of CP treatment in patients with severe COVID-19. ⋯ We observed no association between CP administration and survival at 14 days. Treatment with CP was safe and not associated with adverse events. In addition, using CP was associated with a reduction in both stay at the CPU and connection to mechanical ventilation.
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Revista médica de Chile · Mar 2024
[Epidemiological profile of patients with cardiovascular morbidity in an insular population in Chile: Report from the Juan Fernández Archipelago].
Cardiovascular disease is the leading risk factor for morbidity and mortality rates in Chile and the world. The Chilean National Health Survey, which describes cardiovascular disease nationally, excludes 27 locations deemed hard to access or insular, like the Juan Fernández Archipelago. Characterization of this territory could support future public health policies. ⋯ We observed a better cardiovascular profile in the Juan Fernández Archipelago than nationwide. These findings not only provide a basis for future public health actions but also inspire and motivate new lines of research that can bring context to these results and further our understanding of cardiovascular health.
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Revista médica de Chile · Mar 2024
Long-term quality of life in patients with bariatric surgery evaluated with BAROS.
Quality of life (QoL) significantly improves in the short term after bariatric surgery (BS). However, evidence on the long-term QoL of patients with BS is limited. ⋯ Patients undergoing BS showed a good QoL even in the long term (~10 y).
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Revista médica de Chile · Mar 2024
[Antimicrobial Susceptibility Patterns in Adult Patients Hospitalized for Community-Acquired Urinary Tract Infections in Two Tertiary Hospitals in Santiago, Chile].
The constant increase of factors associated with the presence of resistant strains, makes empirical antibiotic selection a challenge in patients hospitalized for community-acquired urinary tract infection. ⋯ We detected a high prevalence of community-acquired urinary tract infections caused by bacteria resistant to commonly used antibiotics in adult patients that need to be hospitalized.