Revista médica de Chile
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Revista médica de Chile · Apr 2024
Case Reports[Transcatheter Aortic Valve Implantation in a Large Aortic Annulus: A Case Report].
In patients with symptomatic severe aortic stenosis (SAS), who are at high surgical risk and who require transcatheter aortic valve implantation (TAVI), anatomic factors can determine if patients are suitable for this technique. A very large aortic annulus is a technical challenge given the limited options of adequate valve sizes, and, in most of them, using them in this type of patient is an off-label indication. We present the case of a 59-year-old man with symptomatic ASOS with surgical risk secondary to chronic liver damage referred for TAVI with an aortic annulus greater than 900 mm2. A Myval #32 valve was implanted with overexpansion without complications and early discharge.
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Revista médica de Chile · Apr 2024
[Decline in Renal Function with Age in Chile: Gender Differences and the Impact of Comorbidities].
The estimated glomerular filtration rate (eGFR) using serum creatinine is widely utilized for assessing renal function. Its decrease with age and in the presence of chronic diseases such as diabetes, hypertension, and obesity is well-known. However, there are no representative data for the Chilean population. ⋯ eGFR progressively decreased with age in the Chilean population, showing an early decline starting from 18 years, more pronounced in women, and in the presence of chronic diseases. Our findings provide relevant population-based information for interpreting eGFR across different age groups and risk categories.
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Revista médica de Chile · Apr 2024
[Adaptive Behavior is Related to Body Adiposity and Functional Fitness in Older Women].
Older people present limited independent functioning and greater difficulties in their activities of daily living as they age. ⋯ The study found that, in women aged 65-84 years, AC tends to decrease with age, while body adiposity increases and functional fitness decreases. It is recommended to implement strategies that address these negative effects of aging, such as prevention and management of body adiposity, functional exercise programs, and promotion of a healthy lifestyle.
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Revista médica de Chile · Apr 2024
[Characteristics of Depressed Individuals with Hypertension and/ or Diabetes Mellitus in Primary Health Care in Santiago de Chile].
Eighty percent of depressed patients in Primary Health Care (PHC) have a comorbidity. It is essential to contribute local evidence on the characteristics of patients with physical and psychiatric comorbidities to better address clinical practice. ⋯ These are people with depressive episode, hypertension and/or diabetes who, having a personal and family history of depression, are not receiving pharmacological treatment for depression, which probably affects their quality of life. Better adherence to clinical guidelines for the treatment of depression is required.
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Revista médica de Chile · Apr 2024
[Assessment of diagnostic utility of cerebrospinal fluid flow cytometry immunophenotyping and cytology in B cell non- Hodgkin lymphoma in a public chilean hospital].
Cerebrospinal fluid (CSF) involvement in B cell non-Hodgkin lymphomas is a poor prognostic sign and diagnosis is made using techniques such as flow cytometry (FCM) and conventional cytology (CC). ⋯ A higher proportion of infiltration cases were detected by CMF than by CC. In valuable cases, CC complements CMF.