Revista médica de Chile
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Revista médica de Chile · Sep 2019
Case Reports[Adventitial cystic disease of the popliteal artery as a cause of intermittent claudication: not your usual suspect. Report of one case].
Adventitial cystic disease of the popliteal artery is a rare condition of uncertain etiology, which presents as intermittent claudication of the lower extremity in middle-age patients. We report a 44-year-old man presenting with intermittent claudication of his left leg. ⋯ Surgical resection of the affected segment was performed, with venous graft interposition. The histopathological analysis of the surgical specimen was consistent with cystic adventitial disease.
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Acute ischemic stroke (AIS) is one of the leading causes of death in Chile. Intravenous thrombolysis (IVT) is an effective treatment. Geographical barriers and lack of specialists limit its application. Telemedicine can overcome some of these pitfalls. ⋯ The Telestroke Unit achieved a high rate of IVT and good door-to-needle times. This may help to overcome some of the geographic barriers and the specialist availability gap in our country.
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An explosive increase in overweight and obesity occurred in Chile since the 90's, without an integrative national policy. ⋯ The frequency of obesity will continue to increase, producing severe health risks for the population. Public policies addressing both structural and individual aspects are recommended.
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Revista médica de Chile · Sep 2019
[Use of sodium-glucose cotrasporter 2 inhibitors in type 2 diabetics. Experience in 77 patients].
Sodium-glucose cotransporter 2 inhibitors (SGLT2i) are a new pharmacological alternative for the treatment of diabetes. ⋯ The effects observed in this study are comparable and of similar magnitude to randomized studies of SGLT2i reported in the international literature.
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Revista médica de Chile · Sep 2019
[Spontaneous dissection of visceral arteries. A series of cases].
Spontaneous dissections of visceral arteries are rare and usually secondary to other disease. There is paucity of information about their natural course. ⋯ In this series of patients, spontaneous dissection of visceral arteries had a benign, favorable course, requiring only conservative management.