Revista médica de Chile
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Revista médica de Chile · Aug 2010
[Surgical results among 100 patients with type A aortic dissection: retrospective review].
Tipe A aortic dissection involves the ascending aorta and has high mortality rates without surgical treatment. ⋯ Surgical mortality among patients with type A aortic dissection was higher among patients with acute episodes and those aged 70 years or more.
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Reversible cerebral vasoconstriction syndrome is characterized by thunderclap headache associated with multifocal vasoconstriction of cerebral arteries in patients without aneurysmal subarachnoid hemorrhage (SAH). The vasoconstriction reverts within three months. We report a 44-year-old man who had a thunderclap headache during sexual intercourse. ⋯ A new angiography after 15 days was normal. He remains headache-free after twenty six months. In conclusion, patients who have thunderclap headache with normal brain CT and cerebrospinal fluid without xantochromia should be investigated for this syndrome.
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Revista médica de Chile · Jul 2010
Case Reports[Analysis of a clinical ethics consultation experience in intensive care].
Very few patients are presented to ethics committees, and individual ethics consultations are a response to this situation. At the intensive care unit (ICU) in Clínica Alemana, Santiago Chile, an ethics consultation system was organized coordinated with the ethics committee. ⋯ As a complement for the ethics committee's work, consultation is a valid alternative for ethics counselling and a support for physicians and patient's families. Its implementation depends on the particularities of each health institution.
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Revista médica de Chile · Jul 2010
[Endovascular management of acute complications of type B aortic dissection].
Type B aortic dissection is usually managed by intensive care medical therapy and surgery is reserved for treating the complications that can occur during the evolution of a case. ⋯ Endovascular treatment is effective in closing the aortic tear as well as the thoracic aortic false lumen in aortic type B dissections with a low complication rate. Due to the high frequency of distal aortic false lumen persistence, it is not a definitive treatment for this condition but it is useful for the acute complications of the initial phase of type B aortic dissection.
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Revista médica de Chile · Jun 2010
Editorial[Revista Médica de Chile: A new member in the "International Committee of Medical Journal Editors"].
After a worldwide call for applications that took place in 2009, two medical journals were selected to become new members of the "International Committee of Medical Journal Editors (ICMJE)": Chinese Medical Journal and Revista Médica de Chile. Both Editors: Getu Zhaori, MD, and Humberto Reyes, MD, respectively, attended the ICMJE Meeting, 12-14 April 2010, in Queenstown, New Zealand. The meeting agenda included several topics that had been studied in advance by the attendants: editors or deputy editors of the 14 journals integrating this Committee plus a representative for the U. ⋯ These recommendations will be published shortly in ICMJE member journals. An important issue discussed refers to improvements in the "ICMJE Uniform Disclosure Form for Potential Conflicts of Interest"' that had some changes, a glossary of terms will be attached to it and the Instructions will be accompanied by translations into the official WHO languages as well as other languages used by ICMJE member journals. For our journal it is an honor and a great responsibility to become a member of this highly qualified Committee, the only journal published in Spanish and the first one from Latin America.