Revista médica de Chile
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Revista médica de Chile · May 2022
Clinical Trial[Use of anticoagulants in patients with atrial fibrillation undergoing transcatheter aortic valve implantation].
Transcatheter Aortic Valve Implantation (TAVI) is beneficial in patients with symptomatic severe Aortic Stenosis (AS). There is no consensus about the best anticoagulation strategy for patients with a recent TAVI and with atrial fibrillation (AF). Direct oral anticoagulants (DOACs) are effective to prevent embolic events with a significant lower incidence of bleeding. There is scarce evidence about the use of these drugs in patients undergoing TAVI. ⋯ In the absence of randomized data, interventional cardiologists prescribe DOACs at discharge to patients with AF and TAVI, without following current guidelines in most cases.
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Revista médica de Chile · May 2022
Case Reports[Spontaneous non-traumatic splenic rupture as a presentation form of light chain amyloidosis. Report of one case].
We report a 35-year-old sportive man who was admitted to the emergency department for worsening of acute spontaneous abdominal pain appearing at rest. He only referred having lifted a tree trunk the day before, but he was used to perform such physical efforts. ⋯ The patient benefited from total splenectomy. Laboratory data showed hypogammaglobulinemia, proteinuria and the anatomopathological examinations of both spleen and kidneys were consistent with light chain amyloidosis.
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Acute myeloid leukemia (AML) is the most common leukemia in adults. ⋯ Our results are comparable to those reported in developed countries. Improving the survival of patients 60 years and older is our main challenge.
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Revista médica de Chile · May 2022
[Features of COVID-19 infection among patients with hematological malignancies].
COVID-19 infection can be especially severe in certain risk populations such as patients with hematologic malignancies. ⋯ This population with hematologic malignancies and COVID-19 had special characteristics leading to a greater fatality rate which, in this series, does not increase with the use of mechanical ventilation.