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Azpiri-Lopez Jose R. Galarza-Delgado Dionicio A. Colunga-Pedraza Iris J. Arvizu-Rivera Rosa I. Cardenas-de la Garza Jesus A. Vera-Pineda Raymundo Davila-Jimenez Jose A. Martinez-Flores Carolina M. Rodriguez-Romero Alejandra B. Guajardo-Jauregui Natalia 《Clinical rheumatology》2021,40(7):2651-2656
Clinical Rheumatology - Rheumatoid arthritis (RA) patients are at increased risk for developing cardiovascular disease, including right heart failure. The evaluation of right ventricle (RV) using... 相似文献
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Edgar Francisco Carrizales-Sepúlveda Raymundo Vera-Pineda Raúl Alberto Jiménez-Castillo Jorge Rafael Violante-Cumpa Ramiro Flores-Ramírez Alejandro Ordaz-Farías 《The American journal of the medical sciences》2021,361(6):690-701
Diabetic ketoacidosis (DKA) is a serious complication of diabetes mellitus. Hyperglycemia, acidosis, and electrolyte imbalances can directly affect the heart by inducing toxicity, impairing myocardial blood flow, autonomic dysfunction, and altering activation and conduction of electrical impulses throughout the heart, increasing the risk of arrhythmias and ischemia. The electrocardiogram is useful in monitoring patients during and after an episode of DKA, as it allows the detection of arrhythmias and guides metabolic correction. Unfortunately, reports on electrocardiographic abnormalities in patients with DKA are lacking. We found two electrocardiographic patterns that are frequently reported in the literature: a pseudo-myocardial infarction and a Brugada Phenocopy. Both are associated with DKA metabolic anomalies and they resolve after treatment. Because of their clinical relevance and the challenge they represent for clinicians, we analyzed the clinical characteristics of these patients and the mechanisms involved in these electrocardiographic findings. 相似文献
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Wah-Suarez Martin I. Galarza-Delgado Dionicio A. Azpiri-Lopez Jose R. Colunga-Pedraza Iris J. Cardenas-de la Garza Jesus Alberto Vera-Pineda Raymundo Arvizu-Rivera Rosa I. Martinez-Moreno Adrian Ramos-Cazares Ray E. Abundis-Marquez Elizabeth E. Guillen-Lozoya Andres H. Davila-Jimenez Jose A. Guillen-Gutierrez Cinthia Y. Elizondo-Riojas Guillermo 《Clinical rheumatology》2018,37(9):2373-2380
Clinical Rheumatology - Atherosclerotic cardiovascular disease (ASCVD) is the leading cause of death in patients with rheumatoid arthritis (RA). Chronic inflammation and traditional risk factors... 相似文献
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Raúl A. Jiménez-Castillo Lucía T. Fernández Raymundo Vera-Pineda Edgar F. Carrizales-Sepúlveda Gisela García-Arellano Julio E. González-Aguirre 《The American journal of emergency medicine》2019,37(1):176.e3-176.e4
We present the case of a human immunodeficiency virus (HIV)-infected patient who arrived at our emergency department with fever, headache and exertional dyspnea. Throughout their stay, a chest x-ray was taken and a rounded opacity in his left lung was observed. CT images showed same abnormality and also ground glass opacities were seen. Symptoms and images strongly suggested a pulmonary infection due to pneumocystis jirovecii, however a presence of a round lesion should always lead to neoplasia being suspected. We empirically started treatment based on trimethoprim and sulfamethoxazole. Once available, flexible bronchoscopy and bronchoalveolar lavage was performed and stained preparations from his respiratory specimens confirmed the diagnosis of pulmonary pneumocystis infection. Finally, after 4?days of antibiotic therapy, an important clinical improvement was documented; a new chest x-ray was performed and the previous rounded opacity was absent. This finding strongly suggested a case of round pneumonia. 相似文献
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Edgar Francisco Carrizales-Sepúlveda Linda Ivette González-Sariñana Alejandro Ordaz-Farías Raymundo Vera-Pineda Ramiro Flores-Ramírez 《The American journal of emergency medicine》2018,36(8):1523.e5-1523.e6
Temporary transcutaneous pacing devices are used to treat symptomatic bradyarrhythmias that are unresponsive to medical therapy until it resolves or a more stable pacing device is established. Pain is the most common complication. Skin burns as a complication are uncommon. A female patient presented with a complete atrioventricular block that caused altered mental status and required orotracheal intubation. A temporary transcutaneous pacing device was used to treat the bradyarrhythmia and maintained for 12?h until a temporary transvenous pacemaker was placed. The patient developed a third degree skin burn in the area where the anterior pacing patch was placed.Bradycardia is a common complaint in the emergency department. Temporary transcutaneous cardiac pacing is a widely available treatment modality that serves as initial management for these cases and allows us to keep patients stable until a more stable pacing solution is available. Burns as a complication of transcutaneous pacing are uncommon. 相似文献
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Galarza-Delgado Dionicio A. Azpiri-Lopez Jose R. Colunga-Pedraza Iris J. Cardenas-de la Garza Jesus A. Vera-Pineda Raymundo Serna-Peña Griselda Arvizu-Rivera Rosa I. Martinez-Moreno Adrian Wah-Suarez Martin Garza Elizondo Mario A. 《Clinical rheumatology》2017,36(6):1387-1393
Clinical Rheumatology - Variability of the 10-year cardiovascular (CV) risk predicted by the Framingham Risk Score (FRS) using lipids, FRS using body mass index (BMI), Reynolds Risk Score (RRS),... 相似文献
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