RESUMO
Abstracts: 24 hour blood pressure monitoring. Recommendations from the Chilean Society of Cardiology and Cardiovascular Surgery. The recommendations for blood pressure monitoring from the Chilean Society of Cardiology and Cardiovascular Surgery are analyzed. Emphasis is placed on indications for the procedure, according to different classes and causes of hypertension. Implications of different types of hypertension for prognosis and indications for adequate therapy are discussed.
Assuntos
Humanos , Monitorização Ambulatorial da Pressão Arterial/normas , Hipertensão/diagnósticoRESUMO
This paper outlines the position of the Department of Cardiovascular Prevention from the Chilean Society of Cardiology regarding the use of the "polypill". The international and local evidence regarding the benefits of the polypill compared to conventional therapy is reviewed. The benefits and some limitations of the polypill are outlined, along with cost-effective considerations. The increased adherence to treatment and the better clinical results of this strategy are put forward. The used of the polypill in different groups of subjects, especially those recovered from a recent myocardial in-farction, is recommended for individual patients and in Chilean cardiovascular prevention programs from the Ministry of Health.
Assuntos
Humanos , Aterosclerose/prevenção & controle , Fármacos Cardiovasculares/administração & dosagem , Doenças Cardiovasculares/prevenção & controle , Adesão à Medicação/estatística & dados numéricos , Aterosclerose/epidemiologia , Doenças Cardiovasculares/epidemiologia , Chile/epidemiologia , Análise Custo-Benefício , Fatores de Risco , Prevenção SecundáriaAssuntos
Humanos , Doenças Cardiovasculares/prevenção & controle , Hiperlipidemias/tratamento farmacológico , Inibidores de Hidroximetilglutaril-CoA Redutases/uso terapêutico , Aterosclerose , Chile , Colesterol/sangue , Diabetes Mellitus , Dislipidemias/tratamento farmacológico , Seleção de Pacientes , Medição de Risco , Grupos de RiscoRESUMO
We report a 79 year-old mate with a history of an acute coronary syndrome subjected to coronary angioplasty and stent placement in the right coronary artery (RCA) four months ago. Since the patient continued with symptoms, a coronary angiography was performed. During the procedure, the patient developed a cutaneous allergic reaction and bronchospasm probably related to contrast media and a severe spasm of the RCA with inferior ST elevation in the absence of rest enosis, that was difficult to treat. The presence of angina or an acute coronary syndrome and allergic reactions is known as the Kounis syndrome.