ABSTRACT
El objetivo de este estudio es conocer las características de los fumadores ingresados en diferentes servicios médicos y quirúrgicos en un hospital universitario y la percepción de los pacientes respecto a la necesidad de una intervención especializada. La muestra comprende un total de 307 pacientes (edad media de 59,4 años), siendo un 40% (n = 123) no fumadores, 42,7% (n = 131) exfumadores, y un 17,3% (n = 53) fumadores. El consumo medio de los fumadores era de 22,2 cigarrillos/día y la gravedad de la dependencia a la nicotina evaluado con el test de Fagerström sobrepasaba los 5 puntos en más de la mitad de la muestra. Por otra parte, el 77,7% había realizado al menos un intento previo de abandono del consumo de tabaco. Casi la totalidad de la muestra (89,9%) de los fumadores y ex fumadores consideraba necesario desarrollar programas de tratamiento del tabaquismo en la hospitalización. Finalmente se argumenta la importancia del contexto hospitalario como oportunidad para abordar la cesación del hábito tabáquico. Los datos obtenidos en el presente estudio permitirán enfocar más adecuadamente el manejo de estos pacientes y optimizar los recursos.(AU)
The objective of this study is to describe the characteristics of smokers admitted to different medical and surgical services in a university hospital and the perception of patients regarding the need for a specialized intervention. The sample comprises a total of 307 patients (mean age of 59.4 years), being 40% (n = 123) nonsmokers, 42.7% (n = 131) ex-smokers, and 17.3% (n = 53) smokers. The average consumption of smokers was 22.2 cigarettes / day and the severity of nicotine dependence evaluated with the Fagerström test exceeded 5 points in more than half of the sample. On the other hand, 77.7% had made at least one previous attempt to quit tobacco use. Almost the entire sample (89.9%) of smokers and ex-smokers considered it necessary to develop tobacco treatment programs during hospitalization. Finally, the importance of the hospital context is argued as an opportunity to address the cessation of smoking. The data obtained in this study will allow focusing more appropriately on the management of these patients and optimizing resources.(AU)
Subject(s)
Adult , Smokers , Tobacco Use CessationABSTRACT
The objective of this study is to describe the characteristics of smokers admitted to different medical and surgical services in a university hospital and the perception of patients regarding the need for a specialized intervention. The sample comprises a total of 307 patients (mean age of 59.4 years), being 40% (n = 123) non-smokers, 42.7% (n = 131) ex-smokers, and 17.3% (n = 53) smokers. The average consumption of smokers was 22.2 cigarettes / day and the severity of nicotine dependence evaluated with the Fagerström test exceeded 5 points in more than half of the sample. On the other hand, 77.7% had made at least one previous attempt to quit tobacco use. Almost the entire sample (89.9%) of smokers and ex-smokers considered it necessary to develop tobacco treatment programs during hospitalization. Finally, the importance of the hospital context is argued as an opportunity to address the cessation of smoking. The data obtained in this study will allow focusing more appropriately on the management of these patients and optimizing resources.
El objetivo de este estudio es conocer las características de los fumadores ingresados en diferentes servicios médicos y quirúrgicos en un hospital universitario y la percepción de los pacientes respecto a la necesidad de una intervención especializada. La muestra comprende un total de 307 pacientes (edad media de 59,4 años), siendo un 40% (n = 123) no fumadores, 42,7% (n = 131) exfumadores, y un 17,3% (n = 53) fumadores. El consumo medio de los fumadores era de 22,2 cigarrillos/día y la gravedad de la dependencia a la nicotina evaluado con el test de Fagerström sobrepasaba los 5 puntos en más de la mitad de la muestra. Por otra parte, el 77,7% había realizado al menos un intento previo de abandono del consumo de tabaco. Casi la totalidad de la muestra (89,9%) de los fumadores y ex fumadores consideraba necesario desarrollar programas de tratamiento del tabaquismo en la hospitalización. Finalmente se argumenta la importancia del contexto hospitalario como oportunidad para abordar la cesación del hábito tabáquico. Los datos obtenidos en el presente estudio permitirán enfocar más adecuadamente el manejo de estos pacientes y optimizar los recursos.
Subject(s)
Smoking Cessation , Tobacco Use Disorder , Humans , Middle Aged , Smoking/epidemiology , Smoking/therapy , Tobacco Smoking , Tobacco Use Cessation Devices , Tobacco Use Disorder/therapyABSTRACT
Hypoplasia of the posterior mitral valve leaflet (PMVL) is a very rare finding in adulthood and can coexist with other congenital heart defects. In this image, a transesophageal echocardiography (TOE) carried out on a 59-year-old woman with a 2-month history of dyspnea revealed a hypoplastic PMVL causing severe mitral regurgitation associated with a secundum-type atrial septal defect (ASD) with left-to-right shunting. This case demonstrates how essential 3-dimensional TOE is for a comprehensive assessment of the mitral valve and to improve the diagnostic accuracy of concomitant congenital heart abnormalities.
Subject(s)
Heart Septal Defects, Atrial , Mitral Valve Insufficiency , Mitral Valve Prolapse , Adult , Echocardiography, Transesophageal , Female , Heart Septal Defects, Atrial/complications , Heart Septal Defects, Atrial/diagnostic imaging , Humans , Middle Aged , Mitral Valve/diagnostic imaging , Mitral Valve Insufficiency/diagnostic imagingABSTRACT
BACKGROUND: The optimal dosage of cryotherapy during cryoballoon ablation of pulmonary veins is still unclear. This trial tested the noninferiority of a novel, individualized, cryotherapy-dosing strategy for each vein. METHODS AND RESULTS: This prospective, randomized, multicenter, noninferiority study included 140 patients with paroxysmal atrial fibrillation, which was refractory to antiarrhythmic drugs. Patients were randomly assigned to a conventional strategy of 180-second cryoballoon applications per vein with a bonus freeze (control group, n=70) or to a shorter-time application protocol, with 1 application that lasted the time required for electric block time to effect plus 60- and a 120-second freeze bonus (study group, n=70). Patients were followed with a long-term monitoring system of 30 days. At 1-year follow-up, no difference was observed in terms of free atrial fibrillation-recurrence rates: 79.4% in control versus 78.3% in study group (Δ=1.15%; 90% confidence interval, -10.33% to 12.63%; P=0.869). Time to effect was detected in 72.1% of veins. The control and study groups had similar mean number of applications per patient (9.6±2 versus 9.9±2.4; P=0.76). Compared with controls, the study group had a significantly shorter cryotherapy time (28.3±7 versus 19.4±4.3 minutes; P<0.001), left atrium time (104±25 versus 92±23 minutes; P<0.01), and total procedure time (135±35 versus 119±31 minutes; P<0.01). No differences were observed in complications or acute reconnections. CONCLUSIONS: The new time-to-effect-based cryotherapy dosage protocol led to shorter cryotherapy and procedure times, with equal safety, and similar acute and 1-year follow-up results, compared with the conventional approach. CLINICAL TRIAL REGISTRATION: URL: https://clinicaltrials.gov. Unique identifier: NCT02789358.
Subject(s)
Atrial Fibrillation/surgery , Catheter Ablation/methods , Cryosurgery/methods , Pulmonary Veins/surgery , Atrial Fibrillation/physiopathology , Electrocardiography , Female , Follow-Up Studies , Humans , Male , Middle Aged , Prospective Studies , Time Factors , Treatment OutcomeABSTRACT
Introducción y objetivos. La Sociedad Española de Cardiología convoca anualmente becas para financiar proyectos de investigación en el campo de las enfermedades cardiovasculares. Nuestro objetivo es identificar la repercusión de estas inversiones durante el periodo 2000-2006 a partir de los artículos derivados de las becas y publicados en revistas científicas. Métodos. Utilizando los datos de identificación de cada proyecto como términos de búsqueda, se recuperaron todos los artículos derivados de estas becas en las bases de datos del Índice Médico Español, el Índice Bibliográfico Español en Ciencias de la Salud, el Science Citation Index-Expanded y Scopus. Los artículos se sometieron a un análisis estadístico descriptivo en relación con la tipología de las becas, la evolución anual de su número y de su importe, el sexo y las instituciones de los becados. Resultados. Se concedieron 207 becas con un importe total de 3.270.877 y una dotación media anual de 467.268 . De ellas, 123 (59,42%) aportaron publicaciones derivadas. El promedio de artículos publicados por beca concedida ha sido de 1,12, y de 1,9 si se tiene en cuenta únicamente las becas que dieron lugar a publicaciones. Conclusiones. Durante el periodo 2000-2006, la Sociedad Española de Cardiología/Fundación Española del Corazón destinó casi 500.000 anuales a financiar becas de investigación y así contribuir a luchar contra las enfermedades cardiovasculares. Casi el 60% de las becas han aportado publicaciones derivadas, 231 artículos. El 73% de los artículos se publicaron en revistas extranjeras y el 91,34%, en revistas españolas o extranjeras con factor de impacto en el Journal Citation Report (AU)
Introduction and objectives. The Sociedad Española de Cardiología (Spanish Society of Cardiology) every year awards grants to finance research in the field of cardiovascular diseases. The aim of this study is to identify the impact of these investments during the period 2000-2006 from the subsequently published articles in scientific journals. Methods. Using the identifying data of each project as search terms, all articles that resulted from these grants were located in the Spanish Índice Médico Español and Índice Bibliográfico Español en Ciencias de la Salud databases, and in Science Citation Index-Expanded and Scopus. Descriptive statistical analysis of these articles included type of grant, number and amount awarded per year, and the recipient's sex and institutional affiliation. Results. The Sociedad Española de Cardiología awarded 3 270 877 to 207 recipients, an average annual total of 467 268, We identified 231 publications that resulted from 123 (59.42%) of these grants. The average number of articles per grant awarded was 1.12, and 1.9 when taking into account only the awards that led to publication. Conclusions. During the period 2000 to 2006, the Sociedad Española de Cardiología/ Fundación Española del Corazón (Spanish Heart Foundation) provided about 500 000 per year to fund research grants, thereby contributing to the fight against cardiovascular diseases. Almost 60% of grants have led to publications, 73% of which were published in international journals, and 91.34% in national or international journals with an impact factor in the Journal Citation Reports (AU)
Subject(s)
Humans , Male , Female , Fellowships and Scholarships/organization & administration , Fellowships and Scholarships/standards , Societies, Medical/standards , Societies, Medical , Cardiology/education , Cardiology/statistics & numerical data , Scientific Publication Indicators , Fellowships and Scholarships/ethics , Fellowships and Scholarships/trends , Societies, Medical/organization & administration , Societies, Medical/trendsABSTRACT
INTRODUCTION AND OBJECTIVES: The Sociedad Española de Cardiología (Spanish Society of Cardiology) every year awards grants to finance research in the field of cardiovascular diseases. The aim of this study is to identify the impact of these investments during the period 2000-2006 from the subsequently published articles in scientific journals. METHODS: Using the identifying data of each project as search terms, all articles that resulted from these grants were located in the Spanish Índice Médico Español and Índice Bibliográfico Español en Ciencias de la Salud databases, and in Science Citation Index-Expanded and Scopus. Descriptive statistical analysis of these articles included type of grant, number and amount awarded per year, and the recipient's sex and institutional affiliation. RESULTS: The Sociedad Española de Cardiología awarded 3,270,877 to 207 recipients, an average annual total of 467,268. We identified 231 publications that resulted from 123 (59.42%) of these grants. The average number of articles per grant awarded was 1.12, and 1.9 when taking into account only the awards that led to publication. CONCLUSIONS: During the period 2000 to 2006, the Sociedad Española de Cardiología/ Fundación Española del Corazón (Spanish Heart Foundation) provided about 500,000 per year to fund research grants, thereby contributing to the fight against cardiovascular diseases. Almost 60% of grants have led to publications, 73% of which were published in international journals, and 91.34% in national or international journals with an impact factor in the Journal Citation Reports.
Subject(s)
Cardiology , Foundations , Research Support as Topic , Cardiology/economics , Cardiology/statistics & numerical data , Databases, Factual , Journal Impact Factor , Periodicals as Topic , Publishing , Research Support as Topic/economics , Research Support as Topic/statistics & numerical data , SpainABSTRACT
Incluye: qué entendemos por cardiopatía isquémica, qué actitud adoptar ante la sospecha, qué recursos terapéuticos se aplican en el tratamiento, qué son los factores de riesgo, cuáles son modificables, papel del tabaco en el desarrollo de la cardiopatía isquémica, la hipertensión arterial y su relación con la cardiopatía isquémica, el colesterol y su papel en el desarrollo de la cardiopatía isquémica, dieta cardiosaludable, sedentarismo, obesidad y diabetes : relación con la cardiopatía isquémica, el ejercicio físico en los pacientes con cardiopatía isquémica, cuales son los límites, efectos secundarios y efectos adversos de la medicación antianginosa, antihipertensiva e hipocolesterolemiante.
Subject(s)
Cardiology , Cardiovascular Diseases , Heart , Myocardial Ischemia , Heart DiseasesABSTRACT
Contiene: las enfermedades cardiovasculares y los factores de riesgo, influencia de la alimentación en el desarrollo de las enfermedades cardiovasculares, hábitos alimentarios saludables, composición de los alimentos, dieta mediterránea, comentarios específicos sobre alimentos concretos y platos elaborados y recomendados.
