RESUMO
BACKGROUND: Hypertension is a major cardiovascular risk factor, but knowledge about the real magnitude of the problem and its determinants is lacking. AIM: To assess control of hypertension and evaluate medical resource use, in patients at high risk of cardiovascular disease. DESIGN: Multicentric cross-sectional study. METHODS: We collected data for 2205 adult patients from 36 centres, representative of all regions of Spain. Patients had attended out-patient clinics from July 2002 to August 2003, had an absolute cardiovascular risk > or =20% at 10 years (according to the Framingham guidelines), and had a diagnosis of hypertension. Pregnant and terminally ill patients were excluded. RESULTS: Hypertension was inadequately controlled in 1384 patients (62.8%). LDL cholesterol was higher in patients with uncontrolled hypertension (median 130.2 vs. 120.0 mg/dl, p < 0.001). Haemoglobin A(1c) in diabetic patients was also greater in those with uncontrolled hypertension (median 7.10% vs. 6.90%, p = 0.010). Uncontrolled hypertension was associated with the following variables, in descending strength of association: higher LDL cholesterol, taking antihypertensive medication, living in non-metropolitan areas, and higher body mass index. DISCUSSION: Hypertension is poorly controlled in most patients with a high risk of cardiovascular disease. Uncontrolled hypertension is frequently associated with poor control of other risk factors.
Assuntos
Doenças Cardiovasculares/prevenção & controle , Hipertensão/terapia , Idoso , Anti-Hipertensivos/uso terapêutico , Estudos Transversais , Feminino , Serviços de Saúde/estatística & dados numéricos , Humanos , Masculino , Pessoa de Meia-Idade , Fatores de Risco , EspanhaRESUMO
No disponible
Assuntos
Adulto , Feminino , Humanos , Artrite/etiologia , Hepatite C Crônica/tratamento farmacológico , Interferon-alfa/uso terapêutico , Ribavirina/uso terapêutico , Interferon-alfa/efeitos adversos , Antígeno HLA-DR4/análiseAssuntos
Eosinofilia/complicações , Fasciite/complicações , Glomerulonefrite por IGA/complicações , Adulto , Anti-Inflamatórios/uso terapêutico , Eosinofilia/tratamento farmacológico , Fasciite/tratamento farmacológico , Feminino , Glomerulonefrite por IGA/tratamento farmacológico , Glomerulonefrite por IGA/patologia , Humanos , Metilprednisolona/uso terapêuticoRESUMO
No disponible
Assuntos
Adulto , Feminino , Humanos , HIV-1 , Salmonella , Infecções por Salmonella , Infecções por HIV , Valva Aórtica , Endocardite Bacteriana , Doenças das Valvas CardíacasRESUMO
A case of chronic eosinophilic pneumonia which, during the evolution, developed a very rare motor-sensitive polyneuritis of the lower limbs, is presented. We comment on the results of the electromyography, the neuromuscular biopsy and show the differential diagnosis with other diseases with lung infiltrates, peripheric eosinophilia and polyneuritis, such as hypereosinophilic syndrome, allergic angiitis and granulomatosis of Churg and Strauss.
Assuntos
Polineuropatias/diagnóstico , Eosinofilia Pulmonar/diagnóstico , Adulto , Biópsia , Doença Crônica , Síndrome de Churg-Strauss/diagnóstico , Diagnóstico Diferencial , Feminino , Humanos , Pulmão/patologia , Músculos/patologia , Polineuropatias/etiologia , Polineuropatias/patologia , Eosinofilia Pulmonar/complicações , Eosinofilia Pulmonar/patologia , Nervo Sural/patologia , SíndromeAssuntos
Diabetes Mellitus Tipo 1/genética , Estado Pré-Diabético/genética , Adolescente , Adulto , Idoso , Criança , Pré-Escolar , Família , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , EspanhaRESUMO
The most frequent causes of pleural effusion are congestive heart failure, advanced cirrhosis and nephrotic syndrome. In some rare cases urine can be found accumulated in the pleural compartment, being this entity denominated urinotorax. This phenomenon is generally considered secondary to an urinary obstruction or to an urinoma on the same side as the effusion through mechanisms not yet clarified. Given that it is a benign condition, easily resolved by clearing the obstruction of the urinary tract and that there is little information about it in the literature, we report a case of a massive pleural effusion secondary to hydronephrosis.
