El comienzo Hace varias lunas, en la octava luna del año El rocío del cielo cayó Y una semilla, con la gota del rocío, su cara se lavó Sin saber que esa gota, se convertiría en esta hermosa flor El rocío siempre fue cayendo, brindando amor Brotó un botón, sin embargo, se perdió en el […]
Nutrition in Kidney Disease: Core Curriculum 2022 As chronic kidney disease (CKD) progresses, the requirements and utilization of different nutrients change substantially. These changes are accompanied by multiple nutritional and metabolic abnormalities that are observed in the continuum of kidney disease. To provide optimal care to patients with CKD, it is essential to have an understanding of […]
Standards of Medical Care in Diabetes—2022 Abridged for Primary Care Providers Las recomendaciones clínicas actualizadas de la Asociación Estadounidense de Diabetes para 2022 exigen un cribado de la población más amplio, además de promover las tendencias hacia la individualización del uso de la tecnología para la diabetes en la atención. El resumen de los cambios […]
Diagnosis and management of arrhythmias in pregnancy Abstract Arrhythmias are the most common cardiac complications occurring in pregnancy. Although the majority of palpitations in pregnancy may be explained by atrial or ventricular premature complexes, the full spectrum of arrhythmias can occur. In this article, we establish a systematic approach to the evaluation and management […]
Reevaluating the Cardiac Risk of Noncardiac Surgery Using the National Surgical Quality Improvement Program Abstract Background As surgical techniques evolve and patient outcomes improve over time, a renewed analysis of the cardiac risk of noncardiac surgeries is needed. The goal of this study was to investigate and categorize the cardiac risk of elective noncardiac surgeries. […]
2021 ACC/AHA/SCAI Guideline for Coronary Artery Revascularization La enfermedad de las arterias coronarias sigue siendo una de las principales causas de morbilidad y mortalidad a nivel mundial. La revascularización coronaria es una opción terapéutica importante en el manejo de pacientes con enfermedad arterial coronaria. La guía de revascularización de arterias coronarias de 2021 proporciona recomendaciones basadas en […]
Potential effects and application prospect of angiotensin receptor-neprilysin inhibitor in diabetic kidney disease Highlights • ARNI promotes natriuresis and reduces blood pressure, contributing to renoprotection in diabetic patients. • ARNI is promising for ameliorating inflammation, oxidative stress, renal dysfunction and histopathologic changes of kidney. • ARNI may improve insulin resistance and blood glucose regulation via […]
JCS/JHFS 2021 Guideline Focused Update on Diagnosis and Treatment of Acute and Chronic Heart Failure El cambio principal en esta edición revisada es la integración de las pautas de tratamiento de insuficiencia cardíaca anteriores, que se separaron en insuficiencia cardíaca aguda e insuficiencia cardíaca crónica. Este cambio se basó en el reconocimiento de que separar las […]
Recategorization of Non-Aspirin Nonsteroidal Anti-inflammatory Drugs According to Clinical Relevance: Abandoning the Traditional NSAID Terminology Abstract Non-aspirin nonsteroidal anti-inflammatory drugs (NSAIDs) are frequently used to treat pain, fever, and inflammation. Historically, NSAIDs have been categorized as traditional NSAIDs and newer cyclooxygenase (COX)-2 inhibitors (coxibs). However, traditional NSAIDs also inhibit the COX-1 and COX-2 enzyme isoforms […]
Unexplained hemorrhagic syndrome? Consider acquired hemophilia A or B Abstract There is a dire need to develop an algorithm to improve the recognition of acquired hemophilia A and B (AHA and AHB) in clinical practice. Initial and intensive care unit (ICU) management of the disorder is particular and represents a challenge for the internist/hematologist and […]