Abstract：
BACKGROUND AND OBJECTIVE:Although smoking habit is a well-known cardiovascular risk factor, it has been described that smokers admitted because of myocardial infarction have better prognosis than non smoker patients, which is known as "the smoking paradox". The purpose of our work is to investigate whether this phenomenon occurs among patients admitted because of acute coronary syndrome without ST-segment elevation (NSTACS), and which factors help to explain it. PATIENTS AND METHODS:We analysed 563 consecutive patients admitted because of NSTACS on the Coronary Unit of our hospital from January 2005 to December 2006. We analysed clinic and angiographic characteristics and their relationship with in-hospital complications and prognosis. RESULTS:155 Patients were smokers (27.53%). Smoker patients were younger, more often male, had less risk factors, and more often had a Killip I class at admission (91.6% vs. 79.3%). They had less commonly the combined endpoint of death, reinfarction or Killip Class IV (6.5 vs 13.6%, odds ratio 0.439, confidence interval 0.218 a 0.885, P=.018). This relationship was lost after adjusting to other significant clinical and angiographic data by logistic regression. CONCLUSIONS:Our study confirms the "smoking paradox" amongst NSTACS patients, which is explained by the lower prevalence of previous myocardial infarction, diabetes or multivessel disease. It is essential to recommend quitting the smoking habit.
journal_name
Med Clin (Barc)journal_title
Medicina clinicaauthors
Amor-Salamanca A,Devesa-Cordero C,Cuesta-Díaz A,Carballo-López MC,Fernández-Ortiz A,García-Rubira JCdoi
10.1016/j.medcli.2010.01.039subject
Has Abstractpub_date
2011-02-19 00:00:00pages
144-8issue
4eissn
0025-7753issn
1578-8989pii
S0025-7753(10)00953-Xjournal_volume
136pub_type
杂志文章相关文献
MEDICINA CLINICA文献大全abstract：:The handling of patients with cerebral ischemia is reviewed, taking into consideration recent concepts regarding etiopathogenesis along with new diagnostic and therapeutic methods. A particularly important new diagnostic method is computerized axial tomography. The subject is divided into four sections in order to pre...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：
更新日期：1979-05-25 00:00:00
abstract：BACKGROUND AND OBJECTIVE:Obesity is associated with cardiovascular risk factors and heart failure. SUBJECTS AND METHOD:Thirty children with overweight or obesity were matched with 30 healthy children. Corrected QT interval (QTc) and QT dispersion (QTd), left ventricular mass, left ventricular mass index, fractional sh...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：10.1157/13076743
更新日期：2005-06-18 00:00:00
abstract：BACKGROUND:Advanced atrioventricular block (AB) during acute myocardial infarction (AMI), characterizes a high-risk subgroup of patients. Our aim was to determine the prognostic significance of AB and its possible peculiarities in relation to infarction localization and/or the thrombolytic therapy. PATIENTS AND METHOD...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：10.1016/s0025-7753(00)71282-6
更新日期：2000-03-11 00:00:00
abstract：:The serum levels of cholesterol bound to high density lipoproteins (HDL-C) were determined by the heparin-manganese chloride precipitation method in 306 subjects, 182 male with ages ranging from 11 to 81 years, and 124 female with ages ranging from 7 to 78 years. Twenty six subjects belonged to a lacto-vegetarian comm...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：
更新日期：1981-03-25 00:00:00
abstract：BACKGROUND:In recent years there has been a change in the opportunistic diseases incidence in HIV-infected patients. The change could be related to the use antiviral therapy and chemoprophylaxis strategies. The aim of the present study was to evaluate if medical intervention is able to modificate the clinical presentat...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：
更新日期：1998-02-07 00:00:00
abstract：BACKGROUND AND OBJECTIVE:We decided to assess the overall prevalence of exposure to environmental tobacco smoke (ETS) both in general and according to the settings of exposure (home, workplace and leisure time). SUBJECTS AND METHOD:We analyzed cross-sectional data of ETS exposure in 1,059 non-smokers included in the C...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：10.1016/s0025-7753(04)74570-4
更新日期：2004-10-16 00:00:00
abstract：BACKGROUND:To determine the nonfulfillment of antiinfectious therapy in clinical practice. MATERIAL AND METHODS:Fulfillment was quantified by tablet counting (TC) in the homes of 366 patients undergoing antibiotic treatment and the motives and predictive factors were identified. RESULTS:Nonfulfillment was of 61% (95%...
journal_title：Medicina clinica
pub_type： 杂志文章,多中心研究
doi：
更新日期：1999-05-29 00:00:00
abstract：:Systemic vasculitis is a disease whose prognosis has improved considerably with steroid and immunosuppressive treatment, which points up the importance of early diagnosis. In elderly, diagnosis is made more difficult because the frequent onset in the form of a febrile syndrome with non-specific disturbances in general...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：
更新日期：1992-04-18 00:00:00
abstract：BACKGROUND:The renin-angiotensin system (RAS) plays an important role in blood pressure (BP) regulation. A number of RAS polymorphisms have been linked to essential hypertension (EH), but there is uncertainty about this association in other studies. We examined whether the insertion/deletion (I/D) polymorphism of the a...
journal_title：Medicina clinica
pub_type： 杂志文章,评审
doi：
更新日期：1999-05-01 00:00:00
abstract：BACKGROUND:To analyze the relationship between length of hospitalary stay and early readmission rate. To assess the hypothesis that those admissions with the lowest length of stay are associated with higher early readmission rate. PATIENTS AND METHODS:Retrospective study of 35,902 hospital admissions. A single admissi...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：
更新日期：1996-11-02 00:00:00
abstract：BACKGROUND:Our main goals were to know the actual degree of oral anticoagulation and antiaggregation in hypertensive patients with atrial fibrillation in the daily clinical practice in Spain and to analyze any differences between primary care physicians and cardiologists. PATIENTS AND METHOD:32,051 outpatients attende...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：10.1016/s0025-7753(02)72375-0
更新日期：2002-03-16 00:00:00
abstract：BACKGROUND AND OBJECTIVE:Diffuse idiopathic skeletal hyperostosis (DISH) and abdominal aortic calcification (AAC) are related to an increased cardiovascular risk. The aim of this study was to analyse a possible relationship between both entities and also the association between metabolic disorders and DISH. PATIENTS A...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：10.1016/j.medcli.2017.01.030
更新日期：2017-09-08 00:00:00
abstract：:Since its inception in 2006, the Alliance for Patient Safety in Catalonia has played a major role in promoting and shaping a series of projects related to the strategy of the Ministry of Health, Social Services and Equality, for improving patient safety. One such project was the creation of functional units or committ...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：10.1016/j.medcli.2014.07.011
更新日期：2014-07-01 00:00:00
abstract：:Cephotaxime (HR 756) is a new cephalosporin antibiotic of wide spectrum and extraordinary activity, suitable for parenteral administration. It is highly resistant to the beta-lactamases of Gram negative bacilli, being thus especially active against microorganisms such as indole-positive Proteus, Serratia marcencens, a...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：
更新日期：1980-11-25 00:00:00
abstract：BACKGROUND AND OBJECTIVE:We aimed to determine whether measuring the hyperacute lipid profile helps to start a cholesterol-lowering therapy soon after an ischemic stroke. PATIENTS AND METHOD:72 ischemic stroke patients underwent lipid determinations at three times (hyperacute phase or arrival, second day and the third...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：10.1157/13072322
更新日期：2005-03-05 00:00:00
abstract：BACKGROUND AND OBJECTIVE:Our goal was to analyze the epidemiological and clinical findings, as well as the diagnostic approach in a group of patients in whom uveitis was the first manifestation of sarcoidosis. PATIENTS AND METHOD:Retrospective study (between March 1998 and July 2002) including 31 patients diagnosed wi...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：10.1016/s0025-7753(04)74374-2
更新日期：2004-05-22 00:00:00
abstract：BACKGROUND:In this study the quality of health care provided in cases of the common cold and similar was studied. These diseases were selected to seek opportunities for improvement for health care professionals by the nominal group technique. METHODS:A retrospective study of the health care procedures was carried out ...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：
更新日期：1995-04-15 00:00:00
abstract：BACKGROUND:The aim of the present study was to provide information on several clinical and methodological aspects of the measurement of the contents of estrogen (ER) and progesterone (PgR) receptors in breast tumoral tissue using monoclonal antibodies. METHODS:The contents of ER and PgR were measured in 94 tumor speci...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：
更新日期：1991-06-08 00:00:00
abstract：BACKGROUND:There is no detailed information on the scientific production in biomedicine from the perspective of the centers which make up the National Health Care System. Nor has any analysis on productivity by specialties compared with that of other countries of the European Community (EC) been carried out. METHODS:T...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：
更新日期：1993-12-04 00:00:00
abstract：:We analyzed the tissue oxygen extraction in 25 patients with acute respiratory failure. Fourteen met the clinical criteria for the adult respiratory distress syndrome (ARDS). The 11 remaining patients had acute respiratory failure with causes different from ARDS. In all cases the changes in the oxygen extraction ratio...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：
更新日期：1991-01-26 00:00:00
abstract：:Systemic autoinflammatory diseases are an heterogeneous group of systemic disorders clinically characterized by recurrent or persistent inflammatory episodes, which occur in the absence of infectious, neoplastic or autoimmune etiology. During the past years, genetic defects affecting different proteins involved in the...
journal_title：Medicina clinica
pub_type： 杂志文章,评审
doi：10.1157/13108350
更新日期：2007-07-14 00:00:00
abstract：BACKGROUND:The presence of the 5569A polymorphism may lead to misdiagnosis of patients susceptible of hereditary hemochromatosis (HH). For that reason, samples containing the Cys282Tyr mutation were revised and the frequency of this polymorphism in our environment was assessed. PATIENTS AND METHOD:Twenty samples were ...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：10.1016/s0025-7753(01)72225-7
更新日期：2001-12-01 00:00:00
abstract：:The aim of a case-control design is to make a measurement of the highest possible accuracy, reducing to a minimum the possible selection, information and confusion biases. The design, methods and procedures of a multicentric study carried out in 14 hospitals from 4 autonomous communities in Spain are discussed. Overal...
journal_title：Medicina clinica
pub_type： 临床试验,杂志文章,多中心研究
doi：
更新日期：1989-05-06 00:00:00
abstract：BACKGROUND AND OBJECTIVES:Urban air pollutants are composed of a heterogeneous mixture of substances in gas and aerosol states. The aim of this study was to compare the effects caused by exposure to contaminants in the gas phase and atmospheric particles in ambient air in patients hospitalized for acute coronary syndro...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：10.1016/j.medcli.2012.05.040
更新日期：2013-06-18 00:00:00
abstract：:Highly malignant non-Hodgkin lymphomas (HM-NHL) may sometimes develop clinical features simulating an epithelial carcinoma with metastatic dissemination. Conventional histopathological study may be insufficient to differentiate between both conditions. Two patients with HM-NHL are reported with a rapid general deterio...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：
更新日期：1989-03-11 00:00:00
abstract：BACKGROUND AND OBJECTIVE:Due to recent medical advances, patients with cystic fibrosis (CF) can expect longer survival rates and, as a result, face previously unreported complications such as osteoporosis. Our goal was to determine the mineral bone density in young adult patients with CF attended in the adult CF Unit, ...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：10.1016/s0025-7753(04)74420-6
更新日期：2004-06-19 00:00:00
abstract：BACKGROUND AND OBJECTIVE:To assess the usefulness of a risk scale based on serum procalcitonin (PCT) compared to the Laboratory Risk Indicator for Necrotising Fasciitis (LRINEC) scale in the early discrimination between necrotising fasciitis (NF) and cellulitis of the extremities. MATERIALS AND METHODS:Retrospective s...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：10.1016/j.medcli.2019.01.032
更新日期：2019-11-15 00:00:00
abstract：:Meningitis and other infectious diseases of the central nervous system are predisposing causes of the inadequate secretion syndrome of the antidiuretic hormone (ISADH). The association between the acquired immunodeficiency syndrome (AIDS) and ISADH is recognized but little studied. In AIDS patients hyponatremia is a f...
journal_title：Medicina clinica
pub_type： 杂志文章,评审
doi：
更新日期：1993-03-20 00:00:00
abstract：BACKGROUND:Osteoporosis may be associated with parenchymal hepatopathy and chronic alcoholism. Biochemical studies which are linked with bone metabolism and the bone densitometry may help to understand its physiopathology, before the symptoms appear and its consequences become inevitable. PATIENTS AND METHODS:The stud...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：
更新日期：1998-10-17 00:00:00
abstract：BACKGROUND AND OBJECTIVE:To analyse articles retracted due to irregularities by authors helps to determine the state of scientific integrity of a discipline or country. The Retraction Watch (RW) database is the largest worldwide database on retracted articles. The objective was to determine the reasons for and features...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：10.1016/j.medcli.2019.04.018
更新日期：2020-02-28 00:00:00
