Abstract:
:The clinical characteristics of systolic and diastolic hypertension in 75 and of systolic hypertension in 50 elderly patients have been studied and the results have been compared to those obtained in 23 normotense elderly controls and 500 young patients with essential hypertension. A greater incidence in cardiovascular and neurologic morbility was observed in the hypertense elderly, existing also a greater incidence of electrocardiographic abnormalities and impairment in renal function. The changes in blood pressure with postural changes and isometric and physical exercise were evaluated in a subgroup of these patients, finding that the elderly with hypertension, specially those with systolic hypertension, showed orthostatic hypotension, and an increase in blood pressure with exercise, reaching levels that could potentially cause the clinical complications.
journal_name
Rev Clin Espjournal_title
Revista clinica espanolaauthors
Puras A,Alcázar JM,Miranda B,Oliet A,Rodicio JL,Ruilope LMsubject
Has Abstractpub_date
1989-06-01 00:00:00pages
69-73issue
2eissn
0014-2565issn
1578-1860journal_volume
185pub_type
杂志文章abstract:OBJECTIVE:To analyze the different therapeutic attitudes towards patients with arterial hypertension (AH) or white coat hypertension (WCH). DESIGN:Longitudinal, retrospective study after performing a 24 h ambulatory blood pressure monitoring of ABPM. SETTING:Urban health center. PATIENTS:Eighty-six patients aged ove...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:2001-04-01 00:00:00
abstract::Vascular disease is currently a major health problem, not only for its high prevalence but also for the considerable morbidity, mortality and disability that it entails. Medical internists play a central role in diagnosing and treating vascular disease and controlling the cardiovascular risk factors (CRFs) that cause ...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1016/j.rce.2019.11.014
更新日期:2020-02-25 00:00:00
abstract::This review proposes a more optimistic view of Alzheimer's disease (AD), in contrast to that contributed by the ageing of the population and the failure of potentially curative therapies (vaccines and others). Treatment failure is likely due to the fact that AD gestates in the brain for decades but manifests in old ag...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1016/j.rce.2016.05.010
更新日期:2016-12-01 00:00:00
abstract:INTRODUCTION:Anti-phospholipid antibodies (APA) may involve heart and valvular heart disease seems to be the most common clinical manifestation. OBJECTIVES:To study the prevalence and characteristics of valvular heart disease in a large patient population with anti-phospholipid syndrome (APS) and also to analyze the c...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1016/s0014-2565(02)71136-3
更新日期:2002-10-01 00:00:00
abstract::Sarcoidosis is a disease which presents important clinical differences according to its geographical distribution. Thus, the objective of this study was to evaluate the epidemiologic, clinical, radiologic, and diagnostic characteristics in a series of 30 sarcoidosis patients in the province of Salamanca (representing ...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1991-09-01 00:00:00
abstract:OBJECTIVES:To know the frequency of antibiotic prescription, the conditions that motivate their usage, and to evaluate the quality of such therapies in a hospital emergency department (HED). METHODS:Retrospective study of 2,677 patients attended at a HED for a one-month period including those who had antibiotics presc...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1996-07-01 00:00:00
abstract:OBJECTIVE:To identify the main characteristics in patients with COPD exacerbation, capables to predict the short-term COPD mortality. MATERIALS AND METHODS:This is a case-control retrospective study of admitted patients with COPD to identify risk factors of mortality. The control group was constituted by alive patient...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1016/j.rce.2010.02.008
更新日期:2010-07-01 00:00:00
abstract:INTRODUCTION:The day hospital is an alternative to hospitalization. This alternative improves accessibility and comfort of the patients, and avoids hospitalizations. Nevertheless, the efficacy of the polyvalent medical day hospital in avoiding hospitalizations has not been evaluated. OBJECTIVE:To analyze hospital stay...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1016/j.rce.2011.08.003
更新日期:2012-02-01 00:00:00
abstract::The clinical records of patients attended at emergency hospitals in fifteen hospitals in Madrid, Valencia and Gran Canaria during 1994 were retrospectively analyzed. Seventy-three emergencies related to the consumption of design drugs, hallucinogens or amphetamines (100 times lower than because of opiates or cocaine) ...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1997-12-01 00:00:00
abstract::Cystic neoplasms of the pancreas make up a group of uncommon tumors. Their relevance lies upon their favorable prognosis after resection and the fact of being commonly mistaken with pseudocysts. Based on five patients treated at our hospital in the last few years we make an update review of the literature on these tum...
journal_title:Revista clinica espanola
pub_type: 杂志文章,评审
doi:
更新日期:1999-05-01 00:00:00
abstract::Clinical findings and response to treatment in four cases with plasma cell leukemia (PCL) out of 152 patients of multiple myeloma diagnosed at the Hospital La Paz from 1969 to 1988 are studied. Three of the four plasma cell leukemia cases presented a primary form, and one a secondary form. Our cases had a lower incide...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1991-11-01 00:00:00
abstract:OBJECTIVE:To study the prevalence of hepatitis delta and hepatitis C viruses (HDV and HCV) in patients infected with hepatitis B virus (HBV) with and without risk behaviors for the infection by these viruses and by the human immunodeficiency virus (HIV). MATERIALS AND METHODS:Clinical and serological study (January 19...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1994-10-01 00:00:00
abstract::Painful legs and moving toes syndrome is a rare medical picture characterized by involuntary movements of the toes or the whole foot and pain in lower limbs. However, this must be kept in mind due to its association with other diseases and its possibility of being the first symptom. Spinal cord and cauda equina diseas...
journal_title:Revista clinica espanola
pub_type: 杂志文章,评审
doi:10.1157/13102318
更新日期:2007-05-01 00:00:00
abstract::Chronic obstructive pulmonary disease (COPD) encompasses a group of diseases characterized by chronic airway obstruction. This broad diagnostic umbrella includes several clinical phenotypes that overlap and respond differently to each type of therapeutic intervention. Roflumilast is a drug belonging to the new therape...
journal_title:Revista clinica espanola
pub_type: 杂志文章,评审
doi:10.1016/S0014-2565(11)70008-X
更新日期:2011-03-01 00:00:00
abstract::Gestational diabetes is defined as glucose intolerance of variable severity with onset or first recognition during pregnancy. Gestational Diabetes generally disappears as soon as the pregnancy is terminated. The prevalence of gestational diabetes is 2% to 13%, depending on the genetic characteristics and environment o...
journal_title:Revista clinica espanola
pub_type: 杂志文章,评审
doi:
更新日期:1993-06-01 00:00:00
abstract::In order to assess factors associated with spontaneous pneumothorax (SP), mainly climatic changes, a prospective study was undertaken of 62 SP episodes among patients admitted to our hospital during a two-year period, from January 1994 to January 1996. Atmospheric pressure (AP) changes were analyzed, with daily record...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1016/s0014-2565(02)70990-9
更新日期:2002-02-01 00:00:00
abstract:OBJECTIVE:To determine the primary drug resistance (PDR) of Mycobacterium tuberculosis in ten hospitals in the Castile-León Community for a five-year period (1991-1995), in a sanitary area with almost two millions of inhabitants. MATERIAL AND METHODS:The sensitivity of 825 strains of Mycobacterium tuberculosis to anti...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1999-03-01 00:00:00
abstract::The cerebral trunk infection by Listeria monocytogenes is a very rare process, with only 24 described cases and only 2 in immunodepressed patients. We present a new case of cerebral trunk encephalitis caused by Listeria in a patient diagnosed of Polyarteritis nodosa on steroids and cyclophosamide treatment and fatal e...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1990-11-01 00:00:00
abstract::In order to know the epidemiological, clinical and evolutive characteristics of bacteriemia caused by beta-hemolytic streptococci groups A and B, a retrospective investigation was undertaken of 48 bacteremic episodes observed in adult patients for 10 years (1985-1994). Twenty-two episodes were caused by Group A beta-h...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1995-08-01 00:00:00
abstract::Viral replication seric markers (VRSM), (BeHAg, BcHAg, and DNA-VHB) and the hepatic tissue BcHAg of thirty four patients suffering from chronic hepatopathies (6 PCH, 18 ACH, and 10 cirrhosis) were investigated. The greatest incidence of RVSM was observed in PCH. The combined study using all the markers demonstrated a ...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1991-03-01 00:00:00
abstract::Given the increasing interest in Lyme borreliosis in our community, and the lack of epidemiological studies in our country, we have considered convenient to analyze the presence of anti-Borrelia burgdorferi antibodies in a group of workmen who we have considered at high risk since they carry out their everyday work in...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1990-10-01 00:00:00
abstract::We report here the case of a patient with fluoxetine and selegiline induced serotonin syndrome, which presented as encephalopathy, generalized myoclonias, fever, stiffness and sweating, complicated with acute renal failure, rhabdomyolysis and disseminated intravascular coagulation findings. The patient died 6 days aft...
journal_title:Revista clinica espanola
pub_type: 杂志文章,评审
doi:
更新日期:2002-04-01 00:00:00
abstract::Results of clinical studies are contradictories, with different results in adults and children. Some studies detected a beneficial effect of Omega 3 (w3) fatty acid dietary intake in the risk of asthma and other studies have demonstrated a beneficial effect on clinical symptoms. In our area, a low intake of w3 fatty a...
journal_title:Revista clinica espanola
pub_type: 杂志文章,评审
doi:10.1157/13098496
更新日期:2007-01-01 00:00:00
abstract::Aortic stenosis (AS) is the most common valvular heart disease in developed countries. Its prevalence increases progressively due the aging of the population. Transcatheter aortic valve implantation (TAVI), however, has revolutionised the treatment of AS. With the current data, we can confirm that TAVI is the treatmen...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1016/j.rce.2017.05.001
更新日期:2017-11-01 00:00:00
abstract::A study was conducted to know the rate of non-compliance of antituberculosis therapy among HIV-infected patients, the factors associated with non-compliance and the evolution of these patients. The therapy compliance in 276 tuberculous HIV infected patients diagnosed in two Madrid hospitals was analyzed. Fifty-one pat...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1997-03-01 00:00:00
abstract::Two cases are reported of women aged 18 and 36 years respectively who developed a typical picture of hyperthyroidism by Graves Basedow disease (primary hyperthyroidism, diffuse goiter with increased uptake, positive stimulating thyroid antibodies, exophthalmos). These women had taken drugs for obesity which were prepa...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1996-08-01 00:00:00
abstract::The proportion of diabetic patients who are hospitalised for stroke has been increasing in recent years, currently reaching almost a third of all cases of stroke. In addition, about half of patients with acute stroke present hyperglycaemia in the first hours of the stroke. Although hyperglycaemia in the acute phase of...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1016/j.rce.2015.06.005
更新日期:2016-03-01 00:00:00
abstract::The presence of macroamylasemia should be considered in the differential diagnosis of hyperamylasemia associated with acute abdominal pain, with suspect of pancreatitis. This uncommon and poorly known abnormality is defined as a blinding of serum amylase to certain proteins forming a circulating macrocomplex which pre...
journal_title:Revista clinica espanola
pub_type: 杂志文章,评审
doi:
更新日期:1999-07-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:To determine which factors are associated with a functional gain above 19 on Barthel's index (CSFG) and also factors associated with a new post-discharge institutionalisation (NPDI) in patients who a underwent rehabilitation intervention whilst admitted to a medium long term care unit. PATIEN...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1016/j.rce.2009.06.004
更新日期:2010-01-01 00:00:00
abstract:OBJECTIVE:To determine the management of dyslipidaemia in primary care after the publication of the American College of Cardiology/American Heart Association (ACC/AHA) 2013 guidelines and Valencian government's algorithm. METHOD:We conducted a cross-sectional descriptive study that employed a survey of primary care ph...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1016/j.rce.2019.08.006
更新日期:2020-01-01 00:00:00