Abstract：
BACKGROUND:Hypertension and dyslipemia are associated with a greater frequency than that randomly expected. The increase in insulinic resistance hyperinsulinemia is one of the factors implicated in the pathogenesis of this association. In the present study the lipid profile of hypertensive patients is analyzed according to the degree of insulinemia. METHODS:The lipid profile (total cholesterol, fraction linked to low density lipoproteins cLDL, high density cHDL, triglycerides and plasma apolipoproteins A1 and B were determined in 87 patients with essential high blood pressure. Moreover an oral overdose of 75 g of glucose was administered with determinations of glycemia, insulinemia and C peptide at the time of glucose administration, 60 and 120 minutes. RESULTS:Upon separation of the hypertense patients into two groups according to the insulinemia achieved following an oral overload of glucose, those hypertensives with a greater degree of insulinemia showed a significant increase in triglycerides (p < 0.05) and also a significant decrease in cHDL (p < 0.001). The hypertensive patients with lower insulinemia showed a significant increase in total cholesterol (p < 0.05) and fraction linked to LDL although the latter was not significant. CONCLUSIONS:Two different lipid profiles may be observed in hypertensive patients: one linked to hyperinsulinemia and characterized by an increase in triglycerides and a decrease in cHDL and another with no relation with hyperinsulinemia which is manifested by an increase in total cholesterol and cholesterol transported by the LDL.
journal_name
Med Clin (Barc)journal_title
Medicina clinicaauthors
Villar J,Muñiz O,Stiefel P,Miranda M,Jiménez L,Montilla C,Martín-Sanz V,Carneado Jsubject
Has Abstractpub_date
1994-09-10 00:00:00pages
241-5issue
7eissn
0025-7753issn
1578-8989journal_volume
103pub_type
杂志文章相关文献
MEDICINA CLINICA文献大全abstract：BACKGROUND AND OBJECTIVE:Rheumatoid arthritis (RA) is characterized by high cardiovascular (CV) mortality, which seems related to systemic inflammation. Our aim was to quantify carotid atherosclerosis in RA and its relationship with the disease. PATIENTS AND METHOD:73 RA patients and the same number of sex and age mat...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：10.1157/13116171
更新日期：2008-02-23 00:00:00
abstract：BACKGROUND AND OBJECTIVE:To estimate the prevalence of risk behaviors related to drug use and to identify factors associated with of accepting and passing on used syringes among intravenous drug users (IDU) recruited in Barcelona city and other surrounding areas in 2004. SUBJECTS AND METHOD:A cross-sectional study of ...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：10.1157/13093723
更新日期：2006-10-14 00:00:00
abstract：BACKGROUND AND OBJECTIVE:Arterial stiffness (AS) is a well-recognized target organ lesion. This study aims to determine: 1) the frequency of AS in community pharmacies; 2) if stiffened subjects identified by brachial oscillometry have more CV risk factors than normal subjects, and 3) the dependence of stiffness on usin...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：10.1016/j.medcli.2017.04.037
更新日期：2017-12-07 00:00:00
abstract：BACKGROUND:Delirium is an organic mental disorder frequently seen in elderly patients admitted to hospital for medical or surgical diseases. The prevalence, triggering factors, the relationship with prior existence of dementia and the evolution of delirium were studied. METHODS:One hundred eight elderly patients admit...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：
更新日期：1995-03-11 00:00:00
abstract：:This article presents six cases of hemolytic-uremic syndrome, defined as the combination of acute renal insufficiency, microangiopathic hemolytic anemia, and thrombocytopenia, in six adult patients, two men and four women, between 20 and 52 years old. Three of the cases were considered idiopathic, two secondary to the...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：
更新日期：1980-01-10 00:00:00
abstract：BACKGROUND:The current treatment of thalassaemia maior (TM) is based on a hypertransfusion regimen, with deferoxamine (DFO) chelation therapy to minimize the consequences of iron overload. To evaluate the long-term efficacy of chelation therapy, a group of 9 patients treated for a period of 9 years was studied. METHOD...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：
更新日期：1994-05-21 00:00:00
abstract：BACKGROUND AND OBJECTIVE:Growth hormone binding protein (GHBP), insuline-like growth factor 1 (IGF-1) and insuline-like growth factor binding protein 3 (IGFBP-3) serum concentrations were studied in familial short-statured patients (FSS) and age-matched normal-statured subjects. The aim of the study was to ascertain wh...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：10.1157/13067086
更新日期：2004-10-09 00:00:00
abstract：INTRODUCTION AND OBJECTIVE:The albumin-cytologic dissociation in cerebrospinal fluid (CSF) supports the diagnosis of Guillain-Barre syndrome (GBS) but does not support the prognosis, so the aim of this study is to determine the usefulness of protein numbers in the CSF to predict progression in paediatric patients. PAT...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：10.1016/j.medcli.2017.06.063
更新日期：2018-05-11 00:00:00
abstract：BACKGROUND:A high prevalence of osteoporosis has been described in patients before and after cardiac transplantation. But clinical factors involved in previous bone loss in this condition are not well known. The purpose has been to study bone mineral density (BMD) in patients subject to cardiac transplantation, analyzi...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：10.1016/s0025-7753(00)71430-8
更新日期：2000-05-27 00:00:00
abstract：BACKGROUND:In this study we introduce a new view of hospital infection, to apply time series techniques to it. Our objective is to complement hospital infection's epidemiological surveillance by means of obtaining alert and alarm thresholds that make easy to the epidemiologist the decision of intervention, in case they...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：
更新日期：1992-06-06 00:00:00
abstract：:During the last few years, insufficient efficacy of currently recommended antimicrobial agents has been observed, mainly in the case of glycopeptides, during the treatment of infections due to methicillin-resistant Staphylococcus aureus, even if these isolates show MIC values within the susceptible range. The phenomen...
journal_title：Medicina clinica
pub_type： 杂志文章,评审
doi：10.1016/S0025-7753(10)70036-1
更新日期：2010-12-01 00:00:00
abstract：BACKGROUND AND OBJECTIVE:We intended to know the degree of agreement between the quality of life's perception of patients with home nutritional support and that of their main caregiver in the different dimensions. We also aimed to establish the predictive ability of the health-related quality of life (HRQL) punctuation...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：10.1016/s0025-7753(08)72258-9
更新日期：2008-09-13 00:00:00
abstract：:Practicing sports at a professional level requires the body to be in good health. The fact of carrying out a continuous and high intensity physical activity in the presence of pathological conditions and/or a maladaptation of the body can be detrimental to the athletes' health and, therefore, to their performance. Man...
journal_title：Medicina clinica
pub_type： 杂志文章,评审
doi：10.1016/j.medcli.2017.09.008
更新日期：2018-04-13 00:00:00
abstract：BACKGROUND:We determined the extent to which opportunities for prevention were missed among patients with tuberculosis and the costs derived from the lack of prevention. METHOD:Descriptive study of patients with active tuberculosis were studied in the hospital ward of tuberculosis at the A. Marcide-Novoa Santos Centre...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：
更新日期：1997-06-07 00:00:00
abstract：BACKGROUND AND OBJECTIVE:This study was aimed to verify whether it is possible to detect at hospital admission, by means of INTERMED, pneumonology patients at risk of "complexity" and of specialized psychosocial intervention. PATIENTS AND METHOD:With the Spanish version of INTERMED (for detection of risk for complexit...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：10.1016/s0025-7753(08)75487-3
更新日期：2008-11-29 00:00:00
abstract：:We report 3 patients with chronic myeloproliferative syndromes and active tuberculous infection. The first patient had chronic myelocytic leukemia. In this patient, primary tuberculosis was localized in the lung. In spite of tuberculostatic treatment, he developed laterocervical lymphadenopathy and a tuberculous absce...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：
更新日期：1990-04-21 00:00:00
abstract：BACKGROUND:This study investigated the burden (incidence, mortality and serotype distribution) of pneumococcal pneumonia among older adults in the region of Tarragona (Spain). METHODS:Population-based cohort study involving 27,204 individuals ≥60 years in Tarragonès county (Southern Catalonia), who were prospectively ...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：10.1016/j.medcli.2015.09.015
更新日期：2016-03-04 00:00:00
abstract：:Out of 110 cases of fever of unknown origin (FUO) that met Petersdorf and Beeson's criteria 15 patients were selected because of prolonged FUO with more than six months elapsed between admission and the final diagnosis. In this group of chronic FUO an etiological diagnosis was reached in 11 cases, distributed as follo...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：
更新日期：1981-05-10 00:00:00
abstract：:Three representative cases of the clinical heterogeneity of Castleman's disease are presented: one localized form with hialine vascular histology (HV) and 2 multicentric forms corresponding to the plasmocellular variety (PC). The asymptomatic patient with HV was treated with surgical resection of one tumor. The 2 pati...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：
更新日期：1994-11-12 00:00:00
abstract：:The clinical records of 304 patients with acute respiratory insufficiency were studied in retrospect. All of them had been treated in an Intensive Care Unit during its first year and a half of operation. One hundred and thirty-one patients suffered from chronic obstructive lung disease and acute episodes of chronic re...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：
更新日期：1979-01-25 00:00:00
abstract：BACKGROUND AND OBJECTIVE:Obesity is characterized by a generalized increase of adipose tissue, high production of adipocytokines and presence of oxidative systemic stress. The objective of this study was to evaluate the changes generated in the oxidative stress and anthropometric parameters in obese subjects by the pre...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：10.1016/j.medcli.2013.12.015
更新日期：2015-07-06 00:00:00
abstract：:The case of a 31 year-old intravenous drug addict female patient with infection by the human immunodeficiency virus who had recurrent cardiac tamponade and who was diagnosed by pericardic biopsy as Kaposi's sarcoma is reported. The patient demonstrated involvement by cutaneous, mucosal, lymph node and probably pleurop...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：
更新日期：1994-04-09 00:00:00
abstract：BACKGROUND AND OBJECTIVE:Though there is a general agreement on the need of influenza vaccination (IV), very different results have been published about the magnitude of its effect. We evaluated the effectiveness of IV in the reduction of mortality in individuals over 65 years of age. PATIENTS AND METHOD:Prospective c...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：10.1016/s0025-7753(05)72156-4
更新日期：2005-11-19 00:00:00
abstract：BACKGROUND:Given the importance of knowing the corporal composition according to the model of the four components (fat, mineral, fat free and aqueous) the same was calculated in 220 women and 130 men, considered as normal, between the ages of 15 and 49. METHODS:The corporal components were determined with double energ...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：
更新日期：1992-03-28 00:00:00
abstract：BACKGROUND:The sleep apnea syndrome (SAS) and high blood pressure (HBP) present multiple relations. Apnea culminates with an increase in arterial pressure, and a high percentage of apneic patients have HBP. It has also been reported that SAS is more frequent among hypertensive patients than among the general population...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：
更新日期：1993-02-27 00:00:00
abstract：BACKGROUND:Increasing attention has been given to the care to elderly patients in emergency departments (ED). Moreover, few data are available about final phase of the process, that is hospital admission from ED. This study was conducted to establish appropriateness, reasons and social factors related to hospital admis...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：
更新日期：1994-10-15 00:00:00
abstract：BACKGROUND AND OBJECTIVE:The description of different forms of PSA has opened a new strategy in the diagnosis of prostate cancer. The measurement of the ratio between free PSA and PSA in the group of patients with a PSA level between 4 and 10 ng/ml decreases the number of negative biopsies. The aim of our study was to ...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：10.1016/s0025-7753(04)75311-7
更新日期：2004-02-28 00:00:00
abstract：BACKGROUND:The most appropriate methods for surveillance of nosocomial infection (NI) in hospitals with less than 250 beds remain to be elucidated. The aims of this study were to investigate the differences between the results found in a study in incidence (IS) and in another concerning prevalence (PS) carried out in a...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：
更新日期：1993-01-16 00:00:00
abstract：INTRODUCTION AND OBJECTIVES:Common laboratory parameters are crucial in aiding coronavirus disease 2019 (COVID-19) case detection. This study aimed to determine the differences between laboratory parameters in (1) COVID-19 versus non-COVID-19 pneumonia, and (2) severe versus non-severe COVID-19 cases. METHODS:Studies ...
journal_title：Medicina clinica
pub_type： 杂志文章,meta分析
doi：10.1016/j.medcli.2020.05.017
更新日期：2020-08-28 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
