[Differential characteristics of patients with acute coronary syndrome without ST-segment elevation compared to those with transient ST-segment elevation].


OBJECTIVE:To evaluate different characteristics of patients with acute coronary syndrome (ACS) without ST-segment elevation compared with transient St-segment elevation. DESIGN:An observational, prospective study. SETTING:A 12-bed coronary care unit. PATIENTS:Consecutive patients of ACS without persistent ST-segment elevation. MAIN VARIABLES OF INTEREST:The population was divided intro 2 groups according to the presence of transient ST-segment elevation. Variables of interest were age, cardiovascular risk factors, troponin I and glucose concentrations on admission, coronary anatomy, left ventricular ejection fraction, inhospital mortality and drugs. RESULTS:Patients identified as ACS with transient ST-segment elevation were significantly younger, smokers and predominantly male. At the same time, they showed a minor peak elevation of troponin I, a higher ejection fraction and, mainly single-vessel coronary disease. CONCLUSIONS:Patients with ACS with transient ST-segment elevation differ in the type of population, myocardial damage and coronary angiographic results with respect to patients with ACS without ST-segment elevation. More research is needed to clarify whether these differences imply a different therapeutic approach.


Med Intensiva


Medicina intensiva


Arroyo Úcar E,Domínguez-Rodríguez A,Juárez Prera R,Blanco Palacios G,Hernández García C,Carrillo-Pérez Tome M,Abreu-González P




Has Abstract


2011-06-01 00:00:00














  • Liberal red blood cell transfusions impair quality of life after cardiac surgery.

    abstract:BACKGROUND:The optimal blood management after cardiac surgery remains controversial. Moreover, blood transfusions may have an impact on long-term outcomes. OBJECTIVE:The aim of this study is to characterize the impact of liberal red blood cell transfusions on Health-Related Quality of life (HRQoL) after cardiac surger...

    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: González-Pérez A,Al-Sibai JZ,Álvarez-Fernández P,Martínez-Camblor P,Argüello-Junquera M,García-Gala JM,Martínez-Revuelta E,Silva J,Morís C,Albaiceta GM

    更新日期:2019-04-01 00:00:00

  • Temporary internal pacing.

    abstract::Technology and insertion techniques for cardiac temporary internal pacing have experienced a remarkable development over the last few years. Despite this fact, the procedure continues to have potentially fatal associated complications. Temporary internal pacing is indicated for the treatment of bradyarrhythmias or tac...

    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: Ortiz Díaz-Miguel R,Gómez Grande ML

    更新日期:2014-12-01 00:00:00

  • [Takotsubo cardiomyopathy: transient apical dysfunction of the left ventricle].

    abstract::Transient apical dysfunction syndrome, ballooning or Takotsubo cardiomyopathy is a recently described syndrome. It is a disease with a partially known mechanism, characterized by the morphology adopted by the left ventricle secondary to hypokinesis and dyskinesis of the apical segments and hypercontractibility of the ...

    journal_title:Medicina intensiva

    pub_type: 杂志文章,评审


    authors: Obón Azuara B,Ortas Nadal MR,Gutiérrez Cía I,Villanueva Anadón B

    更新日期:2007-04-01 00:00:00

  • [MELAS: diagnostic keys and treatment in the Intensive Care Unit].

    abstract::Cerebrovascular accident in young adults is not rare and the most common causes are: cardiac embolism, arterial dissection and migraine. The unknown etiology, in spite of extensive studies, is described in the literature in about one third of patients under 45 years of age. The mitochondrial encephalomyopathy, lactic ...

    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: Gómez Seijo A,Castro Orjales MJ,Pastor Benavent JA

    更新日期:2008-04-01 00:00:00

  • [Validation of intensive medicine degree in the United Kingdom].

    abstract::The specialty of Intensive Care Medicine was established over twenty years ago in Spain as part of the MIR (Resident training) system. The European Union allows for free circulation of its workers and the multilateral recognition of their university degrees as well as their postgraduate training. Unfortunately, our sp...

    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: de la Cerda G,Mateo D,Tan A,Quintano A,Kovacs N

    更新日期:2011-01-01 00:00:00

  • [Guidelines for specialized nutritional and metabolic support in the critically-ill patient. Update. Consensus of the Spanish Society of Intensive Care Medicine and Coronary Units-Spanish Society of Parenteral and Enteral Nutrition (SEMICYUC-SENPE): cardi

    abstract::Patients with cardiac disease can develop two types of malnutrition: cardiac cachexia, which appears in chronic congestive heart failure, and malnutrition due to the complications of cardiac surgery or any other type of surgery in patients with heart disease. Early enteral nutrition should be attempted if the oral rou...

    journal_title:Medicina intensiva

    pub_type: 共识发展会议,杂志文章,实务指引


    authors: Jiménez Jiménez FJ,Cervera Montes M,Blesa Malpica AL,Spanish Society of Intensive Care Medicine and Coronary Units-Spanish Society of Parenteral and Enteral Nutrition (SEMICYUC-SENPE).

    更新日期:2011-11-01 00:00:00

  • [Epidemiology of acute kidney failure in Spanish ICU. Multicenter prospective study FRAMI].

    abstract:OBJECTIVE:Multicenter study oriented at establishing the incidence and prognosis of acute kidney failure (AKF) in the ICU of our country. MATERIAL AND METHODS:Prospective study of adult patients admitted over 8 months in 43 Spanish ICUs to detect AKF defined as creatinine>or=2 mg/dl or diuresis<400 ml/24 hours (in chr...

    journal_title:Medicina intensiva

    pub_type: 杂志文章,多中心研究


    authors: Herrera-Gutiérrez ME,Seller-Pérez G,Maynar-Moliner J,Sánchez-Izquierdo-Riera JA,Grupo de trabajo \Estado actual del fracaso renal agudo y de las técnicas de reemplazo renal en UCI. Estudio FRAMI\.

    更新日期:2006-08-01 00:00:00

  • [Hormone modulation of organ donor. Utility of the steroids].

    abstract::Recently, the work group made up of the National Transplant Organization (Organización Nacional de Trasplantes, ONT), Spanish Society of Intensive, Critical Medicine and Coronary Units (Sociedad Española de Medicina Intensiva, Crítica y de Unidades Coronarias, SEMICYUC) and other Scientific Societies have recommended ...

    journal_title:Medicina intensiva

    pub_type: 杂志文章,评审


    authors: Michelena JC,Chamorro C,Falcón JA,Garcés S

    更新日期:2009-06-01 00:00:00

  • [MARS (Molecular Absorbent Recirculating System) as hepatic extracorporeal care in serious acute liver failure of alcoholic etiology].

    abstract::Acute liver failure with criteria of seriousness and alcoholic etiology is a picture of worldwide distribution, with an elevated mortality, of approximately 50%, that requires admission to the ICU. Acute serious alcoholic hepatitis is defined by a Maddrey score value > 32 and/or spontaneous encephalopathy. Together wi...

    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: Mora JM,Olmedo R,Curiel E,Muñoz J,Herrera M,Séller G

    更新日期:2006-11-01 00:00:00

  • Gender gap in medical care in ST segment elevation myocardial infarction networks: Findings from the Catalan network Codi Infart.

    abstract:OBJECTIVE:To assess the impact of gender upon the prognosis and medical care in a regional acute ST-elevation myocardial infarction management network. DESIGN:An observational study was made of consecutive patients entered in a prospective database. SCOPE:The Catalan acute ST-elevation myocardial infarction managemen...

    journal_title:Medicina intensiva

    pub_type: 杂志文章,多中心研究


    authors: Fernández-Rodríguez D,Regueiro A,Cevallos J,Bosch X,Freixa X,Trilla M,Brugaletta S,Martín-Yuste V,Sabaté M,Bosa-Ojeda F,Masotti M,en representación de los investigadores del Registro Codi Infart.

    更新日期:2017-03-01 00:00:00

  • Comparison of values in critically ill patients for global end-diastolic volume and extravascular lung water measured by transcardiopulmonary thermodilution: a meta-analysis of the literature.

    abstract:INTRODUCTION:Hemodynamic parameters such as the global end-diastolic volume index (GEDVI) and extravascular lung water index (EVLWI), derived by transpulmonary thermodilution, have gained increasing interest for guiding fluid therapy in critically ill patients. The proposed normal values (680-800ml/m(2) for GEDVI and 3...

    journal_title:Medicina intensiva

    pub_type: 杂志文章,meta分析


    authors: Eichhorn V,Goepfert MS,Eulenburg C,Malbrain ML,Reuter DA

    更新日期:2012-10-01 00:00:00

  • [Results of an artificial airway management protocol in critical patients subjected to mechanical ventilation].

    abstract:OBJECTIVE:To determine the results of the implementation of a protocol in an intensive care unit (ICU) referred to critically ill patients requiring a prolonged artificial airway. DESIGN:A prospective, observational cohort study was carried out. INTERVENTION:Management strategies were established on the airway by end...

    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: Prieto-González M,López-Messa JB,Moradillo-González S,Franzón-Laz ZM,Ortega-Sáez M,Poncela-Blanco M,Alonso-Castañeira I,Andrés-de Llano J

    更新日期:2013-08-01 00:00:00

  • Prognostic factors associated with mortality in patients with severe trauma: from prehospital care to the Intensive Care Unit.

    abstract:OBJECTIVE:To identify factors related to mortality in adult trauma patients, analyzing the clinical, epidemiological and therapeutic characteristics at the pre-hospital levels, in the Emergency Care Department and in Intensive Care. DESIGN:A retrospective, longitudinal descriptive study was carried out. Statistical an...

    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: González-Robledo J,Martín-González F,Moreno-García M,Sánchez-Barba M,Sánchez-Hernández F

    更新日期:2015-10-01 00:00:00

  • [Analysis of organ failure and mortality in sepsis due to secondary peritonitis].

    abstract:OBJECTIVES:To identify the organs most susceptible to develop multiorgan dysfunction syndrome (MODS) in patients with sepsis due to secondary peritonitis, and to determine the outcome and mortality predicting utility of the SOFA (Sequential Organ Failure Assessment) system. DESIGN:A prospective, observational cohort s...

    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: Hernández-Palazón J,Fuentes-García D,Burguillos-López S,Domenech-Asensi P,Sansano-Sánchez TV,Acosta-Villegas F

    更新日期:2013-10-01 00:00:00

  • Microbiological contamination in high and low flow oxygen humidifiers: A systematic review.

    abstract:AIM:To determine the risk of microbiological contamination with hospital use high- and low-flow bubbling humidifiers. METHODS:A systematic literature review was carried out in 6 databases. Observational or experimental studies published between 1990 and 2016 were selected, written in English or Spanish, and in which m...

    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: de la Fuente-Sancho I,Romeu-Bordas Ó,Fernández-Aedo I,Vallejo De la Hoz G,Ballesteros-Peña S

    更新日期:2019-01-01 00:00:00

  • Occupancy of the Departments of Intensive Care Medicine in Catalonia (Spain): A prospective, analytical cohort study.

    abstract:BACKGROUND:Before deciding increases in the number or capacitance of Intensive Care Units (ICUs), or the regionalization of Units, it is essential to know their present effectiveness. OBJECTIVE:To analyze the daily occupancy rate of ICUs in Catalonia (Spain) and the frequency of denied admission due to lack of capacit...

    journal_title:Medicina intensiva

    pub_type: 杂志文章,多中心研究


    authors: Fernandez R,Clinical Management Working Group of the Societat Catalana de Medicina Intensiva i Crítica.

    更新日期:2015-12-01 00:00:00

  • Quality of anthropometric measurements in Spanish Intensive Care Units (The CAMIES Study).

    abstract:INTRODUCTION:Real body weight and height are essential data to be obtained in all critically ill patients (CIP), due to their influence in the designing of therapies and monitoring. Visual estimation is a very inaccurate practice. No precise descriptions of anthropometric measurements among CIP are available in the cli...

    journal_title:Medicina intensiva

    pub_type: 杂志文章,多中心研究


    authors: García-Martínez MA,Cherednichenko T,Hidalgo Encinas Y,Catalá Espinosa AI,Arrascaeta Llanes A,Acosta Escribano JA

    更新日期:2018-01-01 00:00:00

  • [Safety and effectiveness of the sedoanalgesia with fentanyl and propofol. Experience in a pediatric intensive medicine unit].

    abstract:OBJECTIVE:Apply a sedoanalgesic (SA) protocol for invasive procedures (PI) in pediatric patients and evaluate its effectiveness and safety. DESIGN:Prospective observational study. SCOPE:Pediatric Intensive Care Unit (PICU) of third level hospital. PATIENTS:A total of 110 children subjected to invasive procedures und...

    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: López JM,Valerón M,Pérez O,Consuegra E,Urquía L,Morón A,González R

    更新日期:2007-11-01 00:00:00

  • [Atrioventricular block in unstable angina. Results of the ARIAM registry].

    abstract:OBJECTIVE:Describe the frequency of high degree atrioventricular block (HDAVB) in patients with unstable angina (UA), analyze the variables associated with their appearance and evaluate whether HDAVB is independently associated with increased mortality or increased length of ICU stay. DESIGN:Retrospective descriptive ...

    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: Ruiz-Bailén M,Pola Gallego MD,Expósito Ruiz M,Pintor Mármol A,Issa-Khozouz Z,Aguayo De Hoyos E,Rucabado-Aguilar L,Castillo-Rivera AM,Morante-Valle A,Rodríguez-Puche JA,García-Alcántara A,Gómez Jiménez FJ,Grupo ARIAM.

    更新日期:2006-12-01 00:00:00

  • [Invasive pulmonary aspergillosis in a hematooncological patient in the intensive care units. A review of the literature].

    abstract::Invasive aspergillosis is a common condition in patients with hematologic malignancies. Symptoms are extremely non-specific, and therefore it is necessary to be familiar with the diagnostic tests for early diagnosis. This review has attempted to clarify the current evidence regarding the following areas: clinical pres...

    journal_title:Medicina intensiva

    pub_type: 杂志文章,评审


    authors: Burghi G,Lemiale V,Bagnulo H,Bódega E,Azoulay E

    更新日期:2010-10-01 00:00:00

  • [Treatment alternatives in massive hemorrhage].

    abstract::Massive hemorrhage is the main cause of mortality and morbidity in trauma patients, and is one of the most important causes in any patient following major surgery. Conventional treatment consists of volume replacement, including the transfusion of blood products, so that tissue perfusion and oxygenation may be maintai...

    journal_title:Medicina intensiva

    pub_type: 杂志文章,评审


    authors: Fernández-Hinojosa E,Murillo-Cabezas F,Puppo-Moreno A,Leal-Noval SR

    更新日期:2012-10-01 00:00:00

  • Predictive scoring systems in multiorgan failure: A cohort study.

    abstract:OBJECTIVE:An evaluation is made of the hospital mortality predicting capacity of the main predictive scoring systems. DESIGN:A 2-year retrospective cohort study was carried out. SETTING:A third level ICU with surgical and medical patients. PATIENTS:All patients with multiorgan failure during the first day in the ICU...

    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: Sánchez-Casado M,Hostigüela-Martín VA,Raigal-Caño A,Labajo L,Gómez-Tello V,Alonso-Gómez G,Aguilera-Cerna FM

    更新日期:2016-04-01 00:00:00

  • [Brain death diagnosis].

    abstract::Brain death has been recognized by the scientific community as the person's death, and accepted in the legislation of different countries. Brain death is defined as the irreversible ending of the functions of all the intracranial neurological structure in both the brain and brain stem. This clinical situation appears ...

    journal_title:Medicina intensiva

    pub_type: 杂志文章,评审


    authors: Escudero D

    更新日期:2009-05-01 00:00:00

  • [Acute renal function deterioration in a Coronary Unit in Spain].

    abstract:OBJECTIVE:To assess the incidence and prognostic value of acute renal function deterioration (ARFD) in patients with acute heart disease. SETTING:Coronary Care Unit in a tertiary university hospital. DESIGN:Retrospective study. PARTICIPANTS:One hundred consecutive patients admitted during 2004. INTERVENTIONS:No ran...

    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: Martí D,Escobar C,Dedieu N,Liaño F,Jiménez Mena M,Asín E

    更新日期:2008-05-01 00:00:00

  • Intensive care in cancer patients in the age of immunotherapy and molecular therapies: Commitment of the SEOM-SEMICYUC.

    abstract::Cancer patients are a vulnerable group exposed to numerous and serious risks beyond cancer itself. In recent years, the prognosis of these individuals has improved substantially thanks to several advances such as immunotherapy, targeted molecular therapies, surgical techniques, or developments in support treatment. Th...

    journal_title:Medicina intensiva

    pub_type: 杂志文章,实务指引


    authors: Carmona-Bayonas A,Gordo F,Beato C,Castaño Pérez J,Jiménez-Fonseca P,Virizuela Echaburu J,Garnacho-Montero J

    更新日期:2018-01-01 00:00:00

  • Epidemiology and prognostic factors in severe sepsis/septic shock. Evolution over six years.

    abstract:OBJECTIVE:To determine the clinical characteristics and prognostic factors of patients with severe sepsis/septic shock admitted to the Intensive Care Unit of Donostia University Hospital (Guipuzcoa, Spain). DESIGN:A prospective, observational study was carried out during a consecutive 6-year period (1st February 2008-...

    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: Azkárate I,Choperena G,Salas E,Sebastián R,Lara G,Elósegui I,Barrutia L,Eguibar I,Salaberria R

    更新日期:2016-01-01 00:00:00

  • [Acute coronary syndrome (ACS) with elevated ST segment: consensus strategy for early reperfusion. The Public Enterprise for Health Emergencies and the ARIAM Project Andalusia].

    abstract:UNLABELLED:The two pillars of the appropriate management of patients with ST-elevation myocardial infarction (STEMI) are immediate access to defibrillation and early reperfusion. The Public Enterprise for Health Emergencies (EPES) and the Andalusian ARIAM (Analysis of the Delay in the Treatment of Acute Myocardial Infa...

    journal_title:Medicina intensiva

    pub_type: 共识发展会议,杂志文章,实务指引


    authors: Rosell Ortiz F,Mellado Vergel FJ,Ruiz Bailén M,García Alcántara A,Reina Toral A,Arias Garrido J,Alvarez Bueno M,Grupo Cardiológico de EPES.,Grupo ARIAM de Andalucía.

    更新日期:2007-12-01 00:00:00

  • [Location of the central venous catheter tip in the right atrium: description in 2348 critical patients].

    abstract:OBJECTIVE:to document possible complications related to the location of central venous catheter (CVC) tip in the right atrium (RA) in two medical-surgical intensive care units (ICU). DESIGN:An observational, retrospective study of critically ill patients. SETTING:two medical-surgical ICUs. PATIENTS:adult patients in...

    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: Torres-Millán J,Torres-López M,Benjumea-Serna M

    更新日期:2010-12-01 00:00:00

  • [Southern European intensive care nurses' knowledge of evidence-based guidelines for preventing ventilator-associated pneumonia].

    abstract:OBJECTIVES:To assess Southern European intensive care unit nurses' knowledge about evidence-based guidelines for the prevention of ventilator-associated pneumonia and to compare these findings with a pan-European perspective. DESIGN:A sub-analysis from an observational study performed using a 9-questions, multiple-cho...

    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: Llauradó M,Labeau S,Vandijck D,Rello J,Rosa A,Riera A,Gallart E,Moreno R,Vandewoude K,Piñer R,Benítez ML,Blot S,Investigadores del Estudio EVIDENCE.,Colaboradores del PROCORNEU (Programa Corporativo Neumonía CIBERES).

    更新日期:2011-01-01 00:00:00

  • [Analgesia in critical cares].

    abstract::Pain is a problem in critically ill patients. The diagnosis of the intensity of is more simple when the patient is conscious (using ad hoc scales) than in unconscious or sedated patients. In these cases the study of the physiological responses to pain can be the best way of pain monitoring. The pain management in ICU ...

    journal_title:Medicina intensiva

    pub_type: 杂志文章,实务指引


    authors: Alfaro CG,Roldán JM,González PI,Hazaña FH,Grupo de Trabajo de Analgesia y Sedación de la SEMICYUC.

    更新日期:2008-02-01 00:00:00