[Surgery of acute mitral valve insufficiency].

Abstract:

:Between January 1980 and December 1990, 16 patients with acute mitral insufficiency were operated on an emergency basis at our institution. They represented 1.8% of all mitral surgical cases. All of them were in acute pulmonary edema and 7 in cardiogenic shock. The etiology was ischemic in 6, degenerative in 4, infectious in 3, degenerative and infectious in 2 and traumatic in 1. The pathologic mechanism was chordal rupture in 8 patients (5 anterior) and papillary muscle rupture in the other 8 (5 posterior). A mitral valve replacement was performed in all cases. Two patients died and 7 had morbidity in the postoperative period. One patient died 6 months after surgery of congestive heart failure. Ten patients are in NYHA functional class I at a mean follow-up of 48.1 months. Acute mitral insufficiency has different etiologies and pathologic mechanisms. In spite of the severe clinical condition of these patients, mitral valve replacement has good immediate and long-term results.

journal_name

Rev Med Chil

journal_title

Revista medica de Chile

authors

Zalaquett R,Morán S,Irarrázaval M,Maturana G,Navarro M,Grau A,Lema G,Urzúa J,Chamorro G

subject

Has Abstract

pub_date

1993-04-01 00:00:00

pages

403-7

issue

4

eissn

0034-9887

issn

0717-6163

journal_volume

121

pub_type

杂志文章
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    doi:

    authors: Canals M,Martínez L,Firinguetti L

    更新日期:1989-01-01 00:00:00

  • [Prevalence of microtia and anotia at the maternity of the University of Chile Clinical Hospital].

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    journal_title:Revista medica de Chile

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    doi:10.4067/s0034-98872006001000012

    authors: Nazer J,Lay-Son G,Cifuentes L

    更新日期:2006-10-01 00:00:00

  • [Airway tridimensional printing].

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    journal_title:Revista medica de Chile

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  • [Reference values of growth hormone binding protein (GHBP) for a normal pediatric population].

    abstract:UNLABELLED:Circulating concentrations of the high affinity growth hormone binding protein (GHBP) may be a marker of GH receptor density as well as GH sensitivity. GOAL:To determine values of GHBP for a normal Chilean pediatric population. METHODS:We determined GHBP levels in 73 males and 73 females between 4 to 15.5 ...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Salazar TE,Méricq MV,Espinoza M,Iñiguez G,de Carvallo P,Cassorla F

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  • [Small intestine bacterial overgrowth in patients with chronic pancreatitis].

    abstract:BACKGROUND:Previous reports describe 30-40% of small intestine bacterial overgrowth (SIBO) in patients with chronic pancreatitis (CP), SIBO is a cause of persistent symptoms in this group of patients even when they are treated with pancreatic enzymes. AIM:To asses the frequency of SIBO in patients with CP. PATIENTS A...

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    pub_type: 杂志文章

    doi:/S0034-98872008000800003

    authors: Mancilla A C,Madrid S AM,Hurtado H C,Orellana B C,Peña Z M,Tobar A E,Berger F Z

    更新日期:2008-08-01 00:00:00

  • [Use of drugs in a urban population].

    abstract::We surveyed 605 households selected by conglomerate random sampling in a typical Chilean city in order to study patterns of utilization of medicinal agents. The critical item investigated drug use in the week preceding the interview. The 95% confidence limits for drug utilization were 24.1 and 26.8% and for medicinal ...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Danhier A,Brieva J,Villegas G,Yates T,Pérez H,Boggiano G

    更新日期:1991-03-01 00:00:00

  • [Clinical usefulness of toxicology testing].

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    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:/S0034-98872009001000018

    authors: Solari G S,Ríos B JC

    更新日期:2009-10-01 00:00:00

  • [Cultural and trivial knowledge among Chilean university students].

    abstract:BACKGROUND:Culture is defined by the Webster's dictionary as acquaintance with and taste in fine arts, humanities, and broad aspects of science as distinguished from vocational and technical skills. AIM:To assess the general cultural knowledge of university students. MATERIAL AND METHODS:A test containing 58 question...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:/S0034-98872010000300005

    authors: Vargas C NA,Pinochet T D,Juárez E P

    更新日期:2010-03-01 00:00:00

  • [Association between sleep duration and cognitive impairment in older people].

    abstract::Background Sleep duration may be a risk factor for cognitive impairment. Aim To investigate the association between sleep duration and cognitive function in Chilean older adults. Material and Methods We analyzed information from 1,384 participants aged > 60 years participating in the National Health Survey 2009-2010 w...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:10.4067/S0034-98872019001101398

    authors: Nazar G,Leiva AM,Troncoso C,Martínez A,Petermann-Rocha F,Villagrán M,Mardones L,Martorell M,Labraña AM,Ulloa N,Díaz-Martínez X,Poblete-Valderrama F,Garrido-Méndez A,Celis-Morales C

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  • [Predictive value of clinical features and nocturnal oximetry for the detection of obstructive sleep apnea syndrome].

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    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:/S0034-98872010000800001

    authors: Saldías P F,Jorquera A J,Díaz P O

    更新日期:2010-08-01 00:00:00

  • [Association between chronic periodontitis and rheumatoid arthritis. A systematic review].

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    journal_title:Revista medica de Chile

    pub_type: 杂志文章

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    authors: Wen S,Beltrán V,Chaparro A,Espinoza F,Riedemann JP

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  • [Efficacy of two gene species in the serological diagnosis of Borrelia burgdorferi infections].

    abstract:BACKGROUND:There is phenotypic and genetic variability among the species Borrelia burgdorferi that produces Lyme disease. Three gene species and seven serotypes have been defined. AIM:To study the efficacy of two gene species in the serological diagnosis of Borrelia burgdorferi infections in Granada, Spain. MATERIAL ...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Gutiérrez J,Núñez F,Piédrola G,Maroto C

    更新日期:1998-06-01 00:00:00

  • [Metabolic Syndrome: clinical and pathophysiological basis for a rational therapeutical approach].

    abstract::Regardless of the diagnostic criteria, the metabolic syndrome is found at least in 20% of the population. The adipose tissue plays an important role in the insulin resistance found in this syndrome. Free fatty acids released by intra-abdominal adipocytes produce an inflammatory and pro-thrombotic response and the pers...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章,评审

    doi:/S0034-98872009000500014

    authors: Martínez R G,Alonso K R,Novik A V

    更新日期:2009-05-01 00:00:00

  • [Referral to rehabilitation services of patients discharged from a general hospital with a potentially disabling condition].

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    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:10.4067/s0034-98872017001201541

    authors: Hofmann U N,Paolinelli G C,Castro L A

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  • [Mushroom poisoning in the IX region. Role of Amanita gemmata].

    abstract::We report four episodes of mushroom poisoning that occurred between 1986 and 1990 in the province of Malleco. Twenty five of 36 individuals who ingested the mushroom became ill; they had an acute gastroenteritis that was followed in 7 by an acute hepatitis and in one by a massive upper gastrointestinal bleeding. Three...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Sierralta A,Jeria ME,Figueroa G,Pinto J,Araya JC,San Juan J,Grinbergs J,Valenzuela E

    更新日期:1994-07-01 00:00:00

  • [Effectiveness of a case management intervention for high blood pressure and type II diabetes in primary health care].

    abstract:BACKGROUND:Adequate management of high blood pressure (HBP) and Type 2 Diabetes (DM2) is a challenge to the healthcare system in Chile. AIM:To evaluate the effectiveness of a case management (CM) approach to manage HBP and DMII at Primary Healthcare (PHC) level, headed by healthcare technicians with the supervision of...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章,多中心研究

    doi:10.4067/S0034-98872018001101269

    authors: Poblete F,Barticevic N,Bastías G,Quevedo D,Vargas I

    更新日期:2018-11-01 00:00:00

  • [Intraoperative monitoring of gastric intramucosal pH].

    abstract:BACKGROUND:Gastric mucosal pH may be a good indicator of splanchnic tissue oxygenation. AIM:To study the effects of abdominal surgical procedures on gastric mucosal pH. PATIENTS AND METHODS:Eighteen patients subjected to abdominal surgery were studied. All patients received general anesthesia and hemodynamic paramete...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Concha M,Añazco R,González A,Becker D,Gajardo A

    更新日期:1996-08-01 00:00:00

  • [Alcohol zero tolerance law in Chile: strengths, flaws and shortcomings that should not be overlooked].

    abstract::Chile has recently entered into force Act No. 20.580, which modifies the legal limits of blood alcohol concentration in drivers and increases the penalties for driving under the influence of alcohol, narcotics or psychotropic substances. The aim of this review was to give an account of the strengths of this new law bu...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章,评审

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    authors: González-Wilhelm L,Johnson J,Carnevali R,Ruiz G

    更新日期:2012-07-01 00:00:00

  • [Learning strategies of autonomous medical students].

    abstract:BACKGROUND:Understanding how autonomous students are capable of regulating their own learning process is essential to develop self-directed teaching methods. AIM:To understand how self-directed medical students approach learning in medical schools at University of Concepción, Chile. MATERIAL AND METHODS:A qualitative...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:10.4067/S0034-98872015001200011

    authors: Márquez U C,Fasce H E,Ortega B J,Bustamante D C,Pérez V C,Ibáñez G P,Ortiz M L,Espinoza P C,Bastías V N

    更新日期:2015-12-01 00:00:00

  • [Prevalence of obesity among Chilean women in childbearing ages].

    abstract:BACKGROUND:Women in childbearing ages (WCBA) represent a strategic intervention group to reverse the global trend of increasing obesity. AIM:To conduct a review of studies reporting obesity prevalence in WCBA in Chile in the last 25 years. MATERIAL AND METHODS:To describe obesity prevalence, we used three approaches,...

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    pub_type: 杂志文章,评审

    doi:10.4067/S0034-98872014001100011

    authors: Araya B M,Padilla O,Garmendia ML,Atalah E,Uauy R

    更新日期:2014-11-01 00:00:00

  • [False negative spect parathyroid scintigraphy with sestamibi in patients with primary hyperparathyroidism].

    abstract:BACKGROUND:99mTc-sestamibi parathyroid SPECT scintigraphy is a useful tool in the pre-operative study of hyperparathyroidism. False negatives (FN) have been reported in 5.7-14% of the examinations. AIM:To characterize 99mTc-sestamibi FN in cases referred for primary hyperparathyroidism (PHP) to a university hospital. ...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:10.4067/s0034-98872017000801021

    authors: Paillahueque G,Massardo T,Barberán M,Ocares G,Gallegos I,Toro L,Araya AV

    更新日期:2017-08-01 00:00:00

  • [Effects of gender and socioeconomic status of older people on the execution of the 6 minute walk test].

    abstract:BACKGROUND:The six minute walk test (6MWT) is an important physical performance measure used in older people. AIM:To assess the total distance walked and the physiological cost of the 6MWT in non-disabled older people. MATERIAL AND METHODS:Fifty six females aged 69 ± 5 years with a body mass index (BMI) of 31 ± 4 kg/...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:10.4067/S0034-98872015000400010

    authors: Medina PG,Mancilla ES,Muñoz RC,Escobar MC

    更新日期:2015-04-01 00:00:00

  • [HRP/WHO: special program of research, development and research training in human reproduction, of the World Health Organization].

    abstract::The history, objectives and aims of this programme are described in detail. The principal goals achieved on anticonception, reproductive biology and abortion are analyzed, with special reference to the research done in Chile. The strengthening of research capabilities at national level was pointed out with special men...

    journal_title:Revista medica de Chile

    pub_type: 历史文章,杂志文章

    doi:

    authors: Lavín P

    更新日期:1998-07-01 00:00:00

  • [Antihypertensive effects of valsartan. National multicentric study].

    abstract:BACKGROUND:Valsartan is an angiotensin AT1 receptor antagonist. Clinical studies have shown that this is an effective and well tolerated drug. AIM:To compare valsartan with other commonly used antihypertensives in a National multicentric study. MATERIAL AND METHODS:Between 1997 and 1998, a pharmacological surveillanc...

    journal_title:Revista medica de Chile

    pub_type: 临床试验,杂志文章,多中心研究

    doi:

    authors: Prat H

    更新日期:2000-05-01 00:00:00

  • [Prevalence of risk factors to cardiovascular disease in group of Chilean employees].

    abstract:BACKGROUND:Cardiovascular diseases are the main causes of death in Chile and there is a high prevalence of cardiovascular risk factors in the population. AIM:To assess the prevalence of those risk factors in a group of employees. SUBJECTS AND METHODS:We studied 2,219 individuals, 1,378 males with a mean age of 46.2 +...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Lanas F,Del Solar J,Maldonado M,Guerrero MA,Espinoza F

    更新日期:2003-02-01 00:00:00

  • [Experience in the use of a new endocardial stimulation electrode].

    abstract:BACKGROUND:Since February 2002, Flextend electrode catheters are used at the Cardiovascular Unit of the Catholic University Clinical Hospital. These transvenous catheters have an IS-1 connector, silicone coating, active fixation and retractile helix with dexamethasone acetate. AIM:To report early and one year results ...

    journal_title:Revista medica de Chile

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    doi:/S0034-98872006000600011

    authors: Frangini P,Vergara I,González R,Baeza M,Cambón AM

    更新日期:2006-06-01 00:00:00

  • [Colonic perforation secondary to ileocecal tuberculosis. Report of one case].

    abstract::We report a 44 years old male, presenting with an eight months history of right lower quadrant pain, diarrhea and weight loss. Colonoscopy showed a proliferative and ulcerated lesion in the cecum, with necrotic areas. Barium enema showed an extensive irregular stenosis with rigidity of cecum and ascending colon. The e...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Bannura G,Valencia C,Fernández W

    更新日期:1999-06-01 00:00:00

  • [Psychosocial and familial variables associated with teenage pregnancy].

    abstract::Preventive measures for teenage pregnancy (TP), would decrease infant mortality, early undernutrition and statal social expenditure. The cost of programs for TP would decrease with a sensitive risk indicator. We searched some pysoshocial and familial parameters, useful to built up this indicator. Self esteem (Piers-Ha...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Burrows R,Rosales ME,Alayo M,Muzzo S

    更新日期:1995-05-01 00:00:00

  • [Nitric oxide in respiratory diseases].

    abstract::Recent reports have described a pathogenic role of nitric oxide in several respiratory disease. It is specially useful in the adult respiratory distress syndrome, where it acts as a selective vasodilator and improves gas exchange, decreasing pulmonary shunting. Although it has a proven bronchodilator effect, its thera...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章,评审

    doi:

    authors: Andresen M,Díaz O,Troncoso S

    更新日期:1997-08-01 00:00:00

  • [Necrotizing fasciitis caused by a Garengeot's hernia. Case report].

    abstract::Garengeot's hernia corresponds to the presence of the appendix within a femoral hernia, associated or not with acute appendicitis. The diagnosis of this uncommon situation is usually done during surgery. Furthermore, the clinical presentation as necrotizing fasciitis is a rare condition. We report a 54 years old obese...

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    doi:10.4067/s0034-98872018000500660

    authors: Briceño E,Jara R

    更新日期:2018-05-01 00:00:00