[Fighting the coronary artery disease epidemic in Chile: caveats in the control of cardiovascular risk factors].

Abstract:

:In this issue of the journal Lanas et al report an estimation of population attributable risk (PAR) for myocardial infarction (MI) derived from different risk factors in Chile. Cigarette smoking, dyslipidemia and hypertension accounted for 71% of total PAR. Mortality from MI has decreased in Chile, but epidemiologic surveys carried out in different hospitals across the country, strongly support that most of this effect comes from better treatment of MI. Recent changes in public health policies, favoring the treatment of hypertension and diabetes may help control cardiovascular morbidity and mortality. However, a really significant impact will be obtained when the development of the disease may be halted. To evaluate this possibility, newer methods to diagnose atherosclerosis non invasively may come to our rescue. On the other hand, pharmacologic treatment of dyslipidemia and hypertension continue to offer the most powerful way to decrease levels of cardiovascular risk factors. According to current knowledge, wise balance of non pharmacologic and pharmacologic means of primary prevention, with due respect for ethic aspects, is the most effective way to curve the epidemic of coronary artery disease in Chile.

journal_name

Rev Med Chil

journal_title

Revista medica de Chile

authors

Chamorro S G

doi

/S0034-98872008000500001

subject

Has Abstract

pub_date

2008-05-01 00:00:00

pages

551-4

issue

5

eissn

0034-9887

issn

0717-6163

pii

S0034-98872008000500001

journal_volume

136

pub_type

评论,社论
  • [Current life expectancy in Chile].

    abstract::An increased life expectancy is associated to a nation's progress. Life expectancy at birth is 78 years in developed countries, 72 in Latin America, 70 in China, 63 in Eastern Europe and 51 in Africa. Chile is the Latin American country with the higher increment in life expectancy, reaching 75 years at birth, during t...

    journal_title:Revista medica de Chile

    pub_type: 社论

    doi:

    authors: Medina Lois E

    更新日期:1999-06-01 00:00:00

  • [Microdeletion of Y chromosome in severe olygozoospemic infertile patient].

    abstract::We are reporting a 37 year old male with severe oligozoospermia and a history of infertility for thirteen years and surgery for severe unilateral varicocele. The hormonal levels for FSH, LH and T, and karyotype were within the normal range. Multiplex PCR revealed the presence of a de novo microdeletion in the azoosper...

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    pub_type: 杂志文章

    doi:

    authors: Castro A,López P,Johnson MC,Sovino H,Martínez C,Vantman D

    更新日期:2000-07-01 00:00:00

  • [Epidemiological profile of liver cirrhosis in Chile 1970-1992].

    abstract:BACKGROUND:Liver cirrhosis is an important public health problem in Chile. AIM:To review the main epidemiological features of liver cirrhosis in Chile in the last 22 years. METHODS:Review of yearbooks of mortality and causes of death of the Ministry of Health and Instituto Nacional de Estadísticas, review of hospital...

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    pub_type: 杂志文章

    doi:

    authors: Serra I,Araneda J,Decinti E

    更新日期:1995-11-01 00:00:00

  • [Imipenem/cilastatin versus ceftazidime-amikacin in the treatment of febrile neutropenic patients].

    abstract:AIM:To compare the efficacy of imipenem/cilastatine and ceftazidime-amikacin in the treatment of febrile neutropenic patients. DESIGN:Open, prospective and randomized clinical study. PATIENTS:Fifty two patients (26 female) aged 16 to 80 years old with 60 episodes of neutropenia were studied. They were randomly assign...

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    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Pérez C,Sirham M,Labarca J,Grebe G,Lira P,Oliva J,Duhalde M,Ocqueteau M,Acuña G

    更新日期:1995-03-01 00:00:00

  • [Prevalence of hepatitis C virus antibodies in a hemodialysis unit].

    abstract::The prevalence of hepatitis C antibody was studied using the EIA 2 Abbott assay in patients and staff of the San Juan de Dios Hospital Hemodialysis Unit. The antibody was detected in 29.8% of patients, no member of the staff had positive antibodies. Patients with a positive antibody had been on hemodialysis for a long...

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    doi:

    authors: Rodríguez MI,Estay R,Soto JR,Wolff C,Plubins L,Child R,Armas R

    更新日期:1993-02-01 00:00:00

  • [Clinical usefulness of rheumatoid factor in synovial fluid. Re-evaluation].

    abstract::The aim of this work is to analyze the usefulness of rheumatoid factor determination in synovial fluid. One hundred twenty nine patients (29 with rheumatoid arthritis), in whom rheumatoid factor was simultaneously determined in serum and synovial fluid, were retrospectively analyzed. Serum rheumatoid factor had a 48% ...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Sari L,Astorga G,Carvajal P,Gatica H

    更新日期:1993-12-01 00:00:00

  • [Restless legs syndrome: a clinical study in adult general population and in uremic patients].

    abstract:BACKGROUND:The restless legs syndrome (RLS) is a movement disorder characterized by an imperative urge to move the legs, associated with paraesthesias, motor restlessness and worsening of symptoms at night with at least partial relief by activity. Its prevalence ranges between 2-15% of general adult population and 20-3...

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    authors: Miranda M,Araya F,Castillo JL,Durán C,González F,Arís L

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  • [Mirizzi syndrome: experience of 77 cases].

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    doi:

    authors: Jiménez O,Palacios JM,Correa R,Rojas M,Lopez O

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  • [Pneumonia caused by Streptococcus pyogenes. Report of one case].

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    doi:10.4067/s0034-98872010000700009

    authors: Ramírez C,Arab JP,Eymin G

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  • [Adrenal hyperplasia of late onset: optimization of therapy by measuring the circadian variation of serum 17-OH-progesterone].

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    authors: Contreras P,Rojas A,Vega I

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  • [Hemolysis, serositis and exanthema induced by Mycoplasma pneumoniae infection. Report of one case].

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    doi:

    authors: Toro J,Sacks C,Fuentes R

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  • [Preliminary results of laparoscopic video esophagomyotomy in patients with esophageal achalasia].

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    doi:

    authors: Csendes A,Burdiles P,Korn O,Braghetto I,Díaz JC,Henríquez A

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  • [Prevalence of psychiatric disorders in men and women hospitalized in a internal medicine service of a hospital of Santiago, Chile].

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  • [Prolonged treatment with acyclovir in recurrent genital herpes. Clinical, virological, and immunological response].

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  • [Coronary artery disease in pre and postmenopausal women. The influence of type 2 diabetes mellitus].

    abstract:BACKGROUND:Postmenopausal women have higher severity of coronary heart disease (CHD) than premenopausal women and type 2 diabetes mellitus (T2DM) is an independent risk factor. AIM:To assess the severity of CHD in pre and postmenopausal patients undergoing coronary angiography and the impact of T2DM in both groups. M...

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  • [Situation of HIV/AIDS in Latin America at the end of XX century. Analysis of differences between countries].

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  • [Renal oncocytoma: 4 cases].

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    abstract:BACKGROUND:Postpartum depression is a serious, common, treatable condition, with broad repercussions in mother and family life, but frequently under diagnosed. A screening tool, the Edinburgh Postnatal Depression Scale (EPDS) could improve the detection rate of depressive symptoms. AIM:To assess the efficacy of EPDS i...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:/S0034-98872008000700005

    authors: Castañón S C,Pinto L J

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  • [1st sexual intercourse and 1st pregnancy in puerperal women at a hospital of the metropolitan area].

    abstract::One thousand women hospitalized at a maternity were surveyed after their delivery or abortion about their first sexual intercourse and pregnancy. Mean age at the first sexual intercourse was 18.7 years and only 9.2% used a contraceptive method in spite that 20% were not willing to become pregnant. The mean age of sexu...

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    pub_type: 杂志文章

    doi:

    authors: Henríquez R,Vargas NA

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  • [Phenytoin pharmacokinetics in young and older adults].

    abstract::To study the effect of old age on phenytoin pharmacokinetics, twelve young and nine old adults aged 21.7 +/- 1.8 and 71.8 +/- 4.9 years respectively, were studied. No significant differences of phenytoin indicating the drug distribution and elimination does not change with aging. After oral administration, significant...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Estruch J,Galdames D,Martinetti A,Saavedra I

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  • [Work absenteeism in a mining company: trends in 1985-1988].

    abstract::The magnitude of medical and non medical absenteeism among male workers performing rotative shifts in a high altitude mining company was studied. There was a general rate of absenteeism of 8.8 absent days per 100 labor days, which means that 31.8% of the total labor force was absent every month. Absenteeism due to med...

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    pub_type: 杂志文章

    doi:

    authors: Cantuarias J,Cornejo E

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  • [Appendectomies for suspected acute appendicitis during pregnancy: experience at a Chilean public hospital].

    abstract:BACKGROUND:Acute appendicitis is the most common non obstetric surgical emergency during pregnancy. AIM:To asses our experience in the diagnosis and management of acute appendicitis occurring during pregnancy. PATIENTS AND METHODS:Data from all pregnant patients who were subjected to an appendectomy for a suspected a...

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  • [Structured clinical examinations with simulated patients during internal medicine clerkship].

    abstract:BACKGROUND:Practice is essential in clinical training and can be carried out with simulations. The medical school of the University of Chile performs Objective Structured Clinical Examinations (OSCE) using standardized simulated patients for interns. AIM:To report the experience with OSCE in an environment with a high...

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    pub_type: 杂志文章

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  • [Acute severe pancreatitis. Analysis of mortality and morbidity].

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    doi:

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    pub_type: 杂志文章

    doi:

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    pub_type: 杂志文章

    doi:/S0034-98872010000200010

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