[Percutaneous mitral valvuloplasty as a treatment of choice for mitral stenosis. Immediate results and long-term follow-up].

Abstract:

:We evaluated 77 patients with symptomatic mitral stenosis for balloon valvuloplasty. Five patients were excluded from the procedure due to the presence of intra-atrial thrombi or mitral valve endocarditis as detected by 2D echocardiography. The mean age of the 72 treated patients was 38 +/- 11 years, 68 were NYHA functional class II or IV: only 6 patients had valvular calcification. Three patients had severe liver failure, 2 were chronic alcoholics, one had liver cirrhosis, 2 had severe weight loss and 13 had pulmonary hypertension at systemic levels. 69 patients had a technically adequate procedure, one patient died, 1 developed cardiac tamponade and 1 failed. Mitral valve area increased from 0.93 +/- 0.34 to 2.38 +/- 0.67 cm2. Mitral incompetence increased in only 16 patients. After a mean follow up period of 15 +/- 5 months (range 8 to 27), 56 patients remained in FC I or II. Mitral valve area remained satisfactory in 54 patients. Mitral valve anatomy evaluated by echocardiography is helpful to predict immediate and late outcome. We conclude that balloon mitral valvuloplasty is the first choice for patients with severe symptomatic mitral stenosis.

journal_name

Rev Med Chil

journal_title

Revista medica de Chile

authors

Olmos A,Gajardo J,Lecannelier E,Seguel I,Lama A,Otero C,Fasce E

subject

Has Abstract

pub_date

1991-01-01 00:00:00

pages

27-32

issue

1

eissn

0034-9887

issn

0717-6163

journal_volume

119

pub_type

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

    abstract:BACKGROUND:Microtia is a congenital defect characterized by disturbances in the size and form of the ear lobe. Anotia corresponds to the absence of the ear lobe. AIM:To study the prevalence of microtia and anotia at the Maternity of the University of Chile Clinical Hospital. MATERIAL AND METHODS:Analysis of the datab...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:10.4067/s0034-98872006001000012

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

    更新日期:2006-10-01 00:00:00

  • [A family outbreak of parvovirus B19 atypical exanthemas: report of two cases].

    abstract::Two atypical cases of parvovirus B19 infection occurred consecutively within a family. A 14 year-old patient presented an extended papular-purpuric "gloves and socks" syndrome and two weeks later his mother developed a predominantly unilateral purpuric rash in the limbs with severe malaise. Specific IgM antibodies in ...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:/S0034-98872008000500011

    authors: Martínez G MJ,Elgueta N A

    更新日期:2008-05-01 00:00:00

  • [Late centronuclear myopathy: autosomal dominant form].

    abstract::We report a family with three generations affected by an autosomal dominant centronuclear palsy. This gene is characterized by ptosis that begins in childhood and a slowly progressive weakness that starts in the second decade of life, involving face, neck and limbs. In this stage, muscle pan associated to exercise or ...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Cartier L,Hernández JE

    更新日期:1996-02-01 00:00:00

  • [Metabolic control of non insulin dependent diabetes mellitus in surgery].

    abstract::We followed 50 type II diabetic patients undergoing various types of surgical procedures. Control of blood sugar was evaluated as percent of tests within an acceptable limit defined as 160 mg/dl in the preoperative period, 80-240 mg/dl in the early postoperative period and 80-120 mg/dl thereafter. Adequate control was...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Morales H,Maiz A,Arteaga A

    更新日期:1989-07-01 00:00:00

  • [Antimicrobial activity of actinomycetes isolated from aquatic environments in southern Chile].

    abstract:BACKGROUND:The easy access and inappropriate use of antimicrobials led to selection and spread of resistant microorganisms strains. It is imperative to search for new and more effective antimicrobials. One strategy is the screening of metabolites produced by microorganisms found in the environment. Actinomycetes are a ...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:10.4067/s0034-98872004000200003

    authors: Leiva S,Yáñez M,Zaror L,Rodríguez H,García-Quintana H

    更新日期:2004-02-01 00:00:00

  • [Active and refractory ulcerative proctitis: an update].

    abstract::Ulcerative colitis (UC) is a chronic inflammatory disease of unknown etiology that affects a variable length of the colon, starting from the rectum. When the disease is confined to the rectum is called ulcerative proctitis (UP). Several studies have unsuccessfully attempted to determine the factors that determine the ...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章,评审

    doi:/S0034-98872010000100016

    authors: Caselli M G,Pinedo M G,Zúñiga D A,Alvarez L M

    更新日期:2010-01-01 00:00:00

  • [Liver cirrhosis and portal hypertension: non-invasive measurement of blood flow in the portal vein with Doppler-duplex].

    abstract::Doppler-duplex has been widely used to quantify blood flow. Nevertheless, its usefulness in assessing portal vein flow (PVF) has been questioned due to technical problems: vessel cross sectional area measurements, interobserver variability, and PVF changes related to physiological events. This study was aimed to measu...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Fernández M,Chesta J,Jirón MI,Mánquez P,Brahm J

    更新日期:1991-05-01 00:00:00

  • [Indication of gastrojejunostomy in unresectable pancreatic cancer].

    abstract:BACKGROUND:Up to 20% of patients with pancreatic carcinoma subjected to a bilio digestive diversion, develop a delayed gastric emptying due to duodenal infiltration. However the role of prophylactic gastrojejunoanastomosis is not well defined. AIM:To compare the effects of gastrojejunoanastomosis performed as prophyla...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Espinoza R,Rivera M,Guzmán S

    更新日期:1999-01-01 00:00:00

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

    abstract::The aim of this article is to analyze the current situation of AIDS in Latin American countries. Specifically, to compare their situation with other geographic areas of the planet, the prevalence index per countries, distribution per sex and age and, finally, the main ways of transmission in each country. The most rec...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章,评审

    doi:

    authors: Buela-Casal G,Bermúdez MP,Sánchez AI,De los Santos-Roig M

    更新日期:2001-08-01 00:00:00

  • [Usefulness of AgNOR technique in the interpretation of serous effusions].

    abstract:BACKGROUND:AgNOR technique detects, using silver salts, argyrophylic proteins of the nucleolar organizer region (NOR). The number and size of NOR reflect cell activity, proliferation and transformation and may help to differentiate benign from malignant cells. AIM:To assess the value of AgNOR assay to differentiate re...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Rocher AE,Blanco AM,Palaoro LA

    更新日期:2000-09-01 00:00:00

  • [The need for nuclear medicine specialists and gamma cameras].

    abstract:BACKGROUND:The ideal number of nuclear medicine specialists in relation to the needs of a given population should be defined by the institutions training such specialists. AIM:To establish the relationship between the number of gammacameras, nuclear medicine specialists and the number of inhabitants in different count...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: González P,Muñoz A

    更新日期:1996-12-01 00:00:00

  • [Chronic intermittent peritoneal dialysis: a 12-year experience].

    abstract::Since 1981, we have treated 46 adults aged 56 +/- 21 years, of whom 17 were diabetic, with intermittent peritoneal dialysis. Their mean time on dialysis has been 21 months with an accumulated experience of 493 months/patient. The program included 2 dialyses per week, 25 exchanges of 21 per session and 30 min of dwell ...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: García R,Gómez M,Olea C,Cuadros K

    更新日期:1995-04-01 00:00:00

  • [HDL cholesterol: a new target in the treatment of lipid disorders and atherosclerosis?].

    abstract::Low plasma HDL cholesterol levels are an independent risk factor for atherosclerotic cardiovascular disease. During the past years, the study of HDL has been stimulated by the discovery of novel genes and proteins, which have provided new insights into the molecular and cellular mechanisms involved in HDL metabolism. ...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章,评审

    doi:10.4067/s0034-98872005000700011

    authors: Laris Mdel R,Arteaga A,Cuevas A,Rigotti A

    更新日期:2005-07-01 00:00:00

  • [Cerebrovascular disease in a Neurologic Intermediate Care Unit in Chile. Analysis of 459 consecutive patients].

    abstract:BACKGROUND:Stroke is the second cause of mortality and the first cause of morbidity in Chile and worldwide. Nowadays there is a major interest in introducing new therapies applying evidence based medicine for these patients. AIM:To describe the clinical profile of patients attended after a stroke, to determine stroke ...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:10.4067/s0034-98872005001100002

    authors: Mellado T P,Court L J,Godoy F J,Mery C V,Barnett T C,Andresen H M,Huete L I,Tevah C J,Tomicic F V,Romero P C,Fadic R R,Soza M MA,Valenzuela M R,Tapia I J

    更新日期:2005-11-01 00:00:00

  • [A survey about physicians’ professional satisfaction].

    abstract:BACKGROUND:A change in the social structure of medicine and its impact on clients has occurred in the last decades. AIM:To perform a survey about subjective wellbeing among physicians. MATERIAL AND METHODS:A physician’ professional satisfaction survey consisting in 90 questions, was applied to 580 physicians (7...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:/S0034-98872011001000009

    authors: Bascuñán ML,Horwitz N,Schiattino I,Acuña J,Jiménez JP

    更新日期:2011-10-01 00:00:00

  • [Inflammation as a common pathogenic factor in coronary artery disease and depression].

    abstract::A narrative review of the evidence regarding the role of inflammation in the pathophysiology of coronary heart disease and depression is presented. As a common pathogenic factor, inflammation could explain the frequent association of both diseases. We discuss the benefit of exercise and diet modifications in both cond...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章,评审

    doi:10.4067/s0034-98872020000200224

    authors: Cavieres F Á

    更新日期:2020-02-01 00:00:00

  • [HIV infection. Diagnosis in the national network of laboratories in Chile].

    abstract::A national network including 114 blood banks and laboratories performs screening for HIV infection on approximately 250,000 blood donors a year. This represents 100% coverage of blood transfusions performed in Chile. Up to December 1990. 4956 samples had been sent to the National Reference Center for AIDS for suppleme...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Sánchez G,Vera L,Soto G,Mora J,Ramírez E

    更新日期:1991-11-01 00:00:00

  • [Squamous cell carcinoma of the lip survival rate].

    abstract:BACKGROUND:Squamous Cell Carcinoma (SCC) of the lip represents about 20% of all oral carcinomas. It is more common in men, peaking during their sixth and seventh decade, and is more prevalent in the lower lip. AIM:To determine the five years survival rate of Chilean patients with lip SCC. MATERIAL AND METHODS:The reg...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:10.4067/S0034-98872015000700004

    authors: Cabello B T,Sazo B N,Salgado F A,Martínez R B

    更新日期:2015-07-01 00:00:00

  • [Rapidly progressing glomerulonephritis secondary to IgA nephropathy. A clinical case].

    abstract::We report the case of a woman with rapidly progressive IgA nephropathy. She was treated with pulse methylprednisolone sodium succinate (1 g/d for three days), cyclophosphamide, dipyridamole and aspirin. The rapid progression of renal failure was apparently halted after 6 months. ...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Duclos J,Sánchez B,Espinosa R,Opazo H

    更新日期:1989-10-01 00:00:00

  • [Priapism in a patient with chronic myeloid leukemia].

    abstract::Priapism is a rare complication of hematological diseases. Among leukemia, it is most frequently seen in patients with chronic myeloid leukemia, due to the high leukocyte counts that these patients achieve. We report a 22 years old male who presented with a priapism lasting more than 24 hours. Thirty six hours after a...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Rojas B,Cabrera ME,Kliwadenko W,Avilés JJ

    更新日期:1998-08-01 00:00:00

  • [Combined influence of preconception body mass index and gestational weight gain on fetal growth].

    abstract:BACKGROUND:The Chilean Ministry of Health has been using standards for nutritional evaluation and weight gain recommendations during pregnancy in the last 25 years. In the meantime new standards have been developed. AIM:To study the combined influence of preconception maternal nutritional status and gestational weight...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:/S0034-98872011000600003

    authors: Mardones F,García-Huidobro T,Ralph C,Farías M,Domínguez A,Rojas I,Urrutia MT

    更新日期:2011-06-01 00:00:00

  • [Seroprevalence of Epstein Barr virus infection in a healthy population of Santiago de Chile].

    abstract::To study the rate of infection by Epstein Barr virus (EBV) in Santiago, Chile, the prevalence of antibody to the viral capsid antigen (VCA-IgG) was determined in a group of 663 healthy individuals grouped by age and socioeconomic level (SEL). In addition, several risk factors for infection were studied. VCA-IgG was de...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Ferrés M,Prado P,Ovalle J,Fuentes R,Villarroel L,Ferreccio C,Vial P

    更新日期:1995-12-01 00:00:00

  • [Incidence of hypocalcemia after total thyroidectomy].

    abstract:BACKGROUND:Postoperative hypocalcemia is one of the most common complications of thyroid surgery. It is related to the type of disease (malignant or benign), the number of identified parathyroid glands during the surgical procedure, and the surgeon's experience. Total thyroidectomy is the procedure of choice in our hos...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:10.4067/s0034-98872007000100004

    authors: Gac E P,Cabané T P,Amat V J,Huidobro G F,Rossi F R,Rodríguez F F,Ferrada V C,Cardemil R F

    更新日期:2007-01-01 00:00:00

  • [Commercial reagents in the diagnosis of Chagas' disease].

    abstract::The great diversity of commercially available products for the serologic diagnosis of Chagas disease led us to conduct a study of these products in comparison with the indirect immunofluorescence test. Percent agreement between methods ranged from 79 to 100%, the details for each product being given in the text. Bette...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Astorga B,Herskovic P

    更新日期:1990-10-01 00:00:00

  • [Population policy of the government of Chile].

    abstract::This article reports verbatim the National Development Plan for 1978-1983, issued by the Office of the President of the Chilean Republic, and by the Office of National Planning. The document states that an increase in population would be desirable; however, action toward such goal is to be taken by individual couples...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors:

    更新日期:1979-06-01 00:00:00

  • [Vital prognosis in severe acute hepatic failure. Value of the quantitative indexes of evaluation].

    abstract::The aim of this study was to assess the predictive value for mortality of admission and daily APACHE II score, mortality due to multiple organ failure and the Organ Failure Score in patients with acute hepatic failure. We retrospectively studied 15 such patients admitted to an intensive care unit. Thirteen patients di...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Andresen M,Dussaillant G,Dougnac A,Arrese M,Arriagada D,Carlos Glasinovic J,Villarroel L

    更新日期:1995-11-01 00:00:00

  • [Clinical and molecular features of cardial gastric cancer associated to Epstein Barr virus].

    abstract:BACKGROUND:Mortality caused by cardial gastric cancer in Chile, is increasing. Previously we demonstrated an association between Epstein Barr virus and this specific location of gastric cancer. AIM:To perform a clinical and molecular characterization of cardial gastric cancer associated to Epstein Barr virus. MATERIA...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:10.4067/s0034-98872005000700001

    authors: Corvalán A,Akiba S,Valenzuela MT,Cumsille MA,Koriyama C,Argandoña J,Backhouse C,Bal M,Mena F,Palma M,Eizuru Y

    更新日期:2005-07-01 00:00:00

  • [Hyperthyroxinemia and clinical euthyroidism. Report of one case].

    abstract::The association of hyperthyroxinemia and euthyroidism is frequent and characterized by high plasma thyroxin concentrations, normal TSH values and absence of clinical signs of hyperthyroidism. We report an asymptomatic 28 years old male presenting with a serum total plasma thyroxin of 18.5 micrograms/dl (N 6.1-12.5), a...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: López JM,Mosso L,Campino C

    更新日期:1999-02-01 00:00:00

  • [Prevalence of vitamin B-12 deficiency in older adults].

    abstract:BACKGROUND:There is a correlation between aging and the decrease of plasma levels of vitamin B-12. AIM:To determine the prevalence of vitamin B-12 and folate deficiency and its hematological impact among older adults (AM). MATERIAL AND METHODS:Cross-sectional study, in 1028 subjects aged 65 to 87years, living in comm...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:/S0034-98872010000100006

    authors: Sánchez H,Albala C,Herlramp F E,Verdugo R,Lavados M,Castillo JL,Lera L,Uauy R

    更新日期:2010-01-01 00:00:00

  • [Bipolar depression and unipolar depression: differential diagnosis in clinical practice].

    abstract::When assessing a patient with depression it is crucial not to miss a diagnosis of bipolar depression. In this review we suggest that it can be achieved, first, by consistently usingstandardised diagnostic criteria (e.g., DSM-IV-TR or ICD 10) and, second, by ascertaining the presence of some clinical features. The latt...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章,评审

    doi:10.4067/s0034-98872010000600017

    authors: Leyton F,Barrera A

    更新日期:2010-06-01 00:00:00