WorldWideScience

Sample records for angina inestable primaria

  1. Diferencias en las características clínicas y en la evolución intrahospitalaria entre la angina inestable primaria y secundaria en ancianos

    OpenAIRE

    Giorgi, Mariano A; Andrés Ahuad Guerrero; Pablo Schygiel; Fernando Sokn; Guillermo Suárez; Jorge E. Trongé

    2007-01-01

    IntroducciónLa angina inestable (AI) se clasifica en primaria (AP) y secundaria (AS) sobre la base de la presencia o no de causas secundarias de isquemia. Estas condiciones son frecuentes en los ancianos y podrían influir en su pronóstico.ObjetivoEl presente trabajo se llevó a cabo con el objetivo de evaluar las características clínicas y la evolución intrahospitalaria de ancianos con AI primaria y secundaria.Material y métodosSe registraron 298 ancianos (edad ≥ 75 años) con diagnóstico final...

  2. Diferencias en las características clínicas y en la evolución intrahospitalaria entre la angina inestable primaria y secundaria en ancianos

    Directory of Open Access Journals (Sweden)

    Mariano A. Giorgi

    2007-01-01

    Full Text Available IntroducciónLa angina inestable (AI se clasifica en primaria (AP y secundaria (AS sobre la base de la presencia o no de causas secundarias de isquemia. Estas condiciones son frecuentes en los ancianos y podrían influir en su pronóstico.ObjetivoEl presente trabajo se llevó a cabo con el objetivo de evaluar las características clínicas y la evolución intrahospitalaria de ancianos con AI primaria y secundaria.Material y métodosSe registraron 298 ancianos (edad ≥ 75 años con diagnóstico final de AI. La muestra se dividió, según la presencia de causas secundarias de isquemia (anemia, taquicardia, hipertensión no controlada, infección, hipertiroidismo, en dos grupos: AS y AP. Secompararon antecedentes, características clínicas al ingreso, tratamientos, procedimientos y la ocurrencia de muerte y muerte o infarto en la fase intrahospitalaria. Se identificaronpredictores univariados de mala evolución.ResultadosCincuenta y dos pacientes (17,45% tenían AS y 246 (82,5% padecían AP. Los pacientes con AS eran más añosos y tenían mayores registros de tensión arterial y de frecuencia cardíaca al ingreso. El tratamiento médico, la cinecoronariografía y la revascularización se utilizaron menos en el grupo AS. La mortalidad (7,7% versus 6,9% [p = 1,00; OR (IC 95 = 1,12 (0,36-3,48] AS y AP, respectivamente y la combinación de muerte o infarto (7,7% versus 9,7%[p = 0,79; OR (CI 95 = 0,77 (0,25-2,32] AS y AP, respectivamente fueron similares. Los predictores univariados de muerte o infarto fueron infradesnivel del ST y desarrollo de insuficiencia cardíaca para ambos grupos y la refractariedad y necesidad de coronariografía y revascularización para el grupo AP. ConclusiónLa AS es una causa común de isquemia en los ancianos y, pese a que requiere un manejo diferente, orientado a su etiología, tiene un pronóstico similar al de la AP.

  3. Ectasia coronaria, angina inestable e insuficiencia aórtica

    Directory of Open Access Journals (Sweden)

    Róger A Lanzas Rodríguez

    2009-12-01

    Full Text Available Se presenta el caso de una paciente femenina de 79 años, conocida portadora de cardiopatía hipertensiva, insuficiencia aórtica y dislipidemia, que se hospitalizó con un síndrome coronario agudo. Durante su evolución presentó cambios electrocardiográficos de isquemia subepicardica anterior extensa e inferior, por lo que se le realizó una coronariografia selectiva bilateral, detectándose ectasia de la arteria coronaria derecha, con flujo lento y retención del medio de contraste. Se refirió el caso para cirugía de reemplazo valvular.Coronary artery ectasia, unstable angina and aortic insufficiency The case of a 79 year old female patient, who was hospitalized with acute coronary syndrome (ACS, is presented. She had known hypertensive heart disease, aortic insufficiency and dyslipidemia. During the evolution of her ACS, she presented electrocardiographic changes of ischemia. Selective coronary angiography detected ectasia of the right coronary artery with slow flow and retention of contrast medium. The patient was referred for aortic valve replacement surgery.

  4. Analgesia epidural torácica para el tratamiento de la angina inestable Thoracal epidural analgesia for the management of unstable angina

    Directory of Open Access Journals (Sweden)

    M. Castro

    2005-07-01

    Full Text Available La miocardiopatía isquémica en pacientes con angina inestable refractaria al tratamiento médico constituye un escenario clínico complicado. Una anatomía desfavorable o un riesgo quirúrgico excesivamente alto pueden desaconsejar la realización de una angioplastia o de una cirugía de derivación coronaria. En este artículo se pretende revisar la utilización de la analgesia/anestesia epidural torácica para el tratamiento y estabilización de este tipo de pacientes, a través de una breve descripción de la fisiopatología de la isquemia cardiaca, estudios experimentales en animales y humanos, uso en cirugía cardiaca y efectos secundarios.Ischemic cardiomyopathy in patients with unstable angina refractory to medical therapy is a difficult medical condition. Unfavorable anatomy or excessive surgical risk can advise against the performance of angioplasty or coronary bypass surgery. This study has reviewed the use of thoracal epidural analgesia/anesthesia for the management and stabilization of this type of patients, with a brief description of the physiopathology of cardiac ischemia, experimental studies in animals and human beings, use of cardiac surgery and side effects.

  5. Variabilidad de la frecuencia cardíaca en pacientes con angina inestable: correlación con otros marcadores pronósticos

    Directory of Open Access Journals (Sweden)

    Oswaldo Gutiérrez Sotelo

    2004-01-01

    Full Text Available Introducción: La importancia del análisis de la variabilidad de la frecuencia cardíaca (VFC está bien establecida como marcador pronóstico en pacientes que han tenido infarto agudo de miocardio y en otras cardiopatías. El objetivo de este estudio es establecer la correlación entre las variables de VFC y los índices pronósticos tradicionales en angina inestable Materiales y Métodos: Se reclutaron prospectivamente pacientes con diagnóstico de angina inestable. Se consignaron indicadores de riesgo cardiovascular clínicos (angor de reposo refractario, hipotensión arterial, insuficiencia cardíaca, presencia de cambios dinámicos en el ST-T, fracción de eyección =40% y los hallazgos angiográficos (2 ó más vasos, conformándose entonces dos grupos, de alto riesgo y de bajo riesgo. A todos los pacientes se les realizó un registro electrocardiográfico de 5 minutos y se analizaron diversas variables de VFC en dominio de tiempo y de frecuencia mediante un programa de computadora. Estas variables se compararon entre ambos grupos. Resultados: Se reclutaron 63 pacientes (44 hombres, 70% con edad promedio de 63 + 10.4 años (35-90; 46 se consideraron de alto riesgo por cambios electrocardiográficos dinámicos y la fracción de eyección disminuida y 17 de bajo riesgo. En el primer grupo, el poder espectral total fue significativamente menor que en el grupo de bajo riesgo (p=0.04. La banda de baja frecuencia mostró diferencia pero sin alcanzar significancia estadística (p=0.07 y otras variables como el SDNN, el NN50 y la banda de baja frecuencia, mostraron sólo tendencia de ser menores en el grupo de alto riesgo. Conclusión: En pacientes con angina inestable de alto riesgo, la presencia de indicadores pronósticos tiene correlación con una menor VFC en dominio de frecuencia.Introduction: The usefullness of heart rate variability (HRV analysis is well known in myocardial infarction as in other cardiac diseases as a prognostic tool. The

  6. Valor del BNP y de la proteína C reactiva en el diagnóstico diferencial entre angina primaria y secundaria por hipertensión arterial

    Directory of Open Access Journals (Sweden)

    Enrique P. Gurfinkel

    2006-01-01

    Full Text Available Introducción A los episodios de inestabilidad anginosa precipitados por causas secundarias que, no infrecuentemente, no pueden discernirse de razones primarias se les concede poca atención. El presente trabajo intenta responder si algunos biomarcadores pueden contribuir a identificar a aquellos individuos con angina IIIb de los conocidos como anginosos IIIa de la clasificación de Braunwald. Material y métodos En total, participaron del ensayo 64 pacientes seleccionados. De éstos, 33 tuvieron diagnóstico final de angina inestable secundaria a hipertensión arterial y 21 de angina primaria, en tanto que 10 enfermos anginosos estables, referidos para la práctica de un estudio angiográfico diagnóstico, sirvieron de control. En todos ellos, en el momento de la admisión se obtuvieron alícuotas de sangre venosa para la determinación del péptido natriurético auricular tipo B (BNP y de proteína C reactiva ultrasensible (hs-CRP, y luego se realizó un estudio angiográfico invasivo a fin de analizar la carga aterosclerótica con puntajes (scores angiográficos. Resultados Los pacientes con angina primaria tuvieron una extensión aterosclerótica mayor en la angiografía (p < 0,025, más vasos comprometidos (p = 0,029 y un porcentaje mayor de estenosis (p < 0,001 que los anginosos secundarios. Los pacientes controles presentaron valores de BNP de 133 pg/mL (41; 224 [mediana (percentiles 25 y 75] y de 1,6 mg/L (0,4; 3,6 de hs-CRP. Los anginosos primarios no difirieron de los controles: 129 (95; 231 y 4,0 (2,0; 5,6 para BNP y hs-CRP, respectivamente. Los anginosos secundarios tuvieron valores de 73 (19; 325 y de 4,5 (2,2; 9,0, respectivamente. No hubo diferencias significativas entre ambos cuadros anginosos: p = 0,458 para BNP y p = 0,552 para hs-CRP. Conclusiones Independientemente de la carga aterosclerótica elevada en los anginosos primarios, el BNP y la hs-CRP no reconocieron con precisión la inestabilidad clínica inducida por un

  7. Comparação de biomarcadores inflamatórios entre pacientes diabéticos e não-diabéticos com angina instável Comparación de biomarcadores inflamatorios entre pacientes diabéticos y no-diabéticos con angina inestable Comparison of inflammatory biomarkers between diabetic and non-diabetic patients with unstable angina

    Directory of Open Access Journals (Sweden)

    Marçal de Oliveira Huoya

    2009-04-01

    concentração de marcadores inflamatórios de fase aguda, independentemente do estado metabólico.FUNDAMENTO: Pocos estudios compararon la actividad inflamatoria entre pacientes diabéticos y no-diabéticos con síndrome coronario agudo, y todavía no se publicó ninguno que investigara solamente a los portadores de angina inestable (AI. OBJETIVO: Este estudio tuvo dos objetivos. En primer lugar, comparar los niveles séricos de proteína C reactiva (PCR y interleuquina-6 (IL-6 en pacientes diabéticos y no-diabéticos con angina inestable (AI para determinar si la diferencia en la actividad inflamatoria justifica el empeoramiento pronóstico en los pacientes diabéticos. En segundo, evaluar la correlación entre los marcadores inflamatorios y el perfil metabólico en pacientes diabéticos y entre la respuesta inflamatoria y los desenlaces hospitalarios, como muerte, infarto agudo de miocardio, insuficiencia cardiaca congestiva y tiempo de hospitalización. MÉTODOS: Estudio de cohorte prospectiva de 90 pacientes consecutivos, ingresados a la Unidad de Dolor Torácico con angina inestable. Se dividieron a los pacientes en dos grupos: diabéticos y no-diabéticos. Los niveles séricos de PCR e IL-6, el perfil metabólico y el conteo de leucocitos se obtuvieron al ingreso al hospital. RESULTADOS: De todos los pacientes analizados, 42 (47% eran diabéticos (edad 62 ± 9 y 48 (53% no eran diabéticos (edad 63 ± 12. No se encontraron diferencias entre la mediana de la PCR (1,78 vs. 2,23 mg/l, p = 0,74 y de la IL-6 (0 vs. 0 pg/ml, p = 0,31 entre los dos grupos. Hubo una correlación positiva entre la PCR y el colesterol total (rs = 0, 21, p = 0, 05, la PCR y el colesterol LDL (rs = 0,22, p = 0,04 y la PCR y el conteo de leucocitos (rs = 0,32, p = 0,02 en los dos grupos. No se encontró ninguna asociación entre los marcadores inflamatorios y los desenlaces hospitalarios. CONCLUSIÓN: No encontramos diferencia en la actividad inflamatoria entre los pacientes diabéticos y no

  8. Stable angina

    Science.gov (United States)

    ... include: Coronary angiography Blood cholesterol profile ECG Exercise tolerance test (stress test or treadmill test) Nuclear medicine ( ... PhD, and the A.D.A.M. Editorial team. Related MedlinePlus Health Topics Angina Browse the Encyclopedia ...

  9. Unstable angina

    Science.gov (United States)

    ... pressure High LDL cholesterol Low HDL cholesterol Male gender Sedentary lifestyle (not getting enough exercise) Obesity Older ... Seek medical attention if you have new, unexplained chest pain or pressure. If you have had angina before, call your health ...

  10. Pharmacotherapy of Vasospastic Angina.

    Science.gov (United States)

    Harris, Justin R; Hale, Genevieve M; Dasari, Tarun W; Schwier, Nicholas C

    2016-09-01

    Vasospastic angina is a diagnosis of exclusion that manifests with signs and symptoms, which overlap with obstructive coronary artery disease, most often ST-segment elevation myocardial infarction. The pharmacotherapy that is available to treat vasospastic angina can help ameliorate angina symptoms. However, the etiology of vasospastic angina is ill-defined, making targeted pharmacotherapy difficult. Most patients receive pharmacotherapy that includes calcium channel blockers and/or long-acting nitrates. This article reviews the efficacy and safety of the pharmacotherapy used to treat vasospastic angina. High-dose calcium channel blockers possess the most evidence, with respect to decreasing angina incidence, frequency, and duration. However, not all patients respond to calcium channel blockers. Nitrates and/or alpha1-adrenergic receptor antagonists can be used in patients who respond poorly to calcium channel blockers. Albeit, evidence for use of nitrates and alpha1-adrenergic receptor antagonists in vasospastic angina is not as robust as calcium channel blockers and can exacerbate adverse effects when added to calcium channel blocker therapy. Despite having a clear benefit in patients with obstructive coronary artery disease, the benefit of beta-adrenergic receptor antagonists, statins, and aspirin remains unclear. More data are needed to elucidate whether or not these agents are beneficial or harmful to patients being treated for vasospastic angina. Overall, the use of pharmacotherapy for the treatment of vasospastic angina should be guided by patient-specific factors, such as tolerability, adverse effects, drug-drug, and drug-disease interactions. PMID:27081186

  11. Identificación de variables predictivas de riesgo en la evaluación incial de la angina inestable.

    OpenAIRE

    Rueda Soriano, Joaquín

    2005-01-01

    RESUMEN Objetivo: 1. Conocer el perfil clínico y electrocardiográfico de los pacientes ingresados con síndrome coronario agudo sin elevación persistente del segmento ST (SCASEST). 2. Incidencia de eventos adversos isquémicos intrahospitalarios. 3. Identificar las variables que obtenidas en el ingreso, sean predictivas de eventos adversos intrahospitalarios. 4. Analizar la incidencia de eventos adversos a largo plazo 5. Identificar las variables predictivas de eventos adversos isquémicos a ...

  12. Pharmacological approaches of refractory angina.

    Science.gov (United States)

    Giannopoulos, Andreas A; Giannoglou, George D; Chatzizisis, Yiannis S

    2016-07-01

    Refractory angina refers to a group of patients with stable coronary atherosclerotic disease and angina symptoms, unresponsive to traditional medical management, while considered to be suboptimal candidates for revascularization procedures. Up to 15% of angina patients are considered to have refractory angina and, taking into account the aging population and the improvements in the treatment of stable coronary artery disease, the incidence of this entity is expected to increase. This review describes traditional and novel pharmacotherapies for symptoms relief and for long-term management of refractory angina. Mechanisms of action and relevant clinical trials are discussed and current recommendations from major European and US cardiovascular societies are reported.

  13. Angina de Prinzmetal Angina de Prinzmetal Prinzmetal's angina

    Directory of Open Access Journals (Sweden)

    Eduardo Contreras Zuniga

    2009-08-01

    Full Text Available Essa síndrome é causada por um espasmo focal de uma artéria coronária epicárdica, levando a isquemia miocárdica grave. Embora freqüentemente acredite-se que o espasmo ocorra em artérias sem estenose, muitos pacientes com angina de Prinzmetal apresentam espasmo adjacente a placas ateromatosas. A causa exata do espasmo não está bem definida, mas pode estar relacionada à hipercontratilidade do músculo liso vascular devido a mitógenos vasoconstrictores, leucotrienos ou serotonina. Em alguns pacientes, é uma manifestação de distúrbio vasoespástico e está associado à migrânea, fenômeno de Raynaud ou asma induzida por aspirina. Apresentamos um caso associado com depressão transitória do segmento ST.Este síndrome es causado por un espasmo focal de una arteria coronaria epicárdica, llevando a isquemia miocárdica grave. Aunque frecuentemente se crea que el espasmo ocurra en arterias sin estenosis, muchos pacientes con angina de Prinzmetal presentan espasmo adyacente a placas ateromatosas. La causa exacta del espasmo no está bien definida, pero puede estar relacionada a la hipercontractilidad del músculo liso vascular debido a mitógenos vasoconstrictores, leucotrienos o serotonina. En algunos pacientes, es una manifestación de disturbio vasoespástico y está asociado a la migraña, fenómeno de Raynaud o asma inducida por aspirina. Presentamos un caso asociado con depresión transitoria del segmento ST.This syndrome is due to focal spasm of an epicardial coronary artery, leading to severe myocardial ischemia. Although it is frequently thought that the spasm occurs in arteries without stenosis, many Prinzmetal patients have spasm adjacent to atheromatous plaques. The exact cause of the spasm has not been well defined, but it may be related to the hypercontractility of the vascular smooth muscle due to vasoconstrictor mitogens, leukotrienes, or serotonin. In some patients, it is a manifestation of a vasospastic disorder and it

  14. Efectos del entrenamiento en superficies inestables sobre el equilibrio y funcionalidad en adultos mayores

    Directory of Open Access Journals (Sweden)

    Juan C. López S

    2015-02-01

    Full Text Available Objetivo: determinar los efectos de un programa de ocho semanas de entrenamiento en superficies inestables con y sin trabajo de fuerza, sobre el equilibrio y la capacidad funcional en adultos mayores de 60 años, pertenecientes al programa “Escuelas populares del deporte” del inder Medellín. Metodología: se llevó a cabo un estudio experimental simple, ciego y enmascarado con asignación al azar de 34 sujetos a dos grupos de intervención con y sin trabajo de fuerza sobre superficies inestables; se midió el equilibrio unipodal, bipodal con ojos abiertos y cerrados, además de pruebas funcionales como Up and Go, arm curl y chair test. Resultados: las intervenciones con y sin trabajo de fuerza mejoraron el equilibrio total en 57,0 y 69,5 segundos respectivamente, sin diferencias estadísticamente significativas en la comparación entre los grupos (p = 0,13. Se mejoró la velocidad de la marcha con ambas intervenciones sin diferencias intragrupos estadísticamente significativas (p = 0,33 pero importantes para la práctica. Conclusión: ambas intervenciones mejoran el equilibrio, sin embargo existen diferencias importantes para la práctica a favor del programa sobre superficies inestables sin trabajo de fuerza, pues la intervención tiene un mejor efecto sobre el equilibrio unipodal y bipodal tanto con ojos abiertos como con cerrados.

  15. How Can Angina Be Prevented?

    Science.gov (United States)

    ... changes and treating related conditions. Making Lifestyle Changes Healthy lifestyle choices can help prevent or delay angina and heart disease. To adopt a healthy lifestyle, you can: Quit smoking and avoid secondhand ...

  16. Medications for Angina (Beyond the Basics)

    Science.gov (United States)

    ... of medications used to treat stable angina: ● Nitrates ● Beta blockers ● Calcium channel blockers ● Ranolazine Nitrates or beta blockers are usually preferred for initial treatment of angina, ...

  17. Living with heart disease and angina

    Science.gov (United States)

    ... medlineplus.gov/ency/patientinstructions/000576.htm Living with heart disease and angina To use the sharing features on ... please enable JavaScript. Coronary artery disease - living with Heart Disease and Angina Coronary heart disease (CHD) is a ...

  18. Bradycardiac angina: haemodynamic aspects and treatment.

    Science.gov (United States)

    Fowler, P B; Ikram, H; Maini, R N; Makey, A R; Kirkham, J S

    1969-01-11

    A patient with a sinus bradycardia and angina is described who was unable to increase his heart rate on vigorous exercise by more than a few beats. His severe angina was attributed to the bradycardia. Atrial pacing of his heart abolished his angina and increased his exercise tolerance. Circulatory changes at rest, on exertion, and with atrial pacing are described. The cause of angina in this patient is discussed.

  19. Myocardial ischemia and angina pectoris

    International Nuclear Information System (INIS)

    Ambulatory monitoring of ST segment changes was performed in 60 patients presenting with angina, positive ECG stress tests and coronary artery disease, 85% of ischemic ECG events were asymptomatic, 37% occurred with no increase in heart rate and 15% of episodes either lasted 20 minutes or more or fluctuated in severity. A controlled pilot study in ten patients showed depression. Radionuclide studies in 50 patients with angina and coronary artery disease have shown that stress (i.e., atrial pacing) produced different patterns of disturbed regional myocardial perfusion related to the patient's exercise capacity and eventually leading to a decrease in regional myocardial perfusion during the ischemic episode. ST segment depression appeared only after the decrease in regional myocardial perfusion. These findings combined with past research suggest that patients with angina and coronary artery disease can suffer frequent asymptomatic disturbances of the regional myocardial perfusion. The frequency of these episodes and the time course for the recovery of the metabolic consequences mean that segments of ventricular myocardium may be constantly abnormal. The relative importance of changes in coronary tone and malfunction of platelets in the diseased coronary tree needs to be examined in clinical research. Pilot studies of antiplatelet agents have shown a significant beneficial effect on episodes of ischemia occurring at night and those occurring without any increase in heart rate. The techniques and observations in these patients with coronary artery disease all suggest that acute transient regional myocardial ischemia is caused by a variety of mechnisms. Further research using objective methods is required to discover the causes of ischemia and to rationalize treatment. (orig./MG)

  20. Angina

    Science.gov (United States)

    ... eds. Goldman's Cecil Medicine . 25th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 71. Lange RA, Hillis LD. ... eds. Goldman's Cecil Medicine . 25th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 72. Marrow DA, Boden WE. ...

  1. Interpreting angina: symptoms along a gender continuum

    Science.gov (United States)

    Crea-Arsenio, Mary; Shannon, Harry S; Velianou, James L; Giacomini, Mita

    2016-01-01

    Background ‘Typical’ angina is often used to describe symptoms common among men, while ‘atypical’ angina is used to describe symptoms common among women, despite a higher prevalence of angina among women. This discrepancy is a source of controversy in cardiac care among women. Objectives To redefine angina by (1) qualitatively comparing angina symptoms and experiences in women and men and (2) to propose a more meaningful construct of angina that integrates a more gender-centred approach. Methods Patients were recruited between July and December 2010 from a tertiary cardiac care centre and interviewed immediately prior to their first angiogram. Symptoms were explored through in-depth semi-structured interviews, transcribed verbatim and analysed concurrently using a modified grounded theory approach. Angiographically significant disease was assessed at ≥70% stenosis of a major epicardial vessel. Results Among 31 total patients, 13 men and 14 women had angiograpically significant CAD. Patients describe angina symptoms according to 6 symptomatic subthemes that array along a ‘gender continuum’. Gender-specific symptoms are anchored at each end of the continuum. At the centre of the continuum, are a remarkably large number of symptoms commonly expressed by both men and women. Conclusions The ‘gender continuum’ offers new insights into angina experiences of angiography candidates. Notably, there is more overlap of shared experiences between men and women than conventionally thought. The gender continuum can help researchers and clinicians contextualise patient symptom reports, avoiding the conventional ‘typical’ versus ‘atypical’ distinction that can misrepresent gendered angina experiences. PMID:27158523

  2. Therapy for Stable Angina in Women

    OpenAIRE

    Sarbaziha, Raheleh; Sedlak, Tara; Shufelt, Chrisandra; Mehta, Puja K.; Merz, C. Noel Bairey

    2012-01-01

    Mortality rates for cardiovascular disease are higher in women than in men, but studies of women have been conducted less frequently. Current pharmacological and nonpharmacological treatment options for women with stable angina are reviewed.

  3. Bloqueo de Ganglio Estrellado en el tratamiento de angina de pecho refractaria: un posible tratamiento coadyuvante

    Directory of Open Access Journals (Sweden)

    Isaías Salas Herrera

    2002-04-01

    Full Text Available El presente trabajo corresponde una revisión bibliográfica de los estudios clínicos realizados en síndromes anginosos refractarios al tratamiento convencional, utilizando como tratamiento el bloqueo de ganglio estrellado. Se realizó una búsqueda de literatura publicada entre los años 1.900 al 2.000 en las bases de datos MDConsult, Medline y ProQuest. A su vez se revisaron las publicaciones en la Biblioteca del Hospital Rafael Ángel Calderón Guardia y en la Biblioteca del BINASSS (Biblioteca Nacional de Salud del Seguro Social. De acuerdo a los estudios analizados el bloqueo de ganglio estrellado se describe como posibilidad terapéutica para el control de dolor de la angina de pecho refractaria . La descripción clásica de la inervación cardíaca consiste en tres nervios simpáticos mayores originados de los ganglios cervicales superior, medio e inferior. Esta inervación simpática en conjunto con diversos nervios parasimpáticos, se describen como el plexo cardíaco. En contraste Jane et. al. (1986 en un estudio anatómico de 23 cadáveres describe que la inervación cardiopulmonar en el hombre se origina en el ganglio estrellado y las mitades caudales de las cadenas simpáticas cervicales junto con nervios que se originan del nervio recurrente laríngeo o del vago. De estas estructuras derivan los dos plexos cardiopulmonares. De estos plexos derivan tres nervios cardíacos mayores que se proyectan hacia el corazón. Se estima que determinado porcentaje de los pacientes diagnosticados con angina inestable progresará a desarrollar una angina refractaria al tratamiento. El bloqueo de ganglio estrellado podría ser un nuevo método terapéutico para controlar el dolor de dicha condición. Sin embargo se necesitan estudios clínicos randomizados a doble ciego para obtener resultados concluyentes.

  4. CLINICAL EFFECT OF TESTOSTERONE IN MEN WITH STABLE ANGINA

    OpenAIRE

    A. Ya. Kravchenko; V. M. Provotorov

    2016-01-01

    Aim. To study efficacy of testosterone undecanoate (TU) therapy in men with stable angina and androgen deficiency.Material and methods. The serum testosterone level was detected in 247 men (aged 51,6±1,8 y.o.) with stable effort angina. 60 patients with androgen deficiency additionally to basic angina therapy received TU (120-160 mg daily). 54 patients with androgen deficiency (control group) received only basic angina therapy. Dynamics of clinical and ECG manifestations of myocardial ischemi...

  5. Coronary angioplasty for early postinfarction unstable angina

    NARCIS (Netherlands)

    P.J. de Feyter (Pim); P.W.J.C. Serruys (Patrick); A. Soward; M.J.B.M. van den Brand (Marcel); E. Bos (Egbert); P.G. Hugenholtz (Paul)

    1986-01-01

    textabstractCoronary angioplasty was performed in 53 patients in whom unstable angina had reoccurred after 48 hr and within 30 days after sustained myocardial infarction. Single-vessel disease was present in 64% of the patients and multivessel disease in 36%. The preceding myocardial infarction had

  6. costarricenses de primaria y secundaria

    Directory of Open Access Journals (Sweden)

    Julián Monge Nájera

    2006-01-01

    Full Text Available En Costa Rica, la informática dejó de ser una “nueva tecnología” para ser parte cotidiana de la vida de docentes y estudiantes. Sin embargo, el valor y tipo de uso de las computadoras y otros componentes de la informática en la enseñanza-aprendizaje aún son sujeto de debate entre los teóricos de la educación. La discusión se centra en un aspecto teórico y otro práctico. El teórico: ¿debe enseñarse cómo funciona la computadora o debe enseñarse simplemente a usarla? El práctico: ¿conviene usar la informática durante las lecciones, o sólo como un complemento extra-clase? Tras consultar a 231 mujeres y hombres dedicados a la enseñanza primaria y secundaria en toda Costa Rica, se encontró que la mayoría está a favor de cómo enseñar a usar la computadora (más que cómo funciona, tanto en el aula como fuera de ella. Sin embargo, en la vida real usan la informática más en actividades administrativas que educativas, y no han aprovechado el verdadero potencial de la tecnología de la información y comunicación (TIC en educación, por lo cual no han cosechado los logros que se esperan de su uso. Es urgente entonces un giro radical en la forma en que se apoya al personal docente y en cómo se emplean realmente las computadoras en la educación primaria y secundaria de Costa Rica.

  7. Angina - Multiple Languages: MedlinePlus

    Science.gov (United States)

    ... Chinese - Simplified (简体中文) Chinese - Traditional (繁體中文) French (français) Hindi (हिन्दी) Japanese (日本語) Korean (한국어) Portuguese (português) ... poitrine - français (French) Bilingual PDF Health Information Translations Hindi (हिन्दी) Angina हिन्दी (Hindi) Bilingual PDF ...

  8. A rare cause of Ludwig's angina by Morganella morganii.

    Science.gov (United States)

    Ho, Min-Po; Tsai, Kuang-Chau; Yen, Szu-Lin; Lu, Cheng-Lin; Chen, Chia-Hung

    2006-10-01

    Ludwig's angina is a rapidly spreading and potentially lethal infection involving the floor of the mouth and neck. We present a rare case of Ludwig's angina caused by an unusual microorganism, Morganella morganii, and the group D alpha-hemolytic streptococcus. To our knowledge, this is the first case of Ludwig's angina and deep neck infection caused by Morganella morganii. Adequate airway maintenance, appropriate use of antibiotics and surgical drainage resulted in survival of the patient without complications.

  9. Comparación entre diferentes materiales inestables utilizados dentro del proceso de entrenamiento: Revisión Sistemática

    OpenAIRE

    Bustamante Aranguren, Paula

    2014-01-01

    RESUMEN: Introducción: la popularidad de los entrenamientos realizados en superficies inestables para mejorar el rendimiento deportivo ha ido creciendo en los últimos años. El objetivo de esta revisión fue conocer la efectividad de los ejercicios realizados en inestabilidad durante los entrenamientos deportivos. Métodos: se realizó una búsqueda bibliográfica sobre el tema en bases electrónicas de datos: Medline, PubMed, PEDro, Elsevier, Cochrane Library y Google Académico,mediante las pala...

  10. Preinfarction angina: old story initiates new attention

    Institute of Scientific and Technical Information of China (English)

    GE Jun-bo

    2012-01-01

    Since first report by Murry et al1 in 1986,the role of ischemia preconditioning before sustained coronary occlusion in protecting myocardium and reducing infarct size has been identified in animal studies.2-4 The mechanism underlying the endogenous cardioprotective effects of ischemia preconditioning is complex and may involve humoral,neural,or a combination of both,with different signaling pathwaysinvolving adenosine,bradykinin,protein kinases and K(ATP) channels.5,6 In humans,episodes of angina before acute myocardial infarction (AMI) may also confer a preconditioning or protective effect.

  11. Ludwig's angina after severe thrombocytopenic purpura associated with dengue fever

    Directory of Open Access Journals (Sweden)

    Maria Antonia Campos

    2014-01-01

    Full Text Available Here, we report a case of Ludwig's angina, which required surgery because of toothache. The patient had dengue and severe thrombocytopenia as confirmed by clinical and laboratory diagnoses. However, dengue is not included among the predisposing factors for Ludwig's angina.

  12. Anipamil prevents ST depression in patients with stable angina pectoris

    DEFF Research Database (Denmark)

    Larsen, C T; Sørum, C; Rasmussen, V;

    1993-01-01

    test with > or = 0.10 mV horizontal or down-sloping ST-segment depression and limited by angina pectoris, and at least 10 attacks of angina pectoris in the initial single-blind placebo period. During the placebo period, a total duration of transient myocardial ischemia > or = 0.10 mV during the 24-hour...

  13. Tórax inestable, evolución sin osteosíntesis: presentación de un caso.

    Directory of Open Access Journals (Sweden)

    Elbert Oberto Reyes Graterol

    2012-09-01

    Full Text Available El trauma torácico cerrado suele ser el resultado de un impacto directo a alta velocidad o caídas siendo responsable de fracturas costales. Se define  tórax inestable como la fractura de tres o cuatro costillas en más de dos segmentos de su longitud, ocasionando un fenómeno paradójico en la caja  torácica durante la respiración, colapsándose en inspiración y expandiéndose en espiración. Los de localización anterior o lateral son los más graves,  dada su repercusión fisiopatológica. El diagnóstico se establece con el examen físico, radiografías y tomografías de tórax, así como también estudios  de fisiología respiratoria. El tratamiento se basa en la estabilización neumática interna mediante ventilación mecánica y osteosíntesis. Se presenta el  caso de paciente femenino de 18 años de edad quien ingresa al Hospital General del Sur por presentar trauma toraco-abdominal cerrado complicado,  con neumotórax derecho, hemoneumotórax izquierdo que ameritó colocación de drenaje torácico e intubación, lesión hepática grado IV de segmentos  II y III y lesión del ángulo esplénico del colon, ingresando a UCI donde permaneció durante doce días bajo ventilación mecánica asistida.  Se destaca la consolidación costal en ausencia de osteosíntesis o fijación con una evolución observable en estudios de imágenes de control periódico.

  14. Long-term effects of spinal cord stimulation on angina symptoms and quality of life in patients with refractory angina pectoris--results from the European Angina Registry Link Study (EARL)

    DEFF Research Database (Denmark)

    Andréll, P; Yu, W; Gersbach, P;

    2010-01-01

    To assess the long-term effect of spinal cord stimulation (SCS) on angina symptoms and quality of life in patients with refractory angina pectoris defined as severe angina due to coronary artery disease resistant to conventional pharmacological therapy and/or revascularisation.......To assess the long-term effect of spinal cord stimulation (SCS) on angina symptoms and quality of life in patients with refractory angina pectoris defined as severe angina due to coronary artery disease resistant to conventional pharmacological therapy and/or revascularisation....

  15. Diseño y control de un sistema electromecánico inestable de dos grados de libertad: aplicación al caso de un péndulo invertido

    OpenAIRE

    Molis Merino, Eugenio

    2015-01-01

    En este proyecto, se ha realizado el diseño y el control de un sistema electromecánico inestable de dos grados de libertad. Aplicación al caso de un péndulo invertido, un sistema no lineal e inestable controlado mediante un microcontrolador para la etapa de control, un giroscopio para la lectura de datos para su posterior procesamiento y control y un driver para la etapa de potencia. Para el diseño del controlador y la obtención de los diferentes parámetros de ajuste ha sido...

  16. Ecuador: una democracia inestable

    Directory of Open Access Journals (Sweden)

    Juan J. Paz y Miño Cepeda

    2009-12-01

    Full Text Available En 1979, tras una década de dictaduras militares, se inició la fase constitucional más larga en la historia del Ecuador. Ésta se levantó sobre las herencias del pasado y se caracterizó, de manera fundamental, por el tránsito desde un modelo estatal-desarrollista hacia uno de tipo empresarial, por el aparecimiento de nuevos agentes sociales, el multipartidismo político, la regionalización nacional, la presencia multicultural y la inserción del país en nuevas relaciones internacionales. Pero esos procesos trajeron como consecuencias centrales: la edificación de una economía inequitativa, una sociedad tensionada, la desestructuración institucional, la precarización del trabajo y la debilidad con la que la nación ha enfrentado el nuevo mundo unipolar. Todo ello ha configurado un cuadro de riesgos para la incipiente democracia. El Ecuador contemporáneo tiene, por tanto, una serie de desafíos económicos, sociales y políticos para escapar a la inestabilidad que ha acompañado a la construcción de su modernización democrática.___________________ABSTRACT:In 1979, after one decade of military dictatorships, the longest constitutional phase in the history of Ecuador was initiated. It was built upon the inheritance of the past and can be fundamentally characterized by the transition from a model that focused on the state as developing the economy (State-model to a model that focused on private business (enterprise-model. The appearance of new social agents, a multiparty system, national regionalization, multicultural presence and the country´s new international relationships are processes which show some important consequences: the establishment of an unequal economy, a society under tension, the breakdown of institutional structures, the vulnerability of working conditions and the weakness with which the nation faced the new polarized world. All this might put into danger this incipient democracy. And this is why Ecuador in these days has so many economic, social and political challenges in order to escape the instability that has marked the democratic modernization.

  17. Mediastinite descendente necrosante pós-angina de Ludwig Necrotizing descending mediastinitis afetr Ludwig angina

    Directory of Open Access Journals (Sweden)

    MARICÉLIA BROMMELSTROET

    2001-09-01

    Full Text Available A angina de Ludwig é uma infecção do espaço submandibular originada, em geral, da infecção do 2º ou 3º molar inferior. Como conseqüência, pode causar mediastinite descendente necrosante, que representa uma forma grave e rara de infecção mediastinal, a qual exige diagnóstico precoce e tratamento cirúrgico para reduzir a alta mortalidade associada a esta doença. Dois casos de mediastinite descendente necrosante pós-angina de Ludwig foram tratados com excelentes resultados em nosso hospital. A drenagem mediastinal transcervical está justificada em pacientes com doença limitada ao mediastino superior. Porém, sepse com comprometimento extenso do mediastino requer drenagem através de toracotomia sem demora.Ludwig's angina is an infection of the submandibular space generally caused by an infection of the 2nd or 3rd lower molar. As a consequence, descending necrotizing mediastinitis, a rare and severe form of mediastinal infection, may occur. The descending necrotizing mediastinitis represents a rare form of mediastinal infection. It presents a high mortality and to decrease that rate it is necessary prompt diagnosis and surgical treatment. Two cases of descending necrotizing mediastinitis due to Ludwig's angina were treated with excellent results in our hospital. The transcervical mediastinal drainage is justified in patients with disease limited to the upper mediastinum. Even so, when there is extensive involvement of the whole mediastinum it is suitable the accomplishment of a wide thoracotomy.

  18. External minifixation in unstable fractures of the metacarpal Minifijación externa en fracturas inestables de los metacarpianos

    Directory of Open Access Journals (Sweden)

    Pablo Oquendo Vázquez

    Full Text Available Background: External fixation is one of the surgical treatment methods more used in traumatology for its versatility and the care it provides to the soft parts. Objectives: To demonstrate that external minifixation allows obtaining a stable fixation that doesn’t limit the hand functionally and facilitates early rehab. Methods: A descriptive study about 42 patients managed at the orthopaedic service in the time period between February 2000 and February 2004, to whom an unstable metacarpal fracture was diagnosed with surgical treatment criteria. All cases were submitted to reduction and stabilizing of the lesion, using an external minifixator RALCA. Hand rehab began in immediate post surgical state. Results: In our series predominated the male sex (83, 3 %, white skinned (92, 8%, with age groups between 31 and 40 years. Lesions in predominant hands were more frequent (80, 9%, and the direct production mechanism (76, 1%, with prevalence of transversal diaphysial pattern (38% and short slanting (35, 1%. Consolidation time was considered inside normal limits in the 88% of the sample. The 52, 3% of the patients incorporated to their social active lives without functional limitations.
    Fundamento: La fijación externa es uno de los métodos de tratamiento quirúrgico más utilizados en traumatología por su versatilidad y el cuidado que provee a las partes blandas. Objetivo: Demostrar que el uso de la minifijación externa permite obtener una fijación estable que no limita funcionalmente la mano y facilita la rehabilitación precoz. Métodos: Estudio descriptivo sobre 42 pacientes atendidos en el Servicio de Ortopedia en el período de tiempo comprendido entre febrero del 2000 y febrero del 2004, a los que se les diagnosticó una fractura inestable de los metacarpianos con criterio de tratamiento quir

  19. Physical Activitiea Associted with Angina Pectoris Before Myocardial Infarction and the Onset of Myocardial Infarction

    OpenAIRE

    Matsuda, Masako

    1984-01-01

    One hundred and ninety-seven patients with a history of myocardeal infarction were interviewed to evaluate the incidence of angina pectoris and the physical activity precipitating angina before myocardial infarction, and the mode of physical activity at the onset of myocardial infarction. Ninety-ewo patients had no angina before infarction, whereas 105 did, In 105 patients, 58 had a chronic stable angina without a change of pattern of angina before infarction, while 22 noticed worsening of th...

  20. Unstable angina of crescendo pattern vs new onset: a clinical, coronary arteriographic and hemodynamic study.

    Science.gov (United States)

    Hussain, K M; Gould, L; Bharathan, T; Abdelsayed, G; Karpov, Y

    1995-06-01

    Unstable angina includes a variety of clinical presentations with a different level of risk for an unfavorable outcome. In this study the authors investigated the prognostic significance of crescendo angina and new-onset angina to discuss management strategies, paying attention to the relevance of baseline clinical characteristics, coronary artery lesions, and left ventricular function, as well as their alterations during atrial pacing. Accordingly coronary arteriographic anatomy and changes in left ventricular volumes and ejection fraction before and during atrial pacing were studied by means of digital subtraction ventriculography in 18 patients with crescendo angina and in 18 patients with new-onset angina. Triple-vessel disease was more frequently observed in crescendo angina (56%; P crescendo angina. The angiographic evidence of intracoronary thrombi was found in 33% (P crescendo angina and in 4% patients with new-onset angina. Compared with the patients with new-onset angina, patients with crescendo angina had higher end-diastolic and end-systolic volumes and lower ejection fraction at rest. At peak pacing, ejection fraction was significantly (P crescendo angina (0.48 +/- 0.06) than in new-onset angina (0.66 +/- 0.04). In crescendo angina, during pacing, the magnitude of velocity of circumferential fiber shortening was significantly decreased as compared with new-onset angina.(ABSTRACT TRUNCATED AT 250 WORDS)

  1. Osteodistrofia de la cirrosis biliar primaria

    OpenAIRE

    Guañabens Gay, Nuria

    1987-01-01

    [spa] La cirrosis biliar primaria es una enfermedad hepática que se manifiesta por un patrón clínico, bioquímico e histológico de colestasis crónica. Su curso puede complicarse con el desarrollo de una patología metabólica ósea cuyo tipo, frecuencia y mecanismos patogenéticos no están bien establecidos. Esta tesis se ha realizado con el fin de analizar la prevalencia y tipo de enfermedad metabólica ósea que se asocia a la cirrosis biliar primaria (CBP) e investigar los factores que influy...

  2. Monitorización de laderas inestables mediante técnicas fotogramétricas a partir de vuelos UAV e históricos

    OpenAIRE

    Fernández, Tomás; Pérez, José Luis; López, Andrés; Gómez, José Miguel; Cardenal, Javier; Delgado, Jorge

    2014-01-01

    Este trabajo presenta una metodología para la monitorización de laderas inestables mediante técnicas fotogramétricas, partiendo de vuelos UAV de muy alta resolución. Para ello se han realizado y analizado cuatro campañas de UAV desde noviembre de 2012 en una zona situada en las inmediaciones de la Guardia (Jaén), y además se ha utilizado un vuelo fotogramétrico previo de la misma zona. Los vuelos UAV se han realizado mediante una plataforma aérea ligera de tipo helicóptero o drone –provisto d...

  3. CLINICAL EFFECT OF TESTOSTERONE IN MEN WITH STABLE ANGINA

    Directory of Open Access Journals (Sweden)

    A. Ya. Kravchenko

    2016-01-01

    Full Text Available Aim. To study efficacy of testosterone undecanoate (TU therapy in men with stable angina and androgen deficiency.Material and methods. The serum testosterone level was detected in 247 men (aged 51,6±1,8 y.o. with stable effort angina. 60 patients with androgen deficiency additionally to basic angina therapy received TU (120-160 mg daily. 54 patients with androgen deficiency (control group received only basic angina therapy. Dynamics of clinical and ECG manifestations of myocardial ischemia and quality of life (QOL parameters was studied.Results. Androgen deficiency is revealed in 114 (46,2% of patients. Therapy with TU during 3 months resulted in reduction of angina attacks and extent of myocardial ischemia (according to Holter ECG monitoring and stress test as well as QOL improvement.Conclusion. Androgen deficiency is observed in 46,2% of men with stable angina. TU increases of antianginal therapy efficacy, improves QOL and is well tolerated. 

  4. Angina de Ludwig. Reporte de 2 casos

    Directory of Open Access Journals (Sweden)

    Antonio Fabbio Gagliardi Lugo

    2014-10-01

    Full Text Available La angina de Ludwig (AL es una entidad patológica, odontogénica e infecciosa que representa una situación de emergencia en la Cirugía Bucal y Maxilofacial por comprometer la vida del paciente debido a una progresiva oclusión de la vía aérea, producto del avance de la infección hacia los espacios submandibulares, sublinguales y submental, lo que trae como consecuencia el colapso de la misma. En el presente trabajo se hace una revisión de la literatura actualizada acerca de dicha entidad, origen, vías de diseminación, manejo terapéutico y posibles complicaciones. Se reportan 2 casos que acuden a Emergencias del Hospital General del Oeste «Dr. José Gregorio Hernández» (HGO en Los Magallanes de Catia (Caracas, Venezuela con diagnóstico de AL. Se presenta el manejo clínico y la relevancia del rol que adquiere el cirujano maxilofacial en el diagnóstico en aras de la preservación de la vida del paciente.

  5. Analysis of Plasma Homocysteine Levels in Patients with Unstable Angina

    Directory of Open Access Journals (Sweden)

    José Roberto Tavares

    2002-08-01

    Full Text Available OBJECTIVE - To determine the prevalence of hyperhomocystinemia in patients with acute ischemic syndrome of the unstable angina type. METHODS - We prospectively studied 46 patients (24 females with unstable angina and 46 control patients (19 males, paired by sex and age, blinded to the laboratory data. Details of diets, smoking habits, medication used, body mass index, and the presence of hypertension and diabetes were recorded, as were plasma lipid and glucose levels, C-reactive protein, and lipoperoxidation in all participants. Patients with renal disease were excluded. Plasma homocysteine was estimated using high-pressure liquid chromatography. RESULTS - Plasma homocysteine levels were significantly higher in the group of patients with unstable angina (12.7±6.7 µmol/L than in the control group (8.7±4.4 µmol/L (p<0.05. Among males, homocystinemia was higher in the group with unstable angina than in the control group, but this difference was not statistically significant (14.1±5.9 µmol/L versus 11.9±4.2 µmol/L. Among females, however, a statistically significant difference was observed between the 2 groups: 11.0±7.4 µmol/L versus 6.4±2.9 µmol/L (p<0.05 in the unstable angina and control groups, respectively. Approximately 24% of the patients had unstable angina at homocysteine levels above 15 µmol/L. CONCLUSION - High homocysteine levels seem to be a relevant prevalent factor in the population with unstable angina, particularly among females.

  6. Functional Role of Dendritic Cells in Patients with Unstable Angina

    Institute of Scientific and Technical Information of China (English)

    LI Dazhu; Sharma Ranjit; ZENG Qiutang

    2005-01-01

    To investigate the function of dendritic cells (DC) in patients with unstable angina, 10 mL of blood was drawn from 30 subjects. 15 patients diagnosed as having unstable angina and 15 healthy subjects were included in an observation and a control groups respectively. The mononuclear cells were separated from the peripheral blood and cultured in RPMI1640 supplemented with recombinant human granulocyte/macrophage-colony stimulating factor (rh GM-CSF) and recombinant human interleukin-4 (rh IL-4) to induce dendritic cells. The shape and ultrastructure of DC was examined with electronic microscope. The phenotype of DC was analyzed with FACS and the alloantigen presenting capacity of DC was evaluated by mixed lymphocyte reaction (MLR). The expression rate of CD86 of DC in patients with unstable angina was (40.7±3.6) %, which was obviously higher than that of normal DC (29.6±2.5 %) (P<0.001). The capacity of the DCs in unstable angina patients to induce allogenic T cells (OD 2.73±1.10), was significantly higher than that of the normal DC (OD:0.9±0.21) (P<0.005). It is suggested that the function of DC in patients with unstable angina is increased, which may play an important role in the initiation of immune reaction in the plaque.

  7. Pharmacological Management of Chronic Stable Angina: Focus on Ranolazine.

    Science.gov (United States)

    Rosano, Giuseppe M C; Vitale, Cristiana; Volterrani, Maurizio

    2016-08-01

    Percutaneous coronary intervention and anti-anginal medications have similar prognostic effectiveness in patients with chronic stable angina. The choice of optimal medical therapy for the management of chronic angina is of pivotal importance in patients with stable ischemic heart disease. The most commonly used anti-anginal agents have demonstrated equivalent efficacy in improving patient reported ischemic symptoms and quantitative exercise parameters. With regards to mortality, beta-blockers are beneficial only in the setting of depressed left ventricular systolic function after a recent myocardial infarction. Recent evidence suggests the lack of any benefit of beta-blockers in patients with preserved systolic function, even in the setting of prior myocardial infarction.Ranolazine is a non-haemodynamic anti-anginal agent. It is effective as adjunctive therapy in patients with chronic stable angina whose symptoms are un-adequately controlled by conventional treatment. The clinical development program of ranolazine has shown that the drug improves exercise performance, decreases angina and use of sublingual nitrates, compared to placebo. Ranolazine is well tolerated with neutral effect on haemodynamics. Besides its role in chronic stable angina, ranolazine has the potential for development in a number of other cardiovascular and non-cardiovascular conditions in the future.

  8. Reduced peripheral vascular reactivity in refractory angina pectoris

    DEFF Research Database (Denmark)

    Bondesson, Susanne M; Edvinsson, Marie-Louise; Pettersson, Thomas;

    2011-01-01

    compared to matched healthy subjects (n = 20). The cutaneous forearm microvascular blood flow was measured by Laser-Doppler flowmetry. The vascular responsiveness to iontophoretic administration of acetylcholine (ACh), sodium nitroprusside (SNP) and local skin warming were studied. Measurements of Canadian......AIMS: To examine if the skin microvascular bed is altered and can be modified by enhanced external counterpulsation (EECP) in patients with chronic refractory angina. METHODS: Twenty patients diagnosed with refractory angina were divided into EECP (n = 10) or no EECP (n = 10) groups. The data were...

  9. NEBIVOLOL IN TREATMENT OF STABLE EXERTIONAL ANGINA PECTORIS

    Directory of Open Access Journals (Sweden)

    Y. V. Gavrilov

    2015-12-01

    Full Text Available Aim. To evaluate antianginal and antiischemic efficiency of nebivolol in patients with stable angina pectoris.Material and methods. 100 patients with ischemic heart disease showing stable exertional angina pectoris and having no contraindications to beta-blockers were studied. After 5-7 days of control period 50 randomly selected patients began to take nebivolol in initial dose of 5mg once daily and 50 patients started to take metoprolol in initial dose of 50 mg twice daily. Duration of treatment was 8 weeks. Efficiency of treatment was assessed according to the results of control treadmill assessment and control daily ECG monitoring.Results. 56-day therapy with nebivolol at a dose of 7,5 mg per day results in increase in duration of treadmill test before angina or ST depression (p<0.05. Antianginal and antiischemic effect of nebivolol 7.5 mg once daily is rather similar with that of metoprolol in average daily dose of 175 mg. Nebivolol compared to metoprolol significantly (p<0.05 more effectively reduces the number of silent myocardial ischemia.Conclusion. Nebivolol is an efficient antianginal and antiischemic drug for patients with stable exertional angina pectoris.

  10. Management of Stable Angina - Current Guidelines: A Critical Appraisal.

    Science.gov (United States)

    Thadani, Udho

    2016-08-01

    Guidelines provide recommendations to improve patient outcomes, but many of the recommendations made for treating patients with stable angina are opinion based rather than evidence based. Risk stratification to predict patients at an increased risk of myocardial infarction (MI) and sudden ischemic death, and selection of patients for possible revascularization, is based on expert opinion. Randomized trials have compared optimal medical therapy to revascularization, after the coronary anatomy was known, and yet routine coronary angiography to exclude left main disease is not recommended. What exactly is optimal antianginal treatment varies considerably from one country's guideline recommendations to another. None of the antianginal drugs reduce mortality or MI and these drugs are equally effective in treating angina pectoris; and yet beta-blockers and calcium channel blockers are recommended as first line therapy. Double and triple therapy with different classes of antianginal drugs is also expert opinion based rather than evidence based. Recommendations to reduce the incidence of MI and sudden death are appropriate; however the use of a potent, high dose statin, is recommended by AHA/ACC and NICE guidelines for all patients with ischemic heart disease, while the European guidelines recommend a target LDL goal in patients with coronary artery disease (CAD). Management of patients with stable angina pectoris with normal coronary arteries remains ambiguous. This short review critically appraises the recommendations for managing patients with stable angina pectoris. PMID:27638354

  11. Effects of acupuncture in moderate, stable angina pectoris

    DEFF Research Database (Denmark)

    Ballegaard, Søren; Pedersen, F; Pietersen, A;

    1990-01-01

    In order to evaluate the effects of acupuncture in moderate, stable angina pectoris, 49 patients were randomized to either genuine or sham acupuncture. In sham acupuncture needles were inserted into points within the same spinal segment as in genuine acupuncture, but outside the Chinese meridian...

  12. [Microvascular angina in women: a diagnostic and therapeutic challenge

    NARCIS (Netherlands)

    Elias-Smale, S.E.; Boer, M.J. de; Maas, A.H.E.M.

    2014-01-01

    Gender differences play an important role in coronary heart disease (CHD). Not only in the presentation of symptoms, but also in their underlying pathophysiology. Women with persistent angina without obstructive coronary artery disease (CAD) pose a diagnostic and therapeutic challenge. Half of these

  13. Ranolazin--ny behandling af kronisk stabil angina pectoris

    DEFF Research Database (Denmark)

    Ahlehoff, Ole; Hansen, Peter Riis

    2009-01-01

    Ranolazine sustained-release tablets were recently approved in the EU for chronic stable angina as add-on therapy when symptoms are not controlled with first-line agents. The mechanism of action is thought to involve inhibition of late sodium influx in the heart, which can reduce abnormalities...

  14. Cardiac catheterization in patients with unstable angina. Recent onset vs crescendo pattern.

    Science.gov (United States)

    Plotnik, G D; Fisher, M L; Carliner, N H; Becker, L C

    1980-08-01

    Among patients with unstable angina pectoris, those with crescendo angina seem to be at high risk for death and myocardial infarction. We reviewed the clinical, arteriographic, and hemodynamic findings in 218 consecutive catheterized patients with unstable angina. Unstable angina was defined as ischemic cardiac pain at rest associated with transient ECG changes but no evidence for acute myocardial infarction. Patients were divided into two groups according to the duration of symptoms: 134 patients with crescendo angina (new, or increasing, rest pain with previous ischemic symptoms present for more than three months) and 84 with recent onset angina (symptoms present for less than three months). Compared with patients with recent onset symptoms, patients with crescendo angina had more extensive coronary disease and lower ejection fractions, which may explain their poor prognosis.

  15. Persistent angina: highly prevalent and associated with long-term anxiety, depression, low physical functioning, and quality of life in stable angina pectoris

    DEFF Research Database (Denmark)

    Jespersen, L.; Abildstrom, S. Z.; Hvelplund, Anders;

    2013-01-01

    To evaluate persistent angina in stable angina pectoris with no obstructive coronary artery disease (CAD) compared to obstructive CAD and its relation to long-term anxiety, depression, quality of life (QOL), and physical functioning. We invited 357 patients (men = 191; women = 166; response rate 83...... %) with no prior cardiovascular disease who had a first-time coronary angiography (CAG) in 2008-2009 due to suspected stable angina to participate in a questionnaire survey in 2011 with the Seattle Angina Questionnaire and the Hospital Anxiety and Depression Scale as key elements. Long-term persistent...... angina (i.e., symptoms at least once a month) was present in 64 % of patients with diffuse non-obstructive CAD (1-49 % stenosis), 49 % of patients with normal coronary arteries (0 % stenosis), and 41 % of patients with obstructive CAD (a parts per thousand yen50 % stenosis) (P = 0.01). Depression and...

  16. High probability of disease in angina pectoris patients

    DEFF Research Database (Denmark)

    Høilund-Carlsen, Poul F.; Johansen, Allan; Vach, Werner;

    2007-01-01

    BACKGROUND: According to most current guidelines, stable angina pectoris patients with a high probability of having coronary artery disease can be reliably identified clinically. OBJECTIVES: To examine the reliability of clinical evaluation with or without an at-rest electrocardiogram (ECG......) in patients with a high probability of coronary artery disease. PATIENTS AND METHODS: A prospective series of 357 patients referred for coronary angiography (CA) for suspected stable angina pectoris were examined by a trained physician who judged their type of pain and Canadian Cardiovascular Society grade...... on CA. Of the patients who had also an abnormal at-rest ECG, 14% to 21% of men and 42% to 57% of women had normal MPS. Sex-related differences were statistically significant. CONCLUSIONS: Clinical prediction appears to be unreliable. Addition of at-rest ECG data results in some improvement, particularly...

  17. Non-Linear Dynamics In Patients With Stable Angina Pectoris

    CERN Document Server

    Krstacic, G; Vargovic, E; Knezevic, A; Krstacic, A

    2001-01-01

    We investigate the clinical and prognostic significance of fractal dimension and detrended fluctuation analysis by comparing the group of patients with stable angina pectoris without previous myocardial infarction with the group of age-matched healthy controls. The fractal dimension of the R-R series was determined using the rescaled range (R/S) analysis technique. To quantify fractal longe-range-correlation properties of heart rate variability, the detrended fluctuation analysis (DFA) technique was used. The heart rate variability was characterized by a scaling exponent $\\alpha$, separately for short-term ($$ 11 beats) time scales. The results of data sets show the existence of crossover phenomena between short-time scales. The short-term fractal scaling exponent was significantly lower in patients with stable angina pectoris.

  18. Management of angina pectoris: the role of spinal cord stimulation.

    Science.gov (United States)

    Eckert, Siegfried; Horstkotte, Dieter

    2009-01-01

    Progress in prevention as well as drug and interventional therapy has improved the prognosis of patients with cardiovascular disorders. Many patients at risk have advanced coronary artery disease (CAD), have had multiple coronary interventions, and present with significant co-morbidity. Despite adequate risk factor modulation and often several revascularization procedures, some of these patients still have refractory angina pectoris. Apart from advanced CAD and insufficient collateralization, the cause is often endothelial dysfunction. For this situation, one treatment option is neuromodulation. Controlled studies suggest that, in patients with chronic refractory angina pectoris, spinal cord stimulation (SCS) provides a relief from symptoms equivalent to that provided by surgical therapy, but with fewer complications and lower rehospitalization rates. SCS may result in significant long-term pain relief with improved quality of life. In patients with refractory angina undergoing SCS, some studies have shown not only a symptomatic improvement, but also a decrease in myocardial ischemia and an increase in coronary blood flow. Discussion is ongoing as to whether this is a direct effect on parasympathetic vascodilation or merely a secondary phenomenon resulting from increased physical activity following an improvement in clinical symptoms. Results from nuclear medical studies have sparked discussion about improved endothelial function and increased collateralization. SCS is a safe treatment option for patients with refractory angina pectoris, and its long-term effects are evident. It is a procedure without significant complications that is easy to tolerate. SCS does not interact with pacemakers, provided that strict bipolar right-ventricular sensing is used. Use in patients with implanted cardioverter defibrillators is under discussion. Individual testing is mandatory in order to assess optimal safety in each patient. PMID:19178129

  19. Epidural spinal electrical stimulation in severe angina pectoris.

    OpenAIRE

    Mannheimer, C; Augustinsson, L E; Carlsson, C A; Manhem, K; Wilhelmsson, C

    1988-01-01

    The short term effects of epidural spinal electrical stimulation were studied in 10 patients with angina pectoris of New York Heart Association functional class III or IV. The antianginal pharmacological treatment given at entry to the study was regarded as optimal and was not changed during the study. The effects of epidural spinal electrical stimulation were measured by repeated bicycle ergometer tests. Treatment with epidural spinal electrical stimulation increased the patients' working ca...

  20. Update on ranolazine in the management of angina

    Directory of Open Access Journals (Sweden)

    Codolosa JN

    2014-06-01

    Full Text Available J Nicolás Codolosa,1 Subroto Acharjee,1 Vincent M Figueredo1,2 1Einstein Center for Heart and Vascular Health, Einstein Medical Center, 2Jefferson Medical College, Philadelphia, PA, USA Abstract: Mortality rates attributable to coronary heart disease have declined in recent years, possibly related to changes in clinical presentation patterns and use of proven secondary prevention strategies. Chronic stable angina (CSA remains prevalent, and the goal of treatment is control of symptoms and reduction in cardiovascular events. Ranolazine is a selective inhibitor of the late sodium current in myocytes with anti-ischemic and metabolic properties. It was approved by the US Food and Drug Administration in 2006 for use in patients with CSA. Multiple, randomized, placebo-controlled trials have shown that ranolazine improves functional capacity and decreases anginal episodes in CSA patients, despite a lack of a significant hemodynamic effect. Ranolazine did not improve cardiovascular mortality or affect incidence of myocardial infarction in the MERLIN (Metabolic Efficiency with Ranolazine for Less Ischemia in Non-ST-Elevation Acute Coronary Syndrome-TIMI (Thrombolysis In Myocardial Infarction 36 trial, but significantly decreased the incidence of recurrent angina. More recently, ranolazine has been shown to have beneficial and potent antiarrhythmic effects, both on supraventricular and ventricular tachyarrhythmias, largely due to its inhibition of the late sodium current. Randomized controlled trials testing these effects are underway. Lastly, ranolazine appears to be cost-effective due to its ability to decrease angina-related hospitalizations and improve quality of life. Keywords: ranolazine, chronic stable angina, coronary artery disease

  1. Ivabradine: the evidence of its therapeutic impact in angina

    Directory of Open Access Journals (Sweden)

    Guillaume Marquis-Gravel

    2008-12-01

    Full Text Available Guillaume Marquis-Gravel, Jean-Claude TardifMontreal Heart Institute, Université de Montréal, Montreal, Quebec, CanadaIntroduction: Stable angina pectoris (SAP is a widely prevalent disease affecting 30 000 to 40 000 per million people in Europe and the US. SAP is associated with reductions in quality of life and ability to work, and increased use of healthcare resources. Ivabradine is a drug with a unique therapeutic target, the If current of the sinus node, developed for the treatment of cardiovascular diseases including SAP. It has an exclusive heart rate reducing effect, without any negative effect on left ventricular function or coronary vasodilatation.Aims: The aim of this paper is to review the evidence concerning the use of ivabradine in the treatment of SAP.Evidence review: Ivabradine is an effective antianginal and antiischemic drug, not inferior to the beta blocker atenolol and the calcium channel antagonist (CCA amlodipine. It decreases the frequency of angina attacks and increases the time to anginal symptoms during exercise. Because of its exclusive chronotropic effect, ivabradine is not associated with the typical adverse reactions associated with beta blockers or other antianginal drugs.Clinical value: Clinical evidence shows that ivabradine is a very good antiischemic and antianginal agent, being as effective as beta blockade and CCA therapy in controlling myocardial ischemia and symptoms of stable angina. Ongoing studies will determine the potential of ivabradine to improve morbidity and mortality in coronary artery disease and heart failure.Key words: evidence, If current, ivabradine, outcomes, stable angina pectoris, treatment

  2. A comparative study of dalteparin and unfractionated heparin in patients with unstable angina pectoris

    Directory of Open Access Journals (Sweden)

    Hanmant S Amane

    2011-01-01

    Conclusion : Dalteparin is as effective and safe as unfractionated heparin in the treatment of unstable angina. Dalteparin does not require routine laboratory monitoring as with unfractionated heparin.

  3. Plasma resistin is increased in patients with unstable angina

    Institute of Scientific and Technical Information of China (English)

    HU Wen-lan; QIAO Shu-bin; HOU Qing; YUAN Jian-song

    2007-01-01

    Background Resistin, a novel adipokine linked to insulin resistance and obesity in rodents, which is derived mainly from macrophages and identified in atheromas in human, has been shown to play a potential role in atherosclerosis.Resistin levels were reported to increase in coronary artery disease (CAD), while data concerning resistin in different stages of CAD in Chinese people are lacking. The aim of this study was to assess whether plasma concentrations of resistin differed between patients with unstable and stable angina pectoris.Methods Plasma resistin levels were determined by means of enzyme-linked immunosorbent assay (ELISA) in 46 patients with unstable angina (UAP), 37 with stable angina (SAP) and 31 control subjects.Results Plasma concentrations of resistin were significantly increased in UAP group (geometric mean (interquartile range) 12.09 ng/ml (8.40, 18.08)) in comparison with SAP (9.04 ng/ml (7.09, 11.44)) and control groups (8.71 ng/ml (6.58,11.56)). No differences in resistin levels were found between patients with SAP and controls. We also found that plasma resistin positively correlated with leukocyte counts (r=0.21, P=0.027), high sensitive C-reactive protein (hs-CRP) (r=0.25,P=0.008), and endothelin-1 (r=0.21, P=0.025) after adjustment for age, sex and BMI.Conclusion Resistin may be involved in the development of CAD by influencing systemic inflammation and endothelial activation.

  4. Myocardial bridge: The cause of angina in a young man

    International Nuclear Information System (INIS)

    Myocardial bridging is basically the systolic narrowing of epicardial coronary arteries, secondary to their tunneled course in myocardium. Though it is a benign condition it can have the symptoms like acute coronary syndrome, arrhythmias and sudden cardiac death. We report a 32-year-old male, who presented with typical exertional angina, had positive exercise treadmill and thallium-201 test. Coronary angiography revealed myocardial bridge of distal left anterior descending coronary artery. He was put on β-blockers and was doing well at 8 years of follow-up

  5. Ludwig’s Angina in Pregnancy Necessitating Pre Mature Delivery

    OpenAIRE

    Kamath, Abhay Taranath; Bhagania, Manish Kumar; Balakrishna, R.; Sevagur, Ganesh Kamath; Amar, R.

    2012-01-01

    Ludwig’s angina is a potentially life threatening disease that can arise from odontogenic infections if they are not attended well in advance. Its incidence in pregnancy is rare, but has been reported. Pregnancy is associated with complex physiological changes in the body which can make small dental infections assume grave proportions if not treated appropriately. This article presents a case of a 24 year old, 32 week pregnant lady who reported with swelling around the jaws and neck, difficul...

  6. Clinical course of isolated stable angina due to coronary heart disease

    NARCIS (Netherlands)

    Poole-Wilson, Philip A.; Voko, Zoltan; Kirwan, Bridget-Anne; de Brouwer, Sophie; Dunselman, Peter H. J. M.; Lubsen, Jacobus

    2007-01-01

    Aims To describe the clinical course of patients with stable angina due to coronary heart disease without a history of cardiovascular (CV) events or revascutarization (isolated angina). Methods and results Of 7665 patients in a trial comparing long-acting nifedipine with placebo, 2170 (28%) had isol

  7. Angiographic findings in patients with refractory unstable angina according to troponin T status

    NARCIS (Netherlands)

    C. Heeschen (Christopher); C.W. Hamm (Christian); M.L. Simoons (Maarten); M.J.B.M. van den Brand (Marcel)

    1999-01-01

    textabstractBACKGROUND: The CAPTURE (C7E3 fab AntiPlatelet Therapy in Unstable REfactory angina) trial enrolled patients with refractory unstable angina and documented a therapeutic benefit for abciximab, a platelet glycoprotein IIb/IIIa receptor antagonist, that was particularly e

  8. Comparison of patients undergoing enhanced external counterpulsation and spinal cord stimulation for refractory angina pectoris

    DEFF Research Database (Denmark)

    Bondesson, Susanne; Pettersson, Thomas; Erdling, André;

    2008-01-01

    with refractory angina. METHODS: 153 patients with refractory angina were treated with either EECP, SCS, or were retained on their pharmacological treatment (control). Glyceryl trinitrate usage and Canadian Cardiovascular Society classification were registered at baseline, 6 and 12 months after therapy. RESULTS...

  9. Muscle Fibre Types, Ubiquinone Content and Exercise Capacity in Hypertension and Effort Angina

    DEFF Research Database (Denmark)

    Karlsson, Jan; Diamant, Bertil; Folkers, Karl;

    1991-01-01

    Farmakologi, hypertension, IHD, skeletal muscle fibre composition, muscle coenzyme Q10, ischaemic heart disease, effort angina, muscle fibre lesion, muscle ubiquinone......Farmakologi, hypertension, IHD, skeletal muscle fibre composition, muscle coenzyme Q10, ischaemic heart disease, effort angina, muscle fibre lesion, muscle ubiquinone...

  10. A STUDY OF HIGH SENSITIVITY C-REACTIVE PROTEIN IN UNSTABLE ANGINA

    Directory of Open Access Journals (Sweden)

    Satish

    2014-11-01

    Full Text Available BACKGROUND: Unstable angina has a wide variability in its natural history, changing concepts of Pathophysiology, and newer approaches to its management strategies. So, unstable angina still has importance and prime interest in research work. Various ongoing research works has provided newer insights in pathophysiology of unstable angina syndrome and helps in recognition of clinical variability and unpredictability of it. C - reactive protein being the most sensitive acute phase reactant currently held. A recent previous study has estimated the levels and values of high-sensitivity C - reactive protein in both stable and unstable angina pectoris. Data provided by the study indicated need for further studies in this field. With all these facts, the present study is carried out to estimated Hs CRP levels as a marker of inflammation in patient of unstable angina. AIMS AND OBJECTIVES: The present study was carried out with the following Aims and Objectives. To estimate Hs-CRP levels as a marker of inflammation in patients of unstable angina. To compare Hs-CRP levels in cases of unstable angina, with Hs-CRP levels in patients of stable angina and in healthy age and sex matched controls. MATERIAL AND METHODS: This study was carried out at Basaveshwar Teaching and General Hospital, Gulbarga, MRMC Gulbarga. Approximate duration of study was 1 ½ year from June-2008 to November, 2010. OBSERVATION: Following are the conclusions drawn from the present study.

  11. The impact of guideline compliant medical therapy on clinical outcome in patients with stable angina: findings from the Euro Heart Survey of stable angina

    DEFF Research Database (Denmark)

    Daly, Caroline; Clemens, Felicity; Lopez-Sendon, Jose L.;

    2006-01-01

    interest was death or myocardial infarction (MI). The increasing intensity of guideline compliant medical therapy was quantified by means of a simple treatment score based on the use of guideline advocated therapies: antiplatelets, statins, and beta-blockers. A total of 3779 patients were included in the...... initial survey. Increasing intensity of guideline compliant therapy at initial assessment was associated with a reduction in death and MI during follow-up in patients with angina and confirmed coronary disease (HR 0.68; 95% CI 0.49-0.95 per unit increase in treatment score). All cardiovascular events were...... stable angina. Methods and results The Euro Heart Survey of Stable Angina is a multicentre prospective observational study conducted between 2002 and 2003. Patients with a clinical diagnosis of stable angina by a cardiologist were enrolled and follow-up was conducted at 1 year. The primary outcome of...

  12. Transcutaneous electrical nerve stimulation (TENS) in angina pectoris.

    Science.gov (United States)

    Mannheimer, C; Carlsson, C A; Vedin, A; Wilhelmsson, C

    1986-09-01

    The aim of this study was to determine the efficacy of transcutaneous electrical nerve stimulation (TENS) in the treatment of chronic stable severe angina pectoris. In a short-term study the effect of TENS was studied in 10 male patients with angina pectoris (functional class III and IV). All patients had previously been stabilized on long-term maximal oral treatment. The effects of the treatment were measured by means of repeated bicycle ergometer tests. All patients had an increased working capacity (16-85%), decreased ST segment depression and reduced recovery time during TENS. No adverse effects were observed. A long-term study of TENS on similarly selected patients showed beneficial effects in terms of pain reduction, reduced frequency of anginal attacks, increased physical activity and increased working capacity during bicycle ergometer tests. An invasive study was carried out with respect to systemic and coronary hemodynamics and myocardial metabolism during pacing provoked myocardial ischemia in 13 patients. The results showed that TENS led to an increased tolerance to pacing, improved lactate metabolism, less pronounced ST segment depression. A drop in systolic blood pressure during TENS treatment at identical pacing rates indicated a decreased afterload. An increased coronary flow to ischemic areas in the myocardium was supported by the fact that the rate pressure product during anginal pain increased during TENS.

  13. Angina monocitica con sovrainfezione da Prevotella denticola: caso clinico

    Directory of Open Access Journals (Sweden)

    Maria Teresa Allù

    2005-06-01

    Full Text Available Monocytic angina with superinfection of Prevotella denticola: clinical case Monocytic angina is a clinical sindrome caused by Epstein-Barr virus characterized by fever, pharyngitis, exudative tonsillitis, swollen lymphoglands, splenomegaly and hepatomegaly.The inflamed pharynx and necrotic tonsils of infectious mononucleosis are subject to bacterial superinfection initially or during the course of the illness; the reduced PO2 tension and low oxidation-reduction potential that prevail in a vascular and necrotic tissues favour the growth of anaerobes. In this article we reported the clinical case of a ten years old children, who presented fever and tonsillopharyngitis; he was treated with cefotaxime and piperacillin, he did not improve in health. He was admitted to hospital (Department of Otorhinolaryngology. The patient was treated with aminoglycoside (tobramycin, piperacillin and cortisone; the clinical situation deteriorated. Pus sample was collected from the tonsils and cultured. Isolated strain from culture anaerobic was identified biochemically (Rapid-ID32ANA.The microorganism isolated was: Prevotella denticola (oral anaerobic gram-negative rods; β-lactamase production was tested by using the chromogenic cephalosporin disk test.The susceptibility to antibiotics was performed according to NCCLS recommendations. Prevotella denticola (β-lactamase production was resistant to penicillin, cefoxitin, cefotetan, piperacillin, clindamycin and metronidazole it was susceptible to piperacillin-tazobactam, amoxicillin-clavulanate, ticarcillin-clavulanate, imipenem and chloramphenicol. Children was treated with piperacillin-tazobactam, with rapid symptomatic relief.

  14. A case of relapsing polychondritis mimicking Ludwig’s angina

    Directory of Open Access Journals (Sweden)

    Adnan Agha

    2009-09-01

    Full Text Available Relapsing polychondritis (RP is a severe progressive inflammatory condition involving cartilaginous structures and caused by an autoimmune process, for which there is no confirmatory serological biomarker and which still is diagnosed on a mainly clinical basis. RP has been associated with many diseases like Sweet’s syndrome, Behcet’s disease, rheumatoid arthritis, and other autoimmune disorders. We attempt to describe here a unique case of a 38-year-old female with a high-grade fever, sore throat, difficulty in swallowing, hoarseness of the voice, and found to have signs of tongue swelling and inflammation of the oral cavity that mimicked Ludwig’s angina, necessitating antibiotic use. On careful re-evaluation the patient was diagnosed to have relapsing polychondritis based on auricular and respiratory tract chondritis and response to steroids. The purpose of this report is to emphasize the fact that careful clinical assessment is needed to diagnose RP, which may be misdiagnosed as Ludwig’s angina.

  15. Angina crónica estable. Consideraciones actuales

    Directory of Open Access Journals (Sweden)

    Yanier Coll Muñoz

    2011-03-01

    Full Text Available La angina de pecho crónica estable es un síndrome clínico caracterizado por dolor o malestar precordial secundario a isquemia miocárdica y sin características clínicas de inestabilidad. El debate actual sobre esta entidad clínica incluye tres aspectos fundamentales: diagnóstico, prevalencia e impacto socioeconómico, y tratamiento médico frente a revascularización miocárdica. En los últimos cuatro años se han dado a conocer los resultados de varios estudios multicéntricos de gran importancia que compararon tratamiento médico con revascularización miocárdica y cirugía de revascularización frente a intervención coronaria percutánea; además, han mejorado las técnicas de revascularización y existe abundante información sobre la eficacia de nuevos fármacos antiisquémicos. El presente trabajo tiene como objetivo hacer una revisión de los aspectos actuales más importantes relacionados con la angina de pecho estable y su tratamiento, publicados en la literatura especializada.

  16. Vasospastic angina with J waves formation in patients with sudden loss of consciousness

    Institute of Scientific and Technical Information of China (English)

    Dan ZHU; Yi-Ming LUO; Ke-Hu A; Ling-Yun ZU; Yan-Hui ZHANG; Li-Jun GUO; Wei GAO; Yuan ZHANG

    2015-01-01

    Vasospastic angina is caused by sudden occlusive vasoconstriction of a segment of an epicardial artery, which can present with a wide spectrum of clinical scenario. We report the cases of two patients diagnosed with vasospastic angina, with one of which presenting with sud-den cardiac arrest, while the other presenting with a relatively benign syncope. But both of them have J waves formation on ECG during active ischemia. The diagnosis and management of vasospastic angina, as well as the proposed clinical significance of J waves during coro-nary spasm are discussed.

  17. Efficacy of anipamil, a phenylalkylamine calcium antagonist, in treatment of angina pectoris

    DEFF Research Database (Denmark)

    Sørum, C; Larsen, C T; Rasmussen, Verner;

    1994-01-01

    with > or = 0.1-mV horizontal or downsloping ST-segment depression limited by angina, and (c) at least 10 attacks of angina pectoris in a single-blind 3-week run-in period. Nineteen patients were randomized to enter the study. In 3-week periods, they received either anipamil 80 mg once daily (o.d.), anipamil...... 160 mg o.d., or placebo. At the end of each period, an exercise test was performed. The number of angina pectoris attacks was significantly reduced during treatment with anipamil 80 mg (p ... reduced during treatment with anipamil 80 mg (p Heart rate (HR) at 0...

  18. Atención Primaria de Salud

    Directory of Open Access Journals (Sweden)

    Manuel Bauzá Díaz

    2014-08-01

    Full Text Available Los procesos asistenciales, docentes e investigativos son funciones esenciales de la salud pública; que adquieren su mayor impacto ambiental, social y económico cuando los procesos administrativos tienen orientación científica. Cada una de estas funciones se caracteriza por su alta complejidad, variada composición, el alcance de una dimensión social, elevada dinámica de realización y atributos propios. El efecto de esos procesos depende, esencialmente, de su capacidad para integrarse en un sistema armónico y coherente que requiere de la participación multidisciplinaria del sector salud, la intersectorial social y la participación comunitaria. De lo planteado anteriormente se puede deducir que el estudio, análisis, diseño y ejecución de estos procesos requieren un enfoque en sistema, así como un pensamiento científico (clínico y epidemiológico. Desde la Medicina General Integral (MGI se trabaja sobre acciones de intervención, orientadas a la promoción, la prevención, el diagnóstico, el tratamiento y la rehabilitación; con acciones dirigidas al individuo, la familia, los grupos y/o colectivos, la comunidad y el medio ambiente, como acciones para la mejor solución de los problemas de salud. La MGI es una disciplina sistémica, pues justamente descansa en entender los fenómenos del proceso salud-enfermedad en su integridad, en su diversidad, con particularidades y dinámicas desde el individuo y hasta la comunidad. Como sistema, contiene numerosas singularidades, pero, en conjunto con otros sectores sociales y económicos, participa activamente en pro de la salud de la población. Los decisores en salud deben considerar esta unidad integral y metodológica, lo que se traduce a la utilización del enfoque clínico y epidemiológico. La formación amplia de profesionales desde la Atención Primaria de Salud (APS implica la alineación de médicos plenamente identificados con estas funciones y capaces de contribuir

  19. An Unusual Case of Suspected Microvascular Angina in a Newborn

    Directory of Open Access Journals (Sweden)

    Stefania Cataldo

    2012-01-01

    Full Text Available Myocardial ischemia in pediatric population is uncommon and usually due to congenital heart disease or extracardiac conditions leading to poor coronary perfusion. A 6-day-old newborn presented with respiratory distress and signs of heart failure. ECG, echocardiography, and laboratory results were consistent with myocardial ischemia. Coronary angiography was performed to exclude anomalous origin of coronary arteries, showing normal coronary artery origin and course. Thrombophilia and extra-cardiac causes were ruled out. Clinical conditions improved with mechanical ventilation and diuretics, enzyme levels lowered, repolarisation and systolic function abnormalities regressed, but ischemic electrocardiographic and echocardiographic signs still presented during intense crying. Becaues of suspicion of microvascular angina, therapy with ASA and beta-blocker was started. At 5 month followup, the baby was in good clinical condition and no more episodes were recorded. We believe it is an interesting case, as no similar cases have been recorded till now.

  20. Invaliderende angina pectoris behandlet med elektrisk rygmarvsstimulation (ERS)

    DEFF Research Database (Denmark)

    Andersen, C; Clemensen, S E; Henneberg, S W;

    1992-01-01

    Thirty patients who had severe incapacitating angina pectoris which had not reacted to the conventional therapeutic measures and which required massive daily opioid consumption were treated with electrical spinal cord stimulation (SCS) by means of a completely implantable stimulation system. The...... therapeutic effect was good in 87% of the patients who experienced considerably reduced frequency of attacks and markedly reduced opioid consumption (p less than 0.00005). Nine of the patients could reduce opioid consumption and 14 out of 27 could cease their otherwise daily opioid consumption. In four...... patients, the therapeutic effect was unsatisfactory. In the first 22 patients in whom a unipolar electrode was introduced, displacement of the electrode and subsequent reoperation was a frequent problem. This problem disappeared after change to multipolar electrodes as slight changes in placing of the...

  1. Predicting prognosis in stable angina - results from the Euro heart survey of stable angina: prospective observational study

    DEFF Research Database (Denmark)

    Daly, Caroline A.; De Stavola, Bianca; Sendon, Jose L. Lopez;

    2006-01-01

    -European survey in 156 outpatient cardiology clinics. Participants 3031 patients were included on the basis of a new clinical diagnosis by a cardiologist of stable angina with follow-up at one year. Main outcome measure Death or non-fatal myocardial infarction. Results The rate of death and non-fatal myocardial...... infarction in the first year was 2.3 per 100 patient years; the rate was 3.9 per 100 patient years in the subgroup (n = 994) with angiographic confirmation of coronary disease. The clinical and investigative factors most predictive of adverse outcome were comorbidity, diabetes, shorter duration of symptoms......, increasing severity of symptoms, abnormal ventricular function, resting electrocardiogaphic changes, or not having any stress test done. Results of non-invasive stress tests did not significantly predict outcome in the population who had tests done. A score was constructed using the parameters predictive of...

  2. Structural and Functional Coronary Artery Abnormalities in Patients With Vasospastic Angina Pectoris

    DEFF Research Database (Denmark)

    Ong, Peter; Aziz, Ahmed; Hansen, Henrik Steen;

    2015-01-01

    Coronary spasm is involved in many clinical scenarios, such as stable angina, acute coronary syndrome, sudden cardiac death, non-ischemic cardiomyopathy, arrhythmia and syncope. In recent years, imaging tools such as computerized tomographic angiography, intravascular ultrasound or optical...

  3. Gender differences in the management and clinical outcome of stable angina

    DEFF Research Database (Denmark)

    Daly, Caroline; Clemens, Felicity; Sendon, Jose L. Lopez;

    2006-01-01

    Background- We sought to examine the impact of gender on the investigation and subsequent management of stable angina and to assess gender differences in clinical outcome at 1 year. Methods and Results- The Euro Heart Survey of Stable Angina enrolled patients with a clinical diagnosis of stable...... angina on initial assessment by a cardiologist. Baseline clinical details and cardiac investigations planned or performed within a 4-week period of the assessment were recorded, and follow-up data were collected at 1 year. A total of 3779 patients were included in the survey; 42% were female. Women were......, 1.13 to 3.85), even after multivariable adjustment for age, abnormal ventricular function, severity of coronary disease, and diabetes. Conclusions- Significant gender bias has been identified in the use of investigations and evidence-based medical therapy in stable angina. Women were also less...

  4. Evaluating Symptoms to Improve Quality of Life in Patients with Chronic Stable Angina

    Directory of Open Access Journals (Sweden)

    Jeffrey W. Young

    2013-01-01

    Full Text Available Chronic stable angina (CSA is a significant problem in the United States that can negatively impact patient quality of life (QoL. An accurate assessment of the severity of a patient’s angina, the impact on their functional status, and their risk of cardiovascular complications is key to successful treatment of CSA. Active communication between the patient and their healthcare provider is necessary to ensure that patients receive optimal therapy. Healthcare providers should be aware of atypical symptoms of CSA in their patients, as patients may continue to suffer from angina despite the availability of multiple therapies. Patient questionnaires and symptom checklists can help patients communicate proactively with their healthcare providers. This paper discusses the prevalence of CSA, its impact on QoL, and the tools that healthcare providers can use to assess the severity of their patients’ angina and the impact on QoL.

  5. Angina and exertional myocardial ischemia in diabetic and nondiabetic patients: assessment by exercise thallium scintigraphy

    International Nuclear Information System (INIS)

    Patients with diabetes mellitus and coronary artery disease are thought to have painless myocardial ischemia more often than patients without diabetes. We studied 50 consecutive patients with diabetes and 50 consecutive patients without diabetes, all with ischemia, on exercise thallium scintigraphy to show the reliability of angina as a marker for exertional ischemia. The two groups had similar clinical characteristics, treadmill test results, and extent of infarction and ischemia, but only 7 patients with diabetes compared with 17 patients without diabetes had angina during exertional ischemia. In diabetic patients the extent of retinopathy, nephropathy, or peripheral neuropathy was similar in patients with and without angina. Angina is an unreliable index of myocardial ischemia in diabetic patients with coronary artery disease. Given the increased cardiac morbidity and mortality in such patients, periodic objective assessments of the extent of ischemia are warranted

  6. Plasma Levels of the Anti-inflammatory Cytokine IL-10 and Inflammatory Cytokine IL-6 in Patients with Unstable Angina

    Institute of Scientific and Technical Information of China (English)

    HONG Mei; WEI Wenning; HU Yu; YANG Rui; YANG Yan

    2005-01-01

    The plasma levels of inflammatory cytokine interleukin-6 (IL-6) and anti-inflammatory cytokine interleukin-10 (IL-10) in the patients with unstable angina or stable angina were determined and compared. In 30 patients with unstable angina and 22 patients with stable angina, plasma levels of IL-10 and IL-6 were detected by ELISA and plasma lipid parameters by lipid research clinical methods respectively. The results showed plasma levels of IL-10 were significantly lower in unstable angina group than in stable angina group (P=0. 005), while those of IL-6 were significantly increased in unstable angina group as compared with those in stable angina group (P = 0. 039).There was a significantly negative correlation between IL-10 and IL-6 in patients with unstable angina (r=-0.41, P=0. 003). In the unstable angina group, IL-6 levels were obviously positively correlated with TC (r=0. 314, P=0. 023), but not with TG and HDL. There were no significant correlations between IL-10 and plasma lipid parameters. It was suggested that the decreased IL-10and increased IL-6 might be associated with the atheromatous plaque stability and progression of coronary heart diseases. IL-10 may play an important role in preventing coronary vascular lesions.

  7. Ventetid og omkostninger ved diagnostik og behandling af stabil angina pectoris

    DEFF Research Database (Denmark)

    Søgaard, Rikke; Sanchez, Ricardo

    Introduction: The objective of this pilot study was to examine possible consequences of a logistically non-optimal regimen, for the diagnosis and treatment of stable angina pectoris, on waiting time and costs to inform whether a larger study is warranted. Material and methods: Retrospective cohor...... of stable angina pectoris, which ceteris paribus would be associated with cost savings in the health care sector. However, these potentials should be examined in a larger- scale study....

  8. Dental Calculus Links Statistically to Angina Pectoris: 26-Year Observational Study.

    Directory of Open Access Journals (Sweden)

    Birgitta Söder

    Full Text Available Dental infections, such as periodontitis, associate with atherosclerosis and its complications. We studied a cohort followed-up since 1985 for incidence of angina pectoris with the hypothesis that calculus accumulation, proxy for poor oral hygiene, links to this symptom.In our Swedish prospective cohort study of 1676 randomly selected subjects followed-up for 26 years. In 1985 all subjects underwent clinical oral examination and answered a questionnaire assessing background variables such as socio-economic status and pack-years of smoking. By using data from the Center of Epidemiology, Swedish National Board of Health and Welfare, Sweden we analyzed the association of oral health parameters with the prevalence of in-hospital verified angina pectoris classified according to the WHO International Classification of Diseases, using descriptive statistics and logistic regression analysis.Of the 1676 subjects, 51 (28 women/23 men had been diagnosed with angina pectoris at a mean age of 59.8 ± 2.9 years. No difference was observed in age and gender between patients with angina pectoris and subjects without. Neither was there any difference in education level and smoking habits (in pack years, Gingival index and Plaque index between the groups. Angina pectoris patients had significantly more often their first maxillary molar tooth extracted (d. 16 than the other subjects (p = 0.02. Patients also showed significantly higher dental calculus index values than the subjects without angina pectoris (p = 0.01. Multiple regression analysis showed odds ratio 2.21 (95% confidence interval 1.17-4.17 in the association between high calculus index and angina pectoris (p = 0.015.Our study hypothesis was confirmed by showing for the first time that high dental calculus score indeed associated with the incidence of angina pectoris in this cohort study.

  9. Nicorandil in patients with acute coronary syndrome and stable angina undergoing Percutaneous Coronary Intervention: literature review

    OpenAIRE

    Neda Partovi; Homa Falsoleiman

    2014-01-01

    Percutaneous coronary intervention is an option for the treatment of coronary artery disease such as acute coronary syndrome and stable angina.Acute coronary syndrome has two groups including acute myocardial infarction and unstable angina.Periprocedural myocardial infarction is a frequent and prognostically important complication of percutaneous coronary intervention and can be easily monitored by measuring myocardial enzymes. Coronary microvascular dysfunction in patients undergoing primary...

  10. Prognostic value of early post-infarction angina in elderly patients

    OpenAIRE

    Erceg Predrag; Davidović Mladen; Vasiljević Zorana; Mitrović Predrag M.; Vukčević Vladan D.; Milošević Dragoslav P.; Stević Radmila; Rajić Miodrag

    2005-01-01

    Although numerous studies have shown that early post-infarction angina was a predictor of poor prognosis in patients with acute myocardial infarction, not a single study has considered this issue in the elderly. The goal of this study, based on a five-year follow-up of elderly patients with acute myocardial infarction, was to determine whether early post-infarction angina in the elderly had any influence on mortality and the incidence of additional coronary events. The study population consis...

  11. Dental Calculus Links Statistically to Angina Pectoris: 26-Year Observational Study

    Science.gov (United States)

    2016-01-01

    Objectives Dental infections, such as periodontitis, associate with atherosclerosis and its complications. We studied a cohort followed-up since 1985 for incidence of angina pectoris with the hypothesis that calculus accumulation, proxy for poor oral hygiene, links to this symptom. Methods In our Swedish prospective cohort study of 1676 randomly selected subjects followed-up for 26 years. In 1985 all subjects underwent clinical oral examination and answered a questionnaire assessing background variables such as socio-economic status and pack-years of smoking. By using data from the Center of Epidemiology, Swedish National Board of Health and Welfare, Sweden we analyzed the association of oral health parameters with the prevalence of in-hospital verified angina pectoris classified according to the WHO International Classification of Diseases, using descriptive statistics and logistic regression analysis. Results Of the 1676 subjects, 51 (28 women/23 men) had been diagnosed with angina pectoris at a mean age of 59.8 ± 2.9 years. No difference was observed in age and gender between patients with angina pectoris and subjects without. Neither was there any difference in education level and smoking habits (in pack years), Gingival index and Plaque index between the groups. Angina pectoris patients had significantly more often their first maxillary molar tooth extracted (d. 16) than the other subjects (p = 0.02). Patients also showed significantly higher dental calculus index values than the subjects without angina pectoris (p = 0.01). Multiple regression analysis showed odds ratio 2.21 (95% confidence interval 1.17–4.17) in the association between high calculus index and angina pectoris (p = 0.015). Conclusion Our study hypothesis was confirmed by showing for the first time that high dental calculus score indeed associated with the incidence of angina pectoris in this cohort study. PMID:27336307

  12. [Crescendo angina - an indication for surgery: A short literature survey and a discussion of three cases].

    Science.gov (United States)

    Meyer, J M; Kleynhans, P H; Hugo, J M; Verwoerd, C A; Steyn, J G

    1980-08-01

    A definition of crescendo angina is given, followed by a short discussion of the literature on this disease. A case of a patient treated surgically for crescendo angina is reported, and the angiograms of 2 other patients are reviewed to further illustrate the problem. The favourable postoperative course of the patients who underwent an operation for this life-threatening disease is a strong indication for this mode of treatment.

  13. Five year prognosis in patients with angina identified in primary care: incident cohort study

    OpenAIRE

    Buckley, B. S.; Simpson, C.R.; McLernon, D.J.; Murphy, A W; Hannaford, P.C.

    2009-01-01

    OBJECTIVE: To ascertain the risk of acute myocardial infarction, invasive cardiac procedures, and mortality among patients with newly diagnosed angina over five years. DESIGN: Incident cohort study of patients with primary care data linked to secondary care and mortality data. SETTING: 40 primary care practices in Scotland. PARTICIPANTS: 1785 patients with a diagnosis of angina as their first manifestation of ischaemic heart disease, 1 January 1998 to 31 December 2001. MAIN OUTCOME MEASURES: ...

  14. TREATMENT OPTIMIZATION IN PATIENTS WITH STABLE ANGINA PECTORIS: FOCUS ON VERAPAMIL SR

    Directory of Open Access Journals (Sweden)

    I. M. Sokolov

    2011-01-01

    Full Text Available Possibilities of angina pectoris pharmacotherapy are analyzed. Achievement of target heart rate (HR 55-60 beats per minute in these patients is possible due to three classes of antianginal medications that slow down HR: beta blockers (BB, If-channel inhibitors, nondihydropyridine calcium channel blockers (CCB. Nondihydropyridine CCB verapamil in slow release (SR formulation is focused. The main results of randomized clinical trials (APSIS, VHAS, CRIS, EVERESTH, VAMPHYRE, INVEST, VESPA, DAVIT-1, DAVIT-2, which have proven efficacy and safety, are presented. Verapamil SR is indicated for the treatment of angina pectoris in patients without history of myocardial infarction (MI; angina patients experienced MI without systolic heart failure and with contraindications to BB; angina with arterial hypertension; left ventricular diastolic dysfunction; peripheral arteries obliterating atherosclerosis; silent myocardial ischemia; vasospastic angina; angina associated with supraventricular cardiac arrhythmias (especially in permanent atrial fibrillation except Wolff-Parkinson-White and Lown-Ganong-Levine syndromes; after coronary angioplasty and the placement of bare metal stents.

  15. Recent advances in the management of chronic stable angina II. Anti-ischemic therapy, options for refractory angina, risk factor reduction, and revascularization

    Directory of Open Access Journals (Sweden)

    Richard Kones

    2010-08-01

    Full Text Available Richard KonesThe Cardiometabolic Research Institute, Houston, Texas, USAAbstract: The objectives in treating angina are relief of pain and prevention of disease ­progression through risk reduction. Mechanisms, indications, clinical forms, doses, and side effects of the traditional antianginal agents – nitrates, ß-blockers, and calcium channel ­blockers – are reviewed. A number of patients have contraindications or remain unrelieved from anginal discomfort with these drugs. Among newer alternatives, ranolazine, recently approved in the United States, indirectly prevents the intracellular calcium overload involved in cardiac ischemia and is a welcome addition to available treatments. None, however, are disease-modifying agents. Two options for refractory angina, enhanced external counterpulsation and spinal cord stimulation (SCS, are presented in detail. They are both well-studied and are effective means of treating at least some patients with this perplexing form of angina. Traditional modifiable risk factors for coronary artery disease (CAD – smoking, hypertension, dyslipidemia, ­diabetes, and obesity – account for most of the population-attributable risk. Individual therapy of high-risk patients differs from population-wide efforts to prevent risk factors from appearing or reducing their severity, in order to lower the national burden of disease. Current American College of Cardiology/American Heart Association guidelines to lower risk in patients with chronic angina are reviewed. The Clinical Outcomes Utilizing Revascularization and Aggressive Drug Evaluation (COURAGE trial showed that in patients with stable angina, optimal medical therapy alone and percutaneous coronary intervention (PCI with medical therapy were equal in preventing myocardial infarction and death. The integration of COURAGE results into current practice is discussed. For patients who are unstable, with very high risk, with left main coronary artery lesions, in

  16. Presentación “Atención primaria y Universidad”.

    OpenAIRE

    Ortega-Marlasca, Manuel-María; Ruiz Cabrera, Diana

    2015-01-01

    Primera edición creada por la Srta. Diana Ruiz Cabrera como representante de Medicina de Atención Primaria del Consejo Estatal de Estudiantes de Medicina y ampliada por el Dr. Manuel Mª Ortega Marlasca como Vocal de Atención Primaria del Excmo. Colegio Oficial de Médicos de Cádiz.

  17. Las organizaciones primarias y las empresas. Primera sección/ Las organizaciones primarias y las empresas. Segunda sección. [Reseña

    OpenAIRE

    Moros, E. (Enrique)

    2008-01-01

    Reseñas de L. POLO, Las organizaciones primarias y las empresas. Primera sección. Cuadernos empresa y humanismo, n° 99, Instituto Empresa y Humanismo, Pamplona 2007, 114 pp., 16,5 X 24, ISSN 978-1139-8698.—, Las organizaciones primarias y las empresas. Segunda sección. Cuadernos empresa y humanismo, n° 100, Instituto Empresa y Humanismo, Pamplona 2007, 148 pp., 16,5 x 24, ISSN 1139-8698.

  18. Importance of thrombosis and thrombolysis in silent ischaemia: comparison of patients with acute myocardial infarction and unstable angina.

    OpenAIRE

    Gurfinkel, E.; Altman, R.; Scazziota, A.; Rouvier, J.; Mautner, B

    1994-01-01

    OBJECTIVE--To investigate whether plaque rupture and thrombosis have a role in silent ischaemia as well as in unstable angina. DESIGN--Prospective analysis of the results of haemostatic diagnostic tests at the moment of developing silent ischaemia at rest. SETTING--Coronary care unit. PATIENTS--22 patients with acute myocardial infarction, 12 patients with symptomatic angina (unstable angina), and 10 normal volunteers (control group). INTERVENTIONS--Continuous cardiac monitoring detected 15 a...

  19. Conductas violentas en la etapa de educaci??n primaria

    OpenAIRE

    Carrillo Esteban, B??rbara

    2014-01-01

    La agresividad suscita un gran inter??s y preocupaci??n entre la poblaci??n ya que tiene graves consecuencias en el ??mbito familiar y escolar, de ah?? la importancia de conocer y comprender su naturaleza. Por ello en esta investigaci??n se pretende determinar el nivel de conductas violentas, lugar de residencia, rendimiento acad??mico, y actividad f??sica en los ni??os y ni??as de la etapa de Educaci??n Primaria de la provincia de Granada as?? como identificar si existen relaciones de los co...

  20. La educación vial en Primaria

    OpenAIRE

    Concejo Vera, Pedro José

    2015-01-01

    Con este Trabajo de Fin de Grado de Maestro en Educación Primaria pretendo hacer una propuesta de intervención basada en la educación vial, así mismo este proyecto busca lograr la formación integral de los alumnos en el ámbito de la educación vial y con ello lograr que los alumnos sean capaces de desenvolverse con seguridad dentro de su ciudad, por ello se realizarán experiencias próximas ligadas al contexto en el que viven para lograr que adquieran hábitos seguros y de prevenc...

  1. Norma Primaria de calidad del aire AIR QUALITY STANDARD

    OpenAIRE

    PATRICIA MATUS C.; RODRIGO LUCERO CH.

    2002-01-01

    Las normas primarias de calidad del aire tienen por finalidad proteger la salud de la población de la contaminación atmosférica. Ellas establecen un nivel de riesgo socialmente aceptado. Este artículo describe los antecedentes considerados durante el proceso de actualización de la regulación vigente en Chile. Detalla conceptos sobre la calidad del aire, describe los efectos en la salud de los contaminantes, y el procedimiento seguido para fijar los nuevos estándares Finaliza enumerando la nor...

  2. Mejorando el aprendizaje lector en los alumnos de Primaria

    OpenAIRE

    Zubiauz de Pedro, Begoña; Mayor Cinca, María Ángeles

    2008-01-01

    El objetivo del estudio que se describe es demostrar la eficacia de un programa de enriquecimiento de la conciencia fonémica, desarrollado dentro del aula, y su efecto sobre las habilidades de lectura y escritura, en alumnos de 2º de Primaria. La comparación pre-post entrenamiento, entre los grupos experimental y control, mostró una mejora significativa, tanto en conciencia fonémica como en la lectura de palabras. Se concluye la necesidad de mantener una instrucción adaptada para aquellos alu...

  3. Effect of anxiety and depression on endothelial function and inflammation degree of coronary heart disease patients with angina pectoris

    Institute of Scientific and Technical Information of China (English)

    Lin Ni; Xiang-Yang Xia; Ka Han; Yong-Xin Wu

    2016-01-01

    Objective:To study the effect of anxiety and depression on endothelial function and inflammation degree of coronary heart disease patients with angina pectoris.Methods: 80 cases of patients diagnosed with angina pectoris of coronary heart disease in our hospital from May 2012 to August 2014 were enrolled for study; anxiety and depression were judged by anxiety subscale (HADS-a) and depression subscale (HADS-d). Endothelial progenitor cell and endothelial microparticle contents in peripheral blood as well as serum ET-1, CGRP, IL-6, IL-6R, IL-18, ADAMTS-1 and NO contents were detected.Results:EPC, NO and CGRP contents of angina pectoris patients with anxiety were lower than those of angina pectoris patients without anxiety, and EMP, ET-1, IL-6, IL-6R, IL-18 and ADAMTS-1 contents were higher than those of angina pectoris patients without anxiety; EPC, NO and CGRP contents of angina pectoris patients with depression were lower than those of angina pectoris patients without depression, and EMP, ET-1, IL-6, IL-6R, IL-18 and ADAMTS-1 contents were higher than those of angina pectoris patients without depression.Conclusions:Angina pectoris of coronary heart disease patients complicated with anxiety and depression have endothelial dysfunction and inflammatory reaction activation; endothelial dysfunction and inflammatory reaction activation are possible pathways that anxiety and depression cause the progression of coronary heart disease.

  4. Renal artery stenosis presenting as crescendo angina pectoris.

    Science.gov (United States)

    Tami, L F; McElderry, M W; al-Adli, N M; Rubin, M; Condos, W R

    1995-07-01

    The coexistence of different clinical syndromes due to atherosclerosis in different organs is not rare and emphasizes the diffuse nature of this vascular process. Although renovascular disease may cause hypertension and/or renal insufficiency, it may also occur in the absence of the usual clinical markers that suggest renovascular hypertension. We report a patient with stable coronary anatomy who presented with crescendo angina pectoris. Diagnosis of renovascular hypertension was made by screening renal angiography at the time of the cardiac catheterization. Renal artery stenting resulted in stabilization of the coronary syndrome and obviated the need for further coronary intervention. To our knowledge, this is the first case of renovascular hypertension precipitating an unstable coronary syndrome in a patient with documented stable coronary anatomy. Review of the literature supports that patients undergoing cardiac catheterization are a high risk population for renovascular disease, particularly in the presence of other predictive factors such as documented coronary artery disease, older age, female gender, congestive heart failure, peripheral vascular disease, renal insufficiency, and smoking. Firm recommendations for routine screening renal angiography in patients undergoing peripheral or coronary angiography will need further studies.

  5. Norma Primaria de calidad del aire AIR QUALITY STANDARD

    Directory of Open Access Journals (Sweden)

    PATRICIA MATUS C.

    2002-04-01

    Full Text Available Las normas primarias de calidad del aire tienen por finalidad proteger la salud de la población de la contaminación atmosférica. Ellas establecen un nivel de riesgo socialmente aceptado. Este artículo describe los antecedentes considerados durante el proceso de actualización de la regulación vigente en Chile. Detalla conceptos sobre la calidad del aire, describe los efectos en la salud de los contaminantes, y el procedimiento seguido para fijar los nuevos estándares Finaliza enumerando la norma primaria de calidad del aire, sus valores y los limites definidos para ser considerados en el ámbito de la gestión de los episodios críticos o de alta contaminaciónThe main purpose of air quality standards is to protect people health from air pollution. They establish a socially accepted level of risk. This article describes the background information considered during the process for updating the current Chilean regulation. Concepts about quality of air, and the effects of the pollutants on the health are described. The procedure followed to fix the new standards is detailed. Finally we state the primary air quality norm, its values as well as the critical limits in order to control critical events of high air pollution

  6. Reconocimiento a la Atención Primaria de Salud

    Directory of Open Access Journals (Sweden)

    Elso Manuel Cruz Cruz

    2014-08-01

    Full Text Available El presente número de nuestra revista constituye un reconocimiento necesario a la Atención Primaria de Salud (APS, estandarte del sistema de salud cubano, referente a nivel mundial. Son muchos los disímiles trabajos que se realizan desde la APS, imposibles de quedar ejemplificados en el muy limitado espacio que ofrece un número de la revista. Esta edición es sin dudas, especial, para ello se han escogido los resultados investigativos de variados trabajos, realizados desde la perspectiva de diferentes especialidades médicas, en diferentes escenarios, incluida la colaboración médica con países hermanos, pero todos con el denominador común de tributar a la Atención Primaria de Salud. Esperamos que estos artículos aporten relevantes conocimientos a nuestros lectores y se conviertan en referentes de sus trabajos investigativos. El número se confeccionó en los días que ambientaban el desarrollo de la Jornada Científica Provincial de Medicina Familiar, espacio de socialización de resultados científicos obtenidos en la APS. El comité editorial de la revista participó en las sesiones de trabajo del evento, reconociendo la calidad en el desarrollo del mismo y quedando en espera de que muchos de esos trabajos originales se divulguen a la comunidad en forma de artículos científicos

  7. Ranolazine Therapy Reduces Non-ST-Segment-Elevation Myocardial Infarction and Unstable Angina in Coronary Disease Patients with Angina.

    Science.gov (United States)

    Murray, Gary L; Colombo, Joseph

    2016-09-01

    High sympathetic tone and cardiac autonomic neuropathy (CAN) are associated with major adverse cardiac events (MACE). We have shown ranolazine (RAN) improves autonomic function. RAN was introduced to 51 successive anginal CD patients (RANCD). A control group of 54 successive nonanginal CD patients (NORANCD) continued baseline therapy. Mean study duration was 6.1 years, which included semi-annual autonomic function measures (ANX 3.0, ANSAR Medical Technologies, Inc., Philadelphia, PA) and yearly myocardial perfusion SPECT studies (MPI). MACE were experienced by 29% RANCD patients versus 46% NORANCD patients (p = 0.0105). The patients from both groups with abnormal parasympathetic and sympathetic (P&S) measures and MACE totaled 52 of those patients with MACE versus 17% of those patients without MACE (p = 0.0274). Abnormal MPI was demonstrated in 35% of those with abnormal (P&S) measures and MACE versus 12% without MACE. Sympathovagal balance (SB) was lower, indicating higher, relative parasympathetic tone (known to be cardioprotective) in the RANCD group. Acute coronary syndromes occurred 4.5 times as often in NORANCD patients. High SB occur more frequently than abnormal MPI in CD patients experiencing MACE. In addition to increased myocardial blood flow as its proposed mechanism of angina relief, RAN improves P&S measures, a potentially new mechanism whereby RAN improves outcomes.

  8. Relationship between the serologic status of helicobacter pylori with the presence of unstable angina

    International Nuclear Information System (INIS)

    To determine whether unstable angina is co-related to seropositivity to chronic Helicobacter pylori (HP) infection. It is a case control, descriptive study conducted at CCU in Razi Hospital in Ahwaz a city southwest Iran, from 2004 to 2005. We measured serum HP- lgG levels of participants in CCU in a hospital. Blood samples were drawn during study period from 96 patients (mean age 56 years) with Unstable Angina (UA) according to American Heart Association criteria and from 96 participants free of cardiovascular disease (mean age 58 years) and stored at 20 degree C. Serology results were studied in relation to UA. Using chi squared test, odds ratios (OR) and 95% confidence intervals (CI) were calculated, adjusting for age, gender, and established risk factors. Seventy nine (82.3%) of patients with unstable angina and 55(61.1%) in the control group presented a positive anti HP-lgG. Odds ratio was 3 with 95% CI: 1.9 to 4.3. There was significant relation between HP-lgG positivity and unstable angina (P0.05). Our study revealed relationship between seropositivity of HP-lgG and unstable angina. (author)

  9. Los médicos de Atención Primaria ante la Salud Mental.

    OpenAIRE

    C Camps García; Cristina Gisbert; Rosa Gutiérrez; José Francisco Montilla García

    1995-01-01

    Se exponen las conclusiones de una encuesta de diseño propio realizada a los médicos de Atención Primaria pertenecientes a los centros de salud del área 10 de Madrid. Evaluamos aspectos tales como la relación médico-paciente y sus dificultades, la coordinación entre salud mental y atención primaria, la detección de los trastornos mentales, y las actitudes del médico de atención primaria acerca de la salud mental.

  10. Elecciones primarias abiertas en el Partido Socialista Francés 2011: votan afiliados y simpatizantes.

    OpenAIRE

    Sanz Díaz, Benito (1949-)

    2014-01-01

    Elecciones primarias abiertas en el Partido Socialista Francés. 2011 1.- El modelo francés de 2011. Primarias a la francesa: votan afiliados y simpatizantes. 2.- Una experiencia inédita en Francia: los socialistas abren la elección de su candidato a la Presidencia de la Republica a los simpatizantes de la izquierda. Octubre de 2011. 3.- Los candidatos. 4.-Riesgos. Participación y voto adversario. 5.- ¿Quien podía votar en las primarias? Participar por un euro y adherirse a lo...

  11. The initial management of stable angina in Europe, from the Euro Heart Survey: a description of pharmacological management and revascularization strategies initiated within the first month of presentation to a cardiologist in the Euro Heart Survey of Stable Angina.

    NARCIS (Netherlands)

    Daly, C.A.; Clemens, F.; Lopez-Sendon, J.; Tavazzi, L.; Boersma, E.; Danchin, N.; Delahaye, F.; Gitt, A.; Julian, D.; Mulcahy, D.; Ruzyllo, W.; Thygesen, K.; Verheugt, F.W.A.; Fox, K.M.

    2005-01-01

    AIMS: In order to assess adherence to guidelines and international variability in management, the Euro Heart Survey of Newly Presenting Angina prospectively studied medical therapy, percutaneous coronary intervention (PCI), and surgery in patients with new-onset stable angina in Europe. METHODS AND

  12. A new scoring system to stratify risk in unstable angina

    Directory of Open Access Journals (Sweden)

    Salzberg Simón

    2003-08-01

    Full Text Available Abstract Background We performed this study to develop a new scoring system to stratify different levels of risk in patients admitted to hospital with a diagnosis of unstable angina (UA, which is a complex syndrome that encompasses different outcomes. Many prognostic variables have been described but few efforts have been made to group them in order to enhance their individual predictive power. Methods In a first phase, 473 patients were prospectively analyzed to determine which factors were significantly associated with the in-hospital occurrence of refractory ischemia, acute myocardial infarction (AMI or death. A risk score ranging from 0 to 10 points was developed using a multivariate analysis. In a second phase, such score was validated in a new sample of 242 patients and it was finally applied to the entire population (n = 715. Results ST-segment deviation on the electrocardiogram, age ≥ 70 years, previous bypass surgery and troponin T ≥ 0.1 ng/mL were found as independent prognostic variables. A clear distinction was shown among categories of low, intermediate and high risk, defined according to the risk score. The incidence of the triple end-point was 6 %, 19.2 % and 44.7 % respectively, and the figures for AMI or death were 2 %, 11.4 % and 27.6 % respectively (p Conclusions This new scoring system is simple and easy to achieve. It allows a very good stratification of risk in patients having a clinical diagnosis of UA. They may be divided in three categories, which could be of help in the decision-making process.

  13. Ludwig's angina and ketoacidosis as a first manifestation of diabetes mellitus.

    Science.gov (United States)

    Infante-Cossío, Pedro; Fernández-Hinojosa, Esteban; Mangas-Cruz, Miguel-Angel; González-Pérez, Luis-Miguel

    2010-07-01

    Ludwig's angina is a serious and rapidly progressive infectious process that spreads through the floor of the mouth and neck. In this paper we present an infrequent case of a patient who suffered an odontogenic infection with poor response to the previous treatment, which evolved towards a Ludwig's angina combined with ketoacidosis in the context of a diabetes mellitus not known before. According to the literature reviewed, this case report represents the first contribution of a Ludwig's angina and ketoacidosis as an initial manifestation of a diabetes mellitus. The airway management, the antibiotic prescription and the surgical drainage allowed the healing of the patient without medical complications. Factors of co-morbidity like the diabetes mellitus together with focus tooth of infection may eventually turn into serious medical complications as the diabetic ketoacidosis and develop potentially lethal cervical infections.

  14. Efficacy of a device to narrow the coronary sinus in refractory angina

    DEFF Research Database (Denmark)

    Verheye, Stefan; Jolicœur, E Marc; Behan, Miles W;

    2015-01-01

    BACKGROUND: Many patients with coronary artery disease who are not candidates for revascularization have refractory angina despite standard medical therapy. The balloon-expandable, stainless steel, hourglass-shaped, coronary-sinus reducing device creates a focal narrowing and increases pressure...... ischemia, who were not candidates for revascularization, to implantation of the device (treatment group) or to a sham procedure (control group). The primary end point was the proportion of patients with an improvement of at least two CCS angina classes at 6 months. RESULTS: A total of 35% of the patients...... patient had died and 3 had had a myocardial infarction. CONCLUSIONS: In this small clinical trial, implantation of the coronary-sinus reducing device was associated with significant improvement in symptoms and quality of life in patients with refractory angina who were not candidates for revascularization...

  15. Effects on blood pressure in patients with refractory angina pectoris after enhanced external counterpulsation

    DEFF Research Database (Denmark)

    Bondesson, Susanne; Pettersson, Thomas; Ohlsson, Børje Ola Mattias;

    2010-01-01

    OBJECTIVE: Enhanced external counterpulsation (EECP) is a non-invasive technique that has been shown to reduce the frequency and severity of angina pectoris. Little is known how EECP affects the blood pressure. METHODS: 153 patients with refractory angina were treated with either EECP or retained...... on their pharmacological treatment (reference group). Systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial blood pressure (MAP) and heart rate were measured pre- and post-treatment and at 12 months follow-up. RESULTS: EECP treatment altered the blood pressure in patients with...... refractory angina pectoris. A decrease in the blood pressure was more common in the EECP group compared with the reference group. In the reference group, an increase in the blood pressure was more common. A correlation between a decrease in blood pressure after EECP treatment and a higher baseline MAP, SBP...

  16. Efficacy of Enhanced External Counterpulsation in Patients With Chronic Refractory Angina on Canadian Cardiovascular Society (CCS) Angina Class: An Updated Meta-Analysis.

    Science.gov (United States)

    Zhang, Chunmei; Liu, Xiangjuan; Wang, Xiaomeng; Wang, Qi; Zhang, Yun; Ge, Zhiming

    2015-11-01

    A growing number of patients with chronic artery disease suffer from angina, despite the optimal medical management (ie, β-blockers, calcium channel blockers, and long-acting nitrates) and revascularization. Currently, enhanced external counterpulsation (EECP) therapy has been verified as a noninvasive, safe therapy for refractory angina. The study was designed to evaluate the efficacy of EECP in patients with chronic refractory angina according to Canadian Cardiovascular Society (CCS) angina class.We identified systematic literature through MEDLINE, EMBASE, the Cochrane Clinical Trials Register Database, and the ClinicalTrials. gov Website from 1990 to 2015. Studies were considered eligible if they were prospective and reported data on CCS class before and after EECP treatment. Meta-analysis was performed to assess the efficacy of EECP therapy by at least 1 CCS angina class improvement, and proportion along with the 95% confidence interval (CI) was calculated. Statistical heterogeneity was calculated by I statistic and the Q statistic. Sensitivity analysis was addressed to test the influence of trials on the overall pooled results. Subgroup analysis was applied to explore potential reasons for heterogeneity.Eighteen studies were enrolled in our meta-analysis. Pooled analysis showed 85% of patients underwent EECP had a reduction by at least one CCS class (95%CI 0.81-0.88, I = 58.5%, P < 0.001). The proportion of patients enrolled at primarily different studies with chronic heart failure (CHF) improved by at least 1 CCS class was about 84% after EECP (95%CI 0.81-0.88, I = 32.7%, P = 0.1668). After 3 large studies were excluded, the pooled proportion was 82% (95%CI 0.79-0.86, I = 18%, P = 0.2528). Funnel plot indicated that some asymmetry while the Begg and Egger bias statistic showed no publication bias (P = 0.1495 and 0.2859, respectively).Our study confirmed that EECP provided an effective treatment for patients who were unresponsive to medical management and

  17. Die Bedeutung der Kaliumkanalöffner für die Therapie der Angina pectoris

    Directory of Open Access Journals (Sweden)

    Auer J

    2003-01-01

    Full Text Available In der Behandlung der koronaren Herzkrankheit ist primär die Senkung der Ereignisrate (Mortalität, Koronarletalität, Myokardinfarkt, rezidivierende Angina, Insult, Herzinsuffizienz, Revaskularisationen anzustreben. Zusätzlich ist die Zielsetzung der antianginösen Therapie vor allem die Verbesserung der Belastungstoleranz sowie die Reduktion von ischämiebedingten Folgeerscheinungen. Für die antianginöse Therapie stehen vier Wirkstoffklassen zur Verfügung, die ein differenziertes Vorgehen erlauben und die wahlweise als Monotherapien oder in Kombination in der Therapie der stabilen Angina pectoris zur Anwendung kommen können: Betablocker, Nitrate, Kalziumantagonisten und Kaliumkanalöffner. Im Rahmen der IONA-Studie (Impact Of Nicorandil in Angina wurde rezent überprüft, ob unter einer Therapie mit Nicorandil bei Patienten mit chronisch stabiler Angina pectoris die Häufigkeit schwerwiegender koronarer Ereignisse verringert werden könnte. Mit dieser Studie konnte nun ein eindeutiger Hinweis für eine Reduktion ischämiebezogener klinischer Ereignisse unter Nicorandil bei Patienten mit Angina pectoris nachgewiesen werden. Während für die antianginöse Therapie bisher lediglich eine symptomlindernde Wirkung zweifelsfrei dokumentiert ist, verbessern Maßnahmen zur Verhinderung von Thrombose- und Atheromentwicklung die Prognose (Aspirin, Cumarine, ACE-Hemmer und Lipidsenker [Statine] sowie Lebensstilmodifikation einschließlich Nikotinkarenz. Grundsätzlich sollte darüber hinaus bei Patienten mit Angina-pectoris-Beschwerden immer die Option einer Koronarangiographie und Koronarintervention (PTCA, Stent, Bypass überlegt werden.

  18. The prognostic significance of angina pectoris experienced during the first month following acute myocardial infarction

    DEFF Research Database (Denmark)

    Jespersen, C M

    1997-01-01

    BACKGROUND: Angina pectoris accompanied by transient ST-segment changes during the in-hospital phase of acute myocardial infarction (AMI) is a well established marker of subsequent cardiac death and reinfarction. HYPOTHESIS: This study was undertaken to record the prognostic significance of angina...... pectoris experienced during the first month following discharge from AMI. METHODS: In all, 803 patients included in the placebo arm of the Danish Verapamil Infarction Trial II were followed up for 18 months in 20 coronary care units in Denmark. The patients were randomized to placebo and were still...

  19. Criptococosis cutánea primaria en paciente inmunocompetente.

    Science.gov (United States)

    Osorio, Igor Vázquez; García-Rodiño, Sara; Rodríguez-Rodríguez, Marta; Labandeira, Javier; Suárez-Peñaranda, José Manuel; Sánchez-Aguilar, MDolores; Vázquez-Veiga, Hugo

    2016-01-01

    La criptococosis cutánea es una micosis propia de pacientes inmunodeprimidos, sobre todo aquellos con infección por el virusde la inmunodeficiencia humana (VIH). Sin embargo, existen casos infrecuentes de criptococosis cutánea en pacientes inmunocompetentes, que suelen simular otras dermatosis, lo que retrasa su diagnóstico y tratamiento. Presentamos el caso de un varón pluripatológico de 79 años, con úlceras dolorosas en dorso de mano derecha que no respondían a tratamientos tópicos. A través del estudio histopatológico y micológico se alcanzó el diagnóstico de criptococosis cutánea primaria, lográndose la remisión de las lesiones tras 6 meses de tratamiento con fluconazol. PMID:27617525

  20. Criptococosis cutánea primaria en paciente inmunocompetente.

    Science.gov (United States)

    Vázquez-Osorio, Igor; García-Rodiño, Sara; Rodríguez-Rodríguez, Marta; Labandeira, Javier; Suárez-Peñaranda, José Manuel; Sánchez-Aguilar, MDolores; Vázquez-Veiga, Hugo

    2016-05-15

    La criptococosis cutánea es una micosis propia de pacientes inmunodeprimidos, sobre todo aquellos con infección por el virusde la inmunodeficiencia humana (VIH). Sin embargo, existen casos infrecuentes de criptococosis cutánea en pacientes inmunocompetentes, que suelen simular otras dermatosis, lo que retrasa su diagnóstico y tratamiento. Presentamos el caso de un varón pluripatológico de 79 años, con úlceras dolorosas en dorso de mano derecha que no respondían a tratamientos tópicos. A través del estudio histopatológico y micológico se alcanzó el diagnóstico de criptococosis cutánea primaria, lográndose la remisión de las lesiones tras 6 meses de tratamiento con fluconazol.

  1. Asma bronquial. Atención primaria de salud

    Directory of Open Access Journals (Sweden)

    Reinaldo Pino Blanco

    2010-12-01

    Full Text Available El siguiente trabajo define las pautas a seguir en la atención primaria de salud para logran un adecuado seguimiento y control de los pacientes que sufren enfermedades respiratorias crónicas y en particular el asma bronquial. Se realiza una revisión profunda de las principales guías para el manejo de la enfermedad, así como las mejores evidencias publicadas hasta la fecha.This paper sets out the guidelines in the primary health care to achieve an adequate monitoring and control of patients suffering from chronic respiratory diseases including bronchial asthma. A systematic review on the main guidelines to handle this disease and the best evidence published to this day are presented.

  2. Chronic stable angina is associated with lower health-related quality of life: evidence from Chinese patients.

    Directory of Open Access Journals (Sweden)

    Jing Wu

    Full Text Available OBJECTIVES: To compare health-related quality of life (HRQoL between patients with stable angina and the general population in China and to examine factors associated with HRQoL among patients with stable angina. METHODS: A cross-sectional HRQoL survey of stable angina patients recruited from 4 hospitals (n = 411 and the general population recruited from 3 Physical Examination Centers (n = 549 was conducted from July to December, 2011 in two large cities, Tianjin and Chengdu. HRQoL was assessed using the EQ-5D, EQ-VAS, and SF-6D instruments. The health status specific to patients with stable angina was assessed using the Seattle Angina Questionnaire (SAQ. Information on socio-demographic, clinical, and lifestyle factors were also collected. Nested regressions were performed to explore how these factors were associated with HRQoL in patients with stable angina. RESULTS: Compared with the general population (44.2 ± 10 years, 49.9% females, stable angina patients (68.1 ± 12 years, 50.4% females had significantly lower HRQoL scores in EQ-5D utility index (0.75 ± 0.19 vs. 0.90 ± 0.20, p<0.05, SF-6D utility index (0.68 ± 0.12 vs. 0.85 ± 0.11, p<0.05, and EQ-VAS (71.2 ± 12.3 vs. 83.9 ± 10.9, p<0.05. The differences remained (-0.05 for EQ-5D, -9.27 for EQ-VAS and -0.13 for SF-6D after controlling for socio-economic characteristics. SAQ scores showed that stable angina patients experienced impaired disease-specific health status, especially in angina stability (40.5 ± 34.6. Nested regressions indicated stable angina-specific health status explained most of the variation in HRQoL, among which disease perception, physical limitation, and angina stability were the strongest predictors. More physical exercise and better sleep were positively related with HRQoL. CONCLUSIONS: Compared to the general population, stable angina patients were associated with lower HRQoL and lower health utility scores, which were largely impacted by clinical symptoms

  3. Mechanisms of angina pectoris in syndrome X assessed by myocardial perfusion dynamics and heart rate variability

    NARCIS (Netherlands)

    Meeder, JG; Blanksma, PK; Crijns, HJGM; Anthonio, RL; Pruim, J; Brouwer, J; DeJong, RM; VanderWall, EE; Vaalburg, W; Lie, KI

    1995-01-01

    The fundamental abnormality in syndrome X (angina pectoris, ischaemia-like stress ECG despite angiographically normal coronary arteries) might be patchily distributed increased tone in pre-arteriolar coronary vessels with compensatory release of adenosine. The aim of this study was to confirm this h

  4. Spinal cord stimulation in refractory angina pectoris - Clinical results and mechanisms

    NARCIS (Netherlands)

    Oosterga, M; tenVaarwerk, IAM; DeJongste, MJL; Staal, MJ

    1997-01-01

    Patients with therapeutically refractory angina pectoris do not respond to adequate anti-anginal medication and are not suitable anymore for revascularisation procedures. This group of patients has a poor quality of Life, since their exercise capacity is severely afflicted. A new additional therapy

  5. Percutaneous Revascularization in a Case of Vasospastic Angina Associated with Polymorphic Ventricular Tachycardia

    Directory of Open Access Journals (Sweden)

    Roxana Rudzik

    2015-12-01

    Full Text Available Introduction: Coronary vasospasm is a possible cause of ventricular tachyarrhythmias and is frequently associated with atherosclerotic lesions. The revascularization of mild to moderate coronary artery stenosis which causes symptoms only due to associated vasospasm is still a matter of debate, as the standard treatment of Prinzmetal angina is represented by the long term administration of calcium-channel blockers.

  6. Spinal cord stimulation in chronic intractable angina pectoris : A randomized, controlled efficacy study

    NARCIS (Netherlands)

    Hautvast, RWM; DeJongste, MJL; Staal, MJ; van Gilst, WH; Lie, KI

    1998-01-01

    Background Spinel cord stimulation is known to be a successful treatment for chronic intractable angina pectoris. its effect may be anti-ischemic. It is uncertain if the clinical effect is partly caused by a placebo effect of surgery For implantation of a stimulator. In this study, clinical efficacy

  7. Angina pectoris refractory for conventional therapy - Is neurostimulation a possible alternative treatment?

    NARCIS (Netherlands)

    Hautvast, RWM; DeJongste, MJL; TerHorst, GJ; Blanksma, PK; Lie, KI

    1996-01-01

    The treatment of angina pectoris as a symptom of coronary artery disease usually is focused on restoring the balance between oxygen demand and supply of the myocardium by administration of drugs interfering in heart rate, cardiac pre- and afterload, and coronary vascular tone. For nonresponders to d

  8. SAFETY AND EFFICACY OF BETA-BLOCKERS IN THE TREATMENT OF STABLE ANGINA-PECTORIS

    NARCIS (Netherlands)

    DEMUINCK, ED; LIE, KI

    1990-01-01

    In stable exercise-induced angina pectoris, beta-blockers exert their beneficial effects mainly through a reduction in heart rate, blood pressure, and contractility. Additional beneficial effects are an improvement in myocardial oxygen supply through a redistribution of coronary flow, a lengthening

  9. Women and Chest Pain: Recognizing the Different Faces of Angina in the Emergency Department.

    Science.gov (United States)

    Safdar, Basmah; D'Onofrio, Gail

    2016-06-01

    Emergency departments (ED) in the United States see over eight million cases of chest pain annually. While a cardinal symptom of acute coronary syndrome (ACS), multiple emergent and non-emergent causes can attribute to chest pain. This case-based perspective describes the different sex-specific causes of angina seen in ED patients. Once coronary artery disease (CAD) is ruled out with standard protocols, microvascular dysfunction is perhaps the most prevalent but under-diagnosed cause of non-CAD related angina in ED patients. Additional causes include coronary artery spasm, coronary artery dissection, coronary artery endothelial dysfunction and myocardial bridging. Non-CAD related angina is associated with persistent chest pain causing poor function, quality of life, and recidivism. Clinicians should consider additional diagnostics to routinely screen for non-CAD related causes of angina in patients with recurrent chest pain. Future work is needed to better define the epidemiological, clinical, biological, and genetic correlates of microvascular dysfunction in these patients. PMID:27354848

  10. VEGF 165 Gene Therapy for Patients with Refractory Angina: Mobilization of Endothelial Progenitor Cells

    Energy Technology Data Exchange (ETDEWEB)

    Rodrigues, Clarissa G. [Instituto de Cardiologia/Fundação Universitária de Cardiologia - Programa de Pós Graduação em Ciências da Saúde: Cardiologia, Porto Alegre, RS (Brazil); Duke University Medical Center, Durham, North Carolina (United States); Plentz, Rodrigo D.M. [Instituto de Cardiologia/Fundação Universitária de Cardiologia - Programa de Pós Graduação em Ciências da Saúde: Cardiologia, Porto Alegre, RS (Brazil); Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS (Brazil); Dipp, Thiago [Instituto de Cardiologia/Fundação Universitária de Cardiologia - Programa de Pós Graduação em Ciências da Saúde: Cardiologia, Porto Alegre, RS (Brazil); Salles, Felipe B. [Instituto de Cardiologia/Fundação Universitária de Cardiologia - Programa de Pós Graduação em Ciências da Saúde: Cardiologia, Porto Alegre, RS (Brazil); Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS (Brazil); Giusti, Imarilde I.; Sant' Anna, Roberto T.; Eibel, Bruna; Nesralla, Ivo A.; Markoski, Melissa [Instituto de Cardiologia/Fundação Universitária de Cardiologia - Programa de Pós Graduação em Ciências da Saúde: Cardiologia, Porto Alegre, RS (Brazil); Beyer, Nance N. [Instituto de Cardiologia/Fundação Universitária de Cardiologia - Programa de Pós Graduação em Ciências da Saúde: Cardiologia, Porto Alegre, RS (Brazil); Universidade Federal do Rio Grande do Sul, Porto Alegre, RS (Brazil); Kalil, Renato A. K., E-mail: kalil.pesquisa@gmail.com [Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS (Brazil)

    2013-08-15

    Vascular endothelial growth factor (VEGF) induces mobilization of endothelial progenitor cells (EPCs) with the capacity for proliferation and differentiation into mature endothelial cells, thus contributing to the angiogenic process. We sought to assess the behavior of EPCs in patients with ischemic heart disease and refractory angina who received an intramyocardial injections of 2000 µg of VEGF 165 as the sole therapy. The study was a subanalysis of a clinical trial. Patients with advanced ischemic heart disease and refractory angina were assessed for eligibility. Inclusion criteria were as follows: signs and symptoms of angina and/or heart failure despite maximum medical treatment and a myocardial ischemic area of at least 5% as assessed by single-photon emission computed tomography (SPECT). Exclusion criteria were as follows: age > 65 years, left ventricular ejection fraction < 25%, and a diagnosis of cancer. Patients whose EPC levels were assessed were included. The intervention was 2000 µg of VEGF 165 plasmid injected into the ischemic myocardium. The frequency of CD34+/KDR+ cells was analyzed by flow cytometry before and 3, 9, and 27 days after the intervention. A total of 9 patients were included, 8 males, mean age 59.4 years, mean left ventricular ejection fraction of 59.3% and predominant class III angina. The number of EPCs on day 3 was significantly higher than that at baseline (p = 0.03); however, that on days 9{sup th} and 27{sup th} was comparable to that at baseline. We identified a transient mobilization of EPCs, which peaked on the 3th day after VEGF 165 gene therapy in patients with refractory angina and returned to near baseline levels on 9{sup th} and 27{sup th}days.

  11. VEGF 165 Gene Therapy for Patients with Refractory Angina: Mobilization of Endothelial Progenitor Cells

    International Nuclear Information System (INIS)

    Vascular endothelial growth factor (VEGF) induces mobilization of endothelial progenitor cells (EPCs) with the capacity for proliferation and differentiation into mature endothelial cells, thus contributing to the angiogenic process. We sought to assess the behavior of EPCs in patients with ischemic heart disease and refractory angina who received an intramyocardial injections of 2000 µg of VEGF 165 as the sole therapy. The study was a subanalysis of a clinical trial. Patients with advanced ischemic heart disease and refractory angina were assessed for eligibility. Inclusion criteria were as follows: signs and symptoms of angina and/or heart failure despite maximum medical treatment and a myocardial ischemic area of at least 5% as assessed by single-photon emission computed tomography (SPECT). Exclusion criteria were as follows: age > 65 years, left ventricular ejection fraction < 25%, and a diagnosis of cancer. Patients whose EPC levels were assessed were included. The intervention was 2000 µg of VEGF 165 plasmid injected into the ischemic myocardium. The frequency of CD34+/KDR+ cells was analyzed by flow cytometry before and 3, 9, and 27 days after the intervention. A total of 9 patients were included, 8 males, mean age 59.4 years, mean left ventricular ejection fraction of 59.3% and predominant class III angina. The number of EPCs on day 3 was significantly higher than that at baseline (p = 0.03); however, that on days 9th and 27th was comparable to that at baseline. We identified a transient mobilization of EPCs, which peaked on the 3th day after VEGF 165 gene therapy in patients with refractory angina and returned to near baseline levels on 9th and 27thdays

  12. Erhöhter oxidativer Streß bei Patienten mit instabiler Angina pectoris

    Directory of Open Access Journals (Sweden)

    Bodlaj G

    1998-01-01

    Full Text Available Die instabile Angina pectoris führt oft zum akuten Myokardinfarkt. Da die Lipid-Peroxidation im Verdacht steht, chronische und akute Ereignisse der Atherosklerose und der koronaren Herzkrankheit zu fördern, untersuchten wir die Lipid-Peroxidations-Parameter und alpha-Toco-pherol-Spiegel bei 100 KHK-Patienten und verglichen sie mit denen einer entprechenden Kontrollgruppe. 50 konsekutive Patienten mit stabiler Angina pectoris (SAP und 50 konsekutive Patienten mit instabiler Angina pectoris (IAP wurden untersucht und mit 100 klinisch gesunden Personen verglichen. Zusätzlich zur herkömmlichen Lipid- und Lipoprotein-Analyse wurden die Lipid-Peroxidations-Produkte als Hydroperoxide und Thiobarbituric acid reactive substances (TBARS gemessen. Die konjugierten Diene wurden nur bei den Patienten bestimmt. Da alpha-Tocopherol eines der wichtigsten Antioxidantien ist, wurde es ebenfalls quantifiziert. Wie erwartet hatten die Patienten wesentlich höhere Cholesterin-, Triglyzerid-, LDL-C- und Lp(a-Spiegel und niedrigere HDL-C-Spiegel als die Kontrollgruppe. Als die Patienten in Gruppen mit stabiler und instabiler Angina pectoris geteilt wurden, waren Peroxide und TBARS in der letzteren Gruppe wesentlich höher als bei den anderen Patienten und der Kontrollgruppe. Auch konjugierte Diene waren eindeutig höher bei den Patienten mit instabiler Angina pectoris. Der alpha-Tocopherol-Gesamtspiegel war in allen 3 Gruppen vergleichbar, aber der alpha-Tocopherol-Gehalt pro LDL-Partikel war bei den Patienten mit IAP am niedrigsten, gefolgt von denen mit SAP und der Kontrollgruppe. Wir schließen daraus, daß die Lipid-Peroxidations-Parameter bei Patienten mit IAP erhöht sind und SAP-Patienten von IAP-Patienten unterscheiden.

  13. Immediate and long-term clinical outcome after spinal cord stimulation for refractory stable angina pectoris.

    Science.gov (United States)

    Di Pede, Francesco; Lanza, Gaetano Antonio; Zuin, Guerrino; Alfieri, Ottavio; Rapati, Massimo; Romanò, Massimo; Circo, Antonio; Cardano, Paola; Bellocci, Fulvio; Santini, Massimo; Maseri, Attilio

    2003-04-15

    The treatment of patients with angina pectoris refractory to medical therapy and unsuitable for revascularization procedures has yet not been well standardized. Previous retrospective studies and small prospective studies have suggested beneficial effects of spinal cord stimulation (SCS) in these patients. We created a Prospective Italian Registry of SCS to evaluate the short- and long-term clinical outcome of patients who underwent SCS device implantation because of severe refractory angina pectoris. Overall, 104 patients were enrolled in the registry (70 men, aged 68 +/- 17 years), most of whom (83%) had severe coronary artery disease. Average follow-up was 13.2 +/- 8 months. Overall, 17 patients (16%) died, 8 (8%) due to cardiac death. Among clinical variables, only age was found to be significantly associated both with total mortality (p = 0.04) and cardiac mortality (p = 0.02) on Cox regression analysis. A significant improvement of anginal symptoms (> or =50% reduction of weekly anginal episodes, compared with baseline) occurred in 73% of patients, and Canadian Cardiovascular Society angina class improved by > or =1 class in 80% and by > or =2 classes in 42% of patients, with a relevant reduction in the rate of hospital admission and days spent in the hospital because of angina (p <0.0001 for both). No life-threatening or clinically serious complications were observed. The most frequent side effect consisted of superficial infections, either at the site of puncture of electrode insertion or of the abdominal pocket, which occurred in 6 patients. In conclusion, our prospective data point out that SCS can be performed safely and is associated with a sustained improvement of anginal symptoms in a relevant number of patients with refractory stable angina pectoris. PMID:12686334

  14. Histopathological examination of specimens removed during directional coronary atherectomy in patients presenting with crescendo angina show mural thrombus.

    Science.gov (United States)

    Bellamy, C M; Grech, E D; Ashworth, M T; Ramsdale, D R

    1993-02-01

    Thrombus formation over a fissured coronary atheromatous plaque has been shown by post mortem histological examination to be the pathophysiological mechanism responsible for myocardial ischaemia in those patients who died following a crescendo pattern of angina. Histological examination of plaques responsible for a crescendo pattern of angina in patients who do not die has not been available until recently. We describe two patients who presented with a crescendo pattern of angina. A new technique of coronary revascularization, directional coronary atherectomy, produced symptomatic relief and resolution of myocardial ischaemia. Histological examination of material from the stenosis responsible for their myocardial ischaemia, obtained using this technique, confirmed thrombus formation overlying a fissured atheromatous plaque.

  15. Atención primaria: Una estrategia renovada

    Directory of Open Access Journals (Sweden)

    José A. Serna

    2011-09-01

    Full Text Available Esta revisión profundiza en los cambios establecidos por diferentes estamentos mundiales con respecto al concepto ymodo de implementación de la estrategia de Atención Primaria en Salud (APS originada en Alma-Ata en 1978. Bajacobertura, altos costos, inequidad, utilización inadecuada del talento humano y del recurso tecnológico hicieron imperiosasu actualización. En ella se establecen cuatro pilares fundamentales a introducir en sistemas de salud que tengan como su ejela APS, como el logro de dar cobertura universal a toda la población, brindar una atención médico-paciente centrada en elindividuo, promover unas políticas de salud pública que beneficien a toda la comunidad y ejercer una gobernabilidad nacionalo regional concertada con todos los estamentos que influyan en los determinantes de salud de un individuo y su entorno. Laimplementación de la misma en dichos sistemas de salud dependerá del contexto de cada país y de su tipo de desarrollo ycrecimiento del sector salud

  16. Representaciones sociales de la lectura en docentes de nivel primaria

    Directory of Open Access Journals (Sweden)

    Juan Catalino Bacilio Hernández

    2015-05-01

    Full Text Available Este artículo tiene como objetivo presentar los hallazgos de una investigación sobre representaciones sociales de la lectura, encontrados en docentes de nivel primaria del Estado de México. El proceso metodológico se orientó desde un enfoque cualitativo interpretativo mediante la utilización del cuestionario y la entrevista a profundidad. El análisis de los datos empíricos mostró que, respectivamente, en los ámbitos personal, escolar, familiar y social, la lectura es interpretada como: actividad íntima, actividad terapéutica, actividad recreativa, fondo documental de apoyo al trabajo docente, herramienta de aprendizaje autónomo, recurso didáctico para la formación valoral, actividad expresiva, actividad lúdica, actividad contagiosa, actividad de elección mixta, práctica de socialización del acervo escrito, herramienta de comunicación intrafamiliar, actividad secundaria, herramienta de fortalecimiento de la ciudadanía y actividad compleja. El conjunto de representaciones configuradas en estos ámbitos permiten concluir que la lectura es una práctica docente multidimensional, discontinua y polisémica.

  17. Case management does not decrease mortality of patients with myocardial infarction or unstable angina: Evidence from a systematic review

    Directory of Open Access Journals (Sweden)

    Li-Juan Yi

    2016-06-01

    Conclusion: Case management is not beneficial to all-cause mortality after myocardial infarction or unstable angina compared to routine care. Additional, prospective RCTs of high quality and large scale are warranted to verify these results.

  18. Effects of preinfarction angina on no-reflow phenomenon after percutaneous coronary intervention in patients with acute myocardial infarction

    Institute of Scientific and Technical Information of China (English)

    王荣英

    2003-01-01

    Effects of preinfarction angina on no-reflow phenomenon after percutaneous coronary intervention in patients with acute myocardial infarction@王荣英$河北医科大学第二医院!石家庄050000 0311-70469016011

  19. Medida de la eficiencia de la atención primaria en Barcelona incorporando indicadores de calidad

    Directory of Open Access Journals (Sweden)

    José Romano

    2016-09-01

    Conclusiones: Los resultados parecen indicar la conveniencia de incorporar la calidad asistencial como uno de los outputs relevantes a la hora de plantear criterios de racionalización de los servicios en asistencia primaria de salud. Su (no incorporación se encuentra vinculada a diversas concepciones de la atención primaria de salud.

  20. Use of myocardial perfusion imaging to predict the effectiveness of coronary revascularisation in patients with stable angina pectoris

    Energy Technology Data Exchange (ETDEWEB)

    Johansen, Allan [Odense University Hospital, Department of Clinical Physiology and Nuclear Medicine, Odense (Denmark); Odense University Hospital, Department of Nuclear Medicine, Odense (Denmark); Hoeilund-Carlsen, Poul Flemming; Moeldrup, Mette [Odense University Hospital, Department of Clinical Physiology and Nuclear Medicine, Odense (Denmark); Christensen, Henrik Wulff [Nordic Institute of Chiropractic and Clinical Biomechanics, Odense (Denmark); Vach, Werner [University of Southern Denmark, Department of Statistics, Odense (Denmark); Haghfelt, Torben [Odense University Hospital, Department of Cardiology, Odense (Denmark)

    2005-12-01

    Coronary revascularisation is the treatment of choice in patients with stable angina who have significant stenoses. From a pathophysiological point of view, however, mitigation of angina is to be expected only in the presence of reversible ischaemia. Therefore it was the aim of this study to examine the effect of revascularisation on stable angina in relation to the myocardial perfusion imaging (MPI) pattern prior to intervention. Three hundred and eighty-four patients (58.0{+-}8.8 years) referred for angiography underwent MPI. Prior to MPI and at 2-year follow-up, patients were classified as having typical angina, atypical angina, non-cardiac chest pain or no pain, and the severity of chest pain was graded according to the Canadian Cardiovascular Society (CCS) criteria. The patients themselves estimated their pain on a visual analogue scale. Management was based on symptoms and angiographic findings, since the results of MPI were not communicated. Among the 240 patients who were not revascularised, 79% had typical or atypical angina at study entrance versus 40% at follow-up. In comparison, 93% of the 144 revascularised patients had typical or atypical angina before intervention versus only 36% at follow-up. This additional advantage of invasive therapy was present only in patients with reversible defects; revascularisation had no additional effect in patients with normal perfusion or irreversible defects. Similarly, additional, significant reductions in CCS class and visual analogue score were observed exclusively in patients with reversible defects. In patients referred for coronary angiography owing to known or suspected stable angina, revascularisation was significantly more effective than medical treatment exclusively in patients with reversible ischaemia. (orig.)

  1. Predictor value of some clinical-biological parameters for the onset of depressive disorder in elderly patients with unstable angina

    OpenAIRE

    Cristina Moşuţan; George Săraci; Caius R. Duncea

    2012-01-01

    Abstract. Objective: To evaluate the potential predictor value of some parameters for the onset of depression after an episode of unstableangina in elderly. Material and Methods: We included 103 elderly patients who suffered an acute unstable angina episode. Clinical, laband imagistic data was recorded in the first week after admittance. Six month after unstable angina episode, patients were evaluated for thepresence of depression. Results: Univariate analysis showed statistically significant...

  2. CLINICAL EFFECTIVENESS AND SAFETY OF IVABRADINE USE IN PATIENTS WITH UNSTABLE ANGINA AND DIABETES MELLITUS TYPE 2

    OpenAIRE

    A. I. Kondratiev

    2014-01-01

    Aim – to estimate the clinical and pharmacological effects of ivabradine in complex treatment of patients with acute coronary syndrome anddiabetes mellitus type 2 (DM 2).Materials and methods. The study included 36 patients with acute coronary insufficiency (unstable angina) and acute left ventricular failure(Killip class I–III) during concomitant type 2 diabetes.Results. Prescribing ivabradine in treatment of unstable angina pectoris complicated by type 2 diabetes led to decrease in clinical...

  3. Xuesaitong Soft Capsule (Chinese Patent Medicine) for the Treatment of Unstable Angina Pectoris: A Meta-Analysis and Systematic Review

    OpenAIRE

    Xiaochen Yang; Xingjiang Xiong; Heran Wang; Guoyan Yang; Jie Wang

    2013-01-01

    Objective. To provide a systematic review to evaluate the effectiveness and safety of Xuesaitong soft capsule (XST) in treating unstable angina (UA). Methods. An extensive search of 6 medical databases was performed up to August 2013. Randomized controlled trials (RCTs) involving XST alone or combined with conventional drugs versus conventional drugs were included. A meta-analysis of reduction of angina symptoms and electrocardiogram (ECG) improvement was performed to evaluate the effects of ...

  4. Association of Low Levels of Vitamin D with Chronic Stable Angina: A Prospective Case-Control Study

    OpenAIRE

    Ab Hameed Raina; Mohammad Sultan Allai; Zafar Amin Shah; Khalid Hamid Changal; Manzoor Ahmad Raina; Fayaz Ahmad Bhat

    2016-01-01

    Background: Coronary artery disease (CAD) is a major cause of death and disability in developed countries. Chronic stable angina is the initial manifestation of CAD in approximately 50% of the patients. Recent evidence suggests that vitamin D is crucial for cardiovascular health. The prevalence of vitamin D deficiency in our region is 83%. A low level of vitamin D is associated with chronic stable angina. Aim: This study was aimed at supporting or refuting this hypothesis in our population. M...

  5. Spinal cord stimulation for refractory angina in patients implanted with cardioverter defibrillators: five case reports

    DEFF Research Database (Denmark)

    Enggaard, Thomas P; Andersen, Claus; Scherer, Christian

    2010-01-01

    Patients implanted with a cardioverter defibrillator (ICD) who are suffering from refractory angina pectoris could benefit from spinal cord stimulation (SCS) due to the well-documented pain relieving effect. However, the combined treatment remains controversial. The aim of the study is to report...... tolerable level of stimulation was carried out to exclude inference with the ICD. The following treatment with SCS has in all cases been successful, with significant pain relief and improved quality of life. There were no incidences of inappropriate defibrillator shocks. Spinal cord stimulation...... successful long-term treatment with SCS in five patients implanted with cardioverter defibrillators. The combined treatments with ICD and thoracic epidural electrical stimulation were used in five patients with refractory angina pectoris. During the procedure of the implantation, testing with the maximal...

  6. ONE CASE REPORT OF ANGINA TONSILLARIS INDUCED MEDIASTINAL ABSCESS AND THORACIC EMPYEMA

    Institute of Scientific and Technical Information of China (English)

    LI Qing-yun; WANG Xi; WAN Huan-ying; DENG Wei-wu

    2009-01-01

    A 27-year-old female patient with mediastinal abscess and thoracic empyema developed from angina tonsillaris was studied clinically on the manifestations, computed tomography (CT) scan, and the treatment process. The patient was admitted to hospital with a history of fever, sore throat, and chest and neck pain. CT showed air and air-fluid levels within mediastinal dense fatty planes that extended from the thoracic inlet to the sub-carinal region and left pleural empyema. She was cured by mediastinal drainage and extensive debridement of the necrotic tissue under operation and broad spectrum antibiotics treatment. Angina tonsillaris induced acute mediastitis and mediastinal abscess is a relatively rare inflammatory pathology but actually a fatal situation for its high mortality rate. CT scanning is extremely useful for early diagnosis and surgical treatment planning. The main treatment is aggressive and adequate surgical drainage of the abscess and intravenous effective antibiotic treatment.

  7. Improving diagnosis and treatment of women with angina pectoris and microvascular disease: 

    DEFF Research Database (Denmark)

    Prescott, Eva; Abildstrøm, Steen Zabell; Aziz, Ahmed;

    2014-01-01

    , advanced echocardiographic modalities at rest and during stress, and invasive measures of CFR and coronary vascular reactivity. The study will include 2000 women who will be followed for 5 years for cardiovascular outcomes. RESULTS: By May 2013, 1685 women have been screened, 759 eligible patients......BACKGROUND: The iPOWER study aims at determining whether routine assessment of coronary microvascular dysfunction (CMD) in women with angina and no obstructive coronary artery disease is feasible and identifies women at risk. METHODS: All women with angina referred to invasive angiographic...... assessment in Eastern Denmark are invited to join the study according to in- and exclusion criteria. Assessment includes demographic, clinical and psychosocial data, symptoms, electrocardiogram, blood- and urine samples and transthoracic echocardiography during rest and dipyridamol stress with measurement...

  8. Chest pain and angina pectoris - or the ugly swan and the beautiful duckling

    Science.gov (United States)

    van Tellingen, C.

    2010-01-01

    The original description of Heberden’s angina pectoris is put forward to stress the importance of proper history-taking in identifying patients. In a market-driven approach to improve cost-effectiveness in healthcare, angina pectoris as an entity seems stripped to its bare minimum: chest and pain. The diagnostic yield of exercise testing, however, depends on the pre-test likelihood of disease and therefore knowledge of its clinical utility and pitfalls is essential to refine an initial and subjective diagnosis based on anamnesis. Nowadays chest pain units attempt to improve diagnostic accuracy by submitting all sorts of patients to the (stress) test. In the end protocol-driven policies like these may very well prove to be contraproductive when fundamentals are ignored. (Neth Heart J 2010;18:561–4.) PMID:21113382

  9. Optimal treatment of chronic angina in patients with type 2 diabetes mellitus

    Directory of Open Access Journals (Sweden)

    Kaur H

    2014-07-01

    Full Text Available Harjinder Kaur,1 Kully Sandhu,2 Awais Jabbar,3 Azfar G Zaman3,4 1City Hospitals Sunderland, Sunderland, UK; 2University Hospital of North Staffordshire, Stoke-on-Trent, UK; 3Freeman Hospital, Newcastle-upon-Tyne, UK; 4Institute of Cellular Medicine, Newcastle University, Newcastle, UK Abstract: Type 2 diabetes mellitus (T2DM trebles the risk of developing coronary artery disease (CAD; once CAD has developed, the risk of acute coronary syndromes (ACS and clinical risk associated with a coronary event, both double in diabetic patients. Patients with T2DM have more extensive CAD and present at a younger age; therefore, identification and management of chronic angina in these patients presents an opportunity to limit both cardiovascular symptoms and adverse outcomes. This article reviews the role of screening and treatment for chronic angina in patients with T2DM. There is a strong evidence base for modifying lifestyle as a way of reducing adverse cardiovascular outcomes in the diabetic population and this article reviews evidence of lifestyle modification as an important and necessary adjunct to pharmacologic intervention. Management of chronic stable angina is addressed by looking at treatments that reduce ischemic symptoms and those that reduce adverse cardiovascular outcomes. Trials specific to the diabetic population are limited, with information largely obtained from the diabetic subgroup analysis of large intervention trials. The growing diabetic population with increased propensity to cardiovascular disease mandates trials specifically in this patient population. Revascularization in patients with diabetes is associated with more complications than in the non-diabetic population. Recent trials specific to this population suggest surgical revascularization to be associated with better long-term outcomes and therefore, this article reviews the evidence for the optimal mode of revascularization in this population. Keywords: type 2 diabetes

  10. Reduced peripheral vascular reactivity in refractory angina pectoris: Effect of enhanced external counterpulsation

    Institute of Scientific and Technical Information of China (English)

    Susanne M Bondesson; Marie-Louise Edvinsson; Thomas Pettersson; Lars Edvinsson

    2011-01-01

    Objective To examine if the skin microvascular bed is altered and can be modified by enhanced external counterpulsation (EECP) in patients with chronic refractory angina.Methods Twenty patients diagnosed with refractory angina were divided into EECP (n =10) or no EECP (n =10) groups.The data were compared to matched healthy subjects (n =20).The cutaneous forearm microvascular blood flow was measured by Laser-Doppler flowmetry.The vascular responsiveness to iontophoretic administration of acetylcholine (ACh),sodium nitroprusside (SNP) and local skin warming were studied.Measurements of Canadian Cardiovascular Society (CCS)-class,blood pressure and plasma samples were registered.Results EECP patients showed reduced CCS-class compared to no EECP (P < 0.05).Both EECP and no EECP (P < 0.05) groups had decreased systolic blood pressure (SBP) as compared to SBP at baseline (P < 0.05).There was no difference in resting blood flow between the two refractory groups at baseline as well as after EECP and seven weeks of follow-up.Responses to heating,the responses to ACh and SNP in the cutaneous microcirculation were lower in both groups of refractory angina patients as compared to healthy subjects (P < 0.05).EECP patients corresponded positively to the treatment shown by reduced plasma level of soluble interleukin-2 receptor and CCS-class.Conclusions Refractory angina patients have reduced responsiveness in their cutaneous microcirculation to ACh,SNP and heat compared to healthy subjects.Although EECP reduced the CCS-class,this effect was not associated with improvements in responsiveness of the cutaneous microcirculation.

  11. Las computadoras en la educación primaria: Un estudio piloto

    OpenAIRE

    Jesús Francisco Galaz Fontes

    1989-01-01

    De un grupo de cuarto año de primaria se seleccionó a diez estudiantes para tomar un pequeño curso de Logo con una maestra, también de primaria, que había sido previamente entrenada en dicho lenguaje de computación. Ambos grupos de sujetos resolvieron un pretest y un postest de aritmética. Los datos muestran que el grupo que recibió el entrenamiento Logo tuvo una mejor ejecución en el postest que el grupo control. Además, las opiniones de los estudiantes, padres de familia y maestra fueron, e...

  12. La comunicación social en educación primaria

    OpenAIRE

    Feria Moreno, Antonio

    1993-01-01

    El tratamiento pedagógico de la comunicación social en la etapa de Educación Primaria (uso didáctico de los medios de comunicación social, estrategias de análisis crítico, producción escolar ...), dista mucho de ser una realidad en la práctica educativa de nuestros centros docentes. Este artículo invita a maestras y maestros de Primaria a superar barreras, a abandonar reticencias y, en definitiva, a buscar modelos didácticos donde la comunicación social tenga cabida. The pedagogic treatmen...

  13. Uso y desarrollo de pensamiento relacional por alumnos de tercero de Primaria

    OpenAIRE

    Molina, Marta; Castro, Encarnación

    2006-01-01

    En esta comunicación se describen las estrategias de pensamiento relacional empleadas por un grupo de alumnos de tercero de Primaria en la resolución y construcción de igualdades numéricas de suma y resta. Este trabajo forma parte de un experimento de diseño centrado en el estudio del desarrollo de pensamiento relacional por alumnos de tercero de Primaria en el contexto de la resolución de igualdades numéricas, compuestas por números naturales, y basadas en relaciones o propiedades aritmética...

  14. Apendagitis epiploica primaria: Clínica y evolución de 73 casos

    OpenAIRE

    Graciela M Vázquez; Manzotti, Matías E; Graciana Alessandrini; Sofía Lemos; María Clara Perret; Hugo N. Catalano

    2014-01-01

    La apendagitis epiploica primaria es una enfermedad relativamente infrecuente dentro de los diagnósticos diferenciales del abdomen agudo. Describimos las características clínicas y evolución de una serie de 73 casos de apendagitis epiploica primaria. Se realizó una búsqueda de imágenes ecográficas y tomográficas con diagnóstico de apendagitis en el sistema de información hospitalario electrónico del Hospital Alemán entre abril del 2007 y julio del 2013 y posteriormente se revisaron sus histor...

  15. Reforma de la educación primaria y secundaria: Estrategia sectorial (2000)

    OpenAIRE

    Banco Interamericano de Desarrollo (BID)

    2000-01-01

    La estrategia sobre educación primaria y secundaria (GN-2067-3) resume lo que se conoce acerca de cómo mejorar la educación primaria y secundaria en América Latina y el Caribe y presenta un conjunto de objetivos y estrategias para guiar al BID. Se definen las cinco áreas críticas de la reforma --hacer que los maestros sean socios en el proceso de reforma, brindar más y mejores libros de texto y materiales, apoyar en forma selectiva el uso de la tecnología en la educación, descentralizar la ad...

  16. Estudio de la motricidad global, motricidad ocular y lectura en Educación Primaria

    OpenAIRE

    Intxausti-Iturbe, Ane

    2014-01-01

    Este trabajo presenta un estudio realizado en Educación Primaria. En concreto, el propósito del presente trabajo es estudiar la motricidad global y ocular, la comprensión lectora y la velocidad lectora en un grupo de alumnos de segundo de Educación Primaria. Para ello, se aplicaron una serie de pruebas para evaluar las variables mencionadas. Los resultados evidencian que parte de la muestra presenta dificultades en las variables de motricidad global y ocular y en la comprensión y velocidad...

  17. DIFERENCIAS CULTURALES EN DEBERES Y DERECHOS ENTRE LOS DOCENTES DE INFANTIL-PRIMARIA Y SECUNDARIA

    Directory of Open Access Journals (Sweden)

    Faustino Larrosa Martínez

    2012-01-01

    Full Text Available El trabajo analiza las diferencias culturales entre el profesorado de Infantil-Primaria y Secundaria a la luz de sus deberes y derechos. Han participado 394 docentes de toda España de educación Infantil, Primaria y Secundaria, elegidos al azar, contestando a un cuestionario enviado por correo postal a los centros seleccionados aleatoriamente. Se utiliza como instrumento el cuestionario "Deberes y derechos del profesorado en la comunidad educativa" y se confirma la hipótesis: existen diferencias culturales docentes significativas que nos permiten establecer distintas subculturas.

  18. Efficacy evaluation of fluoxetine combined with conventional drug treatment on unstable angina patients complicated with depression

    Institute of Scientific and Technical Information of China (English)

    Chun-Hua Liao

    2015-01-01

    Objective:To study the efficacy of fluoxetine combined with conventional drug treatment on unstable angina patients complicated with depression. Methods:120 cases of unstable angina patients with depression were randomly divided into two groups. The anti-depression group received fluoxetine combined with conventional drug therapy; the conventional group received conventional drug therapy. Then contents of monoamine neurotransmitters and their metabolites, antioxidants and inflammatory mediators of both groups were compared. Results:Serum monoamine neurotransmitters NE, 5-HT and HA levels of the anti-depression group were higher than those of the conventional group and metabolites 5-HIAA and HVA contents were lower than those of the conventional group; serum SOD, CAT, GSH and HSP-70 contents of the anti-depression group were higher than those of the conventional group, and hs-CRP, MMP9, MCP1 and HMGB1 contents were lower than those of the conventional group. Conclusion:Fluoxetine combined with conventional drug therapy can increase the contents of monoamine neurotransmitters and antioxidants, and reduce oxidative stress response and inflammatory response; it is an ideal method for treating unstable angina complicated with depression.

  19. Breviscapine Injection Improves the Therapeutic Effect of Western Medicine on Angina Pectoris Patients.

    Directory of Open Access Journals (Sweden)

    Chuan Wang

    Full Text Available To evaluate the beneficial and adverse effects of breviscapine injection in combination with Western medicine on the treatment of patients with angina pectoris. The Cochrane Central Register of Controlled Trials, Medline, Science Citation Index, EMBASE, the China National Knowledge Infrastructure, the Wanfang Database, the Chongqing VIP Information Database and the China Biomedical Database were searched to identify randomized clinical trials (RCTs that evaluated the effects of Western medicine compared to breviscapine injection plus Western medicine on angina pectoris patients. The included studies were analyzed using RevMan 5.1.0 software. The literature search yielded 460 studies, wherein 16 studies matched the selection criteria. The results showed that combined therapy using Breviscapine plus Western medicine was superior to Western medicine alone for improving angina pectoris symptoms (OR=3.77, 95% Cl: 2.76~5.15 and also resulted in increased electrocardiogram (ECG improvement (OR=2.77, 95% Cl: 2.16~3.53. The current evidence suggests that Breviscapine plus Western medicine achieved a superior therapeutic effect compared to Western medicine alone.

  20. [The quality of life of the patient with unstable angina treated by spinal cord electrical stimulation].

    Science.gov (United States)

    González-Darder, J M; Vázquez, J L; Canela, P; González Martínez, V

    1990-12-01

    Quality of life was evaluated in patients with unstable angina before and after surgical therapy with spinal cord electrical stimulation (SCES). Overall 12 patients were evaluated, with quantification of the mean weekly number of anginal attacks, the degree of effort provoking them and the Nottingham Health Profile (NHP). The criteria of inclusion in the study were: angina grade IV, resistant to drug therapy and without indication of surgery. The mean follow-up period was 9.8 +/- 8.2 months. A significant reduction in the weekly number of anginal attacks (preoperative 30.9 +/- 14.5; postoperative 9.6 +/- 8.2; p less than 0.01); improvement in functional class (p less than 0.001), and significant improvement (p greater than 0.05) in the pain, energy, sleep, social isolation and emotional reactions areas of NHP were observed. It was concluded that SCES is a useful procedure in patients with unstable angina untreatable by other medical or surgical methods, as it reduces the number of anginal attacks and increases quality of life of the patients without additional risk.

  1. ESTUDIO DEL BULLYING EN EL CICLO SUPERIOR DE PRIMARIA

    Directory of Open Access Journals (Sweden)

    Rosario Ruiz Arroyo

    2015-01-01

    Full Text Available Nuestra investigación trata el fenómeno del bullying en el ciclo superior de primaria. Para llevarla a cabo, hemos elaborado un cuestionario ad hoc a partir de una revisión bibliográfica de diferentes investigaciones en las que se han utilizado varios instrumentos, pruebas, cuestionarios... Este instrumento nos ha servido para analizar diferentes temas: la percepción que tienen los niños de ciclo superior sobre el bullying, en qué escenarios del centro escolar se producen más estos comportamientos, los diferentes tipos de bullying (físico, verbal y exclusión social y cuáles se producen más a menudo y analizar las respuestas que nos dan los alumnos en función del género y del curso (5.º y 6.º. Los resultados que hemos obtenido muestran, entre otras cosas: que en los niños se da más el bullying físico, mientras que en las niñas predomina el de tipo verbal y exclusión social; que la única diferencia según el curso es que en 6.º curso se da más exclusión social que en 5.º curso; y que donde se producen más conductas de bullying es en el patio, seguido del aula cuando no se encuentra el docente. Finalmente, partiendo de los resultados obtenidos, hemos elaborado unas propuestas de actuación psicopedagógicas para mejorar la convivencia en la escuela y otros espacios educativos.

  2. The prevalence of angina symptoms and association with cardiovascular risk factors, among rural, urban and rural to urban migrant populations in Peru

    OpenAIRE

    Gilman Robert H; Loret de Mola Christian; Zaman M Justin S; Smeeth Liam; Miranda J Jaime

    2010-01-01

    Abstract Background Rural-to-urban migration in low- and middle-income countries causes an increase in individual cardiovascular risk. Cost-effective interventions at early stages of the natural history of coronary disease such as angina may stem an epidemic of premature coronary deaths in these countries. However, there are few data on the prevalence of angina in developing countries, whilst the understanding the aetiology of angina is complicated by the difficulty in measuring it across dif...

  3. Evaluation of the add-on effect of chinese patent medicine for patients with stable or unstable angina: a systematic review and meta-analysis.

    Science.gov (United States)

    Mao, Chen; Chung, Vincent C H; Yuan, Jin-Qiu; Yu, Yuan-Yuan; Yang, Zu-Yao; Wu, Xin-Yin; Tang, Jin-Ling

    2013-01-01

    Chinese herbal medicine (CHM) has been widely used as an adjunct to western medicine in treating angina in China. We carried out this systematic review to evaluate the effectiveness of CHM on top of western medicine for angina. This meta-analysis included 46 randomized control trials with 4212 patients. For trials that included stable angina patients, the CHM group had significant lower incidence of total heart events (relative risk (RR) = 0.50, 95% confidence interval (CI) 0.33-0.78), myocardial infarction (RR = 0.32, 95% CI 0.14-0.72), heart failure (RR = 0.37, 95% CI 0.15-0.91), and angina (RR = 0.46, 95% CI 0.30-0.71) than that of control group. For trials that included unstable angina patients, CHM led to significantly lower occurrence of total heart events (RR = 0.46, 95% CI 0.32-0.66), myocardial infarction (RR = 0.37, 95% CI 0.26-0.54), and angina (RR = 0.36, 95%CI 0.26-0.51). Likewise, for trials that included stable or unstable angina patients, the rates of myocardial infarction (RR = 0.34, 95% CI 0.17-0.68) and angina (RR = 0.46, 95% CI 0.30-0.70) in CHM group were significantly lower than that in control group. In conclusion, CHM is very likely to be able to improve the survival of angina patients who are already receiving western medicine. PMID:24416066

  4. Five year prognosis in patients with angina identified in primary care: incident cohort study.

    LENUS (Irish Health Repository)

    Buckley, Brian S

    2009-01-01

    OBJECTIVE: To ascertain the risk of acute myocardial infarction, invasive cardiac procedures, and mortality among patients with newly diagnosed angina over five years. DESIGN: Incident cohort study of patients with primary care data linked to secondary care and mortality data. SETTING: 40 primary care practices in Scotland. PARTICIPANTS: 1785 patients with a diagnosis of angina as their first manifestation of ischaemic heart disease, 1 January 1998 to 31 December 2001. MAIN OUTCOME MEASURES: Adjusted hazard ratios for acute myocardial infarction, coronary artery bypass grafting, percutaneous transluminal coronary angioplasty, death from ischaemic heart disease, and all cause mortality, adjusted for demographics, lifestyle risk factors, and comorbidity at cohort entry. RESULTS: Mean age was 62.3 (SD 11.3). Male sex was associated with an increased risk of acute myocardial infarction (hazard ratio 2.01, 95% confidence interval 1.35 to 2.97), death from ischaemic heart disease (2.80, 1.73 to 4.53), and all cause mortality (1.82, 1.33 to 2.49). Increasing age was associated with acute myocardial infarction (1.04, 1.02 to 1.06, per year of age increase), death from ischaemic heart disease (1.09, 1.06 to 1.11, per year of age increase), and all cause mortality (1.09, 1.07 to 1.11, per year of age increase). Smoking was associated with subsequent acute myocardial infarction (1.94, 1.31 to 2.89), death from ischaemic heart disease (2.12, 1.32 to 3.39), and all cause mortality (2.11, 1.52 to 2.95). Obesity was associated with death from ischaemic heart disease (2.01, 1.17 to 3.45) and all cause mortality (2.20, 1.52 to 3.19). Previous stroke was associated with all cause mortality (1.78, 1.13 to 2.80) and chronic kidney disease with death from ischaemic heart disease (5.72, 1.74 to 18.79). Men were more likely than women to have coronary artery bypass grafting or percutaneous transluminal coronary angioplasty after a diagnosis of angina; older people were less likely to

  5. Association of the 894G>T polymorphism of the endothelial constitutive nitric oxide synthase gene with unstable angina

    Directory of Open Access Journals (Sweden)

    G.R. Iturry-Yamamoto

    2007-04-01

    Full Text Available The 894G>T polymorphism of the endothelial constitutive nitric oxide synthase gene consists of the substitution of a guanine base by a thymine at the 894th nucleotide of the gene. An association of this polymorphism with acute coronary syndromes has been described, only when in combination with other polymorphisms of this gene. The aim of the present study was to search for an association between this polymorphism and unstable angina in a southern Brazilian population. In a case-control study, 156 patients (group 1 (N = 83: unstable angina, group 2 (N = 73: stable angina were genotyped by PCR and digestion of the product. Univariate analysis demonstrated that the minimal luminal diameter and the degree of stenosis of the culprit lesion differed between groups (P = 0.006 and 0.005, respectively. In addition, the frequencies of the T allele and of the T allele carriers (combined TT and TG genotypes were significantly higher in the group with unstable angina (41.6 vs 28.8%; P = 0.025, Pearson chi-square test, and 73.5 vs 45.2%; P = 0.001, Pearson chi-square test, respectively. Multivariate logistic regression showed that the frequency of the T allele carriers was the only variable with a predictive value for unstable angina, when controlled for the other variables (6.1 (95% CI = 2.55-14.43; P T polymorphism was associated with unstable angina. We suggest that this polymorphism may be a genetic risk factor for unstable angina.

  6. Efectividad de un programa multicomponente para dejar de fumar aplicado en atención primaria

    Directory of Open Access Journals (Sweden)

    Fernando Alonso-Pérez

    2014-05-01

    Conclusiones: El tratamiento multicomponente aplicado fue altamente efectivo. Se sugiere la conveniencia de realizar un entrenamiento específico a los profesionales de la salud de cara a implantar este tipo de intervenciones en el ámbito de la atención primaria, como alternativa al consejo médico para aquellos fumadores que lo precisen.

  7. Las computadoras en la educación primaria: Un estudio piloto

    Directory of Open Access Journals (Sweden)

    Jesús Francisco Galaz Fontes

    1989-01-01

    Full Text Available De un grupo de cuarto año de primaria se seleccionó a diez estudiantes para tomar un pequeño curso de Logo con una maestra, también de primaria, que había sido previamente entrenada en dicho lenguaje de computación. Ambos grupos de sujetos resolvieron un pretest y un postest de aritmética. Los datos muestran que el grupo que recibió el entrenamiento Logo tuvo una mejor ejecución en el postest que el grupo control. Además, las opiniones de los estudiantes, padres de familia y maestra fueron, en general, positivas respecto a la experiencia de aprender a programar Logo, así como en relación al uso de las computadoras en la educación primaria. Se discute si el uso educativo de las computadoras en general. y del lenguaje Logo en particular, puede representar un medio para mejorar el desempeño académico a nivel primaria, sobre todo en zonas urbanas de la frontera norte de México, donde la cultura y las condiciones económicas hacen más viable esta alternativa educativa.

  8. Propuesta de intervención para consolidar hábitos lectores en alumnos de 6º de primaria

    OpenAIRE

    Carcaño-Sobré, Eva

    2015-01-01

    El Trabajo de Fin de Grado se plantea las características principales de los hábitos lectores de un grupo de edad de 11-12 años y como la lectura forma parte del currículum de Educación Primaria. Para ello se realiza un cuestionario a alumnos de sexto de Primaria para comprobar la importancia de la lectura en este grupo y posteriormente se realiza otro cuestionario dirigido a alumnos de Educación Segundaria Obligatoria para constatar si esos hábitos siguen siendo los mismos que en Primaria...

  9. Effect of Enhanced External Counterpulsation (EECP on Exercise Time Duration and Functional Capacity in Patients with Refractory Angina Pectoris

    Directory of Open Access Journals (Sweden)

    Ali Bozorgi

    2015-10-01

    Full Text Available Background: Enhanced external counterpulsation (EECP is a noninvasive technique used for patients with refractory angina pectoris. There are controversial data on the effectiveness of EECP in improving patients with refractory stable angina. The aim of the present study was to evaluate the effectiveness and safety of EECP for the treatment of patients with refractory angina pectoris.Methods: Twenty consecutive patients with refractory angina pectoris were treated with EECP, and their symptoms, echocardiographic measures, treadmill exercise test parameters, and Canadian Cardiovascular Society Class were evaluated before and immediately after EECP. The patients were followed up for 6months post treatment.Results: There were significant differences regarding total exercise time before and after treatment (p value < 0.001. The patients showed a significant reduction in angina classes III and IV immediately after EECP (p value < 0.001; for most of the patients, these beneficial effects were sustained for 6 months (p value = 0.010. There was no significant improvement in the echocardiographic parameters.Conclusion: EECP decreased symptoms and increased total exercise time in our study population. These beneficial effectswere sustained for 6 months.

  10. Xuesaitong Soft Capsule (Chinese Patent Medicine for the Treatment of Unstable Angina Pectoris: A Meta-Analysis and Systematic Review

    Directory of Open Access Journals (Sweden)

    Xiaochen Yang

    2013-01-01

    Full Text Available Objective. To provide a systematic review to evaluate the effectiveness and safety of Xuesaitong soft capsule (XST in treating unstable angina (UA. Methods. An extensive search of 6 medical databases was performed up to August 2013. Randomized controlled trials (RCTs involving XST alone or combined with conventional drugs versus conventional drugs were included. A meta-analysis of reduction of angina symptoms and electrocardiogram (ECG improvement was performed to evaluate the effects of XST on UA. Results. After researching, a total of 6 RCTs with 716 participants were included. Our review showed that XST combined with conventional drugs had significant effect on relieving angina symptoms (RR: 1.14 [1.07,1.22]; P=0.0001 and improving ECG (RR: 1.26 [1.12,1.42]; P=0.0001 compared with conventional drugs alone. Conclusions. XST appears to have beneficial effects on improvement of ECG, reduction of angina symptoms, and decreasing the frequency and duration of angina attack in participants with UA. However, the findings should be interpreted with caution due to the poor methodological quality of the included trials.

  11. Xuesaitong soft capsule (chinese patent medicine) for the treatment of unstable angina pectoris: a meta-analysis and systematic review.

    Science.gov (United States)

    Yang, Xiaochen; Xiong, Xingjiang; Wang, Heran; Yang, Guoyan; Wang, Jie

    2013-01-01

    Objective. To provide a systematic review to evaluate the effectiveness and safety of Xuesaitong soft capsule (XST) in treating unstable angina (UA). Methods. An extensive search of 6 medical databases was performed up to August 2013. Randomized controlled trials (RCTs) involving XST alone or combined with conventional drugs versus conventional drugs were included. A meta-analysis of reduction of angina symptoms and electrocardiogram (ECG) improvement was performed to evaluate the effects of XST on UA. Results. After researching, a total of 6 RCTs with 716 participants were included. Our review showed that XST combined with conventional drugs had significant effect on relieving angina symptoms (RR: 1.14 [1.07, 1.22]; P = 0.0001) and improving ECG (RR: 1.26 [1.12, 1.42]; P = 0.0001) compared with conventional drugs alone. Conclusions. XST appears to have beneficial effects on improvement of ECG, reduction of angina symptoms, and decreasing the frequency and duration of angina attack in participants with UA. However, the findings should be interpreted with caution due to the poor methodological quality of the included trials. PMID:24489594

  12. [Prognostic value of high-sensitivity C-reactive protein in assessing intrahospital outcome of unstable angina].

    Science.gov (United States)

    Ben Halima, Afef; Kammoun, Ikram; Sdiri, Wissem; Bachraoui, Kaouther; Chine, Samira; Zoaoui, Walid; Châabène, Olfa; Gargouri, Sami; Keskes, Hend; Lefi, Abdellatif; Ben Ammar, Slim; Boujnah, M Rachid; Kachboura, Salem

    2003-01-01

    Inflammation has been shown to play an important role in the pathogenesis of unstable angina. CRP has been demonstrated to be a reliable marker of prognosis is unstable angina. The aim of this study was to investigate the prognostic value of CRP in assessing short outcome of unstable angina. Our study is a prospective double blinded one. We measured CRP in 33 consecutive patients admitted for unstable angina at the 24th and 48th hour. The mean age is 60 years (30 to 84 years). There were 22 men and 11 women. 8 patients were included in class I of Braunwald classification, 5 were in class II and 20 in class III. 14 patients presented cardiac events. The CRP mean value was significantly higher among these patients (12 mg/l vs 5 mg/l, p or = 3 mg/l have a higher risk of developing complications (66% vs 13%, p = 0.002). Elevation of CRP predicted poor outcome of intrahospital evolution with a sensitivity of 86%, a specificity 68%, a positive and negative predictive values of 66% and 86%. The CRP in our preliminary study is an independent risk factor of early outcome of unstable angina. In association with clinical scores and other cardiac markers will lead to a better identification of high risk patients.

  13. Tratamento de angina mesentérica em pacientes com arterite de Takayasu Treatment of mesenteric angina in patients with Takayasu's arteritis

    Directory of Open Access Journals (Sweden)

    Luana Thayse Barros de Lima

    2011-04-01

    Full Text Available Aarterite de Takayasu (AT é uma doença inflamatória crônica do tecido conectivo, idiopática, que acomete preferencialmente a aorta e seus ramos. A terapêutica utilizada baseia-se sobretudo no uso de corticosteroides e imunossupressores. É relatado o caso de uma paciente, 33 anos, com mal-estar, febre, mialgia, cefaleia intensa, pulsátil, holocraniana, resistente a analgésicos, hipertensão arterial sistêmica de difícil controle, claudicação no membro inferior direito e dor abdominal de forte intensidade, a qual piorava após a alimentação. A angiotomografia revelou aneurisma da aorta ascendente, estenose da artéria ilíaca comum direita, estenose das artérias renais e estenose da artéria mesentérica superior, fato que embasou o diagnóstico de angina mesentérica e a conduta intervencionista através da angioplastia transluminal percutânea múltipla com a colocação de stents.Takayasu's arteritis (TA is an idiopathic chronic inflammatory disease of the connective tissue that affects mainly the aorta and its branches. Treatment is mainly based on corticosteroids and immunosuppressants. We report the case of a 33-year-old female complaining of malaise, fever, myalgia, severe pulsing holocranial headache resistant to analgesics, systemic arterial hypertension hard to control, right lower limb claudication, and severe abdominal pain that worsened after the meals. Angiotomography revealed aneurysm of the ascending aorta, and stenosis of the following vessels: right common iliac artery, renal arteries, and superior mesenteric artery. Those findings supported the diagnosis of mesenteric angina and the interventional approach by use of percutaneous transluminal angioplasty with stent placement.

  14. PHARMACOECONOMIC ASPECTS OF NICOTINE ADDICTION TREATMENT IN PATIENTS WITH ANGINA REQUIRING CARDIAC SURGERY

    Directory of Open Access Journals (Sweden)

    A. V. Rudakova

    2012-01-01

    Full Text Available Smoking is a major risk factor in patients with angina pectoris. Interventions that facilitate the rejection of it are an important part of the treatment. Aim. To analyze the cost effectiveness of the partial agonist of nicotinic receptors, varenicline, in patients with angina who require cardiac interventions. Material and methods. The estimation was conducted using a Markov model based on the results of clinical trials and epidemiological studies. The cost of treatment of complications were calculated on the basis of compulsory medical insurance rates for St. Petersburg in 2011. Results. The varenicline therapy in 70-year-old patients before cardiac surgery reduces hospital mortality at an extremely high cost-effectiveness (the cost of preventing one death - 148.8 thousand rubles. The cost/effectiveness ratio in the analysis for the period of survival of patients in this situation was 31.3 thousand rubles for 1 additional year of life. Life expectancy will be increased by an average of 0.147 years. Analysis for the period of survival of 50-year-old patients has shown that in patients after cardiac surgery cost-effectiveness of varenicline is extremely high (in the analysis from the perspective of the health care system the cost/effectiveness ratio was 36.0 thousand rubles for 1 additional year of life, in the analysis, taking into account the social perspective – 17.9 thousand rubles for 1 additional year of life. Increase in the life expectancy of 50 year-old patients will be 0.291 year in average. Conclusion. Varenicline therapy of patients with angina pectoris is the economy before cardiac surgery , and after their execution, and this applies not only young, but older patients. The desirability of varenicline including to federal and regional programs to reduce cardiovascular morbidity and mortality is shown.

  15. [The treatment of chronic stable angina with isradipine. A cooperative Latin American study].

    Science.gov (United States)

    Román, O; Alcocer, L; Espinoza, J; Arcos, R; Gómez, G; Mayorga, E; Buzzi, A; Tavella, N; Romero, C; Kuster, F

    1991-04-01

    In order to study the efficacy and tolerance of isradipine, a new Ca++ antagonist for the treatment of stable chronic angina, a multicentric cooperative study was carried out in eight Latin American countries (Argentine, Chile, Colombia, Ecuador, Mexico, Peru, Uruguay and Venezuela), which included 169 patients (60% men and 40% women), average age 62.6 +/- 9.7. Patients with more than 4 biweekly anginal crisis were accepted, with one or more of the following inclusion criteria: coronariographic evidence of obstruction greater than 60% in one or more vessels, IAM history, positive scintigraphy and positive effort test. The trial was single-blind, with placebo during the admission phase (2 weeks) and active treatment for 12 weeks. isradipine was administered in increasing doses of 2.5, 5, and 7 mg thrice a day, according to the presence or absence of anginal crisis. It was observed that the average frequency of weekly pains decreased from 8.2 +/- 7 under placebo to 6.3 +/- 7.5 under isradipine at low doses, and to 2.0 +/- 2.0 (p less than 0.001) under maximum doses. TNT intake decreased parallel also in a significant way. At the end of the trial, 37% of patients had become asymptomatic, and angina had reduced to less than two crisis a week in 33%. A clear relation doses-effect was observed. There was no alteration in laboratory exams neither in ECG. Seven patients had complications derived from the evolutional course of disease (2 IAM, 5 unstable angina and one sudden death). Adverse events were relatively frequent and the majority derived from vasodilator effect (tibial oedema 37%, flushing 17%, headache 23%).(ABSTRACT TRUNCATED AT 250 WORDS) PMID:1829846

  16. PHARMACOECONOMIC ASPECTS OF NICOTINE ADDICTION TREATMENT IN PATIENTS WITH ANGINA REQUIRING CARDIAC SURGERY

    Directory of Open Access Journals (Sweden)

    A. V. Rudakova

    2015-12-01

    Full Text Available Smoking is a major risk factor in patients with angina pectoris. Interventions that facilitate the rejection of it are an important part of the treatment. Aim. To analyze the cost effectiveness of the partial agonist of nicotinic receptors, varenicline, in patients with angina who require cardiac interventions. Material and methods. The estimation was conducted using a Markov model based on the results of clinical trials and epidemiological studies. The cost of treatment of complications were calculated on the basis of compulsory medical insurance rates for St. Petersburg in 2011. Results. The varenicline therapy in 70-year-old patients before cardiac surgery reduces hospital mortality at an extremely high cost-effectiveness (the cost of preventing one death - 148.8 thousand rubles. The cost/effectiveness ratio in the analysis for the period of survival of patients in this situation was 31.3 thousand rubles for 1 additional year of life. Life expectancy will be increased by an average of 0.147 years. Analysis for the period of survival of 50-year-old patients has shown that in patients after cardiac surgery cost-effectiveness of varenicline is extremely high (in the analysis from the perspective of the health care system the cost/effectiveness ratio was 36.0 thousand rubles for 1 additional year of life, in the analysis, taking into account the social perspective – 17.9 thousand rubles for 1 additional year of life. Increase in the life expectancy of 50 year-old patients will be 0.291 year in average. Conclusion. Varenicline therapy of patients with angina pectoris is the economy before cardiac surgery , and after their execution, and this applies not only young, but older patients. The desirability of varenicline including to federal and regional programs to reduce cardiovascular morbidity and mortality is shown.

  17. Diagnostic Value of Spiral on Kidney Angina%螺旋CT对肾绞痛的诊断价值

    Institute of Scientific and Technical Information of China (English)

    杨泽年; 张婷

    2003-01-01

    Objective Study the three methods' diacrisis value:X ray sheet of kidney angina cause of urinary calculus,vein renal pelvis contrast and spiral CT. Method Look back on and study 50 clinical kidney angina patients who have taken X ray sheet,or vein renal pelvis contrast, or spiral CT treatment. Compare those three methods and find the calculus positive rate and the areas of calculus frequently happening. Result X ray sheet finds that the calculus positive rate is 58%. Vein renal pelvis contrast finds that the calculus positive rate is 74%. Spiral CT finds that the calculus positive rate is 96% .All the calculus leans to appearing at the hypo - segment of ureter. And the Same - side kidney gets dropsy of different degree.Conclusion Urinary calculus, especially ureter hypo - segment calculus is the main cause of kidney angina. And spiral CT scanning is the best way to find calculus.

  18. Arteriosclerotic coronary arterial aneurysms in a 49-year-old man with crescendo angina: family history, natural course and prevalence.

    Science.gov (United States)

    Schneider, K W; Jesse, R; Deeg, P

    1977-01-01

    In a 49-year-old man with crescendo angina, elevated serum cholesterol level and an old posterior myocardial infarction, selective coronary arteriography showed multiple arteriosclerotic aneurysms of the right coronary artery associated with extensive and severe arteriosclerotic disease of the left coronary artery. The patient's mother and brother have both died of a myocardial infarction. Another brother suffers from angina and has documented arteriosclerotic coronary artery disease. Two sisters suffer from angina as well. The possibility of embolization of distal vessels from a friable clot of the aneurysms as a cause of the patient's infarction is discussed. To the best of our knowledge, this is the tenth patient with nonfistulous arteriosclerotic coronary artery aneurysm diagnosed and documented angiographically ante mortem. Including the present case and reviewing the literature, the prevalence of this condition among nonfistulous coronary aneurysms diagnosed ante mortem is 35 per cent and henceforth cannot be regarded as an incidental autopsy finding in cardiac asymptomatic patients.

  19. Association between thyroid dysfunction and incidence of atrial fibrillation in patients with stable angina pectoris

    Institute of Scientific and Technical Information of China (English)

    徐予

    2014-01-01

    Objective To explore the correlation between incidence of atrial fibrillation(AF)and thyroid dysfunction.Methods Patients with stable angina pectoris with thyroid function test results hospitalized at Fuwai Hospital from2011 Jan to 2011 Dec were included in this analysis(n=2 541).General clinical data and related biochemical parameters were analyzed.We divided patients into 5subgroups according to TSH levels:<0.55 mI U/L(n=105),0.55-2.49 mI U/L(n=1 599),2.50-4.77

  20. Comparing systems for costing hospital treatments. The case of stable angina pectoris.

    Science.gov (United States)

    Larsen, Jytte; Skjoldborg, Ulla Slothuus

    2004-03-01

    This paper demonstrates the basic properties in the systems most commonly considered for costing treatments in the Danish hospitals. The differences between the traditional charge system, the DRG system and the ABC system are analysed, and difficulties encountered in comparing these systems are discussed. A sample of patients diagnosed with stable angina pectoris (SAP) at Odense University Hospital was used to compare the three systems when costing an entire treatment path, costing single hospitalisations and studying the effects of length of stay. Furthermore, it is illustrated that the main idea behind each system is reflected in how the systems over- or underestimate costs. Implications when managing the hospitals, particularly reimbursement, are discussed.

  1. Cardiac arrest after sugammadex administration in a patient with variant angina: a case report

    Science.gov (United States)

    Kim, Yong Han; Kang, Eunsu; Lee, Byeong-Cheol; Lee, Sujung

    2016-01-01

    A 76-year-old man with no notable medical history was scheduled for a robot-assisted radical prostatectomy. After the operation, he was given sugammadex. Two minutes later, ventricular premature contraction bigeminy began, followed by cardiac arrest. Cardiac arrest occurred three times and cardiopulmonary resuscitation was done. The patient recovered after the third cardiopulmonary resuscitation and was transferred to the intensive care unit. Coronary angiography was done on postoperative day 1. The patient was diagnosed with variant angina and discharged uneventfully on postoperative day 8.

  2. Chest pain after percutaneous coronary intervention in patients with stable angina

    Directory of Open Access Journals (Sweden)

    Chang CC

    2016-08-01

    Full Text Available Chao-Chien Chang,1–3 Yueh-Chung Chen,4,5 Eng-Thiam Ong,1 Wei-Cheng Chen,1 Chia-Hsiu Chang,1 Kuan-Jen Chen,1 Cheng-Wen Chiang1 1Division of Cardiology, Department of Internal Medicine, Cathay General Hospital, Taipei, Taiwan, ROC; 2Graduate Institute of Medical Sciences, Taipei Medical University, Taipei, Taiwan, ROC; 3Department of Pharmacology, Taipei Medical University, Taipei, Taiwan, ROC; 4Division of Cardiology, Department of Internal Medicine, Taipei City Hospital Ren-Ai branch, Taipai, Taiwan, ROC; 5Graduate Institute of Medical Sciences, National Defense Medical Center, Taipei, Taiwan, ROC Background: Percutaneous coronary intervention (PCI has been widely used to treat acute coronary syndrome but is only recommended as an additional treatment to medical therapy and risk modification in patients with refractory or progressing angina. The number of PCI in this patient population is still increasing. Post-PCI chest pain (PPCP is one of the common problems of PCI. Its presentation and causes in patients with stable angina are poorly understood.Patients and methods: This study retrospectively collected clinical information of 167 patients who had stable angina and underwent elective PCI, including 70 patients with PPCP 24 hours after procedure and 97 patients without PPCP. The incidence and predictors of PPCP were analyzed.Results: The incidence of PPCP was 41.9% (70/167. Compared with non-PPCP patients, PPCP patients had more abnormal post-PCI electrocardiogram (ECG changes (new Q-waves, ST-segment shifts, or T-waves inversion and serum cardiac troponin I (cTnI elevation, more PCI vessels, and stent placement (all P<0.05. More PPCP patients required repeat revascularization than non-PPCP patients after PCI (P=0.043. PPCP was correlated with abnormal post-PCI ECG changes (P<0.0001, cTnI elevation (P<0.0001, post-PCI serum level of cTnI (P<0.0001, number of stents placed (P=0.009, and pre-PCI cTnI level (P=0.049. The strongest predictors of

  3. Reduction of recurrent ischemia with abciximab during continuous ECG-ischemia monitoring in patients with unstable angina refractory to standard treatment (CAPTURE)

    NARCIS (Netherlands)

    S. Meij (Simon); R. Melkert (Rein); T. Lenderink (Timo); M.L. Simoons (Maarten); A.P.J. Klootwijk (Peter)

    1998-01-01

    textabstractBACKGROUND: In the CAPTURE (c7E3 Fab Anti Platelet Therapy in Unstable REfractory angina) trial, 1265 patients with refractory unstable angina were treated with abciximab or placebo, in addition to standard treatment from 16 to 24 hours preceding coronary intervention t

  4. Dual left anterior descending coronary artery from right aortic sinus: report of a case of recurrent unstable angina after CABG.

    Science.gov (United States)

    Formica, Francesco; Corti, Fabrizio; Colombo, Virgilio; Monica, Gionali; Paolini, Giovanni

    2005-01-01

    Anomalies of the left coronary artery are very rare, with an incidence range between .3% and 1.64%. The diagnosis is generally incidental during coronary angiogram, coronary artery bypass operation, or autopsy. However, sometimes this anomaly is not recognized during CABG operation and can be responsible for the recurrence of angina after CABG operation and even compromise the outcome. We presented a case in which the dual left anterior coronary artery from the right aortic sinus occasionally was shown in a coronary angiogram after CABG operation; the angiogram was performed because of the recurrence of angina.

  5. Coronary Microvascular Function and Cardiovascular Risk Factors in Women With Angina Pectoris and No Obstructive Coronary Artery Disease

    DEFF Research Database (Denmark)

    Mygind, Naja Dam; Michelsen, Marie Mide; Pena, Adam;

    2016-01-01

    microvascular dysfunction and the association with symptoms, cardiovascular risk factors, psychosocial factors, and results from diagnostic stress testing. METHODS AND RESULTS: After screening 3568 women, 963 women with angina-like chest pain and a diagnostic coronary angiogram without significant coronary......BACKGROUND: The majority of women with angina-like chest pain have no obstructive coronary artery disease when evaluated with coronary angiography. Coronary microvascular dysfunction is a possible explanation and associated with a poor prognosis. This study evaluated the prevalence of coronary.......01), hypertension (P=0.02), current smoking (Pstress testing...

  6. The effects of spinal cord stimulation on quality of life in patients with therapeutically chronic refractory angina pectoris

    OpenAIRE

    Vulink, NCC; Jessurun, GAJ; TenVaarwerk, IAM; Kropmans, TJB; van der Schans, CP; Middel, B; Staal, MJ; DeJongste, MJL; Hessurun, G.A.J.

    1999-01-01

    Objective. For patients with refractory angina pectoris, spinal cord stimulation (SCS) is a beneficial and safe adjuvant therapy. However, it has not yet been established whether SCS alters the quality of life (QoL) in these patients. Methods. In this study, 26 consecutive patients (age 61.3 +/- 7.0 years, 13 females, angina duration 12.7 +/- 6.0 years) were recruited. Social, mental, and physical aspects of QoL were determined by Nottingham Health Profile (NHP I), depression scale (CES-D), s...

  7. Management of stable angina: A commentary on the European Society of Cardiology guidelines.

    Science.gov (United States)

    Ambrosio, Giuseppe; Komajda, Michel; Mugelli, Alessandro; Lopez-Sendón, José; Tamargo, Juan; Camm, John

    2016-09-01

    In 2013 the European Society of Cardiology (ESC) released new guidelines on the management of stable coronary artery disease. These guidelines update and replace the previous ESC guidelines on the management of stable angina pectoris, issued in 2006. There are several new aspects in the 2013 ESC guidelines compared with the 2006 version. This opinion paper provides an in-depth interpretation of the ESC guidelines with regard to these issues, to help physicians in making evidence-based therapeutic choices in their routine clinical practice. The first new element is the definition of stable coronary artery disease itself, which has now broadened from a 'simple' symptom, angina pectoris, to a more complex disease that can even be asymptomatic. In the first-line setting, the major changes in the new guidelines are the upgrading of calcium channel blockers, the distinction between dihydropyridines and non-dihydropyridine calcium channel blockers, and the presence of important statements regarding the combination of calcium channel blockers with beta-blockers. In the second-line setting, the 2013 ESC guidelines recommend the addition of long-acting nitrates, ivabradine, nicorandil or ranolazine to first-line agents. Trimetazidine may also be considered. However, no clear distinction is made among different second-line drugs, despite different quality of evidence in favour of these agents. For example, the use of ranolazine is supported by strong and recent evidence, while data supporting the use of the traditional agents appear relatively scanty. PMID:27222385

  8. RE-EVALUATION OF THE MECHANISM AND TREATMENT OF ANGINA DECUBITUS

    Institute of Scientific and Technical Information of China (English)

    陈纪林; 陈在嘉; 徐义枢; 高润霖; 寇文蓉; 姚康宝; 于全俊; 陶寿琪

    1996-01-01

    30 patients with angina decubittus(AD) were studied during hospitalization. These patients were found to have severe coronary artery obstructive lesions and an increase of myocardial oxygen consumption (MOC) before the onset to AD, indicating that AD belongs to the category of effort angina. 18 patients were investigated by continuous hemodynamic mordtoring. Three patients had significant increase in pulmonary artery diastolic pressure (PADP) before the onset. In the other 15 patients, PADP increased slightly in J2 and remained unchanged in 3 cases before the onset. Left ventriculography showed ejection fraction (EF))45% in 25 of the 27 patients. These results indicate that left ventricular (LV) systolic dysfunction is not a major factor in the pathogenesis of AD. The patients with LVEDP>12 mmHg constituted 60% of 25 patients with EF)45%, suggesting that these patients had obvious LV diastolic dysfunction, which may he the major factor in the pathogenesis of AD. According to the results of our treatment, Beta blockers may be used as the major form of treatment in the patients with AD.

  9. An Overview of Meta-Analyses of Danhong Injection for Unstable Angina

    Directory of Open Access Journals (Sweden)

    Xiaoxia Zhang

    2015-01-01

    Full Text Available Objective. To systematically collect evidence and evaluate the effects of Danhong injection (DHI for unstable angina (UA. Methods. A comprehensive search was conducted in seven electronic databases up to January 2015. The methodological and reporting quality of included studies was assessed by using AMSTAR and PRISMA. Result. Five articles were included. The conclusions suggest that DHI plus conventional medicine treatment was effective for UA pectoris treatment, could alleviate symptoms of angina and ameliorate electrocardiograms. Flaws of the original studies and systematic reviews weaken the strength of evidence. Limitations of the methodology quality include performing an incomprehensive literature search, lacking detailed characteristics, ignoring clinical heterogeneity, and not assessing publication bias and other forms of bias. The flaws of reporting systematic reviews included the following: not providing a structured summary, no standardized search strategy. For the pooled findings, researchers took statistical heterogeneity into consideration, but clinical and methodology heterogeneity were ignored. Conclusion. DHI plus conventional medicine treatment generally appears to be effective for UA treatment. However, the evidence is not hard enough due to methodological flaws in original clinical trials and systematic reviews. Furthermore, rigorous designed randomized controlled trials are also needed. The methodology and reporting quality of systematic reviews should be improved.

  10. Servicios farmacéuticos en la atención primaria en salud

    OpenAIRE

    Rafael Mota PINHEIRO

    2010-01-01

    Este artigo aborda las bases políticas y conceptuales de la atención farmacéutica en el Brasil, a partir de las definiciones básicas de los términos relacionados con el cuidado a la salud. Enfoca la relación y el papel de la atención farmacéutica con la atención primaria, y los principales retos e factores críticos.

  11. Cardiac troponin T and CK-MB mass release after visually successful percutaneous transluminal coronary angioplasty in stable angina pectoris

    DEFF Research Database (Denmark)

    Ravkilde, J; Nissen, H; Mickley, H;

    1994-01-01

    The incidence of cardiac troponin T (Tn-T) and creatine kinase (CK) isoenzyme MB mass release was studied in 23 patients with stable angina pectoris undergoing visually successful percutaneous transluminal coronary angioplasty (PTCA). Serial blood samples were drawn for measurement of serum Tn-T,...

  12. Infuences of Previous Angina Pectoris on Coronary Collateral Circulation and Left Ventricular Function in Patients with Acute Myocardial Infarction

    Institute of Scientific and Technical Information of China (English)

    罗初凡; 杜志民; 胡承恒; 梅卫义; 伍贵富; 李怡; 马虹

    2001-01-01

    Objective To investigate the influences of previous angina pectoris on coronary collateral circulation and left ventricular function in patients with acute myocardial infarction. Methods 307 patients with a first episode acute myocardial infarction underwent selective coronary angiography and left ventriculography. The relation of previous angina pectoris to coronary collateral circulation, peak creatine kinase and left ventricular function were analyzed.Results ① In the 307 patients, there were 192(62.5 % ) with previous angina [PA ( + ) group] and 115 (37.5 % ) without [PA ( - ) group]. ②The peak creatine kinase (CK) and CK- MB were significantly higher in PA (-) group than in PA (+) group ( P < 0.05 for both comparisons) . ③ Collateral circulation to infarct- related artery was more likely to be present in PA (+) group than in PA (-) group ( P < 0.05) . ④ The left ventricular ejection fraction was significantly increased, and the left ventricular wall motion Cortina score decreased, in PA ( + ) group than in PA ( - ) group ( P < 0.01 for both comparisons) .Conclusion In patients with acute myocardial infarction, previous angina pectoris may have beneficial effects on coronary collateral circulation and left ventricular unction.

  13. Creatine kinase and creatine kinase subunit-B in coronary sinus blood in pacing-induced angina pectoris

    DEFF Research Database (Denmark)

    Bagger, J P; Ingerslev, J; Heinsvig, E M

    1982-01-01

    In nine out of 10 patients with angiographic documented coronary artery disease, pacing-induced angina pectoris provoked myocardial production of lactate, whereas no significant release of either creatine kinase or creatine kinase subunit-B to coronary sinus and peripheral venous blood could be...

  14. STIMULATION CHARACTERISTICS, COMPLICATIONS, AND EFFICACY OF SPINAL-CORD STIMULATION SYSTEMS IN PATIENTS WITH REFRACTORY ANGINA - A PROSPECTIVE FEASIBILITY STUDY

    NARCIS (Netherlands)

    DEJONGSTE, MJL; NAGELKERKE, D; HOOYSCHUUR, CM; JOURNEE, HL; MEYLER, PWJ; STAAL, MJ; DEJONGE, P; LIE, KI

    1994-01-01

    Objectives: In a prospective study with a 1-year follow-up we evaluated: (1) the feasibility of a method for the adjustment of spinal cord stimulator (SCS) parameters, (2) complications of SCS, and (3) efficacy of SCS. Methods: In patients receiving an SCS for severe angina unresponsive to standard

  15. Spinal cord stimulation in the treatment of refractory angina : systematic review and meta-analysis of randomised controlled trials

    NARCIS (Netherlands)

    Taylor, Rod S.; De Vries, Jessica; Buchser, Eric; DeJongste, Mike J. L.

    2009-01-01

    Background: The aim of this paper was undertake a systematic review and meta-analysis of the use of spinal cord stimulation ( SCS) in the management of refractory angina. Methods: We searched a number of electronic databases including Medline, Embase and Cochrane Library up to February 2008 to ident

  16. Value of the addition of Amlodipine to atenolol in patients with angina pectoris despite adequate beta blockade

    NARCIS (Netherlands)

    Dunselman, PHJM; Bouwens, LHM; Herweijer, AH; Bernink, PJLM

    1998-01-01

    Anginal patients who remain symptomatic despite optimally dosed beta blockade may also be given dihydropyridine calcium antagonists. This treatment regimen was examined in a double-blind parallel, randomized, controlled study in 147 patients with angina and positive bicycle exercise tests despite op

  17. Electrical neuromodulation improves myocardial perfusion and ameliorates refractory angina pectoris in patients with syndrome X : fad or future?

    NARCIS (Netherlands)

    Jessurun, G; Hautvast, RWM; Tio, RA; DeJongste, M

    2003-01-01

    At present, there is no reliable antianginal drug therapy for patients with cardiac syndrome X. Therefore, the effect of electrical neuromodulation on refractory angina pectoris and myocardial perfusion in cardiac syndrome X was assessed. Eight patients (aged 55 +/- 7 years) with heterogeneous myoca

  18. The effects of spinal cord stimulation on quality of life in patients with therapeutically chronic refractory angina pectoris

    NARCIS (Netherlands)

    Vulink, NCC; Jessurun, GAJ; TenVaarwerk, IAM; Kropmans, TJB; van der Schans, CP; Middel, B; Staal, MJ; DeJongste, MJL; Hessurun, G.A.J.

    1999-01-01

    Objective. For patients with refractory angina pectoris, spinal cord stimulation (SCS) is a beneficial and safe adjuvant therapy. However, it has not yet been established whether SCS alters the quality of life (QoL) in these patients. Methods. In this study, 26 consecutive patients (age 61.3 +/- 7.0

  19. Ludwig's angina

    Science.gov (United States)

    ... the emergency room or call your local emergency number (such as 911) right away. Call your health care provider if you have symptoms of this condition, or if symptoms do not get better after treatment. Prevention Visit the dentist for regular checkups. Treat symptoms of mouth or ...

  20. Angina - discharge

    Science.gov (United States)

    ... Avoid salty and fatty foods. Stay away from fast-food restaurants. Your doctor can refer you to a ... Controlling your high blood pressure Dietary fats explained Fast food tips Heart attack - discharge Heart attack - what to ...

  1. Unstable Angina

    Science.gov (United States)

    ... Privacy Policy What's Your Risk? Heart Attack Risk Assessment Determine your risk of having a heart attack or dying from coronary heart disease and get a report to discuss with your healthcare provider. Determine your risk of having a heart ...

  2. Microvascular Angina

    Science.gov (United States)

    ... Privacy Policy What's Your Risk? Heart Attack Risk Assessment Determine your risk of having a heart attack or dying from coronary heart disease and get a report to discuss with your healthcare provider. Determine your risk of having a heart ...

  3. Evaluation of the Add-On Effect of Chinese Patent Medicine for Patients with Stable or Unstable Angina: A Systematic Review and Meta-Analysis

    Directory of Open Access Journals (Sweden)

    Chen Mao

    2013-01-01

    Full Text Available Chinese herbal medicine (CHM has been widely used as an adjunct to western medicine in treating angina in China. We carried out this systematic review to evaluate the effectiveness of CHM on top of western medicine for angina. This meta-analysis included 46 randomized control trials with 4212 patients. For trials that included stable angina patients, the CHM group had significant lower incidence of total heart events (relative risk (RR=0.50, 95% confidence interval (CI 0.33–0.78, myocardial infarction (RR=0.32, 95% CI 0.14–0.72, heart failure (RR=0.37, 95% CI 0.15–0.91, and angina (RR=0.46, 95% CI 0.30–0.71 than that of control group. For trials that included unstable angina patients, CHM led to significantly lower occurrence of total heart events (RR=0.46, 95% CI 0.32–0.66, myocardial infarction (RR=0.37, 95% CI 0.26–0.54, and angina (RR=0.36, 95%CI 0.26–0.51. Likewise, for trials that included stable or unstable angina patients, the rates of myocardial infarction (RR=0.34, 95% CI 0.17–0.68 and angina (RR=0.46, 95% CI 0.30–0.70 in CHM group were significantly lower than that in control group. In conclusion, CHM is very likely to be able to improve the survival of angina patients who are already receiving western medicine.

  4. Nitrate-Induced Headache in Patients with Stable Angina Pectoris: Beneficial Effect of Starting on a Low Dosage.

    Science.gov (United States)

    Cleophas, Ton J.M.; Niemeyer, Menco G.; van Der Wall, Ernst E.

    1996-12-01

    BACKGROUND: Nitrates, although important for the management of angina pectoris, cause significant headache in many patients. METHODS: In a randomized, double-blind crossover study, 89 patients with stable angina pectoris were used to compare two different dosage strategies of isosorbide-5-mononitrate (5-ISMN). Patients were randomized to either 60 mg 5-ISMN once daily (o.d.) for 2 weeks or 30 mg 5-ISMN o.d. for 1 week followed by 60 mg 5-ISMN o.d. for 1 week. A 2-week placebo wash-out ensued, after which the alternative treatment was given. We assessed the occurrence of angina pectoris and headache by diary cards while taking into account the numbers of isosorbide dinitrate sublingual puffs and paracetamole tables required. Data were assessed for carryover and time effects. RESULTS: The two dosage regimens were equally efficient for the relief of angina pectoris without development of tolerance. Thirty percent of the patients never experienced headache from the given dosages. The remainder showed a highly significant time-effect: The total numbers of headache attacks in the 1st period of active treatment were 2,380 vs 1,400 attacks is the 2nd period (p < 0.003), yet significantly fewer patients had headaches on low dosages than high ones (45 vs 57, p < 0.02). CONCLUSIONS: Starting on a low dosage was associated with reduced frequency and severity of headache and did not notably influence the beneficial effect of nitrates on angina pectoris. One in three patients never experienced headache from the given dosages. The overall number of headache attacks in the 1st period of active treatment was significantly higher than that of the 2nd period, irrespective of the dosages given. PMID:11862241

  5. Evaluation of the Add-On Effect of Chinese Patent Medicine for Patients with Stable or Unstable Angina: A Systematic Review and Meta-Analysis

    OpenAIRE

    Chen Mao; Vincent C H Chung; Jin-Qiu Yuan; Yuan-Yuan Yu; Zu-Yao Yang; Xin-Yin Wu; Jin-Ling Tang

    2013-01-01

    Chinese herbal medicine (CHM) has been widely used as an adjunct to western medicine in treating angina in China. We carried out this systematic review to evaluate the effectiveness of CHM on top of western medicine for angina. This meta-analysis included 46 randomized control trials with 4212 patients. For trials that included stable angina patients, the CHM group had significant lower incidence of total heart events (relative risk (RR) = 0.50, 95% confidence interval (CI) 0.33–0.78), myocar...

  6. Comparing systems for costing hospital treatments. The case of stable angina pectoris.

    Science.gov (United States)

    Larsen, Jytte; Skjoldborg, Ulla Slothuus

    2004-03-01

    This paper demonstrates the basic properties in the systems most commonly considered for costing treatments in the Danish hospitals. The differences between the traditional charge system, the DRG system and the ABC system are analysed, and difficulties encountered in comparing these systems are discussed. A sample of patients diagnosed with stable angina pectoris (SAP) at Odense University Hospital was used to compare the three systems when costing an entire treatment path, costing single hospitalisations and studying the effects of length of stay. Furthermore, it is illustrated that the main idea behind each system is reflected in how the systems over- or underestimate costs. Implications when managing the hospitals, particularly reimbursement, are discussed. PMID:15036817

  7. Effects on costs of frontline diagnostic evaluation in patients suspected of angina

    DEFF Research Database (Denmark)

    Nielsen, Lene H; Olsen, Jens; Markenvard, John;

    2012-01-01

    associated with downstream diagnostic utilization (DTU), treatment, ambulatory visits, and hospitalizations were registered. There was no difference between cohorts in demographic characteristics or the pre-test probability of significant CAD. The mean (SD) age was 56 (11) years; 52% were men; and 96% were......AIMS: The aim of this study was to investigate in patients with stable angina the effects on costs of frontline diagnostics by exercise-stress testing (ex-test) vs. coronary computed tomography angiography (CTA). METHODS AND RESULTS: In two coronary units at Lillebaelt Hospital, Denmark, 498...... patients were identified in whom either ex-test (n = 247) or CTA (n = 251) were applied as the frontline diagnostic strategy in symptomatic patients with a low-intermediate pre-test probability of coronary artery disease (CAD). During 12 months of follow-up, death, myocardial infarction and costs...

  8. Psychophysical rehabilitation aspects of patient with coronary heart disease and Angina.

    Directory of Open Access Journals (Sweden)

    Mohammed Ali Khaleel.

    2012-03-01

    Full Text Available It is analyzed scientific and methodological literature, considered the views of scientists on the link of stress and cardiovascular diseases. It is determined causes of stress, with recommendations for combating stress and its prevention. A program of rehabilitation for patients with coronary artery disease after hospital discharge is shown. The experiment involved 88 patients of coronary heart disease and angina, II and III functional class at the age of 40-65 years. Participants were divided into two groups the main and control. The control group performed a program of physical rehabilitation, including breathing and physical exercises, in the program we have added to the main group autogenic exercises. At the end the experiment revealed that the health indicators of main group better than the control group in 23%.

  9. Serum Adenosine deaminase activity and C-reactive protein levels in unstable angina

    Directory of Open Access Journals (Sweden)

    Rani Surekha

    2003-01-01

    Full Text Available In unstable angina (USA patients, immunological responses contributing to inflammation play a vital role in plaque rupture and thrombosis causing stroke. In the present study an attempt is made to estimate the levels of adenosine deaminase activity, an immunoenzyme marker and C-reactive protein, a marker of inflammation in USA patients. 45 patients presenting USA and 50 age and sex matched healthy controls were included in the study. Serum ADA activity was measured spectrophotometrically at 630nm and serum C-reactive protein was detected using Avitex CRP kit, which is a rapid latex agglutination test. The Mean ADA levels were 41.15 ± 11.04 in patients and 20.71±5.63 in controls and 66.6% of patients and none of the controls were positive to CRP. The present study observed the importance of ADA as a serum marker in addition to CRP for assessing the immune response in USA patients.

  10. Diagnosis of Unstable Angina Pectoris Has Declined Markedly with the Advent of More Sensitive Troponin Assays

    DEFF Research Database (Denmark)

    D'Souza, Maria; Sarkisian, Laura; Saaby, Lotte;

    2015-01-01

    BACKGROUND: Since the arrival of the universal definition of myocardial infarction more sensitive troponin assays have been developed. How these occurrences have influenced the proportions and clinical features of the components of acute coronary syndrome have not been studied prospectively...... in unselected hospital patients. METHODS: During 2010 we evaluated all patients in whom cardiac troponin I had been measured at a single university hospital. The diagnosis of acute myocardial infarction (ST-elevation myocardial infarction [STEMI] or non-ST-elevation myocardial infarction [NSTEMI......]) was established in cases of a rise and/or fall of cardiac troponin I together with cardiac ischemic features. Patients with unstable chest discomfort and cardiac troponin I values below the decision limit of myocardial infarction were diagnosed as having unstable angina pectoris. The definition of acute coronary...

  11. SERUM LEVELS OF VASCULAR ENDOTHELIAL GROWTH FACTOR IN PATIENTS WITH ANGINA PECTORIS AND ACUTE MYOCARDIAL INFARCTION

    Institute of Scientific and Technical Information of China (English)

    尹瑞兴; 冯建章; 陈旦红; 乌汉东

    2000-01-01

    Objective. To determine whether serum vascular endothelial growth factor(VEGF)concentrations are altered in several kinds of coronary heart disease patients. Materials and methods. Using a VEGF enzyme-linked immunosorbent assay(ELISA), serum VEGF concentra tions were determined in antecubital venous blood of 16 patients with stable angina pectoris(SAP), 16 with unstable angina pectoris(UAP) and 16 with acute myocardial infarction(AMI) before and after thrombolytic therapy, and of 16 age and sex-matched healthy volunteers who used as controls. Results. The concentrations of serum VEGF in patients with SAP(98.60 ± 26.99pg/ml) and UAP (103.61 ± 24.89pg/ml) tended to be higher than those in control subjects(80.44 ± 24.57pg/ml), but the differences did not reach statistical significance (P > 0.05 for each). Before throm bolytic therapy, the concentrations of serum VEGF in patients with AMI (285.92 ± 125.15pg/ml) were significantly higher than those in patients with SAP, UAP or control subjects ( P < 0.01 ,respectively), and correlated with synchronous serum creatine kinase (CK) and its MB isoenzyme (CK-MB) contents(r=0.866, P < 0.001 and r =0.948,P < 0.001;respectively). Three hours after thrombolysis, the concentrations of VEGF had fallen to 111.57 ± 31.29pg/ml ( P <0.01 vs. before thrombolytic therapy and P< 0.05 vs .control subjects). Conclusion. The present study shows that serum concentrations of VEGF in patients with AMI are markedly ele vated and that increased serum VEGF levels may be one of the most sensitive indexes in diagnosing AMI and judging reperfusion.

  12. SERUM LEVELS OF VASCULAR ENDOTHELIAL GROWTH FACTOR IN PATIENTS WITH ANGINA PECTORIS AND ACUTE MYOCARDIAL INFARCTION

    Institute of Scientific and Technical Information of China (English)

    尹瑞兴; 冯建章; 陈旦红; 乌汉东

    2000-01-01

    Objective. To determine whether serum vascular endothelial growth factor (VEGF) concontrafions are altered in several kinds of coronary heart disease patients. Materials and methods. Using a VEGF enzyme-linked immunosorbent assay (ELISA), serum VEGF concemra-tions were determined in anteotbital venous blood of 16 patients with stable angina pectoris(SAP), 16 with unstable angina pectoris(UAP) and 16 with acute myocardial infarcfion (AMI) before and after thrombolytic therapy, and d 16 age- and sex-matched healthy volunteers who used as controls. Results. The concentrations of serum VEGF in patients with SAP(98.60 ± 26.99pg/ml) and UAP ( 103.61 ± 24.89pg/ml) tended to be higher than those in control subjects(80.44 ± 24.57pg/ml), but the differences did notreach statistical significance ( P > 0.05 for each). Before thrombolyfie therapy, the concentrations of serum VEGF in patients with AM1 (285.92 ± 125.15pg/ml) were significantly higher than those in patients with SAP, UAP or control subjects ( P < 0.01 ,respectively), and correlated with synchronous serum ereafine kinase (CK) and its MB iscenzyme (CK-MB) contents( r = 0.866, P < 0.001 and r = 0.948, P < 0.001 ;respectively). Three hours after thrombolysis,the concentrations of VEGF had fallen to 111.57 ± 31.29pg/ml ( P < 0.01 vs. before thrombelytie therapy and P <0. 05 vs. control subjects). Condusion. The present study shows that serum concentrafiom of VEGF in patients with AMI are markedly ele-vated and that increased serum VEGF levels may be one of the most sensitive indexes in diagnosing AMI and judging reperfnsion.

  13. THE EFFECT OF LEFT VENTRICULAR DIASTOLIC DYSFUNCTION ON THE PATHOGENESIS OF ANGINA DECUBITUS

    Institute of Scientific and Technical Information of China (English)

    陈纪林; 高润霖; 姚康宝; 杨跃进; 秦学文; 乔树宾; 姚民

    2000-01-01

    Objective. To investigate the effect of left veraricular diastolic dysfunction on the pathogenesis of angina decubitus (AD).Methods. The study population consisted of three groups: 20 individuals without cardiovascular disease were studied as group Ⅰ . Group Ⅱ included 20 patents with coronary artery disease and without AD. Thirty-one patients with AD and ejection fraction(EF) > 50% were studied as group Ⅲ. Group Ⅱ and Ⅲ were matched for age, EF and extent of coronary artery disease.Results. Left ventricnlography (LVG) showed that left ventricnlar (LV) first 1/3 filling fraction (1/3FF) was significantly lower in group Ⅲ than in group Ⅱ and Ⅰ (both P <0.001),but LV late 1/3 FF was much higher in group Ⅲ than in group Ⅱ and Ⅰ (P < 0.05, P < 0.01). Left ventricular end-diastohc presstrre(LVEDP) was markedly inereased before and after LVGin group Ⅱ and Ⅲ as compared with group Ⅰ (beth P<0.05, beth P<0.001). The difference of LVEDP caused by left atrial contraction (left atrial contraction pressure difference, LACPD) before and after LVG was much higher in group Ⅲ than in group Ⅰ ( P < 0.01, P < 0.001). Howevere, there were significant differences in LVEDP and in LACPD between before and after LVG only in group Ⅲ (both P < 0.01).Conclusion. The patients with AD have LV diastolic dysfunction, which may be closely related to the pathogen-esis of angina decubitus.

  14. THE EFFECT OF LEFT VENTRICULAR DIASTOLIC DYSFUNCTION ON THE PATHOGENESIS OF ANGINA DECUBITUS

    Institute of Scientific and Technical Information of China (English)

    陈纪林; 高润霖; 姚康宝; 杨跃进; 秦学文; 乔树宾; 姚民

    2000-01-01

    Objective. To investigate the effect of left ventricular diastohc dysfunction on the pathogenesis of angina decubitus (AD). Methods. The study population consisted of three groups: 20 individuals without cardiovascular disease were studied as group Ⅰ . Group Ⅱ included 20 patents with coronary artery disease and without AD. Thirty-one patients with AD and ejection fraction(EF) > 50% were studied as group Ⅲ. Group Ⅱ and Ⅲ were matched for age, EF and extent of coronary artery disease. Results. Left ventriculography (LVG) showed that left ventricular (LV) first 1/3 filling fraction(1/3FF) was significantly lower in group Ⅲ than in group Ⅱ and Ⅰ (both P < 0.001),but LV late 1/3 FF was much higher in group Ⅲ than in group Ⅱ and Ⅰ (P <0.05, P < 0.01). Left ventricular end-diastolic pressure(LVEDP)was markedly increased before and after LVG in group Ⅱ and Ⅲ as compared with group Ⅰ (bothP<0.05, both P< 0.001). The difference of LVEDP caused by left atrial contraction (left atrial contraction pressure difference, LACPD)before and after LVG was much higher in group Ⅲ than in group Ⅰ ( P <0.01, P < 0.001). Howevere,there were significant differences in LVEDP and in LACPD between before and after LVG only in group Ⅲ (both P < 0.01). Conclusion. The patients with AD have LV diastolic dysfunction, which may be closely related to the pathogen esis of angina decubitus.

  15. Significance of silent ischemia in dipyridamole perfusion scintigraphy. Evaluation in patients with angina

    Energy Technology Data Exchange (ETDEWEB)

    Kitaoka, Hiroaki; Takata, Jun; Yamada, Mitsutoshi; Seo, Hiromi; Doi, Yoshinori [Kochi Medical School, Nankoku (Japan)

    1995-07-01

    The significance of silent myocardial ischemia detected by dipyridamole perfusion scintigraphy was evaluated in 80 patients with stable angina and reversible defects (RD) but no infarction. The patients consisted of 26 patients with silent RD and 54 patients with painful RD. There was no significant difference in the incidence of coronary risk factors between the two groups, except for hyperlipidemia which was less frequently observed in patients with silent RD than in those with painful RD (8% vs 41%), Coronary angiography revealed a higher prevalence of insignificant lesions or single vessel disease in patients with silent RD than in those with painful RD (73% vs 39%). Dipyridamole perfusion scintigraphy revealed a lower degree of RD in patients with silent RD than in those with painful RD (4.4{+-}3.3 vs 9.0{+-}4.1 segments), though there was no significant difference in the localization of RD between these two groups. Treadmill stress testing revealed a lower incidence of chest pain in patients with silent RD than in those with painful RD (26% vs 65%), despite the mean exercise-duration being significantly longer in the former than in the latter (5.5{+-}1.7 vs 3.9{+-}11.7 min). Although initial percutaneous transluminal coronary angioplasty (PTCA) and/or coronary artery bypass grafting (CABG) were less frequently performed in patients with silent RD than in those with painful RD (12% vs 31%), there was no significant difference in the cardiac event rate during the mean follow-up period of 24{+-}14 months between the two groups. Patients with stable angina and silent RD on dipyridamole perfusion scintigraphy may have less extensive coronary lesions and smaller amounts of ischemic myocardium than patients with painful RD. Dipyridamole perfusion scintigraphy is useful for detecting and evaluating silent myocardial ischemia, even in those patients who cannot exercise adequately. (J.P.N.).

  16. INFLUENCE OF MILDRONATE ON EFFICIENCY OF ANTIANGINAL THERAPY IN PATIENTS WITH STABLE BURDEN ANGINA

    Directory of Open Access Journals (Sweden)

    N. P. Kutishenko

    2005-01-01

    Full Text Available Aim. To study influence of mildronate (M on treatment efficiency of patients with ischemic heart disease (IHD, receiving standard antianginal therapy (AATMaterials and methods. Double-blind, randomized, placebo-controlled study was carried out in parallel groups. All patients continued the earlier prescribed AAT without changes. After control period (10-14 days was over, randomization of patients either to the treatment group (M 500mg twice per day, or to the control group (placebo (Pl twice per day was made for 6 weeks therapy. Criterion of treatment efficiency: increase in duration of trial with burden on treadmill (TB, decrease in angina attack frequency (AA and reduction in nitroglycerin taking (NTT. TB was carried out at the beginning (TB-1, at the end of the control period (TB-2, and at the end of the treatment (TB-3.Results. TB-1 and TB-2 had good reproducibility, their duration didn’t differ. At the end of the treatment additionally with M, growth in duration of TB-3 (p=0,002 was registered, while there was no growth of TB duration with the Pl treatment (p=0,07. During the treatment decrease in AA number both with M (p=0,002, and with Pl (p=0,02 was noted. With M treatment decrease in NTT treatment (p=0.02 was observed, while NTT with Pl didn’t change (p=0,7. Number of side effects, registered with M and Pl, didn’t differ.Conclusion. Mildronate provides additional benefits for patients with IHD with stable burden angina, when they do not reach desired effect with the prescribed AAT.

  17. Alterations in left ventricular function during therapy of unstable angina pectoris: relationship to clinical outcome

    International Nuclear Information System (INIS)

    We studied 30 consecutive patients with unstable angina during pain-free intervals with gated blood pool scintigraphy. The initial study was performed within 18 hours of admission to the coronary care unit. A second study was performed near the time of hospital discharge, after stabilization with medical therapy. Three months thereafter patients were categorized according to their worst anginal status following hospital discharge. Fifteen patients were New York Heart Association functional class I or II (group A); 15 patients were in functional class III or IV (group B). Left ventricular ejection fraction was similar at the time of initial study (55.9 +/- 2.18% and 56.0 +/- 3.55% for groups A and B respectively). At the time of hospital discharge the ejection fraction had risen to 60.3 +/- 1.85% (p less than 0.01) in group A and in group B it had fallen to 48.1 +/- 3.4% (p less than 0.005). End-systolic volume index in group B rose from 37 ml/m2 +/- 6.1 to 43 +/- 6.2 ml/m2 (p less than 0.005) at the time of the follow-up study. There were no significant intergroup patients during the two scintigraphic examinations. Eleven group B patients subsequently underwent coronary artery bypass surgery. A significant increase in ejection fraction and a significant decrease in end-systolic volume index were noted when these patients were restudied an average of 3.2 months after surgery. This study suggests that changes in left ventricular function during the course of unstable angina pectoris are common and may be detected by serial gated blood pool scintigraphy

  18. Factors Associated with the Types of Heparin used in the Treatment of Unstable Angina at a Brazilian Hospital

    Directory of Open Access Journals (Sweden)

    MARIA AUXILIADORA PARREIRAS MARTINS

    2010-06-01

    Full Text Available

    Unfractionated heparin (UFH and low-molecularweight heparins (LMWHs are widely used in curative and preventive treatments of thromboembolic disorders. The aim of the study was to investigate factors associated with the choice of these types of heparin to treat patients with unstable angina under real conditions of hospital use. A cross-sectional study was performed in a private general hospital in Belo Horizonte, Brazil, from January 1st to December 31th, 2001. Data were collected from the hospital electronic database. Inpatients with angina who received enoxaparin or UFH were included in the survey. Data for 555 patients were recorded, including 401 treated with enoxaparin and 154 with UFH. Univariate analysis showed that male and elderly people predominated in both groups, with no statistical difference in the proportions (p>0.05. Multivariate analysis showed 4 factors associated with the use of enoxaparin: cardiac revascularization surgery (OR=0.434, arrhythmias (OR=9.343, risk factors for coronary artery disease (OR=1.333 and private health insurance (OR=0.297. Thus, clinical and organizational factors were associated with the type of heparin used by patients with unstable angina at this hospital. Further drug utilization studies are necessary to expand and improve the data available on the use of heparins in the hospital setting. Keywords: Hospital pharmacy/assessment. Angina pectoris/treatment. Heparin/prescription. Enoxaparin/prescription. RESUMO Fatores associados com os tipos de heparina usados no tratamento da angina instável em um hospital brasileiro A heparina não-fracionada (HNF e heparinas de baixo peso molecular (HBPM são amplamente utilizadas em tratamentos curativos e preventivos de tromboembolismo. O objetivo do estudo foi investigar os fatores associados com a escolha desses tipos de heparinas para tratar pacientes com angina instável sob as condições reais de uso hospitalar. Trata-se de um

  19. Risk stratification in unstable angina and non-Q wave myocardial infarction using soluble cell adhesion molecules

    Science.gov (United States)

    Mulvihill, N; Foley, J; Murphy, R; Curtin, R; Crean, P; Walsh, M

    2001-01-01

    OBJECTIVE—To assess prospectively the prognostic value of soluble cellular adhesion molecules (CAMs) in patients with unstable angina and non-Q wave myocardial infarction and to compare their prognostic accuracy with that of C reactive protein (CRP).
DESIGN AND SETTING—Prospective observational study of patients presenting acutely with unstable angina and non-Q wave myocardial infarction to a single south Dublin hospital.
METHODS—Patients with Braunwald IIIA unstable angina and non-Q wave myocardial infarction had serum samples taken at presentation before initiation of antithrombotic treatment and were followed for six months. The primary end point was the occurrence of major adverse cardiovascular events (recurrent unstable angina, non-fatal myocardial infarction, and cardiovascular death) at six months. Concentrations of soluble intercellular adhesion molecule-1 (sICAM-1), soluble vascular cell adhesion molecule-1 (sVCAM-1), soluble endothelial selectin, and soluble platelet selectin were measured using an enzyme linked immunosorbent assay technique. CRP was measured with an immunophelometric assay.
RESULTS—91 patients (73 men and 18 women, mean (SD) age 61 (11) years) were studied; 27 patients (30%) had major adverse cardiac events during the six months of follow up. Concentration of CRP were significantly raised in patients who had an ischaemic event (mean (SEM) 11.5 (6.4) mg/l v 5.4 (2.5) mg/l, p  3 mg/l and sVCAM-1 > 780 ng/ml for predicting future events was > 90%. There was no difference in concentrations of sICAM-1, soluble endothelin selectin, or soluble platelet selectin between event and non-event groups.
CONCLUSION—Raised concentrations of sVCAM-1 and CRP are predictive of an increased risk of major adverse cardiovascular events six months after presentation with unstable angina and non-Q wave myocardial infarction. These findings suggest that the intensity of the vascular inflammatory process at the time of

  20. Symptoms of angina pectoris increase the probability of disability pension and premature exit from the workforce even in the absence of obstructive coronary artery disease

    DEFF Research Database (Denmark)

    Jespersen, Lasse; Abildstrøm, Steen Z; Hvelplund, Anders;

    2013-01-01

    To evaluate probabilities of disability pension (DP) and premature exit from the workforce (PEW) in patients with stable angina symptoms and no obstructive coronary artery disease (CAD) at angiography compared with obstructive CAD and asymptomatic reference individuals.......To evaluate probabilities of disability pension (DP) and premature exit from the workforce (PEW) in patients with stable angina symptoms and no obstructive coronary artery disease (CAD) at angiography compared with obstructive CAD and asymptomatic reference individuals....

  1. [Constant-frequency trans-esophageal electric atrial stimulation for evaluation of the severity of illness in patients with stenocardia and the anti-angina effect of erinit].

    Science.gov (United States)

    Gasilin, V S; Sidorenko, B A; Lazarev, I A; Smirnov, M Iu

    1990-12-01

    Constant-frequency transesophageal atrial pacing was used in 87 patients with coronary heart disease concurrent with stable angina pectoris of various functional classes (I-IV). This technique, as a bicycle ergometric test, allows one to assess the functional class of patients with angina and to ascertain the antianginal effect of agents, which was exemplified by erinit given in doses of 80 and 120 mg.

  2. Alternativas en la enseñanza de las Matemáticas en la Educación Primaria

    OpenAIRE

    Fernández Verdú, Ceneida; Llinares Ciscar, Salvador

    2015-01-01

    Este libro presenta alternativas a la enseñanza de las Matemáticas en la Educación Primaria desarrolladas por estudiantes para maestro en la asignatura optativa “Taller de Matemáticas en Educación Primaria” del Grado de Maestro en Educación Primaria de la Universidad de Alicante durante el curso 2013/14. La idea que subyace a este planteamiento es que los estudiantes para maestro pueden aprender a desarrollar formas alternativas de enseñar matemáticas para implicar a los niños y niñas en su a...

  3. Diseño y validación de instrumento para evaluar coordinación motriz en primaria

    OpenAIRE

    Cenizo Benjumea, J. M.; Ravelo Afonso, J.; Morilla Pineda, S.; Ramírez Hurtado, J. M.; Fernández-Truan, J. C.

    2016-01-01

    La coordinación motriz es un proceso evolutivo complejo de adquisición progresiva. La edad óptima para la adquisición de esos procesos coordinativos es de 6 a 11 años (Educación Primaria). El objetivo del presente estudio es diseñar y validar un instrumento que permita evaluar el nivel de coordinación motriz del alumnado Método: Los sujetos son alumnado de Primaria en centros públicos. Muestreo por conveniencia, con una muestra total de 2512 sujetos. Instrumento: Test cualitativo de observ...

  4. INFLUENCIA DE LA MOTRICIDAD EN LOS PROCESOS DE ESCRITURA EN NIÑOS DE 2º CICLO DE PRIMARIA

    OpenAIRE

    Cordero-Sánchez, Miriam

    2013-01-01

    El presente trabajo tiene como finalidad observar la motricidad general en niños de 2º Ciclo de Educación Primaria y su implicación en la escritura, y posteriormente plantear estrategias de intervención que puedan llevarse a cabo desde el área de Educación Física. Para ello, se llevó a cabo un estudio con una muestra de 59 alumnos matriculados en el 2º Ciclo de Educación Primaria. A estos niños se le administraron pruebas de motricidad gruesa y de escritura (TALE). Los resultados obtenidos de...

  5. Leer es un buen plan. Un proyecto para animar a leer en Educación Primaria

    OpenAIRE

    Díaz Quintanilla, Ángela

    2014-01-01

    RESUMEN: Con el presente trabajo se pretende profundizar en la Animación a la Lectura en Educación Primaria, entendiendo la lectura no solo como la habilidad de decodificación de grafías, sino como algo placentero. Se plantea una propuesta de Proyecto de Animación a la Lectura para Educación Primaria (EP). En primer lugar, se realiza una presentación de los aspectos y bases teóricas sobre el aprendizaje de la competencia lectora, en la que se evidencia la importancia de trabajar este tema en ...

  6. Estrategia y táctica en la Educación Primaria. Pensamiento táctico

    OpenAIRE

    Saquero Rodríguez, Víctor Manuel

    2014-01-01

    El desarrollo del pensamiento táctico en el alumnado de Educación Primaria supone un progreso en su proceso madurativo, pues aprenden a organizarse y a descentrarse, mejoran el trabajo en equipo y el respeto hacia los iguales. Con este trabajo se pretende analizar el desarrollo de un proceso educativo con alumnado de educación primaria en torno a las posibilidades y limitaciones de desarrollo del pensamiento táctico con juegos de invasión sin móvil (juegos de persecución).

  7. Innovative Strategy in Treating Angina Pectoris with Chinese Patent Medicines by Promoting Blood Circulation and Removing Blood Stasis: Experience from Combination Therapy in Chinese Medicine.

    Science.gov (United States)

    Xiong, Xing-Jiang; Wang, Zhong; Wang, Jie

    2015-01-01

    Coronary heart disease (CHD) is one of the leading causes of death worldwide. Moreover, angina pectoris is one of the most important types of CHD. Therefore, prevention and effective treatment of angina pectoris is of utmost importance in both China and western countries. However, undesirable effects of antianginal therapy do influence treatment adherence to a certain extent. Therefore, it's not surprising that, complementary and alternative medicine (CAM), including Chinese medicine (CM), are widely welcomed among patients with CHD, hoping that it might complement western medicine. In our previous studies, blood stasis syndrome (BSS) (Xueyu Zheng) was the main syndrome (Zheng-hou) of angina pectoris. Currently, China Food and Drug Administration authoritatively recommended more than 200 Chinese patent medicines (CPMs) as complementary or adjunctive therapies for symptom management and enhancing quality of life along with mainstream care on angina pectoris management in mainland China. This paper reviewed 4 kinds of most frequently-used CPMs by promoting blood circulation and removing blood stasis in the treatment of angina pectoris. It aims to evaluate the current evidence of CPMs in combination therapy for angina pectoris. This review indicated that CPMs as adjunctive treatment to routine antianginal therapy play an active role in reducing the incidence of primary endpoint events, decreasing anginal attack rate, and improving electrocardiogram. Additionally, CPMs have been proven relatively safe. Further rigorously designed clinical trials should be conducted to confirm the results. PMID:25360837

  8. Experiencia de implementación de un modelo de atención primaria

    OpenAIRE

    Ruíz Rodríguez, Myriam; Acosta Ramírez, Naydú; Rodríguez Villamizar, Laura Andrea; Uribe Rivero, Luz Marina; León Franco, Martha Helena

    2012-01-01

    Objetivo Identificar las dificultades y los factores dinamizadores en la implementación de un modelo de atención primaria en Santander en la última década.Métodos Estudio cualitativo con un enfoque de pluralismo y la triangulación de fuentes y actores, con análisis de crítica del límite y de los valores de los juicios (Boundary critique).  Resultados Según las categorías emergentes derivadas de la apropiación de los atributos del modelo se encuentran problemáticas tanto en aspectos filosófico...

  9. Razonamiento proporcional: conocimiento especializado de contenido matemático en estudiantes para maestro de primaria

    OpenAIRE

    Buforn, Ángela; Fernández, Ceneida

    2013-01-01

    Este estudio examina el conocimiento especializado de contenido matemático de un grupo de estudiantes para maestro de Educación Primaria en el ámbito del razonamiento proporcional. Los resultados muestran que los estudiantes para maestro tienen dificultades en identificar situaciones no proporcionales, en reconocer la unidad en contextos de medida con el significado parte-todo y en usar el significado multiplicativo de la idea de operador. Estos resultados aportan información de las carac...

  10. Geometría para futuros profesores de primaria: experiencias con el tangram chino

    OpenAIRE

    Fernández, Teresa

    2003-01-01

    Este artículo tiene como objetivo presentar una experiencia sobre didáctica de la geometría llevada a cabo en la facultad de Ciencias de la Educación de Santiago de Compostela con alumnos de la especialidad de maestro en educación primaria. En ella se utilizó un juego de disección (el tangram chino) como base para la realización de una serie de actividades que tienen un objetivo múltiple: concienciar a los alumnos sobre las ventajas del uso de un material manipulativo para el estudio de propi...

  11. Tipologia textual en 4º curso de Educación Primaria

    OpenAIRE

    Morejón Reguera, Desiré

    2015-01-01

    El presente trabajo es un estudio realizado en una clase de cuarto de Educación Primaria de un pequeño colegio público, situado en las inmediaciones de Palencia. Dicho estudio refleja el peso que tiene la lengua escrita a lo largo de la etapa escolar y, de ahí, la importancia de ofrecer desde el colegio técnicas y recursos innovadores que favorezcan el aprendizaje significativo, además de fomentar el gusto por la escritura a los alumnos y a las alumnas a través del ejercicio de la motivación....

  12. Las plantas en los libros de Conocimiento del Medio de 2º ciclo de primaria

    OpenAIRE

    Urones, Carmen; Escobar, Beatriz; Vacas, José Manuel

    2013-01-01

    Se describen y analizan los resultados de un estudio sobre las plantas en los libros de texto de Conocimiento del Medio de tercer y cuarto curso de educación primaria (escolares de 8-10 años). Concretamente: ¿qué deben conocer los niños sobre las plantas?; ¿qué características generales siguen los libros en el planteamiento del tema?; ¿cómo es el tratamiento de los contenidos de conceptos, procedimientos y actitudes sobre plantas?; y ¿cuáles son los objetivos de las actividades de...

  13. Blended-learning y telepresencia en Educación Primaria

    OpenAIRE

    Manteca-Velasco, Javier

    2014-01-01

    Este estudio investiga el grado de integración de las TIC en las escuelas de Primaria tanto a nivel teórico como empírico para posteriormente plantear una propuesta de intervención basada en blended-learning y telepresencia a través del uso de Tablets y la inclusión de nuevas figuras docentes. A través de la revisión bibliográfica, trataremos de conocer la opinión de expertos en torno al futuro del libro de texto. También analizaremos las posibilidades futuras de una educaci...

  14. Dolor abdominal agudo: Enfoque para el médico de atención primaria

    Directory of Open Access Journals (Sweden)

    Camilo Eduardo Lozano Bretón

    2012-08-01

    Full Text Available El dolor abdominal es una causa frecuente de consulta en cualquier servicio de urgencias, y por esto, los médicos de atención primaria deben conocer las patologías que puedan poner en peligro la vida de sus pacientes. Se hace una revisión de las patologías mas frecuentemente asociadas a dolor abdominal en el ámbito de urgencias, y se hace énfasis en los medios por los que se puede llegar al diagnóstico adecuado y los conceptos generales del tratamiento de cada una de estas condiciones.

  15. La teoría del desarrollo cognitivo de Piaget aplicada en la clase de Primaria

    OpenAIRE

    Castilla Pérez, María Francisca

    2014-01-01

    El presente trabajo Fin de Grado se encuentra destinado a realizar un estudio de la Teoría del desarrollo cognitivo de Jean Piaget, cuyo entendimiento es fundamental tanto para comprender al niño de hoy como para educar al adulto del mañana. Esta teoría se pondrá en práctica a través de la propuesta de un proyecto de trabajo en el aula, donde se recomendarán actividades fundamentadas en el constructivismo de Piaget para trabajar con un grupo de alumnos de segundo de educación primaria. Basánd...

  16. Trastornos leves en el lenguaje y habla. Formación para maestros de primaria

    OpenAIRE

    Simoes, Susana

    2012-01-01

    Los trastornos del lenguaje y habla pueden causar retraso escolar o llegar a aislar a los alumnos de su entorno educativo o social. Pese a que la normativa vigente exige desarrollar en nuestros alumnos la Competencia lingüística, los maestros no reciben formación al respecto y no saben cómo actuar ante sus alumnos con déficits en el habla o lenguaje. Así, el objetivo general de este programa de intervención es formar a los Maestros de Primaria sobre los problemas del lenguaj...

  17. Propuestas educativas para la formación de mentalidades emprendedoras en la etapa de Primaria

    OpenAIRE

    Coscujuela-Palau, María Rosa

    2012-01-01

    Este trabajo de fin de grado es una investigación de las propuestas educativas más importantes que hay en la educación primaria en España para la formación de actitudes emprendedoras en edades tempranas. Estas propuestas están dispersas, sin conexión entre ellas en la red, lo que debilita su eficacia y propósitos. El motivo de este estudio es investigar esas propuestas educativas, seleccionar las más interesantes bajo un criterio específico, ordenarlas para que el lector pueda tener una id...

  18. Clasificación de malformaciones craneales causadas por craneosinostosis primaria utilizando kernels no lineales

    OpenAIRE

    Salvador Ruiz-Correa; Yerania Campos-Silvestre

    2010-01-01

    La craneosinostosis primaria (CP) es una condición patológica asociada a la fusión prematura de una sutura del calvario. La fusión temprana produce malformaciones craneales severas que se asocian frecuentemente con discapacidades cognitivas, del lenguaje, el aprendizaje y el comportamiento social en general. Por estas razones, la CP representa un área de investigación importante que requiere de métodos efectivos para caracterizar la morfología del complejo craneofacial. En este trabajo, se es...

  19. Representaciones sociales de profesores de primaria acerca del niño

    OpenAIRE

    Silvia Domínguez Gutiérrez

    2003-01-01

    Esta investigación coteja las representaciones sociales que sobre el niño tienen los profesores de primaria de una escuela privada personalizada con las de los profesores de una escuela pública tradicional (n=12, seis de cada escuela). Indaga la concepción que tienen del alumno, así como las fuentes de formación e información de mayor influencia en la determinación de la representación del infante. Se utilizó un cuestionario escala Likert para medir la información y la actitud sobre el niño (...

  20. Incidencia de los Movimientos Oculares en el proceso lector de alumnos de Primer ciclo de Primaria.

    OpenAIRE

    Alejo-Ramos, Cristina

    2013-01-01

    Los movimientos oculares en la lectura son importantes para el proceso de aprendizaje de los niños. Este trabajo de investigación tiene como objetivo, conocer la influencia de los movimientos oculares en la lectura. Para ello se llevó a cabo un estudio, con una muestra de 30 alumnos del Primer ciclo de Primaria, es decir, Primero y Segundo, del mismo centro educativo. Una vez que se realizaron las pruebas oportunas, se pudo comprobar cómo estaban relacionadas motricidad ocular y lectura...

  1. Servicios farmacéuticos en la atención primaria en salud

    Directory of Open Access Journals (Sweden)

    Rafael Mota PINHEIRO

    2010-12-01

    Full Text Available Este artigo aborda las bases políticas y conceptuales de la atención farmacéutica en el Brasil, a partir de las definiciones básicas de los términos relacionados con el cuidado a la salud. Enfoca la relación y el papel de la atención farmacéutica con la atención primaria, y los principales retos e factores críticos.

  2. Memorias para armar. Las conmemoraciones del 24 de Marzo en escuelas primarias del conurbano bonaerense

    Directory of Open Access Journals (Sweden)

    Gonzalo de Amézola

    2009-01-01

    Full Text Available Este artículo se ocupa del problema del tratamiento del pasado reciente en la escuela. Describe las distintas representaciones de la última dictadura militar que se encuentran presentes en los discursos pronunciados en las conmemoraciones realizadas en 2008 para recor - dar el golpe de Estado del 24 de marzo de 1976 en escuelas primarias del partido de Malvinas Argentinas, ubicado en el Conurbano Bonae - rense. Se analiza en esos discursos la presencia de distintas narracio - nes de la memoria colectiva.

  3. Educación Emocional en Tercero de Educación Primaria

    OpenAIRE

    Murcia-Ferrández, Carmen Mª

    2016-01-01

    La importancia del desarrollo de la inteligencia emocional en las personas, radica en su capacidad para formar ciudadanos sanos y equilibrados. En la escuela, mediante la educación emocional, podemos y debemos fomentar el desarrollo de la inteligencia intrapersonal e interpersonal de cada niño. En el presente trabajo se plantea un programa de educación emocional para niños de tercero de Educación Primaria. El desarrollo de las competencias emocionales es fundamental para que cada niño afronte...

  4. Estrategias de futuros profesores de primaria en problemas aditivos con números negativos

    OpenAIRE

    Almeida, Rut; Bruno, Alicia

    2013-01-01

    Este trabajo analiza las estrategias de resolución de problemas aditivos simples con números negativos por parte de futuros profesor de enseñanza primaria. Los resultados muestran seis estrategias diferentes que dependen de la dificultad del problema y en especial, de la posición de la incógnita. Los futuros profesores usan números negativos en los problemas que les resultan más sencillos y recurren a otras estrategias en los problemas más complejos. Las respuestas evidencian dificult...

  5. Los libros de texto en la escuela primaria y sus implicaciones en la lectura

    OpenAIRE

    Marisela Partido Calva

    2007-01-01

    Los libros de texto en el nivel básico constituyen una herramienta cognoscitiva importante; son utilizados por maestros y alumnos para mediar sus procesos formativos, ya que generan estrategias pedagógicas, cognitivas y culturales. En este artículo se analiza la propuesta curricular institucional planteada en la escuela primaria para la enseñanza del español, en términos de los objetivos, contenidos y actividades de aprendizaje. Se describe la práctica de algunos docentes en torno a la enseña...

  6. IMPORTANCIA DE LA ACTIVIDAD MOTRIZ EN LOS PROCESOS LECTOESCRITORES EN UN GRUPO DE PRIMARIA.

    OpenAIRE

    Cabezas-Pajares, Ana Belén

    2013-01-01

    El presente trabajo centra su investigación en la repercusión que puede tener el desarrollo motriz a la hora de llevar a cabo una correcta escritura y un adecuado dominio de la lectura, tanto de la rapidez como de la comprensión lectora. Para ello se han evaluado en un grupo de alumnos de 4º de Educación Primaria, habilidades motrices y procesos lectoescritores, a través de cuestionarios y tablas de observación. Los resultados ponen de manifiesto la relación existente ent...

  7. Motricidad, lectura y escritura: estudio en una muestra de alumnos de segundo ciclo de Ed. Primaria.

    OpenAIRE

    Marini-Romero, María Ángeles

    2012-01-01

    La finalidad de este trabajo es explorar los procesos de lectura y escritura y relacionarlos con la motricidad gruesa así como con la destreza manual. Para ello, se eligió una muestra de 30 sujetos de tercero de primaria de dos colegios, uno público y otro concertado con carácter religioso, a quienes se aplicaron una serie de pruebas como: Velocidad y Comprensión lectora y Motricidad gruesa y Destreza manual, a las que los niños/as tuvieron que dar respuesta a las cuestiones planteadas sobre ...

  8. Escalas de evaluación de riesgo suicida en atención primaria

    OpenAIRE

    Claudia Ximena Rangel-Garzón; María Fernanda Suárez-Beltrán; Franklin Escobar-Córdoba

    2015-01-01

    Antecedentes. El médico de atención primaria debe decidir qué hacer con un paciente que ha atentado contra su vida o manifiesta ideación suicida. Posiblemente puede interconsultar a psiquiatría; sin embargo, ocasionalmente esto se difiere. Objetivo. Encontrar un instrumento de evaluación del riesgo suicida en adultos que pueda ser aplicado por el médico general en el servicio de urgencias. Materiales y métodos. Revisión de la literatura en PubMed con los términos MeSH: ‘suicide', ‘risk assess...

  9. El campesinado gallego y su rechazo a la escuela primaria (1868-1874

    Directory of Open Access Journals (Sweden)

    Mercedes SUÁREZ PAZOS

    2010-03-01

    Full Text Available RESUMEN: Con la nueva política de descentralización educativa, nacida al amparo de la «revolución» de septiembre de 1868, los Ayuntamientos y las Juntas locales de Instrucción Primaria fueron responsables directos de numerosas supresiones de escuelas en el ámbito rural gallego y de los graves problemas que se ocasionaban en el pago de las dotaciones escolares: supresiones, reducciones y atrasos, a pesar de que tales modificaciones no se podían llevar a cabo sin la aprobación de la respectiva Diputación provincial.

  10. Equidad en la educación preescolar, primaria, secundaria y media en el Distrito Capital

    Directory of Open Access Journals (Sweden)

    Torres Núñez Viviana Luz

    2008-12-01

    Full Text Available El presente trabajo identifica la población que asiste a la educación pública en los niveles de preescolar, primaria, secundaria y media en Bogotá desde dos perspectivas: la geográfica, que contrasta los porcentajes de pobreza por localidad frente a la asistencia a la educación pública y privada; y la perspectiva individual, que estima los criterios de equidad horizontal y vertical sobre la población entre 5 y 17 años con ingreso per cápita estimado.

  11. Desarrollo musical en Educación Primaria: una perspectiva emocional

    OpenAIRE

    Irisarri Labat, Itziar

    2015-01-01

    Actualmente la escuela dedica la mayor parte del tiempo a trabajar contenidos que requieren de los aspectos cognitivos o intelectuales del alumnado de Primaria. No obstante, la faceta emocional de estos niños queda muchas veces olvidada y no se presta demasiada atención a sus sentimientos ni emociones. La asignatura de música es una de las materias que no solo proporciona un crecimiento intelectual, sino también emocional, pues las actividades que se llevan a cabo en el aula favorecen enormem...

  12. CULTIVAR AGROECOLOGÍA EN ESCUELAS PRIMARIAS DE MONTEVIDEO. PROGRAMA HUERTAS EN CENTROS EDUCATIVOS

    OpenAIRE

    Bellenda, Beatriz; Faroppa, Stella; García, Maria; Linari, Gabriela; Lorenzo, Regina; Meikle, Monica; Vallo, Giselle; Viola, Cristina; Baron, Josefina; Andino, Mariana; Correa, Elizbeth

    2013-01-01

    El Programa Huertas en Centros Educativos (PHCE) es una experiencia que desarrollan conjuntamente la Intendencia de Montevideo, la Administración Nacional de Enseñanza Pública y la Universidad de la República, desde el año 2005. Se basa en la docencia, instalación y seguimiento de huertas agroecológicas en 49 escuelas primarias de Montevideo ubicadas en zonas de vulnerabilidad social. Trabajan en él, 35 orientadores de huerta que participan junto a unos 14.000 niños y 450 maestros en forma di...

  13. La escalada en pared artificial (rocódromo) en Educación Primaria

    OpenAIRE

    Ibáñez Gutiérrez, Luis Alejandro

    2015-01-01

    Con este Trabajo de Fin de Grado (TFG) pretendo mostrar un método de iniciación a la práctica de una Actividad Física en el Medio Natural (AFMN), como es la escalada, adaptada al centro. Este planteamiento consiste en la programación de una unidad didáctica adaptada al centro CEIP Jorge Manrique de Palencia, considerando los recursos materiales y espa-ciales del centro, y destinado a los alumnos de 5º y 6º de Primaria. Esta unidad consta de 4 sesiones en el gimnasio y la programación de un...

  14. Programa de entrenamiento en habilidades sociales con alumnos de educación primaria

    OpenAIRE

    Mohamed, L.; Mohamed, N.; Seijo, D.

    2005-01-01

    En esta comunicación nos centramos en el entrenamiento de las habilidades sociales, así como su enseñanza y aprendizaje. En este trabajo se presentan las diferentes sesiones diseñadas para entrenar este tipo de habilidades llevadas a la práctica con niños de educación primaria de dos centros educativos de la Ciudad Autónoma de Melilla. Gracias a las características de la población intercultural de esta ciudad, nos interesa conocer los efectos de este entrenamiento en función del origen cultur...

  15. Acercamiento al folklore de Castilla y León en las aulas de primaria

    OpenAIRE

    Hernando Arce, José Luis

    2012-01-01

    Nadie pone en duda la importancia que encierra el folklore no solo como base para conocer mejor nuestra propia cultura tradicional sino que nos enseña a comprender otras diversidades culturales. Se requiere que en la etapa de primaria se potencie en los niños y niñas el deseo de aprender aspectos relacionados con su folklore como es el caso de la música tradicional de Castilla y León en donde, actualmente, nos están invadiendo otras clases de músicas, dejando de lado lo más cercano a nuestro...

  16. El mutismo selectivo en el aula de Primaria. Propuesta de intervención

    OpenAIRE

    Carro, Sandra

    2012-01-01

    Durante el desarrollo infantil las dificultades de aprendizaje y los problemas relacionados con el retraso madurativo suelen ser los más habituales; sin embargo, existen otros, más ocultos que a menudo pasan inadvertidos o no se les otorga la suficiente importancia. Uno de estos conflictos es el trastorno de la conducta denominado Mutismo Selectivo. Este trabajo tiene como objetivo ayudar a los maestros de educación Primaria a realizar una detección precoz, presentándoles modelos de instru...

  17. RELACIÓN ENTRE MOVIMIENTOS OCULARES Y LECTURA EN ALUMNOS DE 2º DE PRIMARIA

    OpenAIRE

    Cabanillas-Centeno, María Isabel

    2013-01-01

    El presente trabajo tiene como objetivo comprobar la relación existente entre los movimientos oculares y el rendimiento en lectura. Para ello se ha llevado a cabo un estudio con una muestra de 56 niños de 2º de primaria, pasando pruebas para evaluar tanto el movimiento ocular durante la lectura, como el nivel de velocidad y comprensión lectora. Los resultados obtenidos demuestran que los alumnos que presentan dificultades en los movimientos oculares, obtienen puntuaciones más bajas en compren...

  18. Evaluación de las inteligencias múltiples y estilos de aprendizaje en Primaria

    OpenAIRE

    Brunal-Vergara, Beatriz

    2014-01-01

    En este trabajo de investigación se identificaron los tipos de inteligencias múltiples y los estilos de aprendizaje que predominan en los estudiantes de primaria del colegio Windsor Royal School en la ciudad de Montería capital del departamento de Córdoba en Colombia. La investigación es considerada de corte descriptivo transversal. El objetivo principal fue establecer si existen relaciones entre las inteligencias múltiples y los estilos de aprendizaje. Se emplea un método cuantit...

  19. El duelo en educación primaria: propuesta de intervención.

    OpenAIRE

    Apezetxea-Gorrotxategi, Ane

    2015-01-01

    El presente Trabajo de Fin de Grado se desarrolla en torno al tema del duelo en el niño. Un concepto muy amplio que se tratará de reflejar en dos bloques principales: por un lado en la fundamentación teórica del tema y, por otro lado, en una propuesta de intervención dirigida a alumnos de la etapa de Educación Primaria. Son varias las causas que puedan llevar a una situación de duelo, desde la muerte a las enfermedades graves, la separación de los padres y/o el cambio de casa o...

  20. El acoso escolar en Educación Primaria en la provincia de Huelva

    OpenAIRE

    Ávila Fernández, José Antonio

    2013-01-01

    El resumen que a continuación se presenta, es el reflejo del trabajo de tesis doctoral realizado bajo el título «El Acoso Escolar en Educación Primaria en la Provincia de Huelva». En los últimos años ha existido una preocupación social en relación al tema de la violencia escolar, reconociéndose como un problema común. Los medios de comunicación se han ocupado de difundir situaciones límites relacionadas con e! comportamiento de escolares; a nivel internacional se ha afrontado la investigac...

  1. La influencia de la palabra microbio en las representaciones iniciales de alumnos de primaria

    OpenAIRE

    Mayerhofer B., N.

    2009-01-01

    En esta investigación exploramos las ideas previas de alumnos de primer curso de primaria (6 años) y sus representaciones gráficas y textuales sobre los microorganismos. Para la obtención de los datos llevamos a cabo la unidad didáctica “Higiene y Salud” en dos escuelas de Cerdanyola del Vallès – Barcelona, con la recogida de dibujos que posteriormente fueron analizados en base a métodos cualitativos como las redes sistémicas. Los alumnos han presentado resultados distintos en cada escuela do...

  2. Afasia progresiva primaria (Síndrome de Mesulam): (1982-1996)

    OpenAIRE

    Espert, Raúl; Navarro, José Francisco; Deus Yela, Juan; Gadea, Marién; Chirivella, Javier

    1996-01-01

    El síndrome clínico de la afasia progresiva primaria (APP) se define como una patología de inicio gradual y empeoramiento progresivo en la esfera del lenguaje en pacientes que no sufren alteraciones en otras áreas cognitivas, conductuales o en actividades instrumentales de la vida diaria. La principal característica de este síndrome es la relativa preservación de la autonomía del paciente durante varios años, aunque finalmente evoluciona hacia una demencia generalizada. En general, los estudi...

  3. Promover el placer por la lectura en 4º de Educación Primaria

    OpenAIRE

    Singer-Grisolía, Paula

    2015-01-01

    Este trabajo parte de un enfoque teórico práctico para incidir en la metodología empleada en una escuela y promocionar la lectura por placer en 4º de Educación Primaria. Se analizan teorías que permitirán enriquecer una práctica activa, participativa y basada en la realidad de los alumnos. Se realizan encuestas y entrevistas a los niños y niñas y a las maestras para conocer por un lado el bagaje y gustos lectores de los alumnos y por otro lado la praxis desarrollada por las ...

  4. Motivar el hábito lector en 1º de Educación Primaria

    OpenAIRE

    García-Mingorance, José

    2015-01-01

    En el presente Trabajo de Fin de Grado se aborda desde una perspectiva tanto teórica como empírica, la importancia de la motivación del hábito lector en los estadios de lectura de 1º de Educación Primaria. Partiendo de las diferentes metodologías actuales para el aprendizaje de la lectura, y de sus características, se ha querido desarrollar una intervención en la que se entremezclen el aprendizaje por rincones, con el desarrollo del hábito lector. Se ha promovido y estimulado e...

  5. Estudio bidireccional de la comunicación no verbal en el aula de Primaria

    OpenAIRE

    García Aguilera, Fernando

    2014-01-01

    El aula de Educación Primaria es un espacio de convivencia en el que se producen procesos comunicativos entre el maestro y el alumno. Normalmente recurren a la comunicación verbal, ya sea oral o escrita, para comunicarse, utilizando las palabras como vehículo de expresión. Pero en el aula se producen otras formas de comunicación que transmiten mensajes voluntaria o involuntariamente y que aportan, modifican o incluso contradicen los contenidos del mensaje verbal: gestos, posturas, miradas… To...

  6. Aplicación de un programa emocional en educación primaria

    OpenAIRE

    Padierna Alonso, Virginia

    2012-01-01

    En este proyecto voy a desarrollar un programa de educación emocional, contextualizado para segundo ciclo de educación primaria, con niños que participan en el Plan PROA, partiendo de una situación de desventaja educativa, bien por circunstancias de carácter personal o sociocultural, este programa está orientado a mejorar y enriquecer el proceso educativo del alumno/a. El programa de educación emocional, es un programa de actividades motivadoras que buscan alternativas respondiendo a los ...

  7. Alumnos con Bajo Rendimiento Escolar, los blogs y el tutor de Primaria

    OpenAIRE

    Rico-Sánchez, Jesús David

    2013-01-01

    Teniendo en cuenta el problema que tiene el sistema educativo español con un índice muy elevado de fracaso escolar, se pretendió investigar concretamente sobre los alumnos del sexto curso de Primaria que presentan Bajo Rendimiento Escolar aprovechando los avances tecnológicos existentes en la actualidad y que han penetrado con gran fuerza en la sociedad. Por ello, el problema planteado en este trabajo es estudiar si el potencial motivador, comunicativo y utilitario del Edublog puede ayudar a ...

  8. Stable angina pectoris with no obstructive coronary artery disease is associated with increased risks of major adverse cardiovascular events

    DEFF Research Database (Denmark)

    Jespersen, Lasse; Hvelplund, Anders; Abildstrøm, Steen Z;

    2012-01-01

    (MACE), defined as cardiovascular death, myocardial infarction, stroke or heart failure, and all-cause mortality. Significantly more women (65%) than men (32%) had no obstructive CAD (P<0.001). In Cox's models adjusted for age, body mass index, diabetes, smoking, and use of lipid-lowering or...... stable angina and normal coronary arteries or diffuse non-obstructive CAD have elevated risks of MACE and all-cause mortality compared with a reference population without ischaemic heart disease.......AimsPatients with chest pain and no obstructive coronary artery disease (CAD) are considered at low risk for cardiovascular events but evidence supporting this is scarce. We investigated the prognostic implications of stable angina pectoris in relation to the presence and degree of CAD with no...

  9. CLINICAL EFFECTIVENESS AND SAFETY OF IVABRADINE USE IN PATIENTS WITH UNSTABLE ANGINA AND DIABETES MELLITUS TYPE 2

    Directory of Open Access Journals (Sweden)

    A. I. Kondratiev

    2014-07-01

    Full Text Available Aim – to estimate the clinical and pharmacological effects of ivabradine in complex treatment of patients with acute coronary syndrome anddiabetes mellitus type 2 (DM 2.Materials and methods. The study included 36 patients with acute coronary insufficiency (unstable angina and acute left ventricular failure(Killip class I–III during concomitant type 2 diabetes.Results. Prescribing ivabradine in treatment of unstable angina pectoris complicated by type 2 diabetes led to decrease in clinical symptoms,heart rate and reduce in number of myocardial ischemia episodes. Patients treated with ivabradine, showed a significant tendency to increase left ventricular ejection fraction (12.3 %. Mo adverse reactions were recorded, including hypotensive complications.Conclusion. Ivabradine therapy was characterized by high ischemic and antianginal efficacy, good tolerability, did not lead to the developmentof tolerance and was not accompanied by the appearance of withdrawal syndrome.

  10. CLINICAL EFFECTIVENESS AND SAFETY OF IVABRADINE USE IN PATIENTS WITH UNSTABLE ANGINA AND DIABETES MELLITUS TYPE 2

    Directory of Open Access Journals (Sweden)

    A. I. Kondratiev

    2011-01-01

    Full Text Available Aim – to estimate the clinical and pharmacological effects of ivabradine in complex treatment of patients with acute coronary syndrome anddiabetes mellitus type 2 (DM 2.Materials and methods. The study included 36 patients with acute coronary insufficiency (unstable angina and acute left ventricular failure(Killip class I–III during concomitant type 2 diabetes.Results. Prescribing ivabradine in treatment of unstable angina pectoris complicated by type 2 diabetes led to decrease in clinical symptoms,heart rate and reduce in number of myocardial ischemia episodes. Patients treated with ivabradine, showed a significant tendency to increase left ventricular ejection fraction (12.3 %. Mo adverse reactions were recorded, including hypotensive complications.Conclusion. Ivabradine therapy was characterized by high ischemic and antianginal efficacy, good tolerability, did not lead to the developmentof tolerance and was not accompanied by the appearance of withdrawal syndrome.

  11. Predictors of coronary intervention-related myocardial infarction in stable angina patients pre-treated with statins

    OpenAIRE

    Veselka, Josef; Hájek, Petr; Malý, Martin; Zemánek, David; Adlová, Radka; Tomašov, Pavol; Martinkovičová, Lucie; Tesař, David; Červinka, Pavel

    2011-01-01

    Introduction Peri-procedural myocardial infarction (PMI) is a frequent and prognostically important complication of percutaneous coronary intervention (PCI). This study was designed to determine the predictors of PMI in patients pre-treated with statins. Material and methods A total of 418 stable angina pectoris patients taking statins and aspirin were included. All the patients underwent PCI. Serum concentrations of creatine kinase (CK-MB mass) and troponin I (TnI) were measured prior to and...

  12. Periodontal disease in relation to selected parameters of the cardiovascular system in a group of patients with stable angina pectoris

    OpenAIRE

    Włosowicz, Monika; Wożakowska-Kapłon, Beata; Górska, Renata

    2014-01-01

    Introduction Periodontal diseases (PD), which are the cause of chronic inflammatory processes, can develop increased susceptibility to vascular diseases through atherosclerosis. Due to the raised inflammatory and thrombotic risk, PD can have a significant influence on the course and results of stable angina pectoris (SAP). Objectives The aim of the study is to evaluate the influence of chosen PD parameters on selected cardiovascular system parameters, and the correlation between chosen parame...

  13. Association of low levels of vitamin D with chronic stable angina: A prospective case-control study

    Directory of Open Access Journals (Sweden)

    Ab Hameed Raina

    2016-01-01

    Full Text Available Background: Coronary artery disease (CAD is a major cause of death and disability in developed countries. Chronic stable angina is the initial manifestation of CAD in approximately 50% of the patients. Recent evidence suggests that vitamin D is crucial for cardiovascular health. The prevalence of vitamin D deficiency in our region is 83%. A low level of vitamin D is associated with chronic stable angina. Aim: This study was aimed at supporting or refuting this hypothesis in our population. Materials and Methods: The study was a prospective case-control study. We studied 100 cases of chronic stable angina and compared them with 100 matched controls. Vitamin D deficiency was defined as <20 ng/mL, vitamin D insufficiency as 20-30 ng/mL and normal vitamin D level as 31-150 ng/mL. Results: The prevalence of vitamin D deficiency among cases and controls was 75% and 10%, respectively. 75% of the cases were vitamin D-deficient (<20 ng/mL; 12% were vitamin D-insufficient (20-30 ng/mL, and 13% had normal vitamin D levels (31-150 ng/mL. None had a toxic level of vitamin D. Among the controls, 10% were vitamin D-deficient, 33% were vitamin D-insufficient, and 57% had normal vitamin D levels. The mean vitamin level among cases and controls was 15.53 ng/mL and 40.95 ng/mL, respectively, with the difference being statistically significant (P ≤ 0.0001. There was no statistically significant relation between the disease severities, i.e., on coronary angiography (CAG with vitamin D level. Among the cases, we found that an increasing age was inversely related to vitamin D levels (P = 0.027. Conclusion: Our study indicates a correlation between vitamin D deficiency and chronic stable angina. Low levels may be an independent, potentially modifiable cardiovascular risk factor.

  14. Richtlinien zur Diagnostik und Therapie der instabilen Angina pectoris und des Non-Q-Wave-Myokardinfarktes: vorgeschlagene Revisionen

    OpenAIRE

    Huber K; Gaul G; Glogar HD; Kaliman J; Mlczoch J

    2000-01-01

    Die letzten Praxis-Empfehlungen der United States Agency for Health Care Policy and Research zum Thema "Diagnose und Behandlung der instabilen Angina Pectoris (IAP)" stammen aus dem Jahre 1994 und wurden trotz der rasanten Fortschritte auf diesem Gebiet in den vergangenen 5 Jahren nicht erneuert. Das International Cardiology Forum (ICF) hat Ende 1998 die existierenden Richtlinien diskutiert und Vorschläge gemacht, in welchen Bereichen die Diagnostik und die Therapie der IAP aufgrund der mittl...

  15. Electrocardiogram Diagnosis of Unstable Angina Pectoris%不稳定型心绞痛心电图诊断

    Institute of Scientific and Technical Information of China (English)

    董红晶

    2014-01-01

    目的:探讨不稳定型心绞痛患者心电图及动态心电图表现。方法选取2012年~2013年收治的不稳定型心绞痛患者心电图诊断资料进行分析。结果心绞痛发作时可出现暂时性心肌缺血引起的ST段压低(≥0.1 mV)。心电图负荷实验及24 h动态心电图可显著提高缺血性心脏病的检出率。结论心电图检查是发现心肌缺血、诊断心绞痛最常用的检查方法。%Objective The electrocardiogram and dynamic electrocardiogram of the patients with the unstable angina pectoris are to be investigated.Methods Electrocardiogram diagnosis data of patients with angina pectoris in this hospital from 2012 to 2013 are selected for analysis.ResultsWhen the angina pectoris happens, ST segment depresion (≥0.1 mV) can be caused by transient myocardial ischemia. Electrocardiogram stres test and 24h dynamic electrocardiogram can significantly improve the detection rate of ischemic heart disease.Conclusion Electrocardiogram examination is the most widely used inspection method to detect the myocardial ischemia and diagnose the angina pectoris.

  16. The Relationship Between Ankle-Brachial Index and Number of Involved Coronaries in Patients with Stable Angina

    OpenAIRE

    Sadeghi, Masoumeh; Tavasoli, Aliakbar; Roohafza, Hamidreza; Sarrafzadegan, Nizal

    2010-01-01

    BACKGROUND Atherosclerosis is the commonest cause of vascular disease which can involve peripheral and/or cardiac vessels. This study was conducted to evaluate the possible link between Ankle-Brachial Index (ABI) and coronary vessel involvement in patients with stable angina. METHODS This cross-sectional study was conducted in 2008 on 120 individuals who were hospitalized in Chamran Heart Center and underwent coronary angiography. A questionnaire was completed to obtain demographic informatio...

  17. The effects of spinal cord stimulation on quality of life in patients with therapeutically chronic refractory angina pectoris.

    Science.gov (United States)

    Vulink, N C; Overgaauw, D M; Jessurun, G A; Tenvaarwerk, I A; Kropmans, T J; van der Schans, C P; Middel, B; Staal, M J; Dejongste, M J

    1999-01-01

    Objective. For patients with refractory angina pectoris, spinal cord stimulation (SCS) is a beneficial and safe adjuvant therapy. However, it has not yet been established whether SCS alters the quality of life (QoL) in these patients. Methods. In this study, 26 consecutive patients (age 61.3 ± 7.0 years, 13 females, angina duration 12.7 ± 6.0 years) were recruited. Social, mental, and physical aspects of QoL were determined by Nottingham Health Profile (NHP I), depression scale (CES-D), scoring of angina pectoris attacks and short-acting nitroglycerine intake, pain score on the Visual Analog Scale (VAS), perceived health percentage, Satisfaction With Life scale (SWLS), and one-aspect Linear Analog Self Assessment scale (LASA). QoL outcomes at baseline were compared with reference values from healthy subjects. Within-group changes and magnitude of changes (effect size, ES) were assessed after 3 months and 1 year of SCS. Results. Compared to healthy subjects, the patients had significantly worse scores at baseline on NHP, SWLS, and LASA. After 3 months of SCS, NHP I aspect pain (ES = 1.39), AP-score (ES = 0.85), perceived health percentage (ES =- 0.80), NTG-use (ES = 1.08) and VAS-score (ES = 1.13) were all significantly improved (p pain, energy, emotional reactions, social isolation, sleep, and physical mobility (p 0.80). Conclusion. QoL in patients with refractory angina pectoris is poor. Both pain and health aspects of QoL improved significantly after 3 months of SCS. Social, mental, and physical aspects of QoL were found improved after 1 year of SCS. PMID:22151060

  18. Use of Health Care System-Supplied Aspirin by Veterans With Postoperative Heart Attack or Unstable Angina.

    Science.gov (United States)

    Rivera, Cathleen M; Copeland, Laurel A; McNeal, Catherine J; Mortensen, Eric M; Pugh, Mary J; MacCarthy, Daniel J

    2015-10-01

    Evidence-based guidelines for the use of aspirin in secondary prevention of cardiovascular disease events are well established. Despite this, the prevalence of aspirin use for secondary prevention is suboptimal. The study aimed to determine the prevalence of aspirin use for secondary prevention of cardiovascular disease events when it is dispensed as a prescription, as is performed in the Veterans Affairs (VA) managed care system. VA patients who had undergone major surgery and experienced a postoperative myocardial infarction (MI) or unstable angina between the years 2005 and 2009 were identified from administrative databases. VA pharmacy records were used to determine whether a prescription for aspirin was filled after the postoperative MI or unstable angina. Multivariable logistic regression models estimated odd ratios of filling aspirin prescriptions for the predictors of interest. Of the 321,131 men and women veterans who underwent major surgery, 7,700 experienced a postoperative MI or unstable angina. Among those 7,700, 47% filled an aspirin prescription. Only 59% of veterans with no co-pay filled an aspirin prescription. Aspirin fills were more common in younger veterans, Blacks, Hispanics, males, hypertensive veterans, mentally ill patients, those with no co-pay and those prescribed antiplatelets/anticoagulants in addition to aspirin postoperatively. These findings suggest that the impact of dispensing aspirin as a prescription may not be significant in increasing the appropriate use of aspirin for secondary prevention. PMID:26351774

  19. Use of Health Care System-Supplied Aspirin by Veterans With Postoperative Heart Attack or Unstable Angina.

    Science.gov (United States)

    Rivera, Cathleen M; Copeland, Laurel A; McNeal, Catherine J; Mortensen, Eric M; Pugh, Mary J; MacCarthy, Daniel J

    2015-10-01

    Evidence-based guidelines for the use of aspirin in secondary prevention of cardiovascular disease events are well established. Despite this, the prevalence of aspirin use for secondary prevention is suboptimal. The study aimed to determine the prevalence of aspirin use for secondary prevention of cardiovascular disease events when it is dispensed as a prescription, as is performed in the Veterans Affairs (VA) managed care system. VA patients who had undergone major surgery and experienced a postoperative myocardial infarction (MI) or unstable angina between the years 2005 and 2009 were identified from administrative databases. VA pharmacy records were used to determine whether a prescription for aspirin was filled after the postoperative MI or unstable angina. Multivariable logistic regression models estimated odd ratios of filling aspirin prescriptions for the predictors of interest. Of the 321,131 men and women veterans who underwent major surgery, 7,700 experienced a postoperative MI or unstable angina. Among those 7,700, 47% filled an aspirin prescription. Only 59% of veterans with no co-pay filled an aspirin prescription. Aspirin fills were more common in younger veterans, Blacks, Hispanics, males, hypertensive veterans, mentally ill patients, those with no co-pay and those prescribed antiplatelets/anticoagulants in addition to aspirin postoperatively. These findings suggest that the impact of dispensing aspirin as a prescription may not be significant in increasing the appropriate use of aspirin for secondary prevention.

  20. Submandibular cellulitis (Ludwig's angina) associated to a complex odontoma erupted into the oral cavity. Case report and literature review.

    Science.gov (United States)

    Bertolai, R; Acocella, A; Sacco, R; Agostini, T

    2007-01-01

    The clinical presentation of Ludwig's angina consists in a severe expanding cellulitis causing swelling of the floor of the mouth, tongue and submandibular region, thus resulting in a possible obstruction of the airway and in a rapid progress in deep neck soft tissue infection and mediastinitis with potentially fatal consequences. Frequently, submandibular cellulitis develops from an acute infection spreading from the lower molar teeth. Mandibular fractures, traumatic laceration of the floor of the mouth, and peritonsillar abscesses are other concomitant clinical features. A case of Ludwig's angina associated with a large erupted odontoma and with a deeply impacted third molar displaced to the border of the mandible is described. The patient was affected by enlargement of submandibular space, marked face swelling causing an evident face deformity, tenderness and redness of the neck and limited movement of the neck and mouth. In the past, Ludwig's angina was frequently fatal, however aggressive surgical and medical therapy have significantly reduced the mortality rate. The reported case can be considered as important, not only because of the rarity of the odontoma eruption in the oral cavity, but mainly for the extent of the clinical manifestation of a lesion usually described in literature as asymptomatic.

  1. The prevalence of angina symptoms and association with cardiovascular risk factors, among rural, urban and rural to urban migrant populations in Peru

    Directory of Open Access Journals (Sweden)

    Gilman Robert H

    2010-10-01

    Full Text Available Abstract Background Rural-to-urban migration in low- and middle-income countries causes an increase in individual cardiovascular risk. Cost-effective interventions at early stages of the natural history of coronary disease such as angina may stem an epidemic of premature coronary deaths in these countries. However, there are few data on the prevalence of angina in developing countries, whilst the understanding the aetiology of angina is complicated by the difficulty in measuring it across differing populations. Methods The PERU MIGRANT study was designed to investigate differences between rural-to-urban migrant and non-migrant groups in specific cardiovascular disease risk factors. Mass-migration seen in Peru from 1980s onwards was largely driven by politically motivated violence resulting in less 'healthy migrant' selection bias. The Rose angina questionnaire was used to record chest pain, which was classified definite, possible and non-exertional. Mental health was measured using the General Health Questionnaire (GHQ-12. Mantel-Haenszel odds ratios (adjusted for age, sex, cardiovascular disease risk factors and mental health were used to assess the risk of chest pain in the migrant and urban groups compared to the rural group, and further to assess the relationship (age and sex-adjusted between risk factors, mental health and chest pain. Results Compared to the urban group, rural dwellers had a greatly increased likelihood of possible/definite angina (multi-adjusted OR 2.82 (1.68- 4.73. Urban and migrant groups had higher levels of risk factors (e.g. smoking - 20.1% urban, 5.5% rural. No diabetes was seen in the rural dwellers who complained of possible/definite angina. Rural dwellers had a higher prevalence of mood disorder and the presence of a mood disorder was associated with possible/definite angina in all three groups, but not consistently with non-exertional chest pain. Conclusion Rural groups had a higher prevalence of angina as

  2. Procedimiento para la gestión ambiental en la escuela primaria

    Directory of Open Access Journals (Sweden)

    Migdely Barbarita Ochoa-Ávila

    2011-01-01

    Full Text Available Abordó resultados alcanzados con la investigación doctoral "Modelo y procedimiento de gestión ambiental para la escuela primaria" desarrollada desde el año 2006 hasta el presente, mediante la aplicación del procedimiento para la gestión ambiental en una muestra de escuelas primarias del municipio de Holguín, lo que tributa a la calidad del medio ambiente no solo en escuelas sino en el medio ambiente local. El procedimiento consta de cinco etapas y veinte pasos, este introduce un elemento dinamizador de integración entre las escuelas y el sector empresarial. Los resultados más significativos fueron, la realización de diagnósticos ambientales, la conformación de planes de acción para la realización de capacitaciones y encuentros técnicos, lo que enriquece la visión en aras delmejoramiento continuo del medio ambiente escolar. Se cuenta con certificados de protección por CENDA, avales de la comisión científica del CIGET y de la Dirección Municipal de Educación, varios premios y publicaciones.

  3. Paquidermoperiostosis (osteoartropatía hipertrófica primaria Pachydermoperiostosis (primary hypertrophic osteoarthropathy

    Directory of Open Access Journals (Sweden)

    Javier A. Cavallasca

    2006-04-01

    Full Text Available La paquidermoperiostosis u osteoartropatía hipertrófica primaria es una rara enfermedad caracterizada por compromiso cutáneo y osteoarticular. Comunicamos dos casos que presentaban hipocratismo digital, uñas en vidrio de reloj, agrandamiento óseo, tumefacción articular y diferentes grados de afectación cutánea, sin otros hallazgos clínicos relevantes. Ambos desconocían antecedentes familiares similares. El estudio radiográfico de las zonas comprometidas mostró periostosis. Con resultados de laboratorio y radiografía de tórax normales, y ausencia de evidencia clínica de otra enfermedad subyacente, se realizó diagnóstico de osteoartropatía hipertrófica primaria.Pachydermoperiostosis or primary hypertrophic osteoarthropathy is a rare disease characterized by cutaneous and osteo-arthicular involvement. We describe two patients with finger clubbing, watch crystal nails, bones thickenings, arthritis and different grades of skin affection, without other clinical manifestations. Both did not know of having relatives with the same alterations. Radiological studies of the affected areas showed periostosis. Because of normal laboratory results and chest radiography plus the absence of other underlying causes, diagnosis of primary hypertrophic osteoarthropathy was made.

  4. Síndrome de Burnout y estrategias de afrontamiento en docentes de primaria y bachillerato

    Directory of Open Access Journals (Sweden)

    Carlos Andrés Gantiva Díaz

    2010-01-01

    Full Text Available El objetivo de esta investigación fue identificar la relación entre las estrategias de afrontamiento y el síndrome de burnout en docentes de primaria y bachillerato de un colegio distrital de la ciudad de Bogotá (Colombia. Para esto se utilizó un diseño descriptivo correlacional y se trabajó con una muestra de 47 docentes de primaria y bachillerato. Se utilizó el Inventario de Burnout de Maslash y la Escala de Estrategias de Coping Modificada. Los resultados indican niveles medios del síndrome de burnout en los participantes, con diferencias mayores en los docentes de grados sexto, séptimo y octavo. Las estrategias de afrontamiento que están relacionadas positivamente con el síndrome son, a espera, b evitación emocional, y c expresión de la dificultad de afrontamiento. Las que están relacionadas negativamente son, a solución de problemas y b reevaluación positiva.

  5. materiales educativos de enseñanza primaria: atavismos y horizontes

    Directory of Open Access Journals (Sweden)

    Ileana Schmidt Díaz de León

    2003-01-01

    Full Text Available Los materiales educativos han sido considerados por los investigadores medios de socialización, especialmente los libros de texto de educación primaria. Este trabajo analiza, desde una perspectiva de género, los papeles sociales y la estructura de poder de la sociedad mexicana enseñada a los niños mexicanos a través de materiales educativos. Éstos incluyen manuales para el maestro y libros de texto gratuitos de primero y segundo grados de educación primaria escritos en español y en lengua náhuatl para la Huasteca y la Sierra Norte de Puebla, así como algunos de los libros usados como complementarios para estos grados en las escuelas privadas. De los libros de texto gratuitos en español, se han analizado y comparado los editados antes del Programa para la Modernización Educativa (1989-1994 y los elaborados y publicados a partir de 1992 como producto del mismo programa. Debido a que el contenido básico de los libros de primero y segundo grados son el individuo y la familia, se prefirió analizar fundamentalmente éstos, aunque en algunas ocasiones se incluyen materiales de otros grados para apoyar los argumentos presentados.

  6. Tender Endothelium Syndrome: Combination of Hypotension, Bradycardia, Contrast Induced Chest Pain, and Microvascular Angina.

    Science.gov (United States)

    Goberdhan, Shivesh; Chiew, Soon Kwang; Syed, Jaffer

    2016-01-01

    Hypotension, bradycardia, and contrast induced chest pain are potential complications of cardiac catheterization and coronary angiography. Catheter-induced coronary spasm has been occasionally demonstrated, but its relationship to spontaneous coronary spasm is unclear. We describe a 64-year-old female who underwent coronary artery bypass surgery in 1998 on the basis of an angiographic diagnosis of severe left main disease, who recently presented with increasingly frequent typical angina. Repeat coronary angiography was immediately complicated by severe chest pain, hypotension, and bradycardia but demonstrated only mild disease of the left main artery and entire coronary tree with complete occlusion of her prior grafts. This reaction was almost identical to that observed during her original coronary angiogram. We now believe her original angiogram was complicated by severe catheter-induced left main spasm, with the accompanying contrast reaction attributed to left main disease, and the occlusion of coronary grafts explained by the absence of significant left main disease. The combination of these symptoms has not been documented in the literature. In this instance, these manifestations erroneously led to coronary bypass surgery. It is unknown whether routine, systematic injection of intracoronary nitroglycerin prior to angiography might blunt the severity of such reactions. PMID:26981290

  7. Three Vessel Coronary Cameral Fistulae Associated with New Onset Atrial Fibrillation and Angina Pectoris

    Directory of Open Access Journals (Sweden)

    Murat Yuksel

    2014-01-01

    Full Text Available Coronary cameral fistulas are abnormal communications between a coronary artery and a heart chamber or a great vessel which are reported in less than 0.1% of patients undergoing diagnostic coronary angiography. All three major coronary arteries are even less frequently involved in fistula formation as it is the case in our patient. A 68-year-old woman was admitted to cardiology clinic with complaints of exertional dyspnea and angina for two years and a new onset palpitation. Standard 12-lead electrocardiogram revealed atrial fibrillation (AF with a ventricular rate of 114 beat/minute and accompanying T wave abnormalities and minimal ST-depression on lateral derivations. Transthoracic echocardiographic examination was normal except for diastolic dysfunction, minimally mitral regurgitation, and mild to moderate enlargement of the left atrium. Sinus rhythm was achieved by medical cardioversion with amiodarone infusion. Coronary angiography revealed diffuse and multiple coronary-left ventricle fistulas originating from the distal segments of both left and right coronary arterial systems without any stenosis in epicardial coronary arteries. The patient’s symptoms resolved almost completely with medical therapy. High volume shunts via coronary artery to left ventricular microfistulas may lead to increased volume overload and subsequent increase in end-diastolic pressure of the left ventricle and may cause left atrial enlargement.

  8. Nitric Oxide Synthetic Pathway in Patients with Microvascular Angina and Its Relations with Oxidative Stress

    Directory of Open Access Journals (Sweden)

    Benedetta Porro

    2014-01-01

    Full Text Available A decreased nitric oxide (NO bioavailability and an increased oxidative stress play a pivotal role in different cardiovascular pathologies. As red blood cells (RBCs participate in NO formation in the bloodstream, the aim of this study was to outline the metabolic profile of L-arginine (Arg/NO pathway and of oxidative stress status in RBCs and in plasma of patients with microvascular angina (MVA, investigating similarities and differences with respect to coronary artery disease (CAD patients or healthy controls (Ctrl. Analytes involved in Arg/NO pathway and the ratio of oxidized and reduced forms of glutathione were measured by LC-MS/MS. The arginase and the NO synthase (NOS expression were evaluated by immunofluorescence staining. RBCs from MVA patients show increased levels of NO synthesis inhibitors, parallel to that found in plasma, and a reduction of NO synthase expression. When summary scores were computed, both patient groups were associated with a positive oxidative score and a negative NO score, with the CAD group located in a more extreme position with respect to Ctrl. This finding points out to an impairment of the capacity of RBCs to produce NO in a pathological condition characterized mostly by alterations at the microvascular bed with no significant coronary stenosis.

  9. Prevalence of linked angina and gastroesophageal reflux disease in general practice

    Institute of Scientific and Technical Information of China (English)

    Hirohito Kato; Takamasa Ishii; Tatsuo Akimoto; Yoshihisa Urita; Motonobu Sugimoto

    2009-01-01

    AIM: To evaluate the association between gastroesophageal reflux diseases (GERD) and coronary heart diseases. METHODS: One thousand nine hundred and seventy consecutive patients who attended our hospital were enrolled. All of the patients who first attend our hospital were asked to respond to the F-scale questionnaire regardless of their chief complaints. All patients had a careful history taken, and resting echocardiography (ECG) was performed by physicians if the diagnostic necessity arose. Patients with ECG signs of coronary artery ischemia were defined as Stsegment depression based on the Minnesota code. RESULTS: Among 712 patients (36%) with GERD, ECG was performed in 171 (24%), and ischemic changes were detected in eight (5%). Four (50%) of these patients with abnormal findings upon ECG had no chest symptoms such as chest pain, chest oppression, or palpitations. These patients (0.6%; 4/712) were thought to have non-GERD heartburn, which may be related to ischemic heart disease. Of 281 patients who underwent ECG and did not have GERD symptoms, 20 (7%) had abnormal findings upon ECG. In patients with GERD symptoms and ECG signs of coronary artery ischemia, the prevalence of linked angina was considered to be 0.4% (8/1970 patients). CONCLUSION: The present study suggested that ischemic heart disease might be found although apatient was referred to the hospital with a complaint of GERD symptoms. Physicians have to be concerned about missing clinically important coronary artery disease while evaluating patients for GERD symptoms.

  10. Screening and identification of microRNA involved in unstable angina using gene-chip analysis

    Science.gov (United States)

    Li, Si; Sun, Ya-Nan; Zhou, Yun-Tao; Zhang, Chun-Lai; Lu, Feng; Liu, Jia; Shang, Xiao-Ming

    2016-01-01

    Increasing evidence has suggested that microRNA (miRNA) may play a role in the pathogenesis of cardiovascular disease, which has led to a greater understanding of the complex pathophysiological processes underlying unstable angina (UA). The present study aimed to investigate changes in the miRNA expression profiles of patients with UA using gene-chip analysis, in order to further elucidate the pathogenesis of UA. Total RNA was extracted and purified from plasma samples collected from patients with UA and healthy controls. The samples underwent microarray analysis using an Exiqon miRCURY LNA™ microRNA Array. Differentially expressed miRNAs were identified by volcano plot filtering, and were validated using reverse transcription-quantitative polymerase chain reaction (RT-qPCR). In addition, functional annotation of the differentially expressed miRNAs involved gene ontology analyses. Among the 212 miRNAs differentially expressed between the two groups, 82 were upregulated and 130 were downregulated. Notably, the results of the RT-qPCR were consistent with the gene-chip results. The miRNAs identified in the present study may be potential novel biomarkers for the prevention and early diagnosis of UA. Furthermore, the results of the present study suggested that UA occurs as a result of complex and dynamic processes regulated by numerous factors, including multiple miRNAs.

  11. Deep Vein Thrombosis, Raynaud's Phenomenon, and Prinzmetal Angina in a Patient with Glanzmann Thrombasthenia

    Directory of Open Access Journals (Sweden)

    Alan Nurden

    2012-01-01

    Full Text Available Patients with Glanzmann thrombasthenia fail to form large platelet thrombi due to mutations that affect the biosynthesis and/or function of the αIIbβ3 integrin. The result is a moderate to severe bleeding syndrome. We now report unusual vascular behaviour in a 55-year-old woman with classic type I disease (with no platelet αIIbβ3 expression and a homozygous ITGA2B missense mutation (E324K affecting the terminal β-propeller domain of αIIb. While exhibiting classic bleeding symptoms as a child, in later life this woman first developed deep vein thrombosis after a long air flight then showed vascular problems characteristic of Raynaud’s phenomenon, and finally this year she presented with chest pains suggestive of coronary heart disease. Yet while coronary angiography first showed a stenosis, this was not seen on a second examination when she was diagnosed with coronary spastic angina and Prinzmetal phenomenon. It is significant that the absence of platelet aggregation with physiologic agonists had not prevented any of the above cardiovascular or vascular diseases.

  12. La música como fuente de creatividad en las aulas de Educación Primaria

    OpenAIRE

    Barrero Santiago, Alejandro

    2015-01-01

    La música es una herramienta extraordinaria para alcanzar de forma íntegra y lúdica el aprendizaje en las aulas de Educación Primaria. En este trabajo se plantea una propuesta concreta para fomentar la creatividad, la originalidad y la improvisación de los estudiantes a través de la música.

  13. Las primeras manifestaciones artísticas como recurso en educación primaria: Las pinturas de Altamira

    OpenAIRE

    Trejo Malfaz, María Jesús

    2014-01-01

    Propuesta para el aula con el objetivo de acercar el arte rupestre, más concretamente el arte parietal, a los niños/as de educación primaria. Para conseguir este objetivo recurriremos a las pinturas de la cueva de Altamira.

  14. Recursos de internet y su aplicación en la enseñanza de la Geometría en Primaria

    OpenAIRE

    Lobo de Frutos, Francisco Javier

    2015-01-01

    En este documento se analiza el currículum LOMCE de Matemáticas en lo referente al estudio de la geometría en Primaria. Se aportan los fundamentos psicopedagógicos que aconsejan la utilización de los múltiples recursos que ofrece Internet para la enseñanza de la geometría en Primaria. Se describe la realidad en lo relativo al uso de las TIC en los centros docentes de Primaria en España para la enseñanza de la geometría. Asimismo, se detallan las dificultades que encuentran los docentes par...

  15. Impacto de una intervención informativa sobre el programa de cribado de cáncer colorrectal en profesionales de atención primaria

    OpenAIRE

    Benito-Aracil, Llúcia; Binefa, Gemma; Milà, Núria; Lluch Canut, Ma. Teresa; Puig Llobet, Montserrat; García Martínez, Montserrat

    2015-01-01

    Objetivo: Evaluar el impacto de una intervención informativa a profesionales de atención pri-maria sobre sus conocimientos de cribado de cáncer colorrectal, recomendaciones de vigilanciaposterior y estrategias de derivación. Método diseÑo: Ensayo clínico controlado y aleatorizado por conglomerados. Emplazamiento:centros de atención primaria de L'Hospitalet de Llobregat (Barcelona). Participantes: médi-cos y enfermeras de atención primaria. Intervención: sesión informativa y envío de píldorasi...

  16. Detección y prevalencia del trastorno por uso de alcohol en los centros de atención primaria de Cataluña

    Directory of Open Access Journals (Sweden)

    Laia Miquel

    2016-03-01

    Conclusiones: Los MAP reconocen poco el TUA en gente joven, mientras que detectan más la enfermedad en pacientes de mayor edad y con comorbilidades asociadas. La prevalencia de TUA es elevada en atención primaria.

  17. CASE OF DIAGNOSIS OF APICAL FORM OF HYPERTROPHIC CARDIOMYOPATHY WITH A PATIENT WITH PROGRESSIVE ANGINA CLINIC

    Directory of Open Access Journals (Sweden)

    N. S. Krylova

    2014-01-01

    Full Text Available Objective of work: to describe the apical form of hypertrophic cardiomyopathy (AFHC developing under the "mask" of the ischemic heart disease not diagnosed for a long period.Materials and methods. Patient B., 73 y.o., female, was brought to the cardiology department with complains of severe pressing pain behind the breastbone caused with no apparent reason and lasting for over 4 hours. The following examination of the patient was performed: electrocardiography (ECG, echocardiography (EchoCG, Holter ECG monitoring, coronary angiography (CAG, ventriculography.Results. The final diagnosis for the patient was set on the basis of the following readings: ECG data (basic rhythm – atrial fibrillation, left ventricle (LV hypertrophy, negative T-waves in leads V1–6, ST segment depression up to 1–2 mm in leads V4–6, EchoCG (hypertrophy of apical segments of the LV with decreasing of its cavity, moderate dilatation of the left atrium, intraventricular obstruction in the apical third of the LV with the maximum pressure gradient of up to 48 mm Hg., CAG (stenotic lesions of coronary arteries were found, ventriculography (LV volume is not increased, no violations of local contractility, narrowing of the LV cavity in the lower third is observed with thinning in the apex, which indicatesexpressed apical hypertrophy of the LV myocard. AFHC, apical form with moderate obstruction in the lower third of the left ventricle. Stress angina syndrome. CAG and ventriculography were main diagnostic methods that allowed setting the final diagnosis.Conclusion. The clinical case sets forth the peculiarities of diagnostics, therapy, and post-therapy management of patients with this form of AFHC.

  18. CASE OF DIAGNOSIS OF APICAL FORM OF HYPERTROPHIC CARDIOMYOPATHY WITH A PATIENT WITH PROGRESSIVE ANGINA CLINIC

    Directory of Open Access Journals (Sweden)

    N. S. Krylova

    2015-01-01

    Full Text Available Objective of work: to describe the apical form of hypertrophic cardiomyopathy (AFHC developing under the "mask" of the ischemic heart disease not diagnosed for a long period.Materials and methods. Patient B., 73 y.o., female, was brought to the cardiology department with complains of severe pressing pain behind the breastbone caused with no apparent reason and lasting for over 4 hours. The following examination of the patient was performed: electrocardiography (ECG, echocardiography (EchoCG, Holter ECG monitoring, coronary angiography (CAG, ventriculography.Results. The final diagnosis for the patient was set on the basis of the following readings: ECG data (basic rhythm – atrial fibrillation, left ventricle (LV hypertrophy, negative T-waves in leads V1–6, ST segment depression up to 1–2 mm in leads V4–6, EchoCG (hypertrophy of apical segments of the LV with decreasing of its cavity, moderate dilatation of the left atrium, intraventricular obstruction in the apical third of the LV with the maximum pressure gradient of up to 48 mm Hg., CAG (stenotic lesions of coronary arteries were found, ventriculography (LV volume is not increased, no violations of local contractility, narrowing of the LV cavity in the lower third is observed with thinning in the apex, which indicatesexpressed apical hypertrophy of the LV myocard. AFHC, apical form with moderate obstruction in the lower third of the left ventricle. Stress angina syndrome. CAG and ventriculography were main diagnostic methods that allowed setting the final diagnosis.Conclusion. The clinical case sets forth the peculiarities of diagnostics, therapy, and post-therapy management of patients with this form of AFHC.

  19. Effects of Salvia miltiorrhiza on Hemorheology and vascular endothelial function in patients with unstable angina pectoris

    Institute of Scientific and Technical Information of China (English)

    Shi-Lian Chen; Sheng-Bing Huang

    2016-01-01

    Objective:To investigate the effect of Salvia miltiorrhiza (SM) on vascular endothelial function and hemorheology in patients with unstable angina pectoris (UAP).Methods: A total of 60 cases of UAP patients from October 2014 to October 2015 as the research object, randomly divided into treatment group and control group; the two groups were treated with conventional bed rest, ECG monitoring, oxygen inhalation, application of nitroglycerin, beta blockers, aspirin and antiplatelet, statin therapy, the treatment group based on the use of salvianolate 200 mg+5% glucose 250 mL (neutralization amount of 0.9% sodium chloride was used in patients with diabetes or glucose insulin) intravenous drip, 1 times/d, two groups were treated for 2 weeks; the two groups before and after treatment and take venous blood in the morning fasting peripheral blood viscosity, plasma viscosity, measured by automatic blood rheometer (low and middle shear and high shear rate), hematocrit and erythrocyte aggregation index, serum endothelin (ET) and nitric oxide (NO) level was measured by nitrate reductase Set.Results:after the treatment, the treatment group, the plasma viscosity, whole blood viscosity (low shear, cut and high shear rate), red blood cell hematocrit and red blood cell aggregation index decreased than the control group, there is statistical significance; after treatment, in treatment group, the serum NO level, et reduce degree is significantly better than the contrast group, there is statistical significance.Conclusion: Salvia miltiorrhiza can effectively improve blood rheology, improve microcirculation, regulate vascular endothelial function, effectively reduce the risk of cardiovascular events in UAP patients, it is worthy of clinical application.

  20. Unstable angina and non-ST-segment myocardial infarction: an evidence-based approach to management.

    Science.gov (United States)

    Kou, Victoria; Nassisi, Denise

    2006-01-01

    Unstable angina (UA) and non-ST-segment elevation myocardial infarction (NSTEMI) represent two common, closely related acute coronary syndromes with potentially high morbidity and mortality. Integration of information from the history, physical exam, electrocardiogram, and cardiac biomarkers is used to formulate both the diagnosis of UA/NSTEMI and the overall assessment of patient prognosis and risk. Early diagnosis and risk stratification of patients with UA/NSTEMI enable the physician to initiate timely, appropriate treatment. (There is strong clinical evidence supporting the tailoring of specific therapies to the risk profile of the patient.) In recent years, powerful new medical and invasive therapies have been developed. Pharmaceutical agents for UA/NSTEMI may be broadly grouped into one of three categories: anti-ischemic, anti-platelet, and anti-thrombotic agents. Standard therapy for UA/NSTEMI has commonly included oxygen, aspirin, nitrates, morphine, beta-blockers and heparin. Potent new anti-platelet agents, including inhibitors of platelet adenosine diphosphate and glycoprotein IIb/IIIa receptors, play important, expanding roles in the management of these syndromes. Low-molecular-weight heparins have been shown to be an effective alternative to unfractionated heparin in their treatment. Major advances in invasive techniques and devices over the last decade include revascularization with percutaneous coronary intervention and drug-eluting intracoronary stents. Strong interest exists in studying the potential benefits and risks associated with an early invasive therapeutic strategy rather than an aggressive medical regimen for patients with UA/NSTEMI. As new treatments are rapidly added to our growing arsenal of management options, clinicians are constantly challenged with incorporating complex new information and guidelines into their practices in a timely fashion. To assist clinicians with this challenge, this article will review the evidence to support

  1. Correlation between Timi Risk Score and Clinical Outcome in Patients with Unstable Angina Pectoris

    Directory of Open Access Journals (Sweden)

    Savovic Zorica

    2016-06-01

    Full Text Available Given Taking that the TIMI score is a major predictor of MACE, this study aimed to determine the value of the TIMI risk score in predicting poor outcomes (death, myocardial infarction, recurrent pain in patients presenting with unstable angina pectoris in short-term observation. A total of 107 patients with APns were examined at the Clinical Centre Kragujevac and were included in the investigation. The TIMI score was determined on the first day of hospitalization. During hospitalization, the following factors were also observed: troponin, ECG evolution, further therapy (pharmacologic therapy and/or emergency PCI or CABG, age, hypertension and hyperlipidaemia. The low-risk group (TIMI 0 - 2 included 30.8% of patients, whereas 47.6% of patients were in the intermediate-risk group (TIMI 3 - 4, and 21.5% of patients were in the high-risk group (TIMI 5 - 7. Good outcomes (without adverse event and poor outcomes (death, myocardial infarction, and recurring chest pain were dependent on the TIMI risk score. The increase in TIMI risk score per one unit increased the risk of a poor outcome by 54%. Troponin and TIMI risk score were positively correlated. Our results suggest that the TIMI risk score may be a reliable predictor of a poor outcome (MACE during the short-term observation of patients with APns. Moreover, patients identified as high-risk benefit from early invasive PCI, enoxaparin and Gp IIb/IIIa inhibitors. Th us, routine use of the TIMI risk score at admission may reduce the number of patients not recognized as high-risk.

  2. La agilidad en alumnos de educación primaria: diferencias por edad y sexo

    OpenAIRE

    Yanci, J; Los Arcos, A.; R. Reina; Gil, E.; Grande, I.

    2014-01-01

    Se evaluó la agilidad en 110 niños (63 chicos y 47 chicas) divididos en dos grupos de alumnos de educación primaria: (a) Grupo 1 (G1) (n=53): alumnos de 1º curso (6.3±0.6 años), y (2) Grupo 2 (G2) (n=57): alumnos de 4º curso (9.5±0.4 años). Se utilizó una modificación respecto al MAT (28) para la valoración de la agilidad: el MAT2. Los propósitos del estudio fueron cuantificar el nivel de agilidad de los dos grupos, comprobar la influencia de las variables edad y sexo en la agilidad en edades...

  3. Cardiopatía isquémica. Atención primaria de salud

    Directory of Open Access Journals (Sweden)

    Luís Padrón Velázquez

    2010-12-01

    Full Text Available En el siguiente artículo se realiza una revisión de las evidencias actuales relacionadas con la conducta a seguir ante un paciente aquejado de una enfermedad cardiovascular, y en especial de una cardiopatía isquémica. Se presentan los criterios para el diagnóstico y tratamiento de las principales formas de cardiopatía isquémica en la atención primaria de salud, así como el manejo del infarto agudo de miocardio.This article presents a review on the current evidence related to the procedures to be followed when dealing with patients suffering from cardiovascular disease and particularly ischemic heart disease. We present the criteria for the diagnosis and treatment of major forms of heart disease in primary health care and the management of miocardial infarction.

  4. El BLOG: PENSAMIENTO DE LOS PROFESORES EN FORMACIÓN EN EDUCACIÓN PRIMARIA

    Directory of Open Access Journals (Sweden)

    Verónica MARÍN DÍAZ

    2016-01-01

    Full Text Available La inclusión de los blog en las aulas supone la modi¿cación de las metodologías didácticas de los docentes. La necesidad de que los estudiantes de educación primaria consigan al ¿nalizar los estudios la competencia informacional y digital supone que los blogs puedan formar parte de la ecología curricular. La investigación llevada a cabo con maestros en formación inicial tiene como objetivo saber si los blogs pueden ser una herramienta para el desarrollo del currículo. A través de un cuestionario conformado por 40 ítems, se ha obtenido, como principal resultado, su gran utilidad, fundamentalmente para los docentes con dos años de formación.

  5. Actitudes de docentes mujeres de nivel primaria con respecto a rasgos femeninos en alumnos varones

    Directory of Open Access Journals (Sweden)

    Jorge Armando Revilla Fajardo

    2008-01-01

    Full Text Available La presente investigación tuvo como propósito detectar la actitud de las docentes mujeres de escuela primaria acerca de la presencia de rasgos femeninos en alumnos varones. Se llevaron a cabo entrevistas con tres docentes mujeres de escuelas públicas de nivel primario. En el análisis de los resultados se ponen de relieve dos conclusiones básicas: las prácticas sociales como constituyentes de las expectativas individuales de cada docente y la presencia constante de procesos de evaluación social sobre el comportamiento del niño, los cuales se justifican en términos del bien del niño.

  6. La oncología en la atención primaria de salud

    OpenAIRE

    Mendoza del Pino, Mario Valentín

    2009-01-01

    El Libro “La Oncología en la Atención Primaria de Salud”, constituye un importante aporte para la prevención y atención del cáncer, desde una valoración muy integral. Se trata de una enfermedad que constituye la segunda causa de muerte en nuestro país, que tanto dolor y sufrimiento representa para el paciente y sus familiares. El libro tiene un enfoque muy útil para el Equipo Básico de Salud, ya que enfatiza que el cáncer puede prevenirse si logramos en la población cambios en el estilo de v...

  7. Diabetes mellitus: Manejo en la atención primaria de salud

    Directory of Open Access Journals (Sweden)

    Rubén Darío García Múñez

    2010-12-01

    Full Text Available Se realizó una revisión de las principales guías para el diagnóstico, seguimiento y control de la diabetes mellitus. Específicamente se abordan las principales evidencias relacionadas con estos aspectos de la mencionada entidad para el contexto particular de la atención primaria de salud, así como la interrelación con otras especialidades y niveles de atención, para ofrecer un servicio de calidad a los pacientes diabéticos.A review on the main guidelines for the diagnosis, monitoring and control of diabetes mellitus was conducted. Evidences related to the diagnosis, monitoring and treatment of this disease in the primary health care were also reviewed, as well as interactions with other medical specialties in order to provide a quality service to these patients.

  8. Una propuesa didáctica con materiales manipulativos para la educación primaria

    OpenAIRE

    Martín, Sagrario

    2012-01-01

    Este artículo trata sobre una experiencia del área de Matemáticas en segundo ciclo de primaria. El objetivo es enseñar y aprender los contenidos de dicha área partiendo de la manipulación de materiales específicos, como juegos, figuras para geometría, fichas para la numeración, relojes de papel… que hemos creado y llevado al aula en el curso escolar 2010/11. La principal conclusión es que los niños se han sentido enormemente motivados en la presentación de los contenidos, que han adquirido de...

  9. La multimorbilidad vista desde la perspectiva de los profesionales de atención primaria

    Directory of Open Access Journals (Sweden)

    Roberto Nuño-Solinís

    2014-06-01

    Conclusiones: El aumento de la multimorbilidad es una realidad que preocupa a los profesionales de atención primaria. Los profesionales manifiestan la necesidad de disponer formación adecuada y de sistemas de ayuda a la decisión y de soporte de la práctica diaria que contemplen las situaciones y combinaciones de multimorbilidad más frecuentes. Un abordaje más efectivo de esta problemática requiere un cambio en el modelo sanitario que privilegie una visión integral del paciente, la transición de un enfoque paternalista a uno más proactivo y el desarrollo de la integración asistencial.

  10. Predictive factors of recurrent angina after acute coronary syndrome: the global registry acute coronary events from China (Sino-GRACE)

    Institute of Scientific and Technical Information of China (English)

    ZHAO Fu-hai; CHEN Yun-dai; SONG Xian-tao; PAN Wei-qi; JIN Ze-ning; YUAN Fei; LI Yong-bin; Ren Fang; L(U) Shu-zheng

    2008-01-01

    Background Many patients with acute coronary syndrome (ACS) develop recurrent angina (RA) during hospitalization. The aim of this non-randomized, prospective study was to investigate the predictive factors of RA in unselected patients with ACS enrolled in the global registry acute coronary events (GRACE) during hospitalization in China. Methods Between March 2001 and October 2004, enrolled were 1433 patients with ACS, including ST segment elevation myocardial infarction (662, 46.2%), non-ST segment elevation myocardial infarction (239, 16.7%) and unstable angina (532, 37.1%). The demographic distribution, medical history and clinical data were collected to investigate the predictive factors of RA by Logistic regression.Results During hospitalization 275 (19.2%) patients were documented with RA including unstable angina (53.2%), non-ST segment elevation myocardial infarction (27.5%), ST segment elevation myocardial infarction (19.3%). A comorbidity of dyslipidemia, prior angina, percutaneous coronary Intervention (PCI) within 6 months was more common in patients with RA, P<0.05. In the patients with RA, a significantly higher proportion of patients with acute pulmonary edema was observed, 23 (8.4%) versus 43 (3.7%), P=0.001. Acute renal failure was present in 8 (2.9%) of patients with RA versus 19 (1.6%) of patients without RA,P=0.165. Hemorrhagic events were present in 6 (2.2%) of patients with RA versus 8 (0.7%) of patients without RA, ventricular tachycardia/ ventricular fibrillation events in 12 patients (4.3%) versus 22 patients (1.9%), congestive heart failure in 69 patients (25.0%) versus 94 patients (8.1%), myocardial re-infarction in 28 patients (10.1%) versus 15 patients (1.3%), P<0.05, respectively. A lower proportion of patients with RA underwent in-hospital PCI, 687 (59.3%) versus 114 (41.5%), P=0.000. A higher proportion of patients with RA received heparin, 260 (94.5%) versus 1035 (89.4%), P=0.006; and beta-blockers 176(64.0%) versus 864 (74

  11. IL PROCESSO DI PRODUZIONE SCRITTA: LA COESIONE VERBALE IN TESTI DI SCUOLA PRIMARIA

    Directory of Open Access Journals (Sweden)

    Fabiana Rosi

    2015-02-01

    Full Text Available Una delle principali difficoltà che incontrano i bambini della scuola primaria nella produzione scritta riguarda la coesione verbale, ovvero il mantenimento lungo il testo della dimensione temporale inizialmente selezionata per riportare gli eventi. L’articolo esamina questo specifico tipo di competenza testuale negli alunni di sei classi del secondo ciclo della scuola primaria, tre delle quali hanno partecipato alla sperimentazione educativa sulla produzione di testi scritti “Osservare l’interlingua”. Il confronto fra i dati raccolti all’inizio e alla fine dell’anno scolastico mostra una riduzione dei salti immotivati da un tempo verbale all’altro, definiti shift temporali, nei testi prodotti nelle classi del campione sperimentale in misura maggiore rispetto a quelle di controllo e sottolinea gli effetti positivi, a breve e lungo termine, di una didattica task-based condotta con approccio inclusivo, cooperativo ed attivo.  The process of writing: verb cohesion in primary school textsOne of principal difficulties in producing written texts for primary school pupils concerns verb cohesion, i.e. maintaining the temporal dimension initially chosen for expressing events throughout the text. The paper examines this specific textual competence in pupils from six classes within second cycle of primary school. Three of these classes were involved in the “Observing interlanguage” project focused on written production. The comparison of data collected at the beginning and the end of school year shows a decrease in temporal shifts (transitions from one verb tense to another in the texts produced by the students involved in the project with regard to the control group. These findings highlight the positive effects, both short-term and long-term, of task-based teaching through an inclusive, cooperative and active approach. 

  12. Actividades extraescolares y rendimiento académico en alumnos de primaria

    Directory of Open Access Journals (Sweden)

    Ramón Cladellas Pros

    2013-08-01

    Full Text Available El objetivo de este trabajo es valorar la posible incidencia en el rendimiento académico de alumnos de primaria, de la realización -o no- de actividades extraescolares, según su tipología (recreativas, cognitivas o ambas y el número de horas de actividades realizadas. La muestra final estaba formada por un total de 721 alumnos de primaria (366 niños y 355 niñas procedentes de diversos centros escolares de las comarcas catalanas y de las Islas Baleares. Se facilitó a los padres de los alumnos un cuestionario en el que debían indicar las notas obtenidas en diferentes materias (matemáticas, catalán, castellano, idiomas, gimnasia y plástica y responder datos relacionados con la realización de actividades extraescolares. Los resultados muestran cómo la realización de algún tipo de actividad extraescolar, sea del tipo que sea, mejora el rendimiento académico de los niños y niñas de la muestra. La sola realización de algún tipo de actividad (ya sea recreativa o cognitiva, o una combinación de ambas, incide positivamente y significativamente en los resultados obtenidos en todas las materias estudiadas, a excepción de las asignaturas de matemáticas, gimnasia y plástica. Asimismo, un número elevado de horas de actividades extraescolares (más de 10 horas y media a la semana afecta negativamente a los resultados obtenidos en todas las materias menos en gimnasia.

  13. Apendagitis epiploica primaria: Clínica y evolución de 73 casos

    Directory of Open Access Journals (Sweden)

    Graciela M Vázquez

    2014-12-01

    Full Text Available La apendagitis epiploica primaria es una enfermedad relativamente infrecuente dentro de los diagnósticos diferenciales del abdomen agudo. Describimos las características clínicas y evolución de una serie de 73 casos de apendagitis epiploica primaria. Se realizó una búsqueda de imágenes ecográficas y tomográficas con diagnóstico de apendagitis en el sistema de información hospitalario electrónico del Hospital Alemán entre abril del 2007 y julio del 2013 y posteriormente se revisaron sus historias clínicas. Se incluyeron 73 casos; la edad promedio fue de 45 años (± 16, 54 (74% eran varones. El motivo de consulta fue dolor abdominal: en fosa ilíaca izquierda en 65 (el 89% de los casos; en fosa ilíaca derecha en seis (8% y en otras localizaciones en dos (3%. Se les realizó ecografía abdominal a 44 (60%, tomografía computarizada a 21 (29%, y ambos estudios a 8 (11%. En el 49% de los casos se solicitó interconsulta con el servicio de cirugía. Recibieron tratamiento con antibióticos 15 (21% pacientes, de los cuales el 73% fue indicado por un médico clínico. Recibieron tratamiento ambulatorio con antiinflamatorios no esteroides 67 (92%; dos requirieron cirugía laparoscópica, dos internación y dos opiáceos. La apendagitis epiploica es infrecuente dentro de los diagnósticos diferenciales de abdomen agudo, pero es una entidad que no debe ser desconocida por los médicos para prevenir intervenciones innecesarias y el uso excesivo de antibióticos.

  14. Conocimientos tecnológicos, pedagógicos y disciplinares del profesorado de Primaria

    Directory of Open Access Journals (Sweden)

    Rosabel Roig Villa

    2015-07-01

    Full Text Available La emergencia de las tecnologías de información y comunicación (TIC plantea nuevos desafíos educativos al profesorado, a los cuales puede responder desde un modelo de formación coherente. El propósito de este estudio es analizar los conocimientos tecnológicos, pedagógicos y disciplinares del profesorado de Educación Primaria, necesarios para la integración de las TIC en la labor docente. Para ello, se llevó a cabo una investigación con una metodología cuantitativa de carácter no experimental en la que participaron 224 profesores de Educación Infantil y Primaria de la provincia de Alicante. Los resultados mostraron que los docentes poseen mayores conocimientos pedagógicos y disciplinares que tecnológicos, lo que conlleva a escasos conocimientos para la integración de las TIC en la labor docente. Se constataron, además, diferencias significativas entre el género y los años de experiencia docente, y la relación entre el uso lúdico de la tecnología y los conocimientos sobre sus aspectos fundamentales. Según los resultados obtenidos, se corrobora la necesidad de una alfabetización digital del profesorado abordada no solo desde una formación tecnológica, sino también pedagógica y disciplinar de forma global. Ello responde al modelo TPACK (Technological, Pedagogical and Content Knowledge, el cual se contempla como un marco de referencia a tener en cuenta por lo que respecta al desarrollo profesional del profesorado y su vinculación a los procesos de enseñanza-aprendizaje en el aula donde las TIC estén presentes.

  15. Hipertensión arterial pulmonar primaria o idiopática

    Directory of Open Access Journals (Sweden)

    Yazmín Ravelo-Calzado

    2010-01-01

    Full Text Available La hipertensión arterial pulmonar primaria (HAPP es una enfermedad crónica de causa desconocida que se caracteriza por un incremento de la presión sanguínea media en la arteria pulmonar, mayor de 25 mmHg en reposo o más de 30 mmHg durante el ejercicio. Es una enfermedad que afecta a ambos sexos y no tiene predilección racial. La HAPP sin tratar puede conducir a una insuficiencia ventricular derecha y por consiguiente, a la muerte. La HAPP involucra varios mecanismos subyacentes, dentro de los cuales la vasoconstricción, el remodelado vascular y la trombosis in situ son los más importantes. Aunque hasta el presente la HAPP no tiene cura, se ha logrado mejorar la calidad de vida de los pacientes utilizando diversas estrategias terapéuticas, tanto farmacológicas como quirúrgicas. Por tanto, el conocimiento de los factores que predisponen al desarrollo de la HAPP, así como la búsqueda de alternativas para su tratamiento o una cura definitiva es de interés actual. El presente trabajo describe brevemente las características de la HAPP incluyendo datos de la epidemiología, fisiopatología, manifestaciones clínicas, causas y factores de riesgo. Además, describe las principales terapias farmacológicas empleadas en los pacientes con HAPP, así como algunos modelos experimentales que permiten evaluar nuevos fármacos potencialmente efectivos para tratar la hipertensión arterial pulmonar primaria.

  16. Escalas de evaluación de riesgo suicida en atención primaria

    Directory of Open Access Journals (Sweden)

    Claudia Ximena Rangel-Garzón

    2015-10-01

    Full Text Available Antecedentes. El médico de atención primaria debe decidir qué hacer con un paciente que ha atentado contra su vida o manifiesta ideación suicida. Posiblemente puede interconsultar a psiquiatría; sin embargo, ocasionalmente esto se difiere. Objetivo. Encontrar un instrumento de evaluación del riesgo suicida en adultos que pueda ser aplicado por el médico general en el servicio de urgencias. Materiales y métodos. Revisión de la literatura en PubMed con los términos MeSH: ‘suicide', ‘risk assessment' y ‘scales'; se encontraron 270 artículos a los que se les analizaron los abstract y finalmente se incluyeron 24 estudios. Resultados. Se encontraron nueve instrumentos y se descartaron los demás por involucrar diagnóstico específico, grupos de edad distintos, poblaciones específicas diferentes, tiempo prolongado de aplicación y otros determinantes enfocados en los factores protectores y en opiniones del paciente acerca del suicidio. Conclusiones. Estas escalas se pueden usar como instrumento de ayuda para definir una conducta en un paciente con riesgo suicida, pero no reemplazan la entrevista psiquiátrica. Se postulan las escalas Modified Scale for Suicide Ideation y Plutchik Suicide Risk Scale por cumplir con las características psicométricas, por tener un tiempo de aplicación adecuado en el servicio de urgencias y por sus preguntas sencillas para ser utilizadas en atención primaria.

  17. Calidad de vida de los pacientes con inmunodeficiencias primarias de anticuerpos

    Directory of Open Access Journals (Sweden)

    Rodolfo Muriel-Vizcaíno

    2016-02-01

    análisis de covarianza. Se incluyeron 28 pacientes. La mediana de edad fue 5 años y 5 meses. Resultados: el promedio de edad al diagnóstico fue de 6 años con 3 meses. La mediana de retraso diagnóstico fue de 3 años 3 meses. El promedio de calidad de vida en los pacientes fue de 74.1 (DE ± 13.8 y de 83.3 (DE ± 10.1 para los controles (p = 0.005. La relación entre calidad de vida, retraso diagnóstico y presencia de complicaciones se analizó mediante un modelo lineal que fue marginalmente significativo (p = 0.056. Se encontró correlación negativa entre concentraciones de IgG en el último año y la calidad de vida. Se observó que, en los pacientes que presentaban bronquiectasias, conforme aumentan los años de retraso en el diagnóstico la calidad de vida disminuye de forma significativa (p = 0.007. Conclusiones: consideramos necesario evaluar la calidad de vida para conocer el estado de salud de los pacientes con inmunodeficiencias primarias y para su seguimiento durante el tratamiento con el objeto de incidir no sólo en la reducción del número de infecciones, hospitalizaciones y complicaciones, sino también en la mejoría de su calidad de vida. Deberá diseñarse un instrumento específico para evaluar la calidad de vida de los pacientes con inmunodeficiencias primarias.

  18. Actividades físicas en el medio natural. La orientación con bicicleta en el tercer ciclo de educación primaria

    OpenAIRE

    Rincón Rodrigo, Santos

    2016-01-01

    El trabajo es un plan de intervención de desarrollo de una jornada de orientación llevada a cabo de una forma novedosa, es decir, con la bicicleta, destinada para niños del tercer ciclo de E. Primaria. El trabajo consta de una sesión en la zona de Boca del Asno (Valsaín). Grado en Educación Primaria

  19. Direct intramyocardial mesenchymal stromal cell injections in patients with severe refractory angina - one year follow-up

    DEFF Research Database (Denmark)

    Haack-Sørensen, Mandana; Friis, Tina; Mathiasen, Anders B;

    2013-01-01

    Aims: In patients with stable coronary artery disease (CAD) and refractory angina we performed direct intra-myocardial injections of autologous mesenchymal stromal cells (MSCs) and followed the safety and efficacy of the treatment for 12 months. Methods and Results: A total of 31 patients with st...... follow-up demonstrated, that it was safe to culture expand MSCs and use the cells for clinical treatment. The patients maximal metabolic equivalent (MET) during exercise increased from 4.23 MET at baseline to 4.72 MET at 12 months follow-up (p...

  20. Burden of Hospital Admission and Repeat Angiography in Angina Pectoris Patients with and without Coronary Artery Disease

    DEFF Research Database (Denmark)

    Jespersen, Lasse; Abildstrom, Steen Z; Hvelplund, Anders;

    2014-01-01

    AIMS: To evaluate risk of hospitalization due to cardiovascular disease (CVD) and repeat coronary angiography (CAG) in stable angina pectoris (SAP) with no obstructive coronary artery disease (CAD) versus obstructive CAD, and asymptomatic reference individuals. METHODS AND RESULTS: We followed 11......-, and 3-vessel disease, respectively (all Prepeat CAG with multivariable adjusted hazard ratios for patients with angiographically normal coronary arteries being 2.3(1.9-2.9), for angiographically diffuse non-obstructive CAD 5.5(4.4-6.8) and for obstructive CAD...... 6.6-9.4(range)(all Prepeat CAG compared with asymptomatic reference...

  1. Prinzmetal's variant angina evolved in inferior myocardial infarction with involvement of the right ventricle: Sequential radionuclide evaluation

    International Nuclear Information System (INIS)

    A patient with Prinzmetal's variant angina (PVA) who developed an inferolateral myocardial infarction with right-ventricle involvement was studied using sequential radionuclide imaging until 5 months after the acute event. The patient also underwent-contrast ventriculography and coronary-artery angiography. Equilibrium-gated radionuclide angiography (EGRA) revealed the localization of ventricular dysfunction, the results obtained being in agreement with haemodynamic data. We emphasize the usefulness of the parameters obtained using EGRA (regional wall motion, systolic and diastolic parameters) in planing therapy and follow-up. (orig.)

  2. Relevance of 123I-BMIPP delayed scintigraphic imaging for patients with angina pectoris – a pilot study

    OpenAIRE

    Koyama, Kohei; Akashi, Yoshihiro J.; Kida, Keisuke; Suzuki, Kengo; Ishibashi, Yuki; Musha, Haruki; Banach, Maciej

    2011-01-01

    Introduction The study was designed to clarify the role of 123I-β-methyl-iodophenylpentadecanoic acid (123I-BMIPP) in the evaluation of myocardial fatty acid metabolism in patients with stable angina pectoris (AP) before and after percutaneous coronary intervention (PCI). Material and methods Ten controls (mean age: 70.4 ±10.5 years) and 12 patients with AP (mean age: 67.4 ±11.6 years) and single vessel coronary artery disease participated in the radionuclide cardiac study. Scintigraphic imag...

  3. GAMMAGRAFÍA DE PERFUSIÓN MIOCÁRDICA EN MUJERES POSMENOPÁUSICAS CON ANGINA Y CORONARIAS EPICÁRDICAS ANGIOGRÁFICAMENTE NORMALES / Myocardial perfusion scintigraphy in postmenopausal women with angina and angiographically normal epicardial coronary

    Directory of Open Access Journals (Sweden)

    Sherien Sixto Fernández

    2011-03-01

    Full Text Available Introduction and Objectives: Microvascular angina is common in postmenopausal women. Myocardial ischemia was induced by stress testing, and reports have been published about the relationship between endothelial dysfunction and myocardial perfusion. The objective of this research was to determine whether myocardial ischemia can be evidenced by abnormalities in perfusion and function, as detected by myocardial scintigraphy in women with typical angina, normal coronary angiography and endothelial dysfunction. Methods: 59 women underwent lipid and endothelial function measurements by brachial artery ultrasound, in addition, a 24-hour ECG study (Holter. During the scintigraphy a stress-rest protocol was applied. Patients were divided into two groups according to presence (group I or absence (group II of myocardial perfusion defects. Results: 21 patients showed perfusion defects. 57 % of group I exhibited greater endothelial dysfunction. Only twelve patients showed reversible perfusion defects, and 75 % of the cases was associated with a reduction of post-stress left ventricular ejection fraction, greater than 5 %, and regional abnormalities of wall motion. Three patients in group I showed evidence of ischemia compared with four in Group II. Conclusions: The stress-induced ischemia was associated with a reduced post-stress ejection fraction and endothelial dysfunction in the studied women, and no ischemic changes in the Holter were found.

  4. Estudio de eficacia y coste en la electroestimulación medular como tratamiento de la angina refractaria Cost-effectiveness study of medullary electrostimulation for the management of refractory angina

    Directory of Open Access Journals (Sweden)

    M. Mayo

    2004-07-01

    Full Text Available Objetivo: Valorar la evolución de los pacientes, de nuestro hospital, diagnosticados de angina refractaria y tratada con estimulación eléctrica medular (EEM cervical desde 1994-2002, además de valorar los costes asociados a dicho tratamiento y su relación coste/beneficio. Material y métodos: Estudio retrospectivo de 12 pacientes observando su evolución a lo largo de 8 años con controles clínicos periódicos, objetivándose tanto en la historia previa como posterior al implante, las siguientes variables: fracción de eyección del ventrículo izquierdo (FEVI, estadio funcional NYHA, frecuencia de ingresos hospitalarios, frecuencia de episodios anginosos e ingesta de cafinitrinas, sensación subjetiva de mejora del dolor anginoso, exitus, costes hospitalarios previos y posteriores a la colocación del EEM. Resultados: El electrodo de EEM fue implantado a nivel cervical siendo más frecuente la localización C2-C3 (58,3%. No se presentó ninguna complicación intraoperatoria. En el postoperatorio inmediato tuvimos como única complicación un desplazamiento del electrodo. No hubo ninguna complicación a largo plazo. Comprobamos que existió una disminución del número de anginas por semana (14 vs 4 p = 0,005 asociada a una disminución del número de tomas de nitroglicerina de acción rápida (15,7 vs 3,8 p = 0,002 y a una disminución en el número de ingresos hospitalarios/año (2,62 vs 0,84 p = 0,003. La mejoría subjetiva por parte del paciente tras la colocación del neuroestimulador fue del 70%. En cuanto al coste hospitalario quinquenal (conformado sólo por el coste del ingreso sin pruebas complementarias fue de 37.921,85 e en los pacientes con angina refractaria que no portaban EEM, frente a los 15.150,25 € de los pacientes portadores EEM.Objective: To assess the evolution of patients in our hospital with diagnosis of refractory angina treated with cervical medul-lary electrostimulation (MES over the period 1994-2002, and to

  5. Estudio de las dimensiones del lenguaje en un alumno con TDAH de Educación Primaria.

    OpenAIRE

    Hernández-Castro, Leyla

    2012-01-01

    Objetivos: Se pretende analizar las dimensiones del lenguaje (fonético-fonológica, morfológica, sintáctica, semántica y pragmática) en un niño de Educación Primaria con TDAH y comparar los resultados con una muestra de niños normales. Material y Método: Se aplica a un niño de 6º de Primaria, el Registro Fonológico Inducido y el BLOC: Batería de Lenguaje Objetiva y Criterial para detectar las áreas deficitarias de cada una de las dimensiones del lenguaje. Resultados: Se han obtenido peor...

  6. Comprensión y Producción Textual Narrativa en Estudiantes de Educación Primaria

    Directory of Open Access Journals (Sweden)

    LEIDY TATIANA GUZMÁN TORRES

    2015-01-01

    Full Text Available Por medio de un enfoque mixto, se caracterizó la comprensión y producción textual narrativa en estudiantes de educación primaria (primero y segundo grado, así como aspectos psicosociales (valor social de la lectura y hábito lector y contextuales (interacciones cognitivas y afectivas docente-niños en docentes de educación primaria de tres instituciones educativas. Se encontró que los estudiantes tuvieron un desempeño medio alto en producción textual y comprensión literal, y bajo en comprensión inferencial. Además, se observó que la mayoría de las docentes son lectoras ocasionales, emplean interacciones cognitivas unidireccionales, ofrecen un mediano apoyo emocional a sus estudiantes y valoran la lectura como una herramienta instrumental y lúdica.

  7. CONDICIONANTES DEL RENDIMIENTO ACADÉMICO EN LA ESCOLARIDAD PRIMARIA EN BRASIL: UN ANÁLISIS MULTIFACTORIAL

    Directory of Open Access Journals (Sweden)

    Mauro Mediavilla

    2016-03-01

    Full Text Available RESUMEN: Una problemática educativa actual en Brasil es el alto porcentaje de alumnos en la escolaridad primaria que muestran un bajo nivel académico. Esta situación justifica el análisis de los determinantes del rendimiento académico en matemáticas para la totalidad de alumnos y su comparación al colectivo con un rendimiento considerado insuficiente. Para ello, se emplea una aproximación lineal y multivariante a partir de los datos contenidos en la base de datos del Sistema de Avaliação da Educação Básica 2005. En conjunto, los resultados obtenidos permiten afirmar que las dimensiones asociadas a la educabilidad resultan determinantes para comprender los rendimientos observados en la educación primaria.

  8. El aprendizaje del lenguaje visual en 6º de Primaria a través del cómic

    OpenAIRE

    Domínguez-Fernández, Elvira

    2014-01-01

    El estilo de vida actual, basado en el estímulo visual, demanda un mayor énfasis en la educación de los estudiantes de Primaria para la lectura de imágenes, con el objetivo de formar sujetos con juicio crítico y habilidad para la interpretación y creación de mensajes visuales. Para alcanzar tal objetivo, el siguiente documento propone la introducción del cómic en el aula de 6º curso de Educación Primaria como recurso didáctico para la adquisición y mejora de los códigos comunicativos a nivel ...

  9. Aplicación de las Ciencias Sociales en alumnos con Necesidades Educativas Especiales en Educación Primaria

    OpenAIRE

    Delgado del Val, Ana María

    2014-01-01

    El trabajo que se ha realizado, como su nombre indica se ha centrado en la aplicación de las ciencias sociales en una niña de 6 años con necesidades educativas especiales, que según el informe psicopedagígico, ha sido diagnosticada de artrogriposis congénita, tipo displasia opercular bilateral, matriculada en Primero de Educación Primaria. [...

  10. IL SAPERE CARTOGRAFICO AL CUORE DEL PROCESSO DI APPRENDIMENTO E DI FORMAZIONE NELLA SCUOLA PRIMARIA E SECONDARIA

    OpenAIRE

    Calandra, Lina Maria

    2016-01-01

    A partire dall’idea che la carta geografica rappresenta una espressione del controllo cognitivo e simbolico della realtà, è possibile ridefinire le caratteristiche della carta geografica da mettere in evidenza e/o da far emergere nel processo di apprendimento in cartografia nella Scuola Primaria e Secondaria. Nella prospettiva di problematizzare l’approccio alla carta, due obiettivi diventano centrali: 1) capire il funzionamento della carta, ossia il meccanismo attraverso il quale...

  11. Plasma α1-antitrypsin: A Neglected Predictor of Angiographic Severity in Patients with Stable Angina Pectoris

    Directory of Open Access Journals (Sweden)

    Hui Zhao

    2015-01-01

    Full Text Available Background: As an acute phase protein, α1-antitrypsin (AAT has been extensively studied in acute coronary syndrome, but it is unclear whether a relationship exists between AAT and stable angina pectoris (SAP. The purpose of the present study was to investigate the association between AAT plasma levels and SAP. Methods: Overall, 103 SAP patients diagnosed by coronary angiography and clinical manifestations and 118 control subjects matched for age and gender were enrolled in this case-control study. Plasma levels of AAT, high-sensitivity C-reactive protein (hsCRP, lipid profiles and other clinical parameters were assayed for all participants. The severity of coronary lesions was evaluated based on the Gensini score (GS assessed by coronary angiography. Results: Positively correlated with the GS (r = 0.564, P < 0.001, the plasma AAT level in the SAP group was significantly higher than that in the control group (142.08 ± 19.61 mg/dl vs. 125.50 ± 19.67 mg/dl, P < 0.001. The plasma AAT level was an independent predictor for both SAP (odds ratio [OR] = 1.037, 95% confidence interval [CI]: 1.020-1.054, P < 0.001 and a high GS (OR = 1.087, 95% CI: 1.051-1.124, P < 0.001 in a multivariate logistic regression model. In the receiver operating characteristic curve analysis, plasma AAT level was found to have a larger area under the curve (AUC for predicting a high GS (AUC = 0.858, 95% CI: 0.788-0.929, P < 0.001 than that of hsCRP (AUC = 0.665, 95% CI: 0.557-0.773, P = 0.006; Z = 2.9363, P < 0.001, with an optimal cut-off value of 137.85 mg/dl (sensitivity: 94.3%, specificity: 68.2%. Conclusions: Plasma AAT levels correlate with both the presence and severity of coronary stenosis in patients with SAP, suggesting that it could be a potential predictive marker of severe stenosis in SAP patients.

  12. Plasma α1-antitrypsin: A Neglected Predictor of Angiographic Severity in Patients with Stable Angina Pectoris

    Institute of Scientific and Technical Information of China (English)

    Hui Zhao; Hong Liu; Lin Chai; Ping Xu; Lu Hua; Xiao-Yuan Guan; Bing Duan

    2015-01-01

    Background:As an acute phase protein,α1-antitrypsin (AAT) has been extensively studied in acute coronary syndrome,but it is unclear whether a relationship exists between AAT and stable angina pectoris (SAP).The purpose of the present study was to investigate the association between AAT plasma levels and SAP.Methods:Overall,103 SAP patients diagnosed by coronary angiography and clinical manifestations and 118 control subjects matched for age and gender were enrolled in this case-control study.Plasma levels of AAT,high-sensitivity C-reactive protein (hsCRP),lipid profiles and other clinical parameters were assayed for all participants.The severity of coronary lesions was evaluated based on the Gensini score (GS) assessed by coronary angiography.Results:Positively correlated with the GS (r =0.564,P < 0.001),the plasma AAT level in the SAP group was significantly higher than that in the control group (142.08 ± 19.61 mg/dl vs.125.50 ± 19.67 mg/dl,P < 0.001).The plasma AAT level was an independent predictor for both SAP (odds ratio [OR] =1.037,95% confidence interval [CO:1.020-1.054,P < 0.001) and a high GS (OR =1.087,95% CI:1.051-1.124,P < 0.001) in a multivariate logistic regression model.In the receiver operating characteristic curve analysis,plasma AAT level was found to have a larger area under the curve (AUC) for predicting a high GS (AUC =0.858,95% CI:0.788-0.929,P < 0.001) than that of hsCRP (AUC =0.665,95% CI:0.557-0.773,P =0.006; Z =2.9363,P < 0.001),with an optimal cut-off value of 137.85 mg/dl (sensitivity:94.3%,specificity:68.2%).Conclusions:Plasma AAT levels correlate with both the presence and severity of coronary stenosis in patients with SAP,suggesting that it could be a potential predictive marker of severe stenosis in SAP patients.

  13. Correlation between C-Reactive Protein in Peripheral Vein and Coronary Sinus in Stable and Unstable Angina

    Energy Technology Data Exchange (ETDEWEB)

    Leite, Weverton Ferreira, E-mail: wfleite@cardiol.br [Instituto do Coração (InCor) do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HC-FMUSP), São Paulo, SP (Brazil); Hospital Beneficência Portuguesa de São Paulo, São Paulo, SP (Brazil); Ramires, José Antonio Franchini; Moreira, Luiz Felipe Pinho; Strunz, Célia Maria Cassaro [Instituto do Coração (InCor) do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HC-FMUSP), São Paulo, SP (Brazil); Mangione, José Armando [Hospital Beneficência Portuguesa de São Paulo, São Paulo, SP (Brazil)

    2015-03-15

    High sensitivity C-reactive protein (hs-CRP) is commonly used in clinical practice to assess cardiovascular risk. However, a correlation has not yet been established between the absolute levels of peripheral and central hs-CRP. To assess the correlation between serum hs-CRP levels (mg/L) in a peripheral vein in the left forearm (LFPV) with those in the coronary sinus (CS) of patients with coronary artery disease (CAD) and a diagnosis of stable angina (SA) or unstable angina (UA). This observational, descriptive, and cross-sectional study was conducted at the Instituto do Coração, Hospital das Clinicas, Faculdade de Medicina, Universidade de São Paulo, and at the Hospital Beneficência Portuguesa de Sao Paulo, where CAD patients referred to the hospital for coronary angiography were evaluated. Forty patients with CAD (20 with SA and 20 with UA) were included in the study. Blood samples from LFPV and CS were collected before coronary angiography. Furthermore, analysis of the correlation between serum levels of hs-CRP in LFPV versus CS showed a strong linear correlation for both SA (r = 0.993, p < 0.001) and UA (r = 0.976, p < 0.001) and for the entire sample (r = 0.985, p < 0.001). Our data suggest a strong linear correlation between hs-CRP levels in LFPV versus CS in patients with SA and UA.

  14. Effects of XUEZHIKANG on Oxidized Low Density Lipoprotein,C- Reactive Protein, Fibrinogen in Unstable Angina Pectoris Patients

    Institute of Scientific and Technical Information of China (English)

    姚青海; 崔长琮; 王军奎; 姚晓伟

    2003-01-01

    Objectives To study the effects of XUEZHIKANG on lipid modulating and thelevel of oxidized low density lipoprotein (OX - LDL),C -reactive protein(CRP), fibrinogen(FIB) in serum.Methods XUEZHIKANG was given to patientswith unstable angina pectoris and hyperlipidemia at adose of 0.6 gram bid for 2 months and with half-dose for another 2 months. Vitamin E was given tounstable angina pectoris patients with normal lipid atthe dose of 0.1 gram bid for 4 months respectively.Then compared the level of lipid and OX - LDfL, CRP,FIB in serum at beginning, first -month and second -month. Results XUEZHIKANG can reduce theserum level of total cholesterol, low density lipoproteinin 1 month , and gained better effect in 2 months. Itcan also reduce triglyceride and increase high densitylipoprotein in 2 months. Compared with vitamin EXUEZHIKANG can reduce the level of OX- LDL,CRP, FIB significantly after treatment for 2 months.Conclusions XUEZHIKANG has significant effectin lipid modulating , and it can also inhibit the de-velopment of inflammation in coronary plaque.

  15. A Clinical Study of Safflower Yellow Injection in Treating Coronary Heart Disease Angina Pectoris with Xin-Blood Stagnation Syndrome

    Institute of Scientific and Technical Information of China (English)

    2005-01-01

    Objective: To evaluate the clinical effect and safety of Safflower Yellow injection (SYI) in treating coronary heart disease angina pectoris (CHD-AP) with Xin-blood stagnation syndrome (XBSS).Methods: Adopted was the multi-centered, randomized, positive parallel controlled method, 448 patients with CHD-AP-XBSS were enrolled and divided into two groups, 336 in the tested group treated with SYI and112 in the control group treated with Salvia injection by intravenous dripping once a day for 14 days, so as to observe the conditions of angina, electrocardiogram, and therapeutic effect on traditinal Chinese medicine(TCM) symptoms as well as the safety of the treatment. Results: The significantly effective rate and total effective rate in the tested group were 60.06% (194/323) and 91.02% (294/323) respectively; those in improvement of TCM symptoms were 40.18% (129/321) and 75.23% (243/323) respectively, which were better than those in the control group (P<0.01). Conclusion: SYI Injection is effective and safe in treating CHD-AP-XBSS.

  16. Effect of the platelet membrane GP Ⅰ a gene polymorphism in the pathogenesis of unstable angina pectoris

    Institute of Scientific and Technical Information of China (English)

    Yonghui Zhao; Changcong Cui; Yanni Wang; Jiaqing Zhu

    2005-01-01

    Objective: To investigate the effect of platelet membrane glycoprotein(GP) Ⅰ a gene polymorphism in the pathogenesis of unstable angina pectoris (UAP) in Chinese people. Methods: Collagen type Ⅰ -induced platelet aggregation was measured in 33healthy subjects in vitro. Plasma level of α-granule membrane protein (GMP-140) was measured in both the above 33 healthy subjects during fasting and 35 patients with recent onset effort anina during rest onset within 24 h after hospitalization. Furthermore, the platelet membrane GP Ⅰ a gene 807C/T polymorphism was checked in all subjects with polymerase chain reaction-sequence specific primers(PCR-SSP)technique. Results: The lag time before 30% platelet aggregation was significantly longer in healthy subjects with CC genotype than with TC genotype ( P <0.01). However, there was no significant difference in the maximal platelet aggregation between healthy subjects with the above two genotypes. Plasma level of GMP-140 was significantly higher in TC genotypic patients with recent onset effort angina than in CC genotypic patients with the same type of UAP( P < 0.05) and healthy subjects ( P < 0.01), furthermore, there was also significant difference between the latter two groups( P < 0.05). Conclusion: The rapid initiation of collagen-induced platelet aggregation may be associated with platelet membrane GP Ⅰ a T807 allele, which may play an important role in the pathogenesis of UAP.

  17. The effects of lidoflazine on exercise performance and thallium stress scintigraphy in patients with stable angina pectoris

    International Nuclear Information System (INIS)

    Lidoflazine is a synthetic drug with calcium-channel blocking effects. In a 7-month study, 36 patients with stable angina pectoris were tested during a 3-month single-blind placebo phase. Nineteen were then randomized by double-blind methods to lidoflazine and 17 to placebo therapy. The lidoflazine group had a significant (p < 0.01) reduction in anginal attacks; the placebo group did not. Exercise testing demonstrated that lidoflazine therapy was associated with a 34% increase in total work performance and a 15.6% increase in peak calculated oxygen uptake during double-blind treatment (both p < 0.004 compared with the placebo group). Heart rate was significantly reduced at submaximal levels of exercise during lidoflazine therapy (p < 0.04). Nitroglycerin consumption and electrocardiographic changes at the end of exercise did not change during the double-blind phase. In a second study of six similar patients, single-blind administration of lidoflazine was associated with improved myocardial perfusion during exercise as determined by thallium-201 stress scintigraphy. These studies demonstrate that lidoflazine therapy is associated with relief of angina, an increased physical work capacity, and improved regional myocardial perfusion during exercise

  18. LAS ESTRATEGIAS DE ENSEÑANZA Y APRENDIZAJE EN LA HISTORIA DE CUBA EN LA ESCUELA PRIMARIA MULTIGRADO

    Directory of Open Access Journals (Sweden)

    Ada Iris Nápoles Cruz

    2015-01-01

    Full Text Available Este artículo contiene ideas que reflexionan sobre la necesidad de desarrollar en las escuelas primarias multigrados estrategias didácticas para el proceso de enseñanza aprendizaje de la Historia de Cuba en este contexto educativo, que potencie las relaciones entre los componentes de dicho proceso y promueva las estrategias, tanto para el maestro como para los escolares primarios, que favorezcan la enseñanza y el aprendizaje de la Historia de Cuba con el objetivo de materializar las aspiraciones de esta asignatura en el contexto del Modelo de la Educación Primaria. El tema es novedoso y actual, son pocas las investigaciones realizadas sobre el multigrado en Cuba y de manera particular sobre la enseñanza y el aprendizaje de la Historia de Cuba en este tipo de escuela. Responde a la necesidad que tiene la Educación Primaria de ofertar una preparación de calidad a los escolares, independientemente del lugar en que estudien, con lo que se fomenta la igualdad y equidad social.

  19. Angina pré-infarto na evolução intra-hospitalar de pacientes idosos com infarto agudo do miocárdio Preinfarction angina and in-hospital outcome of elderly patients with acute myocardial infarction

    Directory of Open Access Journals (Sweden)

    Chiu Wen Shian

    2007-12-01

    Full Text Available FUNDAMENTO: A angina pré-infarto (API pode ser um marcador de pré-condicionamento isquêmico. Foi demonstrada redução da área infartada, do remodelamento ventricular, da incidência de insuficiência cardíaca, choque cardiogênico ou morte, quando a API estava presente. Esses resultados foram mais evidentes em adultos, porém, não em idosos. OBJETIVO: Avaliar a relação entre API e a evolução clínica de pacientes idosos com infarto agudo do miocárdio (IAM. MÉTODOS: Estudo tipo série de casos com grupo de comparação. Foram incluídos 36 pacientes com diagnóstico de IAM com elevação do segmento ST. Os pacientes foram distribuídos em grupo A (21 pacientes com API e grupo B (15 pacientes sem API. RESULTADOS: A idade média da população estudada foi 70,5 anos. A maioria (73% dos pacientes era do sexo masculino. O índice de massa corpórea médio foi 25,3 kg/m2. A amostra era constituída por 77,8% de hipertensos, 27,8% de diabéticos e 32,4% de dislipidêmicos. Dor torácica tipo A foi relatada por 71,4% dos estudados. A maioria (72,2% dos idosos foi classificada em Killip I. Os desfechos clínicos nos grupos A e B foram: angina pós-infarto 9,5% versus 20%, p=0,630; insuficiência cardíaca 23,8% versus 13,3%, p=0,674; revascularização de urgência 4,8% versus 6,7%, p=1; arritmia cardíaca 0% versus 6,7%, p=0,417. Não foi constatado nenhum caso de reinfarto, choque cardiogênico e morte até 30 dias em ambos os grupos. CONCLUSÃO: A presença da angina pré-infarto não se associou com uma melhor evolução clínica em idosos acometidos por IAM nesta série de casos.BACKGROUND: Preinfarction angina (PIA may be a marker of ischemic preconditioning. A decrease in infarct size, ventricular remodeling, congestive heart failure, cardiogenic shock or death was demonstrated in the presence of preinfarction angina. These findings were more evident in adults, but not in the elderly. OBJECTIVE: To assess the relationship between PIA

  20. La investigación y la evolución reciente de la atención primaria

    Directory of Open Access Journals (Sweden)

    Palomo L.

    2002-01-01

    Full Text Available La atención primaria en España ha pasado de una etapa de desarrollo florido, en la década de los ochenta, a otra de estancamiento en los noventa, caracterizada por la escasa creatividad, por la rutinización de las tareas y por la puesta en marcha de carteras de servicios y contratos programa. Por otra parte, los recientes cambios en la orientación de la investigación promovida desde la administración sanitaria, a favor de la investigación básica y en detrimento de la investigación en servicios y la epidemiología clínica, contrastan con la importancia de la atención primaria como ámbito natural de abordaje de numerosos agentes causales y prácticas de riesgo para la salud. A pesar de estas limitaciones, la cultura de la investigación ya se ha instalado en un buen número de centros de salud y de farmacias, y la investigación en atención primaria ha ido teniendo una mayor presencia en las revistas científicas. Sin embargo, es necesario gestionar la investigación, también desde las estructuras de atención primaria, de manera específica y diferenciada, favoreciendo la priorización, la evaluación y la responsabilidad mediante fórmulas organizativas flexibles y sistemas de información específicos. Ello debería incluir fórmulas de contratación y de relación laboral flexibles, que permitan la dedicación a la investigación, siquiera a tiempo parcial, así como modelos de carrera profesional que reconozcan las actividades de investigación y docencia. Las asociaciones científicas y profesionales de la atención primaria tienen ante sí el reto de mantener proyectos de investigación activos, incrementar su presencia entre los profesionales, emitir su opinión ante los problemas del sector y reforzar su organización y comunicación.

  1. Predictive value of local and core laboratory echocardiographic assessment of cardiac function in patients with chronic stable angina: The ACTION study

    NARCIS (Netherlands)

    A.M. Dart (Anthony); J.E. Otterstad (Jan Erik); B.A. Kirwan (Bridget Anne); J.D. Parker (John); S. de Brouwer (Sophie); P. Poole-Wilson (Philip); J. Lubsen (Jacobus)

    2007-01-01

    textabstractAims: To evaluate the relationship between echocardiographic cardiac function and outcome in patients with stable symptomatic angina. Methods: Baseline echo left ventricular ejection fraction and volume data measured in a central laboratory was available for 7016 patients (92% of the tot

  2. Sequential comparison of therapy with beta-blockers and calcium channel blockers with celiprolol therapy in patients with angina pectoris, hypertension, or both

    NARCIS (Netherlands)

    Cleophas, TJM; Niemeyer, MG; Bernink, PJLM; Zwinderman, KH; Wijk, AV; Wall, EEVD

    1996-01-01

    Unlike patients with either hypertension (HT) of angina pectoris (AP) alone, patients with both HT and AP usually have a reduced left ventricular compliance and may, therefore, have an impaired capability to cope with acute hemodynamic changes generated by standard beta-blockers or calcium channel b

  3. Incidence and impact on prognosis of peri-procedural myocardial infarction in 2760 elective patients with stable angina pectoris in a historical prospective follow-up study

    DEFF Research Database (Denmark)

    Christensen, Martin Kirk; Huang, Hui; Torp-Pedersen, Christian;

    2016-01-01

    elevated biomarkers after elective PCI in patients with stable angina pectoris using the defined cut-off (>5 x URL) was 15.2 % using cTnT and 4.1 % using CK-MBmass. The independent prognostic value for both cardiac biomarkers of any cut-off showed no statistical significance for all-cause mortality...

  4. Increased expression and plasma levels of myeloperoxidase are closely related to the presence of angiographically-detected complex lesion morphology in unstable angina

    NARCIS (Netherlands)

    T. Naruko; A. Furukawa; K. Yunoki; R. Komatsu; M. Nakagawa; Y. Matsumura; N. Shirai; K. Sugioka; M. Takagi; T. Hozumi; A. Itoh; K. Haze; M. Yoshiyama; A.E. Becker; M. Ueda

    2010-01-01

    Background Myeloperoxidase (MPO) is a leucocyte enzyme that catalyses the formation of a number of reactive oxidant species. Objective The purpose of this study is to evaluate the relationship between angiographic coronary plaque morphology in patients with unstable angina pectoris (UAP) or stable a

  5. [Dengzhan Xixin injection as an adjuvant treatment for angina pectoris: a systematic review and Meta-analysis of randomized controlled trials].

    Science.gov (United States)

    Wang, Feng-jiao; Xie, Yan-ming; Liao, Xing; Jia, Min

    2015-08-01

    The paper is to systematically evaluate the efficacy and safety of Deng Zhan Xi Xin injection ( DZXXI) as an adjuvant treatment for patients with angina pectoris. The Cochrane Library, Medline, EMbase, CBM, CNKI, VIP, and Wan fang Data base were searched. Randomized controlled trials (RCTs) of DZXXI combined with western medicine routine treatment versus western medicine routine treatment alone for angina pectoris patients were all included. All trials were assessed according to the Cochrane Reviewer' s Handbook 5.1 for Systematic Reviews of Intervention and Meta analyses were performed by RevMan 5. 2 Software. A total of 30RCTs (3 086 patients including 1 572 patients of treatment group and 1 514 patients of control group) were included. Meta-analysis of treatment group compared with control group showed superior effect over reducing cardiovascular events ( OR = 0.33; 95% CI: [0.16, 0.67], P = 0.002, improving effective rate of DZXXI as adjuvant treatment for angina pectoris patients (OR = 3.97; 95% CI: [3.15, 5.02]; P < 0.000 010 and electrocardiogram curative effect (OR = 2.21; 95% CI; [1.83, 2.68]; P < 0.000 010. Funnel figure seemed that there was publication bias. The current limited evidence showed that when compared with the control group, treatment group was superior in improving patients with angina pectoris. But based on the limitations of the study, rigorous design with long follow up clinical trials are necessary for further evidence.

  6. Coronary blood flow dynamics during transcutaneous electrical nerve stimulation for stable angina pectoris associated with severe narrowing of one major coronary artery

    NARCIS (Netherlands)

    Jessurun, GAJ; Tio, RA; De Jongste, MJL; Hautvast, RWM; Den Heijer, P; Crijns, HJGM

    1998-01-01

    To study the effect of transcutaneous electrical nerve stimulation (TENS) on coronary vasomotion, patients with New York Heart Association class III angina pectoris and significant single-vessel left coronary artery disease and who were also scheduled for elective percutaneous transluminal coronary

  7. beta-blocker Therapy is Not Associated with Reductions in Angina or Cardiovascular Events After Coronary Artery Bypass Graft Surgery : Insights from the IMAGINE Trial

    NARCIS (Netherlands)

    Booij, Harmen G.; Damman, Kevin; Warnica, J. Wayne; Rouleau, Jean L.; van Gilst, Wiek H.; Westenbrink, B. Daan

    2015-01-01

    To evaluate whether beta-blockers were associated with a reduction in cardiovascular events or angina after Coronary Artery Bypass Graft (CABG) surgery, in otherwise stable low-risk patients during a mid-term follow-up. We performed a post-hoc analysis of the IMAGINE (Ischemia Management with Accupr

  8. Role of multi-slice CT coronary angiography in evaluating the different patterns of coronary artery disease in patients with unstable angina

    Directory of Open Access Journals (Sweden)

    Gamal Eldine M. Niazi

    2015-09-01

    Conclusion: Non-invasive multi-slice CT coronary angiography is a reliable technique of high ability to detect coronary artery disease and estimate the degree of obstruction, number of affected arteries and the pattern of their affection and can be used in workup in patients with unstable angina.

  9. Are negative aspects of social relations predictive of angina pectoris? A 6-year follow-up study of middle-aged Danish women and men

    DEFF Research Database (Denmark)

    Lund, Rikke; Rod, Naja Hulvej; Christensen, Ulla

    2011-01-01

    OR=2.19 (1.04 to 4.61), other family OR=1.91 (1.24 to 2.96). Except for frequent conflicts with the partner and neighbours, conflicts with the social relations was not a risk factor for angina. The authors found no interaction of negative aspects of social relations with gender, age, social class...... associated with angina pectoris among 4573 middle-aged Danish men and women free of heart disease at baseline in 2000. Results Nine per cent experienced onset of symptoms of angina pectoris. A higher degree of excessive demands or worries from the social relations was associated with increased risk of angina...... after adjustment for age, gender, social class, cohabitation status and depression in a dose-response manner. For example, experiencing excessive demands or worries always/often from different roles in the social relations was associated with an increased risk: partner OR=3.53 (1.68 to 7.43), children...

  10. Internacoes por Condicoes Sensiveis a Atencao Primaria em uma metropole brasileira

    Directory of Open Access Journals (Sweden)

    Tania Cristina Morais Santa Barbara Rehem

    2013-08-01

    Full Text Available Este estudo tem como objetivo descrever o perfil das Internações por Condições Sensíveis à Atenção Primária (ICSAP no município de Curitiba no período de 2005 a 2007. Foi realizado um estudo ecológico, com dados obtidos no Sistema de Informações Hospitalares. Para análise, foi utilizada a estatística descritiva. Observou-se que em Curitiba as ICSAP seguem tendência de estabilização, sendo as causas mais frequentes a angina e a insuficiência cardíaca, maior frequência para o sexo feminino e a faixa etária ≥ 65 anos. Os resultados observados assemelham-se aos de outros estudos e foram, quase na totalidade, altamente significativos do ponto de vista estatístico. Entretanto, devem ser vistos com cuidado, pois se se trata de um indicador que apresenta algumas limitações, dentre as quais a própria confiabilidade do diagnóstico e o uso de dados secundários.

  11. EFECTO DE DIFERENTES MODALIDADES DE RETROALIMENTACIÓN EN EL COMPORTAMIENTO INTELIGENTE EN ESTUDIANTES DE PRIMARIA

    Directory of Open Access Journals (Sweden)

    Mauricio Ortega

    2012-01-01

    Full Text Available La retroalimentación es un factor que posibilita el desarrollo del comportamiento inteligente. El presente trabajo evaluó los efectos de proporcionar distintas modalidades de retroalimentación (visual, auditiva, táctil y autónoma sobre el porcentaje de respuestas correctas en tareas de igualación de la muestra de segundo orden. Participaron 54 estudiantes de primaria, los que, dependiendo del tipo de retroalimentación proporcionada en el entrenamiento, fueron asignados a uno de cuatro grupos: visual, auditivo, táctil y autónomo. Las relaciones programadas fueron de identidad, semejanza y diferencia. En la transferencia se agregaron relaciones de inclusión, exclusión y mayor que. Los estudiantes del grupo visual obtuvieron los porcentajes de aciertos más altos en entrenamiento y pruebas. Se discute y comparan los resultados con el desempeño alcanzado por universitarios en tareas similares.

  12. Test de Fluidez Verbal: datos normativos y desarrollo evolutivo en el alumnado de primaria

    Directory of Open Access Journals (Sweden)

    Eduardo García

    2012-06-01

    Full Text Available El objetivo principal de este estudio consistió en la baremación y el análisis del desarrollo evolutivo, en una amplia muestra de población infantil de habla española, de dos pruebas destinada a la evaluación de la fluidez verbal (semántica y fonológica. Analizamos el desarrollo de ambas tareas dentro de un contexto de diseño transversal. Se seleccionó una muestra de 1.032 sujetos con edades comprendidas entre los 6 años y 3 meses y los 12 años y cuatro meses que cursaban entre primero y sexto de educación primaria. La fluidez verbal semántica se evaluó con la tarea de evocación ‘de animales en un minuto’ y la fluidez verbal fonológica se evaluó con las consignas ‘F, A, M’. Los resultados muestran una mejora progresiva en el rendimiento en función de la edad en ambas pruebas. Se presentan tablas de medias, desviación estándar y percentiles para los distintos grupos de edad.

  13. LOS EQUIPAMIENTOS Y RECURSOS MATERIALES EN LOS PATIOS DE RECREO DE LOS CENTROS DE PRIMARIA

    Directory of Open Access Journals (Sweden)

    Juan Carlos Fernández Truan

    2009-01-01

    Full Text Available Debido a la gran cantidad y variedad de objetivos y contenidos encomendados en la actualidad a la educación física, resulta imprescindible complementar su horario lectivo con otros tiempos extras en los que poder aplicar los fundamentos básicos y los procedimientos adquiridos. La mayor parte del profesorado parece estar de acuerdo en que el único tiempo con garantías para que verdaderamente sea educativo, es el tiempo de descanso lectivo en los patios de recreo. Esta investigación pretende conocer de manera descriptiva, los recursos materiales y equipamientos que los escolares utilizan en sus patios de recreo de los centros docentes de Primaria, como medio para fomentar y propiciar la realización de actividades que favorezcan y complementen sus procesos educativos, con el fin de poder realizar posteriormente otro tipo de estudios en los que comprobemos cómo influyen en los recreos la introducción de nuevas variables.

  14. Clima social, prosocialidad y violencia como predictores de inadaptación escolar en primaria

    Directory of Open Access Journals (Sweden)

    Cira Carrasco

    2010-12-01

    Full Text Available En este trabajo se pretende analizar la aportación que hacen la percepción del clima social, el comportamiento prosocial y la violencia escolar cotidiana sufrida y observada, informadas por parte del alumnado para predecir la adaptación socioemocional informada por profesores/as y padres o madres. Los participantes son 88 alumnos/as de 8-10 años de edad, de un colegio de la provincia de Málaga. Los resultados muestran que el alumnado evaluado presenta valores normalmente bajos en variables que indican inadaptación escolar y valores normativos en variables que se asocian a una buena adaptación escolar y social. Las correlaciones entre las variables predictoras y criterio muestran dos patrones diferentes: mientras que los datos de padres se asocian más activamente a las variables clima social y violencia sufrida en el caso de los profesores son prosocialidad y violencia sufrida. Los análisis de regresión demuestran también dos patrones diferentes para padres y para profesores, poniendo de manifiesto la importancia que tiene la violencia cotidiana sufrida en los resultados de adaptación o inadaptación escolar y social en alumnado que está en segundo ciclo de Educación Primaria, y la relevancia del comportamiento prosocial para predecir buenos resultados en el ámbito académico.

  15. MANIFESTACIONES DE LA VIOLENCIA PERVERSA EN ESCUELAS PRIMARIAS DEL NORESTE DE MÉXICO

    Directory of Open Access Journals (Sweden)

    Jesús Acevedo Alemán

    2015-01-01

    Full Text Available El objetivo de este estudio fue identificar la estructura de las prácticas de la llamada “violen-cia perversa” en 54 escuelas primarias del noreste de México, particularmente de la ciudad deSaltillo, Coahuila. La muestra intencional estuvo compuesta por 529 niños con edades de 5 a13 años. El instrumento utilizado fue la Cédula de Percepciones de las Dinámicas Escolares,el cual está integrado por 78 reactivos, de los cuales se generaron inicialmente dos factores:impresiones de un mundo perverso y actitudes perversas. Se conformaron cinco factores queintegran dicho tipo de violencia: actitudes perversas, en la escuela, protectoras, de rechazo y deldocente. Se concluye que las impresiones de un mundo perverso que los niños poseen estáníntimamente relacionadas con las prácticas perversas que pueden estar ocurriendo en los con-textos educativos.

  16. Inmunodeficiencias primarias por déficit de anticuerpos en adultos

    Directory of Open Access Journals (Sweden)

    María Mercedes Bello Rodríguez

    2014-10-01

    Full Text Available Se realizó una investigación sobre los pacientes con inmunodeficiencias primarias por déficit de anticuerpos, atendidos en el servicio de inmunología del Hospital General “Dr. Ernesto Guevara” de Las Tunas, con el objetivo de caracterizar las inmunodeficiencias por déficit de anticuerpos en pacientes adultos, atendiendo al tipo de inmunoglobulina afectada, el sexo y la edad, así como las principales manifestaciones clínicas. Se evaluaron un total de diez pacientes tratados por esta causa entre los años 2005 y 2013. Para la evaluación de los resultados se utilizó el análisis de frecuencias simple. Las inmunodeficiencias diagnosticadas se correspondieron en un 50% con el déficit de las tres clases de inmunoglobulinas. Predominó el sexo masculino en un 70% y las edades más afectadas se correspondieron con la cuarta y quinta décadas de la vida. Las infecciones respiratorias y digestivas fueron las más frecuentes (80%, tanto por gérmenes bacterianos como virales, la infección por Giardia lamblia también apareció muy frecuentemente en los pacientes estudiados

  17. Factores Etiologicos de la Hipersensibilidad Primaria y Secundaria en Tejido Dentario. Protocolo de Manejo Clinico.

    Directory of Open Access Journals (Sweden)

    Norberto Calvo Ramírez

    2011-10-01

    Full Text Available La hipersensibilidad en tejido dentario, es una patología que día a día aumenta su frecuencia en población adulta, quizás no es una causa primaria de consulta odontológica pero se podría clasificar como secundaria, debido a que es de tipo multifactorial. En la actualidad toda la información sobre la  hipersensibilidad dentinal es reportada de la  experiencia clínica pero no de estudios clínicos reales los cuales todavía son débiles o ausentes; en cuanto al tratamiento de esta, se evidencia que el primer paso es modificar la dieta y crear  hábitos mediante el uso de sustancias para tal fin como una buena alternativa. Debido a esto se hace necesaria la compilación de las diferentes causas y la creación de un protocolo de manejo clínico ante la presencia de esta dolencia; también es importante prevenirla, por eso se percibe la necesidad de  crear medidas de prevención para aplicarlas en la consulta odontológica. 

  18. EVALUACIÓN DE UN PROGRAMA DE EDUCACIÓN EMOCIONAL PARA PROFESORADO DE PRIMARIA

    Directory of Open Access Journals (Sweden)

    Núria Pérez-Escoda

    2013-01-01

    Full Text Available En este trabajo se presenta la evaluación de un programa de educación emocional dirigido a profesores de educación primaria, mediante una investigación cuasi-experimental pre-test post-test con grupo control. Participaron de la experiencia 92 profesores de tres centros educativos de Barcelona y Lleida. El programa incidió en el desarrollo de las cinco dimensiones de la competencia emocional siguiendo el modelo de Bisquerra y Pérez (2007: conciencia, regulación, autonomía, competencia social y competencias para la vida y el bienestar. Se utilizaron diversas estrategias para la evaluación de la intervención: diversos cuestionarios antes y después de la intervención y seguimiento del formador durante el proceso. Los resultados muestran, por un lado, una mejora significativa de la competencia emocional de los participantes al final de la experiencia y sugieren, por otro lado, la eficacia del programa en el desarrollo de la competencia emocional de los docentes así como en la mejora del clima institucional.

  19. Aprovechamiento en horario no lectivo de instalaciones deportivas de colegios de Educación Primaria

    Directory of Open Access Journals (Sweden)

    Iván López Fernández

    2011-03-01

    Full Text Available Este artículo presenta una investigación no experimental de carácter descriptivo y correlacional que utiliza un cuestionario deno¬minado CUESTNOLEC como instrumento de recogida de información para describir las características de las instalaciones deportivas ubicadas en 41 colegios de educación primaria de la provincia de Málaga, y para examinar las relaciones entre variables relacionadas con el uso de las mismas en horario no lectivo. Analizamos los factores que influyen de forma más directa en la utilización de las instalaciones deportivas escolares, las condiciones de acceso y la participación en actividades físicas fuera del horario lectivo. En la mayoría de los colegios estudiados este tipo de instalaciones deportivas presentan una oferta de actividades basada en los deportes tradicionales y orientada a los propios alumnos del centro. Se trata de una infraestructura que se encuentra por debajo de su potencial de uso, lo cual está asociado a carencias estructurales notables.

  20. Rationale and design of the Randomized Evaluation of patients with Stable angina Comparing Utilization of noninvasive Examinations (RESCUE) trial.

    Science.gov (United States)

    Stillman, Arthur E; Gatsonis, Constantine; Lima, João A C; Black, William C; Cormack, Jean; Gareen, Ilana; Hoffmann, Udo; Liu, Tao; Mavromatis, Kreton; Schnall, Mitchell D; Udelson, James E; Woodard, Pamela K

    2016-09-01

    RESCUE is a phase III, randomized, controlled, multicenter, comparative efficacy study, designed to compare two diagnostic imaging/treatment paradigms that use coronary computed tomography angiography (CCTA) or single photon emission computed tomography myocardial perfusion imaging (SPECT MPI) for assisting in the diagnosis of ischemic heart disease in patients with stable angina symptoms, and guiding subsequent treatment. The study is based on the hypothesis that CCTA as a diagnostic tool is associated with no increase in cardiac risk, decreased cost, and reduced radiation exposure compared with SPECT MPI. The RESCUE trial was funded by the Agency for Healthcare Research and Quality (AHRQ) and the American College of Radiology Imaging Network (ACRIN) Fund for Imaging Innovation, began in 2011, and completed in 2014. PMID:27595676

  1. The pro- and anti-inflammatory markers in patients with acute myocardial infarction and chronic stable angina.

    Science.gov (United States)

    Wojakowski, Wojciech; Maslankiewicz, Katarzyna; Ochala, Andrzej; Wyderka, Rafal; Zuk-Popiolek, Izabela; Flak, Zbigniew; Mroz, Iwona; Tendera, Michal

    2004-08-01

    The aim of this study was to assess the plasma levels of VEGF and interleukin-10 in patients with acute myocardial infarction (AMI) and stable chronic angina (SA) and correlate the values with traditional CHD risk factors, left ventricular ejection fraction (LVEF) and established inflammatory marker hsCRP. Fifty patients with AMI and 30 with SA were enrolled. IL-10 levels in AMI patients were lower than in SA patients (9.81 +/- 5.0 versus 22.63 +/- 8.38 pg/ml, p 40% and Killip class I-II (338.8 +/- 51.59 versus 271.8 +/- 50.51 pg/ml; p 6 h versus inflamatory markers and CHD risk factors and the function of the left ventricle on admission.

  2. [Results of combined therapy of stable 2-3 FC angina of effort with metabolic syndrome including metformin].

    Science.gov (United States)

    Dashdamirov, R L

    2014-01-01

    The aim of the study was to evaluate results of combined therapy of stable 2-3 FC angina of effort with metabolic syndrome including metformin. Group 1 was comprised of 71 patients (38 (53.3%) men and 33 (46.5%) women), group 2 consisted of 57 patients treated with isosorbid-5 mononitrate (40 mg/d + amlodipin (5 mg/d) + eprosartan (600 mg/d) + thrombo ASS (100 mg/d) + carvedilol (25 mg/d) + atorvastatin (20 mg/d). Effects of the treatment were assessed 3, 6, and 12 months after its onset. At the end of the study, fasting blood glucose, total cholesterol, triglyceride, and low density lipoproteide levels decreased by 12.8, 10.9, 12.9 and 13.6% respectively compared with the initial values (p physical load increased by 22.7%. PMID:25980297

  3. Cardiac rehabilitation: a good measure to improve quality of life in peri- and postmenopausal women with microvascular angina

    Directory of Open Access Journals (Sweden)

    Wojciech Szot

    2015-05-01

    Full Text Available Cardiac Syndrome X (CSX was considered a stable coronary syndrome, yet due to its nature, CSX symptoms often have a great impact on patients’ Quality of Life (QoL. According to ESC 2013 stable coronary artery disease criteria, CSX was replaced by Microvascular Angina (MA.Unfortunately, most CSX or MA patients, after classical angina (involving main coronary vessels has been ruled out, often do not receive proper treatment. Indications for pharmacological treatment of MA patients were introduced only recently. Another problematic issue is that scientists describing the pathophysiology of both CSX and MA stress a lack of a deeper insight into the multifactorial etiology of the source of pain associated with this disease. In the presented article we have attempted to study the influence of cardiac rehabilitation (3 months programme on the QoL of patients recognized as suffering from MA, as well as to check if changes in myocardial perfusion in these patients at baseline and after completion of cardiac rehabilitation match changes in their QoL. Therefore, after screening 436 women for MA, we studied 55 of them who were confirmed as having MA and who agreed to participate in the study. Exercise tests, Myocardial Perfusion Imaging, and QoL questionnaires were studied at baseline and after completing 3 months period of cardiac rehabilitation. Results were subsequently compared, which showed a link between improved perfusion score in SPECT study and improved overall physical capacity, on one hand, and improved QoL score on the other. These results confirm that cardiac rehabilitation is a very useful treatment option for MA patients. It seems that training during cardiac rehabilitation is a very important factor (improved physical efficiency –> increase in self-belief, and that taking into consideration the multifactor pathophysiology of pain, it is connected with a better quality of life for MA patients.

  4. A literature review to evaluate the economic value of ranolazine for the symptomatic treatment of chronic angina pectoris.

    Science.gov (United States)

    Vellopoulou, Katerina; Kourlaba, Georgia; Maniadakis, Nikos; Vardas, Panagiotis

    2016-05-15

    To conduct a systematic review of the evidence regarding the economic value of ranolazine relative to standard-of-care (SOC) for the treatment of symptomatic chronic stable angina (CSA). Electronic databases were searched using relevant keywords. The identified studies were independently reviewed by two investigators against pre-determined inclusion and exclusion criteria. Their data were extracted using a relevant form and consequently were synthesized. Studies were also evaluated using the Quality of Health Economic Studies scale. The main outcomes considered were the cost and effectiveness for each comparator and the incremental cost per quality-adjusted-life year (QALY) gained. Six studies were included in the review. Five of these assessed the cost-utility of ranolazine added to SOC, compared to SOC alone, using decision trees or Markov models whereas one was a retrospective cost evaluation study. The analysis was conducted from a payer perspective in five studies and from a societal perspective in one study with the time horizon varying between six months and a year. The incremental cost-effectiveness ratio (ICER), ranged from €4000 to €15,000 per QALY gained. Ranolazine appears to be dominant or cost-effective, mainly due to its ability to decrease angina-related hospitalizations and also due to a marginal improvement in quality of life. The acquisition cost of ranolazine was the variable with the greatest impact upon the ICER. The existing evidence, although limited, indicates that ranolazine may be a dominant or cost-effective therapy option, for the treatment of patients with symptomatic CSA. Further research is required to evaluate the cost-effectiveness of ranolazine. PMID:26994453

  5. Evaluation of pharmacokinetics and pharmacodynamics relationships for Salvianolic Acid B micro-porous osmotic pump pellets in angina pectoris rabbit

    Directory of Open Access Journals (Sweden)

    Shu-Ling Kan

    2014-06-01

    Full Text Available The work aims to investigate the in vitro release, pharmacokinetics (PK, pharmacodynamics (PD and PK–PD relationships of Salvianolic Acid B micro-porous osmotic pump pellets (SalB-MPOPs in angina pectoris New Zealand White (NZW rabbits, compared with those of SalB immediate-release pellets (SalB-IRPs. The SalB plasma concentrations and Superoxide dismutase levels (PD index were recorded continuously at predetermined time interval after administration, and the related parameters were calculated by using WinNonlin software. The release profile of MPOPs was more sustained than that of IRPs. PK results indicated that the mean Cmax was significantly lower, the SalB plasma concentrations were steadier, both area under concentration-time curve from 0 to 24 h (AUC0–24 h and from 0 to infinity (AUC0–∞ were presented larger, and both the peak concentration time (Tmax and mean residence time (MRT were prolonged for MPOPs, as compared with those of IRPs. PD results suggested that peak drug effect (Emax was lower and the equilibration rate constant (ke0 between the central compartment and the effect compartment was higher of MPOPs vs. those of IRPs. PK–PD relationships demonstrated that the effect-concentration-time (ECT course of MPOPs was clockwise hysteresis loop, and that of IRPs was counter-clockwise hysteresis loop. Collectively, those results demonstrated that MPOPs were potential formulations in treating angina pectoris induced by atherosclerosis.

  6. Riesgo en la zona andina tropical por laderas inestables

    OpenAIRE

    Duque Escobar, Gonzalo

    2000-01-01

    Las presentes notas relacionadas con la definición de riesgo y amenaza, y la aplicación de estos conceptos para eventos como los relacionados con la inestabilidad de las vertientes, pueden tener importancia para las comunidades de la región andina. Este trabajo se ocupa de una de las amenazas más importantes del medio tropical andino: los deslizamientos de tierra vistos desde la óptica de los desastres naturales. Se definen los movimientos de masas. Luego se discuten los parámetros de la ines...

  7. Un sistema internacional inestable con dominio de los Estados Unidos

    Directory of Open Access Journals (Sweden)

    Pierre Gilhodes

    2004-11-01

    Full Text Available Con la imposición de la agenda única de terrorismo y la invasión a Iraq ¿se consolidó Estados Unidos como potencia mundial? o con el ascenso de China y los avances constitucionales europeos podríamos avanzar hacia una nueva división del mundo sobre bases diferentes de las de la Guerra Fría. En este caso ¿dónde se situaría AméricaLatina?

  8. SISTEMATIZACION DE LA EXPERIENCIA EN LA FORMACIÓN DE ASISTENTE TÉCNICO EN ATENCIÓN PRIMARIA EN SALUD

    OpenAIRE

    Olga Sánchez Charpentier

    2012-01-01

    Este artículo presenta la sistematización de la experiencia vivida por la Escuela de Enfermería respecto de la formación de Asistentes Técnicos de Atención Primaria de Salud (ATAPS) durante el periodo 2003 - 2011. Inicialmente, en Costa Rica y en los años 60, surgen los primeros grupos de asistentes en atención primaria; de su capacitación se encargaban los y las enfermeras del Programa de Atención Primaria del Ministerio de Salud y esta tomaba entre tres y cinco meses. A partir de los años 9...

  9. Angina de pecho con arterias angiográficamente normales: características epidemiológicas y clínicas

    Directory of Open Access Journals (Sweden)

    Oswaldo Gutiérrez Sotelo

    2002-12-01

    Full Text Available Introducción: Las lesiones obstructivas por arterioesclerosis coronaria genera diversos síndromes coronarios. Sin embargo, un subgrupo de pacientes con angina de pecho y alteraciones electrocardiográficas no presenta dichas lesiones, en el que se incluyen el vasoespasmo coronario, la angina microvascular, los puentes musculares y otras condiciones. En este estudio se evaluaron las principales características clínicas y electrocardiográficas de este grupo de pacientes. Material y métodos: Se incluyeron pacientes con cualquier síndrome coronario y angiografía coronaria sin lesiones obstructivas. Se consignaron los factores de riesgo cardiovascular, los síntomas de presentación, alteraciones electrocardiográficas y ecocardiográficas y los fármacos utilizados. Resultados: Se reclutaron 26 casos, 13 hombres y 13 mujeres con edad promedio de 56.6 años (rango 16 - 78. Se presentó angina microvascular en 16 casos, vasoespasmo coronario en 8, uno con un puente coronario y uno con flujo lento. Como síntomas se observó disnea en 18 pacientes, angor típico en 19 y angor atípico en 7. El electrocardiograma de reposo fue anormal en 18 pacientes, y el de esfuerzo en 13 casos. De 19 ecocardiogramas, 9 fueron anormales. Los fármacos más utilizados fueron los betabloqueadores, los bloqueadores de los canales del calcio y los nitratos. Conclusiones: Los pacientes con síndromes coronarios y angiografía coronaria sin lesiones obstructivas presentan frecuentemente factores de riesgo coronario, no hay diferencia de género y los exámenes auxiliares son anormales lo que motiva la realización de la angiografía.lntroduction: Coronary arteriosclerosis lesions induce several coronary syndromes. Some patients suffer angina pectoris with abnormal electrocardiograms with no obstructive plaques in the angiogram. This group includes coronary vasospasm, micro vascular angina, muscle bridges and others. This study evaluates the most important clinical

  10. Confiabilidade de sintomas sugestivos de angina em pacientes com doença pulmonar obstrutiva crônica Confiabilidad de síntomas sugestivos de angina en pacientes con enfermedad pulmonar obstructiva crónica Reliability of symptoms suggestive of angina in patients with chronic obstructive pulmonary disease

    Directory of Open Access Journals (Sweden)

    Yilmaz Gunes

    2009-05-01

    baseline clinical characteristics who had undergone diagnostic coronary angiography for the first time were reviewed retrospectively. RESULTS: The frequency of significant CAD was significantly lower in COPD patients than in the control group (52.8% vs. 80.2%, p<0.001. Frequencies of CAD risk factors (older age, hypertension, diabetes, smoking history were significantly more frequent among COPD patients having significant CAD. Among patients reporting stable angina pectoris, significant CAD was detected in 32.7% of COPD patients and 71.0% of non-COPD patients (p<0.001. However, among the patients with a diagnosis of unstable angina pectoris, significant CAD was detected in 87.5% of COPD patients and 90.2% of non-COPD patients (p=0.755. CONCLUSION: Diagnosis of CAD in COPD patients by symptomatology may be difficult. However, clinical diagnosis of CAD in the setting of unstable angina is accurate in most of the COPD patients. Therefore, further noninvasive diagnostic methods or careful follow up may be more appropriate for COPD patients reporting stable angina pectoris.

  11. Recent advances in the management of chronic stable angina I: Approach to the patient, diagnosis, pathophysiology, risk stratification, and gender disparities

    Directory of Open Access Journals (Sweden)

    Richard Kones

    2010-07-01

    Full Text Available Richard KonesThe Cardiometabolic Research Institute, Houston, Texas 77054 USAAbstract: The potential importance of both prevention and personal responsibility in ­controlling heart disease, the leading cause of death in the USA and elsewhere, has attracted renewed ­attention. Coronary artery disease is preventable, using relatively simple and inexpensive lifestyle changes. The inexorable rise in the prevalence of obesity, diabetes, dyslipidemia, and ­hypertension, often in the risk cluster known as the metabolic syndrome, drives the ­ever-increasing incidence of heart disease. Population-wide improvements in personal health habits appear to be a fundamental, evidence based public health measure, yet numerous barriers prevent implementation. A common symptom in patients with coronary artery disease, classical angina refers to the typical chest pressure or discomfort that results when myocardial oxygen demand rises and coronary blood flow is reduced by fixed, atherosclerotic, obstructive lesions. Different forms of angina and diagnosis, with a short description of the significance of pain and silent ischemia, are discussed in this review. The well accepted concept of myocardial oxygen imbalance in the genesis of angina is presented with new data about clinical pathology of stable angina and acute coronary syndromes. The roles of stress electrocardiography and stress myocardial perfusion scintigraphic imaging are reviewed, along with the information these tests provide about risk and prognosis. Finally, the current status of gender disparities in heart disease is summarized. Enhanced risk stratification and identification of patients in whom procedures will meaningfully change management is an ongoing quest. Current guidelines emphasize efficient triage of patients with suspected coronary artery disease. Many experts believe the predictive value of current decision protocols for coronary artery disease still needs improvement in order to

  12. 催眠针法治疗心绞痛的疗效及血浆ET、NO改变的研究%A Study on Hypnotic Acupuncture Therapy for Angina Pectoris and Its Effects on Plasma ET and NO

    Institute of Scientific and Technical Information of China (English)

    李献; 郑强荪; 宋胜云; 高军军; 尼珍; 袁秀兰; 张录兴

    2002-01-01

    Objective: To evaluate the treatment effects of hypnotic acupuncture therapy on angina pectoris. Methods: 40 cases of angina pectoris treated by hypnotic acupuncture therapy were compared with 31 cases of angina pectoris treated by pure acupuncture. Results: Symptom relief rate and change of ECG were found to be more desirable in the Hypnotic acupuncture therapy group than in the pure acupuncture group (P<0.01,P<0.05). Pre-post treatment comparisons on levels of anxiety, depression, ET and NO also showed that hypnotic acupuncture therapy was superior to the pure acupuncture group (P<0.05).Conclusion:The present study provides strong support for hypnotic acupuncture therapy for angina pectoris, in terms of its treatment effects on both mental and physical improvement.

  13. Tamizaje de Diabetes Mellitus tipo 2 en atención primaria

    Directory of Open Access Journals (Sweden)

    Adriana Laclé

    2006-03-01

    Full Text Available Introducción: Actualmente en Costa Rica debería considerarse la Diabetes Mellitus tipo 2, un problema de salud pública, por el impacto de sus complicaciones crónicas tanto en el ámbito individual y familiar, como en lo económico, en la escala nacional. Su detección y tratamiento temprano ha demostrado que reduce la carga de sus complicaciones, por lo que su tamizaje podría ser oportuno en personas que tengan factores de riesgo asociados. El objetivo de este estudio fue valorar los resultados de la implementación de un tamizaje de la diabetes tipo 2 a nivel de atención primaria, en personas en riesgo de desarrollada. Metodología: El tamizaje se efectuó durante el año 2000, en la población adulta con al menos un factor de riesgo asociado, en 6 Equipos Básicos de Atención Integral en Salud (EBAlS, del Área de Salud 3 de Desamparados. Este se incorporó en el quehacer diario del EBAIS, sin alterar su programación. Se utilizaron cuatro estrategias para la realización del tamizaje: la oportunista, la selectiva, las programadas a grupos cautivos u organizacionales, y las jornadas de atención comunal o nacional. Resultados: Durante 2000 se lograron captar 174 diabéticos, diagnosticados por primera vez, o que ya lo eran, pero que no estaban registrados al carecer de control en el EBAlS, aunque vivían en el área. La estrategia predominante fue la oportunista, cuya responsabilidad recayó principalmente en el médico. La estrategia programada se realizó por medio de "jornadas" durante las ferias de salud en cada EBAlS y en el Día Mundial de la Diabetes, como parte de la jornada nacional; la cautiva se llevó a cabo en el Hogar Diurno de Ancianos. La selectiva, mediante visita domiciliar, fue mínima, por falta de glucómetros. Estas estrategias permitieron que la cobertura de captación aumentara de un 50% a finales de 1999 a un 70.2% a finales de 2000, considerando la cobertura como el porcentaje dado por el número de pacientes

  14. Cribado para el trastorno bipolar en pacientes de atención primaria que presentan síntomas psicológicos

    Directory of Open Access Journals (Sweden)

    Enric Aragonès

    2015-03-01

    Conclusiones: El cribado del TB en pacientes de atención primaria con otros problemas psicológicos da lugar a una notable proporción de resultados positivos, lo que indica que puede haber una prevalencia relevante de pacientes con TB, la mayor parte de ellos no diagnosticados y no tratados adecuadamente. Es necesario profundizar en la investigación para determinar el eventual papel que puede o debe asumir la atención primaria en la detección, el diagnóstico o el manejo de este trastorno.

  15. Dificultades para la escritura en alumnos de 3º de educación primaria: la disgrafía y las pruebas de diagnóstico.

    OpenAIRE

    Pérez Fernández, Rebeca

    2015-01-01

    RESUMEN: En el presente trabajo se describen los diferentes métodos, recursos y estrategias que se pueden utilizar para el tratamiento de la disgrafía desde un aula de Educación Primaria. Concretamente, se indica cómo se trata este error orientado a las pruebas de diagnóstico llevadas a cabo en un aula específica de 3º de Primaria. La disgrafía es una de las dificultades específicas relacionadas con la escritura y puede ser reconocida desde los primeros años de escolarización, lo que nos hace...

  16. Influencia del desgaste profesional en el gasto farmacéutico de los médicos de atención primaria

    OpenAIRE

    Cebrià J.; Sobrequés J.; Rodríguez C.; Segura J.

    2003-01-01

    Objetivo: Determinar la influencia sobre el gasto farmacéutico por asegurado (GFPA) en atención primaria de salud de diversos factores relacionados con las características personales y profesionales de los médicos generales, y su nivel de desgaste profesional. Método: Estudio observacional transversal de 220 médicos de atención primaria de la provincia de Barcelona a quienes, por medio de entrevista directa, se administró un cuestionario validado y estructurado en dos partes: datos generales ...

  17. Metodología de la Atención Primaria Orientada a la Comunidad (APOC). Elementos para su práctica

    OpenAIRE

    Gofin, J; Montaner Gomis, I.; Foz Gil, G.

    2008-01-01

    Podríamos definir la APOC como "la práctica de la atención primaria con responsabilidad poblacional, orientada a la mejora de la salud de una comunidad definida, basada en la identificación de las necesidades de salud y las acciones de atención correspondientes, con la participación de la comunidad y con la coordinación de todos los servicios implicados en la salud o en sus determinantes". Se trata de un proceso en el que los servicios de atención primaria se responsabilizan de la salude todo...

  18. Estrategias y técnicas para desarrollar la expresión escrita en lengua inglesa en la etapa de Educación Primaria

    OpenAIRE

    Pellejero Torres, Gema

    2014-01-01

    En el presente trabajo se realiza una exposición acerca de la expresión escrita en inglés en Educación Primaria. Para ello analizamos su marco teórico, el currículum de primaria y varias estrategias y técnicas para el desarrollo de esta. Dada la importancia de la expresión escrita en el contexto escolar, hemos incluido una programación para poder fomentarla en la escuela.

  19. Detección y prevalencia del trastorno por uso de alcohol en los centros de atención primaria de Cataluña

    OpenAIRE

    Laia Miquel; Pablo Barrio; Jose Moreno-España; Lluisa Ortega; Jakob Manthey; Jürgen Rehm; Antoni Gual

    2016-01-01

    Objetivo: Describir el grado de reconocimiento del trastorno por uso de alcohol (TUA) y dependencia de alcohol por los médicos de atención primaria (MAP) y determinar su prevalencia. Diseño: Estudio transversal. Emplazamiento: Veinte centros de atención primaria de Cataluña. Participantes y mediciones: Se encuestó a 23 MAP seleccionados al azar acerca del consumo de alcohol y otras enfermedades de sus pacientes. Se entrevistó y evaluó a 1.372 pacientes con la Composite International ...

  20. El valor educativo de las artes textiles en Primaria. Una propuesta didáctica para el Museo de Tapices del Palacio Real de La Granja

    OpenAIRE

    Martín Fraile, Patricia

    2014-01-01

    Desde hace varios años, Patrimonio Nacional, en colaboración con el Ministerio de Educación, Cultura y Deporte, viene desarrollando programas educativos dirigidos tanto al ámbito universitario como al no universitario (Primaria, Secundaria y Bachillerato). Tal es el caso del proyecto “Neptuno el Detective” llevado a cabo en los Jardines del Palacio Real de La Granja. Sin embargo, no existe una propuesta innovadora y accesible para ayudar a niñas y niños de primaria a conocer...

  1. Las actividades de primaria y ESO incluidas en libros escolares : ¿qué objetivo persiguen?, ¿qué procedimientos enseñan?

    OpenAIRE

    Martínez Losada, Cristina; García Barros, Susana

    2003-01-01

    Se analizan un total de 1.340 actividades correspondientes a textos de primaria y ESO de tres editoriales de amplia implantación, dirigidas al estudio de tres tópicos: materia, animales y vegetales. Se estudia, además de la importancia otorgada por las editoriales a estos tópicos, el objetivo que persiguen las actividades y los procedimientos que enseñan. Se detecta que en primaria se insiste más en seres vivos que en materia. La aplicación de la teoría que figura en el texto y la adquisición...

  2. ¿Cómo podemos aprender el arte en Educación Primaria? ¡Traslademos las obras de arte al aula!

    OpenAIRE

    Feliu Torruella, María

    2011-01-01

    Con este artículo pretendemos mostrar una experiencia de investigación en el aula de primaria en seis centros educativos. Dónde se han experimentado dos unidades didácticas con metodologías diferentes para verificar la incidencia de los métodos en los procesos de enseñanza y aprendizaje del arte. Palabras clave: investigación, didáctica del arte, educación primaria, metodología enseñanza.

  3. Comprensión lectora y resolución de problemas en estudiantes de Educación Primaria Bilingüe en comunidades shipibas

    OpenAIRE

    Dulio Oseda Gago; María Cabezudo Ríos

    2014-01-01

    Objetivos: Determinar la relación entre la comprensión lectora y la resolución de problemas en estudiantes del sexto grado de educación primaria bilingüe de las comunidades shipibas del distrito de Yarinacocha, Ucayali en el 2014. Métodos: Investigación de enfoque cuantitativo, tipo básica, diseño descriptivo - correlacional. La muestra fue tomada probabilísticamente conformada por 56 estudiantes del sexto grado de Educación Primaria Bilingüe en las comunidades shipibas del distrito de Yarina...

  4. PROGRAMA PARA LA DETECCIÓN Y ANÁLISIS DE CONDUCTAS INADECUACAS EN CENTROS EDUCATIVOS DE INFANTIL Y PRIMARIA

    OpenAIRE

    Miranda-Calderon, María de los Ángeles

    2013-01-01

    Este trabajo de investigación que se presenta, analiza los problemas más frecuentes con los que se suelen encontrar los maestros de Educación Infantil y Educación Primaria en las aulas, haciendo especial hincapié en problemas conductuales, introduciendo además las posibilidades de aplicar Programas de Modificación de Conducta para dichos problemas, bien a través de Técnicas de economía de fichas o de otras vías de actuación. Para ello, se presentan una serie de planteamiento...

  5. Pautas para el diseño de materiales educativos multimedia en educación primaria

    OpenAIRE

    Navarro Martínez, Óscar

    2016-01-01

    La elaboración de materiales educativos multimedia dirigido a alumnos de Educación Primaria tiene gran importancia en la actualidad. El diseño, principalmente de las imágenes y textos, puede influir en la eficiencia de dichos materiales en el proceso de enseñanza-aprendizaje. En esta tesis doctoral se ha analizado cómo se produce el proceso de observación visual de contenidos multimedia por parte de niños de siete y once años. El objetivo final es establecer cuáles son las pautas de diseño (g...

  6. El derecho humano a la atención primaria de salud en la lucha contra las enfermedades infecciosas

    OpenAIRE

    Allard Soto, Raúl

    2012-01-01

    La tesis doctoral tiene por objetivo central establecer la configuración básica del derecho humano a la atención primaria de salud en la lucha contra las enfermedades infecciosas, al que tiene derecho toda persona, para lo cual, durante el desarrollo de la tesis, se establecerán los elementos esenciales indisponibles que todo Estado se encuentra llamado a asegurar a su población, con el apoyo de la comunidad internacional y la cooperación económica y técnica de los demás Estados. La defini...

  7. Explorando la Geometría en el segundo curso del primer ciclo de educación Primaria

    OpenAIRE

    Sedó-Beneyto, Marta

    2016-01-01

    El objetivo general de este trabajo fue crear una propuesta de actividades lúdicas con la finalidad de mejorar el razonamiento geométrico de alumnos de segundo curso de primer ciclo de la etapa Primaria mediante proyectos, talleres y juegos contextualizados en su vida cotidiana. La mayoría de estas actividades fomentan la resolución de problemas para favorecer el desarrollo del pensamiento matemático y, más concretamente, del razonamiento geométrico del niño, potenciando la motivación, la coo...

  8. Conocimiento matemático para la enseñanza de la probabilidad en educación primaria

    OpenAIRE

    Gómez-Torres, Emilse; Batanero, Carmen; Contreras, José Miguel

    2014-01-01

    Esta experiencia formativa pretende desarrollar entre los participantes algunos componentes del modelo propuesto por Ball y colaboradores, en relación con contenidos probabilísticos incluidos en los currículos de educación primaria. Para llevarla a cabo se propone a los participantes una situación experimental y contextualizada que los confronte con sus propias intuiciones (correctas e incorrectas) en relación con el enfoque frecuencial de la probabilidad. Para prepararlos en la componente di...

  9. Las máquinas en libros de texto de Educación Primaria: el caso de una editorial

    OpenAIRE

    Criado García-Legaz, Ana María; Cruz-Guzmán Alcalá, Marta; Muñoz Franco, Granada; García Carmona, Antonio

    2014-01-01

    Se presenta un estudio sobre el tratamiento curricular al tema las máquinas en libros de texto de Educación Primaria (EP). Para ello, se analizan los del área de Conocimiento del Medio, de la Editorial Anaya, para distintos cursos de la etapa. El análisis se hace desde una perspectiva exploratoria y descriptiva para determinar el grado de idoneidad o sintonía ciertos aspectos curriculares del tópico con las actuales tendencias en Didáctica de la Ciencia. Con respecto a los aspectos epistemoló...

  10. Evaluación de competencias personales y sociales en contextos de educación primaria

    OpenAIRE

    Pizarro Ruiz, Juan Pablo

    2012-01-01

    El presente trabajo persigue el establecimiento de tipologías modales multivariadas de niños y niñas de segundo y tercer ciclo de Educación Primaria en función de las puntuaciones alcanzadas en los distintos factores del cuestionario de Personalidad Eficaz Ampliado. Se sigue la metodología de escenarios inacabados: pequeñas historias inacabadas acompañadas de una serie de cuestiones a las que los participantes deben dar respuesta. Estas son utilizadas como base para la redacción de los cuaren...

  11. Análisis preliminar de la estructura primaria y secundaria del ARNtTrp en tortugas marinas

    OpenAIRE

    Harvey Infante-Rojas; Javier Hernández-Fernández

    2015-01-01

    Actualmente existen siete especies de tortugas marinas, todas amenazadas o en riesgo inminente de extinción. Los estudios con ADN mitocondrial han permitido hacer acercamientos sobre filogenia, evolución, rutas migratorias y centros de dispersión, además para la identificación de polimorfismos y haplotipos, siendo base para planes de manejo y conservación. El presente estudio representa la primera descripción comparada de la estructura primaria y secundaria del ARNtTrp mitocondrial en tortuga...

  12. Una experiencia multicultural en el aula de primaria a través de la música

    OpenAIRE

    Botella Nicolás, Ana María; Fernández Maximiano, Rafael; Mínguez López, Xavier; ANGULO ALEMÁN, TANYA; Martínez Gallego, Silvia

    2013-01-01

    Esta propuesta nace de la experiencia llevada a cabo con alumnos estudiantes de Magisterio del área de Didáctica de la música, en las Facultades de Educación 'Vestfold University College' de Tonsberg (Noruega) y 'Laereruddannelsen Zahle' de Copenage (Dinamarca). Se trabajaron en el aula diferentes propuestas musicales a través de la canción como elemento canalizador del proceso de enseñanza-aprendizaje. Con ello se consiguió que el futuro maestro de primaria, utilizando canciones y juegos pro...

  13. Detección del trastorno depresivo mayor en atención primaria. Una revisión

    Directory of Open Access Journals (Sweden)

    José Manuel Calvo-Gómez

    2015-07-01

    Full Text Available Antecedentes. Distinguir entre los cambios que normalmente ocurren en el estado del ánimo y aquellos presentes en el trastorno depresivo no es una tarea fácil, por esta razón se han propuestos mecanismos e instrumentos para mejorar la detección de estos trastornos en pacientes de atención primaria. Objetivos. Evaluar si la detección sistemática rutinaria con instrumentos de tamizaje, con o sin sistemas de seguimiento y manejo integrado, es más efectiva que la atención usual para identificar pacientes con depresión, facilitar su tratamiento, y mejorar los resultados clínicos en atención primaria. Materiales y métodos. Se llevó a cabo una búsqueda de estudios de casos y controles, cohortes y controlados aleatorizados, revisiones sistemáticas, y meta-análisis en las bases de datos MEDLINE, Cochrane, PsycINFO, y EMBASE desde enero de 1976 hasta el 30 de abril de 2013. Resultados. La evidencia mostró que muchos casos de depresión no son detectados. Los médicos de atención primaria (MAP logran tasas de detección del trastorno depresivo entre el 30% y 40%, sin utilizar herramientas adicionales para el diagnóstico como las escalas de una, dos y tres preguntas. Los pacientes con síntomas menos severos y más jóvenes son los menos detectados. Conclusiones. El tamizaje para depresión a nivel de atención primaria, con retroalimentación del resultado, puede incrementar el reconocimiento del trastorno por parte del MAP. Sin embargo, el efecto de la retroalimentación sobre el tratamiento y los resultados en cuanto a mejoría de los síntomas o remisión son muy pobres.

  14. Modelo Metodológico para Desarrollar Equipos Interdisciplinarios en Atención Primaria de la Salud

    OpenAIRE

    María Luisa Rojas Bolaños; Maria Teresita Castillo León; Rebelín Echeverría Echeverría; Julia Alejandra Candila Celis

    2010-01-01

    La mejora en la calidad de los servicios en atención primaria de la salud es un reto constante que implica la capacitación continua del personal dedicado a ella. El objetivo de este trabajo es presentar el desarrollo de una propuesta metodológica para el promover competencias profesionales que faciliten el trabajo en equipos interdisciplinarios en personal de tres unidades de salud de primer nivel de atención en Mérida, México. Es un modelo desarrollado desde el enfoque de la Investigación Ac...

  15. Ciencias Experimentales en la Educación Infantil y en la Educación Primaria

    OpenAIRE

    Naves Pineda, Francisco Javier; Feliu Ortega, María José; Fernández-Lorenzo, Concepción

    2010-01-01

    Este curso engloba los conocimientos básicos que deben ser adquiridos por los alumnos en los grados de Magisterio en Educación Infantil y en Educación Primaria sobre las Ciencias Experimentales. De esta forma, se desarrollan temas que versan sobre la materia, la energía, la luz, los estados de agregación de la materia, etc, y se incluyen los conocimientos sobre el entorno que nos rodea desde un punto de vista físico y químico.

  16. Propuesta de Intervención para Alumnos con TEA en el Aula Ordinaria de Educación Primaria

    OpenAIRE

    Muñoz-Eizmendi, Irune

    2015-01-01

    Este trabajo presenta una propuesta de intervención para niños escolarizados en el Primer Curso de Educación Primaria diagnosticados con Trastorno del Espectro Autista (TEA). En ella, se desarrolla una adaptación de la Metodología TEACCH al aula ordinaria, empleada en educación especial, para responder a las necesidades educativas especiales derivadas de las características de estos alumnos. Para ello se examina en primer lugar, el término de Trastorno del Espectro Autista, sus antecedente...

  17. Los sistemas de apoyo en escuelas inclusivas de Educación Infantil y Primaria de la Comunidad Valenciana

    OpenAIRE

    Nadal Morant, María José

    2015-01-01

    En este trabajo se analiza la organización y el funcionamiento de los sistemas de apoyo actuales que se desarrollan en los centros de Educación Infantil y Primaria de la Comunidad Valenciana con el objetivo de determinar si favorecen o no la inclusión del alumnado con necesidades educativas especiales. Los objetivos específicos que se pretenden son: 1. Estudiar los diferentes elementos organizativos de los apoyos que intervienen en los centros para establecer cuál o cuáles de ellos favo...

  18. Proyecto educativo interdisciplinar de teatro para 5º y 6º de Educación Primaria

    OpenAIRE

    Munt-Pros, Mª. Noemí

    2015-01-01

    En este Trabajo de Fin de Grado se parte de la evolución histórica del teatro educativo y de la repercusión que ha tenido en diferentes épocas y contextos para analizar las contribuciones de su aplicación en el ámbito escolar. Diversas experiencias actuales refuerzan la idoneidad de esta metodología y sustentan la creación de un proyecto educativo para implantar el teatro en la escuela primaria. Así pues, el proyecto que se presenta propone el teatro para trabajar diferentes materias curricul...

  19. Concepciones previas de los estudiantes de Grado en Educación Primaria sobre la competencia digital de los escolares

    OpenAIRE

    Gutiérr ez-Cabello, Aingeru; Losada, Daniel; Correa, José Miguel

    2015-01-01

    La presente investigación tiene por objetivo estudiar las concepciones sobre las que parte los estudiantes de Grado en Educación Primaria sobre la competencia digital a lograr por su futuro alumnado. En la actualidad existen diversos autores que abogan por un desarrollo del constructo de la competencia digital basado en la multialfabetización. Por ello, a fin de recoger las diferentes creencias que subyacen al término se procedió a la construcción de una escal...

  20. Resolución de problemas matemáticos de estructura aditiva en primero de primaria

    OpenAIRE

    Vergara-Urrea, Carla

    2016-01-01

    El objetivo del presente trabajo es proponer una didáctica diferente del razonamiento lógico-matemático empleado en la resolución de problemas en los niños de primero de primaria. Se propone una forma de trabajo en donde los alumnos son los protagonistas de su aprendizaje, utilizando para ello materiales manipulativos además de favorecer situaciones cotidianas en las que puedan desarrollar estrategias eficaces para resolver los problemas presentados. Para desarrollar esta propuesta de Proyect...

  1. La educación primaria en los campos de la provincia de Buenos Aires (1943-1955)

    OpenAIRE

    Petitti, Eva Mara

    2016-01-01

    El artículo se ocupa de las políticas educativas dirigidas al ámbito rural. El objetivo es caracterizar las escuelas primarias en la campaña bonaerense y examinar las demandas, la legislación y los proyectos que tuvieron lugar en relación con dichas escuelas durante el primer Peronismo. Se utiliza una metodología cualitativa que toma como fuentes de información normativas, discursos, estadísticas y proyectos de reformas. Se concluye que, si bien las demandas materiales dieron lugar a planes q...

  2. Análisis mixto de los estilos de liderazgo en Atención Primaria de Salud

    OpenAIRE

    Jodar i Solà, Glòria

    2014-01-01

    Los objetivos de este estudio pretenden, en primer lugar, averiguar si existe liderazgo directivo en los Equipos de Atención Primaria de Salud (EAP) y describir y conocer la autopercepción de las conductas y estilos de liderazgo que adoptan sus directivos (directores y adjuntos a la dirección), así como la relación de estos estilos respecto la satisfacción laboral, la efectividad y el esfuerzo de los profesionales. En segundo lugar, comprender la vivencia de estos profesionales de los centros...

  3. Entrenamiento a Profesores de Preescolar y Primer Grado de Primaria, en el Uso de Estrategias de Enseñanza

    OpenAIRE

    Yolanda Guevara Benítez; Juan Pablo Rugerio Tapia; Ulises Delgado Sánchez; Ángela Hermosillo García

    2009-01-01

    La investigación prueba la efectividad de un programa de entrenamiento a profesores de tercer grado de preescolar y primero de primaria, para aplicar una serie de estrategias de enseñanza derivadas de la psicología conductual. Participaron profesoras de escuelas públicas de estrato sociocultural bajo. Antes y después del entrenamiento se filmó una hora de clase de cada profesora, filmaciones que sirvieron para registrar el uso de las estrategias educativas. El entrenamiento consistió en la en...

  4. Gioco, tecnologia e apprendimento: un esempio di approccio ludico per lo studio dell’arte contemporanea nella scuola primaria

    Directory of Open Access Journals (Sweden)

    Michela Nisdeo

    2014-09-01

    Full Text Available L’educazione all’arte contemporanea costituisce una dimensione spesso trascurata nelle scuole italiane. Il legame tra tecnologie digitali, dimensione ludica e arte può costituire un’interessante prospettiva da indagare. In questa direzione il contributo presenta un’esperienza relativa all’opera di Gino Marotta, un artista italiano, realizzata in una scuola primaria. L’aspetto che viene sottolineato è la relazione tra laboratori, attività online e giochi da un lato e risorse museali dall’altro.

  5. El aprendizaje de la lectoescritura musical en educación primaria. Métodos y recursos

    OpenAIRE

    Elvira Blázquez, Patricia

    2014-01-01

    El estudio de la lectoescritura musical en Educación Primaria es una herramienta metodológica de trabajo que permite desarrollar en el niño la capacidad de interpretar piezas instrumentales y vocales sencillas. Su aprendizaje no es un objetivo en sí mismo, sino una herramienta para que la filosofía de la Educación Musical cobre sentido y se asiente sobre unos parámetros reales en cuanto al vocabulario del lenguaje musical. Con este trabajo se busca conocer diferentes métodos de aprendiz...

  6. Estudio de las dificultades de comprensión lectora en alumnado de educación primaria

    OpenAIRE

    Martínez Oliveira, Zaida

    2014-01-01

    [ES]El trabajo de investigación presentado analiza, en profundidad, las dificultades de comprensión lectora en el alumnado de Educación Primaria. Se trata de un trabajo de investigación documental en el que se presenta la definición del término, los tipos de comprensión lectora, su etiología, es decir, sus causas o factores que influyen en las dificultades de comprensión lectora, los instrumentos o recursos para su evaluación y el tipo de intervención educativa más ajustada a las necesidades ...

  7. El arte contemporáneo como estrategia didáctica en el aula de Primaria

    OpenAIRE

    Rodríguez Torca, Sara

    2015-01-01

    En este proyecto se muestran las posibilidades de la exposición Fuera de Acto del artista Javier Núñez Gasco en el Espai d’Art Contemporani de Castellón como estrategia educativa. En este sentido interpretaremos los conceptos y el curriculum escolar diseñando actividades para el aula de 2º de Educación Primaria. Planteamiento que ha sido la base para una aplicación didáctica organizada en tres fases pre-visita, visita y post-vista. Con el fin de establecer vínculos entre la escuela y la expos...

  8. Mapas mentales como herramienta cognitiva para la etapa primaria: un estado de la cuestión

    OpenAIRE

    Fenollosa-Tejedor, Pedro

    2015-01-01

    Este trabajo presenta una selección de la literatura científica sobre los mapas mentales como herramienta cognitiva aplicada a la etapa primaria. Se introduce la necesidad de adquirir habilidades informacionales a través de nuevas estrategias en el marco de un proceso de enseñanza-aprendizaje no-lineal. A lo largo del trabajo se explica la relación entre los mapas mentales y algunos aspectos de la didáctica general, tales como el aprendizaje cooperativo, el fomento de la creatividad, la...

  9. GeoGebraPrim como instrumento para descubrir y justificar propiedades geométricas en cuarto de primaria

    OpenAIRE

    Barbosa, Alejandro; Escobar, Andrea; Camargo, Leonor

    2013-01-01

    Se describe una experiencia de aula en la que el programa GeoGebraPrim desempeña un papel en la introducción a la actividad demostrativa de estudiantes de grado cuarto de primaria, quienes son invitados a construir figuras geométricas, explorarlas en busca de regularidades y justificar algunas propiedades con base en otras. La experiencia se fundamenta en el constructo “actividad demostrativa” del grupo de investigación Aprendizaje y Enseñanza de la Geometría de la Universidad Pedagógica Naci...

  10. Programa de modificación de conducta escolar (Educación Infantil y Primer Ciclo de Primaria)

    OpenAIRE

    De la Torre Ramírez, Carmelo

    2003-01-01

    Este artículo describe paso a paso la aplicación práctica de un programa completo de modificación de conducta escolar. Dicho programa pretende dar respuesta a una demanda concreta, la necesidad que presentan los docentes de solventar adecuadamente los problemas disruptivos y de convivencia que afloran en el aula. Se trata de un instrumento válido para ser aplicado principalmente en Educación Infantil y en el primer ciclo de la Educación Primaria

  11. Representaciones de estudiantes de primaria y secundaria sobre las Ciencias de la Computación y su oficio.

    OpenAIRE

    Martinez, María Cecilia; Echeveste, María Emilia

    2015-01-01

    Este artículo estudia la oferta de enseñanza en computación en 19 escuelas primarias y secundarias, públicas y privadas de la Provincia de Córdoba, Argentina. Posterior al desarrollo de un curso de introducción a la programación de 13 horas de duración a través de la creación de animaciones, analizamos los principales factores relacionados a la elección de las carreras en computación: representaciones de los estudiantes respecto al oficio de un especialista en computación, representaciones so...

  12. Enseñar probabilidad en primaria y secundaria? ¿Para qué y por qué?

    OpenAIRE

    Jímenez, Liliana; Jimenez, Rafael

    2005-01-01

    Este trabajo va dirigido a maestros y profesores de matemática. En él se exponen algunas reflexiones sobre la necesidad de abordar, en nuestros días, los conceptos de incertidumbre y probabilidad en la educación primaria y secundaria. Además se proponen algunos modelos de ejercicios que los introducen, con algunos comentarios didácticos para orientar el proceso. Por otra parte, se trata de provocar más discusión acerca de la importancia de enseñar el tema de probabilidad a nivel tanto de secu...

  13. Problemas asociados a la enseñanza del contenido disoluciones durante la escolaridad primaria y secundaria

    OpenAIRE

    Veglia, Silvia; Vázquez, Griselda; Brillada, Alicia; Odetti, Héctor

    2012-01-01

    El presente trabajo de investigación tuvo como propósito conocer algunas causas por las cuales los alumnos que ingresan al Profesorado de Educación Primaria de la Escuela Normal N° 30 de la ciudad de Esperanza, Provincia de Santa Fe, no alcanzan los saberes básicos de la disciplina Química, particularmente, en relación al contenido Disoluciones. El diseño metodológico fue de corte cuantitativo y cualitativo. Se utilizaron variados instrumentos de recolección de datos: entrevistas a docentes d...

  14. EL DIRECTOR ESCOLAR NOVEL DE PRIMARIA. Problemas y retos que enfrenta en su primer año

    OpenAIRE

    JOSÉ MARÍA GARCÍA GARDUÑO; CHARLES L. SLATER; GEMA LÓPEZ GOROSAVE

    2010-01-01

    El propósito de este trabajo fue examinar los problemas y situaciones que enfrentan los nuevos directores de educación primaria. Participaron diez directores, cinco del sexo femenino y cinco del masculino, en su primer año en el cargo en un estado del norte de México. Las técnicas de recolección de datos incluyeron entrevistas individuales, un grupo de enfoque y un diario de incidentes críticos. Los resultados señalan que los principales problemas que enfrentan los nuevos directores son la ca...

  15. La inspección de enseñanza primaria en la dictadura de Primo de Rivera

    Directory of Open Access Journals (Sweden)

    Ramón LÓPEZ MARTÍN

    2010-03-01

    Full Text Available RESUMEN: El control de la legalidad formal del ordenamiento escolar y la orientación técnico-pedagógica del Magisterio, han sido —tradicionalmente— las directrices funcionales más notorias asignadas a la Inspección de Enseñanza Primaria. Su labor, queda enmarcada en una incómoda situación intermedia entre lo político y lo técnico, entre la administración y el docente, en definitiva, entre las exigencias del poder establecido y los requerimientos de la ciencia pedagógica.

  16. La problem??tica de la funci??n directiva en primaria desde posiciones encontradas: los directores frente al profesorado

    OpenAIRE

    Rodr??guez Sabiote, Clemente; Garc??a Mino, Felipe; Garc??a Vacas, Ignacio; ??lvarez Rodr??guez, Jos??

    2013-01-01

    El presente estudio, de tipo comparativo-causal, tiene como objetivo fundamental determinar si maestros y directores de las escuelas tienen o no una visi??n similar a la hora de valorar determinados aspectos relacionados con la problem??tica de la funci??n directiva en educaci??n primaria, a saber: aspectos relacionados con la responsabilidad en la convivencia y cohesi??n del centro, los procesos de reciclaje e innovaci??n del mismo, as?? como los incentivos para acceder al cargo directivo. P...

  17. La escritura creativa en las aulas del Grado de Primaria: una investigación-acción

    OpenAIRE

    Morote Peñalver, Emilia

    2014-01-01

    Esta investigación trata sobre la necesaria relación, en la formación inicial de los futuros docentes de Educación Primaria, entre creatividad y estrategias didácticas en lengua y literatura que la fomenten y la conviertan en parte de su desarrollo integral como personas y fuente de entusiasmo para su futuro profesional. Son escasos los estudios centrados en la formación inicial del docente, así como en la divulgación de sus productos creativos y en el tratamiento de la poesía desde la creaci...

  18. La motricidad en el proceso lectoescritor: estudio realizado en un colegio de Educación Primaria de Badajoz

    OpenAIRE

    Moreno-Benítez, Rocío

    2012-01-01

    El presente estudió se ocupa de la relación existente entre motricidad y proceso lectoes-critor en niños de primer curso de Primaria. Para ello, se consideró: a) la motricidad y desempeño en el área de la escritura; b) la velocidad lectora; y, c) la comprensión lectora. Los resultados mostraron que las pruebas llevadas a cabo de motricidad no guar-daron relación, en la mayoría de los casos, con las de lectoescritura. Por otra parte, se plantea la influencia de la motricidad en la lectoescr...

  19. RELACIÓN DE LA LECTOESCRITURA CON LOS PATRONES MOTRICES EN ALUMNOS DE EDUCACIÓN PRIMARIA

    OpenAIRE

    Del-Pozo-Sánchez, María Josefa

    2012-01-01

    En el presente trabajo se ha estudiado la posible relación entre los procesos de lectoescritura y motricidad y cómo estos influyen en el rendimiento académico. Para ello se ha tomado una muestra de 33 niños en educación primaria y se les ha evaluado con una batería de pruebas dirigida a valorar su motricidad y habilidades en lectura y escritura. Los resultados obtenidos muestran que si bien existe una relación moderada entre aspectos concretos de la motricidad y la lectura, no se puede ...

  20. Enseñanza problematizada de las propiedades de la materia para futuros maestros de Educación Primaria

    OpenAIRE

    Limiñana, Rubén; Menargues Marcilla, María Asunción; Martínez Torregrosa, Joaquín; Colomer Barberá, Rafael; Osuna García, Luis; Luján Feliu-Pascual, Isabel

    2015-01-01

    Una de las grandes ideas de las ciencias que debería formar parte de la educación de todo ciudadano es que todas las cosas, aunque estén hechas de materiales muy diferentes o estén en distintos estados (gases, líquidos y sólidos), están formadas por átomos y moléculas. Sin embargo encontramos dificultades entre los alumnos universitarios del Grado de Maestro de Primaria para apropiarse de estas ideas. Este hecho no es sorprendente: la existencia de una estructura interna común a todas las cos...

  1. La competición deportiva como medio de enseñanza en los centros educativos de primaria

    OpenAIRE

    Reverter Masià, Joaquín; Mayolas Pi, Mª Carmen; Adell Pla, L.; Plaza Montero, Daniel

    2009-01-01

    El deporte de competición constituye, probablemente, la manifestación deportiva más importante en niños en edad escolar. El objetivo de este estudio es el analizar la apreciación de los profesores sobre la competición deportiva como medio de enseñanza-aprendizaje en la educación primaria. Para alcanzar este objetivo se utiliza un cuestionario. La muestra está compuesta por 140 profesores. De los resultados se deduce que la competición es un buen instrumento para la formación y educación de lo...

  2. La percepción medioambiental del profesorado de primaria en el tema de la nutrición humana

    OpenAIRE

    García-Barros, Susana; Martínez Losada, Cristina; Rivadulla-López, Juan Carlos

    2010-01-01

    En este trabajo se muestra como un proyecto de tesis doctoral, dirigido a estudiar el pensamiento del profesorado de educación primaria en ejercicio y en formación sobre la nutrición humana, se acerca a la problemática ambiental. En el artículo se justifica la dimensión medioambiental de la nutrición humana que sirve de referencia para las decisiones tomadas en la metodología planteada. Así mismo se presentan unos primeros resultados, que aunque todavía limitados, ponen de manifiesto que l...

  3. Propuesta: Juego cooperativo e integración intercultural en estudiantes de 6º de Educación Primaria.

    OpenAIRE

    Cortés-Pérez, Abel Antonio

    2013-01-01

    En esta tarea se trata una propuesta didáctica basada en el aprendizaje cooperativo. Se dirige a la asignatura de Educación Física, en concreto a sexto de Primaria, con el objetivo de lograr una plena integración del alumnado inmigrante a través de la realización de estrategias adecuadas y personalizadas. Su desarrollo se ha sostenido en varias orientaciones de la legislación vigente del Real Decreto 1513/2006 para el área de Educación Física. A partir de aquí se ha orientado hacia una propue...

  4. Juegos digitales desde el punto de vista de los profesores. Una experiencia didáctica en aulas primaria catalanas

    OpenAIRE

    José Luis EGUIA-GÓMEZ; Contreras, Ruth; Solano, Lluis

    2015-01-01

    [ES]Este artículo presenta una experiencia didáctica centrada en la aplicación de un juego digital en las aulas catalanas de quinto y sexto grado de educación primaria. En él se explica y analizan los efectos de su aplicación en la práctica docente, tomando el punto de vista de los docentes que participaron de la experiencia. El documento se basa en el juego digital llamado Miquel Crusafont, un juego que cuenta con el apoyo de la Generalitat de Catalunya. El estu...

  5. Vocaci??n docente y actitudes hacia la ciencia del futuro profesorado de educaci??n primaria

    OpenAIRE

    Carrillo-Ros??a, Javier; V??lchez Gonz??lez, Jos?? Miguel; Fern??ndez Mart??nez, Irene

    2010-01-01

    El presente trabajo se centra en el estudio de la vocaci??n docente y la actitud hacia la ciencia del alumnado de Magisterio de la Universidad de Granada. Ambos pueden ser posibles factores de peso en una actividad docente de calidad, en especial en relaci??n con la ense??anza de las ciencias del futuro profesorado de Educaci??n Primaria. Se ha detectado que el alumnado, en un elevado porcentaje, afirma tener ???vocaci??n docente??? y reconoce la importancia de la ciencia en su formaci??n. Si...

  6. Terapia celular associada à revascularização transmiocárdica laser como proposta no tratamento da angina refratária Cell therapy plus transmyocardial laser revascularization: a proposed alternative procedure for refractory angina

    Directory of Open Access Journals (Sweden)

    Luís Alberto Oliveira Dallan

    2008-03-01

    Full Text Available OBJETIVO: É descrita uma proposição cirúrgica para o tratamento de pacientes com doença arterial coronária (DAC terminal, não mais passíveis de revascularização miocárdica convencional. Constitui-se na revascularização transmiocárdica com raios laser (RTML, associada ao emprego de células progenitoras hematopoiéticas autólogas (CPH. MÉTODOS: Nove pacientes (oito homens, 65±5 anos, com as características supracitadas foram submetidos ao procedimento combinado. Além da avaliação clínica, o protocolo incluiu o estudo da perfusão miocárdica através da ressonância cardíaca (RMC sob estresse farmacológico, antes e seis meses após a intervenção cirúrgica. Procedeuse à RMTL através de minitoracotomia esquerda e utilização de laser de CO2, com média de 11±3 tiros por paciente. As CPH foram obtidas por punção medular, seguindo-se sua injeção direta (1,9±0,3x10(8 células/paciente em múltiplas áreas do miocárdio isquêmico. RESULTADOS: Não ocorreram óbitos ou complicações imediatas decorrentes dos procedimentos. Um paciente faleceu no segundo ano de pós-operatório, de causa não cardíaca (choque séptico. O seguimento clínico pós-operatório desses pacientes revelou redução significativa da classe funcional de angina de 3,7±0,2 para 1,3±0,2 (pOBJECTIVE: We tested the hypothesis that TMLR combined with intramyocardial injection of BMC is safe, and may help increase the functional capacity of patient with refractory angina. METHODS: Nine patients (eight men, 65±5 years old, with refractory angina for multivessel disease and previous myocardial revascularization procedures (CABG/PCI, not candidates for another procedure due to the extension of the disease were enrolled. TMLR (11±3 laser drills was performed via a limited thoracotomy using a CO2 Heart Laser System. BMC were obtained immediately prior to surgery, and the lymphomonocytic fraction separated by density gradient centrifugation. During

  7. Cooperare per gioco. Educazione motoria e processi di socializzazione nella Scuola Primaria

    Directory of Open Access Journals (Sweden)

    Alessandro Bortolotti

    2010-02-01

    Full Text Available Lo scopo principale del presente lavoro consiste nell’evidenziare il valore educativo dell’attività motoria nel versante socio-relazionale, fattore di solito trascurato nelle programmazioni della scuola italiana. Per raggiungere questo obiettivo, abbiamo sviluppato un progetto di ricerca in grado di dimostrare in modo rigoroso una serie di aspetti, che riteniamo di particolare interesse in materia di istruzione, da noi identificati dopo due decenni trascorsi in attività di insegnamento, formazione e ricerca. In particolare, ci accingiamo a presentare un percorso di socializzazione in classi all’inizio della scuola primaria. Pur nella consapevolezza che il nostro compito sarebbe stato più difficile, ma allo stesso tempo più convincente (soprattutto in caso di successo, abbiamo fatto una scelta “scomoda”: si è deciso, pertanto, di operare in una zona di “frontiera”. Il contesto socio-culturale in cui è stato svolto il progetto, infatti, si trova nella periferia di Bologna, in un quartiere con un alto tasso di immigrazione in cui la percentuale di stranieri nelle classi variava dal 50 al 70% circa. Noi crediamo che il gioco motorio gioioso, proattivo e svolto in forma cooperativa, possa anche facilitare un “clima favorevole” di insegnamento / apprendimento, piuttosto che tendere alla competizione e a presentarsi “schiacciato” sulle dimensioni di autoaffermazione, efficienza, controllo di sé, aspetti importanti ma non gli unici a dover essere perseguiti, soprattutto all’inizio della “vita scolastica” dei bambini. In conclusione, si può dire che il semplice gioco tradizionale portato avanti in forma cooperativa, che coinvolge tutti i bambini indipendentemente dalla loro capacità motorie, si è rivelato un mezzo efficace per migliorare l’esperienza di comprensione reciproca, anche tra i bambini di culture ed esperienze differenti.

  8. Capital social y políticas de Atención Primaria de la Salud

    Directory of Open Access Journals (Sweden)

    Ernesto Pablo BÁSCOLO

    2016-05-01

    Full Text Available El objetivo de este trabajo es analizar la influencia de la configuración del capital social de las políticas de atención primaria de la salud (APS sobre las condiciones de acceso a los servicios de salud. Se llevó a cabo un estudio de casos múltiples (Cochabamba-Bolivia, Rosario y Vicente López-Argentina retrospectivo (1990-2008. El concepto de capital social fue entendido como el resultado de la relación entre Estado y sociedad. En Rosario se lograron mejoras sustantivas en las condiciones de acceso a partir de la creación de nuevas estructuras en donde profesionales de APS establecieron vínculos de cooperación con actores del Estado municipal, movimientos sociales y gestores y médicos especialistas de hospitales. En Vicente López, las mejoras en las condiciones de acceso a los servicios de salud fueron más limitadas debido a que los cambios en la relación Estado y sociedad solo involucraron a profesionales del primer nivel de atención sin mecanismos de cooperación estables con actores claves de los hospitales, el nivel municipal y los movimientos sociales. Por último, en Cochabamba, las mejoras en las condiciones de acceso fueron marginales debido a que los profesionales del sistema de servicios de salud se opusieron a la alianza establecida entre los movimientos sociales y los actores del Estado municipal para generar cambios en el sistema de salud. Este estudio permite reconocer la influencia de la configuración entre Estado y sociedad para modelar las relaciones de poder que subyacen al proceso de implementación de las reformas del sector salud y sus resultados.

  9. Las TIC en el aprendizaje colaborativo en el aula de Primaria y Secundaria

    Directory of Open Access Journals (Sweden)

    Ana García-Valcárcel Muñoz-Repiso

    2014-01-01

    Full Text Available Las tecnologías digitales ofrecen nuevas oportunidades para el aprendizaje en una sociedad cada vez más conectada, en la cual aprender a trabajar con otros y colaborar se convierte en una competencia trascendental. El texto presenta resultados de una investigación sobre concepciones y prácticas del profesorado en ejercicio acerca de las metodologías de aprendizaje colaborativo mediadas por las tecnologías de la comunicación (TIC, en centros de enseñanza de Educación Primaria y Secundaria. En el artículo se analizan los datos referidos a las aportaciones de las TIC para llevar a cabo procesos de trabajo colaborativo en el aula, desde el punto de vista de los docentes de los centros acreditados con alto nivel TIC por la Junta de Castilla y León. También se expondrán las limitaciones que imponen estas herramientas, así como las concepciones docentes sobre las estrategias de aprendizaje colaborativo. La metodología se basa en el análisis de contenido de entrevistas realizadas a equipos docentes de una muestra representativa de centros educativos. Los resultados apuntan que en estos centros los docentes atribuyen a las TIC una alta potencialidad para enriquecer las actividades de trabajo colaborativo entre los estudiantes y conseguir el desarrollo de competencias transversales de gran relevancia, aunque son conscientes de las dificultades a las que tanto alumnos como profesores se enfrentan en la práctica educativa.

  10. Hiperinmunoglobulinemia E: una inmunodeficiencia primaria con compromiso de varios mecanismos de la respuesta inmune

    Directory of Open Access Journals (Sweden)

    Juan E. Pérez

    1998-02-01

    Full Text Available El síndrome de hiperinmunoglobulinemia E(SHIE es una Inmunodeficiencia Primaria (IOP de origen desconocido, cuya fisiopatología no ha sido -esclarecida. Sus manifestaciones comienzan en las primeras semanas de vida. Es característico en su expresión clínica el desarrollo de un síndrome de infección recurrente patológica, con neumopatía supurativa y neumatoceles perennes principalmente producidos porStaphylococcusaureus; se encuentran niveles séricos muy elevados de IgE. En nuestras investigaciones sobre la patogénesis del ?HIE, la hipótesis propone varias alteraciones como causas importantes para su presentación: Trastornos en la activación y generación de memoria de los linfocitos T, posiblemente debida a una expresión e interacción inadecuadas de las moléculas de superficie involucradas en este fenómeno (CO40L, CO80, CO86, CTLA-4; un patrón de citoquinas diferente, con producción incrementada de IL-13 que sería la responsable del exceso de síntesis de la IgE y del factor estimulante de colonias de granulocitos y monolitos G M-CSF (G M-CS F= Granulocyte-Monocyte Colony Stimulating Factor el cual modularía la alteración en la función de las células fagocíticas.

  11. Software interactivo para desarrollo de habilidades matemáticas a nivel primaria

    Directory of Open Access Journals (Sweden)

    Elizabeth Guerrero Sánchez

    2014-01-01

    Full Text Available Por medio de ésta investigación se presenta una aplicación matemática con interfaz, amigable, interactiva, sencilla de instalar y de fácil manejo. Ha sido realizada mediante la metodología de prototipos para el desarrollo de software y la implementación de la técnica “Focus Group” para la retroalimentación durante el testeo correspondiente. La aplicación tiene como objetivo principal el fomentar el aprendizaje y desarrollo de las matemáticas mediante la implementación del software interactivo desarrollado a fin de reducir la deserción escolar y los altos índices de reprobación en la materia a nivel primaria, pues es en ése nivel escolar donde se tienen los primeros acercamientos con las matemáticas. A diferencia de otros software, los ejercicios están desarrollado en base a los programas de estudio que presenta la Secretaria de Educación Pública, a su vez cuenta con una base de dato en la cual llevará el control y registro de cada actividad realizada por el estudiante, en donde el maestro puede hacer consulta en cualquier momento, permitiendo identificar cuáles y cuántas veces el estudiante ha resuelto un problema, aportando una perspectiva más concreta de cuáles son los temas que más se le dificultan a cada alumno, cabe destacar que la aplicación es multiplataforma, por lo cual puede ser ejecutada en cualquier dispositivo móvil.

  12. La interconsulta docente-asistencial en la Atención Primaria de Salud

    Directory of Open Access Journals (Sweden)

    Belkis Vicente Sánchez

    2012-06-01

    Full Text Available La educación en el trabajo es la forma fundamental de organización del proceso docente educativo en los años de estudio superiores de las carreras de la Educación Médica Superior. Durante este proceso se adoptan distintas formas organizativas docentes, y es la interconsulta docente-asistencial una de ellas. Se realizó una revisión sobre la metodología de esta forma organizativa, en la que se hace énfasis en las características, objetivos, etapas y funciones del docente. La interconsulta docente-asistencial debe ser preparada, organizada y dirigida por el profesor interconsultante. Se realiza principalmente en el consultorio médico de la familia. Consta de varias etapas: organización exhaustiva de la actividad, etapa previa de preparación por parte del Equipo Básico de Salud, presentación del paciente, análisis colectivo (trabajo docente en cascada y conclusiones. Esta actividad desarrollada en la Atención Primaria de Salud con estas características, ha de propiciar la formación y desarrollo de habilidades y conocimientos necesarios para el desempeño de los profesionales. La interconsulta docente-asistencial se adentra en la enseñanza y aplicación del método clínico durante el proceso formativo del personal médico, en el que el profesor desempeña un papel importante al demostrar la importancia de este, al fomentar los principios éticos, de forma tal que forme parte de la práctica profesional y de su futuro desempeño.

  13. Short‐term and long‐term outcomes in 133 429 emergency patients admitted with angina or myocardial infarction in Scotland, 1990–2000: population‐based cohort study

    OpenAIRE

    Capewell, S; Murphy, N F; MacIntyre, K.; Frame, S; Stewart, S.; Chalmers, J.W.T.; Boyd, J.; Finlayson, A; Redpath, A.; McMurray, J J V

    2006-01-01

    Objective: To analyse short- and long-term outcomes and prognostic factors in a large population-based cohort of unselected patients with a first emergency admission for suspected acute coronary syndrome between 1990 and 2000 in Scotland. Methods: All first emergency admissions for acute myocardial infarction (AMI) and all first emergency admissions for angina (the proxy for unstable angina) between 1990 and 2000 in Scotland (population 5.1 million) were identified. Survival to five years...

  14. Serum high-sensitivity C-reaction protein and heart fatty acid binding protein level and cardiac accidents in patients with unstable angina pectoris

    Institute of Scientific and Technical Information of China (English)

    朱红秋

    2006-01-01

    Objective To investigate the relationship between serum high-sensitivity C-reaction protein (hs-CRP) and heart fatty acid binding protein (h-FABP) on cardiac accidents in patients with unstable angina pectoris (UAP). Methods Serum levels of hs-CRP, h-FABP, cardiac troponin-Ⅰ(cTn-Ⅰ) and creatine kinase MB isoenzyme (CK-MB) were measured and cardiac accidents within 2 weeks after the test were observed in 74 patients (male

  15. [Relations of the duration of pre-existing angina pectoris, collateral circulation and left ventricular function after isolated coronary occlusion with or without myocardial infarction].

    Science.gov (United States)

    Juillière, Y; Danchin, N; Grentzinger, A; Suty-Selton, C; Perrin, O; Guenoun, P; Pernot, C; Cherrier, F

    1990-10-01

    The aim of this retrospective study was to determine the relationship between the duration of preceding angina pectoris, collateral circulation and left ventricular function after isolated coronary occlusion with or without myocardial infarction. Coronary angiography of 138 consecutive patients showed isolated and complete occlusions of the left anterior descending (58 patients) or right coronary artery (80 patients). One hundred and four patients had myocardial infarction with (Group A, n = 21) or without (Group B, n = 83) preceding angina pectoris and 34 had angina without myocardial infarction (Group C). The left ventricular ejection fraction was measured by ventriculography in the 30 degrees right anterior oblique projection. The collateral circulation was assessed by coronary angiography and evaluated as follows: no flow or flow limited to collateral branches (subgroup 1) and partial or complete filling of the epicardial arterial segment (subgroup 2). In the global population the left ventricular ejection fraction was higher and the duration of preceding angina pectoris was longer in the subgroups with a well developed collateral circulation. There was no difference in ejection fraction between Groups A and B (presence of myocardial infarction), on the other hand, within each of the groups, a good collateral circulation (subgroup 2) was associated with a significantly higher ejection fraction. Group C (without infarction) patients had better ejection fractions than Groups A or B, especially when the collateral circulation was poorly developed. Within Group C, the quality of the collateral circulation did not seem to affect the ejection fraction. The left ventricular ejection fraction is lower in patients with isolated coronary occlusion and myocardial infarction.(ABSTRACT TRUNCATED AT 250 WORDS)

  16. Treatment with verapamil and trandolapril in patients with congestive heart failure and angina pectoris or myocardial infarction. The DAVIT Study Group. Danish Verapamil Infarction Trial

    DEFF Research Database (Denmark)

    Hansen, J F; Hagerup, L; Sigurd, B;

    1997-01-01

    In a double-blind, randomized trial in a consecutive group of postinfarct patients in treatment with diuretic agents for congestive heart failure, the 3 month rate of cardiac events (i.e., death, repeat infarction, unstable angina pectoris, or repeat admission because of heart failure) was 14....... These findings indicate that combined treatment with verapamil and trandolapril may be beneficial in patients with congestive heart failure....

  17. An effective tool to detect lesions causing unstable angina with multivessel disease. Iodine-123-betamethyl-p-iodophenyl-pentadecanoic acid single photon emission computed tomography

    Energy Technology Data Exchange (ETDEWEB)

    Fukuzawa, Shigeru; Inagaki, Masayuki; Morooka, Shigeru; Inoue, Toshihisa; Sugioka, Juji; Ozawa, Shun [Funabashi Municipal Medical Center, Chiba (Japan)

    1996-10-01

    Radiolabeled fatty acids such as iodine-123-betamethyl-p-iodophenyl-pentadecanoic acid (BMIPP) have unique metabolic properties suggesting potential use as myocardial perfusion tracers. The uptakes of BMIPP and thallium 201 were compared using single photon emission computed tomography (SPECT) in 24 patients displaying unstable angina with multivessel disease at a mean of 3.4 days after admission. Coronary angiography was performed within a week. Uptake was considered normal if the activity was greater than 80% of the normal area, mildly reduced if 50% to 79%, and severely reduced if less than 50%. The regional activities in four quadrants in short-axis slices were measured from basal, mid and apical sets. We attempted to identify the causative lesion on dual SPECT imaging. We planned the following management of each patient based on the results of the dual SPECT study. BMIPP activity imaging found 4 segments (1.4%) with severe decrease, 70 (24.3%) with mild decrease, and 214 (74.3%) with normal uptake. In contrast, Tl activity imaging showed normal uptake in 68 of 74 abnormal BMIPP activity segments. Furthermore, all segments with abnormal BMIPP uptake were matched with locations of coronary artery stenosis by coronary angiography. Accordingly, coronary revascularization (percutaneous transluminal coronary angioplasty, coronary artery bypass grafting) was performed based on BMIPP SPECT. Reductions in BMIPP activity were common in patients with unstable angina with multivessel disease. BMIPP SPECT is an excellent tool for detecting the causative lesion in unstable angina. The subsequent intervention could be performed with less risk based on the strategy of dilating the only causative lesion which was detected by the BMIPP SPECT in patients with multivessel disease displaying unstable angina. (author)

  18. Virtual histology study of atherosclerotic plaque composition in patients with stable angina and acute phase of acute coronary syndromes without ST segment elevation

    Directory of Open Access Journals (Sweden)

    Ivanović Miloš

    2013-01-01

    Full Text Available Introduction. Rupture of vulnerable atherosclerotic plaques is the cause of most acute coronary syndromes (ACS. Postmortem studies which compared stable coronary lesions and atherosclerotic plaques in patients who have died because of ACS indicated high lipid-core content as one of the major determinants of plaque vulnerability. Objective. Our primary goal was to assess the potential relations of plaque composition determined by IVUS-VH (Intravascular Ultrasound - Virtual Histology in patients with stable angina and subjects in acute phase of ACS without ST segment elevation. Methods. The study comprised of 40 patients who underwent preintervention IVUS examination. Tissue maps were reconstructed from radio frequency data using IVUS-VH software. Results. We analyzed 53 lesions in 40 patients. Stable angina was diagnosed in 24 patients (29 lesions, while acute phase of ACS without ST elevation was diagnosed in 16 patients (24 lesions. In the patients in acute phase of ACS without ST segment elevation IVUS-VH examination showed a significantly larger area of the necrotic core at the site of minimal lumen area and a larger mean of the necrotic core volume in the entire lesion comparing to stable angina subjects (1.84±0.90 mm2 vs. 0.96±0.69 mm2; p<0.001 and 20.94±15.79 mm3 vs. 11.54±14.15 mm3; p<0.05 respectively. Conclusion. IVUS-VH detected that the necrotic core was significantly larger in atherosclerotic lesions in patients in acute phase of ACS without ST elevation comparing to the stable angina subjects and that it could be considered as a marker of plaque vulnerability.

  19. Trabajo social y educación primaria. mediación hacia una cultura de paz

    Directory of Open Access Journals (Sweden)

    Norma Méndez Vega

    2003-01-01

    Full Text Available El presente artículo es un aporte para el trabajo social en la educación primaria. Destaca la importancia de trabajar a favor de una cultura de paz, y parte de que el ambiente de la educación primaria es propicio para este fin, ya que los niños y las niñas deben recibir la motivación hacia un mundo en el que la participación y el compromiso son elementos esenciales para promover la cultura de paz y calidad de vida. Ofrece algunos elementos teórico-metodológicos para que trabajo social se inserte en el ambiente y se constituya en mediador de procesos participativos con el resto de la comunidad escolar, constituída tanto por el personal docente, administrativo, padres, madres y equipos interdisciplinarios del Programa para el mejoramiento de la calidad de la educación y vida en las comunidades urbanas de atención prioritaria (PROMECUM

  20. Creatividad e Inteligencias Múltiples según el género en alumnado de Educación Primaria

    Directory of Open Access Journals (Sweden)

    María Pilar Garín-Vallverdú

    2016-02-01

    Full Text Available Los primeros años de escolarización son fundamentales para potenciar el desarrollo de la creatividad y las inteligencias múltiples. Bajo el sustento de los marcos teóricos de referencia que explican ambas variables, el objetivo del estudio fue analizar las diferencias significativas existentes en la creatividad y las inteligencias múltiples entre niños y niñas de 1º de Educación primaria. La muestra se compuso de 60 estudiantes (chicos=31; chicas=29 de 6 y 7 años escolarizados en un centro público de Zaragoza. Los instrumentos utilizados fueron el Cuestionario del profesorado para diagnosticar Inteligencias Múltiples en Primaria y el Test de Pensamiento Creativo de Torrance. Los resultados mostraron diferencias significativas en la creatividad, siendo las chicas quienes obtuvieron mayores puntuaciones. Respecto a las inteligencias múltiples, la inteligencia interpersonal fue la que mayores puntuaciones obtuvo en ambos géneros. Paralelamente, la inteligencia musical fue la de menor puntuación en ambos géneros, siendo la única que mostró diferencias significativas. Estos hallazgos se discuten argumentando la necesidad de realizar un programa de intervención que potencie la creatividad y la inteligencia musical en ambos géneros a través del resto de inteligencias, significando un aprendizaje transversal que optimice la formación del alumnado de manera íntegra.

  1. Música y ciencia: Un estudio de actitudes en estudiantes de Magisterio de Educación Primaria

    Directory of Open Access Journals (Sweden)

    Beatriz Mazas Gil

    2016-07-01

    Full Text Available En este trabajo se muestran resultados del estudio de actitudes sobre la enseñanza del sonido en Educación Primaria realizado con un grupo de estudiantes de Magisterio antes y después de la puesta en práctica de una secuencia de actividades. Las actividades fueron diseñadas con un enfoque integrador y una perspectiva multidisciplinar orientada a la elaboración de propuestas de enseñanza-aprendizaje globalizadas y consistentes con las distintas áreas disciplinares involucradas en Educación Primaria. Para conocer las actitudes e ideas de los futuros maestros se utiliza un cuestionario formado por 10 preguntas abiertas y 10 ítems de escala Likert de 5 puntos. En este trabajo se analizan los resultados obtenidos en los 10 ítems. Los resultados muestran que todos los grupos presentan mejoras en su actitud hacia la enseñanza del sonido. Además, resulta destacable la reducción de las diferencias existentes inicialmente entre ellos una vez realizada la intervención. Esto nos lleva a considerar que el programa realizado ha cumplido su propósito, que llevando a cabo intervenciones con un enfoque interdisciplinar pueden mejorar significativamente la actitud en los futuros maestros, lo que resulta de interés para su futura práctica docente.

  2. EL EFECTO DE LEXICALIDAD EN LA DECISIÓN LÉXICA A LO LARGO DE LA PRIMARIA

    Directory of Open Access Journals (Sweden)

    Silvia Baquero Castellanos

    2013-01-01

    Full Text Available En esta investigación se analizaron aspectos del procesamiento léxico de 180 escolares entre segundo y quinto grado de primaria (25 por curso. Específicamente, se analizó qué hacen cuando leen palabras existentes frente a palabras no existentes (pseudopalabras. Es decir, qué hacen cuando leen signos con significado y significante y qué hacen cuando solo tienen disponible la información fonológica y ortográfica de una serie de letras. Hay que recordar que, al inicio de la escolaridad, muchas de las palabras escritas son para los escolares pseudopalabras. Se llevó a cabo un experimento con la tarea de decisión léxica, y los resultados mostraron que el efecto de lexicalidad se presentó en todos los cursos de segundo a quinto de primaria y que la lectura de los participantes de mayor edad fue más rápida y precisa.

  3. EL EFECTO DE LEXICALIDAD EN LA DECISIÓN LÉXICA A LO LARGO DE LA PRIMARIA

    Directory of Open Access Journals (Sweden)

    Silvia Baquero Castellanos

    2013-01-01

    Full Text Available Resumen En esta investigación se analizaron aspectos del procesamiento léxico de 180 escolares entre segundo y quinto grado de primaria (25 por curso. Específicamente, se analizó qué hacen cuando leen palabras existentes frente a palabras no existentes (pseudopalabras. Es decir, qué hacen cuando leen signos con significado y significante y qué hacen cuando solo tienen disponible la información fonológica y ortográfica de una serie de letras. Hay que recordar que, al inicio de la escolaridad, muchas de las palabras escritas son para los escolares pseudopalabras. Se llevó a cabo un experimento con la tarea de decisión léxica, y los resultados mostraron que el efecto de lexicalidad se presentó en todos los cursos de segundo a quinto de primaria y que la lectura de los participantes de mayor edad fue más rápida y precisa.

  4. Comparative study between patients with infarction and angina about the fear of pain, anxiety pain symptoms, heart focused anxiety, psychopathology and hostility

    Directory of Open Access Journals (Sweden)

    Bakella P.

    2010-10-01

    Full Text Available Background: To examine the fear of pain, anxiety pain symptoms, heart focused anxiety, psychopathology and hostility between patients with infarction and angina. Method: Subjects were 104 patients with infarction or angina, who completed the Hostility and Direction of Hostility Questionnaire, the Symptom Checklist-90-R, Cardiac Anxiety Questionnaire, the Pain Anxiety Symptoms Scale-20 and the Fear of Pain Questionnaire – III. Results: For all patients higher levels of fear and anxiety of pain, heart-focused anxiety psychopathology, and a tendency to develop a hostile attitude were observed. For angina group higher levels of fearfull thinking and total PASS-20, avoidance CAQ, somatization and anxiety (SCL-90. In addition, all patients were found to be significantly correlated (P< .005 with sex, fearfull PASS-20, physiological responses PASS-20, total PASS-20, avoidance CAQ, somatization SCL-90, anxiety SCL-90 Conclusion: There is a variety of general factors that may promote the development of cardiophobia. These processes are likely nonspecific in the sense that they increase the chance of negative emotional responding and poor affect regulatory strategies. For persons exposed to cardiac-related illnesses or persons who model the potential dangers of cardiac-related sensations, there may be an enhanced specificity to that general vulnerability.

  5. Pharmaceutical care for patients with unstable angina%不稳定性心绞痛患者的药学监护

    Institute of Scientific and Technical Information of China (English)

    牟燕; 王清; 张勇; 李宏建

    2011-01-01

    Unstable angina (UA) is a common coronary heart disease with the clinical symptom situated between stable angina and acute myocardial infarction. For the complexity of its drug treatment, the clinical pharmaceutical care for patients with UA is very important. In this article, to further optimize the therapeutic project and ensure the safety of drug use, the contents of pharmaceutical care were discussed from the following four aspects respectively: undergoing anti-ischemia therapy, antiplatelet and anticoagulant therapy, lipid adjusting and plaque stabilizing therapy, and simultaneous therapy for some other disease.%不稳定性心绞痛(unstable angina,UA)是介于稳定性心绞痛与急性心肌梗死之间的一组临床综合征,其治疗药物十分复杂,临床药学监护尤为重要.本文结合实例,对抗心肌缺血治疗、抗血小板与抗凝治疗、调脂稳定斑块治疗、合并其他疾病用药时等情况下的药学监护内容进行逐一讨论,以期为该疾病的临床药学工作提供思路,优化临床治疗方案设计,保障患者的用药安全.

  6. Effect of folic acid adjuvant therapy on Hcy as well as lipid metabolism and endothelial injury in coronary heart disease patients with stable angina pectoris

    Institute of Scientific and Technical Information of China (English)

    Liang Wen; Yi Xie; Xian-Jun Wu; Rui-Feng Wang; Jian Cao

    2016-01-01

    Objective:To analyze the effect of folic acid adjuvant therapy on Hcy as well as lipid metabolism and endothelial injury in coronary heart disease patients with stable angina pectoris. Methods:A total of 98 cases of coronary heart disease patients with stable angina pectoris who received treatment in our hospital from March 2014 to August 2015 were selected as research subjects and randomly divided into observation group 49 cases and control group 49 cases. Control group received conventional clinical treatment, observation group received folic acid adjuvant therapy, and then differences in levels of Hcy, lipid metabolism, endothelial injury and adhesion molecules were compared between two groups after treatment. Results:Hcy, TC, LDL-C and ApoB values of observation group were lower than those of control group while HDL-C and ApoA1/ApoB values were higher than those of control group;Flow-vel and FMD values of observation group after treatment were higher than those of control group;serum E-selectin, ICAM-1, VCAM-1 and sICAM-1 values of observation group after treatment were lower than those of control group. Conclusion:Folic acid adjuvant therapy for coronary heart disease patients with stable angina pectoris can reduce plasma Hcy level and optimize lipid metabolism, further protects vascular endothelium, and has positive clinical significance.

  7. Estudio coste efectividad del proceso diagnóstico de la trombosis venosa profunda desde la atención primaria

    Directory of Open Access Journals (Sweden)

    Eva Fuentes Camps

    2016-04-01

    Conclusiones: La aplicación de algoritmos diagnósticos en las sospechas de TVP permitiría al médico de atención primaria una orientación más resolutiva y coste-efectiva del proceso diagnóstico.

  8. Entorno psicosocial y estrés en trabajadores sanitarios de la sanidad pública: diferencias entre atención primaria y hospitalaria

    Directory of Open Access Journals (Sweden)

    Antonio García-Rodríguez

    2015-06-01

    Conclusiones: Nuestros hallazgos muestran que el ambiente psicosocial de los trabajadores sanitarios difiere del de la población asalariada española, siendo más desfavorable en el colectivo de facultativos/as de atención primaria.

  9. Transmisión de valores a través de la LIJ en la Educación Primaria

    OpenAIRE

    Bautista Sánchez Valdepeñas, Evelina

    2015-01-01

    En el presente trabajo se expone una investigación enfocada al análisis de los valores, que podrían explicar la transmisión de estos en el proceso de lectura de la Literatura Infantil y Juvenil en la etapa de Educación Primaria.

  10. Actitud hacia la violencia de género de los profesionales de Atención Primaria: estudio comparativo entre Cataluña y Costa Rica

    Directory of Open Access Journals (Sweden)

    Kattia Rojas Loría

    2015-10-01

    Conclusiones: El uso de los recursos sociosanitarios y la formación actualizada puede incrementar una actitud favorable para el abordaje de la violencia de género en Atención Primaria. El efecto de las variables es el mismo tanto en Cataluña como en Costa Rica.

  11. Estado de salud en el adulto mayor en atención primaria a partir de una valoración geriátrica integral

    Directory of Open Access Journals (Sweden)

    Roxana Gisela Cervantes Becerra

    2015-06-01

    Conclusión: El estado de salud en el adulto mayor que acude a atención primaria se caracteriza por pacientes independientes con diferente grado de alteraciones en la dimensión médica, bajo grado de alteración mental y recursos sociales medianamente deteriorados.

  12. Costos de un programa de atención primaria de salud basado en voluntarias.

    Directory of Open Access Journals (Sweden)

    Bernardo Barona Z.

    2009-10-01

    Full Text Available Este artículo forma parte de una serie de escritos realizados con base en una evaluación muldisciplinaria de tres años de duración de un programa de atención primaria de salud, que provee servicios, incluyendo visitas domiciliarias realizadas por voluntarias, a un número grande de residentes en un área de población de bajos ingresos de la ciudad de Cali. Las actividades hechas en nueve unidades de salud representativas (puestos y centros se estudiaron mediante entrevistas con voluntarias y sus supervisores, revisión de registros y una encuesta de hogares. Se obtuvo información detallada de costos en los registros de la Secretaría de Salud de Cali, de las Empresas Municipales de Cali y, de varias fundaciones privadas que administraban algunas de las unidades estudiadas. Se sometieron a prueba algunas hipótesis y proposiciones relacionadas con las variaciones entre las unidades de los costos por visita domiciliaria de voluntarias, los costos promedio comparativos de los servicios provistos por las voluntarias y los médicos, y los costos promedio comparativos de los servicios prestados por los médicos en dos centros de salud. Entre las conclusiones más importantes del estudio está el hallazgo que la sustitución de personal médico por personal voluntario (que no recibe salario pero sí retribución en especie no se traduce automáticamente en reducciones en los costos unitarios de prestar los servicios: los costos menores se observaron sólo cuando el personal voluntario alcanzó niveles relativamente altos de actividad. En el estudio se presentan varias sugerencias para aumentar la productividad de las voluntarias, y se comenta sobre el sistema de remuneración al personal médico en uno de los centros de salud estudiados.

  13. FOCALIZZARE LA FORMA: SVILUPPO DELLA COMPETENZA LINGUISTICA NELLA CLASSE MULTILINGUE DELLA SCUOLA PRIMARIA

    Directory of Open Access Journals (Sweden)

    Anna Whittle

    2016-02-01

    Full Text Available L’obiettivo di questo contributo è la descrizione di modelli di didattica della grammatica all’interno di un approccio comunicativo all'insegnamento della L2. L’etichetta focus on form raccoglie alcune strategie di interazione che promuovono l’accuratezza linguistica all'interno di un dispositivo che non perde di vista l’aggancio con la dimensione del significato. Per delineare i tratti di questo approccio sono stati proposti degli esempi, tratti da trascrizioni di interventi in classe, che illustrano opzioni diverse di insegnamento della grammatica nella classe multilingue: da un modello deduttivo e decontestualizzato (focus on forms, ad un intervento di riflessione sulla lingua utile a notare delle regolarità linguistiche e una focalizzazione sulla forma basata sul feedback correttivo (focus on form. Per chiarire il ruolo che la focalizzazione sulla forma può avere in un task comunicativo sono state messe a confronto due sequenze di insegnamento, una di L1 e l'altra di L2 nella stessa classe di scuola primaria frequentata dal 50% di bambini non italofoni di cui 5 di livello basico. I due approcci sono stati ricondotti alla distinzione fra focus on meaning (didattica della L1 e focus on form (didattica della L2. Tutti gli esempi sono tratti da tre classi seconde della stessa scuola coinvolte in un esperimento didattico sull’acquisizione di tre forme del presente indicativo italiano. Focusing on the form: the development of expertise in multilingual primary school classesThe paper describes communicative grammar teaching models in L2 teaching. The label “focus on form” collects some interaction strategies that promote linguistic accuracy without losing sight of the link with the dimension of meaning. Examples taken from transcripts of speeches in class outline the features of this approach, showing different options for teaching grammar in the multilingual classroom: from a deductive and decontextualized model (focus on forms

  14. Inmunodeficiencias primarias: inmunopatogenia, infecciones asociadas y estrategias terapéuticas

    Directory of Open Access Journals (Sweden)

    Siham Salmen

    2013-12-01

    Full Text Available Las inmunodeficiencias primarias (IDP son un grupo de defectos genéticos que generan alteración en los mecanismos de defensa tanto innatos como adaptativos, asociados con: 1 ausencia de uno o varios de los componentes celulares, 2 incapacidad para la comunicación de los elementos de la respuesta inmune, así como también en el reconocimiento de antígenos extraños, propios o modificados e 3 incapacidad para la activación de los mecanismos efectores, bien sea por dificultad para alcanzar los tejidos afectados; para promover la polarización de la respuesta inmune tanto proinflamatoria como reguladora; o para liberar mediadores encargados de la destrucción de los agentes invasores. Este complejo grupo de enfermedades condicionan no solo a una susceptibilidad elevada para sufrir infecciones por diferentes agentes infecciosos, sino también a la alteración de los mecanismos homeostáticos y de vigilancia que evitan el desarrollo de enfermedades autoinflamatorias y neoplásicas. En esta revisión se describen parte de estos defectos, sus consecuencias y el abordaje inicial para el estudio y manejo de las infecciones recurrentes. Primary immunodeficiencies: immunopathogenesis, associated infections and therapeutic strategies Abstract Primary immunodeficiencies disorders (PID are a group of genetic defects that affect both innate and adaptive immune response. PID are associated with: 1 absence of cellular components, 2 impaired connection among components of the immune response, as well as in the recognition of foreign, self or modified antigens, and 3 inappropriate modulation of effectors mechanisms either by inability to reach affected tissues, to promote proinflammatory and regulatory polarization, or perform the clearance of invading agents. PID not only increases the susceptibility to infections by different microorganisms, but also alters the homeostatic mechanisms and immune surveillance, that prevent autoinflammatory and neoplastic

  15. PARQUES NATURALES: LA NECESARIA CONCEPTUALIZACIÓN TRANSFORMADORA EN LA EDUCACIÓN PRIMARIA Y SECUNDARIA

    Directory of Open Access Journals (Sweden)

    DIANA SANTANA MARTÍN

    2015-12-01

    Full Text Available  Resumen: El concepto de parque natural como figura de protección de un espacio natural contrasta con la percepción que el alumnado de primaria y secundaria posee sobre el mismo, según este estudio de casos desarrollado en la Comunidad Valenciana. A través del análisis de cuestionarios se detectan las representaciones sociales desarrolladas, evidenciándose una confusión entre parque natural (desde un paradigma biocéntrico y parque (desde un paradigma antropocéntrico. Por ello se plantea la necesaria revisión de la conceptualización del término “parque natural” para que contribuya al desarrollo de una visión transformadora que desde el ámbito educativo favorezca actitudes y conductas sostenibles. Palabras clave: Conceptualización transformadora, representaciones sociales, parque natural, espacio natural. Abstract: According to this case study developed in Valencia, the concept of natural park as a figure of natural protection area contrasts with the perception that the students of primary and secondary school has about it. Through the analysis of questionnaires, developed social representations are detected, showing a confusion between natural park (from a biocentric paradigm and park (from an anthropocentric paradigm. Therefore, the necessary review of the definition of the term “natural park” arises in order to contribute to the development of a transformative view from the educational environment in favour of sustainable attitudes and behaviors. Keywords: Transformative conceptualization, social representations, natural park, natural area. Résumé: Le concept de parc naturel comme figure de protection d’un espace naturel contraste avec la perception que les élèves de primaire et secondaire possèdent sur le même selon cette étude de cas développé à Valence. À travers l’analyse de questionnaires élaborés, les représentations sociales sont détectées, ce qui démontre une confusion entre parc

  16. SISTEMATIZACION DE LA EXPERIENCIA EN LA FORMACIÓN DE ASISTENTE TÉCNICO EN ATENCIÓN PRIMARIA EN SALUD

    Directory of Open Access Journals (Sweden)

    Olga Sánchez Charpentier

    2012-04-01

    Full Text Available Este artículo presenta la sistematización de la experiencia vivida por la Escuela de Enfermería respecto de la formación de Asistentes Técnicos de Atención Primaria de Salud (ATAPS durante el periodo 2003 - 2011. Inicialmente, en Costa Rica y en los años 60, surgen los primeros grupos de asistentes en atención primaria; de su capacitación se encargaban los y las enfermeras del Programa de Atención Primaria del Ministerio de Salud y esta tomaba entre tres y cinco meses. A partir de los años 90 con la Reforma del Sector Salud, se forman los Equipos Básicos de Atención Integral en Salud (EBAIS, por lo que se crea la necesidad de capacitar integralmente este recurso humano. Se recopiló y analizó la información obtenida a través de entrevistas y cuestionarios y se elaboró una revisión documental acerca de la atención primaria en Costa Rica y la formación de Asistentes Técnicos de Atención Primaria de Salud en el periodo del 2003 al 2011 con el fin de sistematizar los datos. Durante el periodo 2003-2011, la población formada como Asistente Técnico en Atención Primaria en Salud fue de 420 personas y estuvo compuesta principalmente por mujeres solteras de 18 a 30 años, procedentes de San José, con un buen rendimiento académico y que se costearon sus estudios con la Cooperativa de Ahorro y Préstamo (COONAPE Se concluye que la Escuela de Enfermería se proyecta a la población nacional por medio de la acción social formando recurso humano de calidad en Atención Primaria en Salud tanto para el sector público como privado.

  17. ¿Qué sucede con la disposición al cambio educativo en la instrucción de capacitación a docentes de nivel primaria?

    OpenAIRE

    Campos, Wendy

    2010-01-01

    1. Caso ¿Qué sucede con la disposición al cambio educativo en la instrucción de capacitación a docentes de nivel primaria? • Contexto de capacitación. • Antecedentes de la problemática • Personal involucrado en el programa de capacitación *Función del enlace académico. *Asesores pedagógicos *Directivos de planteles de primaria *Docentes de primaria • Metodologías de aplicación para el trabajo del diplomado. *Propuestas de trabajo para el cambio educativo 2...

  18. Sensitivity and related factors in iodine-123-β-methyl-p-iodophenyl-pentadecanoic acid myocardial scintigraphy to detect stable effort angina pectoris

    International Nuclear Information System (INIS)

    This study evaluated the sensitivity and the related factors in iodine-123-β-methyl-p-iodophenyl-pentadecanoic acid (BMIPP) scintigraphy to detect stable angina. The subjects were 198 patients with stable angina who underwent BMIPP before percutaneous coronary intervention or coronary bypass graft surgery. Patients with unstable angina, myocardial infarction, congestive heart failure, cardiomyopathy and vasospastic angina were excluded. After investigation of the sensitivity of BMIPP, the patients with single-vessel disease without collateral flow were classified into the normal 123I-BMIPP uptake group (normal group) or decreased 123I-BMIPP uptake group (decreased group), and various factors were compared between the two groups. Sensitivity was 61% overall, 58% in single-vessel disease, 69% in double-vessel disease, 53% in triple-vessel disease, 43% in only left main vessel disease, and 89% in left main and other vessel disease (NS). In single-vessel disease, the sensitivity was 40% in 75% coronary artery stenosis, 58% in 90% stenosis, 89% in 99% stenosis, and 69% in total occlusion (p=0.003). Comparing the decreased and normal groups, diabetes mellitus was more frequent in the normal group (14.6% vs 39.5%), minimal lumen diameter was smaller (0.75±0.37 vs 0.98±0.49 mm) and lesion length was longer in the decreased group (15.4±4.9 vs 11.6±5.5 mm). Logistic multivariate analysis showed that the independent factors were diabetes mellitus [odds ratio 0.20, 95% confidence interval (CI) 0.04-0.87, p=0.03], minimal lumen diameter (odds ratio 0.10, 95% CI 0.02-0.48, p=0.003) and lesion length (odds ratio 1.12, 95% CI 1.00-1.25, p=0.03). BMIPP is useful in stable angina patients because of the acceptable sensitivity. Diabetes mellitus, minimal lumen diameter and lesion length were independent factors associated with decreased BMIPP uptake. (author)

  19. Changes of dendritic cells and fractalkine in type 2 diabetic patients with unstable angina pectoris: a preliminary report

    Directory of Open Access Journals (Sweden)

    Qian Juying

    2011-06-01

    Full Text Available Abstract Background It has been shown that dendritic cells (DCs and fractalkine play a role in accelerating progression of the inflamed atherosclerotic lesions and plaque rupture. We evaluated the numbers and functional changes of DCs and its subsets in human type 2 diabetes with or without unstable angina pectoris (UAP. Methods The study population consisted of 39 diabetic patients (DM:18 without CAD; DM + UAP: 21 with UAP, 18 non-diabetic UAP patients (UAP, and 15 healthy control (Normal. Peripheral blood DCs and its subsets were measured by three color flow cytometry. Serum levels of fractalkine, IL-12, and IFN-α were also measured. The functional status of the monocyte-derived DCs was analyzed by flow cytometry and allogeneic mixed T lymphocytes reaction. Results The percent and absolute numbers of DCs and mDC within the total leukocyte population was similar for Normal and DM, while significantly lower in DM + UAP. pDC numbers were not significantly altered. Serum fractalkine in DM + UAP was highest among the four groups (p = 0.04 vs. UAP, p = 0.0003 vs. DM, p p = 0.01 level. Compared with DM and UAP, the costimulatory molecules CD86 and proliferation of T cells stimulated by DCs were significantly increased in DM + UAP group. Conclusions Our study suggested that increases in the fractalkine level and the number and functional changes of blood DCs might contribute to diabetic coronary atherosclerosis and plaque destabilization.

  20. Richtlinien zur Diagnostik und Therapie der instabilen Angina pectoris und des Non-Q-Wave-Myokardinfarktes: vorgeschlagene Revisionen

    Directory of Open Access Journals (Sweden)

    Huber K

    2000-01-01

    Full Text Available Die letzten Praxis-Empfehlungen der United States Agency for Health Care Policy and Research zum Thema "Diagnose und Behandlung der instabilen Angina Pectoris (IAP" stammen aus dem Jahre 1994 und wurden trotz der rasanten Fortschritte auf diesem Gebiet in den vergangenen 5 Jahren nicht erneuert. Das International Cardiology Forum (ICF hat Ende 1998 die existierenden Richtlinien diskutiert und Vorschläge gemacht, in welchen Bereichen die Diagnostik und die Therapie der IAP aufgrund der mittlerweile vorliegenden Daten modifiziert werden sollten. Es wurde übereinstimmend beschlossen, daß folgende Änderungen empfohlen werden: 1. Troponin T und Troponin I sollten die Palette der Myokardmarker im Serum für diagnostische und prognostische Zwecke erweitern; 2. niedermolekulere Heparine sollten Standard-Heparin als Antikoagulantium ersetzen; 3. neue thrombozyten-inhibierende Substanzen sollten zusätzlich zu Aspirin zur Anwendung kommen; 4. die Verwendung von cholesterinsenkenden Medikamenten in der Langzeitbehandlung dieser Patienten ist sinnvoll. In der vorliegenden Arbeit wurden die Hintergründe für die vorgerschlagenen Revisionen diskutiert, und es wird auf rezente wissenschaftliche Publikationen Bezug genommen.

  1. Identifying Metabolite and Protein Biomarkers in Unstable Angina In-patients by Feature Selection Based Data Mining Method

    Institute of Scientific and Technical Information of China (English)

    SHI Cheng-he; YANG Yi; WANG Wei; ZHAO Hui-hui; HOU Na; CHEN Jian-xin; SHI Qi; XU Xue-gong; WANG Juan; ZHENG Cheng-long; ZHAO Ling-yan

    2011-01-01

    Unstable angina(UA) is the most dangerous type of Coronary Heart Disease(CHD) to cause more and more mortal and morbid world wide. Identification of biomarkers for UA at the level of proteomics and metaboiomics is a better avenue to understand the inner mechanism of it. Feature selection based data mining method is better suited to identify biomarkers of UA. In this study, we carried out clinical epidemiology to collect plasmas of UA in-patients and controls. Proteomics and metabolomics data were obtained via two-dimensional difference gel electrophoresis and gas chromatography techniques. We presented a novel computational strategy to select biomarkers as few as possible for UA in the two groups of data. Firstly, decision tree was used to select biomarkers for UA and 3-fold cross validation was used to evaluate computational performances for the three methods. Alternatively, we combined independent t test and classification based data mining method as well as backward elimination technique to select, as few as possible, protein and metabolite biomarkers with best classification performances. By the method, we selected 6 proteins and 5 metabolites for UA. The novel method presented here provides a better insight into the pathology of a disease.

  2. Radiología innecesaria en Atención Primaria Unnecessary radiology in Primary Care

    Directory of Open Access Journals (Sweden)

    I. Pérez

    2007-04-01

    Full Text Available Fundamento: La solicitud de pruebas diagnósticas desde atención primaria presentan un aumento progresivo en el tiempo y una gran variabilidad interpersonal en su solicitud, que sugiere que se están aplicando servicios inefectivos. El objetivo es conocer las características de los demandantes de pruebas radiológicas (radiología general y ecografía y cuantificar las pruebas innecesarias en atención primaria. Material y métodos: Estudio descriptivo transversal sobre una muestra en cluster de 23 centros de salud de Navarra en el mes de marzo de 2004. Se diseña un cuestionario específico para cumplimentar por el médico solicitante de la prueba diagnóstica. Se realiza análisis multivariante mediante regresión logística para estudiar la asociación entre pruebas innecesarias y las otras variables de estudio. Resultados: Se realizan pruebas al 9 por mil de la población estudiada. La variabilidad interprofesional en la solicitud de pruebas oscila entre 0 y 33,3 por cada 1000 tarjetas sanitarias para la edad infantil. Los estudios radiológicos solicitados con mayor frecuencia fueron los óseos (48,9%, LC: 42,4-55,5. En el 63,2% de las solicitudes no se realizaron modificaciones en el tratamiento previo a la solicitud de la prueba y el 57 % (LC: 52,4-61,7 de las pruebas realizadas se solicitan para descartar patología. El 24,7% (LC: 17,1-29,2 son pruebas innecesarias y en el 15,2 % (LC:10,7-18,2 hubo presión del enfermo en la solicitud. En el análisis multivariante se observan diferencias significativas para Rx de tórax, cambios en el tratamiento y ser presionado por el enfermo. Tras ajustar por las otras variables, la solicitud de una prueba innecesaria es 12,55 veces mayor si el médico se siente presionado por el enfermo. Conclusiones: Debe analizarse la correcta indicación de la radiología, especialmente de la ósea, y se debe potenciar al radiólogo en la decisión última de realizar la prueba diagnóstica.Background: The

  3. Patología oftalmológica en un Servicio de Atención Primaria de Urgencia.

    Directory of Open Access Journals (Sweden)

    Francisco Pereira R.

    2011-12-01

    Full Text Available INTRODUCCIÓN: El trauma ocular es un motivo frecuente de consulta en los servicios de urgencia del país, correspondiendo a un 3%. El trauma ocular representa la principal causa de pérdida de agudeza visual en individuos jóvenes. Los médicos que se desempeñan en servicios de atención primaria de urgencia (SAPU se ven enfrentados a una multitud de patologías, desprendiéndose de esto la importancia de un adecuado manejo de patología oftalmológica traumática y no traumática. OBJETIVO: Determinar la frecuencia de patología oftalmológica en SAPU del Centro de Salud Familiar Juan Pablo II, comuna de San Bernardo. HIPÓTESIS: Se espera encontrar una frecuencia de consulta por trauma ocular similar a la descrita en otras publicaciones nacionales. MATERIAL Y MÉTODO: Se realizó un estudio transversal con pacientes atendidos en SAPU Juan Pablo II que acudieron por patología oftalmológica durante el período comprendido entre diciembre de 2010 y marzo de 2011. RESULTADOS: De un total de 5.194 pacientes, 105 presentaron patología oftalmológica, siendo 60,9% hombres y 39,1% mujeres. La edad promedio de consulta fue 26 años. La patología traumática representó un 14,2% (7,6% cuerpo extraño y la no traumáticas un 85,7%. DISCUSIÓN: La patología oftalmológica es frecuente en atención primaria, obteniéndose cifras similares a la literatura nacional, y dentro de las cuales el trauma ocular ocupa un importante lugar. La patología no traumática es menos frecuente, pudiéndose resolver en atención primaria la mayoría de estas. La pronta derivación a nivel secundario de patologías traumáticas y no traumáticas de gravedad determina el pronóstico visual del paciente.

  4. Las estrategias didácticas en la formación de docentes de educación primaria

    Directory of Open Access Journals (Sweden)

    Wilfredo Gonzaga Martínez

    2005-01-01

    Full Text Available El artículo tiene como propósito dar a conocer los resultados de un estudio sobre el proceso didáctico y la incorporación de estrategias innovadoras en los procesos de enseñanza y aprendizaje que se llevan a cabo en el desarrollo de los cursos que conforman el área pedagógica del plan de estudio, para la formación de docentes de Educación Primaria, en la Sede de Occidente de la Universidad de Costa Rica. Los cursos que se consideraron fueron: Introducción a la pedagogía, Didáctica General, Principios de Curriculum, Investigación Educativa, Psicología Educativa, Ciencias en la Educación Primaria, Práctica Docente y Evaluación de los Aprendizajes. La investigación se orientó con el siguiente problema general: ¿Cuáles son las estrategias didácticas en la enseñanza del área pedagógica, aplicadas en la formación inicial de docentes para la Educación Primaria en la Sede de Occidente de la Universidad de Costa Rica? En el estudio se analizaron y se confrontaron los programas de los cursos mencionados, considerando las estrategias didácticas que se aplican para su desarrollo, según el criterio de docentes y alumnos. En este análisis se describe la coherencia entre estos dos aspectos, las tendencias pedagógicas que subyacen en las estrategias didácticas y las innovaciones que se desarrollan como parte de los procesos de enseñanza y aprendizaje. El proceso investigativo demuestra que el plan de estudio considera como referencia pedagógica un enfoque humanista; mientras que los programas de los cursos y la práctica docente no logran desligarse de la didáctica tradicional, con tendencia a incorporar aspectos del Constructivismo y de la Pedagogía Crítica. En el estudio no se logró apreciar la incorporación de estrategias didácticas innovadoras de manera significativa.

  5. Satisfacción laboral y factores de mejora en profesionales de atención primaria

    Directory of Open Access Journals (Sweden)

    I. Pérez-Ciordia

    2013-08-01

    Full Text Available Fundamento. La calidad de los servicios en un sistema sanitario está relacionada con el nivel de satisfacción de sus profesionales. El objetivo de este trabajo es conocer la satisfacción laboral y jerarquizar aquellos factores capaces de mejorarla, en profesionales de atención primaria. Metodología. Estudio descriptivo realizado en 2010 en Navarra. Se remitió por correo un cuestionario validado a la población de estudio: médicos, pediatras y enfermería de atención primaria. Se recogen variables de datos sociodemográficos y autocalificación de su satisfacción laboral en escala de 1 a 10. Se solicita la jerarquización de 10 factores que puedan mejorar la satisfacción previa señalada. Se realizó comparación de medias y análisis bivariante mediante el test de la Chi cuadrado, estudiando la asociación entre variables mediante la Odds Ratio (OR. El análisis ajustado se realizó mediante regresión logística no condicional. Resultados. Se recogieron 432 cuestionarios (77,5%. La satisfacción media fue 6,7 (escala 1 a 10, más alta en enfermería. Las mujeres presentaron una media superior a los hombres (6,90: 6,34. Los trabajadores de centros de salud urbanos (OR:1,71; IC:1,10-2,65 presentaron un mayor riesgo de insatisfacción respecto a los profesionales de centros rurales. Las actividades formativas de los profesionales es el ítem más valorado, seguido de razones económicas y de presión asistencial, no encontrándose diferencias por profesión. Conclusión. La satisfacción laboral es una dimensión de la gestión de calidad en atención primaria y su estudio permite identificar problemas u oportunidades de mejora con impacto en la calidad de los servicios que se ofertan.

  6. Rol de la Enfermería en las urgencias oftalmológicas en Atención Primaria

    OpenAIRE

    Mediavilla Torres, Miguel

    2014-01-01

    El rol de la enfermería ante una urgencia de oftalmología en atención primaria, requiere que los enfermeros estén adecuadamente preparados para poder actuar de forma correcta tanto en el ámbito de las urgencias como en la valoración y cumplimiento de las competencias propias de la enfermería ante un paciente que acude al centro de salud con una alteración en el globo ocular, así como también en la ejecución de los cuidados de enfermería adecuados. En este trabajo se desarrollan los diferentes...

  7. EL TRATAMIENTO ORTOGRÁFICO DE LAS GRAFÍAS S, C, Z EN LA EDUCACIÓN PRIMARIA

    Directory of Open Access Journals (Sweden)

    Rafael Ángel Ponce de León Hechavarría

    2016-04-01

    Full Text Available En el artículo se realiza un análisis de los contenidos y objetivos para la enseñanza-aprendizaje de la ortografía en la Educación Primaria, a partir de las normas establecidas por la Real Academia Española. Se ofrecen procedimientos que pueden ser utilizados por los maestros para la deducción de reglas ortográficas en la escritura de palabras con s, c, z, grafemas problémicos por la falta de correspondencia biunívoca que conlleva a las inadecuaciones fonético-grafemáticas. Se expone la importancia del dominio de las reglas ortográficas y la necesidad de desarrollar en los alumnos una conciencia ortográfica orientada a la prevención de los errores y a la corrección de estos.

  8. Las estrategias didácticas en la formación de docentes de educación primaria

    OpenAIRE

    Gonzaga Martínez, Wilfredo

    2005-01-01

    El artículo tiene como propósito dar a conocer los resultados de un estudio sobre el proceso didáctico y la incorporación de estrategias innovadoras en los procesos de enseñanza y aprendizaje que se llevan a cabo en el desarrollo de los cursos que conforman el área pedagógica del plan de estudio, para la formación de docentes de Educación Primaria, en la Sede de Occidente de la Universidad de Costa Rica. Los cursos que se consideraron fueron: Introducción a la pedagogía, Didáctica General, P...

  9. El miedo y los alumnos de primaria: de una visita al cementerio a la escritura de creepypastas

    OpenAIRE

    Spirito, Paula

    2016-01-01

    Hay pocas y sabidas razones para visitar un cementerio, pero no creo que ninguna de ellas sea “hacer una excursión con los niños de 6.o año de la educación primaria (EP)”. Sin embargo, esta idea se me cruzó por la cabeza no bien comenzado el año 2015 por varios motivos: -Los mitos, el terror y el suspenso son géneros literarios que se leen dentro del aula y son el tema de preferencia de los preadolescentes. -La mitología (sobre todo la griega) es utilizada en la simbología de la muerte,...

  10. Necesidades de formación de maestros de infantil y primaria en atención a la diversidad

    OpenAIRE

    Cejudo Prado, Manuel Javier; Díaz, María Victoria; Losada, Lidia; Pérez González, Juan Carlos

    2016-01-01

    En este estudio se investiga la opinión del profesorado sobre la importancia que concede a la formación docente en atención a la diversidad y sobre el grado en el que desearía contar con una mejor formación en atención a la diversidad. MÉTODO. Se cuenta con una muestra incidental de 181 docentes de educación infantil y primaria (44 son hombres y 137 mujeres) con una edad media de 38,78 (DT= 8.97). Mediante una escala diseñada ad hoc (ENFAD) se evaluó, por un lado, la importancia concedida a d...

  11. La comunicación oral en el aula de inglés en Educación Primaria

    OpenAIRE

    Ibarguren Ibeas, Sara

    2015-01-01

    Este Trabajo Fin de Grado nace a partir del interés y pasión por fomentar la comunicación oral entre los alumnos de Educación Primaria en aulas de lengua extranjera. El propósito de este trabajo es incrementar y mejorar el aprendizaje de una lengua extranjera para estimular en los alumnos un interés y disfrute hacia ello. En él abordaremos desde una perspectiva teórica la comunicación oral en el aula de inglés así como el desarrollo de estrategias de comunicación en el aula....

  12. Afasias primarias progresivas. Caracterización clínica y marcadores biológicos

    OpenAIRE

    Gil Navarro, Silvia

    2013-01-01

    INTRODUCCIÓN: La actual clasificación de afasia primaria progresiva (APP) reconoce tres variantes clínicas principales: no-fluente/agramatical (APP-vnf), semántica (APP-vs) y logopénica (APP-vl). Cada una presenta un patrón de neuroimagen estructural y/o funcional característico, que sirve como biomarcador de apoyo al diagnóstico clínico; sin embargo, la asociación entre ambos criterios diagnósticos no ha sido evaluada a nivel individual en la práctica clínica. Además, el papel de divers...

  13. Metodologías de enseñanza y aprendizaje del arte en la Educación Primaria

    OpenAIRE

    Feliu Torruella, María

    2011-01-01

    La investigación que aquí se resume está centrada en el arte y su historia dentro de la educación primaria ya que se considera esta materia como clave para desvelar la mirada de los niños hacia el mundo que les rodea y así puedan aprender a descodificarlo. Desde el inicio de la investigación, se ha intuido que todavía no tenemos ninguna teoría del conocimiento que nos explique por qué los mismos niños pueden aprender entusiasmados algo y no querer aprender otra cosa. La investigación querí...

  14. La educación primaria en los campos de la provincia de Buenos Aires (1943-1955

    Directory of Open Access Journals (Sweden)

    Eva Mara Petitti

    2016-04-01

    Full Text Available El artículo se ocupa de las políticas educativas dirigidas al ámbito rural. El objetivo es caracterizar las escuelas primarias en la campaña bonaerense y examinar las demandas, la legislación y los proyectos que tuvieron lugar en relación con dichas escuelas durante el primer Peronismo. Se utiliza una metodología cualitativa que toma como fuentes de información normativas, discursos, estadísticas y proyectos de reformas. Se concluye que, si bien las demandas materiales dieron lugar a planes que en la mayor parte de los casos se concretaron, las peticiones para atender a la especificidad de la escuela rural fueron más difíciles de efectivizar.

  15. Redução das internações por condições sensíveis à atenção primária no Brasil entre 1998-2009 Reducción de las internaciones por condiciones susceptibles a atención primaria en Brasil entre 1998-2009 Reduction of ambulatory care sensitive conditions in Brazil between 1998 and 2009

    Directory of Open Access Journals (Sweden)

    Antonio Fernando Boing

    2012-04-01

    Full Text Available OBJETIVO: Descrever a tendência de hospitalizações por condições sensíveis à atenção primária entre 1998 e 2009 no Brasil. MÉTODOS: Estudo ecológico de séries temporais com dados secundários referentes às internações hospitalares por condições sensíveis à atenção primária no Sistema Único de Saúde. Os dados foram obtidos do Sistema de Informações Hospitalares. As taxas de internações por 10.000 habitantes foram padronizadas por faixa etária e sexo, considerando a população brasileira masculina recenseada em 2000 como padrão. A análise de tendência da série histórica foi realizada por regressão linear generalizada pelo método de Prais-Winsten. RESULTADOS: Houve redução média anual de internações por condições sensíveis à atenção primária de 3,7% entre homens (IC95% -2,3;-5,1 e mulheres (IC95% -2,5;-5,6 entre 1998 e 2009. A tendência variou em cada unidade federativa, porém em nenhuma houve aumento das internações. No sexo masculino e feminino as maiores reduções foram observadas nas internações por úlceras gastrintestinais (-11,7% ao ano e -12,1%, respectivamente, condições evitáveis (-8,8% e -8,9% e doenças das vias aéreas inferiores (-8,0% e -8,1%. Angina (homens, infecção no rim e trato urinário (homens e mulheres e condições relacionadas ao pré-natal e parto (mulheres apresentaram aumento nas internações. Os três grupos de doenças que mais ocasionaram internações foram gastrenterites infecciosas e complicações, internações por insuficiência cardíaca e asma. CONCLUSÕES: Houve redução substancial nas internações por condições sensíveis à atenção primária no Brasil entre 1998 e 2009, porém algumas doenças apresentaram estabilidade ou acréscimo, exigindo atenção do setor saúde.OBJETIVO: Describir la tendencia de hospitalizaciones por condiciones susceptibles a atención primaria entre 1998 y 2009 en Brasil. MÉTODOS: Estudio ecológico de series

  16. Estructura y producción primaria de Thalassia testudinum en la Guajira, Caribe colombiano

    Directory of Open Access Journals (Sweden)

    Albis Salas Margarita Rosa

    2006-12-01

    surgencia, con alto contenido de materia orgánica y con mayor proporción de sedimentos finos son más exuberantes. La producción primaria y el crecimiento foliar se fueron medio-altos (2,40 gps m-2 día-1, y 1,24 mm día-1 comparando con otros estudios realizados en el Caribe.

  17. Symptoms of Anxiety and Depression Are Correlates of Angina Pectoris by Recent History and an Ischemia-Positive Treadmill Test in Patients with Documented Coronary Artery Disease in the Pimi Study

    Directory of Open Access Journals (Sweden)

    Mark W. Ketterer

    2011-01-01

    Full Text Available Objective. We tested the association of specific psychological characteristics in patients having stable coronary disease with the reporting of anginal symptoms during daily activities, and positive exercise testing. Methods. One hundred and ninety-six patients with documented CAD enrolled in the Psychophysiological Investigations of Myocardial Ischemia (PIMI Study completed an anginal history questionnaire and a battery of psychometric tests. They also underwent standardized exercise treadmill tests. Results. Patients with a recent history of angina were more likely to be female, and had higher Beck Depression (P=.002, State Anxiety (P=.001, Trait Anxiety (P=.03, Harm Avoidance (P=.04 and Muscle Tension (P=.004 scores than patients who had no recent history of angina. Along with several treadmill variables indicating more severe disease state and reduced exercise tolerance, patients who developed angina on a positive treadmill test also displayed higher scores on the Beck Depression Inventory (P=.003 and State Anxiety (P=.004 scales. Conclusions. Several psychological characteristics, and most notably anxiety and depression, are strong correlates of recent angina and angina in the presence of ischemia provoked by treadmill testing.

  18. Tamizaje de Diabetes Mellitus tipo 2 en atención primaria

    Directory of Open Access Journals (Sweden)

    Adriana Laclé

    2006-03-01

    Full Text Available Introducción: Actualmente en Costa Rica debería considerarse la Diabetes Mellitus tipo 2, un problema de salud pública, por el impacto de sus complicaciones crónicas tanto en el ámbito individual y familiar, como en lo económico, en la escala nacional. Su detección y tratamiento temprano ha demostrado que reduce la carga de sus complicaciones, por lo que su tamizaje podría ser oportuno en personas que tengan factores de riesgo asociados. El objetivo de este estudio fue valorar los resultados de la implementación de un tamizaje de la diabetes tipo 2 a nivel de atención primaria, en personas en riesgo de desarrollada. Metodología: El tamizaje se efectuó durante el año 2000, en la población adulta con al menos un factor de riesgo asociado, en 6 Equipos Básicos de Atención Integral en Salud (EBAlS, del Área de Salud 3 de Desamparados. Este se incorporó en el quehacer diario del EBAIS, sin alterar su programación. Se utilizaron cuatro estrategias para la realización del tamizaje: la oportunista, la selectiva, las programadas a grupos cautivos u organizacionales, y las jornadas de atención comunal o nacional. Resultados: Durante 2000 se lograron captar 174 diabéticos, diagnosticados por primera vez, o que ya lo eran, pero que no estaban registrados al carecer de control en el EBAlS, aunque vivían en el área. La estrategia predominante fue la oportunista, cuya responsabilidad recayó principalmente en el médico. La estrategia programada se realizó por medio de "jornadas" durante las ferias de salud en cada EBAlS y en el Día Mundial de la Diabetes, como parte de la jornada nacional; la cautiva se llevó a cabo en el Hogar Diurno de Ancianos. La selectiva, mediante visita domiciliar, fue mínima, por falta de glucómetros. Estas estrategias permitieron que la cobertura de captación aumentara de un 50% a finales de 1999 a un 70.2% a finales de 2000, considerando la cobertura como el porcentaje dado por el número de pacientes

  19. Un programa de atención primaria en salud basado en voluntarias en Cali: Metas vs. realidades.

    Directory of Open Access Journals (Sweden)

    Robert L. Robertson

    2009-10-01

    Full Text Available Para determinar el grado en el que se lograron satisfacer las metas propuestas con respecto a su estructura y sus actividades, después de varios años de operación, se examinó un programa urbano de atención primaria en salud (APS en un distrito de muy bajos ingresos en Cali, Colombia, cuyos servicios los prestan trabajadores de salud comunitarios, especialmente a través de visitas domiciliarias. Los elementos estructurales del programa tales como la colaboración entre las organizaciones públicas, privadas, las características de las voluntarias y los incentivos usados para retenerlas en el programa, se calificaron satisfactoriamente porque las metas propuestas se ajustaron a la realidad. Las actividades del programa se evaluaron satisfactoriamente en algunos aspectos y no lo fueron tanto en otros. P.e., los servicios preventivos y educativos que prestaban las voluntarias se ajustaron al diseño y el programa ayudó a promover la equidad social; no obstante, fue muy difícil llegar a los grupos socioeconómicos más bajos. Por otro lado, el sistema de información resultó ser demasiado ambicioso, la supervisión de las voluntarias fue deficiente por el alto número de ellas que se asignó a cada supervisor y la cobertura del programa también fue deficiente. Se hacen algunas recomendaciones para que los programas de atención primaria en Cali y también en otras partes alcancen con más eficacia las metas propuestas.

  20. El conocimiento pedagógico del contenido de estadística en profesores de primaria

    Directory of Open Access Journals (Sweden)

    Soledad Estrella

    2015-06-01

    Full Text Available En este estudio desarrollamos un cuestionario sobre el saber del profesor de primaria en su conocimiento disciplinario de estadística y en su conocimiento para llevar a cabo la enseñanza de la estadística, centrado en el conocimiento del profesor en relación al saber estadístico del alumno y la enseñanza del contenido estadístico. Se incluyeron tres elementos de la educación estadística: comprensión gráfica, diferenciación de niveles cognitivos y comprensión generada al cambiar de sistemas de representación. La construcción de los ítems del cuestionario integró dichos elementos con los conocimientos sobre los errores y dificultades comunes de los alumnos en el aprendizaje de la Estadística y de la Probabilidad. El cuestionario considera un total de catorce ítems y fue aplicado a 85 profesores de educación primaria y a sus respectivos alumnos (de grados 4 y 7, pertenecientes a escuelas chilenas. El cuestionario posee validez de contenido otorgada por ocho expertos. Se presenta el cuestionario completo, y a partir de dos ítems se muestran los resultados de los profesores y de sus alumnos. Se propone al formador de profesores promover actividades de generación de ítems, para que los futuros profesores reflexionen sobre la enseñanza del contenido estadístico y construyan un conocimiento respecto al saber estadístico del alumno.

  1. Valoración de la herramienta Dolceta: una herramienta de aprendizaje electrónico para primaria y secundaria

    Directory of Open Access Journals (Sweden)

    María Victòria Sánchez Rebull

    2015-07-01

    Full Text Available El objeto del presente trabajo es describir la valoración efectuada sobre Dolceta, una herramienta en línea para la alfabetización financiera de alumnos de primaria, secundaria y bachillerato. Tras realizar un grupo de discusión, se han llevado a cabo once entrevistas a profesores de secundaria conocedores de esta herramienta. Los resultados del análisis de estas entrevistas y del grupo de discusión ponen de manifiesto el interés mostrado por este recurso virtual, que es visto, a su vez, como un medio y como una oportunidad, tanto para emplear herramientas audiovisuales en línea en el aula que permiten el learning by doing, como para aportar una cultura financiera a los estudiantes que en la situación actual de crisis financiera se percibe como un activo más que necesario. Asimismo, se demuestra también su utilidad para los adultos. El presente trabajo aporta opiniones profesionales sobre la aplicabilidad práctica de una herramienta de formación en línea. Al tratarse de una plataforma de aprendizaje electrónico de libre acceso, se evitan restricciones de tipo económico o espacial, y todos los ciudadanos pueden acceder a ella libremente. Como conclusión, se constata la posibilidad real de utilizar el módulo de «Alfabetización financiera» de la plataforma Dolceta, especialmente, en un entorno educativo de primaria y secundaria, tanto en España como en el resto de estados de la Unión Europea.

  2. Relationship Between Serum Creatine Kinase Isoenzyme MM Subbands and the Gradation of Coronary Stenosis in Patients with Unstable Angina Pectoris

    Institute of Scientific and Technical Information of China (English)

    Wu Ziqiang; Zhu shanju; Meng Suron; Sun Yueh

    2000-01-01

    Objective To observe the relationship between serum creatine kinase isoenzyme MM sub-bands (CKMM3/MM1 ratio) and the gradation of coronary stenosis and provide a simple, reliable, and economical method for identifying high-risk unstable angina pectoris (UAP). Mehtods Blood samples were drawn at different time after onset of chest pain in 21 patients with UAP and only once in 20 each volunteers for control. CKMM3/MM1 ratio was detected by nonserial buffer agarose gel electrophoresis. CKMB and CK were observed by velocity method. An emergent coronary arteriography was performed as soon as patients were admitted into hospital. Results Patients with UAP were divided into two subgroups:patients with elevated serum enzyme [P( + )] and patients with normal serum enzyme [P( - ) ] according to CKMM3/MM1 ratio < 0.5. Patients with UAP(+)had higher serum CKMM3/MM1 ratios from 0.5 to 12hrs and serum CKMB from 2 to 12 hrs than those with UAP( - ) and control ( P < 0.05) . Serum enzyme concentrations of patients with UAP whose coronary lumen had 90% or more than 90% stenosis were significantly higher than those whose coronary lumen had less than 90% stenosis (P<0.01) . AnyCKMM3/MM1 ratio was less than 1.0 and CK within the normal range in patients with UAP( + ) group. Conclusions CKMM3/MM1 ratios in patients with UAP can reflect severity of myocardial ischemia. Serum CKMM3/MM1 ratio provides a simple, reliable, and economical method for identifying high-risk UAP.

  3. Comparison of nifedipine gastrointestinal therapeutic system and atenolol on antianginal efficacies and exercise hemodynamic responses in stable angina pectoris.

    Science.gov (United States)

    Wallace, W A; Wellington, K L; Chess, M A; Liang, C S

    1994-01-01

    A gastrointestinal therapeutic system (GITS) of nifedipine has been developed to provide a once-daily dosing, and predictable, relatively constant plasma concentrations. This study compared the antianginal efficacy of nifedipine GITS with a once-a-day beta-receptor blocker, atenolol. Seventeen patients with documented coronary artery disease and stable stress-induced angina pectoris were studied during a 2-week, single-blind, placebo baseline phase and a 12-week randomized, double-blind, active drug crossover efficacy phase, using the bicycle exercise test and ambulatory electrocardiographic recordings. Patients exercised significantly longer with nifedipine GITS (883 +/- 47 seconds) and atenolol (908 +/- 44 seconds) than with placebo (794 +/- 41 seconds). Nifedipine GITS reduced systolic blood pressure at all stages of exercise compared with placebo but, because heart rate tended to increase more during nifedipine therapy, there was no difference in rate-pressure products between the placebo and nifedipine GITS periods. In contrast, atenolol reduced heart rate, systolic blood pressure and rate-pressure product during exercise compared with placebo. Whereas left ventricular ejection fractions (by radionuclide angiocardiography) increased with exercise, the maximal increase was smaller with atenolol than with placebo and nifedipine. The net increase in left ventricular ejection fraction at the end of exercise was greater with nifedipine than with placebo or atenolol. Ambulatory electrocardiograms showed only a small number of ischemic events. Neither nifedipine GITS nor atenolol reduced the number of ischemic events or total duration of ST-segment deviations significantly. It is concluded that nifedipine GITS is as effective an antianginal agent as atenolol, but the hemodynamic effects of the 2 agents differ.(ABSTRACT TRUNCATED AT 250 WORDS) PMID:8279372

  4. Pre-infarction angina and outcomes in non-ST-segment elevation myocardial infarction: data from the RICO survey.

    Directory of Open Access Journals (Sweden)

    Luc Lorgis

    Full Text Available BACKGROUND: The presence of pre-infarction angina (PIA has been shown to confer cardioprotection after ST-segment elevation myocardial infarction (STEMI. However, the clinical impact of PIA in non-ST-segment elevation myocardial infarction (NSTEMI remains to be determined. METHODS AND RESULTS: From the obseRvatoire des Infarctus de Côte d'Or (RICO survey, 1541 consecutive patients admitted in intensive care unit with a first NSTEMI were included. Patients who experienced chest pain <7 days before the episode leading to admission were defined as having PIA and were compared with patients without PIA. Incidence of in-hospital ventricular arrhythmias (VAs, heart failure and 30-day mortality were collected. Among the 1541 patients included in the study, 693 (45% patients presented PIA. PIA was associated with a lower creatine kinase peak, as a reflection of infarct size (231(109-520 vs. 322(148-844 IU/L, p<0.001 when compared with the group without PIA. Patients with PIA developed fewer VAs, by 3 fold (1.6% vs. 4.0%, p = 0.008 and heart failure (18.0% vs. 22.4%, p = 0.040 during the hospital stay. Overall, there was a decrease in early CV events by 26% in patients with PIA (19.2% vs. 25.9%, p = 0.002. By multivariate analysis, PIA remained independently associated with less VAs. CONCLUSION: From this large contemporary prospective study, our work showed that PIA is very frequent in patients admitted for a first NSTEMI, and is associated with a better prognosis, including reduced infarct size and in hospital VAs. Accordingly, protecting the myocardium by ischemic or pharmacological conditioning not only in STEMI, but in all type of MI merits further attention.

  5. Differences in coronary artery disease by CT angiography between patients developing unstable angina pectoris vs. major adverse cardiac events

    Energy Technology Data Exchange (ETDEWEB)

    Schlett, Christopher L. [Cardiac MR PET CT Program, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA (United States); Department of Diagnostic and Interventional Radiology, University Hospital Heidelberg (Germany); Nance, John W. Jr. [Heart and Vascular Center, Medical University of South Carolina, Charleston, SC (United States); The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins Hospital, Baltimore, MD (United States); Schoepf, U. Joseph, E-mail: schoepf@musc.edu [Heart and Vascular Center, Medical University of South Carolina, Charleston, SC (United States); O’Brien, Terrence X. [Heart and Vascular Center, Medical University of South Carolina, Charleston, SC (United States); The Ralph H. Johnson Veterans Affairs Medical Center, Charleston, SC (United States); Ebersberger, Ullrich [Heart and Vascular Center, Medical University of South Carolina, Charleston, SC (United States); Department of Cardiology and Intensive Care Medicine, Heart Centre Munich-Bogenhausen, Munich (Germany); Headden, Gary F. [Heart and Vascular Center, Medical University of South Carolina, Charleston, SC (United States); Hoffmann, Udo [Cardiac MR PET CT Program, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA (United States); Bamberg, Fabian [Cardiac MR PET CT Program, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA (United States); Department of Radiology, University of Munich, Grosshadern Campus, and Munich Heart Alliance, Munich (Germany); Department of Radiology, University of Tuebingen (Germany)

    2014-07-15

    Highlights: • Patients developing UAP had overall more atherosclerosis as patients without any events. • Patients developing MACE had only more mixed plaque as those developing UAP. • Different atherosclerotic plaque components by CTA carry different prognostic value. - Abstract: Objective: CT angiography (CTA) has prognostic value in patients. But it is unknown whether differences in atherosclerosis by CTA predict the development of unstable angina pectoris (UAP) vs. major adverse cardiac events (MACE). Methods: We followed patients undergoing CTA as part of their acute chest pain work-up. Primary outcome was the development of UAP or MACE (cardiac death, myocardial infarction, revascularization) during a minimum follow-up of 12-months. CTAs were assessed for extent and composition of coronary plaque and stenosis. Ordinal regression with a 3-level outcome (no events, UAP, MACE) was applied. Results: Among 315 patients, 22 developed UAP and 31 MACE. While UAP patients had higher atherosclerosis burden with respect to all assessed features compared to patients with no events (p ≤ 0.02), only mixed plaque extent was significantly different between UAP and MACE patients (p = 0.02). The odds ratio was 4.55 for being in a higher disease-level comparing patients with low extent to those with no mixed plaque, and 3.02 comparing patients with high to those with low. These findings remained after adjustments for potential confounders. Conclusion: The extent of mixed coronary plaque is different between patients who develop UAP vs. MACE, supporting the hypothesis that it is a more culprit morphology.

  6. Identical TCR beta-chain rearrangements in streptococcal angina and skin lesions of patients with psoriasis vulgaris.

    Science.gov (United States)

    Diluvio, Laura; Vollmer, Sigrid; Besgen, Petra; Ellwart, Joachim W; Chimenti, Sergio; Prinz, Joerg C

    2006-06-01

    Tonsillar infection with Streptococcus pyogenes may induce several nonsuppurative autoimmune sequelae. The precise pathogenetic mechanisms behind this clinically well-established association are still unresolved. Using TCR analysis, we sought to identify a link between streptococcal tonsillitis and the T cell-mediated autoimmune response in psoriasis. Three patients with streptococcal-induced psoriasis underwent tonsillectomy. Using size spectratyping and sequencing of TCR beta-chain variable region gene (TCRBV) rearrangements, we compared the TCR usage of psoriatic skin lesions, blood, tonsils, and tonsillar T cells fractionated according to the expression of the skin address in "cutaneous lymphocyte-associated Ag" (CLA). TCRBV-size spectratype analysis of the blood lymphocytes, tonsils, and the CLA-negative tonsillar T cells revealed largely unselected T cell populations. Instead, TCRBV gene families of the psoriatic lesions and skin-homing CLA-positive tonsillar T cells displayed highly restricted spectratypes. Sequencing of TCRBV cDNA identified various clonal TCRBV rearrangements within the psoriatic lesions that indicated Ag-driven T cell expansion. Several of these clonotypes were also detected within the tonsils and, in one of the patients, within the small subset of CLA-positive tonsillar T cells, suggesting that T cells from the same T cell clones were simultaneously present within skin and tonsillar tissue. Because after tonsillectomy psoriasis cleared in all three patients our observations indicate that T cells may connect psoriatic inflammation to streptococcal angina. They suggest that the chronic streptococcal immune stimulus within the tonsils could act as a source for pathogenic T cells in poststreptococcal disorders, and they may help to explain why eliminating this source with tonsillectomy may improve streptococcal-induced sequelae.

  7. Unstable angina pectoris prognosis clinical analysis%不稳定性心绞痛预后临床分析

    Institute of Scientific and Technical Information of China (English)

    闵晓梅; 宁渝

    2008-01-01

    目的 探讨不稳定性心绞痛患者远期预后的影响因素.方法 采用回顾性分析总结我院2001-2007年间92例不稳定性心绞痛患者的临床资料,依据患者静息心电图,连续24 h动态心电图,超声心动图及冠状动脉造影检查结果及患者的年龄、性别、吸烟、饮酒与否、室性心律失常的发生、危险度分层对远期预后的影响关系进行分析.结果 左室射血分数(LVEF)低于45%的患者较高于45%的患者病死率高(P0.05),入院时心率大于90次/min的患者较心率小于90次/min的患者病死率高(P<0.05),发生复杂型室性期前收缩患者病死率较无复杂型室性期前收缩患者病死率有明显意义(P<0.01),高危组患者死亡率较低危组患者死亡率明显增加(P<0.05).结论 左心室功能,冠状动脉病变部位和范围、年龄、性别、吸烟、复杂型心律失常、危险度分层均是影响不稳定性心绞痛的远期预后因素.%Objective Discussion influence unstable angina pectoris patients forward prognosis factor.Methods Uses the review analysis to summarize my courtyard during for 2001-2007 year 92 example unstable angina pectoris patients' clinical material,ceases activity the electrocardiogram based on the patients,the con-tinual 24 hours dynamic electrocardiograms,the eehoeardiogram and the coronary artery radiography inspection result and patients' age, the sex, smoking, drink wine or not, the room arrythmia occurrence, the risk factor lami-nation carry on the analysis to the forward prognosis influence relations. Results The left room shoots the men-struation number(LVEF) , Being lower than 45% the patient to compare higher than 45% The patient case fatali-ty rate is high(P<0.01) ,the left coronary artery branch pathological change patient case fatality rate far is big-ger than the patient who left front falls a pathological change (P<0.01) , the age 60 year old of above patient compares 60 year old of following patient case

  8. Effect of salvianolate combined with meglumine adenosine cyclphosphate on blood viscosity, inflammatory factors and NT-proBNP in angina pectoris patients after PCI

    Institute of Scientific and Technical Information of China (English)

    Jing Peng; Li Chen

    2016-01-01

    Objective:To study the effect of salvianolate combined with meglumine adenosine cyclphosphate on blood viscosity, inflammatory factors and NT-proBNP in angina pectoris patients after percutaneous coronary intervention (PCI).Methods:A total of 130 angina pectoris patients who received PCI treatment in our hospital from May 2012 to October 2015 were selected for study, patients' medical records were retrospectively analyzed, they were divided into the experimental group and the control group based on the different medication schemes after PCI, experimental group received routine treatment combined with salvianolate and meglumine adenosine cyclphosphate treatment after operation, and control group received conventional medical treatment after operation. The changes of perioperative blood viscosity, inflammatory factor and NT-proBNP content were compared between two groups.Results:After PCI, the blood viscosity indexes as well as inflammatory factor and NT-proBNP levels of experimental group were significantly lower than those before PCI (P0.05), inflammatory factor and NT-proBNP levels were significantly lower than those before PCI (P<0.05); 7 days after PCI, the high-shear whole blood viscosity, low-shear whole blood viscosity, plasma viscosity and aggregation index as well as TNF-α, sICAM-1, sVCAM-1, LP-PLA2, NT-proBNP, D-dimer and PTEN levels of experimental group were significantly lower than those of control group (P<0.05).Conclusions: Salvianolate combined with meglumine adenosine cyclphosphate can reduce the blood viscosity of patients with angina pectoris after PCI, and can also reduce inflammation and improve heart pump function.

  9. Significance of retardation of abnormal uptake of iodine-123-beta-methyl-p-iodophenyl-pentadecanoic acid myocardial scintigraphy in patients with vasospastic angina

    Energy Technology Data Exchange (ETDEWEB)

    Inoue, Fumitaka; Hashimoto, Toshio; Uemura, Shiro; Kawamoto, Atsuhiko; Dohi, Kazuhiro [Nara Medical Univ., Kashihara (Japan); Matsushima, Akihiko

    2001-07-01

    This study investigated retardation of abnormal uptake of iodine-123-beta-methyl-p-iodophenyl-pentadecanoic acid (BMIPP) scintigraphy in patients with vasospastic angina. Twenty-three patients with vasospastic angina showed abnormal uptake of BMIPP before medical treatment and had coronary vasospasm induced by acetylcholine. The patients were divided into two groups according to uptake of BMIPP after medical treatment: retardation of abnormal uptake of BMIPP (Group R, n=4) and normal uptake of BMIPP (Group N, n=19). Frequency of chest pain, medical treatment and autonomic nervous activity were compared between the two groups. Furthermore, the frequency of chest pain and uptake of BMIPP in group R were obtained after intensive medical treatment. Autonomic nervous activity was evaluated by heart rate variability on Holter electrocardiography. Heart rate variability contained high-frequency elements (HF; 0.15-0.4 Hz) and low-frequency elements (LF; 0.04-0.15 Hz). LF/HF was estimated for sympathetic nervous activity and HF was estimated for parasympathetic nervous activity. Daytime and nighttime autonomic nervous activity were compared between the two groups. The frequency of chest pain was higher in Group R than in Group N (p<0.05). Medical treatment was not different between the two groups. Circadian variation of sympathetic and parasympathetic nervous activity were absent in Group R. During the nighttime, Group R showed higher sympathetic nervous activity (p<0.05) and lower parasympathetic nervous activity (p<0.01) than Group N. The frequency of chest pain was significantly lower after intensive medical treatment (p<0.05), and uptake of BMIPP returned to normal in Group R. We suspected that the disorder in autonomic nervous activity was more severe in Group R, and thus induced coronary vasospasm. Retardation of abnormal uptake of BMIPP in patients with vasospastic angina indicates poor control of coronary vasospasm. Uptake of BMIPP is useful in the evaluation of

  10. Changes of Lipid Profile and C-Reactive Protein after Withdrawal of Xuezhikang, an Extract of Cholestin, in Patients With Stable Angina Pectoris

    Institute of Scientific and Technical Information of China (English)

    Hu Chenglin; Xiang Jizhou; Li Yanbo; Zou Yongguang; Liu Jun; Tang Qizhu; Huang Congxin

    2006-01-01

    Objectives In addition to its lipid-lowering properties, statin decreases the level of C-reactive protein (CRP) resulting in reduction of cardiovascular events. However, information about discontinuation of statin therapy in stable cardiac patients is limited. This was a prospective cohort study to explore whether withdrawal of statin treatment could result in rebound of inflammation in patients with stable angina pectoris in a short-term course.Methods and Results 75 patients with stable angina pectoris were randomly divided into three groups: ① Pretreatment with Xuezhikang (XZK, an extract of cholestin) for 6 weeks and then replaced by placebo; ②Treatment with XZK throughout the study; ③ Placebo. Lipid levels, highly sensitive CRP (hs-CRP) and serum cardiac troponin T (cTnT) were assessed before receiving the XZK therapy, 1 day before discontinuation of XZK, and on day 1, 2, 3,7 and 14 after discontinuation of XZK, respectively.At day 14 after discontinuation of XZK therapy,total cholesterol, LDL-C and triglyceride significantly increased, whereas HDL-C level significantly decreased. The median level of hs-CRP increased significantly from the second day after withdrawal of XZK therapy. There was a prominent rebound of hs-CRP concentration 3 days after discontinuation of XZK therapy. 7 to 14 days after discontinuation of XZK therapy, the hs-CRP concentration declined to a similar level as in the placebo group. Elevated cTnT level did not occur throughout the study course in either group. Conclusions Short-term discontinuation of statin therapy could induce a rapid rebound phenomenon of inflammatory response independently of changes of lipid parameters. However, it was not enough to induce myocardial injury in this cohort of patients with stable angina pectoris.

  11. Comparison of antianginal efficacy of nifedipine and isosorbide dinitrate in chronic stable angina: a long-term, randomized, double-blind, crossover study

    International Nuclear Information System (INIS)

    Using a double-blind, crossover design, the comparative efficacy and safety of nifedipine and isosorbide dinitrate in the treatment of stable angina were studied in 34 patients. The study included a 2-week placebo washout period and two 6-week periods during which patients were randomized to either nifedipine or isosorbide dinitrate. The doses were titrated for each patient, and mean doses of the 2 drugs were comparable. A time-limited thallium treadmill test was performed at the end of each phase. Ischemic zone count rates were normalized to those of the nonischemic zone, and the change in this ratio with redistribution was calculated as reversible thallium defect. Two patients were discontinued from the study within 1 week after initiation of isosorbide dinitrate because of severe, intolerable headache. Two patients were withdrawn while receiving nifedipine: one had new congestive heart failure and the other had increasing angina. Of the remaining 30 patients who tolerated both drugs for at least 1 week, 4 patients from the isosorbide dinitrate group were either prematurely crossed over or discontinued from the study because of headache. One patient suffered headache from both drugs and was discontinued from the study. In the 30 patients, only nifedipine significantly reduced resting arterial pressure compared with baseline. Further, only nifedipine therapy resulted in significant decreases in the rate-pressure product and systolic pressure at a given workload. However, significant decreases in angina frequency, nitroglycerin consumption and exercise-induced maximum ST-segment depression and reversible thallium perfusion defect were produced by both nifedipine and isosorbide dinitrate

  12. Trends in time to invasive examination and treatment from 2001 to 2009 in patients admitted first time with non-ST elevation myocardial infarction or unstable angina in Denmark

    DEFF Research Database (Denmark)

    Mårtensson, Solvej; Gyrd-Hansen, Dorte; Prescott, Eva;

    2014-01-01

    examination and treatment probability (CAG, PCI and CABG at 3, 7, 10, 30 and 60 days) for the years 2001-2009, taking the competing risk of death into account using Aalen-Johansen estimators and a Fine-Gray model. SETTING: Nationwide Danish cohort. RESULTS: The proportion of patients receiving a CAG and PCI...... increased substantially over time while the proportion receiving a CABG decreased for both NSTEMI and unstable angina. For both NSTEMI and unstable angina, a significant increase in invasive examination and treatment probability at 3 days for CAG and PCI were seen especially from 2007 through to 2009....... For NSTEMI, the CAG examination probability at 3 days leaped from 20% in 2007 to 32% in 2008 and 39% in 2009, and for PCI the same was true with a leap in treatment probability from 19% to 28% from 2008 to 2009. CONCLUSIONS: In Denmark the use of CAG and PCI in treatment of NSTEMI and unstable angina has...

  13. Analysis of thrombelastography in type 2 diabetes patients complicated with angina pectoris of coronary heart disease and its correlation with disease severity

    Institute of Scientific and Technical Information of China (English)

    Hong-Hong Liu; Zhao-Chuan Liu; Hong-Tao Liu; Yu-Ji Zhang; Qing-Ling Fu; Jun-Ling Wang

    2016-01-01

    Objective:To analyze the thrombelastography parameters in type 2 diabetes patients complicated with angina pectoris of coronary heart disease and their correlation with disease severity.Methods:30 cases of healthy volunteers, 30 cases of patients with simple angina pectoris of coronary heart disease (CHD) and 30 cases of type 2 diabetes patients complicated with angina pectoris of coronary heart disease were selected for study. Thrombelastography parameters R value, K value, αangle and MA value as well as inflammation-associated molecules YKL-40 and NK-kB expression were detected.Results:R values and K values of simple CHD group and diabetes complicated with CHD group were lower than those of control group, and αangle and MA values were higher than those of control group; R values and K values of diabetes complicated with CHD group were lower than those of simple CHD group, and αangle and MA values were higher than those of simple CHD group; R values and K values of 2 branch lesions group and 3 branch lesions group were lower than those of 1 branch lesion group, and αangle and MA values as well as YKL-40 and NK-kB contents were higher than those of 1 branch lesion group; R values and K values of 3 branch lesions group were lower than those of 2 branch lesions group, and αangle and MA values as well as YKL-40 and NK-kB contents were higher than those of 2 branch lesions group; R value and K value were negatively correlated with YKL-40 and NK-kB contents, and αangle and MA value were positively correlated with YKL-40 and NK-kB contents.Conclusions: Thrombelastography parameters in type 2 diabetes patients complicated with angina pectoris of coronary heart disease are significantly abnormal, and R value, K value, αangle and MA value can reflect disease severity and inflammation degree.

  14. Study on Effect of Zhixinkang Capsule(脂欣康胶囊)in Treating Unstable Effort Angina and Hyperlipidemia and Lts Function in Vascular Endothelium Protection

    Institute of Scientific and Technical Information of China (English)

    ZHANGWen-gao; MENG-Xian-zhongtffu

    2003-01-01

    Objective:To observe the clinical effect and protection of vascular endotelium of Zhixin-kang Capsule(ZXKC) in middle-aged and old people with unstable effort angina and hyperlipidemia.Methods:Sixty-five patients with unstable effort angina were randomly divided into ZXKC group(34 ca-ses)and control group(31 cases).Conventional western medical therapy was given to both groups,with ZXKC group receiving additional ZXKC treatment.Data of 20 healthy persons were taken as normal group.Forty-eight patients with hyperlipidemia were divided into ZXKC group treated with ZXKC (31 ca-ses) and control group treated with Yixintong(17 cases).The changes of clinical symptoms and laborato-ry indexes in all the patients were observed before and after treatment.Results:In patients with unstable effort angina,the efficacy of treatment of ZXKC,the withdrawal rate of nitroglycerin,the relieving of symptoms,the improvement of the electrocardiogram,the counts of circulating endothelial cells,the con-tent of platelet P-selectin,the content of plasma endothelin(ET),the activity of superoxide dismutase (SOD) and the activity of malonyldialdehyde(MDA) were all better than those in the control group.In patients with hyperlipidemia,there was no significant difference in lipids reduction between ZXKC group and the control group.In both groups,the total cholesterol(TC),triglyceride(TG),low density lipo-protein-cholesterol(LDL-C),lipoprotein(a)[Lp(a)],ET, oxidized low density lipoprotein,MDA,arte-riosclerotic index(AI)all lowered obviously,while the SOD,HDL-C and calcitonin gene-related peptide (CGRP) were all elevated markedly.In the ZXKC group,the nitric oxide(NO) increased significantly whereas the ET/CGRP and ET/NO decreased markedly.The total effective rate in symptom relieving,the markedly effective rate,the reduction of TC,ET and ET/CGRP,and the elevation of SOD in ZXKC group were all superior to those in the control group.Conclusion:ZXKC could effectively resist myocardial ische

  15. Study on Effect of Zhixinkang Capsule (脂欣康胶囊)in Treating Unstable Effort Angina and Hyperlipidemia and Its Function in Vascular Endothelium Protection

    Institute of Scientific and Technical Information of China (English)

    张文高; 颜亭祥; 高福军; 孟宪忠; 刘建平; 尹格平; 刘丽莉; 罗南萍; 史炳娥; 马学盛

    2003-01-01

    Objective:To observe the clinical effect and protection of vascular endothelium of Zhixinkang Capsule (ZXKC) in middle-aged and old people with unstable effort angina and hyperlipidemia.Methods: Sixty-five patients with unstable effort angina were randomly divided into ZXKC group (34 cases)and control group (31 cases). Conventional western medical therapy was given to both groups, with ZXKC group receiving additional ZXKC treatment. Data of 20 healthy persons were taken as normal group. Forty-eight patients with hyperlipidemia were divided into ZXKC group treated with ZXKC (31 cases) and control group treated with Yixintong (17 cases). The changes of clinical symptoms and laboratory indexes in all the patients were observed before and after treatment. Results: In patients with unstable effort angina, the efficacy of treatment of ZXKC, the withdrawal rate of nitroglycerin, the relieving of symptoms, the improvement of the electrocardiogram, the counts of circulating endothelial cells, the content of platelet P-selectin, the content of plasma endothelin (ET), the activity of superoxide dismutase (SOD) and the activity of malonyldialdehyde (MDA) were all better than those in the control group. In patients with hyperlipidemia, there was no significant difference in lipids reduction between ZXKC group and the control group. In both groups, the total cholesterol (TC), triglyceride (TG), low density lipoprotein-cholesterol (LDL-C), lipoprotein(a) [Lp(a)], ET, oxidized low density lipoprotein, MDA, arteriosclerotic index (AI) all lowered obviously, while the SOD, HDL-C and calcitonin gene-related peptide (CGRP) were all elevated markedly. In the ZXKC group, the nitric oxide(NO) increased significantly whereas the ET/CGRP and ET/NO decreased markedly. The total effective rate in symptom relieving, the markedly effective rate, the reduction of TC, ET and ET/CGRP, and the elevation of SOD in ZXKC group were all superior to those in the control group. Conclusion: ZXKC could

  16. Universal health care no guarantee of equity: Comparison of socioeconomic inequalities in the receipt of coronary procedures in patients with acute myocardial infarction and angina

    Directory of Open Access Journals (Sweden)

    Kelman Chris W

    2009-12-01

    Full Text Available Abstract Background In Australia there is a socioeconomic gradient in morbidity and mortality favouring socioeconomically advantaged people, much of which is accounted for by ischaemic heart disease. This study examines if Australia's universal health care system, with its mixed public/private funding and delivery model, may actually perpetuate this inequity. We do this by quantifying and comparing socioeconomic inequalities in the receipt of coronary procedures in patients with acute myocardial infarction (AMI and patients with angina. Methods Using linked hospital and mortality data, we followed patients admitted to Western Australian hospitals with a first admission for AMI (n = 5539 or angina (n = 7401 in 2001-2003. An outcome event was the receipt, within a year, of a coronary procedure—angiography, angioplasty and/or coronary artery bypass surgery (CABG. Socioeconomic status was assigned to each individual using an area-based measure, the SEIFA Index of Disadvantage. Multivariable proportional hazards regression was used to model the association between socioeconomic status and procedure rates, allowing for censoring and adjustment of multiple covariates. Mediating models examined the effect of private health insurance. Results In the AMI patient cohort, socioeconomic gradients were not evident except that disadvantaged women were more likely than advantaged women to undergo CABG. In contrast, in the angina patient group there were clear socioeconomic gradients for all procedures, favouring more advantaged patients. Compared with patients in the most disadvantaged quintile of socioeconomic status, patients in the least disadvantaged quintile were 11% (1-21% more likely to receive angiography, 52% (29-80% more likely to undergo angioplasty and 30% (3-55% more likely to undergo CABG. Private health insurance explained some of the socioeconomic variation in rates. Conclusions Australia's universal health care system does not guarantee

  17. Efficacy of controlled-release isosorbide-5-mononitrate as adjunctive treatment to beta-blocking agents in patients with stable angina pectoris

    DEFF Research Database (Denmark)

    Svendsen, Jesper Hastrup; Aldershvile, J; Abildgaard, U;

    1989-01-01

    beta blocker. In bicycle ergometer exercise tests performed 4 h after study drug intake, total exercise time and time until 1-mm ST-depression increased significantly during both regimens as compared with placebo (p less than 0.05). However, only the 60-mg once-daily regimen was significantly better...... than placebo with regard to time until angina pectoris. The results indicate that ISMN-CR 60 mg once daily is effective as adjunctive to beta-blocker treatment, and nitrate tolerance appeared to develop during the twice-daily regimen. In 10 of the patients, the effect of additional sublingual...

  18. El porqué del nuevo orden establecido en el proceso de enseñanza-aprendizaje en Educación Primaria

    OpenAIRE

    Pascual Montejo, Luis

    2015-01-01

    Con este trabajo pretendo explicar el porqué del aprendizaje lógico matemático en la Educación Primaria (EP) y el porqué se establece su orden. Dicho orden establecido según: -Ley Orgánica Educativa 2/2006 de 3 de Mayo. (LOE) -Ley Orgánica de Mejora de la Calidad Educativa (LOMCE) (8/2013, de 9 de diciembre) -Currículo de la Educación Primaria en la Comunidad de Castilla y León Decreto 40/2007, de 3 de Mayo. - ORDEN EDU/519/2014 de 17 de Junio por la que se establece el currículo ...

  19. El lenguaje en la educación: prácticas de lectura y escritura en preescolar básica y primaria 2005

    OpenAIRE

    Flórez Romero, Rita; Moreno Angarita, Marisol

    2005-01-01

    El proyecto Hablar, leer y escribir en preescolar y primaria para la participación, el éxito académico y la vida adulta se define, en primera instancia, como una acción cooperativa entre profesores universitarios, profesionales, docentes de preescolar y educación básica primaria, padres de familia y niños. Su intención fundamental es la de contribuir a la transformación de la realidad educativa de los niños y las niñas en edades comprendidas entre los 4 y los 11 años, con el fin d...

  20. El uso de computadora y cañón para el desarrollo del entendimiento matemático de fracciones en 4° de primaria

    OpenAIRE

    López, Iliana Miriam; Mochón, Simón

    2007-01-01

    En este documento se describe una investigación llevada a cabo dentro del proyecto Enseñanza de las Matemáticas con Computadora y Cañón en las aulas de Primaria (EMACC-PRIM) el cual pretende indagar los cambios que son propiciados en la enseñanza y aprendizaje de las matemáticas mediante el uso de una computadora y cañón en el salón de clases. La investigación se centra en el proceso de entendimiento conceptual de alumnos de 4° grado de primaria así como en la interacción establecida al reali...