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- Bassand, Jean-Pierre, et al.
(författare)
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Guía de Práctica Clínica para el diagnóstico y tratamiento del síndrome coronario agudo sin elevación del segmento ST
- 2007
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Ingår i: Revista Española de Cardiología. - 0300-8932 .- 1579-2242. ; 60:10, s. 1070-1080
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Tidskriftsartikel (refereegranskat)abstract
- El contenido de estas Guías de Práctica Clínica de la Sociedad Europea de Cardiología (ESC) ha sido publicado para uso exclusivamente personal y educativo. No está autorizado su uso comercial. No se permite la traducción o reproducción en ningún formato de las Guías de la ESC ni de ninguna de sus partes sin un permiso escrito de la ESC. El permiso puede obtenerse enviando una solicitud por escrito a Oxford University Press, la editorial del European Heart Journal, y parte autorizada para gestionar esos permisos en representación de la ESC.
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- Ortega, Francisco B., et al.
(författare)
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Physically active adolescents are more likely to have a healthier cardiovascular fitness level independently of their adiposity status : the European youth heart study
- 2008
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Ingår i: Revista Española de Cardiología. - Amsterdam : Elsevier. - 0300-8932 .- 1579-2242. ; 61:2, s. 123-129
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Tidskriftsartikel (refereegranskat)abstract
- Introduction and objectives Cardiovascular fitness (CVF) has been considered a health marker at all ages. The main purpose of this study was to examine whether meeting the current physical activity (PA) recommendations is associated with a healthier CVF level in adolescents.Methods A total of 472 adolescents (14–16 years-old) were studied. CVF was estimated from a maximal bike test and PA was objectively assessed by accelerometry. Subjects were classed as high/low-CVF level, according to the Cooper Institute's cut-offs, and having a high/low-PA level depending on if the adolescents were engaged in at least 60 min per day at moderate-vigorous PA intensity level. Body fat was estimated from skinfold thicknesses.Results Binary logistic regression showed that adolescent girls meeting the current PA recommendations (≥60 min/day of moderate-vigorous PA) were 3 times more likely to have a high-CVF level than girls that did not meet the recommendations, after controlling for sexual maturation status (Tanner stages) and body fat. Likewise, adolescent boys meeting the PA recommendations were 8 times more likely to have a high-CVF level than boys that did not meet the recommendations.Conclusions The results suggest that devoting 60 min or more to moderate-vigorous PA daily is associated with a healthier CVF level in adolescents, independent of maturation status and adiposity. The patterns of the association were similar in girls and boys, but the fact that the associations were weaker in girls is of concern.
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- Swahn, Eva, et al.
(författare)
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Invasive Treatment of Non-ST-segment Elevation Acute Coronary Syndrome: Cardiac Catheterization/Revascularization for All? : [Tratamiento invasivo del síndrome coronario agudo sin elevación del segmento ST: ¿cateterismo cardiaco/ revascularización en todos los casos?]
- 2014
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Ingår i: Revista Española de Cardiología. - : Elsevier. - 0300-8932 .- 1579-2242 .- 1885-5857. ; 67:3, s. 218-221
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Tidskriftsartikel (refereegranskat)abstract
- Patients admitted to hospital with symptoms and signs of non-ST-segment elevation acute coronary syndromes have different risk profiles and are in need of an individualized approach that takes into consideration not only age and sex but also comorbidities such as diabetes, renal failure, hypertension, heart failure, peripheral artery disease, earlier revascularization, etc. According to evidence-based medicine and as documented in current guidelines, there is currently evidence for early catheterization and, if feasible, revascularization in high-risk patients, especially in men. Nevertheless, because of a lack of definitive evidence, there is uncertainty about treating women in the same way. Because women are usually older and have more comorbidities, they are frailer and revascularization should be indicated with greater caution. There is no evidence that catheterization as such is worse for women than for men; however, for both men and women with low risk, a less invasive approach, such as coronary computed tomography angiography, could be considered as a first diagnostic tool.
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- Tubaro, Marco, et al.
(författare)
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Pre-Hospital Treatment of STEMI Patients : A Scientific Statement of the Working Group Acute Cardiac Care of the European Society of Cardiology
- 2012
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Ingår i: Revista Española de Cardiología. - : Elsevier BV. - 0300-8932 .- 1579-2242. ; 65:1, s. 60-70
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Tidskriftsartikel (refereegranskat)abstract
- In ST-elevation myocardial infarction (STEMI) the pre-hospital phase is the most critical, as the administration of the most appropriate treatment in a timely manner is instrumental for mortality reduction. STEMI systems of care based on networks of medical institutions connected by an efficient emergency medical service are pivotal. The first steps are devoted to minimize the patient's delay in seeking care, rapidly dispatch a properly staffed and equipped ambulance to make the diagnosis on scene, deliver initial drug therapy and transport the patient to the most appropriate (not necessarily the closest) cardiac facility. Primary PCI is the treatment of choice, but thrombolysis followed by coronary angiography and possibly PCI is a valid alternative, according to patient's baseline risk, time from symptoms onset and primary PCI-related delay. Paramedics and nurses have an important role in pre-hospital STEMI care and their empowerment is essential to increase the eff ectiveness of the system. Strong cooperation between cardiologists and emergency medicine doctors is mandatory for optimal pre-hospital STEMI care. Scientific societies have an important role in guideline implementation as well as in developing quality indicators and performance measures; health care professionals must overcome existing barriers to optimal care together with political and administrative decision makers.
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- Viadas, Raul, et al.
(författare)
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Association of physical activity with high-density lipoprotein functionality in a population-based cohort : the REGICOR study
- 2023
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Ingår i: Revista Española de Cardiología. - : Elsevier BV. - 0300-8932 .- 1579-2242. ; 76:2, s. 86-93
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Tidskriftsartikel (refereegranskat)abstract
- Introduction and objectives: To determine the dose-response association between current and past leisure-time physical activity (LTPA), total and at different intensities, and high-density lipoprotein (HDL) functionality parameters.Methods: Study participants (n = 642) were randomly drawn from a large population-based survey. Mean age of the participants was 63.2 years and 51.1% were women. The analysis included data from a baseline and a follow-up visit (median follow-up, 4 years). LTPA was assessed using validated questionnaires at both visits. Two main HDL functions were assessed: cholesterol efflux capacity and HDL antioxidant capacity, at the follow-up visit. Linear regression and linear additive models were used to assess the linear and nonlinear association between LTPA and HDL functionality.Results: Total LTPA at follow-up showed an inverse and linear relationship between 0 and 400 METs x min/d with HDL antioxidant capacity (regression coefficient [beta]:-0.022; 95%CI,-0.030,-0.013), with a plateau above this threshold. The results were similar for moderate (beta:-0.028; 95%CI,-0.049, -0.007) and vigorous (beta:-0.025; 95%CI,-0.043,-0.007), but not for light-intensity LTPA. LTPA at follow-up was not associated with cholesterol efflux capacity. Baseline LTPA was not associated with any of the HDL functionality parameters analyzed.Conclusions: Current moderate and vigorous LTPA showed a nonlinear association with higher HDL antioxidant capacity. Maximal benefit was observed with low-intermediate doses of total LTPA (up to 400 METs x min/d). Our results agree with current recommendations for moderate-vigorous LTPA practice and suggest an association between PA and HDL functionality in the general population.
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