Revista médica de Chile
-
Revista médica de Chile · Jun 2023
Case Reports[Percutaneous Resolution for Tricuspid Stenosis: Positive Outcomes Despite High Surgical Risk].
We report a 31-year-old woman who was previously subjected to aortic, mitral, and tricuspid valve replacement in three different surgical episodes. She was admitted to our cardiology section with acute right heart failure symptoms. She was studied by echocardiography, right/left heart catheterization, cardiac CT scan and cardiac magnetic resonance. ⋯ We decided on a percutaneous tricuspid "valve in valve replacement". The procedure was done successfully by venous femoral approach, with a balloon expandable prosthesis. Tricuspid stenosis was corrected and the patient evolved with remission of heart failure symptoms.
-
Revista médica de Chile · Jun 2023
Observational StudyLife-style behavior upon admission to higher education in Chilean university students: A longitudinal observational study.
The main objective of this study was to analyze the change in physical activity, quality of diet, and weight upon admission to higher education and at one-year follow-up in Chilean university students. ⋯ There are statistically significant differences at one-year follow-up in Chilean university students in decreased physical activity, impaired healthy eating behavior, and increased weight and BMI.
-
Revista médica de Chile · Jun 2023
Historical Article[Beginning of the teaching of Physiology in Chile].
This work intends to present the beginning and early development of physiological studies in Chile. Physiology, as a scientific discipline, began to be taught from the moment the School of Medicine was founded in 1833, closely associated with anatomy and hygiene. The three disciplines were taught by the same professor. ⋯ Vicente Padín del Valle. In a second period (1868-1901), the teaching of physiology was severely weakened, as it was taught by various clinicians who did not know this discipline in depth. After this initial period (1833-1900), which we could call the theoretical stage, the so-called experimental physiology was born, which, through classes with experimental demonstrations and then practical work, tried to bring the student closer to the reality of the physiological phenomenon.
-
Revista médica de Chile · Jun 2023
[Functional tests in older adults: a cross-sectional study comparing subjects with and without history of falls].
Functional tests are a fundamental axis in assessing the risk of falls in older adults. However, many of them lack associative value with the actual functional status of the older adults, medical history, and comorbidities. ⋯ The three functional tests applied show associative values in falling older adults. The grip strength presented associative value with the functional tests.
-
Revista médica de Chile · Jun 2023
Case Reports[Managing Superwarfarin Poisoning: A Challenging Case].
Human intoxication by long-acting anticoagulant rodenticides, known as superwarfarins, causes coagulopathy that is difficult to manage. We present the case of a 42-year-old man who ingested a toxic dose of rodenticide in a suicide attempt, evolving with epistaxis, INR of 11.6, and needing hospitalization. For seven days, serial controls of coagulation tests were carried out, with optimization of different doses of Vitamin K supplementation. The case highlights this type of anticoagulant's potency and prolonged half-life (approximately six weeks), which requires regular clinical control and satisfactory treatment adherence.