Search PubMed⌕ Search

Biomedical subjects

L Sáenz

Publications and source records attributed to L Sáenz.

16 recordsLinked to original sources
PubMed2001

[Long-term efficacy of radiofrequency catheter ablation in atrial tachycardia].

INTRODUCTION AND OBJECTIVES: Radiofrequency ablation has shown to be an effective treatment for supraventricular tachycardias including flutter and atrial tachycardia, however the clinical information available on atrial tachycardia is limited. The aim of this study was to evaluate the immediate and long term effectiveness of radiofrequency ablation in patients with atrial tachycardia and to establish predictors of effectiveness and arrhythmia recurrence. METHODS: We analyzed a series of 126 procedures of atrial tachycardia ablation in 117 patients (69% women) with a mean age of 50 +/- 19 years. RESULTS: Ninety-one percent of the foci were located in the right atrium. A mean of 6 applications were necessary to achieve an efficacy of 74% during the first procedure with a total of 80%. The only predictor of ablation success was the number of foci being smaller in multifocal compared to unifocal (p < 0.01) whereas for recurrences a less premature electrogram at the application point (p = 0.02) was predictive of ablation success. Over a follow-up of 34 +/- 19 months 7.4% of patients had recurrent atrial tachycardia. The probability of recurrence at one year calculated by the Kaplan-Meier method was 12%. Seventy-one percent of the recurrences occurred during the first 3 months after ablation. CONCLUSIONS: Ablation is an effective, safe procedure for short and long term treatment of patients with atrial tachycardia. Effectiveness depends on the number of foci while the recurrence rate is related to the prematurity of atrial electrogram at the application point.

Adult↗
PubMed1999

[Usefulness of troponin T and troponin I in the diagnosis and prognostic stratification of patients with ischemic cardiopathy attending an emergency service].

BACKGROUND: Diagnostic of chest pain in the emergency services supposes a serious problem. This study wants objective if the new non enzymatic markers of myocardial necrosis (T troponin and I troponin) may be an aid for the diagnostic and prognostic stratification of patients with myocardial ischemia. PATIENTS AND METHODS: 82 successive patients who went to the emergency room for chest pain were studied. Electrocardiogram and blood samples were obtained at 0,4, and 12 house of admission. A clinic-evolutive study was performed at discharge, and they were classified in 3 categories: a) myocardial infarction, b) unstable angina (Braunwald classification) and no coronary pains. RESULTS: In the 27 patients with myocardial infarction the markers of troponin group were more sensitive than creatinine kinase to determine myocardial necrosis at 4 hours of admission. Of 41 patients with unstable angina, 34% were of Braunwald III-B class. Troponin group markers discriminate a group of high risk patients, 70% of the patients that need an emergency coronarography for bad clinical evolution were troponin group marker positive. CONCLUSIONS: The use in the emergency room of troponin necrosis markers (T and I troponin) allows to optimize the sanitary resources, detecting quickly the patients with acute myocardial infarction and discriminate a group of high risk of patients with angina.

Aged↗
PubMed1990

[Heart block].

Explore the source record for details and available documents.

Bundle-Branch Block↗
PubMed1982

[Demographic dynamics in the food-nutrition problem: the search for effective strategies in Latin America].

This paper addresses the interrelationship between the food and nutrition problem and population problems in Latin America within a global focus. A basic framework is presented which defines four demographic problems highly related with the food and nutrition situation: The underutilization of the labor force; the accelerated growth of the marginal population; the poor geographic distribution and rapid urbanization; and the high rates of infant and child mortality. Findings from the recent experience of demography in food and nutrition planning in the last four years in Central America and Panama are outlined, and strategies are recommended for the development of different types of programs and projects in population-nutrition. Finally, a list of applied research, basic information and direct action projects in population-nutrition that have been detected as needed by most of the Central American countries, is presented.

Central America↗
PubMed1982

[Nutrition programs and levels of health care].

Population health and nutrition situations present different degrees of complexity which must be met with different degrees of technological complexity. This can be accomplished by organizing, in a progressive way, the resources of the health service system to constitute different levels of attention. In this paper, the concept of levels of attention of the health service system is analyzed on the basis of the aforementioned ideas, and comments are made on the increasing administrative complexity required to keep pace with the increasing technological complexity. Mention is made of the criteria which must be taken into account in order to select nutrition activities to be performed in the health sector and the way in which these activities must conform to the different levels, according to their degree of specialization and complexity. Special reference is made of experiences where the basic or primary level activities involving community participation are particularly important. Finally, the incorporation of nutrition as a part of the attention routine at the various levels is discussed; here, the importance of the necessary mechanisms for coordination and support among the various levels is stressed.

Adult↗
PubMed1982

[The health sector in the multisectorial planning for food and nutrition].

The limited success of the health unisectorial action for the solution of the nutritional problems of the population led to the recognition of the necessity of coordinating the work of many sectors. The most important responsibilities of the health sector in the process of the multisectorial food and nutrition planning are discussed: morail and technical leadership during the promotion and development of the process: diagnosis of the nutritional problems; definition of the biological reference terms; promotion and participation in the design, initiation, operation and evaluation of food and nutrition multisectorial systems; participation in the formulation of socio-economical development objectives; evaluation of the food and nutrition policies, and follow-up and evaluation of the projects they may generate; active participation and support of resources for the development of the process; implementation and execution of the sectoral activities; research; participation in nutritional planning aspects for disaster situations, and planning of the nutritional activities of the health sector.

Allied Health Personnel↗