Articole semnate de acelasi autor in Revista Practica Medicala:

Sindromul Kounis – o etiologie alternativa a infarctului miocardic acut

Romanian Journal of Medical Practice | Vol. X, No. 3 (40), 2015

ISSN 1842-8258 | e-ISSN 2069-6108
ISSN-L 1842-8258
DOI: 10.37897/RJMP

National Awards “Science and Research”

NEW! RJMP has announced the annually National Award for "Science and Research" for the best scientific articles published throughout the year in the official journal.

ICMJE- Recommendations

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Promoting Global Health

The published medical research literature is a global public good. Medical journal editors have a social responsibility to promote global health by publishing, whenever possible, research that furthers health worldwide.

Vlad BATAILA, Aura VIJIIAC, Lucian CALMAC and Maria DOROBANTU

REZUMAT

Sindromul Kounis reprezintă asocierea între o reacţie alergică şi un sindrom coronarian acut, prin intermediul mediatorilor eliberaţi în timpul procesului de activare mastocitară. Prezentăm cazul unei paciente de 79 de ani cu o sincopă survenită la o oră după ce a fost înţepată de o viespe. Examenul clinic a fost normal, cu excepţia membrului superior stâng, care era edemaţiat. Electrocardiograma a arătat supradenivelare de segment ST în derivaţiile inferioare şi unde T negative în derivaţiile anterioare. Pacientei i s-a efectuat coronarografie de urgenţă, aceasta decelând o stenoză de 40% la nivelul arterei interventriculare anterioare medii. S-a decis tratament conservator. Pacienta a primit tratament antiischemic standard, cu evoluţie foarte bună. Considerăm acest caz ca fiind un sindrom Kounis indus de o înţepătură de viespe asociată cu un infarct miocardic acut inferior silenţios.

Cuvinte cheie: sindrom Kounis, activare mastocitară, sindrom coronarian acut

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Prevalence of microalbuminuria in hypertension monitored in primary care

Romanian Journal of Medical Practice | Vol. X, No. 1 (38), 2015

ISSN 1842-8258 | e-ISSN 2069-6108
ISSN-L 1842-8258
DOI: 10.37897/RJMP

National Awards “Science and Research”

NEW! RJMP has announced the annually National Award for "Science and Research" for the best scientific articles published throughout the year in the official journal.

ICMJE- Recommendations

Read the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly work in Medical Journals.

Promoting Global Health

Elena ARDELEANU, Maria DOROBANTU, Roxana DARABONT, Daniel LIGHEZAN, Rodica LIGHEZAN, Dacian PURCARITA, Alexandra DELEANU, Daniela GURGUS, Patricia NICOLA and Shamsa BAAJ

ABSTRACT

The objectives of the study were to evaluate the prevalence of microalbuminuria (MAU) in patients with hypertension, monitored in primary care and to analyse the correlation between MAU, risk factors and associated parameters.

Material and methods. During 2010-2014 we evaluated a number of 910 patients from 19 family medicine offices of Timiş County. The general practitioners took a standardized history, performed a physical examination, measured height, weight, blood pressure, ABPM and heart rate, calculated body mass index and tested urine for MAU with Arkray test strips. The patients with hypertension and MAU were referred to diagnosis centres where they underwent echocardiography.

Results. After exclusion of patients with a history of renal disease and diabetes, MAU was present in 61 cases, 7.1%. The mean age of the MAU positive patients was 56±13.1 years, ranging from 29 to 79. The duration of hypertension was under 5 years in 4 (2.44%) patients, between 5-10 years in 35 (57.3%) and over 10 years in 22 (36%) Six patients with MAU (9.83%) had mild hypertension, 25 (40.9%) moderate and 30 (49.1%) severe hypertension. LVMI was 125 ± 28 g/m2 in the MAU absent group and 157 ± 56 g/ m2 in the MAU present group (<0.04). A stepwise logistic regression analysis showed significant positive effects of 24 h systolic blood pressure, weight and LVH (p<0.001 for all comparisons) on MAU. No other variable had a significant predictive effect on the presence or absence of MAU.

Conclusions. In patients with essential hypertension MAU was present in 7.1%, with a higher prevalence in uncontrolled than in controlled hypertension. MAU was associated with high blood pressure levels, obesity and LVH.

Keywords: hypertension, microalbuminuria, primary care

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