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1
Publicado 2023
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Introducción: La tomografía computarizada (TC) de emergencia es muy utilizada para distintas patologías o accidentes, como por ejemplo los accidentes cerebrovasculares (ACV) que necesitan un diagnóstico oportuno y así poder brindar las mejores soluciones a los pacientes. Objetivo. Determinar el protocolo por TC más recomendado para ayudar al diagnóstico y tratamiento del stroke y otras patologías de origen pulmonar asociadas, en los servicios de emergencias. Tipo de estudio: Monografía Metodología: Se realizó una revisión y análisis bibliográfico (2017 - 2021) en Pubmed, Lilacs, google académico sobre el estudio del stroke. Resultados: El 55% de la bibliografía considera a la TC de cerebro sin contraste como examen primario, 30% sugieren la TC de cerebro SC acompañado con la TC de tórax como exámenes primarios, 10% mencionan a la TC de cerebro acompañada de resonancia...
2
artículo
Publicado 2021
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Bayés’s síndrome is a clinical entity based on the association between advanced interatrial block and the development of supraventricular tachyarrhythmia, being atrial fibrillation (AF), most frequent. This association was discovered by Prof. Antoni Bayés de Luna in the’80s. Further studies by other groups found a strong relationship between Bayés’s syndrome and thromboembolic phenomena, being stroke the most serious. Moreover, patients with this syndrome has an increased incidence of cognitive impairment and dementia. This observation triggered the question about whether the use of an anticoagulation therapy prior to the documentation of AF could prevent A-IAB associated thromboembolic events. There are ongoing studies in different phases of development aiming to compare the efficacy of anticoagulation in patients with A-IAB with no prior documentation of AF. The outcomes of t...
3
artículo
Publicado 2012
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La hipertensión es el factor de riesgo más poderoso para el accidente cerebrovascular. El objetivo de este estudio fue caracterizar la presión arterial de referencia en los participantes en el ensayo de prevención secundaria de accidentes cerebrovasculares. Para este análisis transversal, los participantes se clasificaron por línea de base de presión arterial sistólica: menor a 120, 120–139, 140–159, 160–179, y mayor o igual a 180 mm Hg y en comparación con las características demográficas y clínicas. Se examinaron los predictores de presión arterial sistólica menor a 140 mm Hg. Más de la mitad de los pacientes con accidentes cerebrovasculares lacunares examinados tuvieron hipertensión sin controlar aproximadamente 2 meses y medio antes. Se indica que se deben considerar las diferencias regionales, raciales y clínicas para controlar y prevenir accidentes cerebrovas...
4
artículo
Publicado 2024
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Sr. Editor, Durante los últimos años, el impacto del cambio climático se ha hecho más evidente. En enero del 2024 se destacó como uno de los meses más calurosos registrados en Perú, marcado por temperaturas diurnas abrasadoras y máximas de hasta 39°C (1). En respuesta, el Ministerio de Salud ha emitido alertas epidemiológicas sobre golpe de calor (GC) (2). Sin embargo, la falta de estrategias efectivas para mitigar los riesgos de muertes relacionadas con el calor en Perú ha resultado en un aumento de los informes de muertes por GC (3). Por tanto, este estudio presenta una descripción de la población peruana fallecida por GC.
5
artículo
The stroke is defined as the sudden interruption of blood flow in vessels in any area of the brain. The presence of depression is given with great regularity in those affected. Also, people with more stress are potential candidates for developing stroke. For this reason, this research describe the relationship between depression and stress coping styles, in a sample of 50 stroke patients treated at the outpatient service of neurology at Daniel Alcides Carrion Hospital . For this purpose used the Beck Depression Inventory and Brief COPE-The Coping Estimation Inventory. This research found a statistically significant correlation between the depression´s variables and coping styles to stress avoidance, however there were no significant correlations between the depression´s variables and stress coping styles focused on the problem and emotion respectively.
6
artículo
The stroke is defined as the sudden interruption of blood flow in vessels in any area of the brain. The presence of depression is given with great regularity in those affected. Also, people with more stress are potential candidates for developing stroke. For this reason, this research describe the relationship between depression and stress coping styles, in a sample of 50 stroke patients treated at the outpatient service of neurology at Daniel Alcides Carrion Hospital . For this purpose used the Beck Depression Inventory and Brief COPE-The Coping Estimation Inventory. This research found a statistically significant correlation between the depression´s variables and coping styles to stress avoidance, however there were no significant correlations between the depression´s variables and stress coping styles focused on the problem and emotion respectively.
7
tesis de maestría
Publicado 2023
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El Stroke actualmente representa el segundo lugar la causa de deceso en el adulto. Ademas, es una condición que genera discapacidad, lo que origina un gran costo social, hospitalario y económico. Esta urgencia neurológica, genera un gran número de ingresos nosocomiales; y el tiempo en el que un tratamiento podría ser eficaz, es bastante reducido independientemente del tipo de cuadro desarrollado. No obstante, existen tratamientos eficaces, cuya única limitación es el tiempo de enfermedad; ya que, además de un riesgo-beneficio complejo, la ventana terapéutica se limita por lo general a menos de 4,5 horas. Existe un estudio realizado en Perú en el cual se pretendía determinar la tendencia de la mortalidad por enfermedad cerebro vascular según regiones. Se encontró que hasta el 2015 la mortalidad había descendido del 14.6% al 11.4% siendo el grupo etario más afectado, los may...
8
artículo
Strokes also known as CVA, have increased in the last 20 years, it is expected that, worldwide, by the year 2030 it willbe present in 5 million people as a cause of death, the projection has been made with ischemic stroke, considered themost common (Fan, J., Li, X., Yu, X., Liu, Z., Jiang, Y., Fang, Y., y Xiong, L.,2023).The story “Something happens tograndma” is a pedagogical proposal developed for the promotion of healthy habits and prevention of CVA, the use ofthe story as an important psychoeducational tool for health promotion and disease prevention has been demonstrated(Babarro and Lacalle, 2018; Bravender, Rusell, Chung, & Armostrong 2010; Dupont, 1993; Franzini & De Santis, 2011;Pérez Ordóñez, 2019; Redondo, Gómez, Fabregat, & Camas, 2009; Rivera Daza, 2019; Jauregui, Martínez, Montes,& Martínez, 2020). The proposal has as its theoretical basis the proce...
9
artículo
Strokes also known as CVA, have increased in the last 20 years, it is expected that, worldwide, by the year 2030 it willbe present in 5 million people as a cause of death, the projection has been made with ischemic stroke, considered themost common (Fan, J., Li, X., Yu, X., Liu, Z., Jiang, Y., Fang, Y., y Xiong, L.,2023).The story “Something happens tograndma” is a pedagogical proposal developed for the promotion of healthy habits and prevention of CVA, the use ofthe story as an important psychoeducational tool for health promotion and disease prevention has been demonstrated(Babarro and Lacalle, 2018; Bravender, Rusell, Chung, & Armostrong 2010; Dupont, 1993; Franzini & De Santis, 2011;Pérez Ordóñez, 2019; Redondo, Gómez, Fabregat, & Camas, 2009; Rivera Daza, 2019; Jauregui, Martínez, Montes,& Martínez, 2020). The proposal has as its theoretical basis the proce...
10
tesis de grado
Publicado 2023
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Objetivo: El objetivo de este estudio fue determinar si la terapia doble de IECA/ARAII asociado a bloqueadores de canales de calcio ofrecen protección contra Stroke Isquémico en comparación con la terapia doble de IECA/ARAII asociado a betabloqueadores adrenérgicos o diuréticos en pacientes hipertensos atendidos en el Hospital Víctor Lazarte Echegaray. Materiales y métodos: Se realizó un estudio observacional de cohorte retrospectiva en pacientes hipertensos atendidos en consultorio externo del servicio de cardiología del Hospital Víctor Lazarte Echegaray, durante el periodo 2017-2022. Se registró el diagnóstico hipertensión arterial y se les dio tratamiento doble de IECA o ARA II con bloqueadores de canales de calcio, betabloqueadores adrenérgicos o diuréticos, para más tarde distinguir a los pacientes que hicieron accidente cerebrovascular isquémico. Resultados: El est...
11
tesis de grado
Abstract—Stroke is the third cause of all disabilities for people over 25 years old. Indeed, the percentage of people who suffer from hemiplegia after stroke is higher than 75%. Patients with hemiplegia have considerable difficulty performing activities of daily living, such as feeding or grasping objects. Assistive devices for stroke patients have been developing since a very long time ago; however, some of them are not well accepted by patients because they are not comfortable, wearable, portable, lightweight and useful. This research presents the first version of the design of dynamic orthosis to aid post-stroke patients with hemiplegia to grasp cylindrical and spherical objects. The proposed orthosis was designed by using a cyclic design methodology called Iterative Design which is used for continuous product improvement; moreover, this paper presents a detailed description of the ...
12
objeto de conferencia
This work aims to systematize previous studies on stroke risk identification and its relationship with machine learning. A systematic review was conducted using the Web of Science and Scopus databases. The information was organized into three sections: stroke risk factors, data preprocessing techniques and techniques for identifying stroke risk with an emphasis on the most important features. The main results are as follows: risk factors are divided into modifiable (work environment and air pollution) and non-modifiable (sex, family history). The most commonly used data preprocessing techniques are SMOTE, standardization and value elimination/imputation. The most commonly used techniques for identifying stroke risk include support vector machine, random forest, logistic regression, naïve Bayes, k-nearest neighbors and decision tree.
13
artículo
Publicado 2023
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Cerebrovascular disorders remain the leading cause of neurological morbidity and mortality in the world, representing one of the pathological entities responsible for the greatest burden of disease worldwide. Carotid atherosclerosis or stenosis is a potential risk factor for ischemic stroke. The identification and strict follow-up of this condition are essential in the secondary prevention of complications through primary care and the specialized treatment of cardiometabolicrisk. However, depending on this risk and/or presence of symptoms, definitive treatment is necessary. Currently, there is controversy as to whether asymptomatic carotid stenosis is better to be treated medically or surgically. Consideringthe significance of such entity, this review aims to analyze recent evidence on the risk of ischemic stroke in the case of asymptomatic carotid atherosclerosis among adults, as well a...
14
artículo
Publicado 2021
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Background: Stroke is one of the leading causes of mortality worldwide and the current COVID-19 pandemic has a great impact on the care of these patients. Aim: To describe the characteristics of patients with a cerebrovascular event in patients hospitalized with COVID-19 in the medical center with the highest hospital capacity in Peru. Material and Methods. We conducted a retrospective study and included patients older than 18 years hospitalized with the diagnosis of COVID-19 and stroke. Results. A total of 26 adults were included, the mean age was 69.8 years and the median time of admission was 24 hours. Mortality was high (42.3%) and was associated with age and respiratory compromise by COVID-19. The majority of survivors had a poor functional outcome. Conclusion. It is concluded that improvement in care processes is necessary in order to make an early diagnosis and timely treatment.
15
artículo
Publicado 2019
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The case of a 32 years old. male patient who since age 17 has experienced constrictive headaches of several minutes’ duration, triggered by physical effort is reported. For the last seven years there, he has presented a progressive cognitive decline cognitive, and marked personality changes, having become extremely dependent even for conducting elemental activities. At the age of 27, he experienced total left hemiplegia from which he completely recovered in two weeks. He also shows severe confusional states and child-like behavior. Laboratory tests ruled out heart disease, atherosclerosis and systemic autoimmune diseases. Brain neuroimaging tests (CT, Angio – TEM and contrasted cerebral MRI) revealed the occurrence of six cerebral infarcts, in subacute and chronic stages, severe stenosis of the anterior cerebral arteries, and presence of microaneurysm in the M segment of the left mid...
16
artículo
Publicado 2022
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Subarachnoid hemorrhage is a very rare complication of thrombolytic therapy. We report the case of a 76-year- old mestizo woman with a pacemaker, admitted to the emergency room due to compromised consciousness, walking difficulties and dysarthria. She reported a history of poorly controlled hypertension, hypothyroidism, and numerous surgical interventions. Based on a non-contrast Multislice Computed Tomography (MSCT) of the brain and the clinical manifestations, a diagnosis of ischemic stroke was established. Thrombolytic therapy with alteplase was immediately started and another non-contrast MSCT brain scan, performed three hours later, identified a subarachnoid hemorrhage as a treatment complication. Twenty-four hours later, a CT angiography confirmed an ischaemic stroke with hemorrhagic transformation, without the presence of a ruptured aneurysm. The patient was admitted to ICU, remai...
17
tesis de grado
Publicado 2019
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Objetivo: Sistematizar la evidencia sobre la efectividad de la activación del código ictus para la disminución de la morbimortalidad de pacientes atendidos en los servicios de emergencia. Material y Métodos: Se efectúa la revisión sistemática de investigaciones internacionales, obtenidas mediante base de datos: Epistemonikos, PubMed, Elsevier, Google Académico y Scielo, las que han sido analizadas mediante el sistema grade para ubicar el grado de evidencia. Se ha realizado la búsqueda utilizando los descriptores DECS y MESH para la búsqueda en español e inglés respectivamente. El 60% de los artículos revisados corresponden a Francia, España, y China respectivamente con el 20% cada uno, y el 40% restante corresponden a EEUU, korea, Italia, y Taiwán respectivamente. Resultados: El 100% de las evidencias indican que la activación del código ictus es efectivo en la disminuci...
18
artículo
Publicado 2023
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This report describes the case of two male HIV-positive patients who were not receiving treatment and whose diagnosis was confirmed by serology testing. Both patients developed midbrain stroke syndrome and the structural injury, whichwas caused by a central nervous system infection due to cerebral toxoplasmosis, was verified by brain magnetic resonance imaging. This condition was confirmed by cerebrospinal fluid serology testing.Weber’s syndrome is a very rare type of midbrain stroke syndrome with little information available on its symptoms and evolution. It was first described by Sir Herman David Weber in 1863 and is characterized by ipsilateral injury of the third cranial nerve fascicle with contralateral hemiparesis due to injury of the corticospinal and corticobulbar tracts of the cerebral peduncle. Its causes range from ischemic or hemorrhagic processes, which damage the third cr...
19
tesis de grado
Publicado 2023
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Objetivo: Determinar si el uso de Losartán disminuye la prevalencia de Enfermedad Cerebro Vascular Isquémica (Stroke) versus el uso de otros antihipertensivos asociados en pacientes con hipertensión arterial. Material y métodos: Estudio observacional de corte transversal analítico en pacientes con hipertensión arterial, diseñado para evaluar la prevalencia de ECV-isquémico en usuarios de Losartán, siendo ajustada esta asociación por variables sociodemográficas (edad, sexo, estado civil, procedencia), comorbilidades (Diabetes mellitus tipo 2, obesidad, dislipidemias, enfermedad renal crónica), antecedentes familiares y tiempo de uso de terapia antihipertensiva. Resultados: 312 pacientes hipertensos fueron incluidos en el análisis. La prevalencia de ECV-isquémico fue 38.8%. La frecuencia de esta patología fue mayor con el incremento de edad de los pacientes (≥ 55 años), a...
20
tesis de grado
Publicado 2024
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Según la OMS en los últimos años a nivel internacional la tasa de mortalidad y discapacidad por stroke ha aumentado, en el Perú se le considera como la segunda causa de morbimortalidad, generando la perdida de funciones y la autonomía de la persona, afectando no solo el estado físico, sino también social y emocional . Otro factor a considerar seria el tiempo de espera para recibir rehabilitación en los hospitales, generando malestar no solo en las personas afectadas sino en sus cuidadores, por lo que podríamos considerar que la causa de la sobrecarga emocional de estos cuidadores se va generar principalmente por las discapacidades que genera el stroke. El objetivo de la investigación fue determinar la asociación entre la capacidad funcional de pacientes con stroke y la sobrecarga emocional de los cuidadores. La población fue de 30 pacientes con sus respectivos cuidadores que ...
