More than just internists
Publication date: Available online 25 May 2020Source: Revista Clínica Española (English Edition)Author(s): A. Zapatero Gaviria, J. Marco Martínez (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - May 26, 2020 Category: Internal Medicine Source Type: research

Neutrophilic dermatosis of the dorsal hands
Publication date: Available online 12 May 2020Source: Revista Clínica Española (English Edition)Author(s): X. Fustà-Novell, S. Bermejo, L. Creus-Vila (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - May 14, 2020 Category: Internal Medicine Source Type: research

Compliance with the clinical guidelines for managing asthma by primary care physicians: An ambispective observational study
Publication date: Available online 12 May 2020Source: Revista Clínica Española (English Edition)Author(s): M. Roman-Rodriguez, J. Molina-Paris, A. Fernandez-Sanchez, grupo de investigación GAP asma, Mohsen Abedianzadeh Timar, Jesús Acha Domínguez, Jesus Aguaviva Bascuñana, Ignacio Aguilar Martín, Francisco Ignacio Ales Conejo, Juan Vicente Alfaro González, Patricia Alfonso Landa, Andrés Altés Boronat, Jesús Joaquín Álvarez Arriero, Juan Ángel Álvarez Rojo, Allut Vidal German, Jesús Amaro Cendón, Marí...
Source: Revista Clinica Espanola - May 14, 2020 Category: Internal Medicine Source Type: research

When does diabetes start? Early detection and intervention in type 2 diabetes mellitus
Publication date: Available online 12 May 2020Source: Revista Clínica Española (English Edition)Author(s): F. Gómez-Peralta, C. Abreu, X. Cos, R. Gómez-Huelgas (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - May 12, 2020 Category: Internal Medicine Source Type: research

Follow-up results in a specialized consultation after discharge for heart failure
Publication date: Available online 6 May 2020Source: Revista Clínica Española (English Edition)Author(s): B. Amores Arriaga, C. Josa Laorden, V. Garcés Horna, M. Sánchez Marteles, P. Sampériz Legarre, F. Ruiz Laiglesia, J. Rubio Gracia, R. Torres Cabrero, M. Nadal Ibor, J.I. Pérez Calvo (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - May 7, 2020 Category: Internal Medicine Source Type: research

Protocol for patients with suspected acute porphyria
Publication date: Available online 30 April 2020Source: Revista Clínica Española (English Edition)Author(s): F.J. Castelbón Fernández, I. Solares Fernandez, E. Arranz Canales, R. Enríquez de Salamanca Lorente, M. Morales Conejo (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - May 2, 2020 Category: Internal Medicine Source Type: research

Comorbidity in patients with type 2 diabetes mellitus and heart failure with preserved ejection fraction. Cluster analysis of the RICA registry. Opportunities for improvement
Publication date: Available online 30 April 2020Source: Revista Clínica Española (English Edition)Author(s): J.C. Arévalo Lorido, J. Carretero Gómez, R. Gómez Huelgas, R. Quirós López, M.F. Dávila Ramos, A. Serrado Iglesias, F. Ruiz Laiglesia, A. González Franco, J.M. Cepeda Rodrigo, M. Montero-Pérez-Barquero (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - April 30, 2020 Category: Internal Medicine Source Type: research

Management of patients with heart failure treated in cardiology consultations: IC-BERG Study
Publication date: Available online 24 April 2020Source: Revista Clínica Española (English Edition)Author(s): V. Barrios, C. Escobar, C. Ortiz Cortés, J. Cosín Sales, D.A. Pascual Figal, X. García-Moll Marimón (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - April 24, 2020 Category: Internal Medicine Source Type: research

COVID-19, a worldwide public health emergency
Publication date: Available online 21 April 2020Source: Revista Clínica Española (English Edition)Author(s): M. Palacios Cruz, E. Santos, M.A. Velázquez Cervantes, M. León Juárez (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - April 23, 2020 Category: Internal Medicine Source Type: research

Multidisciplinary care and units for uveitis in the internal medicine departments in Spain: Survey of the Systemic Autoimmune Diseases Group
Publication date: Available online 18 April 2020Source: Revista Clínica Española (English Edition)Author(s): P. Fanlo, G. Espinosa, A. Adan, A. Fonollosa, A. Segura, Grupo de Trabajo de Enfermedades Autoinmunes Sistémicas de la Sociedad Española de Medicina Interna (GEAS-SEMI) y Sociedad Española de Inflamación Ocular (SEIOC), H. Heras, I. Ruiz-Arruza, L. Diestefano, X. Solanich, O. García, J. Artaraz, E. de Ramón-Garrido, M. Jódar-Márquez, M. Rodriguez-Carballeira, K. Mousavi, M. López-Dupla, J.A. Porras-Ledantes, E. Sole-Forteza, N. Rosello-Silv...
Source: Revista Clinica Espanola - April 20, 2020 Category: Internal Medicine Source Type: research

Burnout syndrome in internal medicine specialists and factors associated with its onset
Publication date: Available online 12 April 2020Source: Revista Clínica Española (English Edition)Author(s): C. Macía-Rodríguez, D. Martín Iglesias, J. Moreno Diaz, M. Aranda Sánchez, G. Ortiz Llauradó, A. Montaño Martínez, C. Muñoz Muñoz, M.L. López Reboiro, A. González-Munera (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - April 14, 2020 Category: Internal Medicine Source Type: research

Publication of abstracts and oral communications presented at the XXXVI Congress of the Spanish Society of Internal Medicine
Publication date: Available online 10 April 2020Source: Revista Clínica Española (English Edition)Author(s): J.M. Porcel, L. Liesa, G. Bagüeste, S. Bielsa (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - April 11, 2020 Category: Internal Medicine Source Type: research

COPD and cardiovascular disease: more than just a co-incidence
Publication date: Available online 6 April 2020Source: Revista Clínica Española (English Edition)Author(s): X. Pena, C. Guijarro (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - April 7, 2020 Category: Internal Medicine Source Type: research

Hemodynamics in Down syndrome
Publication date: Available online 3 April 2020Source: Revista Clínica Española (English Edition)Author(s): L.M. Beltrán Romero, J. García Puig (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - April 4, 2020 Category: Internal Medicine Source Type: research

Osteoporotic vertebral fractures: A diagnostic challenge in the 21st century
Publication date: Available online 3 April 2020Source: Revista Clínica Española (English Edition)Author(s): A. Capdevila-Reniu, M. Navarro-López, A. López-Soto (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - April 4, 2020 Category: Internal Medicine Source Type: research

Heart failure and diabetes, opportunities for improving treatment through patient characterization
Publication date: Available online 2 April 2020Source: Revista Clínica Española (English Edition)Author(s): J.P. Miramontes González, L. Pérez de Isla (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - April 4, 2020 Category: Internal Medicine Source Type: research

Newer therapies in ANCA associated vasculitis
Publication date: April 2020Source: Revista Clínica Española (English Edition), Volume 220, Issue 3Author(s): D. Jayne (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - March 26, 2020 Category: Internal Medicine Source Type: research

Is the Planetary Health Diet the solution for mitigating noncommunicable diseases?
Publication date: Available online 17 March 2020Source: Revista Clínica Española (English Edition)Author(s): P. Pérez-Martínez, R. Gómez-Huelgas, F. Pérez-Jiménez (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - March 17, 2020 Category: Internal Medicine Source Type: research

Heart and kidneys, poor travel companions from the start of heart failure
Publication date: Available online 5 March 2020Source: Revista Clínica Española (English Edition)Author(s): A. Conde Martel (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - March 6, 2020 Category: Internal Medicine Source Type: research

A novel coronavirus emerges
Publication date: March 2020Source: Revista Clínica Española (English Edition), Volume 220, Issue 2Author(s): J. Ena, R.P. Wenzel (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - February 18, 2020 Category: Internal Medicine Source Type: research

Assessment of patient competence for making decisions
This article offers guidelines for assessing the competence of patients for whom there are doubts about their ability to make decisions concerning their health. The procedure is based on 5 steps: 1) recognising the conditions that require a competence assessment; 2) fully evaluating the competence; 3) correlating the degree of competence with the complexity of the decision; 4) improving the patient’s competence when possible; and 5) establishing who will make the decision.ResumenPara que los enfermos puedan tomar decisiones autónomamente (y que se produzca el consentimiento informado) tiene que haber informaci...
Source: Revista Clinica Espanola - January 29, 2020 Category: Internal Medicine Source Type: research

Characteristics of adults with Down syndrome hospitalized in Spanish internal medicine departments during 2005–2014
ConclusionsThe hospitalisation of adults with DS in internal medicine departments has increased in the past decade. Although the reasons for hospitalisation, mean stay and cost per episode for this population are similar to those of the general population treated by internal medicine departments, the age-adjusted hospital mortality was significantly greater.ResumenIntroducción y objetivosLos problemas clínicos de los adultos con síndrome de Down (SD) parecen diferir de los de la población general. Para entender mejor estas diferencias describimos las características demográficas y ...
Source: Revista Clinica Espanola - January 29, 2020 Category: Internal Medicine Source Type: research

The human microbiome in sickness and in health
Publication date: Available online 25 January 2020Source: Revista Clínica Española (English Edition)Author(s): T. Requena, M. VelascoAbstractThe study of the human microbiome has led to an exceptional increase in the current understanding of the importance of microbiota for health throughout all stages of life. Human microbial colonization occurs in the skin, genitourinary system and, mainly, in the oral cavity and intestinal tract. In these locations, the human microbiota establishes a symbiotic relationship with the host and helps maintain physiological homeostasis. Lifestyle, age, diet and use of antibioti...
Source: Revista Clinica Espanola - January 26, 2020 Category: Internal Medicine Source Type: research

Transfusions in the Emergency department: More than a blood transfusion
Publication date: Available online 25 January 2020Source: Revista Clínica Española (English Edition)Author(s): M. Quintana-Díaz, E.M. Andrés-Esteban, J. Sánchez-Serrano, A. Martínez-Virto, R. Juárez-Vela, J.A. García-ErceAbstractIncreasing haemoglobin and haematocrit levels with blood transfusions has been the gold standard for treating severe anaemia; however, the indication for transfusing concentrated red blood cells is based merely on a few laboratory markers, such as haemoglobin and haematocrit levels, rather than based on the symptoms according to clinical pract...
Source: Revista Clinica Espanola - January 26, 2020 Category: Internal Medicine Source Type: research

In response to the article by S. Trias-Llimós: «The importance of alcohol-related mortality estimates in Spain»
Publication date: Available online 25 January 2020Source: Revista Clínica Española (English Edition)Author(s): J. Montes-Santiago (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - January 26, 2020 Category: Internal Medicine Source Type: research

Metformin and sodium-glucose cotransporter inhibitors as therapy for type 1 diabetes mellitus: Handle with care
Publication date: January–February 2020Source: Revista Clínica Española (English Edition), Volume 220, Issue 1Author(s): J. Ena, R. Gómez-Huelgas (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - January 23, 2020 Category: Internal Medicine Source Type: research

Is oral iron always the best option?
Publication date: January–February 2020Source: Revista Clínica Española (English Edition), Volume 220, Issue 1Author(s): J. Grau Amorós (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - January 23, 2020 Category: Internal Medicine Source Type: research

Improving the care of people with chronic conditions in Spain. Common Position Statement of the Spanish Society of Internal Medicine and the Spanish Society of Family and Community Medicine
Publication date: January–February 2020Source: Revista Clínica Española (English Edition), Volume 220, Issue 1Author(s): (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - January 23, 2020 Category: Internal Medicine Source Type: research

Factors that determine the loss of control when reducing therapy by steps in the treatment of moderate-severe asthma in standard clinical practice: A multicentre Spanish study
Publication date: Available online 17 January 2020Source: Revista Clínica Española (English Edition)Author(s): E. Martínez-Moragón, J. Delgado, S. Mogrovejo, T. Fernández-Sánchez, On behalf of the grupo de investigación STEP, Jesús Jiménez López, Miguel Ángel Moscardó Orenes, Patricia Prieto Montaño, Miguel Torrecillas Toro, Begoña Cueva Oliver, Ángel Ferrer Torres, Purificación González Delgado, Teodorikez Wilfox Jiménez Rodríguez, Brian Vila Auli, Juan José Zapata Yebenes, Marí...
Source: Revista Clinica Espanola - January 17, 2020 Category: Internal Medicine Source Type: research

Efficacy and safety of metformin and sodium-glucose co-transporter-2 inhibitors in adults with type 1 diabetes: A systematic review and network meta-analysis
ConclusionSGLT2 inhibitors provided greater reductions in HbA1c and body weight than metformin/placebo. Both SGLT2 inhibitors and metformin induced greater reductions in total insulin dosage than placebo, with no significant differences observed between SGLT2 inhibitors and metformin. SGLT2 inhibitors induced a higher risk for DKA than metformin/placebo.ResumenObjetivoComparar la eficacia y la seguridad de los inhibidores del cotransportador-2 de sodio-glucosa (SGLT2) y de la metformina en adultos con diabetes mellitus tipo 1 (DMT1).MétodosSe buscaron en PubMed, EMBASE, la Cochrane Library y la Web of Science, los e...
Source: Revista Clinica Espanola - January 11, 2020 Category: Internal Medicine Source Type: research

Lung ultrasound in heart failure
Publication date: Available online 31 December 2019Source: Revista Clínica Española (English Edition)Author(s): M Méndez Bailón, JM Cerqueiro, J Carriel, E Orviz García, JM Cepeda RodrigoAbstractThe present article reviews the usefulness of lung ultrasound in the diagnosis, prognostic stratification and treatment of patients with heart failure. The article addresses the technical aspects when performing lung ultrasonography, as well as the importance of the presence of B-lines in the diagnosis and the prognostic value of pulmonary congestion. Moreover, the article reviews the most recentl...
Source: Revista Clinica Espanola - January 2, 2020 Category: Internal Medicine Source Type: research

Management of iron deficiency in various clinical conditions and the role of intravenous iron: Recommendations of the Spanish erythropathology group of the Spanish society of hematology and hemotherapy
Publication date: Available online 25 December 2019Source: Revista Clínica Española (English Edition)Author(s): J.A. García Erce, A. Altés, M. López Rubio, Á.F. Remacha, en representación del Grupo Español de Eritropatología de la Sociedad Española de Hematología y HemoterapiaAbstractIron deficiency (ID) due to blood loss, absorption disorders and dietary deficiencies causes iron-deficiency anaemia, whose treatment seeks to eliminate the underlying cause and restore haemoglobin and iron deposits. Typically, the latter 2 of these objectives can be ...
Source: Revista Clinica Espanola - December 26, 2019 Category: Internal Medicine Source Type: research

Reply to “On the quality-of-life questionnaires in atrial fibrillation”
Publication date: Available online 25 December 2019Source: Revista Clínica Española (English Edition)Author(s): V. Barrios, C. Escobar (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - December 26, 2019 Category: Internal Medicine Source Type: research

Inpatient dermatology consultations in a tertiary care hospital in Spain: A retrospective study of 750 patients
ConclusionsConsultation activities have a significant impact on the management of hospitalised patients, resulting in improved quality of care and reduced healthcare costs. These activities are also of training value for resident physicians.ResumenObjetivoLa interconsulta médica es una labor asistencial generalmente poco valorada y estudiada. El principal objetivo ha sido describir y analizar las interconsultas solicitadas a Dermatología y los aspectos que inciden en su resolución.Pacientes y métodosEstudio observacional retrospectivo en el que se recogieron las interconsultas de los pacientes i...
Source: Revista Clinica Espanola - December 26, 2019 Category: Internal Medicine Source Type: research

Localized tracheal amyloidosis incidentally detected during lung cancer screening with low-dose chest computed tomography
Publication date: Available online 25 December 2019Source: Revista Clínica Española (English Edition)Author(s): L. Gorospe, P. Arrieta, D. Barrios-Barreto (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - December 26, 2019 Category: Internal Medicine Source Type: research

Proposed organizational changes in the right direction
Publication date: Available online 19 December 2019Source: Revista Clínica Española (English Edition)Author(s): A. Zapatero Gaviria, S. Gonzalo Pascua (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - December 20, 2019 Category: Internal Medicine Source Type: research

On the quality-of-life questionnaires in atrial fibrillation
Publication date: Available online 19 December 2019Source: Revista Clínica Española (English Edition)Author(s): J. Velasco Montes, S. González Díez (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - December 20, 2019 Category: Internal Medicine Source Type: research

Shared-care, a different method for organizing collaboration with surgery departments
Publication date: Available online 19 December 2019Source: Revista Clínica Española (English Edition)Author(s): V. Barreto, J. Díez-Manglano (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - December 20, 2019 Category: Internal Medicine Source Type: research

Hemodynamic profile of Spanish adults with Down syndrome
ConclusionsThe most common haemodynamic profile observed in adults with SD consisted of hypochronotropism and hypervolaemia, with normal values for peripheral vascular resistance and optimal mean BP values. There were no participants with hypertension in our sample.ResumenObjetivosSi bien se desconocen los motivos, la prevalencia de hipertensión arterial y de eventos cardiovasculares ateroscleróticos en la población adulta con síndrome de Down (SD) es anecdótica. Para entender mejor este hallazgo evaluamos las características hemodinámicas de una cohorte de adultos con SD.M&...
Source: Revista Clinica Espanola - December 10, 2019 Category: Internal Medicine Source Type: research

Large biatrial myxoma through an atrial septal defect
Publication date: Available online 10 December 2019Source: Revista Clínica Española (English Edition)Author(s): S. Blasco Turrión, P. González Pérez, J.A. Sánchez Brotons (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - December 10, 2019 Category: Internal Medicine Source Type: research

Pleural calcification mimicking a rib
Publication date: Available online 10 December 2019Source: Revista Clínica Española (English Edition)Author(s): Y. Aydin, H. Ogul, A. Eroglu (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - December 10, 2019 Category: Internal Medicine Source Type: research

Reply to Montes-Santiago and Roseiro-Sordo: “The importance of alcohol-related mortality estimates in Spain”
Publication date: Available online 6 December 2019Source: Revista Clínica Española (English Edition)Author(s): S. Trias-Llimós (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - December 7, 2019 Category: Internal Medicine Source Type: research

Hemophagocytic syndrome and the influenza virus (H3N2)
Publication date: Available online 6 December 2019Source: Revista Clínica Española (English Edition)Author(s): M. Martín Asenjo, J.M. Martín Guerra, J.M. Prieto de Paula (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - December 7, 2019 Category: Internal Medicine Source Type: research

Xanthogranulomatous pyelonephritis
Publication date: Available online 6 December 2019Source: Revista Clínica Española (English Edition)Author(s): J. Lorca Álvaro, M. Santiago González, I. Laso García (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - December 7, 2019 Category: Internal Medicine Source Type: research

Acute care for elderly patients in a functional impairment prevention unit
Publication date: Available online 6 December 2019Source: Revista Clínica Española (English Edition)Author(s): J. Martinez-Peromingo, A. Castañeda, A. Muñana, M.E. Baeza, P. de Peralta, C. Fuentes, R. BarbaAbstractObjectiveThe aim of our study was to determine whether the care of patients with moderate dependency who were hospitalised in a functional impairment prevention unit (FIPU) was superior to that of a conventional unit (CU) in terms of functional impairment and mean stay.MethodsWe conducted a single-centre, retrospective, controlled intervention study that compared acute treatment in an ...
Source: Revista Clinica Espanola - December 7, 2019 Category: Internal Medicine Source Type: research

Hepatothoracic hydatid transit with septic pulmonary embolism
Publication date: Available online 5 December 2019Source: Revista Clínica Española (English Edition)Author(s): S. Osorio Aira, M.R. López Pedreira (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - December 5, 2019 Category: Internal Medicine Source Type: research

Renal function at admission as a prognostic marker for patients hospitalized for a first episode of heart failure. Results of the PREDICE study
Publication date: Available online 4 December 2019Source: Revista Clínica Española (English Edition)Author(s): Á. Torralba-Morón, J.M. Guerra-Vales, F.J. Medrano-Ortega, M.A. Navarro-Puerto, D. Lora-Pablos, I. Marín-León, E. Calderón-Sandubete, A. Gómez-de la CámaraAbstractBackground and objectivesHeart failure (HF) is a frequent condition that deteriorates quality of life and results in high morbidity and mortality. A considerable number of studies have been implemented in recent years to determine the factors that affect the prognosis of HF; however, few stud...
Source: Revista Clinica Espanola - December 4, 2019 Category: Internal Medicine Source Type: research

Can hepatitis A outbreaks in men who have sex with men be controlled?
Publication date: Available online 2 December 2019Source: Revista Clínica Española (English Edition)Author(s): A. Domínguez, X. Forns (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - December 4, 2019 Category: Internal Medicine Source Type: research

An exaggerated increase in blood pressure with exercise does not predict mortality or severe cardiovascular events in women referred for exercise echocardiography for clinical reasons
ConclusionsEBPIE is not associated with mortality or severe cardiovascular events in women with known or suspected coronary artery disease.ResumenFundamento y objetivosLa asociación entre un incremento exagerado de la presión arterial sistólica con el ejercicio (IEPASE) y la probabilidad de eventos cardiovasculares es controvertida y poco estudiada en población femenina. Nuestro propósito fue determinar la posible asociación de un IEPASE con mortalidad y eventos cardiovasculares en mujeres referidas a ecocardiografía de ejercicio por enfermedad coronaria conocida o sospechad...
Source: Revista Clinica Espanola - December 4, 2019 Category: Internal Medicine Source Type: research

The effect of age and sex on the diagnostic yield of the echocardiogram in patients with syncope
Publication date: Available online 30 November 2019Source: Revista Clínica Española (English Edition)Author(s): J.M. Larrañaga-Moreira, C. Barbeito-Caamaño, A. Bouzas-Mosquera, F.J. Broullón-Molanes, N. Álvarez-García, J.M. Vázquez-RodríguezAbstractIntroductionSyncope is the motivation for numerous diagnostic tests, among them transthoracic echocardiography (TTE); however, previous evidence suggests there is little utility in this test. Our objective was to assess its diagnostic yield in syncope, analysing the effect of age and sex.Material and methodsWe conduc...
Source: Revista Clinica Espanola - December 1, 2019 Category: Internal Medicine Source Type: research